55
California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate Increase History Company Contact: (800) 896-5988 As of: 12/2018 Statistical Analysis Division Page 1 of 55 Dave Jones, Insurance Commissioner Row # Policy Form *Policy Type **Policy Category Date Policy Sold Date Policy Acquired Acquired From Company Name Acquired From Company NAIC CA Policy Other State Policy Increase Requested Increase Approved Date Increase Requested Date Increase Approved Date Increase Issued Company Explanation 1 HCA I C 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 2 HCA I C 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 3 HCA I F 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 4 HCA I F 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 5 LTA I C 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 6 LTA I C 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 7 LTA I F 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 8 LTA I F 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 9 NHA I C 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 10 NHA I C 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 11 NHA I F 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 12 NHA I F 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 13 LT50 I C 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 14 LT50 I C 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 15 LT50 I F 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 16 LT50 I F 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 17 NH50 I C 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 18 NH50 I C 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 19 NH50 I F 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/2011 20 NH50 I F 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/2012 21 HCA I C 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/2012 22 HCA I C 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/2013 23 HCA I C 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/2015 24 HCA I C 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016 25 HCA I F 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/2012 26 HCA I F 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/2013 27 HCA I F 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/2015 28 HCA I F 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016 29 NHA I C 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/2012 30 NHA I C 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/2013 31 NHA I C 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/2015 32 NHA I C 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016 33 NHA I F 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/2012 34 NHA I F 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/2013 35 NHA I F 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/2015 36 NHA I F 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016 37 LTA I C 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/2012 38 LTA I C 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/2013 39 LTA I C 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/2015 40 LTA I C 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016 41 LTA I F 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/2012 42 LTA I F 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/2013 43 LTA I F 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/2015 44 LTA I F 1/2/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016

CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

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Page 1: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 1 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1 HCA I C 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/20112 HCA I C 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/20123 HCA I F 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/20114 HCA I F 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/20125 LTA I C 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/20116 LTA I C 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/20127 LTA I F 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/20118 LTA I F 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/20129 NHA I C 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/201110 NHA I C 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/201211 NHA I F 12/7/2000 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/201112 NHA I F 12/7/2000 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/201213 LT50 I C 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/201114 LT50 I C 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/201215 LT50 I F 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/201116 LT50 I F 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/201217 NH50 I C 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/201118 NH50 I C 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/201219 NH50 I F 6/1/1998 AK 24.00% 24.00% 6/24/2011 7/12/2011 11/1/201120 NH50 I F 6/1/1998 AK 7.00% 7.00% 6/24/2011 7/12/2011 11/1/201221 HCA I C 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201222 HCA I C 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201323 HCA I C 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201524 HCA I C 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201625 HCA I F 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201226 HCA I F 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201327 HCA I F 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201528 HCA I F 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201629 NHA I C 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201230 NHA I C 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201331 NHA I C 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201532 NHA I C 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201633 NHA I F 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201234 NHA I F 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201335 NHA I F 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201536 NHA I F 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201637 LTA I C 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201238 LTA I C 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201339 LTA I C 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201540 LTA I C 1/1/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201641 LTA I F 1/1/2002 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201242 LTA I F 1/1/2002 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201343 LTA I F 1/1/2002 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201544 LTA I F 1/2/2002 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/2016

Page 2: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 2 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

45 LT50 I C 7/1/1998 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201246 LT50 I C 7/1/1998 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201347 LT50 I C 7/1/1998 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201548 LT50 I C 7/2/1998 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201649 LT50 I F 7/1/1998 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201250 LT50 I F 7/1/1998 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201351 LT50 I F 7/1/1998 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201552 LT50 I F 7/1/1998 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201653 NH50 I C 7/1/1998 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201254 NH50 I C 7/1/1998 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201355 NH50 I C 7/1/1998 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201556 NH50 I C 7/1/1998 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201657 NH50 I F 7/1/1998 AL 24.00% 24.00% 5/23/2011 10/5/2011 1/1/201258 NH50 I F 7/1/1998 AL 7.00% 7.00% 9/13/2012 10/9/2012 1/1/201359 NH50 I F 7/1/1998 AL 18.50% 18.50% 1/23/2015 5/4/2015 8/1/201560 NH50 I F 7/1/1998 AL 9.80% 9.80% 1/27/2016 6/2/2016 9/1/201661 HCA I C 12/6/1999 AR 15.00% 15.00% 6/13/2003 5/18/2005 9/1/200562 HCA I C 12/6/1999 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201263 HCA I C 12/6/1999 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201564 HCA I C 12/6/1999 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/201665 HCA I C 12/6/1999 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/201766 HCA I C 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/201867 HCA I F 12/6/1999 AR 15.00% 15.00% 6/13/2003 5/18/2005 9/1/200568 HCA I F 12/6/1999 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201269 HCA I F 12/6/1999 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201570 HCA I F 12/6/1999 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/201671 HCA I F 12/6/1999 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/201772 HCA I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/201873 NHA I C 12/6/1999 AR 15.00% 15.00% 6/13/2003 5/18/2005 9/1/200574 NHA I C 12/6/1999 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201275 NHA I C 12/6/1999 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201576 NHA I C 12/6/1999 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/201677 NHA I C 12/6/1999 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/201778 NHA I C 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/201879 NHA I F 12/6/1999 AR 15.00% 15.00% 6/13/2003 5/18/2005 9/1/200580 NHA I F 12/6/1999 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201281 NHA I F 12/6/1999 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201582 NHA I F 12/6/1999 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/201683 NHA I F 12/6/1999 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/201784 NHA I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/201885 LTA I C 12/6/1999 AR 15.00% 15.00% 6/13/2003 5/18/2005 9/1/200586 LTA I C 12/6/1999 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201287 LTA I C 12/6/1999 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201588 LTA I C 12/6/1999 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/2016

Page 3: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 3 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

89 LTA I C 12/6/1999 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/201790 LTA I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/201891 LTA I F 12/6/1999 AR 15.00% 15.00% 6/13/2003 5/18/2005 9/1/200592 LTA I F 12/6/1999 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201293 LTA I F 12/6/1999 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201594 LTA I F 12/6/1999 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/201695 LTA I F 12/6/1999 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/201796 LTA I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/201897 LT50 I C 8/30/1997 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/201298 LT50 I C 8/30/1997 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/201599 LT50 I C 8/30/1997 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/2016

100 LT50 I C 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/2018101 LT50 I F 8/30/1997 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/2012102 LT50 I F 8/30/1997 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/2015103 LT50 I F 8/30/1997 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/2016104 LT50 I F 8/30/1997 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/2017105 LT50 I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/2018106 NH50 I C 8/7/1997 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/2012107 NH50 I C 8/7/1997 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/2015108 NH50 I C 8/7/1997 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/2016109 NH50 I F 8/7/1997 AR 24.00% 11.20% 5/23/2011 4/12/2012 7/1/2012110 NH50 I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/2018111 NH50 I F 8/7/1997 AR 21.10% 15.00% 3/5/2015 4/8/2015 7/1/2015112 NH50 I F 8/7/1997 AR 12.90% 12.90% 3/5/2015 4/8/2015 7/1/2016113 NH50 I F 8/7/1997 AR 24.50% 14.00% 2/15/2017 3/3/2017 7/1/2017114 NH50 I F 12/6/1999 AR 8.90% 8.90% 4/12/2018 4/23/2018 8/1/2018115 HCA I C 12/14/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011116 HCA I C 12/14/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013117 HCA I C 12/14/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015118 HCA I C 12/15/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018119 HCA I F 12/14/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011120 HCA I F 12/14/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013121 HCA I F 12/14/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015122 HCA I F 12/15/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018123 NHA I C 12/14/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011124 NHA I C 12/14/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013125 NHA I C 12/14/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015126 NHA I C 12/15/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018127 NHA I F 12/14/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011128 NHA I F 12/14/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013129 NHA I F 12/14/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015130 NHA I F 12/15/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018131 LTA I C 12/14/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011132 LTA I C 12/14/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013

Page 4: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 4 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

133 LTA I C 12/14/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015134 LTA I C 12/15/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018135 LTA I F 12/14/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011136 LTA I F 12/14/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013137 LTA I F 12/14/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015138 LTA I F 12/15/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018139 LT50 I C 4/1/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011140 LT50 I C 4/1/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013141 LT50 I C 4/1/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015142 LT50 I C 4/1/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018143 LT50 I F 4/1/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011144 LT50 I F 4/1/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013145 LT50 I F 4/1/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015146 LT50 I F 4/1/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018147 NH50 I C 4/1/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011148 NH50 I C 4/1/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013149 NH50 I C 4/1/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015150 NH50 I C 4/1/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018151 NH50 I F 4/1/1998 AZ 24.00% 24.00% 5/21/2011 6/22/2011 10/1/2011152 NH50 I F 4/1/1998 AZ 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013153 NH50 I F 4/1/1998 AZ 18.50% 18.50% 2/20/2015 3/17/2015 6/1/2015154 NH50 I F 4/1/1998 AZ 9.00% 9.00% 4/27/2017 1/25/2018 5/1/2018155 LCAQ I C 11/16/1999 CA 24.00% 17.70% 6/7/2011 5/10/2016 12/1/2016156 LCA I F 11/16/1999 CA 24.00% 17.70% 6/7/2011 5/10/2016 12/1/2016157 NCAQ I C 11/16/1999 CA 24.00% 17.70% 6/7/2011 5/10/2016 12/1/2016158 NCA I F 11/16/1999 CA 24.00% 17.70% 6/7/2011 5/10/2016 12/1/2016159 HCA I C 2/15/1999 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011160 HCA I C 2/15/1999 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013161 HCA I C 2/15/1999 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015162 HCA I C 2/16/1999 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016163 HCA I F 2/15/1999 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011164 HCA I F 2/15/1999 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013165 HCA I F 2/15/1999 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015166 HCA I F 2/16/1999 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016167 NHA I C 2/15/1999 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011168 NHA I C 2/15/1999 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013169 NHA I C 2/15/1999 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015170 NHA I C 2/16/1999 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016171 NHA I F 2/15/1999 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011172 NHA I F 2/15/1999 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013173 NHA I F 2/15/1999 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015174 NHA I F 2/16/1999 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016175 LTA I C 2/15/1999 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011176 LTA I C 2/15/1999 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013

Page 5: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 5 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

177 LTA I C 2/15/1999 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015178 LTA I C 2/16/1999 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016179 LTA I F 2/15/1999 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011180 LTA I F 2/15/1999 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013181 LTA I F 2/15/1999 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015182 LTA I F 2/16/1999 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016183 LT50 I C 5/1/1998 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011184 LT50 I C 5/1/1998 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013185 LT50 I C 5/1/1998 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015186 LT50 I C 5/1/1998 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016187 LT50 I F 5/1/1998 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011188 LT50 I F 5/1/1998 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013189 LT50 I F 5/1/1998 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015190 LT50 I F 5/1/1998 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016191 NH50 I C 5/1/1998 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011192 NH50 I C 5/1/1998 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013193 NH50 I C 5/1/1998 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015194 NH50 I C 5/1/1998 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016195 NH50 I F 5/1/1998 CO 24.00% 24.00% 6/22/2011 8/24/2011 12/1/2011196 NH50 I F 5/1/1998 CO 7.00% 7.00% 9/12/2012 10/12/2012 1/1/2013197 NH50 I F 5/1/1998 CO 18.50% 15.30% 5/14/2015 7/14/2015 10/1/2015198 NH50 I F 5/1/1998 CO 13.40% 13.40% 5/14/2015 7/14/2015 10/1/2016199 HCA I C 2/1/2000 CT 24.00% disapproved 5/20/2011 disapproved disapproved200 HCA I C 2/1/2000 CT 7.00% not filed not filed not filed not filed201 HCA I C 2/1/2000 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018202 HCA I F 2/1/2000 CT 24.00% disapproved 5/20/2011 disapproved disapproved203 HCA I F 2/1/2000 CT 7.00% not filed not filed not filed not filed204 HCA I F 2/1/2000 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018205 NHA I C 2/1/2000 CT 24.00% disapproved 5/20/2011 disapproved disapproved206 NHA I C 2/1/2000 CT 7.00% not filed not filed not filed not filed207 NHA I C 2/1/2000 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018208 NHA I F 2/1/2000 CT 24.00% disapproved 5/20/2011 disapproved disapproved209 NHA I F 2/1/2000 CT 7.00% not filed not filed not filed not filed210 NHA I F 2/1/2000 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018211 LTA I C 2/1/2000 CT 24.00% disapproved 5/20/2011 disapproved disapproved212 LTA I C 2/1/2000 CT 7.00% not filed not filed not filed not filed213 LTA I C 2/1/2000 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018214 LTA I F 2/1/2000 CT 24.00% disapproved 5/20/2011 disapproved disapproved215 LTA I F 2/1/2000 CT 7.00% not filed not filed not filed not filed216 LTA I F 2/1/2000 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018217 LT50 I C 6/27/1997 CT 24.00% disapproved 5/20/2011 disapproved disapproved218 LT50 I C 6/27/1997 CT 7.00% not filed not filed not filed not filed219 LT50 I C 6/27/1997 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018220 LT50 I F 6/27/1997 CT 24.00% disapproved 5/20/2011 disapproved disapproved

Page 6: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 6 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

221 LT50 I F 6/27/1997 CT 7.00% not filed not filed not filed not filed222 LT50 I F 6/27/1997 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018223 NH50 I C 6/27/1997 CT 24.00% disapproved 5/20/2011 disapproved disapproved224 NH50 I C 6/27/1997 CT 7.00% not filed not filed not filed not filed225 NH50 I C 6/27/1997 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018226 NH50 I F 6/27/1997 CT 24.00% disapproved 5/20/2011 disapproved disapproved227 NH50 I F 6/27/1997 CT 7.00% not filed not filed not filed not filed228 NH50 I F 6/27/1997 CT 51.00% 15.00% 8/4/2017 10/23/2017 2/1/2018229 HCA I C 9/1/1999 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved230 HCA I F 9/1/1999 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved231 NHA I C 9/1/1999 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved232 NHA I F 9/1/1999 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved233 LTA I C 9/1/1999 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved234 LTA I F 9/1/1999 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved235 LT50 I C 4/1/1998 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved236 LT50 I F 4/1/1998 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved237 NH50 I C 4/1/1998 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved238 NH50 I F 4/1/1998 DC 24.00% Disapproved 6/24/2011 Disapproved Disapproved239 HCA I C 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012240 HCA I F 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012241 HCA I C 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016242 HCA I F 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016243 HCA I C 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017244 HCA I F 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017245 HCA I C 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017246 HCA I F 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017247 LTA I C 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012248 LTA I F 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012249 LTA I C 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016250 LTA I F 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016251 LTA I C 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017252 LTA I F 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017253 LTA I C 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017254 LTA I F 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017255 NHA I C 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012256 NHA I F 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012257 NHA I C 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016258 NHA I F 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016259 NHA I C 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017260 NHA I F 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017261 NHA I C 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017262 NHA I F 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017263 LT50 I C 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012264 LT50 I F 5/17/2000 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012

Page 7: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 7 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

265 LT50 I C 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016266 LT50 I F 5/17/2000 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016267 LT50 I C 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017268 LT50 I F 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017269 LT50 I C 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017270 LT50 I F 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017271 NH50 I C 4/1/1998 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012272 NH50 I F 4/1/1998 DE 24.00% 15.00% 6/24/2011 10/13/2011 1/1/2012273 NH50 I C 4/1/1998 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016274 NH50 I F 4/1/1998 DE 18.50% 15.40% 2/23/2016 4/20/2016 8/1/2016275 NH50 I C 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017276 NH50 I F 5/17/2000 DE 8.30% 8.30% 8/3/2017 11/2/2017 2/1/2018 DE approved a 2-year increase in 2017277 NH50 I C 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017278 NH50 I F 5/17/2000 DE 8.60% 8.60% 8/3/2017 11/2/2017 2/1/2019 DE approved a 2-year increase in 2017279 HCA I B 11/9/1998 FL 21.00% 8.00% 10/4/2007 9/2/2008 12/1/2008280 HCA I E 11/9/1998 FL 21.00% 21.00% 10/4/2007 9/2/2008 12/1/2008281 HCAR I B 11/9/1998 FL 21.00% 8.00% 10/4/2007 9/2/2008 12/1/2008282 HCAR I E 11/9/1998 FL 21.00% 21.00% 10/4/2007 9/2/2008 12/1/2008283 LTA I C 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007284 LTA I C 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013285 LTA I C 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

286 LTA I C 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017287 LTA I F 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007288 LTA I F 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013289 LTA I F 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

290 LTA I F 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017291 LTAR I C 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007292 LTAR I C 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013293 LTAR I C 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

294 LTAR I C 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017295 LTAR I F 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007296 LTAR I F 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013297 LTAR I F 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

298 LTAR I F 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017299 NHA I C 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007300 NHA I C 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013301 NHA I C 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

302 NHA I C 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017303 NHA I F 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007304 NHA I F 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013

Page 8: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 8 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

305 NHA I F 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

306 NHA I F 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017307 NHAR I C 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007308 NHAR I C 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013309 NHAR I C 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

310 NHAR I C 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017311 NHAR I F 11/9/1998 FL 15.00% 1.00% 11/30/2006 4/13/2007 8/1/2007312 NHAR I F 11/9/1998 FL 24.00% 11.20% 6/16/2011 9/24/2012 1/1/2013313 NHAR I F 11/10/1998 FL 27.70% 16.80% 8/4/2016 8/16/2017 11/1/2017

