as of september 30,2018 well mark health plan of iowa, inc
TRANSCRIPT
I 111111 11111 11111 11111 11111 11111 11111 11111 11111 11111 II 11111111111111111111111111111111111111111 .9553 1 201 820 1 001 03'
HEALTH QUARTERLY STATEMENT As of September 30,2018 of the Condition and Affairs of the
Well mark Health Plan of Iowa, Inc. NAIC Group Code ..... 0770, 0770 NAIC Company Code ..... 95531 Employer's ID Number ..... 42-1455449
(Current Pened) (Pnor Pened)
Organized under the Laws of IA State of Domicile or Port of Entry IA Country of Domicile US
Licensed as Business Type Health Maintenance Organization Is HMO Federally Qualified? Yes [ J No [X J
Incorporated/Organized ..... March 13, 1996 Commenced Business ..... January 1, 1997
Statutory Home Office 1331 Grand Avenue .. Des Moines .. IA .. US .. 50309-2901 (Street and Number) (Cftyor Town, State, Countl}' and Zip Code)
Main Administrative Office 1331 Grand Avenue .. Des Moines .. IA .. US .. 50309-2901 (Street and Number) (City or Town, State, Countl}' and Zip Cede)
Mail Address 1331 Grand Avenue .. Des Moines .. IA .. US .. 50309-2901 (Street and Number or P. O. Box) (City or Town, State, Countl}' and Zip Code)
Primary Location of Books and Records 1331 Grand Avenue .. Des Moines .. IA .. US .. 50309-2901
Internet Web Site Address
Statutory Statement Contact
Name 1. Cory Randall Harris # 3. Michele Ann Druker
John Thomas Clendenin # Timothy Robert Gutshall M.D.
Ron Joseph Corbett
(Street and Number) (City or Town, State, Countl}' and Zip Cede)
www.welimark.com
Christa Daneen Kuennen (Name)
[email protected] (E-Mail Address)
OFFICERS Title
President, CEO & Chairman Secretary
Name 2. David Seth Brown 4.
OTHER Michael James Crowley Laura Jean Jackson
DIRECTORS OR TRUSTEES Cory Randall Harris-Chairman # Douglas Dwight Laird
515-376-4500 (Area Code) (Telephone Number)
515-376-4500 (Area Code) (Telephone Number)
515-376-4144 (Area Code) (Telephone Number) (Ex/ension)
515-376-9054 (Fax Number)
Title EVP, CFO & Treasurer
RECEIVED
NOV 1 4 2018
COMMISSION OF INSURANCE INSURANCE DIVISION OF IOWA
State of.. ...... Iowa County of.... Polk
The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated abcve, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent thaI: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related spondin electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed
onic filing may be requested by various regulators in lieu of or in addition to the enclosed statement.
_~~~_--Ptcd& t2 '~ (Signature)
President, CEO & Chairman (Title)
Subscribed aQ~ sworn to before meA l/..._ •
This fl~ day of --,/-".1£ VlwYr'=,-,=I,).fJ=----,/).=--D...::lt,----
~ l ffiub~·tk SHELLY R. GRIFFITH
fij Commission Number 178387 • • My Commission Expires
0" March 6, 2019
David Seth Brown 2. (Printed Name)
EVP, CFO & Treasurer (Title)
a. Is this an original filing? b. If no: 1. State the amendment number
2. Date filed 3. Number of pages attached
Michele Ann Druker 3. (Pnnted Name)
Secretary (Title)
Yes [XI No [ I
StatementasofSeptember30,2018ofltle Wellmark Health Plan of Iowa, Inc.
ASSETS
Assets
Current Statement Date 2
Nonadmitted Assets
3 Net Admitted
Assets (Cols.1 - 2t
4
Prior Year Net Admitted Assets
1. Bonds .................................................................................................................................. . ................ 164,522,210 ................ 164,522,210 ................ 182,034,241
2. Stocks:
2.1 Preferred stocks ...................... .................. ........................ ......................................... . ................................... . .................................. 0 .................. 965
2.2 Common stocks .......................................................................................................................... .71,720,810 ..................................... .... ............. 71,720,810 .................. 50,555,158
3. Mortgage loans on real estate:
3.1 First liens ............................................................................................................. . .................................. 0
3.2 Other than first liens ........................................................................................... . . ................................. 0
4. Real estate:
4.1 Properties occupied by the company (less $ ......... 0 encumbrances) ............................................................................................................................................... . .................................. 0
4.2 Properties held for the production of income (less $ .......... 0 encumbrances).................... ................................................ ......................................... ........... ......................... . ................................... . .................................. 0
4.3 Properties held for sale (less $ ......... 0 encumbrances)......................... ....................... ..................................... . ................................. . . ................................ 0
5. Cash ($ ..... 5,646), cash equivalents ($ ..... 4,775,206) and short-term invesbnents ($ ..... 865,187) ............................................................................................... 5,646,039 ................................... . . ........... 5,646,039 .................... 2,394,350
6. Contract loans (including $ ......... 0 premium notes).......... ................................ ..................... . ............................. .
7. Derivatives.......... .............. ...... ................. .... ................ .... ........................ ............. ............... . ...................... .
8. Other invested assets ........................................................................................................... . .................... 6,225,077
9. Receivables for securities .................................................................................................... . ........................... 6,956
10. Securities lending reinvested collateral assets ............................................................................................................ .
11. Aggregate write-ins for invested assets ................................................................ . .................................. 0 ................................. 0
. ................................. 0
.................................. 0
.............. 6,225,077
........................... 6,956
. ................... 0
................................. 0
. ............................ 683
. ....................... 0
12. Subtotals, cash and invested assets (Lines 1 to 11)......................... ..................................... . ............... 248,121,092 .................................. 0 ................ 248,121,092 ................ 234,985,397
13. Title plants less $ .......... 0 charged off (for Title insurers only).................................................. ................. ................... ..................................... . ................................. 0 ........................... .
14. Invesbnent income due and accrued.......... ....................................................... .................... . ................... 1,462,355 ................... . ............ 1,462,355 .......... 1 ,597,397
15. Premiums and considerations:
15.1 Uncollected premiums and agents' balances in the course of collection ..................... . ....................... 439,032 ........................... 5,887 ..................... .433,145 . .................... 805,921
15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ .......... 0 eamed but unbilled premiums) ............................................................ .. . ............. 0
15.3 Accrued retrospective premiums ($ .......... 0) and contracts subject to redetermination ($ ..... 2,001 ,983) .................................... . . ................... 2,001,983 ........................ ............ . .................. 2,001 ,983 .................... 2,000,000
16. Reinsurance:
16.1 Amounts recoverable from reinsurers ................................................................. . ................. 3,281 ........................... 3,281 . ................................ 0
16.2 Funds held by or deposited with reinsured companies ................................................. . . .. 0 ........................... .
16.3 Other amounts receivable under reinsurance contracts ................................................................................... . . ................................ 0
17. Amounts receivable relating to uninsured plans ...................................................................................... 32,791,587 .................. 32,791,587 ....... 38,970,062
18.1 Current federal and foreign income tax recoverable and interest thereon......... ..................... . .................................. . . ................................ 0
18.2 Net deferred tax asset.......... .. ...................... ............ .... ...................................... ........ ........... . .................................. . . ................................ 0
19. Guaranty funds receivable or on deposit............. ... ........................ ............... .................. ...... . .................................. . . ................................. 0
20. Electronic data processing equipment and software............................................. .................. . ................................... . . ................................ 0
21. Furniture and equipment, including health care delivery assets ($ .......... 0)............................. . ................................... . . ................................. 0
22. Net adjusbnent in assets and liabilities due to foreign exchange rates ....................................................................... . . ............................................................ 0 .......................... .
23. Receivables from parent. subsidiaries and affiliates .......................................... . .................. 11,536,127 .................. 11,536,127
24. Health care ($ ..... 4,675,289) and other amounts receivable ....................................................................... 5,041,638 ....................... 366,049 ............. 4,675,589 .................. ..4,716,949
25. Aggregate write-ins for other than invested assets.................................................................. . .................. .4,365,661 .................... 4,365,661 .................................. 0 ................................. 0
26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 through 25).... ......................................................... ......................... . ............... 305,762,756 .................... 4,740,878 ................ 301,021,878 ......... 283,075,726
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts....................... . .................................. . . ................................. 0
28. Total (Lines 26 and 27) ........................................................................................................................ 305,762,756 ................... .4,740,878 ................ 301,021,878 ................ 283,075,726
DEl AILS OF WRITE·INS
1101 ................................................................................................................................................................................ . .................................. 0
1102 ............................................................................................................................................. . . .............................. 0
1103 ..................................................................................................................................... . . ................................. 0
1198. Summary of remaining write-ins for Line 11 from overflow page ........................................... . ................ 0 .................................. 0 ................................. 0 . ............... 0
1199. Totals (Lines 1101 thru 1103 plus 1198) (Line 11 above) ..................................................... . ....................... 0 .................................. 0 . ................................ 0 .................................. 0
2501. Prepaid Expenses ................................................................................................................ . ............ 4,365,661 . ........... .4,365,661 ...................... 0
2502 ............................................................................................................................ . . ................................ 0
2503 .............................................................................................................................................. . ...................... . ...................................................................... 0
2598. Summary of remaining write-ins for Line 25 from overflow page ............................. . . ........................ 0 .................................. 0 .................................. 0
2599. Totals (Lines 2501 thru 2503 plus 2598) (Line 25 abov~ ...................................................... . . ................... 4,365,661 .................... 4,365,661 .................................. 0
Q02
................. 0
................................. 0
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
LIABILITIES, CAPITAL AND SURPLUS
1. Claims unpaid (less $", "",,0 reinsurance ceded)""""""""""", """""''',''''''''',,''''''''''''''''''
2, Accrued medical incentive pool and bonus amounts",
3, Unpaid claims adjustment expenses"""""""""""""", ""'"'''''''''''',,'''''','''''''''''''',,'''''
4, Aggregate health policy reserves, including the liability of $, """,,0 for
medical loss ratio rebate per the Public Health Service Act"
5, Aggregate life policy reserves"""""", """"""""" ",,",,""""""",,""""",,""""" """""""""
6, Property/casualty uneamed premium reserve ",,""""',,""" """""""""""
7, Aggregate health claim reserves"""""""""" """"""',,""",,"""
8, Premiums received in advance",
9, General expenses due or accrued"""""""""""" ",,"","""""""",,""
10,1 Cument federal and foreign income tax payable and interestthereon (including $"",378,000 on realized gains (losses))""""",
10,2 Net defemed tax liability""""""""""" """"""""""",,""
11, Ceded reinsurance premiums payable, """""""""""""
12, Amounts withheld or retained for the account of others""
13, Remittances and ttems not allocated""""""", """""",,"",,""""""""""""" """""""",,"
14, Bonrowed money (including $"""",,0 cument) and interest thereon $"""",,0 (including $"""",,0 cument)""""""""" """"""""""""
15, Amounts due to parent, subsidiaries and affiliates"""""""""""""
16, Derivatives""""""""""" """"'"'''''',''''' """"""""",,","""""""",'
17, Payable forsecurilies"""""""" """,,""""""""""
18, Payable forsecurilies lending""""""" "",,"""""""''',,
19, Funds held under reinsurance treaties with ($"""",,0 authorized reinsurers, $"""",,0 unauthoriized reinsurers and certified $"""",,0 reinsurers)",
20, Reinsurance in unauthorized and certified ($"""",,0) companies""""""",
21, Net adjustments in assets and liabilities due to foreign exchange rates"" """""''''''''',
22, Liability for amounts held under uninsured plans"""""""", """"""""""'" ",,"""""""""",,'
Covered
""""""','" ,31 ,464,831
""""""""",,2,962,500
",,' """"""", ,362,894
"""",5,959,912
""""'''''''''' 12,818,601
",,"""""""" 1 ,298,772
""""'" ,26,573,324
""""""""",,2,233,000
""""""""""",,134
"""""""""""".41,752
,,,,,,,,,,,,,,,,,,,,1,271,604
"""""""",,12,785,797
Cument Period 2
Uncovered 3
Total
Prior Year 4
Total
",31,464,831 """""""",,29,413,279
""" """",,2,962,500 """""",,,,,,..7,008,696
""",,,,,,,,,,,,,,,,,362,894 ",,899,275
""""" ,5,959,912 """"""""",,7,558,918
"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0
"""""",,""'" """"""'" """""""""""""""",,0
",,""""'"'''''''' ",0
",,,,,,,,,,,,,,,,12,818,601 ",,,,,,,,,,,,,,,,10,022,086
",,,,,,,,,,,,,,,,,,1,298,772 "",,,,,,,,,,,,,,,,3,093,172
""""""" ,,26,573,324 ",,""""""" 14,568,324
""""""""",,2,233,000 ", """"""",,1,978,000
",0
"""""""""""",134
"""""""""""",41,752 ",861,292
",0
"""""""",,,,,0 """"""""",,4,251,649
",0 "",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
"""""""""""" ,,""""""""" 1 ,271 ,604
"""""""'"'' "" """""""""""" ",0
'"'''''''''''''''''''''''' ,,,,0 '''''''''''''''",,'''''''''' " "" "
"""""""""""""""",,0
",0
"",12,785,797 """",,,,,,,,,,12,373,710
23, Aggregate write-ins for other liabilities (including $"".490,000 cument)"""", ,,",,"""""'"'''''' r=~"~" '~" '~"'~"'-'-" 1,-" 1",80~,0~0~0 +"'"~'''~'''''''''''''''~'''~'''~'''~''''''''''''''''-='0-t-''''''' ,~",,,,,,,,,,,,,,,,,,,,,,,,,-,-,1 ,-,-,18",0""0""00+,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,-,-,,1,-,,4,,,26,,-,1,,,5"-16
24, Totalliabiltties (Lines 1 to 23)"""""", """"""""""",,"
25, Aggregate write-ins for special surplus funds"""""""" """"""""",,""",""""""""",,"""""
26, Common capital stock"""", """""""""""" """"""""","" """"""""'"'' """""""""'"
27, Prefemed capital stock"""""" """",,"'"'',,''' """""""''''''''''''''''
28, Gross paid in and contributed surplus"""" ",,""""""",'" ",,"""""""""",",," """"""",,"""
29, Surplus notes""""""""" ,,",,""""",,""'" """"""""""" ''',,'''''''''''''''''''''' """"""""""",,'"
30, Aggregate wrile-ins for other than special surplus funds, """""""""""",,""""""""""",,"'"
31, Unassigned funds (surplus) """"""""""""""""""""","""""""""""
32, Less treasury stock, at cost:
32,1 "",0,000 shares common (value included in Line 26 $", "",,0)
"",,,,,,,,,,,,,,98,953,121 """""""",0 """""""",,98,953,121 """""""",,93,454,557
"""""",XXX"",,,,,,,,,,,,, """""",XXX""""""",
""""",,,XXX,,,,,,,,,,,,,,,,, '" """ " ,XXX"" ,
"""""" ,XXX,
""""'" "XXX,
"""""",XXX,
""""" ",XXX,
, """""XXX"""""""",
"XXX""""""""'
""""",,,XXX,,,,,,,,,,,,,,,,, """""",XXX"" ,
,,'" ,XXX" ,,""""" """""" ,XXX"'
""""",,,XXX,,,,, """"'" """""",XXX"""""""",
""""""""""" ,0 """"""""",,7,000,000
"""'" .24,000,000 """""""",,24,000,000
""""""""",,,,,0 """""""""""""""",,0
",,"" 178,068,757 """"""",,158,621,169
32,2 "",0,000 shares prefemed (value included in Line 27 $"""",,0), """""",,,,",,""""""'" 1-"""",,,,,,,,,,,,,,,,,,,,,,,XXX="'-"''''''''''''''''''''''''''''''t==,,,,,,,,,XXX=''''''''==F'''''''''''''''"'''''''''''''''''''''''''''''''''''''''''''''''''''''-1' 1"""''''''''''''''''''''''''''''''''''===-1
33, Total capital and surplus (Lines 25 to 31 minus Line 32)"""" """"""""""""""""""""""""
34, Total liabilities, capital and surplus (Lines 24 and 33)"",
"""""XXX"""""" ",XXX,
""",XXX", """""",XXX,
"""",,,,,,202,068,757 "",,,,,,,,,,,,189,621,169
,,,,,,,,,,,,,,,,301,021,878 """"""",,283,075,726
DEl AILS OF WRITE-INS
2301, Health Assessments""""""""", "",,""""'"'',,'''''
2302, """""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, '""""""""" " , """""""""""""""",,,,,,,,,,,,
2303, """"""""""""""""""""" """"""",,,,,,,,,,,,,, """"''''',,'''''',,''''''
2398, Summary of remaining write-ins for Line 23 from overflow page",
2399, Totalsjlines 2301 thru 2303 plus 2391llJLine 23 above)"""""""""""""
"",,,,,,,,,,,,,,,,1,180,000
"""""""",,"'" ",0
""""""",1,180,000
"''',,'''',,'''''''''''' """"'" ,""" " , """",1,180,000 ,,,,,,,,,,,,,,,,,,,,1,426,156
""""""""" "",.""",0
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0
""""""""",0 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,0 """""""",,'" """"",,0
"",0 "",,1,180,000 """"""""",,1,426,156
2501, Special Surplus for Health Insurer Fee""""""""" """,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, """""XXX""""""", """""'" "XXX, """,,,,,,,,,,,,,,7,000,000
2502, , """"""",,""""",""'"'''''' """"""","""""" """"""',,""""",,""
2503, ,,""''',,''''''''''''''''',,'''''', """'''''''''''''''''''''' "'"''''''''''''',,''''' """""""""','
2598, Summary of remaining write-ins for Line 25 from overflow page """"""",XXX"" """ "" """"",,,,,XXX,,,,,,,,,,,,,,, ",0 """""""""""""""",,0
2599, Totals (Lines 2501 thru 2503 plus 2598) (Line 25 above)""""", """"""","""'" """"""""'" """"""",XXX""""""",
3001, ,,"""",,' "" """"",""",,"""""""""""""""""""""'" ","""""""""""",
3002,
3003,
3098, Summary of remaining write-ins for Line 30 from overflow page """"""","""''''',,''''''''''''''''
3099, Totals (Lines 3001 tIlru 3003 olus 3098) (Line 30 above)."", """""""""" """"""''''''''''''''"
, """""""XXX""""""",
""""""" ,XXX"'
Q03
",XXX"" """"" """, """""""'"'''''' ,,0 """""""""..7,000,000
",XXX""""""" ,
""'" "XXX"""'
""""",0 """""""""""""",,,,,,0
"""""",,"" """",,,,,0 """""""",,"'" """",,0
Stalement as of September 30, 20'8 of the Wellmark Health Plan of Iowa, Inc.
STATEMENT OF REVENUE AND EXPENSES
1. Member months ................................................................................................................... .
2. Net premium income (including $ .......... 0 non-health premium income) ................................... ..
3. Change in unearned premium reserves and reserve lor rate credits ..................................... .
Current Year To Date
2 Uncovered Total
........... XXX ........................................ 740.639
Prior Year To Date
3 Total
Prior Year Ended December 31
4 Total
.................... 725.782 ...................... 969.724
.. .... XXX................. .. ............. 311.760.148 ............... 291 ,732,966 ............... 384.066,358
........... XXX. .. ................... (198,936) ............ (2.711.574) ....... (57,593)
4. Fee-lor-service (net of $ .......... 0 medical expenses)........ ..................... ........................ ............ .. ......... XXX.
5. Risk revenue ............................................................................................................................. . .. ......... XXX ................ ..
6. Aggregate write-ins for other health care related revenues ....................................................... . ........... XXX ....... . ................................ 0 . .................... 0 . ....................... 0
7. Aggregate write-ins for other non-health revenues ........................................................ .. ........... XXX. . ................ 0 ................................. 0 ................................. 0
8. Total revenues (Lines 2 to 7) .................................................................................... . .. ......... xxx ................................ 311.561.212 ............... 289.021,392 ............... 384,008,765
Hospital and Medical:
9. Hospital/medical benefits ................................................................................................... . .. ............. 132,450,449 ............... 126,420,293 ............... 172.349.213
10. Other professional services ................................................................................................ . . ................ 24.859.981 ................. 20,564.268 ................. 28,412.739
11. Outside referrals ..................................................................................................................... .. .. ................. 6.697,123 ................... 4.954.266 ................... 6,986,640
12. Emergency room and out-of-area ............................................................................................ . .. ................ .7.137,947 ................... 6.306,860 ................... 8,534.693
13. Prescription drugs .................................................................................................... .. . ................ 47,214.609 ................. 45,797,395 ................. 60.895.445
14. Aggregate write-ins lor other hospMI and medical .................................................................... .. .. ............... 0 .......................... 0 ............................ 0 ................................. 0
15. Incentive pool. w~hhold adjustments and bonus amounts .......................................................... re'''''' "''''''''''''''''''''''''''''''''''''''''''''''",'''''''''''-'' +-"""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,",1.,,,844=,2,,,66,,+,,, ... ,,, ... ,,, ... ,,, ... ,,, ... ,,, ... ,,,.5'-'..15"-1",,8,,,2,,-3 +", ... ", ... ", ... ", ... ", ... ", ... ",.9",.8",85",.3",°"-13
16. Subtotal (Lines 9 to 15) ............................................................................................................................................. 0 ............. 220,204.375 ............... 209,194.905 ............... 287.064,233
Less:
17. Net reinsurance recoveries ........................................................................................................ r""'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''-'' t==="""''''''''''''''''''''''''''''''-'' +-.", ... ", .. ", ... ", ... ", ... ", ... ", ... ", .. .7""3,,-.1,,,5,,-0 +-", ... ", ... ", ... ", ... ", ... ", ... ", ... ", ... ,-,73"-.1,,,8"-13
18. Total hospital and medical (Lines 16 minus 17) .......................................................................... . .. ..................... 0 ............... 220.204,375 ............... 209.121,755 ............. 286.991,050
19. Non-health claims (net) ................................................................................................................................ .
20. Claims adjustment expenses. including $ ..... 2,495.661 cost containment expenses ................ .. ................... 6,927.558 .. .. 9,755,161 ................. 13.045,683
21. General administrative expenses ................................................................................................................................. . .. ............... 38.321,824 ................. 35.183.319 ................. 47,813,931
22. Increase in reserves lor life and accident and health contracis (including $ .......... 0 increase in reserves for lije only) .............................................................................. P=="'''''''''''''''''''''''''''''''''''-'' r'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''-'' F", .. ", .. ·", .. ·", .. ·", .. ·", .. ·", .. ·", .. ·", ... ", ... ", .. -t=== .. ·", .. ·", ... ", ... ", ... ", ... ", .. '"""-j"
23. Total underwriting deductions (Lines 18 through 22) .................................................................. f-""''''''''''''''''''''''''''''''''''''''' ", ... ", ... ", ... "" .. 0,+= .. ", ... "" ... "" .. 2",6""5.",45""3",.7",57,+==.", ... 2,,,54=.06,,,0",.2",35"+", ... ", ... ", ... ", ... ", ... ",34"7""8,,,50,,,.6,,,64"-1
24. Net underwriting gain or (loss) (Lines 8 minus 23) .................................................................... r'''''''''''''''''''''-'XXX=.", ... ", ... ", ... ",. =t'.", ... ", ... ", ... "" ... "" ... ",.4""6'ccl0",7",,4c=c55=+.,,, ... ,,, .. ,,, ... ,,, ... ,,, ... ,,, .. 34=.96=-1"-.1,,,5,-7 +-", ... ", ... ", ... ", ... ", ... ", .. 3",6,-"1",58,,-,1,,,0-'-11
25. Net investment income eamed ............................................................................................ . .. ................. 4,898,887 .... 4, 144,407 ................... 5,538.375
26. Net realized capMI gains (losses) less capital gains tax of $ ..... (8,000) ...................................... r""""'''''''''''''''''''''''''''''' =="'+"' ... "' ... "' ... "' .... "' ... "' ... "' ... "' .. 5"'8"'.50"-'1-+-'=="' .... "' ... "'.4=-01"'.7-=096=-t-."' ... "' ... "' ... "' ... "' ... "' .... "' .. 6""6"'5,"'95"-{7
27. Net investment gains or (losses) (Lines 25 plus 26) ............................................... .. ................................. 0 ................... 4.957.388 . ......... 4.546.203 ................... 6,204,332
28. Net gain or (loss) from agents' or premium balances charged off [(amount recovered $ .......... 0) (amount charged off $ .......... 0)1 ................................................................................ .. . ....................... 14.096 .................... (47,906)
29. Aggregate write-ins for other income or expenses ................................................................ .. .. .............................. 0 ................................ 0 ......................... 0 ................................. 0
30. Net income or (loss) after capMI gains tax and before all other federal income taxes (Lines 24 plus 27 plus 28 plus 29) .................................................................................... . .. ... XXX.................. .. ............... 51.064,843 ................ 39.521,456 ................. 42.314,527
31. Federal and foreign income taxes incumed ................................................................................. f-""''' ", ... ", ... ",.XXX=.", ... ", ... ", ... ", ... ", ... ", .. +-,.", ... ", ... ", ... "" ... "" ... ",.1",2.",01-,-,3",.0",00"+",.", ... ", ... ", ... ", ... ", .. 1,,,3""69",0",.0",00"+", ... ", ... ", ... ", ... ", ... "-.. 1",4",,,1,-,75,,,,0,,,°"-1°
32. Net income (loss) (Lines 30 minus 31) ..................................................................................... . ........... XXX. .. ............... 39,051.843 ................. 25,831,456 ................. 28.139.527
DETAILS OF WRITE-INS
0601 .................................................................................................................................................. . .. ......... XXX ................ ..
0602 ................................................................................................................................................. . . .......... XXX ................. .
0603 ............................................................................................................................... .. .. ......... XXX ................. .
0698. Summary of remaining write-ins for Line 6 from overflow page ................................................ . ........... XXX ................. . .. .......................... 0 .................... 0
0699. Totals (Lines 0601 thru 0603 plus 0698) (Line 6 abovel.. .................................. ....................... .. ........ XXX .... . ................................ 0 ................................ 0
0701 .......................................................................................................................................... . .. ......... XXX.
0702. ............................ ...................... ............................................ .................................. ................. .. ......... XXX ................ ..
0703. . .. XXX ................ ..
0798. Summary of remaining write-ins for Line 7 from overflow page... .............. ................................. ..XXX.................. .. ............................... 0 ................................ 0
0799. Totals (Lines 0701 thru 0703 plus 0798) (Line 7 abovel.......................... ................................. .. ......... XXX.................. .. .............................. 0 ................................. 0
1401 ................................................................................................................................................................................... ..
1402 ..................................................................................................................................................................................... .
1403 ..................................................................................................................................................................................... .
................................ 0
.. .............................. 0
.................... 0
............................ 0
1498. Summaoy of remaining write-ins lor Line 14 from overflow page ................................................ . . ............................. 0 ................................. 0 ................................. 0 ................................. 0
1499. Totals (Lines 1401 thru 1403 plus 1498) (Line 14 above) .............................................. .. .. .............................. 0 ................................. 0 ................................. 0 ................................ 0
2901 .................................................................................................................................................................................... .
2902 .................................................................................................................................................................................... .
2903 .................................................................................................................................................. .
2998. Summaoy of remaining write-ins for Line 29 from overflow page .............................................. .. .......................... ...... 0 ................................ 0 ................................. 0 ................................. 0
2999. Totals [Lines 2901 thru 2903 jlius 2998) [Line 29 abov~ ........................................................ . .. ................... 0 ................................. 0 .............................. 0 .................... 0
Q04
SlalemenlasofSeplember30,2018oflhe Wellmark Health Plan of Iowa, Inc.
STATEMENT OF REVENUE AND EXPENSES (Continued)
CAPITAL AND SURPLUS ACCOUNT
33. Capital and surplus prior reporting year .................. .
34. Net income or (loss) from Line 32 ............................................................................................................................ .
35. Change in valuation basis of aggregate policy and claim reserves.
36. Change in net unrealized capital gains (losses) less capital gains tax of $ ..... 331 ,000 ............................... .
37. Change in net unrealized foreign exchange capital gain or (loss) .......................... .
38. Change in net defemed income tax ................................. .
39. Change in nonadmitted assets .....
40. Change in unauthorized and certified reinsurance ................................ .
41. Change in treasury stock ....... .
42. Change in surplus notes ................................................................. .
43. Cumulative effect of changes in accounting principles .......... .
44. Capital changes:
44.1 Paid in ..................................................... .
44.2 Transfemad from surplus (Stock Dividend) ..... .
44.3 Transfemed 10 surplus ...................................... .
45. Surplus adjustments:
45.1 Paid in ........................................................................ .
45.2 Transfemed to capital (Stock Dividend) ........................ .
45.3 Transfemad from capital ...................................................................................................... .
46. Dividends to stockholders ............................ .
CumentYear
10 Date
2 Prior Year
To Date
3 Prior Year
Ended December 31
. .............. 189,621,169 .............. 153,641,781 ............... 153,641,781
. ................ 39,051,843 ................. 25,831,456 ................. 28,139,527
................... 1,422,823 . ....... 2,446,305 ........ 6,595,678
. .................... (181,317) ...................... 795,592 ...................... 917,930
...... 76,000 .................... (644,000) . ............ (2,664,000)
........................ 78,239 ................... 2,861,257 . ... 2,990,253
. ............... (28,000,000) .................................. .
47. Aggregate write-ins for gains or (losses) in surplus ........... . . ..................................................................... C' .. "" ... "" ... "' .... "" ... "' ... "' .... "" ... "' ... "' .... "".O-+" ... "" ... '" ... "" .... "" ... "' ... "" .... "" ... "' ... "" .... "'-0 -f= .... "" ... "' ... "" .... "" ... "' ... "" .... "". ,,,,,,,,"" ... 0,,-,
48. Net change in capital and surplus (Lines 34 to 47) ................................ . . ............. 12,447,588 ................. 31,090,610 ................. 35,979,388
49. Capttal and surplus end of reporting period (Line 33 plus 48) .......................................................................................... . ............... 202,068,757 ............... 184,732,391 . .......... 189,621,169
DETAILS OF WRITE-INS
4701 ...................................................................... .
4702 ............................... .
4703 ......................................................................................................................................................................................... .
4798. Summary of remaining write-ins for Line 47 from overflow page .... ................................ 0 ......................... 0 . ....................... 0
4799. Totals (Lines 4701 thru 4703 plus 4798) (Line 47 above) .... . ................................ 0 ........... 0 ................................. 0
Q05
StatementasofSeptember30.201Boflhe Wellmark Health Plan of Iowa, Inc.
1.
2.
CASH FLOW
CASH FROM OPERATIONS Premiums oollected net 01 reinsurance ...................................................................................................... .
Net investment inoome .............................................................. .
Current Year to Date
2 Prior Year To Date
3 Prior Year Ended
December 31
............... 313.140.531 ............... 283.699.275 ............... 378.170,472
........... 6.344.252 ................... 5.245.991 ................... 6,723,085
3. Miscellaneous inoome.. ........................ .. ....................................................... ............................................................. .................................... . ................................ .
