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Section B • Pennington County Courant • May 9, 16 & 23, 2013 • Page 12 Public Notices Annual Statements for Insurance Companies 66850 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONAL WESTERN LIFE INSURANCE COMPANY Home Office Address: 1675 Broadway #1200 Denver, CO 80202 Mail Address: 850 E Anderson Lane Austin, TX 78752-1602 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $8,260,567,425 Stocks . . . . . . . . . . . . . . . . . . . . . . 262,369,629 Mortgage Loans on Real Estate . . . . 117,557,155 Real Estate Owned. . . . . . . . . . . . . . . 1,530,411 Policy Loans. . . . . . . . . . . . . . . . . . . 71,330,600 Cash and Bank Deposits . . . . . . . . . 249,093,381 Deferred and Uncollected Premiums . . . . . . . . . 4,041,793 Investment Income Due and Accrued . . . . . . . . . . . . 87,093,147 Other Assets. . . . . . . . . . . . . . . . . . 111,179,477 TOTAL ASSETS. . . . . . . . . . . . . $9,164,763,018 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $7,767,986,896 Reserve for Accident & Health Policies. . . . . . . . . . . . . . . . 61,136 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 60,711,997 Accident and Health . . . . . . . . . . . . . 61,430 General Expenses Due or Accrued . . . . . . . . . . . . . 22,510,864 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 5,581,829 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . 303,082,705 TOTAL LIABILITIES . . . . . . . . . . $8,159,996,857 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 3,634,763 Gross Paid In and Contributed Surplus . . . . . . . . . . 40,077,879 Unassigned Surplus . . . . . . . . . . . . 961,053,519 Surplus as Regards Policyholders . . . . . . . . . . . . $1,004,766,161 TOTAL . . . . . . . . . . . . . . . . . . . . 9,164,763,018 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $2,939,394 Direct Losses Paid . . . . . . . . . . . . . . . . . 16,967 Losses Incurred . . . . . . . . . . . . . . . . . . . 16,967 Life Insurance in Force . . . . . . . . . . . . 8,436,142 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the National Western Life Insurance Company, a Corporation organized under the Laws of Colorado, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 26093 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONWIDE AFFINITY INSURANCE CO. OF AMERICA Home Office Address: One W Nationwide Blvd.1-04-701 Columbus, OH 43215-2220 Mail Address: One W Nationwide Blvd.1-04-701 Columbus, OH 43215-2220 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . . 9,347,832 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . . . 3,099,845 Agents Balances or Uncollected Premiums. . . . . . . . 219,489,199 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 169,768 Other Assets . . . . . . . . . . . . . . . . . . 73,998,023 TOTAL ASSETS . . . . . . . . . . . . . . . 306,104,667 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . . . . . . . . 0 Reserve for Loss Adjustment Expenses . . . . . . . . . . . . . . . . 0 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . . . . . 0 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . . . . . . 0 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 168,254 Unearned Premiums . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . 293,537,608 TOTAL LIABILITIES . . . . . . . . . . . . 293,705,862 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . 6,372,729 Unassigned Funds (Surplus) . . . . . . . . 1,026,076 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 12,398,805 TOTAL . . . . . . . . . . . . . . . . . . . . . . 306,104,667 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . 4,080,747 Direct Premiums Earned . . . . . . . . . . . 2,968,518 Direct Losses Paid . . . . . . . . . . . . . . . 2,744,719 Direct Losses Incurred . . . . . . . . . . . . 3,067,462 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Nationwide Affinity Insurance Co. of America, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14-23A-27 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 23A. Travel, Accident & Baggage 27. Personal in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 28223 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONWIDE AGRIBUSINESS INSURANCE COMPANY Home Office Address: 1100 Locust St., Dept 2007 Des Moines, IA 50391-2007 Mail Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . 86,217,202 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . (34,381,597) Agents Balances or Uncollected Premiums. . . . . . . . 181,392,987 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . 1,032,198 Other Assets . . . . . . . . . . . . . . . . . . 86,640,967 TOTAL ASSETS . . . . . . . . . . . . . . . 320,901,757 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . . . . . . . . 0 Reserve for Loss Adjustment Expenses . . . . . . . . . . . . . . . . 0 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . . . . . 0 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . . . . . . 0 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 821,004 Unearned Premiums . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . 258,639,004 TOTAL LIABILITIES . . . . . . . . . . . . 259,460,008 Special Surplus Funds . . . . . . . . . . . . 2,340,000 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . 25,250,018 Unassigned Funds (Surplus) . . . . . . . 30,601,755 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 61,441,749 TOTAL . . . . . . . . . . . . . . . . . . . . . . 320,901,757 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . 10,147,265 Direct Premiums Earned . . . . . . . . . . . 9,679,086 Direct Losses Paid . . . . . . . . . . . . . . . 2,470,089 Direct Losses Incurred . . . . . . . . . . . . 3,164,319 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Nationwide Agribusiness Insurance Company, a Corporation organized under the Laws of Iowa, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14-15-16-17-18 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 66869 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONWIDE LIFE INSURANCE COMPANY Home Office Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 Mail Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 ASSETS Bonds . . . . . . . . . . . . . . . . . . . $23,432,028,192 Stocks . . . . . . . . . . . . . . . . . . . . . . 