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Page 1: Long-Term Care Insurance Experience Reporting

Long-Term Care Insurance Experience Reports for 2015

Page 2: Long-Term Care Insurance Experience Reporting
Page 3: Long-Term Care Insurance Experience Reporting

Long-Term Care Insurance Experience Reports for 2015

2016

Page 4: Long-Term Care Insurance Experience Reporting

Accounting & ReportingInformation about statutory accounting principles and the procedures necessary for fi ling fi nancial annual statements and conducting risk-based capital calculations.

Consumer InformationImportant answers to common questions about auto, home, health and life insurance — as well as buyer’s guides on annuities, long-term care insurance and Medicare supplement plans.

Financial Regulation Useful handbooks, compliance guides and reports on fi nancial analysis, company licensing, state audit requirements and receiverships.

LegalComprehensive collection of NAIC model laws, regulations and guidelines; state laws on insurance topics; and other regulatory guidance on antifraud and consumer privacy.

Market RegulationRegulatory and industry guidance on market-related issues, including antifraud, product fi ling requirements, producer licensing and market analysis.

NAIC ActivitiesNAIC member directories, in-depth reporting of state regulatory activities and offi cial historical records of NAIC national meetings and other activities.

For more information about NAIC publications, view our online catalog at:

http://store.naic.org

Special StudiesStudies, reports, handbooks and regulatory research conducted by NAIC members on a variety of insurance-related topics.

Statistical ReportsValuable and in-demand insurance industry-wide statistical data for various lines of business, including auto, home, health and life insurance.

Supplementary ProductsGuidance manuals, handbooks, surveys and research on a wide variety of issues.

Capital Markets & Investment AnalysisInformation regarding portfolio values and procedures for complying with NAIC reporting requirements.

White Papers Relevant studies, guidance and NAIC policy positions on a variety of insurance topics.

© 1995-2016 National Association of Insurance Commissioners. All rights reserved.

ISBN: 978-1-59917-922-3

Printed in the United States of America

No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any storage or retrieval system, without written permission from the NAIC.

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The NAIC is the authoritative source for insurance industry information. Our expert solutions support the efforts of regulators, insurers and researchers by providing detailed and comprehensive insurance information. The NAIC offers a wide range of publications in the following categories:

Page 5: Long-Term Care Insurance Experience Reporting

TABLE OF CONTENTS

2015 LONG-TERM CARE EXPERIENCE REPORT

Introduction ................................................................................................................................................... 1

Qualifications ................................................................................................................................... 1

LONG-TERM CARE INSURANCE EXPERIENCE, FORM 1 .................................................................. 3

Reporting Form 1 Introduction ........................................................................................................ 5

Annual Statement Filing Form 1 ..................................................................................................... 6

Actual vs. Expected Claims and Persistency, Aggregated Totals .................................................... 7

Market Share – Top One Hundred Companies Countrywide Totals

By Actual Lives In-force ..................................................................................................... 8

By Actual Earned Premiums ............................................................................................. 12

LONG-TERM CARE INSURANCE EXPERIENCE, FORM 2 ................................................................ 17

Reporting Form 2 Introduction ...................................................................................................... 19

Annual Statement Filing Form 2 .................................................................................................... 20

Insurance Experience by Company Name by Policy Form ............................................................ 21

LONG-TERM CARE INSURANCE EXPERIENCE, FORM 4 .............................................................. 141

Reporting Form 4 Introduction .................................................................................................... 143

Annual Statement Filing Form 4 ................................................................................................. 144

Life and Annuity Products Accelerated Benefits, Aggregated Totals ......................................... 145

LONG-TERM CARE INSURANCE EXPERIENCE, FORM 5 .............................................................. 147

Reporting Form 5 Introduction .................................................................................................... 149

Annual Statement Filing Form 5 ................................................................................................. 150

Table – State and U.S. Territory Totals ........................................................................................ 151

Map – 2015 Form 5 State and U.S. Territory Number of Lives In-force Totals .......................... 152

Insurance Experience by Line of Business by State and U.S. Territory Totals ............................ 153

Market Share – Top Ten Companies by State and U.S. Territory

By Actual Earned Premiums ........................................................................................... 163

COMPANY INDEX .................................................................................................................................. 217

© 2016 National Association of Insurance Commissioners

Page 6: Long-Term Care Insurance Experience Reporting

© 2016 National Association of Insurance Commissioners

Page 7: Long-Term Care Insurance Experience Reporting

LONG-TERM CARE INSURANCE EXPERIENCE REPORTS FOR 2015

INTRODUCTION

The purpose of the Long-Term Care Insurance Experience Reporting Forms is to monitor and provide

data specific to this coverage. Long-term care expenses may be paid through life policies, annuity

contracts and health contracts. Starting in 2009, the NAIC replaced the prior forms (Forms A, B and C)

with entirely new forms (Forms 1, 2, 3, 4 and 5). The original forms monitored compliance with lifetime

loss ratio standards by comparing actual to anticipated loss percentages. A ratio of actual-to-expected

loss percentages of 1.00 would be a rough indication that the experience is on track to produce the

lifetime anticipated loss percentage.

The new forms incorporate considerable changes in structure and purpose and are based on including

additional calendar years of experience to prior results. To more appropriately compare the actual results

with expectation, the expected values are based on the exposure at the beginning of that year, not the

original assumed sales distribution used when completing the original forms. As such, great care should

be taken in comparing results from this report with results from prior published reports.

The new Form 1 focuses on the critical assumptions of morbidity and persistency while still presenting

high-level loss ratio data. Prior-year values on the new forms will be filled in over time. Only information

as of 2009 and subsequent years is required on the forms, unless it was required on the previous Long-

Term Care Experience Reporting Forms. Companies are not required to supply information for spaces on

the forms corresponding to any year prior to adoption of the forms, unless that information was

previously reported.

The new Form 2 focuses on the developing level of funds from the issue age premium basis and

compares this to the active life reserve. Prior-year values will be filled in over time. For 2015, the current

year is completed using the 2014 year-end contract reserve as the beginning experience fund. The new

Form 4 is to include life and annuity products that are not exempt as outlined in the NAIC Long-Term

Care Insurance Model Regulation (#641). The new Form 5, which replaces the LTC experience Form C,

requires information at the state level.

Form 3 data is not included in this report; however this data is available for purchase. To purchase this

data, please contact [email protected], (816)783-8300.

Qualifications

New Long-Term Care Experience Reporting Forms were incorporated for the 2009 financial filing year

and insurers were asked to complete both the original and new forms. The 2010 Long-Term Care

Insurance Experience Report was the first to be based off the new forms. Long-Term Care Insurance

Experience Reports from years prior to 2010 are based off the original forms.

The accuracy of the reports depends on the accuracy of the information contained in the exhibits filed by

the insurers. Even though the data elements used to prepare the reports are extracted from exhibits filed

with the NAIC, the NAIC cannot guarantee their accuracy.

© 2016 National Association of Insurance Commissioners 1

Page 8: Long-Term Care Insurance Experience Reporting

While the NAIC exercises a great deal of care in capturing data from these exhibits and producing these

reports, as with any statistical project of a significant magnitude, errors can occur. Consequently, the

NAIC makes no representations or warranties with respect to the accuracy of the data and statistics in

these reports, and recommends that extreme caution be used in analysis of these data.

Please send any questions regarding this report to [email protected]. Links to this report and

other NAIC reports can be found on the NAIC website at: NAIC Publications.

© 2016 National Association of Insurance Commissioners 2

Page 9: Long-Term Care Insurance Experience Reporting

LONG-TERM CARE INSURANCE EXPERIENCE

FORM 1 © 2016 National Association of Insurance Commissioners

3

Page 10: Long-Term Care Insurance Experience Reporting

© 2016 National Association of Insurance Commissioners 4

Page 11: Long-Term Care Insurance Experience Reporting

Reporting Form 1

Nationwide Level Reporting

Long-Term Care Insurance Experience Form 1 is intended to track actual claims and persistency

against expected on a nationwide basis. Certain group business is reported separately from

individual and some group business. Policy forms are grouped into three categories:

comprehensive, institutional only or non-institutional. Yearly as well as cumulative comparisons

are exhibited on the form. However, this report includes only the yearly amounts. Policy forms

that have had no policies in force and all claims on the policy settled for more than one year are

not reported on this form.

The current column refers to the current calendar year of reporting. The prior, second prior, etc.,

columns refer to the preceding calendar years. For example, for a specific policy form category,

the first year of issue was 2001. The current year would be 2015, the prior year would be 2014,

the second prior year would be 2013, the third prior year would be 2012, the fourth prior year

would be 2011, and the fifth prior year would be 2010.

The Form Inception-to-Date would include aggregate experience data since the adoption of the

Form 1 (2009). The Total Inception-to-Date would include aggregate experience data since

issuance of policies. Using the example above, data from 2002 through 2015 would be used.

Given that this is only the sixth year of reporting for these forms and the level of confusion that

remains regarding the Total Inception-to-Date and Form Inception-to-Date reporting, this report

focuses on calendar-year data. This report will be expanded in future years as the data reported

from insurers becomes more stable.

The Long-Term Care Reporting Forms should be filed whenever long-term care insurance has

been sold, regardless of which annual statement has been filed. The four annual statement types

are: Life, Accident and Health; Property/Casualty; Fraternal; and Health.

For the 2015 reporting year, a total of 178 companies filed Form 1:

133 Life, Accident and Health

13 Property/Casualty

5 Fraternal

27 Health

(Narrative taken from Explanatory Notes for the Long-Term Care Experience Reporting Forms

supplemental instructions for the Annual Statement Reporting Forms. Refer to the appropriate

Annual Statement Instructions for complete instructions and narrative. Company counts are

derived from Annual Statement Reports filed with the NAIC for the 2015 reporting year.)

© 2016 National Association of Insurance Commissioners 5

Page 12: Long-Term Care Insurance Experience Reporting

SUPPLEMENT FOR THE YEAR OF THE

©1999–2015 National Association of Insurance Commissioners Supp18 Health

........................................ Affix Bar Code Above

LONG-TERM CARE EXPERIENCE REPORTING FORM 1 ACTUAL VS. EXPECTED CLAIMS AND PERSISTENCY

REPORTING YEAR 20__ (To Be Filed By April 1)

NAIC Group Code__________ NAIC Company Code

1 2 3 4 5 6 7 8 9 Earned

Premiums Incurred Claims

Valuation Expected Incurred Claims

Actual to Expected Incurred Claims

Open Claim Count

New Claim Count

Lives In Force End of Year

Expected Lives In Force End of Year

Actual to Expected Lives In Force

A . Individual Comprehensive: 1. Current ............................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 2. Prior .................................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 3. 2nd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 4. 3rd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 5. 4th Prior.............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 6. 5th Prior.............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 7. Form Inception-to-Date ...... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 8. Total Inception-to-Date ...... XXX XXX XXX XXX XXX XXX XXX Institutional Only: 9. Current ............................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 10. Prior .................................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 11. 2nd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 12. 3rd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 13. 4th Prior.............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 14. 5th Prior.............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 15. Form Inception-to-Date ...... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 16. Total Inception-to-Date ...... XXX XXX XXX XXX XXX XXX XXX Non-Institutional Only: 17. Current ............................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 18. Prior .................................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 19. 2nd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 20. 3rd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 21. 4th Prior.............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 22. 5th Prior.............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 23. Form Inception-to-Date ...... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 24. Total Inception-to-Date XXX XXX XXX XXX XXX XXX XXX B. Group Comprehensive: 1. Current .............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 2. Prior ................................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 3. 2nd Prior ............................ ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 4. 3rd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 5. 4th Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 6. 5th Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 7. Form Inception-to-Date ..... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 8. Total Inception-to-Date ..... XXX XXX XXX XXX XXX XXX XXX Institutional Only: 9. Current ............................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 10. Prior ................................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 11. 2nd Prior ............................ ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 12. 3rd Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 13. 4th Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 14. 5th Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 15. Form Inception-to-Date ..... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 16. Total Inception-to-Date ..... XXX XXX XXX XXX XXX XXX XXX Non-Institutional Only: 17. Current .............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 18. Prior ................................... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 19. 2nd Prior ............................ ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 20. 3rd Prior ............................ ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 21. 4th Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 22. 5th Prior ............................. ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 23. Form Inception-to-Date ..... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 24. Total Inception-to-Date XXX XXX XXX XXX XXX XXX XXX C. Summary 1. Form Inception-to-Date ..... ........................................ ................................. ............................................... ............................................... ............................................................... .............................................................. ....................................................... ........................................... ............................................. 2. Total Inception-to-Date XXX XXX XXX XXX XXX XXX XXX

© 2016 National Association of Insurance Commissioners 6

Page 13: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 1

Actual vs.Expected Claims and Persistency

Aggregated Totals

PremiumsEarned Claims Amount

IncurredLoss Ratio

Expected IncurredActual to

Claims CountOpen Claim New Claim

CountIncurred ClaimsValuation Expected

End of YearLives Inforce

End of YearInforce

Expected Lives

Lives InforceExpectedActual to

A. IndividualComprehensive:

9,365,273,2111. Current 7,777,580,843 83.05 132.44 198,574 55,3325,872,447,727 5,256,479 87.184,582,485

9,251,392,2682. Prior 6,837,976,139 73.91 128.10 188,025 52,8125,338,152,195 5,336,584 86.664,624,861

Institutional Only:713,500,8589. Current 1,133,543,569 158.87 139.23 23,652 6,816814,167,056 242,473 102.39248,256

393,358,85610. Prior 663,248,002 168.61 128.44 23,917 6,891516,389,199 263,426 100.93265,887

Non-Institutional Only:125,161,87017. Current 195,811,888 156.45 147.62 12,475 4,447132,650,134 103,135 101.70104,891

131,169,81118. Prior 197,938,049 150.90 149.53 13,131 4,760132,377,377 108,418 101.98110,569

B. GroupComprehensive:

1,712,504,4861. Current 891,357,821 52.05 82.68 30,213 11,5171,078,118,592 2,190,454 98.942,167,217

1,710,992,1812. Prior 784,275,028 45.84 79.30 25,641 8,186989,051,551 2,213,655 99.412,200,582

Institutional Only:38,105,9799. Current 70,969,893 186.24 101.91 3,323 1,24269,640,765 46,043 100.0746,076

40,811,55110. Prior 69,759,402 170.93 105.21 3,015 88866,302,228 48,556 100.0948,601

Non-Institutional Only:895,51117. Current 2,925,444 326.68 204.59 174 491,429,923 472 101.69480

1,143,91418. Prior 3,050,653 266.69 213.86 193 251,426,495 553 104.52578

C. Summary10,203,935,9391. Individual Current 9,106,936,300 89.25 133.55 234,701 66,5956,819,264,917 5,602,087 88.104,935,632

9,775,920,9352. Individual Prior 7,699,162,190 78.76 128.60 225,073 64,4635,986,918,771 5,708,428 87.615,001,317

1,751,505,9763. Group Current 965,253,158 55.11 83.99 33,710 12,8081,149,189,280 2,236,969 98.962,213,773

1,752,947,6464. Group Prior 857,085,083 48.89 81.10 28,849 9,0991,056,780,274 2,262,764 99.432,249,761

11,955,441,9155. Total Current (Indv & Grp) 10,072,189,458 84.25 126.40 268,411 79,4037,968,454,197 7,839,056 91.207,149,405

11,528,868,5816. Total Prior (Indv & Grp) 8,556,247,273 74.22 121.47 253,922 73,5627,043,699,045 7,971,192 90.977,251,078

CAUTION: The information contained on this page is UNAUDITED and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors. © 2016 National Association of Insurance Commissioners

7

Page 14: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Lives in Force

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Lives Inforce

End of YearIncurredClaims

DirectLossRatio

Actual to Expected

Lives Inforce

ExpectedLives InforceEnd of Year

70025 4011 Genworth Life Ins Co DE 2,461,285,139 17.28 17.281,235,563 1,592,054,328 64.681,211,551 101.98

62235 565 Unum Life Ins Co Of Amer ME 530,894,133 13.22 30.50945,255 373,647,446 70.38966,604 97.79

65838 904 John Hancock Life Ins Co USA MI 1,542,874,004 12.28 42.79878,266 883,954,712 57.29856,046 102.60

65978 241 Metropolitan Life Ins Co NY 753,195,909 7.01 49.80501,310 440,475,741 58.48496,764 100.92

20443 218 Continental Cas Co IL 497,896,401 5.64 55.44403,572 824,492,319 165.60399,061 101.13

61263 233 Bankers Life & Cas Co IL 450,040,430 3.56 59.00254,287 533,949,376 118.64247,892 102.58

86231 468 Transamerica Life Ins Co IA 461,507,527 3.55 62.55253,595 535,641,610 116.06244,459 103.74

69000 860 Northwestern Long Term Care Ins Co WI 551,500,673 3.23 65.78231,207 76,427,427 13.86230,798 100.18

68241 304 Prudential Ins Co Of Amer NJ 382,588,064 3.23 69.01230,755 158,275,636 41.37231,028 99.88

66915 826 New York Life Ins Co NY 259,742,755 1.96 70.97140,422 114,095,718 43.93139,638 100.56

71412 261 Mutual Of Omaha Ins Co NE 256,573,122 1.93 72.90137,784 142,946,523 55.71134,782 102.23

25178 176 State Farm Mut Auto Ins Co IL 215,267,902 1.79 74.69127,932 102,605,658 47.66128,103 99.87

56014 2938 Thrivent Financial For Lutherans WI 198,536,750 1.73 76.42123,671 303,319,488 152.78122,311 101.11

90611 761 Allianz Life Ins Co Of N Amer MN 186,488,013 1.71 78.13122,539 168,836,018 90.53118,984 102.99

65005 4 RiverSource Life Ins Co MN 203,647,182 1.66 79.80118,852 280,971,534 137.97116,131 102.34

72990 4011 Genworth Life Ins Co of NY NY 227,166,214 1.24 81.0388,301 146,353,355 64.4383,962 105.17

87726 241 Metlife Ins Co USA DE 224,618,803 1.23 82.2687,651 539,394,910 240.1480,587 108.77

65935 435 Massachusetts Mut Life Ins Co MA 212,270,832 1.20 83.4685,993 40,379,899 19.0287,000 98.84

76325 Senior Hlth Ins Co of PA PA 129,097,062 1.01 84.4772,229 311,105,097 240.9971,595 100.89

93610 904 John Hancock Life & Hlth Ins Co MA 177,476,424 0.94 85.4166,923 144,980,611 81.6965,542 102.11

69515 1186 Medamerica Ins Co PA 89,318,160 0.81 86.2257,855 110,985,316 124.2655,828 103.63

65595 4815 Lincoln Benefit Life Co NE 60,127,066 0.73 86.9552,366 68,380,296 113.7351,407 101.87

60054 1 Aetna Life Ins Co CT 43,905,929 0.69 87.6449,090 58,731,585 133.7748,656 100.89

58033 Knights Of Columbus CT 59,882,505 0.63 88.2745,387 22,194,770 37.0643,617 104.06

63479 4852 United Teacher Assoc Ins Co TX 63,099,820 0.61 88.8843,730 43,713,286 69.2843,457 100.63

70408 19 Union Security Ins Co KS 80,360,301 0.60 89.4843,022 113,888,256 141.7241,884 102.72

64297 565 First Unum Life Ins Co NY 66,534,474 0.55 90.0439,612 71,187,925 106.9939,244 100.94

69868 261 United Of Omaha Life Ins Co NE 76,727,055 0.52 90.5536,964 6,045,361 7.8835,741 103.42

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 8

Page 15: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Lives in Force

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Lives Inforce

End of YearIncurredClaims

DirectLossRatio

Actual to Expected

Lives Inforce

ExpectedLives InforceEnd of Year

69477 19 Time Ins Co WI 57,773,146 0.49 91.0434,951 184,959,062 320.1533,957 102.93

71471 4824 Ability Ins Co NE 74,541,833 0.47 91.5133,662 82,053,056 110.0832,761 102.75

65110 119 Kanawha Ins Co SC 392,691,129 0.44 91.9631,736 498,187,764 126.8730,582 103.77

66281 468 Transamerica Premier Life Ins Co IA 51,468,992 0.44 92.4031,592 46,675,688 90.6930,409 103.89

62626 306 CMFG Life Ins Co IA 47,165,234 0.42 92.8230,326 5,840,776 12.3830,342 99.95

60380 370 American Family Life Assur Co of Col NE 30,584,019 0.40 93.2228,448 37,264,692 121.8428,067 101.36

80578 367 Physicians Mut Ins Co NE 49,337,511 0.40 93.6228,302 43,767,784 88.7127,975 101.17

62952 Equitable Life & Cas Ins Co UT 61,166,702 0.36 93.9825,890 65,764,711 107.5221,307 121.51

83437 1186 MedAmerica Ins Co of NY NY 47,335,955 0.33 94.3123,750 99,162,058 209.4922,778 104.27

68195 565 Provident Life & Accident Ins Co TN 37,876,414 0.33 94.6423,492 18,949,271 50.0323,475 100.07

62553 50 Country Life Ins Co IL 34,476,445 0.32 94.9623,016 27,532,273 79.8622,484 102.37

77720 572 LifeSecure Ins Co MI 25,300,005 0.27 95.2419,578 1,752,592 6.9319,619 99.79

64211 687 Guarantee Trust Life Ins Co IL 25,507,235 0.26 95.5018,860 9,922,596 38.9018,497 101.96

72273 Wea Ins Corp WI 23,230,729 0.26 95.7618,744 3,998,309 17.2120,350 92.11

60410 330 American Fidelity Assur Co OK 22,129,384 0.26 96.0218,411 14,599,138 65.9717,683 104.12

69116 619 State Life Ins Co IN 22,866,240 0.24 96.2617,011 13,242,196 57.9116,761 101.49

71714 429 Berkshire Life Ins Co of Amer MA 65,491,733 0.23 96.4916,616 2,707,069 4.1316,529 100.53

68896 Southern Farm Bureau Life Ins Co MS 24,148,570 0.22 96.7115,910 34,729,579 143.8215,484 102.75

42129 United Security Assur Co Of PA PA 31,655,575 0.22 96.9315,499 15,556,400 49.1415,397 100.66

65056 918 Jackson Natl Life Ins Co MI 24,127,266 0.18 97.1112,726 43,900,841 181.9612,673 100.42

65080 19 John Alden Life Ins Co WI 10,691,721 0.15 97.2610,742 33,438,589 312.7510,224 105.07

71404 4852 Continental Gen Ins Co OH 24,872,059 0.15 97.4110,575 43,548,652 175.0910,041 105.32

70319 233 Washington Natl Ins Co IN 15,524,842 0.12 97.538,653 39,905,051 257.048,990 96.25

35963 1289 AF&L Ins Co PA 20,553,311 0.11 97.648,068 20,215,906 98.369,921 81.32

69345 1216 Teachers Ins & Ann Assoc Of Amer NY 13,723,509 0.10 97.747,367 23,132,101 168.567,432 99.13

91642 3891 Forethought Life Ins Co IN 8,653,849 0.10 97.847,245 516,486 5.977,245 100.00

60488 12 American Gen Life Ins Co TX 19,578,056 0.10 97.957,183 36,121,625 184.506,859 104.72

98167 536 BCBS Of FL FL 8,613,421 0.09 98.046,682 10,699,568 124.226,555 101.94

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 9

Page 16: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Lives in Force

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Lives Inforce

End of YearIncurredClaims

DirectLossRatio

Actual to Expected

Lives Inforce

ExpectedLives InforceEnd of Year

61271 332 Principal Life Ins Co IA 4,788,186 0.08 98.126,054 47,953,446 1,001.505,959 101.59

80594 4 Riversource Life Ins Co Of NY NY 10,323,514 0.08 98.216,049 17,839,512 172.805,980 101.15

92916 290 United Amer Ins Co NE 7,519,864 0.08 98.285,393 12,371,075 164.515,252 102.68

60836 3527 American Republic Ins Co IA 6,424,491 0.07 98.365,141 17,704,274 275.575,003 102.76

55433 570 BCBS of AL AL 7,772,546 0.07 98.435,080 1,201,354 15.465,128 99.06

67660 4667 Pennsylvania Life Ins Co PA 6,582,799 0.06 98.494,566 11,879,363 180.464,325 105.57

81477 19 Union Security Life Ins Co of NY NY 8,666,969 0.06 98.554,364 14,100,495 162.694,259 102.47

63177 212 Farmers New World Life Ins Co WA 5,818,534 0.06 98.614,293 11,122,120 191.154,178 102.75

65536 4011 Genworth Life & Ann Ins Co VA 4,791,665 0.06 98.674,090 14,197,802 296.303,750 109.07

61190 280 Auto Owners Life Ins Co MI 7,599,317 0.06 98.734,076 3,505,512 46.133,937 103.53

68560 233 Bankers Conseco Life Ins Co NY 7,857,456 0.05 98.783,878 14,330,669 182.383,872 100.15

60534 8 American Heritage Life Ins Co FL 8,041,118 0.05 98.833,739 16,602,993 206.483,496 106.95

11860 Copic Ins Co CO 1,300,695 0.05 98.883,519 1,836,381 141.183,429 102.62

47570 962 Premera Blue Cross WA 5,786,254 0.05 98.933,440 14,122,199 244.063,414 100.76

55026 461 BCBSM Inc MN 5,467,345 0.05 98.983,341 15,489,411 283.313,241 103.09

60142 1216 TIAA Cref Life Ins Co NY 6,624,590 0.04 99.023,141 5,325,629 80.393,095 101.49

19275 473 American Family Mut Ins Co WI 4,556,874 0.04 99.062,971 4,993,730 109.592,865 103.70

70729 430 BCBS Of KS Inc KS 3,889,305 0.04 99.102,934 15,139,612 389.262,911 100.79

62359 953 Constitution Life Ins Co TX 6,203,339 0.04 99.142,779 10,433,282 168.192,787 99.71

68284 953 Pyramid Life Ins Co KS 5,607,718 0.04 99.182,654 8,879,962 158.352,516 105.48

62308 901 Connecticut Gen Life Ins Co CT 1,227,990 0.04 99.212,518 2,740,881 223.202,480 101.53

12967 1186 MedAmerica Ins Co of FL FL 4,245,612 0.03 99.252,376 2,388,516 56.262,349 101.15

77780 BCBS Of NE NE 2,960,645 0.03 99.282,308 3,918,259 132.342,227 103.64

70688 468 Transamerica Financial Life Ins Co NY 6,264,146 0.03 99.312,213 365,908 5.842,192 100.96

60186 8 Allstate Life Ins Co IL 2,057,855 0.03 99.342,169 13,366,884 649.552,190 99.04

88072 91 Hartford Life Ins Co CT 2,718,084 0.03 99.371,983 7,948,848 292.441,910 103.82

54771 812 Highmark Inc PA 3,181,623 0.03 99.401,982 1,081,375 33.991,917 103.39

57320 Woodmen World Life Ins Soc NE 2,543,490 0.03 99.421,845 3,037,124 119.411,788 103.19

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 10

Page 17: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Lives in Force

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Lives Inforce

End of YearIncurredClaims

DirectLossRatio

Actual to Expected

Lives Inforce

ExpectedLives InforceEnd of Year

68462 215 Reserve Natl Ins Co OK 1,307,067 0.03 99.451,823 311,829 23.861,941 93.92

65676 20 Lincoln Natl Life Ins Co IN 3,778,237 0.03 99.471,818 7,260,975 192.181,674 108.60

69353 Teachers Protective Mut Life Ins Co PA 5,858,688 0.03 99.501,801 7,804,623 133.212,004 89.87

54704 936 Independence Hospital Ind Plan Inc PA 2,790,270 0.03 99.521,797 5,745,612 205.921,755 102.39

62825 671 Anthem Blue Cross Life & Hlth Ins Co CA 4,605,333 0.02 99.551,707 4,409,640 95.751,684 101.37

80624 953 American Progressive L&H Ins Of NY NY 3,947,661 0.02 99.571,641 6,962,239 176.361,628 100.80

63312 84 Great Amer Life Ins Co OH 2,698,142 0.02 99.591,593 1,110,915 41.171,508 105.64

31119 3527 Medico Ins Co NE 2,972,361 0.02 99.611,545 5,201,849 175.011,522 101.51

70670 917 Health Care Serv Corp A Mut Legal Re IL 2,691,937 0.02 99.631,472 4,596,613 170.751,412 104.25

24988 169 Sentry Ins A Mut Co WI 1,678,619 0.02 99.651,445 4,144,845 246.921,439 100.42

55891 Noridian Mut Ins Co ND 1,540,238 0.02 99.671,320 3,386,977 219.901,282 102.96

86355 408 Standard Life & Accident Ins Co TX 1,982,440 0.02 99.691,310 1,347,642 67.981,240 105.65

76236 244 Cincinnati Life Ins Co OH 2,645,700 0.02 99.711,240 3,350,551 126.641,184 104.73

60243 810 American Independent Ntwrk Ins Co NY NY 2,740,624 0.02 99.731,202 3,661,377 133.601,147 104.80

61751 690 Central States H & L Co Of Omaha NE 1,494,430 0.02 99.741,138 9,111,774 609.721,197 95.07

71439 Assurity Life Ins Co NE 2,772,639 0.02 99.761,082 0 0.001,065 101.60

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 11

Page 18: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Earned Premiums

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Actual toExpectedIncurredClaims

ValuationExpectedIncurredClaims

Number ofLives

IncurredClaims

DirectLossRatio

70025 4011 Genworth Life Ins Co DE 2,461,285,139 20.59 20.59163.62973,025,0391,235,563 1,592,054,328 64.68

65838 904 John Hancock Life Ins Co USA MI 1,542,874,004 12.91 33.49104.66844,600,410878,266 883,954,712 57.29

65978 241 Metropolitan Life Ins Co NY 753,195,909 6.30 39.7984.71520,004,691501,310 440,475,741 58.48

69000 860 Northwestern Long Term Care Ins Co WI 551,500,673 4.61 44.4186.7688,090,962231,207 76,427,427 13.86

62235 565 Unum Life Ins Co Of Amer ME 530,894,133 4.44 48.85103.28361,787,649945,255 373,647,446 70.38

20443 218 Continental Cas Co IL 497,896,401 4.16 53.01139.49591,060,209403,572 824,492,319 165.60

86231 468 Transamerica Life Ins Co IA 461,507,527 3.86 56.87108.77492,474,076253,595 535,641,610 116.06

61263 233 Bankers Life & Cas Co IL 450,040,430 3.76 60.64119.63446,331,744254,287 533,949,376 118.64

65110 119 Kanawha Ins Co SC 392,691,129 3.28 63.92146.75339,474,75531,736 498,187,764 126.87

68241 304 Prudential Ins Co Of Amer NJ 382,588,064 3.20 67.1291.44173,098,629230,755 158,275,636 41.37

66915 826 New York Life Ins Co NY 259,742,755 2.17 69.2996.05118,784,223140,422 114,095,718 43.93

71412 261 Mutual Of Omaha Ins Co NE 256,573,122 2.15 71.44132.04108,256,982137,784 142,946,523 55.71

72990 4011 Genworth Life Ins Co of NY NY 227,166,214 1.90 73.34132.19110,716,04088,301 146,353,355 64.43

87726 241 Metlife Ins Co USA DE 224,618,803 1.88 75.22158.92339,410,47387,651 539,394,910 240.14

25178 176 State Farm Mut Auto Ins Co IL 215,267,902 1.80 77.02118.3386,711,696127,932 102,605,658 47.66

65935 435 Massachusetts Mut Life Ins Co MA 212,270,832 1.78 78.7982.4748,964,17685,993 40,379,899 19.02

65005 4 RiverSource Life Ins Co MN 203,647,182 1.70 80.50149.39188,083,421118,852 280,971,534 137.97

56014 2938 Thrivent Financial For Lutherans WI 198,536,750 1.66 82.16123.73245,146,375123,671 303,319,488 152.78

90611 761 Allianz Life Ins Co Of N Amer MN 186,488,013 1.56 83.72116.02145,525,152122,539 168,836,018 90.53

93610 904 John Hancock Life & Hlth Ins Co MA 177,476,424 1.48 85.20109.87131,952,14966,923 144,980,611 81.69

76325 Senior Hlth Ins Co of PA PA 129,097,062 1.08 86.28110.70281,034,12372,229 311,105,097 240.99

69515 1186 Medamerica Ins Co PA 89,318,160 0.75 87.03195.7756,692,82957,855 110,985,316 124.26

70408 19 Union Security Ins Co KS 80,360,301 0.67 87.70133.4785,326,45743,022 113,888,256 141.72

69868 261 United Of Omaha Life Ins Co NE 76,727,055 0.64 88.34150.214,024,50636,964 6,045,361 7.88

71471 4824 Ability Ins Co NE 74,541,833 0.62 88.97146.7755,906,96333,662 82,053,056 110.08

64297 565 First Unum Life Ins Co NY 66,534,474 0.56 89.52123.1857,791,12539,612 71,187,925 106.99

71714 429 Berkshire Life Ins Co of Amer MA 65,491,733 0.55 90.0736.177,483,35316,616 2,707,069 4.13

63479 4852 United Teacher Assoc Ins Co TX 63,099,820 0.53 90.6077.1956,629,68243,730 43,713,286 69.28

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 12

Page 19: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Earned Premiums

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Actual toExpectedIncurredClaims

ValuationExpectedIncurredClaims

Number ofLives

IncurredClaims

DirectLossRatio

62952 Equitable Life & Cas Ins Co UT 61,166,702 0.51 91.11328.8519,998,31125,890 65,764,711 107.52

65595 4815 Lincoln Benefit Life Co NE 60,127,066 0.50 91.61113.7560,116,06852,366 68,380,296 113.73

58033 Knights Of Columbus CT 59,882,505 0.50 92.1182.7926,808,65445,387 22,194,770 37.06

69477 19 Time Ins Co WI 57,773,146 0.48 92.60207.4689,152,62534,951 184,959,062 320.15

66281 468 Transamerica Premier Life Ins Co IA 51,468,992 0.43 93.03121.4338,437,84031,592 46,675,688 90.69

80578 367 Physicians Mut Ins Co NE 49,337,511 0.41 93.4495.5345,815,31228,302 43,767,784 88.71

83437 1186 MedAmerica Ins Co of NY NY 47,335,955 0.40 93.84228.3743,422,11523,750 99,162,058 209.49

62626 306 CMFG Life Ins Co IA 47,165,234 0.39 94.2343.1213,546,58230,326 5,840,776 12.38

60054 1 Aetna Life Ins Co CT 43,905,929 0.37 94.60122.8447,809,76549,090 58,731,585 133.77

68195 565 Provident Life & Accident Ins Co TN 37,876,414 0.32 94.91156.6312,098,06223,492 18,949,271 50.03

62553 50 Country Life Ins Co IL 34,476,445 0.29 95.2098.7827,873,37823,016 27,532,273 79.86

42129 United Security Assur Co Of PA PA 31,655,575 0.26 95.4787.1517,849,49615,499 15,556,400 49.14

60380 370 American Family Life Assur Co of Col NE 30,584,019 0.26 95.72145.7325,571,03728,448 37,264,692 121.84

64211 687 Guarantee Trust Life Ins Co IL 25,507,235 0.21 95.94133.717,421,14318,860 9,922,596 38.90

77720 572 LifeSecure Ins Co MI 25,300,005 0.21 96.15106.821,640,70719,578 1,752,592 6.93

71404 4852 Continental Gen Ins Co OH 24,872,059 0.21 96.36156.1827,883,81010,575 43,548,652 175.09

68896 Southern Farm Bureau Life Ins Co MS 24,148,570 0.20 96.56204.3516,994,89915,910 34,729,579 143.82

65056 918 Jackson Natl Life Ins Co MI 24,127,266 0.20 96.76147.5829,747,82512,726 43,900,841 181.96

72273 Wea Ins Corp WI 23,230,729 0.19 96.95122.663,259,76518,744 3,998,309 17.21

69116 619 State Life Ins Co IN 22,866,240 0.19 97.1570.2218,858,54017,011 13,242,196 57.91

60410 330 American Fidelity Assur Co OK 22,129,384 0.19 97.3384.3917,300,10918,411 14,599,138 65.97

35963 1289 AF&L Ins Co PA 20,553,311 0.17 97.5094.7521,335,6778,068 20,215,906 98.36

60488 12 American Gen Life Ins Co TX 19,578,056 0.16 97.67225.2816,034,0457,183 36,121,625 184.50

70319 233 Washington Natl Ins Co IN 15,524,842 0.13 97.80168.3723,700,8678,653 39,905,051 257.04

69345 1216 Teachers Ins & Ann Assoc Of Amer NY 13,723,509 0.11 97.91148.2815,600,0697,367 23,132,101 168.56

65080 19 John Alden Life Ins Co WI 10,691,721 0.09 98.00100.8533,156,22310,742 33,438,589 312.75

80594 4 Riversource Life Ins Co Of NY NY 10,323,514 0.09 98.09123.9914,388,3216,049 17,839,512 172.80

81477 19 Union Security Life Ins Co of NY NY 8,666,969 0.07 98.16123.3211,434,2344,364 14,100,495 162.69

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 13

Page 20: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Earned Premiums

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Actual toExpectedIncurredClaims

ValuationExpectedIncurredClaims

Number ofLives

IncurredClaims

DirectLossRatio

91642 3891 Forethought Life Ins Co IN 8,653,849 0.07 98.230.0007,245 516,486 5.97

98167 536 BCBS Of FL FL 8,613,421 0.07 98.30117.209,128,9816,682 10,699,568 124.22

60534 8 American Heritage Life Ins Co FL 8,041,118 0.07 98.37108.2715,334,9163,739 16,602,993 206.48

68560 233 Bankers Conseco Life Ins Co NY 7,857,456 0.07 98.44117.5912,186,4843,878 14,330,669 182.38

55433 570 BCBS of AL AL 7,772,546 0.07 98.5059.062,034,1735,080 1,201,354 15.46

61190 280 Auto Owners Life Ins Co MI 7,599,317 0.06 98.57122.242,867,7324,076 3,505,512 46.13

92916 290 United Amer Ins Co NE 7,519,864 0.06 98.63105.1311,767,1625,393 12,371,075 164.51

60142 1216 TIAA Cref Life Ins Co NY 6,624,590 0.06 98.6880.076,651,2583,141 5,325,629 80.39

67660 4667 Pennsylvania Life Ins Co PA 6,582,799 0.06 98.7486.9213,667,0044,566 11,879,363 180.46

60836 3527 American Republic Ins Co IA 6,424,491 0.05 98.79128.0313,828,6565,141 17,704,274 275.57

70688 468 Transamerica Financial Life Ins Co NY 6,264,146 0.05 98.8587.27419,2682,213 365,908 5.84

62359 953 Constitution Life Ins Co TX 6,203,339 0.05 98.9087.1511,971,5312,779 10,433,282 168.19

69353 Teachers Protective Mut Life Ins Co PA 5,858,688 0.05 98.95202.463,854,9021,801 7,804,623 133.21

63177 212 Farmers New World Life Ins Co WA 5,818,534 0.05 98.99183.336,066,7264,293 11,122,120 191.15

47570 962 Premera Blue Cross WA 5,786,254 0.05 99.04233.096,058,6673,440 14,122,199 244.06

68284 953 Pyramid Life Ins Co KS 5,607,718 0.05 99.0957.1615,536,6122,654 8,879,962 158.35

55026 461 BCBSM Inc MN 5,467,345 0.05 99.14521.722,968,8853,341 15,489,411 283.31

65536 4011 Genworth Life & Ann Ins Co VA 4,791,665 0.04 99.1894.7514,984,4564,090 14,197,802 296.30

61271 332 Principal Life Ins Co IA 4,788,186 0.04 99.22339.3014,132,9506,054 47,953,446 1,001.50

62825 671 Anthem Blue Cross Life & Hlth Ins Co CA 4,605,333 0.04 99.2573.635,989,1131,707 4,409,640 95.75

19275 473 American Family Mut Ins Co WI 4,556,874 0.04 99.29129.503,856,0392,971 4,993,730 109.59

12967 1186 MedAmerica Ins Co of FL FL 4,245,612 0.04 99.33116.632,047,9622,376 2,388,516 56.26

80624 953 American Progressive L&H Ins Of NY NY 3,947,661 0.03 99.3672.229,640,7461,641 6,962,239 176.36

70729 430 BCBS Of KS Inc KS 3,889,305 0.03 99.39326.894,631,4532,934 15,139,612 389.26

65676 20 Lincoln Natl Life Ins Co IN 3,778,237 0.03 99.4385.178,525,2271,818 7,260,975 192.18

64190 761 Allianz Life Ins Co Of NY NY 3,271,086 0.03 99.45280.39845,1971,037 2,369,829 72.45

54771 812 Highmark Inc PA 3,181,623 0.03 99.4850.172,155,2081,982 1,081,375 33.99

31119 3527 Medico Ins Co NE 2,972,361 0.02 99.50178.642,911,9491,545 5,201,849 175.01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 14

Page 21: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 1

MARKET SHARE - TOP ONE HUNDRED COMPANIES

By Actual Earned Premiums

CompanyCode

GroupCode

CompanyName

State ofDomicil

EarnedPremiums

Market Share

Percentage

CummulativeMarketShare

Actual toExpectedIncurredClaims

ValuationExpectedIncurredClaims

Number ofLives

IncurredClaims

DirectLossRatio

77780 BCBS Of NE NE 2,960,645 0.02 99.53170.702,295,3912,308 3,918,259 132.34

54704 936 Independence Hospital Ind Plan Inc PA 2,790,270 0.02 99.55118.034,867,7311,797 5,745,612 205.92

71439 Assurity Life Ins Co NE 2,772,639 0.02 99.580.00387,5571,082 0 0.00

60243 810 American Independent Ntwrk Ins Co NY NY 2,740,624 0.02 99.60134.412,724,0501,202 3,661,377 133.60

88072 91 Hartford Life Ins Co CT 2,718,084 0.02 99.62198.104,012,5071,983 7,948,848 292.44

63312 84 Great Amer Life Ins Co OH 2,698,142 0.02 99.6456.731,958,2601,593 1,110,915 41.17

70670 917 Health Care Serv Corp A Mut Legal Re IL 2,691,937 0.02 99.67173.992,641,8421,472 4,596,613 170.75

76236 244 Cincinnati Life Ins Co OH 2,645,700 0.02 99.69315.111,063,3061,240 3,350,551 126.64

66168 869 Minnesota Life Ins Co MN 2,619,727 0.02 99.7152.22426,0381,060 222,481 8.49

57320 Woodmen World Life Ins Soc NE 2,543,490 0.02 99.73157.561,927,6291,845 3,037,124 119.41

76759 1289 Senior Amer Ins Co PA 2,319,149 0.02 99.7569.472,189,515979 1,520,967 65.58

60186 8 Allstate Life Ins Co IL 2,057,855 0.02 99.77149.378,948,5532,169 13,366,884 649.55

86355 408 Standard Life & Accident Ins Co TX 1,982,440 0.02 99.7834.023,961,1461,310 1,347,642 67.98

24988 169 Sentry Ins A Mut Co WI 1,678,619 0.01 99.80112.083,698,0771,445 4,144,845 246.92

55891 Noridian Mut Ins Co ND 1,540,238 0.01 99.81276.071,226,8391,320 3,386,977 219.90

61751 690 Central States H & L Co Of Omaha NE 1,494,430 0.01 99.82156.795,811,3481,138 9,111,774 609.72

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 15

Page 22: Long-Term Care Insurance Experience Reporting

© 2016 National Association of Insurance Commissioners 16

Page 23: Long-Term Care Insurance Experience Reporting

LONG-TERM CARE INSURANCE EXPERIENCE

FORM 2 © 2016 National Association of Insurance Commissioners

17

Page 24: Long-Term Care Insurance Experience Reporting

© 2016 National Association of Insurance Commissioners 18

Page 25: Long-Term Care Insurance Experience Reporting

Reporting Form 2

Nationwide Level Reporting

The purpose of Form 2 is to calculate a ratio of an experience reserve to the reported reserve by

calendar year on a nationwide basis. Summary data by policy form is reported. Data for the

current reporting year as well as that reported in each of the prior two reporting years is shown in

Form 2. Experience and valuation data are reported by base policy form. Rider forms will be

reported with the base forms to which they are attached. Only summary data by reporting year is

illustrated.