4. Total (Lines 1 through 3) ........................................................................................................................................... . ............... 319,484,783 ............... 288,945,266 ............... 384,893,557
5. Benefit and loss related payments ............................................................................................................................................. 222,174,765 ............... 207.628,280 . ........... 283,464, 762
6. Net translers to Separate Acoounts. Segregated Acoounts and Protected Cell Acoounts................. ........... ............... . ........................... .
7. Commissions, expenses paid and aggregate write-ins for deductions............ .............................. ............................. . ................ 40,909.561 ................. 35,480,613 ................. 54,692,764
8. Dividends paid to policyholders.......... ................... ................................................ ....................... ........................ ..... .............................. .................................... . .................................. .
9. Federal and foreign income taxes paid (reoovered) net 01 $ .......... 0 tax on capital gains (losses).............. .................................... ....................... ............ . .................. 4,845,814
10. Total (Lines 5 through 9)...................... ....................................................... ............................ ................................ . .............. 263,084,326 ............... 243.108,893 ............... 343,003,340
11. Net cash from operations (Line 4 minus Line 10) ............................................................................................. . ................. 56,400,457 ......... 45.836,373 . ........... .41,890,217
CASH FROM INVESTMENTS 12. Proceeds from investments sold. matured or repaid:
12.1 Bonds ............................................................................................................................................ . . ................ 95,900.990 ................. 32,277,653 ................. 55,545,422
12.2 Stocks ........................................................................................................................................................... . ................. 11,795,894 ................... 3,980.556 ................... 4,824,395
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 ................................. . . ............................ ..40 .......................... 2,973 ............................ 172
12.7 Miscellaneous proceeds......... .................... ............ . .......................................................................... . . .................. 1.271.604 ........ 164.664 .......... 2.014
12.B Total investment proceeds (Lines 12.1 to 12.7) ................................................................................ . ............... 108,968,528 . .......... 36,425,866 ................. 60,372,003
13. Cost 01 investments acquired (long-term only):
13.1 Bonds ............................................................................................................................................................. . ..... 80,073.291 ................. 63,471,193 . .......... 96,003,734
13.2 Stocks ..................................................................................... . ................. 30,967.769 . ..... 6,848,408 ................... 7,954,112
13.3 Mortgage loans ............................................................................................................................................................................... .
13.4 Real estate. ................. ......... .................. .......................... ................................ ........ .................... ...... ............... . ................................. .
13.5 Other invested assets ....................................................................................................................................... . .. ............... 6,235,310
13.6 Miscellaneous applications............. ........... . ....................................................................................................... 1-' .. "" ... "" ... "" ... "' ... "' ... "' .... "" ... "" .. 8"",2"'4::-3 t==.", ... "' ... "' ... "' ... "' .. 1"'4,""60"'3+ .. "' ... "' .... "" ... "" ... "' ... "' ... "' ... ", ... ", .. 1",,56"-1
13.7 Total investments acquired (Lines 13.1 to 13.6) ................................................................................................ . ............... 117,284,613 ................. 70,334,204 ............... 103,958,002
14. Net increase or (decrease) in oontract loans and premium notes........... .............................. .................................. .................................... .................................... . ................. .
15. Net cash from investments (Line 12.8 minus Line 13.7 and Line 14) ............................................................................................ (8,316,085) ................ (33.908,338) ............... (43,585,999)
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 depos~-type oontracts and other insurance liabMies ............................................................. .
16.5 Dividends to stockholders. ............................................................................... ................................. ................ .................................... ............................ . .................................. .
16.6 Other cash provided (applied) ........................................................................................................................................... (44,832,683) .................. (8,605,982 ...................... 886.866
17. Net cash from financing and miscellaneous sources (Lines 16.1 through 16.4 minus Line 16.5 plus Line 16.6) .......................... (44,832.683) .................. (8.605,982' ...................... 886,866
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT·TERM INVESTMENTS 18. Net change in cash, cash equivalents and short-term investments (Line 11 plus Line 15 plus Line 17) ...................... . ....... 3,251.689 ................... 3.322,053 . ........... (808,916)
19. Cash. cash equivalents and short-term investments:
19.1 Beginning 01 year ............................................................................................................................................. . ................... 2,394,350 . ............. 3,203.266 ................... 3,203,266
19.2 End 01 period (Line 18 plus Line 19.1) ............................................................................................................... . . ............... 5,646,039 ................... 6,525.319 ................... 2,394.350
lemental disclosures of cash flow information for non-cash transactions: Non-cash dividend to rent ............................................................................................................................... . ................ 28,000,000
Q06
Statement as of September 30, 201Softhe Wellmark Health Plan of Iowa, Inc.
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION Comprehensive (Hospital & Medical)
2 3 Total Individual Group
Total Members at End of:
1. Prioryear .............................................................................. . ........................... 81,802 ............................. 6,717 ......................... 75,085
2. First Quarter .......................................................................... .. ........................... 78,790 .. .......... 1,278 ................. 77,512
3. Second Quarter ............................................................ . .. ....................... 78,959 ....................... 1,241 ........................... 77,718
4. Third Quarter ........................................................................ .. .................... ...... 89,411 .. ......... 1,194 ........................... 88,217
5. Current year............................................................................. . ..... .. .... 0
6. Current Year Member Months .... ............ .740,639 .. ....... 11,297 ....................... 729,342
Total Member Ambulatory Encounters for Period:
7. Physician .............................................................................. .. .... 270,437 ............................ 3,116 ........................ 267,321
4 Medicare
Supplement
5 Vision Only
6 Dental Only
7 Federal Employees Health Benefit Plan
8 Title XVIII Medicare
9 Title XIX Medicaid
10
Other
g 8 . Non-Physician ... ............................. ............................ F=== .. ·"'19,,7..-:,9.::.:97'-+=."" ... "" ... "' ... "' ... "' .......... "" .. 2"",0:.=8=-2-t"""=."" ... "' ... "' ... "' ......... -'-'19c=.5,""91"'5-+==="' ...................... "" ... "" .. +"'== .... "" ... "" ... "' ... "' ... "' ... "' ......... '-j. =c====='-+= ... "' ... "' ... "' ......... "' .... "" ... = ....... -t""" .... "" ... "" ... "' ... "' ... "' ... ==='+=== ....... "' ................ "" .. +."' ... "' .......... "" ... "" ... ==='"""-1
...... 9. Total.. .............................................. . .. .......... 468,434 .. .......................... 5, 198 ........................ 463,236 ....................... 0 .......................... 0 ............ 0 .... .. ........... 0 ................................. 0 ................................... 0 ................... 0
10. Hospital Patient Days Incurred. .. ....................... 10,001 .............. .71 .................. 9,930
11. Number of Inpatient Admissions .......................................... .. ...................... ...... 2,891 ....... 31 ............................. 2,860
12. Health Premiums Written (a) ...... .................. 311,760,148 ...... 2,791,458 ....... 308,968,690
13. Life Premiums Direct ............................................................. .. .. ... 0
14. Property/Casualty Premiums Written .................................... .. ......................... .......... 0
15. Health Premiums Eamed .................................... . .................. 311,561,212 ............... 2,655,615 .................. 308,905,597
16. Property/Casualty Premiums Eamed ..................................... . .................................... 0
17. Amount Paid for Provision of Health Care SelVices ................................... 222,307,500 ........... 4,559,412 ........ 217,748,088
18. Amount Incurred for Provision of Health Care SelVices ............................. 220,204,375 ...................... 2,288,930 .................. 217,915,445
(a) For health premiums written: Amount of Medicare Title XVIII exempt from state taxes or fees $ .......... 0.
o c co
SlatementasofSeptember30,2018ofthe Wellmark Health Plan of Iowa, Inc.
CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported)
StatementasofSeptember30,20tBofthe Wellmark Health Plan of Iowa, Inc.
Line of Business
1. Comprehensive (hospital and medical) ....
2. Medicare Supplement...
3. Dental only .................... .
4. Vision only.
5. Federal Employees Health Benefits Plan ........................................................................... .
6. Title XVIII - Medicare.
7. Title XIX - Medicaid... ........ ................. .
8. Other health
D 9. Health subtotal (Lines 1 to 8).
e CO 10. Healthcare receivables (a).
11. Other non-health ...
12. Medical incentive pools and bonus amounts .....
13. Totals (Lines 9-10+11+12)............. . ................................. .
(a) Excludes $ ......... 0 loans or advances to proViders not yet expensed.
UNDERWRITING AND INVESTMENT EXHIBIT Anal sis of Claims Unpaid - Prior Year - Net of Reinsurance
Claims Paid Vear to Date
On Claims Incurred Prior to January 1 of Current Year
..................... 22,297,224
. .......................... 22,297,224
.... 199,556
. ............................ 5,890,462
........................... 27,988,130
2 On Claims
Incurred During the Year
................. 194,119,814
.............. 194,119,814
. ....................... 4,824,944
. .................... 189,294,870
Liability End of Current Quarter 3 4
On Claims Unpaid On Claims December 31 of Incurred During
Prior Year the Year
....................... 377,481 . ............. 31,087,350
..... 377,481 .............. 31,087,350
...... 16,838
................ 2,962,500
....................... 377,481 ............. 34,033,012
5
Claims Incurred in Prior Years
(Columns 1 + 3)
.. 22,674,705
........................ 0
. ...................... 0
. ........................ 0
. ................... 0
. ......... 0
. ............................................ 0
.................... 0
.......... 22,674,705
............... 199,556
. ......................... 0
............ 5,890,462
.......... 28,365,611
6 Estimated Claim Reserve
and Claim Liability December 31 of
Prior Year
................. 29,413,279
..... 29,413,279
....... 4,932,856
...... .7,008,696
..... 31,489,119
Statement as of September 30. 2018 of the Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
Note 1 - Summary of Significant Accounting Policies and Going Concern
A. Accounting Practices
The financial statements of Well mark Health Plan of Iowa, Inc. (the Company) have been prepared in conformity with the accounting practices prescribed by the National Association of Insurance Commissioners (NAIC) and the State of Iowa.
The NAIC Accounting Practices and Procedures manual has been adopted as a component of prescribed or permitted practices by the State of Iowa. The Commissioner of Insurance has the right to permit specific practices that deviate from prescribed practices. The Company does not have any permitted practices.
1 SSAP# 1 F/S Page 1 F/S Line # 1 2018 1 2017 NET INCOME (1 ) Well mark Health Plan of Iowa, Inc. Company state basis
1 1 1 1$ 39,051,843 1$ jPage 4, Line 32, Columns 2 & 4) XXX XXX XXX 28,139,527 (2) State Prescribed Practices that are an increase/(decrease) from NAIC
SAP 1 1 1 1$ 1$
(3) State Permitted Practices that are an increase/(decrease) from NAIC SAP
I 1 1 1$ 1$ 4) NAIC SAP (1 - 2 - 3 = 4) 1 XXX 1 XXX 1 XXX 1$ 39,051,843 1 $ 28,139,527
SURPLUS (5) Well mark Health Plan of Iowa, Inc. Company state basis
1 1 1 1$ 202,068,757 1$ 189,621,169 (Page 3, line 33, Columns 3 & 4) XXX XXX XXX (6) State Prescribed Practices that are an increase/(decrease) from NAIC
SAP
1 1 1 1$ 1$ (7) State Permitted Practices that are an increase/(decrease) from NAIC
SAP
1 1 1 1$ 1$ 8) NAIC SAP (5 - 6 - 7 = 8) 1 XXX 1 XXX 1 XXX 1$ 202,068,757 1$ 189,621169
B. Use of Estimates in the Preparation of the Financial Statement
No significant changes
C. Accounting Policy
(1) Basis for Short-Term Investments
No significant changes
(2) Basis for Bonds and Amortization Schedule
No Significant changes
(3) Basis for Common Stocks
No Significant changes
(4) Basis for Preferred Stocks
No Significant changes
(5) Basis for Mortgage Loans
Not applicable
(6) Basis for Loan-Backed Securities and Adjustment Methodology
Loan-backed securities that are NAIC designation 1 or 2 are reported at cost adjusted for amortization of premiums and accretion of discounts using the effective interest method. For all securities except for interest only securities or securities where the yield had become negative, the amortization of premiums and accretion of discounts on loan-backed securities is adjusted annually using the currently estimated cash flows, including any new prepayment assumptions, using the retrospective adjustment method. Interest only securities and securities where the yield had become negative are valued using the prospective method. Loan-backed securities are stated at the lower of amortized cost or fair value if they are NAIC designation 3 through 6.
(7) Accounting Policies for Investments in Subsidiaries, Controlled and Affiliated Entities
Not applicable
(8) Accounting Policies for Investments in Joint Ventures, Partnerships and Limited Liability Entities
Not applicable
(9) Accounting Policies for Derivatives
On occasion, the Company receives stock rights through corporate actions by common stock issuers which are reported as derivatives. The Company does not enter into derivative transactions for hedging, income generation, or replication purposes. All derivatives are reported at fair value.
Q10
--------------,-_.---------------------------------------------Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
(10) Anticipated Investment Income Used in Premium Deficiency Calculation
No significant changes
(11) Management's Policies and Methodologies for Estimating Liabilities for Losses and Loss/Claim Adjustment Expenses for A&H Contracts
No significant changes
(12) Changes in the Capitalization Policy and Predefined Thresholds from Prior Period
No significant changes
(13) Method Used to Estimate Pharmaceutical Rebate Receivables
No significant changes
D. Going Concern
Management has evaluated the Company's ability to continue as a going concern and has concluded that there are no events or circumstances that raise any doubt about the Company's ability to continue as a going concern.
Note 2 - Accounting Changes and Correction of Errors
Not applicable
Note 3 - Business Combinations and Goodwill
Not applicable
Note 4 - Discontinued Operations
Not applicable
Note 5 - Investments
A. Mortgage Loans, including Mezzanine Real Estate Loans
Not applicable
B. Debt Restructuring
Not applicable
C. Reverse Mortgages
Not applicable
D. Loan-Backed Securities
(1) Description of Sources Used to Determined Prepayment Assumptions
For fixed-rate agency mortgage-backed securities, prepayment speeds are calculated utilizing Mortgage Industry Advisory Corporation (MIAC) Mortgage Industry Medians (MIMs). MIMs are derived from a semi-monthly dealer-consensus survey of long-term prepayment projections. For other mortgage-backed, loan-backed, and structured securrties, prepayment assumptions are utilized from Moody's Analytics. Moody's applies a flat economic credit model and utilizes a vector of multiple monthly speeds as opposed to a single speed for more robust projections. In instances where Moody's projections are not available, data from Reuters is used, which utilizes the median prepayment speed from contributors' models.
(2) Other-Than-Temporary Impairments
There are no loan-backed securities with a current year recognized other-than-temporary impairment.
(3) Recognized OTTI securities
There are no loan-backed securities with a current year recognized other-than-temporary impairment.
(4) All impaired securities (fair value is less than cost or amortized cost) for which an other-than-temporary impairment has not been recognized in eamings as a realized loss (including securities with a recognized other-than-temporary impairment for non-interest related declines when a non-recognized interest related impairment remains):
a. The aggregate amount of unrealized losses: 1. Less than 12 Months $ 263,448 2. 12 Months or Longer $ 526,912
b. The aggregate related fair value of securities with unrealized losses: 1. Less than 12 Months $ 24,651,041 2. 12 Months or Longer $ 15,521,919
(5) Information Investor Considered in Reaching Conclusion that Impairments are Not Other-Than-Temporary
The unrealized losses on the Company's investments in loan-backed securities were due to temporary changes in interest rates and market conditions. The contractual cash flows of the agency mortgage-backed investments are guaranteed by an agency of the U.S. government and the non-agency mortgage-backed and asset-backed securities include collateral which reduce the risk of loss. Based on cash flow projections, the Company believes it will recover the carrying value of these investments. Because the Company does not have the intent to sell these securities, nor is it more likely than not the Company will be required to sell these securities until a recovery of carrying value, which may be maturity, the Company does not consider these investments to be other-than-temporarily impaired.
Q10.1
Stalemenl as of September 30, 20lSofthe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
E. Dollar Repurchase Agreements and/or Securities Lending Transactions
Not applicable
F. Repurchase Agreements Transactions Accounted for as Secured Borrowing
(1 ) Company Policies or Strategies for Repo Programs
(2)
The Company participated in a repurchase agreement with Bankers Trust (the Bank). The repurchase agreement was an obligation of the Bank to repay the Company the principal amount invested by the Company with interest due upon demand by the Company. To secure the obligations under the repurchase agreement, the Bank granted to the Company an undivided security interest in certain United States government securities having a market value equal to at least 102% of the principal amount invested. The United States government securities comprising the collateral were at all times owned by the Bank; therefore, this collateral was not recorded on the Company's statutory Balance Sheet and the Company did not have the authority to reinvest the collateral. No securities were sold as part of this agreement. Since the repurchase agreement matured upon demand, there was no asset-liability mismatch. The repurchase agreement was terminated effective February 15, 2018.
Type of Repo Trades Used 1 2 3 4
First Quarter Second Quarter Third Quarter Fourth Quarter a. BilateraI1YES/NO) YES b. T ri-Party (YES/NO NO
aturity Ime rame (3) M T F First Quarter Second Quarter
1 2 3 4 5 6 7 8 Average Daily Ending Average Daily Ending
Minimum Maximum Balance Balance Minimum Maximum Balance Balance a. Open - No Maturity $ $ 528,757 $ 22,988 $ $ $ $ $ b. Ovemight $ $ $ $ $ $ $ $ c. 2 Days to 1 Week $ $ $ $ $ $ $ $ d. >1 Week to 1 Month $ $ $ $ $ $ $ $ e. >1 Month to 3 Months $ $ $ $ $ $ $ $ f. >3 Months to 1 Year $ $ $ $ $ $ $ $ g. > 1 Year $ $ $ $ $ $ $ $
Third Quarter Fourth Quarter 9 10 11 12 13 14 15 16
Average Daily Ending Average Daily Ending Minimum Maximum Balance Balance Minimum Maximum Balance Balance
a. Open - No Maturity $ $ $ $ $ $ $ $ b. Overnight $ $ $ $ $ $ $ $ c. 2 Days to 1 Week $ $ $ $ $ $ $ $ d. > 1 Week to 1 Month $ $ $ $ $ $ $ $ e. >1 Month to 3 Months $ $ $ $ $ $ $ $ f. >3 Months to 1 Year $ $ $ $ $ $ $ $ g. > 1 Year $ $ $ $ $ $ $ $
(4) Counterparty, Jurisdiction and Fair Value (FV)
No securities were sold and/or acquired that resulted in default.
(5) Securities 'Sold' Under Repo - Secured Borrowing
The Company would deposit cash into an overnight sweep account. The Bank would sweep cash out of the Company's account and invest these funds into a Repurchase Agreement. The Company did not sell any securities as part of this agreement.
(6) Securities Sold Under Repo - Secured Borrowing by NAIC Designation
The Company would deposit cash into an ovemight sweep account. The Bank would sweep cash out of the Company's account and invest these funds into a Repurchase Agreement. The Company did not sell any securities as part of this agreement.
(7) C II o ateral Received - Secured BorrOWing First Quarter Second Quarter
1 2 3 4 5 6 7 8 Average Daily Ending Average Daily Ending
Minimum Maximum Balance Balance Minimum Maximum Balance Balance a. Cash $ $ 539,356 $ 23,448 $ $ $ $ $ b. Securities(FV) $ $ $ $ $ $ $ $
Third Quarter Fourth Quarter 9 10 11 12 13 14 15 16
Average Daily Ending Average Daily Ending Minimum Maximum Balance Balance Minimum Maximum Balance Balance
a. Cash $ $ $ $ $ $ $ $ b. SecuritiesJEYL $ $ $ $ $ $ $ $
(8) Cash & Non-Cash Collateral Received - Secured Borrowing by NAIC DeSignation
Not applicable as the repurchase agreement was terminated effective February 15, 2018.
Q10.2
~~ ~"~""",,,,,,,,~ .. -.--.-.--~-------------------------------StatementasofSeptember30,2018ofthe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
(9) Allocation of Aggregate Collateral by Remaining Contractual Maturity
Not applicable as the repurchase agreement was terminated effective February 15, 2018,
(10) Allocation of Aggregate Collateral Reinvested by Remaining Contractual Maturity
The Bank held the collateral for the benefit of the Company during the term of the repurchase agreement. The Company did not have any authority to reinvest the collateral.
(11) Liability to Return Collateral- Secured Borrowing (Total)
The Bank held the collateral for the benefit of the Company during the term of the repurchase agreement. The Bank retained all rights of ownership in the collateral unless or until a default under the repurchase agreement. As a result, no liability has been recognized on the Company's balance sheet.
G, Reverse Repurchase Agreements Transactions Accounted for as Secured Borrowing Repurchase Transactions - Cash Provider - Overview of Secured Borrowing Transactions
Not applicable
H, Repurchase Agreements Transactions Accounted for as a Sale Repurchase Transaction - Cash Taker - Overview of Sale Transactions
Not applicable
I. Reverse Repurchase Agreements Transactions Accounted for as a Sale Repurchase Transaction - Cash Provider - Overview of Sale Transactions
Not applicable
J. Real Estate
Not applicable
K, Low-Income Housing Tax Credits (LlHTC)
Not applicable
L~ Restricted Assets
Not applicable
M, Working Capital Finance Investments
Not applicable
N~ Offsetting and Netting of Assets and Liabilities
Not applicable
0, Structured Notes
Not applicable
P~ 5* Securities
Not applicable
Q, Short Sales
Not applicable
R Prepayment Penalty and Acceleration Fees
No significant changes
Note 6 - Joint Ventures, Partnerships and Limited Liability Companies
Not applicable
Note 7 - Investment Income
No Significant changes
Note 8 - Derivative Instruments
A, Market Risk, Credit Risk and Cash Requirements
On occasion, the Company receives stock rights through corporate actions by common stock issuers which are reported as derivatives, The Company does not purchase derivatives and has no future cash commitments related to derivatives,
B, Objectives for Derivative User
On occasion, the Company receives stock rights through corporate actions by common stock issuers which are reported as derivatives, The Company does not enter into derivative transactions for hedging, income generation, or replication purposes,
Q10.3
StatementasofSeptember30,201Bofthe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
C. Accounting Policies for Recognition and Measurement
All derivatives are reported at fair value with changes in fair value recorded in surplus. Realized gains and losses upon settlement or expiration of the derivatives are reported in net realized capital gains (losses) on the Statement of Revenue and Expenses.
D. Identification of Whether the Reporting Entity has Derivative Contracts with Financing Premiums
Not applicable
E. Net Gain or Loss Excluded from the Assessment of Hedge Effectiveness
Not applicable
F. Net Gain or Loss from Derivatives that no Longer Qualify for Hedge Accounting
Not applicable
G. Derivatives Accounted for as Cash Flow Hedges
Not applicable
H. Total Premium Costs for Contracts
Not applicable
Note 9 - Income Taxes
No significant changes
Note 10 -Information Concerning Parent, Subsidiaries, Affiliates and Other Related Parties
A. Nature of the Relationship Involved
No significant changes
B. Transactions
The Company distributed a dividend of $28,000,000 to its parent Wellmark, Inc. in September 2018.
C. Dollar Amounts of Transactions
No significant changes
D. Amounts Due From or To Related Parties
No significant changes
E. Guarantees or Undertakings
Not applicable
F. Material Management or Service Contracts and Cost-Sharing Arrangements
No significant changes
G. Nature of the Control Relationship
No significant changes
H. Amount Deducted from the Value of Upstream Intermediate Entity or Ultimate Parent Owned
Not applicable
I. Investments in SCA that Exceed 10% of Admitted Assets
Not applicable
J. Investments in Impaired SCAs
Not applicable
K. Investment in Foreign Insurance SubSidiary
Not applicable
L. Investment in Downstream Noninsurance Holding Company
Not applicable
M. All SCA Investments
Not applicable
Q10.4
Slalemenl as of September 30, 2018 oflhe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
N. Investment in Insurance SCAs
Not applicable
Note 11 - Debt
Not applicable
Note 12 - Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences and Other Postretirement Benefit Plans
Not applicable
Note 13 - Capital and Surplus, Dividend Restrictions and Quasi·Reorganizations
(1) Number of Share and Par or State Value of Each Class
No Significant changes
(2) Dividend Rate, Liquidation Value and Redemption Schedule of Preferred Stock Issues
Not applicable
(3) Dividend Restrictions
Not applicable
(4) Dates and Amounts of Dividends Paid
On August 3,2018, the Company's board of directors approved to distribute a dividend to parent. In September 2018, the Company distributed a dividend in the amount of $28,000,000 to Wellmark, Inc,
(5) Profits that may be Paid as Ordinary Dividends to Stockholders
Not applicable
(6) Restrictions Plans on Unassigned Funds (Surplus)
Not applicable
(7) Amount of Advances to Surplus not Repaid
Not applicable
(8) Amount of Stock Held for Special Purposes
Not applicable
(9) Reasons for Changes in Balance of Special Surplus Funds from Prior Period
The balance in special surplus funds for the prior year is due to the reclassification from unassigned surplus to special surplus funds, as required under SSAP 106, for the amount the Company anticipated it would pay for its 2018 health insurance provider fee, Nothing was reclassified from unassigned surplus to special surplus in the current year due to the suspension of the fee for 2019 under H.R. 195 Legislation signed by President Trump on January 22,2018,
(10) The Portion of Unassigned Funds (Surplus) Represented or Reduced by Unrealized Gains and Losses is: $21,311,222,
(11) The Reporting Entity Issued the Following Surplus Debentures or Similar Obligations
Not applicable
(12) The Impact of any Restatement Due to Prior Quasi-Reorganizations
Not applicable
(13) Effective Date of Quasi-Reorganization for a Period of Ten Years Following Reorganization
Not applicable
Note 14 - Liabilities, Contingencies and Assessments
No significant changes
Note 15 - Leases
Not applicable
Note 16 -Information about Financial Instruments with Off· Balance Sheet Risk and Financial Instruments with Concentrations of Credit Risk
Not applicable
Q10.5
StatementasofSeptember30,2018ofthe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
Note 17 - Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities
A. Transfers of Receivables Reported as Sales
Not applicable
B. Transfer and Servicing of Financial Assets
Not applicable
C. Wash Sales
(1) Description of the Objectives Regarding These Transactions
During the quarter, the Company's extemal investment managers entered into two transactions that met wash sale criteria. The transactions occurred as a result of reallocation of funds.
(2) The details by NAIC designation 3 or below, or unrated of securities sold during the current period and reacquired within 30 days of the sale date are:
NAIC Number of Book Value of Cost of Securities Description Designation Transactions Securities Sold Repurchased Gain/(Loss)
Common Stocks 2 $ 158638 $ 89,777 $ (23,492)
Note 18 - Gain or Loss to the Reporting Entity from Uninsured Plans and the Portion of Partially Insured Plans
No Significant changes
Note 19 - Direct Premium Written/Produced by Managing General AgentsfThird Party Administrators
Not applicable
Note 20 - Fair Value Measurements
A. Fair Value Measurements (1) Fair Value Measurements at Reporting Date
Net Asset Value (NAV) Included
Level 1 Level 2 Level 3 Total in Level 2 Assets at Fair Value
Cash Equivalents $ $ $ $ $ Other MM Mutual Fund $ 4,775,206 $ $ $ 4,775,206 $
Bonds $ $ $ $ $ Industrial & Misc. $ $ 2,786,458 $ $ 2,786,458 $
Common Stock $ $ $ $ $ Industrial & Misc. $ 57,612,918 $ $ $ 57,612,918 $ Mutual Funds $ 14,107,892 $ $ $ 14,107,892 $
Total $ 76,496,016 $ 2,786,458 $ $ 79,282,474 $ Liabilities at Fair Value
$ $ 1$ $ $ Total $ $ 1$ $ $
(2) Fair Value Measurements in (Level 3) of the Fair Value Hierarchy
Not applicable
(3) Policies when Transfers Between Levels are Recognized
The Company recognizes transfers between fair value hierarchy levels at the end of the reporting period. During the reporting period, foreign currency denominated, publicly traded common stocks were transferred from Level 2 to Level 1 based on a detailed review of the pricing inputs and management judgment.
(4) Description of Valuation Techniques and Inputs Used in Fair Value Measurement
Bonds, structured securities, and surplus notes are reported within Level 2 of the fair value hierarchy; all of these securities have direct or indirect price inputs that are observable in active markets. Fair values of these fixed income instruments are based on quoted market prices where available. The Company obtains one price for each security primarily from a third party pricing service or its custodian, which also uses a pricing service. The pricing service normally derives the security prices through recently reported trades for identical or similar securities, making adjustments through the reporting date based upon available observable market information. For securities not actively traded, the pricing service may use quoted market prices of comparable instruments or discounted cash flow analyses, incorporating inputs that are currently observable in the markets for similar securities. Inputs that are oflen used in the valuation methodologies include, but are not limited to, benchmark yields, credit spreads, default rates, prepayment conditions, and nonbinding broker quotes.
(5) Fair Value Disclosures
Not applicable
B. Fair Value Reporting under SSAP 100 and Other Accounting Pronouncements
Statutory guidance requires the disclosure of fair values for certain other financial instruments for which it is practicable to estimate fair value, whether or not such values are recognized in the statements of assets, liabilities, capital and surplus. The carrying amounts for cash, receivable for securites, accrued investment income, premium receivables, other receivables, amounts due tolfrom affiliates, unearned premiums, accounts payable and accrued expenses, and certain other liabilities approximate fair value because of the short-term nature of these items.
Q10.6
---_ .... ,-,-----, ... ' ------------.. '_. --------_ ..... -StatementasofSeptember30,2018ofthe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
C. Fair Value Level
Net Asset Value Aggregate Fair Not Practicable (NAV) Included
Type of Financial Instrument Value Admitted Assets (Level 1) (Level 2) (Level 3) (Carrying Value' in Level 2 Cash Equivalents $ 4,775,206 $ 4,775,206 $ 4,775,206 $ $ $ $ Short-Term Investments $ 865,810 $ 865,187 $ $ 865,810 $ $ $ Bonds $ 162,436,238 $ 164,522,210 $ $ 162,436,238 $ $ $ Common Stock $ 71,720,810 $ 71,720,810 $ 71,720,810 $ $ $ $ Other Invested Assets $ 1,224,460 $ 1,225,077 $ $ 1,224,460 $ $ $
D. Not Practicable to Estimate Fair Value
Not applicable
Note 21 - Other Items
No significant changes
Note 22 - Events Subsequent
No significant changes
Note 23 - Reinsurance
The Company had an excess loss reinsurance agreement with Zurich American Insurance Company for individual business for the year ended December 31, 2017. The Company does not have any reinsurance agreements effective for 2018.
