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Newspaper Archive of
Golden Valley News
Beach, North Dakota
May 21, 2009     Golden Valley News
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May 21, 2009
 
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Page 14 May 21, 2009 Insurance legal L80985 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the BCS Life Insurance Company In the state of Illinois Total Assets 180,558,066 Total Liabilities 100.831.430 Common Caoital 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 1,1 26,255 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus) 76,100,381 Less treasury stock, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 79.726.636 Total Liabilities, Capital and Surplus 180.558.066 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Life & Annuity Total Direct Premiums Written Total Direct Losses Paid 116.947 0 STATE OF NORTH DAKOTA Less treasury stock, at cost OFFICE OF THE COMMISSIONER # shares common 0 OF INSURANCE # shares preferred 0 Surplus as Regards COMPANY'SCERTIFICATE OF Policyholders 200,109,997 AUTHORITY Total Liabilities, Capital and Surplus 517,384,200 Accident & Health Total Direct Premiums Written 3.878 L81426 Total Direct Losses ABSTRACT OF STATEMENT Paid 0 FOR THE YEAR ENDING DECEMBER 31. 2008 STATE OF NORTH DAKOTA of the OFFICE OF THE COMMISSIONER Commercial TravelersMutual OF INSURANCE Insurance Company In the state of New York 1, Adam Hamm, Commissioner of Total Assets 35,203,207 Insurance of the State of NorthTotal Liabilities 22.785.444 Dakota. do hereby certify that the fore- Common Capital Stock 0 going is a true Abstract of Statement. Preferred Capital Stock 0 as officially filed by the Company in Aggregate write-ins for this office, other than special surplus 0 IN TESTIMONY WHEREOF I have Surplus notes 0 hereunto set my hand and affixed the Gross paid in and seal of this office at Bismarck. the first contributed surplus0 day of May, A.D. 2009 (SEAL). Aggregate write-ins for special surplus fund 0 ADAM HAMM Unassigned funds Commissioner of Insurance (surplus) 12.417.762 Less treasury stock, at cost STATE OF NORTH DAKOTA # shares common 0 OFFICE OF THE COMMISSIONER # shares preferred 0 OF INSURANCE Surplus as Regards Policyholders 12.417,762 COMPANY'S CERTIFICATE OF Total Liabilities. Capital AUTH ORITY and Surplus 35,203,206 WHEREAS. the above corporation duly organized under the laws of its NORTH DAKOTA BUSINESS ONLY state or country of domicile, has filed FOR THE YEAR 2008 in this office a sworn statement exhibit- ing its condition and business for the Life & Annuity year ending December 31, 2008 con- Total Direct Premiums formable to the requirements of the Written 0 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 ~n compliance with the require- Written 0 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 STATE OF 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 Harem, 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). seal 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 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 0 laws of this State regarding the busi- Total Direct Losses ness of ~ns4~ra-nce.~and- - - Paid . 0 WHEREAS, the said company has filed in this office a duly certified copy Accident & Health of its charter with certificate of organP Total Direct Premiums zation in compliance with the require- Written 2,216 ments of insurance law aforesaid, Total Direct Losses NOW THEREFORE, I, ADAM Paid 460 HAMM, Commissioner of Insurance of the State of North Dakota, pursuant to STATE OF 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, I have Bismarck this first day of May, A.D., hereunto set my hand and affixed the 2209 (SEAL). seal 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 L81060 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Canadian Life Insurance Company of America In the state of Michigan Total Assets 1.801,045.578 Total Liabilities 1.676,414,430 Common Capital Stock 5,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 76.000.000 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus) 43.631.148 Less treasury stock, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders t24,631,148 Total Liabilities. Capital and Surplus 1,801,045,578 STATE OF NORTH DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Life & Annuity Total Direct Premiums Written 1,200 Total Direct Losses Paid 120 COMPANY'S CERTIFICATE OF AUTHORITY 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- 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) L84174 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Employees Life Company (Mutual) In the state of Iltinois Total Assets 290,662,751 Total Liabilities 272,563,241 Common Capital Stock 0 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 0 Aggregate write-ins