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Page 8
Golden Valley News May 5, 2016
nsurance I
61875
Abstract of Statement
For the Year
Ending December 31, 2015
of the
Church Life Insurance Corporation
In the state of New York
Total Assets 291,665,976
Total Liabilities 238,340,187
Common Capital Stock 6,000,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 6,000,000
Aggregate write-ins for
Special surplus funds 1,499,213
Unassigned funds
(surplus) 39,826,581
Less treasury stock, at cost:
# shares common 0
# shares preferred 0
Surplus as regards
Policyholders 53,325,794
Total Liabilities, Capital
And Surplus 291,665,981
North Dakota Business Only
for the Year 2015
Life & Annuity
Total Direct Premiums
Written 8,835
Total Direct Losses Paid 0
Accident & Health
Total Direct Premiums Written 0
Total Direct Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Harem, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
In Testimony Whereof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY'S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31, 20t5
conformable to the requirements of the
laws of this state regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of Insurance of the
State of North Dakota, pursuant to the
provisior~ O~id taws~ ,d~.hereby,eer-
tify that, the abeve named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of April, A. D. 2017.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2016
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
61883
Abstract of Statement
For the Year
Ending December 31, 2015
of the
Central United Life insurance Com-
pany
In the state of Arkansas
Total Assets 327,036,279
Total Liabilities 234,162,125
Common Capital Stock 2,500,000
Preferred Capital Stock 200,000
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 12,750,000
Gross paid in and
Contributed surplus 3,236,734
Aggregate write-ins for
Special surplus funds 0
Unassigned funds
(surplus) 74,187,420
Less treasury stock, at cost:
# shares common 0
# shares preferred 0
Surplus as regards
Policyholders 92,874,154
Total Liabilities, Capital
And Surplus 327,036,279
North Dakota Business Only
for the Year 2015
Life & Annuity
Total Direct Premiums Written 44,312
Total Direct Losses Paid 0
Accident & Health
Total Direct Premiums
Written 368,348
Total Direct Losses Paid 206,520
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this-of-
fice.
In Testimony Whereof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of Insurance
egal
laws of this state regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of Insurance of the
State of North Dakota, pursuant to the
provisions of said laws, do hereby cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of April, A. D. 2017.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2016
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
62146
Abstract of Statement
For the Year
Ending December 31, 2015
' of the
Combined Insurance Company of
America
In the state of Illinois
Total Assets 1,316,656,889
Total Liabilities 1,236,756,324
Common Capital Stock 28,338,567
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 109,370,988
Aggregate write-ins for
Special surplus funds 2,947,000
Unassigned funds
(surplus) -60,755,990
Less treasury stock, at cost:
# shares common 0
# shares preferred 0
Surplus as regards
Policyholders 79,900,565
Total Liabilities, Capital
And Surplus 1,316,656,889
North Dakota Business Only
for the Year 2015
Life & Annuity
Total Direct Premiums
Written 197,972
Total Direct Losses Paid 229,774
Accident & Health
Total Direct Premiums
Written 5,443,949
Total Direct Losses Paid 1,840,186
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
In Testimony Whereof, I have hereunto
set ,my. hand ;and ,~ffixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY'S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31,2015
conformable to the requirements of the
laws of this state regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of insurance of the
State of North Dakota, pursuant to the
provisions of said laws, do hereby cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of April, A. D. 2017.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2016
(Seal)
ADAM HAMM
Commissioner of insurance
(May 5, 12 and 19)
62200
Abstract of Statement
For the Year
Ending December 31, 2015
of the
Accordia Life And Annuity Company
In the state of Iowa
Total Assets 7,674,856,180
Total Liabilities 7,062,893,351
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus306,818,899
Aggregate write-ins for
Special surplus funds 0
Unassigned funds
(surplus) 302,643,930
Less treasury stock, at cost:
# shares common 0
# shares preferred 0
Surplus as regards
Policyholders 611,962,829
Total Liabilities, Capital
STATE OF NORTH DAKOTA And Surplus 7,674,856,180
OFFICE OF THE COMMISSIONER
OF INSURANCE North Dakota Business Only
COMPANY'S CERTIFICATE OF for the Year 2015
AUTHORITY Life & Annuity
WHEREAS, the above corporationTotal Direct Premiums Written339,213
duly organized under the laws of its Total Direct Losses Paid 177,115
state or country of domicile, has filed Accident & Health
in this office a sworn statement ex- Total Direct Premiums Written 0
hibiting its condition and business for Total Direct Losses Paid 0
the year ending December 31, 2015
conformable to the requirements of the STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
In Testimony Whereof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY'S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31,2015
conformable to the requirements of the
laws of this s.tate regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of Insurance of the
State of North Dakota, pursuant to the
provisions of said laws, do hereby cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of April, A. D. 2017.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2016
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
62375
Abstract of Statement
For the Year
Ending December 31, 2015
of the
Consumers Life Insurance Company
In the state of Ohio
Total Assets 37,575,6t9
Total Liabilities 15,967,648
Common Capital Stock 1,600,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 36,633,368
Aggregate write-ins for
Special surplus funds 0
Unassigned funds
(surplus) -16,625,397
Less treasury stock, at cost:
# shares common 0 "
# shares preferred 0::
Surplus as regards ....
