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Section B • Pennington County Courant • May 9, 16 & 23, 2013 • Page 14 Public Notices Annual Statements for Insurance Companies 40444 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OLD REPUBLIC SURETY COMPANY Home Office Address: 445 S Moorland Road, Suite 200 Brookfield, WI 53005 Mail Address: PO Box 1635 Milwaukee, WI 53201 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . 72,359,509 Stocks . . . . . . . . . . . . . . . . . . . . . . . 12,634,985 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . . . 6,474,783 Agents Balances or Uncollected Premiums . . . . . . . . . 3,246,791 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 876,947 Other Assets . . . . . . . . . . . . . . . . . . . 3,337,834 TOTAL ASSETS . . . . . . . . . . . . . . . . 98,930,849 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . 13,101,673 Reserve for Loss Adjustment Expenses . . . . . . . . . . 8,086,229 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 2,518,154 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . 547,293 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . . 23,614,222 All Other Liabilities . . . . . . . . . . . . . . . 2,346,349 TOTAL LIABILITIES . . . . . . . . . . . . . 50,213,920 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 2,900,000 Gross Paid In and Contributed Surplus . . . . . . . . . . 16,534,036 Unassigned Funds (Surplus) . . . . . . . 29,282,893 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 48,716,929 TOTAL . . . . . . . . . . . . . . . . . . . . . . . 98,930,849 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . . 56,292 Direct Premiums Earned . . . . . . . . . . . . . 67,837 Direct Losses Paid . . . . . . . . . . . . . . . . . . . . . 0 Direct Losses Incurred . . . . . . . . . . . . . . (8,000) STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Old Republic Surety 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: 11 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 32700 FROM ANNUAL STATEMENT Year Ending December 31, 2012 OWNERS INSURANCE COMPANY Home Office Address: 6101 Anacapri Boulevard Lansing MI 48917 Mail Address: PO Box 30660 Lansing, MI 48909-8160 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 2,485,406,317 Stocks . . . . . . . . . . . . . . . . . . . . . . 267,544,723 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 21,119,132 Agents Balances or Uncollected Premiums. . . . . . . . 287,090,408 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 23,694,925 Other Assets. . . . . . . . . . . . . . . . . . 106,852,855 TOTAL ASSETS . . . . . . . . . . . . . 3,191,708,360 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 829,184,390 Reserve for Loss Adjustment Expenses . . . . . . . . 239,304,645 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 2,509,200 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 16,014,248 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 310,420 Unearned Premiums . . . . . . . . . . . . 759,197,177 All Other Liabilities . . . . . . . . . . . . . 205,885,468 TOTAL LIABILITIES . . . . . . . . . . . 2,052,405,548 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 6,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 220,998,592 Unassigned Funds (Surplus) . . . . . . 911,804,220 Surplus as Regards Policyholders . . . . . . . . . . . . . 1,139,302,812 TOTAL . . . . . . . . . . . . . . . . . . . . 3,191,708,360 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . 21,057,305 Direct Premiums Earned . . . . . . . . . . 20,712,925 Direct Losses Paid . . . . . . . . . . . . . . 12,811,980 Direct Losses Incurred . . . . . . . . . . . 13,318,119 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Owners 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 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 22748 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PACIFIC EMPLOYERS INSURANCE COMPANY Home Office Address: 436 Walnut Street PO Box 1000 Philadephia, PA 19106 Mail Address: 436 Walnut Street PO Box 1000 Philadephia, PA 19106 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 2,152,860,660 Stocks . . . . . . . . . . . . . . . . . . . . . . 151,731,609 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . 188,705,793 Agents Balances or Uncollected Premiums. . . . . . . . 140,589,575 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 22,025,856 Other Assets. . . . . . . . . . . . . . . . . . 673,129,439 TOTAL ASSETS . . . . . . . . . . . . . 3,329,042,932 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 1,112,138,072 Reserve for Loss Adjustment Expenses . . . . . . . . 230,169,418 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . . . . . 0 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 5,686,572 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 250,568,504 All Other Liabilities . . . . . . . . . . . . . 644,667,941 TOTAL LIABILITIES . . . . . . . . . . . 2,243,230,507 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 6,000,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 259,229,512 Unassigned Funds (Surplus) . . . . . . 820,582,913 Surplus as Regards Policyholders . . . . . . . . . . . . . 1,085,812,425 TOTAL . . . . . . . . . . . . . . . . . . . . 3,329,042,932 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . . (7,683) Direct Premiums Earned . . . . . . . . . . . (138,363) Direct Losses Paid . . . . . . . . . . . . . . . . 257,429 Direct Losses Incurred. . . . . . . . . . . . . (177,254) STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Pacific Employers 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: 2-3-4-5-6-7-8-9-10-11-12-13-14-15-16-17-18 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 23A. Travel, Accident & Baggage 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 20346 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PACIFIC INDEMNITY COMPANY Home Office Address: 330 E. Kilbourn Ave. #1450 Milwaukee, WI 53202-3146 Mail Address: 15 Mtn. View Rd/PO Box 1615 Warren, NJ 07061-1615 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 4,957,130,929 Stocks . . . . . . . . . . . . . . . . . . . . . . 