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Section B • Pennington County Courant • May 9, 16 & 23, 2012 • Page 16<br />
Public Notices<br />
Annual Statements for<br />
Insurance Companies<br />
38628<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PROGRESSIVE NORTHERN<br />
INSURANCE COMPANY<br />
Home Office Address:<br />
8040 Excelsior Dr. Suite 300<br />
Madison, WI 53717<br />
Mail Address:<br />
PO Box 89490<br />
Clevel<strong>and</strong>, OH 44101-6490<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . . . 766,323,658<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . 131,799,360<br />
Mortgage Loans on<br />
Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . . 72,712,630<br />
Agents Balances or<br />
Uncollected Premiums. . . . . . . . 203,647,600<br />
Interest, Dividends <strong>and</strong><br />
Real Estate Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . . 5,507,789<br />
Other Assets . . . . . . . . . . . . . . . . . . 65,660,147<br />
TOTAL ASSETS . . . . . . . . . . . . . 1,245,651,184<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Losses . . . . . . . . . . . . . 372,252,858<br />
Reserve for Loss<br />
Adjustment Expenses . . . . . . . . . 74,321,507<br />
Other Expenses (excluding<br />
taxes, licenses <strong>and</strong> fees) . . . . . . . 34,175,672<br />
Taxes, Licenses <strong>and</strong> Fees<br />
(excluding Federal <strong>and</strong><br />
Foreign Income Taxes) . . . . . . . . . 8,757,738<br />
Federal <strong>and</strong> Foreign<br />
Income Taxes. . . . . . . . . . . . . . . . 8,752,277<br />
Unearned Premiums . . . . . . . . . . . . 324,200,664<br />
All Other Liabilities . . . . . . . . . . . . . . 75,678,511<br />
TOTAL LIABILITIES . . . . . . . . . . . . 898,139,227<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0<br />
Capital Paid Up<br />
or Statutory Deposit . . . . . . . . . . . 3,008,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus. . . . . . . . . . 236,508,699<br />
Unassigned Funds (Surplus) . . . . . . 107,995,258<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . . 347,511,957<br />
TOTAL . . . . . . . . . . . . . . . . . . . . 1,245,651,184<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Written . . . . . . . . . . 45,641,506<br />
Direct Premiums Earned . . . . . . . . . . 44,774,487<br />
Direct Losses Paid . . . . . . . . . . . . . . 26,868,020<br />
Direct Losses Incurred . . . . . . . . . . . 28,225,444<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Progressive Northern<br />
Insurance Company, a Corporation organized<br />
under the Laws of Wisconsin, has complied with<br />
all requirements of the Insurance Laws of the<br />
State of South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
4-6-7-8-9-10-15-16<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. AutoPropertyDamage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21.<br />
in thisStateaccordingtotheLawsthereof,unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONYWHEREOF,Ihavehereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
34690<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PROPERTY AND CASUALTY<br />
INS. CO. OF HARTFORD<br />
Home Office Address:<br />
501 Pennsylvania Parkway #400<br />
Indianapolis, IN 46280-0014<br />
Mail Address:<br />
One Hartford Plaza<br />
Hartford, CT 06155-0001<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . . . 205,194,173<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Mortgage Loans on<br />
Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . . . 3674,213<br />
Agents Balances or<br />
Uncollected Premiums . . . . . . . . . 2,699,644<br />
Interest, Dividends <strong>and</strong><br />
Real Estate Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . . 2,312,820<br />
Other Assets . . . . . . . . . . . . . . . . . . . 7,572,798<br />
TOTAL ASSETS . . . . . . . . . . . . . . . 221,453,648<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Losses . . . . . . . . . . . . . . 73,310,106<br />
Reserve for Loss<br />
Adjustment Expenses . . . . . . . . . 15,299,918<br />
Other Expenses (excluding<br />
taxes, licenses <strong>and</strong> fees) . . . . . . . . . 760,399<br />
