01406 nationwide mutual insurance company and its

COMBINED ANNUAL STATEMENT

OF THE

NATIONWIDE MUTUAL INSURANCE COMPANY AND ITS AFFILIATED FIRE AND CASUALTY INSURERS

TO THE

Insurance Department

OF THE

STATE OF

FOR THE YEAR ENDED DECEMBER 31, 2014

PROPERTY AND CASUALTY

2014

ALPHABETICAL INDEXANNUAL STATEMENT BLANK

Assets 2Cash Flow 5Exhibit of Capital Gains (Losses) 12Exhibit of Net Investment Income 12Liabilities, Surplus and Other Funds 3Schedule D - Part 1 E10Schedule D - Part 1A - Section 1 SI05Schedule D - Part 1A - Section 2 SI08Schedule D - Part 2 - Section 1 E11Schedule D - Part 2 - Section 2 E12Schedule D - Summary By Country SI04Schedule F - Part 1 20Schedule F - Part 2 21Schedule F - Part 3 22Schedule F - Part 4 23Schedule F - Part 5 24Schedule F - Part 6 - Section 1 25Schedule F - Part 6 - Section 2 26Schedule F - Part 7 27Schedule F - Part 8 28Schedule H - Accident and Health Exhibit - Part 1 30Schedule H - Parts - 2, 3, and 4 31Schedule P - Part 1 - Analysis of Losses and Loss Expenses 33Schedule P - Part 1A - Homeowners/Farmowners 35Schedule P - Part 1B - Private Passenger Auto Liability/Medical 36Schedule P - Part 1C - Commercial Auto/Truck Liability/Medical 37Schedule P - Part 1D - Workers’ Compensation (Excluding Excess Workers' Compensation) 38Schedule P - Part 1E - Commercial Multiple Peril 39Schedule P - Part 1F - Section 1 - Medical Professional Liability - Occurrence 40Schedule P - Part 1F - Section 2 - Medical Professional Liability - Claims-Made 41Schedule P - Part 1G - Special Liability (Ocean, Marine, Aircraft (All Perils), Boiler and Machinery) 42Schedule P - Part 1H - Section 1 - Other Liability-Occurrence 43Schedule P - Part 1H - Section 2 - Other Liability - Claims-Made 44Schedule P - Part 1I - Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary & Theft) 45Schedule P - Part 1J - Auto Physical Damage 46Schedule P - Part 1K - Fidelity/Surety 47Schedule P - Part 1L - Other (Including Credit, Accident and Health) 48Schedule P - Part 1M - International 49Schedule P - Part 1N - Reinsurance 50Schedule P - Part 1O - Reinsurance 51Schedule P - Part 1P - Reinsurance 52Schedule P - Part 1R - Section 1 - Products Liability - Occurrence 53Schedule P - Part 1R - Section 2 - Products Liability - Claims - Made 54Schedule P - Part 1S - Financial Guaranty/Mortgage Guaranty 55Schedule P - Part 1T - Warranty 56Schedule P - Part 2, Part 3 and Part 4 - Summary 34Schedule P - Part 2A - Homeowners/Farmowners 57Schedule P - Part 2B - Private Passenger Auto Liability/Medical 57Schedule P - Part 2C - Commercial Auto/Truck Liability/Medical 57Schedule P - Part 2D - Workers’ Compensation (Excluding Excess Workers' Compensation) 57Schedule P - Part 2E - Commercial Multiple Peril 57Schedule P - Part 2F - Section 1 - Medical Professional Liability - Occurrence 58Schedule P - Part 2F - Section 2 - Medical Professional Liability - Claims - Made 58Schedule P - Part 2G - Special Liability (Ocean Marine, Aircraft (All Perils), Boiler and Machinery) 58Schedule P - Part 2H - Section 1 - Other Liability - Occurrence 58Schedule P - Part 2H - Section 2 - Other Liability - Claims - Made 58Schedule P - Part 2I - Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary, and Theft) 59Schedule P - Part 2J - Auto Physical Damage 59Schedule P - Part 2K - Fidelity, Surety 59Schedule P - Part 2L - Other (Including Credit, Accident and Health) 59Schedule P - Part 2M - International 59Schedule P - Part 2N - Reinsurance 60Schedule P - Part 2O - Reinsurance 60Schedule P - Part 2P - Reinsurance 60Schedule P - Part 2R - Section 1 - Products Liability - Occurrence 61Schedule P - Part 2R - Section 2 - Products Liability - Claims-Made 61Schedule P - Part 2S - Financial Guaranty/Mortgage Guaranty 61Schedule P - Part 2T - Warranty 61

Index 1

ANNUAL STATEMENT BLANK (Continued)

Schedule P - Part 3A - Homeowners/Farmowners 62Schedule P - Part 3B - Private Passenger Auto Liability/Medical 62Schedule P - Part 3C - Commercial Auto/Truck Liability/Medical 62Schedule P - Part 3D - Workers’ Compensation (Excluding Excess Workers' Compensation) 62Schedule P - Part 3E - Commercial Multiple Peril 62Schedule P - Part 3F - Section 1 - Medical Professional Liability - Occurrence 63Schedule P - Part 3F - Section 2 - Medical Professional Liability - Claims-Made 63Schedule P - Part 3G - Special Liability (Ocean Marine, Aircraft (All Perils), Boiler and Machinery) 63Schedule P - Part 3H - Section 1 - Other Liability - Occurrence 63Schedule P - Part 3H - Section 2 - Other Liability - Claims-Made 63Schedule P - Part 3I - Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary, and Theft) 64Schedule P - Part 3J - Auto Physical Damage 64Schedule P - Part 3K - Fidelity/Surety 64Schedule P - Part 3L - Other (Including Credit, Accident and Health) 64Schedule P - Part 3M - International 64Schedule P - Part 3N - Reinsurance 65Schedule P - Part 3O - Reinsurance 65Schedule P - Part 3P - Reinsurance 65Schedule P - Part 3R - Section 1 - Products Liability - Occurrence 66Schedule P - Part 3R - Section 2 - Products Liability - Claims-Made 66Schedule P - Part 3S - Financial Guaranty/Mortgage Guaranty 66Schedule P - Part 3T - Warranty 66Schedule P - Part 4A - Homeowners/Farmowners 67Schedule P - Part 4B - Private Passenger Auto Liability/Medical 67Schedule P - Part 4C - Commercial Auto/Truck Liability/Medical 67Schedule P - Part 4D - Workers’ Compensation (Excluding Excess Workers' Compensation) 67Schedule P - Part 4E - Commercial Multiple Peril 67Schedule P - Part 4F - Section 1 - Medical Professional Liability - Occurrence 68Schedule P - Part 4F - Section 2 - Medical Professional Liability - Claims-Made 68Schedule P - Part 4G - Special Liability (Ocean Marine, Aircraft (All Perils), Boiler and Machinery) 68Schedule P - Part 4H - Section 1 - Other Liability - Occurrence 68Schedule P - Part 4H - Section 2 - Other Liability - Claims-Made 68Schedule P - Part 4I - Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary and Theft) 69Schedule P - Part 4J - Auto Physical Damage 69Schedule P - Part 4K - Fidelity/Surety 69Schedule P - Part 4L - Other (Including Credit, Accident and Health) 69Schedule P - Part 4M - International 69Schedule P - Part 4N - Reinsurance 70Schedule P - Part 4O - Reinsurance 70Schedule P - Part 4P - Reinsurance 70Schedule P - Part 4R - Section 1 - Products Liability - Occurrence 71Schedule P - Part 4R - Section 2 - Products Liability - Claims-Made 71Schedule P - Part 4S - Financial Guaranty/Mortgage Guaranty 71Schedule P - Part 4T - Warranty 71Schedule P - Part 5A - Homeowners/Farmowners 72Schedule P - Part 5B - Private Passenger Auto Liability/Medical 73Schedule P - Part 5C - Commercial Auto/Truck Liability/Medical 74Schedule P - Part 5D - Workers’ Compensation (Excluding Excess Workers' Compensation) 75Schedule P - Part 5E - Commercial Multiple Peril 76Schedule P - Part 5F - Medical Professional Liability - Claims-Made 78Schedule P - Part 5F - Medical Professional Liability - Occurrence 77Schedule P - Part 5H - Other Liability - Claims-Made 80Schedule P - Part 5H - Other Liability - Occurrence 79Schedule P - Part 5R - Products Liability - Claims-Made 82Schedule P - Part 5R - Products Liability - Occurrence 81Schedule P - Part 5T - Warranty 83Schedule P - Part 6C - Commercial Auto/Truck Liability/Medical 84Schedule P - Part 6D - Workers’ Compensation (Excluding Excess Workers' Compensation) 84Schedule P - Part 6E - Commercial Multiple Peril 85Schedule P - Part 6H - Other Liability - Claims-Made 86Schedule P - Part 6H - Other Liability - Occurrence 85Schedule P - Part 6M - International 86Schedule P - Part 6N - Reinsurance 87Schedule P - Part 6O - Reinsurance 87Schedule P - Part 6R - Products Liability - Claims-Made 88Schedule P - Part 6R - Products Liability - Occurrence 88Schedule P - Part 7A - Primary Loss Sensitive Contracts 89Schedule P - Part 7B - Reinsurance Loss Sensitive Contracts 91Schedule T - Exhibit of Premiums Written 94Schedule Z - Part 1 914Schedule Z - Part 2 914Schedule Z - Part 3 914Statement of Income 4Title Page and Jurat 1Underwriting and Investment Exhibit Part 1 6Underwriting and Investment Exhibit Part 1A 7Underwriting and Investment Exhibit Part 1B 8Underwriting and Investment Exhibit Part 2 9Underwriting and Investment Exhibit Part 2A 10Underwriting and Investment Exhibit Part 3 11

Index 1.1

��PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION

COMBINED ANNUAL STATEMENTFOR THE YEAR ENDED DECEMBER 31, 2014OF THE CONDITION AND AFFAIRS OF THE

Nationwide Mutual Insurance Company

and its affiliated property and casualty insurers

NAIC Group Code 0140 NAIC Company Code 01406

Mail Address One West Nationwide Blvd. , Columbus , OH 43215-2220 (Street and Number or P.O. Box) (City or Town, State and Zip Code)

Combined Statement Contact Cheryl M Dennis , 614-249-1545 , [email protected] (Name) (Area Code) (Telephone Number) (E-mail Address)

NAMES OF COMPANIES INCLUDED IN THIS STATEMENTName of Company NAIC Company Code State of Domicile

Allied Insurance Company of America 10127 Ohio Allied Property & Casualty Insurance Company 42579 Iowa

AMCO Insurance Company 19100 Iowa Colonial County Mutual Insurance Company 29262 Texas

Crestbrook Insurance Company 18961 Ohio Depositors Insurance Company 42587 Iowa

Farmland Mutual Insurance Company 13838 Iowa Freedom Specialty Insurance Company 22209 Ohio

Harleysville Insurance Company 23582 Pennsylvania Harleysville Insurance Company Of New Jersey 42900 New Jersey Harleysville Insurance Company Of New York 10674 Pennsylvania Harleysville Lake States Insurance Company 14516 Michigan

Harleysville Preferred Insurance Company 35696 Pennsylvania Harleysville Worcester Insurance Company 26182 Pennsylvania

National Casualty Company 11991 Wisconsin Nationwide Affinity Insurance Company of America 26093 Ohio

Nationwide Agribusiness Insurance Company 28223 Iowa Nationwide Assurance Company 10723 Wisconsin

Nationwide General Insurance Company 23760 Ohio Nationwide Indemnity Company 10070 Ohio

Nationwide Insurance Company of America 25453 Wisconsin Nationwide Insurance Company of Florida 10948 Ohio

Nationwide Lloyds 42110 Texas Nationwide Mutual Fire Insurance Company 23779 Ohio

Nationwide Mutual Insurance Company 23787 Ohio Nationwide Property & Casualty Insurance Company 37877 Ohio

Scottsdale Indemnity Company 15580 Ohio Scottsdale Insurance Company 41297 Ohio

Scottsdale Surplus Lines Insurance Company 10672 Arizona Titan Indemnity Company 13242 Texas Titan Insurance Company 36269 Michigan

Veterinary Pet Insurance Company 42285 California Victoria Automobile Insurance Company 10644 Ohio

Victoria Fire & Casualty Company 42889 Ohio Victoria National Insurance Company 10778 Ohio Victoria Select Insurance Company 10105 Ohio

Victoria Specialty Insurance Company 10777 Ohio Western Heritage Insurance Company 37150 Arizona

a. Is this an original filing? Yes [ X ] No [ ]b. If no,

1. State the amendment number 2. Date filed 3. Number of pages attached

NOTE: This annual statement contains combined data for the property and casualty insurance companies listed above, compiled in accordance with the NAIC instructions for the completion of annual statements.

COMBINED STATEMENT FOR THE YEAR 2014 OF THE NATIONWIDE MUTUAL INSURANCE COMPANY AND ITS AFFILIATED FIRE AND CASUALTY INSURERS

ASSETSCurrent Year Prior Year

1

Assets

2

Nonadmitted Assets

3Net Admitted Assets

(Cols. 1 - 2)

4Net Admitted

Assets

1. Bonds (Schedule D) ��

2. Stocks (Schedule D):

2.1 Preferred stocks ��

2.2 Common stocks ��

3. Mortgage loans on real estate (Schedule B):

3.1 First liens ��

3.2 Other than first liens � � � �

4. Real estate (Schedule A):

4.1 Properties occupied by the company (less $ �

encumbrances) ��

4.2 Properties held for the production of income (less

$ � encumbrances) ��

4.3 Properties held for sale (less $ �

encumbrances) � � � �

5. Cash ($ �� , Schedule E - Part 1), cash equivalents

($ � , Schedule E - Part 2) and short-term

investments ($ �� , Schedule DA) ��

6. Contract loans (including $ � premium notes) � � � �

7. Derivatives (Schedule DB) ��

8. Other invested assets (Schedule BA) ��

9. Receivable for securities ��

10. Securities lending reinvested collateral assets (Schedule DL) ��

11. Aggregate write-ins for invested assets ��

12. Subtotals, cash and invested assets (Lines 1 to 11) ��

13. Title plants less $ � charged off (for Title insurers

only) � � � �

14. Investment income due and accrued ��

15. Premiums and considerations:

15.1 Uncollected premiums and agents' balances in the course of collection ��

15.2 Deferred premiums, agents' balances and installments booked but

deferred and not yet due (including $ �

earned but unbilled premiums) ��

15.3 Accrued retrospective premiums � � � �

16. Reinsurance:

16.1 Amounts recoverable from reinsurers ��

16.2 Funds held by or deposited with reinsured companies ��

16.3 Other amounts receivable under reinsurance contracts � � � �

17. Amounts receivable relating to uninsured plans � � � �

18.1 Current federal and foreign income tax recoverable and interest thereon ��

18.2 Net deferred tax asset ��

19. Guaranty funds receivable or on deposit ��

20. Electronic data processing equipment and software ��

21. Furniture and equipment, including health care delivery assets

($ � ) ��

22. Net adjustment in assets and liabilities due to foreign exchange rates ��

23. Receivables from parent, subsidiaries and affiliates ��

24. Health care ($ � ) and other amounts receivable � � � �

25. Aggregate write-ins for other than invested assets ��

26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) ��

27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts � � � �

28. Total (Lines 26 and 27) ��

DETAILS OF WRITE-INS

1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above) ��


2


LIABILITIES, SURPLUS AND OTHER FUNDS1

Current Year2

Prior Year

1. Losses (Part 2A, Line 35, Column 8) ��

2. Reinsurance payable on paid losses and loss adjustment expenses (Schedule F, Part 1, Column 6) ��

3. Loss adjustment expenses (Part 2A, Line 35, Column 9) ��

4. Commissions payable, contingent commissions and other similar charges ��

5. Other expenses (excluding taxes, licenses and fees) ��

6. Taxes, licenses and fees (excluding federal and foreign income taxes) ��

7.1 Current federal and foreign income taxes (including $ � on realized capital gains (losses)) � �

7.2 Net deferred tax liability � �

8. Borrowed money $ �� and interest thereon $ � ��

9. Unearned premiums (Part 1A, Line 38, Column 5) (after deducting unearned premiums for ceded reinsurance of

$ �� and including warranty reserves of $ �� and accrued accident and

health experience rating refunds including $ � for medical loss ratio rebate per the Public Health