314 NHAR I F 11/10/1998 FL 27.70% 13.00% 8/4/2016 8/16/2017 11/1/2018 FL approved a 3-year rate increase in 2017315 HCA I C 4/26/1999 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011316 HCA I C 4/26/1999 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013317 HCA I C 4/26/1999 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015318 HCA I C 4/27/1999 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016319 HCA I C 4/27/1999 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017320 HCA I C 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018321 HCA I F 4/26/1999 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011322 HCA I F 4/26/1999 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013323 HCA I F 4/26/1999 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015324 HCA I F 4/27/1999 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016325 HCA I F 4/27/1999 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017326 HCA I F 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018327 LTA I C 4/26/1999 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011328 LTA I C 4/26/1999 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013329 LTA I C 4/26/1999 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015330 LTA I C 4/27/1999 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016331 LTA I C 4/27/1999 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017332 LTA I C 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018333 LTA I F 4/26/1999 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011334 LTA I F 4/26/1999 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013335 LTA I F 4/26/1999 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015336 LTA I F 4/27/1999 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016337 LTA I F 4/27/1999 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017338 LTA I F 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018339 NHA I C 4/26/1999 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011340 NHA I C 4/26/1999 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013341 NHA I C 4/26/1999 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015342 NHA I C 4/27/1999 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016343 NHA I C 4/27/1999 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017344 NHA I C 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018345 NHA I F 4/26/1999 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011346 NHA I F 4/26/1999 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013

Page 9: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 9 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

347 NHA I F 4/26/1999 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015348 NHA I F 4/27/1999 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016349 NHA I F 4/27/1999 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017350 NHA I F 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018351 LT50 I C 5/1/1998 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011352 LT50 I C 5/1/1998 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013353 LT50 I C 5/1/1998 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015354 LT50 I C 5/1/1998 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016355 LT50 I C 5/1/1998 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017356 LT50 I C 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018357 LT50 I F 5/1/1998 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011358 LT50 I F 5/1/1998 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013359 LT50 I F 5/1/1998 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015360 LT50 I F 5/1/1998 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016361 LT50 I F 5/1/1998 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017362 LT50 I F 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018363 NH50 I C 5/1/1998 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011364 NH50 I C 5/1/1998 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013365 NH50 I C 5/1/1998 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015366 NH50 I C 5/1/1998 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016367 NH50 I C 5/1/1998 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017368 NH50 I C 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018369 NH50 I F 5/1/1998 GA 24.00% 15.00% 5/19/2011 9/7/2011 12/1/2011370 NH50 I F 5/1/1998 GA 15.40% 9.60% 9/6/2012 11/21/2012 3/1/2013371 NH50 I F 5/1/1998 GA 18.50% 8.00% 2/17/2015 7/24/2015 11/1/2015372 NH50 I F 5/1/1998 GA 18.50% 8.00% 4/22/2016 7/12/2016 11/1/2016373 NH50 I F 5/1/1998 GA 28.30% 9.10% 5/3/2017 7/21/2017 11/1/2017374 NH50 I F 4/27/1999 GA 11.30% 11.30% 5/21/2018 8/17/2018 11/1/2018375 HCA I C 4/26/1999 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013376 HCA I C 4/26/1999 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase377 HCA I F 4/26/1999 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013378 HCA I F 4/26/1999 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase379 LTA I C 4/26/1999 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013380 LTA I C 4/26/1999 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase381 LTA I F 4/26/1999 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013382 LTA I F 4/26/1999 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase383 NHA I C 4/26/1999 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013384 NHA I C 4/26/1999 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase385 NHA I F 4/26/1999 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013386 NHA I F 4/26/1999 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase387 LT50 I C 8/1/1998 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013388 LT50 I C 8/1/1998 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase389 LT50 I F 8/1/1998 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013390 LT50 I F 8/1/1998 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase

Page 10: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 10 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

391 NH50 I C 8/1/1998 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013392 NH50 I C 8/1/1998 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase393 NH50 I F 8/1/1998 HI 24.00% 24.00% 5/23/2011 7/24/2013 11/1/2013394 NH50 I F 8/1/1998 HI 41.10% 11.50% 3/6/2015 2/1/2018 5/1/2018 HI approved a 3-year rate increase395 HCA I C 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007396 HCA I C 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011397 HCA I C 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012398 HCA I C 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015399 HCA I C 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016400 HCA I C 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017401 HCA I C 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018402 HCA I F 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007403 HCA I F 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011404 HCA I F 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012405 HCA I F 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015406 HCA I F 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016407 HCA I F 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017408 HCA I F 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018409 LTA I C 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007410 LTA I C 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011411 LTA I C 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012412 LTA I C 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015413 LTA I C 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016414 LTA I C 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017415 LTA I C 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018416 LTA I F 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007417 LTA I F 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011418 LTA I F 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012419 LTA I F 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015420 LTA I F 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016421 LTA I F 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017422 LTA I F 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018423 NHA I C 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007424 NHA I C 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011425 NHA I C 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012426 NHA I C 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015427 NHA I C 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016428 NHA I C 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017429 NHA I C 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018430 NHA I F 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007431 NHA I F 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011432 NHA I F 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012433 NHA I F 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015434 NHA I F 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016

Page 11: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 11 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

435 NHA I F 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017436 NHA I F 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018437 LT50 I C 6/1/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011438 LT50 I C 6/1/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012439 LT50 I C 6/1/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015440 LT50 I C 6/1/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016441 LT50 I C 6/1/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017442 LT50 I C 6/1/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018443 LT50 I F 6/1/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011444 LT50 I F 6/1/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012445 LT50 I F 6/1/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015446 LT50 I F 6/1/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016447 LT50 I F 6/1/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017448 LT50 I F 11/3/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018449 NH50 I C 6/1/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011450 NH50 I C 6/1/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012451 NH50 I C 6/1/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015452 NH50 I C 6/1/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016453 NH50 I C 6/1/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017454 NH50 I C 6/1/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018455 NH50 I F 6/1/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011456 NH50 I F 6/1/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012457 NH50 I F 6/1/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015458 NH50 I F 6/1/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016459 NH50 I F 6/1/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017460 NH50 I F 6/1/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018461 HCAQ I C 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007462 HCAQ I C 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011463 HCAQ I C 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012464 HCAQ I C 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015465 HCAQ I C 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016466 HCAQ I C 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017467 HCAQ I C 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018468 HCAQ I F 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007469 HCAQ I F 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011470 HCAQ I F 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012471 HCAQ I F 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015472 HCAQ I F 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016473 HCAQ I F 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017474 HCAQ I F 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018475 LTAQ I C 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007476 LTAQ I C 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011477 LTAQ I C 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012478 LTAQ I C 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015

Page 12: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 12 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

479 LTAQ I C 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016480 LTAQ I C 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017481 LTAQ I C 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018482 LTAQ I F 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007483 LTAQ I F 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011484 LTAQ I F 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012485 LTAQ I F 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015486 LTAQ I F 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016487 LTAQ I F 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017488 LTAQ I F 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018489 NHAQ I C 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007490 NHAQ I C 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011491 NHAQ I C 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012492 NHAQ I C 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015493 NHAQ I C 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016494 NHAQ I C 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017495 NHAQ I C 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018496 NHAQ I F 11/2/1998 IA 9.00% 8.00% 4/6/2007 5/16/2007 9/1/2007497 NHAQ I F 11/2/1998 IA 24.00% 18.00% 5/23/2011 8/17/2011 11/1/2011498 NHAQ I F 11/2/1998 IA 5.00% 5.00% 5/23/2011 8/17/2011 11/1/2012499 NHAQ I F 11/2/1998 IA 18.50% 11.60% 2/26/2015 6/29/2015 9/1/2015500 NHAQ I F 11/2/1998 IA 6.20% 6.20% 2/26/2015 6/29/2015 9/1/2016501 NHAQ I F 11/2/1998 IA 23.80% 13.70% 3/29/2017 5/16/2017 9/1/2017502 NHAQ I F 11/2/1998 IA 10.20% 10.20% 5/4/2018 5/23/2018 9/1/2018503 HCA I C 11/2/1998 ID 15.00% 15.00% 4/4/2007 5/24/2007 9/1/2007504 HCA I C 10/1/2001 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012505 HCA I C 10/1/2001 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013506 HCA I C 10/1/2001 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015507 HCA I C 10/2/2001 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016508 HCA I F 10/1/2001 ID 15.00% 15.00% 4/4/2007 5/24/2007 9/1/2007509 HCA I F 10/1/2001 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012510 HCA I F 10/1/2001 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013511 HCA I F 10/1/2001 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015512 HCA I F 10/2/2001 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016513 LTA I C 10/1/2001 ID 15.00% 15.00% 4/4/2007 5/24/2007 9/1/2007514 LTA I C 10/1/2001 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012515 LTA I C 10/1/2001 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013516 LTA I C 10/1/2001 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015517 LTA I C 10/2/2001 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016518 LTA I F 10/1/2001 ID 15.00% 15.00% 4/4/2007 5/24/2007 9/1/2007519 LTA I F 10/1/2001 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012520 LTA I F 10/1/2001 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013521 LTA I F 10/1/2001 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015522 LTA I F 10/2/2001 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016

Page 13: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 13 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

523 NHA I C 10/1/2001 ID 15.00% 15.00% 4/4/2007 5/24/2007 9/1/2007524 NHA I C 10/1/2001 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012525 NHA I C 10/1/2001 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013526 NHA I C 10/1/2001 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015527 NHA I C 10/2/2001 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016528 NHA I F 10/1/2001 ID 15.00% 15.00% 4/4/2007 5/24/2007 9/1/2007529 NHA I F 10/1/2001 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012530 NHA I F 10/1/2001 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013531 NHA I F 10/1/2001 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015532 NHA I F 10/2/2001 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016533 LT50 I C 6/1/1998 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012534 LT50 I C 6/1/1998 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013535 LT50 I C 6/1/1998 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015536 LT50 I C 6/1/1998 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016537 LT50 I F 6/1/1998 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012538 LT50 I F 6/1/1998 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013539 LT50 I F 6/1/1998 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015540 LT50 I F 6/1/1998 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016541 NH50 I C 6/1/1998 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012542 NH50 I C 6/1/1998 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013543 NH50 I C 6/1/1998 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015544 NH50 I C 6/1/1998 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016545 NH50 I F 6/1/1998 ID 24.00% 19.80% 6/21/2011 1/4/2012 4/1/2012546 NH50 I F 6/1/1998 ID 7.90% 7.90% 1/15/2013 4/12/2013 8/1/2013547 NH50 I F 6/1/1998 ID 18.50% 18.50% 1/29/2015 5/1/2015 8/1/2015548 NH50 I F 6/1/1998 ID 10.10% 10.10% 1/29/2015 5/1/2015 8/1/2016549 HCA I C 11/2/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011550 HCA I C 11/2/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012551 HCA I C 11/2/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017552 HCA I C 11/2/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018553 HCA I F 11/2/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011554 HCA I F 11/2/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012555 HCA I F 11/2/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017556 HCA I F 11/2/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018557 LTA I C 11/2/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011558 LTA I C 11/2/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012559 LTA I C 11/2/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017560 HCA I C 11/2/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018561 LTA I F 11/2/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011562 LTA I F 11/2/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012563 LTA I F 11/2/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017564 LTA I F 11/2/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018565 NHA I C 11/2/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011566 NHA I C 11/2/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012

Page 14: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 14 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

567 NHA I C 11/2/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017568 NHA I C 11/2/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018569 NHA I F 11/2/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011570 NHA I F 11/2/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012571 NHA I F 11/2/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017572 NHA I F 11/2/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018573 LT50 I C 4/1/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011574 LT50 I C 4/1/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012575 LT50 I C 4/1/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017576 LT50 I C 4/1/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018577 LT50 I F 4/1/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011578 LT50 I F 4/1/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012579 LT50 I F 4/1/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017580 LT50 I F 4/1/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018581 NH50 I C 4/1/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011582 NH50 I C 4/1/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012583 NH50 I C 4/1/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017584 NH50 I C 4/1/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018585 NH50 I F 4/1/1998 IL 24.00% 24.00% 5/18/2011 9/19/2011 12/1/2011586 NH50 I F 4/1/1998 IL 7.00% 7.00% 5/18/2011 9/19/2011 12/1/2012587 NH50 I F 4/1/1998 IL 18.50% 18.50% 1/22/2015 9/30/2016 1/1/2017588 NH50 I F 4/1/1998 IL 10.10% 10.10% 1/22/2015 9/30/2016 1/1/2018589 HCA I C 3/15/1999 IN 15.00% 15.00% 4/4/2007 7/19/2007 11/1/2007590 HCA I C 3/15/1999 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014591 HCA I C 3/16/1999 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016592 HCA I F 3/15/1999 IN 15.00% 15.00% 4/4/2007 7/19/2007 11/1/2007593 HCA I F 3/15/1999 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014594 HCA I F 3/16/1999 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016595 LTA I C 3/15/1999 IN 15.00% 15.00% 4/4/2007 7/19/2007 11/1/2007596 LTA I C 3/15/1999 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014597 LTA I C 3/16/1999 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016598 LTA I F 3/15/1999 IN 15.00% 15.00% 4/4/2007 7/19/2007 11/1/2007599 LTA I F 3/15/1999 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014600 LTA I F 3/16/1999 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016601 NHA I C 3/15/1999 IN 15.00% 15.00% 4/4/2007 7/19/2007 11/1/2007602 NHA I C 3/15/1999 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014603 NHA I C 3/16/1999 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016604 NHA I F 3/15/1999 IN 15.00% 15.00% 4/4/2007 7/19/2007 11/1/2007605 NHA I F 3/15/1999 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014606 NHA I F 3/16/1999 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016607 LT50 I C 4/1/1998 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014608 LT50 I C 4/1/1998 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016609 LT50 I F 4/1/1998 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014610 LT50 I F 4/1/1998 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016

Page 15: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 15 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

611 NH50 I C 4/1/1998 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014612 NH50 I C 4/1/1998 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016613 NH50 I F 4/1/1998 IN 24.00% 9.00% 1/10/2013 2/12/2014 5/1/2014614 NH50 I F 4/1/1998 IN 20.50% 9.00% 12/17/2015 5/16/2016 9/1/2016615 HCA I C 10/29/1999 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012616 HCA I C 10/29/1999 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013617 HCA I C 10/29/1999 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016618 HCA I F 10/29/1999 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012619 HCA I F 10/29/1999 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013620 HCA I F 10/29/1999 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016621 LTA I C 10/29/1999 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012622 LTA I C 10/29/1999 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013623 LTA I C 10/29/1999 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016624 LTA I F 10/29/1999 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012625 LTA I F 10/29/1999 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013626 LTA I F 10/29/1999 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016627 NHA I C 10/29/1999 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012628 NHA I C 10/29/1999 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013629 NHA I C 10/29/1999 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016630 NHA I F 10/29/1999 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012631 NHA I F 10/29/1999 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013632 NHA I F 10/29/1999 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016633 LT50 I C 7/1/1998 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012634 LT50 I C 7/1/1998 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013635 LT50 I C 7/1/1998 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016636 LT50 I F 7/1/1998 KS 24.00% 15.00% 5/23/2011 10/21/2011 1/1/2012637 LT50 I F 7/1/1998 KS 15.40% 9.00% 9/24/2012 5/15/2013 8/1/2013638 LT50 I F 7/1/1998 KS 18.50% 18.50% 3/6/2015 5/25/2016 9/1/2016639 HCA I C 2/15/1999 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012640 HCA I C 2/15/1999 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013641 HCA I C 2/15/1999 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016642 HCA I F 2/15/1999 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012643 HCA I F 2/15/1999 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013644 HCA I F 2/15/1999 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016645 LTA I C 2/15/1999 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012646 LTA I C 2/15/1999 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013647 LTA I C 2/15/1999 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016648 LTA I F 2/15/1999 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012649 LTA I F 2/15/1999 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013650 LTA I F 2/15/1999 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016651 NHA I C 2/15/1999 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012652 NHA I C 2/15/1999 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013653 NHA I C 2/15/1999 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016654 NHA I F 2/15/1999 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012

Page 16: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 16 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

655 NHA I F 2/15/1999 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013656 NHA I F 2/15/1999 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016657 LT50 I C 3/15/1998 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012658 LT50 I C 3/15/1998 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013659 LT50 I C 3/15/1998 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016660 LT50 I F 3/15/1998 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012661 LT50 I F 3/15/1998 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013662 LT50 I F 3/15/1998 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016663 NH50 I C 3/15/1998 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012664 NH50 I C 3/15/1998 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013665 NH50 I C 3/15/1998 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016666 NH50 I F 3/15/1998 KY 24.00% 24.00% 5/19/2011 8/19/2011 1/1/2012667 NH50 I F 3/15/1998 KY 7.00% 7.00% 9/24/2012 11/16/2012 2/1/2013668 NH50 I F 3/15/1998 KY 18.50% 18.50% 1/29/2015 11/13/2015 3/1/2016669 HCA I C 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved670 HCA I C 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016671 HCA I C 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017672 HCA I F 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved673 HCA I F 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016674 HCA I F 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017675 HCAQ I C 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved676 HCAQ I C 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016677 HCAQ I C 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017678 HCAQ I F 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved679 HCAQ I F 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016680 HCAQ I F 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017681 LTA I C 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved682 LTA I C 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016683 LTA I C 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017684 LTA I F 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved685 LTA I F 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016686 LTA I F 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017687 LTAQ I C 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved688 LTAQ I C 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016689 LTAQ I C 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017690 LTAQ I F 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved691 LTAQ I F 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016692 LTAQ I F 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017693 NHA I C 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved694 NHA I C 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016695 NHA I C 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017696 NHA I F 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved697 NHA I F 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016698 NHA I F 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017

Page 17: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 17 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