482,807,472 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . 232,548,536 Agents Balances or Uncollected Premiums. . . . . . . . 336,727,925 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 63,135,668 Other Assets. . . . . . . . . . . . . . . . . . 393,490,972 TOTAL ASSETS . . . . . . . . . . . . . 6,465,841,502 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 2,232,807,722 Reserve for Loss Adjustment Expenses . . . . . . . . 718,083,836 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 52,501,031 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 7,694,196 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 789,630,502 All Other Liabilities . . . . . . . . . . . . . 168,926,267 TOTAL LIABILITIES . . . . . . . . . . . 3,969,643,554 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 5,535,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 520,019,566 Unassigned Funds (Surplus) . . . . . 1,970,643,382 Surplus as Regards Policyholders . . . . . . . . . . . . . 2,496,197,948 TOTAL . . . . . . . . . . . . . . . . . . . . 6,465,841,502 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 194,598 Direct Premiums Earned . . . . . . . . . . . . 158,777 Direct Losses Paid . . . . . . . . . . . . . . . . . 35,330 Direct Losses Incurred. . . . . . . . . . . . . . . 61,700 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Pacific Indemnity 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: 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. 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 67466 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PACIFIC LIFE INSURANCE COMPANY Home Office Address: 700 Newport Center Drive Newport Beach, CA 92660 Mail Address: 700 Newport Center Drive Newport Beach, CA 92660 ASSETS Bonds . . . . . . . . . . . . . . . . . . . $25,711,426,926 Stocks . . . . . . . . . . . . . . . . . . . . . 1,954,061,628 Mortgage Loans on Real Estate . . 7,241,693,659 Real Estate Owned . . . . . . . . . . . . . 221,375,152 Policy Loans . . . . . . . . . . . . . . . . 6,992,378,452 Cash and Bank Deposits . . . . . . . 1,904,067,937 Deferred and Uncollected Premiums. . . . . . . . 273,924,252 Investment Income Due and Accrued . . . . . . . . . . . 360,503,736 Other Assets . . . . . . . . . . . . . . . 56,341,483,624 TOTAL ASSETS . . . . . . . . . . . $101,000,915,366 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . $37,209,317,918 Reserve for Accident & Health Policies . . . . . . . . . . . . 23,312,562 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . 436,753,665 Accident and Health . . . . . . . . . . . 3,982,091 General Expenses Due or Accrued. . . . . . . . . . . . . 149,618,193 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . 19,229,456 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . 56,983,600,234 TOTAL LIABILITIES . . . . . . . . . $94,825,814,119 Special Surplus Funds . . . . . . . . $1,997,579,830 Capital Paid Up . . . . . . . . . . . . . . . . 30,000,000 Gross Paid In and Contributed Surplus . . . . . . . . 1,185,438,610 Unassigned Surplus . . . . . . . . . . . 2,962,082,808 Surplus as Regards Policyholders . . . . . . . . . . . . $6,175,101,247 TOTAL. . . . . . . . . . . . . . . . . . . 101,000,915,366 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $27,991,872 Direct Losses Paid . . . . . . . . . . . . . . 11,549,786 Losses Incurred . . . . . . . . . . . . . . . . . 1,437,561 Life Insurance in Force . . . . . . . . . 1,030,752,629 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Pacific Life Insurance Company, a Corporation organized under the Laws of Nebraska, 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 93262 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PENN INSURANCE AND ANNUITY COMPANY Home Office Address: 1209 Orange Street Wilmington, DE 19801 Mail Address: Philadelphia, PA 19172 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $1,351,979,171 Stocks . . . . . . . . . . . . . . . . . . . . . . . . 1,569,270 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . 409,440,597 Cash and Bank Deposits . . . . . . . . . . . . . . . . . 0 Deferred and Uncollected Premiums . . . . . . . . . . . . . . . . 0 Investment Income Due and Accrued . . . . . . . . . . . . 32,783,702 Other Assets. . . . . . . . . . . . . . . . . . 231,195,581 TOTAL ASSETS. . . . . . . . . . . . . $2,026,968,321 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $1,678,903,703 Reserve for Accident & Health Policies . . . . . . . . . . . . . . . . . . . . 0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 12,251,450 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 2,000,901 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . 143,385,251 TOTAL LIABILITIES . . . . . . . . . . $1,836,541,305 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 220,794,463 Unassigned Surplus . . . . . . . . . . . . (32,867,447) Surplus as Regards Policyholders . . . . . . . . . . . . . $190,427,016 TOTAL . . . . . . . . . . . . . . . . . . . . 2,026,968,321 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $1,454,209 Direct Losses Paid . . . . . . . . . . . . . . . . 188,175 Losses Incurred. . . . . . . . . . . . . . . . . . . . . . . . 0 Life Insurance in Force . . . . . . . . . . . 61,466,004 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Penn Insurance and Annuity Company, 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. 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 67644 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PENN MUTUAL LIFE INSURANCE COMPANY Home Office Address: PennMutual Life Insurance Co. Philadelphia, PA 19172 Mail Address: PennMutual Life Insurance Co. Philadelphia, PA 19172 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $7,101,318,638 Stocks . . . . . . . . . . . . . . . . . . . . . . 229,928,306 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . 16,024,937 Policy Loans . . . . . . . . . . . . . . . . . . 303,545,012 Cash and Bank Deposits . . . . . . . . . . 77,798,910 Deferred and Uncollected Premiums. . . . . . . . . 49,642,251 Investment Income Due and Accrued . . . . . . . . . . . . 91,716,309 Other Assets . . . . . . . . . . . . . . . . 6,460,741,037 TOTAL ASSETS. . . . . . . . . . . . $14,330,715,400 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $6,542,969,971 Reserve for Accident &HealthPolicies ............10,748,474 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 46,955,436 Accident and Health . . . . . . . . . . . . 199,022 General Expenses Due or Accrued . . . . . . . . . . . . . 71,361,797 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 9,157,330 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . 6,153,932,572 TOTAL LIABILITIES . . . . . . . . . $12,835,324,602 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Surplus . . . . . . . . . . . 1,495,390,798 Surplus as Regards Policyholders . . . . . . . . . . . . $1,495,390,798 TOTAL. . . . . . . . . . . . . . . . . . . . 14,330,715,400 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $3,984,692 Direct Losses Paid . . . . . . . . . . . . . . . 1,840,313 Losses Incurred. . . . . . . . . . . . . . . . . . . 492,182 Life Insurance in Force . . . . . . . . . . . 55,280,739 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Penn Mutual Life 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: 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 41424 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PENN. MANUFACTURERS INDEMNITY COMPANY Home Office Address: 380 Sentry Parkway Blue Bell, PA 19422-0754 Mail Address: PO Box 3031 Blue Bell, PA 19422-0754 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . 111,109,172 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 15,763,219 Agents Balances or Uncollected Premiums. . . . . . . . . 52,884,227 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . 1,373,003 Other Assets . . . . . . . . . . . . . . . . . . . 8,970,717 TOTAL ASSETS . . . . . . . . . . . . . . . 190,100,338 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . 54,429,839 Reserve for Loss Adjustment Expenses . . . . . . . . . 10,385,586 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 2,099,035 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 3,113,146 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 429,170 Unearned Premiums . . . . . . . . . . . . . 25,969,362 All Other Liabilities . . . . . . . . . . . . . . 16,117,803 TOTAL LIABILITIES . . . . . . . . . . . . 112,543,941 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 4,600,000 Gross Paid In and Contributed Surplus . . . . . . . . . . 60,103,139 Unassigned Funds (Surplus) . . . . . . . 12,853,258 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 77,556,397 TOTAL . . . . . . . . . . . . . . . . . . . . . . 190,100,338 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . . . . (32) Direct Premiums Earned . . . . . . . . . . . . . . . (19) Direct Losses Paid . . . . . . . . . . . . . . . . . . . . . 0 Direct Losses Incurred . . . . . . . . . . . . . . . . (759) STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Penn. Manufacturers Indemnity 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: 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. 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 12262 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PENN. MANUFACTURERS’ ASSOCIATION INS. CO. Home Office Address: 380 Sentry Parkway Blue Bell, PA 19422-0754 Mail Address: PO Box 3031 Blue Bell, PA 19422-0754 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . 346,768,167 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . 816,902 Mortgage Loans on Real Estate . . . . . . . . . . . . . . . . . 1,993,070 Real Estate Owned. . . . . . . . . . . . . . . 9,182,565 Cash and Bank Deposits . . . . . . . . . . 41,366,107 Agents Balances or Uncollected Premiums. . . . . . . . 156,652,684 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . 4,365,832 Other Assets. . . . . . . . . . . . . . . . . . 167,407,386 TOTAL ASSETS . . . . . . . . . . . . . . . 730,552,713 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 163,289,513 Reserve for Loss Adjustment Expenses . . . . . . . . . 31,156,758 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 6,297,106 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 9,339,439 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . . 77,908,086 All Other Liabilities . . . . . . . . . . . . . 217,123,811 TOTAL LIABILITIES . . . . . . . . . . . . 505,114,713 Special Surplus Funds . . . . . . . . . . . 10,000,000 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 6,116,300 Gross Paid In and Contributed Surplus . . . . . . . . . . 55,679,814 Unassigned Funds (Surplus) . . . . . . 153,641,886 Surplus as Regards Policyholders . . . . . . . . . . . . . . 225,438,000 TOTAL . . . . . . . . . . . . . . . . . . . . . . 730,552,713 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . . 45,245 Direct Premiums Earned . . . . . . . . . . . . . 44,144 Direct Losses Paid . . . . . . . . . . . . . . . . . . 8,824 Direct Losses Incurred. . . . . . . . . . . . . . . 23,498 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Penn. Manufacturers’ Association Ins. Co., 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: 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. 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 67660 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PENNSYLVANIA LIFE INSURANCE COMPANY Home Office Address: 27 North Front Street Harrisburg, PA 17101 Mail Address: 2211 Sanders Road, NBT 10 Northbrook, IL 60062 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . $5,760,282 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 46,659,921 Deferred and Uncollected Premiums. . . . . . . . . 18,887,339 Investment Income Due and Accrued . . . . . . . . . . . . . . . . 8,308 Other Assets. . . . . . . . . . . . . . . . . . 