Service Act) ��

10. Advance premium ��

11. Dividends declared and unpaid:

11.1 Stockholders � �

11.2 Policyholders ��

12. Ceded reinsurance premiums payable (net of ceding commissions) ��

13. Funds held by company under reinsurance treaties (Schedule F, Part 3, Column 19) ��

14. Amounts withheld or retained by company for account of others ��

15. Remittances and items not allocated ��

16. Provision for reinsurance (including $ � certified) (Schedule F, Part 8) ��

17. Net adjustments in assets and liabilities due to foreign exchange rates ��

18. Drafts outstanding � �

19. Payable to parent, subsidiaries and affiliates ��

20. Derivatives ��

21. Payable for securities ��

22. Payable for securities lending ��

23. Liability for amounts held under uninsured plans � �

24. Capital notes $ � and interest thereon $ � � �

25. Aggregate write-ins for liabilities ��

26. Total liabilities excluding protected cell liabilities (Lines 1 through 25) ��

27. Protected cell liabilities � �

28. Total liabilities (Lines 26 and 27) ��

29. Aggregate write-ins for special surplus funds � ��

30. Common capital stock � �

31. Preferred capital stock � �

32. Aggregate write-ins for other than special surplus funds � �

33. Surplus notes ��

34. Gross paid in and contributed surplus � �

35. Unassigned funds (surplus) ��

36. Less treasury stock, at cost:

36.1 � shares common (value included in Line 30 $ � ) � �

36.2 � shares preferred (value included in Line 31 $ � ) � �

37. Surplus as regards policyholders (Lines 29 to 35, less 36) (Page 4, Line 39) ��

38. TOTALS (Page 2, Line 28, Col. 3) ��



2999. Totals (Lines 2901 thru 2903 plus 2998)(Line 29 above) � ��

3299. Totals (Lines 3201 thru 3203 plus 3298)(Line 32 above) � �

3


STATEMENT OF INCOME1

Current Year2

Prior Year

UNDERWRITING INCOME

1. Premiums earned (Part 1, Line 35, Column 4) ��

DEDUCTIONS:

2. Losses incurred (Part 2, Line 35, Column 7) ��

3. Loss adjustment expenses incurred (Part 3, Line 25, Column 1) ��

4. Other underwriting expenses incurred (Part 3, Line 25, Column 2) ��

5. Aggregate write-ins for underwriting deductions ��

6. Total underwriting deductions (Lines 2 through 5) ��

7. Net income of protected cells

8. Net underwriting gain or (loss) (Line 1 minus Line 6 plus Line 7) ��

INVESTMENT INCOME

9. Net investment income earned (Exhibit of Net Investment Income, Line 17) ��

10. Net realized capital gains or (losses) less capital gains tax of $ �� (Exhibit of Capital

Gains (Losses) ) ��

11. Net investment gain (loss) (Lines 9 + 10) ��

OTHER INCOME

12. Net gain (loss) from agents’ or premium balances charged off (amount recovered

$ �� amount charged off $ �� ) ��

13. Finance and service charges not included in premiums ��

14. Aggregate write-ins for miscellaneous income ��

15. Total other income (Lines 12 through 14) ��

16. Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Lines 8 + 11 + 15) ��

17. Dividends to policyholders ��

18. Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Line 16 minus Line 17) ��

19. Federal and foreign income taxes incurred ��

20. Net income (Line 18 minus Line 19)(to Line 22) ��

CAPITAL AND SURPLUS ACCOUNT

21. Surplus as regards policyholders, December 31 prior year (Page 4, Line 39, Column 2) ��

22. Net income (from Line 20) ��

23. Net transfers (to) from Protected Cell accounts

24. Change in net unrealized capital gains or (losses) less capital gains tax of $ ��

25. Change in net unrealized foreign exchange capital gain (loss) ��

26. Change in net deferred income tax ��

27. Change in nonadmitted assets (Exhibit of Nonadmitted Assets, Line 28, Col. 3) ��

28. Change in provision for reinsurance (Page 3, Line 16, Column 2 minus Column 1) ��

29. Change in surplus notes ��

30. Surplus (contributed to) withdrawn from protected cells

31. Cumulative effect of changes in accounting principles ��

32. Capital changes:

32.1 Paid in

32.2 Transferred from surplus (Stock Dividend)

32.3 Transferred to surplus

33. Surplus adjustments:

33.1 Paid in

33.2 Transferred to capital (Stock Dividend)

33.3 Transferred from capital

34. Net remittances from or (to) Home Office

35. Dividends to stockholders

36. Change in treasury stock (Page 3, Lines 36.1 and 36.2, Column 2 minus Column 1)

37. Aggregate write-ins for gains and losses in surplus ��

38. Change in surplus as regards policyholders for the year (Lines 22 through 37) ��

39. Surplus as regards policyholders, December 31 current year (Line 21 plus Line 38) (Page 3, Line 37) ��





4


CASH FLOW1

Current Year

2

Prior Year

Cash from Operations

1. Premiums collected net of reinsurance ��

2. Net investment income ��

3. Miscellaneous income ��

4. Total (Lines 1 through 3) ��

5. Benefit and loss related payments ��

6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts � �

7. Commissions, expenses paid and aggregate write-ins for deductions ��

8. Dividends paid to policyholders ��

9. Federal and foreign income taxes paid (recovered) net of $ �� tax on capital gains (losses) ��

10. Total (Lines 5 through 9) ��

11. Net cash from operations (Line 4 minus Line 10) ��

Cash from Investments

12. Proceeds from investments sold, matured or repaid:

12.1 Bonds ��

12.2 Stocks ��

12.3 Mortgage loans ��

12.4 Real estate ��

12.5 Other invested assets ��

12.6 Net gains or (losses) on cash, cash equivalents and short-term investments ��

12.7 Miscellaneous proceeds ��

12.8 Total investment proceeds (Lines 12.1 to 12.7) ��

13. Cost of investments acquired (long-term only):

13.1 Bonds ��

13.2 Stocks ��

13.3 Mortgage loans ��

13.4 Real estate ��

13.5 Other invested assets ��

13.6 Miscellaneous applications ��

13.7 Total investments acquired (Lines 13.1 to 13.6) ��

14. Net increase (decrease) in contract loans and premium notes � �

15. Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14) ��

Cash from Financing and Miscellaneous Sources

16. Cash provided (applied):

16.1 Surplus notes, capital notes � �

16.2 Capital and paid in surplus, less treasury stock � �

16.3 Borrowed funds ��

16.4 Net deposits on deposit-type contracts and other insurance liabilities � �

16.5 Dividends to stockholders � ��

16.6 Other cash provided (applied) ��

17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6) ��

RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) ��

19. Cash, cash equivalents and short-term investments:

19.1 Beginning of year ��

19.2 End of period (Line 18 plus Line 19.1) ��

Note: Supplemental disclosures of cash flow information for non-cash transactions:20.0001. � � �

5


UNDERWRITING AND INVESTMENT EXHIBITPART 1 - PREMIUMS EARNED

Line of Business

1

Net PremiumsWritten per

Column 6, Part 1B

2Unearned Premiums Dec. 31 Prior Year -

per Col. 3,Last Year’s Part 1

3Unearned Premiums

Dec. 31 CurrentYear - per Col. 5

Part 1A

4

Premiums Earned During Year

(Cols. 1 + 2 - 3)

1. Fire ��

2. Allied lines ��

3. Farmowners multiple peril ��

4. Homeowners multiple peril ��

5. Commercial multiple peril ��

6. Mortgage guaranty � � � �

8. Ocean marine ��

9. Inland marine ��

10. Financial guaranty � � � �

11.1 Medical professional liability - occurrence ��

11.2 Medical professional liability - claims-made ��

12. Earthquake ��

13. Group accident and health ��

14. Credit accident and health (group and individual) � � � �

15. Other accident and health ��

16. Workers' compensation ��

17.1 Other liability - occurrence ��

17.2 Other liability - claims-made ��

17.3 Excess workers' compensation � � � �

18.1 Products liability - occurrence ��

18.2 Products liability - claims-made ��

19.1, 19.2 Private passenger auto liability ��

19.3, 19.4 Commercial auto liability ��

21. Auto physical damage ��

22. Aircraft (all perils) � � � �

23. Fidelity ��

24. Surety ��

26. Burglary and theft ��

27. Boiler and machinery ��

28. Credit ��

29. International ��

30. Warranty ��

31. Reinsurance - nonproportional assumed property ��

32. Reinsurance - nonproportional assumed liability ��

33. Reinsurance - nonproportional assumed financial lines � � � �

34. Aggregate write-ins for other lines of business � � � �

35. TOTALS ��


3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) � � � �

6


UNDERWRITING AND INVESTMENT EXHIBITPART 1A - RECAPITULATION OF ALL PREMIUMS

Line of Business

1

Amount Unearned (Running One Yearor Less from Date

of Policy) (a)

2

Amount Unearned (Running More Than

One Year fromDate of Policy) (a)

3

Earned But Unbilled Premium

4Reserve for Rate

Credits and Retrospective

Adjustments Basedon Experience

5

Total Reserve for Unearned Premiums Cols. 1 + 2 + 3 + 4

1. Fire ��





6. Mortgage guaranty



10. Financial guaranty





14. Credit accident and health (group and individual)





17.3 Excess workers' compensation


18.2 Products liability - claims-made � ��




22. Aircraft (all perils)

23. Fidelity ��

24. Surety ��



28. Credit ��

29. International

30. Warranty ��

31. Reinsurance - nonproportional assumed property � �

32. Reinsurance - nonproportional assumed liability

33. Reinsurance - nonproportional assumed financial lines

34. Aggregate write-ins for other lines of business

35. TOTALS ��

36. Accrued retrospective premiums based on experience ��

37. Earned but unbilled premiums

38. Balance (Sum of Line 35 through 37) ��


3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above)

(a) State here basis of computation used in each case �� !��!��!�� !"

��! �� !��!��

7


UNDERWRITING AND INVESTMENT EXHIBITPART 1B - PREMIUMS WRITTEN

1 Reinsurance Assumed Reinsurance Ceded 6

Line of Business Direct Business (a)

2

From Affiliates

3

From Non-Affiliates

4

To Affiliates

5

To Non-Affiliates

Net Premiums Written

Cols. 1+2+3-4-5

1. Fire ��





6. Mortgage guaranty � � � � � �



10. Financial guaranty � � � � � �





14. Credit accident and health (group and individual) � � � � � �





17.3 Excess workers' compensation � � � � � �






22. Aircraft (all perils) � � ��

23. Fidelity ��

24. Surety ��



28. Credit ��

29. International � ��

30. Warranty ��

31. Reinsurance - nonproportional assumed property XXX ��

32. Reinsurance - nonproportional assumed liability XXX ��

33. Reinsurance - nonproportional assumed financial lines XXX � � � � �

34. Aggregate write-ins for other lines of business � � � � � �

35. TOTALS ��


3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) � � � � � �

(a) Does the company's direct premiums written include premiums recorded on an installment basis? ��

If yes: 1. The amount of such installment premiums $ �

2. Amount at which such installment premiums would have been reported had they been reported on an annualized basis $ �

8


UNDERWRITING AND INVESTMENT EXHIBITPART 2 - LOSSES PAID AND INCURRED

Losses Paid Less Salvage 5 6 7 8

Line of Business

1

Direct Business

2

ReinsuranceAssumed

3

ReinsuranceRecovered

4

Net Payments(Cols. 1 + 2 -3 )

Net Losses UnpaidCurrent Year

(Part 2A , Col. 8)Net Losses Unpaid

Prior Year

Losses Incurred Current Year

(Cols. 4 + 5 - 6)

Percentage ofLosses Incurred(Col. 7, Part 2) to Premiums Earned

(Col. 4, Part 1)1. Fire ��





6. Mortgage guaranty � � � � � � � �



10. Financial guaranty � � � � � � � �





14. Credit accident and health (group and individual) � � � � � � � �





17.3 Excess workers' compensation � � � � � � � �






22. Aircraft (all perils) � ��

23. Fidelity ��

24. Surety ��



28. Credit ��


30. Warranty ��

31. Reinsurance - nonproportional assumed property XXX ��

32. Reinsurance - nonproportional assumed liability XXX ��

33. Reinsurance - nonproportional assumed financial lines XXX � � � � ��

34. Aggregate write-ins for other lines of business � � � � � � � �

35. TOTALS ��

DETAILS OF WRITE-INS3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) � � � � � � � �

9


UNDERWRITING AND INVESTMENT EXHIBITPART 2A - UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES

Reported Losses Incurred But Not Reported 8 9

Line of Business

1

Direct

2

ReinsuranceAssumed

3

DeductReinsuranceRecoverable

4

Net Losses Excl. Incurred But Not

Reported(Cols. 1 + 2 - 3)

5

Direct

6

ReinsuranceAssumed

7

ReinsuranceCeded

Net Losses Unpaid(Cols. 4 + 5 + 6 - 7)

Net UnpaidLoss Adjustment

Expenses1. Fire ��





6. Mortgage guaranty � � � � � � � � �



10. Financial guaranty � � � � � � � � �




13. Group accident and health � �� (a) ��

14. Credit accident and health (group and individual) � � � � � � � � �

15. Other accident and health �� (a) ��




17.3 Excess workers' compensation � � � � � � � � �






22. Aircraft (all perils) � ��

23. Fidelity ��

24. Surety ��



28. Credit ��


30. Warranty ��

31. Reinsurance - nonproportional assumed property XXX �� XXX ��

32. Reinsurance - nonproportional assumed liability XXX �� XXX ��

33. Reinsurance - nonproportional assumed financial lines XXX � � � XXX � � � �

34. Aggregate write-ins for other lines of business � � � � � � � � �

35. TOTALS ��

DETAILS OF WRITE-INS3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) � � � � � � � � �

(a) Including $ � for present value of life indemnity claims.