Taxes, Licenses <strong>and</strong> Fees<br />
(excluding Federal <strong>and</strong><br />
Foreign Income Taxes) . . . . . . . . . . 796,806<br />
Federal <strong>and</strong> Foreign<br />
Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0<br />
Unearned Premiums . . . . . . . . . . . . . 23,470,676<br />
All Other Liabilities . . . . . . . . . . . . . . . 3,563,132<br />
TOTAL LIABILITIES . . . . . . . . . . . . 117,201,037<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0<br />
Capital Paid Up<br />
or Statutory Deposit . . . . . . . . . . . 4,200,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus . . . . . . . . . . 22,113,912<br />
Unassigned Funds (Surplus) . . . . . . . 77,938,699<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . . 104,252,611<br />
TOTAL . . . . . . . . . . . . . . . . . . . . . . 221,453,648<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Written . . . . . . . . . . . 2,384,156<br />
Direct Premiums Earned . . . . . . . . . . . 2,416,344<br />
Direct Losses Paid . . . . . . . . . . . . . . . 1,301,827<br />
Direct Losses Incurred . . . . . . . . . . . . 1,165,482<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Property <strong>and</strong> Casualty Ins.<br />
Co. of Hartford, a Corporation organized under the<br />
Laws of Indiana, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
3-4-5-6-7-8-9-10-11-12-13-14-17-18<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. AutoPropertyDamage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21.<br />
in thisStateaccordingtotheLawsthereof,unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONYWHEREOF,Ihavehereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
68136<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PROTECTIVE LIFE<br />
INSURANCE COMPANY<br />
Home Office Address:<br />
2801 Hwy 280 S.<br />
Birmingham, AL 352238035<br />
Mail Address:<br />
PO Box 2606<br />
Birmingham, AL 35202<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . $17,473,512,990<br />
Stocks . . . . . . . . . . . . . . . . . . . . . 1,528,068,075<br />
Mortgage Loans on Real Estate . . 2,227,317,023<br />
Real Estate Owned . . . . . . . . . . . . . . 39,727,130<br />
Policy Loans . . . . . . . . . . . . . . . . . . 780,528,253<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . 175,192,734<br />
Deferred <strong>and</strong><br />
Uncollected Premiums . . . . . . . (21,461,448)<br />
Investment Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . 225,944,938<br />
Other Assets . . . . . . . . . . . . . . . 13,926,511,191<br />
TOTAL ASSETS. . . . . . . . . . . . $36,355,340,886<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Life<br />
Policies & Contracts . . . . . . $16,693,174,496<br />
Reserve for Accident<br />
& Health Policies . . . . . . . . . . . . 69,301,017<br />
Policy <strong>and</strong> Contract Claims<br />
Life . . . . . . . . . . . . . . . . . . . . . 143,942,039<br />
Accident <strong>and</strong> Health . . . . . . . . . . 11,343,215<br />
General Expenses<br />
Due or Accrued . . . . . . . . . . . . . 35,081,635<br />
Taxes, Licenses & Fees<br />
Due or Accrued . . . . . . . . . . . . . 17,760,319<br />
Federal Income Taxes<br />
Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0<br />
All Other Liabilities . . . . . . . . . . . 16,400,858,310<br />
TOTAL LIABILITIES . . . . . . . . . $33,371,461,031<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . $0<br />
Capital Paid Up . . . . . . . . . . . . . . . . . 5,000,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus . . . . . . . . 1,062,637,483<br />
Unassigned Surplus . . . . . . . . . . . 1,916,242,372<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . $2,983,879,855<br />
TOTAL. . . . . . . . . . . . . . . . . . . . 36,355,340,886<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Received. . . . . . . . $17,497,728<br />
Direct Losses Paid . . . . . . . . . . . . . . 11,887,943<br />
Losses Incurred . . . . . . . . . . . . . . . . . 2,999,504<br />
Life Insurance in Force . . . . . . . . . 1,601,076,523<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Protective Life Insurance<br />
Company, a Corporation organized under the<br />
Laws of Tennessee, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