Note 24 - Retrospectively Rated Contracts and Contracts Subject to Redetermination
A. Method Used to Estimate Accrued Retrospective Premium Adjustments
No Significant changes
B. Retrospective Premiums Recorded Through Written Premium or Adjustment to Earned Premium
No significant changes
C. Amount and Percentage of Net Premiums Written Subject to Retrospective Rating Features
No significant changes
D. Medical Loss Ratio Rebates Required Pursuant to the Public Health Service Act
No significant changes
Q10.7
SlatemenlasofSeplember30,2018ofthe Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
E. Risk Sharing Provisions of the Affordable Care Act
(1) Did the reporting entity write accident and health insuranoe premium which is subject to the Affordable Care Act risk sharing provisions
(2) ImQact of Risk hanng Provisions 0 the A or a e are ct on a mitte assets, la lIlies an revenue or t e current year: S . ffdblC A d d r bT' d f h a. Permanent ACA Risk Adjustment Program Assets
1. Premium adjustments reoeivable due to ACA Risk Adjustment Liabilities
2. Risk adjustment user fees payable for ACA Risk Adjustment 3. Premium adjustments payable due to ACA Risk Adjustment
Operations (Revenue & Expenses) 4. Reported as revenue in premium for accident and health contracts (written/collected) due to ACA Risk
Adjustment 5. Reported in expenses as ACA Risk Adjustment user fees (incurred/paid)
b. Transitional ACA Reinsuranoe Program Assets
1. Amounts recoverable for claims paid due to ACA Reinsuranoe 2. Amounts recoverable for claims unpaid due to ACA Reinsuranoe (contra liability) 3. Amounts reoeivable relating to uninsured plans for contributions for ACA Reinsuranoe
Liabilities 4. Liabilities for contributions payable due to ACA Reinsuranoe - not reported as oeded premium 5. Ceded reinsurance premiums payable due to ACA Reinsuranoe 6. Liabilities for amounts held under uninsured plans contributions for ACA Reinsuranoe
~ations (Revenue & Expenses) 7. Ceded reinsuranoe premiums due to ACA Reinsuranoe 8. Reinsuranoe recoveries (income statement) due to ACA Reinsuranoe payments or expected payments 9. ACA Reinsuranoe contributions - not reported as oeded premium
c. TemporaryACA Risk Corridors Program Assets
1. Accrued retrospective premium due to ACA Risk Corridors Liabilities
3. Reserve for rate credits or policy experienoe rating refunds due to ACA Risk Corridors Operations (Revenue & Expenses)
3. Effect of ACA Risk Corridors on net premium income (paid/reoeived) 4. Effect of ACA Risk Corridors on change in reserves for rate credits
Q10.8
Yes [X] No[]
AMOUNT
$ 2,001,983
1$ 28,767 $ 5,702,058
$ 925,281 $ 28,564
AMOUNT
$ $ $
$ $ $
$ $ $
1 AMOUNT
1$
1$
1$ 1$
Statement as 01 September 30, 2018 01 the Wellmark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
(3) Roll forward of prior year ACA Risk Sharing Provisions for the following asset (gross of any nonadmission) and liability balances along with the reasons for adjustments to prior year balance:
Accrued During the Prior Year on
Business Written Before Dec. 31 01
the Prior Year 1 I 2
Receivable (Payable) a. Permanent ACA
Risk Adjuslment Program 1. Premium adjustments receivable $ 2,000,000 $ $ 2. Premium adjuslments (payable) (7,500,000) 3. Subtotal ACA Permanent Risk Adjustment Program $ 2,000,000 $ (7,500,000) $
b. Transitional ACA Reinsurance Program 1. Amounts recoverable for claims paid $ 136,017 2. Amounts recoverable for claims unpaid (contra liability) 3. Amounts receivable relating to uninsured plans 4. Uabilities for contributions payable due to ACA Reinsurance - not reported as ceded premiums 5. Ceded reinsurance premiums payable 6. Liability for amounts held under uninsured plans 7. Subtotal ACA Transitional Reinsurance Program $ 136,017
c. Temporary ACA Risk Corridors Program 1. Accrued retrospective premium $ 2. Reserve for rate credits or policy experience rating refunds 3. Subtotal ACA Risk Corridors Program $
d. Total for ACA Risk Sharing Provisions $ 2,136,017
Explanattons of Adjustments A. Revised data received. 8. Revised data received.
$ $
$ $
$ $
$ $
$ (7,500,000) $
Differences Received or Paid as of the Current Year on Prior Year Prior Year
Business Written Accrued Less Accrued Less Before Dec. 31 01 Payments (Col. Payments (Col.
the Prior Year 1-3) 2-4) 3 I 4 5 6
Receivable (Payable) Receivable (Payable)
$ $ 2,000,000 $ $
(874,644) (6,625,356)
$ (874,644) $ 2,000,000 $ (6,625,356) $
132,736 $ $ 3,281 $ $
132,736 $ $ 3,281 $ $
$ $ $ $
$ $ $ $
132,736 $ (874,644) $ 2,003,281 $ (6,625,356) $
(4) Roll-Forward of Risk Corridors Asset and Liability Balances by Program Benefit Year
Not applicable
(5) ACA Risk Corridors Receivable as of Reporting Date
Not applicable
Note 25 - Change in Incurred Losses and Loss Adjustment Expenses
A. Change in Incurred Losses and Loss Adjustment Expenses
Unsettled Balances Adjustments ReI as 01 the Reporting Date
Cumulative Cumulative Balance from Balance from
To Prior Year To Prior Year Prior Years Prior Years Balances Balances (Col. 1-3+7) (Col. 2-4+8)
7 8 0 10 Receivable (Payable) Receivable (Payable)
1,983 $ A $ 2,001,983 $
5,423,298 B (1,202,058)
1,983 $ 5,423,298 $ 2,001,983 $ (1,202,058)
$ $ 3,281 $
$ $ 3,281 $
$ $ $
$ $ $
1,983 $ 5,423,298 $ 2,005,264 $ (1,202,058)
The Company's reserves for incurred claims and claim adjustment expenses attributable to insured events of prior years have decreased $6,815,611 from $30,312,554 in 2017. Because unpaid claims are estimated based on past experience and accumulated statistical data, the Company's actual benefit payments have varied from the original estimates.
B. Information about Significant Changes in Methodologies and Assumptions
There have been no significant changes in methodologies and assumptions used in calculating the liability for unpaid losses and loss adjustment expenses.
Note 26 - Intercompany Pooling Arrangements
Not applicable
Q10.9
SlatemenlasofSeptemberJO,2018ofthe Well mark Health Plan of Iowa, Inc.
NOTES TO FINANCIAL STATEMENTS
Note 27 - Structured Settlements
Not applicable
Note 28 - Health Care Receivables
No significant changes
Note 29 - Participating Policies
Not applicable
Note 30 - Premium Deficiency Reserves
No significant changes
Note 31 - Anticipated Salvage and Subrogation
Not applicable
Q10.10
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
GENERAL INTERROGATORIES PART 1· COMMON INTERROGATORIES
GENERAL
1.1 Did the reporting entity experience any material transactions requiring the filing of Disclosure of Material Transactions with the State of Domicile, as required by the Model Act?
1.2 If yes, has the report been filed with the domiciliary state?
2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity?
2.2 If yes, date of change:
3.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? If yes, complete Schedule Y, Parts 1 and 1A.
3.2 Have there been any substantial changes in the organizational chart since the prior quarter end?
3.3 If the response to 3.2 is yes, provide a brief description of those changes.
3.4 Is the reporting entity publicly traded or a member of a publicly traded group?
3.5 If the response to 3.4 is yes, provide the CIK (Central Index Key) code issued by the SEC for the entity/group.
4.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement?
4.2 If yes, provide name of entity, NAIC Company Code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation.
1
Name of Entity
5. If the reporting entity is subject to a management agreement, including third-party administrato~s), managing general agent(s), attomey-in-fact, or similar agreement, have there been any significant changes regarding the tenms of the agreement or prinCipals involved? If yes, attach an explanation.
6.1 State as of what date the latest financial examination of the reporting entity was made or is being made.
6.2 State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. This date should be the date of the examined balance sheet and not the date the report was completed or released.
6.3 State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date).
6.4 By what department or departments?
Iowa Insurance Division
6.5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial statement filed with Departments?
6.6 Have all of the recommendations within the latest financial examination report been complied with?
7.1 Has this reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked by any govemmental entity during the reporting period?
7.2 If yes, give full infonmation:
8.1 Is the company a subsidiary of a bank holding company regulated with the Federal Reserve Board?
8.2 If response to 8.1 is yes, please identify the name of the bank holding company.
8.3 Is the company affiliated with one or more banks, thrifts or securities finms?
8.4 If the response to 8.3 is yes, please provide below the names and location (city and state of the main office) of any affiliates regulated by a federal regulatory services agency [I.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate's primary federal regulator].
1 2 Affiliate Name Location (City, State)
9.1 Are the senior officers (principal executive Officer, principal financial Officer, principal accounting officer or controller, or persons perfonming Similar functions) of the reporting entity subject to a code of ethics, which includes the following standards?
3 FRB
(a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships;
(b) Full, fair, accurate, timely and understandable disclosure in the periodiC reports required to be filed by the reporting entity;
(c) Compliance with applicable govemmentallaws, rules and regulations;
(d) The prompt intemal reporting of violations to an appropriate person or persons identified in the code; and
(e) Accountability for adherence to the code.
9.11 If the response to 9.1 is No, please explain:
9.2 Has the code of ethics for senior managers been amended?
9.21 If the response to 9.2 is Yes, provide infonmation related to amendment(s).
9.3 Have any provisions of the code of ethics been waived for any of the specified officers?
9.31 If the response to 9.3 is Yes, provide the nature of any waive~s).
Q11
Yes[ I No[X]
Yes [] No [ ]
Yes[] No[X]
Yes[X] No[]
Yes[] No[X]
Yes [ ] No[X]
Yes[] No[X]
2 3 NAIC
Company State of Code DomiCile
Yes [ ] No[X] N/A[]
12131/2016
12/31/2016
06/29/2018
Yes[] No[] N/A[X]
Yes[] No[] N/A[X]
Yes [ ] No[X]
Yes[] No[X]
Yes [ ] No[X]
4 5 6 OCC FDIC SEC
Yes[X] No[]
Yes[] No[X]
Yes[] No[X]
StatementasofSeptember30,2018ofthe Wellmark Health Plan of Iowa, Inc,
GENERAL INTERROGATORIES PART 1 • COMMON INTERROGATORIES
FINANCIAL
10.1 Does the reporting entity report any amounts due lrom parent, subsidiaries or affiliates on Page 2 01 this statement?
10.2 II yes, indicate any amounts receivable lrom parent included in the Page 2 amount:
INVESTMENT
11.1 Were any 01 the stocks, bonds, or other assets 01 the reporting entity loaned, placed under option agreement, or otherwise made available lor use by another person? (Exclude securities under securities lending agreements.)
11.2 II yes, give full and complete inlonmation relating thereto:
12. Amount 01 real estate and mortgages held in other invested assets in Schedule BA:
13. Amount 01 real estate and mortgages held in short-tenm investments:
14.1 Does the reporting entity have any investments in parent, subsidiaries and affiliates?
14.2 II yes, please complete the lollowing:
1 Prior Year End Book/Adjusted
14.21 Bonds 14.22 Prelerred Stock 14.23 Common Stock 14.24 Short-Tenm Investments 14.25 Mortgage Loans on Real Estate 14.26 All Other 14.27 Total Investment in Parent, Subsidiaries and Affiliates (Subtotal Lines 14.21 to 14.26) 14.28 Totallnvesiment in Parent included in Lines 14.21 to 14.26 above
15.1 Has the reporting entity entered into any hedging transactions reported on Schedule DB?
15.2 II yes, has a comprehensive desCription 01 the hedging program been made available to the domicilialY state?
II no, attach a description with this statement.
16. For the reporting entity's security lending program, state the amount 01 the lollowing as 01 current statement date:
16.1 Total lair value 01 reinvested collateral assets reported on Schedule DL, Parts 1 and 2:
16.2 Total book adjusted/carrying value 01 reinvested collateral assets reported on Schedule DL, Parts 1 and 2:
16.3 Total payable lor securities lending reported on the liability page:
Carrying Value $
$ $
17. Excluding nems in Schedule E-Part 3-Special Deposns, real estate, mortgage loans and investments held physically in the reporting entity's offices, vaults or safety deposn boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a
0 0 0 0 0 0 0 0
custodial agreement with a qualified bank or trust company in aocordance with Section 1, III - General Examination Considerations, F. Outsourcing 01 Critical Functions, Custodial or Safekeeping Agreements 01 the NAIC Financial Condftion Examiners HandbooK?
17.1 For all agreements that comply with the requirements 01 the NAIC Financial Condftion Examiners Handbook, complete the following:
1 2
Yes[X] No[]
$ 11,536,127
Yes [] No[X]
$ 0
$ 0
Yes[] No[X]
2 Current Quarter Book/Adjusted
Carrying Value $ 0
0 0 0 0 0
$ 0 $ 0
Yes[] No[X]
Yes [ ] No[]
$ 0
$ 0
$ 0
Yes[X] No[]
Name 01 Custodian(s) Custodian Address The Bank 01 New Yori< Mellon BNY Mellon Center, 500 Grant Street, PntsbUlllh, PA 15258
17.2 For all agreements that do not comply with the requirements 01 the NAIC Financial Condftion Examiners Handbook, provide the name, location and a complete explanation:
1 2 3 Name(s) Location(s) Complete Explanation(s)
17.3 Have there been any changes, including name changes, in the custodian(s) identified in 17.1 during the current quarter?
17.4 II yes, give full and complete infonmation relating thereto:
1 2
Old Custodian New Custodian
Yes [ ] No[X]
3 4 Date of Change Reason
17.5 Investment management -Identify all investment advisors, investment managers, broker/dealers, including individuals that have the authority to make investment decisions on behall 01 the reporting entity. For assets that are managed intemally by employees of the reporting entity, note as such r ... that have access to the investment aocounts', 'handle securities').
1 2 Name 01 Finm or Individual Affiliation
Metropolitan West Asset Management LLC U NISA Investment Advisors LLC U Fisher Investments, Inc. U Wellington Management Company LLP U
17.5097 For those finmslindividuals listed in the table for Question 17.5, do any finmsJindividuals unaffiliated with the reporting entity (i.e., designated with a 'U') manage more than 10% 01 the reporting entity's assets? Yes [ X ] No [ ]
17.5098 ForfinmsJindividuals unaffiliated with the reporting entity (i.e., designated with a 'U') listed in the table for Question 17.5, does the total assets under management aggregate to more than 50% of the reporting entity's assets? Yes [X] No [ ]
17.6 For those finms or individuals listed in the table for 17.5 with an affiliation code of 'A' (affiliated) or 'U' (unaffiliated), provide the inlonmation for the table below.
1 2 3 4 5 Investment
Central Registration DepositolY Management Number Name of Finm or Individual Legal Entity Identifier (LEI) Registered With Agreement (IMA) Filed
104571 Metropolitan West Asset Management 5493004MDKGXCOOIY283 SEC NO LLC
107313 NISA Investment Advisors LLC 549300L l1G2JOW7XNY28 SEC NO
Q11,1
Statement as of September 30, 201Bofthe Wellmark Health Plan of Iowa, Inc.
GENERAL INTERROGATORIES PART 1· COMMON INTERROGATORIES
1 2 3 4
Central Registration Depository Number Name of Firm or Individual Legal Entity Identifier (LEI) Registered With
107342 Fisher Investments, Inc. 549300YOG7L5RIDRN993 SEC 106595 Wellington Management Company 549300YHP12TEZNLCX41 SEC
LLP
18.1 Have all the filing requirements 01 the Purposes and Procedures Manual 01 the NAIC Investment Analysis Office been followed?
18.2 If no, list exceptions:
19. By self-jjesignating S·GI securities, the reporting entity is certifying the following elements for each self-jjesignated 5'GI security: a. Documentation necessary to permit a full credit analysis of the security does not exist. b. Issuer or obligor is current on all oontracted interest and principal payments. c. The insurer has an actual expectation of ultimate payment of all oontracted interest and principal. Has the reporting entity seW-designated S'GI securities?
Q11.2
5 Investment
Management Agreement (IMAl Filed
NO NO
Yes[X] No[]
Yes[] No[X]
Statement as of September 30, 2016 of the Well mark Health Plan of Iowa, Inc.
1. Operating Percentages:
GENERAL INTERROGATORIES (continued) PART 2 • HEALTH
1.1 A&H loss percent ......................................................................................................................................................................................................... . 71.5 %
1.2 A&H cost conlainment percent ........................................................................................................................................................................................................................ __ --'O~.8'-%"'-
1.3 A&H expense percent excluding cost conlainment expenses ........................................................................................................................................................................ ___ 1",3",.7-,%,,-
2.1 Do you act as a custodian for health savings accounts? ......................................................................................................................................................... .. Yes [ No[X]
2.2 If yes, please provide the amount of custodial funds held as of the reporting date. o 2.3 Do you act as an administrator for health savings accounts? ...................................................................................................................................... .. Yes [ No[X] 2.4 If yes, please provide the amount of funds administered as of the reporting date. o
3. Is the reporting entity licensed or chartered, registered, qualified, eligible or writing business in at least two slates? ................................................................ . Yes [ No[X] 3.1 If no, does the reporting entity assume reinsurance business that covers risks residing in at least one slate other than the
slate of domicile of the reporting entity? ................................................................................................................................................................................... . Yes [ No[X]
Q12
Slatemeni as ofSeplember 30, 20180flhe Well mark Health Plan of Iowa, Inc.
SCHEDULE S • CEDED REINSURANCE Sh oWing ew elnsurance AIIN R' T r rea les- c urren ear 0 ae t Y t D t
1 2 3 4 5 6 7 8 9
Effective Date NAIC Type of Certified of Certified
Company Effective Domiciliary Reinsurance Type of Reinsurer Rating Reinsurer Code 10 Number Date Name of Reinsurer Jurisdiction Ceded Reinsurer (1 through 6) Rating
NONE
Q13
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
SCHEDULE T· PREMIUMS AND OTHER CONSIDERATIONS Current Year to Date - Allocated by States and Territories
Direct Business Only 23456
State, Etc.
Active Status
(a)
Accident and Health Premiums
1. Alabama ........................................ AL .... N..... .. ...................... . 2. Alaska ............................................ AK .... N..... .. ..................... .. 3. Arizona .......................................... AZ. .... N..... .. ...................... . 4. Arkansas ...................................... AR .... N ............................. . 5. Califomia ....................................... CA .... N..... . ....................... . 6. Colorado ...................................... CO .... N..... .. ...................... . 7. COnnecticut ................................... CT .... N ............................. . 8. Delaware ...................................... DE .... N.... .. .................. .. 9. District of Columbia ..................... .DC .... N..... .. ...................... . 10. Florida ........................................... FL .... N ............................. . 11. Georgia ........................................ GA .... N..... .. ...................... . 12. Hawaii.. ........................................... HI .... N ........................... .. 13. Idaho ............................................... ID .... N ............................ . 14. Illinois ............................................. IL .... N..... .. .................... .. 15. Indiana .......................................... IN .... N ............................. . 16. Iowa ............................................. .lA ... L ......... 311,760,148 17. Kansas ........................................... KS .... N ............................. . 18. Kentucky ...................................... .Ky .... N ............................. . 19. Louisiana ....................................... LA .... N ............................. . 20. Maine ........................................... ME .... N... .. ...................... . 21. Maryland ...................................... MD .... N..... .. ..................... . 22. Massachusetts .............................. MA .... N .... .
Medicare Tille XVIII
Medicaid Tille XIX
Federal Employees
Health Benefrts Program
Premiums
23. Michigan ......................................... MI .... N..... ......... ......................... .. ..................... .. .................... .. 24. Minnesota ..................................... MN .... N..... .... .................... ................ ......................... .. ...................... . 25. Mississippi .................................... MS .... N..... ......................... .. ................ .. 26. Missouri ...................................... MO .... N..... .. ................ .. ...................... . 27. Montana ...................................... MT .... N..... ............. .. ...................... . 28. Nebraska ....................................... NE .... N..... .. ................ . 29. Nevada .......................................... NV .... N... .. ...................... . 30. New Hampshire ............................ NH .... N ............................. . 31. New Jersey .................................... NJ .... N .... . 32. New Mexico .................................. NM .... N..... ...... .................. ......................... ......................... .. ...................... . 33. New yorK ...................................... Ny .... N... .. ...................... . 34. North Carolina .............................. NC .... N ............................. . 35. North Dakota ................................ ND .... N..... .. ................ . 36. Ohio .............................................. OH .... N .... . 37. Oklahoma ...................................... OK .... N .... . 38. Oregon ......................................... OR .... N... .. ...................... . 39. Pennsylvania ................................ PA .... N..... ......................... .. ..................... . 40. Rhode Island .................................. RI .... N..... .. .......... .. 41. South Carolina .............................. SC .... N .... . 42. South Dakota ................................. SD .... N..... .................... .. ...................... . 43. Tennessee .................................... TN .... N ............................ . 44. Texas ........................................... TX .... N ................... . 45. Utah ............................................. UT .... N .... . 46. Venoon!.. ...................................... VT .... N..... .. .................... ..
Life and Annuity
Premiums and Other
Considerations
7
Propertyl Casualty Premiums
8
Total Columns
2 throUQh 7 .. ........................ 0
.. .............. 0 . ......................... 0 .......................... 0 .. ....................... 0 .. ....................... 0 .. ........................ 0 . ......................... 0 .......................... 0 .. ....................... 0 .. ........................ 0 .......................... 0 .. ........................ 0 .. ........................ 0 . ......................... 0 ........ 311,760,148
.. .............. 0 ........................ 0
. ......................... 0 .. ......... 0
.. ............. 0 . ......................... 0
.. .................................. 0 .. ........... 0
.. ............. 0 .. ....... 0
. ......................... 0
. ......................... 0 .. ....... 0
.. ............. 0 .. ............... 0
. ......................... 0
.......................... 0 .. ........ 0
.. ........................ 0
.......................... 0 .. ....... 0
.. ........ 0 .. ........................ 0
.. .............................................. 0 . ......................... 0
.. .............. 0 .. ................................................ 0 ...................... . ......................... 0
. ......................... 0
. ......................... 0 47. Virginia ........................................... VA .... N.... ......................... .. ......................... ......................... .. ....................... 0
9
Deposit-Type Contracts
48. Washington .................................. .wA .... N..... ......................... ......................... ....................... ......................... ............. .......... .. ...................... .. ................. 0 ........................ . 49. West Virginia .............................. WV .... N..... ......................... ......................... ................... ................... ......................... ........................ .. ........................ 0 .................. . 50. Wisconsin ...................................... WI .... N..... ......................... ......................... ......................... ......................... ......................... ......................... .. ....................... 0 51. Wyoming ..................................... WY .... N.... ......................... ...................... ......................... ......................... ......................... ......................... .. ........................ 0 ....................... . 52. American Samoa ......................... AS .... N.... ......................... ......................... ......................... ......................... ......................... .. ............. 0 ........................ . 53. Guam ........................................... GU .... N..... ......................... ...................... ......................... ...................... .................. .. .............. 0 .................. . 54. Puerto Rico .................................... PR .... N..... ......................... ......................... ......................... ......................... ......................... ......................... . .................... 0 55. U.S. Virgin Islands ........................ VI .... N..... ......................... ...................... .................... ...................... .. ....................... 0 ........................ . 56. Northern Mariana Islands ............. MP .... N..... ......................... ........................ ....................... ......................... ......................... .. ....................... 0 57. Canada ....................................... CAN .... N.... ......................... ............ .............. ......................... ......................... .. ....................... 0 ...................... . 58. Aggregate Other alien .................. OT .. XXX.. .. .................... 0 ...... 0 ...................... 0 ...................... 0 ...................... 0 .............. 0 .......................... 0 ...................... 0 59. Subtotal.................................. ..XXX ...... 311,760,148 ...................... 0 ........... 0 ....... 0 ........... 0 ...................... 0 ...... 311,760,148 ...................... 0 60. Reporting entity contributions for
Employee Benefit Plans ..................... f" .. ",XXX= .. '-t"''''-''''-''''''-''''''-''''''-''''''-''''''-'''''-' +=-"'-"''''-''''''''''''''''''''''''''''''''-+",''''''''''''''''''''''''''''''''''''''''''''''-1' P=="'''''''''''-'' t'.", ... ", ... ", .. "''''''''''''''''''''''''''''-+",''''''''''''''''''''''''''''''''''''''''''''''-' 1-'.", ... ", ... ", ... ", ... ", ... ", ... ", ... ", ... ",.0-+","''''''''''''''''''''''''''''''''''''''''''''''''''''-1. 61. Total (Direct Business) ...... .. .. XXX.. .. .. 311,760,148 ....... 0 ...................... 0 ...................... 0 ..................... 0 .. ............ 0 ........ 311,760,148 ................ 0
DEl AILS OF WRITE-INS 58001 ........................................... . .. ........ 0 58002 .......................................................... .. . ......................... 0 58003 ......................................................... .. .. ....................... 0 58998. Summary of remaining write-ins
for line 58 from overflow page ........................ .. .................... 0 ...................... 0 ........ 0 ...................... 0 ..................... 0 ............... 0 .......................... 0 ...................... 0 58999. Total (Lines 58001 thru 58003 plus 58998)
tLine 58 above).............. ....................... ......... .. ................... 0 ..................... 0 .................... 0 .................... 0 ...................... 0 ....... 0 ................. 0 ...................... 0 (a) Active Status Count
L - Licensed or Chartered - Licensed insurance carrier or domiciled RRG .................... . R - Registered - Non-domiciled RRGs .... o E - Eligible - Reporting entities eligible or approved to write surplus lines in the state .. Q - Qualified - Qualified or accredited reinsurer .... o
N - None of the above - Not allowed to write business in the state .... 56
Q14
StatementasoISeptember30,20t8olthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE Y -INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP PART 1 - ORGANIZATIONAL CHART
IF
SOLE
~ MEMBER
THE WELLMARK FOUNDATION
(FEIN 42-1368650)
CHARITABLE FOUNDATION
.. MIDWEST BENEFIT
CONSULTANTS, INC. (FEIN 36-3436606)
INSURANCE AGENCY
lIIIELLMARK
HOLDINGS, INC. (FEIN 42-1254496)
HOLDING COMPANY
100%
OWNERSHIP
FIRST
ADMINISTRATORS, INC.
(FEIN 42-1267807) THIRD PARTY
ADMINISTRATOR
WELLMARK, INC. (FEIN 42-0318333)
NAIC CO CODE 88848 IA
lIIIELLMARK OF
SOUTH DAKOTA, INC. (FEIN 42-1459204)
NAIC CO. CODE 60128 SD
,
WELLMARK HEALTH PLAN OF IOWA, INC.
(FEIN 42-1455449) NAI C CO. CODE 95531 IA
75%
OWNERSHIP 50%
OWNERSHIP
UNIVERSITY OF IOWA
HEALTH SYSTEM (FEIN 42-1431503)
MERCY HEALTH
NETWORK, INC. (FEIN 42-1476417)
IF Ir
16.25%
OWNERSHIP
WELLMARK SYNERGY HEALTH, INC.
(FEIN 37-1800647) NAIC CO. CODE 159351A
50%
OWNERSHIP
WELLMARKVALUE
HEALTH PLAN, INC. (FEIN 36-3968543)
NAIC CO. CODE 15934IA
{ .i
I
I I
I' .... (I)
StatementasofSeptember30,2018ofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE Y PART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Name of Type of Securities Control Exchange (Ownership Is an ~ Publicly Board, If Control is SCA
NAIC Traded Names of Relationship Management, Ownership Filing Group Group Company 10 Federal (U.S. or Parent, Subsidiaries Domiciliary to Reporting Directly Controlled by Attomey-in-Fact, Provide Ultimate controllin~l R~~red? Code Name Code Number RSSD CIK Intemational) or Affiliates Location Entity (Name of Entity/Person) Influence, Other Percentage EnLity(ies)/Person(s IN) Members
0770 Wellmar1< Group.................... 88848 ... 42-0318333 .. ................... .. .... "............. ........................ Wellmar1<, Inc .................................................... IA.............. UDP ............ ........... .. .... "................. ................ ........ Wellmar1<, Inc.................................................. .. ... N .. .
0770 Wellmar1< Group ...... " .......... .. 60128". 42-1459204 .. ................... ...... "............. .. ...... Wellmar1< of South Dakota, Inc......................... SO.......... IA ................. Wellmar1<, Inc ................................................ Ownership...... ... tOO.OOO Wellmar1<, Inc ................................ " .................... N ...... .
0770 Wellmar1< Group .................. .. 95531 ... 42-1455449 .. . ...................................... " .... " ............ Wellmark Health Plan of Iowa, Inc""......... IA .. " ......... RE ................ Wellmark, Inc .................................................. Ownership......... ...100,000 Wellmark, Inc ....... ,,', ..................... , .............. " ..... N ...... .
0770 Wellmar1< Group .................. .. 15935 ... 37-t800847 .. .......... ..................... ........ Wellmar1<SynergyHealth, Inc ........................... IA .............. IA ................. Wellmar1<, Inc .................................................. Ownership .............. 75.000 ....................................... .. ... N 1 ......... ..
0770 Wellmar1< Group .................. .. 15935 ... 37-1800847 .. .. ....................... "............. ......... Wellmar1< Synergy HeaHh, Inc ...................... " ... IA.............. IA................. University of Iowa HeaHh System..... ............. Ownership......... .. ... 16.250 .......................... ".. ........................................ .. ... N....... 1.. ..
0770 Wellmar1< Group .................. .. 15934". 38-3988543 .. .. ....................... " ..................................... Wellmar1< Value HeaHh Plan, Inc...................... IA .............. IA ................. Wellmar1<, Inc .............. " ................................. Ownership......... .. ... 50.000 ...................................................... " ................... N ....... 2 .......... .
0770 Wellmar1< Group .................. .. 15934 ... 38-3988543 .. Wellmar1< Value HeaHh Plan, Inc...................... IA.... ......... IA................. Mercy HeaHh Networ1<, Inc .............................. Ownership......... .. ... 50.000 .. ... N ....... 2 .......... .
........ Wellmar1< Group .................. .. 00000 ... 36-3436608 .. Midwest Benefit ConsuHants, Inc ...................... IA .............. NIA ............... Wellmar1<, Inc .................................................. Ownership ............ 100.000 Wellmar1<, Inc ................................................ . .. ... y ...... .
........ Wellmar1< Group .................. .. 00000 ... 42-1254496 .. Wellmar1< Holdings, Inc ..................................... IA .............. NIA .............. Wellmar1<, Inc....................... .. ...... Ownership ............ 100.000 Wellmar1<, Inc .................. . .. ... y
Wellmar1< Group .................... 00000 ... 42-1287807 .. First Adrrinistrators, Inc ................................... IA. ............. NIA .............. Wellmar1<, Inc ................................................. Ownership......... ... tOO.ooo Wellmar1<, Inc ...................................................... y ....... ..
Wellmar1< Group.............. ..... 00000 ... 42-1368650 .. The Wellmar1< Foundation................................. IA ............. OTH............. Wellmar1<, Inc .................................................. Other ................ Wellmar1<, Inc.............. ................................... .. ... N....... 3 .......... .
