AMERICAN MATURITY LIFE INSURANCE COMPANY · Considerations for supplementary contracts with life contingencies

Annual Statement for the year 2002 of the AMERICAN MATURITY LIFE INSURANCE COMPANY

2

ASSETSCurrent Year Prior Year

1 2 3 4Net Admitted

Nonadmitted Assets Net AdmittedAssets Assets (Cols. 1 - 2) Assets

1. Bonds.................................................................................................................... ......................35,325,421 ......................................... ......................35,325,421 ........................6,450,278

2. Stocks:

2.1 Preferred stocks (Schedule D, Part 2, Section 1)....................................... ......................................... ......................................... ......................................0 .........................................

2.2 Common stocks (Schedule D, Part 2, Section 2)........................................ .............................25,000 ......................................... .............................25,000 .............................25,000

3. Mortgage loans on real estate (Schedule B, Part 1):

3.1 First liens..................................................................................................... ......................................... ......................................... ......................................0 .........................................

3.2 Other than first liens.................................................................................... ......................................... ......................................... ......................................0 .........................................

4. Real estate (Schedule A):

4.1 Properties occupied by the company (less $..........0 encumbrances)............................................................................ ......................................... ......................................... ......................................0 .........................................

4.2 Properties held for the production of income (less $..........0 encumbrances)............................................................................ ......................................... ......................................... ......................................0 .........................................

4.3 Properties held for sale (less $..........0 encumbrances).............................. ......................................... ......................................... ......................................0 .........................................

5. Policy loans........................................................................................................... ......................................... ......................................... ......................................0 .........................................

6. Premium notes, including $..........0 for first year premiums.................................. ......................................... ......................................... ......................................0 .........................................

7. Cash ($.....2,335,738, Schedule E, Part 1) and short-term investments ($..........0, Schedule DA, Part 2)........................................................................... ........................2,335,738 ......................................... ........................2,335,738 ......................29,937,122

8. Other invested assets (Schedule BA, Part 1)........................................................ ......................................... ......................................... ......................................0 .........................................

9. Receivable for securities....................................................................................... ......................................... ......................................... ......................................0 .........................................

10. Aggregate write-ins for invested assets................................................................ ......................................0 ......................................0 ......................................0 ......................................0

11. Subtotals, cash and invested assets (Lines 1 to 10)............................................. ......................37,686,159 ......................................0 ......................37,686,159 ......................36,412,400

12. Reinsurance ceded:

12.1 Amounts recoverable from reinsurers (Schedule S, Part 2)........................ ......................................... ......................................... ......................................0 .........................................

12.2 Commissions and expense allowances due............................................... ......................................... ......................................... ......................................0 .........................................

12.3 Experience rating and other refunds due.................................................... ......................................... ......................................... ......................................0 .........................................

12.4 Other amounts receivable under reinsurance contracts............................. ...............................2,809 ......................................... ...............................2,809 .........................................

13. Electronic data processing equipment and software............................................. ......................................... ......................................... ......................................0 .........................................

14. Federal and foreign income tax recoverable and interest thereon (including $..........0 net deferred tax asset)........................................................... ........................8,903,453 ........................8,903,453 ......................................0 ...........................451,474

15. Guaranty funds receivable or on deposit.............................................................. ...........................145,555 ......................................... ...........................145,555 ...........................157,576

16. Life insurance premiums and annuity considerations deferred and uncollected on in force business (less premiums on reinsurance ceded and less $..........0 loading)......................................................................... ......................................... ......................................... ......................................0 .........................................

17. Accident and health premiums due and unpaid.................................................... ......................................... ......................................... ......................................0 .........................................

18. Investment income due and accrued.................................................................... ...........................353,479 ......................................... ...........................353,479 ...........................155,918

19. Net adjustment in assets and liabilities due to foreign exchange rates................. ......................................... ......................................... ......................................0 .........................................

20. Receivable from parent, subsidiaries and affiliates............................................... ......................................... ......................................... ......................................0 .........................................

21. Amounts receivable relating to uninsured accident and health plans................... ......................................... ......................................... ......................................0 .........................................

22. Amounts due from agents..................................................................................... ......................................... ......................................... ......................................0 .........................................

23. Other assets nonadmitted (Exhibit 9).................................................................... ......................................... ......................................... ......................................0 .........................................

24. Aggregate write-ins for other than invested assets............................................... .............................59,085 ......................................0 .............................59,085 .............................47,433

25. Total assets excluding Separate Accounts business (Lines 11 to 24).................. ......................47,150,541 ........................8,903,453 ......................38,247,088 ......................37,224,801

26. From Separate Accounts Statement..................................................................... ......................40,183,558 ......................................... ......................40,183,558 ......................56,739,450

27. Total (Lines 25 and 26)......................................................................................... ......................87,334,099 ........................8,903,453 ......................78,430,646 ......................93,964,251

DETAILS OF WRITE-INS

1001. .............................................................................................................................. ......................................... ......................................... ......................................0 .........................................

1002. .............................................................................................................................. ......................................... ......................................... ......................................0 .........................................

1003. .............................................................................................................................. ......................................... ......................................... ......................................0 .........................................

1098. Summary of remaining write-ins for Line 10 from overflow page.......................... ......................................0 ......................................0 ......................................0 ......................................0

1099. Totals (Lines 1001 thru 1003 plus 1098) (Line 10 above)..................................... ......................................0 ......................................0 ......................................0 ......................................0

2401. Disbursements and items not allocated................................................................ .............................59,085 ......................................... .............................59,085 .............................47,433

2402. .............................................................................................................................. ......................................... ......................................... ......................................0 .........................................

2403. .............................................................................................................................. ......................................... ......................................... ......................................0 .........................................

2498. Summary of remaining write-ins for Line 24 from overflow page.......................... ......................................0 ......................................0 ......................................0 ......................................0

2499. Totals (Lines 2401 thru 2403 plus 2498) (Line 24 above)..................................... .............................59,085 ......................................0 .............................59,085 .............................47,433


3

LIABILITIES, SURPLUS AND OTHER FUNDS1 2

Current Year Prior Year1. Aggregate reserve for life contracts $.....2,377,203 (Exhibit 5, Line 9999999) less $..........0

included in Line 6.3 (including $..........0 Modco Reserve)............................................................................................................................ .........................2,377,203 .........................1,822,4872. Aggregate reserve for accident and health contracts (Exhibit 6, Line 17, Col. 1) (including $.........0 Modco Reserve)............................... ........................................... ...........................................3. Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $..........0 Modco Reserve)........................................................... ........................................... ...........................................4. Contract claims:

4.1 Life (Exhibit 8, Part 1, Line 4.4, Col. 1 less sum of Cols. 9, 10 and 11).............................................................................................. ........................................... ...........................................4.2 Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11)...................................................................................... ........................................... ...........................................

5. Policyholders' dividends $..........0 and coupons $..........0 due and unpaid (Exhibit 4, Line 10)................................................................... ........................................... ...........................................6. Provision for policyholders' dividends and coupons payable in following calendar year--estimated amounts:

6.1 Dividends apportioned for payment to (including $..........0 Modco Reserve).................................................................................... ........................................... ...........................................6.2 Dividends not yet apportioned (including $..........0 Modco Reserve).................................................................................................. ........................................... ...........................................6.3 Coupons and similar benefits (including $..........0 Modco Reserve)................................................................................................... ........................................... ...........................................

7. Amount provisionally held for deferred dividend policies not included in Line 6........................................................................................... ........................................... ...........................................8. Premiums and annuity considerations for life and accident and health contracts received in advance less

$..........0 discount; including $..........0 accident and health premiums (Exhibit 1, Part 1, Col. 1, sum of Lines 4 and 14)............................ ........................................... ...........................................9. Contract liabilities not included elsewhere:

9.1 Surrender values on canceled contracts............................................................................................................................................. ........................................... ...........................................9.2 Provision for experience rating refunds, including $..........0 accident and health experience rating refunds...................................... ........................................... ...........................................9.3 Other amounts payable on reinsurance including $..........0 assumed and $..........0 ceded............................................................... ........................................... ..............................57,9029.4 Interest Maintenance Reserve (Page 33, Line 6)................................................................................................................................ ........................................... ...........................................

10. Commissions to agents due or accrued-life and annuity contracts $..........0, accident and health $..........0 and deposit-type contract funds $..........0..................................................................................................................................................... ........................................... ...........................................

11. Commissions and expense allowances payable on reinsurance assumed.................................................................................................. ........................................... ...........................................12. General expenses due or accrued (Exhibit 2, Line 12, Col. 5)..................................................................................................................... ..............................24,495 ............................104,97313. Transfers to Separate Accounts due or accrued (net) (including $.....(27,296) accrued for expense

allowances recognized in reserves).............................................................................................................................................................. .............................(27,432) .............................(57,092)14. Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit 3, Line 9, Col. 5)......................................................... .......................................8 ................................3,45115. Federal and foreign income taxes, including $..........0 on realized capital gains (losses) (including $..........0

net deferred tax liability)............................................................................................................................................................................... ........................................... ...........................................16. Unearned investment income....................................................................................................................................................................... ........................................... ...........................................17. Amounts withheld or retained by company as agent or trustee.................................................................................................................... ........................................... ...........................................18. Amounts held for agents' account, including $..........0 agents' credit balances............................................................................................ ........................................... ...........................................19. Remittances and items not allocated............................................................................................................................................................ ..............................14,928 ................................7,45620. Net adjustment in assets and liabilities due to foreign exchange rates........................................................................................................ ........................................... ...........................................21. Liability for benefits for employees and agents if not included above........................................................................................................... ........................................... ...........................................22. Borrowed money $..........0 and interest thereon $..........0............................................................................................................................ ........................................... ...........................................23. Dividends to stockholders declared and unpaid........................................................................................................................................... ........................................... ...........................................24. Miscellaneous liabilities:

24.1 Asset valuation reserve (Page 34, Line 16, Col. 7)............................................................................................................................. ................................6,250 ..............................97,00624.2 Reinsurance in unauthorized companies............................................................................................................................................ ........................................... ...........................................24.3 Funds held under reinsurance treaties with unauthorized reinsurers................................................................................................. ........................................... ...........................................24.4 Payable to parent, subsidiaries and affiliates...................................................................................................................................... ..............................29,813 ..............................24,97524.5 Drafts outstanding............................................................................................................................................................................... ........................................... ...........................................24.6 Liability for amounts held under uninsured accident and health plans................................................................................................ ........................................... ...........................................24.7 Funds held under coinsurance............................................................................................................................................................ ........................................... ...........................................24.8 Payable for securities.......................................................................................................................................................................... ........................................... ...........................................24.9 Capital notes $..........0 and interest thereon $..........0........................................................................................................................ ........................................... ...........................................

25. Aggregate write-ins for liabilities................................................................................................................................................................... ..............................96,665 ..............................96,66526. Total liabilities excluding Separate Accounts business (Lines 1 to 25)........................................................................................................ .........................2,521,929 .........................2,157,82427. From Separate Accounts Statement............................................................................................................................................................. .......................40,183,558 .......................56,739,45028. Total liabilities (Lines 26 and 27).................................................................................................................................................................. .......................42,705,487 .......................58,897,27429. Common capital stock.................................................................................................................................................................................. .........................2,500,000 .........................2,500,00030. Preferred capital stock.................................................................................................................................................................................. ........................................... ...........................................31. Aggregate write-ins for other than special surplus funds.............................................................................................................................. .......................................0 .......................................032. Surplus notes................................................................................................................................................................................................ ........................................... ...........................................33. Gross paid in and contributed surplus (Page 3, Line 33, Col. 2 plus Page 4, Line 51.1, Col. 1).................................................................. .......................57,500,000 .......................57,500,00034. Aggregate write-ins for special surplus funds............................................................................................................................................... .......................................0 .......................................035. Unassigned funds (surplus).......................................................................................................................................................................... ......................(24,274,841) ......................(24,933,023)36. Less treasury stock, at cost:

36.1 .....0.000 shares common (value included in Line 29 $..........0).......................................................................................................... ........................................... ...........................................36.2 .....0.000 shares preferred (value included in Line 30 $..........0)......................................................................................................... ........................................... ...........................................

37. Surplus (Total Lines 31 + 32 + 33 + 34 + 35 - 36) (including $..........0 in Separate Accounts Statement)................................................... .......................33,225,159 .......................32,566,97738. Totals of Lines 29, 30 and 37 (Page 4, Line 55)........................................................................................................................................... .......................35,725,159 .......................35,066,97739. Totals of Lines 28 and 38 (Page 2, Line 27, Col. 3)..................................................................................................................................... .......................78,430,646 .......................93,964,251

DETAILS OF WRITE-INS2501. Guaranty Fund Reserves.............................................................................................................................................................................. ..............................96,665 ..............................96,6652502. ...................................................................................................................................................................................................................... ........................................... ...........................................2503. ...................................................................................................................................................................................................................... ........................................... ...........................................2598. Summary of remaining write-ins for Line 25 from overflow page.................................................................................................................. .......................................0 .......................................02599. Totals (Lines 2501 thru 2503 plus 2598) (Line 25 above)............................................................................................................................ ..............................96,665 ..............................96,6653101. ...................................................................................................................................................................................................................... ........................................... ...........................................3102. ...................................................................................................................................................................................................................... ........................................... ...........................................3103. ...................................................................................................................................................................................................................... ........................................... ...........................................3198. Summary of remaining write-ins for Line 31 from overflow page.................................................................................................................. .......................................0 .......................................03199. Totals (Lines 3101 thru 3103 plus 3198) (Line 31 above)............................................................................................................................ .......................................0 .......................................03401. ...................................................................................................................................................................................................................... ........................................... ...........................................3402. ...................................................................................................................................................................................................................... ........................................... ...........................................3403. ...................................................................................................................................................................................................................... ........................................... ...........................................3498. Summary of remaining write-ins for Line 34 from overflow page.................................................................................................................. .......................................0 .......................................03499. Totals (Lines 3401 thru 3403 plus 3498) (Line 34 above)............................................................................................................................ .......................................0 .......................................0


4

SUMMARY OF OPERATIONS(Excluding Unrealized Capital Gains and Losses)

1 2Current Year Prior Year

1. Premiums and annuity considerations for life and accident and health contracts (Exhibit 1, Part 1, Line 20.4, Col. 1, less Col. 11)........... .............................189,823 .....................(142,181,012) 2. Considerations for supplementary contracts with life contingencies............................................................................................................. ........................................... ...........................................3. Net investment income (Exhibit of Net Investment Income, Line 17)............................................................................................................ ..........................1,095,902 ..........................1,705,8664. Amortization of Interest Maintenance Reserve (IMR) (Page 33, Line 5)....................................................................................................... ..............................(23,923) ..............................(22,900)5. Separate Accounts net gain from operations excluding unrealized gains or losses..................................................................................... ........................................... ...........................................6. Commissions and expense allowances on reinsurance ceded (Exhibit 1, Part 2, Line 26.1, Col. 1)............................................................ ........................................... ...........................................7. Reserve adjustments on reinsurance ceded................................................................................................................................................. .........................(7,268,000) .........................(8,574,950)8. Miscellaneous Income:

8.1 Income from fees associated with investment management, administration and contract guarantees from Separate Accounts....... .............................583,008 .............................605,5508.2 Charges and fees for deposit-type contracts....................................................................................................................................... ........................................... ...........................................8.3 Aggregate write-ins for miscellaneous income.................................................................................................................................... ........................................0 ...............................68,045

9. Totals (Lines 1 to 8.3)................................................................................................................................................................................... .........................(5,423,189) .....................(148,399,401)10. Death benefits............................................................................................................................................................................................... ........................................... ...........................................11. Matured endowments (excluding guaranteed annual pure endowments).................................................................................................... ........................................... ...........................................12. Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols. 4 + 8).............................................................................................................................. ...............................71,954 ...............................66,00113. Disability benefits and benefits under accident and health contracts............................................................................................................ ........................................... ...........................................14. Coupons, guaranteed annual pure endowments and similar benefits.......................................................................................................... ........................................... ...........................................15. Surrender benefits and withdrawals for life contracts................................................................................................................................... .............................641,107 .............................650,51716. Group conversions........................................................................................................................................................................................ ........................................... ...........................................17. Interest and adjustments on contract or deposit-type contract funds............................................................................................................ ..............................(79,197) .........................(4,763,341)18. Payments on supplementary contracts with life contingencies..................................................................................................................... ........................................... ...........................................19. Increase in aggregate reserves for life and accident and health contracts................................................................................................... .............................554,715 .......................(21,150,256)20. Totals (Lines 10 to 19).................................................................................................................................................................................. ..........................1,188,579 .......................(25,197,079)21. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only)

(Exhibit 1, Part 2, Line 31, Col. 1)................................................................................................................................................................. ........................................... ...........................................22. Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1)....................................................... ........................................... ...........................................23. General insurance expenses (Exhibit 2, Line 10, Cols. 1 + 2 + 3)................................................................................................................ ...............................70,117 .............................298,93924. Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols. 1 + 2 + 3)..................................................... ...............................37,980 ...............................35,61925. Increase in loading on deferred and uncollected premiums.......................................................................................................................... ........................................... ...........................................26. Net transfers to or (from) Separate Accounts............................................................................................................................................... .........................(7,717,849) .....................(121,024,071)27. Aggregate write-ins for deductions................................................................................................................................................................ .................................3,007 ........................................028. Totals (Lines 20 to 27).................................................................................................................................................................................. .........................(6,418,166) .....................(145,886,592)29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28)............................................ .............................994,977 .........................(2,512,809)30. Dividends to policyholders............................................................................................................................................................................ ........................................... ...........................................31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30)................................. .............................994,977 .........................(2,512,809)32. Federal and foreign income taxes incurred (excluding tax on capital gains)................................................................................................ ........................................... ...........................................33. Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or (losses) (Line 31 minus Line 32).......................................................................................................................................... .............................994,977 .........................(2,512,809)

34. Net realized capital gains or (losses) less capital gains tax of $..........0 (excluding taxes of $..........0 transferred to the IMR).................... ........................................... ..............................(41,152)35. Net income (Line 33 plus Line 34)................................................................................................................................................................ .............................994,977 .........................(2,553,961)

CAPITAL AND SURPLUS ACCOUNT36. Capital and surplus, December 31, prior year (Page 3, Line 38, Col. 2)....................................................................................................... ........................35,066,977 ........................36,557,80237. Net income (Line 35)..................................................................................................................................................................................... .............................994,977 .........................(2,553,961)38. Change in net unrealized capital gains or (losses)....................................................................................................................................... ........................................... ...........................................39. Change in net unrealized foreign exchange capital gain (loss)..................................................................................................................... ........................................... ...........................................40. Change in net deferred income tax............................................................................................................................................................... ............................(520,035) .............................877,65341. Change in nonadmitted assets and related items (Exhibit 9, Line 6, Col.3).................................................................................................. ...............................92,484 ............................(938,770)42. Change in liability for reinsurance in unauthorized companies..................................................................................................................... ........................................... ...........................................43. Change in reserve on account of change in valuation basis, (increase) or decrease (Exhibit 5A, Line 9999999, Col. 4)............................ ........................................... ...........................................44. Change in asset valuation reserve (Page 34, Lines 2 through 5 minus Line 6 plus Lin 11 plus Line 11

plus Line 14 plus Line 15, Column 7)............................................................................................................................................................ ...............................90,756 .............................672,77945. Change in treasury stock, (Page 3, Lines 36.1 and 36.2 Col. 2 minus Col. 1).............................................................................................. ........................................... ...........................................46. Surplus (contributed to) withdrawn from Separate Accounts during period.................................................................................................. ........................................... ...........................................47. Other changes in surplus in Separate Accounts Statement.......................................................................................................................... ........................................... ...........................................48. Change in surplus notes............................................................................................................................................................................... ........................................... ...........................................49. Cumulative effect of changes in accounting principles................................................................................................................................. ........................................... .............................451,47450. Capital changes:

50.1 Paid in.................................................................................................................................................................................................. ........................................... ...........................................50.2 Transferred from surplus (Stock Dividend).......................................................................................................................................... ........................................... ...........................................50.3 Transferred to surplus......................................................................................................................................................................... ........................................... ...........................................

51. Surplus adjustment: 51.1 Paid in.................................................................................................................................................................................................. ........................................... ...........................................51.2 Transferred to capital (Stock Dividend)............................................................................................................................................... ........................................... ...........................................51.3 Transferred from capital...................................................................................................................................................................... ........................................... ...........................................51.4 Change in surplus as a result of reinsurance...................................................................................................................................... ........................................... ...........................................

52. Dividends to stockholders............................................................................................................................................................................. ........................................... ...........................................53. Aggregate write-ins for gains and losses in surplus...................................................................................................................................... ........................................0 ........................................054. Net change in capital and surplus for the year (Lines 37 through 53)........................................................................................................... .............................658,182 .........................(1,490,825)55. Capital and surplus, December 31, current year (Lines 36 + 54) (Page 3, Line 38)..................................................................................... ........................35,725,159 ........................35,066,977

DETAILS OF WRITE-INS08.301. Miscellaneous Income......................................................................................................................................................................... ........................................... ...............................68,04508.302. ............................................................................................................................................................................................................. ........................................... ...........................................08.303. ............................................................................................................................................................................................................. ........................................... ...........................................08.398. Summary of remaining write-ins for Line 8.3 from overflow page....................................................................................................... ........................................0 ........................................008.399. Totals (Lines 08.301 thru 08.303 plus 08.398) (Line 8.3 above)......................................................................................................... ........................................0 ...............................68,0452701. Miscellaneous Expense....................................................................................................................................................................... .................................3,007 ...........................................2702. ............................................................................................................................................................................................................. ........................................... ...........................................2703. ............................................................................................................................................................................................................. ........................................... ...........................................2798. Summary of remaining write-ins for Line 27 from overflow page........................................................................................................ ........................................0 ........................................02799. Totals (Lines 2701 thru 2703 plus 2798) (Line 27 above)................................................................................................................... .................................3,007 ........................................05301. ............................................................................................................................................................................................................. ........................................... ...........................................5302. ............................................................................................................................................................................................................. ........................................... ...........................................5303. ............................................................................................................................................................................................................. ........................................... ...........................................5398. Summary of remaining write-ins for Line 53 from overflow page........................................................................................................ ........................................0 ........................................05399. Totals (Lines 5301 thru 5303 plus 5398) (Line 53 above)................................................................................................................... ........................................0 ........................................0


5

CASH FLOW1 2

Current Year Prior Year

Cash from Operations 1. Premiums and annuity considerations for life and accident and health contracts................................................................................... ...........................189,823 ...................(142,181,012) 2. Charges and fees for deposit-type contracts........................................................................................................................................... ......................................... ......................................... 3. Considerations for supplementary contracts with life contingencies....................................................................................................... ......................................... .........................................4. Net investment income............................................................................................................................................................................ ........................1,047,391 ........................1,835,6485. Commissions and expense allowances on reinsurance ceded............................................................................................................... .......................(7,268,000) .......................(8,574,950)6. Fees associated with investment management, administration and contract guarantees from Separate Accounts............................... ...........................583,008 ...........................605,5507. Aggregate write-ins for miscellaneous income........................................................................................................................................ .............................12,021 .............................64,4498. Total (Lines 1 to 7)................................................................................................................................................................................... .......................(5,435,756) ...................(148,250,315)9. Death benefits......................................................................................................................................................................................... ......................................... .........................................10. Matured endowments.............................................................................................................................................................................. ......................................... .........................................11. Annuity benefits....................................................................................................................................................................................... .............................71,954 .............................66,00112. Disability benefits and benefits under accident and health contracts...................................................................................................... ......................................... .........................................13. Coupons, guaranteed annual pure endowments and similar benefits..................................................................................................... .............................57,902 ............................(57,902)14. Surrender benefits and withdrawals for life contracts.............................................................................................................................. ...........................641,107 ..........................(235,657)15. Group conversions.................................................................................................................................................................................. ......................................... .........................................16. Interest and adjustments on contract or deposit-type contract funds...................................................................................................... ............................(79,197) .........................................17. Payments on supplementary contracts with life contingencies............................................................................................................... ......................................... .........................................18. Total (Lines 9 to 17)................................................................................................................................................................................. ...........................691,766 ..........................(227,558)19. Commissions on premiums, annuity considerations and deposit-type contract funds............................................................................ ......................................... .........................................20. Commissions and expense allowances on reinsurance assumed.......................................................................................................... ......................................... .........................................21. General insurance expenses................................................................................................................................................................... ...........................151,216 ...........................639,30922. Insurance taxes, licenses and fees, excluding federal income taxes...................................................................................................... .............................41,431 ...........................121,62223. Net transfers to or (from) Separate Accounts.......................................................................................................................................... .......................(7,747,509) ...................(122,350,597)24. Aggregate write-ins for deductions.......................................................................................................................................................... ...............................3,007 ......................................025. Total (Lines 18 to 24)............................................................................................................................................................................... .......................(6,860,090) ...................(121,817,224)26. Dividends paid to policyholders............................................................................................................................................................... ......................................... .........................................27. Federal income taxes (excluding tax on capital gains)............................................................................................................................ ......................................... .........................................28. Total (Lines 25 to 27)............................................................................................................................................................................... .......................(6,860,090) ...................(121,817,224)29. Net cash from operations (Line 8 minus Line 28).................................................................................................................................... ........................1,424,333 .....................(26,433,091)

Cash from Investments30. Proceeds from investments sold, matured or repaid:

30.1 Bonds............................................................................................................................................................................................ ........................3,988,000 ........................9,116,93430.2 Stocks............................................................................................................................................................................................ ......................................... .........................................30.3 Mortgage loans.............................................................................................................................................................................. ......................................... .........................................30.4 Real estate.................................................................................................................................................................................... ......................................... .........................................30.5 Other invested assets.................................................................................................................................................................... ......................................... .........................................30.6 Net gains (losses) on cash and short-term investments................................................................................................................ ......................................... .........................................30.7 Miscellaneous proceeds................................................................................................................................................................ ......................................... .........................................30.8 Total investment proceeds (Lines 30.1 to 30.7)............................................................................................................................ ........................3,988,000 ........................9,116,934

31. Net tax on capital gains (losses).............................................................................................................................................................. ......................................... .........................................32. Total (Line 30.8 minus Line 31)............................................................................................................................................................... ........................3,988,000 ........................9,116,93433. Cost of investments acquired (long-term only):

33.1 Bonds............................................................................................................................................................................................ ......................33,011,567 .........................................33.2 Stocks............................................................................................................................................................................................ ......................................... .........................................33.3 Mortgage loans.............................................................................................................................................................................. ......................................... .........................................33.4 Real estate.................................................................................................................................................................................... ......................................... .........................................33.5 Other invested assets.................................................................................................................................................................... ......................................... .........................................33.6 Miscellaneous applications............................................................................................................................................................ ......................................... .........................................33.7 Total investments acquired (lines 33.1 to 33.6)............................................................................................................................. ......................33,011,567 ......................................0

34. Net increase (or decrease) in policy loans and premium notes............................................................................................................... ......................................... .........................................35. Net cash from investments (Line 32 minus Line 33.7 minus Line 34)..................................................................................................... .....................(29,023,567) ........................9,116,934

Cash from Financing and Miscellaneous Sources36. Cash provided:

36.1 Surplus notes, capital and surplus paid in..................................................................................................................................... ......................................... .........................................36.2 Borrowed money $..........0 less amounts repaid $..........0............................................................................................................ ......................................... .........................................36.3 Capital notes $..........0 less amounts repaid $..........0.................................................................................................................. ......................................... .........................................36.4 Deposits on deposit-type contract funds and other liabilities without life or disability contingencies............................................. ...........................908,107 .........................................36.5 Other cash provided...................................................................................................................................................................... ...........................864,759 ...............................9,47536.6 Total (Lines 36.1 to 36.5)............................................................................................................................................................... ........................1,772,866 ...............................9,475

37. Cash applied: 37.1 Dividends to stockholders paid...................................................................................................................................................... ......................................... .........................................37.2 Interest on indebtedness............................................................................................................................................................... ......................................... .........................................37.3 Withdrawals on deposit-type contract funds and other liabilities without life or disability contingencies....................................... ...........................852,450 ...........................886,17437.4 Other applications (net)................................................................................................................................................................. ...........................922,566 ........................1,199,67037.5 Total (Lines 37.1 to 37.4)............................................................................................................................................................... ........................1,775,016 ........................2,085,844

38. Net cash from financing and miscellaneous sources (Line 36.6 minus Line 37.5).................................................................................. ..............................(2,150) .......................(2,076,369)

RECONCILIATION OF CASH AND SHORT-TERM INVESTMENTS39. Net change in cash and short-term investments (Line 29, plus Line 35, plus Line 38)........................................................................... .....................(27,601,384) .....................(19,392,526)40. Cash and short-term investments:

40.1 Beginning of year........................................................................................................................................................................... ......................29,937,122 ......................49,329,64840.2 End of year (Line 39 plus Line 40.1).............................................................................................................................................. ........................2,335,739 ......................29,937,122

DETAILS OF WRITE-INS0701. Miscellaneous Income............................................................................................................................................................................. ......................................... .............................68,0450702. Surrender Charges.................................................................................................................................................................................. .............................12,021 ..............................(3,596)0703. ................................................................................................................................................................................................................. ......................................... .........................................0798. Summary of remaining write-ins for Line 7 from overflow page.............................................................................................................. ......................................0 ......................................00799. Total (Lines 0701 thru 0703 plus 0798) (Line 7 above)........................................................................................................................... .............................12,021 .............................64,4492401. Miscellaneous Expenses......................................................................................................................................................................... ...............................3,007 .........................................2402. ................................................................................................................................................................................................................. ......................................... .........................................2403. ................................................................................................................................................................................................................. ......................................... .........................................2498. Summary of remaining write-ins for Line 24 from overflow page............................................................................................................ ......................................0 ......................................02499. Total (Lines 2401 thru 2403 plus 2498) (Line 24 above)......................................................................................................................... ...............................3,007 ......................................0


6

ANALYSIS OF OPERATION BY LINES OF BUSINESS (Gain and Loss Exhibit) (Excluding Capital Gains and Losses)1 2 Ordinary 6 Group Accident and Health 12

3 4 5 Credit Life 7 8 9 10 11 Aggregate ofIndustrial Life Individual Supplementary (Group and Life Credit (Group All Other Lines

Total Life Insurance Annuities Contracts Individual) Insurance(a) Annuities Group and Individual) Other of Business1. Premiums and annuity considerations for life and accident and health contracts.................................................................... .............189,823 ......................... ......................... ......................... ......................... ......................... ......................... ...........189,823 ......................... ......................... ......................... .........................2. Considerations for supplementary contracts with life contingencies........................................................................................ ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................3. Net investment income............................................................................................................................................................. ..........1,095,902 ......................... ......................... ......................... ......................... ......................... ......................... ........1,095,902 ......................... ......................... ......................... .........................4. Amortization of Interest Maintenance Reserve (IMR).............................................................................................................. ..............(23,923) ......................... ......................... ......................... ......................... ......................... ......................... ............(23,923) ......................... ......................... ......................... .........................5. Separate Accounts net gains from operations excluding unrealized gains or losses............................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................6. Commissions and expense allowances on reinsurance ceded................................................................................................ ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................7. Reserve adjustments on reinsurance ceded............................................................................................................................ .........(7,268,001) ......................... ......................... ............(94,213) ......................... ......................... ......................... .......(7,173,788) ......................... ......................... ......................... .........................8. Miscellaneous Income:

8.1 Fees associated with income from investment management, administration and contract guarantees from S/A........... .............583,008 ......................... ......................... .............64,621 ......................... ......................... ......................... ...........518,387 ......................... ......................... ......................... .........................8.2 Charges and fees for deposit-type contracts.................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................8.3 Aggregate write-ins for miscellaneous income................................................................................................................. ........................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0

9. Totals (Lines 1 to 8.3)............................................................................................................................................................... .........(5,423,191) ......................0 ......................0 ............(29,592) ......................0 ......................0 ......................0 .......(5,393,599) ......................0 ......................0 ......................0 ......................010. Death benefits.......................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................11. Matured endowments (excluding guaranteed annual pure endowments)................................................................................ ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................12. Annuity benefits........................................................................................................................................................................ ...............71,954 ......................... ......................... ......................... ......................... ......................... ......................... .............71,954 ......................... ......................... ......................... .........................13. Disability benefits and benefits under accident and health contracts....................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................14. Coupons, guaranteed annual pure endowments and similar benefits...................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................15. Surrender benefits and withdrawals for life contracts............................................................................................................... .............641,107 ......................... ......................... ......................... ......................... ......................... ......................... ...........641,107 ......................... ......................... ......................... .........................16. Group conversions................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................17. Interest and adjustments on contract or deposit-type contract funds....................................................................................... ..............(79,197) ......................... ......................... ......................... ......................... ......................... ......................... ............(79,197) ......................... ......................... ......................... .........................18. Payments on supplementary contracts with life contingencies................................................................................................ ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................19. Increase in aggregate reserves for life and accident and health contracts.............................................................................. .............554,715 ......................... ......................... ......................... ......................... ......................... ......................... ...........554,715 ......................... ......................... ......................... .........................20. Totals (Lines 10 to 19).............................................................................................................................................................. ..........1,188,579 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ........1,188,579 ......................0 ......................0 ......................0 ......................021. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only).......................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................22. Commissions and expense allowances on reinsurance assumed........................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................23. General insurance expenses.................................................................................................................................................... ...............70,117 ......................... ......................... ......................... ......................... ......................... ......................... .............70,117 ......................... ......................... ......................... .........................24. Insurance taxes, licenses and fees, excluding federal income taxes...................................................................................... ...............37,980 ......................... ......................... ......................... ......................... ......................... ......................... .............37,980 ......................... ......................... ......................... .........................25. Increase in loading on deferred and uncollected premiums..................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................26. Net transfers to or (from) Separate Accounts........................................................................................................................... .........(7,717,848) ......................... ......................... ............(86,331) ......................... ......................... ......................... .......(7,631,517) ......................... ......................... ......................... .........................27. Aggregate write-ins for deductions........................................................................................................................................... .................3,007 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ...............3,007 ......................0 ......................0 ......................0 ......................028. Totals (Lines 20 to 27).............................................................................................................................................................. .........(6,418,165) ......................0 ......................0 ............(86,331) ......................0 ......................0 ......................0 .......(6,331,834) ......................0 ......................0 ......................0 ......................029. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28)....................... .............994,974 ......................0 ......................0 .............56,739 ......................0 ......................0 ......................0 ...........938,235 ......................0 ......................0 ......................0 ......................030. Dividends to policyholders........................................................................................................................................................ ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30)............. .............994,974 ......................0 ......................0 .............56,739 ......................0 ......................0 ......................0 ...........938,235 ......................0 ......................0 ......................0 ......................032. Federal income taxes incurred (excluding tax on capital gains)............................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................33. Net gain from operations after dividends to policyholders and federal income taxes and before realized

capital gains or (losses) (Line 31 minus Line 32)..................................................................................................................... .............994,974 ......................0 ......................0 .............56,739 ......................0 ......................0 ......................0 ...........938,235 ......................0 ......................0 ......................0 ......................0DETAILS OF WRITE-INS

08.301. ......................................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................08.302. ......................................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................08.303. ......................................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................08.398. Summary of remaining write-ins for Line 8.3 from overflow page.................................................................................... ........................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................008.399. Total (Lines 08.301 thru 08.303 plus 08.398) (Line 8.3 above)........................................................................................ ........................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................02701. Miscellaneous Deductions................................................................................................................................................ .................3,007 ......................... ......................... ......................... ......................... ......................... ......................... ...............3,007 ......................... ......................... ......................... .........................2702. ......................................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................2703. ......................................................................................................................................................................................... ........................0 ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... ......................... .........................2798. Summary of remaining write-ins for Line 27 from overflow page..................................................................................... ........................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ......................02799. Total (Lines 2701 thru 2703 plus 2798) (Line 27 above).................................................................................................. .................3,007 ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ...............3,007 ......................0 ......................0 ......................0 ......................0

(a) Includes the following amounts for FEGLI/SGLI: Line 1..........0 Line 10..........0 Line 16..........0 Line 23..........0 Line 24..........0.