346,030,089 Mortgage Loans on Real Estate . . 5,244,324,908 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . 949,625,786 Cash and Bank Deposits . . . . . . . . . 662,026,868 Deferred and Uncollected Premiums. . . . . . . . . 68,604,183 Investment Income Due and Accrued . . . . . . . . . . . 500,809,959 Other Assets . . . . . . . . . . . . . . . 75,374,093,270 TOTAL ASSETS . . . . . . . . . . . $106,577,543,255 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . $27,494,672,455 Reserve for Accident & Health Policies . . . . . . . . . . . . 67,770,139 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 50,624,332 Accident and Health . . . . . . . . . . 31,620,210 General Expenses Due or Accrued . . . . . . . . . . . . . 50,661,438 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . 16,223,195 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . 75,029,337,573 TOTAL LIABILITIES . . . . . . . . $102,740,909,342 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 3,814,779 Gross Paid In and Contributed Surplus. . . . . . . . . . 954,086,517 Unassigned Surplus . . . . . . . . . . . 2,878,732,617 Surplus as Regards Policyholders . . . . . . . . . . . . $3,836,633,913 TOTAL. . . . . . . . . . . . . . . . . . . 106,577,543,255 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $9,317,087 Direct Losses Paid . . . . . . . . . . . . . . 14,233,048 Losses Incurred . . . . . . . . . . . . . . . . . . . 83,160 Life Insurance in Force . . . . . . . . . . 151,386,931 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Nationwide Life Insurance Company, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20-21 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. Variable Life in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 92657 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONWIDE LIFE AND ANNUITY INSURANCE CO. Home Office Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 Mail Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $4,294,688,883 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . 73,973 Mortgage Loans on Real Estate . . . . 524,001,761 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans. . . . . . . . . . . . . . . . . . . 30,617,131 Cash and Bank Deposits . . . . . . . . . . 27,974,634 Deferred and Uncollected Premiums. . . . . . . . . 21,351,857 Investment Income Due and Accrued . . . . . . . . . . . . 54,766,171 Other Assets . . . . . . . . . . . . . . . . 1,289,846,544 TOTAL ASSETS. . . . . . . . . . . . . $6,243,320,954 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $4,422,667,304 Reserve for Accident & Health Policies . . . . . . . . . . . . . . . . . . . . 0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 12,395,510 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 1,040,154 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . 1,496,222,840 TOTAL LIABILITIES . . . . . . . . . . $5,932,325,808 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,640,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 615,624,500 Unassigned Surplus . . . . . . . . . . . (307,269,354) Surplus as Regards Policyholders . . . . . . . . . . . . . $310,995,146 TOTAL . . . . . . . . . . . . . . . . . . . . 6,243,320,954 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $3,255,077 Direct Losses Paid . . . . . . . . . . . . . . . 1,663,951 Losses Incurred. . . . . . . . . . . . . . . . . . . . . . . . 0 Life Insurance in Force . . . . . . . . . . 207,687,639 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Nationwide Life and Annuity Insurance Co., a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20-21 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. Variable Life in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 23787 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONWIDE MUTUAL INSURANCE COMPANY Home Office Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 Mail Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 8,327,756,226 Stocks . . . . . . . . . . . . . . . . . . . . . 7,861,556,141 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . 484,873,411 Real Estate Owned . . . . . . . . . . . . . 677,971,036 Cash and Bank Deposits . . . . . . . . . 279,463,944 Agents Balances or Uncollected Premiums . . . . . . 3,991,908,463 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . 117,977,746 Other Assets . . . . . . . . . . . . . . . . 7,810,285,581 TOTAL ASSETS. . . . . . . . . . . . . 29,551,792,548 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 6,567,908,582 Reserve for Loss Adjustment Expenses . . . . . . . 1,418,095,919 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 87,088,183 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 81,861,733 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums. . . . . . . . . . . 4,922,676,348 All Other Liabilities . . . . . . . . . . . . 5,130,163,594 TOTAL LIABILITIES . . . . . . . . . . 18,207,794,359 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Funds (Surplus) . . . . . 9,201,377,118 Surplus as Regards Policyholders . . . . . . . . . . . . 11,343,998,189 TOTAL. . . . . . . . . . . . . . . . . . . . 29,551,792,548 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . 10,586,342 Direct Premiums Earned . . . . . . . . . . 10,234,701 Direct Losses Paid . . . . . . . . . . . . . . . 8,257,771 Direct Losses Incurred . . . . . . . . . . . . 6,856,192 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Nationwide Mutual Insurance Company, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14-15-17 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 23779 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NATIONWIDE MUTUAL FIRE INSURANCE COMPANY Home Office Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 Mail Address: One W Nationwide Blvd 1-04-701 Columbus, OH 43215-2220 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 3,143,020,473 Stocks . . . . . . . . . . . . . . . . . . . . . . 194,865,945 Mortgage Loans on Real Estate . . . . . . . . . . . . . . . . 77,078,063 Real Estate Owned . . . . . . . . . . . . . . 