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HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 OF THE CONDITION AND AFFAIRS OF THE Group Hospitalization and Medical Services, Inc. NAIC Group Code 0380 0380 NAIC Company Code 53007 Employer’s ID Number 53-0078070 (Current Period) (Prior Period) Organized under the Laws of District of Columbia , State of Domicile or Port of Entry District of Columbia Country of Domicile United States of America Licensed as business type: Life, Accident & Health [ ] Property/Casualty [ ] Dental Service Corporation [ ] Vision Service Corporation [ ] Other [ ] Health Maintenance Organization [ ] Hospital, Medical & Dental Service or Indemnity [ X ] Is HMO, Federally Qualified? Yes [ ] No [ ] Incorporated 08/11/1939 Commenced Business 03/15/1934 Statutory Home Office 840 First Street NE , Washington, DC 20065 (Street and Number) (City or Town, State and Zip Code) Main Administrative Office 10455 Mill Run Circle (Street and Number) Owings Mills, MD 21117 410-581-3000 (City or Town, State and Zip Code) (Area Code) (Telephone Number) Mail Address 10455 Mill Run Circle , Owings Mills, MD 21117 (Street and Number or P.O. Box) (City or Town, State and Zip Code) Primary Location of Books and Records 10455 Mill Run Circle (Street and Number) Owings Mills, MD 21117 410-998-7011 (City or Town, State and Zip Code) (Area Code) (Telephone Number) Internet Website Address www.carefirst.com Statutory Statement Contact William Vincent Stack 410-998-7011 (Name) (Area Code) (Telephone Number) (Extension) [email protected] 410-998-6850 (E-mail Address) (FAX Number) Policyowner Relations Contact 840 First Street NE (Street and Number) Washington, DC 20065 800-321-3497 (City or Town, State and Zip Code) (Area Code) (Telephone Number) (Extension) OFFICERS Name Title Name Title William Lockwood Jews , President & CEO John Anthony Picciotto , Corp.Secretary, Exec. VP & Gen. Counsel Jeanne Ann Kennedy , Corp. Treasurer & VP , OTHER OFFICERS Eric Randolph Baugh M.D. , Sr.VP, Chief Medical Officer David Donald Wolf , Exec VP, Med Systs, Corp Dev Gregory Mark Chaney , Exec. VP & CFO Gregory Allen Devou , Exec VP, Chief Mktg Office Leon Kaplan , Exec VP, Operations Gwendolyn Denise Skillern , Sr.VP and General Auditor Edward William O'Neil , Sr. VP, Chief Actuary Michael John Felber , SVP, Sales Livio Renato Broccolino Esq. , Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann Costello , Sr. VP, Strategic Marketing Joseph Gabriel Rampone , Sr. VP, Operations DIRECTORS OR TRUSTEES Father William James Byron S.J. Michel Llewellyn Daley Floretta Dukes McKenzie Ed.D. Sister Carol Ann Keehan R.N.,M.S. George Burch Wilkes III Edward John Baran Robert Marcellus Willis Esq. State of County of ss The officers of this reporting entity, being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement. William Lockwood Jews John Anthony Picciotto Jeanne Ann Kennedy President & CEO Corp.Secretary, Exec. VP & Gen. Counsel Corp. Treasurer & VP a. Is this an original filing? Subscribed and sworn to before me this b. If no, day of , 1. State the amendment number 2. Date filed 3. Number of pages attached

HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

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Page 1: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

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HEALTH ANNUAL STATEMENTFOR THE YEAR ENDING DECEMBER 31, 2004

OF THE CONDITION AND AFFAIRS OF THE

Group Hospitalization and Medical Services, Inc. NAIC Group Code 0380 0380 NAIC Company Code 53007 Employer’s ID Number 53-0078070

(Current Period) (Prior Period)

Organized under the Laws of District of Columbia , State of Domicile or Port of Entry District of Columbia

Country of Domicile United States of America

Licensed as business type: Life, Accident & Health [ ] Property/Casualty [ ] Dental Service Corporation [ ]

Vision Service Corporation [ ] Other [ ] Health Maintenance Organization [ ]

Hospital, Medical & Dental Service or Indemnity [ X ] Is HMO, Federally Qualified? Yes [ ] No [ ]

Incorporated 08/11/1939 Commenced Business 03/15/1934

Statutory Home Office 840 First Street NE , Washington, DC 20065(Street and Number) (City or Town, State and Zip Code)

Main Administrative Office 10455 Mill Run Circle(Street and Number)