7

ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR1 2 Ordinary 6 Group

3 4 5 Credit Life 7 8Industrial Supplementary (Group and

Total Life Life Insurance Individual Annuities Contracts Individual) Life Insurance Annuities

Involving Life or Disability Contingencies (Reserves)

(Net of Reinsurance Ceded)

1. Reserve December 31, prior year.................................................................................................................... .......................1,822,487 ......................................... ......................................... ..............................2,753 ......................................... ......................................... ......................................... .......................1,819,734

2. Tabular net premiums or considerations.......................................................................................................... ..........................154,038 ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... ..........................154,038

3. Present value of disability claims incurred....................................................................................................... ......................................0 ......................................... ......................................... ......................................... ...............XXX.................. ......................................... ......................................... .........................................

4. Tabular interest................................................................................................................................................. ..........................181,304 ......................................... ......................................... ..............................5,935 ......................................... ......................................... ......................................... ..........................175,369

5. Tabular less actual reserve released............................................................................................................... ......................................0 ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... .........................................

6. Increase in reserve on account of change in valuation basis.......................................................................... ......................................0 ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... .........................................

7. Other increases (net)........................................................................................................................................ ......................................0 ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... .........................................

8. Totals (Lines 1 to 7).......................................................................................................................................... .......................2,157,829 ......................................0 ......................................0 ..............................8,688 ......................................0 ......................................0 ......................................0 .......................2,149,141

9. Tabular cost...................................................................................................................................................... ......................................0 ......................................... ......................................... ......................................... ...............XXX.................. ......................................... ......................................... .........................................

10. Reserves released by death............................................................................................................................. ......................................0 ......................................... ......................................... ...............XXX.................. ...............XXX.................. ......................................... ......................................... ...............XXX..................

11. Reserves released by other terminations (net)................................................................................................ ..........................185,449 ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... ..........................185,449

12. Annuity, supplementary contract, and disability payments involving life contingencies.................................. ............................71,954 ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... ............................71,954

13. Net transfers to or (from) Separate Accounts................................................................................................... .........................(476,777) ......................................... ......................................... ......................................... ......................................... ......................................... ......................................... .........................(476,777)

14. Total deductions (Lines 9 to 13)....................................................................................................................... .........................(219,374) ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 .........................(219,374)

15. Reserve December 31, current year................................................................................................................ .......................2,377,203 ......................................0 ......................................0 ..............................8,688 ......................................0 ......................................0 ......................................0 .......................2,368,515


8

EXHIBIT OF NET INVESTMENT INCOME1 2

Collected EarnedDuring Year During Year

1. U.S. government bonds................................................................................................................................................................... (a)...............................663,482 ...................................861,0421.1 Bonds exempt from U.S. tax............................................................................................................................................................ (a)............................................. .................................................1.2 Other bonds (unaffiliated)................................................................................................................................................................ (a)............................................. .................................................1.3 Bonds of affiliates............................................................................................................................................................................ (a)............................................. .................................................2.1 Preferred stocks (unaffiliated).......................................................................................................................................................... (b)............................................. .................................................2.11 Preferred stocks of affiliates............................................................................................................................................................ (b)............................................. .................................................2.2 Common stocks (unaffiliated).......................................................................................................................................................... ................................................. .................................................2.21 Common stocks of affiliates............................................................................................................................................................. ................................................. .................................................3. Mortgage loans................................................................................................................................................................................ (c)............................................. .................................................4. Real estate...................................................................................................................................................................................... (d)............................................. .................................................5. Contract loans................................................................................................................................................................................. ................................................. .................................................6. Cash/short-term investments........................................................................................................................................................... (e)...............................262,359 ...................................262,3597. Derivative instruments..................................................................................................................................................................... (f).............................................. .................................................8. Other invested assets...................................................................................................................................................................... ................................................. .................................................9. Aggregate write-ins for investment income..................................................................................................................................... .........................................(537) .........................................(537)10. Total gross investment income........................................................................................................................................................ ...................................925,304 ................................1,122,86411. Investment expenses........................................................................................................................................................................................................................... (g).................................25,33912. Investment taxes, licenses and fees, excluding federal income taxes................................................................................................................................................ (g)...................................1,62313. Interest expense.................................................................................................................................................................................................................................. (h).............................................14. Depreciation on real estate and other invested assets........................................................................................................................................................................ (i)...........................................015. Aggregate write-ins for deductions from investment income............................................................................................................................................................... ..............................................016. Total deductions (Lines 11 through 15)............................................................................................................................................................................................... .....................................26,96117. Net investment income (Line 10 minus Line 16)................................................................................................................................................................................. ................................1,095,902

DETAILS OF WRITE-INS0901. Miscellaneous Interest Income........................................................................................................................................................ .........................................(537) .........................................(537)0902. ......................................................................................................................................................................................................... ................................................. .................................................0903. ......................................................................................................................................................................................................... ................................................. .................................................0998. Summary of remaining write-ins for Line 9 from overflow page...................................................................................................... ..............................................0 ..............................................00999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9 above)................................................................................................................. .........................................(537) .........................................(537)1501. ............................................................................................................................................................................................................................................................. .................................................1502. ............................................................................................................................................................................................................................................................. .................................................1503. ............................................................................................................................................................................................................................................................. .................................................1598. Summary of remaining write-ins for Line 15 from overflow page........................................................................................................................................................ ..............................................01599. Totals (Lines 1501 thru 1503 plus 1598) (Line 15 above)................................................................................................................................................................... ..............................................0(a) Includes $.....19,282 accrual of discount less $.....167,704 amortization of premium and less $..........0 paid for accrued interest on purchases. (b) Includes $..........0 accrual of discount less $..........0 amortization of premium and less $..........0 paid for accrued dividends on purchases. (c) Includes $..........0 accrual of discount less $..........0 amortization of premium and less $..........0 paid for accrued interest on purchases. (d) Includes $..........0 for company's occupancy of its own buildings; and excludes $..........0 interest on encumbrances. (e) Includes $..........0 accrual of discount less $..........0 amortization of premium and less $..........0 paid for accrued interest on purchases. (f) Includes $..........0 accrual of discount less $..........0 amortization of premium. (g) Includes $..........0 investment expenses and $..........0 investment taxes, licenses and fees, excluding federal income taxes, attributable to segregated and Separate Accounts. (h) Includes $..........0 interest on surplus notes and $..........0 interest on capital notes. (i) Includes $..........0 depreciation on real estate and $..........0 depreciation on other invested assets.

EXHIBIT OF CAPITAL GAINS (LOSSES)1 2 3 4 5

Net Gain or (Loss)from Change in

Difference BetweenRealized Basis Book/

Gain (Loss) Other Increases Adjustedon Sales Realized (Decreases) by Carrying and

or Maturity Adjustments Adjustment Admitted Values Total1. U.S. government bonds................................................................ ...................................... ...................................... ...................................... ...................................... ...................................01.1 Bonds exempt from U.S. tax......................................................... ...................................... ...................................... ...................................... ...................................... ...................................01.2 Other bonds (unaffiliated).............................................................. ...................................... ...................................... ...................................... ...................................... ...................................01.3 Bonds of affiliates.......................................................................... ...................................... ...................................... ...................................... ...................................... ...................................02.1 Preferred stocks (unaffiliated)....................................................... ...................................... ...................................... ...................................... ...................................... ...................................02.11 Preferred stocks of affiliates.......................................................... ...................................... ...................................... ...................................... ...................................... ...................................02.2 Common stocks (unaffiliated)........................................................ ...................................... ...................................... ...................................... ...................................... ...................................02.21 Common stocks of affiliates.......................................................... ...................................... ...................................... ...................................... ...................................... ...................................03. Mortgage loans............................................................................. ...................................... ...................................... ...................................... ...................................... ...................................04. Real estate.................................................................................... ...................................... ...................................... ...................................... ...................................... ...................................05. Contract loans............................................................................... ...................................... ...................................... ...................................... ...................................... ...................................06. Cash/short-term investments........................................................ ...................................... ...................................... ...................................... ...................................... ...................................07. Derivative instruments................................................................... ...................................... ...................................... ...................................... ...................................... ...................................08. Other invested assets................................................................... ...................................... ...................................... ...................................... ...................................... ...................................09. Aggregate write-ins for capital gains (losses)............................... ...................................0 ...................................0 ...................................0 ...................................0 ...................................010. Total capital gains (losses)............................................................ ...................................0 ...................................0 ...................................0 ...................................0 ...................................0

DETAILS OF WRITE-INS0901. ...................................................................................................... ...................................... ...................................... ...................................... ...................................... ...................................00902. ...................................................................................................... ...................................... ...................................... ...................................... ...................................... ...................................00903. ...................................................................................................... ...................................... ...................................... ...................................... ...................................... ...................................00998. Summary of remaining write-ins for Line 9 from overflow page.... ...................................0 ...................................0 ...................................0 ...................................0 ...................................00999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9 above)............... ...................................0 ...................................0 ...................................0 ...................................0 ...................................0

NONE


9

EXHIBIT 1 - PART 1 - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS1 2 Ordinary 5 Group Accident and Health 11

3 4 Credit Life 6 7 8 9 10 Aggregate ofIndustrial Individual (Group and Credit All Other Lines

Total Life Life Insurance Annuities Individual) Life Insurance Annuities Group (Group & Individual) Other of BusinessFIRST YEAR (other than single)

1. Uncollected............................................................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. ................................. 2. Deferred and accrued............................................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. ................................. 3. Deferred, accrued and uncollected:

3.1 Direct............................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................3.2 Reinsurance assumed.................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................3.3 Reinsurance ceded......................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................3.4 Net (Line 1 + Line 2)....................................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0

4. Advance................................................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. ................................. 5. Line 3.4 - Line 4..................................................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0 6. Collected during year:

6.1 Direct............................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................6.2 Reinsurance assumed.................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................6.3 Reinsurance ceded......................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................6.4 Net.................................................................................................. ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0

7. Line 5 + Line 6.4.................................................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0 8. Prior year (uncollected + deferred and accrued - advance)................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. ................................. 9. First year premiums and considerations:

9.1 Direct............................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................9.2 Reinsurance assumed.................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................9.3 Reinsurance ceded......................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................9.4 Net (Line 7 - Line 8)........................................................................ ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0

SINGLE10. Single premiums and considerations:

10.1 Direct............................................................................................. ..................2,604,056 ................................... ................................... .......................23,235 ................................... ................................... ..................2,580,821 ................................. ................................. ................................. .................................10.2 Reinsurance assumed.................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................10.3 Reinsurance ceded....................................................................... ..................2,414,233 ................................... ................................... .......................23,235 ................................... ................................... ..................2,390,998 ................................. ................................. ................................. .................................10.4 Net................................................................................................ .....................189,823 ................................0 ................................0 ................................0 ................................0 ................................0 .....................189,823 ..............................0 ..............................0 ..............................0 ..............................0

RENEWAL11. Uncollected............................................................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................12. Deferred and accrued............................................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................13. Deferred, accrued and uncollected:

13.1 Direct............................................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................13.2 Reinsurance assumed.................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................13.3 Reinsurance ceded....................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................13.4 Net (Line 11 + Line 12)................................................................. ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0

14. Advance................................................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................15. Line 13.4 - Line 14................................................................................. ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................016. Collected during year:

16.1 Direct............................................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................16.2 Reinsurance assumed.................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................16.3 Reinsurance ceded....................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................16.4 Net................................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0

17. Line 15 + Line 16.4................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................018. Prior year (uncollected + deferred and accrued - advance)................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................19. Renewal premiums and considerations:

19.1 Direct............................................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................19.2 Reinsurance assumed.................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................19.3 Reinsurance ceded....................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................. ................................. ................................. .................................19.4 Net (Line 17 - Line 18).................................................................. ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................0

TOTAL20. Total premiums and annuity considerations:

20.1 Direct............................................................................................. ..................2,604,056 ................................0 ................................0 .......................23,235 ................................0 ................................0 ..................2,580,821 ..............................0 ..............................0 ..............................0 ..............................020.2 Reinsurance assumed.................................................................. ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ..............................0 ..............................0 ..............................0 ..............................020.3 Reinsurance ceded....................................................................... ..................2,414,233 ................................0 ................................0 .......................23,235 ................................0 ................................0 ..................2,390,998 ..............................0 ..............................0 ..............................0 ..............................020.4 Net (Lines 9.4 + 10.4 + 19.4)........................................................ .....................189,823 ................................0 ................................0 ................................0 ................................0 ................................0 .....................189,823 ..............................0 ..............................0 ..............................0 ..............................0


10

EXHIBIT 1 - PART 2 - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (direct business only)

1 2 Ordinary 5 Group Accident and Health 113 4 Credit Life 6 7 8 9 10 Aggregate of

Industrial Individual (Group and Credit All Other LinesTotal Life Life Insurance Annuities Individual) Life Insurance Annuities Group (Group & Individual) Other of Business

DIVIDENDS AND COUPONS APPLIED (included in Part 1)

21. To pay renewal premiums (Exhibit 4, Line 1)..................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

22. All other (Exhibit 4, Lines 2, 3 & 4)..................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES INCURRED

23. First year (other than single):

23.1 Reinsurance ceded................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

23.2 Reinsurance assumed............................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

23.3 Net ceded less assumed........................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

24. Single:




25. Renewal:




26. Totals:

26.1 Reinsurance ceded (Page 6, Line 6)......................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

26.2 Reinsurance assumed (Page 6, Line 22).................. ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0


COMMISSIONS INCURRED (direct business only)

27. First year (other than single).............................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

28. Single................................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

29. Renewal............................................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

30. Deposit-type contract funds................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

31. Totals (to agree with Page 6, Line 21)............................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

NONE


11

EXHIBIT 2 - GENERAL EXPENSESInsurance 4 5

1 2 3Accident All Other Lines

Life and Health of Business Investment Total1. Rent......................................................................................................... .........................3,501 ................................... ................................... .........................1,204 .........................4,7052. Salaries and wages.................................................................................. ......................(22,737) ................................... ................................... .......................16,777 ........................(5,960)

3.11 Contributions for benefit plans for employees.......................................... .........................7,373 ................................... ................................... ............................790 .........................8,1633.12 Contributions for benefit plans for agents................................................ ................................... ................................... ................................... ................................... ................................03.21 Payments to employees under non-funded benefit plans........................ ................................... ................................... ................................... ................................... ................................03.22 Payments to agents under non-funded benefit plans.............................. ................................... ................................... ................................... ................................... ................................03.31 Other employee welfare........................................................................... .........................1,141 ................................... ................................... ..............................47 .........................1,1883.32 Other agent welfare................................................................................. ................................... ................................... ................................... ................................... ................................04.1 Legal fees and expenses......................................................................... .......................40,938 ................................... ................................... ..............................93 .......................41,0314.2 Medical examination fees........................................................................ ................................1 ................................... ................................... ................................1 ................................24.3 Inspection report fees.............................................................................. ................................... ................................... ................................... ................................... ................................04.4 Fees of public accountants and consulting actuaries.............................. .......................14,028 ................................... ................................... ............................256 .......................14,2844.5 Expense of investigation and settlement of policy claims........................ ................................... ................................... ................................... ................................... ................................05.1 Traveling expenses.................................................................................. ............................368 ................................... ................................... ............................374 ............................7425.2 Advertising............................................................................................... ............................149 ................................... ................................... ................................9 ............................1585.3 Postage, express, telegraph and telephone............................................ .........................2,383 ................................... ................................... ............................246 .........................2,6295.4 Printing and stationery............................................................................. ............................149 ................................... ................................... ..............................78 ............................2275.5 Cost or depreciation of furniture and equipment...................................... .......................10,416 ................................... ................................... .........................1,809 .......................12,2255.6 Rental of equipment................................................................................. ..............................40 ................................... ................................... ..............................95 ............................1355.7 Cost or depreciation of EDP equipment and software............................. ................................... ................................... ................................... ................................... ................................06.1 Books and periodicals.............................................................................. ............................332 ................................... ................................... ............................201 ............................5336.2 Bureau and association fees.................................................................... ................................... ................................... ................................... ................................6 ................................66.3 Insurance, except on real estate.............................................................. ................................1 ................................... ................................... ............................103 ............................1046.4 Miscellaneous losses............................................................................... ................................... ................................... ................................... ................................... ................................06.5 Collection and bank service charges....................................................... .........................3,935 ................................... ................................... .........................1,188 .........................5,1236.6 Sundry general expenses........................................................................ .........................8,079 ................................... ................................... .........................2,038 .......................10,1176.7 Group service and administration fees.................................................... ................................2 ................................... ................................... ................................2 ................................46.8 Reimbursements by uninsured accident and health plans...................... ................................... ................................... ................................... ................................... ................................07.1 Agency expense allowance..................................................................... ................................1 ................................... ................................... ................................1 ................................27.2 Agents' balances charged off (less $..........0 recovered)......................... ................................... ................................... ................................... ................................... ................................07.3 Agency conferences other than local meetings....................................... ..............................17 ................................... ................................... ..............................21 ..............................389.1 Real estate expenses.............................................................................. ................................... ................................... ................................... ................................... ................................09.2 Investment expenses not included elsewhere......................................... ................................... ................................... ................................... ................................... ................................09.3 Aggregate write-ins for expenses............................................................ ................................0 ................................0 ................................0 ................................0 ................................010. General expenses Incurred...................................................................... .......................70,117 ................................0 ................................0 .......................25,339 (a)..................95,45611. General expenses unpaid December 31, prior year................................ .......................96,269 ................................... ................................... .........................8,704 .....................104,97312. General expenses unpaid December 31, current year............................ .......................15,170 ................................... ................................... .........................9,325 .......................24,49513. Amounts receivable relating to uninsured accident and health

plans, prior year....................................................................................... ................................... ................................... ................................... ................................... ................................014. Amounts receivable relating to uninsured accident and health

plans, current year................................................................................... ................................... ................................... ................................... ................................... ................................015. General expenses paid during year (Lines 10 + 11 - 12 - 13 + 14)......... .....................151,216 ................................0 ................................0 .......................24,718 .....................175,934

DETAILS OF WRITE-INS09.301. ................................................................................................................. ................................... ................................... ................................... ................................... ................................009.302. ................................................................................................................. ................................... ................................... ................................... ................................... ................................009.303. ................................................................................................................. ................................... ................................... ................................... ................................... ................................009.398. Summary of remaining write-ins for Line 9.3 from overflow page............ ................................0 ................................0 ................................0 ................................0 ................................009.399. Totals (Lines 09.301 thru 09.303 plus 09.398)(Line 9.3 above).............. ................................0 ................................0 ................................0 ................................0 ................................0

(a) Includes management fees of $..........0 to affiliates $..........0 to non-affiliates.

EXHIBIT 3 - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES)Insurance 4 5

1 2 3Accident All Other Lines

Life and Health of Business Investment Total1. Real estate taxes..................................................................................... ................................... ................................... ................................... ................................... ................................02. State insurance department licenses and fees........................................ .......................16,616 ................................... .......................25,259 ................................6 .......................41,8813. State taxes on premiums......................................................................... .........................2,195 ................................... .........................3,336 ................................... .........................5,5314. Other state taxes, including $..........0 for employee benefits................... .........................2,547 ................................... .........................3,871 ................................... .........................6,4185. U.S. Social Security taxes........................................................................ ................................... ................................... ................................... .........................1,535 .........................1,5356. All other taxes.......................................................................................... ........................(6,287) ................................... ........................(9,557) ..............................82 ......................(15,762)7. Taxes, licenses and fees incurred........................................................... .......................15,071 ................................0 .......................22,909 .........................1,623 .......................39,6038. Taxes, licenses and fees unpaid December 31, prior year...................... .........................3,451 ................................... ................................... ................................... .........................3,4519. Taxes, licenses and fees unpaid December 31, current year.................. ................................... ................................... ................................... ................................8 ................................810. Taxes, licenses and fees paid during year (Lines 7 + 8 - 9).................... .......................18,522 ................................0 .......................22,909 .........................1,615 .......................43,046

EXHIBIT 4 - DIVIDENDS OR REFUNDSDividends

1 2Life Accident and Health

1. Applied to pay renewal premiums................................................................................................................................................................. ......................................... .........................................2. Applied to shorten the endowment or premium-paying period...................................................................................................................... ......................................... .........................................3. Applied to provide paid-up additions............................................................................................................................................................. ......................................... .........................................4. Applied to provide paid-up annuities............................................................................................................................................................. ......................................... .........................................5. Total Lines 1 through 4.................................................................................................................................................................................. ......................................0 ......................................06. Paid-in cash................................................................................................................................................................................................... ......................................... .........................................7. Left on deposit............................................................................................................................................................................................... ......................................... .........................................8. Aggregate write-ins for dividend or refund options........................................................................................................................................ ......................................0 ......................................09. Total Lines 5 through 8.................................................................................................................................................................................. ......................................0 ......................................010. Amount due and unpaid................................................................................................................................................................................ ......................................... .........................................11. Provision for dividends or refunds payable in the following calendar year.................................................................................................... ......................................... .........................................12. Terminal dividends........................................................................................................................................................................................ ......................................... .........................................13. Provision for deferred dividend contracts...................................................................................................................................................... ......................................... .........................................14. Amount provisionally held for deferred dividend contracts not included in Line 13....................................................................................... ......................................... .........................................15. Total Lines 10 through 14.............................................................................................................................................................................. ......................................0 ......................................016. Total from prior year...................................................................................................................................................................................... ......................................... .........................................17. Total dividends or refunds (Lines 9 + 15 - 16)............................................................................................................................................... ......................................0 ......................................0

DETAILS OF WRITE-INS0801. ....................................................................................................................................................................................................................... ......................................... .........................................0802. ....................................................................................................................................................................................................................... ......................................... .........................................0803. ....................................................................................................................................................................................................................... ......................................... .........................................0898. Summary of remaining write-ins for Line 8 from overflow page.................................................................................................................... ......................................0 ......................................00899. Totals (Line 0801 thru 0803 plus 0898) (Line 8 above)................................................................................................................................. ......................................0 ......................................0

NONE


12

EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS1 2 3 4 5 6

CreditValuation Standard Total Industrial Ordinary (Group and Individual) Group

Annuities (excluding supplementary contracts with life contingencies): 0200001. 83 GAM 5.5% CARVM...................................................................... ..................1,198,925 .............XXX............... ................................... .............XXX............... ..................1,198,9250200002. 83 GAM 5.25% CARVM.................................................................... ................13,821,154 .............XXX............... ................................... .............XXX............... ................13,821,1540200003. a-2000 5.25% CARVM...................................................................... ..................1,012,850 .............XXX............... ..................1,012,850 .............XXX............... ...................................0200004. 94 GAR 5.25% CARVM..................................................................... ..................2,158,453 .............XXX............... ................................... .............XXX............... ..................2,158,4530200005. 83 GAM 7.25% IMM.......................................................................... .....................277,688 .............XXX............... ................................... .............XXX............... .....................277,6880200006. 83a 6.75% IMM.................................................................................. .......................62,691 .............XXX............... .......................62,691 .............XXX............... ...................................0200007. 83 GAM 6.75% IMM.......................................................................... ..................2,531,545 .............XXX............... ................................... .............XXX............... ..................2,531,5450200008. 94 GAR 7% IMM................................................................................ ..................1,319,481 .............XXX............... ................................... .............XXX............... ..................1,319,4810200009. 83a 6.25% IMM.................................................................................. ............................932 .............XXX............... ............................932 .............XXX............... ...................................0200010. 83 GAM 6.25% IMM.......................................................................... ..................2,595,073 .............XXX............... ................................... .............XXX............... ..................2,595,0730200011. a-2000 6.25% IMM............................................................................ .......................78,832 .............XXX............... .......................78,832 .............XXX............... ...................................0200012. 94 GAR 6.25% IMM........................................................................... ..................1,371,535 .............XXX............... ................................... .............XXX............... ..................1,371,5350200013. 94 GAR 6.75% IMM........................................................................... .....................683,079 .............XXX............... ................................... .............XXX............... .....................683,0790200014. a-2000 6.75% IMM............................................................................ .......................37,285 .............XXX............... .......................37,285 .............XXX............... ...................................0200015. 94 GAR 6.5% IMM............................................................................. ..................1,576,627 .............XXX............... ................................... .............XXX............... ..................1,576,6270299997. Totals (Gross).................................................................................... ................28,726,150 .............XXX............... ..................1,192,590 .............XXX............... ................27,533,5600299998. Reinsurance ceded............................................................................ ................26,357,640 .............XXX............... ..................1,192,591 .............XXX............... ................25,165,0490299999. Totals (Net)........................................................................................ ..................2,368,510 .............XXX............... ...............................(1) .............XXX............... ..................2,368,511

Miscellaneous Reserves: 0700001. Guaranteed Minimum Death Benefit Reserve for Variable Policies.. .....................106,460 ................................... .........................2,349 ................................... .....................104,1110799997. Totals (Gross).................................................................................... .....................106,460 ................................0 .........................2,349 ................................0 .....................104,1110799998. Reinsurance ceded............................................................................ .......................97,767 ................................... .........................2,349 ................................... .......................95,4180799999. Totals (Net)........................................................................................ .........................8,693 ................................0 ................................0 ................................0 .........................8,6939999999. Totals (Net) - Page 3, Line 1.............................................................. ..................2,377,203 ................................0 ...............................(1) ................................0 ..................2,377,204


13

EXHIBIT 5 - INTERROGATORIES1.1 Has the reporting entity ever issued both participating and non-participating contracts? Yes [ ] No [ X ]1.2 If not, state which kind is issued..........2.1 Does the reporting entity at present issue both participating and non-participating contracts? Yes [ ] No [ X ]2.2 If not, state which kind is issued..........

3. Does the reporting entity at present issue or have in force contracts that contain non-guaranteed elements? Yes [ X ] No [ ]If so, attach a statement that contains the determination procedures, answers to the interrogatories and an actuarial opinion as described in the instructions.

4. Has the reporting entity any assessment or stipulated premium contracts in force? If so, state: Yes [ ] No [ X ]4.1 Amount of insurance? $.........................................4.2 Amount of reserve? $.........................................4.3 Basis of reserve: 4.4 Basis of regular assessments: 4.5 Basis of special assessments: 4.6 Assessments collected during year: $.........................................

5. If the contract loan interest rate guaranteed in any one or more of its currently issued contracts is less than 5 %, not in advance, state the contract loan rate guarantees on any such contracts.

6. Does the reporting entity hold reserves for any annuity contracts which are less than the reserves that would be held on a standard basis? Yes [ ] No [ X ]6.1 If so, state the amount of reserve on such contracts on the basis actually held: $.........................................6.2 Which would have been held (on an exact or approximate basis) using the actual ages of the annuitants; the interest rate(s) used in 6.1; and the same mortality basis used by the reporting entity for the valuation of comparable annuity benefits issued to standard lives. If the reporting entity has no comparable annuity benefits for standard lives to be valued, the mortality basis shall be the table most recently approved by the state of domicile for valuing individual annuity benefits: $......................................... Attach statement of methods employed in their valuation.

7. Does the reporting entity have any Synthetic GIC contracts, or agreements in effect as of December 31 of the current year? Yes [ ] No [ X ]7.1 If yes, state the total dollar amount of assets covered by these contracts or agreements: $.........................................7.2 Specify the basis (fair value, amortized cost, etc.) for determining the amount: 7.3 State the amount of reserves established for this business: $.........................................7.4 Identify where the reserves are reported in the blank.

EXHIBIT 5A - CHANGES IN BASES OF VALUATION DURING THE YEAR1 Valuation Basis 4

2 3 Increase in ActuarialDescription of Valuation Class Changed From Changed To Reserve Due To Change

NONE


14

EXHIBIT 6 - AGGREGATE RESERVES FOR ACCIDENT AND HEALTH CONTRACTS1 2 3 4 Other Individual Contracts

Credit Accident 5 6 7 8 9Group and Health Non-Renewable

Accident (Group and Collectively Non- Guaranteed for Stated Other AccidentTotal and Health Individual) Renewable Cancelable Renewable Reasons Only Only All Other

ACTIVE LIFE RESERVE

1. Unearned premium reserves................................................................................ ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

2. Additional contract reserves (a)............................................................................ ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

3. Additional actuarial reserves - Asset/Liability analysis......................................... ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

4. Reserve for future contingent benefits................................................................. ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

5. Reserve for rate credits........................................................................................ ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

6. Aggregate write-ins for reserves.......................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

7. Totals (Gross)....................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

8. Reinsurance ceded.............................................................................................. ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

9. Totals (Net)........................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

CLAIM RESERVE

10. Present value of amounts not yet due on claims.................................................. ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

11. Additional actuarial reserves - Asset/Liability analysis......................................... ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

12. Reserve for future contingent benefits................................................................. ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

13. Aggregate write-ins for reserves.......................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

14. Totals (Gross)....................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

15. Reinsurance ceded.............................................................................................. ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

16. Totals (Net)........................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

17. TOTALS (Net)...................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

18. TABULAR FUND INTEREST............................................................................... ....................................0 ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................