1-2-20-21<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. AutoPropertyDamage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21. Variable Life<br />
in thisStateaccordingtotheLawsthereof,unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONYWHEREOF,Ihavehereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
68195<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PROVIDENT LIFE &<br />
ACCIDENT INSURANCE CO.<br />
Home Office Address:<br />
One Fountain Square, 2-North<br />
Chattanooga, TN 37402-1330<br />
Mail Address:<br />
One Fountain Square, 2-North<br />
Chattanooga, TN 37402-1330<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . $6,929,000,652<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . . 62,031,569<br />
Mortgage Loans on Real Estate . . . . 383,761,241<br />
Real Estate Owned . . . . . . . . . . . . . . 88,398,799<br />
Policy Loans . . . . . . . . . . . . . . . . . . 110,547,070<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . . 25,402,913<br />
Deferred <strong>and</strong><br />
Uncollected Premiums. . . . . . . . . 86,222,686<br />
Investment Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . 109,713,421<br />
Other Assets. . . . . . . . . . . . . . . . . . 656,962,715<br />
TOTAL ASSETS. . . . . . . . . . . . . $8,452,041,066<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Life<br />
Policies & Contracts . . . . . . . $2,016,015,638<br />
Reserve for Accident<br />
& Health Policies . . . . . . . . . . 5,060,168,505<br />
Policy <strong>and</strong> Contract Claims<br />
Life . . . . . . . . . . . . . . . . . . . . . . 21,932,278<br />
Accident <strong>and</strong> Health . . . . . . . . . . 57,975,243<br />
General Expenses<br />
Due or Accrued . . . . . . . . . . . . . . 1,105,014<br />
Taxes, Licenses & Fees<br />
Due or Accrued . . . . . . . . . . . . . . 7,371,852<br />
Federal Income Taxes<br />
Due or Accrued . . . . . . . . . . . . . 24,451,367<br />
All Other Liabilities . . . . . . . . . . . . . 620,264,163<br />
TOTAL LIABILITIES . . . . . . . . . . $7,809,284,060<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . $0<br />
Capital Paid Up . . . . . . . . . . . . . . . . 43,501,205<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus. . . . . . . . . . 271,208,526<br />
Unassigned Surplus . . . . . . . . . . . . 253,994,340<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . $642,757,005<br />
TOTAL . . . . . . . . . . . . . . . . . . . . 8,452,041,066<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Received . . . . . . . . . . $759,745<br />
Direct Losses Paid . . . . . . . . . . . . . . . . 108,086<br />
Losses Incurred. . . . . . . . . . . . . . . . . . . 145,562<br />
Life Insurance in Force . . . . . . . . . . . 57,602,800<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Provident Life & Accident<br />
Insurance Co., a Corporation organized under the<br />
Laws of Tennessee, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
1-2<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. AutoPropertyDamage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21.<br />
in thisStateaccordingtotheLawsthereof,unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONYWHEREOF,Ihavehereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
79227<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PRUCO LIFE<br />
INSURANCE COMPANY<br />
Home Office Address:<br />
2999 N. 44th St., Suite 210<br />
Phoenix, AZ 85018<br />
Mail Address:<br />
100 Mulberry <strong>Street</strong>, Gatewy 3<br />
Newark, NJ 07102-4061<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . . $4,120,390,33<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . 532,636,553<br />
Mortgage Loans on Real Estate . . 1,178,536,787<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Policy Loans . . . . . . . . . . . . . . . . . . 906,092,416<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . 303,755,269<br />
Deferred <strong>and</strong><br />
Uncollected Premiums. . . . . . . (135,297,616)<br />
Investment Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . 81,636,466<br />
Other Assets . . . . . . . . . . . . . . . 74,014,244,146<br />