Owings Mills, MD 21117 410-581-3000(City or Town, State and Zip Code) (Area Code) (Telephone Number)

Mail Address 10455 Mill Run Circle , Owings Mills, MD 21117(Street and Number or P.O. Box) (City or Town, State and Zip Code)

Primary Location of Books and Records 10455 Mill Run Circle(Street and Number)

Owings Mills, MD 21117 410-998-7011(City or Town, State and Zip Code) (Area Code) (Telephone Number)

Internet Website Address www.carefirst.com

Statutory Statement Contact William Vincent Stack 410-998-7011(Name) (Area Code) (Telephone Number) (Extension)

[email protected] 410-998-6850(E-mail Address) (FAX Number)

Policyowner Relations Contact 840 First Street NE(Street and Number)

Washington, DC 20065 800-321-3497(City or Town, State and Zip Code) (Area Code) (Telephone Number) (Extension)

OFFICERSName Title Name Title

William Lockwood Jews , President & CEO John Anthony Picciotto ,

Corp.Secretary, Exec. VP & Gen. Counsel

Jeanne Ann Kennedy , Corp. Treasurer & VP ,

OTHER OFFICERSEric Randolph Baugh M.D. , Sr.VP, Chief Medical Officer David Donald Wolf , Exec VP, Med Systs, Corp Dev

Gregory Mark Chaney , Exec. VP & CFO Gregory Allen Devou , Exec VP, Chief Mktg OfficeLeon Kaplan , Exec VP, Operations Gwendolyn Denise Skillern , Sr.VP and General Auditor

Edward William O'Neil , Sr. VP, Chief Actuary Michael John Felber , SVP, SalesLivio Renato Broccolino Esq. , Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff

Rita Ann Costello , Sr. VP, Strategic Marketing Joseph Gabriel Rampone , Sr. VP, Operations

DIRECTORS OR TRUSTEESFather William James Byron S.J. Michel Llewellyn Daley Floretta Dukes McKenzie Ed.D. Sister Carol Ann Keehan R.N.,M.S.

George Burch Wilkes III Edward John Baran Robert Marcellus Willis Esq.

State of

County ofss

The officers of this reporting entity, being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement.

William Lockwood Jews John Anthony Picciotto Jeanne Ann KennedyPresident & CEO Corp.Secretary, Exec. VP & Gen. Counsel Corp. Treasurer & VP

a. Is this an original filing? �����������������Subscribed and sworn to before me this b. If no,

day of , 1. State the amendment number2. Date filed

3. Number of pages attached

Page 2: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

Schedule A - Part 1

NONESchedule A - Part 2

NONESchedule A - Part 3

NONESchedule B - Part 1

NONESchedule B - Part 2

NONESchedule BA - Part 1

NONESchedule BA - Part 2

NONE

E01, E02, E03, E04, E05, E06, E07

Page 3: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

Accrued

Gross Amt. Rec. During

Year Acquired Maturity��� �����������

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E08

Page 4: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

Accrued

Gross Amt. Rec. During

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E08.1

Page 5: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

Accrued

Gross Amt. Rec. During

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E08.2

Page 6: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

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E08.3

Page 7: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

Accrued

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E08.4

Page 8: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

Accrued

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E08.5

Page 9: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 1Showing all Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIPIdentification Description *

Foreign

BondCHAR

NAIC Designation Actual Cost

Rate Used to Obtain

Fair Value Fair Value Par ValueBook/Adjusted Carrying Value

Unrealized Valuation Increase/

(Decrease)

Current Year’s (Amortization)/

Accretion

Current Year’s Other Than Temporary Impairment Recognized

Total Foreign Exchange Change in B./A.C.V. Rate of

Effective Rate of How Paid

Admitted Amount Due &

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E08.6

Page 10: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 2 - SECTION 1Showing ALL PREFERRED STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 7 8 Fair Value 11 Dividends Change in Book/ Adjusted Carrying Value 20 21

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E09

Page 11: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 2 - SECTION 2Showing all COMMON STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 Fair Value 9 Dividends Change in Book / Adjusted Carrying Value 17 18

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E10

Page 12: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 2 - SECTION 2Showing all COMMON STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 Fair Value 9 Dividends Change in Book / Adjusted Carrying Value 17 18

CUSIP Identification Description

3

Code

4

ForeignNumber of

Shares

Book / AdjustedCarrying

Value

7Rate per

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FairValue

8

FairValue

ActualCost

10

DeclaredBut Unpaid

11

AmountReceived

During Year

12

NonadmittedDeclared

But Unpaid

13

UnrealizedValuationIncrease /

(Decrease)

14Current Year’s

Other ThanTemporaryImpairmentRecognized

15

TotalChange inB./A.C.V.(13 - 14)

16

Total ForeignExchangeChange inB. /A.C.V.