14,243,722 Cash and Bank Deposits . . . . . . . . . . 73,321,634 Agents Balances or Uncollected Premiums. . . . . . . . 786,428,710 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 39,714,573 Other Assets. . . . . . . . . . . . . . . . . . 401,040,161 TOTAL ASSETS . . . . . . . . . . . . . 4,729,713,281 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 886,706,882 Reserve for Loss Adjustment Expenses . . . . . . . . 191,451,390 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 11,084,332 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 8,864,642 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 664,590,714 All Other Liabilities . . . . . . . . . . . . . 649,664,969 TOTAL LIABILITIES . . . . . . . . . . . 2,412,362,929 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Funds (Surplus) . . . . . 2,317,350,352 Surplus as Regards Policyholders . . . . . . . . . . . . . 2,317,350,352 TOTAL . . . . . . . . . . . . . . . . . . . . 4,729,713,281 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 204,752 Direct Premiums Earned . . . . . . . . . . . . 235,333 Direct Losses Paid . . . . . . . . . . . . . . . . 204,798 Direct Losses Incurred . . . . . . . . . . . . . . 130,421 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Nationwide Mutual Fire Insurance Company, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 3-4-5-6-7-8-9-10-11-12-13-14-15-17-18 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 25240 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NAU COUNTRY INSURANCE COMPANY Home Office Address: 7333 Sunwood Drive Ramsey, MN 55303 Mail Address: 7333 Sunwood Drive Ramsey, MN 55303 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . 402,522,299 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . 651,621,505 Agents Balances or Uncollected Premiums. . . . . . . . 155,498,715 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 685,367 Other Assets. . . . . . . . . . . . . . . . . . 248,273,136 TOTAL ASSETS . . . . . . . . . . . . . 1,458,601,022 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 383,648,670 Reserve for Loss Adjustment Expenses . . . . . . . . . 72,635,213 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 1,368,915 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 3,763,453 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 188,518,509 All Other Liabilities . . . . . . . . . . . . . 473,217,425 TOTAL LIABILITIES . . . . . . . . . . . 1,123,152,185 Special Surplus Funds . . . . . . . . . . . . 1,828,691 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 3,000,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 118,820,000 Unassigned Funds (Surplus) . . . . . . 211,800,146 Surplus as Regards Policyholders . . . . . . . . . . . . . . 335,448,837 TOTAL . . . . . . . . . . . . . . . . . . . . 1,458,601,022 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . 92,548,699 Direct Premiums Earned . . . . . . . . . . 91,400,275 Direct Losses Paid . . . . . . . . . . . . . 108,798,099 Direct Losses Incurred. . . . . . . . . . . 139,554,724 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the NAU Country Insurance Company, a Corporation organized under the Laws of Minnesota, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-17 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 23841 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NEW HAMPSHIRE INSURANCE COMPANY Home Office Address: 2595 Interstate Drive #103 Harrisburg, PA 17110 Mail Address: 175 Water St., 18th Floor New York, NY 10270 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 2,020,836,032 Stocks . . . . . . . . . . . . . . . . . . . . . . 215,928,831 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . 116,099,989 Agents Balances or Uncollected Premiums. . . . . . . . 297,643,225 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 13,792,143 Other Assets. . . . . . . . . . . . . . . . . . 590,519,547 TOTAL ASSETS . . . . . . . . . . . . . 3,254,819,767 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 1,354,183,909 Reserve for Loss Adjustment Expenses . . . . . . . . 261,663,475 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 5,107,473 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 30,108,348 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 197,223 Unearned Premiums . . . . . . . . . . . . 312,555,463 All Other Liabilities . . . . . . . . . . . . . 368,279,308 TOTAL LIABILITIES . . . . . . . . . . . 2,332,095,199 Special Surplus Funds . . . . . . . . . . . . . . 167,305 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus. . . . . . . . . . 763,600,705 Unassigned Funds (Surplus) . . . . . . 153,631,493 Surplus as Regards Policyholders . . . . . . . . . . . . . . 922,724,568 TOTAL . . . . . . . . . . . . . . . . . . . . 3,254,819,767 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . 1,559,969 Direct Premiums Earned . . . . . . . . . . . 1,791,093 Direct Losses Paid . . . . . . . . . . . . . . . 1,105,935 Direct Losses Incurred . . . . . . . . . . . . 1,027,333 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the New Hampshire Insurance Company, a Corporation organized under the Laws of Pennslyvania, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14-17 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 66915 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NEW YORK LIFE INSURANCE COMPANY Home Office Address: 51 MadisonAvenue New York, NY 10010 Mail Address: 51 MadisonAvenue New York, NY 10010 ASSETS Bonds . . . . . . . . . . . . . . . . . . . $68,459,473,050 Stocks . . . . . . . . . . . . . . . . . . . . 10,713,362,069 Mortgage Loans on Real Estate . 10,681,396,162 Real Estate Owned . . . . . . . . . . . . . 519,296,528 Policy Loans . . . . . . . . . . . . . . . . 8,396,905,487 Cash and Bank Deposits . . . . . . . 1,622,393,406 Deferred and Uncollected Premiums . . . . . . 1,656,468,570 Investment Income Due and Accrued . . . . . . . . . . 1,125,943,134 Other Assets . . . . . . . . . . . . . . . 31,551,609,716 TOTAL ASSETS . . . . . . . . . . . $134,726,848,122 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . $79,523,032,971 Reserve for Accident &HealthPolicies..........2,649,526,031 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . 653,523,774 Accident and Health . . . . . . . . . . 70,067,039 General Expenses Due or Accrued . . . . . . . . . . . 1,000,039,022 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . 99,328,785 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . 7,000,088 All Other Liabilities . . . . . . . . . . . 34,155,792,073 TOTAL LIABILITIES . . . . . . . . $118,158,309,783 Special Surplus Funds . . . . . . . . $1,991,219,128 Capital Paid Up . . . . . . . . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Surplus . . . . . . . . . . 14,577,319,211 Surplus as Regards Policyholders . . . . . . . . . . . $16,568,538,339 TOTAL. . . . . . . . . . . . . . . . . . . 134,726,848,122 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $44,329,958 Direct Losses Paid . . . . . . . . . . . . . . 51,322,379 Losses Incurred . . . . . . . . . . . . . . . . 16,841,003 Life Insurance in Force . . . . . . . . . 5,238,976,051 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the New York Life Insurance Company, a Corporation organized under the Laws of New York, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 91596 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NEW YORK LIFE INSURANCE &ANNUITYCORPORATION Home Office Address: 200 Contiental Dr. Suite 306 Newark DE 19713 Mail Address: 51 MadisonAvenue New York, NY 10010 ASSETS Bonds . . . . . . . . . . . . . . . . . . . $62,193,339,808 Stocks . . . . . . . . . . . . . . . . . . . . . . 208,898,464 Mortgage Loans on Real Estate . . 8,128,856,717 Real Estate Owned . . . . . . . . . . . . . . 60,400,615 Policy Loans . . . . . . . . . . . . . . . . . . 879,316,266 Cash and Bank Deposits . . . . . . . . . 503,737,263 Deferred and Uncollected Premiums . . . . . . . . . . . 521,009 Investment Income Due and Accrued . . . . . . . . . . . 592,728,035 Other Assets . . . . . . . . . . . . . . . 36,942,442,347 TOTAL ASSETS . . . . . . . . . . . $109,510,240,524 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . $62,801,537,650 Reserve for Accident &HealthPolicies....................0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . 160,027,223 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . 3,760,980 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . 43,862,525 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . 40,102,414,978 TOTAL LIABILITIES . . . . . . . . $103,111,603,356 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . 25,000,000 Gross Paid In and Contributed Surplus . . . . . . . . 3,927,757,314 Unassigned Surplus . . . . . . . . . . . 2,445,879,854 Surplus as Regards Policyholders . . . . . . . . . . . . $6,398,637,168 TOTAL. . . . . . . . . . . . . . . . . . . 109,510,240,524 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $74,670,878 Direct Losses Paid . . . . . . . . . . . . . . 49,523,084 Losses Incurred . . . . . . . . . . . . . . . . . 6,852,502 Life Insurance in Force . . . . . . . . . 1,451,477,277 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the New York Life Insurance & Annuity Corporation, a Corporation organized under the Laws of Delaware, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20-21 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. Variable Life in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 66974 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NORTH AMERICAN CO. FOR LIFE & HEALTH INSURANCE Home Office Address: 4350 Westown Parkway, Ste 300 West Des Moines, IA 50266 Mail Address: One Sammons Plaza Sioux Falls, SD 57193-0001 ASSETS Bonds . . . . . . . . . . . . . . . . . . . $11,461,079,317 Stocks . . . . . . . . . . . . . . . . . . . . . . 127,109,655 Mortgage Loans on Real Estate . . . . 302,938,865 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans. . . . . . . . . . . . . . . . . . . 81,819,735 Cash and Bank Deposits . . . . . . . . . 332,933,159 Deferred and Uncollected Premiums. . . . . . . . . 16,490,800 Investment Income Due and Accrued . . . . . . . . . . . 106,414,806 Other Assets. . . . . . . . . . . . . . . . . . 589,906,257 TOTAL ASSETS. . . . . . . . . . . . $13,018,692,594 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . $10,354,684,254 Reserve for Accident &HealthPolicies....................0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 63,413,045 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . 19,284,617 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 5,483,922 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . 18,548,244 All Other Liabilities . . . . . . . . . . . . 1,579,903,702 TOTAL LIABILITIES . . . . . . . . . $12,041,317,784 Special Surplus Funds. . . . . . . . . . . $35,000,000 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 424,113,095 Unassigned Surplus . . . . . . . . . . . . 515,761,715 Surplus as Regards Policyholders . . . . . . . . . . . . . $977,374,810 TOTAL. . . . . . . . . . . . . . . . . . . . 13,018,692,594 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $11,964,079 Direct Losses Paid . . . . . . . . . . . . . . . 2,424,416 Losses Incurred . . . . . . . . . . . . . . . . . 2,484,416 Life Insurance in Force . . . . . . . . . . 272,498,363 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the North American Co. for Life & Health Insurance, a Corporation organized under the Laws of Iowa, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance
Section B • Pennington County Courant • May 9, 16 & 23, 2013 • Page 13 Public Notices Annual Statements for Insurance Companies 14850 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NORTH STAR MUTUAL INSURANCE COMPANY Home Office Address: 269 Barstad Road South Cottonwood, MN 56229 Mail Address: PO Box 48 Cottonwood, MN 56229 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . 344,694,389 Stocks . . . . . . . . . . . . . . . . . . . . . . . 38,160,577 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned. . . . . . . . . . . . . . . 2,231,215 Cash and Bank Deposits . . . . . . . . . . 28,728,278 Agents Balances or Uncollected Premiums. . . . . . . . . 37,356,016 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . 2,209,738 Other Assets . . . . . . . . . . . . . . . . . . . 6,932,700 TOTAL ASSETS . . . . . . . . . . . . . . . 460,312,913 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . 67,254,425 Reserve for Loss Adjustment Expenses . . . . . . . . . . 9,721,266 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 1,686,799 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 1,064,951 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 117,032,371 All Other Liabilities . . . . . . . . . . . . . . 10,212,449 TOTAL LIABILITIES . . . . . . . . . . . . 206,972,261 Special Surplus Funds . . . . . . . . . . . . 1,000,000 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Funds (Surplus) . . . . . . 252,340,652 Surplus as Regards Policyholders . . . . . . . . . . . . . . 253,340,652 TOTAL . . . . . . . . . . . . . . . . . . . . . . 460,312,913 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . 29,668,363 Direct Premiums Earned . . . . . . . . . . 28,347,907 Direct Losses Paid . . . . . . . . . . . . . . 18,013,088 Direct Losses Incurred . . . . . . . . . . . 18,557,352 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the North Star Mutual Insurance Company, a Corporation organized under the Laws of Minnesota, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14-17 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 19372 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NORTHERN INSURANCE COMPANY OF NEW YORK Home Office Address: One Liberty Plaza/165 Broadway New York, NY 10006 Mail Address: 1400 American Lane Schaumburg, IL 60196-1056 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . 26,659,440 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . . . 2,022,983 Agents Balances or Uncollected Premiums . . . . . . . . . . . . 39,043 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 203,068 Other Assets . . . . . . . . . . . . . . . . . . . 7,179,995 TOTAL ASSETS . . . . . . . . . . . . . . . . 36,104,529 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . . . . . . . . 0 Reserve for Loss Adjustment Expenses . . . . . . . . . . . . . . . . 0 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . 14,500 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . . . . . . 0 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . 22,602 Unearned Premiums . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . . . 7,217,427 TOTAL LIABILITIES . . . . . . . . . . . . . . 7,254,529 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 9,762,500 Gross Paid In and Contributed Surplus . . . . . . . . . . . 8,293,361 Unassigned Funds (Surplus) . . . . . . . 10,794,139 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 28,850,000 TOTAL . . . . . . . . . . . . . . . . . . . . . . . 36,104,529 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 313,725 Direct Premiums Earned . . . . . . . . . . . . 236,052 Direct Losses Paid . . . . . . . . . . . . . . . . . 81,369 Direct Losses Incurred. . . . . . . . . . . . . . (53,105) STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Northern Insurance Company of New York, a Corporation organized under the Laws of New York, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 3-4-5-6-7-8-9-10-11-12-13-14-15-17-18 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 69000 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NORTHWESTERN LONG TERM CARE INS. CO. Home Office Address: 720 East Wisconsin Avenue Milwaukee, WI 53202-4797 Mail Address: 720 East Wisconsin Avenue Milwaukee, WI 53202-4797 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $1,320,612,611 Stocks . . . . . . . . . . . . . . . . . . . . . . 154,650,508 Mortgage Loans on Real Estate . . . . 239,500,620 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 80,687,304 Deferred and Uncollected Premiums. . . . . . . . . 12,933,445 Investment Income Due and Accrued . . . . . . . . . . . . 17,008,436 Other Assets . . . . . . . . . . . . . . . . . . 36,159,978 TOTAL ASSETS. . . . . . . . . . . . . $1,861,552,902 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts. . . . . . . . . . . . $541,884 Reserve for Accident & Health Policies . . . . . . . . . . 1,392,221,999 Policy and Contract Claims Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Accident and Health . . . . . . . . . . . 1,895,084 General Expenses Due or Accrued. . . . . . . . . . . . . . . . . 60,600 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 1,200,000 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . 2,364,964 All Other Liabilities . . . . . . . . . . . . . 188,551,093 TOTAL LIABILITIES . . . . . . . . . . $1,586,835,624 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 640,045,146 Unassigned Surplus . . . . . . . . . . . (367,827,868) Surplus as Regards Policyholders . . . . . . . . . . . . . $274,717,278 TOTAL . . . . . . . . . . . . . . . . . . . . 1,861,552,902 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $2,477,446 Direct Losses Paid . . . . . . . . . . . . . . . . 133,755 Losses Incurred. . . . . . . . . . . . . . . . . . . 306,748 Life Insurance in Force . . . . . . . . . . . . . . . . . . 0 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Northwestern Long Term Care Ins. Co., a Corporation organized under the Laws of Wisconsin, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 67091 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY Home Office Address: 720 E Wisconsin Avenue Milwaukee, WI 53202-4797 Mail Address: 720 E Wisconsin Avenue Milwaukee, WI 53202-4797 ASSETS Bonds . . . . . . . . . . . . . . . . . . $113,203,451,638 Stocks . . . . . . . . . . . . . . . . . . . . . 4,385,585,497 Mortgage Loans on Real Estate . 24,140,905,628 Real Estate Owned . . . . . . . . . . . 1,303,841,476 Policy Loans . . . . . . . . . . . . . . . 15,789,480,180 Cash and Bank Deposits . . . . . . . 2,312,423,904 Deferred and Uncollected Premiums . . . . . . 1,816,612,221 Investment Income Due and Accrued . . . . . . . . . . 1,802,047,103 Other Assets . . . . . . . . . . . . . . . 36,191,056,259 TOTAL ASSETS . . . . . . . . . . . $200,945,403,906 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . $140,025,454,685 Reserve for Accident & Health Policies . . . . . . . . . . 4,957,530,065 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . 379,975,173 Accident and Health . . . . . . . . . . 