The Long-Term Care Reporting Forms should be filed whenever long-term care insurance has

been sold, regardless of which annual statement has been filed. The four annual statement types

are: Life, Accident and Health; Property/Casualty; Fraternal; and Health.

For the 2015 reporting year, a total of 177 companies filed Form 2:

131 Life, Accident and Health

13 Property/Casualty

5 Fraternal

28 Health

(Narrative taken from Explanatory Notes for the Long-Term Care Experience Reporting Forms

supplemental instructions for the Annual Statement Reporting Forms. Refer to the appropriate

Annual Statement Instructions for complete instructions and narrative. Company counts are

derived from Annual Statement Reports filed with the NAIC for the 2015 reporting year.)

© 2016 National Association of Insurance Commissioners 19

Page 26: Long-Term Care Insurance Experience Reporting

SUPPLEMENT FOR THE YEAR OF THE

©1999–2015 National Association of Insurance Commissioners Supp19 Health

........................................ Affix Bar Code Above

LONG-TERM CARE EXPERIENCE REPORTING FORM 2

EXPERIENCE RESERVE VS. REPORTED RESERVE BY CALENDAR YEAR REPORTING YEAR 20__ (To Be Filed By April 1)

NAIC Group Code__________ NAIC Company Code

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Reporting Year

Policy Form

First Year Issue

Last Year Issue

Earned Premiums

Incurred Claims

Loss Ratio

Annual Net/Annual Gross

Premiums

Current

Year Net Premiums

In Force Count

Beginning of Year

New Issues

Current Year

In Force Count End of Year

Persistency Rate

Experience

Policy Reserves

Reported

Policy Reserves

Experience/

Reported Ratio

A. Individual 1. Current ......................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 2. Prior .............................. .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 3. 2nd Prior ....................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 1. Current ......................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 2. Prior .............................. .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 3. 2nd Prior ....................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 1. Current ......................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 2. Prior .............................. .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 3. 2nd Prior B. Group 1. Current ......................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 2. Prior ............................. .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 3. 2nd Prior ...................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 1. Current ......................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 2. Prior ............................. .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 3. 2nd Prior ...................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 1. Current ......................... .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 2. Prior ............................. .................. ................... .................. ................... .................. .................. ................... .................. ................. .................. .................. .................. .................. ................... .................. 3. 2nd Prior C. SUMMARY 1. Total Current-Individual ................................................................ 2. Total Prior-Individual .................................................................... 3. Total 2nd Prior-Individual ............................................................. 4. Total Current-Group ...................................................................... 5. Total Prior-Group .......................................................................... 6. Total 2nd Prior-Group ................................................................... 7. Current Year Total

................... .................. xxx xxx .................. ................. .................. .................. xxx .................. ................... xxx

................... .................. xxx xxx .................. ................. .................. .................. xxx .................. ................... xxx

................... .................. xxx xxx .................. ................. .................. .................. xxx .................. ................... xxx

................... .................. xxx xxx .................. ................. .................. .................. xxx .................. ................... xxx

................... .................. xxx xxx .................. ................. .................. .................. xxx .................. ................... xxx

................... .................. xxx xxx .................. ................. .................. .................. xxx .................. ................... xxx

© 2016 National Association of Insurance Commissioners 20

Page 27: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Ability Ins Co NE71471 State of Domicile:Company Code:Company Name:

1. CurrentA01

690-699 63,160,060 28,048 112,366,26487,609,715 428,476,215138.71 0.94 26.23

201 8,410,600 3,887 18,447,2437,364,012 52,764,037 87.56 0.95 34.96

3358 580-583 2,554,956 1,361 -15,037,9865,199,239 8,300,789203.50 0.81 -181.16

591 593 596-597 297,197 263 -670,6991,367,708 2,512,712460.20 0.76 - 26.69

300 585 64,732 59 636,388159,649 461,645246.63 0.84 137.85

445 4458-4459 54,288 44 1,146,812207,062 1,046,680381.41 0.92 109.57

1. Total current - IndividualC01

74,541,833 33,662 116,888,022101,907,385 493,562,078XXX XXX XXX

7. Current year totalC07

74,541,833 33,662 116,888,022101,907,385 493,562,078136.71 0.93 23.68

Aetna Life Ins Co CT60054 State of Domicile:Company Code:Company Name:

1. CurrentB01

GR-70-W 43,905,929 49,090 622,655,37662,406,754 624,403,084142.14 0.97 99.72

4. Total current - GroupC04

43,905,929 49,090 622,655,37662,406,754 624,403,084XXX XXX XXX

7. Current year totalC07

43,905,929 49,090 622,655,37662,406,754 624,403,084142.14 0.97 99.72

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 21

Page 28: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

AF&L Ins Co PA35963 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC 20,553,311 8,068 76,346,42831,745,120 77,430,137154.45 0.84 98.60

1. Total current - IndividualC01

20,553,311 8,068 76,346,42831,745,120 77,430,137XXX XXX XXX

7. Current year totalC07

20,553,311 8,068 76,346,42831,745,120 77,430,137154.45 0.84 98.60

Allianz Life Ins Co Of N Amer MN90611 State of Domicile:Company Code:Company Name:

1. CurrentA01

10-P-Q 70,317,254 33,547 496,816,68822,484,557 598,939,982 31.98 0.99 82.95

N-3000-P(Q), N-3000-P(NQ) 50,971,270 29,363 1,072,364,90759,128,722 1,373,939,654116.00 0.99 78.05

11-P-Q 34,044,857 15,783 181,598,8346,340,819 206,924,010 18.63 0.99 87.76

N-2720 14,946,539 11,077 365,176,70444,070,483 538,847,557294.85 0.98 67.77

7-P-Q 8,048,954 3,940 64,763,1242,820,642 78,902,880 35.04 0.98 82.08

8-P-Q 3,247,308 2,102 14,584,6802,282,417 22,810,254 70.29 0.96 63.94

N-2350 2,580,052 2,201 28,473,43117,650,434 94,012,676684.11 0.97 30.29

N-4040-P(Q), N-4040-P(NQ) 1,090,955 433 11,684,9941,653,541 14,104,728151.57 0.97 82.85

2-P-A 422,657 358 2,260,027596,843 5,457,978141.21 0.96 41.41

5-P-Q 349,851 149 1,730,760149,811 2,461,837 42.82 0.96 70.30

1C-P-N-A, 1C-P-Q-A, 1F-P- 246,772 124 -3,660,135-66,004 1,183,512- 26.75 0.89 -309.26

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 22

Page 29: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

N-2000 105,237 125 1,375,0061,066,737 3,008,7341013.65 0.94 45.70

1. CurrentB01

GSC-1884 58,847 176 1,462,62993,567 855,936159.00 0.94 170.88

GSC-1696 32,615 85 1,239,278-156 521,656- 0.48 0.94 237.57

ALTC-2000C 21,645 23 -800,155-232,795 83,035-1075.51 1.00 -963.64

GSC-1729 1,877 2 -100,368-73,339 8,314-3907.25 0.50 -1207.22

MOD AS-2986, MOD AS-7987, 1,324 7 343,75747,302 72,1903572.66 0.78 476.18

1. Total current - IndividualC01

186,371,706 99,202 2,237,169,020158,179,002 2,940,593,802XXX XXX XXX

4. Total current - GroupC04

116,308 293 2,145,141-165,421 1,541,131XXX XXX XXX

7. Current year totalC07

186,488,014 99,495 2,239,314,161158,013,581 2,942,134,933 84.73 0.99 76.11

Allianz Life Ins Co Of NY NY64190 State of Domicile:Company Code:Company Name:

1. CurrentA01

10-P-Q-NY 3,270,742 1,034 15,662,2622,072,482 21,632,149 63.36 0.99 72.40

1. CurrentB01

MOD AS-2986, MOD AS-7987, 344 3 145,29315,500 23,1574505.81 0.75 627.43

1. Total current - IndividualC01

3,270,742 1,034 15,662,2622,072,482 21,632,149XXX XXX XXX

4. Total current - GroupC04

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 23

Page 30: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

344 3 145,29315,500 23,157XXX XXX XXX

7. Current year totalC07

3,271,086 1,037 15,807,5552,087,982 21,655,306 63.83 0.99 73.00

Allstate Life Ins Co IL60186 State of Domicile:Company Code:Company Name:

1. CurrentA01

LGU9737 34,877 33 -733,780385,799 1,444,4501106.17 0.97 - 50.80

1. CurrentB01

LGU95XX 1,094,328 766 782,3541,859,394 12,790,711169.91 0.91 6.12

LGU973XA 928,650 762 5,134,55410,993,935 42,192,0041183.86 0.95 12.17

1. Total current - IndividualC01

34,877 33 -733,780385,799 1,444,450XXX XXX XXX

4. Total current - GroupC04

2,022,978 1,528 5,916,90812,853,329 54,982,715XXX XXX XXX

7. Current year totalC07

2,057,855 1,561 5,183,12813,239,128 56,427,165643.35 0.93 9.19

American Family Ins Co OH10386 State of Domicile:Company Code:Company Name:

1. CurrentA01

H-350, H-550 123,277 71 687,554280,881 2,517,164227.85 0.97 27.32

1. Total current - IndividualC01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 24

Page 31: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

123,277 71 687,554280,881 2,517,164XXX XXX XXX

7. Current year totalC07

123,277 71 687,554280,881 2,517,164227.85 0.97 27.32

American Family Life Assur Co of Col NE60380 State of Domicile:Company Code:Company Name:

1. CurrentA01

A-27000 9,408,495 7,796 112,219,544467,015 116,295,220 4.96 0.96 96.50

A-25300 8,622,680 6,522 91,782,9446,698,139 89,616,932 77.68 0.96 102.42

A-25000 6,030,372 5,614 68,733,80614,218,430 71,056,683235.78 0.91 96.73

A-25200 3,884,186 2,786 35,551,4623,644,774 32,820,901 93.84 0.96 108.32

A-22000 1,465,498 1,442 30,023,4871,761,365 26,493,178120.19 0.87 113.33

A-13161 686,222 1,114 9,822,4523,954,263 9,805,413576.24 0.77 100.17

A-20000 289,038 277 5,230,997731,322 4,212,575253.02 0.82 124.18

A-13000 197,747 212 2,974,456515,952 2,790,435260.92 0.87 106.60

N-82600 -37 2 14,801-13,628 47336832.43 0.33 3129.18

1. Total current - IndividualC01

30,584,201 25,765 356,353,94931,977,632 353,091,810XXX XXX XXX

7. Current year totalC07

30,584,201 25,765 356,353,94931,977,632 353,091,810104.56 0.93 100.92

American Family Life Assur Co of NY NY60526 State of Domicile:Company Code:Company Name:

1. CurrentA01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 25

Page 32: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

NY-27000 158,975 107 1,195,5068,349 1,952,909 5.25 0.95 61.22

NY-21000,NY-22000 39,719 37 2,582,446162,430 797,057408.95 0.79 324.00

NY-20000 2,942 2 141,193384 31,842 13.05 1.00 443.42

NY-23000 1,108 2 23,226113,900 010279.78 1.00 0.00

1. Total current - IndividualC01

202,744 148 3,942,371285,063 2,781,808XXX XXX XXX

7. Current year totalC07

202,744 148 3,942,371285,063 2,781,808140.60 0.90 141.72

American Family Mut Ins Co WI19275 State of Domicile:Company Code:Company Name:

1. CurrentA01

H-350, H-550 4,556,874 2,971 78,809,6283,308,118 90,629,359 72.60 0.98 86.96

1. Total current - IndividualC01

4,556,874 2,971 78,809,6283,308,118 90,629,359XXX XXX XXX

7. Current year totalC07

4,556,874 2,971 78,809,6283,308,118 90,629,359 72.60 0.98 86.96

American Fidelity Assur Co OK60410 State of Domicile:Company Code:Company Name:

1. CurrentA01

QLTC-02 9,822,086 6,456 56,759,739447,720 40,418,510 4.60 0.97 140.40

WBNCC - 9/97 5,420,739 3,323 29,326,0568,100,822 50,356,579149.40 0.97 58.20

PSI NLTC, PSIQLTC,PSINCC, 3,816,189 2,939 17,014,3842,322,368 29,073,468 60.90 0.97 58.50

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 26

Page 33: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

CC1/97&NCC1/97 1,118,106 430 -5,927,8732,249,200 6,116,836201.20 0.92 - 96.90

LTC-1/97 58,117 17 224,881119,989 283,843206.50 0.90 79.20

HHC-1/97 12,557 9 -245,641926 47,265 7.40 1.00 -519.70

AFANLTC, AFAQLTC, AFANCC, 5,270 1 -78,138149,828 51,2442843.00 1.00 -152.50

1. CurrentB01

QGHHC 8/98 1,876,321 2,426 17,105,531784,726 19,142,202 41.80 0.99 89.40

1. Total current - IndividualC01

20,253,063 13,175 97,073,40713,390,853 126,347,746XXX XXX XXX

4. Total current - GroupC04

1,876,321 2,426 17,105,531784,726 19,142,202XXX XXX XXX

7. Current year totalC07

22,129,384 15,601 114,178,93814,175,579 145,489,948 64.10 0.97 78.50

American Gen Life Ins Co TX60488 State of Domicile:Company Code:Company Name:

1. CurrentA01

64028, C12271, C12271, et 18,320,842 6,612 -3,114,21641,453,109 136,397,100226.26 0.94 - 2.28

50030,50032,et al 443,361 207 1,416,331319,901 4,275,194 72.15 0.95 33.13

64028 1,295 3 00 0 0.00 1.00 0.00

1. CurrentB01

C-12277 19,232 25 0235,575 01224.91 0.93 0.00

1. Total current - IndividualC01

18,765,498 6,822 -1,697,88541,773,010 140,672,294XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 27

Page 34: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4. Total current - GroupC04

19,232 25 0235,575 0XXX XXX XXX

7. Current year totalC07

18,784,730 6,847 -1,697,88542,008,585 140,672,294223.63 0.94 - 1.21

American Heritage Life Ins Co FL60534 State of Domicile:Company Code:Company Name:

1. CurrentA01

BSC-LTC 1/95 3,763,682 1,218 -17,733,7533,036,557 16,443,228 80.68 0.90 -107.85

PRM-LTC 1/95 3,011,076 1,931 15,053,0492,275,658 28,616,522 75.58 0.96 52.60

QLTC 3/97 AND QHHC 3/97 574,832 302 48,478,811954,094 46,546,792165.98 0.94 104.15

BSC-HHC 2/96 369,936 167 -8,397,069876,223 1,104,126236.86 0.87 -760.52

PRM-HHC 2/96 321,593 121 -4,919,631568,388 1,044,878176.74 0.86 -470.83

1. Total current - IndividualC01

8,041,119 3,739 32,481,4077,710,920 93,755,546XXX XXX XXX

7. Current year totalC07

8,041,119 3,739 32,481,4077,710,920 93,755,546 95.89 0.93 34.65

American Hlth & Life Ins Co TX60518 State of Domicile:Company Code:Company Name:

1. CurrentA01

10957A 3,907 6 -804,354107,449 254,7362750.17 1.00 -315.76

10930A 3,037 4 -146,150279,897 91,1029216.23 1.00 -160.43

10931A 0 0 -60,3130 0 0.00 0.00 0.00

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 28

Page 35: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentB01

10930A 24,464 19 -128,232-121,370 456,379-496.12 0.91 - 28.10

10931A 379 1 3,5130 1,658 0.00 1.00 211.88

1. Total current - IndividualC01

6,944 10 -1,010,817387,346 345,838XXX XXX XXX

4. Total current - GroupC04

24,843 20 -124,719-121,370 458,037XXX XXX XXX

7. Current year totalC07

31,787 30 -1,135,536265,976 803,875836.75 0.94 -141.26

American Independent Ntwrk Ins Co NY NY60243 State of Domicile:Company Code:Company Name:

1. CurrentA01

2600 1,348,420 496 5,326,4011,994,875 8,152,970147.90 0.96 65.30

IL5 939,278 555 1,998,3501,510,643 4,810,957160.80 0.93 41.50

PF3 230,620 68 1,012,480-129,207 868,179- 56.00 0.99 116.60

ALP 196,072 77 666,056553,023 931,090282.10 0.91 71.50

SR400 26,233 6 45,9320 0 0.00 0.86 0.00

1. Total current - IndividualC01

2,740,623 1,202 9,049,2193,929,334 14,763,196XXX XXX XXX

7. Current year totalC07

2,740,623 1,202 9,049,2193,929,334 14,763,196143.40 0.94 61.30

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 29

Page 36: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

American Progressive L&H Ins Of NY NY80624 State of Domicile:Company Code:Company Name:

1. CurrentA01

HHC-800QI-HHCQHHCHHC1/98 2,249,078 925 -33,522,4152,026,715 9,445,945 90.11 0.88 -354.89

NHO-700,NHHH-700 965,141 360 165,7101,319,561 10,234,844136.72 0.92 1.62

APRLTNQ, APRLTCQ, APRLTCP 673,848 241 176,081807,903 6,750,644119.89 0.92 2.61

ANH86 10,254 9 -57,97793,658 45,880913.40 0.75 -126.37

1. CurrentB01

CERT-HHC, QC-HHC 37,075 27 -902,827-16,100 286,958- 43.43 0.79 -314.62

CERT-NHO, QC_NHHH 12,265 6 -203,831160,848 112,6791311.45 1.00 -180.90

1. Total current - IndividualC01

3,898,321 1,535 -33,238,6014,247,837 26,477,314XXX XXX XXX

4. Total current - GroupC04

49,340 33 -1,106,658144,748 399,637XXX XXX XXX

7. Current year totalC07

3,947,661 1,568 -34,345,2594,392,585 26,876,950111.27 0.89 -127.79

American Republic Ins Co IA60836 State of Domicile:Company Code:Company Name:

1. CurrentA01

ARIC 3,442,043 2,011 31,572,0436,909,975 43,403,415200.75 0.95 72.74

50500/60800 1,105,559 1,289 -2,707,6303,927,768 20,896,943355.27 0.91 - 12.96

7000/7020 734,414 531 2,841,2221,820,862 9,012,380247.93 0.91 31.53

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 30

Page 37: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7021/62100 240,232 224 49,887540,479 3,128,340224.98 0.91 1.60

A-2880 151,340 183 5,955,905920,646 2,214,900608.33 0.83 268.90

A-2655 33,259 80 833,681444,450 1,414,9381336.33 0.78 58.92

7022 6,158 5 98,8710 93,805 0.00 1.00 105.40

N020,N050,7A1,72U 3,388 4 278,581802 22,358 23.67 0.57 1246.00

1087,1088,1102 3,292 5 31,96262,691 35,2821904.34 1.00 90.59

A-2656 2,893 6 104,4640 115,187 0.00 0.67 90.69

1. CurrentB01

A-2822 701,914 458 4,457,5813,039,489 5,913,525433.03 0.84 75.38

1. Total current - IndividualC01

5,722,578 4,338 39,058,98614,627,673 80,337,548XXX XXX XXX

4. Total current - GroupC04

701,914 458 4,457,5813,039,489 5,913,525XXX XXX XXX

7. Current year totalC07

6,424,492 4,796 43,516,56717,667,162 86,251,073275.00 0.91 50.45

American United Life Ins Co IN60895 State of Domicile:Company Code:Company Name:

1. CurrentB01

LTC/C-SUAA 162,857 79 1,368,106-170,136 2,051,456-104.47 0.95 66.69

GC 8500 IL 84,691 44 976,444333,250 1,152,002393.49 0.98 84.76

4. Total current - GroupC04

247,548 123 2,344,550163,114 3,203,458XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 31

Page 38: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

247,548 123 2,344,550163,114 3,203,458 65.89 0.96 73.19

Anthem Blue Cross Life & Hlth Ins Co CA62825 State of Domicile:Company Code:Company Name:

1. CurrentA01

PFTQ-02-0298 1,119,461 396 11,200,5251,527,914 13,174,169136.49 0.92 85.02

PFTQ-03-0399 982,012 320 9,655,108726,769 10,788,131 74.01 0.95 89.50

PFTQ-02-0303 674,587 282 6,012,873550,132 7,998,811 81.55 0.95 75.17

PNTQ-03-0399 567,724 167 2,931,2941,744,100 5,764,995307.21 0.91 50.85

PFTQ-03-0303 369,817 177 4,818,347242,227 4,007,245 65.50 0.96 120.24

PNTQ-02-0399 226,620 75 1,510,603303,186 2,710,220133.79 0.95 55.74

PLTC-01-0596 225,182 88 2,678,856296,626 2,695,755131.73 0.93 99.37

PFTQ-04-0399 143,231 67 2,412,98225,907 1,566,859 18.09 0.93 154.00

PLTC-02-0596 108,709 34 -464,814515,341 1,322,212474.06 0.92 - 35.15

PLTC-03-0596 80,524 34 273,329266,583 935,730331.06 0.94 29.21

PFTQ-04-0303 61,222 38 1,097,431-25,707 642,115- 41.99 0.93 170.91

PNTQ-04-0399 40,034 17 -119,37469,562 410,594173.76 1.00 - 29.07

PLTC-04-0596 17,415 9 466,667228,749 181,6991313.52 1.00 256.83

PLTC-05-0596 -11,203 3 100,619-5,739 132,407 51.23 1.00 75.99

1. Total current - IndividualC01

4,605,335 1,707 42,574,4466,465,650 52,330,942XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 32

Page 39: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4,605,335 1,707 42,574,4466,465,650 52,330,942140.40 0.94 81.36

Anthem Hlth Plans of VA Inc VA71835 State of Domicile:Company Code:Company Name:

1. CurrentA01

TBCA TBCS100 ET AL 17,959 13 306,6531,824 278,235 10.16 0.93 110.21

1. Total current - IndividualC01

17,959 13 306,6531,824 278,235XXX XXX XXX

7. Current year totalC07

17,959 13 306,6531,824 278,235 10.16 0.93 110.21

Anthem Ins Co Inc IN28207 State of Domicile:Company Code:Company Name:

1. CurrentA01

61J-281 137,336 50 923,71863,154 695,990 45.99 0.78 132.72

61J-290 4,571 3 52,61336,642 69,816801.62 0.75 75.36

1. CurrentB01

61J-282 2,786 6 91,29220,670 66,030741.92 0.75 138.26

1. Total current - IndividualC01

141,907 53 976,33199,796 765,806XXX XXX XXX

4. Total current - GroupC04

2,786 6 91,29220,670 66,030XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 33

Page 40: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

144,693 59 1,067,623120,466 831,836 83.26 0.78 128.35

Assurity Life Ins Co NE71439 State of Domicile:Company Code:Company Name:

1. CurrentA01

AL-2100 2,772,639 685 16,031,509-63,934 14,099,318- 2.31 0.98 113.70

1. Total current - IndividualC01

2,772,639 685 16,031,509-63,934 14,099,318XXX XXX XXX

7. Current year totalC07

2,772,639 685 16,031,509-63,934 14,099,318- 2.31 0.98 113.70

Athene Life Ins Co of NY NY63932 State of Domicile:Company Code:Company Name:

1. CurrentA01

J-2500 650,719 388 18,698,6272,007,576 24,917,519308.52 0.96 75.04

1. Total current - IndividualC01

650,719 388 18,698,6272,007,576 24,917,519XXX XXX XXX

7. Current year totalC07

650,719 388 18,698,6272,007,576 24,917,519308.52 0.96 75.04

Auto Owners Life Ins Co MI61190 State of Domicile:Company Code:Company Name:

1. CurrentA01

50134 7,187,899 3,705 18,990,1532,199,062 20,556,260 30.59 0.98 92.38

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 34

Page 41: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

62091 406,137 369 477,4060 0 0.00 1.00 0.00

50058 5,281 2 0-16,275 0-308.18 0.67 0.00

1. Total current - IndividualC01

7,599,317 4,076 19,467,5592,182,787 20,556,260XXX XXX XXX

7. Current year totalC07

7,599,317 4,076 19,467,5592,182,787 20,556,260 28.72 1.09 94.70

Baltimore Life Ins Co MD61212 State of Domicile:Company Code:Company Name:

1. CurrentA01

5812S 100,421 101 2,131,49365,765 825,214 65.49 0.96 258.30

1. Total current - IndividualC01

100,421 101 2,131,49365,765 825,214XXX XXX XXX

7. Current year totalC07

100,421 101 2,131,49365,765 825,214 65.49 0.96 258.30

Bankers Conseco Life Ins Co NY68560 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-FQ 3,208,609 918 38,107,1128,587,299 71,997,514267.63 0.95 52.93

LTC-10 RWJ 1,646,553 704 49,135,3601,962,708 58,985,351119.20 0.95 83.30

BLNY-GR-N500 1,056,907 817 1,749,228286,796 1,718,969 27.14 0.94 101.76

LTC-3 6 956,867 327 16,161,9942,834,834 28,883,291296.26 0.92 55.96

BLNY-GR-N550 489,434 161 1,053,913183,831 1,462,673 37.56 0.97 72.05

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 35

Page 42: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

BLNY-GR-N650 341,673 157 295,44627,889 312,554 8.16 0.87 94.53

BLNY-GR-N620 70,029 34 58,7386,618 78,630 9.45 0.91 74.70

BLNY-GR-N520 62,413 21 62,06311,318 177,466 18.13 0.96 34.97

BLNY-GR-N640 19,050 11 16,9693,324 21,801 17.45 0.90 77.83

BLNY-GR-N540 5,921 1 23,2391,286 14,984 21.73 1.00 155.09

1. Total current - IndividualC01

7,857,456 3,151 106,664,06213,905,904 163,653,233XXX XXX XXX

7. Current year totalC07

7,857,456 3,151 106,664,06213,905,904 163,653,233176.98 0.94 65.18

Bankers Fidelity Life Ins Co GA61239 State of Domicile:Company Code:Company Name:

1. CurrentA01

BFL 1100 7,725 6 00 0 0.00 0.75 0.00

1. Total current - IndividualC01

7,725 6 00 0XXX XXX XXX

7. Current year totalC07

7,725 6 00 0XXX 0.75 XXX

Bankers Life & Cas Co IL61263 State of Domicile:Company Code:Company Name:

1. CurrentA01

GR-N250 116,616,386 43,065 927,538,701142,852,747 970,571,928122.50 0.94 95.57

GR-N350 49,872,478 18,730 266,286,47241,087,940 343,030,569 82.39 0.95 77.63

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 36

Page 43: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

GR-N550 42,635,163 15,009 221,731,50318,809,156 232,018,129 44.12 0.97 95.57

GR-N105 41,667,490 15,331 305,784,18667,409,699 370,247,012161.78 0.91 82.59

GR-N400 36,421,489 23,514 -113,315,17866,629,976 114,835,475182.94 0.91 - 98.68

GR-N500 32,678,987 22,756 66,152,66412,859,159 62,932,150 39.35 0.94 105.12

GR-N650 25,433,618 12,144 33,374,1763,231,378 49,244,489 12.71 0.94 67.77

GR-N240 19,269,514 9,008 141,223,70920,792,912 157,840,928107.91 0.93 89.47

GR-N050 14,073,685 7,027 98,334,12432,185,463 115,501,399228.69 0.89 85.14

GR-N520 8,400,519 3,390 18,611,4125,186,818 30,029,757 61.74 0.96 61.98

GR-N100 8,239,288 4,243 74,054,42616,033,108 74,671,401194.59 0.91 99.17

GR-N085 7,797,676 6,985 -51,327,42214,896,079 29,216,137191.03 0.86 -175.68

GR-N340 7,115,204 3,311 32,728,7675,830,773 45,245,405 81.95 0.94 72.34

GR-N090 6,805,740 2,557 84,642,41010,934,053 100,029,968160.66 0.93 84.62

GR7A1 6,098,216 4,431 9,399,09614,245,792 27,814,557233.61 0.84 33.79

GR-N190 4,261,959 1,410 28,881,0425,326,582 36,671,841124.98 0.96 78.76

GR-N540 4,151,675 1,817 20,766,4702,194,765 22,574,733 52.87 0.95 91.99

GR-N665 3,836,814 4,178 972,69619,750 218,469 0.52 0.78 445.23

GR-N420 3,009,925 1,275 2,919,2372,656,177 14,656,206 88.25 0.93 19.92

GR-N620 2,776,108 1,436 4,212,593516,940 5,107,148 18.62 0.95 82.48

GR-N094 2,275,179 867 24,198,0253,615,672 29,476,981158.92 0.92 82.09

GR-N640 1,989,927 1,074 2,416,286627,698 4,713,637 31.54 0.96 51.26

GR-N055 1,220,163 750 16,881,5741,414,022 12,408,283115.89 0.89 136.05

GR-N590 749,795 132 4,675,391508,542 5,095,237 67.82 0.96 91.76

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 37

Page 44: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

GR-N194 640,625 253 5,961,874213,290 6,388,457 33.29 0.95 93.32

GR-N020 537,008 308 5,213,3361,054,177 3,796,649196.31 0.88 137.31

GR-N690 420,814 96 475,123309 464,861 0.07 0.93 102.21

CR72U(GR) 400,327 503 1,446,1591,237,412 2,746,106309.10 0.76 52.66

GR-N060 298,109 132 3,730,545-196,557 2,337,024- 65.94 0.86 159.63

GR-N660 240,211 263 72,5750 18,107 0.00 0.79 400.81

GR72X 72,296 44 -622,480239,049 269,959330.65 0.85 -230.58

GR-N694 17,871 5 16,4070 12,889 0.00 0.69 127.30

CER089(CR) 9,177 17 857,552-21,577 117,168-235.13 0.94 731.90

1. CurrentB01

GP-N200 3,458 3 -30,742510 51,237 14.76 0.75 - 60.00

G-N076 2,978 2 196,30956,113 169,2241884.18 0.67 116.01

CR98T 558 1 14,675174 6,628 31.13 1.00 221.42

1. Total current - IndividualC01

450,033,437 206,061 2,238,293,450492,391,304 2,870,303,061XXX XXX XXX

4. Total current - GroupC04

6,994 6 180,24256,798 227,088XXX XXX XXX

7. Current year totalC07

450,040,431 206,067 2,238,473,692492,448,101 2,870,530,149109.42 0.93 77.98

BCBS of AL AL55433 State of Domicile:Company Code:Company Name:

1. CurrentA01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 38

Page 45: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTC-2, LTC-5 470,211 214 4,707,568-1,900 4,427,137- 0.40 0.98 106.33

1. CurrentB01

LTC-19, LTC-22 7,302,335 4,866 73,886,138938,798 80,538,173 12.86 0.96 91.74

1. Total current - IndividualC01

470,211 214 4,707,568-1,900 4,427,137XXX XXX XXX

4. Total current - GroupC04

7,302,335 4,866 73,886,138938,798 80,538,173XXX XXX XXX

7. Current year totalC07

7,772,546 5,080 78,593,706936,898 84,965,310 12.05 0.96 92.50

BCBS Of FL FL98167 State of Domicile:Company Code:Company Name:

1. CurrentA01

IDV-Policy-Individual 4,650,331 3,385 34,014,870662,343 34,195,712 14.24 0.97 99.47

IDV-Policy-Association 1,686,602 1,155 12,587,4081,064,323 14,626,934 63.11 1.00 86.06

BF LT439 731,393 743 10,296,3763,679,494 18,421,645503.08 0.97 55.89

LTC-HHC-BCBSFL 512,007 209 -3,020,7692,369,234 2,295,945462.74 0.87 -131.57

LTQ11-336-FL et al 387,083 474 5,550,8151,023,855 7,956,827264.51 0.98 69.76

MP/ML - LT691(FL) 169,217 148 2,493,8521,864,636 5,194,7021101.92 0.90 48.01

MP/ML - HH591/3 120,924 159 -5,960,370124,389 1,255,166102.87 0.93 -474.87

LT 446 119,403 90 727,585269,378 2,640,411225.60 0.89 27.56

HHC 591 et al 46,281 47 -1,063,897496,763 342,9091073.36 0.90 -310.26

NH 300 10,900 49 435,914-1,154 244,577- 10.59 0.88 178.23

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 39

Page 46: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentB01

GRP11-342-et al 115,846 165 1,338,534135,262 2,281,935116.76 0.97 58.66

GRP11-341-FL-998 60,296 55 101,280-211,490 606,053-350.75 0.98 16.71

GRP-Policy 3,138 3 10,7310 10,793 0.00 1.00 99.43

1. Total current - IndividualC01

8,434,141 6,459 56,061,78411,553,261 87,174,828XXX XXX XXX

4. Total current - GroupC04

179,280 223 1,450,545-76,228 2,898,781XXX XXX XXX

7. Current year totalC07

8,613,421 6,682 57,512,32911,477,033 90,073,609133.25 0.97 63.85

BCBS of KC MO47171 State of Domicile:Company Code:Company Name:

1. CurrentA01

7035 422,061 224 2,501,441503,260 4,226,990119.24 0.98 59.18

7042/7044 394,206 239 1,673,684172,852 2,604,218 43.85 1.00 64.27

30/31 287,664 180 1,605,981818,814 3,996,946284.64 0.98 40.18

32 44,675 30 345,61697,411 665,905218.04 0.91 51.90

BCBSKC-LTC-90 5,650 9 146,436-10,765 106,108-190.53 0.90 138.01

1. Total current - IndividualC01

1,154,256 682 6,273,1581,581,572 11,600,167XXX XXX XXX

7. Current year totalC07

1,154,256 682 6,273,1581,581,572 11,600,167137.02 0.98 54.08

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 40

Page 47: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

BCBS Of KS Inc KS70729 State of Domicile:Company Code:Company Name:

1. CurrentA01

NTQ11-337-KS-601 & NFC11- 1,553,369 1,193 25,835,0034,350,356 24,137,405280.06 0.96 107.03

LTQ11-336-KS-601 & LTC11- 1,010,730 762 17,757,4522,138,962 15,987,108211.63 0.97 111.07

KS0001 and KS0002 711,751 450 1,944,269167,021 1,773,333 23.47 0.97 109.64

SPL-336 535,465 386 6,315,661857,632 5,961,066160.17 0.98 105.95

HTQ11-338-KS-601 11,009 13 193,740-158 64,118- 1.44 1.00 302.16

1. CurrentB01

GRP11-341-KS-998 66,981 130 2,367,5901,219 2,242,745 1.82 0.97 105.57

1. Total current - IndividualC01

3,822,324 2,804 52,046,1257,513,813 47,923,030XXX XXX XXX

4. Total current - GroupC04

66,981 130 2,367,5901,219 2,242,745XXX XXX XXX

7. Current year totalC07

3,889,305 2,934 54,413,7157,515,032 50,165,775193.22 0.97 108.47

BCBS of NC Inc NC54631 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTQ11-336-NC-998 737,912 475 9,573,511405,585 9,036,398 54.96 0.95 105.94

SPL-336 190,598 107 1,241,65837,441 1,670,925 19.64 0.99 74.31

LTC-CD9-BC-NC 39,275 29 303,515121,484 1,079,041309.32 0.94 28.13

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 41

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

HTQ11-338-NC-998 26,311 25 399,60454,618 327,785207.59 0.93 121.91

NTQ11-337-NC-998 23,955 11 187,04826,286 146,054109.73 0.92 128.07

LTC-LBP9-BC-NC 9,771 7 170,566-316 119,648- 3.23 0.88 142.56

FLTQ11-336-NC-998 2,606 2 19,87117 23,086 0.65 1.00 86.07

1. CurrentB01

GRP11-341-NC-998 15,473 33 634,521259 573,996 1.67 1.03 110.54

1. Total current - IndividualC01

1,030,428 656 11,895,773645,115 12,402,937XXX XXX XXX

4. Total current - GroupC04

15,473 33 634,521259 573,996XXX XXX XXX

7. Current year totalC07

1,045,901 689 12,530,294645,374 12,976,933 61.71 0.96 96.56

BCBS Of NE NE77780 State of Domicile:Company Code:Company Name:

1. CurrentA01

30/31B 1,131,012 775 259,4431,187,998 12,061,043105.04 0.96 2.15

7035 1,027,886 637 4,353,5301,282,865 10,917,122124.81 0.98 39.88

32B 525,611 435 -1,758,8471,362,886 4,547,649259.30 0.95 - 38.68

1. CurrentB01

96-006 276,136 385 8,353,07090,541 5,189,866 32.79 0.97 160.95

1. Total current - IndividualC01

2,684,509 1,847 2,854,1263,833,749 27,525,814XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 42

Page 49: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4. Total current - GroupC04

276,136 385 8,353,07090,541 5,189,866XXX XXX XXX

7. Current year totalC07

2,960,645 2,232 11,207,1963,924,290 32,715,680132.55 0.97 34.26

BCBS Of SC Inc SC38520 State of Domicile:Company Code:Company Name:

1. CurrentA01

SPL-336 417,710 383 3,477,138109,653 3,144,929 26.25 0.97 110.56

4085 186,873 143 2,157,602-347,073 2,711,730-185.73 0.95 79.57

4084 34,851 21 179,89684,434 207,569242.27 0.91 86.67

1. Total current - IndividualC01

639,434 547 5,814,636-152,986 6,064,228XXX XXX XXX

7. Current year totalC07

639,434 547 5,814,636-152,986 6,064,228- 23.93 0.97 95.88

BCBS of WI WI54003 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTQ11-336-WI-998 21,385 11 507,196351,458 684,6921643.48 1.00 74.08

LTC-CD9-WI 13,888 12 501,041791 588,572 5.70 1.00 85.13

NTQ11-337-WI-998 1,935 2 56,00177 25,298 3.98 1.00 221.37

1. Total current - IndividualC01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 43

Page 50: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

37,208 25 1,064,238352,326 1,298,562XXX XXX XXX

7. Current year totalC07

37,208 25 1,064,238352,326 1,298,562946.91 1.00 81.96

BCBSM Inc MN55026 State of Domicile:Company Code:Company Name:

1. CurrentA01

F6652, F6765 3,724,450 1,814 55,517,8937,363,338 55,195,581197.70 0.97 100.58

F7326, F7330, F7336 586,263 315 6,962,050409,447 6,534,004 69.84 0.98 106.55

1. CurrentB01

F6708 1,156,632 1,212 30,646,42872,126 25,888,809 6.24 1.01 118.38

1. Total current - IndividualC01

4,310,713 2,129 62,479,9437,772,785 61,729,585XXX XXX XXX

4. Total current - GroupC04

1,156,632 1,212 30,646,42872,126 25,888,809XXX XXX XXX

7. Current year totalC07

5,467,345 3,341 93,126,3717,844,911 87,618,394143.49 0.99 106.29

BCS Ins Co OH38245 State of Domicile:Company Code:Company Name:

1. CurrentB01

LTC-19 71,669 117 963,261-230 647,497- 0.32 0.99 148.77

MOD AS-2986 14,556 38 -461,50823,937 261,258164.45 0.95 -176.65

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 44

Page 51: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4. Total current - GroupC04

86,225 155 501,75323,707 908,755XXX XXX XXX

7. Current year totalC07

86,225 155 501,75323,707 908,755 27.49 0.98 55.21

Berkshire Life Ins Co of Amer MA71714 State of Domicile:Company Code:Company Name:

1. CurrentA01

BG-01 46,463,327 7,418 316,091,0763,195,159 301,456,270 6.88 0.99 104.86

BG-04 19,028,406 3,016 72,080,720675,497 61,449,080 3.55 0.98 117.30

1. Total current - IndividualC01

65,491,733 10,434 388,171,7963,870,656 362,905,350XXX XXX XXX

7. Current year totalC07

65,491,733 10,434 388,171,7963,870,656 362,905,350 5.91 0.99 106.96

Blue Shield of CA Life & Hlth Ins Co CA61557 State of Domicile:Company Code:Company Name:

1. CurrentA01

~ 7,404 8 677,01848,795 159,712659.04 0.62 423.90

1. Total current - IndividualC01

7,404 8 677,01848,795 159,712XXX XXX XXX

7. Current year totalC07

7,404 8 677,01848,795 159,712659.04 0.62 423.90

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 45

Page 52: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Carefirst of MD Inc MD47058 State of Domicile:Company Code:Company Name:

1. CurrentA01

3027 76,929 79 3,272,009423,691 1,642,121550.76 0.94 199.26

1. Total current - IndividualC01

76,929 79 3,272,009423,691 1,642,121XXX XXX XXX

7. Current year totalC07

76,929 79 3,272,009423,691 1,642,121550.76 0.94 199.26

Catholic Order Of Foresters IL57487 State of Domicile:Company Code:Company Name:

1. CurrentA01

FCLTC2000 758,687 631 10,978,0512,787,132 15,976,630367.36 0.98 68.71

FCLTC2002 238,007 135 3,164,753-137,966 3,012,632- 57.97 0.98 105.05

FCLTC 114,982 105 2,286,010-16,601 2,575,796- 14.44 0.97 88.75

FCLTCNH 29,314 30 256,664-150,977 544,641-515.03 0.88 47.13

1. Total current - IndividualC01

1,140,990 901 16,685,4782,481,588 22,109,699XXX XXX XXX

7. Current year totalC07

1,140,990 901 16,685,4782,481,588 22,109,699217.49 0.98 75.47

Catholic Special Needs Plan LLC NY12976 State of Domicile:Company Code:Company Name:

1. CurrentA01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 46

Page 53: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1 1 1 11 1100.00 0.33 100.00

1. CurrentB01

1 1 1 1100 110000.00 0.33 100.00

1. Total current - IndividualC01

1 1 11 1XXX XXX XXX

4. Total current - GroupC04

1 1 1100 1XXX XXX XXX

7. Current year totalC07

2 2 2101 25050.00 0.33 100.00

Central States H & L Co Of Omaha NE61751 State of Domicile:Company Code:Company Name:

1. CurrentA01

N03 811,988 572 13,550,4081,646,679 8,051,313202.80 0.94 168.30

~ 427,805 367 7,198,5251,697,515 5,212,437396.80 0.86 138.10

N04 64,440 38 652,683261,553 666,727405.89 1.00 97.89

N01 51,610 33 616,11666,688 328,923129.22 1.00 187.31

~ 46,256 75 487,982189,862 714,366410.46 0.84 68.31

N05 32,952 24 49,48262,849 234,786190.73 0.89 21.08

N12 28,965 17 535,734-152 160,902- 0.53 0.94 332.96

N02 19,167 8 343,39321,950 219,081114.52 0.89 156.74

N11 11,247 4 -21,42152 34,441 0.46 1.00 - 62.20

1. Total current - IndividualC01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 47

Page 54: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1,494,430 1,138 23,412,9023,946,996 15,622,976XXX XXX XXX

7. Current year totalC07

1,494,430 1,138 23,412,9023,946,996 15,622,976264.11 0.91 149.86

Central United Life Ins Co AR61883 State of Domicile:Company Code:Company Name:

1. CurrentA01

All Forms 450,348 241 604,750236,193 604,750 52.45 0.85 100.00

1. Total current - IndividualC01

450,348 241 604,750236,193 604,750XXX XXX XXX

7. Current year totalC07

450,348 241 604,750236,193 604,750 52.45 0.85 100.00

Christian Fidelity Life Ins Co TX61859 State of Domicile:Company Code:Company Name:

1. CurrentA01

H-107 603,079 243 5,091,300880,655 4,845,515146.03 0.79 105.07

1. Total current - IndividualC01

603,079 243 5,091,300880,655 4,845,515XXX XXX XXX

7. Current year totalC07

603,079 243 5,091,300880,655 4,845,515146.03 0.79 105.07

Cincinnati Equitable Life Ins Co OH88064 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 48

Page 55: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

CONV. CARE 458 1 4,4420 4,442 0.00 1.00 100.00

1. Total current - IndividualC01

458 1 4,4420 4,442XXX XXX XXX

7. Current year totalC07

458 1 4,4420 4,442XXX 1.00 100.00

Cincinnati Life Ins Co OH76236 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-100 2,546,748 1,200 14,377,635661,607 24,193,732 25.98 0.98 59.43

LTC-120 98,952 40 248,258196,604 681,789198.69 0.95 36.41

1. Total current - IndividualC01

2,645,700 1,240 14,625,893858,211 24,875,521XXX XXX XXX

7. Current year totalC07

2,645,700 1,240 14,625,893858,211 24,875,521 32.44 0.98 58.80

CMFG Life Ins Co IA62626 State of Domicile:Company Code:Company Name:

1. CurrentA01

2006-LTC 21,780,803 13,712 99,572,4262,059,796 131,250,258 9.46 0.98 75.86

02-LTC-FAC 13,464,324 8,850 139,924,6612,353,418 191,064,190 17.48 0.98 73.23

02-LTC-COMP 8,615,514 5,310 85,857,204240,870 124,034,796 2.80 0.98 69.22

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 49

Page 56: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

97-LTC-HHC 2,118,512 1,585 27,522,197399,489 38,390,216 18.86 0.97 71.69

97-LTC-COMP 706,597 595 12,513,591242,783 15,744,380 34.36 0.97 79.48

5701 479,484 274 10,216,242544,420 8,573,350113.54 0.94 119.16

1. Total current - IndividualC01

47,165,234 30,326 375,606,3215,840,776 509,057,190XXX XXX XXX

7. Current year totalC07

47,165,234 30,326 375,606,3215,840,776 509,057,190 12.38 0.98 73.79

Colonial Life & Accident Ins Co SC62049 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC 11,672 19 131,500-111 166,828- 0.95 0.95 78.82

DI / LTC 739 13 166,5770 154,359 0.00 1.00 107.92

1. Total current - IndividualC01

12,411 32 298,077-111 321,187XXX XXX XXX

7. Current year totalC07

12,411 32 298,077-111 321,187- 0.89 0.97 92.81

Colonial Penn Life Ins Co PA62065 State of Domicile:Company Code:Company Name:

1. CurrentA01

3-82-946 35,312 49 3,031,324-24,487 753,094- 69.35 0.82 402.52

4-82-548 14,364 27 860,19211,233 547,294 78.20 0.87 157.17

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 50

Page 57: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. Total current - IndividualC01

49,676 76 3,891,516-13,254 1,300,388XXX XXX XXX

7. Current year totalC07

49,676 76 3,891,516-13,254 1,300,388- 26.68 0.84 299.26

Combined Ins Co Of Amer IL62146 State of Domicile:Company Code:Company Name:

1. CurrentA01

14515 1,069,237 841 85,006,8981,251,139 15,217,022117.01 0.95 558.63

14785 205,317 174 10,966,239-81,790 1,635,925- 39.84 0.94 670.34

14767 48,673 36 2,444,389-914 426,015- 1.88 0.82 573.78

14422 9,266 12 3,387,270-24,780 207,595-267.43 0.80 1631.67

14765 3,171 5 327,49416 8,785 0.51 1.00 3727.88

14475 1,951 3 414,318-919 28,627- 47.10 0.75 1447.30

14783 1,902 2 342,2296 4,230 0.32 1.00 8090.52

14401 1,065 2 785,9262,928 7,174274.93 0.67 10955.20

14766 904 1 114,41814 18,414 1.55 1.00 621.36

1. Total current - IndividualC01

1,341,486 1,076 103,789,1811,145,700 17,553,787XXX XXX XXX

7. Current year totalC07

1,341,486 1,076 103,789,1811,145,700 17,553,787 85.41 0.94 591.26

Combined Life Ins Co Of NY NY78697 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 51

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

44515 133,068 91 3,467,979279,843 3,288,740210.30 0.97 105.45

1. Total current - IndividualC01

133,068 91 3,467,979279,843 3,288,740XXX XXX XXX

7. Current year totalC07

133,068 91 3,467,979279,843 3,288,740210.30 0.97 105.45

Constitution Life Ins Co TX62359 State of Domicile:Company Code:Company Name:

1. CurrentA01

HHC-801,HHC-802,QHHC-802 1,962,580 594 -58,959,8612,768,701 2,602,927141.07 0.86 -2265.14

COMPLTC, COMPLTCQ 1,546,479 747 3,382,3651,057,389 9,687,256 68.37 0.94 34.92

NHO-700, APNHO, APNHOQ 1,511,277 630 8,564,8151,409,817 11,696,524 93.29 0.92 73.22

H-716,LTC-92,NH86,NH87 GR 369,021 206 1,429,2291,563,032 2,079,770423.56 0.86 68.72

NH-88-GR, NHST-95, LTC-CV 354,539 234 1,703,3781,134,537 2,236,411320.00 0.83 76.17

HHCP 94,LTCP-96,HCCP10/87 290,133 86 -13,875,6071,023,391 637,593352.73 0.93 -2176.25

HHC-88-GR, HHC-89 37,592 46 596,471-7,007 69,246- 18.64 0.82 861.38

HHC-800 14,658 7 -353,326-22,544 21,951-153.80 0.88 -1609.63

COMPLTC, CLLTCQ, CLLTC 11,232 4 48,3931,175 33,902 10.46 0.67 142.75

1. Total current - IndividualC01

6,097,510 2,554 -57,464,1438,928,492 29,065,579XXX XXX XXX

7. Current year totalC07

6,097,510 2,554 -57,464,1438,928,492 29,065,579146.43 0.90 -197.71

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 52

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Continental Cas Co IL20443 State of Domicile:Company Code:Company Name:

1. CurrentA01

N0100 109,007,047 55,487 1,681,812,641128,348,353 1,937,116,746117.74 0.96 86.82

N0026 39,716,649 19,304 588,776,22096,943,739 736,646,018244.09 0.96 79.93

15203 25,923,693 14,889 756,873,37844,880,721 881,179,166173.13 0.92 85.89

21300 24,752,439 11,893 375,780,46470,935,855 481,983,275286.58 0.95 77.97

N0022 20,688,836 11,050 231,331,89957,534,912 329,047,948278.10 0.94 70.30

21295 17,340,429 8,724 184,260,31252,710,339 280,899,179303.97 0.92 65.60

18876 13,462,356 7,182 126,493,02919,607,552 236,235,725145.65 0.93 53.55

59433 13,205,922 10,036 365,539,01544,243,933 452,936,727335.03 0.89 80.70

N0095 12,948,870 7,371 140,482,21020,742,364 183,229,158160.19 0.94 76.67

N0085 8,788,960 4,274 110,117,1158,791,504 139,332,082100.03 0.97 79.03

N0041 6,669,130 4,218 87,970,59022,373,614 150,560,362335.48 0.97 58.43

18215 5,738,170 2,951 66,354,04223,353,605 101,440,381406.99 0.92 65.41

N0090 4,244,874 2,742 34,123,4227,579,014 52,285,574178.55 0.94 65.26

N0115 3,897,632 2,330 60,011,5283,374,142 73,463,156 86.57 0.97 81.69

N0120 3,536,474 2,277 80,392,6413,163,160 88,810,552 89.44 0.98 90.52

BCBSI 2,499,694 2,032 8,617,11011,918,577 36,960,831476.80 0.91 23.31

18584 2,415,931 1,506 51,143,66413,959,979 72,531,061577.83 0.94 70.51

N0034 1,931,093 1,105 12,369,4455,007,111 31,653,542259.29 0.94 39.08

16356 1,462,876 872 65,810,8546,220,110 71,317,217425.20 0.95 92.28

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 53

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

N0030 1,340,329 903 11,884,1212,391,520 20,896,233178.43 0.92 56.87

N0080 1,321,439 679 9,767,1882,420,639 16,896,899183.18 0.94 57.81

21305 1,293,867 830 10,704,8972,825,784 19,673,024218.40 0.90 54.41

N0045 1,231,274 717 19,189,9733,613,705 30,347,222293.49 0.97 63.24

16928 731,078 499 17,317,7893,631,483 22,139,301496.73 0.90 78.22

N0075 639,359 369 4,431,9381,635,408 7,332,739255.79 0.95 60.44

18878 600,376 275 15,046,567874,953 14,506,140145.73 0.96 103.73

N0101 570,712 262 13,166,284808,587 14,463,574141.68 0.98 91.03

BCBST 549,898 478 3,128,9042,151,619 8,832,276391.28 0.93 35.43

54076 495,537 495 2,510,6501,173,218 3,048,230236.76 0.78 82.36

59806 425,037 273 19,559,688240,282 16,937,074 56.53 0.89 115.48

N0027 381,991 179 9,321,541922,555 10,181,331241.51 0.96 91.56

N0110 371,279 271 5,347,809239,339 7,125,129 64.46 0.99 75.06

N0049 114,347 98 1,314,8411,083,028 2,855,497947.14 0.98 46.05

18585 112,105 57 3,089,767940,612 4,763,865839.05 0.97 64.86

16666 108,377 80 -2,274,789-907,889 440,575-837.71 0.79 -516.32

N0023 81,454 45 2,464,753131,868 2,129,864161.89 0.96 115.72

N0066 67,549 47 1,204,35758,288 1,400,820 86.29 0.98 85.98

43524 64,739 86 1,040,29886,452 154,701133.54 0.81 672.46

N0042 64,014 28 2,094,793-209,955 1,940,140-327.98 0.90 107.97

22436 62,993 30 2,042,00997,748 1,715,863155.17 0.97 119.01

N0086 61,338 28 1,551,927409,411 1,771,817667.47 0.90 87.59

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 54

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

N0096 56,599 33 1,162,321-129 1,132,028- 0.23 1.00 102.68

16944 51,217 35 2,489,09331,077 1,966,987 60.68 0.95 126.54

17931 38,676 20 1,690,26710,605 1,289,883 27.42 0.95 131.04

N0125 35,660 36 852,1960 808,886 0.00 1.00 105.35

N0135 30,349 17 745,6418,030 656,026 26.46 1.00 113.66

S0090 29,264 12 299,869-1,169 320,293- 4.00 0.92 93.62

N0116 24,565 14 1,126,8330 1,183,422 0.00 0.93 95.22

18220 21,853 10 259,380151,751 734,038694.42 1.00 35.34

N0121 20,672 9 628,2370 650,117 0.00 0.90 96.63

N0081 20,337 12 554,7850 442,486 0.00 1.00 125.38

N0035 18,448 10 487,019-74,799 414,942-405.46 0.91 117.37

22435 15,807 7 431,048-25,042 467,780-158.42 0.88 92.15

56762 11,312 12 -40,277-1,695 43,916- 14.98 0.92 - 91.71

N0031 11,044 7 311,7270 311,180 0.00 1.00 100.18

N0091 11,024 8 218,0480 220,786 0.00 1.00 98.76

20638 9,588 6 -74,813-1,736 162,696- 18.11 0.86 - 45.98

N0046 3,887 3 114,7830 108,116 0.00 1.00 106.17

21925 3,843 2 97,8090 101,151 0.00 1.00 96.70

S0030 1,858 0 -27,522-671 0- 36.11 0.00 0.00

N0130 1,424 2 -112,213-6,805 57,870-477.88 1.00 -193.91

N0070 0 0 -53,4020 0 0.00 0.00 0.00

N0076 0 1 60,6570 62,933 0.00 1.00 96.38

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 55

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentB01

43641 164,814,034 221,930 2,626,527,95363,378,471 2,415,702,109 38.46 0.96 108.73

GLTC3 3,495,273 4,050 29,910,84550,652 26,000,693 1.45 0.96 115.04

43224 249,497 364 6,371,544-628,193 7,455,082-251.78 0.87 85.47

1. Total current - IndividualC01

329,337,594 177,228 5,193,386,370666,396,656 6,558,316,550XXX XXX XXX

4. Total current - GroupC04

168,558,804 226,344 2,662,810,34262,800,930 2,449,157,884XXX XXX XXX

7. Current year totalC07

497,896,398 403,572 7,856,196,712729,197,586 9,007,474,434146.46 0.96 87.22

Continental Gen Ins Co OH71404 State of Domicile:Company Code:Company Name:

1. CurrentA01

420 13,570,835 3,914 79,832,81416,563,874 129,993,803122.06 0.95 61.41

440 2,209,447 696 16,224,6983,106,521 34,252,891140.60 0.97 47.37

423 2,030,489 676 9,968,6602,972,910 21,557,459146.41 0.94 46.24

460 1,631,107 476 3,809,6851,434,488 10,971,742 87.95 0.97 34.72

443 1,214,953 381 7,611,0332,272,857 18,253,453187.07 0.97 41.70

461 1,045,588 320 2,371,336717,121 5,404,546 68.58 0.94 43.88

429 568,000 159 5,390,076979,514 6,811,105172.45 0.97 79.14

449 561,253 148 4,442,2161,090,953 6,918,904194.38 0.99 64.20

432 358,533 114 4,312,2011,099,256 4,048,465306.60 0.96 106.51

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 56

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

421 286,863 78 1,345,815443,194 1,898,111154.50 0.98 70.90

435 280,319 64 1,003,874548,421 3,078,906195.64 0.97 32.60

405 189,349 95 1,535,254-165,893 1,415,914- 87.61 0.91 108.43

431 171,742 66 218,882650,413 3,697,787378.72 0.94 5.92

409 149,609 76 1,388,785108,698 903,927 72.66 0.89 153.64

470 122,444 61 -501,741169,495 688,226138.43 0.92 - 72.90

4N1 93,246 37 450,874-114,735 822,009-123.05 0.97 54.85

471 63,969 36 626,442273,283 551,475427.21 0.90 113.59

4T1 52,337 22 413,870-3,368 402,897- 6.44 1.00 102.72

414 34,081 27 253,669153,441 1,004,299450.22 0.96 25.26

4N2 33,782 15 213,6187,519 254,179 22.26 1.00 84.04

4T2 32,303 23 315,478649 332,629 2.01 1.05 94.84

428 28,624 14 208,172132,574 337,863463.16 1.00 61.61

442 24,821 9 496,089-7,724 664,877- 31.12 1.00 74.61

444 16,969 4 177,63136,487 243,138215.02 0.80 73.06

446 16,236 6 261,256-95,012 114,214-585.19 0.86 228.74

445 15,811 6 377,2385,088 349,461 32.18 1.00 107.95

422 15,673 4 -85,02528,472 168,562181.66 1.00 - 50.44

430 14,808 5 110,372129,124 351,222871.99 1.00 31.43

410 11,157 3 48,42616,835 23,140150.89 1.00 209.27

448 8,084 1 26,134-14 7,594- 0.17 1.00 344.14

463 6,779 2 55,613-95 26,141- 1.40 1.00 212.74

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 57

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

462 5,699 3 168,9751,827 61,293 32.06 1.00 275.68

408 2,679 3 57,407-80 2,221- 2.99 0.75 2584.74

436 2,580 1 34,754-73 32,737- 2.83 1.00 106.16

411 1,889 1 105,647-21 5,269- 1.11 1.00 2005.07

403 0 0 5,244-22 0 0.00 0.00 0.00

407 0 0 19,1970 0 0.00 0.00 0.00

1. Total current - IndividualC01

24,872,058 7,546 143,294,67132,555,976 255,650,459XXX XXX XXX

7. Current year totalC07

24,872,058 7,546 143,294,67132,555,976 255,650,459130.89 0.96 56.05

Continental Life Ins Co Brentwood TN68500 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC1, LTC2, LTC2E, LTC3, 691,736 508 5,557,213809,310 7,394,684117.00 0.93 75.15

LTC300, LTC300E, LTC400 72,649 81 -448,383582,322 954,573801.56 0.86 - 46.97

BCC100, BCC100E 3,594 10 22,99314,719 24,317409.54 1.00 94.56

1. Total current - IndividualC01

767,979 599 5,131,8231,406,351 8,373,574XXX XXX XXX

7. Current year totalC07

767,979 599 5,131,8231,406,351 8,373,574183.12 0.92 61.29

Copic Ins Co CO11860 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 58

Page 65: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

LTQ11-336-CP998 26,367 198 7,981,061156,697 8,436,211594.29 1.00 94.61

LTC-CD9-COPIC 10,057 14 491,320-3,929 701,445- 39.07 0.93 70.04

1. CurrentB01

LTC-GMP-COPIC 1,264,271 3,307 76,716,386554,689 48,727,476 43.87 0.98 157.44

1. Total current - IndividualC01

36,424 212 8,472,381152,768 9,137,656XXX XXX XXX

4. Total current - GroupC04

1,264,271 3,307 76,716,386554,689 48,727,476XXX XXX XXX

7. Current year totalC07

1,300,695 3,519 85,188,767707,457 57,865,132 54.39 0.98 147.22

Country Life Ins Co IL62553 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-500 16,518,333 9,111 69,645,3872,149,374 70,071,790 13.01 0.99 99.39

LTC-540 5,708,408 1,850 26,620,332108,486 23,012,266 1.90 0.91 115.68

LTC-400 4,356,172 3,132 91,374,3416,023,699 94,249,197138.28 0.98 96.95

LTC-300 3,158,311 2,460 48,943,11710,894,666 63,116,072344.95 0.97 77.55

LTC-520 1,242,972 832 5,298,344223,551 4,806,033 17.99 1.00 110.24

LTC-200 & 201 1,069,029 1,225 20,330,7886,502,660 38,871,040608.28 0.95 52.30

LTC-440 1,019,976 516 24,316,842953,198 26,392,478 93.45 0.99 92.14

LTC-420 726,790 674 12,147,608981,067 13,674,848134.99 0.97 88.83

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 59

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTC-100 & 101 583,238 847 3,107,6198,892,639 15,626,4851524.70 0.91 19.89

LTC-600 93,216 100 8840 0 0.00 1.00 0.00

1. Total current - IndividualC01

34,476,446 20,747 301,785,26236,729,339 349,820,208XXX XXX XXX

7. Current year totalC07

34,476,446 20,747 301,785,26236,729,339 349,820,208106.54 0.97 86.27

Dearborn Natl Life Ins Co IL71129 State of Domicile:Company Code:Company Name:

1. CurrentA01

ML7500 62,513 64 1,537,620746,205 1,722,3381193.68 0.93 89.28

LTC CD8 3,245 6 -56,41323,053 155,645710.42 1.00 - 36.24

1. CurrentB01

ML7700 1,308 3 81,25152,965 67,5174049.31 1.00 120.34

1. Total current - IndividualC01

65,758 70 1,481,207769,258 1,877,983XXX XXX XXX

4. Total current - GroupC04

1,308 3 81,25152,965 67,517XXX XXX XXX

7. Current year totalC07

67,066 73 1,562,458822,223 1,945,5001225.99 0.94 80.31

Equitable Life & Cas Ins Co UT62952 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 60

Page 67: Long-Term Care Insurance Experience Reporting

National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

2002 47,898,445 14,894 104,963,96347,865,028 135,200,194 99.90 0.93 77.60

2020 7,307,815 3,154 19,453,4922,693,499 19,823,578 36.90 0.97 98.10

8000 2,992,511 1,153 7,862,353273,860 8,176,810 9.20 0.95 96.20

750 1,682,503 1,059 6,986,7902,783,971 8,203,196165.50 0.89 85.20

640 718,271 500 12,294,833659,213 12,131,670 91.80 0.92 101.30

650 567,157 797 1,904,3763,254,739 3,939,637573.90 0.85 48.30

1. Total current - IndividualC01

61,166,702 21,557 153,465,80857,530,309 187,475,085XXX XXX XXX

7. Current year totalC07

61,166,702 21,557 153,465,80857,530,309 187,475,085109.60 93.39 82.10

Farmers New World Life Ins Co WA63177 State of Domicile:Company Code:Company Name:

1. CurrentA01

FTQ10 4,630,503 3,392 70,846,6305,892,404 95,597,134127.25 0.97 74.11

FTQ 864,270 691 7,780,5053,000,218 14,434,379347.14 0.97 53.90

FNTQ1 170,163 98 1,571,4171,203,616 3,423,511707.33 0.98 45.90

FNTQ 81,066 59 805,868-22,445 1,378,348- 27.69 0.98 58.47

FTQP 68,871 50 1,358,73999,763 1,687,043144.85 0.98 80.54

FNTQP 3,660 3 96,4870 92,592 0.00 1.00 104.21

1. Total current - IndividualC01

5,818,533 4,293 82,459,64610,173,556 116,613,007XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 61

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

5,818,533 4,293 82,459,64610,173,556 116,613,007174.85 0.97 70.71

First Penn Pacific Life Ins Co IN67652 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-1, LTC-2 14,268 9 387,122-2,227 319,713- 15.61 1.00 121.08

1. Total current - IndividualC01

14,268 9 387,122-2,227 319,713XXX XXX XXX

7. Current year totalC07

14,268 9 387,122-2,227 319,713- 15.61 1.00 121.08

First United Amer Life Ins Co NY74101 State of Domicile:Company Code:Company Name:

1. CurrentA01

NH3 29,592 30 318,73560,767 263,221205.35 0.81 121.09

NH2 2,861 5 46,5370 41,460 0.00 1.00 112.25

1. Total current - IndividualC01

32,453 35 365,27260,767 304,681XXX XXX XXX

7. Current year totalC07

32,453 35 365,27260,767 304,681187.25 0.83 119.89

First Unum Life Ins Co NY64297 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 62

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

ILTC 44,096,221 18,592 555,023,47678,238,211 872,220,450177.43 0.98 63.63

ILTC03 5,049,518 1,642 40,297,2991,439,640 43,001,038 28.51 0.98 93.71

1. CurrentB01

GLTC 17,388,735 19,378 158,646,3362,943,590 141,375,265 16.93 0.93 112.22

1. Total current - IndividualC01

49,145,739 20,234 595,320,77579,677,851 915,221,488XXX XXX XXX

4. Total current - GroupC04

17,388,735 19,378 158,646,3362,943,590 141,375,265XXX XXX XXX

7. Current year totalC07

66,534,474 39,612 753,967,11282,621,441 1,056,596,753124.18 0.96 71.36

Forethought Life Ins Co IN91642 State of Domicile:Company Code:Company Name:

1. CurrentA01

~ 8,220,735 5,385 3,502,761516,486 3,502,761 6.28 0.99 100.00

1. CurrentB01

~ 433,114 258 183,9380 183,938 0.00 0.99 100.00

1. Total current - IndividualC01

8,220,735 5,385 3,502,761516,486 3,502,761XXX XXX XXX

4. Total current - GroupC04

433,114 258 183,9380 183,938XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 63

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

8,653,849 5,643 3,686,699516,486 3,686,699 5.97 0.99 100.00

Genesis Ins Co CT38962 State of Domicile:Company Code:Company Name:

1. CurrentA01

Genesis 171,328 92 276,178181,403 2,764,741105.88 0.91 9.99

1. CurrentB01

Genesis 57,163 51 1,198,779293,588 1,837,108513.60 1.00 65.25

Genesis 0 15 1,017,030-35,120 1,273,364 0.00 1.00 79.87

1. Total current - IndividualC01

171,328 92 276,178181,403 2,764,741XXX XXX XXX

4. Total current - GroupC04

57,163 66 2,215,809258,468 3,110,472XXX XXX XXX

7. Current year totalC07

228,491 158 2,491,987439,871 5,875,213192.51 0.95 42.42

Genworth Life & Ann Ins Co VA65536 State of Domicile:Company Code:Company Name:

1. CurrentA01

HLTC94GN, HLTC94MN 2,675,578 921 5,372,2661,790,818 19,247,843 66.93 0.91 27.91

HQLTC96GN 753,285 389 -1,737,318727,240 5,555,980 96.54 0.91 - 31.27

KG-5/86, NAC7520, NAC7620 700,918 695 630,4592,732,606 7,877,311389.86 0.82 8.00

NAC 9915, 9935, 9986, 998 211,274 368 507,1431,847,173 2,527,205874.30 0.81 20.07

LTC-5/91, LTC-5/91MI, NHO 148,819 1,175 5,451,4504,054,742 17,427,3462724.61 0.89 31.28

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 64

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

FCL7050 138,285 111 910,9008,101 2,324,571 5.86 0.97 39.19

HLTC93GN, HLTC93MI, HLTC9 103,370 341 2,848,7341,035,675 8,413,0301001.91 0.89 33.86

HHC095CA, HHC-5/89, NAC99 60,135 75 -1,819,850307,190 594,794510.83 0.86 -305.96

1. Total current - IndividualC01

4,791,665 4,075 12,163,78512,503,546 63,968,080XXX XXX XXX

7. Current year totalC07

4,791,665 4,075 12,163,78512,503,546 63,968,080260.94 0.88 19.02

Genworth Life Ins Co DE70025 State of Domicile:Company Code:Company Name:

1. CurrentA01

7035 495,360,326 218,206 3,028,402,195339,231,639 4,172,939,087 68.48 0.98 72.57

7042/7044 476,405,569 196,777 2,727,701,731111,429,342 2,755,163,504 23.39 0.99 99.00

7030/7031/7033/7034 374,636,939 138,786 669,916,789477,378,840 2,911,793,610127.42 0.96 23.01

7042-REV/7044-REV 321,720,011 119,498 1,072,604,84125,354,625 932,065,741 7.88 0.99 115.08

7052 189,713,754 94,005 303,546,0304,603,854 261,276,147 2.43 0.98 116.18

7000/7020/7022 139,015,247 52,106 -493,563,494340,661,059 1,270,105,751245.05 0.92 - 38.86

7035AX-REV/7037C-REV/7037 108,773,277 41,252 348,560,5167,314,029 338,054,768 6.72 0.98 103.11

8000/8001 48,204,394 24,860 47,141,07019,210 29,717,173 0.04 0.97 158.63

50020/50021/60491/60494 47,584,904 33,847 343,892,944137,507,225 890,607,739288.97 0.91 38.61

50000/50001/60394/60407 25,551,727 20,584 -615,509,787111,141,747 216,915,974434.97 0.87 -283.76

7032 21,751,666 11,251 19,525,96930,430,582 145,728,820139.90 0.94 13.40

8000-R1/8001-R1 15,935,409 6,419 5,022,5130 759,503 0.00 0.31 661.29

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 65

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7021/62100 6,150,174 4,117 5,781,57716,570,968 78,670,975269.44 0.92 7.35

6394/6395 1,000,478 1,648 -47,921,8636,800,044 11,466,311679.68 0.83 -417.94

6484 859,836 528 -19,414,1454,043,983 8,479,505470.32 0.89 -228.95

7048 488,721 341 4,208,822-93,164 4,366,936- 19.06 0.99 96.38

50027/7002 394,485 165 -319,7181,546,787 3,835,120392.10 0.94 - 8.34

50003/50004 327,997 146 -4,458,373687,759 1,500,427209.69 0.84 -297.14

6465 131,491 263 -3,823,523660,957 1,355,591502.66 0.87 -282.06

50024 121,498 61 2,575,045428,325 3,002,364352.54 0.94 85.77

6318/6322/6328 120,596 181 -7,260,069345,448 471,704286.45 0.80 -1539.12

50024A 68,165 68 742,836163,292 1,285,722239.56 0.92 57.78

7011 39,613 23 -974,452247,326 588,051624.35 0.89 -165.71

50018 33,611 34 285,93914,310 325,742 42.58 1.00 87.78

50028 26,479 80 352,32840,361 284,679152.43 0.90 123.76

7012 20,362 13 898,0100 457,436 0.00 1.00 196.31

6026 8,133 11 -456,54928,944 14,278355.87 0.79 -3197.53

50005/50006 2,378 4 -27,191-4,036 5,063-169.73 1.00 -537.08

1. CurrentB01

7050CRT 59,414,954 29,159 176,936,4554,947,333 154,367,930 8.33 0.98 114.62

7046CERT 49,699,453 59,187 198,078,5917,013,240 182,226,247 14.11 0.95 108.70

7053CRT 43,499,189 26,911 62,419,0061,268,227 52,956,765 2.92 0.99 117.87

7040, 7040CM, 456, 461, 4 34,224,303 39,631 146,486,03232,597,828 228,696,955 95.25 0.98 64.05

1. Total current - IndividualC01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 66

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

2,274,447,239 965,274 7,387,429,9901,616,553,455 14,041,237,720XXX XXX XXX

4. Total current - GroupC04

186,837,899 154,888 583,920,08545,826,628 618,247,896XXX XXX XXX

7. Current year totalC07

2,461,285,138 1,120,162 7,971,350,0751,662,380,083 14,659,485,616 67.54 0.97 54.38

Genworth Life Ins Co of NY NY72990 State of Domicile:Company Code:Company Name:

1. CurrentA01

7035 58,058,109 22,267 432,132,33148,693,641 583,722,783 83.87 0.99 74.03

7042-REV/7044-REV 44,665,513 12,533 160,534,0433,501,744 132,930,037 7.84 0.99 120.77

7042/7044 39,677,322 12,250 209,492,9837,069,538 212,075,402 17.82 0.99 98.78

7052 22,218,140 7,407 44,155,050-71,188 34,706,309- 0.32 0.98 127.23

51005/51006 21,849,027 8,582 72,493,05035,476,087 244,455,239162.37 0.97 29.66

50110/51002 11,761,153 4,015 -28,806,85533,058,645 128,439,470281.08 0.93 - 22.43

8000/8001 8,662,999 4,398 12,428,09168,743 3,927,662 0.79 1.00 316.43

50109 4,460,900 1,582 16,908,27911,602,768 65,191,330260.10 0.93 25.94

50107/60247 2,021,208 1,271 36,920,7975,317,176 54,347,336263.07 0.92 67.94

50100/60238 778,216 578 -4,024,3472,973,388 9,342,279382.08 0.91 - 43.08

51000/62000 324,999 121 581,6091,708,708 3,347,671525.76 0.95 17.37

51007 198,178 95 714,587173,762 1,655,651 87.68 0.94 43.16

6667 54,573 43 805,112349,283 830,122640.03 0.94 96.99

7048 21,395 16 127,5950 93,627 0.00 1.00 136.28

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 67

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

8000-R1/8001-R1 4,049 1 540 0 0.00 1.00 0.00

1. CurrentB01

7040, 7040CM, 456, 461, 4 4,681,649 4,590 36,793,1657,690,766 34,869,856164.28 0.98 105.52

7050CRT 3,607,734 1,364 12,722,761124,958 8,905,469 3.46 0.96 142.87

7053CRT 3,128,596 1,501 3,259,9780 2,750,227 0.00 0.99 118.54

7046CERT 992,452 790 6,287,828-91,726 4,008,106- 9.24 0.99 156.88

1. Total current - IndividualC01

214,755,782 75,159 954,462,377149,922,296 1,475,064,917XXX XXX XXX

4. Total current - GroupC04

12,410,432 8,245 59,063,7317,723,999 50,533,659XXX XXX XXX

7. Current year totalC07

227,166,214 83,404 1,013,526,109157,646,295 1,525,598,575 69.40 0.98 66.44

Gerber Life Ins Co NY70939 State of Domicile:Company Code:Company Name:

1. CurrentA01

HHC-880-3 44,570 18 084,068 2,400,000188.62 0.72 0.00

GNH-860 2,492 33 044,838 420,0001799.28 0.94 0.00

1. Total current - IndividualC01

47,062 51 0128,906 2,820,000XXX XXX XXX

7. Current year totalC07

47,062 51 0128,906 2,820,000273.91 0.85 XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 68

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Golden Rule Ins Co IN62286 State of Domicile:Company Code:Company Name:

1. CurrentA01

GRI-L-70 0 16 715,197100,000 671,675 0.00 0.94 106.48

1. Total current - IndividualC01

0 16 715,197100,000 671,675XXX XXX XXX

7. Current year totalC07

0 16 715,197100,000 671,675XXX 0.94 106.48

Great Amer Life Ins Co OH63312 State of Domicile:Company Code:Company Name:

1. CurrentA01

4LTCIP0001 1,190,497 630 8,147,368-689,320 7,351,049- 57.90 1.02 110.83

2LTCIP0001 841,577 480 6,521,0361,029,558 10,138,831122.34 1.07 64.32

1LTCIP0001 590,746 342 6,894,976754,389 9,735,281127.70 1.02 70.83

5LTC 2,532 1 14,90764 11,332 2.53 0.50 131.55

1. CurrentB01

1LTCGP0001 72,790 122 2,935,310-1,588 2,716,073- 2.18 0.88 108.07

1. Total current - IndividualC01

2,625,352 1,453 21,578,2871,094,691 27,236,493XXX XXX XXX

4. Total current - GroupC04

72,790 122 2,935,310-1,588 2,716,073XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 69

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

2,698,142 1,575 24,513,5971,093,103 29,952,566 40.51 1.02 81.84

Group Hlth Coop WA95672 State of Domicile:Company Code:Company Name:

1. CurrentA01

CA-84, CA-85 83,423 60 1,313,776660,206 1,453,585791.40 0.80 90.38

1. Total current - IndividualC01

83,423 60 1,313,776660,206 1,453,585XXX XXX XXX

7. Current year totalC07

83,423 60 1,313,776660,206 1,453,585791.40 0.80 90.38

Group Hospitalization & Med Srvcs DC53007 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC/MCN3-89 49,918 67 1,776,837389,902 1,063,477781.09 0.97 167.08

1. Total current - IndividualC01

49,918 67 1,776,837389,902 1,063,477XXX XXX XXX

7. Current year totalC07

49,918 67 1,776,837389,902 1,063,477781.09 0.97 167.08

Guarantee Trust Life Ins Co IL64211 State of Domicile:Company Code:Company Name:

1. CurrentA01

G0200, G0600 13,558,758 10,853 51,182,7581,711,801 47,693,059 12.60 0.98 107.30

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 70

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

G0280, G0680 5,553,594 4,843 15,626,5662,399,512 18,492,042 43.20 0.98 84.50

G9900, G9902, G9903,G0100 3,376,081 1,342 11,960,5462,442,582 14,026,183 72.30 0.96 85.30

G9980, G9984, G9986,G0180 1,961,187 1,083 6,787,9761,726,017 7,981,411 88.00 0.95 85.00

G9970, G9972, G9973,G0170 641,691 465 1,546,814624,366 1,806,429 97.30 0.90 85.60

90700, 93710 415,924 274 -908,1411,018,318 60,633244.80 0.89 -1497.80

1. Total current - IndividualC01

25,507,235 18,860 86,196,5199,922,596 90,059,757XXX XXX XXX

7. Current year totalC07

25,507,235 18,860 86,196,5199,922,596 90,059,757 38.90 0.97 95.70

Hartford Life Ins Co CT88072 State of Domicile:Company Code:Company Name:

1. CurrentA01

SRV-1366 570,557 386 9,558,3251,818,827 17,368,450318.78 1.00 55.03

1. CurrentB01

SRV-1353 2,147,527 1,597 42,028,8612,000,208 47,018,512 93.14 0.99 89.39

1. Total current - IndividualC01

570,557 386 9,558,3251,818,827 17,368,450XXX XXX XXX

4. Total current - GroupC04

2,147,527 1,597 42,028,8612,000,208 47,018,512XXX XXX XXX

7. Current year totalC07

2,718,084 1,983 51,587,1863,819,035 64,386,962140.51 0.99 80.12

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 71

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Health Care Serv Corp A Mut Legal Re IL70670 State of Domicile:Company Code:Company Name:

1. CurrentA01

7035 1,437,560 648 5,676,3032,396,829 13,189,357166.73 0.97 43.04

30-31 1,158,166 636 -202,9172,541,498 12,049,682219.44 0.95 - 1.68

32 96,211 55 -380,850179,566 864,392186.64 0.87 - 44.06

1. Total current - IndividualC01

2,691,937 1,339 5,092,5365,117,893 26,103,431XXX XXX XXX

7. Current year totalC07

2,691,937 1,339 5,092,5365,117,893 26,103,431190.12 0.96 19.51

Healthy Alliance Life Ins Co MO78972 State of Domicile:Company Code:Company Name:

1. CurrentA01

COMBINED: LTC/MCN3-89, L 73,125 91 1,871,316564,846 2,507,483772.44 0.89 74.63

1. Total current - IndividualC01

73,125 91 1,871,316564,846 2,507,483XXX XXX XXX

7. Current year totalC07

73,125 91 1,871,316564,846 2,507,483772.44 0.89 74.63

Highmark BCBSD Inc DE53287 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-CD8-B-DE-TQ 156,415 113 2,794,418416,457 2,168,680266.25 0.95 128.85

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 72

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTC-CD7-B-DE 104,027 95 1,261,640249,585 1,864,776239.92 0.95 67.66

LTC-LBP7-B-DE 50,218 65 708,387162,055 955,189322.70 0.87 74.16

LTC-LBP8-B-DE-TQ 37,212 39 819,29025,937 579,181 69.70 0.93 141.46

1. Total current - IndividualC01

347,872 312 5,583,735854,034 5,567,826XXX XXX XXX

7. Current year totalC07

347,872 312 5,583,735854,034 5,567,826245.50 0.93 100.29

Highmark Cas Ins Co PA35599 State of Domicile:Company Code:Company Name:

1. CurrentA01

CSV-LTC-FLX-P and CSV-LTC 121,420 116 1,924,472397,676 2,044,664327.52 0.91 94.12

1. Total current - IndividualC01

121,420 116 1,924,472397,676 2,044,664XXX XXX XXX

7. Current year totalC07

121,420 116 1,924,472397,676 2,044,664327.52 0.91 94.12

Highmark Inc PA54771 State of Domicile:Company Code:Company Name:

1. CurrentA01

SPL & FSPL - 336 - HMBCBS 939,582 503 6,447,61475,341 6,731,169 8.02 0.99 95.79

30/31 890,745 462 8,235,738719,499 11,777,346 80.78 0.97 69.93

SPL & FSPL - 336 - HMBSPA 694,807 470 5,667,21227,069 5,043,146 3.90 0.98 112.38

7035 337,601 210 2,944,14499,852 3,810,677 29.58 1.00 77.26

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 73

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTQ11-336-PA-998 172,125 117 2,136,828183,757 1,890,154106.76 0.98 113.05

32 127,251 105 811,47866,219 1,394,730 52.04 0.96 58.18

NTQ11-337-PA-998 6,044 1 102,552-399 10,622- 6.60 0.50 965.47

FLQ11-336-PA-998 3,120 2 62,35568 25,455 2.18 1.00 244.96

HTQ11-338-PA-998 2,838 3 36,03024 14,499 0.85 1.00 248.50

1. CurrentB01

GRP11-341-PA-998 7,511 13 49,87120 46,831 0.27 1.00 106.49

1. Total current - IndividualC01

3,174,113 1,873 26,443,9511,171,430 30,697,798XXX XXX XXX

4. Total current - GroupC04

7,511 13 49,87120 46,831XXX XXX XXX

7. Current year totalC07

3,181,624 1,886 26,493,8221,171,450 30,744,629 36.82 0.98 86.17

HM Life Ins Co PA93440 State of Domicile:Company Code:Company Name:

1. CurrentB01

TGGP8000(3/94)PA TGGP8000 73,488 209 3,996,811224,304 2,508,385305.23 0.99 159.34

4. Total current - GroupC04

73,488 209 3,996,811224,304 2,508,385XXX XXX XXX

7. Current year totalC07

73,488 209 3,996,811224,304 2,508,385305.23 0.99 159.34

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 74

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Independence Hospital Ind Plan Inc PA54704 State of Domicile:Company Code:Company Name:

1. CurrentA01

5019/5313 1,710,420 1,261 10,807,2935,515,450 15,393,533322.46 0.93 70.21

5018/5311 1,079,850 536 2,100,0303,168,770 6,824,371293.45 0.93 30.77

1. Total current - IndividualC01

2,790,270 1,797 12,907,3238,684,220 22,217,904XXX XXX XXX

7. Current year totalC07

2,790,270 1,797 12,907,3238,684,220 22,217,904311.23 0.93 58.09

Jackson Natl Life Ins Co MI65056 State of Domicile:Company Code:Company Name:

1. CurrentA01

N0100 9,617,921 4,325 128,500,1749,789,658 136,846,254101.79 0.95 93.90

LTC 1/98 AND QLTC 1/98 2,649,968 1,069 -2,935,3605,997,775 15,398,572226.33 0.94 - 19.06

A-5000 2,311,508 1,760 20,258,35714,546,069 77,496,581629.29 0.96 26.14

N0200 1,358,120 944 13,026,0452,234,247 15,351,311164.51 0.97 84.85

N0085 1,258,865 447 14,690,175367,087 15,378,281 29.16 0.94 95.53

N0026 1,256,809 494 16,332,8652,255,490 20,901,518179.46 0.96 78.14

21300 1,242,056 471 18,340,5912,323,616 21,197,379187.08 0.96 86.52

N0095 957,843 471 9,685,4601,508,065 11,703,849157.44 0.91 82.75

N0022 709,557 294 10,235,1512,602,517 11,181,414366.78 0.92 91.54

HHC 1/98 AND QHHC 1/98 551,491 356 -14,372,9441,552,967 1,476,639281.59 0.88 -973.36

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 75

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

N0090 479,701 263 4,740,067149,332 5,450,503 31.13 0.94 86.97

A-4901 342,415 242 -882,9092,642,583 7,252,298771.75 0.94 - 12.17

N0202 296,709 171 2,930,490254,115 3,100,129 85.65 0.98 94.53

18876 245,148 102 3,701,326216,705 3,626,354 88.40 0.97 102.07

21295 213,874 95 1,463,856659,942 3,286,334308.57 0.93 44.54

N0034 158,916 72 2,044,999202,630 2,491,824127.51 0.89 82.07

N0080 107,776 42 1,531,635-48,678 1,051,901- 45.17 0.89 145.61

MID/WSSQ 106,250 95 -1,313,658348,205 685,330327.72 0.93 -191.68

N0101 48,425 19 1,136,8630 971,890 0.00 0.91 116.97

21305 45,911 17 1,000,432-1,610 705,071- 3.51 1.00 141.89

N0030 43,672 19 554,737-24,485 599,826- 56.07 0.95 92.48

N0075 39,827 22 -374,353237,201 467,543595.58 0.92 - 80.07

N0027 33,957 11 759,6320 693,751 0.00 1.00 109.50

N0023 9,684 5 268,3840 244,530 0.00 1.00 109.76

N0086 8,944 3 212,8540 162,206 0.00 1.00 131.22

N0096 7,802 4 -224,520185,853 146,4642382.12 1.00 -153.29

N0081 4,869 1 43,627-108 74,603- 2.22 1.00 58.48

S0090 4,868 3 51,2330 51,057 0.00 1.00 100.35

2100/2101 3,815 3 2,7533,126 7,889 81.94 1.00 34.90

431 3,248 2 1,8452,973 6,729 91.53 1.00 27.42

2400 2,530 4 -7,02878,536 13,1523104.19 0.80 - 53.44

N0076 1,735 1 34,9000 39,560 0.00 1.00 88.22

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 76

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

2200/2201 1,185 1 2,391590 1,916 49.79 0.50 124.79

2300/2301 1,144 1 509943 2,379 82.43 1.00 21.40

430 720 1 356593 1,496 82.36 1.00 23.80

N0091 0 0 24,6160 0 0.00 0.00 0.00

1. Total current - IndividualC01

24,127,263 11,830 231,465,55148,085,937 358,066,533XXX XXX XXX

7. Current year totalC07

24,127,263 11,830 231,465,55148,085,937 358,066,533199.30 0.95 64.64

John Alden Life Ins Co WI65080 State of Domicile:Company Code:Company Name:

1. CurrentA01

J-5875 7,409,642 5,375 110,607,04720,681,324 196,825,692279.11 0.98 56.20

J-5762 2,906,719 1,909 9,537,84611,948,186 62,659,336411.05 0.95 15.22

J-1108 272,015 212 7,879,8462,030,434 9,540,159746.44 0.88 82.60

J-1130 73,095 56 -4,942,334371,383 384,870508.08 0.93 -1284.16

J-1115 30,250 19 977,029-27,496 1,811,186- 90.90 0.95 53.94

1. Total current - IndividualC01

10,691,721 7,571 124,059,43435,003,831 271,221,243XXX XXX XXX

7. Current year totalC07

10,691,721 7,571 124,059,43435,003,831 271,221,243327.39 0.97 45.74

John Hancock Life & Hlth Ins Co MA93610 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

G96 35,857,734 10,883 411,514,56450,322,849 479,017,574140.34 0.96 85.91

RWJ 28,745,287 9,846 360,321,75729,014,409 370,372,653100.94 0.97 97.29

LTC20 28,650,216 8,877 198,876,78221,178,326 218,405,083 73.92 0.98 91.06

LTC30 20,551,867 7,395 184,906,17211,042,669 212,602,244 53.73 0.99 86.97

NYP 19,787,455 6,747 98,946,1394,410,223 145,739,830 22.29 0.99 67.89

CC2E 8,861,996 2,961 29,377,6091,360,008 53,328,250 15.35 0.99 55.09

91LTC 7,898,095 2,950 29,892,93716,206,753 89,343,208205.20 0.94 33.46

CC3 4,748,212 1,479 2,670,42940,211 5,251,560 0.85 1.00 50.85

CC2R 3,560,168 1,119 17,058,0521,537,624 25,309,022 43.19 0.99 67.40

CC2ER 2,335,716 788 5,893,211411,527 8,519,986 17.62 0.98 69.17

LTC60 1,751,638 714 8,940,965179,467 12,142,008 10.25 0.99 73.64

BSC20 1,135,813 459 6,585,555659,044 8,031,174 58.02 0.98 82.00

BSC30 1,069,427 486 6,934,800362,542 10,562,498 33.90 0.97 65.66

LTC88B 736,273 590 5,714,9892,525,174 10,691,962342.97 0.93 53.45

LTC90B 239,480 128 151,155701,060 3,090,324292.74 0.91 4.89

91NH 175,002 70 50,699647,502 3,633,797370.00 0.93 1.40

CC3Core 16,819 3 22,091158 29,636 0.94 1.00 74.54

C96 16,669 8 92,075132,639 208,589795.72 0.89 44.14

LTC88A 11,531 10 -514,07661,177 103,958530.54 0.67 -494.50

LTC87A 10,950 28 -54,59412,730 465,357116.26 0.85 - 11.73

1. CurrentB01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Non-GIMIT 11,316,075 11,382 52,409,2811,395,840 60,638,306 12.34 0.98 86.43

1. Total current - IndividualC01

166,160,348 55,541 1,367,381,311140,806,092 1,656,848,713XXX XXX XXX

4. Total current - GroupC04

11,316,075 11,382 52,409,2811,395,840 60,638,306XXX XXX XXX

7. Current year totalC07

177,476,423 66,923 1,419,790,592142,201,932 1,717,487,019 80.12 0.98 82.67

John Hancock Life Ins Co USA MI65838 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC20 246,095,922 115,095 1,757,782,007137,031,446 1,873,474,656 55.68 0.99 93.83

LTC30 228,856,541 98,998 1,857,865,36658,601,658 1,827,450,253 25.61 0.99 101.66

G96 226,917,553 105,211 2,708,611,155334,894,694 3,096,823,586147.58 0.97 87.46

CC2E 129,998,709 53,773 443,872,96410,898,985 652,341,861 8.38 0.98 68.04

CC3 80,502,174 36,659 58,616,9132,470,447 98,177,799 3.07 0.99 59.71

LTC60 65,021,226 33,362 263,850,7706,984,542 364,630,885 10.74 0.98 72.36

CC2R 44,304,508 16,206 211,188,0156,509,170 256,613,419 14.69 0.99 82.30

91LTC 42,370,146 18,709 247,012,48679,404,510 388,395,441187.41 0.93 63.60

CC2ER 33,383,453 13,779 82,743,7452,624,538 109,129,943 7.86 0.98 75.82

CCCA 31,017,967 10,701 135,628,8884,957,048 208,245,393 15.98 0.99 65.13

BSC20 15,598,686 8,686 70,972,57116,177,854 96,584,548103.71 0.98 73.48

BSC30 13,165,176 7,028 80,922,9135,918,274 93,712,037 44.95 0.98 86.35

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 79

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

RWJ 12,011,562 5,604 163,731,20314,083,941 191,959,600117.25 1.01 85.30

LTCPRTN 10,841,895 3,741 65,584,5773,431,214 79,478,896 31.65 0.99 82.52

LTC3PRTN 8,662,775 2,903 90,185,7681,059,850 79,184,031 12.24 1.00 113.89

CCCA3 6,202,660 1,988 2,441,041-211,349 5,363,883- 3.41 0.97 45.51

CC3P 3,192,991 1,049 1,697,471239,755 3,717,885 7.51 1.00 45.66

LTC88B 3,150,842 2,830 24,654,91310,962,850 37,612,536347.93 0.91 65.55

91NH 3,141,307 1,500 -12,757,7597,075,953 47,393,019225.26 0.92 - 26.92

LTC60R 1,541,924 1,083 2,663,25615,468 3,690,234 1.00 0.94 72.17

LTC90B 1,204,802 813 1,022,5053,573,906 12,429,801296.64 0.93 8.23

G96NH 1,100,263 557 9,769,1973,772,901 12,826,815342.91 0.97 76.16

BSC3PRTN 949,861 440 9,624,728210,159 9,890,378 22.13 0.99 97.31

C96 627,834 337 5,671,017495,001 5,442,048 78.84 0.91 104.21

BSCPRTN 506,368 273 2,225,622-70,454 4,286,678- 13.91 1.00 51.92

CC3Core 176,418 84 317,7691,513 402,050 0.86 1.00 79.04

NYP 89,812 27 926,7381,531 665,506 1.71 0.96 139.25

LTC88A 76,472 68 -874,014189,098 827,986247.28 0.86 -105.56

LTC87A 23,779 58 271,392140,509 812,288590.90 0.91 33.41

1. CurrentB01

Non-GIMIT 325,179,242 323,576 3,663,376,582133,435,029 3,255,431,275 41.03 0.98 112.53

GIMT 6,961,135 7,536 99,204,67113,153,847 93,054,626188.96 0.96 106.61

1. Total current - IndividualC01

1,210,733,626 541,562 8,286,223,217711,445,012 9,561,563,455XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4. Total current - GroupC04

332,140,377 331,112 3,762,581,253146,588,876 3,348,485,901XXX XXX XXX

7. Current year totalC07

1,542,874,003 872,674 12,048,804,470858,033,888 12,910,049,356 55.61 0.98 93.33

Kanawha Ins Co SC65110 State of Domicile:Company Code:Company Name:

1. CurrentA01

80650 18,262,506 13,284 353,346,17742,604,014 511,289,786233.29 0.97 69.11

80880 10,330,108 6,207 157,466,65519,681,564 253,071,954190.53 0.97 62.22

82000 9,427,156 7,281 130,495,4627,141,301 161,393,622 75.75 0.98 80.86

82120 3,642,369 2,588 47,556,6071,184,841 60,992,858 32.53 0.98 77.97

80650 2,800,709 1,509 24,520,8875,559,430 47,288,663198.50 0.94 51.85

80740 381,681 846 -907,1321,241,652 2,224,728325.31 0.95 - 40.78

82550 28,061 21 489,9860 229,163 0.00 1.00 213.82

1. Total current - IndividualC01

44,872,590 31,736 712,968,64277,412,802 1,036,490,774XXX XXX XXX

7. Current year totalC07

44,872,590 31,736 712,968,64277,412,802 1,036,490,774172.52 0.97 68.79

Knights Of Columbus CT58033 State of Domicile:Company Code:Company Name:

1. CurrentA01

NHC01 X-XX, LTC01 X-XX 58,478,712 43,621 308,918,96213,378,691 307,230,010 22.88 0.98 100.55

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

NHC2 7-14, LTC2 7-14 1,403,794 1,766 138,91060,916 138,151 4.34 0.94 100.55

1. Total current - IndividualC01

59,882,506 45,387 309,057,87213,439,607 307,368,161XXX XXX XXX

7. Current year totalC07

59,882,506 45,387 309,057,87213,439,607 307,368,161 22.44 0.98 100.55

Lafayette Life Ins Co OH65242 State of Domicile:Company Code:Company Name:

1. CurrentA01

LLIC-LTC 188,680 211 1,272,95671,677 1,301,709 37.99 0.97 97.79

1. Total current - IndividualC01

188,680 211 1,272,95671,677 1,301,709XXX XXX XXX

7. Current year totalC07

188,680 211 1,272,95671,677 1,301,709 37.99 0.97 97.79

LifeSecure Ins Co MI77720 State of Domicile:Company Code:Company Name:

1. CurrentA01

LS0001 and LS0002 25,300,005 19,578 29,445,305784,316 26,246,447 3.10 0.95 112.19

1. Total current - IndividualC01

25,300,005 19,578 29,445,305784,316 26,246,447XXX XXX XXX

7. Current year totalC07

25,300,005 19,578 29,445,305784,316 26,246,447 3.10 0.95 112.19

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 82

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Lincoln Benefit Life Co NE65595 State of Domicile:Company Code:Company Name:

1. CurrentA01

LBL-6301 40,225,270 24,563 743,037,60953,222,645 992,194,041132.31 0.99 74.89

LBL-7000 19,901,796 10,230 357,191,7149,438,240 389,636,246 47.42 0.99 91.67

1. Total current - IndividualC01

60,127,066 34,793 1,100,229,32362,660,885 1,381,830,287XXX XXX XXX

7. Current year totalC07

60,127,066 34,793 1,100,229,32362,660,885 1,381,830,287104.21 0.99 79.62

Lincoln Natl Life Ins Co IN65676 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-1, LTC-2 3,778,237 1,818 46,913,7416,566,027 65,687,633173.79 0.93 71.42

1. Total current - IndividualC01

3,778,237 1,818 46,913,7416,566,027 65,687,633XXX XXX XXX

7. Current year totalC07

3,778,237 1,818 46,913,7416,566,027 65,687,633173.79 0.93 71.42

Longevity Ins Co TX68446 State of Domicile:Company Code:Company Name:

1. CurrentA01

RVL-360 82,740 111 -1,859,44411,205 2,469,467 13.54 0.89 - 75.30

1. Total current - IndividualC01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

82,740 111 -1,859,44411,205 2,469,467XXX XXX XXX

7. Current year totalC07

82,740 111 -1,859,44411,205 2,469,467 13.54 0.89 - 75.30

Louisiana Hlth Serv & Ind Co LA81200 State of Domicile:Company Code:Company Name:

1. CurrentA01

7035 424,652 357 -66,892106,642 3,217,137 25.11 0.96 - 2.08

30 & 31 105,203 79 27,417597,686 1,116,567568.13 0.99 2.46

32 0 0 -79,4110 0 0.00 0.00 0.00

1. Total current - IndividualC01

529,855 436 -118,886704,328 4,333,704XXX XXX XXX

7. Current year totalC07

529,855 436 -118,886704,328 4,333,704132.93 0.97 - 2.74

Loyal Amer Life Ins Co OH65722 State of Domicile:Company Code:Company Name:

1. CurrentA01

L-6000-NQ 54,784 31 398,88039,526 481,977 72.15 1.07 82.76

L-6000-TQ 36,546 33 215,58344,735 398,078122.41 1.65 54.16

1. Total current - IndividualC01

91,330 64 614,46384,261 880,055XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

91,330 64 614,46384,261 880,055 92.26 1.31 69.82

Madison Natl Life Ins Co Inc WI65781 State of Domicile:Company Code:Company Name:

1. CurrentA01

MNLI-LTC 623,402 568 2,903,5024,370 2,739,440 0.70 0.98 105.99

1. Total current - IndividualC01

623,402 568 2,903,5024,370 2,739,440XXX XXX XXX

7. Current year totalC07

623,402 568 2,903,5024,370 2,739,440 0.70 0.98 105.99

Manhattan Natl Life Ins Co OH67083 State of Domicile:Company Code:Company Name:

1. CurrentA01

Dade County LTC 128,089 294 1,984,01496,593 2,848,092 75.41 0.88 69.66

1. Total current - IndividualC01

128,089 294 1,984,01496,593 2,848,092XXX XXX XXX

7. Current year totalC07

128,089 294 1,984,01496,593 2,848,092 75.41 0.88 69.66

Massachusetts Mut Life Ins Co MA65935 State of Domicile:Company Code:Company Name:

1. CurrentA01

SIGNATURE CARE 212,270,832 67,510 1,195,812,82640,379,899 1,293,937,668 19.02 1.00 92.42

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. Total current - IndividualC01

212,270,832 67,510 1,195,812,82640,379,899 1,293,937,668XXX XXX XXX

7. Current year totalC07

212,270,832 67,510 1,195,812,82640,379,899 1,293,937,668 19.02 1.00 92.42

Medamerica Ins Co PA69515 State of Domicile:Company Code:Company Name:

1. CurrentA01

SPL-336 25,299,079 13,012 250,768,0526,862,781 239,873,176 27.13 0.98 104.54

SPL2-336 24,750,668 14,361 69,761,7073,494,439 78,576,803 14.12 0.95 88.78

FC-336 10,887,626 5,483 4,247,508102,445 6,281,839 0.94 0.95 67.62

LTQ11-336-MA 5,712,112 3,748 104,787,83913,261,746 109,546,076232.17 0.96 95.66

14515 4,996,219 4,361 52,391,2877,665,551 81,033,579153.43 0.96 64.65

PRT11-336-MA-CT-601 1,821,042 688 13,452,4551,273,684 20,577,741 69.94 0.98 65.37

14785 1,501,454 1,224 9,416,432490,638 13,823,399 32.68 0.97 68.12

LTC-CD9 825,880 563 21,857,2902,483,696 22,403,860300.73 0.95 97.56

NTQ11-337 394,928 278 4,943,179508,214 5,108,036128.69 0.96 96.77

ML 7500 258,385 278 4,928,5111,887,771 6,313,686730.60 0.93 78.06

HMSA Ind 249,242 161 5,256,950529,457 4,061,659212.43 0.93 129.43

LTC-LBP9 227,475 200 4,633,2761,328,909 6,947,115584.20 0.92 66.69

Generations Ind 226,350 377 6,527,2802,950,022 21,707,1451303.30 0.95 30.07

14767 223,062 161 1,770,103139,179 2,734,247 62.40 0.98 64.74

LTC-CD5 215,849 191 -49,553535,705 2,445,713248.19 0.86 - 2.03

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

FC-337 154,714 120 112,121846 137,790 0.55 1.33 81.37

HTQ11-338 143,577 159 1,963,061369,596 1,719,282257.42 0.94 114.18

TRL-336 125,044 78 94,121-5,677 100,034- 4.54 0.99 94.09

LTCNQ12 LTC1200(8/2000) 109,769 64 1,778,15440,076 2,263,900 36.51 0.93 78.54

LTC-CD8 100,879 87 1,320,717324,915 2,869,710322.08 0.94 46.02

FBABC & PLAN 123 70,939 102 -2,864,241545,846 1,662,306769.46 0.80 -172.31

14422 68,159 104 1,123,199225,579 1,567,631330.96 0.90 71.65

14783 32,143 32 234,992-3 86,228- 0.01 0.94 272.52

14765 28,667 39 197,37840,247 123,428140.40 1.00 159.91

LTC-LBP8 24,784 20 939,678361,747 1,223,0121459.60 0.95 76.83

14401 12,166 24 157,16149,938 84,841410.47 0.83 185.24

LTC-LBP5 11,491 84 1,703,458-48,105 1,695,092-418.63 0.94 100.49

TBCA TBCS100 et al 11,151 5 8,733,804-18,394 229,383-164.95 0.63 3807.52

ICC14-336 6,620 10 288285 288 4.31 0.00 100.00

14475 5,557 8 -17,251129,002 197,5242321.43 1.00 - 8.73

14766 4,858 5 82,940-73 60,293- 1.50 0.83 137.56

LTC-1L90 LTC-8L90 et al 1,808 2 4,907,201-33,172 5,684-1834.74 1.00 86333.59

14784 942 1 -16,30111 2,303 1.17 1.00 -707.82

1. CurrentB01

GRP11-341-MA 6,668,015 7,271 119,498,0664,054,587 112,121,012 60.81 0.98 106.58

SRV-1353_ 1,152,611 1,030 17,277,787922,388 20,941,484 80.03 1.00 82.51

LTC-G-CD9 1,011,414 650 31,261,2742,908,330 37,860,498287.55 0.97 82.57

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

SPL-336_ 586,307 1,081 10,286,185145,321 4,818,757 24.79 0.76 213.46

BSH Grp 407,991 316 7,395,708449,653 9,932,993110.21 0.99 74.46

LTC-G-GMP-PER 359,284 346 12,644,237824,401 11,562,530229.46 0.95 109.36

ML 7700 290,366 829 8,401,7211,678,496 12,017,870578.06 0.98 69.91

Generations Grp 106,034 81 13,494,60533,325 4,087,693 31.43 0.93 330.13

LTC-G-CD8-DC 66,372 49 344,6761,268 1,350,191 1.91 0.94 25.53

LTC-GMP-CD9-BC-IL 64,717 29 592,27877,243 467,702119.36 1.00 126.64

HTQ11-338-MA-DC 45,824 29 855,808-138 440,786- 0.30 0.97 194.16

HMSA Grp 35,283 74 2,189,762401,660 2,064,6201138.40 1.00 106.06

LTC-G-CD9-MA-NC 14,501 35 -1,399,794117,775 789,665812.19 1.35 -177.26

LTC-G-LBP9 5,562 1 137,655-4,045 7,652- 72.73 0.50 1798.94

LTC-G-LBP8-DC 1,240 1 19,37258 17,628 4.68 1.00 109.89

GLTC-1L92 GLTC-1N92 0 0 5,924,2980 0 0.00 0.00 0.00

TNTQ11-337 0 3 28,6020 9,011 0.00 1.00 317.41

1. Total current - IndividualC01

78,502,639 46,030 575,142,79645,496,901 635,462,803XXX XXX XXX

4. Total current - GroupC04

10,815,521 11,825 228,952,24011,610,322 218,490,092XXX XXX XXX

7. Current year totalC07

89,318,160 57,855 804,095,03657,107,223 853,952,895 63.94 0.96 94.16

MedAmerica Ins Co of FL FL12967 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

SPL2-336 2,258,671 1,113 4,844,086274,480 6,523,080 12.15 0.97 74.26

SPL-336 1,447,555 760 11,226,095811,856 15,115,723 56.09 0.99 74.27

TRL-336 163,081 141 262,988-85,894 174,689- 52.67 0.90 150.55

14788 123,004 179 755,10827,118 996,794 22.05 0.95 75.75

14775 105,395 90 206,989190,432 1,384,828180.68 0.99 14.95

LTQ11-336-MA 58,944 32 284,247-22,808 769,718- 38.69 0.97 36.93

LTCNQ12, LTC1200 (8/2000) 29,585 17 693,466722 771,494 2.44 1.00 89.89

14787 1,123 1 9,24420 43,823 1.78 1.00 21.09

ICC14-336 812 1 2828 28 3.45 1.00 100.00

LTC-CD5 426 1 11,89410 10,038 2.35 1.00 118.49

LTC-LBP5 0 0 7,3740 0 0.00 0.00 0.00

14401 0 0 1,7470 0 0.00 0.00 0.00

1. CurrentB01

SRV-1353_ 57,018 41 1,015,7402,279 1,061,610 4.00 1.00 95.68

GRP11-341-MA 0 0 59,0250 0 0.00 0.00 0.00

LTC-G-CD9 0 0 -28,0950 0 0.00 0.00 0.00

1. Total current - IndividualC01

4,188,596 2,335 18,303,2661,195,964 25,790,215XXX XXX XXX

4. Total current - GroupC04

57,018 41 1,046,6702,279 1,061,610XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 89

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4,245,614 2,376 19,349,9361,198,243 26,851,825 28.22 0.97 72.06

MedAmerica Ins Co of NY NY83437 State of Domicile:Company Code:Company Name:

1. CurrentA01

PRT11-336-NY-305 8,057,141 2,672 16,202,653675,840 22,648,062 8.39 0.99 71.54

SPL2-336 7,656,781 2,837 19,431,7221,716,932 24,333,567 22.42 0.98 79.86

PRT11-336-ET AL 6,335,629 2,534 76,300,7585,853,439 89,406,190 92.39 0.98 85.34

SPL-336 6,324,311 2,816 77,446,2773,407,178 70,333,484 53.87 0.99 110.11

LTC-CD6-NY 3,299,953 1,773 58,556,0177,421,328 66,286,107224.89 0.95 88.34

LTQ11-336 ET AL 1,835,691 1,013 29,190,8241,395,469 38,721,769 76.02 0.98 75.39

FC-336 1,616,330 657 150,1075,234 493,384 0.32 0.98 30.42

LTC-CD10-NY 1,248,938 988 32,488,8344,406,449 37,269,986352.82 0.95 87.17

LTC91-CD4-NY 1,013,147 1,024 11,140,6133,305,059 19,574,679326.22 0.92 56.91

HTQ11-338-ET AL 528,184 441 3,503,8271,149,710 4,867,822217.67 0.96 71.98

LTC-CD8-NY 322,791 256 6,583,863654,424 7,596,847202.74 0.91 86.67

LTC-LBP-NY 230,561 352 2,806,882963,817 4,802,003418.03 0.93 58.45

LTC-LBP8-NY 138,421 151 342,691242,771 2,144,750175.39 0.88 15.98

LTC-LBP10-NY 98,466 103 417,182276,434 1,478,600280.74 0.93 28.22

TRL-336 38,418 20 27,750634 31,811 1.65 1.00 87.23

NTQ11-337- ET AL 36,464 49 144,98132,388 292,253 88.82 0.91 49.61

LTC-89-CD2 21,298 35 -1,130,282410,805 894,8971928.84 0.92 -126.30

ICC14-336 747 6 5353 53 7.10 1.00 100.00

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 90

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTC-89-CD1 0 4 -102,069100 40,893 0.00 1.00 -249.60

FC-337 -2 0 00 0 0.00 0.00 0.00

1. CurrentB01

NYG11-341-NY_ 7,606,676 4,636 111,054,0545,258,204 160,332,495 69.13 0.99 69.27

GRP11-341 ET AL 544,368 885 16,165,937159,032 19,774,135 29.21 0.99 81.75

LTC-89-CD2_ 236,650 262 4,203,079589,210 4,331,119248.98 0.98 97.04

SPL-336_ 127,718 224 1,250,569275,687 1,461,518215.86 0.99 85.57

PRT11-336-ET AL_ 17,274 12 316,830270 438,965 1.56 1.00 72.18

LTC-89-CD1_ 0 0 1,7590 0 0.00 0.00 0.00

1. Total current - IndividualC01

38,803,269 17,731 333,502,68331,918,064 391,217,157XXX XXX XXX

4. Total current - GroupC04

8,532,686 6,019 132,992,2286,282,403 186,338,232XXX XXX XXX

7. Current year totalC07

47,335,955 23,750 466,494,91138,200,467 577,555,389 80.70 0.97 80.77

Medico Ins Co NE31119 State of Domicile:Company Code:Company Name:

1. CurrentA01

690-699 2,404,163 1,212 403,442,0934,394,643 23,260,964182.79 0.93 1734.42

3358 580-583 340,508 192 17,586,533571,082 1,273,435167.72 0.85 1381.03

201 147,472 73 22,469,321532,326 1,053,603360.97 0.95 2132.62

300 585 49,329 35 1,477,697214,213 324,164434.25 0.78 455.85

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 91

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

445 4458-4459 15,794 11 1,995,89924,862 311,004157.41 0.92 641.76

591 593 596-597 15,095 22 3,318,02694,378 118,698625.23 0.82 2795.35

1. Total current - IndividualC01

2,972,361 1,545 450,289,5695,831,504 26,341,868XXX XXX XXX

7. Current year totalC07

2,972,361 1,545 450,289,5695,831,504 26,341,868196.19 0.91 1709.41

Metlife Ins Co USA DE87726 State of Domicile:Company Code:Company Name:

1. CurrentA01

H-LTC3JP 82,916,809 29,394 376,692,949190,552,378 1,076,885,801229.81 0.95 34.98

H-LTC2J 56,460,931 19,763 -68,903,973185,464,458 699,301,079328.48 0.93 - 9.85

H-LTC4JQ 55,673,783 23,209 597,952,76888,391,109 879,994,681158.77 0.97 67.95

H-LC3J 7,205,340 3,385 92,964,77532,421,551 190,588,902449.97 0.94 48.78

H-LC4JQ 7,184,116 3,930 176,728,15212,714,443 233,630,076176.98 0.97 75.64

H-LTC3J 5,514,886 1,669 -11,104,99114,032,526 55,302,060254.45 0.92 - 20.08

H-LTC3JFO 4,541,853 2,374 2,957,23219,607,778 60,915,978431.71 0.91 4.86

H-LC3JP 3,539,221 1,744 74,252,74410,265,127 116,472,754290.04 0.97 63.75

H-LTC4JFQ 694,074 361 3,724,7202,052,114 9,476,188295.66 0.97 39.31

H-LC2J 137,105 43 -2,065,213-437,664 2,759,510-319.22 0.88 - 74.84

H-371 105,809 75 434,872306,232 1,294,344289.42 0.89 33.60

1. CurrentB01

GC-7003-1N+1Q 644,876 1,704 69,259,0071,060,591 68,291,381164.46 0.97 101.42

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 92

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. Total current - IndividualC01

223,973,927 85,947 1,243,634,035555,370,052 3,326,621,373XXX XXX XXX

4. Total current - GroupC04

644,876 1,704 69,259,0071,060,591 68,291,381XXX XXX XXX

7. Current year totalC07

224,618,803 87,651 1,312,893,042556,430,643 3,394,912,754247.72 0.95 38.67

Metropolitan Life Ins Co NY65978 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-INDV-7 413,316,351 191,416 5,361,562,492140,670,305 5,376,884,085 34.03 0.98 99.72

LTC-INDV-6 34,739,686 17,660 688,994,03930,223,949 689,829,250 87.00 0.97 99.88

1. CurrentB01

LTC-MARP-4 109,605,758 73,902 1,139,375,212101,050,336 1,222,457,168 92.19 0.97 93.20

LTC-CRE-2 78,101,149 99,562 1,148,963,68861,694,983 1,126,251,563 78.99 0.98 102.02

LTC-CRP-3 77,510,480 90,911 1,164,579,38039,427,009 1,063,822,405 50.87 0.98 109.47

LTC-PARP-5 20,061,040 16,149 433,857,89742,095,634 358,821,671209.84 0.89 120.91

LTC-MARP-5 19,861,446 11,710 169,713,6855,284,153 166,961,475 26.61 0.98 101.65

1. Total current - IndividualC01

448,056,037 209,076 6,050,556,531170,894,254 6,066,713,335XXX XXX XXX

4. Total current - GroupC04

305,139,873 292,234 4,056,489,862249,552,115 3,938,314,282XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 93

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

753,195,910 501,310 10,107,046,393420,446,369 10,005,027,617 55.82 0.98 101.02

Mid West Natl Life Ins Co Of TN TX66087 State of Domicile:Company Code:Company Name:

1. CurrentA01

~ 77,980 49 314,0432,600 274,506 3.33 0.96 114.40

~ 4,365 4 18,8040 16,384 0.00 1.00 114.77

~ 2,651 4 12,8370 9,466 0.00 0.67 135.61

1. Total current - IndividualC01

84,996 57 345,6842,600 300,356XXX XXX XXX

7. Current year totalC07

84,996 57 345,6842,600 300,356 3.06 0.93 115.09

Minnesota Life Ins Co MN66168 State of Domicile:Company Code:Company Name:

1. CurrentA01

ML-7500 2,615,006 643 18,384,28383,177 14,939,305 3.18 0.99 123.06

1. CurrentB01

ALC-89-18937 2,354 5 71,2264,025 233,048170.99 1.00 30.56

MML-90-13346 1,136 2 35,7161,335 58,590117.52 1.00 60.96

ALC-89-18945.45 748 1 19,6171,086 33,930145.19 1.00 57.82

ALC-89-18945.22 483 1 13,117654 20,570135.40 1.00 63.77

1. Total current - IndividualC01

2,615,006 643 18,384,28383,177 14,939,305XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 94

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4. Total current - GroupC04

4,721 9 139,6767,100 346,138XXX XXX XXX

7. Current year totalC07

2,619,727 652 18,523,95990,277 15,285,443 3.45 0.99 121.19

Mony Life Ins Co NY66370 State of Domicile:Company Code:Company Name:

1. CurrentB01

MDD-AS-7888 4,040 9 265,7232,040 265,723 50.50 1.00 100.00

4. Total current - GroupC04

4,040 9 265,7232,040 265,723XXX XXX XXX

7. Current year totalC07

4,040 9 265,7232,040 265,723 50.50 1.00 100.00

Mutual Of Omaha Ins Co NE71412 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC09M 87,593,319 38,211 139,314,2713,719,751 141,111,863 4.25 0.98 98.73

LTC13 36,864,083 20,658 10,841,172440,492 5,800,282 1.20 0.97 186.91

LTC04I 29,506,414 12,977 152,071,55012,631,843 162,017,080 42.81 0.98 93.86

NHA 29,234,663 13,285 232,757,47438,498,552 259,616,801131.69 0.95 89.65

LTA 28,449,488 16,180 286,462,38025,801,374 308,378,134 90.69 0.97 92.89

LTC04I7 4,450,642 2,736 21,996,669697,827 22,694,979 15.68 0.99 96.92

LT50 3,699,863 2,463 34,297,8895,627,936 36,646,003152.11 0.95 93.59

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 95

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

HCA 3,330,645 1,882 17,916,8045,208,118 20,781,610156.37 0.92 86.22

LTC1 1,724,601 1,619 54,543,1623,848,791 53,592,438223.17 0.93 101.77

LCA 1,583,966 679 15,733,4723,176,019 17,712,176200.51 0.96 88.83

NH50 1,041,059 1,168 8,800,8234,023,019 11,641,243386.44 0.94 75.60

NCF 633,687 991 40,178,2571,943,396 34,906,268306.68 0.88 115.10

NH23 543,731 779 13,115,3191,057,578 11,926,492194.50 0.91 109.97

NHP 505,577 1,032 8,462,5272,010,679 7,406,266397.70 0.81 114.26

LTM1 349,711 278 12,483,2721,123,122 12,825,282321.16 0.95 97.33

NCA 179,979 120 2,438,0676,169 2,191,583 3.43 0.89 111.25

NH24 137,731 253 2,702,289169,646 2,366,737123.17 0.89 114.18

NH10 63,223 132 788,396110,419 757,344174.65 0.89 104.10

NH1 9,198 36 30,503-29,721 11-323.13 0.69 277300.00

E10NH 5,268 10 48,09049,121 80,696932.44 0.83 59.59

1. CurrentB01

LTC04G 19,404,303 11,853 80,683,216789,703 80,980,008 4.07 0.98 99.63

GROUP LTC 7,260,546 10,305 178,352,84214,128,658 183,442,963194.60 0.97 97.23

C1NH 1,424 8 6,473-6,317 )(11,723-443.61 0.67 - 55.22

1. Total current - IndividualC01

229,906,848 115,489 1,054,982,386110,114,131 1,112,453,288XXX XXX XXX

4. Total current - GroupC04

26,666,273 22,166 259,042,53114,912,044 264,411,248XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 96

