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Golden Valley News
Beach, North Dakota
May 21, 2009     Golden Valley News
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May 21, 2009
 
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May 21, 2009 Insurance legal L67989 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the American Memorial Life Insurance Company In the state of South Dakota Total Assets 1,996,140,858 Total Liabilities 1,910,085,562 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 102,187,977 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus) -18,632,681 Less treasury stock, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 86,055,296 Total Liabilities, Capital and Surplus 1,996,140,858 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 OF INSURANCE Surplus as Regards Policyholders 423,849,594 COMPANY'S CERTIFICATE OF Total Liabilities, Capital AUTHORITY and Surplus 2,455,714,634 Life & Annuity Total Direct Premiums Written 176,048 Total Direct Losses Paid 1,920,991 Accident & Health Total Direct Premiums L71439 Written 1,238 ABSTRACT OF STATEMENT Total Direct Losses FOR THE YEAR ENDING Paid 867 DECEMBER 31, 2008 of the STATE OF NORTH DAKOTA Assurity Insurance Company OFFICE OF THE COMMISSIONER In the state of Nebraska OF INSURANCE Total Assets 2,161,104,707 Total Liabilities1,937,953,311 I, Adam Harem, Commissioner of Common Capital Stock 2,500,000 Insurance of the State of NorthPreferred CapitatStock 0 Dakota, do hereby certify that the fore- Aggregate write-ins for going is a true Abstract of Statement, other than special surplus 0 as officially filed by the Company in Surplus notes 20,000,000 this office. Gross paid in and IN TESTIMONY WHEREOF, I have contributed surplus0 hereunto set my hand and affixed the Aggregate write-ins for seal of this office at Bismarck, the first special surplus fund 0 day of May, A.D. 2009 (SEAL). Unassigned funds ( surplus) 220,651,397 ADAM HAMM Less treasury stock, at cost Commissioner of Insurance # shares common 0 # shares preferred 0 STATE OF NORTH DAKOTA Surplus as Regards OFFICE OF THE COMMISSIONER Policyholders 243,151,397 OF INSURANCE Total Liabilities, Capital and Surplus 2,181,104,708 COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS. the above corporation NORTH DAKOTA BUSINESS ONLY duly organized under the laws of its FOR THE YEAR 2008 state or country of domicile, has filed in this office a sworn statement exhibit- Life & Annuity ing its condition and business for the year ending December 31, 2008 con- Total Direct Premiums formable to the requirements of the Written 6,407 laws of this State regarding the busi- Total Direct Losses ness of insurance and Paid 0 WHEREAS, the said company has filed in this office a duly certified copy Accident & Health of its charter with certificate of organi- Total Direct Premiums zation in compliance with the require- Written 415,793 ments of insurance law aforesaid, Total Direct Losses NOW THEREFORE, I, ADAM Paid 0 HAMM, Commissioner of Insurance of the State of North Dakota, pursuant to ....... NORTH DAKOTA the provisions of said laws, do hereby OFFICE OF THE COMMISSIONER certify that the above named company OF INSURANCE is fully empowered through its author- ized agents and representatives, to I, Adam Hamm, Commissioner of transact its appropriated business of Insurance of the State of North authorized insurance in the state Dakota, do hereby certify that the fore- according to the laws thereof, until the going is a true Abstract of Statement. 30th day of April, A.D., 2009. as officially filed by the Company in IN TESTIMONY WHEREOF, I have this office. hereunto set my hand and seal at IN TESTIMONYWHEREOF, Ihave Bismarck this first day of May, A.D., hereunto Set my hand and affixed the 2209 (SEAL). seat of this office at Bismarck, the first ADAM HAMM day of May, A.D. 2009 (SEAL). Commissioner of Insurance (May 14, 21, 28) ADAM HAMM Commissioner of Insurance NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 WHEREAS, the above corporation duly organized under the laws of its Life & Annuity state or country of domicile, has filed in this office a sworn statement exhibit- Total Direct Premiums ing its condition and business for the Written 506,158 year ending December 31, 2008 con- Total Direct Losses formable to the requirements of the Paid 528,594 laws of this State regarding the busi- ness of insurance and Accident & Health WHEREAS, the said company has Total Direct Premiums filed in this office a duly certified copy Written 150,353 of its charter with certificate of organi- Total Direct Losses zation in compliance with the require- Paid 82.593 ments of insurance law aforesaid, NOW THEREFORE, I, ADAM STATE OF NORTH DAKOTA HAMM, Commissioner of Insurance of OFFICE OF THE COMMISSIONER the State of North Dakota, pursuant to OF INSURANCE the provisions of said laws, do hereby certify that the above named company I, Adam Harem. Commissioner of is fully empowered through its author- Insurance of the State of North ized agents and representatives, to Dakota, do hereby certify that the fore- transact its appropriated business of going is a true Abstract of Statement, authorized insurance in the state as officially filed by the Company in according to the laws thereof, until the this office. 