49,650,030 General Expenses Due or Accrued. . . . . . . . . . . . . 119,396,121 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 7,171,555 Federal Income Taxes Due or Accrued. . . . . . . . . . . . . 513,262,599 All Other Liabilities . . . . . . . . . . . 38,717,190,667 TOTAL LIABILITIES . . . . . . . . $184,769,630,895 Special Surplus Funds . . . . . . . . $1,750,000,000 Capital Paid Up . . . . . . . . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Surplus . . . . . . . . . . 14,425,773,011 Surplus as Regards Policyholders . . . . . . . . . . . $16,175,773,011 TOTAL. . . . . . . . . . . . . . . . . . . 200,945,403,906 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $57,764,321 Direct Losses Paid . . . . . . . . . . . . . . 24,284,594 Losses Incurred . . . . . . . . . . . . . . . . 10,002,641 Life Insurance in Force . . . . . . . . . . 359,249,716 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Northwestern Mutual Life Insurance Company, a Corporation organized under the Laws of Wisconsin, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20-21 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. Variable Life in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 81353 FROM ANNUAL STATEMENT Year Ending December 31, 2012 NYLIFE INSURANCE COMPANY OF ARIZONA Home Office Address: 51 MadisonAvenue New York, NY 10010 Mail Address: 51 Madison Avenue New York, NY 10010 ASSETS Bonds. . . . . . . . . . . . . . . . . . . . . . $146,166,230 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . . . 1,471,871 Deferred and Uncollected Premiums. . . . . . . . . 36,923,263 Investment Income Due and Accrued . . . . . . . . . . . . . 1,195,910 Other Assets . . . . . . . . . . . . . . . . . . . 3,481,576 TOTAL ASSETS . . . . . . . . . . . . . . $197,130,101 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . . $119,483,643 Reserve for Accident & Health Policies . . . . . . . . . . . . . . . . . . . . 0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . . 2,751,720 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . . . 101,528 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . 2,272,746 All Other Liabilities . . . . . . . . . . . . . . 13,502,404 TOTAL LIABILITIES . . . . . . . . . . . $138,112,041 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus . . . . . . . . . . 98,500,000 Unassigned Surplus . . . . . . . . . . . . (41,981,940) Surplus as Regards Policyholders . . . . . . . . . . . . . . $59,018,060 TOTAL . . . . . . . . . . . . . . . . . . . . . . 197,130,101 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . . . $907,401 Direct Losses Paid . . . . . . . . . . . . . . 11,251,831 Losses Incurred . . . . . . . . . . . . . . . . 11,250,000 Life Insurance in Force . . . . . . . . . . 422,115,500 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the NYLife Insurance Company of Arizona, a Corporation organized under the Laws of Arizona, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20-21 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 24074 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OHIO CASUALTY INSURANCE COMPANY Home Office Address: 9450 Seward Road Fairfield, OH 45014 Mail Address: 175 Berkeley Street Bostoneld, MA 02116 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 3,098,039,469 Stocks . . . . . . . . . . . . . . . . . . . . . . 653,169,702 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . 104,955,242 Real Estate Owned . . . . . . . . . . . . . . 27,623,539 Cash and Bank Deposits . . . . . . . . . 161,199,261 Agents Balances or Uncollected Premiums. . . . . . . . 719,172,780 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 34,142,770 Other Assets. . . . . . . . . . . . . . . . . . 302,205,765 TOTAL ASSETS . . . . . . . . . . . . . 5,100,508,528 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 1,803,665,553 Reserve for Loss Adjustment Expenses . . . . . . . . 412,488,914 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 34,157,196 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 14,330,055 Federal and Foreign Income Taxes. . . . . . . . . . . . . . . 48,335,863 Unearned Premiums. . . . . . . . . . . 1,070,033,142 All Other Liabilities . . . . . . . . . . . . . 442,865,517 TOTAL LIABILITIES . . . . . . . . . . . 3,825,876,240 Special Surplus Funds . . . . . . . . . . . . 3,579,638 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 4,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 532,278,647 Unassigned Funds (Surplus) . . . . . . 734,274,003 Surplus as Regards Policyholders . . . . . . . . . . . . . 1,274,632,288 TOTAL . . . . . . . . . . . . . . . . . . . . 5,100,508,528 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 191,625 Direct Premiums Earned . . . . . . . . . . . . 164,369 Direct Losses Paid . . . . . . . . . . . . . . . . 131,690 Direct Losses Incurred . . . . . . . . . . . . . . 240,560 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Ohio Casualty Insurance Company, a Corporation organized under the Laws of New Hampshire, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. AutoPropertyDamage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in thisStateaccordingtotheLawsthereof,unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONYWHEREOF,Ihavehereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 24104 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OHIO FARMERS INSURANCE COMPANY Home Office Address: One Park Circle Westfield Center, OH 44251 Mail Address: PO Box 5001 Westfield Center, OH 44251-5010 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . 341,506,264 Stocks . . . . . . . . . . . . . . . . . . . . . 1,474,515,098 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . 59,862,459 Cash and Bank Deposits . . . . . . . . . . 34,490,862 Agents Balances or Uncollected Premiums. . . . . . . . 107,187,724 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . 5,008,567 Other Assets. . . . . . . . . . . . . . . . . . 109,304,833 TOTAL ASSETS . . . . . . . . . . . . . 2,131,875,807 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 215,498,196 Reserve for Loss Adjustment Expenses . . . . . . . . . 