29
California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate Increase History Company Contact: None provided by the company. As of 12/2015 Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 1 of 29 Dave Jones, Insurance Commissioner Row # Policy Form *Policy Type **Policy Category Date Policy Sold Date Policy Acquired Acquired From Company Name Acquired From Company NAIC CA Policy Other State Policy Increase Requested Increase Approved Date Increase Requested Date Increase Approved Date Increase Issued Company Explanation 1 2-P I F 12/13/1999 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/2010 2 7-P-Q I C 9/18/2002 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/2010 3 8-P-Q I C 6/5/2002 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/2010 4 N-2000 I C 12/11/1991 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/2010 5 N-3000 I C 1/1/2000 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/2010 6 5-P-Q I C 7/15/2001 AL 25.00% 15.00% 5/22/2009 2/3/2010 5/21/2010 7 7-P-Q I C 1/28/2002 AL 25.00% 15.00% 5/22/2009 2/3/2010 5/21/2010 8 8-P-Q I C 2/1/2002 AL 25.00% 15.00% 5/22/2009 2/3/2010 5/21/2010 9 N-2000 I A 10/23/1991 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 10 N-2000 I C 12/10/1991 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 11 N-2350 I A 1/11/1994 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 12 N-2350 I C 1/14/1994 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 13 N-2720 I A 11/11/1996 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 14 N-2720 I D 3/2/1997 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 15 N-2721 I C 9/6/1996 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 16 N-2721 I F 1/7/1997 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 17 N-3000 I C 12/7/1998 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 18 N-3000 I F 5/20/1999 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/2010 19 2-P I C 6/7/1999 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 20 2-P I F 1/3/2000 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 21 7-P-Q I C 1/7/2003 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 22 8-P-Q I C 1/24/2003 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 23 N-2350 I A 7/12/1995 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 24 N-2350 I C 6/28/1995 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 25 N-2720 I A 12/28/1996 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 26 N-2720 I D 12/28/1996 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 27 N-2721 I C 1/13/1997 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 28 N-2721 I F 1/13/1997 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 29 N-3000 I C 4/19/1999 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 30 N-3000 I F 4/19/1999 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/2010 31 1-C-P-N I F 7/21/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 32 1-C-P-Q I C 12/28/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 33 1-F-P-N I D 7/21/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 34 1-F-P-Q I A 12/28/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 35 2-P I C 8/24/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 36 2-P I F 12/2/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 37 5-P-Q I C 5/25/2001 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 38 7-P-Q I C 3/17/2002 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 39 8-P-Q I C 3/14/2002 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 40 8-P-Q I F 11/9/2002 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 41 N-2000 I A 8/14/1991 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 42 N-2000 I C 6/1/1991 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 43 N-2350 I A 7/8/1994 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010 44 N-2350 I C 12/23/1993 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010

Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

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Page 1: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 1 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1 2-P I F 12/13/1999 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/20102 7-P-Q I C 9/18/2002 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/20103 8-P-Q I C 6/5/2002 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/20104 N-2000 I C 12/11/1991 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/20105 N-3000 I C 1/1/2000 AK 25.00% 25.00% 5/27/2009 6/23/2009 1/1/20106 5-P-Q I C 7/15/2001 AL 25.00% 15.00% 5/22/2009 2/3/2010 5/21/20107 7-P-Q I C 1/28/2002 AL 25.00% 15.00% 5/22/2009 2/3/2010 5/21/20108 8-P-Q I C 2/1/2002 AL 25.00% 15.00% 5/22/2009 2/3/2010 5/21/20109 N-2000 I A 10/23/1991 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201010 N-2000 I C 12/10/1991 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201011 N-2350 I A 1/11/1994 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201012 N-2350 I C 1/14/1994 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201013 N-2720 I A 11/11/1996 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201014 N-2720 I D 3/2/1997 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201015 N-2721 I C 9/6/1996 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201016 N-2721 I F 1/7/1997 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201017 N-3000 I C 12/7/1998 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201018 N-3000 I F 5/20/1999 AL 25.00% 25.00% 5/22/2009 2/3/2010 5/21/201019 2-P I C 6/7/1999 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201020 2-P I F 1/3/2000 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201021 7-P-Q I C 1/7/2003 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201022 8-P-Q I C 1/24/2003 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201023 N-2350 I A 7/12/1995 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201024 N-2350 I C 6/28/1995 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201025 N-2720 I A 12/28/1996 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201026 N-2720 I D 12/28/1996 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201027 N-2721 I C 1/13/1997 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201028 N-2721 I F 1/13/1997 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201029 N-3000 I C 4/19/1999 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201030 N-3000 I F 4/19/1999 AR 25.00% 25.00% 5/22/2009 8/19/2009 1/1/201031 1-C-P-N I F 7/21/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201032 1-C-P-Q I C 12/28/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201033 1-F-P-N I D 7/21/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201034 1-F-P-Q I A 12/28/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201035 2-P I C 8/24/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201036 2-P I F 12/2/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201037 5-P-Q I C 5/25/2001 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201038 7-P-Q I C 3/17/2002 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201039 8-P-Q I C 3/14/2002 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201040 8-P-Q I F 11/9/2002 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201041 N-2000 I A 8/14/1991 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201042 N-2000 I C 6/1/1991 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201043 N-2350 I A 7/8/1994 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201044 N-2350 I C 12/23/1993 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/2010

Page 2: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 2 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

45 N-2720 I A 12/28/1996 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201046 N-2720 I D 11/21/1997 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201047 N-2721 I C 8/1/1996 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201048 N-2721 I F 3/18/1997 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201049 N-3000 I C 8/6/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201050 N-3000 I F 8/6/1999 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201051 N-4040-P-NQ I F 10/14/2000 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201052 N-4040-P-Q I C 2/28/2001 AZ 25.00% 15.00% 10/8/2009 11/17/2009 3/19/201053 2-P I F 11/9/1999 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201054 7-P-Q I C 11/26/2001 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201055 8-P-Q I C 2/26/2002 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201056 N-2000 I A 3/19/1991 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201057 N-2000 I C 7/17/1991 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201058 N-2350 I A 3/21/1994 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201059 N-2350 I C 4/6/1994 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201060 N-2720 I A 8/15/1996 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201061 N-2720 I D 3/10/1997 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201062 N-2721 I C 7/24/1996 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201063 N-2721 I F 1/27/1997 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201064 N-3000 I C 9/20/1998 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201065 N-3000 I F 3/21/1999 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201066 N-4040-P-NQ I F 9/20/2001 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201067 N-4040-P-Q I C 2/5/2001 CO 25.00% 25.00% 10/30/2009 12/1/2009 3/19/201068 2-P I C 6/27/1999 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201069 2-P I F 6/26/1999 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201070 8-P-Q I C 10/11/2002 DE 25.00% 11.00% 4/8/2010 7/9/2010 11/18/201071 N-2720 I A 1/20/1997 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201072 N-2721 I C 1/9/1997 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201073 N-2721 I F 10/28/1997 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201074 N-3000 I C 7/12/1999 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201075 N-3000 I F 7/12/1999 DE 25.00% 20.00% 4/8/2010 7/9/2010 11/18/201076 1-C-P-N I F 1/26/2000 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201077 1-C-P-Q I C 5/5/2000 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201078 1-F-P-N I D 1/26/2000 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201079 1-F-P-Q I A 5/5/2000 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201080 2-P I C 8/16/1999 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201081 2-P I F 11/8/1999 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201082 5-P-Q I C 10/16/2001 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201083 7-P-Q I C 2/19/2002 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201084 8-P-Q I C 6/4/2002 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201085 N-2350 I A 2/1/1995 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201086 N-2350 I C 9/13/1994 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201087 N-2720 I A 9/8/1996 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201088 N-2720 I D 3/6/1997 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/2010

Page 3: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 3 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

89 N-2721 I C 9/1/1996 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201090 N-2721 I F 1/26/1997 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201091 N-3000 I C 12/3/1998 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201092 N-3000 I F 12/3/1998 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201093 N-4040-P-NQ I F 1/18/2001 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201094 N-4040-P-Q I C 3/19/2001 GA 25.00% 10.00% 5/28/2009 3/10/2010 6/8/201095 1-C-P-N I F 6/21/1999 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/201096 1-F-P-N I D 6/21/1999 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/201097 2-P I F 12/1/1999 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/201098 7-P-Q I C 5/28/2003 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/201099 8-P-Q I C 6/17/2002 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010

100 N-2350 I A 1/23/1995 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010101 N-2350 I C 1/17/1995 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010102 N-2720 I A 6/18/1996 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010103 N-2720 I D 9/16/1998 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010104 N-2721 I C 7/2/1996 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010105 N-2721 I F 3/1/1997 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010106 N-3000 I C 6/11/1999 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010107 N-3000 I F 7/6/1999 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010108 N-4040-P-NQ I F 8/28/2001 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010109 N-4040-P-Q I C 7/19/2001 HI 25.00% 25.00% 6/4/2009 11/2/2009 3/19/2010110 N-2000 I A 10/23/1991 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010111 N-2000 I C 3/2/1991 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010112 N-2350 I A 11/7/1993 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010113 N-2350 I C 3/1/1994 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010114 N-2720 I A 7/8/1996 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010115 N-2720 I D 2/4/1997 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010116 N-2721 I C 4/23/1996 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010117 N-2721 I F 1/15/1997 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010118 N-3000 I C 10/26/1998 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010119 N-3000 I F 10/26/1998 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010120 N-4040-P-NQ I F 4/12/2001 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010121 N-4040-P-Q I C 12/18/2000 IA 25.00% 25.00% 8/14/2009 12/28/2009 5/21/2010122 2-P I C 5/7/1999 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010123 2-P I F 12/3/1999 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010124 5-P-Q I C 4/3/2001 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010125 7-P-Q I C 12/17/2001 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010126 8-P-Q I C 5/21/2002 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010127 N-2350 I C 6/1/1996 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010128 N-2350 I F 5/15/1997 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010129 N-2721 I C 1/27/1998 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010130 N-2721 I F 9/25/1998 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010131 N-3000 I C 3/4/1999 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010132 N-3000 I F 4/13/1999 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010

Page 4: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 4 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