NAICMarket

Indicator(a)

DateAcquired

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#�&&&&&����;/0���+112��;A3�����2�9��/.3�;��8;8/0��82-� �&�"'"�!#"� ��� �&�"'"�!#"� �#�$&$����� #�"�'!�� ���&$�#!$� ���&$�#!$� ��� ���

#!&&&&&��;/0���+112��;A3� �##�#'��& &� ��� �##�#'��& &� �$!�'''�$!$� ��$ '��'$� ! �#�'� ��� ! �#�'� ��� ��� ���#�&&&&&��;/0���,.�E�..�-�/2-�+112��;A3� �"��'#$��& � ��� �"��# ��' � �$#�&$$� �"� $� ������''�� $� !#�$�#��&�� $� ! �&&!�! �� $� ��� ���

(a) For all common stocks bearing the NAIC market indicator “U” provide: the number of such issues , the total $ value (included in Column 8) of all such issues $

E10.1

Page 13: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year

1 2 3 4 5 6 7 8 9

CUSIPIdentification Description Foreign Date Acquired Name of Vendor

Number of Shares of Stock

ActualCost Par Value

Paid for AccruedInterest and Dividends

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E11

Page 14: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year

1 2 3 4 5 6 7 8 9

CUSIPIdentification Description Foreign Date Acquired Name of Vendor

Number of Shares of Stock

ActualCost Par Value

Paid for AccruedInterest and Dividends

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E11.1

Page 15: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year

1 2 3 4 5 6 7 8 9

CUSIPIdentification Description Foreign Date Acquired Name of Vendor

Number of Shares of Stock

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E11.2

Page 16: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year

1 2 3 4 5 6 7 8 9

CUSIPIdentification Description Foreign Date Acquired Name of Vendor

Number of Shares of Stock

ActualCost Par Value

Paid for AccruedInterest and Dividends

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E11.3

Page 17: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior Year Book/Adjusted

Carrying Value

11

Unrealized Valuation Increase/

(Decrease)

12

Current Year (Amortization)/

Accretion

13

Current Year’s Other Than Temporary Impairment Recognized

14

Total Change inB/A. C.V.

(11 + 12 - 13)

15

Total Foreign Exchange Change inB/A. C.V.

Book/Adjusted

Carrying Value at

Disposal Date

Foreign Exchange Gain

(Loss) on Disposal

Realized Gain (Loss) on Disposal

Total Gain (Loss) on Disposal

Bond Interest/Stock

Dividends Received

During YearMaturity

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E12

Page 18: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior Year Book/Adjusted

Carrying Value

11

Unrealized Valuation Increase/

(Decrease)

12

Current Year (Amortization)/

Accretion

13

Current Year’s Other Than Temporary Impairment Recognized

14

Total Change inB/A. C.V.

(11 + 12 - 13)

15

Total Foreign Exchange Change inB/A. C.V.

Book/Adjusted

Carrying Value at

Disposal Date

Foreign Exchange Gain

(Loss) on Disposal

Realized Gain (Loss) on Disposal

Total Gain (Loss) on Disposal

Bond Interest/Stock

Dividends Received

During YearMaturity

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E12.1

Page 19: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior Year Book/Adjusted

Carrying Value

11

Unrealized Valuation Increase/

(Decrease)

12

Current Year (Amortization)/

Accretion

13

Current Year’s Other Than Temporary Impairment Recognized

14

Total Change inB/A. C.V.

(11 + 12 - 13)

15

Total Foreign Exchange Change inB/A. C.V.

Book/Adjusted

Carrying Value at

Disposal Date

Foreign Exchange Gain

(Loss) on Disposal

Realized Gain (Loss) on Disposal

Total Gain (Loss) on Disposal

Bond Interest/Stock

Dividends Received

During YearMaturity

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Page 20: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

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E12.3

Page 21: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior Year Book/Adjusted

Carrying Value

11

Unrealized Valuation Increase/

(Decrease)

12

Current Year (Amortization)/

Accretion

13

Current Year’s Other Than Temporary Impairment Recognized

14

Total Change inB/A. C.V.

(11 + 12 - 13)

15

Total Foreign Exchange Change inB/A. C.V.