TOTAL ASSETS. . . . . . . . . . . . $81,001,994,356<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Life<br />
Policies & Contracts . . . . . . . $5,999,308,574<br />
Reserve for Accident<br />
& Health Policies . . . . . . . . . . . . . . . . . . . . 0<br />
Policy <strong>and</strong> Contract Claims<br />
Life . . . . . . . . . . . . . . . . . . . . . . 17,129,825<br />
Accident <strong>and</strong> Health . . . . . . . . . . . . . . . . . 0<br />
General Expenses<br />
Due or Accrued. . . . . . . . . . . . . 103,118,641<br />
Taxes, Licenses & Fees<br />
Due or Accrued . . . . . . . . . . . . . 10,517,438<br />
Federal Income Taxes<br />
Due or Accrued . . . . . . . . . . . . . 64,929,892<br />
All Other Liabilities . . . . . . . . . . . 72,596,411,953<br />
TOTAL LIABILITIES . . . . . . . . . $78,791,416,323<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . $0<br />
Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus. . . . . . . . . . 600,205,091<br />
Unassigned Surplus . . . . . . . . . . . 1,607,872,942<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . $2,210,578,033<br />
TOTAL. . . . . . . . . . . . . . . . . . . . 81,001,994,356<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Received. . . . . . . . $67,366,931<br />
Direct Losses Paid . . . . . . . . . . . . . . . 6,975,239<br />
Losses Incurred . . . . . . . . . . . . . . . . . 1,642,527<br />
Life Insurance in Force . . . . . . . . . 2,298,238,045<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the PRUCO Life Insurance<br />
Company, a Corporation organized under the<br />
Laws of Arizona, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
1-2-20-21<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. AutoPropertyDamage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21. Variable Life<br />
in thisStateaccordingtotheLawsthereof,unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONYWHEREOF,Ihavehereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
86630<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PRUDENTIAL ANNUITIES<br />
LIFE ASSURANCE CORP<br />
Home Office Address:<br />
One Corporate Drive<br />
Shelton, CT 06484-0883<br />
Mail Address:<br />
100 Mulberry St., Gateway 3<br />
Newark, NJ 07102-4061<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . $1,820,432,886<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . . . 5,709,870<br />
Mortgage Loans on Real Estate . . . . 240,932,512<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Policy Loans. . . . . . . . . . . . . . . . . . . 11,956,942<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . . 15,446,401<br />
Deferred <strong>and</strong><br />
Uncollected Premiums . . . . . . . (24,714,218)<br />
Investment Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . 31,755,831<br />
Other Assets . . . . . . . . . . . . . . . 47,454,383,947<br />
TOTAL ASSETS. . . . . . . . . . . . $49,555,904,172<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Life<br />
Policies & Contracts . . . . . . . $2,791,655,633<br />
Reserve for Accident<br />
& Health Policies . . . . . . . . . . . . . . . . . . . . 0<br />
Policy <strong>and</strong> Contract Claims<br />
Life . . . . . . . . . . . . . . . . . . . . . . . 1,245,787<br />
Accident <strong>and</strong> Health . . . . . . . . . . . . . . . . . 0<br />
General Expenses<br />
Due or Accrued . . . . . . . . . . . . . 26,158,415<br />
Taxes, Licenses & Fees<br />
Due or Accrued . . . . . . . . . . . . . . . . 523,600<br />
Federal Income Taxes<br />
Due or Accrued . . . . . . . . . . . . . . . . . . . . . 0<br />
All Other Liabilities . . . . . . . . . . . 46,288,630,576<br />
TOTAL LIABILITIES . . . . . . . . . $49,108,214,011<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . $0<br />
Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus. . . . . . . . . . 395,170,443<br />
Unassigned Surplus . . . . . . . . . . . . . 50,019,718<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . $447,690,161<br />
TOTAL. . . . . . . . . . . . . . . . . . . . 49,555,904,172<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Received . . . . . . . . $1,308,167<br />
Direct Losses Paid . . . . . . . . . . . . . . . 6,987,345<br />