133 N-4040-P-Q I C 2/18/2001 ID 25.00% 25.00% 6/4/2009 7/29/2009 1/1/2010134 1-C-P-N I F 12/27/1998 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010135 1-C-P-Q I C 2/3/1999 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010136 1-F-P-N I D 12/27/1998 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010137 1-F-P-Q I A 2/3/1999 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010138 2-P I C 6/1/1999 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010139 2-P I F 11/12/1999 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010140 5-P-Q I C 11/26/2001 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010141 7-P-Q I C 12/24/2002 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010142 8-P-Q I C 1/17/2003 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010143 N-2000 I A 2/12/1992 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010144 N-2000 I C 8/5/1993 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010145 N-2350 I A 5/9/1994 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010146 N-2350 I C 1/12/1994 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010147 N-2720 I A 7/8/1996 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010148 N-2720 I D 1/26/1997 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010149 N-2721 I C 7/19/1996 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010150 N-2721 I F 2/1/1997 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010151 N-3000 I C 12/28/1998 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010152 N-3000 I F 1/18/1999 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010153 N-4040-P-NQ I F 1/18/2001 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010154 N-4040-P-Q I C 1/3/2001 IL 25.00% 25.00% 6/2/2009 12/4/2009 3/19/2010155 1-C-P-N I F 7/23/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010156 1-C-P-Q I C 7/20/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010157 1-F-P-N I D 7/23/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010158 1-F-P-Q I A 7/20/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010159 2-P I C 8/18/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010160 2-P I F 5/11/2000 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010161 7-P-Q I C 10/24/2002 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010162 8-P-Q I C 5/2/2002 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010163 N-2000 I A 8/12/1991 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010164 N-2350 I A 8/13/1994 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010165 N-2350 I C 4/7/1994 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010166 N-2720 I A 6/1/1996 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010167 N-2720 I D 2/6/1997 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010168 N-2721 I C 8/11/1996 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010169 N-2721 I F 3/20/1997 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010170 N-3000 I C 1/27/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010171 N-3000 I F 6/1/1999 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010172 N-4040-P-NQ I F 12/20/2000 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010173 N-4040-P-Q I C 2/1/2001 IN 25.00% 25.00% 6/23/2009 8/16/2010 12/29/2010174 1-C-P-N I F 5/1/1999 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010175 1-F-P-N I D 5/1/1999 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010176 2-P I C 7/14/1999 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010

Page 5: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 5 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

177 2-P I F 11/13/1999 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010178 5-P-Q I C 4/24/2001 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010179 7-P-Q I C 1/15/2002 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010180 8-P-Q I C 4/5/2002 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010181 8-P-Q I F 12/6/2002 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010182 N-2000 I A 8/1/1991 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010183 N-2000 I C 2/18/1992 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010184 N-2350 I A 2/8/1994 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010185 N-2350 I C 3/17/1994 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010186 N-2720 I A 6/28/1996 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010187 N-2720 I D 2/2/1997 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010188 N-2721 I C 6/7/1996 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010189 N-2721 I F 1/15/1997 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010190 N-3000 I C 1/28/1999 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010191 N-3000 I F 2/3/1999 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010192 N-4040-P-NQ I F 9/7/2001 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010193 N-4040-P-Q I C 12/7/2000 KS 25.00% 15.00% 6/19/2009 11/10/2009 3/19/2010194 1-C-P-N I F 7/14/1999 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010195 1-F-P-N I D 7/14/1999 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010196 2-P I C 6/15/1999 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010197 2-P I F 11/16/1999 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010198 5-P-Q I C 5/11/2001 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010199 7-P-Q I C 5/21/2002 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010200 8-P-Q I C 6/24/2002 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010201 N-2000 I A 8/8/1992 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010202 N-2000 I C 8/26/1991 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010203 N-2350 I A 6/14/1994 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010204 N-2350 I C 9/1/1994 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010205 N-2720 I A 9/9/1997 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010206 N-2720 I D 9/9/1997 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010207 N-2721 I C 11/26/1996 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010208 N-2721 I F 4/24/1997 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010209 N-3000 I C 1/13/1999 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010210 N-3000 I F 5/13/1999 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010211 N-4040-P-NQ I F 1/28/2002 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010212 N-4040-P-Q I C 12/22/2000 KY 25.00% 25.00% 6/19/2009 10/22/2009 3/19/2010213 1-C-P-Q I C 5/2/2000 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010214 1-F-P-Q I A 5/2/2000 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010215 2-P I C 10/11/1999 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010216 2-P I F 11/8/1999 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010217 5-P-Q I C 2/23/2001 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010218 7-P-Q I C 2/22/2002 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010219 8-P-Q I C 3/14/2002 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010220 N-2000 I A 11/12/1991 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010

Page 6: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 6 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

221 N-2000 I C 8/26/1991 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010222 N-2350 I A 9/12/1995 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010223 N-2350 I C 2/20/1995 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010224 N-2720 I A 10/19/1996 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010225 N-2720 I D 7/21/1997 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010226 N-2721 I C 11/1/1996 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010227 N-2721 I F 6/16/1997 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010228 N-3000 I C 2/3/1999 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010229 N-3000 I F 2/26/1999 LA 25.00% 20.00% 7/21/2009 11/6/2009 3/10/2010230 N-4040-P-NQ I F 8/9/2001 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010231 N-4040-P-Q I C 7/26/2001 LA 25.00% 10.00% 7/21/2009 11/6/2009 3/10/2010232 8-P-Q I C 11/17/2003 MD 25.00% 15.00% 7/17/2009 11/17/2009 3/10/2010233 N-2720 I A 2/1/1997 MD 25.00% 15.00% 7/17/2009 11/17/2009 3/10/2010234 N-2720 I D 7/8/1997 MD 25.00% 15.00% 7/17/2009 11/17/2009 3/10/2010235 N-2721 I C 11/1/1996 MD 25.00% 15.00% 7/17/2009 11/17/2009 3/10/2010236 N-2721 I F 1/4/1997 MD 25.00% 15.00% 7/17/2009 11/17/2009 3/10/2010237 N-3000 I C 5/8/2000 MD 25.00% 15.00% 7/17/2009 11/17/2009 3/10/2010238 1-C-P-N I F 9/23/1999 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010239 1-C-P-Q I C 8/27/1999 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010240 1-F-P-N I D 9/23/1999 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010241 1-F-P-Q I A 8/27/1999 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010242 5-P-Q I C 5/21/2001 ME 25.00% 10.00% 8/21/2009 9/23/2009 1/1/2010243 7-P-Q I C 5/13/2002 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010244 8-P-Q I C 5/13/2003 ME 25.00% 12.50% 8/21/2009 9/23/2009 1/1/2010245 N-2350 I C 6/22/1995 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010246 N-2720 I A 7/28/1997 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010247 N-2721 I C 9/25/1996 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010248 N-2721 I F 1/1/1997 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010249 N-3000 I C 6/2/1999 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010250 N-3000 I F 11/8/1999 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010251 N-4040-P-Q I C 9/25/2001 ME 25.00% 25.00% 8/21/2009 9/23/2009 1/1/2010252 1-C-P-N I F 7/28/1999 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010253 1-F-P-N I D 7/28/1999 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010254 5-P-Q I C 3/24/2001 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010255 5-P-Q I F 9/20/2002 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010256 7-P-Q I C 12/6/2001 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010257 8-P-Q I C 2/15/2002 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010258 N-2350 I C 3/24/1995 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010259 N-2720 I A 12/28/1996 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010260 N-2720 I D 2/3/1998 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010261 N-2721 I C 8/25/1996 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010262 N-2721 I F 1/15/1997 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010263 N-3000 I C 11/12/1998 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010264 N-3000 I F 7/7/1999 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010

Page 7: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 7 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

265 N-4040-P-NQ I F 6/1/2001 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010266 N-4040-P-Q I C 5/1/2001 MI 25.00% 25.00% 5/22/2009 6/8/2009 1/1/2010267 1-C-P-N I F 5/15/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010268 1-C-P-Q I C 2/9/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010269 1-F-P-N I D 5/15/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010270 1-F-P-Q I A 2/9/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010271 2-P I C 8/19/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010272 2-P I F 12/3/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010273 5-P-Q I C 5/6/2001 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010274 5-P-Q I F 1/17/2002 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010275 7-P-Q I C 1/2/2002 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010276 8-P-Q I C 2/8/2002 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010277 N-2000 I A 3/13/1991 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010278 N-2350 I A 4/28/1994 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010279 N-2350 I C 5/3/1994 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010280 N-2720 I A 9/13/1996 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010281 N-2720 I D 1/21/1997 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010282 N-2721 I C 7/24/1996 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010283 N-2721 I F 1/28/1997 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010284 N-3000 I C 2/2/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010285 N-3000 I F 5/4/1999 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010286 N-4040-P-NQ I F 7/28/2001 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010287 N-4040-P-Q I C 4/8/2001 MO 25.00% 25.00% 6/23/2009 9/1/2009 1/1/2010288 5-P-Q I C 7/10/2001 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010289 5-P-Q I F 3/8/2001 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010290 7-P-Q I C 12/18/2001 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010291 8-P-Q I C 7/10/2002 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010292 N-2350 I A 2/16/1994 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010293 N-2350 I C 9/25/1995 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010294 N-2720 I A 9/19/1996 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010295 N-2720 I D 3/20/1998 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010296 N-2721 I C 11/1/1996 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010297 N-3000 I C 8/1/1999 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010298 N-3000 I F 1/4/2000 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010299 N-4040-P-Q I C 6/27/2001 MS 25.00% 25.00% 7/21/2009 10/6/2009 3/10/2010300 1-C-P-Q I C 7/11/2000 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010301 1-F-P-Q I A 7/11/2000 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010302 5-P-Q I C 12/1/2001 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010303 7-P-Q I C 3/1/2002 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010304 8-P-Q I C 1/28/2002 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010305 N-2350 I A 5/13/1994 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010306 N-2350 I C 10/24/1994 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010307 N-2720 I A 9/11/1996 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010308 N-2720 I D 3/20/1997 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010

Page 8: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 8 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