0601. ............................................................................................................................. ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

0602. ............................................................................................................................. ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

0603. ............................................................................................................................. ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

0698. Summary of remaining write-ins for Line 6 from overflow page........................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

0699. Totals (Lines 0601 thru 0603 plus 0698) (Line 6 above)...................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

1301. ............................................................................................................................. ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

1302. ............................................................................................................................. ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

1303. ............................................................................................................................. ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... ....................................... .......................................

1398. Summary of remaining write-ins for Line 13 from overflow page......................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

1399. Totals (Lines 1301 thru 1303 + 1398) (Line 13 above)........................................ ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0

(a) Attach statement as to valuation standard used in calculating this reserve, specifying reserve bases, interest rates and methods.

NONE


15

EXHIBIT 7 - DEPOSIT-TYPE CONTRACTS1 2 3 4 5 6

Guaranteed Supplemental Dividend Premium andInterest Contracts and Accumulations Other Deposit

Total Contracts Annuities Certain or Refunds Funds Other

1. Balance at the beginning of the year before reinsurance.......................................................................................... ....................................3,972,024 ..................................................... ....................................3,972,024 ..................................................... ..................................................... .....................................................

2. Deposits received during the year............................................................................................................................. .......................................908,107 ..................................................... .......................................908,107 ..................................................... ..................................................... .....................................................

3. Investment earnings credited to the account............................................................................................................. ......................................(681,097) ..................................................... ......................................(681,097) ..................................................... ..................................................... .....................................................

4. Other net change in reserves..................................................................................................................................... ..................................................0 ..................................................... ..................................................... ..................................................... ..................................................... .....................................................

5. Fees and other charges assessed............................................................................................................................. ..................................................0 ..................................................... ..................................................... ..................................................... ..................................................... .....................................................

6. Surrender charges..................................................................................................................................................... ..................................................0 ..................................................... ..................................................... ..................................................... ..................................................... .....................................................

7. Net surrender or withdrawal payments...................................................................................................................... .......................................852,450 ..................................................... .......................................852,450 ..................................................... ..................................................... .....................................................

8. Other net transfers to or (from) Separate Accounts................................................................................................... ..................................................0 ..................................................... ..................................................... ..................................................... ..................................................... .....................................................

9. Balance at the end of current year before reinsurance (Lines 1 + 2 + 3 + 4 - 5 - 6 - 7 - 8)........................................ ....................................3,346,584 ..................................................0 ....................................3,346,584 ..................................................0 ..................................................0 ..................................................0

10. Reinsurance balance at the beginning of the year..................................................................................................... ...................................(3,972,024) ..................................................... ...................................(3,972,024) ..................................................... ..................................................... .....................................................

11. Net change in reinsurance assumed......................................................................................................................... ..................................................0 ..................................................... ..................................................... ..................................................... ..................................................... .....................................................

12. Net change in reinsurance ceded.............................................................................................................................. ......................................(625,440) ..................................................... ......................................(625,440) ..................................................... ..................................................... .....................................................

13. Reinsurance balance at the end of the year (Lines 10 + 11 - 12).............................................................................. ...................................(3,346,584) ..................................................0 ...................................(3,346,584) ..................................................0 ..................................................0 ..................................................0

14. Balance at the end of the current year after reinsurance (Lines 9 + 13).................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0


16

EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTSPART 1 - Liability End of Current Year

1 2 Ordinary 6 Group Accident and Health3 4 5 7 8 9 10 11

Credit Life CreditIndustrial Life Individual Supplementary (Group and Life (Group and

Total Life Insurance Annuities Contracts Individual) Insurance Annuities Group Individual) Other

1. Due and unpaid:

1.1 Direct..................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

1.2 Reinsurance assumed.......................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

1.3 Reinsurance ceded............................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

1.4 Net........................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

2. In course of settlement:

2.1 Resisted:

2.11 Direct................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

2.12 Reinsurance assumed........................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

2.13 Reinsurance ceded............................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

2.14 Net...................................................................................... ................................0 ................................0 (b)............................0 (b)............................0 ................................0 (b)............................0 (b)............................0 ................................0 ................................0 ................................0 ................................0

2.2 Other:

2.21 Direct................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

2.22 Reinsurance assumed........................................................ ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

2.23 Reinsurance ceded............................................................. ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

2.24 Net...................................................................................... ................................0 ................................0 (b)............................0 (b)............................0 ................................0 (b)............................0 (b)............................0 ................................0 (b)............................0 (b)............................0 (b)............................0

3. Incurred but unreported:

3.1 Direct..................................................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

3.2 Reinsurance assumed.......................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

3.3 Reinsurance ceded............................................................... ................................0 ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ................................... ...................................

3.4 Net........................................................................................ ................................0 ................................0 (b)............................0 (b)............................0 ................................0 (b)............................0 (b)............................0 ................................0 (b)............................0 (b)............................0 (b)............................0

4. Totals:

4.1 Direct..................................................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

4.2 Reinsurance assumed.......................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

4.3 Reinsurance ceded............................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 ................................0

4.4 Net........................................................................................ ................................0 (a)............................0 (a)............................0 ................................0 ................................0 ................................0 (a)............................0 ................................0 ................................0 ................................0 ................................0 (a) Including matured endowments (but not guaranteed annual pure endowments) unpaid amounting to $..........0 in Column 2, $..........0 in Column 3 and $..........0 in Column 7. (b) Include only portion of disability and accident and health claim liabilities applicable to assumed "accrued" benefits. Reserves (including reinsurance assumed and net of reinsurance ceded) for unaccrued benefits for Ordinary Life Insurance $..........0, Individual Annuities $...........0, Credit Life (Group and Individual) $..........0, and Group Life $..........0, are included in Page 3, Line 1, (See Exhibit 5, Section on Disability Disabled Lives); and for Group Accident and Health $..........0, Credit (Group and Individual) Accident and Health $..........0 and Other Accident and Health $..........0 are included in Page 3, Line 2, (See Exhibit 6, Claim Reserve).

NONE


17

EXHIBIT 8 - CONTRACT CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTSPART 2 - Incurred During the Year

1 2 Ordinary 6 Group Accident and Health3 4 5 7 8 9 10 11

Industrial Life Credit Life Life CreditLife Insurance Individual Supplementary (Group and Insurance (Group and

Total (a) (b) Annuities Contracts Individual) (c) Annuities Group Individual) Other

1. Settlements during the year:

1.1 Direct....................................................................................................... .................1,638,516 .................................. .................................. ......................29,984 .................................. .................................. .................................. .................1,608,532 .................................. .................................. ..................................

1.2 Reinsurance assumed............................................................................ ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................

1.3 Reinsurance ceded................................................................................. .................1,566,562 .................................. .................................. ......................29,984 .................................. .................................. .................................. .................1,536,578 .................................. .................................. ..................................

1.4 Net.......................................................................................................... (d).................71,954 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ......................71,954 ...............................0 ...............................0 ...............................0

2. Liability December 31, current year from Part 1:

2.1 Direct....................................................................................................... ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................


2.3 Reinsurance ceded................................................................................. ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................

2.4 Net.......................................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0

3. Amounts recoverable from reinsurers December 31, current year................ ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................

4. Liability December 31, prior year:

4.1 Direct....................................................................................................... ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................


4.3 Reinsurance ceded................................................................................. ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................

4.4 Net.......................................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0

5. Amounts recoverable from reinsurers December 31, prior year.................... ...............................0 .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. .................................. ..................................

6. Incurred benefits:

6.1 Direct....................................................................................................... .................1,638,516 ...............................0 ...............................0 ......................29,984 ...............................0 ...............................0 ...............................0 .................1,608,532 ...............................0 ...............................0 ...............................0

6.2 Reinsurance assumed............................................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0

6.3 Reinsurance ceded................................................................................. .................1,566,562 ...............................0 ...............................0 ......................29,984 ...............................0 ...............................0 ...............................0 .................1,536,578 ...............................0 ...............................0 ...............................0

6.4 Net.......................................................................................................... ......................71,954 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ......................71,954 ...............................0 ...............................0 ...............................0 (a) Including matured endowments (but not guaranteed annual pure endowments) amounting to $..........0 in Line 1.1, $..........0 in Line 1.4, $..........0 in Line 6.1 and $..........0 in line 6.4. (b) Including matured endowments (but not guaranteed annual pure endowments) amounting to $..........0 in Line 1.1, $..........0 in Line 1.4, $..........0 in Line 6.1 and $..........0 in line 6.4. (c) Including matured endowments (but not guaranteed annual pure endowments) amounting to $..........0 in Line 1.1, $..........0 in Line 1.4, $..........0 in Line 6.1 and $..........0 in line 6.4. (d) Includes $..........0 premiums waived under total and permanent disability benefits.


18

EXHIBIT 9 - ANALYSIS OF NONADMITTED ASSETS AND RELATED ITEMS1 2 3

End of End of Changes for YearCurrent Year Prior Year (Increase) or Decrease

1. Summary of Items Page 2, Lines 12 to 17 and 19 to 22, Column 2................................................................. .........................8,903,453 .........................8,972,014 ..............................68,561

2. Other Nonadmitted Assets:

2.1 Bills receivable........................................................................................................................................ .......................................... .......................................... .......................................0

2.2 Furniture and equipment......................................................................................................................... .......................................... .......................................... .......................................0

2.3 Leasehold improvements........................................................................................................................ .......................................... .......................................... .......................................0

2.4 Cash advanced to or in the hands of officers or agents.......................................................................... .......................................... .......................................... .......................................0

2.5 Loans on personal security, endorsed or not.......................................................................................... .......................................... .......................................... .......................................0

2.6 Supplies, stationery, printed matter......................................................................................................... .......................................... .......................................... .......................................0

2.7 Commuted commissions......................................................................................................................... .......................................... .......................................... .......................................0

3. Total (Lines 2.1 to 2.7)...................................................................................................................................... .......................................0 .......................................0 .......................................0

4. Disallowed interest maintenance reserve......................................................................................................... ..............................77,856 ............................101,779 ..............................23,923

5. Aggregate write-ins for other assets................................................................................................................. .......................................0 .......................................0 .......................................0

6. Total (Line 1 plus Lines 3 to 5)......................................................................................................................... .........................8,981,309 .........................9,073,793 ..............................92,484


0501. Lines 2.1 and 5 from 2000 Annual Statement.................................................................................................. .......................................... .......................................... .......................................0

0502. .......................................................................................................................................................................... .......................................... .......................................... ..........................................

0503. .......................................................................................................................................................................... .......................................... .......................................... ..........................................

0598. Summary of remaining write-ins for Line 5 from overflow page........................................................................ .......................................0 .......................................0 .......................................0

0599. Totals (Lines 0501 thru 0503 plus 0598) (Line 5 above).................................................................................. .......................................0 .......................................0 .......................................0


19

1. Summary of Significant Accounting Policies.

a. Accounting Practices

The accompanying statutory basis financial statements have been prepared in conformity with statutory accountingpractices prescribed or otherwise permitted by the National Association of Insurance Commissioners (NAIC) and theState of Connecticut Department of Insurance.

Current prescribed statutory accounting practices include the adoption of the NAIC’s Accounting Practices andProcedures Manual, effective January 1, 2001, as well as current state laws and regulations. Permitted statutoryaccounting practices encompass accounting practices approved by the state insurance departments. The Company doesnot follow any permitted statutory accounting practices that have a material effect on statutory surplus, statutory netincome or risk-based capital.

b. Use of Estimates in the Preparation of the Financial Statements

The preparation of financial statements in conformity with Statutory Accounting Principles requires management tomake estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingentassets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses duringthe reported periods. Actual results could differ from those estimates. The most significant estimates include thoseused in determining the liability for aggregate reserves for future benefits and the liability for premium and otherdeposit funds. Although some variability is inherent in these estimates, management believes the amounts providedare adequate.

c. Accounting Policies

Life premiums are recognized as income over the premium paying period of the related policies. Annuityconsiderations are recognized as revenue when received.

Expenses incurred in connection with acquiring new insurance business, including such acquisition costs assales commission, are charged to operations as incurred. Expenses incurred are reduced for ceding allowancesreceived or receivable.

In addition, the Company uses the following accounting policies:

(1) Short-term investments, are carried at amortized cost, which approximates fair value.

(2) Bonds are carried at amortized cost and are amortized using the interest method. Bonds that are deemedineligible by to be held at amortized cost by the NAIC Securities Valuation Office (SVO) are carried at theappropriate SVO published value.

(3) Common stocks are carried at fair value with the current year change in the difference from cost reflected insurplus.

(4) Preferred stocks are carried at fair value with the exception of redeemable preferred stock, which is stated atamortized cost in accordance with NAIC designations.

(5) Mortgage loans stated at the aggregate carrying value less accrued interest include investments in assets backedby mortgage loan pools.

(6) Loan-backed bonds and structured securities are carried at amortized cost using the interest method includinganticipated prepayments at the date of purchase. Significant changes in estimated cash flows from the originalpurchase assumptions are accounted for using the prospective method, except for highly rated fixed ratesecurities, which use the retrospective method.

(7) The investment in subsidiaries is based on the net worth of the subsidiary determined in accordance withstatutory valuation methods. Dividends received from subsidiaries are recorded as net investment income andundistributed net income is recorded as net unrealized capital gains and losses.

(8) Investments in joint ventures, partnerships and limited liability companies are carried at the underlying GAAPequity of the investee.

(9) Derivative instruments are valued in accordance with the Accounting Practices and Procedures Manual of theNAIC SVO.

(10)The Company does not consider anticipated investment income as a factor in the premium deficiencycalculation.

NOTES TO FINANCIAL STATEMENTS


19.1

(11)The Company establishes and carries as liabilities actuarially determined reserves which are calculated to meetthe Company's future obligations. Reserves for accident and health contracts are based on actuariallyrecognized methods. Tabular liabilities use prescribed morbidity tables in general use in the United States,which are modified to reflect the Company's actual experience when appropriate. These reserves are computedat amounts that, with additions from estimated premiums to be received and with interest on such reservescompounded annually at certain assumed rates, are expected to be sufficient to meet the Company's policyobligations at their maturities or in the event of an insured's death or disability.

2. Accounting Changes and Corrections of Errors

a. Accounting Changes or Corrections or Errors

NONE

b. Codification

The Company prepares its statutory financial statements in conformity with accounting practices prescribed orpermitted by the State Connecticut Department of Insurance. Effective January 1, 2001, the State of Connecticutrequired that insurance companies domiciled in the State of Connecticut prepare their statutory basis financialstatements in Accordance with the NAIC Accounting Practices and Procedures Manual, version effective January 1,2001, subject to any deviations prescribed or permitted by the State of Connecticut insurance commissioner.

Accounting changes adopted to conform to the provisions of the NAIC Accounting Practices and Procedures Manualare reported as changes in accounting principles. The cumulative effect of changes in accounting principles is reportedas an adjustment to unassigned surplus in the period of the change in accounting principle. The cumulative effect is thedifference between the amount of capital and surplus at the beginning of the year and the amount of capital and surplusthat would have been reported at that date if the new accounting principles had been applied retroactively for all priorperiods. As a result of these changes, the Company reported a change in accounting principles, as an adjustment thatincreased unassigned surplus $451,474. The adjustment to increase unassigned surplus is related to SSAP 10 (IncomeTaxes).

3. Business Combinations and Goodwill

NONE

4. Discontinued Operations

NONE

5. Investments

a. Mortgage LoansThe Company has no investments in mortgage loans.

b. Debt RestructuringThe Company did not have any recorded investment in restructured loans.

c. Reverse Mortgages The Company has no investments in reverse mortgages.

d. For repurchase agreements, Company policies require a minimum of 102% of the fair value of securities purchasedunder repurchase agreements to be maintained as collateral.

6. Joint Venture, Partnerships, and Limited Liability Companies

a. The Company has no investments in Joint Ventures, Partnerships, or Limited Liability Companies.

7. Investment Income

a. Due and accrued income was excluded from investment income for bonds where collection of interest is uncertain andwhere investment income amounts are over 90 days past due.

b. The total amount excluded was $0.

8. Derivative Instruments

The Company has no investments in derivative instruments.



19.2

1. Income Taxes

a. The components of the net deferred tax asset/(liability) as of December 31 are as follows:

2002 2001Total of all deferred tax assets (admitted and nonadmitted) $8,908,003 $9,429,935Total of all deferred tax liabilities (4,550) (6,447)Net deferred assets (admitted and nonadmitted) 8,903,453 9,423,488Net admitted deferred asset 0 451,474Total deferred tax assets nonadmitted $8,903,453 $8,972,014Increase (decrease) in deferred taxes nonadmitted $(68,561)

b. Deferred tax liabilities are not recognized for the following amounts:

NONE

c. The components of incurred income tax expense and the change in DTAs and DTLs are as follows:

2002 2001Current income taxes incurred $0 $0

The changes in the main components of DTA’s and DTL’s are as follows:

DTA’s resulting from book/tax difference:

2002 2001 ChangeReserves $99,487 $99,487 $0Tax DAC 249,680 516,832 (267,152)Net operating loss 8,126,914 8,332,644 (205,730)Amortization of goodwill 430,922 480,972 (50,050)Other 1,000 0 1,000Total DTA’s $,8,908,003 $9,429,935 $(521,932)DTA’s nonadmitted $8,903,453 $8,972,014 $(68,561)

DTL’s resulting from book/tax difference:

2002 2001 ChangeBonds $(4,550) $(4,550) $0Accrued deferred compensation 0 (1,897) 1,897Total DTL’s $(4,550) $(6,447) $1,897

2002 2001 ChangeTotal deferred tax assets $8,908,003 $9,429,935 $(521,932)Total deferred tax liabilities (4,550) (6,447) 1,897Net deferred tax asset (liability) $8,903,453 $9,423,488 $(520,035)Change in net deferred income tax (520,035)

d. The Company’s income tax expense and change in DTA/DTL differs from the amount obtained by applying the federal statutory rate of 35% to the Net Gain from Operations After Dividends to Policyholders for the following reasons:

December 31,

2002Effective Tax

RateProvision computed at statutory rate $349,000 35.0%Prior year adjustments 171,000 17.1%Total $520,000 52.1%

December 31,2002

Effective TaxRate

Federal and foreign income tax incurred $0 0%Change in net deferred income taxes 520,000 52.1%Total statutory income taxes $520,000 52.1%



19.3

e. As of December 31, the Company had operating loss carry forwards of $(23,219,754). If not utilized, it will expire as follows:

2010 $(1,403,265)2011 (2,907,954)2012 (4,161,481)2013 (5,034,423)2014 (6,792,757)2015 02016 (2,919,874)

The following are income taxes incurred in the current and prior years that will be available for recoupment in the event offuture net losses:

NONE

f. Not applicable

10. Information Concerning Parent, Subsidiaries and Affiliates

a. The Company is a member of The Hartford Financial Services Group, Inc. (The Hartford), Hartford Fire InsuranceCompany being the ultimate parent (insurer) of this holding company system. For specific owner/affiliate relationships,refer to the Legal Entities Organizational Chart contained in Schedule Y. Throughout, the term „subsidiaries“ includesboth direct and indirect.

b. Transactions with Affiliates are located below.

SCHEDULE OF TRANSACTIONS WITH AFFILIATESThis schedule contains transactions by the company and any affiliated insurer with any affiliate. Non-insurance transactions involving less than ½ of 1% of thetotal assets of the largest affiliated insurer are omitted. Also excluded are reinsurance transactions and cost allocation transactions based on generally accepted

Accounting principles.1 2 3 4 5 6 7 8

Assets Received by Insurer Assets Transferred by InsurerTransaction Statement Statement

Date Explanation Name of Insurer Name of Affiliate Description Value Description Value

3/02 Capital Contrib. Hartford Fire Ins. Co. Hartford Accident & Ind. Co. Non-Cash $226,973,701

8/02 Transfer of Ownership Hartford Fire Ins. Co. Hartford Holdings, Inc. PIK Preferred $7,200,000,000HLI, Inc.Common

Stock7,200,000,000

9/02 Capital Contrib. Hartford Fire Ins. Co. Hartford Fin. Svcs. Group, Inc. Cash 300,000,00012/02 Capital Contrib. Hartford Life & Acc. Ins. Co. Hartford Life, Inc. Cash 150,000,00012/02 Capital Contrib. Hartford Life & Acc. Ins. Co. Hartford Life Ins. Company Cash 150,000,00012/02 Capital Contrib. Hartford Life Ins. Company Hartford Life & Annuity Ins. Co. Cash 150,000,00012/02 Capital Contrib. Hartford Fire Ins. Co. Hartford Fin. Svcs. Group, Inc. Cash 108,859,931 Affiliate stock 108,859,931

12/02Preferred StockDividend Hartford Fire Ins. Co. Hartford Holdings, Inc.

PIK PreferredShards 144,960,000

Note: A common Schedule of transactions with affiliates has been prepared for all members of The Hartford Financial Services Group,Inc. for inclusion in each of the individual annual statements and the consolidated Fire and Casualty Annual Statement of the Group.

c. See Schedule Y (Part 2) Summary of Insurer’s Transactions with any Affiliates.

d. At Dectember 31, 2002, the Company reported $29,813 as a payable to parents, subsidiaries and affiliates. The terms ofthe settlement require that these amounts be settled within 30 days.

e. Guarantees or Undertakings Including the Company and any Affiliated Insurers

(1) In 1981, in order for Hartford Insurance Company of the Midwest to be admitted to the State of New Jersey,Hartford Fire Insurance Company guaranteed that Hartford Insurance Company of the Midwest’s capital and surpluswould remain in compliance with the present minimum required by that State.

(2) In 1981, in order for Nutmeg Insurance Company to be admitted to the State of New Jersey, Hartford Accident &Indemnity Company guaranteed that Nutmeg Insurance Company would remain in compliance with the presentminimum required by that State.

(3) In 1983, in order for Hartford Insurance Company of the Midwest to be admitted to North Carolina, Hartford FireInsurance Company guaranteed that Hartford Insurance Company of the Midwest’s capital and surplus would remainin compliance with the present minimum required by that State.

(4) In 1987, in order for Trumbull Insurance Company to be admitted to the State of New Jersey, Hartford FireInsurance Company guaranteed that Trumbull Insurance Company’s capital and surplus would remain in compliancewith the present minimum required by that State.

(5) In 1989, in order for Hartford Insurance Company of the Midwest to be admitted to the State of Maine, Hartford FireInsurance Company guaranteed that Hartford Insurance company of the Midwest’s capital and surplus would remainin compliance with the minimum required by that State.



19.4

(6) The January 1, 1990 guarantee agreement between Hartford Fire Insurance Company, Hartford Life InsuranceCompany and Hartford Life and Accident Insurance Company, which guaranteed the obligations related to life,accident and health insurance and annuity contracts, was terminated in 1997. Although the guarantee was terminatedin 1997, it still covers policies that were issued between 1990-1997.

(7) In 1993, in order for Hartford Life and Annuity Insurance Company to gain unlimited variable annuity authority inNorth Carolina, Hartford Life and Accident Insurance Company guaranteed Hartford Life and Annuity InsuranceCompany’s variable annuity contract obligations to North Carolina residents.

(8) Effective May 1, 1993, Hartford Life Insurance Company guaranteed the obligations of Hartford International LifeReassurance Corporation with respect to reinsurance agreements.

(9) In 1995, in order for Property and Casualty Insurance Company of Hartford („Property and Casualty of Hartford„) tobe admitted to the states of Iowa, New Jersey, Maine and Virginia, Hartford Fire Insurance Company guaranteed thatProperty and Casualty of Hartford’s capital and surplus would remain in compliance with the present minimumrequired by those states.

(10) In 1996, in order for Property and Casualty Insurance Company of Hartford to be admitted to the State ofConnecticut, Nutmeg Insurance Company guaranteed Property and Casualty Insurance Company of Hartford’scapital and surplus would remain in compliance with the present minimum required by that state.

(11)On April 1, 1997, Hartford Life Insurance Company guaranteed the obligations of Hartford-ComprehensiveEmployee Benefit Service Company with respect to structured settlement liability obligations.

(12)On May 23, 1997, Hartford Life Insurance Company guaranteed the obligations of Hartford Life and AnnuityInsurance Company with respect to life, accident and health insurance and annuity contracts.

(13) In 1998, Hartford Life and Accident Insurance Company guaranteed the obligations of Hartford-ComprehensiveEmployee Benefit Service Company with respect to structured settlement liability obligations.

(14) In December, 1999 in order for Hart Life Insurance to extend its current Certificate of Authority to include theauthority to transact the business of contracts on a variable basis, Hartford Life and Accident Insurance Companyguaranteed Hart Life Insurance Company’s capital and surplus would meet or exceed the requirements of the State ofNew Jersey, as amended at any time, for a minimum of ten years.

(15) In December, 1999 in order for Servus Life Insurance Company to extend its current Certificate of Authority toinclude the authority to transact the business of contracts on a variable basis, Hartford Life and Accident InsuranceCompany guaranteed Servus Life Insurance Company’s capital and surplus would meet or exceed the requirementsof the State of New Jersey, as amended at any time, for a minimum of ten years.

(16) In 2000, in order for Omni Indemnity Company to be admitted to the States of Arizona, Colorado, and Virginia,Hartford Fire Insurance Company guaranteed that Omni Indemnity Company's capital and surplus would remain incompliance with the present minimum required by those states.

(17) In 2001, Hartford Life and Accident Insurance Company guaranteed that it will make funds available in cash toHartford Life Insurance Company K.K. for the timely payment of contractual claims made under variable life andannuity contracts.

(18)On June 24, 2002, in order for Omni Indemnity Company to be admitted to the State of New Mexico, Hartford FireInsurance Company guaranteed that Omni Indemnity Company’s capital and surplus would remain in compliancewith the present minimum required by that State.

(19)On June 24, 2002, in order for Omni Insurance Company to be admitted to the State of New Mexico, Hartford FireInsurance Company guaranteed that Omni Insurance Company’s capital and surplus would remain in compliancewith the present minimum required by that State.

(20)On September 3, 2002, in order for Sentinel Insurance Company, Ltd. to become licensed in New York, HartfordFire Insurance Company guaranteed that Sentinel Insurance Company’s surplus to policyholders would not fallbelow the Company Action Level Risk Based Capital.

f. Management or Expense Allocation Contracts Involving the Consolidated Companies

(1) Principal Underwriting Agreements between Hartford Equity Sales Company. Inc., Hartford Life InsuranceCompany, and Hartford Life and Annuity Insurance Company.

(2) Principal Underwriting Agreements between Hartford Securities Distribution Company, Inc., Hartford LifeInsurance Company, and Hartford Life and Annuity Insurance Company.

(3) Investment Management Agreement between Hartford Investment Services, Inc. and each of Hartford Life andAccident Insurance Company, Hartford Life Insurance Company, American Maturity Life Insurance Company,Hartford Life and Annuity Insurance Company, Hartford International Life Reassurance Corporation, Hart LifeInsurance Company, Servus Life Insurance Company, and Nutmeg Life Insurance Company.



19.5

(4) Reinsurance Agreement between Hartford Fire Insurance Company and Hartford Life and Accident InsuranceCompany.

(5) Investment Pooling Agreement between Hartford Investment Services, Inc. (an affiliate of the pool participants) andHartford Accident and Indemnity Company, Hartford Casualty Insurance Company, Hartford Fire InsuranceCompany, Hartford Insurance Company of Illinois, Hartford Insurance Company of the Midwest, Hartford Life andAccident Insurance Company, Hartford Life Insurance Company, Hartford Underwriters Insurance Company,Hartford International Life Reassurance Corporation, Hartford Life and Annuity Insurance Company, NutmegInsurance Company, Pacific Insurance Company, Limited, Property and Casualty Insurance Company of Hartford,Servus Life Insurance Company, Trumbull Insurance Company, Twin City Fire Insurance Company, SentinelInsurance Company, Ltd., American Maturity Life Insurance Company, First State Insurance Company, NewEngland Insurance Company, New England Reinsurance Company, Omni Insurance Company, Omni IndemnityCompany.

(6) Cost Allocation Agreement between Hartford Fire Insurance Company, Hartford Life, Inc., Hartford Life andAccident Insurance Company, Hartford Life International, Ltd., International Corporate Marketing Group, Inc., TheEvergreen Group, Inc., Hartford Financial Services Life Insurance Company, American Maturity Life InsuranceCompany, Hart Life Insurance Company, Hartford Life Insurance Company, Hartford International Life ReassuranceCorporation, Hartford Life and Annuity Insurance Company, Comprehensive Employee Benefit Service Company,Hartford Equity Sales Company, Inc., The Hartford Investment Management Company, Hartford SecuritiesDistribution Company, Inc., Servus Life Insurance Company, Nutmeg Life Insurance Company.

g. All outstanding shares of the Company’s stock is owned by Hartford Life and Accident Insurance Company, aninsurance company domiciled in the State of Connecticut.

h. The Company does not own shares of any upstream intermediate or ultimate parent, either directly or indirectly via adownstream subsidiary, controlled or affiliated company.

i. The Company does not have any investments in a subsidiary, controlled or affiliate entity that exceeds 10% of itsadmitted assets.

j. The Company does not have any impaired investments in a subsidiary, controlled or affiliated entity.

11. Debt

NONE

12. Retirement Plans, Deferred Compensation, Post-Employment Benefits and Compensated Absences and OtherPost-Retirement Benefit Plans

a. Retirement plans and deferred compensation plans are included in the financial statements of Hartford FireInsurance Company (an affiliated insurer). Certain postretirement medical, dental, and life benefit planrelated assets and liabilities are included in the financials of Hartford Risk Management Inc., which is asubsidiary of Hartford Underwriters Insurance Company.

b. Substantially all employees of the Company are eligible to participate in The Hartford’s Investment and Savings Plan. Under this plan, designated contributions, which may be invested in Class A Common Stock of Hartford Life or certainother investments, are matched, up to 3% of compensation, by the Company.

c. NONE

d. NONE

e. NONE

13. Capital and Surplus, Shareholders’ Dividend Restrictions and Quasi-Reorganizations

(1) The Company has 15,000 shares of capital stock authorized and 12,500 shares of capital stock issued and outstandingas of December 31, 2002. The par value of the stock is $200.

(2) The Company has no preferred stock authorized or outstanding.

(3) The maximum amount of dividends which can be paid by State of Connecticut insurance companies to shareholders isrestricted to the greater of 10% of surplus as of the preceding December 31st or the net gain from operations for theprevious year. Dividends are not cumulative. Dividends are paid as determined by the Board of Directors. Nodividends were paid in 2002 and 2001.

(4) The total amount of statutory dividends which may be paid by the Company in 2003, without prior regulatory approval,is estimated to be $3,572,516.

(5) No restrictions have been placed on the unassigned funds of the Company.

(6) NONE



19.6

(7) There is no stock being held by the Company at present for special purposes.

(8) NONE

(9) The portion of unassigned funds (surplus) represented or reduced by each item is as follows:

a. Unrealized gains and losses $0b. Nonadmitted asset values $(8,981,309)c. Separate account business $0d. Asset valuation reserves $(6,250)e. Reinsurance in unauthorized companies $0

(10) NONE

(11) NONE

(12) NONE

14. Contingencies

a. NONE

b. Under insurance guaranty fund laws in each state, the District of Columbia and Puerto Rico, insurers licensed to dobusiness can be assessed by state insurance guaranty associations for certain obligations of insolvent insurancecompanies to policyholders and claimants. Part of the assessments paid by the Company pursuant to these laws may beused as credits for a portion of the associated premium taxes. The Company paid guaranty fund assessments ofapproximately $15,224 and $6,807 in 2002 and 2001, respectively, of which $12,022 and $3,597 in 2002 and 2001,respectively were estimated to be creditable against premium taxes.

c. NONE

d. Hartford Life is involved or may become involved in various legal actions, in the normal course of its business, inwhich claims for alleged economic and punitive damages have been or may be asserted. Some of the pending litigationhas been filed as purported class actions and some actions have been filed in certain jurisdictions that permit punitivedamage awards that are disproportionate to the actual damages incurred. Although there can be no assurances, at thepresent time, the Company does not anticipate that the ultimate liability arising from potential, pending or threatenedlegal actions, after consideration of provisions made for estimated losses and costs of defense, will have a materialadverse effect on the financial condition or operating results of the Company.