10


UNDERWRITING AND INVESTMENT EXHIBITPART 3 - EXPENSES

1

Loss Adjustment Expenses

2

Other Underwriting Expenses

3

InvestmentExpenses

4

Total

1. Claim adjustment services:

1.1 Direct ��

1.2 Reinsurance assumed ��

1.3 Reinsurance ceded ��

1.4 Net claim adjustment service (1.1 + 1.2 - 1.3) ��

2. Commission and brokerage:

2.1 Direct excluding contingent � ��

2.2 Reinsurance assumed, excluding contingent � ��

2.3 Reinsurance ceded, excluding contingent � ��

2.4 Contingent - direct � ��

2.5 Contingent - reinsurance assumed � ��

2.6 Contingent - reinsurance ceded � ��

2.7 Policy and membership fees � � � �

2.8 Net commission and brokerage (2.1 + 2.2 - 2.3 + 2.4 + 2.5 - 2.6 + 2.7) � ��

3. Allowances to managers and agents ��

4. Advertising ��

5. Boards, bureaus and associations ��

6. Surveys and underwriting reports ��

7. Audit of assureds’ records ��

8. Salary and related items:

8.1 Salaries ��

8.2 Payroll taxes ��

9. Employee relations and welfare ��

10. Insurance ��

11. Directors’ fees ��

12. Travel and travel items ��

13. Rent and rent items ��

14. Equipment ��

15. Cost or depreciation of EDP equipment and software ��

16. Printing and stationery ��

17. Postage, telephone and telegraph, exchange and express ��

18. Legal and auditing ��

19. Totals (Lines 3 to 18) ��

20. Taxes, licenses and fees:

20.1 State and local insurance taxes deducting guaranty association

credits of $ ��

20.2 Insurance department licenses and fees � ��

20.3 Gross guaranty association assessments � ��

20.4 All other (excluding federal and foreign income and real estate) � ��

20.5 Total taxes, licenses and fees (20.1 + 20.2 + 20.3 + 20.4) � ��

21. Real estate expenses � � ��

22. Real estate taxes � ��

23. Reimbursements by uninsured plans � � � �

24. Aggregate write-ins for miscellaneous expenses ��

25. Total expenses incurred �� (a) ��

26. Less unpaid expenses - current year ��

27. Add unpaid expenses - prior year ��

28. Amounts receivable relating to uninsured plans, prior year � � � �

29. Amounts receivable relating to uninsured plans, current year � � � �

30. TOTAL EXPENSES PAID (Lines 25 - 26 + 27 - 28 + 29) ��



(a) Includes management fees of $ �� to affiliates and $ � to non-affiliates.

11


EXHIBIT OF NET INVESTMENT INCOME1 2

Collected During Year Earned During Year 1. U.S. Government bonds (a) ��

1.1 Bonds exempt from U.S. tax (a) ��

1.2 Other bonds (unaffiliated) (a) ��

1.3 Bonds of affiliates (a) � �

2.1 Preferred stocks (unaffiliated) (b) ��

2.11 Preferred stocks of affiliates (b) � �

2.2 Common stocks (unaffiliated) ��

2.21 Common stocks of affiliates ��

3. Mortgage loans (c) ��

4. Real estate (d) ��

5 Contract loans � �

6 Cash, cash equivalents and short-term investments (e) ��

7 Derivative instruments (f) ��

8. Other invested assets ��

9. Aggregate write-ins for investment income ��

10. Total gross investment income ��

11. Investment expenses (g) ��

12. Investment taxes, licenses and fees, excluding federal income taxes (g) ��

13. Interest expense (h) ��

14. Depreciation on real estate and other invested assets (i) ��

15. Aggregate write-ins for deductions from investment income ��

16. Total deductions (Lines 11 through 15) ��

17. Net investment income (Line 10 minus Line 16) ��

DETAILS OF WRITE-INS0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) ��

1599. Totals (Lines 1501 thru 1503 plus 1598) (Line 15, above) ��

(a) Includes $ �� accrual of discount less $ �� amortization of premium and less $ �� paid for accrued interest on purchases.

(b) Includes $ � accrual of discount less $ � amortization of premium and less $ � paid for accrued dividends on purchases.

(c) Includes $ �� accrual of discount less $ � amortization of premium and less $ � paid for accrued interest on purchases.

(d) Includes $ �� for company’s occupancy of its own buildings; and excludes $ � interest on encumbrances.

(e) Includes $ �� accrual of discount less $ � amortization of premium and less $ � paid for accrued interest on purchases.

(f) Includes $ � accrual of discount less $ � amortization of premium.

(g) Includes $. � investment expenses and $ � investment taxes, licenses and fees, excluding federal income taxes, attributable tosegregated and Separate Accounts.

(h) Includes $ �� interest on surplus notes and $ � interest on capital notes.

(i) Includes $ � �� depreciation on real estate and $ � � depreciation on other invested assets.

EXHIBIT OF CAPITAL GAINS (LOSSES)1

Realized Gain (Loss) On Sales or Maturity

2

Other Realized Adjustments

3

Total Realized Capital Gain (Loss)

(Columns 1 + 2)

4

Change inUnrealized Capital

Gain (Loss)

5

Change in Unrealized Foreign Exchange Capital Gain (Loss)

1. U.S. Government bonds ��

1.1 Bonds exempt from U.S. tax ��

1.2 Other bonds (unaffiliated) ��

1.3 Bonds of affiliates � � � � �

2.1 Preferred stocks (unaffiliated) � � � ��

2.11 Preferred stocks of affiliates � � � � �

2.2 Common stocks (unaffiliated) ��

2.21 Common stocks of affiliates ��

3. Mortgage loans ��

4. Real estate ��

5. Contract loans � � � � �

6. Cash, cash equivalents and short-term investments ��

7. Derivative instruments ��

8. Other invested assets ��

9. Aggregate write-ins for capital gains (losses) ��

10. Total capital gains (losses) ��

DETAILS OF WRITE-INS0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9,

above) ��

12


SCHEDULE F - PART 1Assumed Reinsurance as of December 31, Current Year (000 Omitted)

1 2 3 4 5 Reinsurance On 8 9 10 11 12 13 14 15

IDNumber

NAICCom-panyCode Name of Reinsured

Domiciliary Jurisdiction

AssumedPremium

6

Paid Losses and Loss Adjustment

Expenses

7

Known CaseLosses and LAE Cols. 6 + 7

Contingent Commissions

Payable

AssumedPremiums Receivable

UnearnedPremium

Funds Held By or Deposited With

Reinsured Companies

Letters of Credit Posted

Amount of Assets Pledged or

Compensating Balances to

Secure Letters of Credit

Amount of Assets Pledged

or Collateral Held in Trust

0199999 Affiliates - U.S. Intercompany Pooling � � � � � � � � � � �

0299999 Affiliates - U.S. Non-Pool - Captive � � � � � � � � � � �

0399999 Affiliates - U.S. Non-Pool - Other ��

0499999 Total - U.S. Non-Pool ��

0599999 Affiliates - Other (Non-U.S.) - Captive � � � � � � � � � � �

0699999 Affiliates - Other (Non-U.S.) - Other � � � � � � � � � � �

0799999 Total - Other (Non-U.S.) � � � � � � � � � � �

0899999 Total - Affiliates ��

0999998 Other U.S. Unaffiliated Insurers Reinsurance for which the total of Column 8 is less than $100,000 ��

0999999 Total Other U.S. Unaffiliated Insurers ��

1099998 Pools and Associations - Reinsurance for which the total of Column 8 is less than $100,000 - Mandatory Pools ��

1099999 Total Pools, Associations or Other Similar Facilities - Mandatory Pools ��

1199998 Pools and Associations - Reinsurance for which the total of Column 8 is less than $100,000 - Voluntary Pools ��

1199999 Total Pools, Associations or Other Similar Facilities - Voluntary Pools ��

1299999 Total - Pools and Associations ��

1399998 Other Non-U.S. Insurers - Reinsurance for which the total of Column 8 is less than $100,000 � � � � � ��

1399999 Total Other Non-U.S. Insurers ��

9999999 Totals ��

20


SCHEDULE F - PART 2Premium Portfolio Reinsurance Effected or (Canceled) during Current Year

1

IDNumber

2NAICCom-panyCode

3

Name of Company

4

Date ofContract

5

OriginalPremium

6

ReinsurancePremium

0199999 Total Reinsurance Ceded By Portfolio0299999 Total Reinsurance Assumed By Portfolio NONE

21


SCHEDULE F - PART 3Ceded Reinsurance as of December 31, Current Year (000 Omitted)

1 2 3 4 5 6 Reinsurance Recoverable On Reinsurance Payable 18 19

IDNumber

NAICCom-panyCode Name of Reinsurer

DomiciliaryJurisdiction

Reinsurance Contracts

Ceding 75% or More of

Direct Premiums

Written

Reinsurance Premiums

Ceded

7

PaidLosses

8

Paid LAE

9

Known Case Loss

Reserves

10

Known Case LAE

Reserves

11

IBNR Loss Reserves

12

IBNR LAE Reserves

13

Unearned Premiums

14

Contingent Commis-

sions

15

Columns7 thru 14

Totals

16

Ceded Balances Payable

17

Other AmountsDue to

Reinsurers

Net Amount Recoverable

From Reinsurers

Cols. 15 - [16 + 17]

Funds Held By Company

Under Reinsurance

Treaties0199999 Total Authorized - Affiliates - U.S. Intercompany Pool � � � � � � � � � � � � � �

0299999 Total Authorized - Affiliates - U.S. Non-Pool - Captive � � � � � � � � � � � � � �

0399999 Total Authorized - Affiliates - U.S. Non-Pool - Other � ��

0499999 Total Authorized - Affiliates - U.S. Non-Pool � ��

0599999 Total Authorized - Affiliates - Other (Non-U.S.) - Captive � � � � � � � � � � � � � �

0699999 Total Authorized - Affiliates - Other (Non-U.S.) - Other � � � � � � � � � � � � � �

0799999 Total Authorized - Affiliates - Other (Non-U.S.) � � � � � � � � � � � � � �

0899999 Total Authorized - Affiliates � ��

0999998 Total Authorized - Other U.S. Unaffiliated Insurers (Under $100,000) ��

0999999 Total Authorized - Other U.S. Unaffiliated Insurers ��

1099999 Total Authorized - Pools - Mandatory Pools ��

1199999 Total Authorized - Pools - Voluntary Pools ��

1299998 Total Authorized - Other Non-U.S. Insurers (Under $100,000) � � � � � � � � � � � � � �

1299999 Total Authorized - Other Non-U.S. Insurers ��

1399999 Total Authorized ��

1499999 Total Unauthorized - Affiliates - U.S. Intercompany Pooling � � � � � � � � � � � � � �

1599999 Total Unauthorized - Affiliates - U.S. Non-Pool - Captive � � � � � � � � � � � � � �

1699999 Total Unauthorized - Affiliates - U.S. Non-Pool - Other � � � � � � � � � � � � � �

1799999 Total Unauthorized - Affiliates - U.S. Non-Pool � � � � � � � � � � � � � �

1899999 Total Unauthorized - Affiliates - Other (Non-U.S.) - Captive � � � � � � � � � � � � � �

1999999 Total Unauthorized - Affiliates - Other (Non-U.S.) - Other � � � � � � � � � � � � � �

2099999 Total Unauthorized - Affiliates - Other (Non-U.S.) � � � � � � � � � � � � � �

2199999 Total Unauthorized - Affiliates � � � � � � � � � � � � � �

2299998 Total Unauthorized - Other U.S. Unaffiliated Insurers (Under $100,000) � ��

2299999 Total Unauthorized - Other U.S. Unaffiliated Insurers ��

2399999 Total Unauthorized - Pools - Mandatory Pools � � � � � � � � � � � � � �

2499999 Total Unauthorized - Pools - Voluntary Pools � � � ��

2599998 Total Unauthorized - Other Non-U.S. Insurers (Under $100,000) ��

2599999 Total Unauthorized - Other Non-U.S. Insurers ��

2699999 Total Unauthorized ��

2799999 Total Certified - Affiliates - U.S. Intercompany Pooling � � � � � � � � � � � � � �

2899999 Total Certified - Affiliates - U.S. Non-Pool - Captive � � � � � � � � � � � � � �

2999999 Total Certified - Affiliates - U.S. Non-Pool - Other � � � � � � � � � � � � � �

3099999 Total Certified - Affiliates - U.S. Non-Pool � � � � � � � � � � � � � �

3199999 Total Certified - Affiliates - Other (Non-U.S.) - Captive � � � � � � � � � � � � � �

3299999 Total Certified - Affiliates - Other (Non-U.S.) - Other � � � � � � � � � � � � � �

3399999 Total Certified - Affiliates - Other (Non-U.S.) � � � � � � � � � � � � � �

3499999 Total Certified - Affiliates � � � � � � � � � � � � � �

3599998 Total Certified - Other U.S. Unaffiliated Insurers (Under $100,000) � � � � � � � � � � � � � �

3599999 Total Certified - Other U.S. Unaffiliated Insurers � � � � � � � � � � � � � �

3699999 Total Certified - Pools - Mandatory Pools � � � � � � � � � � � � � �

3799999 Total Certified - Pools - Voluntary Pools � � � � � � � � � � � � � �

3899998 Total Certified - Other Non-U.S. Insurers (Under $100,000) � � � � � � � � � � � � � �

3899999 Total Certified - Other Non-U.S. Insurers � � � � � � � � � � � � � �

3999999 Total Certified � � � � � � � � � � � � � �

4099999 Total Authorized, Unauthorized and Certified ��

4199999 Total Protected Cells � � � � � � � � � � � � � �

9999999 Totals ��

NOTE: Report the five largest provisional commission rates included in the cedant's reinsurance treaties.The commission rate to be reported is by contract with ceded premium in excess of $50,000:

B. Report the five largest reinsurance recoverables reported in Column 15, due from any one reinsurer (based on the total recoverables, Line 9999999, Column 15), the amount of ceded premium, and indicate whether the recoverables are due from an affiliated insurer.

1Name of Reinsurer

2Commission Rate

3Ceded Premium

1Name of Reinsurer

2Total Recoverables

3Ceded Premiums

4Affiliated

1. � �� 1. � � � ��

2. � �� 2. � � � ��

3. � �� 3. � � � ��

4. � �� 4. � � � ��

5. � �� 5. � � � ��

22


SCHEDULE F - PART 4Aging of Ceded Reinsurance as of December 31, Current Year (000 Omitted)

1 2 3 4 Reinsurance Recoverable on Paid Losses and Paid Loss Adjustment Expenses 12 13NAIC 5 Overdue 11 Percentage More

IDNumber

Com-panyCode Name of Reinsurer Domiciliary Jurisdiction Current

6

1 to 29 Days

7

30 to 90 Days

8

91 to 120 Days

9

Over 120 Days

10Total Overdue

Cols. 6 + 7 + 8 + 9Total Due

Cols. 5 + 10

PercentageOverdue

Col. 10/Col. 11

Than 120 Days Overdue

Col. 9/Col. 110199999 Total Authorized - Affiliates - U.S. Intercompany Pool � � � � � � � � �

0299999 Total Authorized - Affiliates - U.S. Non-Pool - Captive � � � � � � � � �

0399999 Total Authorized - Affiliates - U.S. Non-Pool - Other ��

0499999 Total Authorized - Affiliates - U.S. Non-Pool ��

0599999 Total Authorized - Affiliates - Other (Non-U.S.) - Captive � � � � � � � � �

0699999 Total Authorized - Affiliates - Other (Non-U.S.) - Other � � � � � � � � �

0799999 Total Authorized - Affiliates - Other (Non-U.S.) � � � � � � � � �

0899999 Total Authorized - Affiliates ��

0999999 Total Authorized - Other U.S. Unaffiliated Insurers ��

1099999 Total Authorized - Pools - Mandatory Pools ��

1199999 Total Authorized - Pools - Voluntary Pools � ��

1299999 Total Authorized - Other Non-U.S. Insurers ��

1399999 Total Authorized ��

1499999 Total Unauthorized - Affiliates - U.S. Intercompany Pooling � � � � � � � � �

1599999 Total Unauthorized - Affiliates - U.S. Non-Pool - Captive � � � � � � � � �

1699999 Total Unauthorized - Affiliates - U.S. Non-Pool - Other � � � � � � � � �

1799999 Total Unauthorized - Affiliates - U.S. Non-Pool � � � � � � � � �

1899999 Total Unauthorized - Affiliates - Other (Non-U.S.) - Captive � � � � � � � � �

1999999 Total Unauthorized - Affiliates - Other (Non-U.S.) - Other � � � � � � � � �

2099999 Total Unauthorized - Affiliates - Other (Non-U.S.) � � � � � � � � �

2199999 Total Unauthorized - Affiliates � � � � � � � � �

2299999 Total Unauthorized - Other U.S. Unaffiliated Insurers ��

2399999 Total Unauthorized - Pools - Mandatory Pools � � � � � � � � �

2499999 Total Unauthorized - Pools - Voluntary Pools � � � � � � � � �

2599999 Total Unauthorized - Other Non-U.S. Insurers ��

2699999 Total Unauthorized ��

2799999 Total Certified - Affiliates - U.S. Intercompany Pooling � � � � � � � � �

2899999 Total Certified - Affiliates - U.S. Non-Pool - Captive � � � � � � � � �

2999999 Total Certified - Affiliates - U.S. Non-Pool - Other � � � � � � � � �

3099999 Total Certified - Affiliates - U.S. Non-Pool � � � � � � � � �

3199999 Total Certified - Affiliates - Other (Non-U.S.) - Captive � � � � � � � � �

3299999 Total Certified - Affiliates - Other (Non-U.S.) - Other � � � � � � � � �

3399999 Total Certified - Affiliates - Other (Non-U.S.) � � � � � � � � �

3499999 Total Certified - Affiliates � � � � � � � � �

3599999 Total Certified - Other U.S. Unaffiliated Insurers � � � � � � � � �

3699999 Total Certified - Pools - Mandatory Pools � � � � � � � � �

3799999 Total Certified - Pools - Voluntary Pools � � � � � � � � �

3899999 Total Certified - Other Non-U.S. Insurers � � � � � � � � �

3999999 Total Certified � � � � � � � � �

4099999 Total Authorized and Unauthorized ��

4199999 Total Protected Cells � � � � � � � � �

9999999 Totals ��

23


SCHEDULE F - PART 5Provision for Unauthorized Reinsurance as of December 31, Current Year (000 OMITTED)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

IDNumber

NAICCom-panyCode Name of Reinsurer

Domi-ciliaryJuris-diction

Reinsurance Recoverable

all Items Schedule F

Part 3,Col. 15

Funds HeldBy Company

Under Reinsurance

TreatiesLetters of

Credit

Issuing or Confirming

Bank Reference Number (a)


Miscellaneous Balances Payable

Trust Funds and

OtherAllowedOffsetItems

Total Collateral and Offsets

Allowed (Cols. 6+7+9+10 +11

but not in Excess of

Col. 5)

Provision for Unauthorized Reinsurance (Col. 5 Minus

Col. 12)

Recoverable Paid Losses & LAE Expenses Over 90 Days past Due not

in Dispute

20% ofAmount in

Col. 14

20% ofAmount in Dispute

Included in Column 5

Provision for Overdue

Reinsurance (Col 15 plus

Col. 16)

Total Provision for

Reinsurance Ceded to

Unauthorized Reinsurers

(Col. 13 plus Col. 17 but not in Excess of

Col. 5)0199999 Total Affiliates - U.S. Intercompany Pooling � � � XXX � � � � � � � � � �

0299999 Affiliates - U.S. Non-Pool - Captive � � � XXX � � � � � � � � � �

0399999 Affiliates - U.S. Non-Pool - Other � � � XXX � � � � � � � � � �

0499999 Total - U.S. Non-Pool � � � XXX � � � � � � � � � �

0599999 Affiliates - Other (Non-U.S.) - Captive � � � XXX � � � � � � � � � �

0699999 Affiliates - Other (Non-U.S.) - Other � � � XXX � � � � � � � � � �

0799999 Total - Other (Non-U.S.) � � � XXX � � � � � � � � � �

0899999 Total Affiliates � � � XXX � � � � � � � � � �

0999999 Total Other U.S. Unaffiliated Insurers �� XXX ��

1099999 Total Pools and Associations - Mandatory � � � XXX � � � � � � � � � �

1199999 Total Pools and Associations - Voluntary �� XXX � � � � ��

1299999 Total Other Non-U.S. Insurers �� XXX ��

1399999 Total Affiliates and Others �� XXX ��

1499999 Total Protected Cells � � � XXX � � � � � � � � � �

9999999 Totals �� XXX ��

1. Amounts in dispute totaling $ �� are included in Column 5.2. Amounts in dispute totaling $ �� are excluded from Column 16.

(a)Code

American Bankers Association(ABA) Routing Number Bank Name

24


Schedule F - Part 6 - Section 1 - Provision for Reinsurance Ceded to Certified Reinsurers

N O N E

Schedule F - Part 6 - Section 2 - Provision for Overdue Reinsurance Ceded to Certified Reinsurers

N O N E

25, 26


SCHEDULE F - PART 7Provision for Overdue Authorized Reinsurance as of December 31, Current Year

1

FederalID

Number

2

NAICCom-panyCode

3

Name of Reinsurer

4Reinsurance

Recoverable on Paid Losses and

LAE More Than90 Days Overdue

(a)

5

Total Reinsurance Recoverable on Paid

Losses and LAE(b)

6

Amounts ReceivedPrior 90 Days

7

Col. 4 divided by(Cols. 5 + 6)

8

Amounts in Col. 4 for Companies Reporting

less than 20% inCol. 7

9Amounts in Dispute

Excluded from Col. 4 for Companies

Reportingless than 20% in

Col. 7

10

20% of Amountin Col. 9

11

Amount Reported inCol. 8 x 20% + Col. 10

9999999 Totals �� XXX ��

(a) From Schedule F - Part 4 Columns 8 + 9, total authorized, less $ �� in dispute.(b) From Schedule F - Part 3 Columns 7 + 8, total authorized, less $ �� in dispute.

27


SCHEDULE F - PART 8Provision for Overdue Reinsurance as of December 31, Current Year

1

Federal ID Number

2NAICCom-panyCode

3

Name of Reinsurer

4

Reinsurance Recoverable

All Items

5Funds Held By

Company Under Reinsurance

Treaties

6

Letters of Credit

7


8

OtherMiscellaneous

Balances

9

OtherAllowed Offset

Items

10Sum of Cols. 5 through 9 butnot in excess

of Col. 4

11

Col. 4 minusCol. 10

12

Greater of Col. 11 or Schedule F - Part 4

Cols. 8 + 9

9999999 Totals ��

1. Total ��

2. Line 1 x .20 ��

3. Schedule F - Part 7 Col. 11 ��

4. Provision for Overdue Authorized Reinsurance (Lines 2 + 3) ��

5. Provision for Reinsurance Ceded to Unauthorized Reinsurers (Schedule F - Part 5 Col. 18 x1000) ��

6. Provision for Reinsurance Ceded to Certified Reinsurers (Schedule F- Part 6, Section 1, Col. 21 x 1000)

7. Provision for Overdue Reinsurance Ceded to Certified Reinsurers (Schedule F - Part 6, Section 2, Col 15 x 1000)

8. Provision for Reinsurance (sum Lines 4 + 5 + 6 + 7) (Enter this amount on Page 3, Line 16) ��

28


SCHEDULE H - ACCIDENT AND HEALTH EXHIBITCredit Other Individual Contracts

TotalGroup Accident

and HealthAccident and Health

(Group and Individual) Collectively Renewable Non-Cancelable Guaranteed RenewableNon-Renewable for Stated

Reasons Only Other Accident Only All Other1

Amount2%

3Amount

4%

5Amount

6%

7Amount

8%

9Amount

10%

11Amount

12%

13Amount

14%

15Amount

16%

17Amount

18%

PART 1. - ANALYSIS OF UNDERWRITING OPERATIONS

1. Premiums written �� XXX �� XXX XXX �� XXX XXX XXX XXX XXX XXX

2. Premiums earned �� XXX �� XXX XXX �� XXX XXX XXX XXX XXX XXX

3. Incurred claims ��

4. Cost containment expenses ��

5. Incurred claims and cost containment expenses (Lines 3 and 4) ��

6. Increase in contract reserves

7. Commissions (a) ��

8. Other general insurance expenses ��

9. Taxes, licenses and fees ��

10. Total other expenses incurred ��

11. Aggregate write-ins for deductions

12. Gain from underwriting before dividends or refunds ��

13. Dividends or refunds

14. Gain from underwriting after dividends or refunds ��


1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)

(a) Includes $ reported as "Contract, membership and other fees retained by agents.”

30


SCHEDULE H - ACCIDENT AND HEALTH EXHIBIT (Continued)1 2 3 4 Other Individual Contracts

TotalGroup Accident

and Health

CreditAccident and Health

(Group andIndividual)

Collectively Renewable

5

Non-Cancelable

6

Guaranteed Renewable

7Non-Renewable

for StatedReasons Only

8

Other AccidentOnly

9

All OtherPART 2. - RESERVES AND LIABILITIES

A. Premium Reserves:1. Unearned premiums ��

2. Advance premiums � � � � � � � � �

3. Reserve for rate credits ��

4. Total premium reserves, current year ��

5. Total premium reserves, prior year ��

6. Increase in total premium reserves ��

B. Contract Reserves:1. Additional reserves (a) � � � � � � � � �

2. Reserve for future contingent benefits (deferred maternity and other similar benefits) � � � � � � � � �

3. Total contract reserves, current year � � � � � � � � �

4. Total contract reserves, prior year. � � � � � � � � �

5. Increase in contract reserves � � � � � � � � �

C. Claim Reserves and Liabilities:1. Total current year ��

2. Total prior year ��

3. Increase ��

PART 3. - TEST OF PRIOR YEAR'S CLAIM RESERVES AND LIABILITIES1. Claims paid during the year:

1.1 On claims incurred prior to current year ��

1.2 On claims incurred during current year ��

2. Claim reserves and liabilities, December 31, current year:2.1 On claims incurred prior to current year ��

2.2 On claims incurred during current year ��

3. Test:3.1 Line 1.1 and 2.1 ��

3.2 Claim reserves and liabilities, December 31, prior year ��

3.3 Line 3.1 minus Line 3.2 ��

PART 4. - REINSURANCEA. Reinsurance Assumed:

1. Premiums written ��

2. Premiums earned ��


4. Commissions ��

B. Reinsurance Ceded:1. Premiums written ��

2. Premiums earned ��


4. Commissions ��

(a) Includes $ � premium deficiency reserve.

31


SCHEDULE P - ANALYSIS OF LOSSES AND LOSS EXPENSESSCHEDULE P - PART 1 - SUMMARY

($000 OMITTED)Premiums Earned Loss and Loss Expense Payments 12

Years inWhich

1 2 3Loss Payments

Defense and Cost Containment Payments

Adjusting and Other Payments

10 11Number of

Premiums Were Earned and

Losses Were Incurred

Direct and Assumed Ceded Net (1 - 2)

4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded

Salvage and Subrogation

Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)

Claims Reported Direct and Assumed

1. Prior XXX XXX XXX �� XXX

2. 2005 �� XXX

3. 2006 �� XXX

4. 2007 �� XXX

5. 2008 �� XXX

6. 2009 �� XXX

7. 2010 �� XXX

8. 2011 �� XXX

9. 2012 �� XXX

10. 2013 �� XXX

11. 2014 �� XXX

12. Totals XXX XXX XXX �� XXX

Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Other 23 24 25

Case Basis Bulk + IBNR Case Basis Bulk + IBNR Unpaid13

Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid

Numberof Claims Outstand-

ingDirect and Assumed

1. Prior �� XXX

2. 2005 �� XXX

3. 2006 �� XXX

4. 2007 �� XXX

5. 2008 �� XXX

6. 2009 �� XXX

7. 2010 �� XXX

8. 2011 �� XXX

9. 2012 �� XXX

10. 2013 �� XXX

11. 2014 �� XXX

12. Totals �� XXX

TotalLosses and Loss Expenses Incurred

Loss and Loss Expense Percentage (Incurred /Premiums Earned) Nontabular Discount

34 Net Balance Sheet Reserves After Discount

26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense

Inter-Company Pooling

ParticipationPercentage

35

Losses Unpaid

36

Loss Expenses

Unpaid

1. Prior XXX XXX XXX XXX XXX XXX � � XXX ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals XXX XXX XXX XXX XXX XXX � � XXX ��

Note: Parts 2 and 4 are gross of all discounting, including tabular discounting. Part 1 is gross of only nontabular discounting, which is reported in Columns 32 and 33 of Part 1. The tabular discount, if any, is reported in the Notes to Financial Statements which will reconcile Part 1 with Parts 2 and 4.

33


SCHEDULE P - PART 2 - SUMMARYYears in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENT

Which Losses Were Incurred

12005

22006

32007

42008

52009

62010

72011

82012

92013

102014

11One Year

12Two Year

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��

5. 2008 XXX XXX XXX ��

6. 2009 XXX XXX XXX XXX ��

7. 2010 XXX XXX XXX XXX XXX ��

8. 2011 XXX XXX XXX XXX XXX XXX ��

9. 2012 XXX XXX XXX XXX XXX XXX XXX ��

10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX �� XXX

11. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX �� XXX XXX

12. Totals ��

SCHEDULE P - PART 3 - SUMMARYCUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END

($000 OMITTED)11

Number of12

Number ofYears inWhichLossesWere

Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

ClaimsClosedWithLoss

Payment

ClaimsClosedWithout

LossPayment

1. Prior 000 �� XXX XXX

2. 2005 �� XXX XXX

3. 2006 XXX �� XXX XXX

4. 2007 XXX XXX �� XXX XXX

5. 2008 XXX XXX XXX �� XXX XXX

6. 2009 XXX XXX XXX XXX �� XXX XXX

7. 2010 XXX XXX XXX XXX XXX �� XXX XXX

8. 2011 XXX XXX XXX XXX XXX XXX �� XXX XXX

9. 2012 XXX XXX XXX XXX XXX XXX XXX �� XXX XXX

10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX �� XXX XXX


SCHEDULE P - PART 4 - SUMMARYBULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)

Years inWhichLossesWere

Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��






10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX ��

11. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX ��

34


SCHEDULE P - PART 1A - HOMEOWNERS/FARMOWNERS($000 OMITTED)

Premiums Earned Loss and Loss Expense Payments 12Years inWhich

1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)

Claims ReportedDirect and Assumed


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals XXX XXX XXX � �� XXX

Losses Unpaid Defense and Cost Containment Unpaid Adjusting and23 24 25

Case Basis Bulk + IBNR Case Basis Bulk + IBNR Other Unpaid13

Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 � ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


35


SCHEDULE P - PART 1B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


36


SCHEDULE P - PART 1C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


37


SCHEDULE P - PART 1D - WORKERS' COMPENSATION(EXCLUDING EXCESS WORKERS’ COMPENSATION)


Years inWhich

1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


38


SCHEDULE P - PART 1E - COMMERCIAL MULTIPLE PERIL($000 OMITTED


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


39


SCHEDULE P - PART 1F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 � � ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 � � � � � � � � � � � ��

3. 2006 � ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 � � ��

8. 2011 � � � ��

9. 2012 � � ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid

1. Prior XXX XXX XXX XXX XXX XXX � � XXX � � ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


40


SCHEDULE P - PART 1F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 � ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 � � � ��

6. 2009 ��

7. 2010 � � ��

8. 2011 � � ��

9. 2012 ��

10. 2013 � � ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 � ��

4. 2007 � � ��

5. 2008 ��

6. 2009 � ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


41


SCHEDULE P - PART 1G - SPECIAL LIABILITY (OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY)