A E I ster xPlanatlon 1 This entrty is 75% owned by Wellmar1<, Inc., 16.25% owned by the Univershy of Iowa Health System, and 8.75% owned by other heaHh care provider systems. Each party has voting rights. 2 This entity is 50% owned by Wellmar1<, Inc. and 50% owned by MercyHeaHh Networ1<, Inc. Each party_has voting rights. 3 Wellmar1<, Inc. is the sole member of The Wellmar1< Foundation.
StatementasofSeptember30,2018ofthe Well mark Health Plan of Iowa, Inc"
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The following supplemental reports are required to be filed as part of your statement filing. However, in the event that your company does not transact the type of
business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a "NONE" report and a bar code
will be printed below. If the supplement is required of your company but is not being filed for whatever reason, enter SEE EXPLANATION and provide an
explanation following the interrogatory questions.
1. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC with this statement?
Explanation: 1. The data for this supplement is not required to be filed.
BarCode:
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 .95 5 3 1 201 836 5 0 0 0 03·
Q17
Response
NO
StatementasofSeptember30,20t8ofthe Wellmark Health Plan of Iowa, Inc.
Overflow Page for Write-Ins
NONE
Q18
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE A· VERIFICATION
Real Estate
Vearto Date 1. Book/adjusted canying value, December 31 of prior year. ............ . 2. Cost of acquired:
2.1 Actual cost at time of acquisition.............................. ·············N···· '0' ···N···· ··E··············· 2.2 Additional investment made after acquisition....... .................... ............. . ........ .. . .............. .
3. Current year change in encumbrances..... ............ ........................... .............. .... ... .......... . ............. . 4. Total gain (loss) on disposals................... ........................................ ........................ .................. ..................... . .............................. . 5. Deduct amounts received on disposals......... ....................................... .................. . ................ . 6. Total foreign exchange change in book/adjusted canying value ................................................................................................... . 7. Deduct current yea~s other-than-temporary impainnent recognized ............. . 8. Deduct current yea~s depreciation .............................................. .
. ........... 0
2 Prior Vear Ended
December 31
9. Book/adjusted canying value at end of current period (Lines 1 +2+3<4-5-16-7-8)............. . ..................................... . . .................................... 0 ................................................... 0 10. Deduct total nonadmitted amounts............ ......................... . ................................................................. . 11. Statement value at end of current oeriod (Line 9 minus Line 10) ............................................................................................................................................. 0
SCHEDULE B· VERIFICATION MDrtgage Loans
Vearto Date 1. Book value/recorded investment excluding accrued interest, December 31 of prior year....................................... ............... . ............................. . . ...... 0 2. Cost of acquired:
2.1 Actual cost at time of acquisition................. . ................. . 2.2 Additional investment made after acquisition. ................. . ................................................. .
3. Capitalized deferred interest and other....................... ····························k,·'··n a::, E" .. :: ~~~~~~~d~:~:~~~~~~~~~·(decrea~~i:::::::::::·· ..... :::.:.:·.:::::::I~:\;;;ll~.. . .. 6. Total gain (loss) on disposals...................... ............................ . ............................................ . 7. Deduct amounts received on disposals................ .. ................... ................... ....................................... .................... . 8. Deduct amortization of premium and mortgage interest points and commitment fees ........................................................... . 9. Total foreign exchange change in book value/recorded investment excluding accrued interest... ......................................... .
..................... 0
2 Prior Vear Ended
December 31
10. Deduct current yea~s other-than-temporary impainnent recognized ................................................................. r===""''''''''''''''''''''''''''''''''''''''''''''''''''''''==F====''''''''''''''''''''''''''''''''''''''''''''''''''''''-1'' 11. Book value/recorded investment excluding accrued interest at end of current period (Lines 1 +2+3<4+5-16-7-8+9-10)... . . ................................... 0 .......................................... 0
12. Total valuation allowance.................... .......................... .................... ........................ . ........................ r"""""""""''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' .. "'. ==-F""""""""""""""""""'''''''''''''''''''''''''''''''''''''''''."' ... "' ... "' .. ""1 13. Subtotal (Line 11 plus Line 12)............ ..................... ......................... . ...................... r."' ... "' ... "' ... "' .... "' ... "' ... "' ... "' ... "' ... "' ... :::. ... "' ... "' ... "' ... "' .. ", ... ",.0+,"""""""""""""""""""""""""""'''''''''''''", ... ", ... ", ... ", ... ", ... ",.0,-, 14. Deduct total nonadmitted amounts..... ................... . ........................................................................................ r=====""""""""''''''''''''''''''''''''''''''''''''''-'' t'.", ... ", ... ", ... ", .. ", ... ", ... ", ... ", ... ", ... ", .. ", ... ", ... ", ... ",.""""""'''''''''''''''-1'' 15. Statement value at end of current period (Line 13 minus Line 14) .......................................................................................................................................... 0 ............................................... 0
SCHEDULE BA· VERIFICATION Other Long-Term Invested Assets
1. Book/adjusted canying value, December 31 of prior year ..... . 2. Cost of acquired:
2.1 Actual cost at time of acquisition ........................................................ . 2.2 Additional investment made after acquisition
3. Capitalized deferred interest and other ............................................................................................................ . 4. Accrual of discount. ........................... ..................... . ............................................................................................. . 5. Unrealized valuation increase (decrease) .......................................................................................................................... . 6. Total gain (loss) on disposals ........................................................................................................................................... . 7. Deduct amounts received on disposals........... . ............................................ . 8. Deduct amortization of premium and depreciation.............. . ........................................................................................ . 9. Total foreign exchange change in book/adjusted canying value ............................................................................................ .
Vearto Date . ....................................... 0
....... 6,235,310
. ........................... 10,233
2 Prior Vear Ended
December 31
10. Deduct current yea~s other-than-temporary impainnent recognized ................................................................. F=='''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''=-j-''''' ... "' ... "' ... "' ... "' ... "' .. "' ... "' ... "' ... "' ... "' ... "' .. "' ... "' ... '""''''''''''''''''''''-1''
11. Book/adjusted canying value at end of current period (Lines 1+2+3<4+5-16-7 -8+9-10)........... ............................................. . .................................. 6,225,077 ......... 0
12. Deduct total nonadmitted amounts. ................... ............................................................... ........ ............ ........................ 1-' .. "' .. "' ... "' ... "' ... :::. ... "' ... "' .. "' ... "' ... "' .. ="'."' ... "' ... "' ... "' ... :::. ... "-. j-'."' ... "' ... "' ... :::. .. "' .. "' ... "' ... ;.:: ... ;.:: ... :::. ... :::.."' ... "' ... ;.:: ... ;'::"''''''':::'''''''''''-1''
13. Statement value at end of current oeriod (Line 11 minus Line 12)................... . ................... . ...................... 6,225,077 ............................................... 0
SCHEDULE D· VERIFICATION Bonds and Stocks
2 Prior Vear Ended
Vear to Date December 31 1. Book/adjusted canying value of bonds and stocks, December 31 of prior year.. ................. ................ ................... . ............................... 232,590,364 ................................ 181,959,289 2. Cost of bonds and stocks acquired.......... ...................... .................................................... ............. . ................................ 111 ,041 ,059 ................................ 103,957,846 3. Accrual of discount........ ............................. ...................... ...................... .............................. . ......................... 156,098 ........................................ 142,820 4. Unrealized valuation increase (decrease) ........................ ..................................... . ..................... 1,753,484 .................................... 6,390,678 5. Total gain (loss) on disposals...... ......................... .......................................... ...................... ........................ . ........................................ 52,431 ..................................... 1,102,031 6. Deduct consideration for bonds and stocks disposed of. ................................. ..................... ....................... . ............................... 107,739,411 ................................... 60,369,817 7. Deduct amortization of premium. ........................ ....................... .................. ...................... ....................... ......... ............ . .............. 1,472,327 ................ 1,460,323 8. Total foreign exchange change in book/adjusted canying value... .................................... .................... . ....................... (181,205) ................................ 917,930 9. Deduct current yea~s other-than-temporary impainnent recognized.. ......................... ....................... ................. .... ...................... .................. . ......................................... 50,090 10. Total investment income recognized as a result of prepayment penalties and/or acceleration fees ............................................................................... .42,527 ................................ . 11. Book/adjusted canying value at end of current period (Lines 1+2+3<4+5-6-7-16-9+10) ........................................................................................ 236,243,020 ............................... .232,590,364 12. Deduct total nonadmitted amounts.......................... ........................................ ..................... ..................... .................... ........................ .................. . .......................................... . 13. Statemert value at end of current period~Line 11 minus Line 12L................... ............................ . ................... 236,243,020 ................................. 232,590,364
QSI01
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
NAIC Designation
BONDS
1. NAIC 1 (a) ................. .
2. NAIC 2 (a) ....
3. NAIC 3 (a) ...
4. NAIC 4 (a) ....... .
5. NAIC 5 (a) ....
6. NAIC 6 (a) .. I)
~ 7. Total Bonds.
!\)
PREFERRED STOCK
8. NAIC 1... .......
9. NAIC 2 .......
10. NAIC 3 ......... .
11. NAIC 4 .......
12. NAIC 5 ...
13. NAIC6.
SCHEDULE D • PART 1 B Showing the Acquisitions, Dispositions and Non·Trading Activity
During the Current Quarter for all Bonds and Preferred Stock by NAIC DesiQnation 2 3 4 5
Book/Adjusted ClI!Ying
Value Beginning
of Current Quarter
Acquisitions
During
Current Quarter
.. 122,048,362 """. .. ................ 30,202,155
.............. 37,999,836 .. ..... 1,379,401
......... 2,862,065 . ..... 2,616, 181
................ 253,163 ....................... 129,919
............ 380,414 . ... 107,320
. ...... 1,006,822 .. ..... 86,816
.. 164,550,662 .............. 34,521,791
......... (1,221) .
Dispositions
During
Cument Quarter
.. 32,058,284
.......... 477,565
....................... , ... 576,486
........................... 19,046
....... 15,023
... 30,858
.................. 33,177,262
.. ...... (1,221) .
Non-Trading Activity
During
Cument Quarter
.................... (3,426,638)
..... 2,833,212
... 69,190
Book/Adjusted Carrying
Value End of
First Quarter
............ 133,645,739
.44,042,909
... ... 2,968,006
.. ..... (111,611) ....... . .. 672,029
.......... 130,075 .... 374,247
............. (2,0211 ............... 1,048,756
.. ......... (507,794) ........ 182,751,686
6 Book/Adjusted Carrying
Value End of
Second Quarter
.............. 122,048,362
7
Book/Adjusted Carrying
Value End of
Third Quarter
.116,765,594
................... 37,999,836 ........ ........ 41,734,885
8 Book/Adjusted Carrying
Value December 31
Prior Year
........ 136,943,213
....... 41,581,556
............................ 2,862,065 ... 4,970,949 ....... .. 2,693,319
... 253,163 .... 252,424 ............. .783,190
.... 380,414 ...... 602,786 ........... 606,164
............................ 1,006,822 ............ 1,060,759 .............................. 399,683
......... 164,550,662 ........... 165,387,397 ....... 183,007,125
..... 0 ................... 965
. ..................................... 0
. .. 0
.. ...... 0
.. ...... 0
.. ... """"""""" ........ 0
14. Total Pnelerred Stock .. ........................ ' . F==="""""""''''''''''''''''''~O F= .. = .... "' .. ·= .... "' .. ·= .... "" .. ~ .. ·(l-"11,~22'..'.11)'+'.=. ==="" ... "' ... "" .... ~(·1~,220.'.1\4-."" ... "'. ====.", ... = .... "" ... "" .. 0'---1-"'="''''''''''''''''''''''''''''''''''''' "'. "" .... ", ... ~ ... O"--+,= ... = .... ", ... = .... ", ... = .... ==.",, ... ~O -1-' .. "' ... = .... "' ... = .... "' ... "' ... "" ... "' .... "" ... "' ... = .... "' ... "',0-+==== ... "' ... "" .... '" .... "" ... "'.96=-j5
15. Total Bonds and Pnelerred Stock...... ........................ ......................... 164,550,662 .................. 34,520,570 .33,176,041 ........ . .......... (507,794) ......................... 182,751,686 .............. 164,550,662 ........ 165,387,397 .......................... 183,008,090
(a) Book/Adjusted Carrying Value column for the end of the current reporting period indudes the following amount of short-term and cash eqUivalent bonds by NAIC designation:
NAIC 1 $ ..... 865,187; NAIC 2 $ .......... 0; NAIC 3 $ .......... 0; NAIC 4 $ .......... 0; NAle 5 $ .......... 0; NAIC 6 $ .......... 0.
Statement as of September 30, 2018 01 the Wellmark Health Plan of Iowa, Inc.
SCHEDULE DA· PART 1 Short· Term Investments
1 2 3 4 BooI</Adjusted Actual Interest Collected Carrying Value Par Value Cost Year To Date
9199999 ........ . .... 865, 187 ...... XXX ... ........ . ... 864,863 . ......... .......... 305
SCHEDULE DA· VERIFICATION Short·Term Investments
1. Book/adjusted carrying value, December 31 of prior year ...... .
2. Cost of short-tenm investments acquired
3. Accrual of discount... ....
4. Unrealized valuation increase (decrease) ....... .
5. Total gain (loss) on disposals ............................ .
Year To Date
..... 903,904
.............................. 1,861,932
. ............................................. 1,871
. ............................... ..40
5 Paid for Accrued Interest
YearTo Date
. ..•............. ....... 295
2 Prior Year Ended
December 31
. ....... 3,091,454
............................. 72,684,969
............ 18,306
. .............................. ..406
6. Deduct consideration received on disposals ....................................... . . ...... 1,902,560 ...................................... 74,891,231
7. Deduct amortization of premium .................................. .
8. Total foreign exchange change in book/adjusted carrying value ..... .
9. Deduct current yeafs other·than·temporary impainment recognized ................................................................................. f""""""""""""""" =======}==="' .. "' ... "' ... "' ... "' .... "' ... "' ... "' ... "' .. =="-j
10. Book/adjusted carrying value at end of current period (Lines 1 +2+3<4-+5-6·7<8·9) .................................... . ................................... 865,187 . .......... 903,904
11. Deduct total nonadmitted amounts ............................................................... .
12. Statement value at end of current period (Line 10 minus Line 11). ................... 865,187 . ........................... 903,904
QSI03
Statement as of September 30, 201Bof Ihe Wellmark Health Plan of Iowa, Inc.
Sch. DB - Pt. A - Verification NONE
Sch. DB - Pt. B - Verification NONE
Sch. DB - Pt. C - Sn. 1 NONE
Sch. DB - Pt. C - Sn. 2 NONE
Sch. DB - Verification NONE
QSI04, QSI05, QSI06, QSI07
SlalemenlasofSeplember30,2018oflhe Wellmark Health Plan of Iowa, Inc.
SCHEDULE E - PART 2 - VERIFICATION Cash Equivalents
Year To Date
1. Book/adjusted carrying vatue, December 31 of prior year. """""""""'",,. ",,"""""""," """",,1,486,762
2 Prior Year Ended
December 31
.... "","""""""""""",,.,,. " ..... ,.123,240
2. Cost of cash equivalents acquired",,,, """"""'''''''''''''''''''''''''''" """""""'". """"""""""""""""",,. """.70,975,752 ......... , .. ,' "",,,,,,,,,,,,,,,,,,,,,,,,,.26,481 ,921
3, Accrual of discount""",,, """""""""" """"""""., """"""""""""""""""""""""""""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,, ""'" ..... """"""""""",,.18 " .. " .. """""",,,,,,,,,,,"""""'" ....... 2,969
4. Unrealized valuation increase (decrease)"" """""""""""",,.
5. Total gain (loss) on disposals"",,,,,. ,.,,,,,,,,,"""""",,,,,,,,,,""""""" .. "".(234)
6. Deduct consideration received on disposats """"""""" """""",,"'"'' """".".,,""" ,,,"""",,"""",,. ... "", .. 67,687,326 """",,""""",," """"",,25,121,134
7. Deduct amortization of premium"""""",,,, """""",,""""",,""",,.
8, Total foreign exchange change in book/ adjusted carrying value"",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
9. Deduct current yea~s other-than-temporary impainment recognized""",,,, ..... , , , , " """",,""""""" "".,,""" f""",," ',",," ====',",,'" ,"," "",,' ",",," ","," '",," ."''' ","," '''-1' F="'"''' ',",",",," "",," ',"," ''"-'' ',"," ',",," .'"-" "",," ',"," ''"-'' "",,"='1
10. Book/adjusted carrying value at end of current period (Lines 1 +2+3;4->;5-6-7-t£-9)"""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, """""""""" """"".4,775,206 """"""""""""""""""". "",,1,486,762
11. Deduct total nonadmitted amounts".
12. Statement value at end of current period (Line 10 minus Line 11). """""""""" """""""'''"'',,. ,,,""""",,""" ,,',,""""","""" ,,,,,4,775,206 """".,,""'" """"""""",,,,,,,,,1,486,762
Q5108
Statement as of September 30,2018 oftha Wellmark Health Plan of Iowa, Inc.
Sch. A - Pt. 2 NONE
Sch. A - Pt. 3 NONE
Sch. B - Pt. 2 NONE
Sch. B - Pt. 3 NONE
QE01, QE02
D m C) w
Statement as of September 30, 20tBofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE BA· PART 2 Showing Other Long-Term Invested Assets ACQUIRED AND ADDITIONS MADE During the Current Quarter
1 2 Location 5 6 7 B 9 10 3 4
NAIC Date Desig- Originally Type and Actual Cost at Time of Add'~ional Investment
CUSIP IdenliflCation Name or Descriction Ci1y State Name of Vendor or General Partner nation Acquired Sira1egy ACQuisition Made after Acquisition
Joint Venture or Partnership Interests That Have Undertying Charactenstics of Other· Unaffiliated 000000 00 01 Apollo Total Retum Fund {Onshore) LP Senes A-2-D... . .............. I .. .. .. ........ 1 DE.. .. 1 Apollo Total Retum Fund {Onshore) LP So ... .. ....................... 1 ............... 10910112018 .... I .. . .............. 5,000,000
2199999. Total- Joint Venture or PartnershiD Interests That Have Underlvina Characteristics of Other - Unaffiliated ..... . .............. 5,000,000 ................................ 0
4499999. Subtotal - Unaffiliated .... .............. 5,000,000 ................................ 0
4699999. Totals ... . ............. 5,000,000 ................................ 0
SCHEDULE BA· PART 3 Showing Other Long-Term Invested Assets DISPOSED, Transferred or Repaid During the Current Quarter
1 2 location 5 6 7 8 Chan es in Book/Ad'ustad CarrvinQ Value 15 16 3 4 9 10 11 12 13 14
Book/Adjusted Current Year's Current Year's Book/Adjusted Carrying Value Unrealized (Depreciation) Other-Than- Capitalized Total Foreign Carrying Value
Date Less Valuation or Temporary Deferred Total Change Exchange Less Originally Disposal Encumbrances, Increase (Amortization) Impairment Interest and in B./A.C.v. Change In Encumbrances
CUSIP Identification Name or Description City State Name of Purthaser or Nature of Disposal Acquired Date Prior Year {Decrease) I Accretion RecO!tnized Other {9+1D-ll+12) B.lA.C.V. on Disoosal ConSideration
NONE
11 12 13
Amount of Commitment for Percentage of Encumbrances Additional Investment Owners~
.. ......... 0.600
.. ..... 0 ............. 0 ....... XXX ....
... 0 ............. 0 ....... XXX ....
...... 0 ............. 0 ....... XXX ...
17 18 19 20
Foreign Exchange ReaBzed Gain Total Gain
Gain (Loss) on (Loss) on (LosS) on Investment Disposal Disposal DisDOsal Income
D m c ,flo.
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D . PART 3
Showing all Long-Term Bonds and Stocks ACQUIRED During Current Quarter
CUSIPldentification Desai 'on
Bond.· U.S. Government
912828 4U UNITED STATES TREASURY ...
912828 5D 8 UNITED STATES TREASURY .. .
912828 Y6 1 UNITED STATES TREASURY .. .
0599999. Total- Bonds - U.S. Govemment...
Bond.· Us. Special Revenue and Special As .... ment
3132WW 3M 2 FH WA3303 - CMBSIRMBS .....
3132WW YE 6 FH WA3208 - CMBSIRMBS ...
3136A0 FK 8 FNA llM4A2-CMBS ...
3137B2 GW 4 FHMS K713 A2 - CMBS ...
3137BJ PH 0 FHMS KF08 A - CMBS ...
3137BT 7H 8 FHMS KJl0Al- CMBS ...
3137BY M2 3 FHMS KF31 A - CMBS ...
3137FG 6T 7 FHMS K1505 A3 - CMBS .....
3137FH CD 3 FHMS KJ21 A 1 - CMBS ...
3137FH 07 1 FHMS K1507 A3 - CMBS ...
3137FH OB 2 FHMS 0007 APl - CMBS ....
3137FH OC 0 FHMS 0007 AP2 - CMBS ...
3138EO L6 7 FN AL7548 - RMBS ...
3138LJ 5B 2 FN AN6241- CMBSIRMBS .......
3138LN PE 5 FN AN9420 • RMBS ...
392274 W6 9 GREATER ORLANDO AVIATION AUTH ORLANDO FL...
419794 ZX 3 HAWAii ST ARPTS SYS REV ....
442349 CH 7 HOUSTON TEX ARPT SYS REV .... ................. 44244C SV 0 HOUSTON TEX UTIL SYS REV ...
57563N AB 4 MEFA 18AA·ABS. ........ 59447T SE 4 MICHIGAN FIN AUTH REV ...
64971X HM 3 NEW YORK NY CITY TRANSITIONAL FIN AUTH ...
677560 XM 4 OHIO ST HSG FIN AGY RESIDENTIAL MTG REV ...
976890 BZ 8 WISCONSIN HSG & ECONOMIC DEV AUTH HOME 0 ...
3199999. Total· Bonds - U.S. Special Revenue and Special Assessments ...
Bondi - Industrlallnd Mlscellln80UI
035287 AE
037640 AH
04033B AC
05363L AC
05363L AU
05491Y AA
05524V AA
05607C AA
06759F AS 06759M AG
07400H AA
07401M AD 08161H AG
ANIXTER INC .....
APID 12R AR - COO... ...
ARIFL 18B A3· ABS ...
7 AVERY 6 A· COO ...
7 AVERY 6R AR· COO ...
BAMLL 18PARK A· CMBS .. .
BAMLL llFSHN A- CMBS .. .
BXP 17CC A . CMBS ...... ..
BABSN 152R AR . COO .... .
BABSN 161R B1R- COO ... .
1 BSMF 06AR31Al· RMBS.
3 BSMF07ARllX-RMBS .... .
5 BMARK 1884 XA· CMBS .. ..
Name of Vendor
07/23/2018 . ...... TORONTO DOMINION SECS USA INC ...
09/2612018 . ...... VARIOUS .. .
09/2512018 ....... VARIOUS .... .
09/14/2018. ...... MIZUHO SECURITIES USAlFIXED INCOME ...
0912612018. ...... CANTOR FITZGERALD + CO ...
0810912018 ... SUNTRUST ROBINSON HUMPHREY INC ...
09/1212018 ... BARCLA YS CAPITAL INC ........
0812912018 ... .. PERSHING DIV OF DLJ SEC LNDING ...
07102/2018. ...... Amherst Pk>rpont. .............. . ............. 08130/2018. ...... BARCLAYS CAPITAL INC ...
08/1012018 ... HILLTOP SECURITIES INC ...
0910612018 ... MERRILL LYNCH PIERCE FENNER. ..
09/20/2018 ... MERRILL LYNCH PIERCE FENNER ...
...................... 09119/2018 ... ... PNC CAPITAL MKTS ...
09/19/2018. ...... PNC CAPITAL MKTS ...
08101/2018. ...... Security Transfer ...
09/2612018 .... MIZUHO SECURITIES USNFIXED INCOME ...
0710112018. ...... JP MORGAN SECURITIES INC ...
09/0412018 ... MESIROW FINANCIAL INC ...
08110/2018. ...... MORGAN STANLEY CO ...
07/18/2018 ... NATL FINANCIAL SERVICES CORP (NFS) .....
......... 08/08/2018 ... Piper ...
09/1912018 ... RBC. ..... .. ...... " .... 08/0912018 ... GOLDMAN ......
0910712018. ...... Loop Capital Markets ...
09/12/2018 ... .. JP Morgan ...
09/10/2018. ...... Ravmond James ... ..................... . ..................... ...............................
07/1912018... WELLS FARGO SECURITIES LLC ...
08/0212018... Citigroup (SSB) ...
09/18/2018 . ...... JP Morgan ...
07105/2018 .. ..... WELLS FARGO SECURITIES LLC ...
08122/2018... FREIMARK BLAIR & COMPANY, INC/ .........
08/23/2018 .. . MERRILL LYNCH PIERCE FENNER .. .
08103/2018 .. . CREDIT SUISSE SECURITIES (USA) ... .
0911112018. DEUTSCHE BANK SECURITIES, INC .. .
C .. . 07105/2018... Stilel Nicolaus & Co ... . ................. C .. .. 08/01/2018... MORGAN STANLEY CO ............................... ..
09128/2018 ....... GOLDMAN .....
08129/2018... NOMURA SECURITIESIFIXED INCOME ..
0710112018. DEUTSCHE BANC ALEX. BROWN INST... ..
08181B AS BENEFIT STREET PARTNERS CLO IX. LTD .• C .................................................... .. 07/1612018. Citigroup (SSB) ...
125039 AG CD 17CD6 XA - CMBS ......... 09101/2018 . ...... VARIOUS ....
Number of Stuns of Stock
. ............ . ........
Actual Cost
.. ........ 238,378
.. ................................. 248,773
. ........ 2,536,402
..... ................................ 3,023,554
.. ..... 147,984
.......................... 151,078
............... 146,837
........................... 121,690
............. 83,704
.............................. 68.271
................ 121,664
.. ............. 19,850
... 99,999
...................... 101,338
............. 99,390
..... 99,658
.. ........................ 63
........... 55,875
.... 50.336 ........... 1,076,464
.. ........ 961,196
...................... 335,907
.. ........ 632,587
............................ 633.944
.. ............ 1,444,563
......... 508,455
...... 1.081,740
............................ 724,787
............... 8,767,381
.. ............................ 358,855
P .. Value
... 240,000
................... 250,000
.. ..... 2,550,000
........................ 3,040,000
........ 150,000
.................... 150,000
.. .. 144,032
. .................. 122,581
........ 83,626
............................ 69,070
.. ............ 121,484
.... 20,000
........................... 100.000
.. ................ 100,000
...... 100,000
............................ 100,000
...................... 61
.. ... 60.000
........................ 50.000
......... 950,000
..... 845,000
. ................. 290,000
.... 545.000
.. ..................... 640.000
........ 1.250,000
. .... 440,000
.. ...................... 1,000.000
...................... 700.000
.. .......... 8,030,853
............................ 350,000
.. ............ .714,643 ............. 715,000
.. ............................ 219,966 ....................................... 220.000
.. .......... 1.000,500
...... 1.000,000
... 36,182
.. ............ 10,286
.. .................... 58,313
.. .... 1,002,156
.. ......... 405,000
.. ................ 116,771
.. ............. 86,816
.. ......... 259.986
.. 725.000 .. ........... 812,007
.......................... ........... 1,000.000
..... 1.000,000
.. ...................... 35,000
.............. 10,000
..... 60,000
.... 1,000.000
............ ..405.000
.......... 126,409
........ 725.000
Paid for Accrued Interest and Dividends
.......... 411 1... ........ 20 1... ....
.................. 4,027 1.... ........... 4,458 ............ XXX .. .
.................. 287 1... 1...
. .................. 194 1...
........ 126 1... ..
. .................... 33 1 ............................ .......... 20 1.. ...
.... 91 1... .................. 29 1...
.. ........ 138 1....
........... 288 1 ............ .................... 216 1... .
. ............ 240 1... . .................. .. .......................... 0 1...
1.. .... ........ 63 1...
............... 20,451 lFE ...
lFE ...
lFE .......
lFE...
lFE ....
lFE ....
lFE ...
lFE ....
....... 856 lFE ........
................... 23,034 .. .......... xxx ...
........ 5,581 3FE .. .
.................... 1,426 lFE.. .... ..
lFE ...... .
...6,673 lFE ..
lFE ...
............. 44 lFE...
.......... .7 lFM.
...... 69 lFE ........................ .
.......... .7,886 lFE .....
lFE.
.. .......... 59 lFM ....................... .
...1.419 6FE .......
............. 1,520 lFE.
lFE ...... .
.. ............... 2,834 lFE .. .
D m C)
~ ....
Statement as of September JO, 2018 of the Wellmark Health Plan of Iowa, Inc.
CUSIP Identification Desai""'n 12591T AC COMM 14LC15 ASB - CMBS .. ..
12592R BD COMM 14CR21 A2 - CMBS .... ..
12595X AV CSAIL 18CX12 XA - CMBS ... ..
12596E AE CNH 18B B - ABS ...
14317P AC CGMS 182 A2 - COO ...
15032A
169905
173200
21870P
26249B
AS CEDF 5R BR - COO ...
AE 6 CHOICE HOTELS INTERNATIONAL INC ...
AJ CGCMT 13GJll AAB-CMBS ...
AA CORE 15TEXW A - CMBS ....
AS DRSLF JOR BR - COO ...
26969P AA
27830T AE
29273V AC
30291K AN
32051G PY
34531L AF
36249K AE
36252A
36252R
36254X
36256G
36259A
404121
44421L
AE
AT
AA
AF
AA
AD
AA
46590K AN
46634N AD
EAGLE MATERIALS INC .. .
EATON 141RR B - COO .. .
ENERGY TRANSFER CO .. .
FREMF 13K30 B - CMBS .. .
FHAMS 05AA6 2Al - CMOIRMBS ...
FORDL 18B B - ABS ...
GSMS 1OC1 X - CMBS ...
GSMS 15GSl XA - CMBS .. .
GSMS 14GC18 XA - CMBS .... ..
GSMS 17FARM A - CMBS ... .
GMALT 183 B - ABS ....
GSMS 18HULA A - CMBS ....
HCA INC ...
HY 1610HY A - CMBS ...
JPMCC 15JPl XA - CMBS ... .
JPMCC 10Cl A2 - CMBS .. .
46634S
46646G
526057
61691M
AD 7 JPMCC 12C6 ASB - CMBS ... ..
AA 5 JPMCC 16NINE A - CMBS ... .
BY LENNAR CORP ...
AC MSC 18SUN XCP - CMBS ....
61761Q AC
61764P BR
62854A AP
654902 AD
68162M AA
74733V AA
83607E AC
83609Y AC
83611M EU
86362X AP
88947E AK
891027 AS
92890N AV
92890P AF
92890P AL
94989X BF
MSBAM 13C8 ASB - CMBS .... ..
MSBAM 14C19 A2 - CMBS ... ..
MYLAN NV .. .
NOKIAOYJ .. .
OT 170T A - CMBS ...
QEP RESOURCES INC ...
SNDPT 5RR B - COO .. .
SNDPT 4RR A - COO .. .
SVHE 052 M5 - RMBS .. .
SAMI 07ARl 2Al- RMBS ...