309 N-2721 I C 9/24/1996 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010310 N-2721 I F 3/1/1997 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010311 N-3000 I C 2/3/1999 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010312 N-3000 I F 2/22/1999 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010313 N-4040-P-Q I C 6/1/2001 MT 25.00% 25.00% 7/17/2009 9/2/2009 1/1/2010314 1-C-P-N I F 9/14/1999 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010315 1-C-P-Q I C 1/3/2000 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010316 1-F-P-N I D 9/14/1999 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010317 1-F-P-Q I A 1/3/2000 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010318 2-P I C 9/23/1999 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010319 2-P I F 11/10/1999 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010320 5-P-Q I C 7/25/2001 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010321 7-P-Q I C 3/21/2002 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010 Policies issued prior to 2/1/2003.322 8-P-Q I C 5/28/2002 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010323 N-2000 I A 1/13/1992 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010324 N-2350 I A 3/15/1995 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010325 N-2350 I C 6/3/1995 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010326 N-2720 I A 8/12/1996 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010327 N-2720 I D 2/1/1997 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010328 N-2721 I C 8/13/1996 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010329 N-2721 I F 1/16/1997 NC 25.00% 25.00% 6/30/2009 12/7/2009 3/10/2010330 N-3000 I C 1/27/1999 NC 25.00% 12.50% 6/30/2009 12/7/2009 3/10/2010331 N-3000 I F 4/2/1999 NC 25.00% 12.50% 6/30/2009 12/7/2009 3/10/2010332 N-4040-P-NQ I F 12/8/2000 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010333 N-4040-P-Q I C 3/5/2001 NC 25.00% 20.00% 6/30/2009 12/7/2009 3/10/2010334 7-P-Q I C 7/2/2002 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010335 8-P-Q I C 2/5/2002 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010336 N-2000 I A 10/1/1991 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010337 N-2350 I A 3/8/1994 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010338 N-2350 I C 9/19/1994 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010339 N-2720 I A 5/19/1996 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010340 N-2720 I D 2/21/1997 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010341 N-2721 I C 9/17/1996 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010342 N-2721 I F 5/1/1997 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010343 N-3000 I C 2/6/1999 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010344 N-3000 I F 2/6/1999 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010345 N-4040-P-Q I C 12/5/2000 ND 25.00% 15.00% 5/22/2009 6/26/2009 1/1/2010346 1-C-P-N I F 2/24/1999 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010347 1-F-P-N I D 2/24/1999 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010348 2-P I F 1/5/2000 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010349 7-P-Q I C 1/9/2002 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010350 8-P-Q I C 5/16/2002 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010351 N-2000 I A 3/14/1991 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010352 N-2000 I C 8/24/1993 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010

Page 9: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 9 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

353 N-2350 I A 11/15/1993 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010354 N-2350 I C 3/21/1994 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010355 N-2720 I A 7/15/1996 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010356 N-2720 I D 12/28/1996 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010357 N-2721 I C 8/2/1996 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010358 N-2721 I F 1/28/1997 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010359 N-3000 I C 12/10/1998 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010360 N-3000 I F 4/13/1999 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010361 N-4040-P-Q I C 10/12/2001 NE 25.00% 25.00% 5/22/2009 2/10/2010 5/21/2010362 7-P-Q I C 3/5/2002 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010363 8-P-Q I C 3/6/2002 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010364 N-2350 I A 9/3/1996 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010365 N-2350 I C 8/19/1995 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010366 N-2720 I A 12/8/1997 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010367 N-2721 I C 2/28/1997 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010368 N-2721 I F 5/1/1997 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010369 N-3000 I C 2/24/1999 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010370 N-3000 I F 3/14/1999 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010371 N-4040-P-NQ I F 10/22/2001 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010372 N-4040-P-Q I C 1/2/2001 NH 25.00% 25.00% 6/16/2009 8/12/2009 1/1/2010373 1-C-P-Q I C 10/11/1999 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010374 1-F-P-Q I A 10/11/1999 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010375 N-2720 I A 3/21/1997 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010376 N-2720 I D 3/23/1998 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010377 N-2721 I C 11/16/1996 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010378 N-2721 I F 2/27/1997 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010379 N-3000 I C 8/16/1999 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010380 N-3000 I F 11/16/1999 NJ 25.00% 25.00% 10/15/2009 5/3/2010 8/1/2010381 1-C-P-N I F 8/28/2000 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010382 1-F-P-N I D 8/28/2000 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010383 2-P I C 7/22/1999 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010384 2-P I F 5/2/2000 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010385 5-P-Q I C 6/2/2001 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010386 5-P-Q I F 5/28/2002 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010387 7-P-Q I C 1/22/2002 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010388 8-P-Q I C 4/12/2002 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010389 N-2000 I A 4/1/1993 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010390 N-2350 I A 9/8/1995 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010391 N-2720 I A 12/28/1996 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010392 N-2720 I D 11/18/1997 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010393 N-2721 I C 10/1/1996 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010394 N-2721 I F 4/8/1997 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010395 N-3000 I C 1/27/1999 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010396 N-3000 I F 9/20/1999 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010

Page 10: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 10 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

397 N-4040-P-NQ I F 3/15/2001 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010398 N-4040-P-Q I C 9/28/2001 NM 25.00% 25.00% 11/5/2009 12/23/2009 5/21/2010399 1-C-P-Q I C 8/9/1999 NV 25.00% 10.00% 6/16/2009 1/27/2010 5/21/2010400 1-F-P-Q I A 8/9/1999 NV 25.00% 10.00% 6/16/2009 1/27/2010 5/21/2010401 N-2350 I C 2/19/1994 NV 25.00% 25.00% 6/16/2009 1/27/2010 5/21/2010402 N-2720 I A 11/10/1997 NV 25.00% 25.00% 6/16/2009 1/27/2010 5/21/2010403 N-2720 I D 12/28/1998 NV 25.00% 25.00% 6/16/2009 1/27/2010 5/21/2010404 N-2721 I C 12/28/1996 NV 25.00% 25.00% 6/16/2009 1/27/2010 5/21/2010405 N-2721 I F 9/19/1997 NV 25.00% 25.00% 6/16/2009 1/27/2010 5/21/2010406 N-4040-P-Q I C 8/28/2001 NV 25.00% 10.00% 6/16/2009 1/27/2010 5/21/2010407 1-C-P-N I F 2/2/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010408 1-C-P-Q I C 2/10/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010409 1-F-P-N I D 2/2/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010410 1-F-P-Q I A 2/10/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010411 2-P I C 5/11/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010412 2-P I F 11/2/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010413 5-P-Q I C 4/20/2001 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010414 5-P-Q I F 2/19/2001 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010415 7-P-Q I C 11/28/2001 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010416 8-P-Q I C 2/4/2002 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010417 N-2000 I A 4/1/1991 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010418 N-2350 I A 12/9/1993 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010419 N-2350 I C 3/9/1994 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010420 N-2720 I A 9/9/1996 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010421 N-2720 I D 8/28/1997 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010422 N-2721 I C 5/25/1996 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010423 N-2721 I F 1/20/1997 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010424 N-3000 I C 1/16/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010425 N-3000 I F 2/1/1999 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010426 N-4040-P-NQ I F 3/6/2001 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010427 N-4040-P-Q I C 10/21/2000 OH 25.00% 20.00% 10/15/2009 10/30/2009 3/10/2010428 1-C-P-N I F 6/1/2000 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011429 1-C-P-Q I C 3/15/1999 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011430 1-F-P-N I D 6/1/2000 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011431 1-F-P-Q I A 3/15/1999 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011432 2-P I C 10/6/1999 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011433 2-P I F 11/1/1999 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011434 5-P-Q I C 8/7/2001 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011435 7-P-Q I C 11/7/2001 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011436 8-P-Q I C 4/25/2002 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011437 N-2000 I C 5/10/1991 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011438 N-2350 I A 9/1/1994 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011439 N-2350 I C 5/3/1994 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011440 N-2720 I A 9/4/1996 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011

Page 11: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 11 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

441 N-2720 I D 8/15/1997 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011442 N-2721 I C 12/28/1996 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011443 N-2721 I F 5/6/1997 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011444 N-3000 I C 12/5/1998 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011445 N-3000 I F 3/23/1999 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011446 N-4040-P-NQ I F 2/19/2001 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011447 N-4040-P-Q I C 2/8/2001 OK 25.00% 10.00% 5/27/2009 10/27/2010 2/25/2011448 1-C-P-Q I C 12/13/1999 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010449 1-F-P-Q I A 12/13/1999 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010450 5-P-Q I C 4/19/2002 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010451 7-P-Q I C 6/1/2002 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010452 8-P-Q I C 2/21/2002 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010453 N-2721 I C 2/2/1998 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010454 N-2721 I F 10/21/1998 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010455 N-3000 I C 12/2/1998 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010456 N-3000 I F 1/12/2000 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010457 N-4040-P-NQ I F 12/3/2001 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010458 N-4040-P-Q I C 11/13/2001 OR 25.00% 10.00% 8/13/2009 9/11/2009 1/1/2010459 2-P I C 5/1/1999 PA 25.00% 20.00% 6/23/2009 8/28/2009 1/1/2010460 2-P I F 11/1/1999 PA 25.00% 20.00% 6/23/2009 8/28/2009 1/1/2010461 7-P-Q I C 1/11/2003 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010462 8-P-Q I C 1/13/2003 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010463 N-2350 I A 1/16/1995 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010464 N-2350 I C 10/4/1994 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010465 N-2720 I A 10/27/1996 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010466 N-2720 I D 2/14/1997 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010467 N-2721 I C 9/26/1996 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010468 N-2721 I F 1/1/1997 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010469 N-3000 I C 11/28/1999 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010470 N-3000 I F 12/28/1999 PA 25.00% 25.00% 6/23/2009 8/28/2009 1/1/2010471 N-4040-P-NQ I F 4/3/2001 PA 25.00% 20.00% 6/23/2009 8/28/2009 1/1/2010472 N-4040-P-Q I C 4/25/2001 PA 25.00% 20.00% 6/23/2009 8/28/2009 1/1/2010473 5-P-Q I C 8/28/2001 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010474 7-P-Q I C 1/26/2002 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010475 8-P-Q I C 5/16/2002 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010476 N-2350 I A 3/23/1996 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010477 N-2350 I C 2/1/1996 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010478 N-2350 I D 3/24/1997 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010479 N-2720 I A 8/4/1997 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010480 N-2720 I D 6/21/1998 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010481 N-2721 I C 9/20/1997 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010482 N-2721 I F 11/6/1997 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010483 N-3000 I C 2/22/1999 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010484 N-3000 I F 8/1/1999 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010

Page 12: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 12 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