Book/Adjusted

Carrying Value at

Disposal Date

Foreign Exchange Gain

(Loss) on Disposal

Realized Gain (Loss) on Disposal

Total Gain (Loss) on Disposal

Bond Interest/Stock

Dividends Received

During YearMaturity

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E12.4

Page 22: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior Year Book/Adjusted

Carrying Value

11

Unrealized Valuation Increase/

(Decrease)

12

Current Year (Amortization)/

Accretion

13

Current Year’s Other Than Temporary Impairment Recognized

14

Total Change inB/A. C.V.

(11 + 12 - 13)

15

Total Foreign Exchange Change inB/A. C.V.

Book/Adjusted

Carrying Value at

Disposal Date

Foreign Exchange Gain

(Loss) on Disposal

Realized Gain (Loss) on Disposal

Total Gain (Loss) on Disposal

Bond Interest/Stock

Dividends Received

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E12.5

Page 23: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 4Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21

CUSIPIdenti-fication Description

Foreign

DisposalDate Name of Purchaser

Number ofShares of

Stock Consideration Par Value Actual Cost

Prior Year Book/Adjusted

Carrying Value

11

Unrealized Valuation Increase/

(Decrease)

12

Current Year (Amortization)/

Accretion

13

Current Year’s Other Than Temporary Impairment Recognized

14

Total Change inB/A. C.V.

(11 + 12 - 13)

15

Total Foreign Exchange Change inB/A. C.V.

Book/Adjusted

Carrying Value at

Disposal Date

Foreign Exchange Gain

(Loss) on Disposal

Realized Gain (Loss) on Disposal

Total Gain (Loss) on Disposal

Bond Interest/Stock

Dividends Received

During YearMaturity

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E12.6

Page 24: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 5Showing all Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 2112 13 14 15 16

CUSIPIdentification Description

Foreign

DateAcquired Name of Vendor

DisposalDate Name of Purchaser

Par Value(Bonds) orNumber of

Shares(Stocks) Actual Cost Consideration

Book/AdjustedCarryingValue at

Disposal Date

UnrealizedValuationIncrease/

(Decrease)

Current Year’s(Amortization)/

Accretion

Current Year’sOther ThanTemporaryImpairmentRecognized

Total ChangeIn

B./A. C.V.(12 + 13 - 14)

Total ForeignExchangeChange inB./A. C.V.

ForeignExchange

Gain (Loss) onDisposal

Realized Gain(Loss) onDisposal

TotalGain (Loss)on Disposal

Interest andDividendsReceived

During Year

Paid forAccruedInterest

andDividends

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E13

Page 25: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 5Showing all Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 2112 13 14 15 16

CUSIPIdentification Description

Foreign

DateAcquired Name of Vendor

DisposalDate Name of Purchaser

Par Value(Bonds) orNumber of

Shares(Stocks) Actual Cost Consideration

Book/AdjustedCarryingValue at

Disposal Date

UnrealizedValuationIncrease/

(Decrease)

Current Year’s(Amortization)/

Accretion

Current Year’sOther ThanTemporaryImpairmentRecognized

Total ChangeIn

B./A. C.V.(12 + 13 - 14)

Total ForeignExchangeChange inB./A. C.V.

ForeignExchange

Gain (Loss) onDisposal

Realized Gain(Loss) onDisposal

TotalGain (Loss)on Disposal

Interest andDividendsReceived

During Year

Paid forAccruedInterest

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E13.1

Page 26: HEALTH ANNUAL STATEMENT - disb · HEALTH ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2004 ... Deputy General Counsel Sharon Jean Vecchioni , Exec VP, Chief of Staff Rita Ann

ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 5Showing all Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year

1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 2112 13 14 15 16

CUSIPIdentification Description

Foreign

DateAcquired Name of Vendor

DisposalDate Name of Purchaser

Par Value(Bonds) orNumber of

Shares(Stocks) Actual Cost Consideration

Book/AdjustedCarryingValue at

Disposal Date

UnrealizedValuationIncrease/

(Decrease)

Current Year’s(Amortization)/

Accretion

Current Year’sOther ThanTemporaryImpairmentRecognized

Total ChangeIn

B./A. C.V.(12 + 13 - 14)

Total ForeignExchangeChange inB./A. C.V.