15. Leases

a. The Company has no material lease commitments. The Company reimburses its ultimate parent, Hartford Fire InsuranceCompany, for rent of its Home Office Facility.

b. NONE

16. Information About Financial Instruments with Off-Balance Sheet Risk and Financial Instruments with Concentrations ofCredit Risk

a. The Company is not exposed to any significant credit concentration risk of a single issuer.

Bonds have off-balance sheet risk. For trade terms and other detailed information, see Schedule D. Additionally, bondstatement value, market value and unrealized gains and losses are aggregated in Schedule DM.

17. Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities

a. The Company did not have any transfers of receivables reported as sales.

b. The Company had no wash sales.

18. Gain or Loss to the Reporting Entity from Uninsured A&H Plans and the Uninsured Portion of Partially Insured Plans

NONE

19. Direct Premiums Written by Managing General Agents / Third Party Administrators

NONE



19.7

20. Other Items

a. The Company did not have any extraordinary items during the reporting period.

b. The Company did not have any troubled debt restructurings during the reporting period.

c. No other disclosures necessary.

d. No non-cash transactions

21. Events Subsequent

NONE

22. Reinsurance

a. Ceded reinsurance report

Section 1 - General Interrogatories

(1) There are no insurers listed in Schedule S as non-affiliated, owned in excess of 10% or controlled, either directlyor indirectly, by the Company or by any representative, officer, trustee, or director of the Company.

(2) No policies issued by the Company have been reinsured with a company chartered in a country other than theUnited States (excluding U.S. Branches of such companies) which is owned in excess of 10% or controlleddirectly or indirectly by an insured, a beneficiary, a creditor of an insured or any other person not primarilyengaged in the insurance business.

Section 2 - Ceded Reinsurance Report - Part A

(1) The Company has no reinsurance agreements in effect under which the reinsurer may unilaterally cancel anyreinsurance for reasons other than for nonpayment of premium or other similar credits.

a. NONE

b. NONE

(2) The Company has no reinsurance agreements in effect such that the amount of losses paid or accrued through thestatement date may result in a payment to the reinsurer of amounts that, in aggregate and allowing for offset ofmutual credits from other reinsurance agreements with the same reinsurer, exceed the total direct premiumcollected under the reinsured policies.

Section 3 - Ceded Reinsurance Report - Part B

(1) The estimated amount of the aggregate reduction in surplus, for agreements not reflected in Section 2 above, oftermination of all reinsurance agreements, by either party, as of the date of this statement is zero.

(2) There have been no new agreements executed or existing agreements amended, since January 1 of the year of thisstatement, to include policies or contracts, which were in-force or which had existing reserves established by theCompany as of the effective date of the agreement.

b. Uncollectible Reinsurance

The Company did not write off any uncollectible reinsurance during the year.

c. Commutation of Ceded Reinsurance

The Company has not commuted any ceded reinsurance during the year.

23. Retrospectively Rated Contracts

NONE

24. Change in Incurred Losses and Loss Adjustment Expenses

NONE

25. Intercompany Pooling Arrangements

NONE



19.8

26. Reserves for Life Contracts and Deposit-Type Contracts

a. NONE

b. NONE

c. NONE

d. For certain interest sensitive products, basic data is used to determine Tabular Interest and Tabular Cost for Page 7. Forother products, Tabular Interest, Tabular less Actual Reserve Released, and Tabular Cost (Page 7) have beendetermined by formula as described in the instructions for Page 7.

e. NONE

f. NONE

27. Variable Annuities with Guaranteed Living Benefits

NONE

28. Analysis of Annuity Actuarial Reserves and Deposit Liabilities by Withdrawal Characteristics

Amount % of Total1. Subject to discretionary withdrawal:

1.1 – with market value adjustment $ 112,711,678 60.04%1.2 – at book value less current surrender charge of 5% or more 0 0.00%1.3 – at market value 39,560,967 21.07%1.4 – Total with adjustment or at market value 152,272,644 81.12%1.5 – at book value without adjustment (minimal or no charge or adjustment) 18,191,382 9.69%

2. Not subject to discretionary withdrawal 17,258,065 9.19%3. Total (Gross) 187,722,092 100.00%4. Reinsurance Ceded 142,064,712 N/A5. Total (Net) (3)-(4) 45,657,380 N/A

Reconciliation of total annuity actuarial reserves and deposit fund liabilities:Life and Accident & Health Annual Statement:

6. Exhibit 5, Annuities Section, Total (net) 2,368,5137. Exhibit 5, Supplementary Contract Section, Total (net) 08. Exhibit 7 5,715,0989. Subtotal

Separate Account Annual Statement10. Exhibit 6, Column 2, Line 0299999 39,942,28211. Exhibit 6, Column 2, Line 0399999 012. Page 3, Line 3 013. Subtotal 39,942,28214. Combined Total $ 45,657,380

29. Premium and Annuity Considerations Deferred and Uncollected

NONE



19.9

30. Separate Accounts

a. General Nature and Characteristics of Separate Accounts Business

Separate accounts held by the Company represent funds for nonguaranteed individual and group variable annuity andvariable life contracts, group pension contracts and modified guaranteed contracts. The assets of these accounts arecarried at market value.

Indexed

NonindexedGuaranteedLess Thanor Equal

to 4%

NonindexedGuaranteedMore Than

4%

NonguaranteedSeparateAccounts Total

1. Premiums considerations or deposits for the yearended 2002 779,746 779,746

2. Reserves @ year endI. For accounts with assets at:

a. Market value 39,942,282 39,942,282b. Amortized costc. Total reserves 39,942,282 39,942,282

II. By withdrawal characteristics:a. Subject to discretionary withdrawalb. With MVA 5,869 345,320 351,190c. @ BV without MV adjustment and with

surrender charge 5% or mored. @ market value 39,560,967 39,560,967e. @ BV without MV adjustment and with

surrender charge less than 5%f. Subtotal 5,869 345,320 39,560,967 39,912,156g. Not subject to discretionary withdrawal 30,125 30,125h. Total 5,869 345,320 39,591,092 39,942,282

b. Reconciliation of Net Transfers to (from) Separate Accounts:

1. Transfers as reported in the summary of operations of the Separate Account Statementa. Transfer to Separate Accounts (Page 4, Line 1.4) $ 779,747 b. Transfer from Separate Accounts (Page 4, Line 10) 9,120,248 c. Net Transfer to/(from) Separate Accounts (a) - (b) (8,340,501)

2. Reconciling Adjustments:a. Internal Exchanges & Other Separate Account Activity 622,652

3. Transfers as reported in the summary of operations of the Life, Accident & Health Annual Statement (1c) + (2)= (Page 4, Line 26) $ (7,717,849)



20

SUMMARY INVESTMENT SCHEDULE Gross Admitted Assets as Reported

Investment Holdings in the Annual Statement1 2 3 4

Investment Categories Amount Percentage Amount Percentage

1. Bonds:

1.1 U.S. treasury securities....................................................................................................................................... ..........35,325,421 ...............93.7 ..........35,325,421 ...............93.7

1.2 U.S. government agency and corporate obligations (excluding mortgage-backed securities):

1.21 Issued by U.S. government agencies........................................................................................................ ............................. .................0.0 ............................. .................0.0

1.22 Issued by U.S. government sponsored agencies...................................................................................... ............................. .................0.0 ............................. .................0.0

1.3 Foreign government (including Canada, excluding mortgage-backed securities)............................................... ............................. .................0.0 ............................. .................0.0

1.4 Securities issued by states, territories and possessions and political subdivisions in the U.S.:

1.41 States, territories and possessions general obligations............................................................................ ............................. .................0.0 ............................. .................0.0

1.42 Political subdivisions of states, territories & possessions & political subdivisions general obligations...... ............................. .................0.0 ............................. .................0.0

1.43 Revenue and assessment obligations....................................................................................................... ............................. .................0.0 ............................. .................0.0

1.44 Industrial development and similar obligations.......................................................................................... ............................. .................0.0 ............................. .................0.0

1.5 Mortgage-backed securities (includes residential and commercial MBS):

1.51 Pass-through securities:

1.511 Guaranteed by GNMA.................................................................................................................... ............................. .................0.0 ............................. .................0.0

1.512 Issued by FNMA and FHLMC......................................................................................................... ............................. .................0.0 ............................. .................0.0

1.513 Privately issued.............................................................................................................................. ............................. .................0.0 ............................. .................0.0

1.52 CMOs and REMICs:

1.521 Issued by FNMA and FHLMC......................................................................................................... ............................. .................0.0 ............................. .................0.0

1.522 Privately issued and collateralized by MBS issued or guaranteed by GNMA, FNMA or FHLMC................................................................................................................ ............................. .................0.0 ............................. .................0.0

1.523 All other privately issued................................................................................................................. ............................. .................0.0 ............................. .................0.0

2. Other debt and other fixed income securities (excluding short-term):

2.1 Unaffiliated domestic securities (includes credit tenant loans rated by the SVO)............................................... ............................. .................0.0 ............................. .................0.0

2.2 Unaffiliated foreign securities.............................................................................................................................. ............................. .................0.0 ............................. .................0.0

2.3 Affiliated securities............................................................................................................................................... ............................. .................0.0 ............................. .................0.0

3. Equity interests:

3.1 Investments in mutual funds................................................................................................................................ ............................. .................0.0 ............................. .................0.0

3.2 Preferred stocks:

3.21 Affiliated..................................................................................................................................................... ............................. .................0.0 ............................. .................0.0

3.22 Unaffiliated................................................................................................................................................. ............................. .................0.0 ............................. .................0.0

3.3 Publicly traded equity securities (excluding preferred stocks):

3.31 Affiliated..................................................................................................................................................... ............................. .................0.0 ............................. .................0.0

3.32 Unaffiliated................................................................................................................................................. ............................. .................0.0 ............................. .................0.0

3.4 Other equity securities:

3.41 Affiliated..................................................................................................................................................... .................25,000 .................0.1 .................25,000 .................0.1

3.42 Unaffiliated................................................................................................................................................. ............................. .................0.0 ............................. .................0.0

3.5 Other equity interests including tangible personal property under lease:

3.51 Affiliated..................................................................................................................................................... ............................. .................0.0 ............................. .................0.0

3.52 Unaffiliated................................................................................................................................................. ............................. .................0.0 ............................. .................0.0

4. Mortgage loans:

4.1 Construction and land development.................................................................................................................... ............................. .................0.0 ............................. .................0.0

4.2 Agricultural........................................................................................................................................................... ............................. .................0.0 ............................. .................0.0

4.3 Single family residential properties...................................................................................................................... ............................. .................0.0 ............................. .................0.0

4.4 Multifamily residential properties......................................................................................................................... ............................. .................0.0 ............................. .................0.0

4.5 Commercial loans................................................................................................................................................ ............................. .................0.0 ............................. .................0.0

5. Real estate investments:

5.1 Property occupied by company........................................................................................................................... ............................. .................0.0 ............................. .................0.0

5.2 Property held for production of income (includes $..........0 of property acquired in satisfaction of debt)............ ............................. .................0.0 ............................. .................0.0

5.3 Property held for sale ($.........0 including property acquired in satisfaction of debt)........................................... ............................. .................0.0 ............................. .................0.0

6. Policy loans................................................................................................................................................................... ............................. .................0.0 ............................. .................0.0

7. Receivables for securities.............................................................................................................................................. ............................. .................0.0 ............................. .................0.0

8. Cash and short-term investments.................................................................................................................................. ............2,335,738 .................6.2 ............2,335,738 .................6.2

9. Other invested assets.................................................................................................................................................... ............................. .................0.0 ............................. .................0.0

10. Total invested assets..................................................................................................................................................... ..........37,686,159 .............100.0 ..........37,686,159 .............100.0


21

GENERAL INTERROGATORIESPART 1 - COMMON INTERROGATORIES

GENERAL

1.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? Yes [ X ] No [ ]

1.2 If yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent or with such regulatory official of the state of domicile of the principal insurer in the Holding Company System, a registration statement providing disclosure substantially similar to the standards adopted by the National Association of Insurance Commissioners (NAIC) in its Model Insurance Holding Company System Regulatory Act and model regulations pertaining thereto, or is the reporting entity subject to standards and disclosure requirements substantially similar to those required by such Act and regulations? Yes [ X ] No [ ] N/A [ ]

1.3 State regulating? Connecticut

2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity? Yes [ ] No [ X ]

2.2 If yes, date of change: If not previously filed, furnish herewith a certified copy of the instrument as amended.

3.1 State as of what date the latest financial examination of the reporting entity was made or is being made. 12/31/2002

3.2 State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. This date should be the date of the examined balance sheet and not the date the report was completed or released. 12/31/1997

3.3 State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date). 03/25/1999

3.4 By what department or departments? Connecticut State Insurance Department

4.1 During the period covered by this statement, did any agent, broker, sales representative, non-affiliated sales/service organization or any combination thereof under a common control (other than salaried employees of the reporting entity) receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:

4.11 sales of new business? Yes [ ] No [ X ]

4.12 renewals? Yes [ ] No [ X ]

4.2 During the period covered by this statement, did any sales/service organization owned in whole or in part by the reporting entity or an affiliate, receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:

4.21 sales of new business? Yes [ ] No [ X ]

4.22 renewals? Yes [ ] No [ X ]

5.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? Yes [ ] No [ X ]

5.2 If yes, provide the name of the entity, NAIC company code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation.

1 2 3Name of Entity NAIC Company Code State of Domicile

6.1 Has the reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked by any governmental entity during the reporting period? (You need not report an action, either formal or informal, if a confidentiality clause is part of the agreement.) Yes [ ] No [ X ]

6.2 If yes, give full information:

7.1 Does any foreign (non-United States) person or entity directly or indirectly control 10% or more of the reporting entity? Yes [ ] No [ X ]

7.2 If yes,

7.21 State the percentage of foreign control. ...........................0.000 %

7.22 State the nationality(ies) of the foreign person(s) or entity(ies); or if the entity is a mutual or reciprocal, the nationality of its manager or attorney-in-fact and identify the type of entity(ies) (e.g., individual, corporation, government, manager or attorney-in-fact)

1 2Nationality Type of Entity


22

GENERAL INTERROGATORIES (continued) 8. What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit?

Deloitte and Touche, LLPCity Place I, 185 Asylum St - 33rd floor, Hartford, CT 06103

9. What is the name, address and affiliation (officer/employee of the reporting entity or actuary/consultant associated with a(n) actuarial consulting firm) of the individual providing the statement of actuarial opinion/certification? Thomas A. Campbell, FSA, Vice President and Corporate Actuary, 200 Hopmeadow St, Simsbury, CT 06032

10. FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY:

10.1 What changes have been made during the year in the United States manager or the United States trustees of the reporting entity?

10.2 Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located? Yes [ ] No [ ]

10.3 Have there been any changes made to any of the trust indentures during the year? Yes [ ] No [ ]

10.4 If answer to (10.3) is yes, has the domiciliary or entry state approved the changes? Yes [ ] No [ ] N/A [ ]

BOARD OF DIRECTORS

11. Is the purchase or sale of all investments of the reporting entity passed upon either by the Board of Directors or a subordinate committee thereof? Yes [ X ] No [ ]

12. Does the reporting entity keep a complete permanent record of the proceedings of its Board of Directors and all subordinate committees thereof? Yes [ X ] No [ ]

13. Has the reporting entity an established procedure for disclosure to its Board of Directors or trustees of any material interest or affiliation on the part of any of its officers, directors, trustees or responsible employees which is in or is likely to conflict with the official duties of such person? Yes [ X ] No [ ]

FINANCIAL

14.1 Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy loans):

14.11 To directors or other officers $....................................0

14.12 To stockholders not officers $....................................0

14.13 Trustees, supreme or grand (Fraternal only) $....................................0

14.2 Total amount of loans outstanding at the end of year (inclusive of Separate Accounts, exclusive of policy loans):

14.21 To directors or other officers $....................................0

14.22 To stockholders not officers $....................................0

14.23 Trustees, supreme or grand (Fraternal only) $....................................0

15.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for such obligation being reported in the statement? Yes [ ] No [ X ]

15.2 If yes, state the amount thereof at December 31 of the current year:

15.21 Rented from others $....................................0

15.22 Borrowed from others $....................................0

15.23 Leased from others $....................................0

15.24 Other $....................................0

Disclose in the Notes to Financial the nature of each obligation.

16.1 Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund or guaranty association assessments? Yes [ ] No [ X ]

16.2 If answer is yes:

16.21 Amount paid as losses or risk adjustment $....................................0

16.22 Amount paid as expenses $....................................0

16.23 Other amounts paid $....................................0


23

GENERAL INTERROGATORIES (continued)

INVESTMENT

17. List the following capital stock information for the reporting entity: 1 2 3 4 5 6

Number of Shares Number of Shares Par Value Redemption Price Is Dividend Are DividendsClass Authorized Outstanding Per Share If Callable Rate Limited? Cumulative?

Preferred.......................... ..................................... ..................................... ..................................... ..................................... ...Yes [ ].........No [ ]............... ...Yes [ ].........No [ ].....Common.......................... .................15,000.000 .................12,500.000 ........................200.00 ............XXX................. .........XXX..............XXX.............. ........XXX.............XXX......

18.1 Were all the stocks, bonds and other securities owned December 31 of current year, over which the reporting entity has exclusive control, in the actual possession of the reporting entity on said date, except as shown by Schedule E-Part 2-Special Deposits? Yes [ ] No [ X ]

18.2 If no, give full and complete information relating thereto. Certain bonds, stocks and short-term securities are held on our behalf, subject to our full control at custodial banks

19.1 Were any of the stocks, bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under the control of the reporting entity, except as shown on Schedule E-Part 2-Special Deposits, or has the reporting entity sold or transferred any assets subject to a put option contract that is currently in force? (Exclude securities subject to Interrogatory 15.1) Yes [ ] No [ X ]

19.2 If yes, state the amount thereof at December 31 of the current year:19.21 Loaned to others $....................................019.22 Subject to repurchase agreements $....................................019.23 Subject to reverse repurchase agreements $....................................019.24 Subject to dollar repurchase agreements $....................................019.25 Subject to reverse dollar repurchase agreements $....................................019.26 Pledged as collateral $....................................019.27 Placed under option agreements $....................................019.28 Letter stock or securities restricted as to sale $....................................019.29 Other $....................................0

19.3 For each category above, if any of these assets are held by others, identify by whom held:19.3119.3219.3319.3419.3519.3619.3719.3819.39

For categories (19.21) and (19.23) above, and for any securities that were made available for use by another person during the period covered by this statement, attach a schedule as shown in the instructions to the annual statement.

19.4 For category (19.28) provide the following: 1 2 3

Nature of Restriction Description Amount

20.1 Does the reporting entity have any hedging transactions reported on Schedule DB? Yes [ ] No [ X ]

20.2 If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? Yes [ ] No [ ] N/A [ X ]If no, attach a description with this statement.

21.1 Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity, or, at the option of the issuer, convertible into equity? Yes [ ] No [ X ]

21.2 If yes, state the amount thereof at December 31 of the current year: $....................................0

22. Excluding items in Schedule E, real estate, mortgage loans and investments held physically in the reporting entity's offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a custodial agreement with a qualified bank or trust company in accordance with Part 1-General, Section IV.H-Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook? Yes [ X ] No [ ]

22.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following: 1 2

Name of Custodian(s) Custodian's AddressJP Morgan/Chase Bank 4 Chase MetroTech Center 18th Floor, Brooklyn, NY 11245


24

GENERAL INTERROGATORIES (continued) INVESTMENT

22.02 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name, location and a complete explanation:

1 2 3Name(s) Location(s) Complete Explanation(s)

22.03 Have there been any changes, including name changes, in the custodian(s) identified in 22.01 during the current year? Yes [ ] No [ X ]

22.04 If yes, give full and complete information relating thereto: 1 2 3 4

Old Custodian New Custodian Date of Change Reason

22.05 Identify all investment advisors, brokers/dealers or individuals acting on behalf of broker/dealers that have access to the investment accounts, handle securities and have authority to make investments on behalf of the reporting entity:

1 2 3Central Registration Depository Number(s) Name Address

OTHER

23.1 Amount of payments to Trade Associations, Service Organizations and Statistical or Rating Bureaus, if any? $....................................0

23.2 List the name of the organization and the amount paid if any such payment represented 25% or more of the total payments to Trade Associations, Service Organizations and Statistical or Rating Bureaus during the period covered by this statement.

1 2Name Amount Paid

24.1 Amount of payments for legal expenses, if any? $...........................39,150

24.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal expenses during the period covered by this statement.

1 2Name Amount Paid

Shipman & Goodwin Counselors at Law 39,003

25.1 Amount of payments for expenditures in connection with matters before legislative bodies, officers or departments of government, if any? $....................................0

25.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payment expenditures in connection with matters before legislative bodies, officers or departments of government during the period covered by this statement.

1 2Name Amount Paid


25

GENERAL INTERROGATORIES (continued) PART 2 - LIFE INTERROGATORIES

1.1 Does the reporting entity have any direct Medicare Supplement Insurance in force? Yes [ ] No [ X ]1.2 If yes, indicate premium earned on U.S. business only $....................................01.3 What portion of Item (1.2) is not reported on the Medicare Supplement Insurance Experience Exhibit? $....................................0

1.31 Reason for excluding

1.4 Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item (1.2) above. $....................................01.5 Indicate total incurred claims on all Medicare Supplement insurance. $....................................01.6 Individual policies:

Most current three years: 1.61 Total premium earned $....................................01.62 Total incurred claims $....................................01.63 Number of covered lives ......................................0All years prior to most current three years: 1.64 Total premium earned $....................................01.65 Total incurred claims $....................................01.66 Number of covered lives ......................................0

1.7 Group policies: Most current three years: 1.71 Total premium earned $....................................01.72 Total incurred claims $....................................01.73 Number of covered lives ......................................0All years prior to most current three years: 1.74 Total premium earned $....................................01.75 Total incurred claims $....................................01.76 Number of covered lives ......................................0

2.1 Does this reporting entity have Separate Accounts? Yes [ ] No [ X ]2.2 If yes, has a Separate Accounts statement been filed with this Department? Yes [ ] No [ ] N/A [ X ]2.3 What portion of capital and surplus funds of the reporting entity covered by assets in the Separate Accounts

statement, is not currently distributable from the Separate Accounts to the general account for use by the general account? $...........................27,2962.4 State the authority under which Separate Accounts are maintained:

Connecticut General Statutes, Sections 33a-433 and 33a-459

2.5 Was any of the reporting entity's Separate Accounts business reinsured as of December 31? Yes [ X ] No [ ]2.6 Has the reporting entity assumed by reinsurance any Separate Accounts business as of December 31? Yes [ ] No [ X ]3.1 Are personnel or facilities of this reporting entity used by another entity or entities or are personnel or facilities of

another entity or entities used by this reporting entity (except for activities such as administration of jointly underwritten group contracts and joint mortality or morbidity studies)? Yes [ ] No [ X ]

3.2 Net reimbursement of such expenses between reporting entities: 3.21 Paid $....................................03.22 Received $....................................0

4.1 Does the reporting entity write any guaranteed interest contracts? Yes [ ] No [ X ]4.2 If yes, what amount pertaining to these items is included in:

4.21 Page 3, Line 3 $....................................04.22 Page 4, Line 1 $....................................0

5. For stock reporting entities only: 5.1 Total amount paid in by stockholders as surplus funds since organization of the reporting entity: $....................57,500,000

6. Total dividends paid stockholders, since organization of the reporting entity: 6.11 Cash $....................................06.12 Stock $....................................0

7.1 Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly? Yes [ ] No [ X ]7.11 Name of real estate holding company

7.12 Number of parcels involved ......................................07.13 Total book/adjusted carrying value $....................................0

7.2 If yes, provide explanation


26

GENERAL INTERROGATORIES (continued) PART 2 - LIFE INTERROGATORIES (continued)

8.1 Does the company reinsure any Workers' Compensation Carve-Out business defined as: Yes [ ] No [ X ]Workers' compensation carve-out business is defined as reinsurance (including retrocessional reinsurance) assumed by life and health insurers of medical, wage loss and death benefits of the occupational illness and accident exposures, but not the employers liability exposures, of business originally written as workers' compensation insurance.

8.2 If yes, has the reporting entity completed the Workers' Compensation Carve-Out Supplement to the Annual Statement? Yes [ ] No [ ]

8.3 If 8.1 is yes, the amounts of earned premiums and claims incurred in this statement are: 1 2 3

Reinsurance Reinsurance NetAssumed Ceded Retained

8.31 Earned premium....................................................................................................... $...............................0 $...............................0 $....................................0

8.32 Paid claims............................................................................................................... $...............................0 $...............................0 $....................................0

8.33 Claim liability and reserve (beginning of year)......................................................... $...............................0 $...............................0 $....................................0

8.34 Claim liability and reserve (end of year)................................................................... $...............................0 $...............................0 $....................................0

8.35 Incurred claims......................................................................................................... $...............................0 $...............................0 $....................................08.4 If reinsurance assumed included amounts with attachment points below $1,000,000, the distribution of the amounts reported in Lines 8.31 and

8.34 for Column (1) are: 1 2

Earned Claim LiabilityAttachment Point Premium and Reserve

8.41 < $25,000....................................................................................................................................................... $...............................0 $....................................0

8.42 $25,000 -- 99,999........................................................................................................................................... $...............................0 $....................................0

8.43 $100,000 -- 249,999....................................................................................................................................... $...............................0 $....................................0

8.44 $250,000 -- 999,999....................................................................................................................................... $...............................0 $....................................0

8.45 $1,000,000 or more........................................................................................................................................ $...............................0 $....................................0

8.5 What portion of earned premium reported in 8.31, Column 1 was assumed from pools? $....................................0


27

FIVE YEAR HISTORICAL DATA Show amounts in whole dollars only, no cents; show percentages to one decimal place, i.e., 17.6.

Show amounts of life insurance in this exhibit in thousands (omit $000) 1 2 3 4 5

2002 2001 2000 1999 1998

Life Insurance in Force (Exhibit of Life Insurance)

1. Ordinary - whole life and endowment (Line 34, Col. 4).......................................................... ............................. ............................. ............................. ............................. .............................

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

3. Credit life (Line 21, Col. 6)...................................................................................................... ............................. ............................. ............................. ............................. .............................

4. Group, excluding FEGLI/SGLI (Line 21, Col. 9 less Lines 43 & 44, Col. 4)............................ ............................. ............................. ............................. ............................. .............................

5. Industrial (Line 21, Col. 2)...................................................................................................... ............................. ............................. ............................. ............................. .............................

6. FEGLI/SGLI (Lines 43 & 44, Col. 4)....................................................................................... ............................. ............................. ............................. ............................. .............................

7. Total (Line 21, Col. 10)........................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0

New Business Issued (Exhibit of Life Insurance)

8. Ordinary - whole life and endowment (Line 34, Col. 2)........................................................... ............................. ............................. ............................. ............................. .............................

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

10. Credit life (Line 2, Col. 6)........................................................................................................ ............................. ............................. ............................. ............................. .............................

11. Group (Line 2, Col. 9).............................................................................................................. ............................. ............................. ............................. ............................. .............................

12. Industrial (Line 2, Col. 2)......................................................................................................... ............................. ............................. ............................. ............................. .............................

13. Total (Line 2, Col. 10).............................................................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0

Premium Income - Lines of Business

14. Industrial life (Exhibit 1-Part 1, Line 20.4, Col. 2).................................................................... ............................. ............................. ............................. ............................. .............................

15.1 Ordinary life insurance (Exhibit 1-Part 1, Line 20.4, Col.. 3)................................................... ............................. ............................. ............................. ............................. .............................

15.2 Ordinary individual annuities (Exhibit 1-Part 1, Line 20.4, Col. 4)........................................... ............................. ...........(2,454,087) ............................. ...............103,477 ...............101,713

16. Credit life (group and individual) (Exhibit 1-Part 1, Line 20.4, Col. 5)..................................... ............................. ............................. ............................. ............................. .............................

17.1 Group life insurance (Exhibit 1-Part 1, Line 20.4, Col. 6)........................................................ ............................. ............................. ............................. ............................. .............................

17.2 Group annuities (Exhibit 1-Part 1, Line 20.4, Col. 7)............................................................... ...............189,823 .......(139,726,926) ............1,803,695 ............3,246,295 ............7,451,436

18.1 A&H - group (Exhibit 1-Part 1, Line 20.4, Col. 8).................................................................... ............................. ............................. ............................. ............................. .............................

18.2 A&H - credit (group and individual) (Exhibit 1-Part 1, Line 20.4, Col. 9)................................. ............................. ............................. ............................. ............................. .............................

18.3 A&H - other (Exhibit 1-Part 1, Line 20.4, Col. 10)................................................................... ............................. ............................. ............................. ............................. .............................

19. Aggregate of all other lines of business (Exhibit 1-Part 1, Line 20.4, Col. 11)........................ ............................. ............................. ............................. ............................. .............................

20. Deposit-type funds.................................................................................................................. .........XXX............. .........XXX............. ............3,464,998 ..........21,106,603 ..........60,609,503

21. Total........................................................................................................................................ ...............189,823 .......(142,181,013) ............5,268,693 ..........24,456,375 ..........68,162,652

Balance Sheet Items (Pages 2 and 3)

22. Total admitted assets excluding Separate Accounts business (Page 2, Line 25, Col. 3)....... ..........38,247,088 ..........37,224,801 ..........65,543,617 ..........62,487,325 ..........64,436,226

23. Total liabilities excluding Separate Accounts business (Page 3, Line 26).............................. ............2,521,929 ............2,157,824 ..........28,985,815 ..........28,360,756 ..........25,333,968

24. Aggregate life reserves (Page 3, Line 1)................................................................................. ............2,377,203 ............1,822,487 ............8,074,658 ............7,457,293 ............6,790,774

25. Aggregate A&H reserves (Page 3, Line 2).............................................................................. ............................. ............................. ............................. ............................. .............................

26. Deposit-type contract funds (Page 3, Line 3).......................................................................... ............................. ............................. .........XXX............. .........XXX............. .........XXX.............

27. Asset valuation reserve (Page 3, Line 24.1)........................................................................... ...................6,250 .................97,006 ...............769,785 ...............948,309 ...............724,179

28. Capital (Page 3, Lines 29 & 30).............................................................................................. ............2,500,000 ............2,500,000 ............2,500,000 ............2,500,000 ............2,500,000

29. Surplus (Page 3, Line 37)....................................................................................................... ..........33,225,159 ..........32,566,977 ..........34,057,802 ..........31,626,569 ..........36,602,259

Risk-Based Capital Analysis

30. Total adjusted capital.............................................................................................................. ..........35,731,409 ..........35,163,983 ..........37,327,587 ..........35,074,878 ..........39,826,438

31. Authorized control level risk-based capital.............................................................................. ...............607,525 ...............679,773 ............1,133,640 ............1,485,910 ............1,391,966

Percentage Distribution of Assets (Page 2, Col. 3) (Line No. /Page 2, Line 11, Col. 3) x 100.0

32. Bonds (Line 1)......................................................................................................................... .....................93.7 .....................17.7 .....................24.2 .....................34.8 .....................28.5

33. Stocks (Lines 2.1 and 2.2)...................................................................................................... .......................0.1 .......................0.1 .......................0.0 ............................. .......................0.0

34. Mortgage loans on real estate (Lines 3.1 and 3.2).................................................................. ............................. ............................. ............................. ............................. .............................

35. Real estate (Line 4.1, 4.2 and 4.3).......................................................................................... ............................. ............................. ............................. ............................. .............................

36. Policy loans (Line 5)................................................................................................................ ............................. ............................. ............................. ............................. .............................

37. Premium notes (Line 6)........................................................................................................... ............................. ............................. ............................. ............................. .............................

38. Cash and short-term investments (Line 7).............................................................................. .......................6.2 .....................82.2 .....................75.8 .....................65.1 .....................71.5

39. Other invested assets (Line 8)................................................................................................ ............................. ............................. ............................. ............................. .............................