485 N-4040-P-NQ I F 3/26/2001 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010486 N-4040-P-Q I C 4/10/2001 SC 25.00% 20.00% 7/17/2009 10/8/2009 3/10/2010487 1-C-P-Q I C 2/17/1999 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010488 1-F-P-Q I A 2/17/1999 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010489 5-P-Q I C 6/22/2001 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010490 7-P-Q I C 2/1/2002 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010491 8-P-Q I C 3/26/2002 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010492 N-2350 I A 2/7/1994 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010493 N-2350 I C 6/21/1994 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010494 N-2720 I A 12/5/1996 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010495 N-2720 I D 4/11/1997 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010496 N-2721 I C 11/7/1996 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010497 N-2721 I F 5/13/1997 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010498 N-3000 I C 2/27/1999 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010499 N-3000 I F 4/16/1999 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010500 N-4040-P-NQ I F 9/5/2001 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010501 N-4040-P-Q I C 4/23/2001 SD 25.00% 25.00% 7/1/2009 7/29/2009 1/1/2010502 1-C-P-Q I C 2/16/1999 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010503 1-F-P-Q I A 2/16/1999 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010504 2-P I C 6/1/2001 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010505 2-P I F 4/17/2001 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010506 7-P-Q I C 4/5/2002 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010507 8-P-Q I C 3/16/2002 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010508 N-2350 I A 11/1/1994 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010509 N-2350 I C 12/5/1994 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010510 N-2720 I A 2/4/1997 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010511 N-2720 I D 7/9/1997 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010512 N-2721 I C 1/23/1997 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010513 N-2721 I F 1/23/1997 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010514 N-3000 I C 12/7/1998 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010515 N-3000 I F 4/2/1999 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010516 N-4040-P-NQ I F 9/11/2001 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010517 N-4040-P-Q I C 12/7/2000 TN 25.00% 25.00% 7/1/2009 8/3/2009 1/1/2010518 2-P I C 4/10/1999 TX 25.00% 15.00% 11/24/2009 3/9/2010 6/4/2010519 2-P I F 10/27/1999 TX 25.00% 15.00% 11/24/2009 3/9/2010 6/4/2010520 7-P-N I F 5/8/2002 TX 25.00% 25.00% 11/24/2009 3/9/2010 6/4/2010521 7-P-Q I C 6/4/2002 TX 25.00% 25.00% 11/24/2009 3/9/2010 6/4/2010522 8-P-Q I C 8/13/2002 TX 25.00% 25.00% 11/24/2009 3/9/2010 6/4/2010523 N-2350 I A 8/2/1994 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010524 N-2350 I C 6/28/1994 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010525 N-2720 I A 9/17/1996 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010526 N-2720 I D 3/4/1997 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010527 N-2721 I C 8/1/1996 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010528 N-2721 I F 12/13/1996 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010

Page 13: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 13 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

529 N-3000 I C 8/8/1998 TX 25.00% 19.00% 11/24/2009 3/9/2010 6/4/2010530 N-3000 I F 3/1/1999 TX 25.00% 19.00% 11/24/2009 3/9/2010 6/4/2010531 N-4040-P-Q I C 12/15/2001 TX 25.00% 20.00% 11/24/2009 3/9/2010 6/4/2010532 N-2350 I A 4/19/1994 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010533 N-2350 I C 4/25/1994 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010534 N-2720 I A 6/17/1996 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010535 N-2720 I D 5/1/1997 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010536 N-2721 I C 7/1/1996 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010537 N-2721 I F 1/10/1997 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010538 N-3000 I C 1/8/1999 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010539 N-3000 I F 3/12/1999 VA 25.00% 25.00% 9/10/2009 4/16/2010 7/15/2010540 1-C-P-Q I C 7/27/2000 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010541 1-F-P-Q I A 7/27/2000 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010542 7-P-Q I C 5/22/2002 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010543 8-P-Q I C 4/10/2002 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010544 N-2000 I A 12/11/1992 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010545 N-2350 I A 2/12/1995 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010546 N-2350 I C 4/1/1995 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010547 N-2720 I A 12/11/1996 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010548 N-2720 I D 2/13/1997 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010549 N-2721 I C 11/22/1996 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010550 N-2721 I F 2/3/1997 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010551 N-3000 I C 8/21/1999 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010552 N-3000 I F 9/16/1999 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010553 N-4040-P-NQ I F 10/1/2001 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010554 N-4040-P-Q I C 11/20/2001 WA 25.00% 25.00% 7/17/2009 2/8/2010 5/21/2010555 1-C-P-N I F 12/1/1999 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010556 1-C-P-Q I C 5/11/1999 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010557 1-F-P-N I D 12/1/1999 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010558 1-F-P-Q I A 5/11/1999 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010559 2-P I C 9/7/2000 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010560 2-P I F 8/28/2000 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010561 N-2350 I A 3/25/1994 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010562 N-2350 I C 2/28/1994 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010563 N-2350 I F 10/21/1995 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010564 N-2720 I A 9/26/1996 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010565 N-2720 I D 12/28/1996 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010566 N-2721 I C 8/20/1996 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010567 N-2721 I F 1/14/1997 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010568 N-3000 I C 1/20/1999 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010569 N-3000 I F 3/22/1999 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010570 N-4040-P-NQ I F 3/28/2001 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010571 N-4040-P-Q I C 11/1/2000 WI 25.00% 25.00% 6/23/2009 2/4/2010 5/21/2010572 1-C-P-N I F 3/24/2000 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010

Page 14: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 14 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

573 1-F-P-N I D 3/24/2000 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010574 2-P I F 3/20/2000 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010575 5-P-Q I C 5/14/2002 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010576 7-P-Q I C 3/28/2002 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010577 8-P-Q I C 7/26/2002 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010578 N-2350 I A 4/3/1995 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010579 N-2350 I C 9/26/1995 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010580 N-2720 I A 10/9/1996 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010581 N-2720 I D 2/7/1997 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010582 N-2721 I C 11/8/1996 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010583 N-2721 I F 12/28/1996 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010584 N-3000 I C 5/1/1999 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010585 N-4040-P-Q I C 9/20/2001 WV 25.00% 25.00% 8/5/2009 9/30/2009 1/1/2010586 7-P-Q I C 2/7/2002 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010587 8-P-Q I C 4/24/2002 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010588 N-2350 I A 4/6/1995 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010589 N-2350 I C 2/28/1995 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010590 N-2720 I A 10/23/1996 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010591 N-2721 I C 10/2/1996 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010592 N-2721 I F 9/12/1997 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010593 N-3000 I C 4/8/1999 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010594 N-3000 I F 6/5/1999 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010595 N-4040-P-Q I C 4/20/2001 WY 25.00% 25.00% 5/22/2009 6/1/2009 1/1/2010596 10-P-Q I C 10/21/2003 AK 25.00% 25.00% 10/25/2012 11/16/2012 12/17/2013597 7-P-Q I C 9/18/2002 AK 25.00% 25.00% 11/29/2012 12/18/2012 12/17/2013598 N-2000 I C 12/11/1991 AK 25.00% 25.00% 11/9/2012 11/28/2012 12/20/2013599 N-2721 I C 11/6/1997 AK 25.00% 25.00% 11/9/2012 11/28/2012 12/20/2013600 N-2721 I F 8/6/1998 AK 25.00% 25.00% 11/9/2012 11/28/2012 12/20/2013601 N-3000 I C 1/1/2000 AK 25.00% 25.00% 11/9/2012 11/28/2012 12/17/2013602 10-P-Q I C 6/27/2003 AL 25.00% 20.00% 10/29/2012 12/6/2012 12/17/2013

603 7-P-Q I C 1/28/2002 AL 25.00% 20.00% 12/5/2012 1/8/2013 12/17/2013Implemented in two stages: 9.5445% on 12/17/2013, 9.5445% on 12/17/2014

604 N-2000 I A 10/23/1991 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013605 N-2000 I C 12/10/1991 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013606 N-2350 I A 1/11/1994 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013607 N-2350 I C 1/14/1994 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013608 N-2720 I A 11/11/1996 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013609 N-2720 I D 3/2/1997 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013610 N-2721 I C 9/6/1996 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013611 N-2721 I F 1/7/1997 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/20/2013612 N-3000 I C 12/7/1998 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/17/2013613 N-3000 I F 5/20/1999 AL 25.00% 25.00% 11/29/2012 12/19/2012 12/17/2013614 10-P-Q I C 9/1/2003 AZ 75.00% 75.00% 2/1/2013 3/27/2013 12/17/2013

Page 15: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 15 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

615 1-C-P-N I F 7/21/1999 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013616 1-C-P-Q I C 12/28/1999 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013617 1-F-P-N I D 7/21/1999 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013618 1-F-P-Q I A 12/28/1999 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013619 7-P-Q I C 3/17/2002 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013620 N-2000 I A 8/14/1991 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013621 N-2000 I C 6/1/1991 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013622 N-2350 I A 7/8/1994 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013623 N-2350 I C 12/23/1993 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013624 N-2720 I A 12/28/1996 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013625 N-2720 I D 11/21/1997 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013626 N-2721 I C 8/1/1996 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013627 N-2721 I F 3/18/1997 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/20/2013628 N-3000 I C 8/6/1999 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013629 N-3000 I F 8/6/1999 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013630 N-4040-P-NQ I F 10/14/2000 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013631 N-4040-P-Q I C 2/28/2001 AZ 25.00% 25.00% 12/5/2012 5/21/2013 12/17/2013632 10-P-Q I C 6/3/2003 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/17/2013633 7-P-Q I C 11/26/2001 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/17/2013634 N-2000 I A 3/19/1991 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013635 N-2000 I C 7/17/1991 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013636 N-2350 I A 3/21/1994 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013637 N-2350 I C 4/6/1994 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013638 N-2720 I A 8/15/1996 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013639 N-2720 I D 3/10/1997 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013640 N-2721 I C 7/24/1996 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013641 N-2721 I F 1/27/1997 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/20/2013642 N-3000 I C 9/20/1998 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/17/2013643 N-3000 I F 3/21/1999 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/17/2013644 N-4040-P-NQ I F 9/20/2001 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/17/2013645 N-4040-P-Q I C 2/5/2001 CO 25.00% 25.00% 5/17/2013 8/1/2013 12/17/2013646 10-P-Q I C 7/8/2003 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved647 7-P-Q I C 3/21/2002 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved648 N-2350 I A 10/1/1994 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved649 N-2350 I C 10/1/1994 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved650 N-2720 I A 12/28/1996 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved651 N-2720 I D 12/28/1996 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved652 N-2721 I C 7/1/1996 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved653 N-2721 I F 7/1/1996 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved654 N-3000 I C 4/22/1999 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved655 N-3000 I D 4/22/1999 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved656 N-3000 I F 4/22/1999 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved657 N-4040-P-NQ I F 5/23/2001 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved658 N-4040-P-Q I C 5/13/2001 CT 25.00% N/A 5/20/2014 N/A N/A Not Approved

Page 16: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 16 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