699 NHAQ I C 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved700 NHAQ I C 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016701 NHAQ I C 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017702 NHAQ I F 12/6/1999 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved703 NHAQ I F 12/6/1999 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016704 NHAQ I F 12/6/1999 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017705 LT50 I C 12/9/1998 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved706 LT50 I C 12/9/1998 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016707 LT50 I C 12/9/1998 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017708 LT50 I F 12/9/1998 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved709 LT50 I F 12/9/1998 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016710 LT50 I F 12/9/1998 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017711 NH50 I C 12/9/1998 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved712 NH50 I C 12/9/1998 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016713 NH50 I C 12/9/1998 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017714 NH50 I F 12/9/1998 LA 24.00% Disapproved 10/15/2012 Disapproved Disapproved715 NH50 I F 12/9/1998 LA 24.00% 21.50% 5/7/2015 10/30/2015 2/1/2016716 NH50 I F 12/9/1998 LA 51.30% 14.90% 8/31/2016 5/19/2017 9/1/2017717 HCA I C 12/6/1999 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016718 HCA I F 12/6/1999 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016719 LTA I C 12/6/1999 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016720 LTA I F 12/6/1999 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016721 NHA I C 12/6/1999 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016722 NHA I F 12/6/1999 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016723 LT50 I C 9/1/1998 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016724 LT50 I F 9/1/1998 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016725 NH50 I C 9/1/1998 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016726 NH50 I F 9/1/1998 ME 24.00% 24.00% 5/8/2015 3/4/2016 8/1/2016727 HCA I C 3/11/1999 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011728 HCA I C 3/11/1999 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013729 HCA I C 3/11/1999 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015730 HCA I C 3/12/1999 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016731 HCA I C 3/12/1999 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017732 HCA I F 3/11/1999 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011733 HCA I F 3/11/1999 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013734 HCA I F 3/11/1999 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015735 HCA I F 3/12/1999 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016736 HCA I F 3/12/1999 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017737 LTA I C 3/11/1999 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011738 LTA I C 3/11/1999 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013739 LTA I C 3/11/1999 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015740 LTA I C 3/12/1999 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016741 LTA I C 3/12/1999 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017742 LTA I F 3/11/1999 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011

Page 18: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 18 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

743 LTA I F 3/11/1999 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013744 LTA I F 3/11/1999 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015745 LTA I F 3/12/1999 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016746 LTA I F 3/12/1999 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017747 NHA I C 3/11/1999 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011748 NHA I C 3/11/1999 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013749 NHA I C 3/11/1999 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015750 NHA I C 3/12/1999 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016751 NHA I C 3/12/1999 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017752 NHA I F 3/11/1999 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011753 NHA I F 3/11/1999 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013754 NHA I F 3/11/1999 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015755 NHA I F 3/12/1999 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016756 NHA I F 3/12/1999 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017757 LT50 I C 5/1/1998 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011758 LT50 I C 5/1/1998 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013759 LT50 I C 5/1/1998 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015760 LT50 I C 5/1/1998 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016761 LT50 I C 5/1/1998 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017762 LT50 I F 5/1/1998 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011763 LT50 I F 5/1/1998 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013764 LT50 I F 5/1/1998 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015765 LT50 I F 5/1/1998 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016766 LT50 I F 5/1/1998 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017767 NH50 I C 5/1/1998 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011768 NH50 I C 5/1/1998 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013769 NH50 I C 5/1/1998 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015770 NH50 I C 5/1/1998 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016771 NH50 I C 5/1/1998 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017772 NH50 I F 5/1/1998 MI 24.00% 24.00% 5/23/2011 6/21/2011 10/1/2011773 NH50 I F 5/1/1998 MI 7.00% 7.00% 9/5/2012 10/1/2012 1/1/2013774 NH50 I F 5/1/1998 MI 18.50% 12.30% 1/28/2015 3/18/2015 7/1/2015775 NH50 I F 5/1/1998 MI 8.50% 8.50% 1/20/2016 2/8/2016 7/1/2016776 NH50 I F 5/1/1998 MI 2.70% 2.70% 2/16/2017 3/2/2027 7/1/2017777 HCA I C 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved778 HCA I C 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016779 HCA I C 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase780 HCA I C 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase781 HCA I F 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved782 HCA I F 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016783 HCA I F 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase784 HCA I F 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase785 HCAQ I C 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved786 HCAQ I C 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016

Page 19: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 19 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

787 HCAQ I C 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase788 HCAQ I C 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase789 HCAQ I F 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved790 HCAQ I F 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016791 HCAQ I F 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase792 HCAQ I F 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase793 LTA I C 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved794 LTA I C 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016795 LTA I C 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase796 LTA I C 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase797 LTA I F 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved798 LTA I F 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016799 LTA I F 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase800 LTA I F 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase801 LTAQ I C 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved802 LTAQ I C 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016803 LTAQ I C 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase804 LTAQ I C 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase805 LTAQ I F 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved806 LTAQ I F 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016807 LTAQ I F 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase808 LTAQ I F 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase809 NHA I C 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved810 NHA I C 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016811 NHA I C 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase812 NHA I C 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase813 NHA I F 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved814 NHA I F 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016815 NHA I F 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase816 NHA I F 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase817 NHAQ I C 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved818 NHAQ I C 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016819 NHAQ I C 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase820 NHAQ I C 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase821 NHAQ I F 7/19/1999 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved822 NHAQ I F 7/19/1999 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016823 NHAQ I F 7/19/1999 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase824 NHAQ I F 7/19/1999 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase825 LT50 I C 6/1/1998 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved826 LT50 I C 6/1/1998 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016827 LT50 I C 6/1/1998 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase828 LT50 I C 6/1/1998 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase829 LT50 I F 6/1/1998 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved830 LT50 I F 6/1/1998 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016

Page 20: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 20 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

831 LT50 I F 6/1/1998 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase832 LT50 I F 6/1/1998 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase833 NH50 I C 6/1/1998 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved834 NH50 I C 6/1/1998 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016835 NH50 I C 6/1/1998 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase836 NH50 I C 6/1/1998 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase837 NH50 I F 6/1/1998 MN 24.00% Disapproved 5/27/2011 Disapproved Disapproved838 NH50 I F 6/1/1998 MN 49.60% 14.60% 4/10/2015 3/11/2016 7/1/2016839 NH50 I F 6/1/1998 MN 49.60% 10.20% 4/10/2015 3/11/2016 7/1/2017 approved 3-year increase840 NH50 I F 6/1/1998 MN 49.60% 7.40% 4/10/2015 3/11/2016 7/1/2018 approved 3-year increase841 HCA I C 11/2/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012842 HCA I C 11/2/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015843 HCA I C 11/3/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016844 HCA I C 11/3/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017845 HCA I F 11/2/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012846 HCA I F 11/2/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015847 HCA I F 11/3/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016848 HCA I F 11/3/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017849 LTA I C 11/2/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012850 LTA I C 11/2/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015851 LTA I C 11/3/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016852 LTA I C 11/3/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017853 LTA I F 11/2/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012854 LTA I F 11/2/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015855 LTA I F 11/3/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016856 LTA I F 11/3/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017857 NHA I C 11/2/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012858 NHA I C 11/2/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015859 NHA I C 11/3/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016860 NHA I C 11/3/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017861 NHA I F 11/2/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012862 NHA I F 11/2/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015863 NHA I F 11/3/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016864 NHA I F 11/3/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017865 LT50 I C 7/1/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012866 LT50 I C 7/1/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015867 LT50 I C 7/1/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016868 LT50 I C 7/1/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017869 LT50 I F 7/1/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012870 LT50 I F 7/1/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015871 LT50 I F 7/1/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016872 LT50 I F 7/1/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017873 NH50 I C 7/1/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012874 NH50 I C 7/1/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015

Page 21: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 21 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

875 NH50 I C 7/1/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016876 NH50 I C 7/1/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017877 NH50 I F 7/1/1998 MO 24.00% 15.10% 5/15/2011 8/8/2012 11/1/2012878 NH50 I F 7/1/1998 MO 27.40% 21.20% 2/17/2015 2/24/2015 6/1/2015879 NH50 I F 7/1/1998 MO 17.10% 17.10% 1/19/2016 1/25/2016 6/1/2016880 NH50 I F 7/1/1998 MO 9.20% 9.20% 2/2/2017 2/3/2017 6/1/2017881 HCA I C 4/26/1999 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008882 HCA I C 4/26/1999 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011883 HCA I C 4/26/1999 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013884 HCA I C 4/26/1999 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015885 HCA I C 4/27/1999 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017886 HCA I F 4/26/1999 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008887 HCA I F 4/26/1999 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011888 HCA I F 4/26/1999 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013889 HCA I F 4/26/1999 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015890 HCA I F 4/27/1999 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017891 LTA I C 4/26/1999 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008892 LTA I C 4/26/1999 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011893 LTA I C 4/26/1999 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013894 LTA I C 4/26/1999 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015895 LTA I C 4/27/1999 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017896 LTA I F 4/26/1999 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008897 LTA I F 4/26/1999 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011898 LTA I F 4/26/1999 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013899 LTA I F 4/26/1999 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015900 LTA I F 4/27/1999 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017901 NHA I C 4/26/1999 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008902 NHA I C 4/26/1999 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011903 NHA I C 4/26/1999 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013904 NHA I C 4/26/1999 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015905 NHA I C 4/27/1999 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017906 NHA I F 4/26/1999 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008907 NHA I F 4/26/1999 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011908 NHA I F 4/26/1999 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013909 NHA I F 4/26/1999 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015910 NHA I F 4/27/1999 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017911 LT50 I C 4/1/1998 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008912 LT50 I C 4/1/1998 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011913 LT50 I C 4/1/1998 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013914 LT50 I C 4/1/1998 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015915 LT50 I C 4/1/1998 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017916 LT50 I F 4/1/1998 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008917 LT50 I F 4/1/1998 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011918 LT50 I F 4/1/1998 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013

Page 22: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 22 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

919 LT50 I F 4/1/1998 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015920 LT50 I F 4/1/1998 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017921 NH50 I C 4/1/1998 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008922 NH50 I C 4/1/1998 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011923 NH50 I C 4/1/1998 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013924 NH50 I C 4/1/1998 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015925 NH50 I C 4/1/1998 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017926 NH50 I F 4/1/1998 MS 9.00% 9.00% 3/15/2007 11/1/2007 3/1/2008927 NH50 I F 4/1/1998 MS 21.00% 21.00% 5/30/2011 7/29/2011 11/1/2011928 NH50 I F 4/1/1998 MS 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013929 NH50 I F 4/1/1998 MS 15.30% 15.30% 1/28/2015 9/1/2015 12/1/2015930 NH50 I F 4/1/1998 MS 13.20% 13.20% 4/22/2016 8/2/2017 11/1/2017931 HCA I C 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011932 HCA I C 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013933 HCA I C 9/1/1999 MT 18.50% 5.40% 1/23/2015 9/23/2015 1/1/2016934 HCA I F 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011935 HCA I F 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013936 HCA I F 9/1/1999 MT 18.50% 5.40% 1/23/2015 9/23/2015 1/1/2016937 HCAQ I C 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011938 HCAQ I C 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013939 HCAQ I C 9/1/1999 MT 18.50% 5.40% 1/23/2015 9/23/2015 1/1/2016940 HCAQ I F 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011941 HCAQ I F 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013942 HCAQ I F 9/1/1999 MT 18.50% 5.40% 1/23/2015 9/23/2015 1/1/2016943 LTA I C 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011944 LTA I C 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013945 LTA I C 9/1/1999 MT 18.50% 18.50% 5/31/2017 10/16/2017 2/1/2018946 LTA I F 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011947 LTA I F 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013948 LTA I F 9/1/1999 MT 18.50% 18.50% 5/31/2017 10/16/2017 2/1/2018949 LTAQ I C 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011950 LTAQ I C 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013951 LTAQ I C 9/1/1999 MT 18.50% 18.50% 5/31/2017 10/16/2017 2/1/2018952 LTAQ I F 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011953 LTAQ I F 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013954 LTAQ I F 9/1/1999 MT 18.50% 18.50% 5/31/2017 10/16/2017 2/1/2018955 NHA I C 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011956 NHA I C 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013957 NHA I C 9/1/1999 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016958 NHA I F 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011959 NHA I F 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013960 NHA I F 9/1/1999 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016961 NHAQ I C 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011962 NHAQ I C 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013

Page 23: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 23 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

963 NHAQ I C 9/1/1999 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016964 NHAQ I F 9/1/1999 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011965 NHAQ I F 9/1/1999 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013966 NHAQ I F 9/1/1999 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016967 LT50 I C 4/1/1998 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011968 LT50 I C 4/1/1998 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013969 LT50 I C 4/1/1998 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016970 LT50 I F 4/1/1998 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011971 LT50 I F 4/1/1998 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013972 LT50 I F 4/1/1998 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016973 NH50 I C 4/1/1998 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011974 NH50 I C 4/1/1998 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013975 NH50 I C 4/1/1998 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016976 NH50 I F 4/1/1998 MT 24.00% 24.00% 5/21/2011 7/5/2011 10/1/2011977 NH50 I F 4/1/1998 MT 7.00% 7.00% 9/5/2012 10/3/2012 5/1/2013978 NH50 I F 4/1/1998 MT 18.50% 18.50% 1/23/2015 9/23/2015 1/1/2016979 HCA I C 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/2004980 HCA I C 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/2013981 HCA I C 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/2015982 HCA I C 12/15/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/2016983 HCA I F 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/2004984 HCA I F 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/2013985 HCA I F 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/2015986 HCA I F 12/15/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/2016987 LTA I C 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/2004988 LTA I C 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/2013989 LTA I C 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/2015990 LTA I C 12/15/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/2016991 LTA I F 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/2004992 LTA I F 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/2013993 LTA I F 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/2015994 LTA I F 12/15/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/2016995 NHA I C 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/2004996 NHA I C 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/2013997 NHA I C 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/2015998 NHA I C 12/15/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/2016999 NHA I F 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/20041000 NHA I F 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/20131001 NHA I F 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/20151002 NHA I F 12/15/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/20161003 LT50 I C 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/20041004 LT50 I C 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/20131005 LT50 I C 12/14/1998 NC 18.50% 11.10% 2/16/2015 3/23/2015 7/1/20151006 LT50 I C 12/14/1998 NC 11.10% Disapproved 2/12/2016 Disapproved Disapproved

Page 24: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 24 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1007 LT50 I F 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/20041008 LT50 I F 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/20131009 LT50 I F 12/14/1998 NC 18.50% 11.10% 2/16/2015 3/23/2015 7/1/20151010 LT50 I F 12/14/1998 NC 11.10% Disapproved 2/12/2016 Disapproved Disapproved1011 NH50 I C 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/20041012 NH50 I C 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/20131013 NH50 I C 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/20151014 NH50 I C 12/14/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/20161015 NH50 I F 12/14/1998 NC 24.00% 24.00% 10/24/2003 11/21/2003 3/1/20041016 NH50 I F 12/14/1998 NC 7.00% 7.00% 12/17/2012 6/26/2013 10/1/20131017 NH50 I F 12/14/1998 NC 18.50% 13.70% 2/13/2015 3/23/2015 7/1/20151018 NH50 I F 12/14/1998 NC 13.70% 13.70% 2/13/2015 3/23/2015 7/1/20161019 HCA I C 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111020 HCA I C 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131021 HCA I C 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151022 HCA I C 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161023 HCA I C 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171024 HCA I F 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111025 HCA I F 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131026 HCA I F 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151027 HCA I F 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161028 HCA I F 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171029 HCAQ I C 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111030 HCAQ I C 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131031 HCAQ I C 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151032 HCAQ I C 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161033 HCAQ I C 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171034 HCAQ I F 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111035 HCAQ I F 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131036 HCAQ I F 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151037 HCAQ I F 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161038 HCAQ I F 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171039 LTA I C 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111040 LTA I C 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131041 LTA I C 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151042 LTA I C 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161043 LTA I C 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171044 LTA I F 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111045 LTA I F 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131046 LTA I F 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151047 LTA I F 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161048 LTA I F 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171049 LTAQ I C 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111050 LTAQ I C 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/2013

Page 25: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 25 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1051 LTAQ I C 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151052 LTAQ I C 11/2/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161053 LTAQ I C 11/2/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171054 LTAQ I F 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111055 LTAQ I F 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131056 LTAQ I F 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151057 LTAQ I F 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161058 LTAQ I F 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171059 NHA I C 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111060 NHA I C 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131061 NHA I C 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151062 NHA I C 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161063 NHA I C 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171064 NHA I F 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111065 NHA I F 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131066 NHA I F 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151067 NHA I F 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161068 NHA I F 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171069 NHAQ I C 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111070 NHAQ I C 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131071 NHAQ I C 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151072 NHAQ I C 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161073 NHAQ I C 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171074 NHAQ I F 11/2/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111075 NHAQ I F 11/2/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131076 NHAQ I F 11/2/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151077 NHAQ I F 11/3/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161078 NHAQ I F 11/3/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171079 LT50 I C 4/1/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111080 LT50 I C 4/1/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131081 LT50 I C 4/1/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151082 LT50 I C 4/1/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161083 LT50 I C 4/1/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171084 LT50 I F 4/1/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111085 LT50 I F 4/1/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131086 LT50 I F 4/1/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151087 LT50 I F 4/1/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161088 LT50 I F 4/1/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171089 NH50 I C 4/1/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/20111090 NH50 I C 4/1/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131091 NH50 I C 4/1/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151092 NH50 I C 4/1/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161093 NH50 I C 4/1/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171094 NH50 I F 4/1/1998 ND 24.00% 21.00% 5/15/2011 9/13/2011 12/1/2011