40. Receivable for securities (Line 9)............................................................................................ ............................. ............................. ............................. ............................. .............................

41. Aggregate write-ins for invested assets (Line 10)................................................................... ............................. ............................. ............................. ............................. .............................

42. Cash and invested assets (Line 11)........................................................................................ ...................100.0 ...................100.0 ...................100.0 .....................99.9 ...................100.0


28

FIVE YEAR HISTORICAL DATA (continued)

1 2 3 4 52002 2001 2000 1999 1998

Investments in Parent, Subsidiaries and Affiliates

43. Affiliated bonds (Sch. D Summary, Line 25 Col. 1)................................................................. ............................. ............................. ............................. ............................. .............................

44. Affiliated preferred stocks (Sch. D Summary, Line 39 Col. 1)................................................. ............................. ............................. ............................. ............................. .............................

45. Affiliated common stocks (Sch. D Summary, Line 53 Col. 2).................................................. .................25,000 .................25,000 .................25,000 .................25,000 .................25,000

46. Affiliated short-term investments (subtotal included in Schedule DA, Part 2 Col. 5, Line 11). ............................. ............................. ............................. ............................. .............................

47. Affiliated mortgage loans on real estate ................................................................................. ............................. ............................. ............................. ............................. .............................

48. All other affiliated..................................................................................................................... ............................. ............................. ............................. ............................. .............................

49. Total of above Lines 43 to 48.................................................................................................. .................25,000 .................25,000 .................25,000 .................25,000 .................25,000

Total Nonadmitted and Admitted Assets

50. Total nonadmitted assets (Page 2, Line 27, Col. 2)................................................................ ............8,903,453 ............8,972,014 ............................. ............................. .............................

51. Total admitted assets (Page 2, Line 27, Col. 3)...................................................................... ..........78,430,646 ..........93,964,251 ........251,072,310 ........259,458,847 ........239,741,091

Investment Data

52. Net investment income (Exhibit of Net Investment Income)................................................... ............1,095,902 ............1,705,866 ............3,920,308 ............3,351,051 ............3,214,815

53. Realized capital gains (losses)................................................................................................ ............................. ..............(125,169) ................(75,846) ............................. .................13,843

54. Unrealized capital gains (losses)............................................................................................ ............................. ............................. ............................. ............................. .............................

55. Total of above Lines 52, 53 and 54......................................................................................... ............1,095,902 ............1,580,697 ............3,844,462 ............3,351,051 ............3,228,658

Benefits and Reserve Increase (Page 6)

56. Total contract benefits - life (Lines 10, 11, 12, 13, 14 and 15 Col. 1 less Lines 10, 11, 12, 13, 14 and 15, Cols. 9, 10 & 11)................................................ ...............713,061 ...............716,518 ..........24,462,419 ..........15,450,818 ..........10,357,365

57. Total contract benefits - A&H (Lines 13 & 14, Cols. 9, 10 & 11)............................................. ............................. ............................. ............................. ............................. .............................

58. Increase in life reserves - other than group and annuities (Line 19, Cols. 2 & 3).............................................................................................................. ............................. ............................. ............................. ............................. .............................

59. Increase in A&H reserves (Line 19, Cols. 9, 10 & 11)............................................................. ............................. ............................. ............................. ............................. .............................

60. Dividends to policyholders (Line 30, Col 1)............................................................................. ............................. ............................. ............................. ............................. .............................

Operating Percentages

61. Insurance expense percent (Page 6, Col. 1, Lines 21, 22, & 23 less Line 6)/(Page 6 Col. 1, Line 1 plus group annuity contribution funds) x 100.00............................. .....................36.9 ......................(0.2) ...................107.7 ...................114.5 ...................138.5

62. Lapse percent (ordinary only) (Exhibit of Life Insurance, Col. 4, Lines 14 & 15) x 100.00 / 1/2 (Lines 1 & 21)...................................................................................................... ............................. ............................. ............................. ............................. .............................

63. A&H loss percent (Schedule H, Part 1, Lines 3 & 4, Col. 2)................................................... ............................. ............................. ............................. ............................. .............................

64. A&H expense percent (Schedule H, Part 1, Line 8, Col. 2).................................................... ............................. ............................. ............................. ............................. .............................

A&H Claim Reserve Adequacy

65. Incurred losses on prior years' claims - group health (Sch. H, Part 3, Line 3.1, Col. 2).......... ............................. ............................. ............................. ............................. .............................

66. Prior years' claim liability and reserve - group health (Sch. H, Part 3, Line 3.2, Col. 2).......... ............................. ............................. ............................. ............................. .............................

67. Incurred losses on prior years' claims - health other than group (Sch. H, Part 3, Line 3.1, Col. 1 less Col. 2)..................................................................................................... ............................. ............................. ............................. ............................. .............................

68. Prior years' claim liability and reserve - health other than group (Sch. H, Part 3, Line 3.2, Col. 1 less Col. 2)..................................................................................................... ............................. ............................. ............................. ............................. .............................

Net Gains From Operations After Federal Income Taxes by Lines of Business (Page 6, Line 33)

69. Industrial life (Col. 2)............................................................................................................... ............................. ............................. ............................. ............................. .............................

70. Ordinary - life (Col. 3).............................................................................................................. ............................. ............................. ............................. ............................. .............................

71. Ordinary - individual annuities (Col. 4).................................................................................... .................56,740 ................(99,422) ..............(103,267) .................70,530 ..............(281,452)

72. Ordinary - supplementary contracts (Col. 5)........................................................................... ............................. ............................. ............................. ............................. .............................

73. Credit life (Col. 6).................................................................................................................... ............................. ............................. ............................. ............................. .............................

74. Group life (Col. 7).................................................................................................................... ............................. ............................. ............................. ............................. .............................

75. Group annuities (Col. 8).......................................................................................................... ...............938,236 ...........(2,413,388) ............2,414,552 ...........(4,822,091) ...........(4,344,375)

76. A&H - group (Col. 9)................................................................................................................ ............................. ............................. ............................. ............................. .............................

77. A&H - credit (Col. 10).............................................................................................................. ............................. ............................. ............................. ............................. .............................

78. A&H - other (Col. 11)............................................................................................................... ............................. ............................. ............................. ............................. .............................

79. Aggregate of all other lines of business (Col. 12)................................................................... ............................. ............................. ............................. ............................. .............................

80. Total (Col. 1)........................................................................................................................... ...............994,976 ...........(2,512,809) ............2,311,286 ...........(4,751,561) ...........(4,625,827)


29.GT

*81213200243058100*DIRECT BUSINESS IN GRAND TOTAL DURING THE YEARNAIC Group Code.....0091 NAIC Company Code.....81213

LIFE INSURANCE1 2 3 4 5

Credit Life(Group and

Ordinary Individual) Group Industrial TotalDIRECT PREMIUMS AND ANNUITY CONSIDERATIONS

1. Life insurance............................................................................................. ................................... ................................... ................................... ................................... ................................02. Annuity considerations............................................................................... ................................... ................................... .....................879,529 ................................... .....................879,5293. Deposit-type contract funds........................................................................ ................................... ...............XXX............. .....................908,107 ...............XXX............. .....................908,1074. Other considerations.................................................................................. .......................53,500 ................................... ..................1,671,028 ................................... ..................1,724,5285. Totals (Sum of Lines 1 to 4)....................................................................... .......................53,500 ................................0 ..................3,458,664 ................................0 ..................3,512,164

DIRECT DIVIDENDS TO POLICYHOLDERSLife insurance:

6.1 Paid in cash or left on deposit.................................................................... ................................... ................................... ................................... ................................... ................................06.2 Applied to pay renewal premiums.............................................................. ................................... ................................... ................................... ................................... ................................06.3 Applied to provide paid-up additions or shorten the endowment

or premium-paying period.......................................................................... ................................... ................................... ................................... ................................... ................................06.4 Other.......................................................................................................... ................................... ................................... ................................... ................................... ................................06.5 Totals (Sum of Lines 6.1 to 6.4)................................................................. ................................0 ................................0 ................................0 ................................0 ................................0

Annuities: 7.1 Paid in cash or left on deposit.................................................................... ................................... ................................... ................................... ................................... ................................07.2 Applied to provide paid-up annuities.......................................................... ................................... ................................... ................................... ................................... ................................07.3 Other.......................................................................................................... ................................... ................................... ................................... ................................... ................................07.4 Totals (Sum of Lines 7.1 to 7.3)................................................................. ................................0 ................................0 ................................0 ................................0 ................................08. Grand Totals (Lines 6.5 + 7.4)................................................................... ................................0 ................................0 ................................0 ................................0 ................................0

DIRECT CLAIMS AND BENEFITS PAID9. Death benefits............................................................................................ ................................... ................................... ................................... ................................... ................................010. Matured endowments................................................................................. ................................... ................................... ................................... ................................... ................................011. Annuity benefits.......................................................................................... .......................29,889 ................................... ..................1,608,628 ................................... ..................1,638,51612. Surrender values and withdrawals for life contracts................................... .....................149,950 ................................... ................20,600,314 ................................... ................20,750,26413. Aggregate write-ins for miscellaneous direct claims and benefits paid...... ................................0 ................................0 .....................852,450 ................................0 .....................852,45014. All other benefits, except accident and health............................................ ................................... ................................... ................................... ................................... ................................015. Totals.......................................................................................................... .....................179,839 ................................0 ................23,061,392 ................................0 ................23,241,231

DETAILS OF WRITE-INS1301. ................................................................................................................... ................................... ................................... .....................852,450 ................................... .....................852,4501302. ................................................................................................................... ................................... ................................... ................................... ................................... ................................01303. ................................................................................................................... ................................... ................................... ................................... ................................... ................................01398. Summary of remaining write-ins for Line 13 from overflow page............... ................................0 ................................0 ................................0 ................................0 ................................01399. Total (Lines 1301 thru 1303 plus 1398)(Line 13 above)............................. ................................0 ................................0 .....................852,450 ................................0 .....................852,450

Ordinary Credit Life Group Industrial Total(Group and Individual)

1 2 3 4 5 6 7 8 9 10No. of Ind.Pols. & Gr. No. of

No. Amount Certifs. Amount Certifs. Amount No. Amount No. AmountDIRECT DEATH BENEFITS AND MATURED ENDOWMENTS INCURRED16. Unpaid December 31, prior year........ ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................017. Incurred during current year............... ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................0

Settled during current year: 18.1 By payment in full............................... ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................018.2 By payment on compromised claims. ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................018.3 Totals paid......................................... .............0 .........................0 .............0 ...........................0 .............0 .........................0 ...........0 ...................0 .............0 ...........................018.4 Reduction by compromise................. ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................018.5 Amount rejected................................. ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................018.6 Total settlements................................ .............0 .........................0 .............0 ...........................0 .............0 .........................0 ...........0 ...................0 .............0 ...........................019. Unpaid Dec. 31, current year

(Lines 16 + 17 - 18.6)......................... .............0 .........................0 .............0 ...........................0 .............0 .........................0 ...........0 ...................0 .............0 ...........................0POLICY EXHIBIT No. of Pol.

20. In force December 31, prior year....... ................. ............................ ................. (a).......................... ................. ............................ ............... ...................... .............0 ...........................021. Issued during year............................. ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................022. Other changes to in force (Net).......... ................. ............................ ................. ............................... ................. ............................ ............... ...................... .............0 ...........................023. In force December 31 of current year .............0 .........................0 .............0 (a).......................0 .............0 .........................0 ...........0 ...................0 .............0 ...........................0(a) Includes Individual Credit Life Insurance, prior year $..........0 current year $...........0.

Includes Group Credit Life Insurance Loans less than or equal to 60 months at issue, prior year $..........0 current year $..........0.Loans greater than 60 months at issue BUT NOT GREATER THAN 120 MONTHS, prior year $..........0 current year $..........0.

NONE

ACCIDENT AND HEALTH INSURANCE1 2 3 4 5

Dividends Paid Or DirectDirect Direct Premiums Credited on Direct Losses Direct Losses

Premiums Earned Business Paid Incurred24. Group policies............................................................................................ ................................... ................................... ................................... ................................... ...................................

24.1 Federal Employee Health Benefits Program premium............................... ................................... ................................... ................................... ................................... ...................................24.2 Credit (group and individual)...................................................................... ................................... ................................... ................................... ................................... ...................................24.3 Collectively renewable policies................................................................... ................................... ................................... ................................... ................................... ...................................

Other Individual Policies:25.1 Non-cancelable.......................................................................................... ................................... ................................... ................................... ................................... ...................................25.2 Guaranteed renewable............................................................................... ................................... ................................... ................................... ................................... ...................................25.3 Non-renewable for stated reasons only...................................................... ................................... ................................... ................................... ................................... ...................................25.4 Other accident only.................................................................................... ................................... ................................... ................................... ................................... ...................................25.5 All other...................................................................................................... ................................... ................................... ................................... ................................... ...................................25.6 Totals (Sum of Lines 25.1 to 25.5)............................................................. ................................0 ................................0 ................................0 ................................0 ................................026. Totals (Lines 24 + 24.1 + 24.2 + 24.3 + 25.6)............................................ ................................0 ................................0 ................................0 ................................0 ................................0

NONE


30, 31

Ex. of Life Ins.NONE









32

EXHIBIT OF NUMBER OF POLICIES, CONTRACTS, CERTIFICATES, INCOME PAYABLE AND ACCOUNT VALUES IN FORCE FOR SUPPLEMENTARY CONTRACTS,

ANNUITIES, ACCIDENT & HEALTH AND OTHER POLICIES SUPPLEMENTARY CONTRACTS

Ordinary Group1 2 3 4

Involving Life Not Involving Life Involving Life Not Involving LifeContingencies Contingencies Contingencies Contingencies

1. In force end of prior year.................................................... ................................................... ................................................... ................................................... ...................................................2. Issued during year............................................................. ................................................... ................................................... ................................................... ...................................................3. Reinsurance assumed....................................................... ................................................... ................................................... ................................................... ...................................................4. Increased during year (net)................................................ ................................................... ................................................... ................................................... ...................................................5. Total (Lines 1 to 4)............................................................. ................................................0 ................................................0 ................................................0 ................................................0

Deductions during year: 6. Decreased (net)................................................................. ................................................... ................................................... ................................................... ...................................................7. Reinsurance....................................................................... ................................................... ................................................... ................................................... ...................................................8. Totals (Lines 6 and 7)........................................................ ................................................0 ................................................0 ................................................0 ................................................09. In force end of year............................................................ ................................................0 ................................................0 ................................................0 ................................................010. Amount on deposit............................................................. ................................................... (a)............................................... ................................................... (a)...............................................11. Income now payable.......................................................... ................................................... ................................................... ................................................... ...................................................12. Amount of income payable................................................ (a)............................................... (a)............................................... (a)............................................... (a)...............................................

NONE

ANNUITIES Ordinary Group

1 2 3 4Immediate Deferred Contracts Certificates

1. In force end of prior year.................................................... ................................................6 ..............................................95 ................................................... .........................................5,3592. Issued during year............................................................. ................................................... ................................................... ................................................... ..............................................323. Reinsurance assumed....................................................... ................................................... ................................................... ................................................... ...................................................4. Increased during year (net)................................................ ................................................... ................................................... ................................................... ...................................................5. Total (Lines 1 to 4)............................................................. ................................................6 ..............................................95 ................................................0 .........................................5,391

Deductions during year: 6. Decreased (net)................................................................. ................................................... ................................................4 ................................................... ............................................5867. Reinsurance....................................................................... ................................................... ................................................... ................................................... ...................................................8. Totals (Lines 6 and 7)........................................................ ................................................0 ................................................4 ................................................0 ............................................5869. In force end of year............................................................ ................................................6 ..............................................91 ................................................0 .........................................4,805

Income now payable: 10. Amount of income payable................................................ (a)..................................29,898 .......................XXX..................... .......................XXX..................... (a).............................2,393,317

Deferred fully paid: 11. Account balance................................................................ .......................XXX..................... (a).............................3,482,667 .......................XXX..................... (a).........................160,430,718

Deferred not fully paid: 12. Account balance................................................................ .......................XXX..................... (a)............................................... .......................XXX..................... (a)...............................................

ACCIDENT AND HEALTH INSURANCE Ordinary Group Credit

1 2 3 4 5 6Policies Premiums in force Policies Premiums in force Policies Premiums in force

1. In force end of prior year.............................................. .................................. .................................. .................................. .................................. .................................. ..................................2. Issued during year....................................................... .................................. .................................. .................................. .................................. .................................. ..................................3. Reinsurance assumed................................................. .................................. .................................. .................................. .................................. .................................. ..................................4. Increased during year (net).......................................... .................................. ............XXX............... .................................. ............XXX............... .................................. ............XXX...............5. Total (Lines 1 to 4)....................................................... ...............................0 ............XXX............... ...............................0 ............XXX............... ...............................0 ............XXX...............

Deductions during year: 6. Conversions................................................................. ............XXX............... ............XXX............... .................................. ............XXX............... ............XXX............... ............XXX...............7. Decreased (net)........................................................... .................................. ............XXX............... .................................. ............XXX............... .................................. ............XXX...............8. Reinsurance................................................................. .................................. ............XXX............... .................................. ............XXX............... .................................. ............XXX...............9. Totals (Lines 6 to 8)..................................................... ...............................0 ...........XXX................ ...............................0 ...........XXX................ ...............................0 ............XXX...............10. In force end of year...................................................... ...............................0 (a).............................. ...............................0 (a).............................. ...............................0 (a)..............................

NONE

DEPOSIT FUNDS AND DIVIDEND ACCUMULATIONS 1 2

Deposit Funds Dividend AccumulationsContracts Contracts

1. In force end of prior year................................................................................................................................................................. .................................................. ..................................................2. Issued during year........................................................................................................................................................................... .................................................. ..................................................3. Reinsurance assumed..................................................................................................................................................................... .................................................. ..................................................4. Increased during year (net)............................................................................................................................................................. .................................................. ..................................................5. Total (Lines 1 to 4)........................................................................................................................................................................... ...............................................0 ...............................................0

Deductions during year: 6. Decreased (net)............................................................................................................................................................................... .................................................. ..................................................7. Reinsurance.................................................................................................................................................................................... .................................................. ..................................................8. Totals (Lines 6 and 7)...................................................................................................................................................................... ...............................................0 ...............................................09. In force end of year.......................................................................................................................................................................... ...............................................0 ...............................................010. Amount of account balance............................................................................................................................................................. (a).............................................. (a)..............................................

(a) See Paragraph 9 of the Annual Audited Financial Reports in the General section of the Annual Statement Instructions.

NONE


33

FORM FOR CALCULATING THE INTEREST MAINTENANCE RESERVEInterest Maintenance Reserve

1Amount

1. Reserve as of December 31, prior year..................................................................................................................................................................................... ............................................(101,779)

2. Current year's realized pre-tax capital gains/(losses) of $..........0 transferred into the reserve net of taxes of $..........0.......................................................... ...........................................................

3. Adjustment for current year's liability gains/(losses) released from the reserve........................................................................................................................ ...........................................................

4. Balance before reduction for amount transferred to Summary of Operations (Line 1 + Line 2 + Line 3).................................................................................. ............................................(101,779)

5. Current year's amortization released to Summary of Operations (Amortization, Line 1, Column 4).......................................................................................... ..............................................(23,923)

6. Reserve as of December 31, current year (Line 4 minus Line 5).............................................................................................................................................. ..............................................(77,856)

Amortization1 2 3 4

Reserve as of Current Year's Realized Capital Adjustment for Current Year's Balance Before Reduction forYear of December 31, Gains/(Losses) Transferred into Liability Gains/(Losses) the Current Year's Amortization

Amortization Prior Year the Reserve Net of Taxes Released from the Reserve (Cols. 1 + 2 + 3)

1. 2002................................................. .............................................(23,923) .......................................................... .......................................................... .............................................(23,923)

2. 2003................................................. .............................................(19,921) .......................................................... .......................................................... .............................................(19,921)

3. 2004................................................. .............................................(15,236) .......................................................... .......................................................... .............................................(15,236)

4. 2005................................................. ...............................................(9,812) .......................................................... .......................................................... ...............................................(9,812)

5. 2006................................................. ...............................................(7,377) .......................................................... .......................................................... ...............................................(7,377)

6. 2007................................................. ...............................................(7,269) .......................................................... .......................................................... ...............................................(7,269)

7. 2008................................................. ...............................................(6,264) .......................................................... .......................................................... ...............................................(6,264)

8. 2009................................................. ...............................................(5,038) .......................................................... .......................................................... ...............................................(5,038)

9. 2010................................................. ...............................................(3,604) .......................................................... .......................................................... ...............................................(3,604)

10. 2011................................................. ...............................................(1,855) .......................................................... .......................................................... ...............................................(1,855)

11. 2012................................................. ..................................................(577) .......................................................... .......................................................... ..................................................(577)

12. 2013................................................. ..................................................(443) .......................................................... .......................................................... ..................................................(443)

13. 2014................................................. ..................................................(298) .......................................................... .......................................................... ..................................................(298)

14. 2015................................................. ..................................................(139) .......................................................... .......................................................... ..................................................(139)

15. 2016................................................. ....................................................(26) .......................................................... .......................................................... ....................................................(26)

16. 2017................................................. .......................................................3 .......................................................... .......................................................... .......................................................3

17. 2018................................................. .......................................................... .......................................................... .......................................................... .......................................................0

18. 2019................................................. .......................................................... .......................................................... .......................................................... .......................................................0

19. 2020................................................. .......................................................... .......................................................... .......................................................... .......................................................0

20. 2021................................................. .......................................................... .......................................................... .......................................................... .......................................................0

21. 2022................................................. .......................................................... .......................................................... .......................................................... .......................................................0

22. 2023................................................. .......................................................... .......................................................... .......................................................... .......................................................0

23. 2024................................................. .......................................................... .......................................................... .......................................................... .......................................................0

24. 2025................................................. .......................................................... .......................................................... .......................................................... .......................................................0

25. 2026................................................. .......................................................... .......................................................... .......................................................... .......................................................0

26. 2027................................................. .......................................................... .......................................................... .......................................................... .......................................................0

27. 2028................................................. .......................................................... .......................................................... .......................................................... .......................................................0

28. 2029................................................. .......................................................... .......................................................... .......................................................... .......................................................0

29. 2030................................................. .......................................................... .......................................................... .......................................................... .......................................................0

30. 2031................................................. .......................................................... .......................................................... .......................................................... .......................................................0

31. 2032 and Later.................................. .......................................................... .......................................................... .......................................................... .......................................................0

32. Total (Lines 1 to 31).......................... ...........................................(101,779) .......................................................0 .......................................................0 ...........................................(101,779)


34

ASSET VALUATION RESERVEDefault Component Equity Component 7

1 2 3 4 5 6Other Than Real Estate TotalMortgage Mortgage Total Common and Other Total Amount

Loans Loans (Cols. 1 + 2) Stock Invested Assets (Cols. 4 + 5) (Cols. 3 + 6)

1. Reserve as of December 31, prior year....................................................................................................................................... ...............................90,756 ........................................... ...............................90,756 .................................6,250 ........................................... .................................6,250 ...............................97,006

2. Realized capital gains/(losses) net of taxes - General Account.................................................................................................. ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

3. Realized capital gains/(losses) net of taxes - Separate Accounts............................................................................................... ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

4. Unrealized capital gains/(losses) - general account.................................................................................................................... ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

5. Unrealized capital gains/(losses) - Separate Accounts............................................................................................................... ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

6. Capital gains credited/(losses charged) to contract benefits, payments or reserves.................................................................. ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

7. Basic contribution........................................................................................................................................................................ ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

8. Accumulated balances (Lines 1 through 5, minus 6 plus 7)........................................................................................................ ...............................90,756 ........................................0 ...............................90,756 .................................6,250 ........................................0 .................................6,250 ...............................97,006

9. Maximum reserve........................................................................................................................................................................ ........................................... ........................................... ........................................0 .................................6,250 ........................................... .................................6,250 .................................6,250

10. Reserve objective........................................................................................................................................................................ ........................................... ........................................... ........................................0 .................................6,250 ........................................... .................................6,250 .................................6,250

11. 20% of (Line 10 minus Line 8)..................................................................................................................................................... ..............................(18,151) ........................................0 ..............................(18,151) ........................................0 ........................................0 ........................................0 ..............................(18,151)

12. Balance before transfers (Lines 8 + 11)...................................................................................................................................... ...............................72,605 ........................................0 ...............................72,605 .................................6,250 ........................................0 .................................6,250 ...............................78,855

13. Transfers..................................................................................................................................................................................... ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ................XXX....................

14. Voluntary contribution.................................................................................................................................................................. ........................................... ........................................... ........................................0 ........................................... ........................................... ........................................0 ........................................0

15. Adjustment down to maximum/up to zero................................................................................................................................... ..............................(72,605) ........................................... ..............................(72,605) ........................................... ........................................... ........................................0 ..............................(72,605)

16. Reserve as of December 31, current year (Lines 12 + 13 + 14 + 15)......................................................................................... ........................................0 ........................................0 ........................................0 .................................6,250 ........................................0 .................................6,250 .................................6,250


35

ASSET VALUATION RESERVEBasic Contribution, Reserve Objective and Maximum Reserve Calculations

Default Component1 2 3 4 Basic Contribution Reserve Objective Maximum Reserve

Balance for 5 6 7 8 9 10NAIC Book/Adjusted Reclassify Add AVR Reserve

Line Desig- Carrying Related Party Third Party Calculations Amount Amount AmountNumber nation Description Value Encumbrances Encumbrances (Cols. 1 + 2 + 3) Factor (Cols. 4 x 5) Factor (Cols. 4 x 7) Factor (Cols. 4 x 9)

LONG-TERM BONDS

1 Exempt obligations............................................................................................................... ..................35,325,422 ............XXX.......... ............XXX.......... ..................35,325,422 .................0.0000 ..................................0 .................0.0000 ..................................0 .................0.0000 ..................................0

2 1 Highest quality...................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0005 ..................................0 .................0.0015 ..................................0 .................0.0030 ..................................0

3 2 High quality........................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0020 ..................................0 .................0.0060 ..................................0 .................0.0100 ..................................0

4 3 Medium quality..................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0105 ..................................0 .................0.0280 ..................................0 .................0.0400 ..................................0

5 4 Low quality........................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0270 ..................................0 .................0.0630 ..................................0 .................0.0900 ..................................0

6 5 Lower quality........................................................................................................................ ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0670 ..................................0 .................0.1200 ..................................0 .................0.2000 ..................................0

7 6 In or near default.................................................................................................................. ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.3000 ..................................0 .................0.3000 ..................................0

8 Total unrated multi-class securities acquired by conversion................................................ ..................................... ............XXX.......... ............XXX.......... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... .....................................

9 Total bonds (sum of Lines 1 through 8) (Page 2, Line 1, Net admitted asset)..................... ..................35,325,422 ............XXX.......... ............XXX.......... ..................35,325,422 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0

PREFERRED STOCKS







16 Affiliated life with AVR.......................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.0000 ..................................0 .................0.0000 ..................................0

17 Total preferred stocks (sum of Lines 10 through 16)(Page 2, Line 2.1, Net admitted asset)................................................................................. ..................................0 ............XXX.......... ............XXX.......... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0

SHORT-TERM BONDS

18 Exempt obligations............................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.0000 ..................................0 .................0.0000 ..................................0







25 Total short-term bonds (sum of Lines 18 thru 24)................................................................ ..................................0 ............XXX.......... ............XXX.......... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0


36

ASSET VALUATION RESERVE (continued)Basic Contribution, Reserve Objective and Maximum Reserve Calculations

Default Component1 2 3 4 Basic Contribution Reserve Objective Maximum Reserve



DERIVATIVE INSTRUMENTS26 Exchange-traded.................................................................................................................. ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0005 ..................................0 .................0.0015 ..................................0 .................0.0030 ..................................027 1 Highest quality...................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0005 ..................................0 .................0.0015 ..................................0 .................0.0030 ..................................028 2 High quality........................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0020 ..................................0 .................0.0060 ..................................0 .................0.0100 ..................................029 3 Medium quality..................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0105 ..................................0 .................0.0280 ..................................0 .................0.0400 ..................................030 4 Low quality........................................................................................................................... ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0270 ..................................0 .................0.0630 ..................................0 .................0.0900 ..................................031 5 Lower quality........................................................................................................................ ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0670 ..................................0 .................0.1200 ..................................0 .................0.2000 ..................................032 6 In or near default.................................................................................................................. ..................................... ............XXX.......... ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.3000 ..................................0 .................0.3000 ..................................033 Total derivative instruments................................................................................................. ..................................0 ............XXX.......... ............XXX.......... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................034 TOTAL (Lines 9 + 17 + 25 + 33).......................................................................................... ..................35,325,422 ............XXX.......... ............XXX.......... ..................35,325,422 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0

MORTGAGE LOANSIn good standing:

35 Farm mortgages............................................................................................................... ..................................... ............................. ............XXX.......... ..................................0 (a)......................... ..................................0 (a)......................... ..................................0 (a)......................... ..................................036 Residential mortgages-insured or guaranteed................................................................. ..................................... ............................. ............XXX.......... ..................................0 .................0.0003 ..................................0 .................0.0006 ..................................0 .................0.0010 ..................................037 Residential mortgages-all other........................................................................................ ..................................... ............................. ............XXX.......... ..................................0 .................0.0013 ..................................0 .................0.0030 ..................................0 .................0.0050 ..................................038 Commercial mortgages-insured or guaranteed................................................................ ..................................... ............................. ............XXX.......... ..................................0 .................0.0003 ..................................0 .................0.0006 ..................................0 .................0.0010 ..................................039 Commercial mortgages-all other...................................................................................... ..................................... ............................. ............XXX.......... ..................................0 (a)......................... ..................................0 (a)......................... ..................................0 (a)......................... ..................................040 In good standing with restructured terms............................................................................. ..................................... ............................. ............XXX.......... ..................................0 (b)......................... ..................................0 (b)......................... ..................................0 (b)......................... ..................................0

Overdue, not in process:41 Farm mortgages............................................................................................................... ..................................... ............................. ............XXX.......... ..................................0 .................0.0420 ..................................0 .................0.0915 ..................................0 .................0.1500 ..................................042 Residential mortgages-insured or guaranteed................................................................. ..................................... ............................. ............XXX.......... ..................................0 .................0.0005 ..................................0 .................0.0012 ..................................0 .................0.0020 ..................................043 Residential mortgages-all other........................................................................................ ..................................... ............................. ............XXX.......... ..................................0 .................0.0025 ..................................0 .................0.0060 ..................................0 .................0.0100 ..................................044 Commercial mortgages-insured or guaranteed................................................................ ..................................... ............................. ............XXX.......... ..................................0 .................0.0005 ..................................0 .................0.0012 ..................................0 .................0.0020 ..................................045 Commercial mortgages-all other...................................................................................... ..................................... ............................. ............XXX.......... ..................................0 .................0.0420 ..................................0 .................0.0915 ..................................0 .................0.1500 ..................................0

In process of foreclosure:46 Farm mortgages............................................................................................................... ..................................... ............................. ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.2000 ..................................0 .................0.2000 ..................................047 Residential mortgages-insured or guaranteed................................................................. ..................................... ............................. ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.0040 ..................................0 .................0.0040 ..................................048 Residential mortgages-all other........................................................................................ ..................................... ............................. ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.0200 ..................................0 .................0.0200 ..................................049 Commercial mortgages-insured or guaranteed................................................................ ..................................... ............................. ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.0040 ..................................0 .................0.0040 ..................................050 Commercial mortgages-all other...................................................................................... ..................................... ............................. ............XXX.......... ..................................0 .................0.0000 ..................................0 .................0.2000 ..................................0 .................0.2000 ..................................0

Total Schedule B mortgages (sum of Lines 35 through 50)51 (Page 2, Line 3, Net admitted asset).................................................................................... ..................................0 ..........................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................052 Schedule DA mortgages...................................................................................................... ..................................... ............................. ............XXX.......... ..................................0 (c)......................... ..................................0 (c)......................... ..................................0 (c)......................... ..................................053 Total mortgage loans on real estate (Lines 51 + 52)............................................................ ..................................0 ..........................0 ............XXX.......... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0 ...........XXX........... ..................................0

(a) Times the company's experience adjustment factor (EAF). (b) Column 9 is the greater of 7.5% without any EAF adjustments or a company's EAF adjusted In Good Standing (IGS) factor plus 150 basis points. Columns 5 and 7 are 28% and 62% respectively of Column 9. (c) Determined using the same factors and breakdowns used for directly owned mortgage loans.