659 10-P-Q I C 7/15/2003 DE 25.00% 15.00% 10/29/2012 3/15/2013 12/17/2013660 7-P-Q I C 6/13/2002 DE 25.00% 20.00% 11/29/2012 3/6/2013 12/17/2013661 N-2720 I A 1/20/1997 DE 25.00% 15.00% 11/15/2012 3/15/2013 12/20/2013662 N-2720 I D 4/19/1997 DE 25.00% 15.00% 11/15/2012 3/15/2013 12/20/2013663 N-2721 I C 1/9/1997 DE 25.00% 15.00% 11/15/2012 3/15/2013 12/20/2013664 N-2721 I F 10/28/1997 DE 25.00% 15.00% 11/15/2012 3/15/2013 12/20/2013665 N-3000 I C 7/12/1999 DE 25.00% 15.00% 11/15/2012 3/15/2013 12/17/2013666 N-3000 I F 7/12/1999 DE 25.00% 15.00% 11/15/2012 3/15/2013 12/17/2013667 10-P-Q I C 10/1/2003 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/29/2014668 7-P-N I F 8/5/2002 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/29/2014669 7-P-Q I C 3/13/2002 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/29/2014670 N-2000 I A 5/20/1991 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014671 N-2000 I C 4/2/1992 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014672 N-2350 I A 3/8/1994 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014673 N-2350 I C 1/18/1993 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014674 N-2350 I D 2/1/1997 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014675 N-2721 I C 9/19/1996 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014676 N-2721 I F 1/15/1997 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/30/2014677 N-3000 I C 12/10/1998 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/29/2014678 N-3000 I F 1/14/1999 FL 25.00% 7.30% 6/3/2013 11/25/2013 5/29/2014679 10-P-Q I C 8/6/2003 GA 25.00% 15.00% 10/31/2012 2/8/2013 12/17/2013680 1-C-P-N I F 1/26/2000 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013681 1-C-P-Q I C 5/5/2000 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013682 1-F-P-N I D 1/26/2000 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013683 1-F-P-Q I A 5/5/2000 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013684 7-P-Q I C 2/19/2002 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013685 N-2350 I A 2/1/1995 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/20/2013686 N-2350 I C 9/13/1994 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/20/2013687 N-2720 I A 9/8/1996 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/20/2013688 N-2720 I D 3/6/1997 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/20/2013689 N-2721 I C 9/1/1996 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/20/2013690 N-2721 I F 1/26/1997 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/20/2013691 N-3000 I C 12/3/1998 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/17/2013692 N-3000 I F 12/3/1998 GA 25.00% 15.00% 11/16/2012 2/8/2013 12/17/2013693 N-4040-P-NQ I F 1/18/2001 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013694 N-4040-P-Q I C 3/19/2001 GA 25.00% 15.00% 11/29/2012 2/8/2013 12/17/2013695 10-P-Q I C 2/9/2004 HI 25.00% 9.50% 10/31/2012 7/19/2013 12/17/2013696 1-C-P-N I F 6/21/1999 HI 25.00% 3.40% 11/29/2012 7/19/2013 12/17/2013697 1-F-P-N I D 6/21/1999 HI 25.00% 3.40% 11/29/2012 7/19/2013 12/17/2013698 7-P-Q I C 5/28/2003 HI 25.00% 3.40% 11/29/2012 7/19/2013 12/17/2013699 N-2350 I A 1/23/1995 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/20/2013700 N-2350 I C 1/17/1995 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/20/2013701 N-2720 I A 6/18/1996 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/20/2013702 N-2720 I D 9/16/1998 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/20/2013

Page 17: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 17 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

703 N-2721 I C 7/2/1996 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/20/2013704 N-2721 I F 3/1/1997 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/20/2013705 N-3000 I C 6/11/1999 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/17/2013706 N-3000 I F 7/6/1999 HI 25.00% 25.00% 11/15/2012 6/24/2013 12/17/2013707 N-4040-P-NQ I F 8/28/2001 HI 25.00% 3.40% 11/29/2012 7/19/2013 12/17/2013708 N-4040-P-Q I C 7/19/2001 HI 25.00% 3.40% 11/29/2012 7/19/2013 12/17/2013709 10-P-Q I C 7/7/2003 IA 25.00% 15.00% 11/8/2012 9/10/2013 12/17/2013710 7-P-Q I C 2/15/2002 IA 25.00% 5.70% 12/5/2012 9/10/2013 12/17/2013711 N-2000 I A 10/23/1991 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013712 N-2000 I C 3/2/1991 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013713 N-2350 I A 11/7/1993 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013714 N-2350 I C 3/1/1994 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013715 N-2720 I A 7/8/1996 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013716 N-2720 I D 2/4/1997 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013717 N-2721 I C 4/23/1996 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013718 N-2721 I F 1/15/1997 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/20/2013719 N-3000 I C 10/26/1998 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/17/2013720 N-3000 I F 10/26/1998 IA 25.00% 7.80% 11/29/2012 9/10/2013 12/17/2013721 N-4040-P-NQ I F 4/12/2001 IA 25.00% 5.70% 12/5/2012 9/10/2013 12/17/2013722 N-4040-P-Q I C 12/18/2000 IA 25.00% 5.70% 12/5/2012 9/10/2013 12/17/2013723 10-P-Q I C 8/5/2003 ID 25.00% 10.00% 11/2/2012 2/21/2013 12/17/2013724 7-P-Q I C 12/17/2001 ID 25.00% 10.00% 11/30/2012 2/21/2013 12/17/2013725 N-2350 I C 6/1/1996 ID 25.00% 10.00% 11/15/2012 2/21/2013 12/20/2013726 N-2350 I F 5/15/1997 ID 25.00% 10.00% 11/15/2012 2/21/2013 12/20/2013727 N-2721 I C 1/27/1998 ID 25.00% 10.00% 11/15/2012 2/21/2013 12/20/2013728 N-2721 I F 9/25/1998 ID 25.00% 10.00% 11/15/2012 2/21/2013 12/20/2013729 N-3000 I C 3/4/1999 ID 25.00% 10.00% 11/15/2012 2/21/2013 12/17/2013730 N-3000 I F 4/13/1999 ID 25.00% 10.00% 11/15/2012 2/21/2013 12/17/2013731 N-4040-P-Q I C 2/18/2001 ID 25.00% 10.00% 11/30/2012 2/21/2013 12/17/2013

732 10-P-Q I C 11/1/2003 IL 100.00% N/A 11/6/2012 N/A N/A

Filing Currently Open.Implementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

733 1-C-P-N I F 12/27/1998 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

734 1-C-P-Q I C 2/3/1999 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

735 1-F-P-N I D 12/27/1998 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

736 1-F-P-Q I A 2/3/1999 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

737 7-P-Q I C 12/24/2002 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

Page 18: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 18 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

738 7-P-Q I C 1/22/2003 IL 100.00% N/A 12/5/2012 N/A N/A

Filing currently openPolicies issued on or after 1/1/2003Implementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

739 N-2000 I A 2/12/1992 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

740 N-2000 I C 8/5/1993 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

741 N-2350 I A 5/9/1994 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

742 N-2350 I C 1/12/1994 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

743 N-2720 I A 7/8/1996 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

744 N-2720 I D 1/26/1997 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

745 N-2721 I C 7/19/1996 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

746 N-2721 I F 2/1/1997 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

747 N-3000 I C 12/28/1998 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

748 N-3000 I C 1/1/2003 IL 100.00% N/A 11/19/2012 N/A N/A

Filing currently openPolicies issued on or after 1/1/2003Implementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

749 N-3000 I F 1/18/1999 IL 25.00% N/A 11/19/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

750 N-3000 I F 1/7/2003 IL 100.00% N/A 11/19/2012 N/A N/A

Filing currently openPolicies issued on or after 1/1/2003Implementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

751 N-4040-P-NQ I F 1/18/2001 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

752 N-4040-P-NQ I F 1/10/2003 IL 100.00% N/A 12/5/2012 N/A N/A

Filing currently openPolicies issued on or after 1/1/2003Implementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

Page 19: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 19 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

753 N-4040-P-Q I C 1/3/2001 IL 25.00% N/A 12/5/2012 N/A N/AFiling Currently OpenPolicies issued prior to 1/1/2003

754 N-4040-P-Q I C 1/10/2003 IL 100.00% N/A 12/5/2012 N/A N/A

Filing currently openPolicies issued on or after 1/1/2003Implementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

755 10-P-Q I C 8/9/2003 KS 25.00% 10.00% 10/29/2012 3/29/2013 12/17/2013756 1-C-P-N I F 5/1/1999 KS 25.00% 10.00% 11/29/2012 3/29/2013 12/17/2013757 1-F-P-N I D 5/1/1999 KS 25.00% 10.00% 11/29/2012 3/29/2013 12/17/2013758 7-P-Q I C 1/15/2002 KS 25.00% 10.00% 11/29/2012 3/29/2013 12/17/2013759 N-2000 I A 8/1/1991 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013760 N-2000 I C 2/18/1992 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013761 N-2350 I A 2/8/1994 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013762 N-2350 I C 3/17/1994 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013763 N-2720 I A 6/28/1996 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013764 N-2720 I D 2/2/1997 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013765 N-2721 I C 6/7/1996 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013766 N-2721 I F 1/15/1997 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/20/2013767 N-3000 I C 1/28/1999 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/17/2013768 N-3000 I F 2/3/1999 KS 25.00% 10.00% 11/15/2012 3/29/2013 12/17/2013769 N-4040-P-NQ I F 9/7/2001 KS 25.00% 10.00% 11/29/2012 3/29/2013 12/17/2013770 N-4040-P-Q I C 12/7/2000 KS 25.00% 10.00% 11/29/2012 3/29/2013 12/17/2013

771 10-P-Q I C 9/4/2003 KY 25.00% 18.27% 11/7/2012 2/4/2013 12/17/2013

Approved increase varies by issue age. 18.3% is average based on distribution of filing.

772 1-C-P-N I F 7/14/1999 KY 25.00% 5.00% 11/29/2012 2/27/2013 12/17/2013773 1-F-P-N I D 7/14/1999 KY 25.00% 5.00% 11/29/2012 2/27/2013 12/17/2013774 7-P-Q I C 5/21/2002 KY 25.00% 5.00% 11/29/2012 2/27/2013 12/17/2013

775 N-2000 I A 8/8/1992 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

776 N-2000 I C 8/26/1991 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

777 N-2350 I A 6/14/1994 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

778 N-2350 I C 9/1/1994 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

779 N-2720 I A 9/9/1997 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

Page 20: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 20 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

780 N-2720 I D 9/9/1997 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

781 N-2721 I C 11/26/1996 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

782 N-2721 I F 4/24/1997 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/20/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

783 N-3000 I C 1/13/1999 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/17/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

784 N-3000 I F 5/13/1999 KY 25.00% 13.40% 11/15/2012 2/18/2013 12/17/2013

Approved increase varies by issue age. 13.4% is average based on distribution of filing.