Policyholders 21,607,971
Total Liabilities, Capital
And Surplus 37,575,619
North Dakota Business Only
for the Year 2015
Life & Annuity
Total Direct Premiums Written 0
Total Direct Losses Paid 0
Accident & Health.
Total Direct Premiums Written 0
Total Direct Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
In Testimony Whereof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of Insurance
Gross paid in and fully empowered through its authorized Commissioner of Insurance
Contributed surplus 22,702,662 agents and representatives, to trans-
Aggregate write-ins for act its appropriated business of au- STATE OF NORTH DAKOTA
Special surplus funds 0 thorized insurance in the stateOFFICE OF THE COMMISSIONER
Unassigned funds according to the laws thereof, until the OF INSURANCE
(surplus) 1,108,870,86830th day of April, A. D. 2017. COMPANY'S CERTIFICATE OF
Less treasury stock, at cost: IN TESTIMONY WHEREOF, I have AUTHORITY
# shares common 124,385 hereunto set my hand and seal at Dis- WHEREAS, the above corporation
# shares preferred 0 marck this first day of May, A. D. 2016 duly orgaruzed under the laws of its
Surplus as regards (Seal) state or country of domicile, has filed
Policyholders 1 ,t35,949,145 ADAM HAMM in this office a sworn statement ex-
Total Liabilities, Capital Commissioner of insurance hibiting its condition and business for
And Surplus 0,092,983,913 (May 5, 12 and 19) the year ending December 31, 2015
conformable to the requirements of the
North Dakota Business Only 62634 ~ws of this state regarding the busi-
for the Year 2015 Abstract of Statement hess of insurance
Life & Annuity For the Year and
Total Direct Premiums Ending December 31, 2015WHEREAS, the said company has
Written 1,596,187 of the filed in this office a duly certified copy
Total Direct Losses Paid 777,380 Delaware American Life insurance of its charter with certificate of organi-
Accident & Health Company zation in compliance with the require-
Total Direct Premiums In the state of Delaware ments of insurance law aforesaid,
Written 159,636 Total Assets 136,618,298 NOW THEREFORE, I, ADAM HAMM,
Total Direct Losses Paid 69,498 Total Liabilities 73,164,949 Commissioner of insurance of the
Common Capital Stock2,500,000 State of North Dakota, pursuant to the
STATE OF NORTH DAKOTA Preferred Capital Stock 0 provisions of said laws, do hereby cer-
OFFICE OF THE COMMISSIONER Aggregate write-ins for tify that the above named company is
OF INSURANCE Other than special surplus 0 fully empowered through its authorized
I, Adam Hamm, Commissioner of In- Surplus Notes 0 agents and representatives, to trans-
surance of the State of North Dakota, Gross paid in and act its appropriated business of au-
do hereby certify that the foregoing is Contributed surplus35,971,736 thorized insurance in the state
a true Abstract of Statement, as offi- Aggregate write-ins for according to the laws thereof, until the
cially filed by the Company in this of- Special surplus funds 0 30th day of April, A. D. 2017.