37

ASSET VALUATION RESERVEBasic Contribution, Reserve Objective and Maximum Reserve Calculations

Equity and Other Invested Asset Component1 2 3 4 Basic Contribution Reserve Objective Maximum Reserve



COMMON STOCK1 Unaffiliated public................................................................................................................. ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 (d)......................... ................................0 (d)......................... ................................02 Unaffiliated private................................................................................................................ ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2500 ................................0 .................0.2500 ................................03 Affiliated life with AVR.......................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0000 ................................0 .................0.0000 ................................0

Affiliated Investment Subsidiary: 4 Fixed income exempt obligations..................................................................................... ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................5 Fixed income highest quality............................................................................................ ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................6 Fixed income high quality................................................................................................. ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................7 Fixed income medium quality........................................................................................... ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................8 Fixed income low quality.................................................................................................. ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................9 Fixed income lower quality............................................................................................... ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................10 Fixed income in/near default............................................................................................ ................................... ............................... ............................. ................................0 ...........XXX........... ................................... ...........XXX........... ................................... ...........XXX........... ...................................11 Unaffiliated common stock public..................................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 (d)......................... ................................0 (d)......................... ................................012 Unaffiliated common stock private................................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.2500 ................................0 .................0.2500 ................................013 Mortgage loans................................................................................................................. ................................... ............................... ............................. ................................0 (c)......................... ................................0 (c)......................... ................................0 (c)......................... ................................014 Real estate....................................................................................................................... ................................... ............................... ............................. ................................0 (e)......................... ................................0 (e)......................... ................................0 (e)......................... ................................015 Affiliated - certain other (see SVO Purposes and Procedures manual)............................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2000 ................................0 .................0.2000 ................................016 Affiliated - all other................................................................................................................ .......................25,000 .............XXX........... ...........XXX........... .......................25,000 .................0.0000 ................................0 .................0.2500 .........................6,250 .................0.2500 .........................6,25017 Total common stock (sum of Lines 1 through 16)

(Page 2, Line 2.2, Net admitted asset)................................................................................. .......................25,000 ............................0 ..........................0 .......................25,000 ...........XXX........... ................................0 ...........XXX........... .........................6,250 ...........XXX........... .........................6,250

REAL ESTATE18 Home office property (general account only)....................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.0750 ................................0 .................0.0750 ................................019 Investment properties........................................................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.0750 ................................0 .................0.0750 ................................020 Properties acquired in satisfaction of debt........................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.1100 ................................0 .................0.1100 ................................021 Total real estate (sum of Lines 18 through 20)..................................................................... ................................0 ............................0 ..........................0 ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0

OTHER INVESTED ASSETS

INVESTMENTS WITH THE UNDERLYING CHARACTERISTICS OF BONDS22 Exempt obligations............................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0000 ................................0 .................0.0000 ................................023 1 Highest quality...................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0005 ................................0 .................0.0015 ................................0 .................0.0030 ................................024 2 High quality........................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0020 ................................0 .................0.0060 ................................0 .................0.0100 ................................025 3 Medium quality..................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0105 ................................0 .................0.0280 ................................0 .................0.0400 ................................026 4 Low quality........................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0270 ................................0 .................0.0630 ................................0 .................0.0900 ................................027 5 Lower quality........................................................................................................................ ................................... .............XXX........... ...........XXX........... ................................0 .................0.0670 ................................0 .................0.1200 ................................0 .................0.2000 ................................028 6 In or near default.................................................................................................................. ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.3000 ................................0 .................0.3000 ................................029 Total with bond characteristics (sum of Lines 22 through 28).............................................. ................................0 .............XXX........... ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0


38





INVESTMENTS WITH THE UNDERLYING

CHARACTERISTICS OF PREFERRED STOCKS30 1 Highest quality...................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0020 ................................0 .................0.0060 ................................0 .................0.0090 ................................031 2 High quality........................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0065 ................................0 .................0.0170 ................................0 .................0.0250 ................................032 3 Medium quality..................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0185 ................................0 .................0.0400 ................................0 .................0.0600 ................................033 4 Low quality........................................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0400 ................................0 .................0.0880 ................................0 .................0.1350 ................................034 5 Lower quality........................................................................................................................ ................................... .............XXX........... ...........XXX........... ................................0 .................0.0850 ................................0 .................0.1600 ................................0 .................0.2500 ................................035 6 In or near default.................................................................................................................. ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.3000 ................................0 .................0.3000 ................................036 Affiliated life with AVR.......................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0000 ................................0 .................0.0000 ................................037 Total with preferred stock characteristics (sum of Lines 30 through 36).............................. ................................0 .............XXX........... ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0


CHARACTERISTICS OF MORTGAGE LOANSIn Good Standing:

38 Farm mortgages............................................................................................................... ................................... ............................... ...........XXX........... ................................0 (a)......................... ................................0 (a)......................... ................................0 (a)......................... ................................039 Residential mortgages-insured or guaranteed................................................................. ................................... ............................... ...........XXX........... ................................0 .................0.0003 ................................0 .................0.0006 ................................0 .................0.0010 ................................040 Residential mortgages-all other........................................................................................ ................................... .............XXX........... ...........XXX........... ................................0 .................0.0013 ................................0 .................0.0030 ................................0 .................0.0050 ................................041 Commercial mortgages-insured or guaranteed................................................................ ................................... ............................... ...........XXX........... ................................0 .................0.0003 ................................0 .................0.0006 ................................0 .................0.0010 ................................042 Commercial mortgages-all other...................................................................................... ................................... ............................... ...........XXX........... ................................0 (a)......................... ................................0 (a)......................... ................................0 (a)......................... ................................043 In good standing with restructured terms............................................................................. ................................... ............................... ...........XXX........... ................................0 (b)......................... ................................0 (b)......................... ................................0 (b)......................... ................................0

Overdue, Not in Process: 44 Farm mortgages............................................................................................................... ................................... ............................... ...........XXX........... ................................0 .................0.0420 ................................0 .................0.0915 ................................0 .................0.1500 ................................045 Residential mortgages-insured or guaranteed................................................................. ................................... ............................... ...........XXX........... ................................0 .................0.0005 ................................0 .................0.0012 ................................0 .................0.0020 ................................046 Residential mortgages-all other........................................................................................ ................................... ............................... ...........XXX........... ................................0 .................0.0025 ................................0 .................0.0060 ................................0 .................0.0100 ................................047 Commercial mortgages-insured or guaranteed................................................................ ................................... ............................... ...........XXX........... ................................0 .................0.0005 ................................0 .................0.0012 ................................0 .................0.0020 ................................048 Commercial mortgages-all other...................................................................................... ................................... ............................... ...........XXX........... ................................0 .................0.0420 ................................0 .................0.0915 ................................0 .................0.1500 ................................0

In Process of foreclosure: 49 Farm mortgages............................................................................................................... ................................... ............................... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2000 ................................0 .................0.2000 ................................050 Residential mortgages-insured or guaranteed................................................................. ................................... ............................... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0040 ................................0 .................0.0040 ................................051 Residential mortgages-all other........................................................................................ ................................... ............................... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0200 ................................0 .................0.0200 ................................052 Commercial mortgages-insured or guaranteed................................................................ ................................... ............................... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0040 ................................0 .................0.0040 ................................053 Commercial mortgages-all other...................................................................................... ................................... ............................... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2000 ................................0 .................0.2000 ................................054 Total with mortgage loan characteristics (sum of Lines 38 through 53)............................... ................................0 ............................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0

NONE


39






CHARACTERISTICS OF COMMON STOCK

55 Unaffiliated public................................................................................................................. ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 (d)......................... ................................0 (d)......................... ................................0

56 Unaffiliated private................................................................................................................ ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2500 ................................0 .................0.2500 ................................0

57 Affiliated life with AVR.......................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.0000 ................................0 .................0.0000 ................................0

58 Affiliated certain other (see SVO Purposes and Procedures manual)................................. ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2000 ................................0 .................0.2000 ................................0

59 Affiliated other - all other...................................................................................................... ................................... .............XXX........... ...........XXX........... ................................0 .................0.0000 ................................0 .................0.2500 ................................0 .................0.2500 ................................0

60 Total with common stock characteristics (sum of Lines 55 through 59)............................... ................................0 .............XXX........... ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0

INVESTMENTS WITH THE UNDERLYING CHARACTERISTICS OF REAL ESTATE

61 Home office property (general account only)....................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.0750 ................................0 .................0.0750 ................................0

62 Investment properties........................................................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.0750 ................................0 .................0.0750 ................................0

63 Properties acquired in satisfaction of debt........................................................................... ................................... ............................... ............................. ................................0 .................0.0000 ................................0 .................0.1100 ................................0 .................0.1100 ................................0

64 Total with real estate characteristics (Lines 61 through 63)................................................. ................................0 ............................0 ..........................0 ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0

ALL OTHER INVESTMENTS

65 Other invested assets - Schedule BA................................................................................... ................................... .............XXX........... ............................. ................................0 .................0.0000 ................................0 .................0.2000 ................................0 .................0.2000 ................................0

66 Other short-term invested assets - Schedule DA................................................................. ................................... .............XXX........... ............................. ................................0 .................0.0000 ................................0 .................0.2000 ................................0 .................0.2000 ................................0

67 Total all other (sum of Lines 65 + 66)................................................................................... ................................0 .............XXX........... ..........................0 ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0

68 Total other invested assets - Schedule BA & DA(Sum of Lines 29, 37, 54, 60, 64 and 67)............................................................................. ................................0 ............................0 ..........................0 ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0 ...........XXX........... ................................0

(a) Times the company's experience adjustment factor (EAF). (b) Column 9 is the greater of 7.5% without any EAF adjustments or a company's EAF adjusted In Good Standing (IGS) factor plus 150 basis points. Columns 5 and 7 are 28% and 62% respectively of Column 9. (c) Determined using the same factors and breakdowns used for directly owned mortgage loans. (d) Times the company's weighted average portfolio beta (Minimum .15, Maximum .30). (e) Determined using same factors and breakdowns used for directly owned real estate.

NONE


38, 39, 40, 41

AVR-Equity ComponentNONE

AVR-Equity ComponentNONE

AVR-Replications (Synthetic) AssetsNONE

Schedule A-Verification Between YearsNONE

Schedule B-Verification Between YearsNONE

Schedule BA-Verification Between YearsNONE


42

SCHEDULE D - SUMMARY BY COUNTRYLong-Term Bonds and Stocks OWNED December 31 of Current Year

1 2 3 4Book/Adjusted Fair Value Par Value

Description Carrying Value (a) Actual Cost of BondsBONDS 1. United States....................... .......................35,325,421 .......................35,520,547 .......................35,504,720 .......................35,099,000

Governments 2. Canada................................ .......................................... .......................................... .......................................... .......................................... (Including all obligations guaranteed 3. Other Countries................... .......................................... .......................................... .......................................... .......................................... by governments) 4. Totals................................... .......................35,325,421 .......................35,520,547 .......................35,504,720 .......................35,099,000

5. United States....................... .......................................... .......................................... .......................................... ..........................................States, Territories and Possessions 6. Canada................................ .......................................... .......................................... .......................................... .......................................... (Direct and guaranteed) 7. Other Countries................... .......................................... .......................................... .......................................... ..........................................

8. Totals................................... .......................................0 .......................................0 .......................................0 .......................................0Political Subdivisions of States, 9. United States....................... .......................................... .......................................... .......................................... ..........................................Territories and Possessions 10. Canada................................ .......................................... .......................................... .......................................... .......................................... (Direct and guaranteed) 11. Other Countries................... .......................................... .......................................... .......................................... ..........................................

12. Totals................................... .......................................0 .......................................0 .......................................0 .......................................0Special Revenue and Special Assessment 13. United States....................... .......................................... .......................................... .......................................... ..........................................Obligations and all Non-guaranteed Obligations 14. Canada................................ .......................................... .......................................... .......................................... ..........................................of Agencies and Authorities of Governments 15. Other Countries................... .......................................... .......................................... .......................................... ..........................................and their Political Subdivisions 16. Totals................................... .......................................0 .......................................0 .......................................0 .......................................0

17. United States....................... .......................................... .......................................... .......................................... ..........................................Public Utilities 18. Canada................................ .......................................... .......................................... .......................................... .......................................... (unaffiliated) 19. Other Countries................... .......................................... .......................................... .......................................... ..........................................

20. Totals................................... .......................................0 .......................................0 .......................................0 .......................................0Industrial and Miscellaneous and 21. United States....................... .......................................... .......................................... .......................................... ..........................................Credit Tenant Loans 22. Canada................................ .......................................... .......................................... .......................................... .......................................... (Unaffiliated) 23. Other Countries................... .......................................... .......................................... .......................................... ..........................................

24. Totals................................... .......................................0 .......................................0 .......................................0 .......................................0Parent, Subsidiaries and Affiliates 25. Totals................................... .......................................... .......................................... .......................................... ..........................................

26. Total Bonds........................ .......................35,325,421 .......................35,520,547 .......................35,504,720 .......................35,099,000PREFERRED STOCKS 27. United States....................... .......................................... .......................................... ..........................................

Public Utilities 28. Canada................................ .......................................... .......................................... .......................................... (Unaffiliated) 29. Other Countries................... .......................................... .......................................... ..........................................

30. Totals................................... .......................................0 .......................................0 .......................................031 United States....................... .......................................... .......................................... ..........................................

Banks, Trust and Insurance Companies 32. Canada................................ .......................................... .......................................... .......................................... (Unaffiliated) 33. Other Countries................... .......................................... .......................................... ..........................................

34. Totals................................... .......................................0 .......................................0 .......................................035. United States....................... .......................................... .......................................... ..........................................

Industrial and Miscellaneous 36. Canada................................ .......................................... .......................................... .......................................... (Unaffiliated) 37. Other Countries................... .......................................... .......................................... ..........................................

38. Totals................................... .......................................0 .......................................0 .......................................0Parent, Subsidiaries and Affiliates 39. Totals................................... .......................................... .......................................... ..........................................

40. Total Preferred Stocks...... .......................................0 .......................................0 .......................................0COMMON STOCKS 41. United States....................... .......................................... .......................................... ..........................................

Public Utilities 42. Canada................................ .......................................... .......................................... .......................................... (Unaffiliated) 43. Other Countries................... .......................................... .......................................... ..........................................


Banks, Trust and Insurance Companies 46. Canada................................ .......................................... .......................................... .......................................... (Unaffiliated) 47. Other Countries................... .......................................... .......................................... ..........................................


Industrial and Miscellaneous 50. Canada................................ .......................................... .......................................... .......................................... (Unaffiliated) 51. Other Countries................... .......................................... .......................................... ..........................................

52. Totals................................... .......................................0 .......................................0 .......................................0Parent, Subsidiaries and Affiliates 53. Totals................................... ..............................25,000 ..............................25,000 ..............................25,000

54. Total Common Stocks....... ..............................25,000 ..............................25,000 ..............................25,00055. Total Stocks....................... ..............................25,000 ..............................25,000 ..............................25,00056. Total Bonds and Stocks.... .......................35,350,421 .......................35,545,547 .......................35,529,720

(a) The aggregate value of bonds which are valued at other than actual fair value is $.....27,816,359.

SCHEDULE D - VERIFICATION BETWEEN YEARS1. Book/adjusted carrying value of bonds and stocks, prior year.......................... 6,475,277 6. Foreign exchange adjustment: 2. Cost of bonds and stocks acquired, Column 6, Part 3...................................... 33,011,567 6.1 Column 17, Part 1.............................3. Increase (decrease) by adjustment: 6.2 Column 13, Part 2, Section 1............

3.1 Column 16, Part 1.................................................. (145,271) 6.3 Column 11, Part 2, Section 2............3.2 Column 12, Part 2, Section 1................................. 6.4 Column 11, Part 4............................. 03.3 Column 10, Part 2, Section 2................................. 7. Book/adjusted carrying value at end of current period................. 35,350,4213.4 Column 10, Part 4.................................................. (3,151) (148,422) 8. Total valuation allowance.............................................................

4. Total gain (loss), Column 14, Part 4.................................................................. 9. Subtotal (Lines 7 plus 8)............................................................... 35,350,4215. Deduct consideration for bonds and stocks disposed of, Column 6, Part 4...... 3,988,000 10. Total nonadmitted amounts..........................................................

11. Statement value of bonds and stocks, current period.................. 35,350,421


43

SCHEDULE D - PART 1A - SECTION 1Quality and Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Types of Issues and NAIC Designations

1 2 3 4 5 6 7 8 9 10 11Quality Rating per the 1 Year Over 1 Year Over 5 Years Over 10 Years Over 20 Total Column 6 as a Total from Column % from Col. 7 Total Total

NAIC Designation or Less Through 5 Years Through 10 Years Through 20 Years Years Current Year % of Line 10.7 6 Prior Year Prior Year Publicly Traded Privately Placed (a)1. U.S. Governments, Schedules D & DA (Group 1)

1.1 Class 1..................................................................................................... .............16,393,763 .............18,414,106 ................................. ..................517,552 ................................. ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 .................................1.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................1.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................1.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................1.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................1.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................1.7 Totals....................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 .............................0

2. All Other Governments, Schedules D & DA (Group 2)2.1 Class 1..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ................................. .............................0 .............................0

3. States, Territories and Possessions, etc., Guaranteed,Schedules D & DA (Group 3)

3.1 Class 1..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ................................. .............................0 .............................0

4. Political Subdivisions of States, Territories and Possessions,Guaranteed, Schedules D & DA (Group 4)


5. Special Revenue & Special Assessment Obligations,etc., Non-Guaranteed, Schedules D & DA (Group 5)



44

SCHEDULE D - PART 1A - SECTION 1 (continued)Quality and Maturity Distribution of All Bonds Owned December 31, At Book/Adjusting Carrying Values By Major Types of Issues and NAIC Designations


NAIC Designation or Less Through 5 Years Through 10 Years Through 20 Years Years Current Year % of Line 10.7 6 Prior Year Prior Year Publicly Traded Privately Placed (a)6. Public Utilities (Unaffiliated), Schedules D & DA (Group 6)


7. Industrial & Miscellaneous (Unaffiliated),Schedules D & DA (Group 7)


8. Credit Tenant Loans, Schedules D & DA (Group 8)8.1 Class 1..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ................................. .............................0 .............................0

9. Parent, Subsidiaries and Affiliates, Schedules D & DA (Group 9)9.1 Class 1..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ................................. .............................0 .............................0

NONE


45

SCHEDULE D - PART 1A - SECTION 1 (continued)Quality and Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Types of Issues and NAIC Designations


NAIC Designation or Less Through 5 Years Through 10 Years Through 20 Years Years Current Year % of Line 10.7 6 Prior Year Prior Year Publicly Traded Privately Placed (a)10. Total Bonds Current Year

10.1 Class 1..................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ..............XXX........... ..............XXX........... .............35,325,421 .............................010.2 Class 2..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.3 Class 3..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.4 Class 4..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.5 Class 5..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 (c)............................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.6 Class 6..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 (c)............................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.7 Totals....................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 (b)............35,325,421 ......................100.0 ..............XXX........... ..............XXX........... .............35,325,421 .............................010.8 Line 10.7 as a % of Col. 6........................................................................ ........................46.4 ........................52.1 ..........................0.0 ..........................1.5 ..........................0.0 .........................100.0 ..............XXX........... ..............XXX........... ..............XXX........... ......................100.0 ..........................0.0

11. Total Bonds Prior Year11.1 Class 1..................................................................................................... ...............3,991,152 ...............1,937,286 ................................. ..................521,839 ................................. ..............XXX.............. ..............XXX........... ...............6,450,277 ......................100.0 ...............6,450,277 .................................11.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................11.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................11.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................11.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... (c).........................0 ..........................0.0 ................................. .................................11.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... (c).........................0 ..........................0.0 ................................. .................................11.7 Totals....................................................................................................... ...............3,991,152 ...............1,937,286 .............................0 ..................521,839 .............................0 ..............XXX.............. ..............XXX........... (b)...........6,450,277 ......................100.0 ...............6,450,277 .............................011.8 Line 11.7 as a % of Col. 8........................................................................ ........................61.9 ........................30.0 ..........................0.0 ..........................8.1 ..........................0.0 ..............XXX.............. ..............XXX........... ......................100.0 ..............XXX........... ......................100.0 ..........................0.0

12. Total Publicly Traded Bonds12.1 Class 1..................................................................................................... .............16,393,763 .............18,414,106 ................................. ..................517,552 ................................. ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 ..............XXX...........12.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.7 Totals....................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 ..............XXX...........12.8 Line 12.7 as a % of Col. 6........................................................................ ........................46.4 ........................52.1 ..........................0.0 ..........................1.5 ..........................0.0 .........................100.0 ..............XXX........... ..............XXX........... ..............XXX........... ......................100.0 ..............XXX...........12.9 Line 12.7 as a % of Line 10.7, Col. 6, Section 10.................................... ........................46.4 ........................52.1 ..........................0.0 ..........................1.5 ..........................0.0 .........................100.0 ..............XXX........... ..............XXX........... ..............XXX........... ......................100.0 ..............XXX...........

13. Total Privately Placed Bonds13.1 Class 1..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.2 Class 2..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.3 Class 3..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.4 Class 4..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.5 Class 5..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.6 Class 6..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.8 Line 13.7 as a % of Col. 6........................................................................ ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 .............................0.0 ..............XXX........... ..............XXX........... ..............XXX........... ..............XXX........... ..........................0.013.9 Line 13.7 as a % of Line 10.7, Col. 6, Section 10.................................... ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 .............................0.0 ..............XXX........... ..............XXX........... ..............XXX........... ..............XXX........... ..........................0.0

(a) Includes $..........0 freely tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A. (b) Includes $..........0 current year, $..........0 prior year of bonds with Z designations and $..........0 current year, $..........0 prior year of bonds with Z* designation. The letter "Z" means the NAIC designation was not assigned by the

Securities Valuation Office (SVO) at the date of the statement. "Z*" means the SVO could not evaluate the obligation because valuation procedures for the security class are under regulatory review. (c) Includes $..........0 current year, $..........0 prior year of bonds with 5* designations and $..........0 current year, $..........0 prior year of bonds with 6* designation. "5*" means the NAIC designation was assigned by the SVO in reliance on

the insurer's certification that the issuer is current in all principal and interest payments. "6*" means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments.


46

SCHEDULE D - PART 1A - SECTION 2Maturity Distribution of All Bonds Owned December 31, At Book/Adjusting Carrying Values By Major Type and Subtype of Issues

1 2 3 4 5 6 7 8 9 10 111 Year Over 1 Year Over 5 Years Over 10 Years Over 20 Total Column 6 as a Total from Column % from Col. 7 Total Total

Distribution by Type or Less Through 5 Years Through 10 Years Through 20 Years Years Current Year % of Line 10.7 6 Prior Year Prior Year Publicly Traded Privately Placed1. U.S. Governments, Schedules D & DA (Group 1)

1.1 Issuer Obligations.................................................................................... .............16,393,763 .............18,414,106 ................................. ..................517,552 ................................. ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 .................................1.2 Single Class Mortgage-Backed/Asset-Backed Securities........................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................1.7 Totals....................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 .............................0

2. All Other Governments, Schedules D & DA (Group 2)2.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.2 Single Class Mortgage-Backed/Asset-Backed Securities........................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................

MULTI-CLASS RESIDENTIAL MORTGAGE-BACKED SECURITIES:2.3 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.4 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................

MULTI-CLASS COMMERCIAL MORTGAGE-BACKED/ASSET-BACKED SECURITIES:

2.5 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.6 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................2.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ................................. .............................0 .............................0

3. States, Territories and Possessions, Guaranteed,Schedules D & DA (Group 3)

3.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................3.2 Single Class Mortgage-Backed/Asset-Backed Securities........................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................




4. Political Subdivisions of States, Territories and Possessions,Guaranteed, Schedules D & DA (Group 4)





5. Special Revenue & Special Assessment Obligations, etc.,Non-Guaranteed, Schedules D & DA (Group 5)






47

SCHEDULE D - PART 1A - SECTION 2 (continued)Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Type and Subtype of Issues


Distribution by Type or Less Through 5 Years Through 10 Years Through 20 Years Years Current Year % of Line 10.7 6 Prior Year Prior Year Publicly Traded Privately Placed6. Public Utilities (Unaffiliated), Schedules D & DA (Group 6)

6.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................6.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................




7. Industrial & Miscellaneous (Unaffiliated),Schedules D & DA (Group 7)

7.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................7.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................




8. Credit Tenant Loans, Schedules D & DA (Group 8)8.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................8.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ................................. .............................0 .............................0

9. Parent, Subsidiaries and Affiliates, Schedules D & DA (Group 9)9.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................9.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 ................................. ................................. ................................. .................................




NONE


48

SCHEDULE D - PART 1A - SECTION 2 (continued)Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Type and Subtype of Issues


Distribution by Type or Less Through 5 Years Through 10 Years Through 20 Years Years Current Year % of Line 10.7 6 Prior Year Prior Year Publicly Traded Privately Placed10. Total Bonds Current Year

10.1 Issuer Obligations.................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ..............XXX........... ..............XXX........... .............35,325,421 .............................010.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................0

MULTI-CLASS RESIDENTIAL MORTGAGE-BACKED SECURITIES:10.3 Defined..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.4 Other........................................................................................................ .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................0


10.5 Defined..................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.6 Other........................................................................................................ .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 ..............XXX........... ..............XXX........... .............................0 .............................010.7 Totals....................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ..............XXX........... ..............XXX........... .............35,325,421 .............................010.8 Line 10.7 as a % of Col. 6........................................................................ ........................46.4 ........................52.1 ..........................0.0 ..........................1.5 ..........................0.0 .........................100.0 ..............XXX........... ..............XXX........... ..............XXX........... ......................100.0 ..........................0.0

11. Total Bonds Prior Year11.1 Issuer Obligations.................................................................................... ...............3,991,152 ...............1,937,286 ................................. ..................521,839 ................................. ..............XXX.............. ..............XXX........... ...............6,450,277 ......................100.0 ...............6,450,277 .................................11.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................

MULTI-CLASS RESIDENTIAL MORTGAGE-BACKED SECURITIES:11.3 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................11.4 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................


11.5 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................11.6 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ..............XXX.............. ..............XXX........... .............................0 ..........................0.0 ................................. .................................11.7 Totals....................................................................................................... ...............3,991,152 ...............1,937,286 .............................0 ..................521,839 .............................0 ..............XXX.............. ..............XXX........... ...............6,450,277 ......................100.0 ...............6,450,277 .............................011.8 Line 11.7 as a % of Col. 8........................................................................ ........................61.9 ........................30.0 ..........................0.0 ..........................8.1 ..........................0.0 ..............XXX.............. ..............XXX........... ......................100.0 ..............XXX........... ......................100.0 ..........................0.0

12. Total Publicly Traded Bonds12.1 Issuer Obligations.................................................................................... .............16,393,763 .............18,414,106 ................................. ..................517,552 ................................. ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 ..............XXX...........12.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........

MULTI-CLASS RESIDENTIAL MORTGAGE-BACKED SECURITIES:12.3 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.4 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........


12.5 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.6 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 .............................0 ..............XXX...........12.7 Totals....................................................................................................... .............16,393,763 .............18,414,106 .............................0 ..................517,552 .............................0 ................35,325,421 ......................100.0 ...............6,450,277 ......................100.0 .............35,325,421 ..............XXX...........12.8 Line 12.7 as a % of Col. 6........................................................................ ........................46.4 ........................52.1 ..........................0.0 ..........................1.5 ..........................0.0 .........................100.0 ..............XXX........... ..............XXX........... ..............XXX........... ......................100.0 ..............XXX...........12.9 Line 12.7 as a % of Line 10.7, Col. 6, Section 10.................................... ........................46.4 ........................52.1 ..........................0.0 ..........................1.5 ..........................0.0 .........................100.0 ..............XXX........... ..............XXX........... ..............XXX........... ......................100.0 ..............XXX...........

13. Total Privately Placed Bonds13.1 Issuer Obligations.................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.2 Single Class Mortgage-Backed/Asset-Backed Bonds............................. ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................0

MULTI-CLASS RESIDENTIAL MORTGAGE-BACKED SECURITIES:13.3 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.4 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................0


13.5 Defined..................................................................................................... ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.6 Other........................................................................................................ ................................. ................................. ................................. ................................. ................................. ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.7 Totals....................................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0 ................................0 ..........................0.0 .............................0 ..........................0.0 ..............XXX........... .............................013.8 Line 13.7 as a % of Col. 6........................................................................ ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 .............................0.0 ..............XXX........... ..............XXX........... ..............XXX........... ..............XXX........... ..........................0.013.9 Line 13.7 as a % of Line 10.7, Col. 6, Section 10.................................... ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 ..........................0.0 .............................0.0 ..............XXX........... ..............XXX........... ..............XXX........... ..............XXX........... ..........................0.0


49, 50, 51, 52, 53, 54, 55, 56, 57, 58

Sch. DA-Pt. 2-Verification Between YearsNONE

Sch. DB-Pt.A-Verification Between YearsNONE

Sch. DB-Pt.B-Verification Between YearsNONE

Sch. DB-Pt.C-Verification Between YearsNONE

Sch. DB-Pt.D-Verification Between YearsNONE

Sch. DB-Pt.E-VerificationNONE

Sch. DB-Pt. F-Sn. 1NONE

Sch. DB-Pt. F-Sn. 2NONE

Sch. FNONE

Sch. H-Pt. 1NONE

Sch. H-Pt. 2NONE

Sch. H-Pt. 3NONE

Sch. H-Pt. 4NONE

Sch. H-Pt. 5NONE

Sch. O-Pt. 1-Sn. ANONE

Sch. O-Pt. 1-Sn. BNONE

Sch. O-Pt. 1-Sn. CNONE


59, 60, 61, 62

Sch. O-Pt. 2-Sn. ANONE

Sch. O-Pt. 2-Sn. BNONE

Sch. O-Pt. 2-Sn. CNONE

Sch. O-Pt. 3NONE

Sch. S-Pt. 1-Sn. 1NONE


Sch. S-Pt. 2NONE


63

SCHEDULE S - PART 3 - SECTION 1Reinsurance Ceded Life Insurance, Annuities, Deposit Funds and Other Liabilities

Without Life or Disability Contingencies, and Related Benefits Listed by Reinsuring Company as of December 31, Current Year1 2 3 4 5 6 7 Reserve Credit Taken 10 Outstanding Surplus Relief 13 14

8 9 11 12 FundsNAIC Federal Type of Amount Modified Withheld

Company ID Effective Reinsurance In Force at Current Prior Current Prior Coinsurance UnderCode Number Date Name of Company Location Ceded End of Year Year Year Premiums Year Year Reserve Coinsurance

General Account, Non-Affiliates60186......... 36-2554642.... .01/01/2001 ALLSTATE LIFE INSURANCE COMPANY............. NORTHBROOK, ILLINOIS...................................... CO/G.............. .............................. ...........28,607,056 .............................. .............1,660,273 .............................. .............................. .............................. ..............................60186......... 36-2554642.... .01/01/2001 ALLSTATE LIFE INSURANCE COMPANY............. NORTHBROOK, ILLINOIS...................................... CO/I................ .............................. .............1,194,940 .............................. ..................10,000 .............................. .............................. .............................. ..............................

0299999. Total - General Account, Non-Affiliates................................................................... ........................................................................................................... ...........................0 ...........29,801,996 ...........................0 .............1,670,273 ...........................0 ...........................0 ...........................0 ...........................00399999. Total - General Account.......................................................................................... ........................................................................................................... ...........................0 ...........29,801,996 ...........................0 .............1,670,273 ...........................0 ...........................0 ...........................0 ...........................0

Separate Accounts, Non-Affiliates60186......... 36-2554642.... .01/01/2001 ALLSTATE LIFE INSURANCE COMPANY............. NORTHBROOK, ILLINOIS...................................... CO/G.............. .............................. .........110,996,515 .............................. .............................. .............................. .............................. .............................. ..............................60186......... 36-2554642.... .01/01/2001 ALLSTATE LIFE INSURANCE COMPANY............. NORTHBROOK, ILLINOIS...................................... CO/I................ .............................. .............1,363,973 .............................. .............................. .............................. .............................. .............................. ..............................60186......... 36-2554642.... .01/01/2001 ALLSTATE LIFE INSURANCE COMPANY............. NORTHBROOK, ILLINOIS...................................... MCO/G........... .............................. .............................. .............................. ................700,461 .............................. .............................. ...........34,291,170 ..............................60186......... 36-2554642.... .01/01/2001 ALLSTATE LIFE INSURANCE COMPANY............. NORTHBROOK, ILLINOIS...................................... MCO/I............. .............................. .............................. .............................. ..................43,500 .............................. .............................. .............1,160,030 ..............................