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

256,573,121 137,655 1,314,024,917125,026,175 1,376,864,536 48.73 0.97 95.44

National Ins Co Of WI Ins WI30155 State of Domicile:Company Code:Company Name:

1. CurrentA01

LLIC-LTC 318,035 324 863,973-879 786,812- 0.28 0.99 109.81

1. Total current - IndividualC01

318,035 324 863,973-879 786,812XXX XXX XXX

7. Current year totalC07

318,035 324 863,973-879 786,812- 0.28 0.99 109.81

National Life Ins Co VT66680 State of Domicile:Company Code:Company Name:

1. CurrentA01

CCP Traditional Life 73,801 208 1,193,9780 996,640 0.00 0.97 119.80

1. CurrentB01

CCP Universal Life 147,154 244 1,748,9540 1,723,823 0.00 0.95 101.46

1. Total current - IndividualC01

73,801 208 1,193,9780 996,640XXX XXX XXX

4. Total current - GroupC04

147,154 244 1,748,9540 1,723,823XXX XXX XXX

7. Current year totalC07

220,955 452 2,942,9320 2,720,463XXX 0.96 108.18

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 97

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

New Era Life Ins Co TX78743 State of Domicile:Company Code:Company Name:

1. CurrentA01

9035 20,966 13 061,342 0292.60 0.81 0.00

9030 8,520 3 04,699 0 55.20 1.00 0.00

9031 4,303 2 06,890 0160.10 1.00 0.00

9027 863 1 01,084 0125.60 1.00 0.00

9028 358 0 0-5,151 0-1438.80 0.00 0.00

N-90 3 0 0-825 0-27500.00 0.00 0.00

1. Total current - IndividualC01

35,014 19 068,039 0XXX XXX XXX

7. Current year totalC07

35,014 19 068,039 0194.30 0.76 XXX

New York Life Ins Co NY66915 State of Domicile:Company Code:Company Name:

1. CurrentA01

#I-ILTC5000/INH5000 181,859,953 90,505 822,506,17214,646,599 719,458,161 8.05 0.97 114.32

#I-ILTC4300/INH4300 59,734,393 34,855 728,860,51346,157,162 809,230,488 77.27 0.98 90.07

#I-21073/21084 6,475,256 4,657 43,038,16017,911,204 99,592,526276.61 0.95 43.21

#I-ILTC5000/INH5000 4,420,729 3,029 17,038,505651,796 16,406,859 14.74 0.97 103.85

#I-ILTC4300/INH4300 2,071,707 1,560 9,712,7423,443,195 22,352,086166.20 0.96 43.45

#I-21073/21084 792,357 828 -1,375,8183,357,252 12,237,170423.70 0.93 - 11.24

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

#G-9065A/13671 214,679 124 2,915,941808,611 3,030,716376.66 0.95 96.21

#G-9065A/13671 17,763 18 -554,08113,757 222,102 77.45 0.82 -249.47

1. CurrentB01

#G-9065A/13671 1,943,593 1,856 37,659,4865,639,938 42,578,494290.18 0.92 88.45

#G -6601 1,682,276 2,344 27,337,044885,775 26,153,569 52.65 0.99 104.53

#G-9065A/13671 402,147 602 -1,755,5742,204,200 7,555,732548.11 0.90 - 23.24

#I-21073/21084 89,973 37 1,733,092-541 886,523- 0.60 0.97 195.49

#I-ILTC4300/INH4300 37,928 7 503,18778,804 280,741207.77 1.00 179.24

1. Total current - IndividualC01

255,586,837 135,576 1,622,142,13486,989,576 1,682,530,108XXX XXX XXX

4. Total current - GroupC04

4,155,917 4,846 65,477,2358,808,176 77,455,059XXX XXX XXX

7. Current year totalC07

259,742,754 140,422 1,687,619,36995,797,752 1,759,985,167 36.88 0.97 95.89

Noridian Mut Ins Co ND55891 State of Domicile:Company Code:Company Name:

1. CurrentA01

SPL-336 594,697 397 6,167,014268,364 6,282,428 45.13 1.00 98.16

LTQ11-336-ND-601 464,190 339 8,115,6891,217,642 8,783,393262.32 0.99 92.40

NTQ11-337-ND-601 281,539 197 2,506,275-88,352 3,099,532- 31.38 0.97 80.86

HTQ11-338-ND-601 0 4 80,62846 43,729 0.00 1.00 184.38

1. CurrentB01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

GRP11-341-ND-(rev)601 199,812 383 4,846,5983,028 4,384,256 1.52 0.98 110.55

1. Total current - IndividualC01

1,340,426 937 16,869,6061,397,700 18,209,082XXX XXX XXX

4. Total current - GroupC04

199,812 383 4,846,5983,028 4,384,256XXX XXX XXX

7. Current year totalC07

1,540,238 1,320 21,716,2041,400,728 22,593,338 90.94 0.99 96.12

Northwestern Long Term Care Ins Co WI69000 State of Domicile:Company Code:Company Name:

1. CurrentA01

TT.LTC.(1010), TT.LTC.(02 263,327,326 111,959 803,700,3336,477,195 691,213,594 2.46 0.97 116.27

RS.LTC(1101),RS.LTC(0708) 237,151,614 94,915 1,267,147,98547,436,515 1,303,256,888 20.00 0.99 97.23

RR.LTC(0798) 31,411,087 11,257 329,734,96017,400,166 310,983,039 55.40 0.98 106.03

UU.LTC.(1014) 19,610,647 13,076 603,62454,813 23,216 0.28 0.98 2600.06

1. Total current - IndividualC01

551,500,673 231,207 2,401,186,90171,368,688 2,305,476,738XXX XXX XXX

7. Current year totalC07

551,500,673 231,207 2,401,186,90171,368,688 2,305,476,738 12.94 0.98 104.15

Old Amer Ins Co MO67199 State of Domicile:Company Code:Company Name:

1. CurrentA01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

P3119 76,192 53 -1,208,888186,447 971,602244.71 0.88 -124.42

1. Total current - IndividualC01

76,192 53 -1,208,888186,447 971,602XXX XXX XXX

7. Current year totalC07

76,192 53 -1,208,888186,447 971,602244.71 0.88 -124.42

Order of United Commercial Travelers OH56383 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC88 2,023 2 96,487-42,035 0-2077.86 0.67 0.00

1. Total current - IndividualC01

2,023 2 96,487-42,035 0XXX XXX XXX

7. Current year totalC07

2,023 2 96,487-42,035 0-2077.86 0.67 XXX

Patriot Ins Co ME32069 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-CD9-BC-ME 11,318 8 372,61716,202 229,490143.15 1.00 162.37

LTQ11-336-ME-998 2,298 4 130,12096 108,748 4.18 1.00 119.65

1. Total current - IndividualC01

13,616 12 502,73716,298 338,238XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

13,616 12 502,73716,298 338,238119.70 1.00 148.63

Pekin Life Ins Co IL67628 State of Domicile:Company Code:Company Name:

1. CurrentA01

H19 28,588 32 624,54346,719 426,363163.42 0.84 146.48

H22 16,115 17 -239,86478,332 177,085486.08 0.85 -135.45

1. Total current - IndividualC01

44,703 49 384,679125,051 603,448XXX XXX XXX

7. Current year totalC07

44,703 49 384,679125,051 603,448279.74 0.85 63.75

Pennsylvania Life Ins Co PA67660 State of Domicile:Company Code:Company Name:

1. CurrentA01

PLNHO, PLNHOQ 2,215,816 1,295 7,567,3872,332,247 13,189,404105.26 0.94 57.38

P30, P34 1,894,554 986 5,905,2721,003,653 8,496,957 52.98 0.94 69.50

1490 1,625,468 1,323 43,449,4666,493,005 54,920,104399.45 0.90 79.11

P35, P39 426,861 344 1,249,051473,864 1,974,980111.01 0.89 63.24

1460 346,210 298 9,512,2411,113,795 7,301,591321.71 0.86 130.28

1470 63,356 72 1,488,506205,129 1,190,419323.77 0.87 125.04

1401 10,534 13 552,467177,113 340,7421681.35 0.77 162.14

1. Total current - IndividualC01

6,582,799 4,331 69,724,39011,798,806 87,414,197XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

6,582,799 4,331 69,724,39011,798,806 87,414,197179.24 0.91 79.76

Philadelphia Amer Life Ins Co TX67784 State of Domicile:Company Code:Company Name:

1. CurrentA01

512-3,517,538,544-6 7,315 10 057,427 0785.10 0.83 0.00

5000 709 1 04,440 0626.20 1.00 0.00

5102-5104 255 4 089,440 035074.50 0.80 0.00

1. Total current - IndividualC01

8,280 15 0151,307 0XXX XXX XXX

7. Current year totalC07

8,280 15 0151,307 01827.40 0.83 XXX

Physicians Mut Ins Co NE80578 State of Domicile:Company Code:Company Name:

1. CurrentA01

P103-7_P133-7 18,937,007 8,996 393,042,97411,156,248 393,756,049 58.91 0.97 99.82

P145_P146_P245_P246 11,009,512 6,193 107,416,0904,665,263 110,109,249 42.38 0.98 97.55

P130_P131 10,281,871 5,880 185,819,77115,810,902 184,499,517153.78 0.94 100.72

P124_P125_P126_P127 4,529,307 2,519 37,028,3528,571,553 39,053,303189.25 0.91 94.82

P148_P248 1,346,344 957 10,144,940847,723 10,510,290 62.97 0.97 96.52

P109_P139 890,098 642 12,816,7311,451,181 13,168,489163.04 0.96 97.33

P122_P123 763,600 873 6,349,3721,927,178 7,069,860252.38 0.93 89.81

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

P147_P247 716,227 833 3,840,271209,490 3,729,566 29.25 0.97 102.97

P105_P108_P135_P138 550,037 719 5,649,216507,759 5,445,423 92.31 0.94 103.74

P141_P641 313,508 690 8,493,957547,731 7,786,709174.71 0.89 109.08

1. Total current - IndividualC01

49,337,511 28,302 770,601,67445,695,028 775,128,455XXX XXX XXX

7. Current year totalC07

49,337,511 28,302 770,601,67445,695,028 775,128,455 92.62 0.96 99.42

Premera Blue Cross WA47570 State of Domicile:Company Code:Company Name:

1. CurrentA01

P5540 1,542,125 642 18,169,010941,015 20,390,089 61.02 0.98 89.11

SPL-336 841,275 449 6,811,532386,241 6,966,003 45.91 0.99 97.78

Premera 677,137 789 8,787,5254,979,384 18,539,066735.36 0.92 47.40

P5569 479,453 228 6,037,777483,119 5,946,341100.77 0.96 101.54

P5558 213,410 115 3,092,693-16,210 2,625,884- 7.60 0.96 117.78

P5572 59,205 35 907,7195,634 772,142 9.52 0.95 117.56

P5570 57,486 33 638,27520,604 651,720 35.84 0.94 97.94

P5565 45,970 27 700,62025,613 608,457 55.72 0.90 115.15

P5574 0 1 18,1930 3,187 0.00 1.00 570.85

1. CurrentB01

Premera 1,870,193 1,121 20,535,383670,015 22,502,338 35.83 0.98 91.26

1. Total current - IndividualC01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

3,916,061 2,319 45,163,3446,825,400 56,502,889XXX XXX XXX

4. Total current - GroupC04

1,870,193 1,121 20,535,383670,015 22,502,338XXX XXX XXX

7. Current year totalC07

5,786,254 3,440 65,698,7277,495,415 79,005,227129.54 0.97 83.16

Primerica Life Ins Co MA65919 State of Domicile:Company Code:Company Name:

1. CurrentA01

MH-900_COMP 53,671 75 -21,3301,089,817 2,074,3802030.55 0.95 - 1.03

1. Total current - IndividualC01

53,671 75 -21,3301,089,817 2,074,380XXX XXX XXX

7. Current year totalC07

53,671 75 -21,3301,089,817 2,074,3802030.55 0.95 - 1.03

Principal Life Ins Co IA61271 State of Domicile:Company Code:Company Name:

1. CurrentA01

FR406 3,528,570 2,890 79,244,78017,795,465 104,896,020504.33 0.96 75.55

FR1240 108,842 71 2,165,006328,844 2,252,918302.13 0.97 96.10

1. CurrentB01

FR600 1,019,676 2,794 43,643,6833,512,135 42,259,415344.44 0.99 103.28

GC250 131,098 299 703,163463,502 3,194,913353.55 0.96 22.01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. Total current - IndividualC01

3,637,412 2,961 81,409,78618,124,309 107,148,938XXX XXX XXX

4. Total current - GroupC04

1,150,774 3,093 44,346,8463,975,637 45,454,328XXX XXX XXX

7. Current year totalC07

4,788,186 6,054 125,756,63222,099,946 152,603,266461.55 0.97 82.41

Provident Life & Accident Ins Co TN68195 State of Domicile:Company Code:Company Name:

1. CurrentA01

ILTC03 36,434,460 21,653 335,356,77914,860,974 350,503,731 40.79 0.97 95.68

1. CurrentB01

AMA 1,441,954 1,839 35,523,2455,248,831 45,866,953364.01 0.96 77.45

1. Total current - IndividualC01

36,434,460 21,653 335,356,77914,860,974 350,503,731XXX XXX XXX

4. Total current - GroupC04

1,441,954 1,839 35,523,2455,248,831 45,866,953XXX XXX XXX

7. Current year totalC07

37,876,414 23,492 370,880,02420,109,805 396,370,684 53.09 0.96 93.57

Provident Life & Cas Ins Co TN68209 State of Domicile:Company Code:Company Name:

1. CurrentB01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

AMA 152,582 138 2,325,9941,079,625 3,682,656707.57 0.97 63.16

4. Total current - GroupC04

152,582 138 2,325,9941,079,625 3,682,656XXX XXX XXX

7. Current year totalC07

152,582 138 2,325,9941,079,625 3,682,656707.57 0.97 63.16

Prudential Ins Co Of Amer NJ68241 State of Domicile:Company Code:Company Name:

1. CurrentA01

ILTC3 110,977,343 41,786 518,250,61915,379,910 505,774,849 13.86 0.97 102.47

ILTC1 56,938,472 23,520 746,402,60354,061,176 970,512,249 94.95 0.97 76.91

ILTC2 35,923,595 13,613 253,622,79715,526,409 342,509,152 43.22 0.97 74.05

ILTC4 3,286,095 1,621 10,343,802311,220 10,123,921 9.47 0.97 102.17

1. CurrentB01

GLTC 175,139,073 149,960 1,111,729,66689,841,803 1,823,894,480 51.30 0.96 60.95

LTC-PARP-5 323,486 255 7,314,730157,419 5,278,620 48.66 0.90 138.57

1. Total current - IndividualC01

207,125,505 80,540 1,528,619,82185,278,715 1,828,920,171XXX XXX XXX

4. Total current - GroupC04

175,462,559 150,215 1,119,044,39689,999,222 1,829,173,100XXX XXX XXX

7. Current year totalC07

382,588,064 230,755 2,647,664,217175,277,937 3,658,093,271 45.81 0.96 72.38

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Pyramid Life Ins Co KS68284 State of Domicile:Company Code:Company Name:

1. CurrentA01

C-77 4,309,333 1,416 26,562,1296,244,202 40,353,957144.90 0.95 65.82

C-78 912,239 349 1,968,536644,750 5,665,352 70.68 0.91 34.75

C-79 120,614 64 -1,626,569371,857 802,343308.30 0.91 -202.73

C-76 80,116 35 903,336258,360 688,724322.48 0.90 131.16

C-71 78,216 43 83,794-132,829 1,480,013-169.82 0.96 5.66

TQA 31,982 15 -65,6234,134 35,465 12.93 0.94 -185.04

C-72 21,742 4 94,400-176,290 400,239-810.81 1.00 23.59

TQ6 18,496 9 1,2672,603 14,818 14.07 0.82 8.55

C-81 15,320 13 103,75322,217 126,389145.02 0.77 82.09

TQ1 8,078 5 -1,1371,993 1,755 24.68 0.71 - 64.82

TQ2 7,181 5 1,645940 7,628 13.09 1.00 21.57

TQ7 4,132 3 -89,17489,313 1,2642161.73 1.00 -7052.26

G-20 269 2 -3,96935 3,716 13.09 1.00 -106.81

1. Total current - IndividualC01

5,607,718 1,963 27,932,3897,331,285 49,581,664XXX XXX XXX

7. Current year totalC07

5,607,718 1,963 27,932,3897,331,285 49,581,664130.74 0.94 56.34

Regence BCBS of OR OR54933 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

LTQ11-336-RG-OR-998 643,114 502 9,388,318376,181 7,340,364 58.49 0.98 127.90

NTQ11-337-RG-OR-998 3,900 2 30,414-4 5,348- 0.10 1.00 568.70

1. Total current - IndividualC01

647,014 504 9,418,732376,177 7,345,712XXX XXX XXX

7. Current year totalC07

647,014 504 9,418,732376,177 7,345,712 58.14 0.98 128.22

Regence Blueshield Of ID Inc ID60131 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTQ11-336-RG-ID-998 83,653 68 1,412,11757,746 1,290,474 69.03 0.96 109.43

LTC-CD9-BS-ID 41,049 51 1,806,917-8,124 1,977,125- 19.79 0.96 91.39

HTQ11-338-RG-ID-998 1,851 1 10,797-6 3,299- 0.32 1.00 327.28

NTQ11-337-RG-ID-998 0 0 18,0200 0 0.00 0.00 0.00

LTC-LBP9-BS-ID 0 3 120,52533 120,017 0.00 1.00 100.42

1. Total current - IndividualC01

126,553 123 3,368,37649,649 3,390,915XXX XXX XXX

7. Current year totalC07

126,553 123 3,368,37649,649 3,390,915 39.23 0.96 99.34

Reliastar Life Ins Co MN67105 State of Domicile:Company Code:Company Name:

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. CurrentA01

LTC-1, LTC-2 19,675 7 499,5977,031 440,439 35.74 0.88 113.43

1. CurrentB01

50-000, 50-012, 50-022, 5 64,390 82 2,628,342157,447 1,436,646244.52 0.99 182.95

1. Total current - IndividualC01

19,675 7 499,5977,031 440,439XXX XXX XXX

4. Total current - GroupC04

64,390 82 2,628,342157,447 1,436,646XXX XXX XXX

7. Current year totalC07

84,065 89 3,127,939164,478 1,877,085195.66 0.98 166.64

Reserve Natl Ins Co OK68462 State of Domicile:Company Code:Company Name:

1. CurrentA01

HHC-95 1,307,067 1,751 1,371,521230,771 268,281 17.66 0.87 511.23

1. Total current - IndividualC01

1,307,067 1,751 1,371,521230,771 268,281XXX XXX XXX

7. Current year totalC07

1,307,067 1,751 1,371,521230,771 268,281 17.66 0.87 511.23

RiverSource Life Ins Co MN65005 State of Domicile:Company Code:Company Name:

1. CurrentA01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

30160 106,676,790 55,888 1,127,480,727204,823,219 1,282,667,979192.00 0.97 87.90

30225C 70,004,102 46,355 1,568,121,544158,145,352 1,646,561,333225.91 0.95 95.24

30240C 15,408,135 11,169 261,610,73250,912,510 269,633,705330.43 0.90 97.02

1. CurrentB01

30225C 6,596,444 3,090 120,425,83010,494,218 125,696,344159.09 0.96 95.81

30160 3,412,224 1,497 38,757,2022,974,188 40,398,732 87.16 0.98 95.94

30240C 1,549,489 853 26,982,4643,329,012 24,185,708214.85 0.90 111.56

1. Total current - IndividualC01

192,089,027 113,412 2,957,213,003413,881,081 3,198,863,017XXX XXX XXX

4. Total current - GroupC04

11,558,157 5,440 186,165,49616,797,418 190,280,784XXX XXX XXX

7. Current year totalC07

203,647,184 118,852 3,143,378,499430,678,499 3,389,143,801211.48 0.96 92.75

Riversource Life Ins Co Of NY NY80594 State of Domicile:Company Code:Company Name:

1. CurrentA01

38225C 4,597,244 3,041 148,945,22011,677,610 154,176,753254.01 0.96 96.61

38160 4,519,083 2,262 63,448,36211,010,565 72,295,341243.65 0.98 87.76

38240C 1,207,188 746 22,777,1206,460,969 25,477,304535.21 0.91 89.40

1. Total current - IndividualC01

10,323,515 6,049 235,170,70229,149,144 251,949,398XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

10,323,515 6,049 235,170,70229,149,144 251,949,398282.36 0.96 93.34

Sagicor Life Ins Co TX60445 State of Domicile:Company Code:Company Name:

1. CurrentA01

15 AND 17 6,769 8 320,872307 148,777 4.54 0.89 215.67

1. CurrentB01

GR-142 9,714 15 674,966-116,515 294,252-1199.45 0.88 229.38

1. Total current - IndividualC01

6,769 8 320,872307 148,777XXX XXX XXX

4. Total current - GroupC04

9,714 15 674,966-116,515 294,252XXX XXX XXX

7. Current year totalC07

16,483 23 995,838-116,208 443,029-705.02 0.89 224.78

Senior Amer Ins Co PA76759 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC 2,319,149 979 6,573,2903,777,852 7,555,506162.90 0.84 87.00

1. Total current - IndividualC01

2,319,149 979 6,573,2903,777,852 7,555,506XXX XXX XXX

7. Current year totalC07

2,319,149 979 6,573,2903,777,852 7,555,506162.90 0.84 87.00

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Senior Hlth Ins Co of PA PA76325 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC-3,6 34,747,832 15,645 351,313,35372,551,528 518,163,583208.79 0.92 67.80

LTC-FQ 22,060,377 9,757 38,846,86231,094,478 156,924,817140.95 0.93 24.76

LTC-1,2,5,7,8 19,998,870 7,679 16,142,14639,424,159 128,740,016197.13 0.89 12.54

11001 et al 14,850,341 6,425 114,293,96948,187,140 227,734,196324.49 0.91 50.19

10955 et al 13,887,015 6,178 -60,773,55977,490,177 269,385,972558.01 0.89 - 22.56

HHC-87, HHC-1 thru 6 8,005,281 8,517 -64,116,54326,806,193 89,950,145334.86 0.88 - 71.28

Preference 3,279,694 2,258 17,966,4396,205,736 25,160,983189.22 0.94 71.41

LTC-89, NCP 3,194,435 1,940 7,342,551-1,415,362 24,932,840- 44.31 0.86 29.45

LTC-NFQ 2,643,856 1,041 8,453,1353,057,472 16,218,813115.64 0.93 52.12

10773 et al 1,856,468 1,584 23,719,6034,617,998 21,058,786248.75 0.85 112.64

Other Direct Affiliates 1,324,425 1,077 -1,737,43413,044,244 11,950,649984.90 0.85 - 14.54

10860 609,816 443 1,829,8761,977,183 5,790,570324.23 0.87 31.60

10904 et al 352,469 247 -6,799,3882,330,806 5,737,662661.28 0.85 -118.50

10840 et al 244,724 615 1,572,987256,756 846,133104.92 0.88 185.90

CIS, CSN 61,271 99 -1,100,120581,146 338,469948.48 0.75 -325.03

11003 et al 38,426 44 41,273-181,220 1,054,375-471.60 0.85 3.91

UGLI 30,070 13 1,221,193-48,010 66,638-159.66 0.54 1832.58

10770 et al 21,401 4 18,52945,831 142,100214.16 1.00 13.04

10576 et al 3,073 9 -72,89220,624 37,993671.09 0.82 -191.86

10991 1,854 11 29,762-2,482 8,068-133.88 0.85 368.89

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

10854 1,416 3 -24,2706,967 9,817492.19 1.00 -247.23

1. CurrentB01

10770 et al 1,020,998 930 14,491,7904,736,833 12,021,615463.94 0.84 120.55

10902 et al 635,162 440 236,6202,343,562 9,663,983368.97 0.90 2.45

Other Direct Affiliates 160,471 199 2,059,4232,078,995 3,076,8601295.56 0.95 66.93

10956 39,885 31 -361,400670,189 2,061,5881680.32 0.89 - 17.53

10840 et al 25,828 39 -34,053128,738 82,559498.45 0.85 - 41.25

10576 et al 1,603 4 55,531-195 15,026- 12.17 0.80 369.57

1. Total current - IndividualC01

127,213,114 63,589 448,167,473326,051,364 1,504,252,623XXX XXX XXX

4. Total current - GroupC04

1,883,947 1,643 16,447,9119,958,122 26,921,632XXX XXX XXX

7. Current year totalC07

129,097,061 65,232 464,615,383336,009,485 1,531,174,255260.28 0.90 30.34

Sentry Ins A Mut Co WI24988 State of Domicile:Company Code:Company Name:

1. CurrentB01

180-927; 180-984 1,678,619 1,445 41,484,6725,994,381 45,355,645357.10 0.97 91.47

4. Total current - GroupC04

1,678,619 1,445 41,484,6725,994,381 45,355,645XXX XXX XXX

7. Current year totalC07

1,678,619 1,445 41,484,6725,994,381 45,355,645357.10 0.97 91.47

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 114

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Sentry Life Ins Co WI68810 State of Domicile:Company Code:Company Name:

1. CurrentB01

180-927; 180-984 432,353 368 6,802,5591,856,343 9,864,762429.36 0.91 68.96

4. Total current - GroupC04

432,353 368 6,802,5591,856,343 9,864,762XXX XXX XXX

7. Current year totalC07

432,353 368 6,802,5591,856,343 9,864,762429.36 0.91 68.96

Southern Farm Bureau Life Ins Co MS68896 State of Domicile:Company Code:Company Name:

1. CurrentA01

HL200 14,322,029 8,130 79,863,8799,379,384 113,370,919 65.49 0.98 70.44

3034 7,453,157 5,479 104,431,9281,770,157 143,059,819 23.75 0.97 73.00

3035 2,373,384 2,301 20,625,3303,589,843 40,518,880151.25 0.95 50.90

1. Total current - IndividualC01

24,148,570 15,910 204,921,13714,739,384 296,949,618XXX XXX XXX

7. Current year totalC07

24,148,570 15,910 204,921,13714,739,384 296,949,618 61.04 0.97 69.01

Standard Life & Accident Ins Co TX86355 State of Domicile:Company Code:Company Name:

1. CurrentA01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 115

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1270 1,000,218 487 7,055,358956,970 6,982,637 95.68 0.89 101.04

1274 439,627 287 2,457,543193,247 2,495,024 43.96 0.95 98.50

1275 363,378 205 1,793,38886,295 2,081,328 23.75 0.91 86.17

1259 69,611 36 688,33144,749 566,178 64.28 0.77 121.58

1258 58,006 61 618,61730,307 469,272 52.25 0.79 131.82

1272 24,546 9 51,4720 158,933 0.00 1.00 32.39

1260 16,292 12 81,00036,073 133,780221.42 1.00 60.55

1271 10,761 7 138,2570 102,024 0.00 0.88 135.51

1. Total current - IndividualC01

1,982,439 1,104 12,883,9661,347,641 12,989,176XXX XXX XXX

7. Current year totalC07

1,982,439 1,104 12,883,9661,347,641 12,989,176 67.98 0.90 99.19

State Farm Mut Auto Ins Co IL25178 State of Domicile:Company Code:Company Name:

1. CurrentA01

97058 75,912,464 46,460 674,068,48442,289,792 792,089,036 55.71 0.98 85.10

97045 59,439,796 41,203 475,558,60586,695,205 743,059,245145.85 0.97 64.00

97059 52,398,420 27,761 293,884,5518,235,469 311,353,485 15.72 0.98 94.39

97062 18,759,590 8,550 21,715,739793,148 20,481,125 4.23 0.95 106.03

97061 4,730,309 1,651 10,525,490259,461 14,324,946 5.49 0.97 73.48

97060 4,024,712 2,304 14,249,381-13,240 10,880,063- 0.33 0.97 130.97

97036 2,610 3 -41,58599,755 21,2403821.60 0.75 -195.79

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 116

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

1. Total current - IndividualC01

215,267,902 127,932 1,489,960,664138,359,590 1,892,209,140XXX XXX XXX

7. Current year totalC07

215,267,902 127,932 1,489,960,664138,359,590 1,892,209,140 64.27 0.97 78.74

State Life Ins Co IN69116 State of Domicile:Company Code:Company Name:

1. CurrentA01

S-6000 14,151,815 8,063 282,044,01011,359,531 336,793,585 80.27 0.99 83.74

S-8000 5,788,286 2,274 74,931,673789,454 76,811,030 13.64 0.98 97.55

S-9000 2,926,139 750 16,949,531172,350 17,953,895 5.89 0.99 94.41

1. Total current - IndividualC01

22,866,240 11,087 373,925,21412,321,335 431,558,510XXX XXX XXX

7. Current year totalC07

22,866,240 11,087 373,925,21412,321,335 431,558,510 53.88 0.99 86.65

State Mut Ins Co GA69132 State of Domicile:Company Code:Company Name:

1. CurrentA01

NCF-93 133,088 117 -2,350,818477,265 1,415,742358.61 0.89 -166.05

1. Total current - IndividualC01

133,088 117 -2,350,818477,265 1,415,742XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 117

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

133,088 117 -2,350,818477,265 1,415,742358.61 0.89 -166.05

Sterling Life Ins Co IL77399 State of Domicile:Company Code:Company Name:

1. CurrentA01

1 105,592 67 295,7751,265 295,775 1.20 0.97 100.00

1. Total current - IndividualC01

105,592 67 295,7751,265 295,775XXX XXX XXX

7. Current year totalC07

105,592 67 295,7751,265 295,775 1.20 0.97 100.00

Teachers Ins & Ann Assoc Of Amer NY69345 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC.03 10,020,071 4,922 112,909,56314,205,132 123,795,664141.77 0.96 91.21

LTC.02 3,412,656 2,205 47,714,3755,887,894 50,844,142172.53 0.95 93.84

1. CurrentB01

LTC.2500 290,781 240 3,275,031498,448 3,587,890171.42 0.98 91.28

1. Total current - IndividualC01

13,432,727 7,127 160,623,93820,093,026 174,639,806XXX XXX XXX

4. Total current - GroupC04

290,781 240 3,275,031498,448 3,587,890XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 118

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

13,723,508 7,367 163,898,96920,591,474 178,227,696150.04 0.96 91.96

Teachers Protective Mut Life Ins Co PA69353 State of Domicile:Company Code:Company Name:

1. CurrentA01

H 8800 EC, 9600, 2000 5,858,688 1,801 25,404,7069,610,413 27,794,803164.04 0.86 91.40

1. Total current - IndividualC01

5,858,688 1,801 25,404,7069,610,413 27,794,803XXX XXX XXX

7. Current year totalC07

5,858,688 1,801 25,404,7069,610,413 27,794,803164.04 0.86 91.40

Thrivent Financial For Lutherans WI56014 State of Domicile:Company Code:Company Name:

1. CurrentA01

H3-NC-LTCC-1 56,976,306 32,124 1,116,361,78674,729,283 1,327,628,554131.16 0.97 84.09

4911, et al; 12067, et al 37,034,028 26,569 462,124,74395,911,091 640,824,604258.98 0.94 72.11

12105, et al 30,217,302 16,628 931,335,85230,446,575 922,012,380100.76 0.98 101.01

12106, et al 21,224,212 13,623 292,745,56531,989,324 357,702,635150.72 0.97 81.84

H-HX-LTC 13,048,366 6,538 6,729,8120 4,845,261 0.00 0.98 138.90

H-HL-LTC 11,481,732 5,167 24,400,319-115,686 21,590,997- 1.01 0.99 113.01

H2-LA-LTC-1 10,157,294 8,952 287,114,55643,152,765 404,746,938424.85 0.95 70.94

H3-NN-LTCN-1 9,485,236 7,357 191,925,02617,980,004 239,125,737189.56 0.96 80.26

4910, et al 6,326,280 4,082 95,990,84213,842,926 102,485,167218.82 0.96 93.66

H2-LN-LTC-1 1,863,940 2,077 22,369,07312,701,056 64,915,484681.41 0.91 34.46

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 119

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

H2-LH-LTCH-1 671,408 469 16,033,7101,800,163 22,882,179268.12 0.93 70.07

H1-LT-LTC-1 50,645 85 2,526,29629,178 1,679,592 57.61 0.88 150.41

1. Total current - IndividualC01

198,536,749 123,671 3,449,657,580322,466,679 4,110,439,528XXX XXX XXX

7. Current year totalC07

198,536,749 123,671 3,449,657,580322,466,679 4,110,439,528162.42 0.96 83.92

TIAA Cref Life Ins Co NY60142 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC.04 6,624,590 3,141 64,482,1555,498,318 69,038,557 83.00 0.98 93.40

1. Total current - IndividualC01

6,624,590 3,141 64,482,1555,498,318 69,038,557XXX XXX XXX

7. Current year totalC07

6,624,590 3,141 64,482,1555,498,318 69,038,557 83.00 0.98 93.40

Time Ins Co WI69477 State of Domicile:Company Code:Company Name:

1. CurrentA01

4062 27,301,409 14,778 165,982,05762,641,940 335,264,574229.45 0.96 49.51

4040 22,055,557 14,266 8,228,32075,035,952 377,775,532340.21 0.93 2.18

4042 3,632,266 2,088 -79,697,04616,148,943 18,784,819444.60 0.90 -424.26

4060 1,488,022 1,166 -595,9285,618,852 15,448,336377.61 0.95 - 3.86

4044 1,079,923 730 -6,235,2191,708,834 15,542,936158.24 0.90 - 40.12

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 120

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

4072 1,046,513 467 3,309,3902,505,415 9,927,111239.41 0.95 33.34

971 938,833 1,218 -3,569,4559,960,170 46,001,3421060.91 0.93 - 7.76

961 173,902 194 3,968,867694,897 3,125,567399.59 0.93 126.98

988 29,872 32 -185,455285,659 420,633956.27 0.89 - 44.09

4041 26,848 12 -52,295200,622 155,371747.27 0.71 - 33.66

1. Total current - IndividualC01

57,773,145 34,951 91,153,235174,801,284 822,446,222XXX XXX XXX

7. Current year totalC07

57,773,145 34,951 91,153,235174,801,284 822,446,222302.57 0.94 11.08

Transamerica Financial Life Ins Co NY70688 State of Domicile:Company Code:Company Name:

1. CurrentA01

ICC10-TLP / TLC 2-P 5,210,021 1,832 8,308,39122,206 13,389,606 0.43 0.85 62.05

TFL1-FP1001 716,212 240 2,505,370-9,220 11,547,740- 1.29 0.99 21.70

LT-304-198 170,661 75 1,431,887288,451 5,363,205169.02 0.99 26.70

P-0001 (NY) 498 126,873 40 1,287,28476,569 2,950,023 60.35 0.98 43.64

NLTCP TQ LTC FR (NY) 297 35,790 24 484,646-4,132 1,256,990- 11.55 1.00 38.56

GCPLUS 1290 (NY) / GCPLUS 4,589 2 -93,522160,337 145,1833493.94 1.00 - 64.42

1. Total current - IndividualC01

6,264,146 2,213 13,924,056534,211 34,652,747XXX XXX XXX

7. Current year totalC07

6,264,146 2,213 13,924,056534,211 34,652,747 8.53 0.88 40.18

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Transamerica Life Ins Co IA86231 State of Domicile:Company Code:Company Name:

1. CurrentA01

GCPRO III TQ 197 86,349,604 49,910 670,054,633138,795,394 901,450,587160.74 0.97 74.33

LTC-124-197, LTC-125-197, 69,896,721 30,844 605,528,945116,762,287 885,792,251167.05 0.97 68.36

LTC-124-197, LTC-125-197, 69,896,608 30,844 605,575,991116,715,922 885,792,251166.98 0.97 68.36

ICC10-TLP / TLC 2-P 48,088,076 28,026 84,993,577480,090 41,567,565 1.00 0.85 204.47

ICC10-TLP / TLC 2-P 48,087,320 28,026 84,992,107480,835 41,567,565 1.00 0.85 204.47

GCPRO 193 25,282,138 16,254 247,650,29341,913,299 215,697,029165.78 0.92 114.81

TLC1-FP1001 22,493,239 11,872 63,836,2902,299,838 80,258,865 10.23 0.97 79.54

TLC1-FP1001 22,493,211 11,872 63,836,3172,300,340 80,445,217 10.23 0.97 79.35

LTC 5 TQ 1096 21,957,554 11,706 177,076,76524,864,059 122,612,491113.24 0.95 144.42

LTC 3 1091 / LTC 3R 1091 19,296,241 9,789 273,098,96050,486,890 234,390,629261.64 0.92 116.51

FTQ 197 16,383,588 8,339 140,271,43633,687,743 140,429,674205.62 0.96 99.89

LI-LTCP 192 15,318,359 8,035 116,330,37825,249,883 75,553,622164.83 0.91 153.97

LTC-104-194;LTC-105-194;L 14,454,609 6,025 114,405,22336,491,752 153,961,372252.46 0.93 74.31

LTC-104-194;LTC-105-194;L 14,454,585 6,025 114,361,54836,534,655 153,961,372252.76 0.93 74.28

ICC13_TLC4 12,175,529 5,378 11,015,251-17,299 )(176,957- 0.14 0.51 -6224.82

ICC13_TLC4 12,175,510 5,378 11,014,982-17,055 )(176,957- 0.14 0.51 -6224.67

LI1-FP1001 8,237,154 5,959 41,464,00011,168,181 106,573,923135.58 0.97 38.91

JCP 7,839,813 3,247 -5,332,49123,507,613 81,004,447299.85 0.90 - 6.58

FTQ 197 (PART) 7,320,096 3,078 93,510,40119,220,436 120,952,409262.57 0.97 77.31

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

IP-70/1/2/3-00-494 5,893,897 2,108 40,383,5735,458,000 20,459,994 92.60 0.92 197.38

TOL1-FP1001 5,677,569 4,116 52,581,30612,463,093 137,232,876219.52 0.98 38.32

TOL1-FP1001 5,677,563 4,116 52,581,10512,463,285 137,232,876219.52 0.98 38.32

GCPRO II 794 5,429,183 2,567 27,534,3676,077,862 21,402,195111.95 0.89 128.65

GCPLUS 1290 / GCPLUS 2 12 4,667,553 3,162 47,167,33110,745,256 35,482,097230.21 0.84 132.93

LTC 5 196 4,482,382 2,453 38,261,7463,322,415 19,897,020 74.12 0.94 192.30

LI-LTCP TQ 898 4,301,199 2,353 28,251,8435,893,452 25,655,650137.02 0.97 110.12

FLEX 2 196 4,141,064 2,188 32,624,9106,119,140 17,539,936147.77 0.94 186.00

LI-LTCP TQ 197 3,197,436 2,032 29,567,5675,485,408 25,501,023171.56 0.95 115.95

KLTCP 1 190 2,760,120 1,624 18,390,7112,397,113 11,864,676 86.85 0.87 155.00

1-820-11-191 2,009,864 1,392 18,392,4337,641,335 22,029,497380.19 0.91 83.49

LTCP 889 1,950,425 1,854 19,849,3403,131,218 14,478,157160.54 0.84 137.10

LTCP 889 1,950,422 1,854 19,899,4723,109,488 14,478,157159.43 0.84 137.45

NLTCP TQ 297 1,863,379 1,192 19,651,4751,360,678 17,930,759 73.02 0.98 109.60

NLTCP TQ 297 1,863,377 1,192 19,659,3811,353,198 17,930,759 72.62 0.98 109.64

GCPRO III (CA) 197 NTQ 1,833,667 980 15,049,3783,037,786 21,563,180165.67 0.97 69.79

1-812-11-190 876,245 731 7,770,4582,113,831 8,613,534241.24 0.90 90.21

LTC 2 1290 et al 617,400 477 7,997,6372,177,340 7,084,483352.66 0.89 112.89

6122 473,221 233 1,361,7561,314,655 1,698,615277.81 0.89 80.17

GCPLUS 2 1290 (IN2) 414,729 266 4,847,929379,694 4,731,358 91.55 0.92 102.46

NLTCPCA297 190,902 116 2,043,597614,510 2,665,880321.90 0.98 76.66

NLTCPCA297 190,902 116 2,044,317613,757 2,665,880321.50 0.98 76.69

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LI-LTCP NQ COMR (CA) 898 162,204 98 1,242,084293,945 1,386,512181.22 0.95 89.58