Losses Incurred. . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Life Insurance in Force . . . . . . . . . . . . 2,072,092<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Prudential Annuities Life<br />
Assurance Corp, a Corporation organized under<br />
the Laws of Connecticut, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
1-2-20-21<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. AutoPropertyDamage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21. Variable Life<br />
in thisStateaccordingtotheLawsthereof,unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONYWHEREOF,Ihavehereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
68241<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PRUDENTIAL INSURANCE<br />
COMPANY OF AMERICA<br />
Home Office Address:<br />
751 Broad <strong>Street</strong><br />
Newark, NJ 07102<br />
Mail Address:<br />
100 Mulberry St., Gateway 3<br />
Newark, NJ 07102-4061<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . $99,456,807,148<br />
Stocks . . . . . . . . . . . . . . . . . . . . . 9,885,877,946<br />
Mortgage Loans on Real Estate . 22,317,197,921<br />
Real Estate Owned . . . . . . . . . . . . . 397,659,549<br />
Policy Loans . . . . . . . . . . . . . . . . 7,082,499,083<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . 4,480,009,534<br />
Deferred <strong>and</strong><br />
Uncollected Premiums . . . . . . 1,475,755,094<br />
Investment Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . 1,229,159,135<br />
Other Assets . . . . . . . . . . . . . . 138,762,083,299<br />
TOTAL ASSETS . . . . . . . . . . . $285,087,048,709<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Life<br />
Policies & Contracts . . . . . . $99,870,642,982<br />
Reserve for Accident<br />
&HealthPolicies..........6,941,770,500<br />
Policy <strong>and</strong> Contract Claims<br />
Life . . . . . . . . . . . . . . . . . . . . 1,279,532,824<br />
Accident <strong>and</strong> Health . . . . . . . . . . 79,826,846<br />
General Expenses<br />
Due or Accrued . . . . . . . . . . . 1,189,767,306<br />
Taxes, Licenses & Fees<br />
Due or Accrued . . . . . . . . . . . . . 83,439,957<br />
Federal Income Taxes<br />
Due or Accrued . . . . . . . . . . . 1,093,535,224<br />
All Other Liabilities . . . . . . . . . . 165,849,651,344<br />
TOTAL LIABILITIES . . . . . . . . $276,388,166,983<br />
Special Surplus Funds . . . . . . . . $2,129,790,075<br />
Capital Paid Up . . . . . . . . . . . . . . . . . 2,500,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus. . . . . . . . . . 898,737,966<br />
Unassigned Surplus . . . . . . . . . . . 5,667,853,685<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . $8,698,881,726<br />
TOTAL. . . . . . . . . . . . . . . . . . . 285,087,048,709<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Received. . . . . . . . $39,870,301<br />
Direct Losses Paid . . . . . . . . . . . . . . 36,705,518<br />
Losses Incurred . . . . . . . . . . . . . . . . 14,789,740<br />
Life Insurance in Force . . . . . . . . . 3,129,255,359<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Prudential Insurance<br />
Company of America, a Corporation organized<br />
under the Laws of New Jersey, has complied with<br />
all requirements of the Insurance Laws of the<br />
State of South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
1-2-20-21<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. Auto Property Damage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21. Variable Life<br />
in this State according to the Laws thereof, unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONY WHEREOF, I have hereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
68284<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
PYRAMID LIFE<br />
INSURANCE COMPANY<br />
Home Office Address:<br />
10851 Mastin Blvd. St.1000<br />
Overl<strong>and</strong> Park, KS 66210<br />
Mail Address:<br />
1001 Heathrow Park L<strong>and</strong> #5001<br />
Lake Mary, FL 32746<br />
ASSETS<br />
Bonds. . . . . . . . . . . . . . . . . . . . . . $351,098,894<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . . . 5,500,000<br />
Mortgage Loans on Real Estate . . . . . . . . . . . . 0<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Policy Loans . . . . . . . . . . . . . . . . . . . . . . 34,620<br />