930,730,960 TOTAL ASSETS. . . . . . . . . . . . . $1,002,046,810 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts. . . . . . . . . . . . . . . . . $0 Reserve for Accident &HealthPolicies ............55,608,920 Policy and Contract Claims Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Accident and Health . . . . . . . . . 126,682,134 General Expenses Due or Accrued . . . . . . . . . . . . . 25,942,854 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . . . 630,599 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . 57,864,043 All Other Liabilities . . . . . . . . . . . . . 345,709,760 TOTAL LIABILITIES . . . . . . . . . . . $612,438,310 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 4,594,600 Gross Paid In and Contributed Surplus . . . . . . . . . . 63,585,227 Unassigned Surplus . . . . . . . . . . . . 321,428,673 Surplus as Regards Policyholders . . . . . . . . . . . . . $389,608,500 TOTAL . . . . . . . . . . . . . . . . . . . . 1,002,046,810 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $11,945,039 Direct Losses Paid . . . . . . . . . . . . . . . 9,221,645 Losses Incurred . . . . . . . . . . . . . . . . . 9,086,457 Life Insurance in Force. . . . . . . . . . . . . . . . . 328 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Pennsylvania Life 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: 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 14974 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE CO. Home Office Address: 2005 Market Street, Suite 1200 Philadelphia, PA 19103 Mail Address: 2005 Market Street, Suite 1200 Philadelphia, PA 19103-7008 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . 135,288,740 Stocks . . . . . . . . . . . . . . . . . . . . . . . 87,891,349 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 11,732,133 Agents Balances or Uncollected Premiums. . . . . . . . 106,976,567 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . 2,049,675 Other Assets . . . . . . . . . . . . . . . . . . 20,812,597 TOTAL ASSETS . . . . . . . . . . . . . . . 364,751,061 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . 83,101,917 Reserve for Loss Adjustment Expenses . . . . . . . . . 28,074,179 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 22,421,571 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 1,456,192 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . 112,933,289 All Other Liabilities . . . . . . . . . . . . . . 10,168,413 TOTAL LIABILITIES . . . . . . . . . . . . 258,155,561 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit. . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Funds (Surplus) . . . . . . 106,595,500 Surplus as Regards Policyholders . . . . . . . . . . . . . . 106,595,500 TOTAL . . . . . . . . . . . . . . . . . . . . . . 364,751,061 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 469,391 Direct Premiums Earned . . . . . . . . . . . . 475,799 Direct Losses Paid . . . . . . . . . . . . . . . . . 50,638 Direct Losses Incurred . . . . . . . . . . . . . . 256,479 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Pennsylvania Lumbermens Mutual Insurance Co., 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: 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. 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 18058 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PHILADELPHIA INDEMNITY INSURANCE COMPANY Home Office Address: One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 Mail Address: One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 5,148,801,438 Stocks . . . . . . . . . . . . . . . . . . . . . . . . 6,228,900 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 81,992,739 Agents Balances or Uncollected Premiums. . . . . . . . . 52,610,866 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . . . . . . 0 Other Assets. . . . . . . . . . . . . . . . . . 282,635,659 TOTAL ASSETS . . . . . . . . . . . . . 6,047,269,601 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 2,110,174,307 Reserve for Loss Adjustment Expenses . . . . . . . . 542,998,320 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 1,675,318 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 22,120,393 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums. . . . . . . . . . . 1,077,599,587 All Other Liabilities . . . . . . . . . . . . . 275,523,057 TOTAL LIABILITIES . . . . . . . . . . . 4,030,090,982 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 3,599,950 Gross Paid In and Contributed Surplus. . . . . . . . . . 386,970,317 Unassigned Funds (Surplus) . . . . . 1,626,608,352 Surplus as Regards Policyholders . . . . . . . . . . . . . 2,017,178,619 TOTAL . . . . . . . . . . . . . . . . . . . . 6,047,269,601 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . 7,700,200 Direct Premiums Earned . . . . . . . . . . . 7,416,401 Direct Losses Paid . . . . . . . . . . . . . . . 1,772,893 Direct Losses Incurred . . . . . . . . . . . . 1,869,299 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Philadelphia Indemnity 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: 2-3-6-7-8-9-10-11 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, 2012 • Page 15 Public Notices Annual Statements for Insurance Companies 93548 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PHL VARIABLE INSURANCE COMPANY Home Office Address: One American Row Hartford, CT 06115 Mail Address: PO Box 5056, Mail Stop H-3-W Hartford, CT 06102-5056 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $1,359,655,769 Stocks . . . . . . . . . . . . . . . . . . . . . . . . 5,777,969 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans. . . . . . . . . . . . . . . . . . . 61,033,302 Cash and Bank Deposits . . . . . . . . . . 69,693,942 Deferred and Uncollected Premiums. . . . . . . . . 22,504,187 Investment Income Due and Accrued . . . . . . . . . . . . 11,807,046 Other Assets . . . . . . . . . . . . . . . . 4,126,607,654 TOTAL ASSETS. . . . . . . . . . . . . $5,657,079,869 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $1,477,556,010 Reserve for Accident & Health Policies . . . . . . . . . . . . . . . . . . . . 