ForeignExchange

Gain (Loss) onDisposal

Realized Gain(Loss) onDisposal

TotalGain (Loss)on Disposal

Interest andDividendsReceived

During Year

Paid forAccruedInterest

andDividends

&"�"'�����" ���� � �����+ $'*$�*!$$� �/;>2�=/23 $&*�$*!$$� ���+���A8.>;>�� !#$�$$$� !'#�& � ! #��$'� !'"�!&"� $� ��!� $� ��!� $� $� &��$#� &��$#� "�' �� ��"'&�

�'&&&&&����2-����2-8�;.>/0�/2-��>�A�00/2�8� �� �$$"�$"�� �!$�'$#��!�� �!$�!�'�!&�� �!$��!"�"$'� (�#"�'�$) (�#"�'�$) ("��'!�) ("��'!�) ��"� ��&"� "&��� ��

$&&&&"����;/0����2-� !� � $$�!&!� !!��"�#�&� � !!���#���""� !!�� �!�"! � (!$'��$') (!$'��$') (!�"���#) (!�"���#) !�&����!"� �� !#� �$����������F���+ ���� ���

�#$��!�#��# � � ���������+��, $&*$!*!$$� �0-1/2��/AC��F�+ �!*$ *!$$� �0-1/2��/AC��F�+ �"�$$$%$$$� ��$"!�� $� ��$$���# � ��$"!�� $� $� $� $� $� $� $� (#"�&"�) (#"�&"�) $� $�

�&&&&&���,.�E�..�-��;A3����2-8�;.>/0�/2-��>�A�00/2�8� ��$"!�� $� ��$$���# � ��$"!�� $� (#"�&"�) (#"�&"�)

'&&&&"����;/0���,.�E�..�-��;A3� ��$"!�� $� ��$$���# � ��$"!�� $� (#"�&"�) (#"�&"�)�����������������������+ �+��,�� �

$##�'&��$�' ��0-�2�2A% $�*! *!$$� �;>E�0��>AC0/� $#*� *!$$� HAC/2?� !��'$$%$$$� ��$�$��� ��$�#'$� ��$�$��� $� $� $� $� $� $� �$�#�&� �$�#�&� ��$#'� $�

#&&&&&���+112��;A3�����/23����.8�;�/2-�2�8./2A��+1D/2>�� ��$�$��� ��$�#'$� ��$�$��� �$�#�&� �$�#�&� ��$#'����������F���+ ���� ���

$$#&$���$�& �-</2A��,+� �$*$�*!$$� ��A0/�� �$*$�*!$$� 6/../2;� H�.A>�� �$$�"�"%$$$� !�"�'�"��� ��� ��&""� !�"�'�"��� $� $� $� $� $� $� ��"��#'� ��"��#'� $� $�$$#&�!�!$�� ��������+��, $�*!#*!$$� �./23��8���00���A8.>;>�� $"*�#*!$$� �<>/2���A8.>;>�� � �$$$%$$$� '# ��'�� #'!����� '# ��'�� $� $� $� $� $� $� �#'�&'"� �#'�&'"� ��$"!� $�$$"�&$��$�$ ������ ��+��,�� ��� ��+ � $!*!�*!$$� HAC/2?� $!*!�*!$$� ������ &�#"�%&�$� '$��$'$� �"������ '$��$'$� $� $� $� $� $� $� (!�� $&) (!�� $&) $� $��'������$�� + ������+��, $!*$�*!$$� HAC/2?� $!*�!*!$$� �/23��E���G��.3 !$�$�$%$$$� ����'$#� �'&�!&'� ����'$#� $� $� $� $� $� $� �#�#""� �#�#""� $� $�!'�#&���$�� � ���� � ����+��,�� 6 $"*$!*!$$� HAC/2?� �$*!"*!$$� ������ '�$"�%# $� !�#�" � ����!&'� !�#�" � $� $� $� $� $� $� & ��!&� & ��!&� $� $���"'!!��$�# ������� �+���+��,% $�*$&*!$$� HAC/2?� $�*��*!$$� �92AC��52���F��9/2 �!'$%$$$� �#'�#&$� �#&� ""� �#'�#&$� $� $� $� $� $� $� ��"&#� ��"&#� $� $���&"����$�� �>.�;�+1182>;9��/2A.D $�*!#*!$$� ����A8.>;>�� $&*$#*!$$� �<>/2���A8.>;>�� ���$$%$$$� ����#$'� � &�$ #� ����#$'� $� $� $� $� $� $� !'�� !� !'�� !� ��$�'� $���&& $��$�$ ������ ��+�,�+��, $!*$&*!$$� �/;>2�=/23 $'*�!*!$$� ���.8D �&�!$$%$$$� ����''#� �&��&�&� ����''#� $� $� $� $� $� $� #&��"!� #&��"!� '�' "� $��"�#�6��$�# ��� ��� ���,,��������+ $�*! *!$$� ,/>2� $�*!�*!$$� ���E���.89�;;�F�6-� �!�$$$%$$$� �!$�$$$� ����$"�� �!$�$$$� $� $� $� $� $� $� ���$"�� ���$"�� ��"$$� $��"! " ��$�! ���6����+ $!*!#*!$$� 6��-�2�F�+% $&*$�*!$$� ������ !!�"$$%$$$� '�"�$"$� �� ��� � '�"�$"$� $� $� $� $� $� $� (�$��#�') (�$��#�') ����$� $�' � "!��$�! �/28E/A;8.�-��1��+12;9��2A% $�*!�*!$$� �.��2G>AC�+/D>;/0��/.3�;� $&*$#*!$$� �>-�0>;9�+/D>;/0��/.3�;� #� $$%$$$� !'���"�� !' �& !� !'���"�� $� $� $� $� $� $� '�'#"� '�'#"� &'� $�'&'��$��$�" ������� ����+���� � $#*$�*!$$� ������ $"*!�*!$$� +C/.0����ACG/=�F�+ !"�#$$%$$$� &$��$�� ##�$'�� &$��$�� $� $� $� $� $� $� (���$'�) (���$'�) �!#!� $�#���!$��$�! ,��� ����������+ ��*�#*!$$� HAC/2?� �!*!$*!$$� ������ �&���$%$$$� #$!��! � &"!�"#�� #$!��! � $� $� $� $� $� $� !"$�'�#� !"$�'�#� ���&��� $��"�$#'��$� ��,�����+ ��� ������������ $#*$�*!$$� 5�EE�.>���F�+ $"*� *!$$� �/A;��;��/;/��9�;�1� !"�&$$%$$$� ��'��� � � $�& �� ��'��� � $� $� $� $� $� $� !'�'�'� !'�'�'� $� $�"�#'"$��$�# �, +�������+��, $ *!'*!$$� 5,��.?/2���A8.>;>����2A $&*$#*!$$� �<>/2���A8.>;>�� �&��$$%$$$� !&��"& � �" �$" � !&��"& � $� $� $� $� $� $� (�$'�"�$) (�$'�"�$) $� $��&�$"���$�" ��/3�� 2�.?9��/<>?/;>2��;-% $�*! *!$$� ����A8.>;>�� $"*�#*!$$� 5�����A8.>;>�� ���$$%$$$� �!'��# � �!��!''� �!'��# � $� $� $� $� $� $� (!��!�) (!��!�) $� $�&'$#''��$�" 6 �� �� �� �,�� ���+ $'*!"*!$$� ������ $&*$�*!$$� ����A8.>;>�� !���$$%$$$� ����'!�� �"�� ''� ����'!�� $� $� $� $� $� $� (���" ) (���" ) #�&� $�

"&&&&&���+112��;A3����2-8�;.>/0�/2-��>�A�00/2�8� "�" �"��� &� &!��"&� "�" �"��� "!'�'��� "!'�'��� �!� "'�

#!&&&&"����;/0���+112��;A3� &�!# �"''� �$�������&� &�!# �"''� "' �!"!� "' �!"!� ���# $�

#�&&&&&����;/0���,.�E�..�-�/2-�+112��;A3� �$��'&�$�'� ����� ���'� �$��'&�$�'� ###�!&"� ###�!&"� ���# $�

7499999 Totals !�!��# �&'�� !�!�'�$�"$�� !���&#��"��� (!$'��$') (!$'��$') '�"�&'�� '�"�&'�� !�& "�$""� �� !#� �$�

E13.2

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE D - PART 6 - SECTION 1Valuation of Shares of Subsidiary, Controlled or Affiliated Companies

1

2 3 4 5 6 7 8 Stock of Such Company Owned by Insurer on Statement Date

CUSIPIdentification

DescriptionName of Subsidiary, Controlled or

Affiliated Company Foreign

NAIC Company Code or

AlienInsurer

Identification Number

NAIC Valuation

Method (See SVO

Purposesand

Procedures manual)

Do Insurer’s Admitted Assets Include

Intangible Assets

Connected with Holding

of Such Company’s

Stock?