785 N-4040-P-NQ I F 1/28/2002 KY 25.00% 5.00% 11/29/2012 2/27/2013 12/17/2013786 N-4040-P-Q I C 12/22/2000 KY 25.00% 5.00% 11/29/2012 2/27/2013 12/17/2013787 10-P-Q I C 2/28/2004 MD 25.00% 15.00% 10/29/2012 11/13/2012 12/17/2013788 N-2720 I A 2/1/1997 MD 25.00% 15.00% 11/20/2012 2/8/2013 12/20/2013789 N-2720 I D 7/8/1997 MD 25.00% 15.00% 11/20/2012 2/8/2013 12/20/2013790 N-2721 I C 11/1/1996 MD 25.00% 15.00% 11/20/2012 2/8/2013 12/20/2013791 N-2721 I F 1/4/1997 MD 25.00% 15.00% 11/20/2012 2/8/2013 12/20/2013792 N-3000 I C 5/8/2000 MD 25.00% 15.00% 11/20/2012 2/8/2013 12/17/2013

793 10-P-Q I C 10/1/2004 ME 25.00% 25.00% 11/15/2012 1/18/2013 1/17/2014

Policies issued on or after 10/1/2004.Implemented in two stages: 11.8% on 1/17/2014, 11.8% on 1/17/2015

794 10-P-Q I C 7/15/2003 ME 25.00% 23.50% 12/19/2012 4/3/2013 1/17/2014

Policies issued prior to 10/1/2004.Implemented in two stages: 11.1% on 1/1/2014, 11.1% on 1/1/2015

795 1-C-P-N I F 9/23/1999 ME 25.00% 19.40% 12/5/2012 4/3/2013 1/17/2014796 1-C-P-Q I C 8/27/1999 ME 25.00% 19.40% 12/5/2012 4/3/2013 1/17/2014797 1-F-P-N I D 9/23/1999 ME 25.00% 19.40% 12/5/2012 4/3/2013 1/17/2014798 1-F-P-Q I A 8/27/1999 ME 25.00% 19.40% 12/5/2012 4/3/2013 1/17/2014799 7-P-Q I C 5/13/2002 ME 25.00% 19.40% 12/5/2012 4/3/2013 1/17/2014

800 N-2350 I C 6/22/1995 ME 25.00% 25.00% 11/30/2012 2/21/2013 1/19/2014Implemented in two stages: 11.8% on 1/19/2014, 11.8% on 1/19/2015

801 N-2720 I A 7/28/1997 ME 25.00% 25.00% 11/30/2012 2/21/2013 1/19/2014Implemented in two stages: 11.8% on 1/19/2014, 11.8% on 1/19/2015

802 N-2721 I C 9/25/1996 ME 25.00% 25.00% 11/30/2012 2/21/2013 1/19/2014Implemented in two stages: 11.8% on 1/19/2014, 11.8% on 1/19/2015

803 N-2721 I F 1/1/1997 ME 25.00% 25.00% 11/30/2012 2/21/2013 1/19/2014Implemented in two stages: 11.8% on 1/19/2014, 11.8% on 1/19/2015

804 N-3000 I C 6/2/1999 ME 25.00% 25.00% 11/30/2012 2/21/2013 1/17/2014Implemented in two stages: 11.8% on 1/19/2014, 11.8% on 1/19/2015

Page 21: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 21 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

805 N-3000 I F 11/8/1999 ME 25.00% 25.00% 11/30/2012 2/21/2013 1/17/2014Implemented in two stages: 11.8% on 1/19/2014, 11.8% on 1/19/2015

806 N-4040-P-Q I C 9/25/2001 ME 25.00% 19.40% 12/5/2012 4/3/2013 1/17/2014807 10-P-Q I C 6/1/2003 MI 25.00% 25.00% 10/25/2012 11/26/2012 12/17/2013808 1-C-P-N I F 7/28/1999 MI 25.00% 25.00% 12/5/2012 12/17/2012 12/17/2013809 1-F-P-N I D 7/28/1999 MI 25.00% 25.00% 12/5/2012 12/17/2012 12/17/2013810 7-P-Q I C 12/6/2001 MI 25.00% 25.00% 12/5/2012 12/17/2012 12/17/2013811 N-2350 I C 3/24/1995 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/20/2013812 N-2350 I F 2/21/1997 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/20/2013813 N-2720 I A 12/28/1996 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/20/2013814 N-2720 I D 2/3/1998 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/20/2013815 N-2721 I C 8/25/1996 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/20/2013816 N-2721 I F 1/15/1997 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/20/2013817 N-3000 I C 11/12/1998 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/17/2013818 N-3000 I F 7/7/1999 MI 25.00% 25.00% 11/20/2012 12/17/2012 12/17/2013819 N-4040-P-NQ I F 6/1/2001 MI 25.00% 25.00% 12/5/2012 12/17/2012 12/17/2013820 N-4040-P-Q I C 5/1/2001 MI 25.00% 25.00% 12/5/2012 12/17/2012 12/17/2013

821 10-P-Q I C 7/1/2004 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013 Policies issued on or after 7/1/2004.

822 10-P-Q I C 7/6/2003 MO 25.00% 25.00% 6/5/2013 7/16/2013 12/17/2013 Policies issued prior to 7/1/2004.823 1-C-P-N I F 5/15/1999 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013824 1-C-P-Q I C 2/9/1999 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013825 1-F-P-N I D 5/15/1999 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013826 1-F-P-Q I A 2/9/1999 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013827 7-P-Q I C 1/2/2002 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013828 N-2350 I A 4/28/1994 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/20/2013829 N-2350 I C 5/3/1994 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/20/2013830 N-2720 I A 9/13/1996 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/20/2013831 N-2720 I D 1/21/1997 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/20/2013832 N-2721 I C 7/24/1996 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/20/2013833 N-2721 I F 1/28/1997 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/20/2013834 N-3000 I C 2/2/1999 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013835 N-3000 I F 5/4/1999 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013836 N-4040-P-NQ I F 7/28/2001 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013837 N-4040-P-Q I C 4/8/2001 MO 25.00% 25.00% 5/17/2013 7/16/2013 12/17/2013838 10-P-Q I C 8/28/2003 MS 25.00% 25.00% 11/8/2012 3/11/2013 12/17/2013839 7-P-Q I C 12/18/2001 MS 25.00% 25.00% 11/30/2012 3/11/2013 12/17/2013840 N-2350 I A 2/16/1994 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/20/2013841 N-2350 I C 9/25/1995 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/20/2013842 N-2720 I A 9/19/1996 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/20/2013843 N-2720 I D 3/20/1998 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/20/2013844 N-2721 I C 11/1/1996 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/20/2013

Page 22: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 22 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

845 N-2721 I F 2/12/1997 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/20/2013846 N-3000 I C 8/1/1999 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/17/2013847 N-3000 I F 1/4/2000 MS 25.00% 25.00% 11/20/2012 2/5/2013 12/17/2013848 N-4040-P-Q I C 6/27/2001 MS 25.00% 25.00% 11/30/2012 3/11/2013 12/17/2013849 10-P-Q I C 11/4/2003 MT 25.00% 10.00% 10/25/2012 12/3/2012 12/17/2013850 1-C-P-Q I C 7/11/2000 MT 25.00% 10.00% 12/5/2012 1/9/2013 12/17/2013851 1-F-P-Q I A 7/11/2000 MT 25.00% 10.00% 12/5/2012 1/9/2013 12/17/2013852 7-P-Q I C 3/1/2002 MT 25.00% 10.00% 12/5/2012 1/9/2013 12/17/2013853 N-2350 I A 5/13/1994 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/20/2013854 N-2350 I C 10/24/1994 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/20/2013855 N-2720 I A 9/11/1996 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/20/2013856 N-2720 I D 3/20/1997 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/20/2013857 N-2721 I C 9/24/1996 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/20/2013858 N-2721 I F 3/1/1997 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/20/2013859 N-3000 I C 2/3/1999 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/17/2013860 N-3000 I F 2/22/1999 MT 25.00% 25.00% 11/26/2012 12/28/2012 12/17/2013861 N-4040-P-Q I C 6/1/2001 MT 25.00% 10.00% 12/5/2012 1/9/2013 12/17/2013862 10-P-Q I C 6/13/2003 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/17/2013863 1-C-P-N I F 9/14/1999 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013864 1-C-P-Q I C 1/3/2000 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013865 1-F-P-N I D 9/14/1999 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013866 1-F-P-Q I A 1/3/2000 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013

867 7-P-N I F 2/10/2003 NC 25.00% 25.00% 2/27/2013 7/8/2013 12/17/2013 Policies issued on or after 2/1/2003.

868 7-P-Q I C 3/21/2002 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013 Policies issued prior to 2/1/2003.

869 7-P-Q I C 2/1/2003 NC 25.00% 25.00% 2/27/2013 7/8/2013 12/17/2013 Policies issued on or after 2/1/2003.870 N-2000 I A 1/13/1992 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013871 N-2350 I A 3/15/1995 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013872 N-2350 I C 6/3/1995 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013873 N-2720 I A 8/12/1996 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013874 N-2720 I D 2/1/1997 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013875 N-2721 I C 8/13/1996 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013876 N-2721 I F 1/16/1997 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/20/2013877 N-3000 I C 1/27/1999 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/17/2013878 N-3000 I F 4/2/1999 NC 25.00% 25.00% 11/21/2012 6/18/2013 12/17/2013879 N-4040-P-NQ I F 12/8/2000 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013880 N-4040-P-Q I C 3/5/2001 NC 25.00% 25.00% 12/5/2012 6/18/2013 12/17/2013881 10-P-Q I C 8/18/2003 ND 25.00% 15.00% 10/31/2012 1/9/2013 12/17/2013882 7-P-Q I C 7/2/2002 ND 25.00% 15.00% 12/5/2012 2/11/2013 12/17/2013883 N-2000 I A 10/1/1991 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013884 N-2350 I A 3/8/1994 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013885 N-2350 I C 9/19/1994 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013

Page 23: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 23 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