0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 71,934,552 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . 2,536,774 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . . . 356,727 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . 3,791,231,615 TOTAL LIABILITIES . . . . . . . . . . $5,343,615,678 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 796,887,888 Unassigned Surplus . . . . . . . . . . . (485,923,697) Surplus as Regards Policyholders . . . . . . . . . . . . . $313,464,191 TOTAL . . . . . . . . . . . . . . . . . . . . 5,657,079,869 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $6,867,890 Direct Losses Paid . . . . . . . . . . . . . . . 5,196,877 Losses Incurred . . . . . . . . . . . . . . . . . 4,225,850 Life Insurance in Force . . . . . . . . . . 293,876,529 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the PHL Variable Insurance Company, a Corporation organized under the Laws of Connecticut, 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 25623 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PHOENIX INSURANCE COMPANY Home Office Address: One Tower Square 8MS Hartford, CT 06183-6014 Mail Address: One Tower Square 8MS Hartford, CT 06183-6014 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 2,259,418,353 Stocks . . . . . . . . . . . . . . . . . . . . . . 982,821,856 Mortgage Loans on Real Estate . . . . . . . . . . . . . . . . . 2,350,858 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 22,292,708 Agents Balances or Uncollected Premiums. . . . . . . . 284,104,592 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 28,484,813 Other Assets. . . . . . . . . . . . . . . . . . 280,607,392 TOTAL ASSETS . . . . . . . . . . . . . 3,860,080,572 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . 1,496,736,342 Reserve for Loss Adjustment Expenses . . . . . . . . 325,373,639 Other Expenses (excluding taxes, licenses and fees) . . . . . . . 27,777,465 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . 17,044,719 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 699,635 Unearned Premiums . . . . . . . . . . . . 434,898,958 All Other Liabilities . . . . . . . . . . . . . 166,902,915 TOTAL LIABILITIES . . . . . . . . . . . 2,469,433,674 Special Surplus Funds . . . . . . . . . . . . 5,608,372 Capital Paid Up or Statutory Deposit . . . . . . . . . . 10,000,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 126,369,748 Unassigned Funds (Surplus) . . . . . 1,248,668,778 Surplus as Regards Policyholders . . . . . . . . . . . . . 1,390,646,898 TOTAL . . . . . . . . . . . . . . . . . . . . 3,860,080,572 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . 2,156,146 Direct Premiums Earned . . . . . . . . . . . 2,142,295 Direct Losses Paid . . . . . . . . . . . . . . . 1,163,896 Direct Losses Incurred . . . . . . . . . . . . 1,032,938 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Phoenix Insurance Company, a Corporation organized under the Laws of Connecticut, 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 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 72125 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PHYSICIANS LIFE INSURANCE COMPANY Home Office Address: 2600 Dodge Street Omaha, NE 68131 Mail Address: 2600 Dodge Street Omaha, NE 68131 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $1,167,949,194 Stocks . . . . . . . . . . . . . . . . . . . . . . . 15,761,453 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans. . . . . . . . . . . . . . . . . . . 28,449,061 Cash and Bank Deposits . . . . . . . . . . 33,943,620 Deferred and Uncollected Premiums . . . . . . . . . . . . . . . . 0 Investment Income Due and Accrued . . . . . . . . . . . . 13,734,982 Other Assets . . . . . . . . . . . . . . . . . . 25,139,270 TOTAL ASSETS. . . . . . . . . . . . . $1,284,977,580 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . $1,048,726,961 Reserve for Accident & Health Policies . . . . . . . . . . . . . . . . . . . . 0 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . 16,007,553 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . . . 649,285 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . . . 879,969 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . 102,875,900 TOTAL LIABILITIES . . . . . . . . . . $1,169,139,668 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,505,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 102,487,905 Unassigned Surplus . . . . . . . . . . . . . 10,845,007 Surplus as Regards Policyholders . . . . . . . . . . . . . $115,837,912 TOTAL . . . . . . . . . . . . . . . . . . . . 1,284,977,580 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $3,075,974 Direct Losses Paid . . . . . . . . . . . . . . . 1,485,976 Losses Incurred . . . . . . . . . . . . . . . . . 1,123,546 Life Insurance in Force . . . . . . . . . . . 34,168,551 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Physicians Life Insurance Company, a Corporation organized under the Laws of Nebraska, 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 80578 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PHYSICIANS MUTUAL INSURANCE COMPANY Home Office Address: 2600 Dodge Street Omaha, NE 68131-2671 Mail Address: 2600 Dodge Street Omaha, NE 68131-2671 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $1,534,289,942 Stocks . . . . . . . . . . . . . . . . . . . . . . 216,848,691 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned. . . . . . . . . . . . . . . 9,914,304 Policy Loans . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 33,323,389 Deferred and Uncollected Premiums . . . . . . . . . . . . . . . . 0 Investment Income Due and Accrued . . . . . . . . . . . . 20,025,816 Other Assets . . . . . . . . . . . . . . . . . . 15,257,218 TOTAL ASSETS. . . . . . . . . . . . . $1,829,659,460 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts. . . . . . . . . . . . . . . . . $0 Reserve for Accident & Health Policies. . . . . . . . . . . . 