for special surplus fund 1,000,000 Unassigned funds (surplus) 17.099,510 Less treasury stock, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 18,099,510 Total Liabilities, Capital and Surplus 290,662,751 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 WHEREAS the above corporation duly organized under the aws of its state or country of domicile, has filed Life & Annuity in this office a sworn statement exhibit- ing its condition and business for the Total Direct Premiums year ending December 31, 2008 con- Written 605,990 formable to the recquirements of the Total Direct Losses laws of this State regarding the busi- Paid 188,001 ness of insurance and WHEREAS, the said company has Accident & Health filed in this office a duly certified copy Total Direct Premiums of its charter with certificate of organi- Written 0 zation in compliance with the require- Total Direct Losses merits of insurance law aforesaid, Paid 0 NOW THEREFORE, I, ADAM HAMM, Commissioner of Insurance of ' STATE OF NORTH DAKOTA the State of North Dakota, pursuant to OFFICE OF THE COMMISSIONER the provisions of said laws, do hereby OF INSURANCE certify that the above named company is fully empowered through its author- I, Adam Harem. Commissioner of ized agents and representatives, to Insurance of the State of North transact its appropriated business of Dakota, do hereby certify that the fore- authorized insurance in the state going is a true Abstract of Statement, according to the laws thereof, until the as officially filed by the Company in 30th day of April, A.D., 2009. this office. IN TESTIMONY WHEREOF. I have IN TESTIMONY WHEREOF I have hereunto set my hand and seal at hereunto set my hand and affixed the Bismarck this first day of May, A.D., seal of this office at Bismarck, the first 2209 (SEAL). day of May, A.D. 2009 (SEAL). ADAM HAMM Accident & Health Commissioner of Insurance ADAM HAMM Total Direct Premiums (May 14, 21, 28) Commissioner of Insurance Written 0 Total Direct Losses L81973 STATE OF NORTH DAKOTA Paid 0 ABSTRACT OF STATEMENT OFFICE OF THE COMMISSIONER FOR THE YEAR ENDING OF INSURANCE STATE OF NORTH DAKOTA DECEMBER 31, 2008 OFFICE OF THE COMMISSIONER of the COMPANY'S CERTIFICATE OF OF INSURANCE Coventry Health And Life Insurance AUTHORITY Company I Adam Hamrn CommissiOner of In the state of Delaware WHEREAS, the above corporation Insurance of the State of NorthTotal Assets , 517,384,205 duly organized under the laws of its Dakota, do hereby certify that the fore- Total Liabilities 317,274,203 state or country of domicile, has filed going is a true Abstract of Statement. Common Capital Stock2,500,000 in this office a sworn statement exhibit- as officially filed by the Company n Preferred Capital Stock 0 ing its condition and business for the this office. Aggregate write-ins for year ending December 31, 2008 con- IN TESTIMONY WHEREOF, I have other than special surplus 0 formable to the requirements of the hereunto set my hand and affixed the Surplus notes 0 laws of this State regarding the busi- seal of this office at Bismarck. the firsf Gross paid in and ness of insurance and day of May, A.D. 2009 (SEAL). contributed surplus 88,450,000 WHEREAS. the said company has Aggregate write-ins for filed in this office a duly certified copy ADAM HAMM special surplus fund 0 of its charter with certificate of organi- Commissioner of Insurance Unassigned funds zation in corn pliance with the require- (surplus) 109.159,997 ments of insurance law aforesaid. NOW THEREFORE, I, ADAM Paid 0 HAMM, Commissioner of Insurance of the State of North Dakota. pursuant to STATE OF 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 ~n 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 N 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). seal 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 L84824 ABSTRACT OF STATEMENT STATE OF NORTH DAKOTA FOR THE YEAR ENDING OFFICE OF THE COMMISSIONER DECEMBER 31, 2008 OF INSURANCE of the Commonwealth Annuity And Life COMPANY'S CERTIFICATE OF Insurance Company AUTHORITY In the state of Massachusetts Total Assets 5,334,785,643 WHEREAS. the above corporation .Total Liabilities 4,944,163,804 duly organized under the laws of its Common Capital Stock 2,526,000 state or country of domicile, has filed Preferred Capital Stock 0 in this office a sworn statement exhibit- Aggregate write-ins for ng its condition and business for the other than special surplus 0 year ending December 31, 2008 con- Surplus notes 0 formable to the requirements of the Gross paid in and laws of this State regarding the busi- contributed surplus 904,838,270 hess of insurance and Aggregate write-ins for WHEREAS. the said company has special surplus fund 794,999 filed in this office a duly certified copy Unassigned funds of its charter with certificate of organi- (surplus) -517,537,430 