886 N-2720 I A 5/19/1996 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013887 N-2720 I D 2/21/1997 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013888 N-2721 I C 9/17/1996 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013889 N-2721 I F 5/1/1997 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/20/2013890 N-3000 I C 2/6/1999 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/17/2013891 N-3000 I F 2/6/1999 ND 25.00% 15.00% 11/15/2012 2/15/2013 12/17/2013892 N-4040-P-Q I C 12/5/2000 ND 25.00% 15.00% 12/5/2012 2/11/2013 12/17/2013893 10-P-Q I C 7/18/2003 NE 25.00% 10.00% 10/31/2012 6/19/2013 12/17/2013894 1-C-P-N I F 2/24/1999 NE 25.00% 20.00% 11/29/2012 5/21/2013 12/17/2013895 1-F-P-N I D 2/24/1999 NE 25.00% 20.00% 11/29/2012 5/21/2013 12/17/2013896 7-P-Q I C 1/9/2002 NE 25.00% 20.00% 11/29/2012 5/21/2013 12/17/2013897 N-2000 I A 3/14/1991 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013898 N-2000 I C 8/24/1993 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013899 N-2350 I A 11/15/1993 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013900 N-2350 I C 3/21/1994 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013901 N-2350 I D 1/6/1997 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013902 N-2720 I A 7/15/1996 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013903 N-2720 I D 12/28/1996 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013904 N-2721 I C 8/2/1996 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013905 N-2721 I F 1/28/1997 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/20/2013906 N-3000 I C 12/10/1998 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/17/2013907 N-3000 I F 4/13/1999 NE 25.00% 20.00% 11/15/2012 5/21/2013 12/17/2013908 N-4040-P-Q I C 10/12/2001 NE 25.00% 20.00% 11/29/2012 5/21/2013 12/17/2013909 10-P-Q I C 8/26/2003 NH 25.00% 25.00% 12/7/2012 2/12/2013 12/17/2013910 7-P-Q I C 3/5/2002 NH 25.00% 25.00% 11/30/2012 2/12/2013 12/17/2013911 N-2350 I A 9/3/1996 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/20/2013912 N-2350 I C 8/19/1995 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/20/2013913 N-2350 I F 3/12/1997 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/20/2013914 N-2720 I A 12/8/1997 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/20/2013915 N-2721 I C 2/28/1997 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/20/2013916 N-2721 I F 5/1/1997 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/20/2013917 N-3000 I C 2/24/1999 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/17/2013918 N-3000 I F 3/14/1999 NH 25.00% 25.00% 11/16/2012 2/12/2013 12/17/2013919 N-4040-P-NQ I F 10/22/2001 NH 25.00% 25.00% 11/30/2012 2/12/2013 12/17/2013920 N-4040-P-Q I C 1/2/2001 NH 25.00% 25.00% 11/30/2012 2/12/2013 12/17/2013

921 10-P-Q I C 2/19/2004 NJ 25.00% 15.00% 3/20/2013 3/13/2014 8/20/2014 Policies issued prior to 6/20/2006

922 10-P-Q I C 6/20/2006 NJ 25.00% 15.00% 3/20/2013 3/31/2014 8/20/2014 Policies issued on or after 6/20/2006923 1-C-P-Q I C 10/11/1999 NJ 25.00% 24.89% 11/30/2012 12/27/2013 8/20/2014924 1-F-P-Q I A 10/11/1999 NJ 25.00% 24.89% 11/30/2012 12/27/2013 8/20/2014925 N-2720 I A 3/21/1997 NJ 25.00% 24.89% 11/16/2012 12/27/2013 4/11/2014926 N-2720 I D 3/23/1998 NJ 25.00% 24.89% 11/16/2012 12/27/2013 4/11/2014927 N-2721 I C 11/16/1996 NJ 25.00% 24.89% 11/16/2012 12/27/2013 4/11/2014

Page 24: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 24 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

928 N-2721 I F 2/27/1997 NJ 25.00% 24.89% 11/16/2012 12/27/2013 4/11/2014929 N-3000 I C 8/16/1999 NJ 25.00% 24.89% 11/16/2012 12/27/2013 8/20/2014930 N-3000 I F 11/16/1999 NJ 25.00% 24.89% 11/16/2012 12/27/2013 8/20/2014931 10-P-Q I C 7/18/2003 NM 25.00% N/A 11/8/2012 N/A N/A Not Approved932 1-C-P-N I F 8/28/2000 NM 25.00% N/A 11/29/2012 N/A N/A Not Approved933 1-F-P-N I D 8/28/2000 NM 25.00% N/A 11/29/2012 N/A N/A Not Approved934 7-P-Q I C 1/22/2002 NM 25.00% N/A 11/29/2012 N/A N/A Not Approved935 N-2000 I A 4/1/1993 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved936 N-2350 I A 9/8/1995 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved937 N-2720 I A 12/28/1996 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved938 N-2720 I D 11/18/1997 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved939 N-2721 I C 10/1/1996 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved940 N-2721 I F 4/8/1997 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved941 N-3000 I C 1/27/1999 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved942 N-3000 I F 9/20/1999 NM 25.00% N/A 11/15/2012 N/A N/A Not Approved943 N-4040-P-NQ I F 3/15/2001 NM 25.00% N/A 11/29/2012 N/A N/A Not Approved944 N-4040-P-Q I C 9/28/2001 NM 25.00% N/A 11/29/2012 N/A N/A Not Approved945 10-P-Q I C 5/9/2003 OH 25.00% 25.00% 11/7/2012 4/23/2013 12/17/2013946 1-C-P-N I F 2/2/1999 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013947 1-C-P-Q I C 2/10/1999 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013948 1-F-P-N I D 2/2/1999 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013949 1-F-P-Q I A 2/10/1999 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013950 7-P-Q I C 11/28/2001 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013951 N-2000 I A 4/1/1991 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013952 N-2350 I A 12/9/1993 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013953 N-2350 I C 3/9/1994 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013954 N-2720 I A 9/9/1996 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013955 N-2720 I D 8/28/1997 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013956 N-2721 I C 5/25/1996 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013957 N-2721 I F 1/20/1997 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/20/2013958 N-3000 I C 1/16/1999 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/17/2013959 N-3000 I F 2/1/1999 OH 25.00% 20.00% 11/15/2012 4/23/2013 12/17/2013960 N-4040-P-NQ I F 3/6/2001 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013961 N-4040-P-Q I C 10/21/2000 OH 25.00% 20.00% 11/30/2012 4/23/2013 12/17/2013962 10-P-Q I C 7/18/2003 OK 25.00% 25.00% 11/8/2012 1/3/2013 12/17/2013963 1-C-P-N I F 6/1/2000 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013964 1-C-P-Q I C 3/15/1999 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013965 1-F-P-N I D 6/1/2000 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013966 1-F-P-Q I A 3/15/1999 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013967 7-P-Q I C 11/7/2001 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013968 N-2000 I C 5/10/1991 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013969 N-2350 I A 9/1/1994 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013970 N-2350 I C 5/3/1994 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013971 N-2720 I A 9/4/1996 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013

Page 25: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 25 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

972 N-2720 I D 8/15/1997 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013973 N-2721 I C 12/28/1996 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013974 N-2721 I F 5/6/1997 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/20/2013975 N-3000 I C 12/5/1998 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/17/2013976 N-3000 I F 3/23/1999 OK 25.00% 25.00% 11/16/2012 1/3/2013 12/17/2013977 N-4040-P-NQ I F 2/19/2001 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013978 N-4040-P-Q I C 2/8/2001 OK 25.00% 25.00% 11/30/2012 1/3/2013 12/17/2013979 10-P-Q I C 7/4/2003 OR 25.00% 25.00% 11/7/2012 3/26/2014 8/20/2014980 1-C-P-Q I C 12/13/1999 OR 25.00% 25.00% 12/5/2012 3/26/2014 8/20/2014981 1-F-P-Q I A 12/13/1999 OR 25.00% 25.00% 12/5/2012 3/26/2014 8/20/2014982 7-P-Q I C 6/1/2002 OR 25.00% 25.00% 12/5/2012 3/26/2014 8/20/2014983 N-2721 I C 2/2/1998 OR 25.00% 25.00% 11/16/2012 3/26/2014 8/22/2014984 N-2721 I F 10/21/1998 OR 25.00% 25.00% 11/16/2012 3/26/2014 8/22/2014985 N-3000 I C 12/2/1998 OR 25.00% 25.00% 11/16/2012 3/26/2014 8/20/2014986 N-3000 I F 1/12/2000 OR 25.00% 25.00% 11/16/2012 3/26/2014 8/20/2014987 N-4040-P-NQ I F 12/3/2001 OR 25.00% 25.00% 12/5/2012 3/26/2014 8/20/2014988 N-4040-P-Q I C 11/13/2001 OR 25.00% 25.00% 12/5/2012 3/26/2014 8/20/2014989 10-P-Q I C 9/28/2003 PA 25.00% 20.00% 11/15/2012 2/12/2013 12/17/2013990 7-P-Q I C 1/11/2003 PA 25.00% 20.00% 12/5/2012 2/12/2013 12/17/2013991 N-2350 I A 1/16/1995 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/20/2013992 N-2350 I C 10/4/1994 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/20/2013993 N-2720 I A 10/27/1996 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/20/2013994 N-2720 I D 2/14/1997 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/20/2013995 N-2721 I C 9/26/1996 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/20/2013996 N-2721 I F 1/1/1997 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/20/2013997 N-3000 I C 11/28/1999 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/17/2013998 N-3000 I F 12/28/1999 PA 25.00% 20.00% 11/26/2012 2/12/2013 12/17/2013999 N-4040-P-NQ I F 4/3/2001 PA 25.00% 20.00% 12/5/2012 2/12/2013 12/17/20131000 N-4040-P-Q I C 4/25/2001 PA 25.00% 20.00% 12/5/2012 2/12/2013 12/17/20131001 10-P-Q I C 8/22/2003 SC 25.00% 20.00% 11/5/2012 2/22/2013 12/17/20131002 7-P-Q I C 1/26/2002 SC 25.00% 20.00% 11/29/2012 2/22/2013 12/17/20131003 N-2350 I A 3/23/1996 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131004 N-2350 I C 2/1/1996 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131005 N-2350 I D 3/24/1997 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131006 N-2720 I A 8/4/1997 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131007 N-2720 I D 6/21/1998 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131008 N-2721 I C 9/20/1997 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131009 N-2721 I F 11/6/1997 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/20/20131010 N-3000 I C 2/22/1999 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/17/20131011 N-3000 I F 8/1/1999 SC 25.00% 20.00% 11/19/2012 2/22/2013 12/17/20131012 N-4040-P-NQ I F 3/26/2001 SC 25.00% 20.00% 11/29/2012 2/22/2013 12/17/20131013 N-4040-P-Q I C 4/10/2001 SC 25.00% 20.00% 11/29/2012 2/22/2013 12/17/20131014 10-P-Q I C 8/6/2003 SD 25.00% 25.00% 11/7/2012 12/26/2012 12/17/20131015 1-C-P-Q I C 2/17/1999 SD 25.00% 25.00% 12/5/2012 1/17/2013 12/17/2013