Years inWhich

1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 �� XXX

3. 2006 �� XXX

4. 2007 �� XXX

5. 2008 �� XXX

6. 2009 �� XXX

7. 2010 �� XXX

8. 2011 �� XXX

9. 2012 �� XXX

10. 2013 �� XXX

11. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior � � � ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid

1. Prior XXX XXX XXX XXX XXX XXX XXX ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals XXX XXX XXX XXX XXX XXX XXX ��

42


SCHEDULE P - PART 1H - SECTION 1 - OTHER LIABILITY - OCCURRENCE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


43


SCHEDULE P - PART 1H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


44


SCHEDULE P - PART 1I - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY AND THEFT)


Years inWhich

1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2013 �� XXX

3. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2013 ��

3. 2014 ��

4. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2013 ��

3. 2014 ��


45


SCHEDULE P - PART 1J - AUTO PHYSICAL DAMAGE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2013 ��

3. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2013 ��

3. 2014 ��

4. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2013 ��

3. 2014 ��

4. Totals XXX XXX XXX XXX XXX XXX XXX ��

46


SCHEDULE P - PART 1K - FIDELITY/SURETY($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2013 �� XXX

3. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2013 ��

3. 2014 ��

4. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2013 ��

3. 2014 ��


47


SCHEDULE P - PART 1L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH)($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2013 �� XXX

3. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2013 ��

3. 2014 � � � � ��

4. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2013 ��

3. 2014 ��


48


SCHEDULE P - PART 1M - INTERNATIONAL($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 �� XXX

3. 2006 �� XXX

4. 2007 �� XXX

5. 2008 �� XXX

6. 2009 �� XXX

7. 2010 �� XXX

8. 2011 �� XXX

9. 2012 �� XXX

10. 2013 �� XXX

11. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 � � � � � � � � � � � � �

3. 2006 � � � � � � � � � � � � �

4. 2007 � � � � � � � � � � � � �

5. 2008 � � � � � � � � � � � � �

6. 2009 � � � � � � � � � � � � �

7. 2010 � � � � � � � � � � � � �

8. 2011 � � � � � � � � � � � � �

9. 2012 � � � � � � � � � � � � �

10. 2013 � � � � � � � � � � � � �

11. 2014 � � � � � � � � � � � � �

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 � � � � � � � � ��

3. 2006 � � � � � � � � ��

4. 2007 � � � � � � � � ��

5. 2008 � � � � � � � � ��

6. 2009 � � � � � � � � ��

7. 2010 � � � � � � � � ��

8. 2011 � � � � � � � � ��

9. 2012 � � � � � � � � ��

10. 2013 � � � � � � � � ��

11. 2014 � � � � � � � � ��


49


SCHEDULE P - PART 1N - REINSURANCE - NONPROPORTIONAL ASSUMED PROPERTY($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 �� XXX

3. 2006 �� XXX

4. 2007 �� XXX

5. 2008 �� XXX

6. 2009 �� XXX

7. 2010 �� XXX

8. 2011 � �� XXX

9. 2012 �� XXX

10. 2013 �� XXX

11. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior �� XXX

2. 2005 � � � � � � � � � � � � XXX

3. 2006 � � � � � � � � � � � � XXX

4. 2007 � � � � � � � � � � � � XXX

5. 2008 � � � � � � � � � � � � XXX

6. 2009 � � � � � � � � � � � � XXX

7. 2010 � � � � � � � � � � � � XXX

8. 2011 �� XXX

9. 2012 � � � � � � � � � � � � XXX

10. 2013 � � � � � � � � � � � � XXX

11. 2014 � � � � � � � � � � � � XXX





26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 � � � � � � � � ��

3. 2006 � � � � � � � � ��

4. 2007 � � � � � � � � ��

5. 2008 � � � � � � � � ��

6. 2009 � � � � � � � � ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 � � � � � � � � ��


50


SCHEDULE P - PART 1O - REINSURANCE - NONPROPORTIONAL ASSUMED LIABILITY($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 �� XXX

3. 2006 �� XXX

4. 2007 �� XXX

5. 2008 �� XXX

6. 2009 �� XXX

7. 2010 �� XXX

8. 2011 �� XXX

9. 2012 �� XXX

10. 2013 �� XXX

11. 2014 �� XXX




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior �� XXX

2. 2005 � � � � � � � � � � � � XXX

3. 2006 � � � � � � � � � � � � XXX

4. 2007 � � � � � � � � � � � � XXX

5. 2008 � � � � � � � � � � � � XXX

6. 2009 � � � � � � � � � � � � XXX

7. 2010 � � � � � � � � � � � � XXX

8. 2011 � � � � � � � � � � � � XXX

9. 2012 � � � � � � � � � � � � XXX

10. 2013 � � � � � � � � � � � � XXX

11. 2014 � � � � � � � � � � � � XXX





26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 � � � � � � � � ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 � � � � � � � � ��

7. 2010 � � � � � � � � ��

8. 2011 � � � � � � � � ��

9. 2012 � � � � � � � � ��

10. 2013 � � � � � � � � ��

11. 2014 � � � � � � � � ��


51


SCHEDULE P - PART 1P - REINSURANCE - NONPROPORTIONAL ASSUMED FINANCIAL LINES($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)


1. Prior XXX XXX XXX XXX

2. 2005 XXX

3. 2006 XXX

4. 2007 XXX

5. 2008 XXX

6. 2009 XXX

7. 2010 XXX

8. 2011 XXX

9. 2012 XXX

10. 2013 XXX

11. 2014 XXX

12. Totals XXX XXX XXX XXX



Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior XXX

2. 2005 XXX

3. 2006 XXX

4. 2007 XXX

5. 2008 XXX

6. 2009 XXX

7. 2010 XXX

8. 2011 XXX

9. 2012 XXX

10. 2013 XXX

11. 2014 XXX

12. Totals XXX




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid

1. Prior XXX XXX XXX XXX XXX XXX XXX

2. 2005

3. 2006

4. 2007

5. 2008

6. 2009

7. 2010

8. 2011

9. 2012

10. 2013

11. 2014

12. Totals XXX XXX XXX XXX XXX XXX XXX

NONE

52

NONE

NONE


SCHEDULE P - PART 1R - SECTION 1 - PRODUCTS LIABILITY - OCCURRENCE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


53


SCHEDULE P - PART 1R - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 � ��

7. 2010 ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior ��

2. 2005 � � � � � � � � � � � � ��

3. 2006 � � � � � � � � � � � � ��

4. 2007 � � � � � � � � � � � � ��

5. 2008 � � � � � � � � � � � � ��

6. 2009 � � � � � � � � � � � � ��

7. 2010 � � � � � � � � � � � � ��

8. 2011 � � � � � � � � � � � � ��

9. 2012 ��

10. 2013 ��

11. 2014 ��

12. Totals ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid


2. 2005 ��

3. 2006 ��

4. 2007 ��

5. 2008 ��

6. 2009 ��

7. 2010 � ��

8. 2011 ��

9. 2012 ��

10. 2013 ��

11. 2014 ��


54


SCHEDULE P - PART 1S - FINANCIAL GUARANTY/MORTGAGE GUARANTY($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)


1. Prior XXX XXX XXX XXX

2. 2013 XXX

3. 2014 XXX

4. Totals XXX XXX XXX XXX



Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior

2. 2013

3. 2014

4. Totals




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid

1. Prior XXX XXX XXX XXX XXX XXX XXX

2. 2013

3. 2014

4. Totals XXX XXX XXX XXX XXX XXX XXXNONE

55

NONE

NONE


SCHEDULE P - PART 1T - WARRANTY($000 OMITTED)


1 2 3Loss Payments



10 11Number of




4

Direct and Assumed

5

Ceded

6

Direct and Assumed

7

Ceded

8

Direct and Assumed

9

Ceded


Received

Total Net Paid Cols

(4 - 5 + 6 - 7 + 8 - 9)



2. 2013 ��

3. 2014 ��




Directand

Assumed

14

Ceded

15

Directand

Assumed

16

Ceded

17

Directand

Assumed

18

Ceded

19

Directand

Assumed

20

Ceded

21

Directand

Assumed

22

Ceded

Salvage and

Subrog-ation

Anticipated

Total Net Losses

and Expenses

Unpaid



1. Prior � � � � � � ��

2. 2013 � � ��

3. 2014 � � ��

4. Totals � � ��




26

Directand

Assumed

27

Ceded

28

Net

29

Directand

Assumed

30

Ceded

31

Net

32

Loss

33

LossExpense



35

Losses Unpaid

36

Loss Expenses

Unpaid

1. Prior XXX XXX XXX XXX XXX XXX � � XXX � �

2. 2013 ��

3. 2014 ��


56


SCHEDULE P - PART 2A - HOMEOWNERS/FARMOWNERSYears in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENT


12005

22006

32007

42008

52009

62010

72011

82012

92013

102014

11One Year

12Two Year

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��


1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2E - COMMERCIAL MULTIPLE PERIL1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

57


SCHEDULE P - PART 2F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCEYears in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENT


12005

22006

32007

42008

52009

62010

72011

82012

92013

102014

11One Year

12Two Year

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��


1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2H - SECTION 1 - OTHER LIABILITY - OCCURRENCE1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

58


SCHEDULE P - PART 2I - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY, AND THEFT)

Years in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENTWhich Losses Were Incurred

12005

22006

32007

42008

52009

62010

72011

82012

92013

102014

11One Year

12Two Year




4. Totals ��

SCHEDULE P - PART 2J - AUTO PHYSICAL DAMAGE1. Prior XXX XXX XXX XXX XXX XXX XXX ��



4. Totals ��

SCHEDULE P - PART 2K - FIDELITY/SURETY1. Prior XXX XXX XXX XXX XXX XXX XXX ��



4. Totals ��

SCHEDULE P - PART 2L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH)1. Prior XXX XXX XXX XXX XXX XXX XXX ��



4. Totals ��

SCHEDULE P - PART 2M - INTERNATIONAL1. Prior ��

2. 2005 � � � � � � � � � � � �

3. 2006 XXX � � � � � � � � � � �

4. 2007 XXX XXX � � � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � � � �

7. 2010 XXX XXX XXX XXX XXX � � � � � � �

8. 2011 XXX XXX XXX XXX XXX XXX � � � � � �

9. 2012 XXX XXX XXX XXX XXX XXX XXX � � � � �

10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX � � � XXX

11. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX � XXX XXX

12. Totals ��

59


SCHEDULE P - PART 2N - REINSURANCENONPROPORTIONAL ASSUMED PROPERTY

Years in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENTWhich Losses Were Incurred

12005

22006

32007

42008

52009

62010

72011

82012

92013

102014

11One Year

12Two Year

1. Prior ��

2. 2005 � � � � � � � � � � � �

3. 2006 XXX � � � � � � � � � � �

4. 2007 XXX XXX � � � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � � � �






12. Totals ��

SCHEDULE P - PART 2O - REINSURANCENONPROPORTIONAL ASSUMED LIABILITY

1. Prior ��

2. 2005 ��

3. 2006 XXX � � � � � � � � � � �

4. 2007 XXX XXX ��

5. 2008 XXX XXX XXX � � � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � � � �






12. Totals ��

SCHEDULE P - PART 2P - REINSURANCENONPROPORTIONAL ASSUMED FINANCIAL LINES

1. Prior � ��

2. 2005 � � � � � � � � � � � �

3. 2006 XXX � � � � � � � � � � �

4. 2007 XXX XXX � � � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � � � �






12. Totals ��

60


SCHEDULE P - PART 2R - SECTION 1 - PRODUCTS LIABILITY - OCCURENCEYears in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED) DEVELOPMENT


12005

22006

32007

42008

52009

62010

72011

82012

92013

102014

11One Year

12Two Year

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2R - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��








12. Totals ��

SCHEDULE P - PART 2S - FINANCIAL GUARANTY/MORTGAGE GUARANTY1. Prior XXX XXX XXX XXX XXX XXX XXX

2. 2013 XXX XXX XXX XXX XXX XXX XXX XXX XXX

3. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX

4. Totals

SCHEDULE P - PART 2T - WARRANTY1. Prior XXX XXX XXX XXX XXX XXX XXX ��



4. Totals ��

NONE

61


SCHEDULE P - PART 3A - HOMEOWNERS/FARMOWNERSCUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END

($000 OMITTED)11

Number of12


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014


Payment

ClaimsClosedWithout

LossPayment

1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 3B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 3C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��









1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 3E - COMMERCIAL MULTIPLE PERIL1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








62


SCHEDULE P - PART 3F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCECUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END

($000 OMITTED)11

Number of12


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014


Payment

ClaimsClosedWithout

LossPayment

1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��



7. 2010 XXX XXX XXX XXX XXX � � ��

8. 2011 XXX XXX XXX XXX XXX XXX � ��




SCHEDULE P - PART 3F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE1. Prior 000 ��

2. 2005 � ��

3. 2006 XXX ��

4. 2007 XXX XXX ��



7. 2010 XXX XXX XXX XXX XXX � � � � � ��







2. 2005 �� XXX XXX

3. 2006 XXX �� XXX XXX

4. 2007 XXX XXX �� XXX XXX

5. 2008 XXX XXX XXX �� XXX XXX

6. 2009 XXX XXX XXX XXX �� XXX XXX






SCHEDULE P - PART 3H - SECTION 1 - OTHER LIABILITY - OCCURRENCE1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 3H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








63



CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END($000 OMITTED)

11Number of

12Number of


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014


Payment

ClaimsClosedWithout

LossPayment

1. Prior XXX XXX XXX XXX XXX XXX XXX 000 �� XXX XXX



SCHEDULE P - PART 3J - AUTO PHYSICAL DAMAGE1. Prior XXX XXX XXX XXX XXX XXX XXX 000 ��



SCHEDULE P - PART 3K - FIDELITY/SURETY1. Prior XXX XXX XXX XXX XXX XXX XXX 000 �� XXX XXX



SCHEDULE P - PART 3L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH)1. Prior XXX XXX XXX XXX XXX XXX XXX 000 �� XXX XXX



SCHEDULE P - PART 3M - INTERNATIONAL1. Prior 000 �� XXX XXX

2. 2005 � � � � � � � � � � XXX XXX

3. 2006 XXX � � � � � � � � � XXX XXX

4. 2007 XXX XXX � � � � � � � � XXX XXX

5. 2008 XXX XXX XXX � � � � � � � XXX XXX

6. 2009 XXX XXX XXX XXX � � � � � � XXX XXX

7. 2010 XXX XXX XXX XXX XXX � � � � � XXX XXX

8. 2011 XXX XXX XXX XXX XXX XXX � � � � XXX XXX

9. 2012 XXX XXX XXX XXX XXX XXX XXX � � � XXX XXX

10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX � � XXX XXX


64



CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END($000 OMITTED)

11Number of

12Number of


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014


Payment

ClaimsClosedWithout

LossPayment


2. 2005 XXX XXX

3. 2006 XXX XXX XXX

4. 2007 XXX XXX XXX XXX

5. 2008 XXX XXX XXX XXX XXX

6. 2009 XXX XXX XXX XXX XXX XXX








2. 2005 XXX XXX

3. 2006 XXX XXX XXX




7. 2010 XXX XXX XXX XXX XXX XXX XXX

8. 2011 XXX XXX XXX XXX XXX XXX XXX XXX


10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX



1. Prior 000 XXX XXX

2. 2005 XXX XXX

3. 2006 XXX XXX XXX




7. 2010 XXX XXX XXX XXX XXX XXX XXX





NONE

65


SCHEDULE P - PART 3R - SECTION 1 - PRODUCTS LIABILITY - OCCURENCECUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END

