Your account does not include highlighter on images.
Searches Highlighted on Image
National Sponsors
| May 28, 2015 Golden Valley News |  |
|
©
Golden Valley News. All rights reserved. Upgrade to access Premium Tools
PAGE 10 (10 of 14 available) PREVIOUS NEXT Jumbo Image Save To Scrapbook Set Notifiers PDF JPG
May 28, 2015 |
|
|
Website © 2025. All content copyrighted. Copyright Information Terms Of Use | Privacy Policy | Request Content Removal | About / FAQ | Get Acrobat Reader 
|
Page 10 Golden Valley News May 28, 2015
Insurance
71870
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Fidelity Security Life Insurance Com-
pany
In the state of Missouri
Total Assets 831,653,151
Total Liabilities 679,796,197
Common Capital Stock 2,500,000
Preferred Capital Stock 3,000,000
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 1,612,549
Aggregate write-ins for
Special surplus fund 999.999
Unassigned funds
(surplus) 149,487,912
Less treasury stock, at cost:
# shares common 71,039
# shares preferred 0
Surplus as regards
Policyholders 151,856,954
Total Liabilities. Capital
And Surplus 831,653,151
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 14,071
Total Direct Losses
Paid
1,623
ACCIDENT & HEALTH
Total Direct Premiums
Written 3,534,110
Total Direct Losses
Paid 2,224,896
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. 2015 (Seal).
ADAM HAMM
Commissioner of Insurance
in this office a sworn statement ex-
hibiting its condition and business for
the year ending December 3!, 2014
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. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
77828
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
In the state of South Carolina
Total Assets 284,897,238
Total Liabilities 135,873,450
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes .20,451,512
Gross paid in and
Contributed surplus 0
Aggregate write-ins for
Special surplus fund 6,119,405
Unassigned funds
(surplus) 119,952,871
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 149,023,788
Total Liabilities, Capital
And Surplus 284,897,238
STATE OF NORTH DAKOTA NORTH DAKOTA BUSINESS ONLY
OFFICE OF THE COMMISSIONER FOR THE YEAR 2014
OF INSURANCE LIFE & ANNUITY
COMPANY'S CERTIFICATE OF Total Direct Premiums
AUTHORITY Written 21,057
WHEREAS, the above corporation Total Direct Losses
duly organized under the laws of its Paid 0
state or country of domicile, has filed
in this office a sworn statement ex- ACCIDENT & HEALTH
hibiting its condition and business for Total Direct Premiums
the year ending December 31,2014 Written 4,979,508
conformable to the requirements of the Total Direct Losses
laws of this state regarding the busi- Paid 3,598,119
ness of insurance
and STATE OF NORTH DAKOTA
WHEREAS, the said company has OFFICE OF THE COMMISSIONER
filed in this office a duly certified copy OF INSURANCE
of its charter with certificate of organi- I, Adam Hamm, Commissioner of In-
zation in compliance with the require- surance of the State of North Dakota,
ments of insurance law aforesaiddo hereby certify that the foregoing'is
NOW THEREFORE, I, ADAM HAMM, a true Abstract of .Statement, as 0ffi-
Commissioner of Insurance of thecially filed by the Company in this of:
State of North Dakota, pursuant to the fice.
provtsions of said laws, do'hereby cer- In Testimony Whereof, I have hereunto
tify that the above named company is set my hand and affixed the seal of
fully empowered through its authorized this office at Bismarck, the first day of
agents and representatives, to trans- May, A. D. 2015 (Seal).
act its appropriated business of au- ADAM HAMM
thorized insurance in the state Commissioner of Insurance
according to the laws thereot, until th~
30th day of April, A. D. 2016. STATE OF NORTH DAKOTA
IN TESTIMONY WHEREOF, I have OFFICE OF THE COMMISSIONER
hereunto set my hand and seal at Bis- OF INSURANCE
marck this first day of May, A. D. 2015 COMPANY'S CERTIFICATE OF
(Seal) AUTHORITY
ADAM HAMM WHEREAS, the above corporation
Commissioner of Insurance duly organized under the laws of its
(May 14, 21 and 28) 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, 2014
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 m the state
according to the laws thereof, until the
30th day of April, A. D. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
74900
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Aurigen Reinsurance Company of
America
In the state of Arkansas
Total Assets 25,984,291
Total Liabilities 3,894,992
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 24,515.164
Aggregate write-ins for
Special surplus fund 0
Unassigned funds (surplus)-4,925,865
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 22,089,299
Total Liabilities Capital
And Surplus 25,984,291
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
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 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. 2015 (Seal).