0599999. Total - Separate Accounts, Non-Affiliates............................................................... ........................................................................................................... ...........................0 .........112,360,488 ...........................0 ................743,961 ...........................0 ...........................0 ...........35,451,200 ...........................00699999. Total - Separate Accounts....................................................................................... ........................................................................................................... ...........................0 .........112,360,488 ...........................0 ................743,961 ...........................0 ...........................0 ...........35,451,200 ...........................00799999. Totals...................................................................................................................... ........................................................................................................... ...........................0 .........142,162,484 ...........................0 .............2,414,234 ...........................0 ...........................0 ...........35,451,200 ...........................0


64, 65


Sch. S-Pt. 4NONE


66

SCHEDULE S - PART 5Five-Year Exhibit of Reinsurance Ceded Business

(000 Omitted)1 2 3 4 5

2002 2001 2000 1999 1998

A. OPERATIONS ITEMS

1. Premiums and annuity considerations for life and accident and health contracts...................................................................................................................... .....................2,414 .................144,520 ............................... ............................... ...............................

2. Commissions and reinsurance expense allowances.................................................. ............................... ............................... ............................... ............................... ...............................

3. Contract claims........................................................................................................... .....................1,567 .....................1,564 ............................... ............................... ...............................

4. Surrender benefits and withdrawals for life contracts................................................. ............................... ............................... ............................... ............................... ...............................

5. Dividends to policyholders.......................................................................................... ............................... ............................... ............................... ............................... ...............................

6. Reserve adjustments on reinsurance ceded............................................................... ....................(7,268) ....................(8,575) ............................... ............................... ...............................

7. Increase in aggregate reserves for life and accident and health contracts................. ............................... ............................... ............................... ............................... ...............................

B. BALANCE SHEET ITEMS

8. Premiums and annuity considerations for life and accident and health contracts deferred and uncollected............................................................................. ............................... ............................... ............................... ............................... ...............................

9. Aggregate reserves for life and accident and health contracts................................... ...................26,455 ...................22,919 ............................... ............................... ...............................

10. Liability for deposit-type contracts............................................................................... .....................3,347 ............................... ............................... ............................... ...............................

11. Contract claims unpaid................................................................................................ ............................... ............................... ............................... ............................... ...............................

12. Amounts recoverable on reinsurance......................................................................... ............................... ............................... ............................... ............................... ...............................

13. Experience rating refunds due or unpaid.................................................................... ............................... ............................... ............................... ............................... ...............................

14. Policyholders' dividends (not included in Line 10)....................................................... ............................... ............................... ............................... ............................... ...............................

15. Commissions and reinsurance expense allowances unpaid....................................... ............................... ............................... ............................... ............................... ...............................

16. Unauthorized reinsurance offset................................................................................. ............................... ............................... ............................... ............................... ...............................

C. UNAUTHORIZED REINSURANCE (DEPOSITS BY AND FUNDS WITHHELD FROM)

17. Funds deposited by and withheld from (F).................................................................. ............................... ............................... ............................... ............................... ...............................

18. Letters of credit (L)...................................................................................................... ............................... ............................... ............................... ............................... ...............................

19. Trust agreements (T).................................................................................................. ............................... ............................... ............................... ............................... ...............................

20. Other (O)..................................................................................................................... ............................... ............................... ............................... ............................... ...............................


67

SCHEDULE S - PART 6Restatement of Balance Sheet to Identify Net Credit for Ceded Reinsurance

1 2 3As Reported Restatement Restated

(Net of Ceded) Adjustments (Gross of Ceded)

ASSETS (Page 2, Col. 3)

1. Cash and invested assets (Line 11)........................................................................................... ...............................37,686,159 .................................................. ...............................37,686,159

2. Reinsurance ceded (Line 12)..................................................................................................... ........................................2,809 .................................................. ........................................2,809

3. Life & annuity premiums deferred & uncollected (Line 16)........................................................ .................................................. .................................................. ...............................................0

4. A&H premiums due and unpaid (Line 17).................................................................................. .................................................. .................................................. ...............................................0

5. Net credit for ceded reinsurance................................................................................................ .....................XXX...................... ...............................29,801,996 ...............................29,801,996

6. All other admitted assets (balance)............................................................................................ ....................................558,119 .................................................. ....................................558,119

7. Total assets excluding Separate Accounts (Line 25)................................................................. ...............................38,247,088 ...............................29,801,996 ...............................68,049,084

8. Separate Account Assets (Line 26)........................................................................................... ...............................40,183,558 .................................................. ...............................40,183,558

9. Total assets (Line 27)................................................................................................................ ...............................78,430,646 ...............................29,801,996 .............................108,232,642

LIABILITIES, CAPITAL AND SURPLUS (Page 3)

10. Contract reserves (Lines 1 and 2).............................................................................................. .................................2,377,203 ...............................26,455,407 ...............................28,832,610

11. Liability for deposit-type contracts (Line 3)................................................................................ .................................................. .................................3,346,589 .................................3,346,589

12. Claim reserves (Line 4).............................................................................................................. .................................................. .................................................. ...............................................0

13. Policyholder dividends/reserves (Lines 5 through 7)................................................................. .................................................. .................................................. ...............................................0

14. Premium & annuity considerations received in advance (Line 8).............................................. .................................................. .................................................. ...............................................0

15. Other contract liabilities (Line 9)................................................................................................ .................................................. .................................................. ...............................................0

16. Reinsurance in unauthorized companies (Line 24.2)................................................................. .................................................. .................................................. ...............................................0

17. Funds held under reinsurance with unauthorized reinsurers (Line 24.3)................................... .................................................. .....................XXX...................... ...............................................0

18. All other liabilities (balance)....................................................................................................... ....................................144,726 .................................................. ....................................144,726

19. Total liabilities excluding Separate Accounts (Line 26).............................................................. .................................2,521,929 ...............................29,801,996 ...............................32,323,925

20. Separate Account liabilities (Line 27)......................................................................................... ...............................40,183,558 .................................................. ...............................40,183,558

21. Total liabilities (Line 28)............................................................................................................. ...............................42,705,487 ...............................29,801,996 ...............................72,507,483

22. Capital & surplus (Line 38)......................................................................................................... ...............................35,725,159 .....................XXX...................... ...............................35,725,159

23. Total liabilities, capital & surplus (Line 39)................................................................................. ...............................78,430,646 ...............................29,801,996 .............................108,232,642

NET CREDIT FOR CEDED REINSURANCE

24. Contract reserves....................................................................................................................... ...............................26,455,407

25. Claim reserves........................................................................................................................... ...............................................0

26. Policyholder dividends/reserves................................................................................................ ...............................................0

27. Premium & annuity considerations received in advance........................................................... ...............................................0

28. Liability for premium & other deposit funds................................................................................ .................................3,346,589

29. Other contract liabilities.............................................................................................................. ...............................................0

30. Reinsurance ceded assets......................................................................................................... ...............................................0

31. Other ceded reinsurance recoverables...................................................................................... ...............................................0

32. Total ceded reinsurance recoverables....................................................................................... ...............................29,801,996

33. Life & annuity premiums deferred & uncollected....................................................................... ...............................................0

34. A&H premiums due and unpaid................................................................................................. ...............................................0

35. Reinsurance in unauthorized companies................................................................................... ...............................................0

36. Other ceded reinsurance payables/offsets................................................................................ ...............................................0

37. Total ceded reinsurance payables/offsets................................................................................. ...............................................0

38. Total net credit for ceded reinsurance....................................................................................... ...............................29,801,996


68

SCHEDULE T - PREMIUMS AND ANNUITY CONSIDERATIONSAllocated by States and Territories

1 Direct Business OnlyLife Contracts 4 5 6

2 3 Accident and HealthIs Insurer Insurance Premiums, Deposit-TypeLicensed? Life Insurance Annuity Including Policy, Mem- Contract Other

States, Etc. (Yes or No) Premiums Considerations bership and Other Fees Funds Considerations1. Alabama......................................................................................AL ......Yes......... ................................ ................................ ...................................... ................................ ................1,4502. Alaska.........................................................................................AK ......Yes......... ................................ ................................ ...................................... ................................ ................5,4903. Arizona........................................................................................AZ ......Yes......... ................................ ................................ ...................................... ....................33,474 ............111,0364. Arkansas.....................................................................................AR ......Yes......... ................................ ......................6,691 ...................................... ....................73,943 ..............11,2005. California.....................................................................................CA ......Yes......... ................................ ..................762,354 ...................................... ....................68,482 ............131,1386. Colorado.....................................................................................CO ......Yes......... ................................ ................................ ...................................... ..................108,796 ................9,4007. Connecticut.................................................................................CT ......Yes......... ................................ ................................ ...................................... ....................42,323 ..............15,9508. Delaware.....................................................................................DE ......Yes......... ................................ ................................ ...................................... ................................ ..............13,9439. District of Columbia.....................................................................DC ......Yes......... ................................ ................................ ...................................... ................................ ..............21,70010. Florida..........................................................................................FL ......Yes......... ................................ ................................ ...................................... ..................149,115 ............130,86411. Georgia.......................................................................................GA ......Yes......... ................................ ................................ ...................................... ................................ ................4,80012. Hawaii...........................................................................................HI ......Yes......... ................................ ................................ ...................................... ................................ ..........................13. Idaho............................................................................................ID ......Yes......... ................................ ................................ ...................................... ................................ ..........................14. Illinois............................................................................................IL ......Yes......... ................................ ................................ ...................................... ................................ ............301,33415. Indiana..........................................................................................IN ......Yes......... ................................ ................................ ...................................... ................................ ................1,20016. Iowa..............................................................................................IA ......Yes......... ................................ ................................ ...................................... ................................ ................1,26117. Kansas........................................................................................KS ......Yes......... ................................ ................................ ...................................... ....................72,726 ................6,20018. Kentucky.....................................................................................KY ......Yes......... ................................ ................................ ...................................... ................................ ................5,80019. Louisiana.....................................................................................LA ......Yes......... ................................ ................................ ...................................... ................................ ...................10020. Maine..........................................................................................ME ......Yes......... ................................ ................................ ...................................... ................................ ................2,00021. Maryland.....................................................................................MD ......Yes......... ................................ ................................ ...................................... ................................ ..............50,05022. Massachusetts............................................................................MA ......Yes......... ................................ ................................ ...................................... ................................ ..............53,50023. Michigan.......................................................................................MI ......Yes......... ................................ ................................ ...................................... ................................ ..............46,35324. Minnesota...................................................................................MN ......Yes......... ................................ ....................43,325 ...................................... ................................ ..............46,16725. Mississippi..................................................................................MS ......Yes......... ................................ ................................ ...................................... ................................ ................3,00026. Missouri......................................................................................MO ......Yes......... ................................ ................................ ...................................... ................................ ..............24,27027. Montana......................................................................................MT ......Yes......... ................................ ................................ ...................................... ................................ ..........................28. Nebraska.....................................................................................NE ......Yes......... ................................ ................................ ...................................... ......................6,677 ..........................29. Nevada........................................................................................NV ......Yes......... ................................ ................................ ...................................... ................................ ..........................30. New Hampshire..........................................................................NH ......Yes......... ................................ ................................ ...................................... ................................ ..........................31. New Jersey..................................................................................NJ ......Yes......... ................................ ................................ ...................................... ................................ ..............48,94232. New Mexico................................................................................NM ......Yes......... ................................ ................................ ...................................... ................................ ..........................33. New York....................................................................................NY ......Yes......... ................................ ................................ ...................................... ..................145,239 ............179,38034. North Carolina.............................................................................NC ......Yes......... ................................ ................................ ...................................... ................................ ..........................35. North Dakota...............................................................................ND ......Yes......... ................................ ................................ ...................................... ................................ ..........................36. Ohio............................................................................................OH ......Yes......... ................................ ................................ ...................................... ....................19,262 ..............12,07737. Oklahoma...................................................................................OK ......Yes......... ................................ ................................ ...................................... ................................ ..........................38. Oregon........................................................................................OR ......Yes......... ................................ ................................ ...................................... ................................ ..........................39. Pennsylvania...............................................................................PA ......Yes......... ................................ ................................ ...................................... ................................ ..............20,11040. Rhode Island................................................................................RI ......Yes......... ................................ ................................ ...................................... ................................ ................4,20041. South Carolina............................................................................SC ......Yes......... ................................ ................................ ...................................... ................................ ..............34,10042. South Dakota..............................................................................SD ......Yes......... ................................ ................................ ...................................... ................................ ..........................43. Tennessee..................................................................................TN ......Yes......... ................................ ................................ ...................................... ................................ ................3,97044. Texas...........................................................................................TX ......Yes......... ................................ ....................16,822 ...................................... ..................148,084 ..............20,32245. Utah.............................................................................................UT ......Yes......... ................................ ................................ ...................................... ................................ ..............35,00046. Vermont.......................................................................................VT ......Yes......... ................................ ................................ ...................................... ................................ ..........................47. Virginia........................................................................................VA ......Yes......... ................................ ................................ ...................................... ................................ ............166,50048. Washington................................................................................WA ......Yes......... ................................ ....................50,337 ...................................... ....................39,986 ..............74,57249. West Virginia..............................................................................WV ......Yes......... ................................ ................................ ...................................... ................................ ..........................50. Wisconsin....................................................................................WI ......Yes......... ................................ ................................ ...................................... ................................ ..............42,15051. Wyoming....................................................................................WY ......Yes......... ................................ ................................ ...................................... ................................ ................5,00052. American Samoa.........................................................................AS ......No........... ................................ ................................ ...................................... ................................ ..........................53. Guam..........................................................................................GU ......No........... ................................ ................................ ...................................... ................................ ..........................54. Puerto Rico.................................................................................PR ......No........... ................................ ................................ ...................................... ................................ ..........................55. US Virgin Islands..........................................................................VI ......No........... ................................ ................................ ...................................... ................................ ..........................56. Canada.......................................................................................CN ......No........... ................................ ................................ ...................................... ................................ ..........................57. Aggregate Other Alien................................................................OT ......XXX........ .............................0 .............................0 ...................................0 .............................0 ..............80,00058. Subtotal............................................................................................ (a)............51 .............................0 ..................879,529 ...................................0 ..................908,107 .........1,724,52890. Reporting entity contributions for employee benefit plans............... ......XXX........ ................................ ................................ ...................................... ................................ ..........................91. Dividends or refunds applied to purchase paid-up additions

and annuities.................................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................92. Dividends or refunds applied to shorten endowment or

premium paying period.................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................93. Premium or annuity considerations waived under disability

or other contract provisions.............................................................. ......XXX........ ................................ ................................ ...................................... ................................ ..........................94. Aggregate other amounts not allocable by State............................. ......XXX........ .............................0 .............................0 ...................................0 .............................0 .......................095. Totals (Direct Business)................................................................... ......XXX........ .............................0 ..................879,529 ...................................0 ..................908,107 .........1,724,52896. Plus reinsurance assumed............................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................97. Totals (All Business)........................................................................ ......XXX........ .............................0 ..................879,529 ...................................0 ..................908,107 .........1,724,52898. Less reinsurance ceded................................................................... ......XXX........ ................................ ..................879,529 ...................................... ..................828,910 .........1,534,70599. Totals (All Business) less reinsurance ceded.................................. ......XXX........ .............................0 .............................0 (b)..............................0 ....................79,197 ............189,823

DETAILS OF WRITE-INS5701. Foreign............................................................................................. ......XXX........ ................................ ................................ ...................................... ................................ ..............80,0005702. ......................................................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................5703. ......................................................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................5798. Summary of remaining write-ins for line 57 from overflow page...... ......XXX........ .............................0 .............................0 ...................................0 .............................0 .......................05799. Total (Lines 5701 thru 5703 plus 5798) (Line 57 above)................. ......XXX........ .............................0 .............................0 ...................................0 .............................0 ..............80,0009401. ......................................................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................9402. ......................................................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................9403. ......................................................................................................... ......XXX........ ................................ ................................ ...................................... ................................ ..........................9498. Summary of remaining write-ins for line 94 from overflow page...... ......XXX........ .............................0 .............................0 ...................................0 .............................0 .......................09499. Total (Lines 9401 thru 9403 plus 9498) (Line 94 above)................. ......XXX........ .............................0 .............................0 ...................................0 .............................0 .......................0

Explanation of basis of allocation by states, etc., of premiums and annuity considerations.

(a) Insert the number of yes responses except for Canada and Other Alien.(b) Column 4 should balance with Exhibit 1, Lines 6.4, 10.4 and 16.4, Cols. 8, 9, and 10, or with Schedule H, Part 1, Column, Line 1. Indicate which:


69

NORTH AMERICAN PROPERTY/CASUALTY OPERATIONS LIFE OPERATIONS INTERNATIONAL OPERATIONS *Hartford Fire Insurance Company 06-0383750/NAIC #19682/CT Hartford Holdings, Inc. 22-3866674/DE *Hartford Fire Insurance Company 06-0383750 /NAIC #19682/CT (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE) (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE) (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE)

*Hartford Casualty Insurance Company 06-0294398/NAIC #29424/IN Hartford Life, Inc. 06-1470915/DE *Heritage Reinsurance Company, Ltd. (99.4% owned) 98-0188675 (Bermuda) *Hartford Life and Accident Insurance Company 06-0838648/NAIC #70815/CT *Excess Insurance Company, Limited (United Kingdom)

Omni Insurance Group, Inc. 58-1680624/GA *Hartford Life Insurance Company, KK (Japan) *Omni Insurance Company 58-1408232/NAIC #39098/IL *Hart Life Insurance Company 22-1771521/NAIC #60348/CT The Hartford International Financial Services Group, Inc. 06-1132748/DE *Omni Indemnity Company 58-1189287/NAIC #34940/IL *American Maturity Life Insurance Company 06-1422508 /NAIC #81213/CT Omni General Agency, Inc. 74-2734608/TX Hartford Financial Services Life Insurance Company 06-1134817/CT

*Hartford Life Insurance Company 06-0974148/NAIC #88072/CT *Hartford Underwriters Insurance Company 06-1222527 /NAIC #30104/CT *Hartford International Life Reassurance Corporation 06-1207332/NAIC #93505/CT Hartford Risk Management, Inc. (90% owned) 13-2765326/DE *Servus Life Insurance Company 13-6150240/NAIC #80586/CT

*Hartford Life and Annuity Insurance Company 39-1052598/NAIC #71153/CT *Twin City Fire Insurance Company 06-0732738/NAIC #29459/IN *Hartford Life, Ltd. AA-3190021 (Bermuda) OTHER OPERATIONS OWNED BY THE HARTFORD FINANCIAL SERVICES GROUP, INC.

Hopmeadow Holdings S.A. (.1% owned) (Argentina) Hartford Holdings, Inc. 22-3866674/DE *Hartford Insurance Company of Illinois 06-1010609/NAIC #38288/IL *Nutmeg Life Insurance Company / 06-1566092/NAIC #63444/IA The Hartford Investment Management Company 06-1472135/DE

Hartford Investment Services, Inc. 06-0883503/CT *Hartford Lloyd’s Insurance Company 06-1007031/NAIC #38253/TX International Corporate Marketing Group, Inc. 22-3198854/CT

The Evergreen Group, Inc. 13-3216939/NY Heritage Holdings, Inc. 06-1442285/CT Four Thirty Seven Land Company 13-2852356/DE (37.5% owned) Hartford Administrative Services Company 41-0679409/MN *First State Insurance Company 04-2198460 /NAIC #21822/CT

Woodbury Financial Services, Inc. 41-0944586/MN *New England Insurance Company 04-2177185 /NAIC #21830/CT *Hartford Accident and Indemnity Company 06-0383030/NAIC #22357/CT *New England Reinsurance Corporation 06-1053492 /NAIC #41629/CT *Pacific Insurance Company, Limited 06-1401918/NAIC #10046/CT Planco, Inc. 23-2079123/PA *Heritage Reinsurance Company, Ltd. (.6% owned) 98-0188675 (Bermuda) Four Thirty Seven Land Company 13-2852356/DE (62.5% owned) Planco Financial Services, Inc. 23-2132791/PA

Hartford Financial Services LLC 52-2137766/DE *New Ocean Insurance Co., Ltd. 98-0188674 (Bermuda) Specialty Risk Services, Inc. 06-1317292/DE HL Investment Advisors, LLC 06-1534085/CT Trumbull Finance, LLC 06-1521832/CT

Hartford Investment Financial Services, LLC 06-1629808 HARCO Property Services, Inc. 06-1107677/CT Hartford Investments Canada Corp. 98-0219177

Hartford-Comprehensive Employee Benefit Service Company 06-1120503/CT HRA, Inc. 06-1185090/CT Hartford Equity Sales Company, Inc. 06-0896599/CT HRA Brokerage Services, Inc. 06-1126749/CT Hartford Securities Distribution Company 06-1408044/CT The Hartford Fidelity & Bonding Company 06-1493421/CT Hartford Life International Ltd. 06-1293360/CT Access Coverage Corp., Inc. 56-2160819/NC*Nutmeg Insurance Company 06-1032405/NAIC #39608/CT Hopmeadow Holdings S.A. (99.9% owned) (Argentina) (100% of common stock owned by The Hartford Holdings, Inc. 22-3866674/DE *Hartford Seguros De Retiro S.A., (Argentina)

Hartford Management, Ltd. (Bermuda) *ICATU Hartford Seguros S.A., (47.5% owned) (Brazil) *Hartford Insurance Ltd. (Bermuda) *ICATU Hartford Administracao de Beneficios LTDA, (Brazil)

*ICATU Hartford Fundo de Pensao, (Brazil HartRe Group, LLC 06-1032405/CT *ICATU Hartford Capitalizacao S.A. (Brazil) *Sentinel Insurance Company, Ltd. 06-1552103/NAIC #11000/CT *Brazilcap Capitalizacao S.A. (16.67% owned) (Brazil) *Fencourt Reinsurance Company, Ltd. 06-1323788 (Bermuda) *Fedcap Capitalizacao S.A. (24.5% owned) (Brazil)

Trumbull Associates, LLC 06-1521834/CT Trumbull Recovery Services, Inc. 59-3021034/FL PPL Holdings, LLC 27-0008094/DE

*Hartford Insurance Company of the Midwest 06-1008026/NAIC #37478/IN (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE)*Hartford Insurance Company of the Southeast 06-1013048/NAIC #38261/FL (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE)*Trumbull Insurance Company 06-1184984/NAIC #27120/CT (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE) Hartford Technology Services Company, LLC 06-1552692/DE Horizon Management Group, LLC 06-1526449/DE*Property and Casualty Insurance Company of Hartford 06-1276326/NAIC #34690/IN (100% of common stock owned by The Hartford Financial Services Group, Inc. 13-3317783/DE)

*denotes an insurance company

SCHEDULE Y – INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUPPART 1 – ORGANIZATIONAL CHART


70

SCHEDULE Y (Continued) PART 2 - SUMMARY OF INSURER'S TRANSACTIONS WITH ANY AFFILIATES

1 2 3 4 5 6 7 8 9 10 11 12 13Income/

(Disbursements) Any Other ReinsurancePurchases, Sales Incurred in Material Activity Recoverable/or Exchanges of Connection with Management Income/ Not in the (Payable) on

Loans, Securities, Guarantees or Agreements (Disbursements) Ordinary Losses and/orNAIC Federal Names of Insurers Real Estate, Undertakings and Incurred under Course of the Reserve Credit

Company ID and Parent, Subsidiaries Shareholder Capital Mortgage Loans or for the Benefit Service Reinsurance Insurer's Taken/Code Number or Affiliates Dividends Contributions Other Investments of any Affiliate(s) Contracts Agreements * Business Totals (Liability)

Affiliated Transactions............................ 13-3317783.............. The Hartford Financial Services Grp., Inc................................ ................223,545,030 ...............(465,125,628) ..................................... ..................................... ...............(180,971,512) ................................. ....... ................................... ...............(422,552,110) .....................................39608.................. 06-1032405.............. Nutmeg Insurance Company................................................... ..................................... ...................(5,000,000) ..................................... ..................................... ..................27,862,932 ................................. ...*... ................................... ..................22,862,932 ..................94,145,00019682.................. 06-0383750.............. Hartford Fire Insurance Company............................................ ................141,711,249 .................(39,551,908) ..................................... ..................................... ................155,148,593 ................................. ...*... ................................... ................257,307,934 ................984,650,49222357.................. 06-0383030.............. Hartford Accident & Indemnity Company................................. ....................2,957,157 ................226,973,701 ..................................... ..................................... ..................67,845,440 ................................. ...*... ................................... ................297,776,298 ............(3,808,798,000)10046.................. 06-1401918.............. Pacific Insurance Company, Limited........................................ ...................(7,000,000) ..................................... ..................................... ..................................... ....................4,983,480 ................................. ...*... ................................... ...................(2,016,520) .................(16,698,000)11000.................. 06-1552103.............. Sentinel Insurance Company, Ltd............................................ ..................................... ..................................... ..................................... ..................................... .......................985,566 ................................. ...*... ................................... .......................985,566 .................(35,731,000)29424.................. 06-0294398.............. Hartford Casualty Insurance Company.................................... .................(20,500,000) ..................38,187,683 ..................................... ..................................... ..................16,391,376 ................................. ...*... ................................... ..................34,079,059 ................555,302,00030104.................. 06-1222527.............. Hartford Underwriters Insurance Company............................. .................(20,000,000) ..................27,772,860 ..................................... ..................................... ..................12,172,858 ................................. ...*... ................................... ..................19,945,718 ................829,009,00034690.................. 06-1276326.............. Property & Casualty Ins. Co. of Hartford.................................. ..................................... ....................3,471,608 ..................................... ..................................... ....................1,317,883 ................................. ...*... ................................... ....................4,789,491 ................148,953,00027120.................. 06-1184984.............. Trumbull Insurance Company.................................................. ..................................... ....................3,471,608 ..................................... ..................................... ....................1,265,865 ................................. ...*... ................................... ....................4,737,473 ..................13,238,00038261.................. 06-1013048.............. Hartford Insurance Co. of the Southeast................................. ..................................... ....................3,471,608 ..................................... ..................................... ....................1,440,881 ................................. ...*... ................................... ....................4,912,489 ..................44,102,00037478.................. 06-1008026.............. Hartford Insurance Co. of the Midwest.................................... ...................(2,500,000) ....................3,471,608 ..................................... ..................................... ....................5,159,753 ................................. ...*... ................................... ....................6,131,361 .............1,177,754,00029459.................. 06-0732738.............. Twin City Fire Insurance Company.......................................... ...................(5,000,000) ..................10,414,823 ..................................... ..................................... ....................6,030,524 ................................. ...*... ................................... ..................11,445,347 .............1,475,255,00038288.................. 06-1010609.............. Hartford Insurance Company of Illinois.................................... ..................................... ..................70,126,472 ..................................... ..................................... ..................17,618,206 ................................. ...*... ................................... ..................87,744,678 ............(1,302,990,000)38253.................. 06-1007031.............. Hartford Lloyd's Insurance Company....................................... ..................................... ..................................... ..................................... ..................................... .......................981,066 ................................. ...*... ................................... .......................981,066 ..................79,654,000............................ 06-1470915.............. Hartford Life, Inc...................................................................... ..................80,400,000 ...............(160,000,000) ..................................... ..................................... ...............(122,571,814) ................................. ....... ................................... ...............(202,171,814) .....................................70815.................. 06-0838648.............. Hartford Life & Accident Insurance Co..................................... .................(59,900,000) .................(83,093,732) ..................................... ..................................... ..................30,810,287 ................................. ....... ................................... ...............(112,183,445) .................(58,000,493)............................ 00-0000000.............. Hartford Life Insurance Company, KK (Japan)........................ ..................................... ..................74,297,623 ..................................... ..................................... ..................................... ................................. ....... ................................... ..................74,297,623 .....................................60348.................. 22-1771521.............. Hart Life Insurance Company.................................................. ..................................... ..................................... ..................................... ..................................... .......................115,605 ................................. ....... ................................... .......................115,605 .....................................88072.................. 06-0974148.............. Hartford Life Insurance Company............................................ ..................................... ..................................... ..................................... ..................................... ....................7,168,566 ................................. ....... ................................... ....................7,168,566 ....................1,837,001............................ 06-1134817.............. Hartford Financial Services Life Ins. Co................................... ..................................... ..................................... ..................................... ..................................... ...........................7,783 ................................. ....... ................................... ...........................7,783 .....................................71153.................. 39-1052598.............. Hartford Life & Annuity Insurance Company............................ ..................................... ................235,000,000 ..................................... ..................................... .................(85,125,130) ................................. ....... ................................... ................149,874,870 ................................................................. 22-3198854.............. International Corporate Marketing Group, Inc.......................... ..................................... ..................................... ..................................... ..................................... .......................129,465 ................................. ....... ................................... .......................129,465 ................................................................. 13-3216939.............. The Evergreen Group, Inc....................................................... ..................................... ..................................... ..................................... ..................................... .........................49,522 ................................. ....... ................................... .........................49,522 ................................................................. 06-1293360.............. Hartford Life International, Ltd................................................. .................(12,000,000) ..................................... ..................................... ..................................... .................(11,146,400) ................................. ....... ................................... .................(23,146,400) .....................................93505.................. 06-1207332.............. Hartford International Life Reassurance Corporation.............. ..................................... ..................................... ..................................... ..................................... ....................4,178,348 ................................. ....... ................................... ....................4,178,348 ................................................................. AA-3190021............. Hartford Life, Ltd. (Bermuda)................................................... ..................................... ..................................... ..................................... ..................................... ...................(2,066,246) ................................. ....... ................................... ...................(2,066,246) ................................................................. 27-0008094.............. PPL Holdings, LLC................................................................... ..................................... ....................5,000,000 ..................................... ..................................... ......................(794,000) ................................. ....... ................................... ....................4,206,000 ................................................................. 22-3866674.............. Hartford Holdings, Inc.............................................................. ...............(192,960,000) ..................42,315,567 ..................................... ..................................... ..................................... ................................. ....... ................................... ...............(150,644,433) ................................................................. 06-1132748.............. The Hartford International Financial Services Group, Inc........ .................(13,253,437) ..................................... ..................................... ..................................... ...................(9,611,765) ................................. ....... ................................... .................(22,865,202) ................................................................. 98-0219177.............. Hartford Investments Canada Corp......................................... ..................................... ..................................... ..................................... ..................................... ......................(741,529) ................................. ....... ................................... ......................(741,529) ................................................................. 00-0000000.............. Hartford Insurance, Ltd. (Bermuda)........................................ ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 58-1680624.............. Omni Insurance Group, Inc...................................................... ..................................... ..................................... ..................................... ..................................... ......................(101,497) ................................. ....... ................................... ......................(101,497) .....................................39098.................. 58-1408232.............. Omni Insurance Company....................................................... .......................250,000 ..................................... ..................................... ..................................... ....................6,482,654 ................................. ....... ................................... ....................6,732,654 .................(57,550,000)34940.................. 58-1189287.............. Omni Indemnity Company....................................................... ..................................... ..................................... ..................................... ..................................... ...................(7,696,769) ................................. ....... ................................... ...................(7,696,769) ................................................................. 74-2734608.............. Omni General Agency, Inc....................................................... ......................(250,000) ..................................... ..................................... ..................................... .........................49,098 ................................. ....... ................................... ......................(200,902) ................................................................. 06-1472135.............. The Hartford Investment Management Co............................... ..................................... ..................................... ..................................... ..................................... ..................14,425,238 ................................. ....... ................................... ..................14,425,238 ................................................................. 06-0883503.............. Hartford Investment Services, Inc............................................ ..................................... ..................................... ..................................... ..................................... .......................104,178 ................................. ....... ................................... .......................104,178 ................................................................. 06-1442285.............. Heritage Holdings, Inc.............................................................. ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 98-0188675.............. Heritage Reinsurance Company, Ltd. (Bermuda).................... ..................10,000,001 ..................................... ..................................... ..................................... ....................7,456,357 ................................. ....... ................................... ..................17,456,358 ............(1,649,895,000)............................ 00-0000000.............. Excess Insurance Company, Limited (United Kingdom).......... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ..................37,008,00021822.................. 04-2198460.............. First State Insurance Company............................................... ..................................... .................(30,961,734) ..................................... ..................................... .................(30,781,206) ................................. ...*... ................................... .................(61,742,940) .............1,421,734,00021830.................. 04-2177185.............. New England Insurance Company.......................................... ..................................... ..................15,480,867 ..................................... ..................................... ....................3,904,116 ................................. ...*... ................................... ..................19,384,983 ..................81,074,00041629.................. 06-1053492.............. New England Reinsurance Corporation................................... ..................................... ..................15,480,867 ..................................... ..................................... ....................1,771,077 ................................. ...*... ................................... ..................17,251,944 ...................(5,642,000)............................ 06-1107677.............. HARCO Property Services, Inc................................................ ...................(5,000,000) ..................................... ..................................... ..................................... .......................948,347 ................................. ....... ................................... ...................(4,051,653) ................................................................. 13-2852356.............. Four Thirty-Seven Land Company........................................... ..................................... ..................................... ..................................... ..................................... ..............................288 ................................. ....... ................................... ..............................288 ................................................................. 06-1185090.............. HRA, Inc................................................................................... ..................................... ..................................... ..................................... ..................................... ......................(116,511) ................................. ....... ................................... ......................(116,511) .....................................