LTC-102-06-194 160,074 81 740,393945,930 2,553,107590.93 0.94 29.00

LTC-102-06-194 160,073 81 737,493948,780 2,553,107592.72 0.94 28.89

GCPRO II BSC & STD (CO) 135,600 113 624,999136,644 869,421100.77 0.94 71.89

LTC-100-11-193 81,443 42 921,262301,265 1,883,568369.91 0.96 48.91

LTC 5 TQ BSC & STD (CO) 39,720 33 296,442-3,542 147,591- 8.92 0.92 200.85

LIPS-LTCP (IN) 192 8,287 4 44,371627 1,596 7.57 1.00 2780.14

01-0011095 0 34 1,108,551-129,789 1,274,248 0.00 0.94 87.00

01-0011095 0 34 1,108,551-129,789 1,274,248 0.00 0.94 87.00

1. CurrentB01

GP 001 796 16,215,176 9,145 154,121,32421,621,644 121,944,926133.34 0.98 126.39

LI-MAT-LTCC 892 / LI-GLTC 8,289,791 4,990 73,175,64712,433,527 56,621,613149.99 0.95 129.24

GLTC 2 1290 et al 2,488,463 1,612 29,436,2339,164,313 26,135,557368.27 0.87 112.63

LTC-204-196-CA;LTC-205-19 2,398,637 1,671 33,631,6736,127,352 60,536,481255.45 0.95 55.56

3132 00 288 1,976,899 894 5,951,3415,657,035 5,911,439286.16 0.85 100.68

GLTC 3 1091 / GLTC 3R 109 1,579,872 1,028 24,184,8045,425,235 19,798,935343.40 0.89 122.15

JCP 1,475,745 593 -1,207,3594,455,920 13,850,213301.94 0.87 - 8.72

LT-304-198 315,269 183 3,501,887753,659 4,763,130239.05 0.97 73.52

TOL-GC-FP402 220,882 138 2,597,507227,137 5,551,748102.83 0.99 46.79

GCC 1 387 47,027 79 298,097130,092 481,435276.63 0.77 61.92

GHHC 1 189 15,908 12 52,371-8,712 30,414- 54.77 0.71 172.19

GKLTCC 1 190 15,067 8 111,222-11,510 81,029- 76.39 1.00 137.26

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LI1-GC-FP402 9,266 4 56,309-1,472 145,057- 15.89 1.00 38.82

1. Total current - IndividualC01

426,459,528 228,711 3,050,607,650606,188,777 3,584,014,880XXX XXX XXX

4. Total current - GroupC04

35,048,002 20,357 325,911,05665,974,220 315,851,977XXX XXX XXX

7. Current year totalC07

461,507,530 249,068 3,376,518,706672,162,997 3,899,866,857145.65 0.93 86.58

Transamerica Premier Life Ins Co IA66281 State of Domicile:Company Code:Company Name:

1. CurrentA01

FTQ197 28,807,755 15,846 230,841,34253,714,236 389,531,312186.46 0.98 59.26

MLC1-FP1001 10,601,962 8,047 52,537,40621,353,857 151,152,646201.41 0.98 34.76

LTC5TQ1096 6,994,173 4,063 50,177,1257,931,247 57,428,008113.40 0.98 87.37

ML-LTCP TQ 898 2,835,399 1,946 22,566,1612,325,568 31,162,381 82.02 0.98 72.42

P-0001 498 1,550,754 799 21,309,3851,413,382 29,012,253 91.14 0.97 73.45

ML LTCP TQ 390,874 272 3,925,95836,489 3,956,887 9.34 0.93 99.22

ML-LTCP NQ COMR (CA) 898 31,041 226 722,174-45,554 751,203-146.75 0.97 96.14

ML-LTCP 192 13,920 11 123,90980,115 286,966575.54 1.00 43.18

P-0001 NQ-I (CA) 498 4,183 1 80,261-76 106,866- 1.82 1.00 75.10

1. CurrentB01

GPML 991 / GPMLMET 991 106,036 96 4,671,7101,122,611 5,854,8421058.71 0.96 79.79

MLC-GC-FP402 62,619 31 -27,808268,286 462,655428.44 0.97 - 6.01

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

PM 392 60,190 78 554,231138,800 1,496,815230.60 0.94 37.03

PB GC-0001 11/99 10,087 7 131,343-1,236 135,968- 12.25 1.00 96.60

1. Total current - IndividualC01

51,230,061 31,211 382,283,72186,809,264 663,388,522XXX XXX XXX

4. Total current - GroupC04

238,932 212 5,329,4761,528,461 7,950,280XXX XXX XXX

7. Current year totalC07

51,468,993 31,423 387,613,19788,337,725 671,338,802171.63 0.98 57.74

Trustmark Ins Co IL61425 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTCP 35,650 19 282,32068,456 478,691192.02 1.00 58.98

1. CurrentB01

LTA 33,795 99 1,708,464120,323 1,105,608356.04 0.99 154.53

1. Total current - IndividualC01

35,650 19 282,32068,456 478,691XXX XXX XXX

4. Total current - GroupC04

33,795 99 1,708,464120,323 1,105,608XXX XXX XXX

7. Current year totalC07

69,445 118 1,990,784188,779 1,584,299271.84 0.99 125.66

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 126

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Unicare Life & Hlth Ins Co IN80314 State of Domicile:Company Code:Company Name:

1. CurrentA01

PFTQ-02-0303 14,330 10 162,675-125 199,542- 0.87 1.00 81.52

PFTQ-03-0303 11,835 6 164,740-72 156,014- 0.61 1.00 105.59

PNTQ-02-0399 6,362 3 34,040-120 27,218- 1.89 0.75 125.06

PFTQ-04-0303 4,566 4 66,764-25 59,593- 0.55 1.00 112.03

1. Total current - IndividualC01

37,093 23 428,219-342 442,367XXX XXX XXX

7. Current year totalC07

37,093 23 428,219-342 442,367- 0.92 0.96 96.80

Union Labor Life Ins Co MD69744 State of Domicile:Company Code:Company Name:

1. CurrentA01

UL-QLTC-98 163,203 114 943,102194,650 959,907119.27 0.97 98.25

UL-LTC-98 84,208 53 576,249-3,578 444,061- 4.25 0.91 129.77

UL-QNH-98 22,849 9 254,227-82,070 115,642-359.18 0.82 219.84

UL-NH-98 4,379 5 55,652210 51,085 4.80 1.00 108.94

1. Total current - IndividualC01

274,639 181 1,829,230109,212 1,570,695XXX XXX XXX

7. Current year totalC07

274,639 181 1,829,230109,212 1,570,695 39.77 0.94 116.46

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 127

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

Union Security Ins Co KS70408 State of Domicile:Company Code:Company Name:

1. CurrentA01

6060 67,021,440 35,280 726,590,90591,429,920 865,775,093136.42 0.97 83.92

7060 13,338,861 7,742 149,078,57016,799,519 149,896,108125.94 0.98 99.46

1. Total current - IndividualC01

80,360,301 43,022 875,669,475108,229,439 1,015,671,202XXX XXX XXX

7. Current year totalC07

80,360,301 43,022 875,669,475108,229,439 1,015,671,202134.68 0.97 86.22

Union Security Life Ins Co of NY NY81477 State of Domicile:Company Code:Company Name:

1. CurrentA01

4060 8,666,969 4,364 98,553,57511,787,180 189,077,982136.00 0.97 52.12

1. Total current - IndividualC01

8,666,969 4,364 98,553,57511,787,180 189,077,982XXX XXX XXX

7. Current year totalC07

8,666,969 4,364 98,553,57511,787,180 189,077,982136.00 0.97 52.12

United Amer Ins Co NE92916 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTCBOM 3,430,662 1,894 35,357,3534,592,530 36,942,504133.87 0.94 95.71

LTC2H 1,107,947 553 12,145,7842,204,777 11,874,173199.00 0.88 102.29

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 128

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTC 909,972 661 8,757,7881,125,962 7,737,992123.74 0.84 113.18

LTCIN 721,777 521 9,510,4011,162,920 9,612,677161.12 0.93 98.94

NH3 627,892 562 4,423,2941,184,478 4,270,268188.64 0.83 103.58

LTC2 621,631 439 7,557,682615,298 6,439,757 98.98 0.85 117.36

NH2 94,411 102 365,313295,734 511,500313.24 0.86 71.42

NH1 5,572 9 56,9659,289 59,568166.71 1.00 95.63

1. Total current - IndividualC01

7,519,864 4,741 78,174,58011,190,988 77,448,439XXX XXX XXX

7. Current year totalC07

7,519,864 4,741 78,174,58011,190,988 77,448,439148.82 0.89 100.94

United Natl Life Ins Co Of Amer IL92703 State of Domicile:Company Code:Company Name:

1. CurrentA01

U9984, U9986 17,151 13 -103,941175,312 71,5761022.20 0.93 -145.20

1. Total current - IndividualC01

17,151 13 -103,941175,312 71,576XXX XXX XXX

7. Current year totalC07

17,151 13 -103,941175,312 71,5761022.20 0.93 -145.20

United Of Omaha Life Ins Co NE69868 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC09U 54,984,791 26,437 103,144,7363,164,852 106,663,523 5.76 0.98 96.70

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 129

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

LTC06UI 20,602,096 9,544 92,643,9663,499,762 94,647,038 16.99 0.98 97.88

B439LNA07R 1,140,168 983 1,674,627227,717 1,727,900 19.97 0.98 96.92

1. Total current - IndividualC01

76,727,055 36,964 197,463,3296,892,331 203,038,461XXX XXX XXX

7. Current year totalC07

76,727,055 36,964 197,463,3296,892,331 203,038,461 8.98 0.98 97.25

United Security Assur Co Of PA PA42129 State of Domicile:Company Code:Company Name:

1. CurrentA01

LSSLTC 8,603,414 3,411 12,948,23034,067 7,309,908 0.40 0.96 177.13

LTC-01 6,137,158 2,606 16,171,3362,229,301 14,008,795 36.33 0.94 115.44

NSILTC 5,198,182 2,202 -21,698,1996,926,068 10,893,596133.24 0.90 -199.18

LTC-97 1,554,263 782 1,502,2212,415,383 7,346,411155.40 0.92 20.45

TGNLTC 1,476,592 1,181 1,412,4584,163,530 17,965,069281.97 0.93 7.86

LTC-09 1,037,276 283 2,250,139-95,426 973,125- 9.20 0.88 231.23

LTC-02 960,991 353 2,534,42590,112 1,948,189 9.38 0.92 130.09

LTC-00 901,947 507 3,629,729646,352 5,579,765 71.66 0.93 65.05

LTC-95 727,721 468 7,154,1901,406,119 7,052,887193.22 0.92 101.44

HHC-98 716,461 680 4,044,602202,805 1,192,470 28.31 0.89 339.18

CBCLTC 704,018 623 1,381,1071,942,336 7,374,190275.89 0.93 18.73

LTC-07 694,679 305 2,072,777167,268 1,113,086 24.08 0.97 186.22

GRLLTC 571,526 471 -3,581,2891,848,911 7,666,860323.50 0.89 - 46.71

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

QL5 562,074 214 1,068,353105,483 692,809 18.77 0.94 154.21

NSIHHC 470,801 423 -84,527731,558 1,710,805155.39 0.86 - 4.94

HHC-09 470,110 283 791,04768,040 182,549 14.47 0.89 433.33

HHC-01 266,559 154 349,156-153,415 189,609- 57.55 0.86 184.15

HHC-97 132,884 118 275,667-43,849 191,394- 33.00 0.92 144.03

HHC-95 71,784 106 998,842-27,330 284,811- 38.07 0.85 350.70

CCLLTC 67,496 35 1,296,610216,777 1,443,388321.17 1.00 89.83

METLTC 66,479 43 -494,137444,539 462,956668.69 0.83 -106.74

GRLHHC 60,216 89 -181,269282,633 367,966469.37 0.88 - 49.26

LTC-93 51,575 51 359,008109,576 533,368212.46 0.85 67.31

IDLLTC 50,655 23 623,106323,961 722,420639.54 0.96 86.25

SNHC 44,432 38 746,2043,109 158,812 7.00 0.76 469.87

HHC-14 23,846 16 14,7740 667 0.00 0.79 2214.99

LTC-92 18,957 23 443,891191,510 169,1081010.23 0.85 262.49

HHC-92 958 2 14,1540 98 0.00 1.00 14442.86

1. CurrentB01

GSN 7,512 4 -199,698116,906 4,0041556.26 0.57 -4987.46

G-NHP 5,008 5 -120,99528,498 24,678569.05 0.56 -490.30

1. Total current - IndividualC01

31,643,054 15,490 36,042,60524,229,418 97,535,111XXX XXX XXX

4. Total current - GroupC04

12,520 9 -320,693145,404 28,682XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

31,655,574 15,499 35,721,91224,374,822 97,563,793 77.00 0.92 36.61

United States Life Ins Co in the Cit NY70106 State of Domicile:Company Code:Company Name:

1. CurrentA01

64028, C12271 1,091,009 398 5,627,7492,022,798 14,073,099185.41 0.96 39.99

NY-2500 97,235 42 1,752,077979,612 3,500,3131007.47 0.93 50.06

1. Total current - IndividualC01

1,188,244 440 7,379,8263,002,410 17,573,412XXX XXX XXX

7. Current year totalC07

1,188,244 440 7,379,8263,002,410 17,573,412252.68 0.95 41.99

United Teacher Assoc Ins Co TX63479 State of Domicile:Company Code:Company Name:

1. CurrentA01

4LTCIP0001 13,702,981 9,235 89,075,6972,750,306 92,905,991 20.07 0.98 95.88

LTC-020101-UTA-TQ 12,044,386 8,176 93,164,5081,245,617 99,169,293 10.34 0.98 93.95

2LTCIP0001 10,202,714 6,756 86,032,5193,024,533 113,387,425 29.64 0.98 75.88

1LTCIP0001 5,898,624 3,427 68,975,6195,296,093 88,631,022 89.79 0.97 77.82

L-6000-NQ 1,712,906 986 12,868,0401,096,028 15,532,402 63.99 0.96 82.85

L-6000-TQ 1,228,550 871 10,867,074366,904 10,922,673 29.87 0.97 99.49

LT-940101-UTA 558,853 615 14,452,571193,022 11,669,636 34.54 0.91 123.85

LT-000401-UTA 450,864 348 2,825,822473,793 3,683,164105.09 0.95 76.72

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

HC-920101-UTA-TX 274,086 252 3,235,6471,581,734 4,976,857577.09 0.87 65.01

HC-910101 228,567 221 3,074,110583,595 2,690,405255.33 0.84 114.26

L-5440 136,447 122 331,117-11,701 399,065- 8.57 0.98 82.97

LTC5-IP-WA 59,463 29 265,238-2,970 297,332- 5.00 1.04 89.21

L-5450 59,002 38 117,20013,121 174,929 22.24 0.97 67.00

HC-890101 44,002 65 -456,813133,284 170,314302.90 0.86 -268.22

LTC-020101-UTA-NQ 6,158 8 121,362-1,473 74,457- 23.92 0.89 163.00

LTC-030501-UTA 5,802 2 93,243-270 78,860- 4.65 1.00 118.24

CC-870101 4,687 8 -268,896-7,956 20,857-169.75 0.73 -1289.24

H-815 1,673 4 -156,347124,066 19,1957415.78 0.67 -814.52

NP-850201 550 1 13,592-135 3,220- 24.55 1.00 422.11

1. CurrentB01

LG-020302-UTA 5,265,340 3,995 21,702,4194,559,077 37,806,670 86.59 0.97 57.40

LG-990301-UTA 5,098,287 3,612 43,454,7583,328,461 52,134,542 65.29 0.96 83.35

LG-950201-UTA 2,886,586 2,318 21,868,4634,522,269 36,352,608156.67 0.94 60.16

LG-070201-UTA 2,806,605 1,934 19,016,672-378,734 20,155,792- 13.49 0.98 94.35

1LTCGP0001 422,685 452 10,305,61664,464 10,968,997 15.25 1.02 93.95

1. Total current - IndividualC01

46,620,315 31,164 384,631,30316,857,591 444,807,097XXX XXX XXX

4. Total current - GroupC04

16,479,503 12,311 116,347,92812,095,537 157,418,609XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 133

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

63,099,818 43,475 500,979,23128,953,128 602,225,706 45.89 0.97 83.19

UnitedHealthcare Ins Co CT79413 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTC POL 1010 OH AND STC P 7,298 6 00 0 0.00 1.00 0.00

LTC POL 1010 WI AND STC P 5,963 4 00 0 0.00 1.00 0.00

LTC POL 1010 IL AND STC P 2,976 1 00 0 0.00 1.00 0.00

1. Total current - IndividualC01

16,237 11 00 0XXX XXX XXX

7. Current year totalC07

16,237 11 00 0XXX 1.00 XXX

Unum Life Ins Co Of Amer ME62235 State of Domicile:Company Code:Company Name:

1. CurrentA01

ILTC 203,487,676 113,330 1,913,556,513296,307,447 3,168,661,042145.61 0.97 60.39

1. CurrentB01

GLTC, GLTC04 327,406,457 832,349 3,003,256,70378,810,764 2,912,890,925 24.07 0.92 103.10

1. Total current - IndividualC01

203,487,676 113,330 1,913,556,513296,307,447 3,168,661,042XXX XXX XXX

4. Total current - GroupC04

327,406,457 832,349 3,003,256,70378,810,764 2,912,890,925XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 134

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

530,894,133 945,679 4,916,813,216375,118,210 6,081,551,967 70.66 0.93 80.85

USAble Life AR94358 State of Domicile:Company Code:Company Name:

1. CurrentB01

GLTC-P(10-06) 40,170 70 243,531-271 195,654- 0.68 1.00 124.47

4. Total current - GroupC04

40,170 70 243,531-271 195,654XXX XXX XXX

7. Current year totalC07

40,170 70 243,531-271 195,654- 0.68 1.00 124.47

USAble Mut Ins Co AR83470 State of Domicile:Company Code:Company Name:

1. CurrentA01

IDV-Policy-Association 178,421 170 1,567,438-43,425 1,407,909- 24.34 0.99 111.33

IDV-Policy-Individual 80,801 38 541,734-327 451,771- 0.41 1.00 119.91

1. CurrentB01

ARK GRP-Policy 200,049 261 1,389,9102,791 1,253,572 1.40 1.00 110.88

1. Total current - IndividualC01

259,222 208 2,109,172-43,752 1,859,680XXX XXX XXX

4. Total current - GroupC04

200,049 261 1,389,9102,791 1,253,572XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 135

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

459,271 469 3,499,082-40,961 3,113,252- 8.92 0.99 112.39

Voya Retirement Ins & Ann Co CT86509 State of Domicile:Company Code:Company Name:

1. CurrentA01

NCF 72,490 92 3,624,510459,193 3,366,707633.46 0.89 107.66

NHP 24,104 37 427,62347,083 330,692195.33 0.88 129.31

1. Total current - IndividualC01

96,594 129 4,052,133506,276 3,697,398XXX XXX XXX

7. Current year totalC07

96,594 129 4,052,133506,276 3,697,398524.13 0.89 109.59

Washington Natl Ins Co IN70319 State of Domicile:Company Code:Company Name:

1. CurrentA01

IHP-9696 9700 9865 9895 5,526,984 2,254 4,606,5496,853,070 32,212,661123.99 0.91 14.30

IHP-9468 9641 9656 9767 1,893,010 1,614 -48,799,4647,205,402 8,558,121380.63 0.79 -570.21

CHIC 5012 1,474,618 677 6,770,1642,415,053 13,863,850163.78 0.96 48.83

CHIC 5013 478,962 263 -1,208,3361,367,292 4,230,770285.47 0.90 - 28.56

IHP-9746 299,792 189 -1,777,611358,833 2,213,663119.69 0.88 - 80.30

IHP-6408 7408 9408 9264 290,839 231 -8,436,5181,223,066 1,842,888420.53 0.83 -457.79

10955, 11001, ET AL 220,296 154 -7,517,4038,919,292 11,133,9274048.78 0.94 - 67.52

IHP-9702 9748 9311 9680 205,704 183 -1,098,980-317,462 172,266-154.33 0.83 -637.96

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 136

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

IHP-9334 9409 9670 9517 200,879 131 4,238,487945,841 3,396,593470.85 0.83 124.79

IHP-9087 9192 8697 9289 64,219 28 115,246-21,117 218,551- 32.88 0.88 52.73

INDV - 93-2 FE 556 57,028 147 4,274,948238,685 4,623,398418.54 0.97 92.46

INDV - 93-3 FE 564 31,533 27 687,338-23,091 539,769- 73.23 0.96 127.34

IHP-9041 9278 31,384 13 150,97132,365 97,128103.13 0.81 155.44

IHP-9248 9249 7,333 0 -86,2586,885 0 93.89 0.00 0.00

1. CurrentB01

GROUP - FE 502 3,193,004 1,445 49,283,8492,343,686 51,479,740 73.40 0.96 95.73

GHC-9264 9311 695,953 273 -52,529,2966,328,236 2,440,954909.29 0.81 -2152.00

GHC-7204 9087 9192 9204 373,109 236 1,073,7941,257,783 2,309,764337.11 0.78 46.49

GHC-9388 9391 9392 9312 187,797 115 -1,130,764438,385 1,879,936233.44 0.83 - 60.15

GHC-9278 144,486 2 -2,871,333257,985 27,201178.55 1.00 -10555.98

GHC-8014 8041 9041 82,802 119 2,497,642227,273 958,162274.48 0.82 260.67

GROUP - 93-2, FE 553 35,903 217 1,782,771-28,645 1,371,234- 79.78 0.71 130.01

GROUP - FE 873 17,164 18 476,2000 285,627 0.00 1.00 166.72

GHC-9086 9205 9193 7205 7,432 24 570,2620 84,173 0.00 0.80 677.49

GROUP - FE 558 2,663 7 271,0910 287,299 0.00 0.70 94.36

10770 ET AL 1,945 0 00 0 0.00 0.00 0.00

1. Total current - IndividualC01

10,782,581 5,911 -48,080,86729,204,114 83,103,585XXX XXX XXX

4. Total current - GroupC04

4,742,258 2,456 -575,78410,824,703 61,124,090XXX XXX XXX

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 137

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

7. Current year totalC07

15,524,839 8,367 -48,656,65140,028,817 144,227,675257.84 0.87 - 33.74

Wea Ins Corp WI72273 State of Domicile:Company Code:Company Name:

1. CurrentA01

IC LGL 3202-255-0105 134,243 70 1,657,6540 1,212,148 0.00 1.00 136.75

1. CurrentB01

IC LGL 3435-255-0108 23,096,486 12,359 385,054,2003,912,498 278,170,526 16.94 0.89 138.42

1. Total current - IndividualC01

134,243 70 1,657,6540 1,212,148XXX XXX XXX

4. Total current - GroupC04

23,096,486 12,359 385,054,2003,912,498 278,170,526XXX XXX XXX

7. Current year totalC07

23,230,729 12,429 386,711,8543,912,498 279,382,674 16.84 0.89 138.42

West Coast Life Ins Co NE70335 State of Domicile:Company Code:Company Name:

1. CurrentA01

LTCNQ12(8/2000);LTC1200(8 3,702 3 85,784228 82,384 6.16 1.00 104.13

1. Total current - IndividualC01

3,702 3 85,784228 82,384XXX XXX XXX

7. Current year totalC07

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 138

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National Association of Insurance Commissioners

2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 2

By COMPANY NAME BY POLICY FORM

LossRatio

Inforce CountEnd of Year

ExperiencePolicy

ReservesPolicyForm

PremiumsEarned

IncurredClaims

ExperienceReported

Ratio

ReportedPolicy

ReservesRow

DescriptionPersistency

RateLine

Number

3,702 3 85,784228 82,384 6.16 1.00 104.13

Woodmen World Life Ins Soc NE57320 State of Domicile:Company Code:Company Name:

1. CurrentA01

335-xx-0106 1,955,566 1,365 34,901,3351,801,503 29,629,088 92.12 0.98 117.79

340-xx-0106 587,924 480 11,491,336101,636 9,844,149 17.29 0.99 116.73

1. Total current - IndividualC01

2,543,490 1,845 46,392,6711,903,139 39,473,237XXX XXX XXX

7. Current year totalC07

2,543,490 1,845 46,392,6711,903,139 39,473,237 74.82 0.98 117.53

XL Life Ins & Ann Co IL88080 State of Domicile:Company Code:Company Name:

1. CurrentA01

ANCP-520/521/522/523/532/ 2,433 1 247,690-441 14,934- 18.13 0.50 1658.56

1. Total current - IndividualC01

2,433 1 247,690-441 14,934XXX XXX XXX

7. Current year totalC07

2,433 1 247,690-441 14,934- 18.13 0.50 1658.56

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 139

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© 2016 National Association of Insurance Commissioners 140

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LONG-TERM CARE INSURANCE EXPERIENCE

FORM 4 © 2016 National Association of Insurance Commissioners

141

Page 148: Long-Term Care Insurance Experience Reporting

© 2016 National Association of Insurance Commissioners 142

Page 149: Long-Term Care Insurance Experience Reporting

Reporting Form 4

Nationwide Level Reporting

Long-Term Care Insurance Experience Form 4 is intended to track life insurance and annuity

products that have long-term care benefits provided by acceleration of certain benefits within

these products. Included are products that are not exempt as outlined in the NAIC Long-Term

Care Insurance Model Regulation (#641). This form does not include stand-alone LTC products.

Individual and Group business is separated in this form. This form includes both calendar-year

and inception-to-date figures. However, only calendar-year data was included in this report.

The Long-Term Care Reporting Forms should be filed whenever long-term care insurance has

been sold, regardless of which annual statement has been filed. The four annual statement types

are: Life, Accident and Health; Property/Casualty; Fraternal; and Health.

For the 2015 reporting year, a total of 30 companies filed Form 4:

27 Life, Accident and Health

0 Property/Casualty

2 Fraternal

1 Health

(Narrative taken from Explanatory Notes for the Long-Term Care Experience Reporting Forms

supplemental instructions for the Annual Statement Reporting Forms. Refer to the appropriate

Annual Statement Instructions for complete instructions and narrative. Company counts are

derived from Annual Statement Reports filed with the NAIC for the 2015 reporting year.)

© 2016 National Association of Insurance Commissioners 143

Page 150: Long-Term Care Insurance Experience Reporting

SUPPLEMENT FOR THE YEAR OF THE

©1999–2015 National Association of Insurance Commissioners Supp23 Health

...................................... Affix Bar Code Above

LONG-TERM CARE EXPERIENCE REPORTING FORM 4 LIFE AND ANNUITY PRODUCTS WITH LTC ACCELERATED BENEFITS

REPORTING YEAR 20__ (To Be Filed By April 1)

NAIC Group Code NAIC Company Code

1 2 3 4 5

Incurred Year Number of

Policies In Force Number of Certificates

Death Claims

LTC Accelerated Claims

Total Reserves

A. Individual

1. Current ........................... .................................... ................................ ............................... ............................. .............................................. 2. Prior ............................... .................................... ................................ ............................... ............................. .............................................. 3. 2nd Prior

B. Group

1. Current .......................... .................................... ................................ ............................... ............................. .............................................. 2. Prior .............................. .................................... ................................ ............................... ............................. .............................................. 3. 2nd Prior

C. Summary

1. Total Inception-to-Date

Total Reserves are reserves for these particular life products with LTC accelerated benefits. Incurred claims are only the policies that claims have been triggered due to acceleration.

© 2016 National Association of Insurance Commissioners 144

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National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 4

Life and Annuity Products Accelerated Benefits

Aggregated Totals

Incurred YearNumber ofCertificates

DeathClaims

LTCAccelerated

Claims

Number ofPolicies in

Force

LTCTotal

Reserves

A. Individual

1. Current 335,622 63,785 2,647,196 3,688,700 10,016,561,952

2. Prior 346,797 131,700 2,085,999 2,315,431 10,203,538,180

3. 2nd Prior 304,990 121,598 1,039,793 1,579,796 9,078,017,592

B. Group

1. Current 258 243,768 19,858,317 779,916 367,495,597

2. Prior 168 235,423 21,987,198 433,082 330,778,587

3. 2nd Prior 74 229,795 19,283,818 395,261 295,516,347

CAUTION: The information contained on this page is UNAUDITED and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 145

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© 2016 National Association of Insurance Commissioners 146

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LONG-TERM CARE INSURANCE EXPERIENCE

FORM 5 © 2016 National Association of Insurance Commissioners

147

Page 154: Long-Term Care Insurance Experience Reporting

© 2016 National Association of Insurance Commissioners 148

Page 155: Long-Term Care Insurance Experience Reporting

Reporting Form 5

State Level Reporting

Long-Term Care Insurance Experience Form 5 includes the state’s portion of earned premium,

incurred claims and number of inforce count of lives at the end of the year as reported at the

nationwide level on the Long-Term Care Experience Reporting Form 2 and Form 3. Policy forms

are grouped by individual and group, with subtotals for these two classes. This report includes

aggregate figures by state as well as the top 10 long-term writers in each state.

The Long-Term Care Reporting Forms should be filed whenever long-term care insurance has

been sold, regardless of which annual statement has been filed. The four annual statement types

are: Life, Accident and Health; Property/Casualty; Fraternal; and Health.

For the 2015 reporting year, a total of 175 companies filed Form 5:

130 Life, Accident and Health

13 Property/Casualty

5 Fraternal

27 Health

(Narrative taken from Explanatory Notes for the Long-Term Care Experience Reporting Forms

supplemental instructions for the Annual Statement Reporting Forms. Refer to the appropriate

Annual Statement Instructions for complete instructions and narrative. Company counts are

derived from Annual Statement Reports filed with the NAIC for the 2015 reporting year.)

© 2016 National Association of Insurance Commissioners 149

Page 156: Long-Term Care Insurance Experience Reporting

SUPPLEMENT FOR THE YEAR OF THE

©1999–2015 National Association of Insurance Commissioners Supp24 Health

....................................... Affix Bar Code Above

LONG-TERM CARE EXPERIENCE REPORTING FORM 5 EXPERIENCE IN THE STATE OF ___________________

REPORTING YEAR 20_____ (To Be Filed By April 1)

NAIC Group Code__________ NAIC Company Code

1 Earned

Premiums

2 Incurred Claims

3 In Force Count

End of Year

4 Lives In Force End of Year

1. Individual .................................................................................................................. 2. Group .........................................................................................................................

........................ ........................

......................... .........................

........................ ........................

........................ ........................

3. Total ................................................. ……………………………………………… ........................ ......................... ........................ ........................ 4. Actual total reported experience through prior year ................................. …………. ........................ ......................... xxx xxx 5. Actual total reported experience through statement year xxx xxx

© 2016 National Association of Insurance Commissioners 150

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National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 5

By State and U. S. Territory Totals

State NameEarned

PremiumInforce CountEnd of YearState Name

EarnedPremium

Inforce CountEnd of Year

Alaska 15,144,056 7,532 Alabama 131,162,660 77,932

Arkansas 63,768,369 42,100 American Samoa 0 0

Arizona 176,115,431 102,039 California 1,023,251,277 635,914

Colorado 243,727,095 136,858 Connecticut 262,870,425 114,709

District Of Columbia 45,638,826 38,371 Delaware 40,867,681 27,492

Florida 610,553,924 361,899 Georgia 258,680,179 162,592

Guam 17,689 32 Hawaii 95,924,411 76,037

Iowa 229,675,043 142,956 Idaho 40,233,872 23,335

Illinois 539,515,369 332,575 Indiana 191,867,057 114,021

Kansas 160,610,686 103,985 Kentucky 120,146,142 74,134

Louisiana 102,261,091 73,004 Massachusetts 343,336,354 183,445

Maryland 287,632,582 150,186 Maine 60,681,061 39,088

Michigan 285,614,544 181,377 Minnesota 325,668,901 210,144

Missouri 268,583,522 166,749 Northern Mariana Islands 0 0

Mississippi 70,183,722 42,835 Montana 42,540,791 27,369

North Carolina 333,545,812 197,517 North Dakota 68,344,356 36,647

Nebraska 164,314,075 94,195 New Hampshire 58,107,427 31,608

New Jersey 465,609,046 218,209 New Mexico 48,743,194 40,709

Nevada 45,837,682 30,201 New York 957,970,711 411,817

Ohio 393,943,930 243,963 Oklahoma 99,423,809 62,737

Oregon 142,475,025 86,435 Pennsylvania 490,293,699 269,440

Puerto Rico 2,969,614 1,878 Rhode Island 40,761,536 19,925

South Carolina 161,921,439 96,767 South Dakota 72,529,366 45,600

Tennessee 222,713,073 141,238 Texas 672,154,854 458,769

Utah 45,767,751 37,115 Virginia 412,642,993 243,436

US Virgin Islands 133,473 87 Vermont 26,549,298 15,616

Washington 314,563,433 223,140 Wisconsin 275,343,260 148,851

West Virginia 32,583,717 25,037 Wyoming 21,886,562 11,050

11,607,401,895 6,840,697Total All States and Territories

© 2016 National Association of Insurance Commissioners 151

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National Association of Insurance Commissioners2015 Long-Term Care Insurance Experience Reporting - Form 5

By State and U.S. Territory TotalsNumber of Lives Inforce

635,914CA

VI

AK

WY

VT

DE

ID

RI

WV

MT

NH

ND

DC

NM AR

UT

MS

SD

OK

LA

ME

KY

HI

AL

OR

NE

NV

SC

KS

AZ

IN

CT

CO

TNMD

MO

IA

GA

MA

WI

NC

MN

MI

WA

NJ

VA

OH

PA

IL

FL

NY

TX

VI

AK

WY

DE

ID

WV

NV

NM AR

UT

MS

SD

OK

LA

ME

KY

HI

AL

OR

NE

SC

KS

AZ

IN

CO

TN

MO

IA

GA

NC

NJOH

IL

FL

TX32

GU

87VI

1,878PR

7,532AK

11,050WY

15,616VT

27,492DE

19,925RI

23,335ID

25,037WV

27,369MT

30,201NV

31,608NH

40,709NM

37,115UT

36,647ND

38,371

42,100AR

42,835MS

45,600SD

62,737OK

73,004LA

39,088ME

76,037HI

74,134KY

77,932AL

86,435OR

94,195NE

96,767SC

103,985KS

102,039AZ

114,021IN

114,709CT

136,858CO

141,238TN

150,186MD

142,956IA

148,851WI

162,592GA

183,445MA

166,749MO

181,377MI

197,517NC

210,144MN

223,140WA

218,209NJ

243,436VA

243,963OH

269,440PA

332,575IL

361,899FL

411,817NY

458,769TX

© 2016 National Association of Insurance Commissioners 152

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National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 5

by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Alabama59,820113,290,402112,531,1851. Individual

18,1126,032,84718,631,4752. Group

77,932119,323,248131,162,6603. Total

Alaska5,2686,420,99212,729,5641. Individual

2,2641,457,3462,414,4912. Group

7,5327,878,33815,144,0563. Total

American Samoa0001. Individual

0002. Group

0003. Total

Arizona70,548125,947,434152,092,3061. Individual

31,49113,241,41524,023,1262. Group

102,039139,188,850176,115,4313. Total

Arkansas32,79954,983,93156,653,3881. Individual

9,3013,975,4947,114,9812. Group

42,10058,959,42563,768,3693. Total

California389,605747,855,955850,200,5781. Individual

246,30978,344,150173,050,7002. Group

635,914826,200,1051,023,251,2773. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 153

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National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 5

by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Colorado98,310146,691,923212,406,2581. Individual

38,54814,607,28731,320,8392. Group

136,858161,299,210243,727,0953. Total

Connecticut83,645256,850,716232,820,1601. Individual

31,06422,259,43730,050,2672. Group

114,709279,110,156262,870,4253. Total

Delaware9,74519,459,84221,664,9241. Individual

17,7476,651,94619,202,7572. Group

27,49226,111,78540,867,6813. Total

District Of Columbia10,45917,428,20526,470,1241. Individual

27,91211,569,10019,168,7032. Group

38,37128,997,30545,638,8263. Total

Florida282,659730,131,101553,992,2541. Individual

79,24043,578,26356,561,6712. Group

361,899773,709,364610,553,9243. Total

Georgia109,898159,340,472218,161,1391. Individual

52,69422,034,86040,519,0392. Group

162,592181,375,331258,680,1793. Total

Guam304,8911. Individual

29012,7982. Group

32017,6893. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

© 2016 National Association of Insurance Commissioners 154

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National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 5

by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Hawaii34,80261,291,26974,157,3221. Individual

41,23510,760,94221,767,0882. Group

76,03772,052,21195,924,4113. Total

Idaho18,57925,855,15736,475,8121. Individual

4,756766,7803,758,0592. Group

23,33526,621,93640,233,8723. Total

Illinois217,698382,646,128456,109,3961. Individual

114,87744,747,43983,405,9762. Group

332,575427,393,566539,515,3693. Total

Indiana89,028157,837,119173,033,7221. Individual

24,9938,829,08718,833,3362. Group

114,021166,666,206191,867,0573. Total

Iowa121,016236,330,206213,847,7011. Individual

21,94011,303,33515,827,3402. Group

142,956247,633,542229,675,0433. Total

Kansas82,634160,218,098147,739,4701. Individual

21,3514,873,57912,871,2132. Group

103,985165,091,676160,610,6863. Total

Kentucky53,93791,502,203100,226,9861. Individual

20,19716,263,20919,919,1562. Group

74,134107,765,410120,146,1423. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Louisiana54,40184,931,22392,706,6931. Individual

18,6035,898,8709,554,3992. Group

73,00490,830,094102,261,0913. Total

Maine22,68944,388,64150,161,7951. Individual

16,3997,542,13610,519,2662. Group

39,08851,930,77860,681,0613. Total

Maryland104,308190,764,179248,106,5071. Individual

45,87817,054,34239,526,0772. Group

150,186207,818,521287,632,5823. Total

Massachusetts113,684235,953,023273,013,8011. Individual

69,76126,314,20670,322,5542. Group

183,445262,267,229343,336,3543. Total

Michigan109,262157,596,318230,703,1421. Individual

72,11523,454,15954,911,4022. Group

181,377181,050,478285,614,5443. Total

Minnesota154,130287,677,434283,672,1961. Individual

56,01414,326,45041,996,7052. Group

210,144302,003,883325,668,9013. Total

Mississippi34,35957,592,91065,139,1101. Individual

8,4762,710,7565,044,6132. Group

42,83560,303,66770,183,7223. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Missouri115,478209,925,595228,732,3511. Individual

51,27122,533,69639,851,1712. Group

166,749232,459,291268,583,5223. Total

Montana18,47332,967,16837,930,3531. Individual

8,8962,118,3584,610,4362. Group

27,36935,085,53042,540,7913. Total

Nebraska80,254148,979,365154,805,9921. Individual

13,9416,713,6359,508,0832. Group

94,195155,693,001164,314,0753. Total

Nevada18,73128,030,37138,588,8771. Individual

11,4703,428,6097,248,8012. Group

30,20131,458,97845,837,6823. Total

New Hampshire22,44640,530,73550,545,0071. Individual

9,1624,362,8877,562,4202. Group

31,60844,893,62158,107,4273. Total

New Jersey132,218273,328,345359,131,6191. Individual

85,99169,244,369106,477,4292. Group

218,209342,572,716465,609,0463. Total

New Mexico19,36426,598,91038,506,4771. Individual

21,3455,122,31510,236,7182. Group

40,70931,721,22448,743,1943. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