TOLL BROTHERS FINANCE CORP ...
TORCHMARK CORP ....
WFRBS 12Cl0 ASB - CMBS .... .
WFRBS 13C14 ASB - CMBS .... .
WFRBS 13C14 XA - CMBS ... ..
WFCM 15NXS4 XA - CMBS .... ..
Foreign
C ...
.. ................... C .. .
SCHEDULE D • PART 3 Showing all Long-Term Bonds and Stocks ACQUIRED During Current Quarter
Date Acouired Name of Vendor
09105/2018 ... . MORGAN STANLEY CO ...
0812012018 ... . MERRILL LYNCH PIERCE FENNER .....
0810912018 ...... CREDIT SUISSE SECURITIES (USA) ...
09118/2018 ... ... FUNB FUNDS II... ..
08101/2018 ... ... JP MORGAN SECURITIES INC ...
0710312018 ... ... Jefferies ...
07/1912018.... MARKETAXESS CORPORATION ...
08128/2018 ... ... MERRILL LYNCH PIERCE FENNER .... .
07/17/2018 ... ... MERRILL LYNCH PIERCE FENNER .... .
07125/2018 ...... JP MORGAN SECURITIES INC ...
08/2812018 ... ... Jeffenes & Co., Inc ...
0810212018.... BARCLAYS CAPITAL INC FIXED INC ...
07/19/2018.... JP MORGAN SECURITIES INC ...
09114/2018.... Bank of America Merrill Lynch ...
0812012018.... Brownstone Investment... 09/1812018 ... ... JP Morgan .. .
07/23/2018 ... ... VARIOUS ... .
09101/2018.... MERRILL LYNCH PIERCE FENNER .....
0910112018.... DEUTSCHE BANC ALEX. BROWN INST...
09/11/2018 ... ... Citigroup (SSB) ......
09/18/2018.... RBC ...
0810212018...... GOLDMAN ...
0710612018.... DEUTSCHE BANK SECURITIES, INC .. .
09/11/2018.... DEUTSCHE BANK SECURITIES, INC .. .
0810312018 ... ... CREDIT SUISSE SECURITIES (USA) .. .
07/2612018.... JP MORGAN SECURITIES INC .. .
0710312018 ... ... JP MORGAN SECURITIES INC .. .
09/1212018.... DEUTSCHE BANK SECURITIES, INC ...
07/19/2018.... MORGAN STANLEY CO .. .
08101/2018.... MORGAN STANLEY CO .. .
08109/2018... MERRILL LYNCH PIERCE FENNER .... .
08/20/2018 ... ... MERRILL LYNCH PIERCE FENNER .... .
0910612018 ... ... MILLENIUM ADVISORS LLC .. .
07/19/2018 ... ... SUMRIDGE PARTNERS LLC .. .
09/11/2018.... DEUTSCHE BANK SECURITIES, INC ...
0711912018... MARKETAXESS CORPORATION ...
07/12/2018 ... .. Citigroup (SSB) ......
08102/2018 ... ... CREDIT SUISSE SECURITIES (USA) ...
07/11/2018.... GOLDMAN ...
0911312018... .. JP MORGAN SECURITIES LLC ...
07/0612018... .. SUMRIDGE PARTNERS LLC ...
09/25/2018... USBANC ...
09101/2018 ... ... Bank of NYC ...
07/2612018... DEUTSCHE BANK SECURITIES, INC ...
07/0112018... KGS ALPHA CAPITAL MARKETS ...
0710912018... DEUTSCHE BANC ALEX. BROWN INST...
Number of Shares of stock Actual Cost
...... 85,900
.... 120,234
.. .. 121,790
.... 499,992
.... 725,000
................................ 1,000,000
.... 288,486
...... 92,818
........ 9,950
.... 988,000
.... 375,469
.... 725,000
.... 347,243
.... 794,656
.... 107,320
.. .. 499,887
.. .... 25,955
...... 65,007
.... 965,007
...... 48,949
.... 194,993
.... 725,000
.... 409,875
.. .... 51,511
..... 56,133
.... 141,418
.... 114,948
.. .... 23,500
.... 370,781
....... 9,337
... 109,352
.. .. 130,223
.... 420,471
...363,863
..... 73,515
... 347,844
.... 725,000
.... 435,174
... 129,919
.. ... 24,026
... 417,720
... 269,020
... 153,651
... 122,673
... 283,122
P..-Value
.............................. 85,000
............................. 120,000
............................ 500,000
............................. 725,000
.......................... 1,000,000
............................ 275,000
.............................. 93,560
............................... 10,000
.. ........................ 1,000,000
............................ 375,000
............................. 725,000
............................ 325,000
............................. 800,000
............................. 110,073
............................. 500,000
............................... 50,000
............................. 195,000
............................. 725,000
.. ........................... 375,000
............................... 55,000
............................ 140,018
............................. 114,696
............................... 25,000
.. ........................... 375,000
.......................... 7,000,000
............................ 110,187
............................. 130,000
............................. 450,000
............................ 375,000
.. ............................. 75,000
............................. 325,000
.. .......................... .725,000
.. ........................... 435,000
.. ........................... 130,000
............................. 25,458
.................... ........ 400,000
............................ 270,000
.. ........................... 155,516
.. ........................... 123,202
............................... 50 1 FE.. .
.......................... 217 1FE .. .
.......................... 1,163 fFE .. .
1FE...
1FE .. .
1FE .. .
............................. 966 2FE ..
.......................... 203 1FM .. .
.............................. 15 1FM .. .
........................ .7,285 lFE .. .
......................... 1,359 2FE...
1FE .. .
........................ 6,635 3FE .. .
........................ 1,386 lFM .. .
.......................... 266 5AM .. .
1FE .. .
.......................... 692 2FE .. .
........................... 147 lFE...
......................... 6,582 1FE ...
.. ........................... 61 1FE ...
lFE .. .
lFE .. .
....................... 11 ,328 3FE .. .
.. ............................ 52 lFM .. .
.......................... 230 lFE.. .
.. ......................... 520 1FM .. .
.............................. 50 1FE .. .
............................. 27 lFM .. .
.. ......................... 344 3FE .. .
1FE .. .
............................. 99 1FE .. .
........................... 235 1FM .. .
......................... 5,578 2FE .. .
......................... 1,441 3FE ...
.. .......................... 89 lFM .. .
.. ....................... 8,813 3FE .. .
1FE .. .
......................... 4,633 1FE .. .
.......................... 200 4AM .. .
.............................. 33 1FM .. .
.. ....................... 9,465 3FE .. .
.. 2FE .. .
.. ... 32 1FE .. .
........................... 295 1FE .. .
............................. 80 1FE .. .
....................... 1,844 lFE...
10
£) m o ~ N
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D . PART 3
Showing all Long-Term Bonds and Stocks ACQUIRED During Current Quarter
CUSIP Identification Description Foreign Date _~ired Name of Vendor Number of Sha-es of stock
95000A M WFCM 15P2 XA - CMBS. 08/0612018 ...... SG AMERICAS SECURITIES, LLC ...
95000H BJ WFCM 16LC24 XA - CMBS ...................................... .. 0910112018... MERRILL LYNCH PIERCE FENNER ...
95001N AZ WFCM 18C45 XA - CMBS .. . 0710112018 ....... WELLS FARGO SECURITIES LLC ...
98162J AA WPT 17WWPA - CMBS ...... .. 09/1112018 ....... VARIOUS ...
BCCX1B Z7 STRU TCW-1128 COLL - MBS ... 0710112018 ....... Miuslmen!.. ....
3899999. Total- Bonds -Industrial and M~celianeouL ...
8399997. Total- Bonds - Part 3 ...
8399999. Total- Bonds.
Preferred stocks· Industrial MId Misceilaneoul
000000 00 0 1 ROLLS-ROYCE HOLDINGS PLC. ................................................. IB... .. ... 10710112018 ....... I CORPORATE ACTION ... ........................... 1 ............................ (1,100,500.000)
8499999. Total- Preferred Stocks -Industrial and Miscellaneous ...
8999997. Total- Preferred Stocks - Part 3.
8999999. Total- Preferred Stocks ....
Common Stocks . Indultr1lll and Milcellaneous
10 AESORD ............................. .
10 4 AMC ENTERTAINMENT HOLDINGS CL A ORD ...
10 ABBOTT LABORATORIES ORD .. .
10 ACTIVISION BLIZZARD ORD ...... .
10 ALCOA ORD ...
10 ALlBA8A GROUP HOLDING ADR REP lORD .. .
40 ALIMENTATION COU TARD SUBVTNG B ORD .... .
10 ALLEGIANTTRAVEL ORD .. .
30 ALPHABET CL A ORD ........ .
10 AMAZON COM ORD ...
10 AMBEV ADR REP ONE ORD ...
10 5 AMERICA MOVIL ADR REP 20 SR LORD ...
10 9 AMERICAN EXPRESS ORD .... .
10 AMERIPRISE FINANCE ORD .. .
10 ANALOG DEVICES ORD ....
10 ANIKA THERAPEUTICS ORD .....
10 APERGY ORD .....
10 APPLIED MATERIAL ORD
10 7 AVISTA ORD ...
10 4 BANK OF AMERICA ORD ...
10 9 BAXTER INTERNATIONAL ORD ...
10 BECTON DICKINSON ORD ...
70 BERKSHIRE HATHWAY CL B ORD ...
10 4 BIO TECHNE ORD ........ .
10 BOISE CASCADE ORD .... .
20 3 BRANDYWINE REAL TV REIT ORD
10 8 CARDINAL HEALTH ORD ........
C ...
C ...
C .. . ..... .................... C .. ..
00130H
00165C
002824
00507V
013872
01609W
01626P
01748X
02079K
023135
02319V
02364W
025816
03076C
032654
035255
03755L
038222
05379B
060505
071813
075887
084670
09073M
09739D
105368
14149Y
16119P
17243V
172967
189054
201723
10 8 CHARTER COMMUNICATIONS CL A ORD ................................ .
10 2 CINEMARK HOLDINGS ORD ......
42 4 CITIGROUP ORD .......
10 9 10 3
CLOROXORD ........................................... .
COMMERCIAL METALS ORD ......
09107/2018..... BTIG LLC ...
0911912018... DEUTSCHE BANK SECURITIES, INC ....
0910712018... BTIG LLC .... .
09107/2018. BTIG LLC .. .
09107/2018 ....... BTIG LLC .. .
0910512018 ....... Jefferies ....... .
0910512018 ....... Jefferies .. .
0910712018... BTIG LLC .. .
0910712018... BTIG LLC .... ..
09107/2018... BTIG LLC .. .
0910512018 ....... Jefferies ...... ..
09105/2018 ...... Jeffenes .. .
0910712018... BTIG LLC .. .
0910712018... BTIG LLC .... ..
0910712018... BTIG LLC .... ..
09107/2018..... BTIG LLC .. .
09107/2018... BTIG LLC .. .
0910712018... BTIG LLC .... ..
0910712018..... BTiG LLC.
0910712018.... BTIG LLC .......................... ..
0910712018... BTIG LLC .. .
09107/2018... BTIG LLC .. .
09107/2018 ....... BTIG LLC ... .
09107/2018... BTiG LLC .. .
0811512018... DEUTSCHE BANK SECURITIES, INC ...
0910712018... BTIG LLC .. .
0910712018... BTIG LLC ........ .
09107/2018... BTIG LLC .. .
0910712018 ....... BTIG LLC .. ..
0910712018 ....... BTIG LLC ..... .
0910712018... BTIG LLC .. .
0910712018... BTIG LLC .. ..
............... 1,100.000
........ 2,100.000
. ........................ 200.000
........... 1,100.000
............................ 1,200.000
. ............... .415.000
........ 834.000
............................ 100.000
..................... 100.000
... 100.000
. ................. 1,375.000
. ...... 2,036.000
.... 300.000
.................. 200.000
................ 500.000
.... 1,000.000
........................... 1,900.000
.................. 1,800.000
........... 200.000
.......................... 500.000
.............. 500.000
............................. 300.000
............... 900.000
...100.000
................ 1,100.000
... 3,900.000
.. ................ 100.000
.. ...... 300.000
.. ................................ 200.000
.. ............. 300.000
.. ... 100.000
.. ............................... 500.000
Actual Cost
. .............. 29,745
.............................. 397,108
. ............. 271,113
...... 77,975 . .......................... 80,000
. ................. (50,336 ............ (50,0001 .
.. ... 21,521,717 ................................... 25,104,120
................. 33,312,652 ............. 36,174,974
....... 33,312,652 ................................ 36,174,974
.. ............. (1,2211 .
.. ........................ (1,2211
............... (1,221)
...... (1,221)
............... 14,427
.. ... 43,376
........................ 13,243
............. 80,933
............................ 49,206
................... 68,677
.. .......... 39,532
.. ......................... 13,256
.............. 117,760
................................ 195,208
.. ...................... 6,087
............ 32,408
. ............................ 31,826
.. .............. 28,497
.. ............. 46,983
. ... 41,535
.. ............................ 82,812
...................... 71,739
............ 10,309
...15,433
.. ............. 37,298
......................... 76,313
.. ............ 192,641
......... 19,137
.. ................ .48,378
............. 64,253
.. .................... 5,263
................. 91,559
............... 7,593
..20,894
................ 15,075
.............. 10,413
xxx xxx xxx
xxx XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Paid for Accrued Interest.,d Dividends
. ........ 132
. ......................... 816
10
NAIC Designation or ...... lInd .... (.)
lFE .
lFE ...................... ..
.... .......... 1,816 lFE .. .
. ........ 94 lFM .. .
........................... (631 lZ ..... .
.. ....... 102,530 ............ XXX .. .
. ......................... 130,022 ............ XXX .. .
............ 130,022 ........... XXX .... .
P1UZ ...
.. ...... 0 ......... XXX ...
.. .................... 0 ............ XXX ... ..
.. ............ 0 ......... XXX .. .
l.
L .....
L...
l. ........................ ..
L .... .
L .. .
U .. ..
L...
............................. l.
L ...................... .
L.. .....
L.. .
L.. .......................... ..
L .. .
L .. .
L ...... .
L.. ....................... .
L .. .
L .. ..
L ...... ..
............................. L...
L.. ..
L .. ..
L .. .
L .. .
L.. ..
L...
L ......
L
L...
l.
L...
D m Q ,.. Co)
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D • PART 3
Showing all Long-Term Bonds and Stocks ACQUIRED During Current Quarter 1 , 3 4 5 6
CUSIP Identffication Description FORIign OalsAcq,"'" Name of Vendor Number of Sha'8s of stock
206787 10 3 CONDUENT ORD ... ............................ 0910712018 ... BTIG LLC ... .. ...... 3,600.000
20825C 10 4 CONOCOPHILLIPS ORD ... 0910712018 .... BTiG LLC ... .. ...... 1,300.000
209034 10 7 CONSOLIDATED COMMUNICATIONS HLDG ORD ... 09107/2018 ... BTIG LLC ... .. ......... 200.000
219350 10 5 CORNING ORD ... 0910712018 ... BTIG LLC ... ........ 1,000.000
232806 10 9 CYPRESS SEMICONDUCTOR ORD ... 09/0712018 ... BTIG LLC ... ........ 1,600.000
244199 10 5 DEERE ORD ... 0910712018 ... BTIG LLC ... ........... 200.000
25264R 20 7 DIAMOND HILL INVESTMENT GRP CL A ORD .... 09107/2018 ... BTIG LLC ... .. ......... 300.000
254687 10 6 WALT DISNEY ORD ... 0910712018 ... BTIG LLC ... ........... 500.000
260003 10 8 DOVERORD ... 0910712018 ... .. BTIG LLC ... ........... 500.000
26078J 10 0 DOWDUPONT ORD ... 0910712018 ... BTIG LLC ... ........ 1,200.000
278642 10 3 EBAYORD ... 0910712018 ... BTIG LLC ... ........... 800.000
291011 10 4 EMERSON ELECTRIC ORD ..... 09107/2018 ... BTIG LLC ... .. ......... 100.000
29358P 10 1 ENSIGN GROUP ORD ... 0910712018 ... .. BTIG LLC ... ........... 600.000
293639 10 0 ENTERCOM COMMUNICATIONS CL A ORD ... 09107/2018 ... BTIG LLC ... ........ 2,300.000
30303M 10 2 FACEBOOK CL A ORD ... 09107/2018 ... BTIG LLC ... ........... 400.000
343498 10 1 FLOWERS FOODS ORD ... 0910712018 ... BTIG LLC ..... ........... 300.000
36174X 10 1 GGPORD ... 0710512018 ... DEUTSCHE BANK SECURITIES, INC ... ........ 2,000.000
36191G 10 7 GNC HOLDINGS CL A ORD ..... 0910712018 ... BTIG LLC ... ........ 3,000.000
371901 10 9 GENTEXORD ... 0910712018 ... BTIG LLC ... ........ 3,000.000
38141G 10 4 GOLDMAN SACHS GROUP ORD ... 0910712018 ... BTIG LLC ... .. ......... 100.000
38376A 10 3 GOVERNMENT PROPERTIES INCOME REIT ORD ... 0910712018 ... BTIG LLC ... ....... 1,400.000
384109 10 4 GRACOORD ... 0910712018 ... BTIG LLC ... .. ...... 1,300.000
391416 10 4 GREAT WESTERN BANCORP ORD ... 09107/2018 ... BTIG LLC ... ........... 200.000
395259 10 4 GREENHILL ORD ... 0910712018 ... BTiG LLC .... ........ 1,400.000
40049J 20 6 GRUPO TELVISAADS REP 5 ORD PTG CERL. . C ... 0910512018 ... .. Jefferies ... .. ......... 904.000
40415F 10 1 HDFC BANK ADR REP 30RD ... C ... 0910512018 ... .. Jefferies ... ........... 488.000
42225P 50 1 HEALTHCAR TRST OF AM CL A REIT ORD ... 0910712018 ... .. BTiG LLC ... .. ...... 1,100.000
446150 10 4 HUNTINGTON BANCSHARES ORD ... 0910712018 ... BTIG LLC ... ........... 400.000
452308 10 9 ILLINOIS TOOL ORD ... 09107/2018 ... BTIG LLC .... ........... 100.000
45688C 10 7 INGEVITY ORD ... 0910712018 ... BTIG LLC ... ........... 900.000
465562 10 6 ITAU UNIBANCO HOLDING ADR REP 1 PRF ... C ... 0910512018 ... .. Jefferies ... .. ..... 1,306.000
47215P 10 6 JD.COM ADR REP 2 CL A ORD ... C ... 0910512018 .... .. Jefferies ... .. ......... 659.000
48238T 10 9 KAR AUCTION SERVICES ORD ... 0910712018 ...... BTIG LLC ... ........... 600.000
489170 10 0 KENNAMETAL ORD ... 0910712018 ... BTIG LLC ... .. ........ 100.000
49271V 10 0 KEURIG DR PEPPER ORD ..... C ... 0711012018 ... .. CORPORATE ACTION ... .......... 600.000
499049 10 4 KNIGHT SWIFT TRANSPRTATN CL A ORD ... 0910712018 ... BTIG LLC ... ......... 900.000
552676 10 8 MDC HOLDINGS ORD ... 0910712018 ... BTIG LLC ... ........ 1,200.000
55303.1 10 6 MGP INGREDIENTS ORD .... 0910712018 ... BTIG LLC ... .......... 200.000
553498 10 6 MSA SAFETY ORD ... 0910712018 ... .. BTiG LLC ... .. ........ 600.000
553530 10 6 MSC INDUSTRIAL CL A ORD ... 0910712018 ... BTIG LLC ... .......... 300.000
56585A 10 2 MARATHON PETROLEUM ORD ... 0910712018 ... BTIG LLC ... .......... 200.000
57636Q 10 4 MASTERCARD CL A ORD .... 0910712018 ... BTiG LLC ... .......... 300.000
577081 10 2 MATTELORD ... 0910712018 ... BTiG LLC ... .. ..... 3,100.000
589584 10 1 MERIDIAN BIOSCIENCE ORD ... 0910712018 ... BTIG LLC ... .. ........ 600.000
59522J 10 3 MID AMERICA APT COMMUNITI REIT ORD ... 0910712018 ... BTIG LLC ... .......... 200.000
60871R 20 9 MOLSON COORS BREWING NONVTG CL B ORD ... 09/0712018 ... BTiG LLC ... .......... 400.000
609207 10 5 MONDELEZ INTERNATIONAL CL A ORD ... 0910712018 ... BTiG LLC ... .......... 600.000
7 8 9 10
NAIC Designation or Actual Cost P. Value Paid for Accrued Interest and Dividends Mlri:et Indicator (a)
..... 82,206 XXX L...
..... 91,293 XXX L ...
....... 2,393 XXX L. ..
..... 33,585 XXX L...
.. ... 25,176 XXX L ...
..... 29,527 XXX L ...
..... 54,002 XXX L. ..
..... 55,488 XXX L ...
..... 42,373 XXX L. ..
..... 84,006 XXX L...
..... 27,196 XXX L ...
....... 7,580 XXX L. ..
..... 22,353 XXX L. ..
.. ... 17,262 XXX L ...
..... 65,218 XXX L. ..
....... 6,119 XXX L. ..
..... 41,150 XXX L. ..
....... 8,535 XXX L ....
..... 70,425 XXX L. ..
..... 23,392 XXX L..
.. ... 23,317 XXX L ...
..... 60,885 XXX L. ..
....... 8,821 XXX L. ..
..... 36,407 XXX L ...
..... 15,821 XXX L. ...
.. ... 48,103 XXX L. ..
..... 30,388 XXX L ...
....... 6,502 XXX L. ..
..... 14,084 XXX L. .
..... 89,393 XXX L ...
.. ... 13,292 XXX L ...
..... 17,775 XXX L. ..
.. ... 38,193 XXX L ...
...... .4,017 XXX L ...
..... 24,839 XXX L. ..
.. ... 31,748 XXX L...
..... 37,314 XXX L ...
..... 15,807 XXX L. ..
..... 61,857 XXX L ...
.. ... 25,721 XXX L ...
.. ... 16,503 XXX L. ..
..... 63,329 XXX . L.. .
..... 48,624 XXX L ....
....... 9,393 XXX L. ..
.... 20,551 XXX L. ..
.. ... 25,514 XXX L ... .... 25,515 XXX L. ..
D m o ~
~
StatementasofSeptember30,2018oflhe Wellmark Health Plan of Iowa, Inc.
SCHEDULE D • PART 3 Showing all Long·Term Bonds and Stocks ACQUIRED During Current Quarter
CUSIP Identification Oesai---.Ption Foreign I Date Acquired N.."e of Vendor
617446
61945C
626717
62942X
63938C
641100
64110L
64110W
654106
674599
69007J
693B6X
70450Y
713448
715347
71654V
731068
73179P
737630
74144T
749607
756109
75B86F
761152
78573M
796050
800422
805B9M
806857
808513
808625
44
10
10
40
10
MORGAN STANLEY ORO ...
MOSAIC ORO ...
MURPHY OIL ORO ...
NRG YIELD CL CORD ...
NAVIENT ORO ...
09107/2018 ....... BTIG LLC .. .
09107/2018....... BTIG LLC ... ..
09107/2018... BTIG LLC .. .
0910712018... BTIG LLC .. .
0910712018 ..... BTIG LLC ... .
10 4 NETAPP ORO... 09/0712018... BTIG
10 6 NETFLIX ORO..... 0910712018 ....... BTIG LLC .... .
10 2 NETEASE AOR... C... 09105/2018. ...... Jefferies .. .
10 3 NIKE CL B ORO... 0910712018...... BTIG LLC
10 OCCIDENTAL PETROLEUM ORO... 09107/2018 ....... BTIG LLC .. .
10 OUTFRONT MEDIA ORO... .................... 0910712018... BTiG LLC .... ..
10
10
10
BANK RAKYAT INDONESIA UNSPONSORE AOR... . ........................... 1 C ........... 109105/2018 ...... CREDIT SUISSE SECURITIES (USA) ... .. PAYPAL HOLDINGS ORO..... .. . ......... .. ............ 09107/2018 ....... BTIG LLC
PEPSICO ORO ..... 09107/2018. BTIG LLC ..... ..
0910712018.... BTIG LLC .. . :~ ~ I ~~~~~~~~AB:~;~~I~~~~~~~~~~~; ORO ....... . C... . ... I 09105/2018 ....... Jefferies .. .
10
10
10
POLARIS INDUSTRIES ORO ...
POL YONE ORO ...
POTLA TCHOEL TIC ORO ...
0910712018 ....... BTiG LLC ...... ..
0910712018 ....... BTIG LLC .. .
09/10/2018 ....... Jefferies .. .
10 T ROWE PRICE GROUP ORO... 09107/2018... BTIG LLC .... .
10 7 RLI ORO... 0910712018... BTIG LLC .. .
10 4 REALTY INCOME REIT ORO..... 0910712018... BTIG LLC .. ..
10 REGENERON PHARMACEUTICALS ORO... 0910712018 ....... BTiG LLC .. .
10 RESMEO ORO... 0910712018 ....... BTIG LLC .. .
10 4 SABRE ORO...... 0910712018... BTIG LLC .... .
88 SAMSUNG ELECTRONICS 1 GOS REP 25 ORO... C..... 09106/2018 ..... Jefferies .. .
10 JOHN B SANFILIPPO AND SON ORO... 08/0112018... BTIG LLC .. .
10 2 SCANA ORO.... 07105/2018 ....... DEUTSCHE BANK SECURITIES, INC ...
10 8 SCHLUMBERGER ORO... C..... 09/0712018 ....... BTiG LLC ...... . 10
10
CHARLES SCHWAB ORO ............................ . 0910712018 ....... BTIG LLC .. ..
0910712018 ....... BTIG LLC .. .
830879 10
SCIENCE APPLICATIONS INTERNATIAL ORO ....
SKYWEST ORO ....... 09107/2018... BTIG LLC .... .
83175M
831865
855244
87165B
871829
874039
882508
891180
898047
90130A
910340
91307C
918204
91912E
20 SMITH NEPHEW AOR REP 2 ORO... C.... 09105/2018 ....... Jefferies .. .
20 A 0 SMITH ORO...... 0910712018... BTIG LLC .. .
10 STARBUCKS ORO.... 0910712018 ....... BTIG LLC .. .
10 SYNCHRONY FINANCIAL ORO... 09/0712018 ....... BTiG LLC .. .
10 7 SYSCO ORO........ 0910712018 ....... BTiG LLC .. .
10 0 TAIWAN SEMICONDUCTOR MNFTG AOR 5 ORO... C....... 09105/2018.... Jefferies .. .
10 4 TEXAS INSTRUMENTS ORO........ 09107/2018... BTIG LLC ........ .
50 9 TORONTO DOMINION ORO..... 09105/2018. ... Jefferies .. .
50
10
TRIBUNE MEDIA CL A ORO .....
TWENTY FIRST CENTURY FOX CL A ORO ..
~~ ! I:~~~~~~:~~~~~~~~:: ........................ . 10 VALE AOR REPTG ONE ORO ...
0910712018... BTIG LLC .... ..
0910712018 . ...... BTIG LLC... .. ............................ .
0810112018 ....... BTiG LLC... .. ............................................ ..
0910712018 ....... BTIG LLC ...... ..
0910712018 ........ BTIG LLC .. .
C ........... I 09105/2018 .. VARIOUS ........
Number of Shns of Stock
... 1,900.000
...1,600.000
... 1,300.000
...1,100.000
.... 300.000
... 200.000
...200.000
...92.000
... 500.000
...100.000
...1,300.000
... 4,973.000
... 1,100.000
...300.000
... 2,100.000
... 2,418.000
...300.000
...700.000
...800.000
.... 500.000
...300.000
...100.000
...100.000
...100.000
...300.000
...131.000
.. ... 800.000
...1,300.000
...600.000
... 1,200.000
...100.000
100.000
...680.000
...700.000
...100.000
...1,600.000
...100.000
...3,009.000
...100.000
... 500.000
200.000
.. .. 2,100.000
...... 1,000.000
... 400.000
... 100.000
.. .7,933.000
AdualCost
...91,628
...47,912
...38,630
...21,786
...4,043
... 16,623
... 69,737
... 17,593
... 40,153
.. .7,666
..... 26,176
... 48,636
... 97,708
...33,824
...50,432
... 25,649
...33,299
... 29,481
...38,049
...53,868
... 23,489
... 5,815
... 39,542
... 11,205
... 7,679
... 134,146
... 46,601
... 52,735
... 47,764
... 80,188
... 8,987
...6,096
... 24,421
............................ 40,954
... 5,487
... 50,776
... 7,471
... 133,194
... 10,847
...29,997
...7,361
.94,952
.. ..... 80,864
...47,394
.. .... 8,946
...100,865
P ... VaIue
xxx XXX XXX
XXX XXX
XXX XXX
XXX XXX
XXX XXX
XXX XXX XXX XXX
XXX XXX
XXX XXX XXX
XXX XXX XXX
XXX XXX
XXX XXX XXX XXX
XXX XXX XXX XXX
XXX XXX
XXX XXX XXX
XXX XXX
XXX XXX XXX XXX
XXX XXX
10
NAIC Designation or Paid for Aca'ued Interest and Dividends I Mll'ket Indicator (a)
1 :::::.:::." ..... : ... : ... :.::::::::::::::::::::::: 1 ~::::::: .. ::........... ..
.:·.····:··.:· •• 1 ~ ..... I.··:: •• :.······· ······················IL.. .................... .
I ······IL ..
........................................ 1 L ....
......... ···········I L ..
.................. IL ....
I..·IL ..
.................... ·IL ........ .
.. I L ...
D m Q
~ (II
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
SCHEDULE D . PART 3 Showing all Long-Term Bonds and Stocks ACQUIRED During Current Quarter
CUSIP Identification I Desa;ption Foreign I Date Acquired I Name of Vendor Number of Shares of Stock
92532F 10 0 I VERTEX PHARMACEUTICALS ORO ...
948741 10
98310W 10
WEINGARTEN RLTY REIT ORO ...
WYNOHAM OESTINA TlONS ORO ... :~;;~~~: :~:~ ~~~..... . ..................................................... ····················I·······;::~~: 09/0712018... BTIG LLC..... ........ . .................. 1, 100.000
983919 10 lIXILlNXORO .......... .
B639CJ 10 8 AB INBEV ORO .. .
0910712018.... BTiG LLC .... .
B... 09106/2018... Jefferies ... ..
006216 31 BASF N ORO... B... 0910612018... Jefferies ... ..
007120 16 BAYER N ORO... B... 0910612018... Jefferies ... ..
01668R 12 OAIMLER N ORO... B..... 09/0612018... Jeffenes ... ..
019225 10 OEUTSCHE POST N ORO... B... 09106/2018... Jefferies ... ..
066992 10 SAP ORO... B... 09106/2018... Jefferies ... .
069671 21 SIEMENS N ORO.. B... 0910612018 ....... Jeffenes ... .
E19790 10 BANCO SANTANDER ORO... B... 09106/2018... Jeffenes ... .
FI058Q 23 BNP PARIBAS ORO... . B... 09106/2018... Jeffenes ... .