fice, Unassigned funds IN TESTIMONY WHEREOF, I have
In Testimony Whereof, I have hereunto (surplus) 24,981,613 hereunto set my hand and seal at Bis-
set my hand and affixed the seal of Less treasury stock, at cost: marck this first day of May, A. D. 2016
this office at Bismarck, the first day of # shares common 0 (Seal)
May, A. D. 2016 (Seal). # shares preferred 0 ADAM HAMM
ADAM HAMM Surplus as regards Commissioner of Insurance
Commissioner of Insurance Policyholders 63,453,349 (May 5, 12 and 19)
Total Liabilities, Capital
STATE OF NORTH .DAKOTA And Surplus 136,618,298 62928
OFFICE OF THE COMMISSIONER Abstract of Statement
OF INSURANCE For the Year
COMPANY'S CERTIFICATE OF Ending December 31, 2015
AUTHORITY of the
WHEREAS, the above corporation EMC National Life Company
duly organized under the laws of its In the state of Iowa
state or country of domicile, has filed Total Assets 978,865,110
in this office a sworn statement ex- Total Liabilities 879,395,512
hibiting its condition and business for Common Capital Stock 11,666,700
the year ending December 31,2015 Preferred Capital Stock 24,000,000
conformable to the requirements of the Aggregate write-ins for
laws of this state regarding the busi- Other than special surplus 0
ness of insurance Surplus Notes 0
and Gross paid in and
WHEREAS, the said company has Contributed surplus34,830,042
filed in this office a duly certified copy Aggregate write-ins for
of its charter with certificate of organi- Special surplus funds 0
zation in compliance with the require- Unassigned funds
ments of insurance law aforesaid, (surplus) 28,972,855
NOW THEREFORE, I, ADAM HAMM, Less treasury stock, at cost:
Commissioner of insurance of the # shares common 0
State of North Dakota, pursuant to the # shares preferred 0
provisions of said taws, do hereby cer- Surplus as regards
tify that the above named company is Policyholders 99,469,597
fully empowered through its authorized Total Liabilities, Capital
agents and representatives, to trans- And Surplus 978,865,109
act its appropriated business of au-
thorized insurance in the state North Dakota Business Only.
according to the laws thereof, until the for the Year 2015
30th day of April, A. D. 2017. Life & Annuity
IN TESTIMONY WHEREOF, I have Total Direct Premiums
hereunto set my hand and seal at Bis- Written 933,420
marck this first day of May, A. D. 2016 Total Direct Losses Paid 1,045,270
(Seal) Accident & Health
ADAM HAMM
Commissioner of Insurance ......... • ....
(May 5, 12 and 19) ....
62626
Abstract of Statement
For the Year
Ending December 31, 2015
of the
• CMFG Life Insurance Company
In the state of Iowa
Total Assets 15,475,920,047
Total Liabilities 13,617,475,457
Common Capital Stock 7,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 85,000,000
Gross paid in and
Contributed surplus 62,836,994
Aggregate write-ins for
Special surplus funds 0
Unassigned funds
(surplus) 1,703,107,595
Less treasury stock, at cost:
# shares common 0
# shares preferred 0
Surplus as regards
Policyholders 1,858,444,589
Total Liabilities, Capital
And Surplus 15,475,920,046
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER North Dakota Business Only
OF INSURANCE for the Year 2015
COMPANY'S CERTIFICATE OF Life & Annuity
AUTHORITY Total Direct Premiums
WHEREAS, the above corporation Written 7,349,650
duly organized under the taws of its Total Direct Losses Paid 5,015,334
state or country of domicile, has filed Accident & Health
in this office a sworn statement ex- Total Direct Premiums
hibiting its condition and business for Written 1,531,635
the year ending December 31,2015 Total Direct Losses Paid 640,063
conformable to the requirements of the
laws of this state regarding the busi- STATE OF NORTH DAKOTA
hess of insurance OFFICE OF THE COMMISSIONER
and OF INSURANCE
WHEREAS, the said company has I, Adam Hamm, Commissioner of In-
filed in this office a duly certified copy surance of the State of North Dakota,
of its charter with certificate of organi- do hereby certify that the foregoing is
zation in compliance with the require- a true Abstract of Statement, as offi-
ments of insurance law aforesaid, cially filed by the Company in this of-
NOW THEREFORE, I, ADAM HAMM, rice.