70.1

SCHEDULE Y (Continued) PART 2 - SUMMARY OF INSURER'S TRANSACTIONS WITH ANY AFFILIATES

1 2 3 4 5 6 7 8 9 10 11 12 13Income/

(Disbursements) Any Other ReinsurancePurchases, Sales Incurred in Material Activity Recoverable/or Exchanges of Connection with Management Income/ Not in the (Payable) on

Loans, Securities, Guarantees or Agreements (Disbursements) Ordinary Losses and/orNAIC Federal Names of Insurers Real Estate, Undertakings and Incurred under Course of the Reserve Credit

Company ID and Parent, Subsidiaries Shareholder Capital Mortgage Loans or for the Benefit Service Reinsurance Insurer's Taken/Code Number or Affiliates Dividends Contributions Other Investments of any Affiliate(s) Contracts Agreements * Business Totals (Liability)

............................ 06-1126749.............. HRA Brokerage Services, Inc.................................................. ..................................... ..................................... ..................................... ..................................... .......................121,959 ................................. ....... ................................... .......................121,959 .....................................

............................ 06-1521834.............. Trumbull Associates, LLC........................................................ ..................................... ..................................... ..................................... ..................................... ...................(4,388,269) ................................. ....... ................................... ...................(4,388,269) .....................................

............................ 06-1521832.............. Trumbull Finance, LLC............................................................. ..................................... ..................................... ..................................... ..................................... .........................11,847 ................................. ....... ................................... .........................11,847 .....................................

............................ 06-1552692.............. Hartford Technology Services Co., LLC.................................. ..................................... ..................................... ..................................... ..................................... .........................37,585 ................................. ....... ................................... .........................37,585 .....................................

............................ 06-1526449.............. Horizon Managment Group, LLC............................................. ..................................... ..................................... ..................................... ..................................... ....................2,695,617 ................................. ....... ................................... ....................2,695,617 .....................................

............................ 13-2765326.............. Hartford Risk Management, Inc............................................... ..................................... ..................................... ..................................... ..................................... ....................1,448,189 ................................. ....... ................................... ....................1,448,189 .....................................

............................ 59-3021034.............. Trumbull Recovery Services, Inc............................................. ..................................... ..................................... ..................................... ..................................... ..........................(9,093) ................................. ....... ................................... ..........................(9,093) .....................................

............................ 06-1323788.............. Fencourt Reinsurance Company, Ltd. (Bermuda)................... ..................................... ..................................... ..................................... ..................................... ....................1,006,579 ................................. ....... ................................... ....................1,006,579 ...................(8,411,000)

............................ 98-0188674.............. New Ocean Insurance Company, Ltd (Bermuda).................... ..................................... ..................................... ..................................... ..................................... ......................(115,548) ................................. ....... ................................... ......................(115,548) .....................................

............................ 06-1120503.............. Hartford-Comp. Employee Ben. Svc. Co................................. ..................................... ..................................... ..................................... ..................................... .........................17,773 ................................. ....... ................................... .........................17,773 .....................................

............................ 06-0896599.............. Hartford Equity Sales Co., Inc.................................................. ..................................... ..................................... ..................................... ..................................... .........................16,339 ................................. ....... ................................... .........................16,339 .....................................

............................ 06-1534085.............. HL Investment Advisors, LLC.................................................. ..................................... ....................1,284,109 ..................................... ..................................... ..................57,323,097 ................................. ....... ................................... ..................58,607,206 .....................................

............................ 23-2079123.............. Planco Incorporated................................................................. ..................................... ..................................... ..................................... ..................................... ....................1,086,513 ................................. ....... ................................... ....................1,086,513 .....................................

............................ 23-2132791.............. Planco Financial Services, Inc................................................. ..................................... ..................................... ..................................... ..................................... .........................21,662 ................................. ....... ................................... .........................21,662 .....................................80586.................. 13-6150240.............. Servus Life Insurance Company.............................................. ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 .....................................63444.................. 06-1566092.............. Nutmeg Life Insurance Company............................................ ..................................... ..................................... ..................................... ..................................... .......................119,497 ................................. ....... ................................... .......................119,497 ................................................................. 06-1493421.............. The Hartford Fidelity and Bonding Company........................... ..................................... ..................................... ..................................... ..................................... ................................19 ................................. ....... ................................... ................................19 ................................................................. 00-0000000.............. Hartford Management, Ltd. (Bermuda).................................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 06-1032405.............. HartRe Group, LLC.................................................................. ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 .....................................81213.................. 06-1422508.............. American Maturity Life Insurance Company............................ ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. Hopmeadow Holdings (Argentina)........................................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. Hartford Seguros De Retiro S.A., (Argentina).......................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. ICATU Hartford Seguros S.A., (Brazil)..................................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. ICATU Hartford Administracao de Beneficios LTDA, (Brazil).. ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. ICATU Hartford Fundo de Pensao, (Brazil)............................. ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. ICATU Hartford Capitalizacao S.A. (Brazil)............................. ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. Brazilcap Capitalizacao S.A. (Brazil)....................................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 00-0000000.............. Fedcap Capitalizacao S.A. (Brazil).......................................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 56-2160819.............. Access Coverage Corp., Inc.................................................... ..................................... ..................................... ..................................... ..................................... ...................(1,987,505) ................................. ....... ................................... ...................(1,987,505) ................................................................. 41-0679409.............. Hartford Administrative Services Company............................. ...................(8,500,000) ..................................... ..................................... ..................................... ...................(6,086,407) ................................. ....... ................................... .................(14,586,407) ................................................................. 41-0944586.............. Woodbury Financial Services, Inc............................................ ..................................... ..................................... ..................................... ..................................... ...................(1,608,149) ................................. ....... ................................... ...................(1,608,149) ................................................................. 52-2137766.............. Hartford Financial Services, LLC............................................. .................(66,000,000) .........................12,000 ..................................... ..................................... ..................................... ................................. ....... ................................... .................(65,988,000) ................................................................. 06-1629808.............. Hartford Investment Financial Services, LLC........................... ..................................... ..................................... ..................................... ..................................... ..................................... ................................. ....... ................................... ..................................0 ................................................................. 06-1317292.............. Specialty Risk Services, Inc..................................................... .................(46,000,000) ..................................... ..................................... ..................................... ....................5,415,182 ................................. ....... ................................... .................(40,584,818) ................................................................. 06-1408044.............. Hartford Securities Distribution Company................................ ..................................... ....................7,500,000 ..................................... ..................................... .............................(365) ................................. ....... ................................... ....................7,499,635 ................................................................. 00-0000000.............. Hartford Bank, FSB (Federal).................................................. ..................................... ..................................... ..................................... ..................................... ......................(207,495) ................................. ....... ................................... ......................(207,495) .....................................

9999999. Control Totals.............................................................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..............................0 XXX ................................0 ..................................0 ..................................0


71

SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIESThe following supplemental reports are required to be filed as part of your statement filing. However, in the event that your company does not transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a "NONE" report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason, enter SEE EXPLANATION and provide an explanation following the interrogatory questions.

MARCH FILING RESPONSES1. Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1? NO2. Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1? NO3. Will the SVO Compliance Certification be filed by March 1? YES4. Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC by March 1? NO5. Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1? YES6. Will the Risk-Based Capital Report be filed with the NAIC by March 1? YES7. Will the Risk-Based Capital Report be filed with the state of domicile, if required, by March 1? YES8. Will the statement on non-guaranteed elements as required in interrogatory #3 to Exhibit 5 be filed by March 1? YES9. Will an actuarial opinion be filed with this statement by March 1? YES10. Will the Workers' Compensation Carve-Out Supplement be filed by March 1? NO11. Will the Long-term Care Insurance Exhibit be filed with the state of domicile and the NAIC by March 1? NO

APRIL FILING12. Will the Long-Term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1? NO13. Will Management's Discussion and Analysis be filed by April 1? YES14. Will the Interest-Sensitive Life Insurance Products Report Forms be filed with the state of domicile and the NAIC by April 1? NO15. Will the Credit Insurance Experience Exhibit be filed with the state of domicile and the NAIC by April 1? NO16. Will the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit be filed with the state

of domicile and the NAIC by April 1? YES17. Will the Adjustment Form (if required) by filed with state of domicile and the NAIC by April 1? YES18. Will the Accident and Health Policy Experience Exhibit be filed by April 1? NO19. Will the Investment Risk Interrogatories be filed by April 1? YES

JUNE FILING20. Will an audited financial report be filed by June 1? YES

EXPLANATIONS:

BAR CODE:

*81213200242000000* *81213200233000000**81213200236000000*

*81213200228000000**81213200249000000* *81213200223000000*

*81213200221000000*

*81213200249500000**81213200234000000*


72P, 72L, E01, E02, E03, E04, E05, E06, E07

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E08

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 3 Interest 6 7 8 9 10 11 12 13 Interest 16 17 18 19 20 214 5 14 15 Amount of

Interest DueAmount Due and Accrued

Rate and Accrued December 31,Used December 31 Gross Increase Current Year, Effec-

to of Current Amount Increase (Decrease) on Bonds in tiveCUSIP Option Obtain Year on Received (Decrease) by Foreign Default as to NAIC RateIdentifi- Rate How Maturity Option Call Book/Adjusted Fair Fair Bonds not During by Exchange Principal or Desig- Date ofcation Description * of Paid Date Date Price Carrying Value Par Value Value Value Actual Cost in Default Year Adjustment Adjustment Interest nation Acquired Interest

U.S. Government - Issuer Obligations912828-AG-5. U S A TREASURY........................................................... ........ .......2.250 JJ..... 07/31/2004 ................. ............ ..........3,709,804 ..........3,700,000 ..100.2650 ..........3,709,804 ..........3,711,852 ..........34,838 ...................... ...........(2,048) ...................... ...................... ......1 08/29/2002 .......2.080912810-DV-7. U S A TREASURY BONDS.............................................. ........ .......9.250 FA.... 02/15/2016 ................. ............ .............517,552 .............425,000 ..148.4060 .............630,726 .............549,770 ..........14,849 ..........39,313 ...........(4,287) ...................... ...................... ......1 02/01/1993 .......6.730912827-3V-2.. U S A TREASURY NOTES.............................................. ........ .......5.500 JJ..... 01/31/2003 ................. ............ .............308,754 .............309,000 ..100.3440 .............310,063 .............300,503 ............7,112 ..........16,995 ............2,957 ...................... ...................... ......1 01/12/2000 .......6.510912827-4D-1.. U S A TREASURY NOTES.............................................. ........ .......5.750 AO.... 04/30/2003 ................. ............ ..........5,053,412 ..........5,000,000 ..101.4690 ..........5,073,450 ..........5,167,188 ..........49,240 ........287,500 .......(113,775) ...................... ...................... ......1 04/16/2002 .......2.460912827-6X-5.. U S A TREASURY NOTES.............................................. ........ .......4.625 MN... 05/15/2006 ................. ............ ..........4,093,627 ..........4,045,000 ..101.2020 ..........4,093,627 ..........4,105,183 ..........28,915 ........182,109 .........(11,556) ...................... ...................... ......1 06/21/2002 .......4.240912827-7C-0.. U S A TREASURY NOTES.............................................. ........ .......3.625 FA.... 08/31/2003 ................. ............ ..........5,025,469 ..........5,000,000 ..100.5090 ..........5,025,469 ..........5,052,344 ..........61,585 ..........90,625 .........(26,875) ...................... ...................... ......1 04/16/2002 .......2.840912827-7G-1.. U S A TREASURY NOTES.............................................. ........ .......3.000 MN... 11/30/2003 ................. ............ ..........4,996,446 ..........5,000,000 ....99.9290 ..........4,996,446 ..........4,993,750 ..........13,187 ........150,000 ............2,696 ...................... ...................... ......1 04/16/2002 .......3.080912827-7M-8. U S A TREASURY NOTES.............................................. ........ .......3.000 FA.... 02/29/2004 ................. ............ ..........4,982,595 ..........5,000,000 ....99.6520 ..........4,982,595 ..........4,972,266 ..........50,967 ..........75,000 ..........10,329 ...................... ...................... ......1 04/16/2002 .......3.310912827-J7-8... U S A TREASURY NOTES.............................................. ........ .......6.250 FA.... 02/15/2003 ................. ............ ..........1,009,682 ..........1,010,000 ..100.5940 ..........1,015,999 .............996,803 ..........23,843 ..........63,125 ............2,533 ...................... ...................... ......1 04/08/1996 .......6.520912827-N8-1.. U S A TREASURY NOTES.............................................. ........ .......5.875 FA.... 02/15/2004 ................. ............ .............109,939 .............110,000 ..105.1560 .............115,672 .............109,828 ............2,441 ............6,463 .................51 ...................... ...................... ......1 10/10/2000 .......5.930912827-R8-7.. U S A TREASURY NOTES.............................................. ........ .......7.875 MN... 11/15/2004 ................. ............ .............509,724 .............500,000 ..111.6560 .............558,280 .............536,250 ............5,112 ..........39,375 ...........(4,729) ...................... ...................... ......1 04/08/1996 .......6.750912828-AH-3. U S A TREASURY TBD 3.25% 8/15/2007....................... ........ .......3.250 FA.... 08/15/2007 ................. ............ ..........5,008,418 ..........5,000,000 ................ ..........5,008,418 ..........5,008,984 ..........61,389 ...................... ..............(566) ...................... ...................... ......1 08/29/2002 .......3.210

0199999. U.S. Government - Issuer Obligations............................................................................................................................ ........35,325,421 ........35,099,000 ....XXX..... ........35,520,547 ........35,504,720 ........353,478 ........950,505 .......(145,271) ...................0 ...................0 .XXX .....XXX..... ....XXX.....0399999. Total - U.S. Government................................................................................................................................................ ........35,325,421 ........35,099,000 ....XXX..... ........35,520,547 ........35,504,720 ........353,478 ........950,505 .......(145,271) ...................0 ...................0 .XXX .....XXX..... ....XXX.....

Totals5499999. Total - Issuer Obligations............................................................................................................................................... ........35,325,421 ........35,099,000 ....XXX..... ........35,520,547 ........35,504,720 ........353,478 ........950,505 .......(145,271) ...................0 ...................0 .XXX .....XXX..... ....XXX.....6099999. Grand Total - Bonds....................................................................................................................................................... ........35,325,421 ........35,099,000 ....XXX..... ........35,520,547 ........35,504,720 ........353,478 ........950,505 .......(145,271) ...................0 ...................0 .XXX .....XXX..... ....XXX.....


E09

SCHEDULE D - PART 2 - SECTION 1Showing all PREFERRED STOCKS Owned December 31 of Current Year

1 2 3 4 5 6 7 8 9 Dividends 12 13 14 15Rate per 10 11 Increase

Par Share Used Increase (Decrease) byCUSIP Number Value Rate Book/Adjusted to Obtain Amount (Decrease) Foreign NAICIdentifi- of per per Carrying Fair Fair Actual Declared but Received by Exchange Desig- Datecation Description Shares Share Share Value Value Value Cost Unpaid During Year Adjustment Adjustment nation Acquired

NONE


E10

SCHEDULE D - PART 2 - SECTION 2Showing all COMMON STOCKS Owned December 31 of Current Year

1 2 3 4 5 6 7 Dividends 10 11 12 13Rate per 8 9 Increase

Share Used Increase (Decrease)CUSIP Number Book/Adjusted to Obtain Amount (Decrease) by Foreign NAICIdentifi- of Carrying Fair Fair Actual Declared but Received by Exchange Designation Datecation Description Shares Value Value Value Cost Unpaid During Year Adjustment Adjustment (a) Acquired

Common Stocks - Parent, Subsidiaries and AffiliatesUnited States999592-18-1......... AML FINANCIAL INC............................................................... ........................50.000 ......................25,000 ....................500.000 ......................25,000 ......................25,000 ................................... ................................... ................................... ................................... ...............A........... ...12/30/1997....

United States................................................................................................................... ......................25,000 ...........XXX................ ......................25,000 ......................25,000 ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... ..........XXX.........6999999. Total - Common Stocks - Parent, Subsidiaries and Affiliates......................................... ......................25,000 ...........XXX................ ......................25,000 ......................25,000 ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... ..........XXX.........7099999. Total - Common Stock..................................................................................................... ......................25,000 ...........XXX................ ......................25,000 ......................25,000 ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... ..........XXX.........7199999. Total - Preferred and Common Stock............................................................................. ......................25,000 ...........XXX................ ......................25,000 ......................25,000 ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... ..........XXX.........

(a) For all common stocks bearing the NAIC designation ''U''provide: the number of such issues...............0, the total $ value (included in Column 6) of all such issues $...............0.


E11

SCHEDULE D - PART 3Showing all Long-Term Bonds and Stocks ACQUIRED During Current Year

1 2 3 4 5 6 7 8Number Paid for

CUSIP Date of Shares Accrued InterestIdentification Description Acquired Name of Vendor of Stock Actual Cost Par Value and Dividends

Bonds - U.S. Government912828-AG-5............... U S A TREASURY 07/31/2004............................................................ ......08/29/2002..... GREENWICH CAPITAL MARKETS, INC............................................ ..................................................... ....................................3,711,852 ....................................3,700,000 ...........................................6,787912827-4D-1................ U S A TREASURY NOTES 04/30/2003............................................... ......04/16/2002..... SALOMON SMITH BARNEY INC........................................................ ..................................................... ....................................5,167,188 ....................................5,000,000 .......................................133,425912827-6X-5................ U S A TREASURY NOTES 05/15/2006............................................... ......06/21/2002..... Various................................................................................................. ..................................................... ....................................4,105,183 ....................................4,045,000 .........................................51,680912827-7C-0................ U S A TREASURY NOTES 08/31/2003............................................... ......04/16/2002..... SALOMON SMITH BARNEY INC........................................................ ..................................................... ....................................5,052,344 ....................................5,000,000 .........................................23,641912827-7G-1................ U S A TREASURY NOTES 11/30/2003............................................... ......04/16/2002..... GREENWICH CAPITAL MARKETS, INC............................................ ..................................................... ....................................4,993,750 ....................................5,000,000 .........................................56,868912827-7M-8................ U S A TREASURY NOTES 02/29/2004............................................... ......04/16/2002..... GREENWICH CAPITAL MARKETS, INC............................................ ..................................................... ....................................4,972,266 ....................................5,000,000 .........................................19,565912828-AH-3................ U S A TREASURY TBD 3.25% 8/15/2007 08/15/2007........................ ......08/29/2002..... SALOMON SMITH BARNEY INC........................................................ ..................................................... ....................................5,008,984 ....................................5,000,000 ...........................................6,624

0399999. Total - Bonds - U.S. Government......................................................................................... ..................................................................................................................................................................... ..................................33,011,567 ..................................32,745,000 .......................................298,5906099997. Total - Bonds - Part 3........................................................................................................... ..................................................................................................................................................................... ..................................33,011,567 ..................................32,745,000 .......................................298,5906099999. Total - Bonds........................................................................................................................ ..................................................................................................................................................................... ..................................33,011,567 ..................................32,745,000 .......................................298,5907299999. Total - Bonds, Preferred and Common Stocks.................................................................... ..................................................................................................................................................................... ..................................33,011,567 ..........................XXX.................... .......................................298,590


E12

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16Increase Foreign Interest

Book/Adjusted (Decrease) Exchange Realized Total on Bonds Dividends onCUSIP Number Carrying Value Increase by Foreign Gain Gain Gain Received StocksIdentifi- Disposal of Shares Par Actual at Disposal (Decrease) by Exchange (Loss) on (Loss) on (Loss) on During Receivedcation Description Date Name of Purchaser of Stock Consideration Value Cost Date Adjustment Adjustment Disposal Disposal Disposal Year During Year

Bonds - U.S. Government912827-2L-5....... U S A TREASURY NOTES 02/28/2002................. 02/28/2002 MATURED............................................. ............................ ..........2,945,000 ..........2,945,000 ..........3,017,475 ..........2,945,000 ............(3,224) ........................ ........................ ........................ .....................0 ............92,031 .......................912827-2W-1..... U S A TREASURY NOTES 05/31/2002................. 05/31/2002 MATURED............................................. ............................ ..........1,043,000 ..........1,043,000 ..........1,042,674 ..........1,043,000 ...................73 ........................ ........................ ........................ .....................0 ............67,958 .......................

0399999. Total - Bonds - U.S. Government................................................................................................................................................ ..........3,988,000 ..........3,988,000 ..........4,060,149 ..........3,988,000 ............(3,151) .....................0 .....................0 .....................0 .....................0 ..........159,989 .......XXX.........6099997. Total - Bonds - Part 4.................................................................................................................................................................. ..........3,988,000 ..........3,988,000 ..........4,060,149 ..........3,988,000 ............(3,151) .....................0 .....................0 .....................0 .....................0 ..........159,989 .......XXX.........6099999. Total - Bonds............................................................................................................................................................................... ..........3,988,000 ..........3,988,000 ..........4,060,149 ..........3,988,000 ............(3,151) .....................0 .....................0 .....................0 .....................0 ..........159,989 .......XXX.........7299999. Total - Bonds, Preferred and Common Stocks........................................................................................................................... ..........3,988,000 ............XXX........ ..........4,060,149 ..........3,988,000 ............(3,151) .....................0 .....................0 .....................0 .....................0 ..........159,989 ....................0


E13

SCHEDULE D - PART 5Showing all Long-Term Bonds and Stocks ACQUIRED During Current Year and Fully DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17Par Value Increase Foreign(Bonds) Book/Adjusted Increase (Decrease) Exchange Realized Total Interest and Paid for

CUSIP or Number of Carrying Value (Decrease) by Foreign Gain Gain Gain Dividends AccruedIdentifi- Date Disposal Shares Actual at Disposal by Exchange (Loss) on (Loss) on (Loss) on Received Interest andcation Description Acquired Name of Vendor Date Name of Purchaser (Stocks) Cost Consideration Date Adjustment Adjustment Disposal Disposal Disposal During Year Dividends

NONE


E14

SCHEDULE D - PART 6 - SECTION 1Valuation of Shares of Subsidiary, Controlled or Affiliated Companies

1 2 3 4 5 6 7 Stock of SuchNAIC NAIC Valuation Company Owned by

Company Method Do Insurer's Insurer on Statement DateCode or Alien (See SVO Assets Include Intangible Total Amount 8 9

CUSIP Description Insurer Purposes and Assets Connected of Such Book/AdjustedIdentifi- Name of Subsidiary, Controlled or Identification Procedures with Holding of Such Intangible Carrying Number of % ofcation Affiliated Company Number manual) Company's Stock? Assets Value Shares Outstanding

Common StocksOther Affiliates999592 181...... AML FINANCIAL INC............................................. ........81213...... 8-3-A................ NO.................................. N/A................... ...............25,000 ...............50.000 ..........100.0

1599999. Total - Common Stocks - Other Affiliates............................................................................................................... ......................0 ...............25,000 .........XXX........... ......XXX.......1699999. Total - Common Stocks.......................................................................................................................................... ......................0 ...............25,000 .........XXX........... ......XXX.......1799999. Total - Preferred and Common Stock..................................................................................................................... ......................0 ...............25,000 .........XXX........... ......XXX.......

1. Amount of insurer's capital and surplus from the prior period's statutory statement reduced by any admitted EDP, goodwill and net deferred tax assets included therein: $.....35,637,729. 2. Total amount of intangible assets nonadmitted $..........0.

SCHEDULE D - PART 6 - SECTION 21 2 3 4 Stock in Lower-Tier Company Owned

Indirectly by Insurer on Statement DateTotal Amount of 5 6

Name of Company Listed in Intangible AssetsCUSIP Section 1 Included inIdentifi- Which Controls Lower-tier Amount Shown incation Name of Lower-tier Company Company Column 6, Section 1 Number of Shares % of Outstanding

NONE


E15, E16, E17, E18, E19, E20, E21, E22, E23

Sch. DA-Pt. 1NONE

Sch. DB-Pt. A-Sn. 1NONE



Sch. DB-Pt. B-Sn. 1NONE



Sch. DB-Pt. C-Sn. 1NONE



Sch. DB-Pt. D-Sn. 1NONE



Sch. DB-Pt. E-Sn. 1NONE

Sch. DMNONE


E24

SCHEDULE E - PART 1 - CASH1 2 3 4 5 6

Amount of Amount ofRate Interest Interest Accrued

of Received December 31 ofDepository Interest During Year Current Year Balance *

TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR 1. January.................... ..................29,985,712 4. April.......................... ....................8,764,940 7. July........................... ..................10,202,472 10. October.................. ....................1,990,1322. February................... ..................29,990,124 5. May.......................... ..................10,028,585 8. August...................... ....................1,675,675 11. November.............. ....................2,278,2523. March....................... ..................30,044,838 6. June......................... ..................10,030,720 9. September............... ....................1,882,553 12. December.............. ....................2,335,738

Open DepositoriesFleet National Bank of CT............................................ Springfield, MA 50452640............................................ ........................... ............................... ............................... ..........................398 XXXJP Morgan Chase Bank............................................... New York, NY 9102773687......................................... ........................... ............................... ............................... ............................68 XXXJP Morgan Chase Bank............................................... New York, NY 9102773695......................................... ........................... ............................... ............................... ..........................816 XXXJP Morgan Chase Bank............................................... New York, NY 9102718971......................................... ........................... ............................... ............................... .......................5,530 XXXJP Morgan Chase Bank............................................... New York, NY 9102662633......................................... ........................... ............................... ............................... ..........................481 XXXJP Morgan Chase Bank............................................... New York, NY (ST)...................................................... ........................... ................262,359 ............................... ................2,328,446 XXX0199999. Total - Open Depositories................................................................................................................... ..........XXX.......... ................262,359 ...........................0 ................2,335,738 XXX0399999. Total Cash on Deposit........................................................................................................................ ..........XXX.......... ................262,359 ...........................0 ................2,335,738 XXX0599999. Total Cash.......................................................................................................................................... ..........XXX.......... ................262,359 ...........................0 ................2,335,738 XXX


E25

SCHEDULE E - PART 2 - SPECIAL DEPOSITS1 2 3 4 5 6 7

Line Par or Book Statement FairNumber Type Description of Deposit Where Deposited and Purpose of Deposit Value Value (a) Value

SPECIAL DEPOSITS WHICH ARE NOT FOR THE BENEFIT OF ALL POLICYHOLDERS Georgia

GA00001. ...............B...................... U S A TREASURY BONDS 9.25 912810DV7 2/15/2016................................................. WACHOVIA BANK OF GEORGIA N A/GA RSD........................................................... ...........................................25,000 ...........................................30,444 ...........................................37,105GA99999. Georgia....................................................................................................................................................................... ....................................................................................................................................... ...........................................25,000 ...........................................30,444 ...........................................37,105

MassachusettsMA00001. ...............B...................... U S A TREASURY NOTES 4.625 9128276X5 5/15/2006................................................ STATE STREET BANK AND TRUST COMPANY/MA RSD WC................................... .........................................524,000 .........................................526,528 .........................................565,142MA99999. Massachusetts............................................................................................................................................................ ....................................................................................................................................... .........................................524,000 .........................................526,528 .........................................565,142

New MexicoNM00001. ...............B...................... U S A TREASURY NOTES 4.625 9128276X5 5/15/2006................................................ WELLS FARGO/NM RSD LIFE..................................................................................... .........................................105,000 .........................................106,518 .........................................113,244NM99999. New Mexico................................................................................................................................................................ ....................................................................................................................................... .........................................105,000 .........................................106,518 .........................................113,244

North CarolinaNC00001. ...............B...................... U S A TREASURY NOTES 6.25 912827J78 2/15/2003................................................... WACHOVIA BANK OF NORTH CAROLINA N A/NC RSD by FOR INS CO ACT......... .........................................210,000 .........................................210,080 .........................................211,247NC00002. ...............B...................... U S A TREASURY NOTES 4.625 9128276X5 5/15/2006................................................ WACHOVIA BANK OF NORTH CAROLINA N A/NC RSD by FOR INS CO ACT......... .........................................200,000 .........................................202,891 .........................................215,703NC99999. North Carolina............................................................................................................................................................ ....................................................................................................................................... .........................................410,000 .........................................412,971 .........................................426,950

VirginiaVA00001. ...............B...................... U S A TREASURY BONDS 9.25 912810DV7 2/15/2016................................................. SUNTRUST BANK/VA RSD.......................................................................................... .........................................400,000 .........................................487,108 .........................................593,680VA99999. Virginia........................................................................................................................................................................ ....................................................................................................................................... .........................................400,000 .........................................487,108 .........................................593,680XX99999. Total - All Special Deposits NOT Held for Benefit of all Policyholders, Claimants, & Creditors of the Company........ ....................................................................................................................................... ......................................1,464,000 ......................................1,563,570 ......................................1,736,122

SPECIAL DEPOSITS WHICH ARE FOR THE BENEFIT OF ALL POLICYHOLDERS Connecticut

CT00001. ...............B...................... U S A TREASURY NOTES 4.625 9128276X5 5/15/2006................................................ FLEET NATIONAL BANK/CT TO MEET OTHER ST REQ........................................... ......................................3,216,000 ......................................3,257,690 ......................................3,468,507CT00002. ...............B...................... U S A TREASURY NOTES 5.875 912827N81 2/15/2004................................................ FLEET NATIONAL BANK/CT TO MEET OTHER ST REQ........................................... .........................................110,000 .........................................109,939 .........................................115,668CT00003. ...............B...................... U S A TREASURY NOTES 6.25 912827J78 2/15/2003................................................... FLEET NATIONAL BANK/CT TO MEET OTHER ST REQ........................................... .........................................800,000 .........................................799,602 .........................................804,750CT00004. ...............B...................... U S A TREASURY NOTES 7.875 912827R87 11/15/2004.............................................. FLEET NATIONAL BANK/CT TO MEET OTHER ST REQ........................................... .........................................500,000 .........................................509,724 .........................................558,340CT99999. Connecticut................................................................................................................................................................. ....................................................................................................................................... ......................................4,626,000 ......................................4,676,955 ......................................4,947,265ZZ99999. Total - All Special Deposits Held for Benefit of all Policyholders, Claimants, & Creditors of the Company................ ....................................................................................................................................... ......................................4,626,000 ......................................4,676,955 ......................................4,947,2659999999. Totals........................................................................................................................................................................... ....................................................................................................................................... ......................................6,090,000 ......................................6,240,524 ......................................6,683,387

(a) Includes $..........0 cash and short-term investments as defined in SSAP No. 2 of the NAIC Accounting Practices and Procedures Manual.

Documents

AMERICAN MATURITY LIFE INSURANCE COMPANY · Considerations for supplementary contracts with life contingencies