Page 26: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 26 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1016 1-F-P-Q I A 2/17/1999 SD 25.00% 25.00% 12/5/2012 1/17/2013 12/17/20131017 7-P-Q I C 2/1/2002 SD 25.00% 25.00% 12/5/2012 1/17/2013 12/17/20131018 N-2350 I A 2/7/1994 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/20/20131019 N-2350 I C 6/21/1994 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/20/20131020 N-2720 I A 12/5/1996 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/20/20131021 N-2720 I D 4/11/1997 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/20/20131022 N-2721 I C 11/7/1996 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/20/20131023 N-2721 I F 5/13/1997 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/20/20131024 N-3000 I C 2/27/1999 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/17/20131025 N-3000 I F 4/16/1999 SD 25.00% 25.00% 11/16/2012 1/25/2013 12/17/20131026 N-4040-P-NQ I F 9/5/2001 SD 25.00% 25.00% 12/5/2012 1/17/2013 12/17/20131027 N-4040-P-Q I C 4/23/2001 SD 25.00% 25.00% 12/5/2012 1/17/2013 12/17/20131028 10-P-Q I C 9/3/2003 TN 25.00% 25.00% 11/7/2012 3/20/2013 12/17/20131029 1-C-P-Q I C 2/16/1999 TN 25.00% 25.00% 11/29/2012 3/20/2013 12/17/20131030 1-F-P-Q I A 2/16/1999 TN 25.00% 25.00% 11/29/2012 3/20/2013 12/17/20131031 7-P-Q I C 4/5/2002 TN 25.00% 25.00% 11/29/2012 3/20/2013 12/17/20131032 N-2350 I A 11/1/1994 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131033 N-2350 I C 12/5/1994 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131034 N-2350 I F 2/4/1997 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131035 N-2720 I A 2/4/1997 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131036 N-2720 I D 7/9/1997 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131037 N-2721 I C 1/23/1997 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131038 N-2721 I F 1/23/1997 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/20/20131039 N-3000 I C 12/7/1998 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/17/20131040 N-3000 I F 4/2/1999 TN 25.00% 25.00% 11/16/2012 3/20/2013 12/17/20131041 N-4040-P-NQ I F 9/11/2001 TN 25.00% 25.00% 11/29/2012 3/20/2013 12/17/20131042 N-4040-P-Q I C 12/7/2000 TN 25.00% 25.00% 11/29/2012 3/20/2013 12/17/20131043 10-P-Q I C 10/28/2003 TX 75.00% 75.00% 5/6/2013 9/24/2013 2/25/20141044 N-2350 I A 8/2/1994 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/20/20131045 N-2350 I C 6/28/1994 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/20/20131046 N-2720 I A 9/17/1996 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/20/20131047 N-2720 I D 3/4/1997 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/20/20131048 N-2721 I C 8/1/1996 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/20/20131049 N-2721 I F 12/13/1996 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/20/20131050 N-3000 I C 8/8/1998 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/17/20131051 N-3000 I F 3/1/1999 TX 25.00% 17.00% 11/20/2012 3/1/2013 12/17/2013

1052 10-P-Q I C 10/5/2003 VA 100.00% N/A 11/7/2012 N/A N/A

Filing Currently OpenImplementation in four stages: 25% upon approval, 20% two year later, 16.67% five years later, 14.29% eight years later

1053 N-2350 I A 4/19/1994 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/20/20131054 N-2350 I C 4/25/1994 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/20/20131055 N-2720 I A 6/17/1996 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/20/2013

Page 27: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 27 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1056 N-2720 I D 5/1/1997 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/20/20131057 N-2721 I C 7/1/1996 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/20/20131058 N-2721 I F 1/10/1997 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/20/20131059 N-3000 I C 1/8/1999 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/17/20131060 N-3000 I F 3/12/1999 VA 25.00% 13.50% 11/15/2012 8/14/2013 12/17/20131061 10-P-Q I C 8/4/2003 WA 25.00% 25.00% 11/7/2012 4/12/2013 12/17/20131062 1-C-P-Q I C 7/27/2000 WA 25.00% 25.00% 11/29/2012 4/12/2013 12/17/20131063 1-F-P-Q I A 7/27/2000 WA 25.00% 25.00% 11/29/2012 4/12/2013 12/17/20131064 7-P-Q I C 5/22/2002 WA 25.00% 25.00% 11/29/2012 4/12/2013 12/17/20131065 N-2000 I A 12/11/1992 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131066 N-2350 I A 2/12/1995 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131067 N-2350 I C 4/1/1995 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131068 N-2720 I A 12/11/1996 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131069 N-2720 I D 2/13/1997 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131070 N-2721 I C 11/22/1996 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131071 N-2721 I F 2/3/1997 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/20/20131072 N-3000 I C 8/21/1999 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/17/20131073 N-3000 I F 9/16/1999 WA 25.00% 25.00% 11/15/2012 4/12/2013 12/17/20131074 N-4040-P-NQ I F 10/1/2001 WA 25.00% 25.00% 11/29/2012 4/12/2013 12/17/20131075 N-4040-P-Q I C 11/20/2001 WA 25.00% 25.00% 11/29/2012 4/12/2013 12/17/20131076 10-P-Q I C 8/19/2003 WI 25.00% 25.00% 11/7/2012 2/6/2013 12/17/20131077 1-C-P-N I F 12/1/1999 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131078 1-C-P-Q I C 5/11/1999 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131079 1-F-P-N I D 12/1/1999 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131080 1-F-P-Q I A 5/11/1999 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131081 7-P-Q I C 12/20/2001 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131082 N-2350 I A 3/25/1994 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131083 N-2350 I C 2/28/1994 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131084 N-2350 I F 10/21/1995 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131085 N-2720 I A 9/26/1996 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131086 N-2720 I D 12/28/1996 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131087 N-2721 I C 8/20/1996 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131088 N-2721 I F 1/14/1997 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/20/20131089 N-3000 I C 1/20/1999 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/17/20131090 N-3000 I F 3/22/1999 WI 25.00% 10.00% 11/29/2012 12/3/2012 12/17/20131091 N-4040-P-NQ I F 3/28/2001 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131092 N-4040-P-Q I C 11/1/2000 WI 25.00% 10.00% 12/5/2012 12/11/2012 12/17/20131093 10-P-Q I C 7/23/2003 WV 25.00% 25.00% 11/16/2012 1/30/2013 12/17/20131094 1-C-P-N I F 3/24/2000 WV 25.00% 25.00% 12/5/2012 3/11/2013 12/17/20131095 1-F-P-N I D 3/24/2000 WV 25.00% 25.00% 12/5/2012 3/11/2013 12/17/20131096 7-P-Q I C 3/28/2002 WV 25.00% 25.00% 12/5/2012 3/11/2013 12/17/20131097 N-2350 I A 4/3/1995 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/20/20131098 N-2350 I C 9/26/1995 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/20/20131099 N-2720 I A 10/9/1996 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/20/2013

Page 28: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 28 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1100 N-2720 I D 2/7/1997 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/20/20131101 N-2721 I C 11/8/1996 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/20/20131102 N-2721 I F 12/28/1996 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/20/20131103 N-3000 I C 5/1/1999 WV 25.00% 25.00% 11/29/2012 1/31/2013 12/17/20131104 N-4040-P-Q I C 9/20/2001 WV 25.00% 25.00% 12/5/2012 3/11/2013 12/17/20131105 10-P-Q I C 9/21/2003 WY 25.00% 25.00% 10/23/2012 2/4/2013 12/17/20131106 7-P-Q I C 2/7/2002 WY 25.00% 25.00% 11/30/2012 3/4/2013 12/17/20131107 N-2350 I A 4/6/1995 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/20/20131108 N-2350 I C 2/28/1995 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/20/20131109 N-2720 I A 10/23/1996 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/20/20131110 N-2721 I C 10/2/1996 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/20/20131111 N-2721 I F 9/12/1997 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/20/20131112 N-3000 I C 4/8/1999 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/17/20131113 N-3000 I F 6/5/1999 WY 25.00% 25.00% 11/15/2012 2/14/2013 12/17/20131114 N-4040-P-Q I C 4/20/2001 WY 25.00% 25.00% 11/30/2012 3/4/2013 12/17/20131115 7-P-N I F 9/5/2002 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1116 7-P-Q I C 6/4/2002 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1117 N-2000 I A 8/2/1991 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1118 N-2000 I C 10/22/1991 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1119 N-2350 I A 12/8/1993 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1120 N-2350 I C 3/1/1994 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1121 N-2350 I D 1/1/1997 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1122 N-2350 I F 11/7/1996 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1123 N-2720 I A 11/11/1997 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1124 N-2720 I D 9/1/1997 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1125 N-2721 I C 4/1/1997 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1126 N-2721 I F 8/26/1997 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1127 N-3000 I C 3/8/1999 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open1128 N-3000 I F 7/14/1999 CA 25.00% N/A 5/17/2013 N/A N/A Filing Currently Open

1129 N-2350 I C 11/18/1993 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1130 N-2350 I D 11/18/1993 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1131 N-2350 I F 11/18/1993 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1132 N-2720 I A 7/31/1997 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1133 N-2720 I D 8/2/1996 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1134 N-2721 I C 7/31/1997 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1135 N-2721 I F 8/2/1996 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

Page 29: Allianz Life Ins Co of North America LTC Rate History 2015 · California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611) Rate

California Department of Insurance Long Term Care Insurance - Allianz Life Ins Co of North America (NAIC 90611)Rate Increase History

Company Contact: None provided by the company.

As of 12/2015

Source: 2015 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 29 of 29 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1136 N-3000 I C 11/12/1998 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

1137 N-3000 I F 11/2/1998 MN 25.00% N/A 5/17/2013 N/A N/AFiling Currently Open, First Sold Date = Product Approval Date

Policy Key Coding:*Policy Type

I IndividualG GroupP Partnership

** Policy CategoryA Nursing and Residential Care Facility/Tax QualifiedB Home Care Only/Tax QualifiedC Comprehensive/Tax QualifiedD Nursing and Residential Care Facility/Non-Tax QualifiedE Home Care Only/Non-Tax QualifiedF Comprehensive/Non-Tax Qualified