Page 26: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 26 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1095 NH50 I F 4/1/1998 ND 9.70% 9.70% 9/6/2012 11/13/2012 2/1/20131096 NH50 I F 4/1/1998 ND 18.40% 9.20% 1/22/2015 2/5/2015 5/1/20151097 NH50 I F 4/1/1998 ND 18.70% 9.20% 1/18/2016 2/4/2016 5/1/20161098 NH50 I F 4/1/1998 ND 10.50% 10.50% 11/10/2016 1/16/2017 5/1/20171099 HCA I C 7/1/2001 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111100 HCA I C 7/1/2001 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121101 HCA I C 7/1/2001 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151102 HCA I C 7/2/2001 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161103 HCA I F 7/1/2001 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111104 HCA I F 7/1/2001 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121105 HCA I F 7/1/2001 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151106 HCA I F 7/2/2001 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161107 LTA I C 7/1/2001 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111108 LTA I C 7/1/2001 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121109 LTA I C 7/1/2001 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151110 LTA I C 7/2/2001 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161111 LTA I F 7/1/2001 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111112 LTA I F 7/1/2001 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121113 LTA I F 7/1/2001 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151114 LTA I F 7/2/2001 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161115 NHA I C 7/1/2001 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111116 NHA I C 7/1/2001 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121117 NHA I C 7/1/2001 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151118 NHA I C 7/2/2001 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161119 NHA I F 7/1/2001 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111120 NHA I F 7/1/2001 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121121 NHA I F 7/1/2001 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151122 NHA I F 7/2/2001 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161123 LT50 I C 5/1/1998 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111124 LT50 I C 5/1/1998 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121125 LT50 I C 5/1/1998 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151126 LT50 I C 5/1/1998 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161127 LT50 I F 5/1/1998 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111128 LT50 I F 5/1/1998 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121129 LT50 I F 5/1/1998 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151130 LT50 I F 5/1/1998 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161131 NH50 I C 5/1/1998 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111132 NH50 I C 5/1/1998 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121133 NH50 I C 5/1/1998 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151134 NH50 I C 5/1/1998 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/20161135 NH50 I F 5/1/1998 NE 24.00% 24.00% 4/26/2011 6/13/2011 10/1/20111136 NH50 I F 5/1/1998 NE 7.00% 7.00% 8/21/2012 9/14/2012 12/1/20121137 NH50 I F 5/1/1998 NE 18.50% 18.50% 1/22/2015 3/9/2015 6/1/20151138 NH50 I F 5/1/1998 NE 9.40% 9.40% 1/18/2016 5/4/2016 8/1/2016

Page 27: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 27 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1139 HCA I C 8/1/2000 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121140 HCA I C 8/1/2000 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131141 HCA I C 8/1/2000 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151142 HCA I C 8/2/2000 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161143 HCA I F 8/1/2000 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121144 HCA I F 8/1/2000 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131145 HCA I F 8/1/2000 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151146 HCA I F 8/2/2000 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161147 LTA I C 8/1/2000 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121148 LTA I C 8/1/2000 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131149 LTA I C 8/1/2000 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151150 LTA I C 8/2/2000 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161151 LTA I F 8/1/2000 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121152 LTA I F 8/1/2000 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131153 LTA I F 8/1/2000 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151154 LTA I F 8/2/2000 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161155 NHA I C 8/1/2000 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121156 NHA I C 8/1/2000 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131157 NHA I C 8/1/2000 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151158 NHA I C 8/2/2000 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161159 NHA I F 8/1/2000 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121160 NHA I F 8/1/2000 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131161 NHA I F 8/1/2000 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151162 NHA I F 8/2/2000 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161163 LT50 I C 10/23/1997 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121164 LT50 I C 10/23/1997 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131165 LT50 I C 10/23/1997 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151166 LT50 I C 10/23/1997 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161167 LT50 I F 10/23/1997 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121168 LT50 I F 10/23/1997 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131169 LT50 I F 10/23/1997 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151170 LT50 I F 10/23/1997 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161171 NH50 I C 10/23/1997 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121172 NH50 I C 10/23/1997 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131173 NH50 I C 10/23/1997 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151174 NH50 I C 10/23/1997 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161175 NH50 I F 10/23/1997 NH 24.00% 11.50% 5/26/2011 1/24/2012 5/1/20121176 NH50 I F 10/23/1997 NH 15.50% 15.50% 1/15/2013 3/12/2013 6/1/20131177 NH50 I F 10/23/1997 NH 18.50% 18.50% 1/30/2015 4/16/2015 8/1/20151178 NH50 I F 10/23/1997 NH 10.10% 10.10% 1/30/2015 4/16/2015 8/1/20161179 HCA I C 4/30/2000 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121180 HCA I C 4/30/2000 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131181 HCA I C 4/30/2000 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1182 HCA I C 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/2016

Page 28: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 28 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1183 HCA I C 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171184 HCA I F 4/30/2000 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121185 HCA I F 4/30/2000 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131186 HCA I F 4/30/2000 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1187 HCA I F 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161188 HCA I F 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171189 NHA I C 4/30/2000 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121190 NHA I C 4/30/2000 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131191 NHA I C 4/30/2000 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1192 NHA I C 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161193 NHA I C 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171194 NHA I F 4/30/2000 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121195 NHA I F 4/30/2000 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131196 NHA I F 4/30/2000 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1197 NHA I F 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161198 NHA I F 4/30/2000 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171199 LT50 I C 12/15/1997 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121200 LT50 I C 12/15/1997 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131201 LT50 I C 12/15/1997 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1202 LT50 I C 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161203 LT50 I C 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171204 LT50 I F 12/15/1997 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121205 LT50 I F 12/15/1997 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131206 LT50 I F 12/15/1997 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1207 LT50 I F 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161208 LT50 I F 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171209 NH50 I C 12/15/1997 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121210 NH50 I C 12/15/1997 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131211 NH50 I C 12/15/1997 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1212 NH50 I C 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161213 NH50 I C 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171214 NH50 I F 12/15/1997 NJ 24.00% 24.00% 6/8/2011 10/17/2011 1/1/20121215 NH50 I F 12/15/1997 NJ 7.00% 7.00% 6/8/2011 10/17/2011 1/1/20131216 NH50 I F 12/15/1997 NJ 30.50% 8.80% 1/22/2015 6/5/2015 9/1/2015 approved 3-year increase1217 NH50 I F 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20161218 NH50 I F 12/15/1997 NJ 0.00% 8.80% 1/22/2015 6/5/2015 9/1/20171219 HCA I C 7/19/1999 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1220 HCA I C 7/19/1999 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151221 HCA I C 7/20/1999 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161222 HCA I C 7/20/1999 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181223 HCA I F 7/19/1999 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1224 HCA I F 7/19/1999 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151225 HCA I F 7/20/1999 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161226 HCA I F 7/20/1999 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/2018

Page 29: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 29 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1227 LTA I C 7/19/1999 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1228 LTA I C 7/19/1999 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151229 LTA I C 7/20/1999 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161230 LTA I C 7/20/1999 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181231 LTA I F 7/19/1999 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1232 LTA I F 7/19/1999 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151233 LTA I F 7/20/1999 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161234 LTA I F 7/20/1999 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181235 NHA I C 7/19/1999 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1236 NHA I C 7/19/1999 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151237 NHA I C 7/20/1999 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161238 NHA I C 7/20/1999 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181239 NHA I F 7/19/1999 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1240 NHA I F 7/19/1999 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151241 NHA I F 7/20/1999 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161242 NHA I F 7/20/1999 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181243 LT50 I C 8/1/1998 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1244 LT50 I C 8/1/1998 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151245 LT50 I C 8/1/1998 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161246 LT50 I C 8/1/1998 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181247 LT50 I F 8/1/1998 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1248 LT50 I F 8/1/1998 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151249 LT50 I F 8/1/1998 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161250 LT50 I F 8/1/1998 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181251 NH50 I C 8/1/1998 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1252 NH50 I C 8/1/1998 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151253 NH50 I C 8/1/1998 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161254 NH50 I C 8/1/1998 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181255 NH50 I F 8/1/1998 NM 24.00% Disapproved 5/26/2011 Disapproved Disapproved1256 NH50 I F 8/1/1998 NM 24.20% 13.80% 5/8/2015 8/3/2015 11/1/20151257 NH50 I F 8/1/1998 NM 20.10% 10.50% 4/28/2016 9/2/2016 12/1/20161258 NH50 I F 8/1/1998 NM 18.50% 9.20% 8/3/2017 10/31/2017 2/1/20181259 HCA I C 3/15/1999 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121260 HCA I C 3/15/1999 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131261 HCA I C 3/15/1999 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1262 HCA I C 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161263 HCA I C 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171264 HCA I F 3/15/1999 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121265 HCA I F 3/15/1999 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131266 HCA I F 3/15/1999 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1267 HCA I F 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161268 HCA I F 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171269 LTA I C 3/15/1999 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121270 LTA I C 3/15/1999 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/2013

Page 30: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 30 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1271 LTA I C 3/15/1999 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1272 LTA I C 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161273 LTA I C 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171274 LTA I F 3/15/1999 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121275 LTA I F 3/15/1999 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131276 LTA I F 3/15/1999 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1277 LTA I F 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161278 LTA I F 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171279 NHA I C 3/15/1999 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121280 NHA I C 3/15/1999 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131281 NHA I C 3/15/1999 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1282 NHA I C 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161283 NHA I C 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171284 NHA I F 3/15/1999 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121285 NHA I F 3/15/1999 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131286 NHA I F 3/15/1999 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1287 NHA I F 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161288 NHA I F 3/16/1999 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171289 LT50 I C 4/1/1998 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121290 LT50 I C 4/1/1998 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131291 LT50 I C 4/1/1998 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1292 LT50 I C 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161293 LT50 I C 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171294 LT50 I F 4/1/1998 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121295 LT50 I F 4/1/1998 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131296 LT50 I F 4/1/1998 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1297 LT50 I F 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161298 LT50 I F 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171299 NH50 I C 4/1/1998 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121300 NH50 I C 4/1/1998 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131301 NH50 I C 4/1/1998 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1302 NH50 I C 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161303 NH50 I C 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171304 NH50 I F 4/1/1998 NV 24.00% 24.00% 6/21/2011 4/26/2012 8/1/20121305 NH50 I F 4/1/1998 NV 7.00% 7.00% 1/9/2013 4/8/2013 8/1/20131306 NH50 I F 4/1/1998 NV 30.50% 8.80% 1/30/2015 5/15/2015 9/1/2015 approved 3-year increase1307 NH50 I F 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20161308 NH50 I F 4/1/1998 NV 0.00% 8.80% 1/30/2015 5/15/2015 9/1/20171309 HCA I C 8/17/2000 NY 24.00% 15.00% 6/3/2011 4/10/2013 7/1/20131310 HCA I C 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1311 HCA I F 8/17/2000 NY 24.00% 15.00% 6/3/2011 4/10/2013 7/1/20131312 HCA I F 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1313 HCAQ I C 8/17/2000 NY 24.00% 15.00% 6/3/2011 4/10/2013 7/1/20131314 HCAQ I C 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved

Page 31: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 31 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1315 HCAQ I F 8/17/2000 NY 24.00% 15.00% 6/3/2011 4/10/2013 7/1/20131316 HCAQ I F 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1317 LTA I C 8/17/2000 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1318 LTA I C 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1319 LTA I F 8/17/2000 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1320 LTA I F 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1321 LTAQ I C 8/17/2000 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1322 LTAQ I C 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1323 LTAQ I F 8/17/2000 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1324 LTAQ I F 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1325 NHA I C 8/17/2000 NY 24.00% 10.00% 6/3/2011 4/10/2013 7/1/20131326 NHA I C 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1327 NHA I F 8/17/2000 NY 24.00% 10.00% 6/3/2011 4/10/2013 7/1/20131328 NHA I F 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1329 NHAQ I C 8/17/2000 NY 24.00% 10.00% 6/3/2011 4/10/2013 7/1/20131330 NHAQ I C 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1331 NHAQ I F 8/17/2000 NY 24.00% 10.00% 6/3/2011 4/10/2013 7/1/20131332 NHAQ I F 8/17/2000 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1333 LT50 I C 6/1/1998 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1334 LT50 I C 6/1/1998 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1335 LT50 I F 6/1/1998 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1336 LT50 I F 6/1/1998 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1337 NH50 I C 6/1/1998 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1338 NH50 I C 6/1/1998 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1339 NH50 I F 6/1/1998 NY 24.00% Disapproved 6/3/2011 Disapproved Disapproved1340 NH50 I F 6/1/1998 NY 24.20% Disapproved 8/26/2015 Disapproved Disapproved1341 HCA I C 11/2/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111342 HCA I C 11/2/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121343 HCA I C 11/2/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151344 HCA I C 11/3/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161345 HCA I C 11/3/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171346 HCA I F 11/2/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111347 HCA I F 11/2/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121348 HCA I F 11/2/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151349 HCA I F 11/3/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161350 HCA I F 11/3/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171351 LTA I C 11/2/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111352 LTA I C 11/2/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121353 LTA I C 11/2/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151354 LTA I C 11/3/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161355 LTA I C 11/3/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171356 LTA I F 11/2/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111357 LTA I F 11/2/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121358 LTA I F 11/2/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/2015

Page 32: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 32 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1359 LTA I F 11/3/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161360 LTA I F 11/3/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171361 NHA I C 11/2/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111362 NHA I C 11/2/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121363 NHA I C 11/2/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151364 NHA I C 11/3/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161365 NHA I C 11/3/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171366 NHA I F 11/2/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111367 NHA I F 11/2/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121368 NHA I F 11/2/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151369 NHA I F 11/3/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161370 NHA I F 11/3/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171371 LT50 I C 4/1/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111372 LT50 I C 4/1/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121373 LT50 I C 4/1/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151374 LT50 I C 4/1/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161375 LT50 I C 4/1/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171376 LT50 I F 4/1/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111377 LT50 I F 4/1/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121378 LT50 I F 4/1/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151379 LT50 I F 4/1/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161380 LT50 I F 4/1/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171381 NH50 I C 4/1/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111382 NH50 I C 4/1/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121383 NH50 I C 4/1/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151384 NH50 I C 4/1/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161385 NH50 I C 4/1/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171386 NH50 I F 4/1/1998 OH 24.00% 24.00% 5/18/2011 6/6/2011 10/1/20111387 NH50 I F 4/1/1998 OH 7.00% 7.00% 5/18/2007 6/6/2011 10/1/20121388 NH50 I F 4/1/1998 OH 18.50% 9.20% 1/27/2015 4/15/2015 8/1/20151389 NH50 I F 4/1/1998 OH 7.80% 7.80% 1/28/2016 4/21/2016 8/1/20161390 NH50 I F 4/1/1998 OH 6.20% 6.20% 3/29/2017 4/24/2017 8/1/20171391 HCA I C 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121392 HCA I C 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161393 HCA I C 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171394 HCA I C 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181395 HCA I F 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121396 HCA I F 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161397 HCA I F 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171398 HCA I F 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181399 LTA I C 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121400 LTA I C 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161401 LTA I C 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171402 LTA I C 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/2018

Page 33: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 33 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1403 LTA I F 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121404 LTA I F 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161405 LTA I F 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171406 LTA I F 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181407 NHA I C 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121408 NHA I C 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161409 NHA I C 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171410 NHA I C 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181411 NHA I F 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121412 NHA I F 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161413 NHA I F 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171414 NHA I F 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181415 LT50 I C 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121416 LT50 I C 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161417 LT50 I C 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171418 LT50 I C 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181419 LT50 I F 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121420 LT50 I F 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161421 LT50 I F 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171422 LT50 I F 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181423 NH50 I C 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121424 NH50 I C 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161425 NH50 I C 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171426 NH50 I C 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181427 NH50 I F 9/1/1999 OK 24.00% 24.00% 6/21/2011 10/25/2011 2/1/20121428 NH50 I F 9/1/1999 OK 18.50% 6.40% 5/15/2015 2/1/2016 5/1/20161429 NH50 I F 9/1/1999 OK 39.20% 8.20% 11/14/2016 12/13/2016 5/1/20171430 NH50 I F 9/1/1999 OK 19.30% 6.40% 12/6/2017 2/8/2018 5/1/20181431 LT50 I C 4/1/1998 OR 24.00% 10.30% 6/23/2011 12/9/2011 3/1/20121432 LT50 I C 4/1/1998 OR 24.00% 10.30% 6/23/2011 12/9/2011 3/1/20131433 LT50 I C 4/1/1998 OR 18.50% 18.50% 4/21/2015 11/30/2015 3/1/20161434 LT50 I F 4/1/1998 OR 24.00% 10.30% 6/23/2011 12/9/2011 3/1/20121435 LT50 I F 4/1/1998 OR 24.00% 10.30% 6/23/2011 12/9/2011 3/1/20131436 LT50 I F 4/1/1998 OR 18.50% 18.50% 4/21/2015 11/30/2015 3/1/20161437 HCA I C 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121438 HCA I C 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131439 HCA I C 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151440 HCA I C 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161441 HCA I C 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171442 HCA I F 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121443 HCA I F 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131444 HCA I F 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151445 HCA I F 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161446 HCA I F 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/2017