Commissioner of Insurance of the In Testimony Whereof, I have hereunto
State of North Dakota, pursuant to the set my hand and affixed the seal of
provisions of said laws, do hereby cer- this office at Bismarck, the first day of
tify that the above named company is May, A. D. 2016 (Seal).
fully empowered through its authorized ADAM HAMM
agents and representatives, to trans- Commissioner of Insurance
act its appropriated business of au-
thorized insurance in the state STATE OF NORTH DAKOTA
according to the laws thereof, until the OFFICE OF THE COMMISSIONER
30th day of April, A. D. 2017. OF INSURANCE
IN TESTIMONY WHEREOF, I have COMPANY'S CERTIFICATE OF
hereunto set my hand and seal at Dis- AUTHORITY
marck this first day of May, A. D. 2016 WHEREAS, the above corporation
(Seal) duly organized under the laws of its
ADAM HAMM state or country of domicile, has filed
Commissioner of Insurance in this office a sworn statement ex-
(May 5, 12 and 19) hibiting its condition and business for
62553
Abstract of Statement
For the Year
Ending December 31, 2015
of the
Country Life Insurance Company
In the state of Illinois
Total Assets 10,092,983,912
Total Liabilities 8,957,034,768
Common Capital Stock 4,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
the year ending December 31,2015
conformable to the requirements of the
laws of this state regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of Insurance of the
State of North Dakota, pursuant to the
provisions of said laws, do hereby cer-
tify that the above named company is
North Dakota Business Only
for the Year 2015
Life & Annuity
Total Direct Premiums Written 27,614
Total Direct Losses Paid 0
Accident & Health
Total Direct Premiums Written 84,382
Total Direct Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
• I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
In Testimony Whereof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY'S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office aswornstatement e~:-~. ' ~' Total Direct Premiums Written
hibiting its conditier+and,lo~sinessfof-i~, Total~Direct Losses~Paid '
the year ending December 31, 2015 :
conformable to the requirements of the
laws of this state regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance.law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of insurance of the
State of North Dakota, pursuant to the
provisions of said taws, do hereby cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of April, A. D. 2017.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2016
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
62880
Abstract of Statement
For the Year
Ending December 31, 2015
of the
AXA Equitable Life And Annuity Com-
pany
In the state of Colorado
Total Assets 470,828,490
Total Liabilities 448,656,571
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 15,346,501
Aggregate write-ins for
Special surplus funds 0
Unassigned funds
(surplus) 4,325,418
Less treasury stock, at cost:
# shares common 0
# shares preferred 0
Surplus as regards
Policyholders 22,171,919
Total Liabilities, Capital
And Surplus 470,828,490
4,454
-0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice,
In Testimony Whereof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY'S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 31,2015
conformable to the requirements of the
laws of this state regarding the busi-
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
of its charter with certificate of organi-
zation in compliance with the require-
ments of insurance law aforesaid,
NOW THEREFORE, I, ADAM HAMM,
Commissioner of insurance of the
State of North Dakota, pursuant to the
provisions of said laws, do hereby cer-
tify that the above named company is
fully empowered through its authorized
agents and representatives, to trans-
act its appropriated business of au-
thorized insurance in the state
according to the laws thereof, until the
30th day of April, A. D. 2017.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2016
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 5, 12 and 19)
North Dakota Business Only
for the Year 2015
Life & Annuity
Total Direct Premiums
Written 61,706
Total Direct Losses Paid 46,278
Accident & Health
Total Direct Premiums Written 0
Total Direct Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Hamm, Commissioner of In-
surance of the State of North Dakota,
do hereby certify that the foregoing is
a true Abstract of Statement, as offi-
cially filed by the Company in this of-
fice.
In Testimony Whe]'eof, I have hereunto
set my hand and affixed the seal of
this office at Bismarck, the first day of
May, A. D. 2016 (Seal).
ADAM HAMM
v