Cash <strong>and</strong> Bank Deposits. . . . . . . . . . (4,906,966)<br />
Deferred <strong>and</strong><br />
Uncollected Premiums. . . . . . . . . 15,906,708<br />
Investment Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . . 3,369,941<br />
Other Assets . . . . . . . . . . . . . . . . . (63,629,654)<br />
TOTAL ASSETS . . . . . . . . . . . . . . $307,373,543<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Life<br />
Policies & Contracts . . . . . . . . . . $1,094,285<br />
Reserve for Accident<br />
&HealthPolicies ............45,019,029<br />
Policy <strong>and</strong> Contract Claims<br />
Life. . . . . . . . . . . . . . . . . . . . . . . . . . 34,136<br />
Accident <strong>and</strong> Health . . . . . . . . . . 49,084,165<br />
General Expenses<br />
Due or Accrued . . . . . . . . . . . . . . 1,811,870<br />
Taxes, Licenses & Fees<br />
Due or Accrued . . . . . . . . . . . . . . . . 366,984<br />
Federal Income Taxes<br />
Due or Accrued . . . . . . . . . . . . . . 5,541,886<br />
All Other Liabilities . . . . . . . . . . . . . . 17,408,259<br />
TOTAL LIABILITIES . . . . . . . . . . . $120,360,614<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . $0<br />
Capital Paid Up . . . . . . . . . . . . . . . . . 2,502,600<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus . . . . . . . . . . 73,436,000<br />
Unassigned Surplus . . . . . . . . . . . . 111,074,329<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . $187,012,929<br />
TOTAL . . . . . . . . . . . . . . . . . . . . . . 307,373,543<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Received . . . . . . . . . . $202,144<br />
Direct Losses Paid . . . . . . . . . . . . . . 11,548,160<br />
Losses Incurred . . . . . . . . . . . . . . . . 11,364,984<br />
Life Insurance in Force . . . . . . . . . . . . . 695,419<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Pyramid Life Insurance<br />
Company, a Corporation organized under the<br />
Laws of Kansas, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
1-2<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. Auto Property Damage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21.<br />
in this State according to the Laws thereof, unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONY WHEREOF, I have hereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
39217<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
QBE INSURANCE<br />
CORPORATION<br />
Home Office Address:<br />
88 Pine <strong>Street</strong>, 4th Floor<br />
New York, NY 10005<br />
Mail Address:<br />
Wall St Plaza-88 Pine St/4thFR<br />
New York, NY 10005<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . . . 583,359,189<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . 232,623,734<br />
Mortgage Loans on<br />
Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . 424,998,308<br />
Agents Balances or<br />
Uncollected Premiums. . . . . . . . 234,733,730<br />
Interest, Dividends <strong>and</strong><br />
Real Estate Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . . 1,960,345<br />
Other Assets. . . . . . . . . . . . . . . . . . 710,426,410<br />
TOTAL ASSETS . . . . . . . . . . . . . 2,188,101,716<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Losses . . . . . . . . . . . . . 579,138,411<br />
Reserve for Loss<br />
Adjustment Expenses . . . . . . . . 109,646,781<br />
Other Expenses (excluding<br />
taxes, licenses <strong>and</strong> fees). . . . . . . . 2,066,451<br />
Taxes, Licenses <strong>and</strong> Fees<br />
(excluding Federal <strong>and</strong><br />
Foreign Income Taxes) . . . . . . . . . 5,681,137<br />
Federal <strong>and</strong> Foreign<br />
Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0<br />
Unearned Premiums . . . . . . . . . . . . 284,578,875<br />
All Other Liabilities . . . . . . . . . . . . . 404,591,673<br />
TOTAL LIABILITIES . . . . . . . . . . . 1,385,703,328<br />
Special Surplus Funds . . . . . . . . . . . . 2,760,509<br />
Capital Paid Up<br />
or Statutory Deposit . . . . . . . . . . . 4,887,500<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus. . . . . . . . . . 851,175,372<br />