($000 OMITTED)11

Number of12


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014


Payment

ClaimsClosedWithout

LossPayment

1. Prior 000 ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 3R - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE1. Prior 000 ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX � � � � � � � � ��






10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX � ��


SCHEDULE P - PART 3S - FINANCIAL GUARANTY/MORTGAGE GUARANTY1. Prior XXX XXX XXX XXX XXX XXX XXX 000 XXX XXX



SCHEDULE P - PART 3T - WARRANTY1. Prior XXX XXX XXX XXX XXX XXX XXX 000 ��



NONE

66


SCHEDULE P - PART 4A - HOMEOWNERS/FARMOWNERSBULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��









1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4E - COMMERCIAL MULTIPLE PERIL1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








67


SCHEDULE P - PART 4F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCEBULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��



7. 2010 XXX XXX XXX XXX XXX � ��






1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4H - SECTION 1 - OTHER LIABILITY - OCCURRENCE1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








68



BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)Years inWhichLossesWere

Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014




SCHEDULE P - PART 4J - AUTO PHYSICAL DAMAGE1. Prior XXX XXX XXX XXX XXX XXX XXX ��



SCHEDULE P - PART 4K - FIDELITY/SURETY1. Prior XXX XXX XXX XXX XXX XXX XXX ��



SCHEDULE P - PART 4L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH)1. Prior XXX XXX XXX XXX XXX XXX XXX ��



SCHEDULE P - PART 4M - INTERNATIONAL1. Prior ��

2. 2005 � � � � � � � � � �

3. 2006 XXX � � � � � � � � �

4. 2007 XXX XXX � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � �

7. 2010 XXX XXX XXX XXX XXX � � � � �

8. 2011 XXX XXX XXX XXX XXX XXX � � � �

9. 2012 XXX XXX XXX XXX XXX XXX XXX � � �

10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX � �

11. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX �

69



BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)Years inWhichLossesWere

Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 � � � � � � � � � �

3. 2006 XXX � � � � � � � � �

4. 2007 XXX XXX � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � �







1. Prior ��

2. 2005 � � � � � � � � � �

3. 2006 XXX � � � � � � � � �

4. 2007 XXX XXX � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � �







1. Prior � � � � � � � ��

2. 2005 � � � � � � � � � �

3. 2006 XXX � � � � � � � � �

4. 2007 XXX XXX � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � �






70


SCHEDULE P - PART 4R - SECTION 1 - PRODUCTS LIABILITY - OCCURENCEBULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)


Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SCHEDULE P - PART 4R - SECTION 2 - PRODUCTS LIABILITY - CLAIMS-MADE1. Prior ��

2. 2005 � � � � � � � � � �

3. 2006 XXX � � � � � � � � �

4. 2007 XXX XXX � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � �






SCHEDULE P - PART 4S - FINANCIAL GUARANTY/MORTGAGE GUARANTY1. Prior XXX XXX XXX XXX XXX XXX XXX



SCHEDULE P - PART 4T - WARRANTY1. Prior XXX XXX XXX XXX XXX XXX XXX ��



NONE

71


SCHEDULE P - PART 5A - HOMEOWNERS/FARMOWNERSSECTION 1

CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR ENDYears in Which

PremiumsWere Earnedand Losses

Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��








SECTION 2NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END

Years in Which Premiums

Were Earnedand Losses

Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SECTION 3CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior � ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








72


SCHEDULE P - PART 5B - PRIVATE PASSENGER AUTO LIABILITY/MEDICALSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








73


SCHEDULE P - PART 5C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICALSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








74



SECTION 1CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��

5. 2008 XXX XXX XXX � ��










Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








75


SCHEDULE P - PART 5E - COMMERCIAL MULTIPLE PERILSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








76


SCHEDULE P - PART 5F - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCESECTION 1A

Years in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR ENDYears in Which


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 � � ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��


6. 2009 XXX XXX XXX XXX � ��






SECTION 2AYears in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX � � � � � � � �

5. 2008 XXX XXX XXX � � � � � � �

6. 2009 XXX XXX XXX XXX � � � � � �






SECTION 3AYears in CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 � ��

3. 2006 XXX ��

4. 2007 XXX XXX ��



7. 2010 XXX XXX XXX XXX XXX � ��





77


SCHEDULE P - PART 5F - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADESECTION 1B



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 � ��

3. 2006 XXX ��

4. 2007 XXX XXX � � ��

5. 2008 XXX XXX XXX � � ��

6. 2009 XXX XXX XXX XXX � ��

7. 2010 XXX XXX XXX XXX XXX � � � ��

8. 2011 XXX XXX XXX XXX XXX XXX � � � ��

9. 2012 XXX XXX XXX XXX XXX XXX XXX � ��



SECTION 2BYears in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 � ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








SECTION 3BYears in CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��



7. 2010 XXX XXX XXX XXX XXX � � ��

8. 2011 XXX XXX XXX XXX XXX XXX � � ��




78


SCHEDULE P - PART 5H - OTHER LIABILITY - OCCURRENCESECTION 1A



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








79


SCHEDULE P - PART 5H - OTHER LIABILITY - CLAIMS-MADESECTION 1B



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








80


SCHEDULE P - PART 5R - PRODUCTS LIABILITY - OCCURRENCESECTION 1A



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








81


SCHEDULE P - PART 5R - PRODUCTS LIABILITY - CLAIMS-MADESECTION 1B



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 � � ��

3. 2006 XXX � ��

4. 2007 XXX XXX � � � � � � � ��





9. 2012 XXX XXX XXX XXX XXX XXX XXX � � ��






Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��











Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��








82


SCHEDULE P - PART 5T - WARRANTYSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

1. Prior XXX XXX XXX XXX XXX XXX XXX � ��



SECTION 2Years in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014




SECTION 3Years in CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014




83


SCHEDULE P - PART 6C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICALSECTION 1

Years in Which CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED) 11Premiums


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��








12. Totals XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX ��

13. Earned Premiums (Sch P-Pt. 1) �� XXX

SECTION 2Years in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��











SECTION 1Years in Which CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED) 11


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��












Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










84


SCHEDULE P - PART 6E - COMMERCIAL MULTIPLE PERILSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��












Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










SCHEDULE P - PART 6H - OTHER LIABILITY - OCCURRENCESECTION 1A



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










SECTION 2AYears in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��







11. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX � ��

12. Totals XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX � ��


85


SCHEDULE P - PART 6H - OTHER LIABILITY - CLAIMS-MADESECTION 1B



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










SECTION 2BYears in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










SCHEDULE P - PART 6M - INTERNATIONALSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��












Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��




8. 2011 XXX XXX XXX XXX XXX XXX � � � � �


10. 2013 XXX XXX XXX XXX XXX XXX XXX XXX � � �




86


SCHEDULE P - PART 6N - REINSURANCE - NONPROPORTIONAL ASSUMED PROPERTYSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��












Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX � � � � � � � � � �

4. 2007 XXX XXX ��



7. 2010 XXX XXX XXX XXX XXX � � � � � �




11. 2014 XXX XXX XXX XXX XXX XXX XXX XXX XXX � � � �

12. Totals XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX � �


SCHEDULE P - PART 6O - REINSURANCE - NONPROPORTIONAL ASSUMED LIABILITYSECTION 1



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��









13. Earned Premiums (Sch P-Pt. 1) � � �� XXX



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��


6. 2009 XXX XXX XXX XXX � � � � � � �

7. 2010 XXX XXX XXX XXX XXX � � � � � �







87


SCHEDULE P - PART 6R - PRODUCTS LIABILITY - OCCURRENCESECTION 1A



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior ��

2. 2005 ��

3. 2006 XXX � ��

4. 2007 XXX XXX ��










SECTION 2AYears in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










SCHEDULE P - PART 6R - PRODUCTS LIABILITY - CLAIMS-MADESECTION 1B



Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��










SECTION 2BYears in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED) 11


Were Incurred

1

2005

2

2006

3

2007

4

2008

5

2009

6

2010

7

2011

8

2012

9

2013

10

2014

CurrentYear

Premiums Earned

1. Prior � � � � � � � � � � �

2. 2005 ��

3. 2006 XXX ��

4. 2007 XXX XXX ��





9. 2012 XXX XXX XXX XXX XXX XXX XXX � � � �





88


Schedule P - Part 7A - Section 1 - Primary Loss Sensitive Contracts

N O N E


N O N E


N O N E


N O N E


N O N E

Schedule P - Part 7B - Section 1 - Reinsurance Loss Sensitive Contracts

N O N E


N O N E


N O N E


N O N E


N O N E


N O N E


N O N E

89, 90, 91, 92


SCHEDULE T - EXHIBIT OF PREMIUMS WRITTENAllocated by States and Territories

1 Gross Premiums, Including Policy and Membership Fees, Less Return Premiums and Premiums on Policies Not

Taken

4

DividendsPaid or

5

Direct

6 7 8

Finance and

9Direct

Premiums Written for

Federal

States, Etc.ActiveStatus

2Direct

Premiums Written

3Direct

Premiums Earned

Credited to Policyholders

on Direct Business

LossesPaid

(DeductingSalvage)

DirectLosses Incurred

DirectLossesUnpaid

Service Charges Not Included in Premiums

Purchasing Groups

(Included in Column 2)

1. Alabama AL � ��

2. Alaska AK � ��

3. Arizona AZ � ��

4. Arkansas AR � ��

5. California CA � ��

6. Colorado CO � ��

7. Connecticut CT � ��

8. Delaware DE � ��

9. District of Columbia DC � ��

10. Florida FL � ��

11. Georgia GA � ��

12. Hawaii HI � ��

13. Idaho ID � ��

14. Illinois IL � ��

15. Indiana IN � ��

16. Iowa IA � ��

17. Kansas KS � ��

18. Kentucky KY � ��

19. Louisiana LA � ��

20. Maine ME � ��

21. Maryland MD � ��

22. Massachusetts MA � ��

23. Michigan MI � ��

24. Minnesota MN � ��

25. Mississippi MS � ��

26. Missouri MO � ��

27. Montana MT � ��

28. Nebraska NE � ��

29. Nevada NV � ��

30. New Hampshire NH � ��

31. New Jersey NJ � ��

32. New Mexico NM � ��

33. New York NY � ��

34. North Carolina NC � ��

35. North Dakota ND � ��

36. Ohio OH � ��

37. Oklahoma OK � ��

38. Oregon OR � � ��

39. Pennsylvania PA � ��

40. Rhode Island RI � ��

41. South Carolina SC � ��

42. South Dakota SD � ��

43. Tennessee TN � ��

44. Texas TX � ��

45. Utah UT � ��

46. Vermont VT � ��

47. Virginia VA � ��

48. Washington WA � ��

49. West Virginia WV � ��

50. Wisconsin WI � � ��

51. Wyoming WY � ��

52. American Samoa AS �

53. Guam GU �

54. Puerto Rico PR � ��

55. U.S. Virgin Islands VI �

56. Northern Mariana Islands MP �

57. Canada CAN � ��

58. Aggregate other alien OT XXX ��

59. Totals (a) ��

DETAILS OF WRITE-INS58999. Totals (Lines 58001 through

58003 plus 58998)(Line 58 above) XXX ��

(L) Licensed or Chartered - Licensed Insurance Carrier or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Qualified - Qualified or Accredited Reinsurer; (E) Eligible - Reporting Entities eligible or approved to write Surplus Lines in the state; (N) None of the above - Not allowed to write business in the state.

Explanation of basis of allocation of premiums by states, etc.Premiums are allocated to those states where the insured risks are located: principle garage for automobile, physical address for homeowners, commercial multiple peril and other liability and main place of work for workers' compensation. Allocation of premiums for individual and group health insurance is based on the situs of the contract.

(a) Insert the number of L responses except for Canada and Other Alien.

94


SCHEDULE D - SUMMARY BY COUNTRYLong-Term Bonds and Stocks OWNED December 31 of Current Year

Description

1Book/Adjusted Carrying Value

2

Fair Value

3

Actual Cost

4

Par Value of BondsBONDS

Governments(Including all obligations guaranteed by governments)

1. United States ��

2. Canada ��

3. Other Countries � � � �

4. Totals ��

U.S. States, Territories and Possessions(Direct and guaranteed) 5. Totals ��

U.S. Political Subdivisions of States, Territories and Possessions (Direct and guaranteed) 6. Totals ��

U.S. Special revenue and special assessment obligations and all non-guaranteed obligations of agencies and authorities of governments and their political subdivisions 7. Totals ��

Industrial and Miscellaneous and Hybrid Securities (unaffiliated)


9. Canada ��

10. Other Countries ��

11. Totals ��

Parent, Subsidiaries and Affiliates 12. Totals � � � �

13. Total Bonds ��

PREFERRED STOCKSIndustrial and Miscellaneous (unaffiliated)


15. Canada � � �

16. Other Countries � � �

17. Totals ��

Parent, Subsidiaries and Affiliates 18. Totals � � �

19. Total Preferred Stocks ��

COMMON STOCKSIndustrial and Miscellaneous (unaffiliated)


21. Canada � � �

22. Other Countries ��

23. Totals ��

Parent, Subsidiaries and Affiliates 24. Totals ��

25. Total Common Stocks ��

26. Total Stocks ��

27. Total Bonds and Stocks ��

SI04


SCHEDULE D - PART 1A - SECTION 1Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations

NAIC Designation

1

1 Year or Less

2Over 1 Year

Through 5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6

Total Current Year

7Col. 6 as a % of

Line 9.7

8Total from Col. 6

Prior Year

9% From Col. 7

Prior Year

10Total Publicly

Traded

11Total Privately

Placed (a)1. U.S. Governments

1.1 NAIC 1 ��

1.2 NAIC 2 ��

1.3 NAIC 3

1.4 NAIC 4

1.5 NAIC 5

1.6 NAIC 6

1.7 Totals ��

2. All Other Governments2.1 NAIC 1 ��

2.2 NAIC 2

2.3 NAIC 3

2.4 NAIC 4

2.5 NAIC 5

2.6 NAIC 6

2.7 Totals ��

3. U.S. States, Territories and Possessions etc., Guaranteed

3.1 NAIC 1 ��

3.2 NAIC 2 ��

3.3 NAIC 3

3.4 NAIC 4

3.5 NAIC 5

3.6 NAIC 6

3.7 Totals ��

4. U.S. Political Subdivisions of States, Territories and Possessions , Guaranteed

4.1 NAIC 1 ��

4.2 NAIC 2 ��

4.3 NAIC 3

4.4 NAIC 4

4.5 NAIC 5 ��

4.6 NAIC 6

4.7 Totals ��

5. U.S. Special Revenue & Special Assessment Obligations, etc., Non-Guaranteed

5.1 NAIC 1 ��

5.2 NAIC 2 ��

5.3 NAIC 3 ��

5.4 NAIC 4 ��

5.5 NAIC 5

5.6 NAIC 6

5.7 Totals ��

SI05


SCHEDULE D - PART 1A - SECTION 1 (Continued)Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations

NAIC Designation

1

1 Year or Less

2Over 1 Year

Through 5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6

Total Current Year

7Col. 6 as a % of

Line 9.7

8Total from Col. 6

Prior Year

9% From Col. 7

Prior Year

10Total Publicly

Traded

11Total Privately

Placed (a)6. Industrial & Miscellaneous (Unaffiliated)