Page 34: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 34 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1447 HCAQ I C 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121448 HCAQ I C 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131449 HCAQ I C 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151450 HCAQ I C 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161451 HCAQ I C 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171452 HCAQ I F 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121453 HCAQ I F 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131454 HCAQ I F 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151455 HCAQ I F 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161456 HCAQ I F 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171457 LTA I C 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121458 LTA I C 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131459 LTA I C 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151460 LTA I C 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161461 LTA I C 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171462 LTA I F 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121463 LTA I F 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131464 LTA I F 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151465 LTA I F 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161466 LTA I F 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171467 LTAQ I C 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121468 LTAQ I C 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131469 LTAQ I C 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151470 LTAQ I C 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161471 LTAQ I C 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171472 LTAQ I F 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121473 LTAQ I F 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131474 LTAQ I F 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151475 LTAQ I F 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161476 LTAQ I F 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171477 NHA I C 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121478 NHA I C 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131479 NHA I C 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151480 NHA I C 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161481 NHA I C 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171482 NHA I F 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121483 NHA I F 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131484 NHA I F 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151485 NHA I F 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161486 NHA I F 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171487 NHAQ I C 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121488 NHAQ I C 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131489 NHAQ I C 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151490 NHAQ I C 12/14/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/2016

Page 35: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 35 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1491 NHAQ I C 12/14/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171492 NHAQ I F 12/13/1999 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121493 NHAQ I F 12/13/1999 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131494 NHAQ I F 12/13/1999 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151495 NHAQ I F 12/13/1999 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161496 NHAQ I F 12/13/1999 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171497 LT50 I C 6/2/1997 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121498 LT50 I C 6/2/1997 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131499 LT50 I C 6/2/1997 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151500 LT50 I C 6/2/1997 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161501 LT50 I C 6/2/1997 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171502 LT50 I F 6/2/1997 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121503 LT50 I F 6/2/1997 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131504 LT50 I F 6/2/1997 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151505 LT50 I F 6/2/1997 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161506 LT50 I F 6/2/1997 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171507 NH50 I C 6/2/1997 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121508 NH50 I C 6/2/1997 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131509 NH50 I C 6/2/1997 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151510 NH50 I C 6/2/1997 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161511 NH50 I C 6/2/1997 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171512 NH50 I F 6/2/1997 PA 24.00% 15.00% 5/30/2011 9/16/2011 1/1/20121513 NH50 I F 6/2/1997 PA 15.40% 15.00% 9/13/2012 12/6/2012 3/1/20131514 NH50 I F 6/2/1997 PA 18.50% 12.30% 2/26/2015 5/8/2015 8/1/20151515 NH50 I F 6/2/1997 PA 13.10% 7.30% 1/27/2016 4/27/2016 8/1/20161516 NH50 I F 6/2/1997 PA 8.20% 8.20% 2/23/2017 6/15/2017 12/1/20171517 HCA I C 12/14/2000 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111518 HCA I C 12/14/2000 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121519 HCA I C 12/14/2000 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151520 HCA I C 12/15/2000 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161521 HCA I F 12/14/2000 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111522 HCA I F 12/14/2000 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121523 HCA I F 12/14/2000 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151524 HCA I F 12/15/2000 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161525 LTA I C 12/14/2000 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111526 LTA I C 12/14/2000 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121527 LTA I C 12/14/2000 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151528 LTA I C 12/15/2000 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161529 LTA I F 12/14/2000 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111530 LTA I F 12/14/2000 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121531 LTA I F 12/14/2000 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151532 LTA I F 12/15/2000 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161533 NHA I C 12/14/2000 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111534 NHA I C 12/14/2000 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/2012

Page 36: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 36 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1535 NHA I C 12/14/2000 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151536 NHA I C 12/15/2000 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161537 NHA I F 12/14/2000 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111538 NHA I F 12/14/2000 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121539 NHA I F 12/14/2000 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151540 NHA I F 12/15/2000 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161541 LT50 I C 7/10/1998 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111542 LT50 I C 7/10/1998 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121543 LT50 I C 7/10/1998 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151544 LT50 I C 7/10/1998 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161545 LT50 I F 7/10/1998 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111546 LT50 I F 7/10/1998 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121547 LT50 I F 7/10/1998 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151548 LT50 I F 7/10/1998 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161549 NH50 I C 7/10/1998 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111550 NH50 I C 7/10/1998 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121551 NH50 I C 7/10/1998 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151552 NH50 I C 7/10/1998 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161553 NH50 I F 7/10/1998 PR 24.00% 24.00% 6/22/2011 7/12/2011 11/1/20111554 NH50 I F 7/10/1998 PR 7.00% 7.00% 6/22/2011 7/12/2011 11/1/20121555 NH50 I F 7/10/1998 PR 18.50% 18.50% 1/23/2015 2/6/2015 5/1/20151556 NH50 I F 7/10/1998 PR 10.10% 10.10% 1/23/2015 2/6/2015 5/1/20161557 HCA I C 4/3/2000 RI 24.00% Pending 6/23/2011 Pending Pending1558 HCA I F 4/3/2000 RI 24.00% Pending 6/23/2011 Pending Pending1559 LTA I C 4/3/2000 RI 24.00% Pending 6/23/2011 Pending Pending1560 LTA I F 4/3/2000 RI 24.00% Pending 6/23/2011 Pending Pending1561 NHA I C 4/3/2000 RI 24.00% Pending 6/23/2011 Pending Pending1562 NHA I F 4/3/2000 RI 24.00% Pending 6/23/2011 Pending Pending1563 LT50 I C 7/1/1998 RI 24.00% Pending 6/23/2011 Pending Pending1564 LT50 I F 7/1/1998 RI 24.00% Pending 6/23/2011 Pending Pending1565 NH50 I C 7/1/1998 RI 24.00% Pending 6/23/2011 Pending Pending1566 NH50 I F 7/1/1998 RI 24.00% Pending 6/23/2011 Pending Pending1567 HCA I C 9/23/1999 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111568 HCA I C 9/23/1999 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131569 HCA I C 9/23/1999 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151570 HCA I C 9/24/1999 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161571 HCA I C 9/24/1999 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171572 HCA I F 9/23/1999 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111573 HCA I F 9/23/1999 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131574 HCA I F 9/23/1999 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151575 HCA I F 9/24/1999 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161576 HCA I F 9/24/1999 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171577 LTA I C 9/23/1999 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111578 LTA I C 9/23/1999 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/2013

Page 37: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 37 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1579 LTA I C 9/23/1999 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151580 LTA I C 9/24/1999 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161581 LTA I C 9/24/1999 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171582 LTA I F 9/23/1999 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111583 LTA I F 9/23/1999 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131584 LTA I F 9/23/1999 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151585 LTA I F 9/24/1999 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161586 LTA I F 9/24/1999 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171587 NHA I C 9/23/1999 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111588 NHA I C 9/23/1999 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131589 NHA I C 9/23/1999 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151590 NHA I C 9/24/1999 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161591 NHA I C 9/24/1999 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171592 NHA I F 9/23/1999 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111593 NHA I F 9/23/1999 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131594 NHA I F 9/23/1999 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151595 NHA I F 9/24/1999 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161596 NHA I F 9/24/1999 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171597 LT50 I C 7/1/1998 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111598 LT50 I C 7/1/1998 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131599 LT50 I C 7/1/1998 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151600 LT50 I C 7/1/1998 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161601 LT50 I C 7/1/1998 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171602 LT50 I F 7/1/1998 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111603 LT50 I F 7/1/1998 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131604 LT50 I F 7/1/1998 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151605 LT50 I F 7/1/1998 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161606 LT50 I F 7/1/1998 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171607 NH50 I C 7/1/1998 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111608 NH50 I C 7/1/1998 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131609 NH50 I C 7/1/1998 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151610 NH50 I C 7/1/1998 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161611 NH50 I C 7/1/1998 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171612 NH50 I F 7/1/1998 SC 24.00% 18.00% 5/20/2011 9/19/2011 12/1/20111613 NH50 I F 7/1/1998 SC 10.50% 10.50% 9/7/2012 12/7/2012 3/1/20131614 NH50 I F 7/1/1998 SC 18.50% 12.30% 1/28/2015 4/6/2015 7/1/20151615 NH50 I F 7/1/1998 SC 13.00% 10.20% 1/21/2016 4/7/2016 8/1/20161616 NH50 I F 7/1/1998 SC 2.10% 2.10% 3/16/2017 4/27/2017 8/1/20171617 HCA I C 2/22/1999 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111618 HCA I C 2/22/1999 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121619 HCA I C 2/22/1999 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151620 HCA I C 2/23/1999 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161621 HCA I F 2/22/1999 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111622 HCA I F 2/22/1999 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/2012

Page 38: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 38 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1623 HCA I F 2/22/1999 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151624 HCA I F 2/23/1999 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161625 LTA I C 2/22/1999 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111626 LTA I C 2/22/1999 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121627 LTA I C 2/22/1999 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151628 LTA I C 2/23/1999 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161629 LTA I F 2/22/1999 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111630 LTA I F 2/22/1999 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121631 LTA I F 2/22/1999 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151632 LTA I F 2/23/1999 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161633 NHA I C 2/22/1999 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111634 NHA I C 2/22/1999 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121635 NHA I C 2/22/1999 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151636 NHA I C 2/23/1999 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161637 NHA I F 2/22/1999 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111638 NHA I F 2/22/1999 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121639 NHA I F 2/22/1999 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151640 NHA I F 2/23/1999 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161641 LT50 I C 8/18/1998 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111642 LT50 I C 8/18/1998 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121643 LT50 I C 8/18/1998 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151644 LT50 I C 8/18/1998 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161645 LT50 I F 8/18/1998 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111646 LT50 I F 8/18/1998 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121647 LT50 I F 8/18/1998 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151648 LT50 I F 8/18/1998 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161649 NH50 I C 8/18/1998 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111650 NH50 I C 8/18/1998 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121651 NH50 I C 8/18/1998 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151652 NH50 I C 8/18/1998 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161653 NH50 I F 8/18/1998 SD 24.00% 24.00% 5/15/2011 6/29/2011 10/1/20111654 NH50 I F 8/18/1998 SD 7.00% 7.00% 5/15/2011 6/29/2011 10/1/20121655 NH50 I F 8/18/1998 SD 18.50% 18.50% 1/27/2015 3/2/2015 6/1/20151656 NH50 I F 8/18/1998 SD 10.10% 10.10% 1/27/2015 3/2/2015 6/1/20161657 HCA I C 9/1/1999 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121658 HCA I C 9/1/1999 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131659 HCA I C 9/1/1999 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151660 HCA I C 9/1/1999 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151661 HCA I F 9/1/1999 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121662 HCA I F 9/1/1999 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131663 HCA I F 9/1/1999 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151664 HCA I F 9/1/1999 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151665 LTA I C 9/1/1999 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121666 LTA I C 9/1/1999 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/2013

Page 39: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 39 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1667 LTA I C 9/1/1999 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151668 LTA I C 9/1/1999 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151669 LTA I F 9/1/1999 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121670 LTA I F 9/1/1999 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131671 LTA I F 9/1/1999 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151672 LTA I F 9/1/1999 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151673 NHA I C 9/1/1999 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121674 NHA I C 9/1/1999 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131675 NHA I C 9/1/1999 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151676 NHA I C 9/1/1999 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151677 NHA I F 9/1/1999 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121678 NHA I F 9/1/1999 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131679 NHA I F 9/1/1999 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151680 NHA I F 9/1/1999 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151681 LT50 I C 3/15/1998 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121682 LT50 I C 3/15/1998 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131683 LT50 I C 3/15/1998 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151684 LT50 I C 3/15/1998 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151685 LT50 I F 3/15/1998 TN 24.00% 24.00% 5/18/2011 12/15/2011 4/1/20121686 LT50 I F 3/15/1998 TN 7.00% 7.00% 5/18/2011 12/15/2011 4/1/20131687 LT50 I F 3/15/1998 TN 18.50% 18.50% 1/28/2015 3/27/2015 7/1/20151688 LT50 I F 3/15/1998 TN 10.10% 10.10% 1/28/2015 3/27/2015 7/1/20151689 HCA I C 7/24/2002 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121690 HCA I C 7/24/2002 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1691 HCA I C 7/24/2002 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171692 HCA I F 7/24/2002 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121693 HCA I F 7/24/2002 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1694 HCA I F 7/24/2002 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171695 LTA I C 7/24/2002 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121696 LTA I C 7/24/2002 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1697 LTA I C 7/24/2002 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171698 LTA I F 7/24/2002 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121699 LTA I F 7/24/2002 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1700 LTA I F 7/24/2002 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171701 NHA I C 7/24/2002 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121702 NHA I C 7/24/2002 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1703 NHA I C 7/24/2002 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171704 NHA I F 7/24/2002 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121705 NHA I F 7/24/2002 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1706 NHA I F 7/24/2002 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171707 LT50 I C 2/9/1999 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121708 LT50 I C 2/9/1999 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1709 LT50 I C 2/9/1999 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171710 LT50 I F 2/9/1999 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/2012

Page 40: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 40 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1711 LT50 I F 2/9/1999 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1712 LT50 I F 2/9/1999 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171713 NH50 I C 2/9/1999 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121714 NH50 I C 2/9/1999 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1715 NH50 I C 2/9/1999 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171716 NH50 I F 2/9/1999 TX 24.00% 24.00% 5/27/2011 10/20/2011 1/1/20121717 NH50 I F 2/9/1999 TX 18.50% 18.50% 4/8/2015 10/7/2015 1/1/2016 approved 2-year increase1718 NH50 I F 2/9/1999 TX 19.10% 19.10% 4/8/2015 10/7/2015 1/1/20171719 HCA I C 10/29/1999 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121720 HCA I C 10/29/1999 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151721 HCA I C 10/30/1999 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161722 HCA I F 10/29/1999 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121723 HCA I F 10/29/1999 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151724 HCA I F 10/30/1999 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161725 LTA I C 10/29/1999 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121726 LTA I C 10/29/1999 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151727 LTA I C 10/30/1999 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161728 LTA I F 10/29/1999 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121729 LTA I F 10/29/1999 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151730 LTA I F 10/30/1999 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161731 NHA I C 10/29/1999 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121732 NHA I C 10/29/1999 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151733 NHA I C 10/30/1999 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161734 NHA I F 10/29/1999 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121735 NHA I F 10/29/1999 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151736 NHA I F 10/29/1999 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161737 LT50 I C 12/22/1997 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121738 LT50 I C 12/22/1997 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151739 LT50 I C 12/22/1997 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161740 LT50 I F 12/22/1997 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121741 LT50 I F 12/22/1997 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151742 LT50 I F 12/22/1997 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161743 NH50 I C 7/2/1997 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121744 NH50 I C 7/2/1997 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151745 NH50 I C 7/2/1997 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/20161746 NH50 I F 7/2/1997 UT 24.00% 24.00% 6/22/2011 11/15/2011 2/1/20121747 NH50 I F 7/2/1997 UT 18.50% 18.50% 4/24/2015 6/18/2015 10/1/20151748 NH50 I F 7/2/1997 UT 19.10% 19.10% 4/27/2016 5/20/2016 10/1/2016

1749 HCA I C 9/1/1999 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1750 HCA I C 9/1/1999 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1751 HCA I C 9/1/1999 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1752 HCA I F 9/1/1999 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

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California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 41 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1753 HCA I F 9/1/1999 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1754 HCA I F 9/1/1999 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1755 LTA I C 9/1/1999 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1756 LTA I C 9/1/1999 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1757 LTA I C 9/1/1999 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1758 LTA I F 9/1/1999 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1759 LTA I F 9/1/1999 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1760 LTA I F 9/1/1999 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1761 NHA I C 9/1/1999 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1762 NHA I C 9/1/1999 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1763 NHA I C 9/1/1999 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1764 NHA I F 9/1/1999 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1765 NHA I F 9/1/1999 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1766 NHA I F 9/1/1999 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1767 LT50 I C 4/1/1998 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1768 LT50 I C 4/1/1998 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1769 LT50 I C 4/1/1998 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1770 LT50 I F 4/1/1998 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1771 LT50 I F 4/1/1998 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1772 LT50 I F 4/1/1998 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1773 NH50 I C 4/1/1998 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1774 NH50 I C 4/1/1998 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1775 NH50 I C 4/1/1998 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/2018

1776 NH50 I F 4/1/1998 VA 24.00% 26.10% 6/8/2011 2/4/2013 5/1/2013VA approved an increase amount larger than requested

1777 NH50 I F 4/1/1998 VA 7.00% 13.80% 6/8/2011 2/4/2013 5/1/2014VA approved an increase amount larger than requested

1778 NH50 I F 4/1/1998 VA 16.70% 16.70% 8/26/2016 11/30/2017 5/1/20181779 HCA I C 11/17/2000 VT 24.00% Disapproved 6/23/2011 Disapproved Disapproved1780 HCA I C 11/17/2000 VT 18.50% Disapproved 4/10/2015 Disapproved Disapproved1781 HCA I F 11/17/2000 VT 24.00% Disapproved 6/23/2011 Disapproved Disapproved