New York290,352821,996,598809,494,8721. Individual

121,46598,138,042148,475,8382. Group

411,817920,134,642957,970,7113. Total

North Carolina144,234255,470,476294,776,2691. Individual

53,28328,393,15038,769,5432. Group

197,517283,863,629333,545,8123. Total

North Dakota33,25379,826,21165,208,1361. Individual

3,3945,113,0223,136,2202. Group

36,64784,939,23368,344,3563. Total

Northern Mariana Islands0001. Individual

0002. Group

0003. Total

Ohio158,148265,908,424323,304,2711. Individual

85,81572,447,73070,639,6582. Group

243,963338,356,154393,943,9303. Total

Oklahoma46,20276,922,81988,071,7891. Individual

16,5356,306,86011,352,0212. Group

62,73783,229,67899,423,8093. Total

Oregon60,03496,436,127123,692,2951. Individual

26,40111,327,24818,782,7312. Group

86,435107,763,374142,475,0253. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Pennsylvania195,325381,432,940425,318,2161. Individual

74,11529,921,33164,975,4822. Group

269,440411,354,274490,293,6993. Total

Puerto Rico1,635)(60,0782,825,2151. Individual

243102,337144,3992. Group

1,87842,2592,969,6143. Total

Rhode Island16,16437,351,87037,104,6661. Individual

3,7611,599,3363,656,8672. Group

19,92538,951,20740,761,5363. Total

South Carolina69,233120,473,201138,062,9071. Individual

27,53417,375,35623,858,5352. Group

96,767137,848,558161,921,4393. Total

South Dakota35,09081,639,92868,836,3461. Individual

10,510844,9093,693,0202. Group

45,60082,484,83572,529,3663. Total

Tennessee93,913172,425,695188,154,9941. Individual

47,32519,815,51534,558,0792. Group

141,238192,241,210222,713,0733. Total

Texas272,901435,981,368532,064,4631. Individual

185,86875,336,102140,090,3892. Group

458,769511,317,469672,154,8543. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

US Virgin Islands226,93634,6261. Individual

65)(90,81798,8472. Group

87)(83,881133,4733. Total

Utah18,39223,211,07331,846,5341. Individual

18,7236,971,02113,921,2172. Group

37,11530,182,09445,767,7513. Total

Vermont11,74124,020,43024,225,9251. Individual

3,875697,4482,323,3712. Group

15,61624,717,88126,549,2983. Total

Virginia161,387233,628,420346,434,4201. Individual

82,04929,603,21066,208,5742. Group

243,436263,231,632412,642,9933. Total

Washington122,254215,250,334271,607,7551. Individual

100,88614,546,28142,955,6802. Group

223,140229,796,615314,563,4333. Total

West Virginia14,34323,807,35628,072,2891. Individual

10,6942,038,9184,511,4282. Group

25,03725,846,27532,583,7173. Total

Wisconsin111,629212,046,250234,107,8171. Individual

37,22211,458,09641,235,4442. Group

148,851223,504,347275,343,2603. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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National Association of Insurance Commissioners

2015 Long-Term Care Insurance Experience Reporting - Form 5

by State and U.S. Territory Totals

Insurance Experience by Line of Business

Row DescriptionEarned

PremiumInforce CountEnd of Year

IncurredClaimsState

Wyoming8,41315,895,69919,520,5071. Individual

2,6371,389,8132,366,0562. Group

11,05017,285,51321,886,5623. Total

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 5

MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

ALABAMA

70025 4011 Genworth Life Ins Co DE 17,039 37,151,114 37,588,206 28.32 28.32165838 904 John Hancock Life Ins Co USA MI 7,757 11,346,048 5,553,203 8.65 36.97265978 241 Metropolitan Life Ins Co NY 7,081 11,200,104 4,397,778 8.54 45.51386231 468 Transamerica Life Ins Co IA 5,149 9,788,843 13,901,088 7.46 52.98455433 570 BCBS of AL AL 5,080 7,772,546 936,898 5.93 58.90566281 468 Transamerica Premier Life Ins Co IA 4,213 5,887,669 13,054,587 4.49 63.39669000 860 Northwestern Long Term Care Ins Co WI 2,886 5,392,088 715,335 4.11 67.50766915 826 New York Life Ins Co NY 2,472 4,124,935 1,215,707 3.14 70.65862235 565 Unum Life Ins Co Of Amer ME 4,869 4,059,430 6,255,687 3.09 73.74925178 176 State Farm Mut Auto Ins Co IL 2,370 3,623,309 2,616,885 2.76 76.5110

** STATE TOTAL** 77,932 131,162,660 119,323,248 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

ALASKA

70025 4011 Genworth Life Ins Co DE 1,954 4,832,191 1,246,511 31.91 31.91165838 904 John Hancock Life Ins Co USA MI 1,350 2,175,345 311,445 14.36 46.27266915 826 New York Life Ins Co NY 732 1,414,408 340,045 9.34 55.61365978 241 Metropolitan Life Ins Co NY 818 1,356,207 1,160,155 8.96 64.57420443 218 Continental Cas Co IL 511 867,293 1,903,139 5.73 70.29525178 176 State Farm Mut Auto Ins Co IL 369 846,132 380,547 5.59 75.88686231 468 Transamerica Life Ins Co IA 299 661,974 1,425,326 4.37 80.25762235 565 Unum Life Ins Co Of Amer ME 357 397,496 )(341,658 2.62 82.88890611 761 Allianz Life Ins Co Of N Amer MN 137 344,653 )(43,715 2.28 85.15956014 2938 Thrivent Financial For Lutherans WI 118 298,557 835,839 1.97 87.1210

** STATE TOTAL** 7,532 15,144,056 7,878,338 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

ARIZONA

70025 4011 Genworth Life Ins Co DE 18,345 42,058,432 26,405,842 23.88 23.88165838 904 John Hancock Life Ins Co USA MI 13,236 24,215,055 13,123,083 13.75 37.63265978 241 Metropolitan Life Ins Co NY 8,649 13,279,506 8,314,049 7.54 45.17362235 565 Unum Life Ins Co Of Amer ME 14,984 8,135,920 6,284,775 4.62 49.79461263 233 Bankers Life & Cas Co IL 3,282 7,626,428 7,723,669 4.33 54.12520443 218 Continental Cas Co IL 6,334 6,933,915 7,335,554 3.94 58.06671412 261 Mutual Of Omaha Ins Co NE 3,107 6,247,826 594,870 3.55 61.61786231 468 Transamerica Life Ins Co IA 2,984 5,818,616 8,647,510 3.30 64.91869000 860 Northwestern Long Term Care Ins Co WI 2,620 5,815,558 2,355,007 3.30 68.21962952 0 Equitable Life & Cas Ins Co UT 1,501 4,854,006 3,700,396 2.76 70.9710

** STATE TOTAL** 102,039 176,115,431 139,188,850 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

ARKANSAS

70025 4011 Genworth Life Ins Co DE 8,374 15,958,269 16,234,121 25.03 25.03165838 904 John Hancock Life Ins Co USA MI 5,459 8,798,927 3,074,955 13.80 38.82261263 233 Bankers Life & Cas Co IL 2,428 5,288,237 5,883,424 8.29 47.12369000 860 Northwestern Long Term Care Ins Co WI 1,982 3,524,413 1,216,570 5.53 52.64486231 468 Transamerica Life Ins Co IA 1,829 2,992,013 3,335,211 4.69 57.34520443 218 Continental Cas Co IL 2,599 2,770,874 4,077,070 4.35 61.68665978 241 Metropolitan Life Ins Co NY 2,106 2,751,095 2,989,809 4.31 65.99762235 565 Unum Life Ins Co Of Amer ME 4,038 2,238,521 2,507,520 3.51 69.51862952 0 Equitable Life & Cas Ins Co UT 707 1,970,496 1,402,674 3.09 72.60968896 0 Southern Farm Bureau Life Ins Co MS 1,235 1,913,633 2,411,500 3.00 75.6010

** STATE TOTAL** 42,100 63,768,369 58,959,425 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

CALIFORNIA

70025 4011 Genworth Life Ins Co DE 137,695 292,143,383 195,536,932 28.55 28.55165838 904 John Hancock Life Ins Co USA MI 65,803 119,288,830 61,419,817 11.66 40.21262235 565 Unum Life Ins Co Of Amer ME 152,024 90,879,728 68,251,097 8.88 49.09365978 241 Metropolitan Life Ins Co NY 47,874 75,738,173 43,160,436 7.40 56.49420443 218 Continental Cas Co IL 45,735 57,317,781 59,464,823 5.60 62.09586231 468 Transamerica Life Ins Co IA 21,845 41,829,424 68,127,171 4.09 66.18666915 826 New York Life Ins Co NY 20,322 35,438,539 6,229,107 3.46 69.64761263 233 Bankers Life & Cas Co IL 14,996 34,506,701 53,806,597 3.37 73.02868241 304 Prudential Ins Co Of Amer NJ 14,665 33,015,380 17,763,572 3.23 76.24969000 860 Northwestern Long Term Care Ins Co WI 12,427 32,617,419 3,930,919 3.19 79.4310

** STATE TOTAL** 635,914 1,023,251,277 826,200,105 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

COLORADO

70025 4011 Genworth Life Ins Co DE 23,757 57,710,369 32,358,226 23.68 23.68165838 904 John Hancock Life Ins Co USA MI 24,503 42,882,135 15,327,259 17.59 41.27286231 468 Transamerica Life Ins Co IA 9,848 17,003,741 22,850,850 6.98 48.25365978 241 Metropolitan Life Ins Co NY 9,422 14,196,563 5,407,814 5.82 54.07469000 860 Northwestern Long Term Care Ins Co WI 6,104 13,606,151 1,182,347 5.58 59.66571412 261 Mutual Of Omaha Ins Co NE 4,673 8,596,284 2,180,731 3.53 63.18661263 233 Bankers Life & Cas Co IL 2,798 7,036,042 7,354,207 2.89 66.07720443 218 Continental Cas Co IL 5,620 6,944,363 5,961,574 2.85 68.92825178 176 State Farm Mut Auto Ins Co IL 3,339 6,449,497 4,064,302 2.65 71.57990611 761 Allianz Life Ins Co Of N Amer MN 3,029 6,056,493 4,655,911 2.48 74.0510

** STATE TOTAL** 136,858 243,727,095 161,299,210 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

CONNECTICUT

70025 4011 Genworth Life Ins Co DE 22,328 68,020,989 36,975,650 25.88 25.88165838 904 John Hancock Life Ins Co USA MI 12,951 33,742,072 23,701,870 12.84 38.71287726 241 Metlife Ins Co USA DE 7,701 25,060,435 58,665,199 9.53 48.25386231 468 Transamerica Life Ins Co IA 9,438 21,289,495 43,470,095 8.10 56.34465978 241 Metropolitan Life Ins Co NY 10,977 19,934,850 8,570,498 7.58 63.93569000 860 Northwestern Long Term Care Ins Co WI 4,070 13,393,941 546,862 5.10 69.02668241 304 Prudential Ins Co Of Amer NJ 6,260 10,746,289 2,581,650 4.09 73.11766281 468 Transamerica Premier Life Ins Co IA 4,485 10,544,794 23,426,473 4.01 77.12861263 233 Bankers Life & Cas Co IL 4,801 9,078,472 10,480,252 3.45 80.58962235 565 Unum Life Ins Co Of Amer ME 8,828 7,182,095 6,826,161 2.73 83.3110

** STATE TOTAL** 114,709 262,870,425 279,110,156 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

DELAWARE

68241 304 Prudential Ins Co Of Amer NJ 11,450 14,744,630 5,113,323 36.08 36.08170025 4011 Genworth Life Ins Co DE 3,205 8,135,370 7,211,548 19.91 55.99265838 904 John Hancock Life Ins Co USA MI 2,425 4,517,821 796,702 11.05 67.04365978 241 Metropolitan Life Ins Co NY 2,828 3,512,857 2,487,672 8.60 75.64461263 233 Bankers Life & Cas Co IL 613 1,283,753 741,180 3.14 78.78520443 218 Continental Cas Co IL 1,114 1,034,685 643,764 2.53 81.31665005 4 RiverSource Life Ins Co MN 561 968,087 1,014,117 2.37 83.68762235 565 Unum Life Ins Co Of Amer ME 2,099 885,859 311,789 2.17 85.85866915 826 New York Life Ins Co NY 231 565,345 317,684 1.38 87.23962626 306 CMFG Life Ins Co IA 344 451,663 194,054 1.11 88.3310

** STATE TOTAL** 27,492 40,867,681 26,111,785 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

DISTRICT OF COLUMBIA

62235 565 Unum Life Ins Co Of Amer ME 17,352 9,288,117 5,024,106 20.35 20.35169515 1186 Medamerica Ins Co PA 5,253 7,385,413 5,375,228 16.18 36.53270025 4011 Genworth Life Ins Co DE 2,307 6,605,856 3,146,017 14.47 51.01365838 904 John Hancock Life Ins Co USA MI 2,807 6,367,054 3,391,216 13.95 64.96465978 241 Metropolitan Life Ins Co NY 1,749 2,907,211 2,194,740 6.37 71.33571412 261 Mutual Of Omaha Ins Co NE 3,037 2,778,392 2,867,087 6.09 77.42668241 304 Prudential Ins Co Of Amer NJ 1,199 1,753,878 730,880 3.84 81.26765935 435 Massachusetts Mut Life Ins Co MA 344 1,561,128 )(376,366 3.42 84.68820443 218 Continental Cas Co IL 1,165 1,115,924 235,454 2.45 87.13969000 860 Northwestern Long Term Care Ins Co WI 299 945,210 505,640 2.07 89.2010

** STATE TOTAL** 38,371 45,638,826 28,997,305 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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LONG-TERM CARE INSURANCE EXPERIENCE REPORTING FORM 5

MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

FLORIDA

70025 4011 Genworth Life Ins Co DE 52,635 123,479,817 104,846,696 20.22 20.22165838 904 John Hancock Life Ins Co USA MI 53,085 108,265,735 89,393,284 17.73 37.96261263 233 Bankers Life & Cas Co IL 24,270 48,660,722 81,520,856 7.97 45.93365978 241 Metropolitan Life Ins Co NY 25,028 34,053,769 18,326,457 5.58 51.50469000 860 Northwestern Long Term Care Ins Co WI 13,442 31,179,621 8,691,723 5.11 56.61520443 218 Continental Cas Co IL 20,397 22,355,297 47,034,629 3.66 60.27662235 565 Unum Life Ins Co Of Amer ME 40,753 20,666,592 23,696,968 3.38 63.66786231 468 Transamerica Life Ins Co IA 10,089 17,765,096 30,122,845 2.91 66.57865110 119 Kanawha Ins Co SC 8,619 13,762,475 30,239,026 2.25 68.82987726 241 Metlife Ins Co USA DE 9,796 12,942,047 42,042,460 2.12 70.9410

** STATE TOTAL** 361,899 610,553,924 773,709,364 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

GEORGIA

70025 4011 Genworth Life Ins Co DE 34,955 72,961,330 53,829,759 28.21 28.21165838 904 John Hancock Life Ins Co USA MI 23,465 35,955,019 23,553,490 13.90 42.10269000 860 Northwestern Long Term Care Ins Co WI 7,131 17,387,505 3,772,037 6.72 48.83362235 565 Unum Life Ins Co Of Amer ME 25,452 15,609,629 6,360,459 6.03 54.86465978 241 Metropolitan Life Ins Co NY 12,059 14,508,643 11,259,947 5.61 60.47586231 468 Transamerica Life Ins Co IA 5,618 9,882,386 10,894,716 3.82 64.29620443 218 Continental Cas Co IL 7,010 7,492,793 7,416,374 2.90 67.19790611 761 Allianz Life Ins Co Of N Amer MN 4,018 7,404,142 6,460,559 2.86 70.05825178 176 State Farm Mut Auto Ins Co IL 4,645 7,327,768 7,151,834 2.83 72.88965935 435 Massachusetts Mut Life Ins Co MA 2,573 7,240,247 2,788,007 2.80 75.6810

** STATE TOTAL** 162,592 258,680,179 181,375,331 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

GUAM

20443 218 Continental Cas Co IL 29 12,798 0 72.35 72.35168241 304 Prudential Ins Co Of Amer NJ 3 4,891 0 27.65 100.002

** STATE TOTAL** 32 17,689 0 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

HAWAII

62235 565 Unum Life Ins Co Of Amer ME 35,862 18,097,559 8,925,150 18.87 18.87165838 904 John Hancock Life Ins Co USA MI 8,883 16,581,234 10,644,535 17.29 36.15270025 4011 Genworth Life Ins Co DE 7,044 14,398,955 8,387,305 15.01 51.16365978 241 Metropolitan Life Ins Co NY 3,303 6,867,461 2,675,363 7.16 58.32465005 4 RiverSource Life Ins Co MN 1,500 3,244,742 7,573,458 3.38 61.70520443 218 Continental Cas Co IL 2,667 3,197,055 5,963,274 3.33 65.04686231 468 Transamerica Life Ins Co IA 1,745 3,060,073 4,084,116 3.19 68.23766915 826 New York Life Ins Co NY 1,359 2,896,426 2,411,731 3.02 71.25868195 565 Provident Life & Accident Ins Co TN 1,169 2,593,757 805,983 2.70 73.95969000 860 Northwestern Long Term Care Ins Co WI 927 2,380,243 756,377 2.48 76.4310

** STATE TOTAL** 76,037 95,924,411 72,052,211 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

IDAHO

70025 4011 Genworth Life Ins Co DE 3,542 7,747,790 4,922,582 19.26 19.26165838 904 John Hancock Life Ins Co USA MI 3,020 4,591,782 1,544,206 11.41 30.67261263 233 Bankers Life & Cas Co IL 2,039 3,987,966 3,957,732 9.91 40.58369000 860 Northwestern Long Term Care Ins Co WI 1,680 3,787,931 1,036,947 9.41 50.00471471 4824 Ability Ins Co NE 1,104 1,936,093 3,110,021 4.81 54.81565978 241 Metropolitan Life Ins Co NY 1,331 1,914,988 432,800 4.76 59.57625178 176 State Farm Mut Auto Ins Co IL 908 1,650,013 935,264 4.10 63.67771412 261 Mutual Of Omaha Ins Co NE 781 1,471,200 1,186,196 3.66 67.33866915 826 New York Life Ins Co NY 689 1,318,922 176,602 3.28 70.60986231 468 Transamerica Life Ins Co IA 642 1,170,089 705,531 2.91 73.5110

** STATE TOTAL** 23,335 40,233,872 26,621,936 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

ILLINOIS

70025 4011 Genworth Life Ins Co DE 50,022 105,825,951 77,656,983 19.62 19.62165838 904 John Hancock Life Ins Co USA MI 38,959 64,034,192 30,323,367 11.87 31.48269000 860 Northwestern Long Term Care Ins Co WI 16,979 44,033,453 )(909,415 8.16 39.65365978 241 Metropolitan Life Ins Co NY 29,440 40,945,337 18,688,400 7.59 47.23420443 218 Continental Cas Co IL 26,576 37,188,053 47,040,269 6.89 54.13562553 50 Country Life Ins Co IL 14,721 24,137,737 28,782,991 4.47 58.60686231 468 Transamerica Life Ins Co IA 10,669 21,900,155 28,501,786 4.06 62.66762235 565 Unum Life Ins Co Of Amer ME 45,686 20,465,077 11,162,597 3.79 66.45868241 304 Prudential Ins Co Of Amer NJ 10,779 16,616,574 5,596,571 3.08 69.53956014 2938 Thrivent Financial For Lutherans WI 8,554 15,631,637 24,511,350 2.90 72.4310

** STATE TOTAL** 332,575 539,515,369 427,393,566 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

INDIANA

70025 4011 Genworth Life Ins Co DE 27,842 50,629,196 40,525,270 26.39 26.39165838 904 John Hancock Life Ins Co USA MI 17,889 32,413,291 13,459,893 16.89 43.28269000 860 Northwestern Long Term Care Ins Co WI 4,837 11,709,323 966,226 6.10 49.38361263 233 Bankers Life & Cas Co IL 4,916 11,436,385 13,829,709 5.96 55.34465978 241 Metropolitan Life Ins Co NY 7,526 10,681,706 4,129,609 5.57 60.91520443 218 Continental Cas Co IL 8,371 9,950,618 22,094,856 5.19 66.10686231 468 Transamerica Life Ins Co IA 4,673 8,621,492 11,886,463 4.49 70.59756014 2938 Thrivent Financial For Lutherans WI 2,798 4,347,968 6,814,050 2.27 72.86871412 261 Mutual Of Omaha Ins Co NE 2,409 4,322,361 149,171 2.25 75.11976325 0 Senior Hlth Ins Co of PA PA 1,818 4,036,072 8,976,353 2.10 77.2110

** STATE TOTAL** 114,021 191,867,057 166,666,206 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

IOWA

70025 4011 Genworth Life Ins Co DE 17,601 31,508,524 18,102,466 13.72 13.72165838 904 John Hancock Life Ins Co USA MI 14,569 23,388,021 12,309,787 10.18 23.90261263 233 Bankers Life & Cas Co IL 9,177 21,720,752 31,112,129 9.46 33.36386231 468 Transamerica Life Ins Co IA 9,964 18,445,791 21,751,752 8.03 41.39469000 860 Northwestern Long Term Care Ins Co WI 7,270 13,579,586 3,255,780 5.91 47.30571471 4824 Ability Ins Co NE 5,283 12,026,296 20,135,711 5.24 52.54656014 2938 Thrivent Financial For Lutherans WI 6,860 11,257,646 23,759,441 4.90 57.44765978 241 Metropolitan Life Ins Co NY 5,721 7,999,215 4,779,285 3.48 60.92871412 261 Mutual Of Omaha Ins Co NE 3,867 6,874,101 5,263,147 2.99 63.92965005 4 RiverSource Life Ins Co MN 3,965 6,035,807 14,091,159 2.63 66.5410

** STATE TOTAL** 142,956 229,675,043 247,633,542 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

KANSAS

70025 4011 Genworth Life Ins Co DE 14,234 26,421,056 19,006,440 16.45 16.45161263 233 Bankers Life & Cas Co IL 7,604 17,666,653 19,618,185 11.00 27.45265838 904 John Hancock Life Ins Co USA MI 10,356 16,094,826 8,394,379 10.02 37.47386231 468 Transamerica Life Ins Co IA 5,958 10,434,324 15,738,763 6.50 43.97465978 241 Metropolitan Life Ins Co NY 4,523 6,938,174 3,107,367 4.32 48.29569000 860 Northwestern Long Term Care Ins Co WI 2,606 5,759,225 220,557 3.59 51.87620443 218 Continental Cas Co IL 3,778 5,242,163 9,805,795 3.26 55.14762235 565 Unum Life Ins Co Of Amer ME 11,600 4,612,227 2,453,781 2.87 58.01864211 687 Guarantee Trust Life Ins Co IL 3,304 4,067,704 951,149 2.53 60.54971412 261 Mutual Of Omaha Ins Co NE 2,222 3,913,136 2,275,411 2.44 62.9810

** STATE TOTAL** 103,985 160,610,686 165,091,676 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

KENTUCKY

70025 4011 Genworth Life Ins Co DE 17,453 32,365,810 26,989,282 26.94 26.94186231 468 Transamerica Life Ins Co IA 9,561 14,755,289 24,821,790 12.28 39.22265838 904 John Hancock Life Ins Co USA MI 7,590 12,319,376 5,868,625 10.25 49.47369000 860 Northwestern Long Term Care Ins Co WI 3,359 8,158,939 286,325 6.79 56.26465978 241 Metropolitan Life Ins Co NY 4,134 5,587,357 4,022,850 4.65 60.91571412 261 Mutual Of Omaha Ins Co NE 2,568 4,711,678 961,391 3.92 64.84661263 233 Bankers Life & Cas Co IL 2,259 3,995,478 4,765,746 3.33 68.16720443 218 Continental Cas Co IL 2,665 3,584,933 5,667,464 2.98 71.15862235 565 Unum Life Ins Co Of Amer ME 5,778 2,809,438 1,192,872 2.34 73.48925178 176 State Farm Mut Auto Ins Co IL 1,451 2,630,899 2,341,906 2.19 75.6710

** STATE TOTAL** 74,134 120,146,142 107,765,410 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

LOUISIANA

70025 4011 Genworth Life Ins Co DE 11,126 20,846,224 16,990,957 20.39 20.39165838 904 John Hancock Life Ins Co USA MI 7,593 11,441,105 9,660,821 11.19 31.57269000 860 Northwestern Long Term Care Ins Co WI 4,194 8,584,979 2,064,790 8.40 39.97366915 826 New York Life Ins Co NY 4,283 6,499,164 5,085,741 6.36 46.32465978 241 Metropolitan Life Ins Co NY 4,655 5,901,194 2,958,222 5.77 52.09525178 176 State Farm Mut Auto Ins Co IL 3,337 4,674,409 3,211,118 4.57 56.67661263 233 Bankers Life & Cas Co IL 1,859 4,061,973 5,560,064 3.97 60.64786231 468 Transamerica Life Ins Co IA 2,432 3,930,771 7,730,883 3.84 64.48862235 565 Unum Life Ins Co Of Amer ME 11,493 3,596,064 4,069,282 3.52 68.00971412 261 Mutual Of Omaha Ins Co NE 1,639 2,707,749 )(550,693 2.65 70.6510

** STATE TOTAL** 73,004 102,261,091 90,830,094 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MAINE

70025 4011 Genworth Life Ins Co DE 5,799 14,481,568 8,893,178 23.87 23.87162235 565 Unum Life Ins Co Of Amer ME 15,039 9,997,270 12,897,531 16.48 40.34265838 904 John Hancock Life Ins Co USA MI 3,332 7,305,238 4,094,034 12.04 52.38361263 233 Bankers Life & Cas Co IL 2,856 4,922,555 4,609,662 8.11 60.49465978 241 Metropolitan Life Ins Co NY 2,163 4,217,255 3,903,923 6.95 67.44520443 218 Continental Cas Co IL 1,346 2,672,442 3,524,136 4.40 71.85668241 304 Prudential Ins Co Of Amer NJ 949 1,879,719 1,807,599 3.10 74.94765005 4 RiverSource Life Ins Co MN 1,017 1,826,164 2,621,540 3.01 77.95890611 761 Allianz Life Ins Co Of N Amer MN 645 1,615,253 485,736 2.66 80.61969000 860 Northwestern Long Term Care Ins Co WI 515 1,445,917 228,243 2.38 83.0010

** STATE TOTAL** 39,088 60,681,061 51,930,778 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MARYLAND

70025 4011 Genworth Life Ins Co DE 31,997 78,460,264 41,413,203 27.28 27.28165838 904 John Hancock Life Ins Co USA MI 27,288 57,512,255 42,433,441 20.00 47.27220443 218 Continental Cas Co IL 14,513 21,461,328 29,248,296 7.46 54.73365978 241 Metropolitan Life Ins Co NY 10,956 17,252,947 7,238,390 6.00 60.73462235 565 Unum Life Ins Co Of Amer ME 19,895 14,413,540 9,808,466 5.01 65.74568241 304 Prudential Ins Co Of Amer NJ 7,227 12,000,706 2,384,842 4.17 69.92665935 435 Massachusetts Mut Life Ins Co MA 3,189 11,307,499 970,642 3.93 73.85787726 241 Metlife Ins Co USA DE 3,130 8,878,238 17,482,533 3.09 76.93869000 860 Northwestern Long Term Care Ins Co WI 2,854 7,850,971 )(111,210 2.73 79.66966915 826 New York Life Ins Co NY 3,382 6,654,249 2,439,987 2.31 81.9810

** STATE TOTAL** 150,186 287,632,582 207,818,521 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MASSACHUSETTS

70025 4011 Genworth Life Ins Co DE 35,088 82,178,252 39,263,658 23.94 23.94165838 904 John Hancock Life Ins Co USA MI 33,425 69,018,975 43,484,232 20.10 44.04262235 565 Unum Life Ins Co Of Amer ME 37,378 33,685,819 25,812,793 9.81 53.85365978 241 Metropolitan Life Ins Co NY 15,472 28,018,252 11,495,183 8.16 62.01468241 304 Prudential Ins Co Of Amer NJ 8,275 14,574,005 4,065,705 4.24 66.25569000 860 Northwestern Long Term Care Ins Co WI 3,839 12,344,542 415,887 3.60 69.85686231 468 Transamerica Life Ins Co IA 5,777 11,797,365 16,630,328 3.44 73.29720443 218 Continental Cas Co IL 7,711 11,431,190 24,760,684 3.33 76.62887726 241 Metlife Ins Co USA DE 4,305 11,146,413 20,657,594 3.25 79.86961263 233 Bankers Life & Cas Co IL 5,175 9,522,234 15,861,943 2.77 82.6410

** STATE TOTAL** 183,445 343,336,354 262,267,229 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MICHIGAN

70025 4011 Genworth Life Ins Co DE 27,179 66,492,997 41,427,288 23.28 23.28165838 904 John Hancock Life Ins Co USA MI 37,112 48,380,740 22,672,007 16.94 40.22220443 218 Continental Cas Co IL 13,652 22,400,952 21,669,959 7.84 48.06365978 241 Metropolitan Life Ins Co NY 17,473 19,290,383 10,734,948 6.75 54.82469000 860 Northwestern Long Term Care Ins Co WI 7,052 16,352,912 465,102 5.73 60.54568241 304 Prudential Ins Co Of Amer NJ 9,250 13,720,725 2,466,155 4.80 65.35665005 4 RiverSource Life Ins Co MN 7,618 13,156,044 23,764,163 4.61 69.95762235 565 Unum Life Ins Co Of Amer ME 23,072 13,064,241 5,526,485 4.57 74.53861263 233 Bankers Life & Cas Co IL 5,175 10,617,494 7,093,729 3.72 78.24956014 2938 Thrivent Financial For Lutherans WI 4,311 7,630,737 10,244,858 2.67 80.9210

** STATE TOTAL** 181,377 285,614,544 181,050,478 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MINNESOTA

70025 4011 Genworth Life Ins Co DE 27,401 59,664,318 17,813,562 18.32 18.32186231 468 Transamerica Life Ins Co IA 25,674 35,259,925 70,980,920 10.83 29.15265838 904 John Hancock Life Ins Co USA MI 19,436 33,381,349 11,721,732 10.25 39.40356014 2938 Thrivent Financial For Lutherans WI 11,881 23,636,901 34,183,095 7.26 46.66469000 860 Northwestern Long Term Care Ins Co WI 10,389 21,487,132 3,358,028 6.60 53.25520443 218 Continental Cas Co IL 25,824 21,087,322 13,237,661 6.48 59.73661263 233 Bankers Life & Cas Co IL 4,551 11,265,679 15,245,497 3.46 63.19765978 241 Metropolitan Life Ins Co NY 6,882 9,555,819 3,843,472 2.93 66.12862235 565 Unum Life Ins Co Of Amer ME 16,360 8,783,252 7,019,523 2.70 68.82965005 4 RiverSource Life Ins Co MN 5,240 8,499,536 21,375,068 2.61 71.4310

** STATE TOTAL** 210,144 325,668,901 302,003,883 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MISSISSIPPI

65838 904 John Hancock Life Ins Co USA MI 6,524 11,298,591 6,916,691 16.10 16.10170025 4011 Genworth Life Ins Co DE 5,377 11,141,213 9,139,776 15.87 31.97261263 233 Bankers Life & Cas Co IL 2,174 4,946,115 7,316,107 7.05 39.02369000 860 Northwestern Long Term Care Ins Co WI 1,629 4,009,748 249,950 5.71 44.73465978 241 Metropolitan Life Ins Co NY 2,438 3,209,060 2,684,477 4.57 49.31566915 826 New York Life Ins Co NY 1,949 3,159,973 683,383 4.50 53.81668896 0 Southern Farm Bureau Life Ins Co MS 1,783 2,975,546 5,216,426 4.24 58.05765935 435 Massachusetts Mut Life Ins Co MA 924 2,929,341 459,312 4.17 62.22886231 468 Transamerica Life Ins Co IA 1,725 2,745,899 5,134,328 3.91 66.13925178 176 State Farm Mut Auto Ins Co IL 1,888 2,599,490 2,601,113 3.70 69.8410

** STATE TOTAL** 42,835 70,183,722 60,303,667 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MISSOURI

70025 4011 Genworth Life Ins Co DE 26,083 55,786,267 43,546,567 20.77 20.77165838 904 John Hancock Life Ins Co USA MI 21,740 34,705,225 23,343,744 12.92 33.69265978 241 Metropolitan Life Ins Co NY 13,420 18,152,395 10,980,607 6.76 40.45361263 233 Bankers Life & Cas Co IL 7,693 16,512,439 20,317,727 6.15 46.60462235 565 Unum Life Ins Co Of Amer ME 24,022 14,421,418 8,585,421 5.37 51.97586231 468 Transamerica Life Ins Co IA 7,665 14,199,860 17,737,397 5.29 57.26669000 860 Northwestern Long Term Care Ins Co WI 5,947 12,994,627 1,940,214 4.84 62.09762952 0 Equitable Life & Cas Ins Co UT 2,893 9,133,027 8,258,446 3.40 65.49871412 261 Mutual Of Omaha Ins Co NE 4,428 8,078,441 4,057,400 3.01 68.50920443 218 Continental Cas Co IL 6,701 7,802,589 12,627,729 2.91 71.4110

** STATE TOTAL** 166,749 268,583,522 232,459,291 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

MONTANA

70025 4011 Genworth Life Ins Co DE 2,842 5,929,316 3,933,754 13.94 13.94171471 4824 Ability Ins Co NE 2,351 5,659,360 4,761,051 13.30 27.24265838 904 John Hancock Life Ins Co USA MI 2,060 4,104,579 1,549,167 9.65 36.89386231 468 Transamerica Life Ins Co IA 1,466 2,946,435 4,544,609 6.93 43.82456014 2938 Thrivent Financial For Lutherans WI 1,412 2,685,527 3,715,853 6.31 50.13562235 565 Unum Life Ins Co Of Amer ME 6,983 2,426,246 924,225 5.70 55.83661263 233 Bankers Life & Cas Co IL 1,032 2,155,770 3,376,744 5.07 60.90769000 860 Northwestern Long Term Care Ins Co WI 922 1,991,445 )(100,566 4.68 65.58866915 826 New York Life Ins Co NY 817 1,406,466 940,627 3.31 68.89971412 261 Mutual Of Omaha Ins Co NE 662 1,305,130 426,384 3.07 71.9610

** STATE TOTAL** 27,369 42,540,791 35,085,530 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NEBRASKA

70025 4011 Genworth Life Ins Co DE 14,561 28,612,607 21,708,343 17.41 17.41165838 904 John Hancock Life Ins Co USA MI 6,839 12,084,742 5,344,242 7.35 24.77271471 4824 Ability Ins Co NE 3,920 11,263,797 11,538,313 6.86 31.62371412 261 Mutual Of Omaha Ins Co NE 5,811 9,960,762 5,943,077 6.06 37.69461263 233 Bankers Life & Cas Co IL 3,964 9,786,414 11,254,329 5.96 43.64586231 468 Transamerica Life Ins Co IA 4,294 8,607,043 13,556,686 5.24 48.88656014 2938 Thrivent Financial For Lutherans WI 5,034 8,566,561 18,570,133 5.21 54.09769000 860 Northwestern Long Term Care Ins Co WI 3,401 6,175,842 897,608 3.76 57.85820443 218 Continental Cas Co IL 5,353 5,711,154 6,182,356 3.48 61.33965978 241 Metropolitan Life Ins Co NY 2,982 4,395,685 2,370,570 2.68 64.0010

** STATE TOTAL** 94,195 164,314,075 155,693,001 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NEVADA

70025 4011 Genworth Life Ins Co DE 6,121 13,861,076 9,504,307 30.24 30.24165838 904 John Hancock Life Ins Co USA MI 2,969 5,424,632 2,434,861 11.83 42.07265978 241 Metropolitan Life Ins Co NY 2,092 3,026,998 1,563,931 6.60 48.68361263 233 Bankers Life & Cas Co IL 1,088 2,604,113 3,154,498 5.68 54.36462235 565 Unum Life Ins Co Of Amer ME 5,738 2,409,798 2,754,421 5.26 59.62525178 176 State Farm Mut Auto Ins Co IL 1,040 1,715,185 32,701 3.74 63.36666915 826 New York Life Ins Co NY 863 1,675,491 248,733 3.66 67.01720443 218 Continental Cas Co IL 2,606 1,598,568 2,196,265 3.49 70.50869000 860 Northwestern Long Term Care Ins Co WI 636 1,392,541 296,282 3.04 73.54965005 4 RiverSource Life Ins Co MN 705 1,162,991 1,982,452 2.54 76.0810

** STATE TOTAL** 30,201 45,837,682 31,458,978 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NEW HAMPSHIRE

70025 4011 Genworth Life Ins Co DE 6,350 14,390,556 7,927,015 24.77 24.77165838 904 John Hancock Life Ins Co USA MI 5,158 9,790,529 3,223,937 16.85 41.61261263 233 Bankers Life & Cas Co IL 2,762 7,129,441 7,813,525 12.27 53.88365978 241 Metropolitan Life Ins Co NY 2,801 4,455,051 3,598,764 7.67 61.55462235 565 Unum Life Ins Co Of Amer ME 5,247 3,327,123 1,391,484 5.73 67.28569000 860 Northwestern Long Term Care Ins Co WI 927 2,750,990 190,169 4.73 72.01665005 4 RiverSource Life Ins Co MN 1,065 2,017,579 5,604,127 3.47 75.48720443 218 Continental Cas Co IL 1,107 1,646,352 4,711,239 2.83 78.32886231 468 Transamerica Life Ins Co IA 753 1,620,995 1,907,094 2.79 81.11965935 435 Massachusetts Mut Life Ins Co MA 430 1,344,972 779,611 2.31 83.4210

** STATE TOTAL** 31,608 58,107,427 44,893,621 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NEW JERSEY

70025 4011 Genworth Life Ins Co DE 45,535 124,498,705 87,529,412 26.74 26.74165838 904 John Hancock Life Ins Co USA MI 37,948 82,506,707 44,943,380 17.72 44.46265978 241 Metropolitan Life Ins Co NY 28,729 43,932,573 27,330,411 9.44 53.89368241 304 Prudential Ins Co Of Amer NJ 19,644 33,761,500 21,958,133 7.25 61.15462235 565 Unum Life Ins Co Of Amer ME 20,611 30,895,220 16,243,468 6.64 67.78587726 241 Metlife Ins Co USA DE 6,415 23,554,143 49,145,340 5.06 72.84620443 218 Continental Cas Co IL 16,032 21,966,728 34,022,550 4.72 77.56769000 860 Northwestern Long Term Care Ins Co WI 5,219 15,569,820 4,935,881 3.34 80.90861263 233 Bankers Life & Cas Co IL 4,945 8,815,111 5,652,289 1.89 82.79971412 261 Mutual Of Omaha Ins Co NE 3,588 8,784,415 )(734,809 1.89 84.6810

** STATE TOTAL** 218,209 465,609,046 342,572,716 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NEW MEXICO

70025 4011 Genworth Life Ins Co DE 6,344 13,199,139 9,738,616 27.08 27.08165838 904 John Hancock Life Ins Co USA MI 4,559 7,936,293 2,262,595 16.28 43.36265978 241 Metropolitan Life Ins Co NY 2,123 3,221,559 2,334,158 6.61 49.97362235 565 Unum Life Ins Co Of Amer ME 14,392 2,520,482 1,768,235 5.17 55.14469000 860 Northwestern Long Term Care Ins Co WI 983 2,014,415 )(56,343 4.13 59.27566915 826 New York Life Ins Co NY 1,085 1,836,035 572,873 3.77 63.04663479 4852 United Teacher Assoc Ins Co TX 1,310 1,689,425 1,279,649 3.47 66.51771412 261 Mutual Of Omaha Ins Co NE 1,267 1,637,553 )(74,895 3.36 69.87868241 304 Prudential Ins Co Of Amer NJ 802 1,561,954 214,976 3.20 73.07925178 176 State Farm Mut Auto Ins Co IL 928 1,545,160 1,317,254 3.17 76.2410