30th day of April, A.D., 2009. IN TESTIMONY WHEREOF, I have IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the hereunto set my hand and seal at seal of this office at Bismarck, the first Bismarck this first day of May, A.D., day of May, A.D. 2009 (SEAL). 2209 (SEAL). ADAM HAMM ADAM HAMM Commissioner of Insurance Commissioner of Insurance (May 14, 21, 28) STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE 0 0 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 exhibit- ing its condition and business for the year ending December 31, 2008 con- formable 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 provis,ons of said laws, do hereby certify that the above named company is fully empowered through its author- ized agents and representatives, to transact its appropriated business of authorized insurance-in the state according to the laws thereol, until the 30th day of April, A.D., 2009. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2209 (SEAL). ADAM HAMM Commissioner of Insurance (May 14, 21/28) STATE OF NORTH DAKOTA L68276 OFFICE OF THE COMMISSIONER ABSTRACT OF sTATEMENT OF INSURANCE FOR THE YEAR ENDING DECEMBER 31, 2008 COMPANY'S CERTIFICATE OF of the AUTHORITY Employees Reassurance Corporation In the state of Kansas WHEREAS, the above corporation Total Assets 9,697,674,241 duly organized under the laws of its NORTH DAKOTA BUSINESS ONLY Total Liabilities 9,016,473,786 state or country of domicile, has filed FOR THE YEAR 2008 Common Capital Stock2,550,000 in this office a sworn statement exhibit- Preferred Capital Stock 0 ing its condition and business for the Ufe & Annuity Aggregate write-ins for year ending December 31 2008 con- Total Direct Premiums other than special surplus29,850,821 formable to the requirements of the Written 30,943 Surplus notes 0 laws of this State regarding the busi- Total Direct Losses Gross paid in and hess of insurance and Paid 42,146 contributed surplus 2,833,227,366 WHEREAS, the said company has Accident & Health Aggregate write-ins for filed in this office a duly certified copy Total Direct Premiums special surplus fund 0 of its charter with certificate of organi- Written 2,042,045 Unassigned funds (surplus) zation in compliance with the require- Total Direct Losses -2,184,427,732 ments of insurance law aforesaid, Paid 1,506,450 Less treasury stock, at cost NOW THEREFORE, I, ADAM # shares common 0 HAMM, Commissioner of Insurance of STATE OF NORTH DAKOTA # shares preferred 0 the State of North Dakota, pursuant to OFFICE OF THE COMMISSIONER Surplus as Regards the provisions of said laws, do hereby OF INSURANCE Policyholders 681,200,455 certify that the above named company Total Liabilities, Capital is fully empowered through its author- I, Adam Hamm, Commissioner of and Surplus 9,697,674,241 ized agents and representatives, to Insurance of the State of North transact its appropriated business of Dakota, do hereby certify that the fore- NORTH DAKOTA BUSINESS ONLY authorized insurance in the state going is a true AbstraCt of Statement, FOR THE YEAR 2008 according to the laws thereof, until the as officially filed by the Company in 30th day of April, A.D., 2009. this office. Life & Annuity IN TESTIMONY WHEREOF, I have IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at hereunto set my hand and affixed the Total Direct Premiums Bismarck this first day of May, A.D. seal of this office at Bismarck, the first Written 0 2209 (SEAL). day of May, A.D. 2009 (SEAL). Total Direct Losses ADAM HAMM Paid 0 Commissioner of Insurance ADAM HAMM Accident & Health (May 14, 21, 28) Commissioner of Insurance Total Direct Premiums Written Total Direct Losses Paid STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE the provisions of said laws, do hereby I, Adam Hamm, Commissioner of certify that the above named company Insurance of the State of North ts fully empowered through its author- Dakota, do hereby certify that the fore- ized agents and representatives, to going is a true Abstract of Statement, transact its appropriated business of as officially filed by the Company in authorized insurance in the state this office. according to the laws thereof, until the IN TESTIMONY WHEREOF. I have 30th day of April, A.D., 2009. hereunto set my hand and affixed the IN TESTIMONY WHEREOF, I