F12033 13 OANONE ORO... B... 09106/2018... Jefferies ... .
F22797 10 CREOIT AGRICOLE ORO... B... . 09/0612018..... Jeffenes ... .
F2457H 10 OASSAULT SYSTEM ORO... B... 0910612018... Jeffenos ... .
F4035A 55 SAFRAN ORO... B... 0910612018... Jeffenes .... ..
F43638 14 SOCIETE GENERALE ORO... B... 09106/2018... Jefferies ... .
F5548N 10 SANOFIORO... B... 09/06/2018... Jeffenes ... .
F58149
F58485
F80343
F92124
G03764
G1151C
G12793
G16249
G32655
G3910J
G39420
G42089
G4634U
G491BT
G5533W
G74079
G75754
G76225
G7690A
G7S00T
G84720
G87572
G93882
H42097
H58200
JI3440
J32491
13 L'OREAL ORO ... . , B.... 09106/2018... Jeffenos ... .
11 LVMH MOET HENNESSY LOUIS VUITTON SE ORO ...
10 COMPAGNIE OE SAINT GOBAIN ORO ...
10 TOTAL ORO ...
B ............. I 09106/2018. .. ... ) Jeffenes ............. .
09106/2018 . ...... Jefferies .......... .
09106/2018 ....... VARIOUS .... .. B ....
13 4 ANGLO AMERICAN ORO .. .
10 ACCENTURE CL A ORO .. .
.............. lB. C ....
0910612018 ....... I VARIOUS ...... 09107/2018 . ...... BTIG
10 BP ORO... B... 09/06/2018 ....... VARIOUS ......
10 BROOKFIELD PROPERTY PARTNERS UNT.. 08/20/2018..... Corporate AcUon ...
10 EXPERIAN ORO... B... 09106/2018 ....... JEFFERIES INTERNATIONAL LTD .. .
11 GLAXOSMITHKLINE ORO... B... 09106/2018 . ...... JEFFERIES INTERNATIONAL LTD .. .
10 GLENCORE ORO... B... 09106/2018... VARIOUS ......
11 3 DlAGEOORO... B... 09106/2018 ....... JEFFERIES INTERNATIONAL
16 9 HSBC HOLOINGS ORO.... B... 0910612018 ....... JEFFERIES INTERNATIONAL LTD ....
10 INVESCO ORO... 09107/2018... BTIG LLC ......
24 LLOYOS BANKING GROUP ORO... B.... 09/06/2018... JEFFERIES INTERNATIONAL LTD. ..
10
10
10 4
10 0
10
10
16
19
10
15
10
10
RECKITT BENCKISER GROUP ORO ....................................................................... ) B ............. ) 09/0612018 . ...... ) JEFFERIES INTERNATIONAL
RIO TINTO ORO.... ......................... ..... ............................. B. ........... 0910612018 ....... VARIOUS .... ..
ROLLS-ROYCE HOLOINGS ORO... .. .......................... B ............. 0910612018 . ...... VARIOUS ................................... ..
ROYAL OUTCH SHELL CLA ORO... B .. .
PENTAIR ORO... ...................................... C .. . 0910612018 ....... I Jefferies ... 09107/2018 . ...... BTIG
STERIS ORO... 0 .. . 0910712018.... BTIG LLC .....
TENCENT ORO... B .. . 0910612018 ....... JEFFERIES HONG KONG LIMITED .. .
VOOAFONE GROUP ORO... .. ........................... B .. . 09106/2018 ....... JEFFERIES INTERNATIONAL LTD .. .
UBS GROUP NORD... B .. . 09/06/2018 ....... Jefferies .. .
NOVARTIS N ORO... .. .......................... B .. . 0910612018 ....... Jeffenes .. .
FANUC ORO... B .. . 09106/2018... Jeffenes .. .
KEYENCE ORO.... B .. . 09106/2018... Jefferies .. .
... 700.000
...667.000
... 703.000
... 537.000
...541.000
... 1,851.000
... 1,029.000
...552.000
... 9,893.000
...447.000
.. .... 677.000
.. .... 2,328.000
...431.000
... 550.000
...581.000
... 487.000
...218.000
..... 376.000
...... 1,331.000
... 2,763.000
... 7,736.000
.... 200.000
... 28,781.000
..... 752.000
... 2,817.000
... 2,138.000
... 35,889.000
... 1,109.000
.. .4,687.000
...... 1,300.000
..... 37,953.000
... 549.000
...3,177.000
...4,764.000
... 2,643.000
... 500.000
... 700.000
... 3,200.000
... 12,955.000
.... 3,216.000
..... 685.000
... 300.000
... 300.000
AcbJal Cost
...35,895
...54,513
.. ... 45,535
...54,044
... 60,419
... 63,122
... 48,616
... 34,174
... 65,652
... 118,358
... 69,578
... 48,891
... 26,564
... 51,478
... 33,189
... 65,232
...73,513
... 24,438
... 41,161
...50,606
...123,470
.. ... 56,294
...167,659
...167,526
... 33,815
...202,978
.. .... 15,190
.. .... 68,897
.. .43,074
... 152,909
... 38,755
...40,720
.. .... 31,272
.. .... 29,912
.... 46,884
... 163,246
... 48,882
...85,535
... 21,548
...79,328
...129,274
...27,745
.. ... 51,103
...56,185
... 56,912
...163,386
P.Value
xxx XXX
XXX
XXX
XXX
XXX
XXX
XXX XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Paid for Acaued Intarest and Dividends
10
NAtC Designation or Mll'ket Indicator {a}
............ 1 L ...
L. I" L ..
L .
u.. .... ... 1
I································
u ... u .. U .. U .. U .. U U .. L ...
L.
L ..
I················ ···················• ••••••••••• I~ .• · •••• •.·•···•······ ...... . I
U .. L ..
U .. U ... U .. . u .. .
I u .. L.
I··· ..... .
1 .......... ..
U .. U .. U .. U ... L
L ...
u ..
·.·.·.·.· •. ·.·.·.·.·.·.·1
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D - PART 3
Showing all Long-Term Bonds and Stocks ACQUIRED During Current Quarter
CUSIP Identification DescriDtion
J44497
J44690
J59009
10 MITSUB UFJ FG ORD .........
13 MITSUI ORO ....
15 9 NOMURA HOLDINGS ORO ...
J64264 10
J75963 10
K72807 13
N07059 20
N4578E 59
NB981F 27
P22561 32
01498M 10
026915 10
03018U 10
R8413J 10
T55067 10
T6444Z II
W26049 II
YOO2AI 10
RAKUTEN ORO ...
SOFTBANK GROUP ORO .. .
NOVO NORDISK B ORO ... .
ASML HOLDING ORO ...
ING GROEP ORO ...
UNILEVER DUTCH CERT...
CEMEXCPO ...
BHP BILLITON ORD ...
COMMONWEALTH BANK OF AUSTRALIA ORO ...
CSLORO... .. .............................. .
EOUINOR ORO ...
INTESA SANPAOLO ORO .. .
LUXOITICA GROUP ORO ... .
ERICSSON B ORO ......
AlA ORO ....
Y15010 10 4 SINOPEC CORP ORO H ...
D YI771G 10 2 COSTAMARE ORO ...
m 9099999. Total- Common Stocks -Industrial and Miscellaneous ... g Common stocks· Mutual Fundi
• 72201F 49 0 1 PIMCO:INCOME INST.. ......
Q) 9299999. Total- Common Stocks - Mutual Funds .......
9799997. Total- Common Stocks - Part 3 ...
9799999. Total- Common Stocks .....
9899999. Total- Preferred and Common Stocks ...
9999999. Total- Bonds, Preferred and Common Stocks ...
Foreign Date AcQuired N.ne of Vendor
B .. . 09/0612018 ....... Jefferies .... .
B .. . 09106/2OIB ....... VARIOUS .. .
B .. .. 091061201 B....... Jefferies ... ..
B .. .. 0910612018 ....... Jefferies .. .
B .. .. 09/0612018 ....... Jefferies .. .
B .. .. 09/0612018 ....... Jeffenos .. .
...... B .. . 0910612018 ....... Jefferies .. .
B .. .. 09106/201 B....... Jefferies .. ..
B .. .. O9/06120IB ....... Jefferies .. .
B .. .. 0910512018 ....... Jeffenos .. .
B .. .. 0910512018 ....... VARIOUS .. .
B. 0910612018 ........ Jeffenos ... .
B .. .. 091061201 B ...... Jeffenos .... .
B .. .. 091061201B ....... Jefferies .... ..
B ... . 09I06I2018 ....... Jefferies .... .
............ B ... . 09/0612018... . Jeffenos .. .
B .. .. 0910612018 ....... Jeffenos .. .
B .. .. 09106/2018 ....... JEFFERIES HONG KONG LIMITED ...
B .. .. 091061201B ....... VARIOUS ...
0 .. .. 071051201B ....... DEUTSCHE BANK SECURITIES, INC ...
... ...................... Ic ...... 1 0912812018 ....... I VARIOUS .....
(a) For all common stock beanng NAIC market indicator wu~ provide the number of such ISSues: .... 44.
. ...... 1 .. .
Number of Shns of Stock
.............. 4,300.000
.. ... B,800.000
.. ........... .7,700.000
....... 5,100.000
.. ................. 900.000
.. .. 1,750.000
.................... .774.000
.. ..... 3,623.000
.. .................... 6B2.000
...30,900.000
...................... 8,486.000
.... ............. 270.000
.. ............................. 504.000
.. ............... 3,554.000
........... 20,157.000
.. .... 578.000
.................... 1,727.000
........ 4,600.000
........................ 2Z2,000.000
................. 5,000.000
.......... I ,523,234.560
Actual Cost
.. ............... 25,871
. ......................... ..... 145,306
...................... 35,5B7
.. ....... 37,771
...................... 79,08B
............... 84,181
.......................... 149,57B
..................... 48,434
. ... 38,100
.. ......... 21,041
...204,459
.. ............ 13,632
.... 82,469
........................ 89,290
.. ............... 54,441
.. ............. 37,338
.. ...................... 14,661
. .................. 38,135
...206,663
. ...................... 41,425
......... 9,670,411
............ IB,232,531
. ........................... IB,232,531
. ................ 27,902942
.. ................................. 27,902,942
.. ...................... 27,901,722
.. ............... 61,214,373
xxx XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
NAIC DesIgnation or Paid for AccruecIlnterest and DivIdends Mlrket Indicator fa)
U ...... .
U .. .
U .. .
U .... .
U ... ..
U .. .
L...
l. ..
l. ..
U .. .
U .. ..
U .. .
U .. ..
U .. .
U .. .
U ... .
U .. .
U ..
U
L ...
.. ................ 0 ....... XXX .. .
l. ..
............... 0 ........... XXX ... ..
.. ..... 0 ... XXX .. .
..................... 0 ............ XXX ..................................... 0 ....... xxx .....
....................................... 130,022 ............ XXX ...... .
Statement as of September 30, 20180flhe Wellmark Health Plan of Iowa, Inc. SCHEDULE D . PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter 1 2
CUSIP Identification Desenplion
Bonds· U,S. Government 38376G 2G 4 GNR 1192 B· CMBS ...
38376G 7G GNR 1114410· CMBS .. .
38376G 09 GNR 112710· CMBS .. .
38376G N9 GNR 115310· CMBS .. .
38378B BC GNR 12410· CMBS .. .
38378N 70 GNR 1488 IE . CMBS .. .
38378N RK GNR 1413A·CMBS .. .
38378N W2 GNR 1452 AC· CMBS .. ..
38378X OR GNR 14103A 10· CMBS .. .
38379R 5W GNR 1714510· CMBS .. .
38379R YM GNR 1770 AC· CMBS .. .
38380J BD GNR 1714810· CMBS .. .
912828 4L UNITED STATES TREASURY .. .
912828 4U UNITED STATES TREASURY .. .
D 912828 Y6 UNITED STATES TREASURY .. .
m 0599999. Total· Bonds· U.S. Govemment... .. .
Q Bonds· U.S. Special Revenue and Special Assessment UI 3128JM NB 9 FH1B2285·RMBS ...
3128JN BV
3128MB G8
3128MB 09
31335A GB
313637 MW
313637 MW
313637 NO
FH lB2851· RMBS .. .
FH G12723· RMBS .. .
FH G12980· RMBS .. .
FH G60194 . RMBS .. .
FN 109373· RMBS .. .
FN 109373· CMBSIRMBS ....
FN 109388· RMBS ...
313637 NO 8 FN 109388 . CMBSIRMBS ....
3136AO FK FNA 11 M4 A2 . CMBS ...
3136A4 TZ 2 FNA 12M2 X· CMBS ...
3136A9 MR 6 FNA 12M14 X2. CMBS .. .
3136AR P4 4 FNA 16M04B X2. CMBS .. .
3136AT 5H 3 FNA 16MllB X2·CMBS .. .
31371L F4 FN 254987 . RMBS .. .
31377P 4U FN 383435· RMBS .. .
31377P 4U 5 FN 383435· CMBSIRMBS ....
3137AL TB FHR 3996A EN . CMOIRMBS ...
3137B4 WA 0 FHMS K033 AI· CMBS .. .
3137B5 JL 8 FHMSK034Al·CMBS .. .
313786 ZN FHMS K714 XI . CMBS .. .
3137BE F6 FHMS K503 XI . CMBS .. .
3137BJ PH FHMS KF08 A . CMBS .. .
3137BK W3 0 FHMS KF09 A· CMBS ...
3
F 0 r ei 9 n
4 5
Disposal Date Name of Purchaser
0910112018. Paydown ...
0910112018. Direct .. .
0910112018. Direct .. .
09101/2018. Direct .. .
09101/2018. Direct .. .
0910112018. Direct .. .
09101/2018. Paydown .. ..
09101/2018. Paydown .. .
0910112018. Direct ...
0910112018. Direct....
09101/2018. Paydown ...
09101/2018. Direct ....
0810912018. VARIOUS .. .
09/1112018. VARIOUS .. .
09126/2018. VARIOUS .. .
09101/2018. Paydown .. ..
09/01/2018. Paydown .. .
09101/2018. Paydown .. .
09/0112018. Paydown .. .
09101/2018. Paydown .. .
08/01/2018. Paydown .. .
09/01/2018. Paydown .. .
0810112018. Paydown .. ..
0910112018. Paydown .. .
0910112018. Paydown .. .
0910112018. Direct....
0910112018. Direct....
0910112018. Direct....
0910112018. Direct ....
0910112018. Paydown .. .
0810112018. Paydown .. .
0910112018. Paydown .. .
09/0112018. Paydown .. .
0910112018. Paydown .. .
0910112018. Paydown .. .
0910112018. Direct ...
09/01/2018. Direct....
09/2512018. Paydown .. .
09/25/2018. Paydown .. .
6
Number of Shares of Stock
7 8
Consideration Par Value
............. 6,283 .............. 6,283
............. 3,312 .............. 3,312
......... 234,689 .......... 234,689
............ ~1~ ............. ~1~
9 10
Prior Year Book/Adjusted
Actual Cost Carryino'Value
....... 6,291 .................. 6,291
........... 125 ..... 51
........... 194
........... 148
........... 104 ..... 50
........... 109 ... 113
........ 3,338 .................. 3,337
..... 243,086 .............. 242,454
............. 77 ..... 79
........... .79 .... .79
........ 2, 187 ................. 2, 187
........... 122 ... 119
...... 1,335,059 ....... 1,340,000 ....... 1,334,916
......... 793,377 .......... 800,000 ..... 796,243
.. .... 1,705,916 ....... 1,720,000 ....... 1,712,764
...... 4,080,826 ....... 4, 106,475 ....... 4,099,783 .............. 254,760
............. 5,342 .............. 5,342
.................. 24 ...... 24
............. 5,033 .............. 5,033
............. 7,079 .............. 7,079
............. 1,557 .............. 1,557
................ 487 .... 487
................ 246 .... 246
................ 582 .... 582
.. .............. 294 .... 294
... ......... 3,426 ............. 3,426
............. 7,487 .............. 7,487
........... 13,556 ............ 13,556
............ 6,842 ............. 6,842
........... 51,091 ............ 51,091
. ........... ~160 .............. ~160
.. ......... 27,775 ............ 27,775
............. 5,913 .............. 5,913
.. ........... 4,656 ............ ..4,656
........ 5,290 .................. 5,307
............. 24 ..... 24
.. ....... 5,490 .................. 5,209
........ 6,948 ................. 7,027
........ 1,646 .................. 1,642
.......... .495 ... 494
........... 250 ... 250
........... 602 ... 599
............ 304 ... 302
......... 3,493
........ 3, 118 ................. 2,760
.. .......... 513 ... 681
........... 396 ... 395
......... 1,784 .................. 1,781
......... 7,980 ................. 7,579
....... 14,030 ................ 13,919
......... 7,081 ................ ..7,025
....... 52,037 ................ 52,016
......... 2,215 .................. 2,212
....... 28,512 ................ 28,376
............ 360 ... 560
.. ....... 1,983
......... 5,919
.. ....... 4,664 .................. 4,664
11
Unrealized Valuation
ci"cre~) Decrease
.......... 0
Chanae in BookfAdiusted Carrying Value 12 13
Current Yea(s
Current Other-Than-Years Temporary
(Amortization) Impairment I Accretion Recoanized
.............. (8) .
............ (50) .
.......... (181)
.......... (145)
............ (46) .
.......... (109) .
............ (26)
....... (7,768) .
............ (78) .
............ (78)
.............. .4
.......... (118) .
.......... 237
........... 104
14 15
Total Foreign Total Change Exchange in B./A.C.v. Change in Cl1+12·13)
. .. (8)
.. ............... (50)
............... (181) .
.. ............. (145)
.. ............... (46)
............... (109) .
............ (26) ...
............. (7,768) .
................. (78) .
................. (78) .
.... 4
.. ............. (118) .
................. 237
................. 104
B./A.C.v.
.. ......... 158 ................ 158
...... .f8,102)1 .............. 0 ............. (8,102) .
............. 36
............... 0
.......... (177) .
............. 52
..... ...... (85) .
............. (7) .
.............. (4)
............ (17) .
............. (9) .
..... ...... (67)
....... (2,386)
.......... (587) .
.......... (384) .
....... (1,735)
............ (92) .
.......... (363) .
.......... (183)
. ......... (926)
.. ......... (52) .
.......... (602) .
.......... (429)
....... (1,622) .
.............. (6) .
.............. (8) .
.. ................. 36
.... 0 ............... (177) .
................... 52
................. (85) .
... (7) .
... (4)
................. (17)
... (9) .
................. (67) .
.. ........... (2,386)
............... (587) .
. .............. (384) .
. ............ (1,735)
................ (92)
............... (363) .
.. ............. (183)
............... (926)
................. (52) .
.. ............. (602) .
............... (429)
............. (1,622)
...(6) .
... (8)
....... 0
16
Book/Adjusted Carrying Value at
Disposal Date
........... 6,283
........... 3,312
.. ..... 234,689
........... 2,191
..... 1,335,153
.. ..... 796,347
.... 1,712,922
17
Foreign Exchange
Gain (Loss) on Disoosal
.. ... 4,090,897 ................ 0
........... 5,342
................ 24
........... 5,033
........... 7,079
........... 1,557
.. ............ 487
.............. 246
.. ........... 582
.. ............ 294
........... 3,426
........... 7,487
.. ........ 13,556
........... 6,842
.......... 51,091
........... 2,160
......... 27,775
.. ......... 5,913
.. .......... 4,656
18 19 20 21 22
Bond Interest I
Stock Stated NAIC Realized Total Gain Dividends Contractual Designation
Gain (Loss) (LosS) on Received Matunty or Market on Disoosal DiscOsal During Year Date Indicator Ca
.. ..... 0 ..... 158 11116/2044. 1.. ....
.. ..... 0 08/16/2053. 1... ..
....... 0 0711612045. 1... ..
....... 0 05/1612051. 1.. ...
.. ..... 0 05/1612052. 1... ..
....... 0 03116/2055. 1... ..
... 0 ....... 0 ..... 273 09/1612042. 1.. ...
.. ..... 0 ......... 3,992 08/16/2041. 1... ..
.. ..... 0 05/1612055. 1.. .. .
....... 0 04/1612057. 1.. .. .
....... 0 ....... 33 05/16/2058. 1... ..
....... 0 07116/2059. 1... ..
............. (95) .... (95) ... 9,428 0413012023. 1.. ...
........ (2,970) .......... (2,970) ......... 3,562 06/30/2023. 1... ..
........ fl,006) .......... 17,006 ......... 6,589 07/3112023. 1... ..
.... (10,071) ..... :::(i0,0711 ....... 24,035 xxx xxx
. ............. (0)
....... 0
....... 0
....... 0
....... 0
....... 0
....... 0
....... 0
....... 0 .. ..... 0
....... 0
....... 0 .. ..... 0
....... 0
....... 0
....... 0
....... 0
....... 0
....... 0
...... (0)
....... 0
....... 0
.. ..... 0
....... 0
....... 0
....... 96 0810112035. 1... ..
......... 1 0410112035. 1... ..
.. ... 181 06101/2022. 1... ..
..... 194 08/01/2022. 1... ..
....... 31 08/0112045. 1... ..
....... 21 12/01/2031. 1... ..
....... 13 1210112031. 1... ..
....... 22 1210112020. 1.. ...
...... 14 12101/2020. 1... .
06125/2021. 1... ..
0212512022. 1... ...
09/2512022. 1... ..
01125/2039. 1... ..
07/2512039. 1.. ...
..... 269 12101/2018. 1... ..
..... 532 04101/2019. 1... ..
.... 332 0410112019. 1... ..
..... 942 0711512039. 1....
....... 37 02125/2023. 1... ..
..... 438 02125/2023. 1... ..
1012512020. 1... ..
08/25/2019. 1... ..
0112512022. 1... ..
.... 54 0512512022. 1... .....
StatementasofSeptember30,20tBofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE D - PART 4 Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP Identification Description
3137BM UC 8 FHMS KJ03 Al - CMBS .... .
3t37BP WF 2 FHMS KJ05Al- CMBS .. .
3137BT 7H 8 FHMS KJl0 Al- CMBS .... ..
3137BT TZ 4 FHMSK724Al-CMBS .. .
3137BY M2 3 FHMSKF31A-CMBS ...... ..
3137F2 K2 1 FHMSKJI5Al-CMBS .. .
3137F5 LM 9 FHMSKJ(03A1X-CMBS .. .
3137FA RN 0 FHMS QOO4 XFL - CMBS .... .
3137FC L5 FHMS QOO6 API - CMBS .. .
3137FE V3
31381M 4Q
31381M 4Q
31381M PU
31381M PU
31381N 7G
FHMS KJ19 Al- CMBS ...
FN 465331 - RMBS ......
FN 465331 - CMBSIRMBS .. .
FN 464935 - RMBS ................................ ..
FN 464935 - CMBSIRMBS .. .
2 FN 466295 - RMBS ... o 31381N 7G 2 FN 466295 - CMBSIRMBS ...
3 FN 465491 - RMBS ...... m o U'I ...
31381N C4
31381N C4 FN 465491 - CMBSIRMBS ...
31381P PM FN 466728- RMBS ........
31381P PM 4 FN466728-CMBSIRMBS ...
31381P UY 2 FN 466899 - RMBS .......
31381P UY
31381P XA 31381P XA 31381Q 5H
FN 466899 - CMBSIRMBS ...
FN 466973 - RMBS .........
FN 466973 - CMBSIRMBS ...
FN 466048 - RMBS ..........
31381Q 5H FN 468048 - CMBSIRMBS ...
31381Q 6B 7 FN 468066 - RMBS ...
31381Q 6B 7 FN 468066 - CMBSIRMBS ...
31381Q BN
31381Q BN
31381R LL
31381R LL
31381S VW
31381V FK
31381V FK
3138AA YX
3138EG KC
FN 467245 - RMBS ...
FN 467245 - CMBSIRMBS.
FN 468431 - RMBS ...
FN 468431 - CMBSIRMBS ...
FN 469629 - RMBS .. .
FN 471870 - RMBS .. .
FN 471870 - CMBSIRMBS ...
FN AH8825 - RMBS .. .
FN AL0290 - RMBS .... ..
3138EG KC 7 FN AL0290 - CMBSIRMBS .................... ..
3138EG U4 4 FN AL0602 - RMBS ...
3138EG U4 4 FN AL0602 - CMBSIRMBS .. .
3138EG X2 FN AL0696 - RMBS ............ ................ .
3138EG X2 FN AL0696 - CMBSIRMBS ...
F o
ei g Disposal
Date Name of Purchaser 0910112018. Paydown .. .
0910112018. Paydown ...... .
0910112018. Paydown .. .
0910112018. Paydown .... ..
0912512018. Paydown .. .
0910112018. Paydown .. .
0910112018. Paydown .. .
0912512018. Direct ....
0910112018. Paydown .... .
0910112018. Paydown .. .
0810112018. Paydown .. .
09101/2018. Paydown ..... ..
0810112018. Paydown .. .
09101/2018. Paydown .. .
0810112018. Paydown ...... .
09/2512018. VARIOUS .. .
08101/2018. Paydown .. .
09101/2018. Paydown ...... ..
0810112018. Paydown .. .
0910112018. Paydown ............................. ..
0810112018. Paydown ..... .
0910112018. Paydown .. .
0810112018. Paydown ...... .
0910112018. Paydown .. .
0810112018. Paydown .. .
0910112018. Paydown .. .
0810112018. Paydown .... .
0910112018. Paydown .. .
0810112018. Paydown .. .
0910112018. Paydown .. .
0810112018. Paydown .. .
0910112018. Paydown ... .
0813012018. Paydown .. .
0810112018. Paydown ....... .
0910112018. Paydown .. .
09101/2018. Paydown .. .
0810112018. Paydown .. .
0910112018. Paydown .. .
0810112018. Paydown .. ..
0910112018. Paydown .. ..
0810112018. Paydown
0910112018. Paydown ...
Numberof Shares of Stock
10
Prior Year Book/Adjusted
Consideration Par Value Actual Cost Canying Value
..... 8,610 .............. 8,610 ..... 8,570 .................. 8,574
.. .......... 16,670 ........... 16,670 ............ 16,373
. ..... 48,210 ...... 48,210 ............ 48,093 ................ 26,153
.............. 1,112 .............. 1,112 .............. 1,110
.. ......... 10,211 ............ 10,2tl ............ 10,226
............ 26,384 ............ 26,384 ............ 26,648 ............... 26,601
. .......... 365 ....... 365 ....... 356
.. ............... 291 ..................... 271
.............. 9,377 ............. 9,377 .......... 9,421
...... 12,727 ........ 12,727 ............ 12,727
....... 170 .... 170 ................. t81 ..................... 180
.... 82 ................... 82 ................... 87 ..................... 87
.............. 185 ......... 185 ....... 196 ............. 194
....... 90 ...... 90 ................... 95 ..... 94
.. ............... 162 ................. 162 ................. 166
....... 45,478 ......... 45,351 .......... 46,353
. ........ 184 ................. 184 ................. 194 ..................... 193
................... 89 .................. 89 .................. 94 ....................... 93
......... 238
. .... 115
................ 201
...... 96
...... 238 ........ 249 .................... 247
.. ............... 115 ................. 121 ..................... 120
............. 201 ......... 204
... 96 ................... 98 ...313 ................. 313 ................. 330 .................... 329
....... 152 ................. 152 ............... 160 ................ 159
................ 73 .......... .73 ......... 77 ....... 77
............ 35 .35 ............ 37 ................. 37
138 ................. 138 ................. 148 ..................... 147
.. ............... 66 ................ 66 ............. 71 ................. 70
....... 380 ... 380 ................ .402 ..................... 402
................. 183 ................. 183 ................ 193 ............... 193
........ 150 ... 150 ................. 157
.. ................ .73 .................. .73 .... 76
.. .... 97,588 ............ 97,568 ............ 98,453
...... 672 ................. 672 ................. 665
.............. 333 ........ 333 ... 330
... 3,889 .............. 3,889 .............. 3,958 ................ 3,943
.............. 4,431 .. ...... 4,431 .......... 4,747 ... 4,715
.. ........... 61 ...... 61 ................... 66 ....................... 65
.. ............... 221 ................. 221 ................. 228
.. .......... 3,182 ....... 3,182 .............. 3,287
..... 9,441 .... 9,441 .............. 9,903
................... 59 ................. 59 ...... 62
Change in Book/Adjusted Carrying Value 11 12 13 14 15
Current Year's
Unreal~ed Current Other-Than-Valuation Year's Temporary Increase (Amortization) Impairment
(Decrease) 1 Accretion Recognized
................ 37
..... 297
.............. 132
............ 2 ............... (15) .
. ....... (217) .
..... 9
........... (264) ....
. .... (45) .
.................. 0
............... (10) ..
. ........ (5) .
......... (9) .
. .............. (5) ..
..... (4) .
.. ........... (290) .
.............. (9) .....
... (4) .
............... (10) .
........... (5) ..
................. (4) .
................. (2) ....
..... (16) .
................. (8) .
.. (3) .
................ (2) ....
. ........ (9) .
................. (4)
............... (22) ...
............... (11) .
................ (7) ....
.... (3) .
............. (865) ....
.......... 7
.... 3
.............. (55) .....
... (284) .
................. (4) ....
................. (7) .
............. (105) .
............. (462) .....
................. (3)
Total Change inB.lA.C.V. J11.12-131
.............. 37
.... 297
................ 132
...... 2
Total Foreign Exchange Change in B.lA.C.v.
.. (15) .
.... (217) .
.. .................. 9
........ ..... (264) .
. .. (45) .
.................... 0
...... (10) .
... (5) .
................... (9) .
........ . ....... (5) .
................... (4) .
.. ........ (290) .
.. ..... (9) .
.. ................. (4) .
.. ............. (10) ...
..... (5) .
.. ................. (4) .
. .............. (2) ..
. .. (16) .
.. ................. (8) .
.. ................ (3) .
.. ............... (2) .
. .... (9) .
................... (4) .
................. (22) .
................. (11) .
.. ....... (7) ..
... (3) .
. ............ (865) .. .
.. ..... 7
.. ...... 3 ....... (55) .
............... (284) .
.............. (4) ......
...... (7) .
.. ............ (105) .
.. ............ (462) .
...... (3) .
16
Book/Adjusled Carrying Value at
Disoasal Date
.... 8,610
................ 16,670
.. ... 48,210
.................. 1,112
...... 10,211
.. .............. 26,384
.............. 365
.................. 9,377 ......... 12,727
· ....... 170
. ...................... 82
............... 185
.. ... 90
. .................... 162
..... 46,063
.. ................... 184
.. ................... 89
· ...... 238
.. ................... 115
............... 201
...96 . ................... 313
.............. 152
· ........ 73 ..... 35
.. ................... 138
.. .................. 66
..... 380
..................... 183
.. ....... 150 ....................... 73
....... 97,568
..................... 672
..................... 333
...... 3,889
.................. 4,431
..... 61
......... 221
.................. 3,182
................. 9,441
.. ..................... 59
17
Foreign Exchange
Gain (Loss) on Disoosal
18
Realized Gain (Loss) on Disoosal
............... 0
19 20
Bond Interest!