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California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 42 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1782 HCA I F 11/17/2000 VT 18.50% Disapproved 4/10/2015 Disapproved Disapproved1783 LTA I C 11/17/2000 VT 24.00% Disapproved 6/23/2011 Disapproved Disapproved1784 LTA I C 11/17/2000 VT 18.50% Disapproved 4/10/2015 Disapproved Disapproved1785 LTA I F 11/17/2000 VT 24.00% Disapproved 6/23/2011 Disapproved Disapproved1786 LTA I F 11/17/2000 VT 18.50% Disapproved 4/10/2015 Disapproved Disapproved1787 NHA I C 11/17/2000 VT 24.00% Disapproved 6/23/2011 Disapproved Disapproved1788 NHA I C 11/17/2000 VT 18.50% Disapproved 4/10/2015 Disapproved Disapproved1789 NHA I F 11/17/2000 VT 24.00% Disapproved 6/23/2011 Disapproved Disapproved1790 NHA I F 11/17/2000 VT 18.50% Disapproved 4/10/2015 Disapproved Disapproved1791 HCA I C 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121792 HCA I C 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131793 HCA I C 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151794 HCA I C 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161795 HCA I F 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121796 HCA I F 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131797 HCA I F 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151798 HCA I F 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161799 HCAQ I C 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121800 HCAQ I C 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131801 HCAQ I C 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151802 HCAQ I C 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161803 HCAQ I F 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121804 HCAQ I F 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131805 HCAQ I F 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151806 HCAQ I F 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161807 LTA I C 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121808 LTA I C 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131809 LTA I C 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151810 LTA I C 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161811 LTA I F 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121812 LTA I F 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131813 LTA I F 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151814 LTA I F 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161815 LTAQ I C 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121816 LTAQ I C 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131817 LTAQ I C 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151818 LTAQ I C 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161819 LTAQ I F 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121820 LTAQ I F 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131821 LTAQ I F 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151822 LTAQ I F 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161823 NHA I C 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121824 NHA I C 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131825 NHA I C 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/2015

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California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 43 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1826 NHA I C 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161827 NHA I F 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121828 NHA I F 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131829 NHA I F 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151830 NHA I F 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161831 NHAQ I C 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121832 NHAQ I C 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131833 NHAQ I C 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151834 NHAQ I C 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161835 NHAQ I F 8/1/2000 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121836 NHAQ I F 8/1/2000 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131837 NHAQ I F 8/1/2000 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151838 NHAQ I F 8/2/2000 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161839 LT50 I C 11/24/1997 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121840 LT50 I C 11/24/1997 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131841 LT50 I C 11/24/1997 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151842 LT50 I C 11/24/1997 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161843 LT50 I F 11/24/1997 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121844 LT50 I F 11/24/1997 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131845 LT50 I F 11/24/1997 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151846 LT50 I F 11/24/1997 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161847 NH50 I C 11/24/1997 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121848 NH50 I C 11/24/1997 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131849 NH50 I C 11/24/1997 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151850 NH50 I C 11/24/1997 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161851 NH50 I F 11/24/1997 WA 24.00% 15.10% 5/23/2011 1/26/2012 5/1/20121852 NH50 I F 11/24/1997 WA 15.10% 15.10% 1/9/2013 4/12/2013 8/1/20131853 NH50 I F 11/24/1997 WA 18.50% 18.50% 1/28/2015 7/10/2015 10/1/20151854 NH50 I F 11/24/1997 WA 10.10% 10.10% 1/28/2015 7/10/2015 10/1/20161855 HCA I C 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121856 HCA I C 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131857 HCA I C 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151858 HCA I C 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161859 HCA I F 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121860 HCA I F 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131861 HCA I F 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151862 HCA I F 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161863 HCAQ I C 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121864 HCAQ I C 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131865 HCAQ I C 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151866 HCAQ I C 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161867 HCAQ I F 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121868 HCAQ I F 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131869 HCAQ I F 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/2015

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California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 44 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1870 HCAQ I F 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161871 LTA I C 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121872 LTA I C 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131873 LTA I C 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151874 LTA I C 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161875 LTA I F 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121876 LTA I F 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131877 LTA I F 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151878 LTA I F 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161879 LTAQ I C 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121880 LTAQ I C 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131881 LTAQ I C 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151882 LTAQ I C 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161883 LTAQ I F 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121884 LTAQ I F 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131885 LTAQ I F 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151886 LTAQ I F 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161887 NHA I C 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121888 NHA I C 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131889 NHA I C 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151890 NHA I C 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161891 NHA I F 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121892 NHA I F 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131893 NHA I F 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151894 NHA I F 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161895 NHAQ I C 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121896 NHAQ I C 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131897 NHAQ I C 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151898 NHAQ I C 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161899 NHAQ I F 9/15/2000 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121900 NHAQ I F 9/15/2000 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131901 NHAQ I F 9/15/2000 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151902 NHAQ I F 9/16/2000 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161903 LT50 I C 6/1/1998 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121904 LT50 I C 6/1/1998 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131905 LT50 I C 6/1/1998 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151906 LT50 I C 6/1/1998 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161907 LT50 I F 6/1/1998 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121908 LT50 I F 6/1/1998 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131909 LT50 I F 6/1/1998 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151910 LT50 I F 6/1/1998 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161911 NH50 I C 6/1/1998 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121912 NH50 I C 6/1/1998 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131913 NH50 I C 6/1/1998 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/2015

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California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 45 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1914 NH50 I C 6/1/1998 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161915 NH50 I F 6/1/1998 WI 24.00% 24.00% 6/20/2011 12/8/2011 4/1/20121916 NH50 I F 6/1/1998 WI 7.00% 7.00% 9/24/2012 10/1/2012 4/1/20131917 NH50 I F 6/1/1998 WI 18.50% 18.50% 1/28/2015 3/9/2015 7/1/20151918 NH50 I F 6/1/1998 WI 10.10% 10.10% 1/21/2016 6/7/2016 9/1/20161919 HCA I C 3/15/1999 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121920 HCA I C 3/15/1999 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131921 HCA I C 3/15/1999 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161922 HCA I C 3/16/1999 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171923 HCA I F 3/15/1999 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121924 HCA I F 3/15/1999 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131925 HCA I F 3/15/1999 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161926 HCA I F 3/16/1999 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171927 LTA I C 3/15/1999 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121928 LTA I C 3/15/1999 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131929 LTA I C 3/15/1999 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161930 LTA I C 3/16/1999 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171931 LTA I F 3/15/1999 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121932 LTA I F 3/15/1999 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131933 LTA I F 3/15/1999 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161934 LTA I F 3/16/1999 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171935 NHA I C 3/15/1999 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121936 NHA I C 3/15/1999 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131937 NHA I C 3/15/1999 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161938 NHA I C 3/16/1999 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171939 NHA I F 3/15/1999 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121940 NHA I F 3/15/1999 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131941 NHA I F 3/15/1999 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161942 NHA I F 3/16/1999 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171943 LT50 I C 5/1/1998 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121944 LT50 I C 5/1/1998 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131945 LT50 I C 5/1/1998 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161946 LT50 I C 5/1/1998 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171947 LT50 I F 5/1/1998 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121948 LT50 I F 5/1/1998 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131949 LT50 I F 5/1/1998 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161950 LT50 I F 5/1/1998 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171951 NH50 I C 5/1/1998 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121952 NH50 I C 5/1/1998 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131953 NH50 I C 5/1/1998 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/20161954 NH50 I C 5/1/1998 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171955 NH50 I F 5/1/1998 WV 24.00% 24.00% 5/30/2011 9/30/2011 1/1/20121956 NH50 I F 5/1/1998 WV 7.00% 7.00% 9/25/2012 10/15/2012 1/1/20131957 NH50 I F 5/1/1998 WV 18.50% 18.50% 4/28/2015 9/15/2015 1/1/2016

Page 46: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 46 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1958 NH50 I F 5/1/1998 WV 10.10% 10.10% 4/28/2015 9/15/2015 1/1/20171959 HCA I C 4/26/1999 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111960 HCA I C 4/26/1999 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121961 HCA I C 4/26/1999 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151962 HCA I C 4/27/1999 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161963 HCA I F 4/26/1999 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111964 HCA I F 4/26/1999 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121965 HCA I F 4/26/1999 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151966 HCA I F 4/27/1999 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161967 LTA I C 4/26/1999 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111968 LTA I C 4/26/1999 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121969 LTA I C 4/26/1999 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151970 LTA I C 4/27/1999 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161971 LTA I F 4/26/1999 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111972 LTA I F 4/26/1999 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121973 LTA I F 4/26/1999 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151974 LTA I F 4/27/1999 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161975 NHA I C 4/26/1999 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111976 NHA I C 4/26/1999 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121977 NHA I C 4/26/1999 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151978 NHA I C 4/27/1999 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161979 NHA I F 4/26/1999 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111980 NHA I F 4/26/1999 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121981 NHA I F 4/26/1999 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151982 NHA I F 4/27/1999 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161983 LT50 I C 3/15/1998 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111984 LT50 I C 3/15/1998 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121985 LT50 I C 3/15/1998 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151986 LT50 I C 3/15/1998 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161987 LT50 I F 3/15/1998 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111988 LT50 I F 3/15/1998 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121989 LT50 I F 3/15/1998 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151990 LT50 I F 3/15/1998 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161991 NH50 I C 3/15/1998 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111992 NH50 I C 3/15/1998 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121993 NH50 I C 3/15/1998 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151994 NH50 I C 3/15/1998 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161995 NH50 I F 3/15/1998 WY 24.00% 24.00% 5/23/2011 7/7/2011 11/1/20111996 NH50 I F 3/15/1998 WY 7.00% 7.00% 5/23/2011 7/7/2011 11/1/20121997 NH50 I F 3/15/1998 WY 18.50% 18.50% 1/23/2015 4/8/2015 7/1/20151998 NH50 I F 3/15/1998 WY 10.10% 10.10% 1/23/2015 4/8/2015 7/1/20161999 LTC04I I C 6/21/2004 AL 18.70% 18.70% 6/15/2012 9/11/2012 1/1/20132000 LTC04I I F 6/21/2004 AL 18.70% 18.70% 6/15/2012 9/11/2012 1/1/20132001 LTC04I I C 6/21/2004 AK 18.70% 18.70% 6/15/2012 7/6/2012 1/1/2013

Page 47: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 47 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2002 LTC04I I F 6/21/2004 AK 18.70% 18.70% 6/15/2012 7/6/2012 1/1/20132003 LTC04I I C 12/21/2004 AZ 18.70% 18.70% 6/29/2012 11/20/2012 3/1/20132004 LTC04I I F 12/21/2004 AZ 18.70% 18.70% 6/29/2012 11/20/2012 3/1/20132005 LTC04I I C 12/21/2004 AR 18.70% Disapproved 6/15/2012 Disapproved Disapproved2006 LTC04I I F 12/21/2004 AR 18.70% Disapproved 6/15/2012 Disapproved Disapproved2007 LTC04I I C 12/21/2004 AR 16.60% 16.60% 10/21/2015 1/21/2016 5/1/20162008 LTC04I I F 12/21/2004 AR 16.60% 16.60% 10/21/2015 1/21/2016 5/1/20162009 LTC04I I C 12/21/2004 CA 18.70% 12.30% 7/27/2012 5/10/2016 9/1/20162010 LTC04I I F 12/21/2004 CA 18.70% 12.30% 7/27/2012 5/10/2016 9/1/20162011 LTC04I I C 7/21/2004 CO 18.70% pending pending pending pending2012 LTC04I I F 7/21/2004 CO 18.70% pending pending pending pending2013 LTC04I I C 7/21/2004 CT 18.70% Disapproved 6/19/2012 Disapproved Disapproved2014 LTC04I I F 7/21/2004 CT 18.70% Disapproved 6/19/2012 Disapproved Disapproved2015 LTC04I I C 7/21/2004 CT 16.60% Disapproved 10/15/2016 Disapproved Disapproved2016 LTC04I I F 7/21/2004 CT 16.60% Disapproved 10/15/2016 Disapproved Disapproved2017 LTC04I I C 7/21/2004 CT 16.60% 16.69% 11/8/2017 2/20/2018 7/1/20182018 LTC04I I F 7/21/2004 CT 16.60% 16.69% 11/8/2017 2/20/2018 7/1/20182019 LTC04I I C 6/21/2004 DE 18.70% 13.70% 2/24/2016 4/20/2016 8/1/20162020 LTC04I I F 6/21/2004 DE 18.70% 13.70% 2/24/2016 4/20/2016 8/1/20162021 LTC04I I C 6/21/2004 DC 18.70% 8.80% 6/15/2012 2/1/2013 5/1/20132022 LTC04I I F 6/21/2004 DC 18.70% 8.80% 6/15/2012 2/1/2013 5/1/20132023 LTC04I I C 6/21/2004 DC 4.90% 4.90% 4/8/2016 6/3/2016 9/1/20162024 LTC04I I F 6/21/2004 DC 4.90% 4.90% 4/8/2016 6/3/2016 9/1/20162025 LTC04I I C 7/21/2004 FL 16.60% 11.10% 8/4/2016 8/16/2017 11/1/2017 FL approved a 3-year increase2026 LTC04I I F 7/21/2004 FL 16.60% 11.10% 8/4/2016 8/16/2017 11/1/2017 FL approved a 3-year increase2027 LTC04I I C 7/21/2004 FL 0.00% 6.30% 8/4/2016 8/16/2017 11/1/20182028 LTC04I I F 7/21/2004 FL 0.00% 6.30% 8/4/2016 8/16/2017 11/1/20182029 LTC04I I C 2/21/2005 GA 18.70% 15.00% 6/15/2012 11/28/2012 3/1/20132030 LTC04I I F 2/21/2005 GA 18.70% 15.00% 6/15/2012 11/28/2012 3/1/20132031 LTC04I I C 2/21/2005 GA 2.60% 2.60% 10/15/2015 10/28/2015 2/1/20162032 LTC04I I F 2/21/2005 GA 2.60% 2.60% 10/15/2015 10/28/2015 2/1/20162033 LTC04I I C 6/21/2004 HI 18.70% 16.60% 11/17/2015 1/17/2018 5/1/20182034 LTC04I I F 6/21/2004 HI 18.70% 16.60% 11/17/2015 1/17/2018 5/1/20182035 LTC04I I C 8/21/2004 ID 18.70% 18.70% 6/29/2012 12/4/2012 3/1/20132036 LTC04I I F 8/21/2004 ID 18.70% 18.70% 6/29/2012 12/4/2012 3/1/20132037 LTC04I I C 6/21/2004 IL 18.70% 18.70% 6/18/2012 7/15/2013 10/1/20132038 LTC04I I F 6/21/2004 IL 18.70% 18.70% 6/18/2012 7/15/2013 10/1/20132039 LTC04I I C 1/7/2005 IN 18.70% 10.00% 8/1/2012 1/24/2013 5/1/20132040 LTC04I I F 1/7/2005 IN 18.70% 10.00% 8/1/2012 1/24/2013 5/1/20132041 LTC04I I C 1/7/2005 IN 4.40% Disapproved 2/12/2016 Disapproved Disapproved2042 LTC04I I F 1/7/2005 IN 4.40% Disapproved 2/12/2016 Disapproved Disapproved2043 LTC04I I C 7/21/2004 IA 18.70% 15.20% 6/15/2012 8/28/2012 1/1/20132044 LTC04I I F 7/21/2004 IA 18.70% 15.20% 6/15/2012 8/28/2012 1/1/20132045 LTC04I I C 7/21/2004 IA 4.40% 4.40% 10/15/2015 12/3/2015 3/1/2016

Page 48: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 48 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2046 LTC04I I F 7/21/2004 IA 4.40% 4.40% 10/15/2015 12/3/2015 3/1/20162047 LTC04I I C 11/4/2004 KS 18.70% 12.10% 6/15/2012 1/23/2013 5/1/20132048 LTC04I I F 11/4/2004 KS 18.70% 12.10% 6/15/2012 1/23/2013 5/1/20132049 LTC04I I C 11/4/2004 KS 5.70% 5.70% 11/17/2015 5/20/2016 9/1/20162050 LTC04I I F 11/4/2004 KS 5.70% 5.70% 11/17/2015 5/20/2016 9/1/20162051 LTC04I I C 6/21/2004 KY 18.70% 18.70% 6/15/2012 6/29/2012 1/1/20132052 LTC04I I F 6/21/2004 KY 18.70% 18.70% 6/15/2012 6/29/2012 1/1/20132053 LTC04I I C 6/21/2004 LA 18.70% Disapproved 6/19/2012 Disapproved Disapproved2054 LTC04I I F 6/21/2004 LA 18.70% Disapproved 6/19/2012 Disapproved Disapproved2055 LTC04I I C 6/21/2004 LA 16.60% 16.60% 10/21/2015 3/4/2016 6/1/20162056 LTC04I I F 6/21/2004 LA 16.60% 16.60% 10/21/2015 3/4/2016 6/1/20162057 LTC04I I C 6/21/2004 ME 18.70% pending 2/26/2016 pending pending2058 LTC04I I F 6/21/2004 ME 18.70% pending 2/26/2016 pending pending2059 LTC04I I C 6/21/2004 MD 18.70% 12.40% 6/19/2012 11/2/2012 2/1/20132060 LTC04I I F 6/21/2004 MD 18.70% 12.40% 6/19/2012 11/2/2012 2/1/20132061 LTC04I I C 6/21/2004 MA 16.60% 8.10% 1/6/2016 1/20/2017 6/1/2017 MA approved a 2-year increase2062 LTC04I I F 6/21/2004 MA 16.60% 8.10% 1/6/2016 1/20/2017 6/1/2017 MA approved a 2-year increase2063 LTC04I I C 6/21/2004 MA 0.00% 2.50% 1/6/2016 1/20/2017 7/1/20182064 LTC04I I F 6/21/2004 MA 0.00% 2.50% 1/6/2016 1/20/2017 7/1/20182065 LTC04I I C 7/21/2004 MI 18.70% 18.70% 6/15/2012 6/26/2012 1/1/20132066 LTC04I I F 7/21/2004 MI 18.70% 18.70% 6/15/2012 6/26/2012 1/1/20132067 LTC04I I C 1/21/2005 MN 18.70% Disapproved 6/19/2012 Disapproved Disapproved2068 LTC04I I F 1/21/2005 MN 18.70% Disapproved 6/19/2012 Disapproved Disapproved2069 LTC04I I C 1/21/2005 MN 16.60% 10.10% 12/17/2015 3/31/2016 7/1/2016 approved 3-year increased in 20162070 LTC04I I F 1/21/2005 MN 16.60% 10.10% 12/17/2015 3/31/2016 7/1/2016 approved 3-year increased in 20162071 LTC04I I C 1/21/2005 MN 0.00% 4.60% 12/17/2015 3/31/2016 7/1/20172072 LTC04I I F 1/21/2005 MN 0.00% 4.60% 12/17/2015 3/31/2016 7/1/20172073 LTC04I I C 1/21/2005 MN 0.00% 0.90% 12/17/2015 3/31/2016 7/1/20182074 LTC04I I F 1/21/2005 MN 0.00% 0.90% 12/17/2015 3/31/2016 7/1/20182075 LTC04I I C 8/21/2004 MS 18.70% 14.90% 6/18/2012 8/17/2012 1/1/20132076 LTC04I I F 8/21/2004 MS 18.70% 14.90% 6/18/2012 8/17/2012 1/1/20132077 LTC04I I C 8/21/2004 MS 2.30% 2.30% 10/15/2015 11/17/2015 3/1/20162078 LTC04I I F 8/21/2004 MS 2.30% 2.30% 10/15/2015 11/17/2015 3/1/20162079 LTC04I I C 8/21/2004 MI 18.70% 18.70% 6/15/2012 2/19/2013 6/1/20132080 LTC04I I F 8/21/2004 MI 18.70% 18.70% 6/15/2012 2/19/2013 6/1/20132081 LTC04I I C 10/21/2004 MT 18.70% 18.70% 6/19/2012 10/2/2012 1/1/20132082 LTC04I I F 10/21/2004 MT 18.70% 18.70% 6/19/2012 10/2/2012 1/1/20132083 LTC04I I C 6/21/2004 NE 18.70% 18.70% 5/31/2012 8/1/2012 1/1/20132084 LTC04I I F 6/21/2004 NE 18.70% 18.70% 5/31/2012 8/1/2012 1/1/20132085 LTC04I I C 10/21/2004 NV 18.70% 12.00% 6/15/2012 12/19/2012 4/1/20132086 LTC04I I F 10/21/2004 NV 18.70% 12.00% 6/15/2012 12/19/2012 4/1/20132087 LTC04I I C 10/21/2004 NV 3.70% 3.70% 11/17/2015 2/5/2016 5/1/20162088 LTC04I I F 10/21/2004 NV 3.70% 3.70% 11/17/2015 2/5/2016 5/1/20162089 LTC04I I C 9/21/2004 NH 18.70% 18.70% 6/15/2012 7/5/2012 1/1/2013