ADAM HAMM
Corn missioner 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
78700
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Aetna Health And Life insurance Com-
pany
In the state of Connecticut
Total Assets 2,254,618,361
Total Liabilities 1,934,881,374
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
Unassigned funds
(surplus) 218,226,987
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 319,736,987
Total Liabilities, Capital
And Surplus 2,254,618,361
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
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. 2015 (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 31,2014
conformable to the requirements of the
ness of insurance
and
WHEREAS, the said company has
filed in this office a duly certified copy
o1 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. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
79065
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Delaware Life Insurance Company
In the state of Delaware
Total Assets 40,699,777,266
Total Liabilities 39.108,294,573
Common Capital Stock 6,437,000
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 565,000,000
Gross paid in and
Contributed surplus 653,698,314
Aggregate write-ins for
Special surplus fund 0
Unassigned funds
(surplus) 366,347,379
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 1,591,482,693
Total Liabilities, Capital
And Surplus 40,699,777,266
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNU ITY
Total Direct Premiums
Written 899,540
Total Direct Losses
Paid 3,730,778
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. 2015 (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 31,2014
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 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
99,010,000 provisions of said laws, do hereby cer-
tify thatthe above named company is
0 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. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
81973
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
~ECEMBER 31, 2014
OF THE
Coventry Health and Life Insurance
Company
In the state of Missouri
Total Assets 1.616,312,328
Total Liabilities 912,072,240
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Gross paid in and
Contributed surplus 340,163,654
Surplus Notes 0
Aggregate write-ins for
Other than special surplus
funds 87,100,000
Unassigned funds
(surplus) 274,476,431
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 704,240,085
Total Liabilities, Capital
And Surplus 1,616,312.325
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
ACCIDENT & HEALTH
Total Premiums Earned 0
Total Amount Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Adam Harem, Commissioner of In-
surance of the State.o! North Dakota,
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 B smarck the first day of
May, A. D. 2015 (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. 2014
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. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
84174
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 3t, 2014
OF THE
Elco Mutual Life and Annuity
In the state of Illinois
Total Assets 527,046,149
Total Liabilities 483,257,572
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) 42,788,577
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 43,788,577
Total Liabilities, Capital
And Surplus 527,046,149
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 1,854,270
Total Direct Losses
Paid 937,140
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-
rice.
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. 2015 (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, 2014
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. 2016.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at Bis-
marck this first day of May, A. D. 2015
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
88595
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Emphesys Insurance Company
In the state of Texas
Total Assets 4,431,801
Total Liabilities 92.238
Common Capital Stock 2,613,450
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 439
Gross paid in and
Contributed surplus 3,950,000
Aggregate write-ins for
Unassigned funds
(surplus) -2,224,326
Less treasury stock, at cost:
2,488 490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 4,339,563
Total Liabilities, Capital
And Surplus 4,431,801
NORTH DAKOTA BUSINESS ONLY
FOR THE YEAR 2014
ACCIDENT & HEALTH
Total Premiums Earned 0
Total Amount Incurred 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 th!s.o~
rice.
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. 2015 (Seal).
ADAM HAMM
Commissioner of Insurance
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 ex-
hibiting its condition and business for
the year ending December 31,2014
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. 2016.