65,711,302 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 12,034,475 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 5,365,133 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 145,200,448 All Other Liabilities . . . . . . . . . . . . . 162,502,825 TOTAL LIABILITIES . . . . . . . . . . . . 606,312,379 Special Surplus Funds. . . . . . . . . . . 272,938,110 Capital Paid Up or StatutoryDeposit..................0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Funds (Surplus) . . . . . 1,252,625,318 Surplus as Regards Policyholders . . . . . . . . . . . . . 1,525,563,428 TOTAL . . . . . . . . . . . . . . . . . . . . 2,131,875,807 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 496,656 Direct Premiums Earned . . . . . . . . . . . . 434,859 Direct Losses Paid . . . . . . . . . . . . . . . . . 86,482 Direct Losses Incurred. . . . . . . . . . . . . . . 39,982 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Ohio Farmers Insurance Company, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-14-16 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 26565 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OHIO INDEMNITY COMPANY Home Office Address: 250 E. Broad Street, 7th Floor Columbus OH 43215 Mail Address: 250 E. Broad Street, 7th Floor Columbus, OH 43215 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . 75,507,396 Stocks . . . . . . . . . . . . . . . . . . . . . . . 10,454,977 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 23,305,390 Agents Balances or Uncollected Premiums . . . . . . . . . 5,468,214 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 980,625 Other Assets . . . . . . . . . . . . . . . . . . . 5,346,828 TOTAL ASSETS . . . . . . . . . . . . . . . 121,063,430 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . 11,250,473 Reserve for Loss Adjustment Expenses . . . . . . . . . . . 209,415 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . 946,341 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . 442,243 Federal and Foreign Income Taxes. . . . . . . . . . . . . . . . 1,817,753 Unearned Premiums . . . . . . . . . . . . . 41,692,397 All Other Liabilities . . . . . . . . . . . . . . 19,516,250 TOTAL LIABILITIES . . . . . . . . . . . . . 75,874,872 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or StatutoryDeposit ...........3,000,746 Gross Paid In and Contributed Surplus . . . . . . . . . . . 8,199,503 Unassigned Funds (Surplus) . . . . . . . 33,988,309 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 45,188,558 TOTAL . . . . . . . . . . . . . . . . . . . . . . 121,063,430 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . . . 1,149 Direct Premiums Earned . . . . . . . . . . . . . . . 671 Direct Losses Paid . . . . . . . . . . . . . . . . . . . . . 0 Direct Losses Incurred . . . . . . . . . . . . . . . . . . . 0 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Ohio Indemnity Company, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 3-4-8-9-10-11-16 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 89206 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OHIO NATIONAL LIFE ASSURANCE CORPORATION Home Office Address: One Financial Way Cincinnati, OH 45242 Mail Address: PO Box 237 Cincinnati, OH 45201-0237 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $2,177,370,027 Stocks . . . . . . . . . . . . . . . . . . . . . . . . 5,365,037 Mortgage Loans on Real Estate . . . . 400,005,805 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans. . . . . . . . . . . . . . . . . . . 89,550,641 Cash and Bank Deposits. . . . . . . . . . (7,440,858) Deferred and Uncollected Premiums. . . . . . . . 123,709,189 Investment Income Due and Accrued . . . . . . . . . . . . 26,646,118 Other Assets. . . . . . . . . . . . . . . . . . 497,151,841 TOTAL ASSETS. . . . . . . . . . . . . $3,312,357,800 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $2,489,466,052 Reserve for Accident &HealthPolicies ............45,184,424 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 10,359,580 Accident and Health . . . . . . . . . . . . 251,069 General Expenses Due or Accrued . . . . . . . . . . . . . . 1,005,019 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 6,702,835 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . 2,332,952 All Other Liabilities . . . . . . . . . . . . . 430,657,574 TOTAL LIABILITIES . . . . . . . . . . $2,985,959,505 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 9,600,005 Gross Paid In and Contributed Surplus . . . . . . . . . . 87,976,286 Unassigned Surplus . . . . . . . . . . . . 228,822,006 Surplus as Regards Policyholders . . . . . . . . . . . . . $326,398,295 TOTAL . . . . . . . . . . . . . . . . . . . . 3,312,357,800 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . . . $542,737 Direct Losses Paid . . . . . . . . . . . . . . . . 587,880 Losses Incurred. . . . . . . . . . . . . . . . . . . 540,000 Life Insurance in Force . . . . . . . . . . 205,607,036 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Ohio National Life Assurance Corporation, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20-21 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. Variable Life in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 67172 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OHIO NATIONAL LIFE INSURANCE COMPANY Home Office Address: One Financial Way Cincinnati, OH 45242 Mail Address: P.O. Box 237 Cincinnati, OH 45201-0237 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $4,214,962,310 Stocks . . . . . . . . . . . . . . . . . . . . . . 518,948,722 Mortgage Loans on Real Estate . . . . 854,363,975 Real Estate Owned. . . . . . . . . . . . . . . 3,449,999 Policy Loans . . . . . . . . . . . . . . . . . . 267,232,610 Cash and Bank Deposits . . . . . . . . . 373,839,625 Deferred and Uncollected Premiums. . . . . . . . . 40,121,131 Investment Income Due and Accrued . . . . . . . . . . . . 50,561,650 Other Assets . . . . . . . . . . . . . . . 15,307,767,408 TOTAL ASSETS. . . . . . . . . . . . $21,631,247,430 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $4,713,504,185 Reserve for Accident &HealthPolicies ............84,190,035 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . . 9,078,209 Accident and Health . . . . . . . . . . . 