Page 49: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 49 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2090 LTC04I I F 9/21/2004 NH 18.70% 18.70% 6/15/2012 7/5/2012 1/1/20132091 LTC04I I C 6/21/2004 NJ 18.70% Disapproved 6/19/2012 Disapproved Disapproved2092 LTC04I I F 6/21/2004 NJ 18.70% Disapproved 6/19/2012 Disapproved Disapproved2093 LTC04I I C 6/21/2004 NJ 16.60% Disapproved 10/15/2015 Disapproved Disapproved2094 LTC04I I F 6/21/2004 NJ 16.60% Disapproved 10/15/2015 Disapproved Disapproved2095 LTC04I I C 11/4/2004 NM 18.70% Disapproved 1/8/2016 Disapproved Disapproved2096 LTC04I I F 11/4/2004 NM 18.70% Disapproved 1/8/2016 Disapproved Disapproved2097 LTC04I I C 2/21/2005 NY 18.70% Disapproved 10/16/2015 Disapproved Disapproved2098 LTC04I I F 2/21/2005 NY 18.70% Disapproved 10/16/2015 Disapproved Disapproved2099 LTC04I I C 2/21/2005 NC 18.70% 14.30% 6/15/2013 7/5/2013 10/1/20132100 LTC04I I F 2/21/2005 NC 18.70% 14.30% 6/15/2013 7/5/2013 10/1/20132101 LTC04I I C 2/21/2005 NC 2.30% Disapproved 10/27/2015 Disapproved Disapproved2102 LTC04I I F 2/21/2005 NC 2.30% Disapproved 10/27/2015 Disapproved Disapproved2103 LTC04I I C 2/21/2005 NC 2.70% 2.70% 11/1/2017 2/19/2018 6/1/20182104 LTC04I I F 2/21/2005 NC 2.70% 2.70% 11/1/2017 2/19/2018 6/1/20182105 LTC04I I C 8/21/2004 ND 18.70% 16.10% 6/15/2012 9/26/2012 1/1/20132106 LTC04I I F 8/21/2004 ND 18.70% 16.10% 6/15/2012 9/26/2012 1/1/20132107 LTC04I I C 8/21/2004 ND 4.40% 4.40% 10/27/2015 11/17/2015 3/1/20162108 LTC04I I F 8/21/2004 ND 4.40% 4.40% 10/27/2015 11/17/2015 3/1/20162109 LTC04I I C 6/21/2004 OH 18.70% 18.70% 6/15/2012 7/12/2012 1/1/20132110 LTC04I I F 6/21/2004 OH 18.70% 18.70% 6/15/2012 7/12/2012 1/1/20132111 LTC04I I C 10/21/2004 OK 18.70% 16.40% 6/20/2012 11/13/2012 3/1/20132112 LTC04I I F 10/21/2004 OK 18.70% 16.40% 6/20/2012 11/13/2012 3/1/20132113 LTC04I I C 10/21/2004 OK 2.30% 2.30% 10/27/2015 1/27/2016 5/1/20162114 LTC04I I F 10/21/2004 OK 2.30% 2.30% 10/27/2015 1/27/2016 5/1/20162115 LTC04I I C 10/21/2004 OR 18.70% 18.70% 7/18/2012 12/11/2013 4/1/20142116 LTC04I I F 10/21/2004 OR 18.70% 18.70% 7/18/2012 12/11/2013 4/1/20142117 LTC04I I C 9/21/2004 PA 18.70% 11.10% 6/15/2012 9/24/2012 1/1/20132118 LTC04I I F 9/21/2004 PA 18.70% 11.10% 6/15/2012 9/24/2012 1/1/20132119 LTC04I I C 9/21/2004 PA 5.70% 5.70% 10/15/2015 1/6/2016 4/1/20162120 LTC04I I F 9/21/2004 PA 5.70% 5.70% 10/15/2015 1/6/2016 4/1/20162121 LTC04I I C 8/21/2005 PR 18.70% Disapproved 6/15/2012 Disapproved Disapproved2122 LTC04I I F 8/21/2005 PR 18.70% Disapproved 6/15/2012 Disapproved Disapproved2123 LTC04I I C 8/21/2005 PR 16.60% 16.60% 1/4/2016 2/24/2016 6/1/20162124 LTC04I I F 8/21/2005 PR 16.60% 16.60% 1/4/2016 2/24/2016 6/1/20162125 LTC04I I C 1/21/2005 RI 16.60% pending 2/4/2016 pending pending2126 LTC04I I F 1/21/2005 RI 16.60% pending 2/4/2016 pending pending2127 LTC04I I C 10/21/2004 SC 18.70% 18.70% 6/15/2012 10/31/2012 2/1/20132128 LTC04I I F 10/21/2004 SC 18.70% 18.70% 6/15/2012 10/31/2012 2/1/20132129 LTC04I I C 8/21/2004 SD 18.70% 18.70% 6/15/2012 8/21/2012 1/1/20132130 LTC04I I F 8/21/2004 SD 18.70% 18.70% 6/15/2012 8/21/2012 1/1/20132131 LTC04I I C 7/21/2004 TN 18.70% 18.70% 6/18/2012 10/4/2012 1/1/20132132 LTC04I I F 7/21/2004 TN 18.70% 18.70% 6/18/2012 10/4/2012 1/1/20132133 LTC04I I C 2/1/2005 TX 18.70% 18.70% 6/15/2012 8/30/2013 12/1/2013

Page 50: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 50 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2134 LTC04I I F 2/1/2005 TX 18.70% 18.70% 6/15/2012 8/30/2013 12/1/20132135 LTC04I I C 8/21/2004 UT 18.70% 18.70% 8/6/2012 1/14/2013 5/1/20132136 LTC04I I F 8/21/2004 UT 18.70% 18.70% 8/6/2012 1/14/2013 5/1/20132137 LTC04I I C 8/21/2004 VT 18.70% Disapproved 7/18/2012 Disapproved Disapproved2138 LTC04I I F 8/21/2004 VT 18.70% Disapproved 7/18/2012 Disapproved Disapproved2139 LTC04I I C 8/21/2004 VT 16.60% Disapproved 11/17/2015 Disapproved Disapproved2140 LTC04I I F 8/21/2004 VT 16.60% Disapproved 11/17/2015 Disapproved Disapproved2141 LTC04I I C 11/4/2004 VI 18.70% Disapproved 7/27/2012 Disapproved Disapproved2142 LTC04I I F 11/4/2004 VI 18.70% Disapproved 7/27/2012 Disapproved Disapproved2143 LTC04I I C 11/4/2004 VI 16.60% Disapproved 2/16/2016 Disapproved Disapproved2144 LTC04I I F 11/4/2004 VI 16.60% Disapproved 2/16/2016 Disapproved Disapproved2145 LTC04I I C 6/21/2004 VA 18.70% 18.70% 8/1/2012 6/8/2015 9/1/20152146 LTC04I I F 6/21/2004 VA 18.70% 18.70% 8/1/2012 6/8/2015 9/1/20152147 LTC04I I C 4/21/2005 WA 16.60% 16.60% 10/16/2015 2/4/2016 5/1/20162148 LTC04I I F 4/21/2005 WA 16.60% 16.60% 10/16/2015 2/4/2016 5/1/20162149 LTC04I I C 6/21/2004 WV 16.60% 16.60% 1/13/2016 3/4/2016 6/1/20162150 LTC04I I F 6/21/2004 WV 16.60% 16.60% 1/13/2016 3/4/2016 6/1/20162151 LTC04I I C 10/21/2004 WI 18.70% 18.70% 6/15/2012 7/7/2012 1/1/20132152 LTC04I I F 10/21/2004 WI 18.70% 18.70% 6/15/2012 7/7/2012 1/1/20132153 LTC04I I C 6/21/2004 WY 18.70% 18.70% 6/15/2012 9/7/2012 1/1/20132154 LTC04I I F 6/21/2004 WY 18.70% 18.70% 6/15/2012 9/7/2012 1/1/20132155 LTC04G G C 2/6/2004 AL 22.10% 9.00% 8/30/2013 12/11/2013 4/1/20142156 LTC04G G F 2/6/2004 AL 22.10% 9.00% 8/30/2013 12/11/2013 4/1/20142157 LTC04G G C 2/6/2004 AL 6.60% 6.60% 11/25/2015 12/31/2015 4/1/20162158 LTC04G G F 2/6/2004 AL 6.60% 6.60% 11/25/2015 12/31/2015 4/1/20162159 LTC04G G C 2/6/2004 AL 3.40% 3.40% 11/20/2016 11/21/2016 4/1/20172160 LTC04G G F 2/6/2004 AL 3.40% 3.40% 11/20/2016 11/21/2016 4/1/20172161 LTC04G G C 2/6/2004 AL 0.90% 0.90% 7/30/2018 8/30/2018 12/1/20182162 LTC04G G F 2/6/2004 AL 0.90% 0.90% 7/30/2018 8/30/2018 12/1/20182163 LTC04G G C 4/5/2005 AK 22.10% 9.00% 5/1/2013 DC Situs - filing not required2164 LTC04G G F 4/5/2005 AK 22.10% 9.00% 5/1/2013 DC Situs - filing not required2165 LTC04G G C 4/5/2005 AK 6.60% 6.60% 2/1/2016 DC Situs - filing not required2166 LTC04G G F 4/5/2005 AK 6.60% 6.60% 2/1/2016 DC Situs - filing not required2167 LTC04G G C 4/5/2005 AK 3.40% 3.40% 2/1/2017 DC Situs - filing not required2168 LTC04G G F 4/5/2005 AK 3.40% 3.40% 2/1/2017 DC Situs - filing not required2169 LTC04G G C 4/5/2005 AK 0.90% 0.90% 12/1/2018 DC Situs - filing not required2170 LTC04G G F 4/5/2005 AK 0.90% 0.90% 12/1/2018 DC Situs - filing not required2171 LTC04G G C 12/19/2003 AZ 22.10% 22.10% 5/1/2013 AZ is exempt from Group filings2172 LTC04G G F 12/19/2003 AZ 22.10% 22.10% 5/1/2013 AZ is exempt from Group filings2173 LTC04G G C 9/29/2004 AR 22.10% Disapproved 7/13/2012 Disapproved Disapproved2174 LTC04G G F 9/29/2004 AR 22.10% Disapproved 7/13/2012 Disapproved Disapproved2175 LTC04G G C 9/29/2004 AR 22.10% Disapproved 2/10/2016 Disapproved Disapproved2176 LTC04G G F 9/29/2004 AR 22.10% Disapproved 2/10/2016 Disapproved Disapproved2177 LTC04G G C 3/8/2004 CA 22.10% Disapproved 3/20/2013 Disapproved Disapproved DC Situs - filing is required

Page 51: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 51 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2178 LTC04G G F 3/8/2004 CA 22.10% Disapproved 3/20/2013 Disapproved Disapproved DC Situs - filing is required2179 LTC04G G C 2/25/2004 CO 22.10% pending pending pending pending2180 LTC04G G F 2/25/2004 CO 22.10% pending pending pending pending2181 LTC04G G C 3/12/2004 DE 16.00% 12.50% 11/25/2015 3/7/2016 7/1/20162182 LTC04G G F 3/12/2004 DE 16.00% 12.50% 11/25/2015 3/7/2016 7/1/20162183 LTC04G G C 3/8/2004 DC 22.10% 9.00% 7/5/2012 2/1/2013 5/1/20132184 LTC04G G F 3/8/2004 DC 22.10% 9.00% 7/5/2012 2/1/2013 5/1/20132185 LTC04G G C 3/8/2004 DC 6.60% 6.60% 10/6/2015 10/21/2015 2/1/20162186 LTC04G G F 3/8/2004 DC 6.60% 6.60% 10/6/2015 10/21/2015 2/1/20162187 LTC04G G C 3/8/2004 DC 3.40% 3.40% 10/14/2017 10/25/2017 2/1/20172188 LTC04G G F 3/8/2004 DC 3.40% 3.40% 10/14/2017 10/25/2017 2/1/20172189 LTC04G G C 3/8/2004 DC 0.90% 0.90% 6/29/2018 7/25/2018 12/1/20182190 LTC04G G F 3/8/2004 DC 0.90% 0.90% 6/29/2018 7/25/2018 12/1/20182191 LTC04G G C 3/1/2004 FL 21.50% 11.50% 8/4/2016 8/16/2017 11/1/2017 FL approved a 3-year increase2192 LTC04G G F 3/1/2004 FL 21.50% 11.50% 8/4/2016 8/16/2017 11/1/2017 FL approved a 3-year increase2193 LTC04G G C 3/1/2004 FL 0.00% 3.80% 8/4/2016 8/16/2017 11/1/20182194 LTC04G G F 3/1/2004 FL 0.00% 3.80% 8/4/2016 8/16/2017 11/1/20182195 LTC04G G C 11/17/2004 GA 22.10% 14.80% 7/31/2012 11/28/2012 3/1/20132196 LTC04G G F 11/17/2004 GA 22.10% 14.80% 7/31/2012 11/28/2012 3/1/20132197 LTC04G G C 11/17/2004 GA 4.50% 4.50% 11/20/2015 12/3/2015 4/1/20062198 LTC04G G F 11/17/2004 GA 4.50% 4.50% 11/20/2015 12/3/2015 4/1/20062199 LTC04G G C 11/18/2005 HI 22.10% 9.00% 5/1/2013 DC Situs - filing not required2200 LTC04G G F 11/18/2005 HI 22.10% 9.00% 5/1/2013 DC Situs - filing not required2201 LTC04G G C 11/18/2005 HI 6.60% 6.60% 2/1/2016 DC Situs - filing not required2202 LTC04G G F 11/18/2005 HI 6.60% 6.60% 2/1/2016 DC Situs - filing not required2203 LTC04G G C 11/18/2005 HI 3.40% 3.40% 2/1/2017 DC Situs - filing not required2204 LTC04G G F 11/18/2005 HI 3.40% 3.40% 2/1/2017 DC Situs - filing not required2205 LTC04G G C 11/18/2005 HI 0.90% 0.90% 12/1/2018 DC Situs - filing not required2206 LTC04G G F 11/18/2005 HI 0.90% 0.90% 12/1/2018 DC Situs - filing not required2207 LTC04G G C 4/28/2005 ID 22.10% 19.30% 7/26/2012 12/5/2012 3/1/20132208 LTC04G G F 4/28/2005 ID 22.10% 19.30% 7/26/2012 12/5/2012 3/1/20132209 LTC04G G C 4/28/2005 ID 4.90% 4.90% 12/9/2015 12/24/2015 4/1/20162210 LTC04G G F 4/28/2005 ID 4.90% 4.90% 12/9/2015 12/24/2015 4/1/20162211 LTC04G G C 3/11/2004 IL 22.10% Disapproved 8/30/2013 Disapproved Disapproved2212 LTC04G G F 3/11/2004 IL 22.10% Disapproved 8/30/2013 Disapproved Disapproved2213 LTC04G G C 3/11/2004 IL 16.00% 16.00% 10/23/2015 7/22/2016 11/1/20162214 LTC04G G F 3/11/2004 IL 16.00% 16.00% 10/23/2015 7/22/2016 11/1/20162215 LTC04G G C 10/9/2004 IN 22.10% Disapproved 8/1/2012 Disapproved Disapproved2216 LTC04G G F 10/9/2004 IN 22.10% Disapproved 8/1/2012 Disapproved Disapproved2217 LTC04G G C 10/9/2004 IN 21.50% Disapproved 4/12/2016 Disapproved Disapproved2218 LTC04G G F 10/9/2004 IN 21.50% Disapproved 4/12/2016 Disapproved Disapproved2219 LTC04G G C 2/17/2004 IA 22.10% Disapproved 8/2/2012 Disapproved Disapproved2220 LTC04G G F 2/17/2004 IA 22.10% Disapproved 8/2/2012 Disapproved Disapproved2221 LTC04G G C 2/17/2004 IA 21.50% 14.30% 2/17/2016 4/27/2016 8/1/2016