Unassigned Funds (Surplus) . . . . . . (56,424,993)<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . . 802,398,388<br />
TOTAL . . . . . . . . . . . . . . . . . . . . 2,188,101,716<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Written . . . . . . . . . . . 2,887,535<br />
Direct Premiums Earned . . . . . . . . . . . 2,136,747<br />
Direct Losses Paid . . . . . . . . . . . . . . . . 319,136<br />
Direct Losses Incurred . . . . . . . . . . . . . . 162,004<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the QBE Insurance Corporation, a<br />
Corporation organized under the Laws of<br />
Pennsylvania, has complied with all requirements<br />
of the Insurance Laws of the State of South<br />
Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
2-3-4-5-6-7-8-9-10-11-12-13-14-15-17-18-23A<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. Auto Property Damage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
23A. Travel, Accident & Baggage<br />
in this State according to the Laws thereof, unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONY WHEREOF, I have hereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
24449<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
REGENT INSURANCE<br />
COMPANY<br />
Home Office Address:<br />
One General Drive<br />
Sun Prairie, WI 53596<br />
Mail Address:<br />
One General Drive<br />
Sun Prairie, WI 53596<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . . . . 21,264,813<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Mortgage Loans on<br />
Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Cash <strong>and</strong> Bank Deposits . . . . . . . . . . 66,879,174<br />
Agents Balances or<br />
Uncollected Premiums. . . . . . . . . 17,827,878<br />
Interest, Dividends <strong>and</strong><br />
Real Estate Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . . . 179,121<br />
Other Assets . . . . . . . . . . . . . . . . . . 55,497,549<br />
TOTAL ASSETS . . . . . . . . . . . . . . . 161,648,535<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Losses . . . . . . . . . . . . . 43,985,,194<br />
Reserve for Loss<br />
Adjustment Expenses . . . . . . . . . . 8,327,603<br />
Other Expenses (excluding<br />
taxes, licenses <strong>and</strong> fees) . . . . . . . . . 156,946<br />
Taxes, Licenses <strong>and</strong> Fees<br />
(excluding Federal <strong>and</strong><br />
Foreign Income Taxes) . . . . . . . . . . 431,479<br />
Federal <strong>and</strong> Foreign<br />
Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0<br />
Unearned Premiums . . . . . . . . . . . . . 21,613,585<br />
All Other Liabilities . . . . . . . . . . . . . . 49,003,163<br />
TOTAL LIABILITIES . . . . . . . . . . . . 123,517,970<br />
Special Surplus Funds . . . . . . . . . . . . . . 209,659<br />
Capital Paid Up<br />
or Statutory Deposit . . . . . . . . . . . 4,000,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus . . . . . . . . . . . . . . . . . . 0<br />
Unassigned Funds (Surplus) . . . . . . . 33,920,907<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . . . 38,130,566<br />
TOTAL . . . . . . . . . . . . . . . . . . . . . . 161,648,535<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Written . . . . . . . . . . . 3,835,742<br />
Direct Premiums Earned . . . . . . . . . . . 4,360,188<br />
Direct Losses Paid . . . . . . . . . . . . . . . 1,563,405<br />
Direct Losses Incurred . . . . . . . . . . . . 1,574,644<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the Regent Insurance Company,<br />
a Corporation organized under the Laws of<br />
Wisconsin, has complied with all requirements of<br />
the Insurance Laws of the State of South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
2-3-4-5-6-7-8-9-10-11-12-13-17<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. Auto Property Damage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21.<br />
in this State according to the Laws thereof, unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONY WHEREOF, I have hereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
12535<br />
FROM ANNUAL STATEMENT<br />
Year Ending December 31, 2012<br />
RELIAMAX INSURANCE<br />
COMPANY<br />
Home Office Address:<br />