6.1 NAIC 1 ��

6.2 NAIC 2 ��

6.3 NAIC 3 ��

6.4 NAIC 4 ��

6.5 NAIC 5 ��

6.6 NAIC 6 ��

6.7 Totals ��

7. Hybrid Securities7.1 NAIC 1 ��

7.2 NAIC 2 ��

7.3 NAIC 3

7.4 NAIC 4

7.5 NAIC 5

7.6 NAIC 6

7.7 Totals ��

8. Parent, Subsidiaries and Affiliates8.1 NAIC 1 ��

8.2 NAIC 2

8.3 NAIC 3

8.4 NAIC 4

8.5 NAIC 5

8.6 NAIC 6

8.7 Totals ��

SI06


SCHEDULE D - PART 1A - SECTION 1 (Continued)Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations

NAIC Designation

1

1 Year or Less

2Over 1 Year

Through 5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6

Total Current Year

7Col. 6 as a % of

Line 9.7

8Total from Col. 6

Prior Year

9% From Col. 7

Prior Year

10Total Publicly

Traded

11Total Privately

Placed (a)9. Total Bonds Current Year

9.1 NAIC 1 (d) �� XXX XXX ��

9.2 NAIC 2 (d) �� XXX XXX ��

9.3 NAIC 3 (d) �� XXX XXX ��

9.4 NAIC 4 (d) �� XXX XXX ��

9.5 NAIC 5 (d) �� (c) �� XXX XXX ��

9.6 NAIC 6 (d) �� (c) �� XXX XXX ��

9.7 Totals �� (b) �� XXX XXX ��

9.8 Line 9.7 as a % of Col. 6 � �� XXX XXX XXX ��

10. Total Bonds Prior Year10.1 NAIC 1 �� XXX XXX ��

10.2 NAIC 2 �� XXX XXX ��



10.5 NAIC 5 �� XXX XXX (c) ��

10.6 NAIC 6 �� XXX XXX (c) ��

10.7 Totals �� XXX XXX (b) ��

10.8 Line 10.7 as a % of Col. 8 � �� XXX XXX �� XXX ��

11. Total Publicly Traded Bonds11.1 NAIC 1 �� XXX11.2 NAIC 2 �� XXX11.3 NAIC 3 �� XXX11.4 NAIC 4 �� XXX11.5 NAIC 5 �� XXX11.6 NAIC 6 �� XXX11.7 Totals �� XXX11.8 Line 11.7 as a % of Col. 6 � �� XXX XXX XXX �� XXX11.9 Line 11.7 as a % of Line 9.7, Col. 6,

Section 9 � �� XXX XXX XXX �� XXX12. Total Privately Placed Bonds

12.1 NAIC 1 �� XXX ��

12.2 NAIC 2 �� XXX ��

12.3 NAIC 3 �� XXX ��

12.4 NAIC 4 �� XXX ��

12.5 NAIC 5 �� XXX ��

12.6 NAIC 6 �� XXX ��

12.7 Totals �� XXX ��

12.8 Line 12.7 as a % of Col. 6 � �� XXX XXX XXX XXX ��

12.9 Line 12.7 as a % of Line 9.7, Col. 6, Section 9 � �� XXX XXX XXX XXX � ��

(a) Includes $ �� freely tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A.(b) Includes $ �� current year, $ �� prior year of bonds with Z designations and $ � , current year $ � prior year of bonds with Z* designations. The letter "Z" means the NAIC designation was not

assigned by the Securities Valuation Office (SVO) at the date of the statement. "Z*" means the SVO could not evaluate the obligation because valuation procedures for the security class are under regulatory review.(c) Includes $ �� current year, $ �� prior year of bonds with 5* designations and $ �� , current year $ �� prior year of bonds with 6* designations. "5*" means the NAIC designation was assigned by the

(SVO) in reliance on the insurer's certification that the issuer is current in all principal and interest payments. "6*" means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments.(d) Includes the following amount of non-rated short-term and cash equivalent bonds by NAIC designation: NAIC 1 $ � ; NAIC 2 $ � ; NAIC 3 $ � ; NAIC 4 $ � ; NAIC 5 $ � ; NAIC 6 $ �

SI07


SCHEDULE D - PART 1A - SECTION 2Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues

Distribution by Type

1

1 Year or Less

2Over 1 Year

Through 5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6

Total Current Year

7Col. 6 as a % of

Line 9.5

8Total from Col. 6

Prior Year

9% From Col. 7

Prior Year

10Total Publicly

Traded

11Total Privately

Placed1. U.S. Governments

1.1 Issuer Obligations ��

1.2 Residential Mortgage-Backed Securities ��

1.3 Commercial Mortgage-Backed Securities ��

1.4 Other Loan-Backed and Structured Securities ��

1.5 Totals ��

2. All Other Governments2.1 Issuer Obligations ��

2.2 Residential Mortgage-Backed Securities

2.3 Commercial Mortgage-Backed Securities

2.4 Other Loan-Backed and Structured Securities

2.5 Totals ��

3. U.S. States, Territories and Possessions, Guaranteed3.1 Issuer Obligations ��




3.5 Totals ��

4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed4.1 Issuer Obligations ��




4.5 Totals ��

5. U.S. Special Revenue & Special Assessment Obligations etc., Non-Guaranteed

5.1 Issuer Obligations ��




5.5 Totals ��

6. Industrial and Miscellaneous6.1 Issuer Obligations ��




6.5 Totals ��

7. Hybrid Securities7.1 Issuer Obligations ��




7.5 Totals ��

8. Parent, Subsidiaries and Affiliates8.1 Issuer Obligations ��




8.5 Totals ��

SI08


SCHEDULE D - PART 1A - SECTION 2 (Continued)Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues

Distribution by Type

1

1 Year or Less

2Over 1 Year

Through 5 Years

3Over 5 Years

Through 10 Years

4Over 10 Years

Through 20 Years

5

Over 20 Years

6

Total Current Year

7Col. 6 as a % of

Line 9.5

8Total from Col. 6

Prior Year

9% From Col. 7

Prior Year

10Total Publicly

Traded

11Total Privately

Placed9. Total Bonds Current Year

9.1 Issuer Obligations �� XXX XXX ��

9.2 Residential Mortgage-Backed Securities �� XXX XXX ��

9.3 Commercial Mortgage-Backed Securities �� XXX XXX ��

9.4 Other Loan-Backed and Structured Securities �� XXX XXX ��

9.5 Totals �� XXX XXX ��

9.6 Line 9.5 as a % of Col. 6 � �� XXX XXX XXX ��

10. Total Bonds Prior Year10.1 Issuer Obligations �� XXX XXX ��

10.2 Residential Mortgage-Backed Securities �� XXX XXX ��

10.3 Commercial Mortgage-Backed Securities �� XXX XXX ��

10.4 Other Loan-Backed and Structured Securities �� XXX XXX ��

10.5 Totals �� XXX XXX ��

10.6 Line 10.5 as a % of Col. 8 � �� XXX XXX �� XXX ��

11. Total Publicly Traded Bonds11.1 Issuer Obligations �� XXX11.2 Residential Mortgage-Backed Securities �� XXX11.3 Commercial Mortgage-Backed Securities �� XXX11.4 Other Loan-Backed and Structured Securities �� XXX11.5 Totals �� XXX11.6 Line 11.5 as a % of Col. 6 � �� XXX XXX XXX �� XXX11.7 Line 11.5 as a % of Line 9.5, Col. 6, Section 9 �� XXX XXX XXX �� XXX

12. Total Privately Placed Bonds12.1 Issuer Obligations �� XXX ��

12.2 Residential Mortgage-Backed Securities �� XXX ��

12.3 Commercial Mortgage-Backed Securities �� XXX ��

12.4 Other Loan-Backed and Structured Securities �� XXX ��

12.5 Totals �� XXX ��

12.6 Line 12.5 as a % of Col. 6 � �� XXX XXX XXX XXX ��

12.7 Line 12.5 as a % of Line 9.5, Col. 6, Section 9 � �� XXX XXX XXX XXX ��

SI09


SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year

1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22

CUSIP Identification Description

Code

Foreign

BondChar

NAICDes.

ActualCost

Rate Used to Obtain

Fair Value

FairValue

ParValue

Book/AdjustedCarrying

Value

UnrealizedValuationIncrease/

(Decrease)

CurrentYear's(Amor-tization)

Accretion

CurrentYear'sOther-Than-

TemporaryImpairmentRecognized

TotalForeign

ExchangeChange

inBook/

AdjustedCarrying

ValueRate

of

EffectiveRate

ofWhenPaid

AdmittedAmountDue andAccrued

Amount Received

During Year Acquired

StatedContractual

MaturityDate

8399999 - Total Bonds �� XXX �� XXX XXX XXX �� XXX XXX

E10


SCHEDULE D - PART 2 - SECTION 1Showing All PREFERRED STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 7 8 Fair Value 11 Dividends Change in Book/Adjusted Carrying Value 20 21

CUSIP Identi-fication Description

3

Code

4

For-eign

Numberof

Shares

ParValuePer

Share

RatePer

Share


Value

9

RatePer

ShareUsed to Obtain

FairValue

10

Fair Value Actual Cost

12

Declaredbut Unpaid

13

Amount Received

During Year

14

Nonadmitted Declared But

Unpaid

15

Unrealized Valuation Increase/

(Decrease)

16

Current Year's (Amor-tization)

Accretion

17

Current Year's

Other-Than- Temporary Impairment Recognized

18

Total Change in

Book/Adjusted Carrying Value (15 + 16 - 17)

19Total

Foreign Exchange Change in

Book/Adjusted Carrying

Value

NAIC Desig-nation

Date Acquired

8999999 - Total Preferred Stocks �� XXX �� XXX XXX

E11


SCHEDULE D - PART 2 - SECTION 2Showing All COMMON STOCKS Owned December 31 of Current Year

1 2 Codes 5 6 Fair Value 9 Dividends Change in Book/Adjusted Carrying Value 17 18

CUSIP Identi-fication Description

3

Code

4

For-eign

Numberof

Shares


Value

7RatePer

ShareUsed to Obtain

FairValue

8

Fair Value Actual Cost

10

Declaredbut Unpaid

11

Amount Received

During Year

12

Nonadmitted Declared But

Unpaid

13

Unrealized Valuation Increase/

(Decrease)

14

Current Year's Other Than Temporary Impairment Recognized

15

Total Change in Book/Adjusted Carrying Value

(13 - 14)

16

Total Foreign Exchange Change in

Book/Adjusted Carrying

Value

NAIC Market

Indicator(a)

Date Acquired

9899999 - Total Preferred and Common Stocks �� XXX �� XXX XXX(a) For all common stock bearing the NAIC market indicator "U" provide: the number of such issues �� , the total $ value (included in Column 8) of all such issues $ ��

E12

��

COMBINED INSURANCE EXPENSE EXHIBITFOR THE YEAR ENDED DECEMBER 31, 2014

(To Be Filed by May 1)

Of The (Name) ��

ADDRESS (City, State and Zip Code) �� !�" �� #��$!%&�'�&&&

NAIC Group Code �! NAIC Company Code �! ( Employer's Identification Number (FEIN) %��!�""�

Contact Person �)�� *�� Title ��+��+ Telephone (�!�&!,��'!'

270-1

INSURANCE EXPENSE EXHIBIT FOR THE YEAR 2014 OF THE NATIONWIDE MUTUAL INSURANCE COMPANY AND ITS AFFILIATED FIRE AND CASUALTY INSURERS

INTERROGATORIES

1. Change in reserve for deferred maternity and other similar benefits are reflected in:

1.1 Premiums Earned ��

1.2 Losses Incurred ��

1.3 Not Applicable ��

2. Indicate amounts received from securities subject to proration for federal tax purposes. Report amounts in whole dollars only:

2.1 Amount included on Exhibit of Net Investment Income, Line 1.1, Column 2 $ ��


2.3 Amount included on Exhibit of Net Investment Income, Line 2.11, Column 2 $ �


2.5 Amount included on Exhibit of Net Investment Income, Line 2.21, Column 2 $ �

3. Indicate amounts shown in the Annual Statement for the following items. Report amounts in whole dollars only:

3.1 Net Investment Income, Page 4, Line 9, Column 1 $ ��

3.2 Net Realized Capital Gain or (Loss), Page 4, Line 10, Column 1 $ ��

4.1 The information provided in the Insurance Expense Exhibit will be used by many persons to estimate the allocation of expenses and profit to the various lines of business. Are there any items requiring special comment or explanation? ��

4.2 Are items allocated to lines of business in Parts II and III using methods not defined in the instructions? ��

Statement may be attached.

4.3 If yes, explain:

270-2


PART I - ALLOCATION TO EXPENSE GROUPS(000 OMITTED)

1 Other Underwriting Expenses 5 6

Operating Expense ClassificationsLoss Adjustment

Expense

2Acquisition, Field Supervision and

CollectionExpenses

3

GeneralExpenses

4

Taxes, Licensesand Fees

Investment Expenses Total Expenses

1. Claim adjustment services:

1.1 Direct ��

1.2 Reinsurance assumed ��

1.3 Reinsurance ceded ��

1.4 Net claim adjustment services (Lines 1.1+1.2-1.3) ��

2. Commission and brokerage:

2.1 Direct excluding contingent � ��

2.2 Reinsurance assumed excluding contingent � ��

2.3 Reinsurance ceded excluding contingent � ��

2.4 Contingent - direct � ��

2.5 Contingent - reinsurance assumed � ��

2.6 Contingent - reinsurance ceded � ��

2.7 Policy and membership fees � � � � � �

2.8 Net commission and brokerage (Lines 2.1+2.2-2.3+2.4+2.5-2.6+2.7) � ��

3. Allowances to managers and agents ��

4. Advertising ��

5. Boards, bureaus and associations ��

6. Surveys and underwriting reports ��

7. Audit of assureds' records ��

8. Salary related items:

8.1 Salaries ��

8.2 Payroll taxes ��

9. Employee relations and welfare ��

10. Insurance ��

11. Directors' fees � ��

12. Travel and travel items ��

13. Rent and rent items ��

14. Equipment ��

15. Cost or depreciation of EDP equipment and software ��

16. Printing and stationery ��

17. Postage, telephone and telegraph, exchange and express ��

18. Legal and auditing ��

19. Totals (Lines 3 to 18) ��

20. Taxes, licenses and fees:

20.1 State and local insurance taxes

deducting guaranty association

credits of $ � � � � ��

20.2 Insurance department licenses and fees � � � ��

20.3 Gross guaranty association assessments � � � ��

20.4 All other (excluding Federal and foreign income and real estate) � � ��

20.5 Total taxes, licenses and fees (Lines 20.1+20.2+20.3+20.4) � � ��

21. Real estate expenses � � � � ��

22. Real estate taxes � � ��

23. Reimbursements by uninsured plans XXX XXX XXX XXX XXX XXX

24. Aggregate write-ins for miscellaneous operating expenses ��

25. TOTAL EXPENSES INCURRED ��


2499. Totals (Lines 2401 through 2403 plus 2498)(Line 24 above) ��

270-3


PART II - ALLOCATION TO LINES OF BUSINESS NET OF REINSURANCEPREMIUMS, LOSSES, EXPENSES, RESERVES AND PROFITS AND PERCENTAGES TO PREMIUMS EARNED FOR BUSINESS NET OF REINSURANCE

(000 OMITTED)Loss Adjustment Expense Loss Adjustment Expense

Premiums Written(Pg. 8, Pt. 1B,

Col. 6)

Premiums Earned(Pg. 6, Pt. 1,

Col. 4)

Dividends toPolicyholders

(Pg. 4, Line 17)Incurred Loss

(Pg. 9, Pt. 2, Col. 7)

Defense and Cost Containment Expenses

Incurred Adjusting and Other Expenses Incurred

Unpaid Losses (Pg. 10, Pt. 2A, Col. 8)