zation in compliance with the require- Less treasury stock, at cost ments of insurance law aforesaid. # shares common 0 NOW THEREFORE, I, ADAM # shares preferred 0 HAMM, Commissioner of Insurance of Surplus as Regards the State of North Dakota. pursuant to Policyholders 390,621,839 the provisions of said laws, do hereby Total Liabilities, Capital certify that the above named company and Surplus 5,334,785,643 is fully empowered through its author- ized agents and representatives, to NORTH DAKOTA BUSINESS ONLY transact its appropriated business of FOR THEYEAR 2008 authorized insurance in the state according to the laws thereof, until the Life & Annuity 30th day of April, A.D.. 2009. IN TESTIMONY WHEREOF I have Total Direct Premiums hereunto set my hand and seal at Written 313,932 Bismarck this first day of May, A.D.. Total Direct Losses 2209 (SEAL). Paid 2,278,686 ADAM HAMM Commissioner of Insurance Accident & Health (May 14, 21, 28) Total Direct Premiums Written 597 L93661 Total Direct Losses ABSTRACT OF STATEMENT Paid 0 FOR THE YEAR ENDING DECEMBER 31, 2008 STATE OF NORTH DAKOTA of the OFFICE OF THE COMMISSIONER Annuity Investors Life Insurance OF INSURANCE Company In the state of Ohio I, Adam Harem. Commissioner ofTotal Assets 1,742,236,673 Insurance of the State of North Total Liabilities 1,663,681,444 D~kota. do hereby certify that the fore- Common Capital Stock 2,500,000 going as a true Abstract of Statement, Preferred Capital Stock 0 as officially filed by the Company in Aggregate write-ins for this office, other than special surplus 0 IN TESTIMONY WHEREOF, I have Surplus notes 0 hereunto set my hand and affixed the Gross paid in and seal of this office at Bismarck, the first contributed surplus 136,550,000 day of. May, A,D., 2009. (SEAL), - . Agg~,egate write-ins for special surplus fund 0 ADAM HAMM Unassigned funds Commissioner of Insurance (surplus) -60,494,771 Less treasury stock, at cost STATE OF NORTH DAKOTA # shares common 0 OFFICE OF THE COMMISSIONER # shares preferred 0 OF INSURANCE Surplus as Regards Policyholders 78,555,229 COMPANY'S CERTIFICATE OF Total Liabilities, Capital AUTHORITY and Surplus 1,742,236,673 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 648.302 laws of this State regarding the busi- Total Direct Losses ness of insurance and Paid 220.302 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 0 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 STATE OF NORTH DAKOTA the provisions of said laws, do hereby OFFICE O F THE COMMISSIONER certify that the above named company OF INSURANCE 0s fully empowered through its author- ized agents and representatives, to I, Adam Harnm, 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 =s 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). seal 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 L93432 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the "CM Life Insurance Company In the state of Connecticut Total Assets 7,539,867,050 Total Liabilities 6,832,093,729 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 390,276,208 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus) 314,997,113 Less treasury stock, at cost # shares common 0 # shares preferred 0 Surplus as Regards Policyholders 707,773,321 Total Liabilities, Capital and Surplus 7,539,867,050 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Life & Annuity Total Direct Premiums Written 910,477 Total Direct Losses Paid 1,499,175 Accident & Health Total Direct Premiums Written 0 Total Direct Losses STATE OF NORTH "DAKOTA OFFICE OF THE COMMISSIONER OF INSURANCE COMPANY'S CERTIFICATE OF AUTHORITY WHEREAS, th~ above corporation duly organized under the laws of its state or country of domicile, has filed n 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 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) L93696 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2008 of the Fidelity Investments Life Insurance Company In the state of Utah Total Assets 11,894,706,315 Total Liabilities 11,244,808.726 Common Capital Stock 3,000,000 Preferred Capital Stock 0 Aggregate write-ins for other than special surplus 0 Surplus notes 0 Gross paid in and contributed surplus 65,684,916 Aggregate write-ins for special surplus fund 0 Unassigned funds (surplus) 581,212,673 Less treasury stock, at cost # shares common 649,897,589 # shares preferred 0 Surplus as Regards Policyholders 649,897,589 Total Liabilities, Capital and Surplus 11,894,706,315 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2008 Life & Annuity Total Direct Premiums Written 200.645 Total Direct Losses Paid 551,465 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 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 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- 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)