Total Amount of Such Intangible

AssetsBook / Adjusted Carrying Value

9

Number of Shares

10

% of Outstanding

�C�������+1D/2>�� ��!� � !'�$$$%$$$� �$$%$��AA�����1�.>A/ ��!� � �$�$$$%$$$� �$$%$�

1999999 Totals ��� ���1. Amount of insurer's capital and surplus from the prior period’s statutory statement reduced by any admitted EDP, goodwill and net deferred tax

assets included therein: $2. Total amount of intangible assets nonadmitted $

SCHEDULE D - PART 6 - SECTION 21 2 3 4

Total Amount of Intangible Assets

Stock in Lower-Tier Company Owned Indirectly by Insurer on

Statement Date

CUSIPIdentification Name of Lower-Tier Company

Name of Company Listed in Section 1 Which Controls Lower-Tier Company

Included in Amount Shown in Column 7,

Section 1

5

Number of Shares

6% of

Outstanding$�&&&&&���,.�E�..�-��;A3 $� ��� ���

&&&&&&�&&�" +/.��>.�;��08�+C>A���2A% �C�������+1D/2>����2A% ��$$$%$$$� �$%$���&#�@��$�! +/D>;/0��.�/���.<>A���+1D/29��2A% �C�������+1D/2>����2A% ��$$$%$$$� �$$%$� �'� @��$�� �/;>2/0�+/D>;/0��-1>2>�;./;><����.<>A����2A% �C�������+1D/2>����2A% ��$$$%$$$� �$$%$� �'�#L��$�! �/;>2/0�+/D>;/0�2�8./2A���?�2A9 �C�������+1D/2>����2A% !$�$$$%$$$� �$$%$�

�/;>2/0�+/D>;/0���>2�8./2A����� �C�������+1D/2>����2A% ��$$$%$$$� �$$%$�&&&&&&�&&�" ��01/.</���/0;C�,0/2 �C�������+1D/2>����2A% !��$$%$$$� �$$%$�&&&&&&�&&�" +/D>;/0+/.���2A% �C�������+1D/2>����2A% �$$%$$$� �$%$�$!&&&&&���+112��;A3 $� ��� ���

0399999 Total $� ��� ���

E14

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE DA - PART 1 Showing all SHORT-TERM INVESTMENTS Owned December 31 of Current Year

1 Codes 4 5 6 7 Change In Book/Adjusted Carrying Value 12 13 Interest 20

Description

2

Code

3

ForeignDate

Acquired Name of VendorMaturity

Date

Book/AdjustedCarrying

Value

8

UnrealizedValuationIncrease/

(Decrease)

9

CurrentYear’s

(Amortization)/

Accretion

10

CurrentYear’s

Other ThanTemporaryImpairmentRecognized

11

TotalForeign

ExchangeChange inB./A.C.V. Par Value Actual Cost

14

Amount DueAnd Accrued

Dec. 31 ofCurrent YearOn Bond Not

In Default

15

Non-AdmittedDue andAccrued

16

Rate of

17

EffectiveRate of

18

How Paid

19

Gross AmountReceived

Paid forAccruedInterest

��� �����������

���� ��+����� ���������� ���� $�*$"*!$$� ��C1/2��.;C�.� $�*!$*!$$' !�$$ ��!!� $� (&���'") $� $� !�$$$�$$$� !�$&&�'"$� ��"&� $� #%�$$� �% $�� 55 #��$$$� !$�& #�

�&&&&&&���2-8�;.>/0�/2-��>�A�00/2�8������8�.��=0>?/;>2� !�$$ ��!!� (&���'") !�$$$�$$$� !�$&&�'"$� ��"&� ��� ��� ��� #��$$$� !$�& #�

�'&&&&&����;/0���2-8�;.>/0�/2-��>�A�00/2�8���2-� !�$$ ��!!� (&���'") !�$$$�$$$� !�$&&�'"$� ��"&� ��� ��� ��� #��$$$� !$�& #�

'�&&&&&����;/0�����8�.��=0>?/;>2� !�$$ ��!!� (&���'") !�$$$�$$$� !�$&&�'"$� ��"&� ��� ��� ��� #��$$$� !$�& #�

$&&&&&����;/0����2-� !�$$ ��!!� (&���'") !�$$$�$$$� !�$&&�'"$� ��"&� ��� ��� ��� #��$$$� !$�& #� � �,����� ������ ��������������

�2���.8D��%�%��.�/���29��3; �!*��*!$$� ������ �!*��*!$$' !�!���&$#� $� $� $� $� $� !�!���&$#� !� &!� $� $%$$$� $%$$$� ����#� $�����%�%��.�/������82- �!*��*!$$� �82;.8�;�+/D>;/0 �!*��*!$$' !�#���#&#� $� $� $� $� $� !�#���#&#� #��"�#� $� $%$$$� $%$$$� "'��"#� $�

#&&&&&&��� H�1D;��2�9��/.3�;��8;8/0��82-� ��&''�#$�� ��� ��&''�#$�� #��'!&� ��� ��� ��� ""�'$��+������� ���� ������ ��������������

����>O8>-�����;��,.;E0> �!*��*!$$� �82;.8�;�+/D>;/0 �!*��*!$$' �"� &"�$$$� $� $� $� $� $� �"� &"�$$$� #��&!�� $� $%$$$� $%$$$� �$#�$#"� $���..>���/3�.�6/;;����/.��;�/.2� �!*��*!$$� ��..>����/3�.�6/;;� �!*��*!$$' !$�� !�!'$� $� $� $� $� $� !$�� !�!'$� $� $� $%$$$� $%$$$� ��!�&# � $�,0/2�2<��;1�2;��2�9��3;��82- �$*!�*!$$! ,������ ��� ������� �!*��*!$$' ��&'$�$$$� $� $� $� $� $� ��&'$�$$$� $� $� $%$$$� $%$$$� $� $�

"$&&&&&���+0/����2���2�9��/.3�;��8;8/0��82-� $�"�$�!'$� ��� $�"�$�!'$� #��&!�� ��� ��� ��� !�$�$'��

8299999 Totals �!#�##!�$# � (&���'") ��� �!#�" '�'��� !�'� ��� ��� ��� ��� �$!�''"� !$�& #�

E15

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

Schedule DB - Part A - Section 1

NONESchedule DB - Part A - Section 2

NONESchedule DB - Part A - Section 3

NONESchedule DB - Part B - Section 1

NONESchedule DB - Part B - Section 2

NONESchedule DB - Part B - Section 3

NONESchedule DB - Part C - Section 1

NONESchedule DB - Part C - Section 2

NONESchedule DB - Part C - Section 3

NONESchedule DB - Part D - Section 1

NONESchedule DB - Part D - Section 2

NONE

E16, E17, E18, E19, E20, E21

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

Schedule DB - Part D - Section 3

NONESchedule DB - Part E - Section 1

NONE

E21, E22

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE E - PART 1 - CASH1

Depository

2

Code

3

Rate ofInterest

4

Amount of InterestReceived

DuringYear

5

Amount of InterestAccrued

December 31 of Current Year

6

Balance

7

*��002��/23 ,�22�90</2>/ &���!� ���6/AC<>/��/23 �.;C�+/.0>2/ (� ��&'� �!) ����82;.8�;��/23 �/.90/2- (����""� &!) ����/23��2� 6��;��>.?>2>/ (�&�!��) ����$�&&&&" ��D�>;��>2 �-�D�>;.>���GC>AC�-�2;��HA��-�;C�

/00G/=0��0>1>;�>2�/29�2��-�D�>;.9�(����2�;.8A;>2�)���D�2�-�D�>;.>��� ��� ��� ���$�&&&&&��;/0�����D�2���D�>;.>�� ��� ��� ('#�&&��!�') ���

������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������

$�&&&&&��;/0�+/�C�2���D�>; ��� ��� ('#�&&��!�') ���$�&&&&&�+/�C�>2�+1D/29P���EE>A� ��� ��� ��� ��� &$$� ���0599999 Total Cash ��� ��� ('#�&&����') ���

TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR1. January ('���$��"�") 4. April (!&�$�!�!�#) 7. July (�'�'� �$$�) 10. October ('&�'����!')2. February (�"�"!#��&&) 5. May ('$�!'"�! ') 8. August ('��! #�&� ) 11. November (�#�&!#��!')3. March (�'�$ &��&!) 6. June (� �#���#!�) 9. September (��� '��$! ) 12. December ('#�&&���� )

E23

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE E - PART 2 CASH EQUIVALENTSShowing Investments owned December 31 of current year

1

CUSIPIdentification

2

Description

3

Code

4

Date Acquired

5

Rate of Interest

6

Maturity Date

7

Book/AdjustedCarrying Value

8

Amount of InterestDue & Accrued

9

Gross Investment Income���'"&����& ������>�A%���% �!*�'*!$$� !%��#� $�*�$*!$$' &�#�&���$� $� $�

0199999 Total Cash Equivalents &�#�&���$� $�

E24

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ANNUAL STATEMENT FOR THE YEAR 2004 OF THE Group Hospitalization and Medical Services, Inc.

SCHEDULE E - PART 3 - SPECIAL DEPOSITS 1

Line Number

2

Type

3

Description of Deposit

4

Where Deposited and Purpose of Deposit

5

Par or Book Value

6Statement Value

(a)

7

Fair Value9999999 Totals(a) Including $ �cash and short-term investments as defined in SSAP No. 2 of the NAIC Accounting Practices and Procedures Manual.

E25

NONE