21 22
Stock Stated NAIC Total Gain Dividends Contractual Designation (Loss) on Received Matunty or Market Disposal Dunna Year Date Ind~atar la
.................. 0 .............. 93 01125/2021. 1...
.. ......... 0 ...... 86 0512512021. 1... ..
....... 0 ............ 383 1212512022. 1...
.............. 0 ......... 10 03125/2023. 1...
.. .... 0 0412512024. 1.. ......
.. .......... 0 .......... 398 07/2512020. 1...
........ 0
.. ............... 0 ........... 0
.. ... 2 0312512025. 1...
0512512044. 1... .
.... 51 04125/2028. 1...
.. ........ 0 ............ 171 0212512022. 1...
.............. (0) ................. (0) ............... .4 0710112020. 1...
.. ............. 0 ............ 2 0710112020. 1...
.. ... 0 ...... 0 ....... 4 0410112020. 1...
.. ................ 0 ................ 3 0410112020 .
.......... 0 ....... 2 1010112020. 1...
..................... (585) ............. (585) ......... 1,114 10101/2020. 1.. .. . .............. (0) ............... (0) ............ .4 07101/2020. 1...
....... 0 .... 2 07101/2020. 1...
.............. (0) ..... (0) ................ 5 1210112020 1...
.. ........... 0 ............ 3 1210112020. 1.. .... . ........ 0 .... 2 12101/2020. 1...
.. ................ 0 ................ 1 1210112020. 1...
.......... 0 .......... 7 0110112021. 1.. .... .. ....... 0 ..... 4 0110112021. 1
.................. 0 .2 05/0112021. 1...
.................. 0 ................ 1 05/01/2021. 1.. .. .. .. ............. 0 ........... 3 0810112021. 1 ...... ..
. ...... 0 ...... 0 ... 2 0810112021. 1.. ..
................ 0 .................. 0 ................ 9 0210112021. 1...
............ 0 .... 5 0210112021. 1.. ...
.............. (0) .......... (0) ................ 3 0710112021. 1
.. ............ 0 .......... 2 0710112021. 1
....... 0 ......... 2,997 1210112021. 1.. ...
.. ................ 0 ............... 2 07101/2022. 1...
.. 0 ........ 2 0710112022. 1.. ....
........ 0 ............ 102 0310112041. 1..
.. .............. 0 .................. 0 ............ 124 0410112021. 1 .
.. .......... 0 .............. 2 0410112021. 1.. .. .. .. ............ (0) ...... (0). .. ........ 0 07101/2021. 1...
... 0 ... 23 07101/2021. 1
...0 ........ 234 0810112021. 1... ...
........ 0 .............. 2 0810112021. 1...
£) m o (II
N
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D . PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP IdentifICation DescriDtion
3138EH AJ 1 FN AL0908 - RMBS ...
3138EH AJ
3138EJ RP
3138EJ RP
3138EP JW 3138EP JW
3138EQ L6
3138ET DR
3138LO RM
3138LO RM
3138L6 M
3138L6 M
3138L6 GJ
3138L6 GJ
3138LN PE
3138LN PE
FN AL0908 - CMBSIRMBS ...
FN AL2293 - RMBS ...
FN AL2293 - CMBSIRMBS ...
FN AL6576 - RMBS ...
FN AL6576 - CMBSIRMBS ...
FN AL7548 - RMBS .. .
FN AL8211 - RMBS .. .
FN AM0491 - RMBS .. .
FN AM0491 - CMBSIRMBS ....
FN AM5400 - RMBS ...
FN AM5400 - CMBSIRMBS... .
FN AM5600 - RMBS ...
FN AM5600 - CMBSIRMBS ....
FN AN9420 - RMBS ...
FN AN9420 - CMBS/RMBS ...
3138NJ AB 4 FN FN0001 - RMBS ...
3138NJ AB FN FN0001 - CMBSIRMBS ...
3138NJ AF FN FNOOO5 - RMBS ...
3138NJ AF FN FN0005 - CMBSIRMBS ...
3138WF 2Y FN AS6190 - RMBS .. .
31402R N9 FN 735816 - RMBS .. .
31410U C7 FN 897494 - RMBS .. .
31411E P7 FN 905946-RMBS .. .
31412N MY FN 930175 - RMBS .. .
31413Y 6T 3 FN 959982 - RMBS .. .
31414R WJ 0 FN 974149 - RMBS .. .
31416B RB FN 995182 - RMBS .. .
31416C KH FN 995896 - RMBS .. .
31418M 5K 4 FN AD0849 - RMBS .. .
31418M 5K
31418M EY
FN AD0849 - CMBS/RMBS... .
FN AD0150 - RMBS ...
31418M EY 4 FN AD0150 - CMBSIRMBS ....
31418M WW 8 FN AD0660 - RMBS .....
31418M WW FN AD0660 - CMBSIRMBS ...
31419A EG
31419A GX
FN AE0134 - RMBS .. .
FN AE0213 - RMBS .. .
4
o
ei Disposal
Date Name of Purchaser
0810112018. Paydown .. .
09/0112018. paydown .. .
0810112018. Paydown .. ..
0910112018. paydown .. ..
08101/2018. paydown .... .
09101/2018. paydown .. ..
0910112018. Paydown .. .
0910112018. Paydown .. .
08101/2018. Paydown .. .
0910112018. Paydown .. .
0810112018. Paydown .. .
0910112018. Paydown .. .
08101/2018. Paydown .. .
09101/2018. Paydown .. .
0810112018. Paydown .. .
09/0112018. Paydown .. .
08101/2018. Paydown .. .
09101/2018. Paydown .. .
0810112018. paydown ... .
0910112018. Paydown .. .
09101/2018. Paydown .. .
09101/2018. Paydown .. .
09/01/2018. Paydown .. .
09101/2018. paydown .. .
09101/2018. Paydown .. .
09101/2018. Paydown ...
09101/2018. Paydown .. .
0910112018. Paydown .. .
09101/2018. Paydown .. .
08101/2018. Paydown ...
09/0112018. Paydown .. .
0810112018. Paydown .. .
09101/2018. Paydown .. .
0810112018. Paydown .. .
09/0112018. Paydown .. .
07101/2018. Paydown ... .
0910112018. Paydown ... .
31419A P8 4 FN AE0448 - RMBS... 08101/2018. Paydown ...
31419A P8 FN AE0446 - CMBSIRMBS... 09101/2018. Paydown ...
3199999. Total- Bonds - U.S. Speci .. Revenue and Special Assessments.
Number of Shares of Stock Consideration
....... 88
....... 42
.............. 1,050
.............. 2,749
..... 274
..... 132
.......... ..71,853
............ 69,560
..... 462
.. ... 227
.. ... 301
.. ... 142
.............. 3,056
.............. 1,462
....... 88
....... 89
..... 272
....... 52
..... 445
..... 217
.............. 2,358
..... 540
..... 383
.............. 6,344
.. ........... 3,764
..... 199
......... 4 .............. 1,626
.. ............ 8,907
.............. 9,849
....... 79
............ 11,172
....... 90
..... 762
.. ... 367
Par Value
.. ....... 88
......... 42
..... 1,050
.. .. 2,749
....... 274
....... 132
... 71,853
... 69,560
.. ..... 462
....... 227
....... 301
...... 142
.. .. 3,056
..... 1,462
......... 88
.. ....... 89
.. ..... 272
.. ....... 52
....... 445
....... 217
.... 2,358
....... 540
.. ..... 383
.... 6,344
..... 3,764
.. ..... 199 .. ......... 4
.. .. 1,626
..... 8,907
.. ... 9,849
......... 79
...11,172
.. ....... 90
....... 762
....... 367
.......... 106,764 .......... 106,764
.. ............ 2,654 .... .2,654
..... 109
............ 13,973
.. ..... 109
... 13,973
.......... 768,244 .......... 768,117
Actual Cost ............ 93
............ 44
....... 1,124
....... 2,943
.......... 284
.......... 136
..... 77,646
..... 73,168
.......... 463
.......... 227
......... 307
.......... 145
.. ..... 3,300
....... 1,579
............ 89
............ 89
.......... 282
............ 54
.......... 458
.......... 223
....... 2,478
.......... 536
.......... 385
....... 6,411
....... 4,015
.......... 213
............. .4
....... 1,775
....... 9,281
..... 10,305
............ 82
..... 11,588
............ 94
.......... 793
.......... 382
... 111,201
....... 2,867
.......... 115
..... 14,733
... 800,249
10 11
Unrealized Prior Vear Valuation
Book/Adjusted Increase Carrvina Value (Decreaset
.............. 1,116
............. 2,924
................ 283
................. 136
............ 76,526
............ 73,032
................ 463
................ 227
............. 3,237
.............. 1,549
................ 281
.................. 54
................ 458
.. .............. 223
.............. 2,473
................ 537
.. .............. 384
............. 6,385
.. ........... 3,963
................ 210
.................... 4
............. 1,661
.............. 9,204
............ 10,230
.................. 82
........... 11,497
.................. 93
................ 790
................ 381
.......... 111,141
.............. 2,797
................ 114
............ 14,632
.......... 552,851 ................. 0
Chana. in Book/Musted Carryin. V .. ue 12 13 14 15
Current Year's
Current Other-Than-Year's Temporary
(Amortization) Impairment 1 Accretion Recogn~ed
................. (5) .
.. ............... (2) .
............... (67) .
............. (175)
. ................ (9) .
.. ............... (4) .
.......... (4,677)
.. ........ (3,473)
................. (1) .
................. (1)
................. (6)
................. (3) .
............. (181) .
. .............. (87) .
.. ............... (1)
................. (1) .
................. (9) .
................. (2)
.. ............. (13) .
.. ............... (6) .
. ............ (115)
.. ................ 2 ................. (1) .
. .............. (40) .
.. ........... (200) .
........... ... (10)
................ (0) .
............... (36) .
............. (297) ..
............. (381)
................. (3) .
............. (325) .
................. (3)
.. ............ (28)
. .............. (14) .
.. ........ (4,377) .
............. (143)
................. (5) .
............ .(658
........ (27,285' ............... 0
Total Change in BJA.C.v. (11+12-13)
................ (5)
................ (2)
Total Foreign Exchange Change in BJA.C.V.
.............. (67) ... .
............ (175) ... .
................ (9)
................ (4) ... .
......... (4,677) .. ..
......... (3,473)
................ (1)
................ (1) .. ..
................ (6) .. .
................ (3)
............ (181)
.............. (87) ... .
................ (1) ... .
................ (1)
................ (9)
. ............... (2) .. ..
.............. (13)
................ (6)
............ (115) ....
................. 2
................ (1)
. ............. (40) .. .
............ (200) ... .
.............. (10) ... .
................ (0)
.. ............ (36)
............ (297) ....
. ........... (381)
................ (3)
............ (325) ..
................ (3) ....
.............. (28)
.............. (14) ....
......... (4,377) ."
............ (143) ....
. .............. (5)
.. .......... (658) ....
....... (27,285) ................ 0
16 17 18 19 20 21 22
Foreign Book/Adjusted Exchange Realized Total Gain
Carrying Value at Gain (Loss) Gain (Loss) (Loss) on D~sal Date on Disoosal on Disposal Disposal
Bond Interest I
Stock Dividends Received
Durina Year
Stated Contractual
Maturity Date
NAIC Designation or Market
Indicator (a'
............] ..... 3 09101/2021. 1...
.................... 42 ................ 0 ......... 2 09101/2021. 1...
............... 1,050 ................ 0 ........... 32 0610112021. 1...
.............. 2,749 ................ 0 .......... 107 06101/2021. 1...
................. 274 ................ 0 ............. 6 08101/2022. 1...
.................. 132 ................ 0 ............. 3 0610112022. 1 .. .
............ .71,853 ................ 0 .............. 0 ....... 1,925 0110112027. 1...
............ 69,560 ................ 0 ....... 1,469 12101/2030. 1...
.................. 462 ................ 0 ............. 5 11101/2022. 1...
.................. 227 ................ 0 ............. 3 1110112022. 1...
................. 301 ................ 0 ............. 1 0410112022. 1...
.................. 142 ................ 0 ............ 1 04101/2022. 1...
............... 3,056 ................ 0 ................ 0 ............ 61 0610112025. 1...
.. ............ 1,462 ................ 0 ............ 36 0610112025. 1...
.. .................. 88 ................ 0 07101/2043. 1...
.................... 89 ................ 0 ............. 0 07101/2043. 1.. ..
.................. 272 ................ 0 ............ 6 12/0112020. 1...
.................... 52 ................ 0 ............. 1 12101/2020. 1...
.................. 445 ............... 0 ............. 9 11101/2020. 1...
................. 217 ................ 0 ............ 5 11101/2020. 1...
.. ............. 2,358 .............. (0) ............... (0) ........... 47 1110112045. 1...
.................. 540 .............. (0) ............... (0) ........... 11 11101/2034. 1...
.................. 383 ................ 0 ................ 0 ............. 8 1210112036. 1...
.............. 6,344 .............. (0) ............... (0) ......... 136 01101/2037. 1.. ..
............... 3,764 ................ 0 .......... 109 11101/2038. 1...
.................. 199 ............... 0 ................ 0 ............. 7 11101/2037. 1...
...................... 4 ............... 0 ............. 0 02101/2038. 1...
............... 1,626 .............. (0) .............. (0) ........ 61 06101/2020. 1 .. .
............... 8,907 ................ 0 ........ 269 06101/2039. 1...
............... 9,849 ................ 0 ......... 247 0210112020. 1.. ... .
.................... 79 ................ 0 ............. 3 02101/2020. 1...
............. 11,172 .............. (0) ............... (0) ......... 388 05101/2019. 1...
.................... 90 ............... 0 ........... ..4 0510112019. 1...
.................. 762 ................ 0 ........... 19 1210112019. 1...
.. ................ 367 ................ 0 ........... 11 12101/2019. 1 .. .
........... 106,764 ................ 0 ...... 2,375 02101/2020. 1 .. .
............... 2,654 ................ 0 ................ 0 .......... 86 1210112029. 1...
.................. 109 ................ 0 ............. 3 09101/2020. 1...
............. 13,973 ................ 0 ......... 430 09101/2020. 1...
.. ......... 768,830 ................ 0 ........... (5851 ............ (585' ...... 16,936 XXX XXX
Bonds· Industrial and Miscellaneous 100442u M 7IACE07ASP2A1-RMBS... .... ...... I .. 109125/2018.lpaydown ......... 1 .............. 2,684 I.. . .... 2,684 I.. . ..... .2,219 I .. ..1 ................... 1 ............ 465 1 ................. I ............... 465 I ................... 1 ................. 2,684 1 .................. 1 .................. 1 ............... 0 I ............. 25 1 06I25/2037.16FE ........... 1
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D • PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
F o
ei DiSposal
CUSIP Identification DescnDtion Date Name of Purchaser
00507U AT 8 ACTAVIS FUNDING SCS... C 09/0612018. BZW SECS ...
02660T AW 3 AHM 042 2A. RMBS... 09101/2018. Paydown .. .
02660U AA AHMA 063 Al . RMBS... 09101/2018. Paydown ...... .
02665W AZ 4 AMERICAN HONDA FINANCE CORP ..... C 08/15/2018. Citigroup (SSB) ...
037833 AK APPLE INC ...
05363L AC 7 AVERY6A·CDO ...
CREDIT AGRICOLE SECURITIES 0710912018. (USA) I
09/11/2018. CORPORATE ACTION ....
MERRILL LYNCH PIERCE 05524U AA BAMLL 12PARKA·CMBS... 09/11/2018. FENNER
05524V AA BAMLL llFSHNA·CMBS... 09/1112018. CANTORFITZGERALD+CO ...
055650 BP BP CAPITAL MARKETS PLC .................... C 0811512018. Citigroup (SSB) .. .
058931 AV BAFC 063A13· CMOIRMBS...... . 0910112018. Paydown .... .
058931 BC 9 BAFC 063 AlO· CMOIRMBS... 09/0112018. Paydown .. .
058933 AG BAFC OSDB SAl· CMOIRMBS 09/01/2018. Paydown .. .
05949C CB BOAMS 05F 2A3· CMOIRMBS.... . 0910112018. Paydown ...... .. o 05949C MS BOAMS 05K 2Al· CMOIRMBS... 0910112018. Paydown .... . m o (II
W
O64OSF AA
O6406f AB
073659 AB
07366H RA
07366H WR
073662 AC
07401C AV
07401M AD
07401N AP
0740W AP
0740W AA
BANK OF NEW YORK MELLON CORP ...
BANK OF NEW YORK MELLON CORP ...
BSABS OlHE5 Al· RMBS ...
SALTA 052B 2A4· CMOIRMBS .....
SALTA 058B lA 1 . RMBS ...
BSARM 064 2A 1 . CMOIRMBS .. .
BSARM 074 221 • CMOIRMBS ...... .
BSMF07AR11X·RMBS ...
BSMF 06AR5 2A 1 . RMBS. ....................... .
BSMF 07AR3 2Al· RMBS .. .
BSMF 07AR41Al· RMBS .. .
08161H AG 5 BMARK 18B4 XA· CMBS ...
09247X AJ
12189L AD
12465M AD
12489W GJ
1248MB AH
1248MG AK
1248Pl AA
125039 AG
12592G AZ
12595X AV
126192 AC
126220 AF
BLACKROCK INC ...
BURLINGTON NORTHERN SANTA FE LLC
CBASS 06CB9 A4 . RMBS .. .
7 CBASS 03CB3 AFl • RMBS .. .
8 CBASS 07CB2 AlB . RMBS .. .
o CBASS 07CBl Al· RMBS .. . CBASS 06CBB A 1 . RMBS .. ..
CD 17CD6 XA· CMBB ...
COMM 14CC 19 Al • CMBS .. .
CSAIL 18CX12 XA· CMBS .. .
COMM 12LC4 A3· CMBS .. .
1 COMM lOCl XWA· CMBS .. .
07/0612018. GOLDMAN .. .
0712612018. GOLDMAN ... ..
09125/2018. Paydown ...
0910112018. Paydown.
0912512018. Paydown .. .
0910112018. Paydown .. .
09101/2018. Paydown .... .
09101/2018. Direct ...
0912512018. Paydown .. .
0912512018. Paydown .. .
09/2512018. Paydown .... ..
0910112018. Direct. ...
CREDIT SUISSE SECURITIES 0811512018. (USA)
PERSHING DIV OF DU SEC 08115/2018. LNDING
09/2512018. Paydown .. .
0910112018. Paydown .. .
0910112018. Paydown .. .
09101/2018. Paydown ...... ..
0912512018. Paydown .. .
09101/2018. Direct .............................. .
0812812018. Cltigroup (SSB)
0910112018. Direct ....
0910112018. Paydown ......
0910112018. Direct ....
Number of Shares of Stock Consideration Par Value Actual Cost
......... 161,405 . .... 165,000 ...... 163,525
10
Prior Year BOOk/Adjusted Carryin. Value
....... 163,582
. ... 5,516 .............. 5,516 .............. 5,516 .................. 5,516
............. 3,012 ........... 3,012 ........... 2,892 ............... 2,850
.. ....... .742,035 .......... 750,000 .......... 754,568 .............. 752,622
...... 842,253 .... 873,000 ......... 871,839 ........ 872,346
....... 1,000,000 ....... 1,000,000 ....... 1,000,500
............ 34,571 ............ 35,000 ........... 35,326 .............. 20,466
.. ....... 30,754 ... 30,000 ... 31,591 ........... 21,288
...463,550 .......... 450,000 .......... 480,434 ............. 478,876
............ 12,495 ............ 12,495 .12,565 ................ 12,554
............. 7,085 ........... 7,085 ............ .7,173 ........... 7,171
.. ......... 8,238 .... 8,309 .... 8,019
.. .......... 11,068 ............ 11,112 ............ 10,612 ................ 10,612
........ 11,091 .... 11,101 ........... 11,021 .......... 11,021
.......... 296,757 .......... 302,000 .......... 314,354 .............. 310,586
.. ........ 532,450 .......... 550,000 .......... 561,336 .......... 557,909
.... .7,322 ....... 7,322 ..... 7,290 ................ 7,291
............ 10,782 ............ 10}82 ............ 10,701 ................ 10,702
.. ......... 3,314 ....... 3,314 ........... 3,259 ........... 3,259
..... 5,395 .............. 5,514 .............. 5,494 .................. 5,494
.............. 5,549 .............. 6, 179 .............. 6,075
.. ............. 144
.. ......... 3,373 ....... 3,373 ............. 3,175
..... 2,692 .............. 2,692 .............. 2,553
....... 3,175
.. .. 2,553
..... 3,903 .............. 3,903 .. 3,579 .................. 2,713
. ....... 148
.......... 809,008 .......... 800,000 .......... 827,576 .............. 827,429
........ 866}41 ...... 848,000 .......... 844,328 .......... 846,582
... 3,410 .............. 3,410 .............. 2,208
............. 1,007 ......... 1,007 ............ 1,002 .............. 1,002
. .... .7,554 .............. 7,564 .............. 5,900 ....... 5,922
Chanae in Book/Adlusted C~ng Value 11 12 13 14 15
Current Year's
Unrealized Current Other-Than-Valuation Yea~s Temporary Increase (Amortization) Impairment
(Decrease) 1 Accretion Recoanized
... 58
.............. 283
......... 42 ..... 121
............. (571) .
.... 75
............. (500) .
......... (52) .
.... (261) .
.......... (6,427) .
.............. (69) ....
..... (87) .
.............. 291
......... .500
....... 80
.......... (1,371) .
.. ...... (1,351) .
... 31
.............. 80 ...... 55
................ 21
........ 104
... (144) .
.............. 198
.............. 139 ......... 325
.... (147) .
......... (3,700) .
.... 272
......... 1,202
........... 2
Total Change inBJA.C.V. (11+12·13)
................... 58
......... 283
.. ............... 163
Total Foreign Exchange Change in BJA.C.v.
.. .......... (571) ..
................... 75
........... (500) ...
........ ....... (52) .
............... (261) .
.. ......... (6,427) ...
. ........... (69) .
..... (87) .
............. 291
............... 500
................... 80 . .......... (1,371) .
............. (1,351) .
.. ................ 31
...... 80 .. ................. 55
............. 21
............... 104
.. ............. (144)
............... 198 ............. 139
.. ... 325
............... (147) .
......... (3,700) ..
... 272
.......... 1,202
.................. 2
................. 908 ............. 908 ................. 445 ................... 448 ................ 2
........... 1,640
......... 457
............. 1,640
........... 459
..... 4,099 ..... 4,099
...... 100,043 .... 100,000
... 3,679
.............. 1,109
102,117 ........... 102,097
...44
.............. 3,471 .............. 3,471 ............. 3,494 .................. 3,494
...... 133 .............. 133
..... 420
.......... (1,097) ...
.......... (892) .
....... (44) .
............... (23) .
........ (104) .
................. 420
......... (1,097) ....
..... (892) .
.......... (44) .
.. ........... (23) .
............... (104) .
16
BooklAdjusted Carrying Value at
Disoosal Date
........... 163,640
....... 5,516
................. 3,012
. .... 752,050
.. ........... 872,421
........... 1,000,000
.. .............. 35,263
.. ............. 31,312
....... 472,449
.. ...... 12,495
.. ................ 7,085
.......... 8,309
................ 11,112
............... 11,101
...... 309,215
.............. 556,558
. .......... .7,322
................ 10,782
................ 3,314
. ..... 5,514
.................. 6,179
.......... 3,373
......... 2,692
... 3,903
....... 823,729
.............. 846,854
. .......... 3,410
.... 1,007
.. .7,564
.......... 908
................ ..4,099
..... 101,204
.................. 3,471
17
Foreign Exchange
Gain (Loss) on Dlsoosal
18 19 20 21 22
Stated NAIC Real~ed Total Gain
Bond Interest!
Stock Dividends Received
During Year
Contractual Des~natJon Gain (Loss) (Loss) on Maturity or Market on DisDOsal Disposal Date Indk:ator (a
....... (2,235) ...... (2,235) ........ .7,403 0311512035. 2FE ......
..... (0) ................. (0) .............. 89 02125/2044. lFM .. .
............... 0 ..... .45 10125/2046. 2FM ... ..
...... (10,015) ........ (10,015) ....... 16,486 0912412020. lFE ...
..... (30,168) ..... (30,168) ....... 14,434 0510312023. lFE.. .
.. ................ 0 ....... 13.429 08105/2027. lFE .. .
.. ........ (693) ............ (693) ....... .700 1211212030. lFM ... .
. .... ... (558) ...... (558). .. .. 744 07/11/2033. lFM .. .
........ (8,899) .... (8,899) ....... 17,775 10101/2020. lFE .. .
.................. 0 ............ 349 0312512036. 3FM .. .
.. .............. 0 ......... 207 0312512036. 4FM .. .
............ (71) .. ...... (71). ...26 05/2012036. 3FM .. .
... ............. (44)
........... (11)
............... (44) ............ 261 07125/2035. lFM ...... .
.. ........ (11) ...... 227 1212512035. lFM .. .
.. .... (12,458)
.. .... (24,109)
........... (120)
........... (630)
........ (12,458) ......... 5,558 04/1512021. lFE .. .
...... (24,109) ..... 8,268 0510312021. lFE .... ..
....... 0 .... 87 1112612035. lFM .. .
.................. 0 ............ 217 0412512035. 1 FM .. .
.. .......... 0 ..... 39 1012512035. lFM ..... .
............. (120) ............ 123 1012512036. 2FM .. .
.. .......... (630) ............ 78 06/2512047. lFM .. .
............ 0 01125/2037. 6FE .. .
....... 0 ... 35 0112512037. lFM .. .
.......... 0 .............. 37 0412512037. lFM .. .
.. ................ 0 .............. 44 04/2712037. lFM .. ..
................. 0 07117/2051. lFE ........
...... (14,721) ........ (14,721) ....... 19,200 0610112022. lFE ...
....... 19,887 ......... 19,887 .... 24,724 0610112021. lFE.. .
... (0). . ...... (0) . ...35 11/25/203& 6FE .. .
.. ................ 0 .............. 20 1212512032. lFM ... ..
.. ............ (0) ............ (0). ...148 0212512037. lFM .. .
...0 .......... 0 .............. 11 01/2512037. lFM .. .
.. ................ 0 .............. 23 10/2512036. 6FE .. .
............. 0 11/1512050. lFE .. .
.. ...... (1,161) .......... (1,161) ......... 2,215 0811212047. lFM ..... .
.. ................ 0 08/1712051. lFE.. .....
................................. 0 ............... 0 .............. 63 1211212044. lFM .. .
.. ....... 0 07/10/2046. lFE ..... .
£) m o UI ~
StatementasofSeptember30,20tBofthe Wellmark Health Plan of Iowa, Inc. SCHEDULE D • PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP IdentifICation DeSCriotion 12624K AC 0 COMM 12CRE2 ASB· CMBS ....
12624P AF
126240 AS
12626B AB
12626G AB
12630B BB
126310 AX
12668B DC
12669G TO
12669G YY
144531 DN
14912L 6R
15032A AA
161571 GA
COMM 12CRE3 XA· CMBS ... ..
COMM 12CRE4 XA· CMBS ... ..
COMM 13CC10 A2· CMBS ... .
COMM 13LC13 A2· CMBS ... .
COMM 13CC13 XA· CMBS ... ..
COMM 14RE17 A2. CMBS ... .
CWALT 05761Al· RMBS .. .
CWHL 0531A2· CMOIRMBS .. ..
CWHL 059 lA 1 • CMOIRMBS .. ..
CARR 05NC5 Ml . RMBS ...
CATERPILLAR FINANCIAL SERVICES CORP
CEDF 5 AI· COO .. .
CHAIT 136 A . ABS .. .
166764 AG 5 CHEVRON CORP ...
17307G E4 6 CMLTI 05812A· CMOIRMBS ....
17311Y AD CBASS 07CB3 A4· RMBS ...
17312B AD 4 CMLTI 07WFE2A4· RMBS ... ..
173200 AJ 7 CGCMT 13GJll AAB· CMBS .. ..
17321R AB
21870P AA
CGCMT 13GC17 A2. CMBS ......
CORE 15TEXW A • CMBS ...
22540A FU 7 CSFB 9BCl X· CMBS ...
22541 a ZR 6 CSFB 03A26A 3A 1 . CMOIRMBS ...
23305U AA DBRR 11 LC2 A4A . CMBS .. .
25151A AA DBALT OSAR3 AI· RMBS .. .
30231G AV 4 EXXON MOBIL CORP ...
302470 AE
32027N RU
32029A AE
FFML 06FFI3A2D· RMBS ....
FFML 05FF5 M2· RMBS ...
FFML 06FF18 A2D· RMBS ....
32029G AD FFML 07FF2 A2C . RMBS ...
32051G 2Z 7 FHAMS 06FA21A5· CMOIRMBS .. .
32051G PY 5 FHAMS05AA62Al·CMOIRMBS .. .
32051G sa FHAMS 05AA7 2Al· CMOIRMBS .. .
32051G TX FHASI OSAR4 2Al· CMOIRMBS .. .
350910 AN FTST 064TS A· CMBS ...
36192H AA GSMS 12HOLA A· CMBS ...
36192K AT 4 GSMS 12GCJ7 A4· CMBS ... .
36192L AA 3 GSMS 12SHOP A· CMBS .. .
36193A AA GSMS 13KING A· CMBS ... .
36198F AB GSMS 13GC14 A2. CMBS ... .
F
ei DiSposal
Date Name of Purchaser
0910112018. Paydown ...
0910112018. Direct...
0910112018. Direct....
0911412018. VARIOUS .. .
0911312018. VARIOUS .. .
0910112018. Direct...
0910112018. Paydown .. .
0910112018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. paydown .. .
0712012018. MARKETAXESS CORPORATION ..
0712412018. CORPORATE ACTION ...
0711612018. VARIOUS ...
0912012018. SOCiete Generale ...
0910112018. Paydown .. .
0910112018. Paydown .. .
0912512018. paydown .. .
0910112018. Paydown .. .
0911112018. VARIOUS .. .
0810112018. Paydown .. .
0911112018. Di .. ct ...
09101/2018. Paydown ...
0911112018. BMO Capital Martets...
0912512018. Paydown ...
0710612018. SG AMERICAS SECURITIES, LLC
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. paydown .. .
0910112018. paydown .. .
0910112018. paydown .. .
0910112018. Paydown .. .
0910112018. Paydown .. .
0911112018. Paydown .. .
MERRILL LYNCH PIERCE 0811512018. FENNER
0910112018. Paydown ...
0911112018. MORGAN STANLEY CO ...
0910112018. paydown ...
0910112018. paydown ...