Page 52: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 52 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2222 LTC04G G F 2/17/2004 IA 21.50% 14.30% 2/17/2016 4/27/2016 8/1/20162223 LTC04G G C 7/1/2004 KS 22.10% Disapproved 7/31/2012 Disapproved Disapproved2224 LTC04G G F 7/1/2004 KS 22.10% Disapproved 7/31/2012 Disapproved Disapproved2225 LTC04G G C 7/1/2004 KS 21.50% 21.50% 1/7/2016 5/20/2016 9/1/20162226 LTC04G G F 7/1/2004 KS 21.50% 21.50% 1/7/2016 5/20/2016 9/1/20162227 LTC04G G C 2/18/2004 KY 22.10% 22.10% 7/6/2012 10/5/2012 1/1/20132228 LTC04G G F 2/18/2004 KY 22.10% 22.10% 7/6/2012 10/5/2012 1/1/20132229 LTC04G G C 10/14/2004 LA 21.50% Disapproved 11/25/2015 Disapproved Disapproved2230 LTC04G G F 10/14/2004 LA 21.50% Disapproved 11/25/2015 Disapproved Disapproved2231 LTC04G G C 2/11/2004 ME 21.50% pending 2/26/2016 pending pending2232 LTC04G G F 2/11/2004 ME 21.50% pending 2/26/2016 pending pending2233 LTC04G G C 5/12/2004 MA 22.10% 9.00% 5/1/2013 DC Situs - filing not required2234 LTC04G G F 5/12/2004 MA 22.10% 9.00% 5/1/2013 DC Situs - filing not required2235 LTC04G G C 5/12/2004 MA 6.60% 6.60% 2/1/2016 DC Situs - filing not required2236 LTC04G G F 5/12/2004 MA 6.60% 6.60% 2/1/2016 DC Situs - filing not required2237 LTC04G G C 5/12/2004 MA 3.40% 3.40% 2/1/2017 DC Situs - filing not required2238 LTC04G G F 5/12/2004 MA 3.40% 3.40% 2/1/2017 DC Situs - filing not required2239 LTC04G G C 5/12/2004 MA 0.90% 0.90% 11/1/2018 DC Situs - filing not required2240 LTC04G G F 5/12/2004 MA 0.90% 0.90% 11/1/2018 DC Situs - filing not required2241 LTC04G G C 12/11/2003 MI 22.10% Disapproved 7/13/2012 Disapproved Disapproved2242 LTC04G G F 12/11/2003 MI 22.10% Disapproved 7/13/2012 Disapproved Disapproved2243 LTC04G G C 12/11/2003 MI 21.50% 21.50% 11/25/2015 12/21/2015 4/1/20162244 LTC04G G F 12/11/2003 MI 21.50% 21.50% 11/25/2015 12/21/2015 4/1/20162245 LTC04G G C 10/22/2004 MN 22.10% pending pending pending pending2246 LTC04G G F 10/22/2004 MN 22.10% pending pending pending pending2247 LTC04G G C 2/10/2004 MS 22.10% 20.20% 8/6/2012 10/2/2012 1/1/20132248 LTC04G G F 2/10/2004 MS 22.10% 20.20% 8/6/2012 10/2/2012 1/1/20132249 LTC04G G C 2/10/2004 MS 3.00% 3.00% 2/15/2016 2/26/2016 6/1/20162250 LTC04G G F 2/10/2004 MS 3.00% 3.00% 2/15/2016 2/26/2016 6/1/20162251 LTC04G G C 3/22/2004 MO 22.10% 22.10% 7/13/2012 2/19/2013 6/1/20132252 LTC04G G F 3/22/2004 MO 22.10% 22.10% 7/13/2012 2/19/2013 6/1/20132253 LTC04G G C 6/30/2004 MT 22.10% 15.60% 8/2/2012 10/3/2012 1/1/20132254 LTC04G G F 6/30/2004 MT 22.10% 15.60% 8/2/2012 10/3/2012 1/1/20132255 LTC04G G C 6/30/2004 MT 4.90% 4.90% 12/8/2015 5/9/2016 8/1/20162256 LTC04G G F 6/30/2004 MT 4.90% 4.90% 12/8/2015 5/9/2016 8/1/20162257 LTC04G G C 2/23/2004 NE 22.10% 9.00% 8/30/2013 9/18/2013 1/1/2014 DC Situs - filing is required2258 LTC04G G F 2/23/2004 NE 22.10% 9.00% 8/30/2013 9/18/2013 1/1/2014 DC Situs - filing is required2259 LTC04G G C 5/12/2004 NE 6.60% 6.60% 2/1/2016 DC Situs - filing not required2260 LTC04G G F 5/12/2004 NE 6.60% 6.60% 2/1/2016 DC Situs - filing not required2261 LTC04G G C 5/12/2004 NE 3.40% 3.40% 2/1/2017 DC Situs - filing not required2262 LTC04G G F 5/12/2004 NE 3.40% 3.40% 2/1/2017 DC Situs - filing not required2263 LTC04G G C 5/12/2004 NE 0.90% 0.90% 12/1/2018 DC Situs - filing not required2264 LTC04G G F 5/12/2004 NE 0.90% 0.90% 12/1/2018 DC Situs - filing not required2265 LTC04G G C 3/15/2004 NV 22.10% 15.00% 7/26/2012 12/19/2012 4/1/2013

Page 53: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 53 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2266 LTC04G G F 3/15/2004 NV 22.10% 15.00% 7/26/2012 12/19/2012 4/1/20132267 LTC04G G C 3/15/2004 NV 7.80% 7.80% 12/8/2015 2/5/2016 5/1/20162268 LTC04G G F 3/15/2004 NV 7.80% 7.80% 12/8/2015 2/5/2016 5/1/20162269 LTC04G G C 4/12/2004 NH 22.10% 22.10% 7/6/2012 7/31/2012 1/1/20132270 LTC04G G F 4/12/2004 NH 22.10% 22.10% 7/6/2012 7/31/2012 1/1/20132271 LTC04G G C 12/3/2004 NJ 22.10% 9.00% 5/1/2013 DC Situs - filing not required2272 LTC04G G F 12/3/2004 NJ 22.10% 9.00% 5/1/2013 DC Situs - filing not required2273 LTC04G G C 12/3/2004 NJ 6.60% 6.60% 2/1/2016 DC Situs - filing not required2274 LTC04G G F 12/3/2004 NJ 6.60% 6.60% 2/1/2016 DC Situs - filing not required2275 LTC04G G C 12/3/2004 NJ 3.40% 3.40% 2/1/2017 DC Situs - filing not required2276 LTC04G G F 12/3/2004 NJ 3.40% 3.40% 2/1/2017 DC Situs - filing not required2277 LTC04G G C 12/3/2004 NJ 0.90% 0.90% 11/1/2018 DC Situs - filing not required2278 LTC04G G F 12/3/2004 NJ 0.90% 0.90% 11/1/2018 DC Situs - filing not required2279 LTC04G G C 7/1/2004 NM 22.10% pending pending pending pending2280 LTC04G G F 7/1/2004 NM 22.10% pending pending pending pending2281 LTC04G G C 11/23/2004 NC 22.10% 11.00% 7/6/2012 7/5/2013 10/1/20132282 LTC04G G F 11/23/2004 NC 22.10% 11.00% 7/6/2012 7/5/2013 10/1/20132283 LTC04G G C 11/23/2004 NC 3.00% Disapproved 11/20/2015 Disapproved Disapproved2284 LTC04G G F 11/23/2004 NC 3.00% Disapproved 11/20/2015 Disapproved Disapproved2285 LTC04G G C 2/27/2004 ND 22.10% Disapproved 7/26/2012 Disapproved Disapproved2286 LTC04G G F 2/27/2004 ND 22.10% Disapproved 7/26/2012 Disapproved Disapproved2287 LTC04G G C 2/27/2004 ND 21.50% 12.50% 2/15/2016 3/11/2016 7/1/20162288 LTC04G G F 2/27/2004 ND 21.50% 12.50% 2/15/2016 3/11/2016 7/1/20162289 LTC04G G C 3/5/2004 OH 22.10% 9.00% 2/15/2013 3/27/2015 5/1/20132290 LTC04G G F 3/5/2004 OH 22.10% 9.00% 2/15/2013 3/27/2015 5/1/20132291 LTC04G G C 3/5/2004 OH 6.00% 6.00% 10/23/2015 2/11/2016 5/1/20162292 LTC04G G F 3/5/2004 OH 6.00% 6.00% 10/23/2015 2/11/2016 5/1/20162293 LTC04G G C 3/5/2004 OH 3.40% 3.40% 1/3/2017 3/15/2017 7/1/20172294 LTC04G G F 3/5/2004 OH 3.40% 3.40% 1/3/2017 3/15/2017 7/1/20172295 LTC04G G C 5/6/2004 OK 22.10% 18.30% 7/24/2012 11/13/2012 3/1/20132296 LTC04G G F 5/6/2004 OK 22.10% 18.30% 7/24/2012 11/13/2012 3/1/20132297 LTC04G G C 5/6/2004 OK 3.00% 3.00% 11/20/2015 1/26/2016 5/1/20162298 LTC04G G F 5/6/2004 OK 3.00% 3.00% 11/20/2015 1/26/2016 5/1/20162299 LTC04G G C 6/23/2004 OR 22.10% 9.00% 8/30/2013 12/9/2013 4/1/20142300 LTC04G G F 6/23/2004 OR 22.10% 9.00% 8/30/2013 12/9/2013 4/1/20142301 LTC04G G C 6/23/2004 OR 0.00% 5.50% 12/10/2015 1/22/2016 6/1/2016 approved 3-year increased in 20162302 LTC04G G F 6/23/2004 OR 0.00% 5.50% 12/10/2015 1/22/2016 6/1/2016 approved 3-year increased in 20162303 LTC04G G C 6/23/2004 OR 0.00% 1.70% 12/10/2015 1/22/2016 6/1/20172304 LTC04G G F 6/23/2004 OR 0.00% 1.70% 12/10/2015 1/22/2016 6/1/20172305 LTC04G G C 6/23/2004 OR 0.00% 0.50% 12/10/2015 1/22/2016 6/1/20182306 LTC04G G F 6/23/2004 OR 0.00% 0.50% 12/10/2015 1/22/2016 6/1/20182307 LTC04G G C 2/2/2005 PA 22.10% 9.00% 5/1/2013 DC Situs - filing not required2308 LTC04G G F 2/2/2005 PA 22.10% 9.00% 5/1/2013 DC Situs - filing not required2309 LTC04G G C 2/2/2005 PA 6.60% 6.60% 2/1/2016 DC Situs - filing not required

Page 54: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 54 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2310 LTC04G G F 2/2/2005 PA 6.60% 6.60% 2/1/2016 DC Situs - filing not required2311 LTC04G G C 2/2/2005 PA 3.40% 3.40% 2/1/2017 DC Situs - filing not required2312 LTC04G G F 2/2/2005 PA 3.40% 3.40% 2/1/2017 DC Situs - filing not required2313 LTC04G G C 2/2/2005 PA 0.90% 0.90% 11/1/2018 DC Situs - filing not required2314 LTC04G G F 2/2/2005 PA 0.90% 0.90% 11/1/2018 DC Situs - filing not required2315 LTC04G G C 10/15/2004 RI 21.50% pending 2/10/2016 pending pending2316 LTC04G G F 10/15/2004 RI 21.50% pending 2/10/2016 pending pending2317 LTC04G G C 6/18/2004 SC 22.10% 9.00% 5/1/2013 DC Situs - filing not required2318 LTC04G G F 6/18/2004 SC 22.10% 9.00% 5/1/2013 DC Situs - filing not required2319 LTC04G G C 6/18/2004 SC 6.60% 6.60% 2/1/2016 DC Situs - filing not required2320 LTC04G G F 6/18/2004 SC 6.60% 6.60% 2/1/2016 DC Situs - filing not required2321 LTC04G G C 6/18/2004 SC 3.40% 3.40% 2/1/2017 DC Situs - filing not required2322 LTC04G G F 6/18/2004 SC 3.40% 3.40% 2/1/2017 DC Situs - filing not required2323 LTC04G G C 6/18/2004 SC 0.90% 0.90% 12/1/2018 DC Situs - filing not required2324 LTC04G G F 6/18/2004 SC 0.90% 0.90% 12/1/2018 DC Situs - filing not required2325 LTC04G G C 2/9/2004 SD 22.10% Disapproved 7/13/2012 Disapproved Disapproved2326 LTC04G G F 2/9/2004 SD 22.10% Disapproved 7/13/2012 Disapproved Disapproved2327 LTC04G G C 2/9/2004 SD 21.50% 21.50% 2/10/2016 2/29/2016 6/1/20162328 LTC04G G F 2/9/2004 SD 21.50% 21.50% 2/10/2016 2/29/2016 6/1/20162329 LTC04G G C 3/3/2004 TN 22.10% Disapproved 7/6/2012 Disapproved Disapproved2330 LTC04G G F 3/3/2004 TN 22.10% Disapproved 7/6/2012 Disapproved Disapproved2331 LTC04G G C 3/3/2004 TN 21.50% 21.50% 10/16/2015 11/23/2016 3/1/20162332 LTC04G G F 3/3/2004 TN 21.50% 21.50% 10/16/2015 11/23/2016 3/1/20162333 LTC04G G C 12/8/2004 TX 22.10% pending pending pending pending2334 LTC04G G F 12/8/2004 TX 22.10% pending pending pending pending2335 LTC04G G C 2/3/2004 UT 22.10% 22.10% 8/6/2012 1/14/2013 5/1/20132336 LTC04G G F 2/3/2004 UT 22.10% 22.10% 8/6/2012 1/14/2013 5/1/20132337 LTC04G G C 6/3/2004 VA 22.10% 9.00% 1/1/2014 DC Situs - filing not required2338 LTC04G G F 6/3/2004 VA 22.10% 9.00% 1/1/2014 DC Situs - filing not required2339 LTC04G G C 6/3/2004 VA 6.60% 6.60% 2/1/2016 DC Situs - filing not required2340 LTC04G G F 6/3/2004 VA 6.60% 6.60% 2/1/2016 DC Situs - filing not required2341 LTC04G G C 6/3/2004 VA 3.40% 3.40% 2/1/2017 DC Situs - filing not required2342 LTC04G G F 6/3/2004 VA 3.40% 3.40% 2/1/2017 DC Situs - filing not required2343 LTC04G G C 6/3/2004 VA 0.90% 0.90% 12/1/2018 DC Situs - filing not required2344 LTC04G G F 6/3/2004 VA 0.90% 0.90% 12/1/2018 DC Situs - filing not required2345 LTC04G G C 3/1/2004 WV 16.00% 9.00% 2/4/2016 2/5/2016 5/1/20162346 LTC04G G F 3/1/2004 WV 16.00% 9.00% 2/4/2016 2/5/2016 5/1/20162347 LTC04G G C 3/1/2004 WV 3.40% 3.40% 11/2/2016 11/21/2016 5/1/20172348 LTC04G G F 3/1/2004 WV 3.40% 3.40% 11/2/2016 11/21/2016 5/1/20172349 LTC04G G C 7/7/2004 WI 22.10% 22.10% 7/13/2012 7/23/2012 1/1/20132350 LTC04G G F 7/7/2004 WI 22.10% 22.10% 7/13/2012 7/23/2012 1/1/20132351 LTC04G G C 1/30/2004 WY 22.10% 9.00% 2/15/2013 4/18/2013 5/1/2013 DC Situs - informational filing2352 LTC04G G F 1/30/2004 WY 22.10% 9.00% 2/15/2013 4/18/2013 5/1/2013 DC Situs - informational filing2353 LTC04G G C 1/30/2004 WY 6.60% 6.60% 10/23/2015 12/4/2018 2/1/2016 DC Situs - informational filing

Page 55: CDI LTC Rate History 2018 - Mutual of Omaha 71412...4/12/2012 7/1/2012 81 NHA California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412) Rate

California Department of Insurance Long Term Care Insurance - Mutual of Omaha Ins Co (NAIC 71412)Rate Increase History

Company Contact: (800) 896-5988

As of: 12/2018

Statistical Analysis Division Page 55 of 55 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

2354 LTC04G G F 1/30/2004 WY 6.60% 6.60% 10/23/2015 12/4/2018 2/1/2016 DC Situs - informational filing2355 LTC04G G C 1/30/2004 WY 3.40% 3.40% 11/2/2016 11/15/2016 2/1/2017 DC Situs - informational filing2356 LTC04G G F 1/30/2004 WY 3.40% 3.40% 11/2/2016 11/15/2016 2/1/2017 DC Situs - informational filing2357 LTC04G G C 1/30/2004 WY 0.90% 0.90% 7/30/2018 8/31/2018 12/1/2018 DC Situs - informational filing2358 LTC04G G F 1/30/2004 WY 0.90% 0.90% 7/30/2018 8/31/2018 12/1/2018 DC Situs - informational filing

Policy Key Coding:*Policy Type

I IndividualG GroupP Partnership

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