** STATE TOTAL** 40,709 48,743,194 31,721,224 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NEW YORK

72990 4011 Genworth Life Ins Co of NY NY 83,404 227,166,214 157,646,295 23.71 23.71193610 904 John Hancock Life & Hlth Ins Co MA 56,062 166,926,735 140,839,327 17.43 41.14265978 241 Metropolitan Life Ins Co NY 52,124 104,431,363 63,325,760 10.90 52.04364297 565 First Unum Life Ins Co NY 39,612 66,534,474 82,593,119 6.95 58.98487726 241 Metlife Ins Co USA DE 17,117 56,737,914 184,847,314 5.92 64.91568241 304 Prudential Ins Co Of Amer NJ 28,013 53,291,431 38,443,369 5.56 70.47683437 1186 MedAmerica Ins Co of NY NY 23,750 47,335,955 38,200,467 4.94 75.41720443 218 Continental Cas Co IL 24,495 38,503,354 85,273,039 4.02 79.43869000 860 Northwestern Long Term Care Ins Co WI 11,074 33,327,815 4,217,069 3.48 82.91965838 904 John Hancock Life Ins Co USA MI 22,706 28,981,870 17,464,070 3.03 85.9410

** STATE TOTAL** 411,817 957,970,711 920,134,642 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NORTH CAROLINA

70025 4011 Genworth Life Ins Co DE 39,030 78,862,303 64,752,913 23.64 23.64165838 904 John Hancock Life Ins Co USA MI 30,967 53,497,906 28,242,988 16.04 39.68261263 233 Bankers Life & Cas Co IL 9,478 21,222,446 20,673,434 6.36 46.05369000 860 Northwestern Long Term Care Ins Co WI 9,307 20,259,152 3,027,601 6.07 52.12465978 241 Metropolitan Life Ins Co NY 13,246 18,071,828 14,132,339 5.42 57.54562235 565 Unum Life Ins Co Of Amer ME 21,691 11,807,104 15,225,729 3.54 61.08620443 218 Continental Cas Co IL 10,564 10,774,372 13,283,767 3.23 64.31768241 304 Prudential Ins Co Of Amer NJ 5,625 9,248,510 6,462,110 2.77 67.08871412 261 Mutual Of Omaha Ins Co NE 4,368 8,424,737 807,756 2.53 69.61986231 468 Transamerica Life Ins Co IA 4,231 8,075,448 11,384,850 2.42 72.0310

** STATE TOTAL** 197,517 333,545,812 283,863,629 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

NORTH DAKOTA

86231 468 Transamerica Life Ins Co IA 6,846 14,110,299 21,745,344 20.65 20.65170025 4011 Genworth Life Ins Co DE 3,367 6,496,210 7,282,177 9.51 30.15256014 2938 Thrivent Financial For Lutherans WI 3,543 6,388,902 15,135,354 9.35 39.50365838 904 John Hancock Life Ins Co USA MI 2,717 5,710,693 1,329,558 8.36 47.85471412 261 Mutual Of Omaha Ins Co NE 2,405 4,603,082 6,927,610 6.74 54.59569515 1186 Medamerica Ins Co PA 2,865 4,232,388 2,040,110 6.19 60.78662952 0 Equitable Life & Cas Ins Co UT 814 2,564,942 3,254,951 3.75 64.54769000 860 Northwestern Long Term Care Ins Co WI 1,013 1,951,395 )(628,938 2.86 67.39876325 0 Senior Hlth Ins Co of PA PA 688 1,913,888 4,018,627 2.80 70.19955891 0 Noridian Mut Ins Co ND 1,320 1,540,238 1,400,728 2.25 72.4410

** STATE TOTAL** 36,647 68,344,356 84,939,233 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

OHIO

70025 4011 Genworth Life Ins Co DE 46,557 99,915,407 69,269,877 25.36 25.36165838 904 John Hancock Life Ins Co USA MI 33,304 57,188,547 29,229,710 14.52 39.88268241 304 Prudential Ins Co Of Amer NJ 23,518 29,025,745 24,529,403 7.37 47.25365978 241 Metropolitan Life Ins Co NY 14,386 20,539,434 11,319,135 5.21 52.46469000 860 Northwestern Long Term Care Ins Co WI 8,762 20,054,517 1,164,367 5.09 57.55520443 218 Continental Cas Co IL 11,496 17,431,703 36,097,944 4.42 61.98662235 565 Unum Life Ins Co Of Amer ME 29,381 16,122,061 11,579,334 4.09 66.07765005 4 RiverSource Life Ins Co MN 6,847 10,862,046 22,356,565 2.76 68.83861263 233 Bankers Life & Cas Co IL 4,843 10,155,783 9,064,820 2.58 71.40960054 1 Aetna Life Ins Co CT 9,727 8,779,175 24,283,058 2.23 73.6310

** STATE TOTAL** 243,963 393,943,930 338,356,154 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

OKLAHOMA

70025 4011 Genworth Life Ins Co DE 9,751 21,400,037 17,670,165 21.52 21.52165838 904 John Hancock Life Ins Co USA MI 7,690 12,033,090 6,130,704 12.10 33.63261263 233 Bankers Life & Cas Co IL 2,605 5,477,420 7,054,000 5.51 39.14365978 241 Metropolitan Life Ins Co NY 4,051 4,875,329 2,948,346 4.90 44.04486231 468 Transamerica Life Ins Co IA 2,573 4,342,754 5,207,797 4.37 48.41525178 176 State Farm Mut Auto Ins Co IL 2,321 3,798,908 1,448,847 3.82 52.23666915 826 New York Life Ins Co NY 2,300 3,685,564 1,441,575 3.71 55.94769000 860 Northwestern Long Term Care Ins Co WI 1,488 3,374,328 761,636 3.39 59.33862235 565 Unum Life Ins Co Of Amer ME 6,746 3,112,465 1,615,062 3.13 62.46920443 218 Continental Cas Co IL 3,487 3,083,932 1,382,542 3.10 65.5610

** STATE TOTAL** 62,737 99,423,809 83,229,678 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

OREGON

70025 4011 Genworth Life Ins Co DE 10,705 25,635,282 12,622,523 17.99 17.99165838 904 John Hancock Life Ins Co USA MI 10,288 18,004,758 10,071,101 12.64 30.63262235 565 Unum Life Ins Co Of Amer ME 19,277 12,441,349 7,756,553 8.73 39.36361263 233 Bankers Life & Cas Co IL 4,197 9,516,844 10,884,249 6.68 46.04465978 241 Metropolitan Life Ins Co NY 5,406 8,824,923 3,529,359 6.19 52.24520443 218 Continental Cas Co IL 5,649 8,213,402 15,563,818 5.76 58.00669000 860 Northwestern Long Term Care Ins Co WI 2,886 6,978,004 724,198 4.90 62.90725178 176 State Farm Mut Auto Ins Co IL 3,681 6,759,267 5,028,911 4.74 67.64862952 0 Equitable Life & Cas Ins Co UT 1,794 5,199,322 5,663,778 3.65 71.29971471 4824 Ability Ins Co NE 2,277 4,089,468 5,050,439 2.87 74.1610

** STATE TOTAL** 86,435 142,475,025 107,763,374 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

PENNSYLVANIA

70025 4011 Genworth Life Ins Co DE 51,971 121,377,283 85,070,857 24.76 24.76165838 904 John Hancock Life Ins Co USA MI 36,224 69,614,095 35,606,120 14.20 38.95265978 241 Metropolitan Life Ins Co NY 24,246 36,622,960 24,951,562 7.47 46.42320443 218 Continental Cas Co IL 22,311 33,167,395 48,146,500 6.76 53.19462235 565 Unum Life Ins Co Of Amer ME 31,018 24,242,023 16,847,679 4.94 58.13568241 304 Prudential Ins Co Of Amer NJ 10,411 18,137,540 8,490,407 3.70 61.83669000 860 Northwestern Long Term Care Ins Co WI 6,180 14,608,579 2,469,616 2.98 64.81765005 4 RiverSource Life Ins Co MN 7,140 13,276,755 25,350,260 2.71 67.52861263 233 Bankers Life & Cas Co IL 6,350 12,670,887 9,684,619 2.58 70.10965935 435 Massachusetts Mut Life Ins Co MA 4,469 11,573,324 3,455,299 2.36 72.4610

** STATE TOTAL** 269,440 490,293,699 411,354,274 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

PUERTO RICO

71412 261 Mutual Of Omaha Ins Co NE 691 1,135,980 )(279,013 38.25 38.25165935 435 Massachusetts Mut Life Ins Co MA 516 1,087,740 106,783 36.63 74.88265838 904 John Hancock Life Ins Co USA MI 228 312,062 45,515 10.51 85.39387726 241 Metlife Ins Co USA DE 34 127,389 54,356 4.29 89.68460380 370 American Family Life Assur Co of Col NE 91 107,027 10,180 3.60 93.28520443 218 Continental Cas Co IL 102 76,271 )(23 2.57 95.85658033 0 Knights Of Columbus CT 89 61,357 1,929 2.07 97.92765978 241 Metropolitan Life Ins Co NY 113 54,829 17,749 1.85 99.77870025 4011 Genworth Life Ins Co DE 9 4,341 0 0.15 99.91965919 4750 Primerica Life Ins Co MA 3 1,761 0 0.06 99.9710

** STATE TOTAL** 1,878 2,969,614 42,259 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

RHODE ISLAND

65838 904 John Hancock Life Ins Co USA MI 4,224 10,383,654 11,973,616 25.47 25.47170025 4011 Genworth Life Ins Co DE 4,244 9,935,908 6,951,582 24.38 49.85265978 241 Metropolitan Life Ins Co NY 2,705 4,332,133 2,483,517 10.63 60.48362235 565 Unum Life Ins Co Of Amer ME 2,143 2,733,225 2,841,787 6.71 67.18469000 860 Northwestern Long Term Care Ins Co WI 701 1,737,558 177,164 4.26 71.45561263 233 Bankers Life & Cas Co IL 832 1,633,530 353,002 4.01 75.45687726 241 Metlife Ins Co USA DE 512 1,267,275 4,107,859 3.11 78.56765005 4 RiverSource Life Ins Co MN 525 993,621 3,243,555 2.44 81.00886231 468 Transamerica Life Ins Co IA 311 818,844 1,125,588 2.01 83.01971412 261 Mutual Of Omaha Ins Co NE 350 800,173 108,058 1.96 84.9710

** STATE TOTAL** 19,925 40,761,536 38,951,207 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

SOUTH CAROLINA

70025 4011 Genworth Life Ins Co DE 19,418 42,278,436 35,160,596 26.11 26.11165838 904 John Hancock Life Ins Co USA MI 14,054 23,933,746 14,027,759 14.78 40.89268241 304 Prudential Ins Co Of Amer NJ 9,029 10,864,845 6,011,589 6.71 47.60369000 860 Northwestern Long Term Care Ins Co WI 3,255 7,508,052 2,408,565 4.64 52.24465978 241 Metropolitan Life Ins Co NY 5,439 7,404,508 5,643,635 4.57 56.81561263 233 Bankers Life & Cas Co IL 2,886 7,266,534 7,547,564 4.49 61.30686231 468 Transamerica Life Ins Co IA 2,819 5,682,117 7,180,257 3.51 64.81765935 435 Massachusetts Mut Life Ins Co MA 1,708 4,942,425 731,383 3.05 67.86862235 565 Unum Life Ins Co Of Amer ME 7,526 4,168,667 2,978,854 2.57 70.43966915 826 New York Life Ins Co NY 2,225 4,108,981 1,469,736 2.54 72.9710

** STATE TOTAL** 96,767 161,921,439 137,848,558 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

SOUTH DAKOTA

70025 4011 Genworth Life Ins Co DE 4,982 11,172,791 5,736,491 15.40 15.40156014 2938 Thrivent Financial For Lutherans WI 3,390 6,221,243 10,184,187 8.58 23.98271412 261 Mutual Of Omaha Ins Co NE 2,967 5,701,715 4,571,400 7.86 31.84386231 468 Transamerica Life Ins Co IA 2,821 5,664,989 12,277,775 7.81 39.65465838 904 John Hancock Life Ins Co USA MI 2,765 5,388,804 2,036,421 7.43 47.08566915 826 New York Life Ins Co NY 2,060 3,687,676 795,763 5.08 52.17671471 4824 Ability Ins Co NE 1,869 3,648,952 8,202,816 5.03 57.20769000 860 Northwestern Long Term Care Ins Co WI 1,784 3,482,805 581,336 4.80 62.00862235 565 Unum Life Ins Co Of Amer ME 8,924 2,289,324 172,469 3.16 65.16925178 176 State Farm Mut Auto Ins Co IL 1,110 2,194,221 2,813,490 3.03 68.1810

** STATE TOTAL** 45,600 72,529,366 82,484,835 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

TENNESSEE

70025 4011 Genworth Life Ins Co DE 25,711 55,593,841 47,441,901 24.96 24.96165838 904 John Hancock Life Ins Co USA MI 16,986 29,151,646 19,226,562 13.09 38.05265978 241 Metropolitan Life Ins Co NY 13,471 16,023,420 8,082,947 7.19 45.25362235 565 Unum Life Ins Co Of Amer ME 25,072 13,207,404 3,931,521 5.93 51.18469000 860 Northwestern Long Term Care Ins Co WI 6,028 12,136,786 1,540,279 5.45 56.63520443 218 Continental Cas Co IL 7,152 11,328,770 24,768,132 5.09 61.71661263 233 Bankers Life & Cas Co IL 4,073 8,934,579 12,714,603 4.01 65.72786231 468 Transamerica Life Ins Co IA 3,351 7,111,625 9,144,587 3.19 68.92869515 1186 Medamerica Ins Co PA 5,299 6,720,601 3,477,063 3.02 71.94925178 176 State Farm Mut Auto Ins Co IL 3,115 5,539,657 2,080,922 2.49 74.4210

** STATE TOTAL** 141,238 222,713,073 192,241,210 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

TEXAS

70025 4011 Genworth Life Ins Co DE 67,758 137,896,944 85,422,393 20.52 20.52165838 904 John Hancock Life Ins Co USA MI 66,350 95,737,940 49,830,701 14.24 34.76286231 468 Transamerica Life Ins Co IA 18,102 33,822,569 50,264,387 5.03 39.79365978 241 Metropolitan Life Ins Co NY 28,357 32,689,457 15,669,776 4.86 44.65461263 233 Bankers Life & Cas Co IL 12,999 29,823,072 36,940,688 4.44 49.09562235 565 Unum Life Ins Co Of Amer ME 62,099 28,541,765 24,990,256 4.25 53.34620443 218 Continental Cas Co IL 32,030 26,417,541 24,165,459 3.93 57.27769000 860 Northwestern Long Term Care Ins Co WI 11,934 26,288,913 2,144,427 3.91 61.18825178 176 State Farm Mut Auto Ins Co IL 13,941 20,676,089 11,353,713 3.08 64.26966915 826 New York Life Ins Co NY 11,508 20,648,974 5,987,283 3.07 67.3310

** STATE TOTAL** 458,769 672,154,854 511,317,469 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

U.S. VIRGIN ISLANDS

65978 241 Metropolitan Life Ins Co NY 42 70,009 848 52.45 52.45120443 218 Continental Cas Co IL 22 23,503 )(91,665 17.61 70.06271412 261 Mutual Of Omaha Ins Co NE 13 19,901 485 14.91 84.97387726 241 Metlife Ins Co USA DE 3 10,841 0 8.12 93.09470025 4011 Genworth Life Ins Co DE 1 5,335 0 4.00 97.09560380 370 American Family Life Assur Co of Col NE 5 3,230 0 2.42 99.51676325 0 Senior Hlth Ins Co of PA PA 1 654 6,451 0.49 100.007

** STATE TOTAL** 87 133,473 )(83,881 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

UTAH

70025 4011 Genworth Life Ins Co DE 4,109 7,618,404 4,782,954 16.65 16.65168241 304 Prudential Ins Co Of Amer NJ 6,325 6,464,293 2,744,288 14.12 30.77265838 904 John Hancock Life Ins Co USA MI 2,895 3,940,563 2,111,251 8.61 39.38365978 241 Metropolitan Life Ins Co NY 3,304 3,469,057 2,254,449 7.58 46.96469000 860 Northwestern Long Term Care Ins Co WI 1,324 2,733,303 74,050 5.97 52.93520443 218 Continental Cas Co IL 3,978 2,084,833 2,299,519 4.56 57.49662952 0 Equitable Life & Cas Ins Co UT 794 1,868,021 1,511,676 4.08 61.57762235 565 Unum Life Ins Co Of Amer ME 3,128 1,654,658 820,467 3.62 65.18861263 233 Bankers Life & Cas Co IL 806 1,604,155 1,900,652 3.50 68.69960054 1 Aetna Life Ins Co CT 1,721 1,383,047 1,761,586 3.02 71.7110

** STATE TOTAL** 37,115 45,767,751 30,182,094 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

VERMONT

70025 4011 Genworth Life Ins Co DE 3,829 8,949,005 6,033,082 33.71 33.71165838 904 John Hancock Life Ins Co USA MI 1,941 3,540,261 1,988,790 13.33 47.04265978 241 Metropolitan Life Ins Co NY 1,232 2,073,376 2,108,914 7.81 54.85361263 233 Bankers Life & Cas Co IL 959 1,698,167 2,085,333 6.40 61.25462235 565 Unum Life Ins Co Of Amer ME 2,847 1,513,564 1,935,956 5.70 66.95569000 860 Northwestern Long Term Care Ins Co WI 335 1,074,055 8,002 4.05 70.99686231 468 Transamerica Life Ins Co IA 486 901,016 1,693,265 3.39 74.39771412 261 Mutual Of Omaha Ins Co NE 416 873,787 )(6,114 3.29 77.68887726 241 Metlife Ins Co USA DE 519 811,310 2,188,929 3.06 80.73966915 826 New York Life Ins Co NY 411 740,336 734,588 2.79 83.5210

** STATE TOTAL** 15,616 26,549,298 24,717,881 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

VIRGINIA

70025 4011 Genworth Life Ins Co DE 59,499 112,225,295 55,816,693 27.20 27.20165838 904 John Hancock Life Ins Co USA MI 46,500 85,363,473 50,079,413 20.69 47.88265978 241 Metropolitan Life Ins Co NY 17,146 23,693,631 13,009,470 5.74 53.63320443 218 Continental Cas Co IL 13,218 17,059,297 19,191,559 4.13 57.76469000 860 Northwestern Long Term Care Ins Co WI 6,705 16,356,495 4,060,610 3.96 61.72562235 565 Unum Life Ins Co Of Amer ME 18,538 15,112,902 10,329,796 3.66 65.39686231 468 Transamerica Life Ins Co IA 5,899 13,301,967 12,809,983 3.22 68.61765935 435 Massachusetts Mut Life Ins Co MA 4,175 13,110,856 4,217,386 3.18 71.79871412 261 Mutual Of Omaha Ins Co NE 8,216 11,629,811 10,854,614 2.82 74.61966915 826 New York Life Ins Co NY 6,490 10,544,669 3,364,485 2.56 77.1610

** STATE TOTAL** 243,436 412,642,993 263,231,632 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

WASHINGTON

70025 4011 Genworth Life Ins Co DE 29,394 74,639,556 44,125,842 23.73 23.73165838 904 John Hancock Life Ins Co USA MI 23,801 40,756,882 14,797,449 12.96 36.68286231 468 Transamerica Life Ins Co IA 11,213 21,962,148 30,117,941 6.98 43.67361263 233 Bankers Life & Cas Co IL 8,090 19,937,929 19,631,324 6.34 50.00462235 565 Unum Life Ins Co Of Amer ME 76,462 19,869,412 7,424,952 6.32 56.32565978 241 Metropolitan Life Ins Co NY 9,155 15,229,470 5,269,841 4.84 61.16669000 860 Northwestern Long Term Care Ins Co WI 4,868 11,133,808 2,034,265 3.54 64.70790611 761 Allianz Life Ins Co Of N Amer MN 4,194 9,138,831 5,344,611 2.91 67.61820443 218 Continental Cas Co IL 8,420 9,083,739 18,019,015 2.89 70.50965056 918 Jackson Natl Life Ins Co MI 3,560 8,943,607 12,941,180 2.84 73.3410

** STATE TOTAL** 223,140 314,563,433 229,796,615 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

WEST VIRGINIA

70025 4011 Genworth Life Ins Co DE 4,529 8,916,989 8,779,811 27.37 27.37169000 860 Northwestern Long Term Care Ins Co WI 1,731 4,220,030 418,978 12.95 40.32265978 241 Metropolitan Life Ins Co NY 2,051 2,810,738 2,077,409 8.63 48.94361263 233 Bankers Life & Cas Co IL 1,346 2,467,643 1,965,757 7.57 56.52465838 904 John Hancock Life Ins Co USA MI 1,473 2,369,932 2,425,792 7.27 63.79562235 565 Unum Life Ins Co Of Amer ME 7,844 1,558,919 191,664 4.78 68.57665005 4 RiverSource Life Ins Co MN 711 1,197,683 2,032,208 3.68 72.25771412 261 Mutual Of Omaha Ins Co NE 504 992,339 906,378 3.05 75.30825178 176 State Farm Mut Auto Ins Co IL 512 912,883 572,625 2.80 78.10920443 218 Continental Cas Co IL 619 803,662 1,224,263 2.47 80.5610

** STATE TOTAL** 25,037 32,583,717 25,846,275 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

WISCONSIN

70025 4011 Genworth Life Ins Co DE 19,462 44,063,390 31,934,244 16.00 16.00169000 860 Northwestern Long Term Care Ins Co WI 14,015 34,451,921 3,264,877 12.51 28.52265838 904 John Hancock Life Ins Co USA MI 16,564 33,474,870 14,935,224 12.16 40.67372273 0 Wea Ins Corp WI 12,429 23,230,729 3,912,498 8.44 49.11456014 2938 Thrivent Financial For Lutherans WI 9,893 18,331,605 26,960,039 6.66 55.77586231 468 Transamerica Life Ins Co IA 8,652 16,777,442 16,819,871 6.09 61.86661263 233 Bankers Life & Cas Co IL 5,510 12,745,329 15,197,191 4.63 66.49762235 565 Unum Life Ins Co Of Amer ME 13,564 8,982,008 7,157,465 3.26 69.75865978 241 Metropolitan Life Ins Co NY 5,313 8,667,651 4,766,537 3.15 72.90920443 218 Continental Cas Co IL 5,649 7,566,698 18,220,145 2.75 75.6510

** STATE TOTAL** 148,851 275,343,260 223,504,347 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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MARKET SHARE - TOP TEN COMPANIES

BY ACTUAL EARNED PREMIUMS

CompanyCode

GroupCode

CompanyName

State ofDomicile

EarnedPremiums

IncurredClaims

MarketShare

Percentage

CummulativeMarketShareRank

LivesInforce

End of Year

WYOMING

70025 4011 Genworth Life Ins Co DE 2,539 5,888,344 3,567,130 26.90 26.90165838 904 John Hancock Life Ins Co USA MI 882 1,595,987 205,356 7.29 34.20271471 4824 Ability Ins Co NE 405 1,305,483 516,894 5.96 40.16366915 826 New York Life Ins Co NY 654 1,184,208 1,217,302 5.41 45.57465978 241 Metropolitan Life Ins Co NY 712 1,079,240 542,007 4.93 50.50561263 233 Bankers Life & Cas Co IL 403 1,064,656 1,866,007 4.86 55.37656014 2938 Thrivent Financial For Lutherans WI 584 1,019,752 1,684,997 4.66 60.03771412 261 Mutual Of Omaha Ins Co NE 428 970,336 1,120,020 4.43 64.46825178 176 State Farm Mut Auto Ins Co IL 433 959,328 465,824 4.38 68.84986231 468 Transamerica Life Ins Co IA 419 874,103 1,220,342 3.99 72.8410

** STATE TOTAL** 11,050 21,886,562 17,285,513 100.00 100.0011

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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INDEX

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Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

71471 4824 Ability Ins Co NEAdvantage Capital Grp L X X X X

60054 1 Aetna Life Ins Co CTAETNA GRP L X X X X

35963 1289 AF&L Ins Co PAAMERICAN FIDELITY & LIBERTY INC GRP P X X X X

90611 761 Allianz Life Ins Co Of N Amer MNALLIANZ INS GRP L X X X X X

64190 761 Allianz Life Ins Co Of NY NYALLIANZ INS GRP L X X X X

60186 8 Allstate Life Ins Co ILALLSTATE INS GRP L X X X X

10386 473 American Family Ins Co OHAMERICAN FAMILY INS GRP P X X X X

60380 370 American Family Life Assur Co of Col NEAFLAC Grp L X X X X

60526 370 American Family Life Assur Co of NY NYAFLAC Grp L X X X X

19275 473 American Family Mut Ins Co WIAMERICAN FAMILY INS GRP P X X X X

60410 330 American Fidelity Assur Co OKAMERICAN FIDELITY CORP GRP L X X X X

60488 12 American Gen Life Ins Co TXAMERICAN INTL GRP L X X X X

60534 8 American Heritage Life Ins Co FLALLSTATE INS GRP L X X X X

60518 4716 American Hlth & Life Ins Co TXFortress Grp L X X X X

60243 810 American Independent Ntwrk Ins Co NY NYPENN TREATY AMER GRP L X X X X

80624 953 American Progressive L&H Ins Of NY NYUNIVERSAL AMER FIN CORP GRP L X X X X

60836 3527 American Republic Ins Co IAAmerican Enterprise Mut Grp L X X X X

60895 619 American United Life Ins Co INOneAmerica Fin Partners Grp L X X X X

62825 671 Anthem Blue Cross Life & Hlth Ins Co CAAnthem Inc Grp X X X X X

71835 671 Anthem Hlth Plans of VA Inc VAAnthem Inc Grp X X X X X

28207 671 Anthem Ins Co Inc INAnthem Inc Grp X X X X X

71439 Assurity Life Ins Co NE L X X X

63932 4734 Athene Life Ins Co of NY NYAthene Grp L X X X X

61190 280 Auto Owners Life Ins Co MIAUTO OWNERS GRP L X X X X

61212 Baltimore Life Ins Co MD L X X X X

68560 233 Bankers Conseco Life Ins Co NYCNO Financial Grp L X X X X

61239 587 Bankers Fidelity Life Ins Co GAATLANTIC AMER GRP L X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

61263 233 Bankers Life & Cas Co ILCNO Financial Grp L X X X X X

55433 570 BCBS of AL ALBCBS OF AL GRP X X X X X

98167 536 BCBS Of FL FLGuidewell Mut Holding Grp X X X X X

47171 537 BCBS of KC MOBCBS OF KC GRP X X X X X

70729 430 BCBS Of KS Inc KSBCBS of KS GRP L X X X X

54631 BCBS of NC Inc NC X X X X X

77780 BCBS Of NE NE X X X X X

38520 661 BCBS Of SC Inc SCBCBS of SC Grp X X X X X

54003 671 BCBS of WI WIAnthem Inc Grp X X X X X

55026 461 BCBSM Inc MNBCBS OF MN GRP X X X X X

38245 23 BCS Ins Co OHBCS INS GRP P X X X X

71714 429 Berkshire Life Ins Co of Amer MAGUARDIAN LIFE GRP L X X X X

61557 2798 Blue Shield of CA Life & Hlth Ins Co CABlue Shield of CA Grp L X X X X

47058 380 Carefirst of MD Inc MDCAREFIRST INC GRP X X X X X

56030 Catholic Financial Life WI F X

57487 Catholic Order Of Foresters IL F X X X X

12976 Catholic Special Needs Plan LLC NY X X

61751 690 Central States H & L Co Of Omaha NECENTRAL STATES GRP L X X X X

61883 1117 Central United Life Ins Co ARManhattan Life Grp L X X X X

61859 574 Christian Fidelity Life Ins Co TXAMERCO CORP GRP L X X X X

88064 838 Cincinnati Equitable Life Ins Co OHCINCINNATI EQUITABLE CO GRP L X X

76236 244 Cincinnati Life Ins Co OHCINCINNATI FIN GRP L X X X X

62626 306 CMFG Life Ins Co IACUNA MUT GRP L X X X X

62049 565 Colonial Life & Accident Ins Co SCUNUMPROVIDENT CORP GRP L X X X X X

62065 233 Colonial Penn Life Ins Co PACNO Financial Grp L X X X X

62146 626 Combined Ins Co Of Amer ILChubb Ltd Grp L X X X X

78697 626 Combined Life Ins Co Of NY NYChubb Ltd Grp L X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

62308 901 Connecticut Gen Life Ins Co CTCIGNA HLTH GRP L X X X

62359 953 Constitution Life Ins Co TXUNIVERSAL AMER FIN CORP GRP L X X X X

20443 218 Continental Cas Co ILCNA INS GRP P X X X X

71404 4852 Continental Gen Ins Co OHHC2 Holdings Grp L X X X X X

68500 1 Continental Life Ins Co Brentwood TNAETNA GRP L X X X X

11860 Copic Ins Co CO P X X X X

62553 50 Country Life Ins Co ILCountry Ins & Fin Serv Grp L X X X X X

71129 917 Dearborn Natl Life Ins Co ILHCSC GRP L X X X X

62952 Equitable Life & Cas Ins Co UT L X X X X

63177 212 Farmers New World Life Ins Co WAZURICH INS GRP L X X X X

67652 20 First Penn Pacific Life Ins Co INLINCOLN NATL GRP L X X X X X

74101 290 First United Amer Life Ins Co NYTorchmark Corp Grp L X X X X

64297 565 First Unum Life Ins Co NYUNUMPROVIDENT CORP GRP L X X X X

91642 3891 Forethought Life Ins Co INGoldman Sachs Grp L X X X X

38962 31 Genesis Ins Co CTBERKSHIRE HATHAWAY GRP P X X X X

65536 4011 Genworth Life & Ann Ins Co VAGenworth Fin Grp L X X X X

70025 4011 Genworth Life Ins Co DEGenworth Fin Grp L X X X X X

72990 4011 Genworth Life Ins Co of NY NYGenworth Fin Grp L X X X X X

70939 4483 Gerber Life Ins Co NYNestle SA Grp L X X X X

62286 707 Golden Rule Ins Co INUNITEDHEALTH GRP L X X X X

63312 84 Great Amer Life Ins Co OHAmerican Financial Grp L X X X X

95672 1185 Group Hlth Coop WAGROUP HLTH COOP GRP X X X X X

53007 380 Group Hospitalization & Med Srvcs DCCAREFIRST INC GRP X X X X X

64211 687 Guarantee Trust Life Ins Co ILGUARANTEE TRUST GRP L X X X X

64238 Guaranty Income Life Ins Co LA L X

88072 91 Hartford Life Ins Co CTHARTFORD FIRE & CAS GRP L X X X X

70670 917 Health Care Serv Corp A Mut Legal Re ILHCSC GRP X X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

78972 671 Healthy Alliance Life Ins Co MOAnthem Inc Grp X X X X X

53287 812 Highmark BCBSD Inc DEHIGHMARK GRP X X X X X

35599 812 Highmark Cas Ins Co PAHIGHMARK GRP P X X X X

54771 812 Highmark Inc PAHIGHMARK GRP X X X X X

93440 812 HM Life Ins Co PAHIGHMARK GRP L X X X X

54704 936 Independence Hospital Ind Plan Inc PAIndependence Hlth Grp Inc Grp X X X X X

65056 918 Jackson Natl Life Ins Co MIJACKSON NATL GRP L X X X X

65080 19 John Alden Life Ins Co WIAssurant Inc Grp L X X X X

93610 904 John Hancock Life & Hlth Ins Co MAJOHN HANCOCK GRP L X X X X

65838 904 John Hancock Life Ins Co USA MIJOHN HANCOCK GRP L X X X X X

65110 119 Kanawha Ins Co SCHUMANA GRP L X X X X X

65129 588 Kansas City Life Ins Co MOKANSAS CITY LIFE INS GRP L X

58033 Knights Of Columbus CT F X X X X

65242 836 Lafayette Life Ins Co OHWEST SOUTHERN GRP L X X X X

77720 572 LifeSecure Ins Co MIBCBS OF MI GRP L X X X X

65595 4815 Lincoln Benefit Life Co NEResolution Life Grp L X X X X

62057 20 Lincoln Life & Ann Co of NY NYLINCOLN NATL GRP L X

65676 20 Lincoln Natl Life Ins Co INLINCOLN NATL GRP L X X X X X

76694 769 London Life Reins Co PAGREAT WEST GRP L X X X

68446 850 Longevity Ins Co TXPENN MUT GRP L X X X X

81200 438 Louisiana Hlth Serv & Ind Co LALOUISIANA HLTH SERV GRP X X X X X X

65722 901 Loyal Amer Life Ins Co OHCIGNA HLTH GRP L X X X X

65781 450 Madison Natl Life Ins Co Inc WIGENEVE HOLDINGS INC GRP L X X X X

67083 84 Manhattan Natl Life Ins Co OHAmerican Financial Grp L X X X X

65935 435 Massachusetts Mut Life Ins Co MAMASS MUT LIFE INS GRP L X X X X X

69515 1186 Medamerica Ins Co PALifetime HlthCare Grp L X X X X

12967 1186 MedAmerica Ins Co of FL FLLifetime HlthCare Grp L X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

83437 1186 MedAmerica Ins Co of NY NYLifetime HlthCare Grp L X X X X

31119 3527 Medico Ins Co NEAmerican Enterprise Mut Grp L X X X X

87726 241 Metlife Ins Co USA DEMETROPOLITAN GRP L X X X X

65978 241 Metropolitan Life Ins Co NYMETROPOLITAN GRP L X X X X

66087 264 Mid West Natl Life Ins Co Of TN TXHealthMarkets Grp L X X X X

66168 869 Minnesota Life Ins Co MNMINNESOTA MUT GRP L X X X X

66370 458 Mony Life Ins Co NYPROTECTIVE LIFE INS GRP L X

71412 261 Mutual Of Omaha Ins Co NEMUTUAL OF OMAHA GRP L X X X X

30155 National Ins Co Of WI Ins WI P X X X X

66680 634 National Life Ins Co VTNational Life GRP L X X X X

92657 140 Nationwide Life & Ann Ins Co OHNATIONWIDE CORP GRP L X X X

66869 140 Nationwide Life Ins Co OHNATIONWIDE CORP GRP L X X

78743 520 New Era Life Ins Co TXNEW ERA LIFE GRP L X X X

91596 826 New York Life Ins & Ann Corp DENEW YORK LIFE GRP L X

66915 826 New York Life Ins Co NYNEW YORK LIFE GRP L X X X X

55891 Noridian Mut Ins Co ND X X X X X

69000 860 Northwestern Long Term Care Ins Co WINORTHWESTERN MUT GRP L X X X X

67091 860 Northwestern Mut Life Ins Co WINORTHWESTERN MUT GRP L X

67199 588 Old Amer Ins Co MOKANSAS CITY LIFE INS GRP L X X X X

56383 Order of United Commercial Travelers OH F X X X X

32069 1309 Patriot Ins Co MEFRANKENMUTH GRP P X X X X

67628 153 Pekin Life Ins Co ILPEKIN INS GRP L X X X X

67660 4667 Pennsylvania Life Ins Co PACVS Caremark Grp X X X X X

67784 520 Philadelphia Amer Life Ins Co TXNEW ERA LIFE GRP L X X X

80578 367 Physicians Mut Ins Co NEPHYSICIANS MUT GRP L X X X X

47570 962 Premera Blue Cross WAPREMERA BLUE CROSS GRP X X X X X

65919 4750 Primerica Life Ins Co MAPrimerica Grp L X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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2015 LONG-TERM CARE INSURANCE EXPERIENCE REPORTS

Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

61271 332 Principal Life Ins Co IAPRINCIPAL FIN GRP L X X X X

68195 565 Provident Life & Accident Ins Co TNUNUMPROVIDENT CORP GRP L X X X X X

68209 565 Provident Life & Cas Ins Co TNUNUMPROVIDENT CORP GRP L X X X X

68241 304 Prudential Ins Co Of Amer NJPRUDENTIAL OF AMER GRP L X X X X

68284 953 Pyramid Life Ins Co KSUNIVERSAL AMER FIN CORP GRP L X X X X

54933 1207 Regence BCBS of OR ORCambia Health Solutions Inc X X X X X

60131 1207 Regence Blueshield Of ID Inc IDCambia Health Solutions Inc X X X X X

67105 4832 Reliastar Life Ins Co MNVoya Financial Grp L X X X X

68462 215 Reserve Natl Ins Co OKKemper Corp Grp L X X X X

65005 4 RiverSource Life Ins Co MNAmeriprise Fin Grp L X X X X X

80594 4 Riversource Life Ins Co Of NY NYAmeriprise Fin Grp L X X X X X

60445 Sagicor Life Ins Co TX L X X X X

76759 1289 Senior Amer Ins Co PAAMERICAN FIDELITY & LIBERTY INC GRP P X X X X

76325 Senior Hlth Ins Co of PA PA L X X X X

24988 169 Sentry Ins A Mut Co WISENTRY INS GRP P X X X X

68810 169 Sentry Life Ins Co WISENTRY INS GRP L X X X X

68896 Southern Farm Bureau Life Ins Co MS L X X X X

86355 408 Standard Life & Accident Ins Co TXAMERICAN NATL FIN GRP L X X X X X

25178 176 State Farm Mut Auto Ins Co ILSTATE FARM GRP P X X X X

69116 619 State Life Ins Co INOneAmerica Fin Partners Grp L X X X X

69132 State Mut Ins Co GA L X X X X

77399 901 Sterling Life Ins Co ILCIGNA HLTH GRP X X X X

69272 588 Sunset Life Ins Co Of Amer MOKANSAS CITY LIFE INS GRP L X

69345 1216 Teachers Ins & Ann Assoc Of Amer NYTIAA FAMILY GRP L X X X X

69353 Teachers Protective Mut Life Ins Co PA L X X X X

56014 2938 Thrivent Financial For Lutherans WIThrivent Financial For Lutherans Grp F X X X X X

60142 1216 TIAA Cref Life Ins Co NYTIAA FAMILY GRP L X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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Index of companies

CompanyCode

GroupCode

CompanyName

State ofDomicile

Group Name

BusinessType Form 1 Form 2 Form 3 Form 4 Form 5

69477 19 Time Ins Co WIAssurant Inc Grp L X X X X

70688 468 Transamerica Financial Life Ins Co NYAegon US Holding Grp L X X X X

86231 468 Transamerica Life Ins Co IAAegon US Holding Grp L X X X X

66281 468 Transamerica Premier Life Ins Co IAAegon US Holding Grp L X X X X

61425 276 Trustmark Ins Co ILTrustmark Mut Holding Co GRP L X X X X X

80314 671 Unicare Life & Hlth Ins Co INAnthem Inc Grp L X X X X

69744 781 Union Labor Life Ins Co MDUNION LABOR GRP L X X X X

70408 19 Union Security Ins Co KSAssurant Inc Grp L X X X X

81477 19 Union Security Life Ins Co of NY NYAssurant Inc Grp L X X X X

92916 290 United Amer Ins Co NETorchmark Corp Grp L X X X X

92703 687 United Natl Life Ins Co Of Amer ILGUARANTEE TRUST GRP L X X X

69868 261 United Of Omaha Life Ins Co NEMUTUAL OF OMAHA GRP L X X X X

42129 United Security Assur Co Of PA PA L X X X X

70106 12 United States Life Ins Co in the Cit NYAMERICAN INTL GRP L X X X X

63479 4852 United Teacher Assoc Ins Co TXHC2 Holdings Grp L X X X X

79413 707 UnitedHealthcare Ins Co CTUNITEDHEALTH GRP L X X X X

62235 565 Unum Life Ins Co Of Amer MEUNUMPROVIDENT CORP GRP L X X X X

94358 876 USAble Life ARARKANSAS BCBS GRP L X X X X

83470 876 USAble Mut Ins Co ARARKANSAS BCBS GRP X X X X X

86509 4832 Voya Retirement Ins & Ann Co CTVoya Financial Grp L X X X X

70319 233 Washington Natl Ins Co INCNO Financial Grp L X X X X

72273 Wea Ins Corp WI L X X X X

70335 458 West Coast Life Ins Co NEPROTECTIVE LIFE INS GRP L X X X X

57320 Woodmen World Life Ins Soc NE F X X X X

88080 1285 XL Life Ins & Ann Co ILXL AMER GRP L X X X X

CAUTION: The information contained on this page is unaudited and not a complete analysis nor is it an expression of opinion on any insurer. This page may contain inadvertent errors.

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The National Association of Insurance Commissioners (NAIC) is the U.S. standard-setting and regulatory supportorganization created and governed by the chief insuranceregulators from the 50 states, the District of Columbia and fiveU.S. territories. Through the NAIC, state insurance regulatorsestablish standards and best practices, conduct peer review,and coordinate their regulatory oversight. NAIC staff supportsthese efforts and represents the collective views of stateregulators domestically and internationally. NAIC members,together with the central resources of the NAIC, form thenational system of state-based insurance regulation in the U.S.

For more information, visit www.naic.org.