801,727,797 Policy and Contract Claims Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Accident and Health . . . . . . . . . . 39,196,041 General Expenses Due or Accrued . . . . . . . . . . . . . . 9,337,105 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 1,956,200 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . 107,231 All Other Liabilities . . . . . . . . . . . . . 111,227,355 TOTAL LIABILITIES . . . . . . . . . . . $963,551,729 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . . . . . . . . 0 Gross Paid In and Contributed Surplus . . . . . . . . . . . . . . . . . . 0 Unassigned Surplus . . . . . . . . . . . . 866,107,731 Surplus as Regards Policyholders . . . . . . . . . . . . . $866,107,731 TOTAL . . . . . . . . . . . . . . . . . . . . 1,829,659,460 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $2,027,826 Direct Losses Paid . . . . . . . . . . . . . . . 1,017,460 Losses Incurred . . . . . . . . . . . . . . . . . 1,055,736 Life Insurance in Force . . . . . . . . . . . . . . . . . . 0 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Physicians Mutual Insurance Company, a Corporation organized under the Laws of Nebraska, 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 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 40312 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PIONEER SPECIALTY INSURANCE COMPANY Home Office Address: 5350 W. 78th Street Edina, MN 55439 Mail Address: 5350 W. 78th Street Edina, MN 55439 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . 38,029,966 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . . . 122,812 Agents Balances or Uncollected Premiums . . . . . . . . . 8,091,457 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . 339,822 Other Assets . . . . . . . . . . . . . . . . . . . 1,210,743 TOTAL ASSETS . . . . . . . . . . . . . . . . 47,794,800 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . 12,266,555 Reserve for Loss Adjustment Expenses . . . . . . . . . . 2,796,568 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 1,233,928 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . . 69,951 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 116,138 Unearned Premiums . . . . . . . . . . . . . . 8,459,151 All Other Liabilities . . . . . . . . . . . . . . . 2,070,743 TOTAL LIABILITIES . . . . . . . . . . . . . 27,013,034 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 3,056,311 Gross Paid In and Contributed Surplus . . . . . . . . . . . 1,476,003 Unassigned Funds (Surplus) . . . . . . . 16,249,452 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 20,781,766 TOTAL . . . . . . . . . . . . . . . . . . . . . . . 47,794,800 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 106,193 Direct Premiums Earned . . . . . . . . . . . . 108,529 Direct Losses Paid . . . . . . . . . . . . . . . . . 25,765 Direct Losses Incurred. . . . . . . . . . . . . . . 10,696 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Pioneer Specialty 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: 3-4-5-6-7-8-9-10-12-13-14 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 68039 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PRESIDENTIAL LIFE INSURANCE COMPANY Home Office Address: 69 LydeckerStreet Nyack, NY 10960 Mail Address: 69 Lydecker Street Nyack, NY 10960 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $2,828,404,902 Stocks . . . . . . . . . . . . . . . . . . . . . . . 41,649,393 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . 414,945 Policy Loans. . . . . . . . . . . . . . . . . . . 19,719,241 Cash and Bank Deposits . . . . . . . . . 239,621,088 Deferred and Uncollected Premiums . . . . . . . . . 2,474,217 Investment Income Due and Accrued . . . . . . . . . . . . 43,230,927 Other Assets. . . . . . . . . . . . . . . . . . 279,420,080 TOTAL ASSETS. . . . . . . . . . . . . $3,454,834,793 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . . $477,956,348 Reserve for Accident & Health Policies . . . . . . . . . . . . . . . 879,971 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . . 4,187,002 Accident and Health . . . . . . . . . . . . 403,419 General Expenses Due or Accrued . . . . . . . . . . . . . . 2,358,882 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . . . 379,003 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . 2,753,144,622 TOTAL LIABILITIES . . . . . . . . . . $3,239,309,247 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,875 Gross Paid In and Contributed Surplus . . . . . . . . . . 34,384,471 Unassigned Surplus . . . . . . . . . . . . 178,640,200 Surplus as Regards Policyholders . . . . . . . . . . . . . $215,525,546 TOTAL . . . . . . . . . . . . . . . . . . . . 3,454,834,793 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . . . $368,400 Direct Losses Paid . . . . . . . . . . . . . . . 2,020,706 Losses Incurred . . . . . . . . . . . . . . . . . 2,020,706 Life Insurance in Force . . . . . . . . . . . . 1,685,010 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Presidential 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. 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 65919 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PRIMERICA LIFE INSURANCE COMPANY Home Office Address: 3120 Breckinridge Blvd. Duluth, GA 30099-0001 Mail Address: 3120 Breckinridge Blvd. Duluth, GA 30099-0001 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . $1,061,688,883 Stocks . . . . . . . . . . . . . . . . . . . . . . 362,093,483 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . (14,207,015) Deferred and Uncollected Premiums. . . . . . . (117,149,037) Investment Income Due and Accrued . . . . . . . . . . . . 12,604,971 Other Assets. . . . . . . . . . . . . . . . . . 261,648,004 TOTAL ASSETS. . . . . . . . . . . . . $1,569,720,291 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . . $165,979,132 Reserve for Accident &HealthPolicies............324,631,655 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . . . 4,406,978 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . 25,342,937 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 7,432,944 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . 5,885,184 All Other Liabilities . . . . . . . . . . . . . 365,607,706 TOTAL LIABILITIES . . . . . . . . . . . $899,286,536 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus. . . . . . . . . . 436,633,110 Unassigned Surplus . . . . . . . . . . . . 231,300,645 Surplus as Regards Policyholders . . . . . . . . . . . . . $670,433,755 TOTAL . . . . . . . . . . . . . . . . . . . . 1,569,720,291 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received . . . . . . . . $3,737,105 Direct Losses Paid . . . . . . . . . . . . . . . 1,985,960 Losses Incurred . . . . . . . . . . . . . . . . . 2,243,600 Life Insurance in Force . . . . . . . . . . . 81,050,437 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Primerica Life Insurance Company, a Corporation organized under the Laws of Massachusetts, 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 11855 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PRIMERO INSURANCE COMPANY Home Office Address: 2640 S. Jones Blvd. Suite 2 Las Vegas, NV89146 Mail Address: 506 5th Street Spearfish, SD 57783 ASSETS Bonds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . 523,826 Cash and Bank Deposits. . . . . . . . . . . 9,115,446 Agents Balances or Uncollected Premiums . . . . . . . . . 1,329,284 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . . 26,628 Other Assets . . . . . . . . . . . . . . . . . . . 2,878,519 TOTAL ASSETS . . . . . . . . . . . . . . . . 13,873,703 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses. . . . . . . . . . . . . . . 5,123,137 Reserve for Loss Adjustment Expenses . . . . . . . . . . . 153,333 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . . . . . 0 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . . 57,044 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . 140,792 Unearned Premiums . . . . . . . . . . . . . . 2,024,348 All Other Liabilities. . . . . . . . . . . . . . . . . 134,746 TOTAL LIABILITIES . . . . . . . . . . . . . . 7,633,400 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 1,500,000 Gross Paid In and Contributed Surplus . . . . . . . . . . . 4,750,000 Unassigned Funds (Surplus) . . . . . . . . . . (9,698) Surplus as Regards Policyholders . . . . . . . . . . . . . . . . 6,240,302 TOTAL . . . . . . . . . . . . . . . . . . . . . . . 13,873,702 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . 1,722,448 Direct Premiums Earned . . . . . . . . . . . 1,141,788 Direct Losses Paid . . . . . . . . . . . . . . . . 511,905 Direct Losses Incurred . . . . . . . . . . . . . . 730,830 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Primero Insurance Company, a Corporation organized under the Laws of Nevada, 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: 3-4-6-7-8-9-10-12-13 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 61271 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PRINCIPAL LIFE INSURANCE COMPANY Home Office Address: 711 High Street Des Moines, IA 50392-2300 Mail Address: 711 High Street Des Moines, IA 50392-2300 ASSETS Bonds . . . . . . . . . . . . . . . . . . . $40,740,138,532 Stocks . . . . . . . . . . . . . . . . . . . . . . 621,392,789 Mortgage Loans on Real Estate . . 9,473,029,341 Real Estate Owned . . . . . . . . . . . . . 311,331,456 Policy Loans . . . . . . . . . . . . . . . . . . 836,020,339 Cash and Bank Deposits . . . . . . . 1,833,413,589 Deferred and Uncollected Premiums. . . . . . . . 162,871,254 Investment Income Due and Accrued . . . . . . . . . . . 524,454,229 Other Assets . . . . . . . . . . . . . . . 75,517,418,717 TOTAL ASSETS . . . . . . . . . . . $130,020,070,246 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . $29,620,351,429 Reserve for Accident &HealthPolicies..........1,244,211,813 Policy and Contract Claims Life . . . . . . . . . . . . . . . . . . . . . 105,644,158 Accident and Health . . . . . . . . . 120,740,321 General Expenses Due or Accrued. . . . . . . . . . . . . 273,203,308 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . 49,020,764 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . 94,662,591,725 TOTAL LIABILITIES . . . . . . . . $126,075,763,518 Special Surplus Funds . . . . . . . . $1,263,739,760 Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000 Gross Paid In and Contributed Surplus . . . . . . . . 2,206,045,111 Unassigned Surplus . . . . . . . . . . . . 472,021,857 Surplus as Regards Policyholders . . . . . . . . . . . . $3,944,306,728 TOTAL. . . . . . . . . . . . . . . . . . . 130,020,070,246 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $57,321,408 Direct Losses Paid . . . . . . . . . . . . . . 17,379,568 Losses Incurred . . . . . . . . . . . . . . . . . 8,502,834 Life Insurance in Force . . . . . . . . . 3,714,881,251 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Principal Life 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: 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 71161 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PRINCIPAL NATIONAL LIFE INSURANCE COMPANY Home Office Address: 711 High Street Des Moines, IA 50392-2300 Mail Address: 711 High Street Des Moines, IA 50392-2300 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . $58,653,804 Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Mortgage Loans on Real Estate . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Policy Loans . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits . . . . . . . . . . 12,767,960 Deferred and Uncollected Premiums . . . . . . . . . . . . . . . . 0 Investment Income Due and Accrued . . . . . . . . . . . . . . 234,448 Other Assets . . . . . . . . . . . . . . . . . . 13,263,819 TOTAL ASSETS . . . . . . . . . . . . . . . $84,920,031 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Life Policies & Contracts . . . . . . . . . . . . $13,609 Reserve for Accident &HealthPolicies....................0 Policy and Contract Claims Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Accident and Health . . . . . . . . . . . . . . . . . 