Unpaid Adjusting and Other Expenses Unpaid

Unearned Premium Reserves

(Pg. 7, Pt. 1A, Col. 5) Agents' Balances1

Amount2%

3Amount

4%

5Amount

6%

7Amount

8%

9Amount

10%

11Amount

12%

13Amount

14%

15Amount

16%

17Amount

18%

19Amount

20%

21Amount

22%

1. Fire �� XXX ��

2.1 Allied Lines �� XXX ��

2.2 Multiple Peril Crop � XXX � ��

2.3 Federal Flood � XXX � ��

2.4 Private crop � XXX � ��

3. Farmowners Multiple Peril �� XXX ��

4. Homeowners Multiple Peril �� XXX ��

5.1 Commercial Multiple Peril (Non-Liability Portion) �� XXX ��

5.2 Commercial Multiple Peril (Liability Portion) �� XXX ��

6. Mortgage Guaranty � XXX � ��

8. Ocean Marine � �� XXX ��

9. Inland Marine �� XXX � ��

10. Financial Guaranty � XXX � ��

11. Medical Professional Liability �� XXX ��

12. Earthquake � �� XXX � ��

13. Group A&H (See Interrogatory 1) �� XXX ��

14. Credit A&H � XXX � ��

15. Other A&H (See Interrogatory 1) �� XXX ��

16. Workers' Compensation � �� XXX ��

17.1 Other Liability - Occurrence �� XXX ��

17.2 Other Liability - Claims-Made �� XXX ��

17.3 Excess Workers' Compensation � XXX � ��

18. Products Liability �� XXX ��

19.1, 19.2 Private Passenger Auto Liability �� XXX ��

19.3, 19.4 Commercial Auto Liability �� XXX ��

21.1 Private Passenger Auto Physical Damage �� XXX ��

21.2 Commercial Auto Physical Damage �� XXX ��


� XXX � ��

��

��

��

��

��

��

23. Fidelity �� XXX ��

24. Surety �� XXX ��

26. Burglary and Theft �� XXX ��

27. Boiler and Machinery �� XXX ��

28. Credit �� XXX ��

29. International �� XXX ��

30. Warranty �� XXX ��

31, 32, 33 Reinsurance - Nonproportional Assumed �� XXX ��

34. Aggregate write-ins for Other Lines of Business � XXX � ��

35. TOTAL (Lines 1 through 34) �� XXX ��

DETAILS OF WRITE-INS3499. Totals (Lines 3401 thru 3403 plus

3498)(Line 34 above) � XXX � ��

270-4


PART II - ALLOCATION TO LINES OF BUSINESS NET OF REINSURANCE (Continued)PREMIUMS, LOSSES, EXPENSES, RESERVES AND PROFITS AND PERCENTAGES TO PREMIUMS EARNED FOR BUSINESS NET OF REINSURANCE

(000 OMITTED)Other Underwriting Expenses

Commission and Brokerage Expenses Incurred

(IEE Pt. 1, Line 2.8, Col. 2)

Taxes, Licenses &Fees Incurred(IEE Pt. 1, Line

20.5, Col. 4)

Other Acquisitions, Field Supervision, and Collection

Expenses Incurred(IEE Pt. 1, Line 25 minus 2.8 Col. 2)

General Expenses Incurred(IEE Pt. 1, Line 25, Col. 3)

Other Income Less Other Expenses

(Pg. 4, Line 15minus Line 5)

Pre-Tax Profit or Loss Excluding All

Investment Gain

Investment Gainon Funds

Attributable to InsuranceTransactions

Profit or LossExcluding

Investment GainAttributable to

Capital and Surplus

Investment GainAttributable to

Capital and Surplus Total Profit or Loss23

Amount24%

25Amount

26%

27Amount

28%

29Amount

30%

31Amount

32%

33Amount

34%

35Amount

36%

37Amount

38%

39Amount

40%

41Amount

42%

1. Fire ��

2.1 Allied Lines ��

2.2 Multiple Peril Crop � � � � � � � � � � � � � � � � � � � � � �

2.3 Federal Flood ��

2.4. Private crop � � � � � � � � � � � � � � � � � � � �

3. Farmowners Multiple Peril ��

4. Homeowners Multiple Peril ��

5.1 Commercial Multiple Peril (Non-Liability Portion) � ��

5.2 Commercial Multiple Peril (Liability Portion) ��

6. Mortgage Guaranty � � � � � � � � � � ��

8. Ocean Marine ��

9. Inland Marine ��

10. Financial Guaranty � � � � � � � � � � � � � � � � � � � �

11. Medical Professional Liability ��


13. Group A&H (See Interrogatory 1) ��

14. Credit A&H � � � � � � � � � � � � � � � � � � � �

15. Other A&H (See Interrogatory 1) ��

16. Workers' Compensation � ��

17.1 Other Liability - Occurrence ��

17.2 Other Liability - Claims-Made ��

17.3 Excess Workers' Compensation � � � � � � � � � � � � � � � � � � � �

18. Products Liability ��

19.1, 19.2 Private Passenger Auto Liability � ��

19.3, 19.4 Commercial Auto Liability ��

21.1 Private Passenger Auto Physical Damage � ��

21.2 Commercial Auto Physical Damage ��


� � � � � � � � � � ��

��

��

��

��

��

��

� ��

��

� ��

��

23. Fidelity ��

24. Surety ��

26. Burglary and Theft ��

27. Boiler and Machinery

� ��

��

� ��

��

��

��

��

28. Credit ��

29. International � � � � � � � � ��

30. Warranty ��

31, 32, 33 Reinsurance - Nonproportional Assumed

��

��

��

��

��

��

�

34. Aggregate write-ins for Other Lines of Business � � � � � � � � � � � � � � � � � � � �

35. TOTAL (Lines 1 through 34) ��


3498)(Line 34 above) � � � � � � � � � � � � � � � � � � � �

NOTE: THE ALLOCATION OF INVESTMENT INCOME FROM CAPITAL AND SURPLUS BY LINE OF BUSINESS MAY NOT ACCURATELY REFLECT THE PROFITABILITY OF A PARTICULAR LINE FOR USE IN THE RATE MAKING PROCESS.

270-5


PART III - ALLOCATION TO LINES OF DIRECT BUSINESS WRITTENPREMIUMS, LOSSES, EXPENSES, RESERVES AND PROFITS, AND PERCENTAGES TO PREMIUMS EARNED FOR DIRECT BUSINESS WRITTEN

(000 OMITTED)Loss Adjustment Expense Loss Adjustment Expense

Premiums Written Pg. 8, Pt. 1B, Col. 1)

Premiums Earned Sch. T, Line 59, Col. 3)

Dividends to

Policyholders Incurred Loss

(Sch. T, Line 59, Col. 6)


Incurred Adjusting and Other Expenses Incurred

Unpaid Losses (Sch. T, Line 59, Col. 7)


Unpaid Adjusting and Other Expenses Unpaid

Unearned Premium Reserves Agents' Balances

1Amount

2%

3Amount

4%

5Amount

6%

7Amount

8%

9Amount

10%

11Amount

12%

13Amount

14%

15Amount

16%

17Amount

18%

19Amount

20%

21Amount

22%

1. Fire �� XXX ��

2.1 Allied Lines �� XXX ��

2.2 Multiple Peril Crop � XXX � ��

2.3 Federal Flood �� XXX ��

2.4 Private crop � XXX � ��

3. Farmowners Multiple Peril �� XXX � ��

4. Homeowners Multiple Peril �� XXX ��

5.1 Commercial Multiple Peril (Non-Liability Portion) �� XXX � ��

5.2 Commercial Multiple Peril (Liability Portion) �� XXX ��

6. Mortgage Guaranty � XXX � ��

8. Ocean Marine �� XXX ��

9. Inland Marine �� XXX ��

10. Financial Guaranty � XXX � ��

11. Medical Professional Liability �� XXX ��

12. Earthquake �� XXX ��

13. Group A&H (See Interrogatory 1) �� XXX ��

14. Credit A&H � XXX � ��

15. Other A&H (See Interrogatory 1) �� XXX ��

16. Workers' Compensation �� XXX ��

17.1 Other Liability - Occurrence � �� XXX ��

17.2 Other Liability - Claims-Made �� XXX � ��

17.3 Excess Workers' Compensation � XXX � ��

18. Products Liability �� XXX ��

19.1, 19.2 Private Passenger Auto Liability �� XXX ��

19.3, 19.4 Commercial Auto Liability �� XXX ��

21.1 Private Passenger Auto Physical Damage �� XXX ��

21.2 Commercial Auto Physical Damage � �� XXX ��

22. Aircraft (all perils) � XXX � ��

23. Fidelity �� XXX ��

24. Surety �� XXX ��

26. Burglary and Theft �� XXX ��

27. Boiler and Machinery �� XXX ��

28. Credit �� XXX ��

29. International � XXX � ��

30. Warranty �� XXX ��

34. Aggregate write-ins for Other Lines of Business � XXX � ��

35. TOTAL (Lines 1 through 34) �� XXX ��


3498)(Line 34 above) � XXX � ��

270-6


PART III - ALLOCATION TO LINES OF DIRECT BUSINESS WRITTEN (Continued)PREMIUMS, LOSSES, EXPENSES, RESERVES AND PROFITS, AND PERCENTAGES TO PREMIUMS EARNED FOR DIRECT BUSINESS WRITTEN

(000 OMITTED)Other Underwriting Expenses

Commission and Brokerage Expenses Incurred

Taxes, Licenses &Fees Incurred

Other Acquisitions, Field Supervision, and Collection

Expenses Incurred General Expenses IncurredOther Income Less

Other ExpensesPre-Tax Profit or Loss

Excluding All Investment 23

Amount24%

25Amount

26%

27Amount

28%

29Amount

30%

31Amount

32%

33Amount

34%

1. Fire ��

2.1 Allied Lines ��

2.2 Multiple Peril Crop � � � � ��

2.3 Federal Flood ��

2.4 Private crop � � � � � � � � � � � �

3. Farmowners Multiple Peril ��

4. Homeowners Multiple Peril ��

5.1 Commercial Multiple Peril (Non-Liability Portion) ��

5.2 Commercial Multiple Peril (Liability Portion) � ��

6. Mortgage Guaranty � � � � ��

8. Ocean Marine ��

9. Inland Marine � ��

10. Financial Guaranty � � � � ��

11. Medical Professional Liability ��


13. Group A&H (See Interrogatory 1) ��

14. Credit A&H � � � � � � � � � � � �

15. Other A&H (See Interrogatory 1) ��

16. Workers' Compensation � ��

17.1 Other Liability - Occurrence ��

17.2 Other Liability - Claims-Made ��

17.3 Excess Workers' Compensation � � � � � ��

18. Products Liability ��

19.1, 19.2 Private Passenger Auto Liability ��

19.3, 19.4 Commercial Auto Liability ��

21.1 Private Passenger Auto Physical Damage ��

21.2 Commercial Auto Physical Damage ��

22. Aircraft (all perils) � � � � ��

23. Fidelity ��

24. Surety ��

26. Burglary and Theft ��

27. Boiler and Machinery ��

28. Credit � � � ��

29. International � � � � � � � � � � � �

30. Warranty � � ��

34. Aggregate write-ins for Other Lines of Business � � � � � � � � � � � �

35. TOTAL (Lines 1 through 34) ��

DETAILS OF WRITE-INS3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) � � � � � � � � � � � �

270-7


SCHEDULE ZPART 1 - COMPANIES INCLUDED IN THE CURRENT YEAR THAT ARE CONSOLIDATED OR COMBINED

Ownership InterestName of Company NAIC Code FIT Current Prior Basis for Inclusion

��

��

�� ! ��

" ��#"�� !�� $� ��$� ��

��%�� ! �&� ��&�� $� ��$� ��

��'�� ! � �� $� ��$� ��

�� !� � �� &! ��$� ��$� ��

��"##��#"�� !� �� !� ��$� ��$� ��

��"(�� &&�� $� ��$� ��

��"�� !&�� !!�� $� ��$� ��

��)�� &� � ��$� ��$� ��

�� !!�� $� ��$� ��

��#"�� &�&� !&�� $� ��$� ��

��#� �� !�� $� ��$� ��

��* �� &��!�� $� ��$� ��

��+��,�� !��&� ��$� ��$� ��

"��-�� !�� &�!&! ��$� ��$� ��

" ��+�� &�! ��!�� $� ��$� ��

.�� &�� &� ��$� ��$� ��

%�� !� ��!�� $� ��$� ��

�� !!� �� &�&� ��$� ��$� ��

%�� &&�� ! ! ��$� ��$� ��

%�� %�� *�� &�� $� ��$� ��

/��0��(�� &� � ��& �!�� $� ��$� ��

1��+�� & !&��&�� $� ��$� ��

1��,�� ! ��!�!�� $� ��$� ��

2�� &! ��$� ��$� ��

2�� ! � �� !&!� ��$� ��$� ��

1��"�� &!�� $� ��$� ��

1�� $� ��$� ��

1��% �� & ��!�� $� ��$� ��

1��%�� $� ��$� ��

0�� 3� ��-#��4�� !�� &� ! ��$� ��$� ��

0�� 3� ��-#��5��' �� !�� $� ��$� ��

0�� 3� �� &�� &� ��$� ��$� ��

0�� 3� *�'%�� &� ��!�&�� $� ��$� ��

0�� 3� +�#�� & ! ��!�� $� ��$� ��

0�� 3� /�� !�! � ��$� ��$� ��

PART 2 - COMPANIES INCLUDED IN THE CURRENT YEAR AND EXCLUDED IN THE PRIOR YEAROwnership Interest

Name of Company NAIC Code FIT Current Prior Reason for Inclusion

NONE

914

COMBINED STATEMENT FOR THE YEAR 2014 OF THE NATIONWIDE MUTUAL INSURANCE COMPANY AND ITS AFFILIATED FIRE AND CASUALTY INSURERSPART 3 - COMPANIES EXCLUDED IN THE CURRENT YEAR AND INCLUDED IN THE PRIOR YEAR

Ownership InterestName of Company NAIC Code FIT Current Prior Reason for ExclusionNONE

914.1


ANNUAL DISKETTE TRANSMITTAL FORM AND CERTIFICATION (PROPERTY)

Name of Insurer

Date FEIN

NAIC Group # NAIC Company #

THIS FORM IS REQUIRED FOR ALL DISKETTE TRANSMITTALS. PLEASE PROVIDE ANY ADDITIONAL COMMENTS THAT MAY HELP TO IDENTIFY DISKETTE CONTENT.

A. MARCH APRIL JUNE COMB

1. Is this the first time you’ve submitted this filing? (Y/N)

2. Is this being re-filed at the request of the NAIC or a state insurance department? (Y/N)

3. Is this being re-filed due to changes to the data originally filed? (Y/N) (IF “YES”, ENCLOSE HARD COPY PAGES FOR THE CHANGES.)

4. Other? (Y/N) (If “yes”, attach an explanation.)

B. Additional comments if necessary for clarification:

C. Diskette Contact Person:

Phone:

Address::

D. Software Vendor: Eagle Technology Management

Version: 2014

E. Have material validation failures been addressed in the explanation file?

Yes No

The undersigned hereby certifies, according to the best of his/her knowledge and belief: that the diskettes submitted with this form were prepared in compliance with the NAIC specifications, that the diskettes have been tested against the validations included with these specifications, and that annual statement information required to be contained on diskette is identical to the information in the 2014 Annual Statement blank filed with the insurer’s domiciliary state insurance department. In addition, the diskettes submitted have been scanned through a virus detection software package, and no viruses are present on the diskettes. The virus detection software used was (name)

(version number)

Signed

Type Name and Title:

01406 nationwide mutual insurance company and its

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