have seal of this office at Bismarck, the first hereunto set my hand and seal at day of May, A.D. 2009 (SEAL). Bismarck this first day of May, A.D., 2209 (SEAL). ADAM HAMM ADAM HAMM Commissioner of Insurance C(~mmissioner of Insurance (May 14, 21, 28) STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER 1.72222 OF INSURANCE ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Arnica Life Insurance Company WHEREAS, the above corporation In the state of Rhode Island duly organized under the laws of its Total Assets 940,141,890 state or country of domicile, has filed Total Liabilities 783,788,213 in this office a sworn statement exhibit- Common Capital Stock 5,000,000 ing its condition and business for the Preferred Capital Stock 0 year ending December 31, 2008 con- Aggregate write-ins.for formable to the requirements of the other than special surplus 0 laws of this State regarding the busi- Surplus notes 0 hess of insurance and Gross paid in and WHEREAS, the said company has contributed surplus 52,000,000 filed in this office a duly certified copy Aggregate write-ins for of its charter with certificate of organi- special surplus fund 0 zation in compliance with the require- Unassigned funds ments of insurance law aforesaid, (surplus) 99,353,677 NOW THEREFORE, I, ADAM Less treasury stock, at cost HAMM, Commissioner of Insurance of # shares common 0 the State of North Dakota, pursuant to # shares preferred 0 the provisions of said laws, do hereby Surplus as Regards certify that the above named corn pany Policyholders 156,353,677 is fully empowered through its author- Total Liabilities, Capital ized agents and representatives, to and Surplus 940,141,890 transact its appropriated business of authorized !nsurance m the state according to the laws thereof, until the 30th day of April, A.D., 2009. IN TESTIMONY WHEREOF. I have Life & Annuity hereunto set my hand and seal at Bismarck this first day of May, A.D., 2209 (SEAL). 2,762 ADAM HAMM Commissioner of Insurance 0 (May 14, 21, 28) I, Adam Harem, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. 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. 2009 (SEAL) ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Total Direct Premiums Written Total Direct Losses Paid Accident & Health Total Direct Premiums Written Total Direct Losses Paid 0 0 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. 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. 2009 (SEAL). ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER L71870 OF INSURANCE ABSTRACT OF STATEMENT ' FOR THE YEAR ENDING COMPANY'S CERTIFICATE OF DECEMBER 31, 2008 AUTHORITY of the Fidelity Security LifeInsurance WHEREAS, the above corporation Company duly organized under the laws of its In the state of Missouri state or country of domicile, has filed Total Assets 538,361,909 in this office a sworn statement exhibit- Total Liabilities 453,747,366 ing its condition and business for the Common Capital Stock 2,500,000 year ending December 31, 2008 con- Preferred Capital Stock 6,000,000 formable to the requirements of the Aggregate write-ins for laws of this State regarding the busi- other than special surplus 0 ness of insurance and Surplus notes 0 WHEREAS, the said company has Gross paid in and filed in this office a duly certified copy contributed surplus 1,313,217 of its charter with certificate of organi- Aggregate write-ins for zation in compliance with the require- special surplus fund 0 ments of insurance law aforesaid, Unassigned funds NOW THEREFORE, I, ADAM (surplus) 79,158,069 HAMM, Commissioner of Insurance of Less treasury stock, at cost the State of North Dakota, pursuant to # shares common 4,356,743 the provisions of said laws, do hereby # shares preferred 0 certify that the above named company Surplus as Regards is fully empowered through its author- Policyholders 84,614,543 ized agents and representatives, to Total Liabilities, Capital transact its appropriated business of and Surplus 538,361,909 authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D., 2009. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2209 (SEAL). ADAM HAMM Commissioner of Insurance (May 14, 21, 28) L71714 STATE OF NORTH DAKOTA ABSTRACT OF STATEMENT OFFICE OF THE COMMISSIONER FOR THE YEAR ENDING OF INSURANCE DECEMBER 31, 2008 of the COMPANY'S CERTIFICATE OF- Berkshire Life Insurance Company of AUTHORITY America In the state of Massachusetts WHEREAS, the above corporation Total Assets 2,455,714,634 duly organized under the laws of its Total Liabilities 2,031,865,040 state or country of domicile, has filed Common Capital Stock 3,198,000 in this office a sworn statement exhibit- Preferred Capital Stock 0 ing its condition and business for the Aggregate wdte-ins for year ending December 31, 2008 con- other than special