0 General Expenses Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0 Taxes, Licenses & Fees Due or Accrued . . . . . . . . . . . . . . 2,600,063 Federal Income Taxes Due or Accrued . . . . . . . . . . . . . . . . 388,844 All Other Liabilities . . . . . . . . . . . . . . 11,145,374 TOTAL LIABILITIES . . . . . . . . . . . . $14,147,890 Special Surplus Funds . . . . . . . . . . . . . . . . . . $0 Capital Paid Up . . . . . . . . . . . . . . . . . . 2,500,00 Gross Paid In and Contributed Surplus . . . . . . . . . . 76,446,806 Unassigned Surplus . . . . . . . . . . . . . (8,174,665) Surplus as Regards Policyholders . . . . . . . . . . . . . . $70,772,141 TOTAL . . . . . . . . . . . . . . . . . . . . . . . 84,920,031 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Received. . . . . . . . $17,865,302 Direct Losses Paid. . . . . . . . . . . . . . . . . . . . 754 Losses Incurred. . . . . . . . . . . . . . . . . . . 150,000 Life Insurance in Force . . . . . . . . . . 926,831,551 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Principal National Life 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: 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 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 38954 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PROASSURANCE CASUALTY INSURANCE COMPANY Home Office Address: 100 Brookwood Place Birmingham AL 35209 Mail Address: PO Box590009 Birmingham, AL 35209 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . 1,117,886,016 Stocks . . . . . . . . . . . . . . . . . . . . . . . 72,579,526 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned. . . . . . . . . . . . . . . 5,992,385 Cash and Bank Deposits . . . . . . . . . . 56,214,121 Agents Balances or Uncollected Premiums. . . . . . . . . 31,305,553 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . 12,989,669 Other Assets . . . . . . . . . . . . . . . . . . 84,940,678 TOTAL ASSETS . . . . . . . . . . . . . 1,381,907,948 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . 384,346,618 Reserve for Loss Adjustment Expenses . . . . . . . . 311,888,778 Other Expenses (excluding taxes, licenses and fees). . . . . . . . 1,603,525 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . 1,197,421 Federal and Foreign Income Taxes. . . . . . . . . . . . . . . . 7,100,917 Unearned Premiums . . . . . . . . . . . . . 95,288,598 All Other Liabilities . . . . . . . . . . . . . . 36,890,990 TOTAL LIABILITIES . . . . . . . . . . . . 838,316,847 Special Surplus Funds . . . . . . . . . . . 10,093,603 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 3,188,145 Gross Paid In and Contributed Surplus . . . . . . . . . . 85,753,824 Unassigned Funds (Surplus) . . . . . . 444,555,529 Surplus as Regards Policyholders . . . . . . . . . . . . . . 543,591,101 TOTAL . . . . . . . . . . . . . . . . . . . . 1,381,907,948 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . . . 496,416 Direct Premiums Earned . . . . . . . . . . . . 461,967 Direct Losses Paid . . . . . . . . . . . . . . . . . . . . . 0 Direct Losses Incurred . . . . . . . . . . . . . . 216,509 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Proassurance Casualty Insurance Company, a Corporation organized under the Laws of Michigan, 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: 3-6-7-12-13-14 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. 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 34312 FROM ANNUAL STATEMENT Year Ending December 31, 2012 PRODUCERS AGRICULTURE INSURANCE COMPANY Home Office Address: 2025 S. Hughes Amarillo, TX 79109 Mail Address: PO Box229 Amarillo, TX 79105 ASSETS Bonds . . . . . . . . . . . . . . . . . . . . . . . . 4,183,243 Stocks . . . . . . . . . . . . . . . . . . . . . . . . 6,051,162 Mortgage Loans on Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0 Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0 Cash and Bank Deposits. . . . . . . . . (20,367,055) Agents Balances or Uncollected Premiums. . . . . . . . . 14,312,339 Interest, Dividends and Real Estate Income Due and Accrued . . . . . . . . . . . . . . . . 7,866 Other Assets. . . . . . . . . . . . . . . . . . 266,865,143 TOTAL ASSETS . . . . . . . . . . . . . . . 271,052,698 LIABILITIES, SURPLUS, OTHER FUNDS Reserve for Losses . . . . . . . . . . . . . . . . . . . . . 0 Reserve for Loss Adjustment Expenses . . . . . . . . . . 5,899,777 Other Expenses (excluding taxes, licenses and fees) . . . . . . . . . . 44,064 Taxes, Licenses and Fees (excluding Federal and Foreign Income Taxes) . . . . . . . . . . 370,597 Federal and Foreign Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0 Unearned Premiums . . . . . . . . . . . . . . . . . . . . 0 All Other Liabilities . . . . . . . . . . . . . 205,656,057 TOTAL LIABILITIES . . . . . . . . . . . . 211,970,495 Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0 Capital Paid Up or Statutory Deposit . . . . . . . . . . . 3,000,000 Gross Paid In and Contributed Surplus . . . . . . . . . . 37,069,958 Unassigned Funds (Surplus) . . . . . . . 19,012,245 Surplus as Regards Policyholders . . . . . . . . . . . . . . . 59,082,203 TOTAL . . . . . . . . . . . . . . . . . . . . . . 271,052,698 BUSINESS IN SOUTH DAKOTA 2012 Direct Premiums Written . . . . . . . . . . 21,818,445 Direct Premiums Earned . . . . . . . . . . 21,495,477 Direct Losses Paid . . . . . . . . . . . . . . 35,874,607 Direct Losses Incurred . . . . . . . . . . . 33,232,774 STATE OF SOUTH DAKOTA DIVISION OF INSURANCE STATE CAPITOL, PIERRE COMPANY’S CERTIFICATE OF AUTHORITY WHEREAS, the Producers Agriculture Insurance Company, a Corporation organized under the Laws of Texas, 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: 2-3-4-5-6-7-8-9-10-11-12-13-14-15-17-23B 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 23B. Prepaid Legal 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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