IN TESTIMONY WHEREOF, I have
he reu.nto set my hand and seal at Bis-
(Seal)
ADAM HAMM
Commissioner of Insurance
(May 14, 21 and 28)
60054
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2014
OF THE
Aetna Life Insurance Company
In the state of Connecticut
Total Assets 22,795,394,563
Total Liabilities 18.923,493,871
Common Capital Stock 62,765,560
Preferred Capital Stock 0
Aggregate write-ins for
Other than special surplus 0
Surplus Notes 0
Gross paid in and
Contributed surplus 1,390,342,530
Aggregate write-ins for
Special surplus fund 378,250,000
Unassigr~ed funds
(surplus) 2,040,542,602
Less treasury stock, at cost:
2,488,490 shares common 0
# shares preferred 0
Surplus as regards
Policyholders 3,871,900,692
Total Liabilities, Capital
And Surplus 22,795,394,563
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER NORTH DAKOTA BUSINESS ONLY
OF INSURANCE FOR THE YEAR 2014
COMPANY'S CERTIFICATE OF LIFE & ANNU ITY
AUTHORITY Total Direct Premiums
WHEREAS, the above corporation Written 5,116,369
duly organized under the laws of its Total Direct Losses
state or country of domicile, has filed Paid 5,489,589
in this office a sworn statement ex-
hibiting its condition and business for ACCIDENT & HEALTH
the year ending December 31, 2014 Total Direct Premiums
conformable to the requirements of the Written 7,878,134
laws of this state regarding the busi- Total Direct Losses
hess of insurance Paid 7,250,682
and
WHEREAS, the said company has STATE OF NORTH DAKOTA
filed in this office a duly certified copy OFFICE OF THE COMMISSIONER
of its charter with certificate of organi- OF INSURANCE
zation in compliance with the require- I, Adam Hamm, Commissioner of In-
ments of insurance law aforesaid, surance of the State of North Dakota,
NOW THEREFORE, I, ADAM HAMM,do hereby certify that the foregoing is
Commissioner of Insurance of the a true Abstract of Statement, as offi-
State of North Dakota, pursuant to the cially filed by the Company in this of-
provisions of said laws, do hereby cer- rice.
tify that the above named company is In Testimony Whereof, I have hereunto
fully empowered through its authorized set my hand and affixed the seal of
agents and representatives, to trans- this office at Bismarck, the first day of
act its appropriated business of au: May, A. D. 2015 (Seal).
thorized insurance in the state ADAM HAMM
according to the laws thereot, until the Commissioner of Insurance
30th day of April, A. D. 2016.
IN TESTIMONY WHEREOF, I have STATE OF NORTH DAKOTA
hereunto set my hand and seal at Bis- OFFICE OF THE COMMISSIONER
marck this first day of May, A. D. 2015 OF INSURANCE
(Seal) COMPANY'S CERTIFICATE OF
ADAM HAMM AUTHORITY
Commissioner of Insurance WHEREAS. the above corporation
(May 14, 21 and 28) duly organized under the laws of its
state or country of domicile, has filed
90328 in this office a sworn statement ex-
ABSTRACT OF STATEMENT hibiting its condition and business for
FOR THE YEAR ENDING the year ending December 31, 2014
DECEMBER 31, 2014 conformable to the requirements of the
OF THE laws of this Stat~ Pegarding the busi-
First Health Life & Health Insurance hess of insurance
Company and
In the state of Texas WHEREAS, the said company has
Total Assets 475,010,553 filed in this office a duly certified copy
Total Liabilities 248,989,745 of its charter with certificate of organi-
Common Capital Stock 2,500,000 zation in compliance with the require-
Preferred Capital Stock 0 ments of insurance law aforesaid,
Aggregate write-ins for NOW THEREFORE, I, ADAM HAMM,
Other than special surplus 0 Commissioner of Insurance of the
Surplus Notes 0 State of North Dakota. pursuant to the
Gross paid in and provisions of said laws, do hereby cer-
Contributed surplus325,825,140 tify that the above named company is
Aggregate write-ins for fully empowered through its authorized
Special surplus fund 17,900,000 agents and representatives, to trans-
Unassigned funds act its appropriated business of au-
(surplus) -120,204,332thorized insurance in the state
Less treasury stock, at cost: according to the laws thereof, until the
2,488,490 shares common 0 30th day of April, A. D. 2016.
# shares preferred 0 IN TESTIMONY WHEREOF, I have
Surplus as regards hereunto, set my hand and seal at Bis-
Policyholders 226,020,808 marck this first day of May, A. D. 2015
Total Liabilities, Capital (Seal)
And Surplus 4751010,553 ADAM HAMM
Commissioner of Insurance
NORTH DAKOTA BUSINESS ONLY (May 14, 21 and 28)
FOR THE YEAR 2014
LIFE & ANNUITY
Total Direct Premiums
Written 52
Total Direct Losses
Paid 0
ACCIDENT & HEALTH
Total Direct Premiums
Written 2.828,739
Total Direct Losses
Paid 2,534,413
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. 2015 (Seal).
}