2300 E. 54th <strong>Street</strong> North<br />
Sioux Falls, SD 57104<br />
Mail Address:<br />
2300 E. 54th <strong>Street</strong> North<br />
Sioux Falls, SD 57104<br />
ASSETS<br />
Bonds . . . . . . . . . . . . . . . . . . . . . . . . 1,533,670<br />
Stocks . . . . . . . . . . . . . . . . . . . . . . . . 4,540,896<br />
Mortgage Loans on<br />
Real Estate. . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Real Estate Owned . . . . . . . . . . . . . . . . . . . . . 0<br />
Cash <strong>and</strong> Bank Deposits. . . . . . . . . . . 1,352,396<br />
Agents Balances or<br />
Uncollected Premiums . . . . . . . . . . . 116,012<br />
Interest, Dividends <strong>and</strong><br />
Real Estate Income<br />
Due <strong>and</strong> Accrued . . . . . . . . . . . . . . . . 4,623<br />
Other Assets . . . . . . . . . . . . . . . . . . . 2,493,762<br />
TOTAL ASSETS . . . . . . . . . . . . . . . . 10,041,359<br />
LIABILITIES, SURPLUS, OTHER FUNDS<br />
Reserve for Losses. . . . . . . . . . . . . . . 2,629,865<br />
Reserve for Loss<br />
Adjustment Expenses . . . . . . . . . . . 352,491<br />
Other Expenses (excluding<br />
taxes, licenses <strong>and</strong> fees) . . . . . . . . . 852,933<br />
Taxes, Licenses <strong>and</strong> Fees<br />
(excluding Federal <strong>and</strong><br />
Foreign Income Taxes) . . . . . . . . . . . 36,942<br />
Federal <strong>and</strong> Foreign<br />
Income Taxes . . . . . . . . . . . . . . . . . . . . . . 0<br />
Unearned Premiums . . . . . . . . . . . . . . 1,219,076<br />
All Other Liabilities. . . . . . . . . . . . . . . . . 248,877<br />
TOTAL LIABILITIES . . . . . . . . . . . . . . 5,340,184<br />
Special Surplus Funds . . . . . . . . . . . . . . . . . . . 0<br />
Capital Paid Up<br />
or Statutory Deposit . . . . . . . . . . . 1,165,000<br />
Gross Paid In <strong>and</strong><br />
Contributed Surplus . . . . . . . . . . . . . 800,000<br />
Unassigned Funds (Surplus) . . . . . . . . 2,736,175<br />
Surplus as Regards<br />
Policyholders . . . . . . . . . . . . . . . . 4,701,175<br />
TOTAL . . . . . . . . . . . . . . . . . . . . . . . 10,041,359<br />
BUSINESS IN SOUTH DAKOTA 2012<br />
Direct Premiums Written . . . . . . . . . . . 4,734,583<br />
Direct Premiums Earned . . . . . . . . . . . 4,322,888<br />
Direct Losses Paid . . . . . . . . . . . . . . . 1,968,684<br />
Direct Losses Incurred . . . . . . . . . . . . 2,980,713<br />
STATE OF SOUTH DAKOTA<br />
DIVISION OF INSURANCE<br />
STATE CAPITOL, PIERRE<br />
COMPANY’S CERTIFICATE<br />
OF AUTHORITY<br />
WHEREAS, the ReliaMax Insurance<br />
Company, a Corporation organized under the<br />
Laws of South Dakota, has complied with all<br />
requirements of the Insurance Laws of the State of<br />
South Dakota:<br />
NOW THEREFORE, the undersigned, Director<br />
of Insurance of the State of South Dakota,<br />
pursuant to the provisions of said laws, do hereby<br />
certify that the above named Company is fully<br />
empowered through its authorized agents to<br />
transact the numbered lines of business listed<br />
below:<br />
-5-<br />
1. Life<br />
2. Health<br />
3. Fire & Allied Lines<br />
4. Inl<strong>and</strong> & Ocean Marine<br />
5. Workmen’s Compensation<br />
6. Bodily Injury Liability<br />
(Other than Auto)<br />
7. Property Damage (Other than Auto)<br />
8. Auto Bodily Injury<br />
9. Auto Property Damage<br />
10. Auto Physical Damage<br />
11. Fidelity & Surety<br />
12. Glass<br />
13. Burglary & Theft<br />
14. Boiler & Machinery<br />
15. Aircraft<br />
16. Credit<br />
17. Crop-Hail<br />
18. Livestock<br />
19. Title<br />
20. Var. Annuities<br />
21.<br />
in this State according to the Laws thereof, unless<br />
this Certificate of Authority is otherwise revoked,<br />
suspended or withdrawn.<br />
IN TESTIMONY WHEREOF, I have hereunto<br />
set my h<strong>and</strong> <strong>and</strong> official seal at Pierre, S. D., this<br />
1st day of May, A.D., 2013.<br />
MERLE SCHEIBER<br />
Director of Insurance<br />
Turn those<br />
unwanted items<br />
into cash.<br />
Sell them in the<br />
Classifieds!<br />
They may be just<br />
the thing someone<br />
else is looking for.<br />
Pennington<br />
County<br />
Courant<br />
279-2565<br />
annc@gwtc.net