surplus 0 formable to the requirements of the Surplus notes 0 laws of this State regarding the busi- Gross paid in and ness of insurance and contributed surplus 305,486,486 WHEREAS, the said company has Aggregate write-ins for filed in this office a duly certified copy special surplus fund 0 of its charter with certificate of organi- Unassigned funds zation in compliance with the require- (surplus) 115,165,108 ments of insurance law aforesaid, Less treasury stock, at cost NOW THEREFORE, I, ADAM # shares common 0 HAMM, Commissioner of Insurance of # shares preferred 0 the State of North Dakota, pursuant to L74900 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Brokers National Life Assurance Company In the state of Arkansas Total Assets 26,576,987 Total Liabilities 9,612,474 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 8,162,665 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus)6,301,848 Less treasury stoCk, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 16,964,513 Total Liabilities, Capital and Surplus 26,576,987 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Life & Annuity Total Direct Premiums Written 0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 270,085 Total Direct Losses Paid 201,329 STATE OF NORTH DAKOTA OFRCE OF THE COMMISSIONER OF INSURANCE Page 11 COMPANY'S CERTIFICATE OF AUTHORITY L77828 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Companion Life Insurance Company In the state of South Carolina Total Assets 130,401,935 Total Liabilities 62,902,861 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 Aggregate write-ins for special surplus fund 0 Unassigned funds "4,660,421 (surplus) 60,338,652 Less treasury stock, at cost formable to Ehe requirements of the laws of this State regarding the busi- ness of insurance and WHEREAS. the said company has filed in this office a duty 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 certify that the above named company is fully empowered through its author- ized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof until the 30th day of April A.D.. 2009. IN TESTIMONY WHEREOF I have hereunto sel my hand antd seal at Bismarck this first day of May, A.D.. 2209 (SEAL). ADAM HAMM Commissioner of Insurance (May 14, 21, 28) L78174 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Conseco Health Insurance Company In the state of Arizona Total Assets 2,472,317,011 Total Liabilities 2.343,707.188 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 148,284,146 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus) -22.174.323 Less treasury stock, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 128.609.823 Total Liabilities, Capital and Surplus 2,472,317,011 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Life & Annuity Total Direct Premiums Written 5.049 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 8.096.960 Total Direct Losses Paid 5,174,450 STATE OF NORTH DAKOTA OFFICE OF THE COMMh~SIONER OF INSURANCE # shares common # shares preferred 0 I, Adam Hamm, Commissioner of Insurance of the, St~t.e of North Surplus' as Regards '" Dak0td,: do hereby certify' th'at"the fore- Policyholders 67.499.073 going is a true Abstract of Sta~tement. Total Liabilities, Capital as officially filed by the Company in and Surplus 103,401,934 this office IN TESTIMONY WHEREOF, I have NORTH DAKOTA BUSINESS ONLY hereunto set my hand and affixed the FOR THE YEAR 2008 seal of this office at Bismarck. the first day of May, A.D. 2009 (SEAL). Life & Annuity Total Direct Premiums Written 0 Total Direct Losses Paid 0 Accident & Health Total Direct Premiums Written 3,041,569 Total Direct Losses Paid 2,105,496 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE I, Adam Hamm, Commissioner of Insurance of the State of North Dakota, do hereby certify that the fore- going is a true Abstract of Statement, as officially filed by the Company in this office. IN TESTIMONY WHEREOF, I have hei'eunto set my hand and affixed the seal of this office at Bismarck, the first day of May, A.D. 2009 (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 exhibit- ing its condition and business for the year ending December 31, 2008 con- ADAM HAMM Commissioner of Insurance STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS. the above corporation duty organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibit- ng its condition and business for the year ending December 31, 2008 con- formable 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 certify that the above named company is fully empowered through its author- ized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D., 2009. IN TESTIMONY WHEREOF. I have hereunto set my hand and seal at Bismarck this first day of May, A.D.. 2209 (SEAL). ADAM HAMM Commissioner of Insurance (May 14, 21, 28)