1,088,843 General Expenses Due or Accrued . . . . . . . . . . . . . 10,749,567 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 2,710,596 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . 4,219,669 All Other Liabilities . . . . . . . . . . . 15,757,390,754 TOTAL LIABILITIES . . . . . . . . . $20,582,931,858 Special Surplus Funds. . . . . . . . . . $309,240,757 Capital Paid Up . . . . . . . . . . . . . . . . 10,000,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 183,297,154 Unassigned Surplus . . . . . . . . . . . . 545,777,664 Surplus as Regards Policyholders . . . . . . . . . . . . $1,048,315,572 TOTAL. . . . . . . . . . . . . . . . . . . . 21,631,247,430 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $2,102,862 Direct Losses Paid . . . . . . . . . . . . . . . 1,353,889 Losses Incurred . . . . . . . . . . . . . . . . . . . 78,038 Life Insurance in Force . . . . . . . . . . . 22,584,360 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Ohio National Life Insurance Company, a Corporation organized under the Laws of Ohio, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 1-2-20 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 24082 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OHIO SECURITY INSURANCE COMPANY Home Office Address: 9450 Seward Road Fairfield, OH 45014 Mail Address: 175 Berkeley Street Boston, MA 02116 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . 14,425,543 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . . . 278,058 Agents Balances or Uncollected Premiums . . . . . . . . . . . . . . . . 0 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 135,848 Other Assets . . . . . . . . . . . . . . . . . . 26,600,638 TOTAL ASSETS . . . . . . . . . . . . . . . . 41,440,087 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . . . . . . . . 0 Reserve for Loss Adjustment Expenses . . . . . . . . . . . . . . . . 0 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . . . . . 0 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . . . . . . 0 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . 8,105 Unearned Premiums . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . . 26,663,141 TOTAL LIABILITIES . . . . . . . . . . . . . 26,671,246 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or StatutoryDeposit ...........3,500,430 Gross Paid In and Contributed Surplus . . . . . . . . . . . 1,499,570 Unassigned Funds (Surplus) . . . . . . . . 9,768,841 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 14,768,841 TOTAL . . . . . . . . . . . . . . . . . . . . . . . 41,440,087 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 637,267 Direct Premiums Earned . . . . . . . . . . . . 476,398 Direct Losses Paid . . . . . . . . . . . . . . . . . 92,859 Direct Losses Incurred . . . . . . . . . . . . . . 249,779 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Ohio Security Insurance Company, a Corporation organized under the Laws of New Hampshire, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 3-4-5-6-7-8-9-10-11-12-13-14-17 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 21. in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance 24147 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OLD REPUBLIC INSURANCE COMPANY Home Office Address: 133 Oakland Avenue Greensburg, PA 15601 Mail Address: PO Box 789 Greensburg, PA 15601-0789 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 1,632,076,950 Stocks . . . . . . . . . . . . . . . . . . . . . . 250,382,760 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . 196,171,363 Agents Balances or Uncollected Premiums. . . . . . . . 194,433,872 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 19,204,667 Other Assets. . . . . . . . . . . . . . . . . . 147,549,997 TOTAL ASSETS . . . . . . . . . . . . . 2,439,819,609 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 810,951,143 Reserve for Loss Adjustment Expenses . . . . . . . . 133,963,271 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 10,331,742 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 44,168,834 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 517,002 Unearned Premiums . . . . . . . . . . . . 222,434,157 All Other Liabilities . . . . . . . . . . . . . 342,533,041 TOTAL LIABILITIES . . . . . . . . . . . 1,564,899,190 Special Surplus Funds . . . . . . . . . . . 75,000,000 Capital Paid Up or StatutoryDeposit..................0 Gross Paid In and Contributed Surplus. . . . . . . . . . 107,669,426 Unassigned Funds (Surplus) . . . . . . 692,250,993 Surplus as Regards Policyholders . . . . . . . . . . . . . . 874,920,419 TOTAL . . . . . . . . . . . . . . . . . . . . 2,439,819,609 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . 1,294,244 Direct Premiums Earned . . . . . . . . . . . 1,173,502 Direct Losses Paid . . . . . . . . . . . . . . . . 132,823 Direct Losses Incurred . . . . . . . . . . . . . . 553,795 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Old Republic Insurance Company, a Corporation organized under the Laws of Pennsylvania, has complied with all requirements of the Insurance Laws of the State of South Dakota: NOW THEREFORE, the undersigned, Director of Insurance of the State of South Dakota, pursuant to the provisions of said laws, do hereby certify that the above named Company is fully empowered through its authorized agents to transact the numbered lines of business listed below: 2-3-4-5-6-7-8-9-10-11-12-13-15-16-17-23A 1. Life 2. Health 3. Fire & Allied Lines 4. Inland & Ocean Marine 5. Workmen’s Compensation 6. Bodily Injury Liability (Other than Auto) 7. Property Damage (Other than Auto) 8. Auto Bodily Injury 9. Auto Property Damage 10. Auto Physical Damage 11. Fidelity & Surety 12. Glass 13. Burglary & Theft 14. Boiler & Machinery 15. Aircraft 16. Credit 17. Crop-Hail 18. Livestock 19. Title 20. Var. Annuities 23A. Travel, Accident & Baggage in this State according to the Laws thereof, unless this Certificate of Authority is otherwise revoked, suspended or withdrawn. IN TESTIMONY WHEREOF, I have hereunto set my hand and official seal at Pierre, S. D., this 1st day of May, A.D., 2013. MERLE SCHEIBER Director of Insurance
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