Number of Shares of Stock Consideration Par Value
.. ............ 7,499 ..... 7,499
.......... 116,440 .......... 116,583
............ 86,782
............ 49,101
.............. 5,852
........ ..... 4,048
.............. 1,616
.............. 8,145
... 86,782
.. .49,101
..... 5,852
..... 4,048
.. ... 1,616
..... 8,145
.. ........ 281,865 .......... 285,000
.......... 150,000 .......... 150,000
Actual Cost
...... .7,469
........ ... 93
........... .72
... 117,013
..... 87,345
.......... 819
..... 50,751
....... 5,846
....... 3,856
....... 1,474
....... 8,140
... 281,720
... 151,594
.. ..... 1,325,000 ....... 1,325,000 ....... 1,325,000
....... 2,876,017 ....... 2,900,000 ....... 2,924,911
............. 6,582 ..... 6,582 ....... 5,858
.............. 4,699
............ 15,811
.. ............ 1,570
.. ... 4,699
...15,811
.. ... 1,570
.. ........ 119,967 .......... 120,000
..... 188
.............. 7,861
.. ........ 102,208
.. ............ 6,200
.. ...... 188
.. ... 7,861
... 99,990
..... 6,154
....... 2,620
..... 15,673
....... 1,557
... 120,455
.......... 187
.. ........ 111
...... .7,861
... 106,778
....... 5,600
.. ..... 1,375,556 ....... 1,400,000 ....... 1,390,270
.............. 3,624 ..... 3,624 ....... 2,818
............ 13,417
............. 3,175
.............. 2,734
.. ... 280
............. .4,241
.. ............ 4,097
..... 488
..... 145
............ 25,195
.............. 1,875
............ 20,009
..... 474
.............. 5,615
...13,417
..... 3,175
.. ... 2,734
........ 300
.. .. .4,241
..... 4,308
.. ...... 489
.. ...... 145
... 25,000
.. ... 1,875
...20,000
........ 474
..... 5,615
..... 13,400
....... 2,330
....... 1,757
.......... 234
.. .... .4,135
.. ..... 4,168
.......... 444
.......... 154
..... 26,301
....... 1,926
..... 20,320
......... .481
....... 5,642
10 11
Unrealized Prior Year Valuation
Book/Adjusted Increase Carrvino'Value (Dec .. aso)
................... 93
................. .71
............ 51,961
........... .43,926
................. 819
............ 50,638
.............. 4,788
.............. 3,859
.......... 283,137
......... 151,511
....... 1,325,000
.. ..... 2,924,114
.............. 5,858
.. ............ 2,634
............ 15,675
Chanae in Bock/Adjusted Carrying Value 12 13 14 15
Current Year's
Current Other-Than-Year's Temporary
(Aroortization) Impairment I Accretion ~ized
.. .............. 30
.. ............ (82) .
............... (63) .
............. (148)
............. (548)
............. (733) .
... ...... (1,540) .
.. ................ 8
.. ............ 189
.............. 141
.................. 5
.............. 752
.......... (1,511) .
. ......... (7,229)
.. ............ 724
........... 2,066
.............. 138
................ 12
............. (439)
.................. 0
Total Change in B.lA.C.V. (11+12·13)
................ 30
Total Foreign Exchange Change in B.lA.C.v.
............... (82) ... .
............... (63) ... .
............. (148)
............. (548) ... .
............. (733) ... .
.......... (1,540) ... .
.................. 8
.............. 189
.. ............ 141
.................. 5
.............. 752
.. ........ (1,511) ....
.................. 0
.......... (7,229)
............. .724
........... 2,066
.. ............ 138
................ 12
............. (439)
.................. 11 ............. 100 ............... (99)
.................. 0
.................. 1
.................. 0 .. ............ 7,861
.......... 105,997
.............. 5,600
............ 13,400
.............. 2,335
............. 1,770
................ 234
.............. 4,170
...... ......... 444
............ 26,268
.............. 1,925
........... 20,311
.. ............... 481
.............. 5,642
.......... (1,267) .
.............. 554
........... 1,390
.............. 806
................ 16
.. ............ 841
.............. 968
.. .............. 66
.............. 106
.............. 139
.. .............. 44
. ................ (9) .
............. (181)
............... (50)
............. (155) .
................. (7) .
.. ............. (28)
.. ........ (1,267) ....
.............. 554
........... 1,390
.............. 806
................ 16
.............. 841
.. ............ 968
................ 66
.............. 106
.............. 139
................ 44
................ (9) ....
............. (181)
.............. (50) .. ..
............ (155) .. ..
................ (7)
.............. (28)
16
Book/Adjusted Carrying Value at
Disposal Date
............... 7,499
.. ......... 116,862
.. ........... 86,790
.. ........... 49,101
.............. 5,852
............... 4,048
............... 1,616
.. ............. 8,145
........... 283,889
........... 150,000
.. ....... 1,325,000
........ 2,916,885
.. ............. 6,582
.............. .4,699
............. 15,811
............... 1,570
.. ......... 120,015
.................. 188
............... 7,861
........... 104,731
............... 6,154
........ 1,391,660
.. ............. 3,624
............. 13,417
............... 3,175
............... 2,734
.................. 300
............... 4,241
............... 4,308
.................. 489
.................. 145
............. 26,087
............... 1,875
............. 20,156
.................. 474
............... 5,615
17
Foreign Exchange
Gain (Loss) on DisDosal
18
Realized Gain (Loss) on DisDOsal
.............. (0)
19
Total Gain (Loss) on DisDOsal
............... (0)
................ 0
20
Bond Interest'
Stock Dividends Received
During Year
............ 17
21
Slated Contractual
Maturity Date
0811712045 .
22
NAIC Designation or Market
Ind~ator (al
lFM .....
10117/2045. IFE .....
.. .............. 0 10/1712045. lFE .... ..
........... (422) ........... (422) ....... 1,993 08/1012048. lFM .... .
.............. (8) ............... (8) ....... 1,604 08/1012046. IFM .... .
................ 0 11/13/2046. lFE .... ..
.. ............ (0) .............. (0) .......... 864 05/10/2047. lFM .... .
................ 0 ................ 0 ........... .73 0112512036. IFM ... ..
.............. (0) ............... (0) ............ 59 0412512035. lFM .... .
................ 0 ............ 24 0512512035. lFM .... .
.............. (0) ............... (0) ......... 100 1012512035. 4AM .... .
........ (2,024) ........ (2,024) ....... 2,618 05/1612019. lFE .... ..
.. .............. 0 ....... 3,892 0711712028. IFE .... ..
................ 0 ..... 17,062 0711512020. IFE .... ..
...... (40,868) ...... (40,888) ..... 52,787 0612412020. lFE ...... .
.............. (0) ............... (0) .......... I 30 0912512035. 1 FM .... .
................ 0 ........... 67 0312512037. 6FE .... ..
................ 0 ................ 0 .......... 237 0312512037. lFM .... .
................ 0 0411212046. IFM .... .
............. (48) ............. (48) ....... 2,313 1111212046. IFM .... .
................ 0 .............. 1 0211012034. lFM .... .
................ 0 05/1712040. 6FE .... ..
................ 0 .......... 153 11/2512033. IFM .... .
.. ...... (2,523) ........ (2,523) ....... 3,554 0711412044. lFM .... .
............ ..46 ............. .46 ............ 60 0812512036. lFM .... .
...... (16,104) ...... (16,104) ..... 26,615 0310112021. lFE .... ..
................ 0 ................ 0 ........... 38 1012512036. 6FE .... ..
................ 0 .......... 186 01/2512035. lFM .... .
............... 0 ............ 37 1212512037. 2FM .... .
................ 0 ................ 0 ............ 35 0312512037. IFM .... .
............. (19) ............. (19) .......... 11 0512512036. 2FM .... .
................ 0 0612512035. SAM .... .
........... (212) ........... (212) ............ 89 0912512035. 2FM .... .
.............. (0) ............... (0) .............. 9 1012512035. lFM .... .
.............. (0) ............... (0) ................ 3 1211312028. lFM .... .
........... (891) ........... (891) .......... 631 0411212034. IFM ...
................ 0 ........... 38 05/1212045. lFM .... .
........... (147) ........... (147) ......... 459 06/0612031. lFM .... .
.............. (0) ............... (0) .......... 8 1211012027. IFM .... .
................ 0 .......... 176 0811012046. lFM .... .
StatementasofSeptember30,2018oflhe Wellmark Health Plan of Iowa, Inc.
SCHEDULE D • PART 4 Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP Identification Desenotion
362341 OF 9 GSM 0511 3Al - RMBS ...
36248E M GSMS IOC2 Al- CMBS ...... ..
36248G AS GSMS 13GC16 A2 - CMBS .. .
36249K AE 0 GSMS lOCI X - CMBS ...... .
36252A AE 6 GSMS 15GSI XA - CMBS .. .
36252R AT GSMS 14GC18 XA - CMBS .. .
39536W GJ 1 GPMF 06AR2 4A 1 - RMBS.
41161V M 8 HVMLT0671A-RMBS .. ..
41165B M 8 HVMLT0761M-RMBS ... .
45254N KR 7 IMM 048 2A 1 - RMBS ........ .
45660G AB 6 INDX 06ARI91A2 - CMOIRMBS .. .
45660G AL 4 INDX06AR19 SAl- CMOIRMBS .. .
45660L R3 INDXOSAR25 2Al- CMOIRMBS .... ..
45660L VM INDX 05AR15 A2 - CMOIRMBS ...
45660N 02 INDX O4AR41A - CMOIRMBS ... o 45661E AV 6 INDX06AR4A1A-RMBS ... m 45661E GK 4 INDX 06AR9 3A3 - CMOIRMBS ...
U'I 46361T M 0 ICOT 131RV AI - CMBS ...
U'I 46590K AN 4 JPMCC 15JPl XA - CMBS ...
46616A M 2 HENDR 142 A - ABS ....
46626G AL JPAL T 06A2B 3A 1 - CMOIRMBS .. ..
46629D BA JPMMT 06A7 3A2 - CMOIRMBS .. ..
466290 AV 8 JPMAC OSCH2 AV4 - RMBS ...
46630U AE 4 JPMMT 07 A3 2A3 - CMOIRMBS ...
46631J M 6 JPMMT 07A41Al- CDO/CMOIRMBS ...
46634N AD JPMCC lOCI A2 - CMBS ...
46634N AK 2 JPMCC lOCI XA - CMBS ...
46634S AD 7 JPMCC 12C6 ASB - CMBS .. .
46637W AC 7 JPMCC 12CIBXA3 - CMBS .. .
46637Y M JPMCC 12HSBC A - CMBS .. .
46639E AG
46639Y AR
46640N AB
46640N AG
46641B AB
46641B AF
46642E AV
46642N BB
JPMCC 12LC9 XA - CMBS ...
JPMCC 13LCII ASB - CMBS ....
4 JPMBB 13CI5A2-CMBS .. .
3 JPMBB 13CI5XA-CMBS .. .
9 JPMCC 13CI6A2-CMBS .. .
JPMCC 13C16 XA - CMBS .. . JPMBB 14C21 A2 - CMBS ... .
JPMBB 14C22 A2 - CMBS .. .
46643A BB JPMBB 14C23 A2 - CMBS .. .
46643A BG 7 JPMBB 14C23 XA - CMBS .. .
46644R BB 0 JPMBB 15C29XA-CMBS .. .
46646G M 5 JPMCC 16NINEA-CMBS ...
F o
ei
4
DiSposal Date Name of Purchaser
09/2512018. Paydown .. .
09/11/2018. VARIOUS .. .
09111/2018. VARIOUS .. .
09101/2018. Direct... ..
0910112018. Direct
0910112018. Direct.
09101/2018. Paydown .. .
09119/2018. Paydown .. .
09/19/2018. Paydown ............................. ..
09/2512018. Paydown ... .
0910112018. Paydown .... ..
0910112018. Paydown .... .
09/0112018. Paydown ... .
09101/2018. Paydown .. .
0910112018. Paydown ...... ..
0912512018. Paydown .. .
0910112018. Paydown .. .
09/1012018. Paydown .. .
09101/2018. Direct ...
0911512018. Paydown .. .
09101/2018. Paydown .. .
0910112018. Paydown .. .
09/2512018. Paydown .................... ..
09101/2018. Paydown ... ..
0910112018. Paydown .. .
09101/2018. Paydown .... .
0910112018. Direct..
0910112018. Paydown .. .
0910112018. Paydown .. .
0910112018. Paydown ... ..
09101/2018. VARIOUS .. .
0910112018. Paydown ............................ ..
08109/2018. VARIOUS .. .
0910112018. Direct....
0910112018. VARIOUS ...
0910112018. Direct
08101/2018. VARIOUS ....
08109/2018. MORGAN STANLEY CO .....
0910512018. VARIOUS
09101/2018, Direct.
0910112018. Direct .......... ..
MERRILL LYNCH PIERCE 09/2612018. FENNER
6
Number of Shares of Stock
10 Change in Book/AdjUsted Carrying Value 11 12 13 14 15
Consideration ... 16,801
............ 90,ne
........ 29,842
Par Value
............ 16,801
......... 90,129
Actual Cost
............ 16,749
.. .......... 91,153
Pr10r Year Book/Adjusted Carrving Value
................ 16,750
. .... 29,843 ............ 30,132 ................ 30,129
... ............ 105
.. ............... 103
......... 104,668
Current Year's
Unrealized Current Other· Than-Valuation Year's Temporary Increase (Amortization) Impainnent
(Decrease) I Accretion Recoonlzed
......... 51
............. (252) .
... ...... (281) .
.. ........... (102) .
........ (101) .
...... (101,891) .
.. ..... 1,365 ......... 1,365 ...... 1,299 .................. 1,299 ................ 66
.. ............ 4,986 .............. 4,993 .............. 4,595 .................. 4,595 ... 398
.............. 1,543 ........... 1,543 ...... 1,419 ................. 1,419 .............. 123
.......... 2,746 .... 2,748 .... 2,710 .................. 2,700 ............... 10 .............. 38
. ....... 5,433 .............. 6,034 .............. 5,205 .................. 5,217 ..... 817
.. ............ 4,051 ............. 4,023 .............. 3,752 .................. 3,731 ...... 21 .............. 272
............... 338 ......... 666 ..... 623 .................. 624 ................ 43
.. .... 3,874 .............. 4,590 .............. 4,246 .................. 4,233 .... 356
.............. 4,551 ........... 4,551 ....... 4,529 .............. 4,485 ........ 43 ................ 23
.. .... 5,167 ....... 5,167 .............. 4,993 .................. 4,887
.. ............ 5,394 .............. 5,394 .............. 5,407 ................ 5,407
............ 1,252 .......... 1,252 .... 1,223
.. .... 42
.. ............ 2,537 .............. 2,537 .............. 2,457 ............ 2,458
...... 11,927 ... 13,665 ............ 11,479 ... 11,511
.. ............ 5,289 .............. 5,289 .............. 5,236 ................. 5,237
.. .......... 23,941 ............ 23,941 ........... 23,821
.............. 5,765
.......... 2,931
........ 5,765 ...... 5,535 .... 5,535
...... 2,933 .............. 2,882 .................. 2,882
.... 1,823 .............. 1,823 .............. 1,863 ..................... 722
................. 181
.............. 3,367 .. ...... 3,367 ... 3,371
.. ............ 5,585 .............. 5,585 .............. 5,640 .................. 5,639
.. ............... 115 ............. 115 ...... 119 ...... 119
......... 276 ................. 975 ..................... 975
............ 43,478 ....... 43,478 ..... 44,019 ................ 39,536
... 52,829 ............ 52,845 ............ 53,546 ................ 53,264
..... 3,248
....... 50,880 .... 50,892 ............ 51,611 ................ 51,600
...... 1,229 ............... 1,229
. ........ 66,796 .... 66,536 ............ 67,722 ................ 67,704
.. ........ 100,059 .......... 100,000 ......... 102,063 .............. 102,035
.. ........ 110,142 ........ 110,000 .......... 112,423 .............. 112,389
............ 23,414
................. 188
........ 96
..... 25,000 ............ 23,500
.. .. 175
.. .............. 96
............ 281
....... (13) .
................ 29
........... (42) .
................ 79
........... 2,154
....... 52
.............. 120
.. ............ 231
............... 51
.. .... (40) .
............. (173) .
................. (4)
...... (55) .
.. ............... (4) .
....... (847) .
............. (525) .
.. (371) ..
.. ........ (3,005)
............. (501) ..
....... (1,103) .
.......... (1,168) .
............. (876) ....
....... , .. (1,093) .
......... (161) .
............... (88) ..
.................. 7
Total Change in B./A.C.v. (11.12-13)
Total Foreign Exchange Change in B.lAC.v.
... 51
............ (252) ....
.. ........... (281) .
.. ............. (102) .
. ... (101) .
....... (101,891) .......
...... 66 ................. 398
............ 123
............. 48
............. 817
................ 292
.............. .43
.. ............... 356
.. .............. 66
... 281
................. (13) .
.. .............. 29
......... ..... (42) .
.. .............. 79
.............. 2,154
................... 52
.............. 120
.. ....... 231
... 51
................. (40) .
............. (173) ...
............... (4) .
................. (55) .
.............. (4)
............... (847) .
............... (525) .
............... (371) .
............. (3,005) ...
. ........... (501) .
.......... (1,103) .
.. ........... (1,168) ..
.. ... (876) .
.. ........... (1,093) .
.. ............. (161)
.. ............... (88) .
.. ............ 7
16
Book/Adjusted Carrying Value at
Disoosal Date
................ 16,801
......... 90,901
................ 29,849
.................. 1,365
.. ......... 4,993
.. ... 1,543
.................. 2,748
.................. 6,034
........ 4,023
. ... 666
................. 4,590
........ 4,551
.................. 5,167
.. .......... 5,394
.. ...... 1,252
...... 2,537
................ 13,665
.. ........... 5,289
... 23,941
.................. 5,765
.................. 2,933
................ 1,823
.................. 3,367
................ 5,585
. ....... 115
.. .... 43,478
.. .............. 52,893
....... 51,099
........... 66,536
..... 101,159
.............. 111,295
................ 23,507
17
Foreign Exchange
Gain (Loss) on DlsODSal
18
Realized Gain (Loss) on Disoosal
19
Total Gain (Loss) on Disoosal
........ 0
20
Bond Interest I
Stock Dividends Received
Dun"" Year ............ 249
21
Stated Contractual
Maturity Date
10/2512035 .
22
NAIC Designation or Market Ind~ator(a
lFM ...
.. ......... (123) ............. (123) ......... 1,240 1211012043 lFM .. ..
.............. (7) .......... (7). .. .. 696 11/13/2046. lFM ..... .
.. ................ 0 08110/2043. 2FE .. .
.. ......... 0 11/13/2048. lFE.. .. ..
.. ................ 0 01/1112047. lFE ... .
........... 0 ...... 22 03/25/2036. lFM .. .
...(7) .... (7) .............. 56 09119/2036. lFM .. .
.................. 1 .................. 1 .............. 16 08119/2037. lFM ... .
.. ............ 0
...(601)
.. .. 27
........... (328)
. .... (716)
................ 0
... (0)
.............. (0)
.. ...... (1,739)
...... 0 .............. (0)
.. ........... (2)
.... ........ (0)
.. ........... 0 ........ 36 10/2512034. lFM .. .
...... (601). .. ... 134 0612512036. lFM .. .
................ 27 .............. 81 06125/2036. 3FM ..... .
............. (328) ........... 14 1212512035. lFM .. .
... (716). .. ..... 93 09/2512035. lFM .. .
.................. 0 .............. 94 08/2512034. 3FM ...... .
.. ............ 0 ....... 61 0512512046. lFM .... .
.. ..... (0) ............ 110 06125/2036. lFM .. .
.. ............... (0) ............. .7 0511512048. lFM ...... .
........ 0 ........ 01/1512049. lFE .. .
.................. 0 .............. 53 01/1712073. lFE .. .
..... (1,739) ........ 301 05125/2036. lFM ... ..
.. ....... 0 ............ 121 0112512037. lFM
................. (0) ........... 266 0712512036. lFE .. .
............... 0 ............. (2) .
..... (0) .
.. ................ 0
....... 122 05/2512037. lFM ....
... 63 0612512037. lFM
. .... 21 0611512043. lFM ...
0611512043. lFE.. .
.................. 0 .......... .4 05/17/2045. lFE ... .
...... 0 ............ 158 06/1612045. lFM .. .
.. ................ 0 ............... 2 0710812032. lFM .. .
.......... 0 12117/2047. lFE ...... .
.. .. (0) ................. (0) ............ 599 04/1712046. lFM .. .
. ........... (64) ............. (64) .... 1,174 11/1712045. lFM .... ..
. ...... 0 11/1712045. lFE .. .
................. (219) ............. (219) ......... 1,323 1211712046. lFM .. .
.... ........ (0)
........ (1,100)
. ....... (1,153)
................ 0 ...... 1211712046. lFE
...... (0) ......... 1,455 0811612047. lFM ......
.. ........ (1,100) ... 2,101 09/1712047. lFM ..
....... (1,153) ......... 2,702 09/1712047. lFM .. .
......... 0 09/17/2047. lFE ... ..
.................. 0 0511512048. lFE .. .
...... (93) ............... (93) . ... 55 09/0912038. lFM ...
o m o c.n 0,
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D • PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP Identilicat~n
46849L SH
50180L AC
525220 AM
DescriDtion
JACKSON NATIONAL LIFE GLOBAL FUNDING
LBUBS 08C 1 A2 - CMBS .. .
LXS 0616N A4A - RMBS .. .
52525B AD 4 LXS 0716N 2A2 - RMBS ...
542514 OR 8 LBMLT 06WL l1A3 - RMBS .....
542514 RH
55027Y AD
57629W CC
576433 FM
57643L OU
58933Y AO
59023L AC
59024V AF
59024V AG
617451 EF
617458 AJ
61748H BF
61760R BA
617610 AC
61762T AF
61764P BR
61913P AP
61915R AC
61915R AU
63743H EN
63938J AA
63938W AA
63940C AA
64352V PP
LBML T 061 lA - RMBS ...
LUM 066 AI - RMBS ...
MASSMUTUAL GLOBAL FUNDING II. ..
MARM OJARM5 6Al- CMOIRMBS ...
MABS 06HEI A4 - RMBS ...
MERCK & CO INC ...
FFMER 071 A2B - RMBS .. .
FFMER 073 A2B - RMBS ... .
FFMER 073 A2C - RMBS .. .
MSAC 06NC2 A2D - RMBS .....
MSC llCl XA-CMBS ...
MSM O46ARA lA - RMBS ...
MSC l1C3 A3 - CMBS ...
MSBAM 13G8 ASB - CMBS ... ..
MSBAM 13Cll XA - CMBS ..... ..
MSBAM 14C19 A2 - CMBS ... .
MHL 0511Al - RMBS .. .
MHL 052 2A - RMBS .. .
MHL 055 AI - RMBS .. .
NATIONAL RURAL UTILITIES COOPERATIVE FIN
NAVSL 143A-ABS .. .
NAVSL 145A-ABS .. .
NAVSL 175 A - ABS .. .
NCHET 050 A2D - RMBS ...
67087M AA 4 OBP 100BP CTF - CMBS ...
694308 HS PACIFIC GAS AND ELECTRIC CO ...
717081 DL PFIZER INC ........
PUBLIC SERVICE ELECTRIC AND GAS 744560 BJ 4 CO
74922M AA 9 RALI 06QA6 AI - RMBS ...
75115B AA RALI 06QA5A lAl- RMBS ....
761118 MY RALI 05QA 12 CBl - CMOIRMBS .. .
761118 UG RALI 06QS21Al- CMOIRMBS .. .
o
ei Disposal
Date Name of Purchaser
TORONTO DOMINION SECS USA C 0810212018. INC
0711712018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .... .
0912512018. Paydown .. ..
0912512018. Paydown .. .
0912512018. Paydown .. .
0810212018. Citigroup (SSB) .....
0910112018. Paydown .. .
0912512018. Paydown .. .
0911912018. MITSUBISHI UFJ SecunUes ...
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .. .
0910112018. Direct...
0912512018. Paydown .. .
0910112018. Paydown .. .
0910112018. Paydown .. .
0910112018. Direct....
0911012018. JP MORGAN SECURITIES LLC ...
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown ... .
0712012018. BB&T SECURITIES, LLC ...
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .. .
0912512018. Paydown .. .
MERRILL LYNCH PIERCE 0811512018. FENNER
08131/2018. Bank of America Menill Lynch ... "'
0711312018. UBS SECURITIES LLC ...
US BANCORP INVESTMENTS 0710912018. INC.
0912512018. Paydown .. .
0912512018. Paydown .. .
0910112018. Paydown .. .
0910112018. Paydown .. .
Number of Shares of Stock
9 10 Chana. in Book/Adjusted Carrvino Value 11 12 13 14 15
Current Year's
Unrealized Current Other-Than-
ConSideration Par Value Actual Cost
....... 1,496,640 ....... 1,500,000 ....... 1,525,995
...... 363 ........ 363 ........... 380
... 3,818
... 9,886
........... 12,701
... 3,221
... 4,248
..... 3,818
..... 9,886
... 12,701
..... 3,221
..... 4,248
.. ...... 3,498
.. ...... 9,523
.. .... 12,685
.. ...... 3,093
.. ...... 4,064
.......... 986,770 ....... 1,000,000 ....... 1,000,570
............ 12,492 ... 12,492 ...... 12,461
... 8,032 .... 8,032 ....... 8,002
....... 1,460,160 ....... 1,500,000 ....... 1,454,400
Prior Year Valuation Book/Adjusted Increase CarrvinaValue IDecreas~\
.... 1,511,561
................. 363
.............. 3,503
............. 7,180
............ 12,685
.............. 4,064
...... 1,000,348
............ 12,461
.. ............ 8,002
.. ..... 1,470,763
Year's Temporary (Amortization) Impainnent
I Accretion Recognized
.......... (5,310)
................. (0) .
.............. 316
.............. 363
................ 16
.............. 129
.............. 184
............. (109)
................ 31
................ 30
........... 4,935
... 3,041 ..... 3,041 ........ 1,764 ............. 1,779 .......... 1,262
... 3,032 ..... 3,032 ........ 2,359 .............. 2,357 ................ 7 .............. 666
... 3,155
... 3,386
............ 67,490
... 2,638
.. .7,182
..... 3,155
..... 3,386
... 67,490
..... 2,638
..... 7,182
.......... 130,081 .......... 130,000
... 3,150 ..... 3,150
... 4,932 ..... 4,932
... 4,749 ..... 4,749
.......... 353,797
... 3,111
... 2,288
... 5,909
.. .......... 10,383
............ 25,563
.. 360,000
..... 3,111
.... 2,288
..... 5,909
... 10,383
.... 25,000
.......... 460,870 ......... 500,000
.. ........ 930,367 .......... 934,000
.. ...... 2,445
.. ...... 3,285
........... 197
...... 67,490
........ 2,660
.. ...... 7,124
.. ......... 311
.. .. 130,223
........ 3,050
........ 4,932
........ 4,690
............ 3,287
................. 197
............ 67,490
................ 310
.............. 3,052
.............. 4,932
.............. 4,691
.. .. 357,271 .......... 358,139
........ 3,076 .............. 3,076
........ 2,261 .............. 2,261
.. ...... 5,902 .............. 5,902
...... 10,279 ............ 10,281
...... 26,655 ............ 26,633
.... 474,945
.... 942,686 .......... 939,878
.............. 710
.............. 100
............. (159) .
............... (22)
................ 58
............. (278)
............... (17)
............... 98
. ................ (0)
............... .45
.............. 564
................ 35
................ 27
.................. 7
.............. 102
............ (408)
.............. 948
.......... (2,309) .
....... 1,386,588 ....... 1,400,000 ....... 1,436,708 ........ 1,418,832 .......... (6,382)
...2,398
...6,981
... 2,509
... 3,201
..... 2,448
..... 6,981
.. ... 1,872
...... 3,816
........ 2,178
........ 4,677
........ 1,418
.. ...... 3,339
.............. 270
.............. 4,712 ........... 2,258
.............. 1,418 .............. 454
.............. 3,326 ............... 13 ............ ..477
Total Change in B.lA.C.v. (11+12-13)
.......... (5,310)
................. (0)
.............. 316
.............. 363
............... 16
.............. 129
.............. 184
Total Foreign Exchange Change in B.lA.C.V.
............. (109) ....
................ 31
................ 30
........... 4,935
........... 1,262
.............. 673
............ 710
.............. 100
. ............ (159) .. ..
.................. 0
............... (22) ....
................ 58
............. (278)
............... (17) ....
................ 98
................. (0)
............... .45
.............. 564
................ 35
............... 27
.................. 7
.............. 102
............. (408) .
.............. 948
.. ........ (2,309) ... .
......... (6,382) .
............... 270
............ 2,258
.............. 454
............... 490
16
Book/Adjusted Carrying Value at
Disposal Date
......... 1,506,251
.......... ........ 363
................ 3,818
................ 9,886
......... ... 12,701
................ 3,221
.............. 4,248
......... 1,000,239
.............. 12,492
................ 8,032
......... 1,475,698
................ 3,041
.. .............. 3,032
................ 3,155
................ 3,386
.............. 67,490
................ 2,638
................ 7,182
............ 130,206
................ 3,150
................ 4,932
................ 4,749
... ........ 358,703
....... ........ 3,111
................ 2,288
................ 5,909
.............. 10,383
.............. 26,225
.. .......... 475,907
............ 937,569
.. ....... 1,412,449
................ 2,448
................ 6,981
.. .............. 1,872
................ 3,816
17
Foreign Exchange
Gain (Loss) on Disposal
18
Realized Gain (Loss) on DisDosal
19
Total Gain (Loss) on DiSODsal
20
Bond Interest I
Stock Dividends Received
DurinQ Year
21
Slated Contractual
Maturity Date
22
NAIC Designation or Market
Indicator (a
........ (9,611) ......... (9,611) ..... 27,792 04116/2019. lFE .... .
................. 0 ............ 81 0411512041. lFM .. ..
................. 0 ............ 50 1112512046. lFM .. ..
................ 0 ......... 176 0912512047. lFM .. ..
.............. (0) ................ (0) .......... 281 0112512036. lFM .. ..
............... 0 ........... .41 0212512036. SAM .. ..
................. 0 ............ 51 1012512046. lFM .. .
...... (13,469) ...... (13,469) ..... 12,701 1011112019. lFE .... .
................. 0 ......... 292 1112512033. lFM .. ..
................ 0 ......... 121 0112512036. lFM .. ..
...... (15,538) ....... (15,538) ..... 39,265 0211012022. lFE .... .
................. 0 ............ 35 0412512037. lFM .. ..
............. (0) ................ (0) ........... 31 0612512037. 6FE ...... .
................. 0 ............ 37 0612512037. 2FM .. ..
................. 0 ............ 45 0212512036. lFM .. ..
................. 0 0911712047. lFE .... .
.............. (0) ................ (0) ....... 1,520 0712512034. lFM .. ..
............... 0 ................. 0 ............. .4 0711612049. lFM .. ..
................ 0 ................. 0 ............ 13 1211712048. lFE .... .
................. 0 0811712046. lFE .... .
........... (125) ............ (125) ........ ..459 1211712047. lFM .. ..
................. 0 ............ 40 0212512035. lFM .. ..
................ 0 ................. 0 ............ 92 0512512035. lFM .... .
................. 0 ............ 71 12125/2035. lFM .. ..
....... (4,906) ......... (4,906) ....... 3,930 1110112019. lFE .... .
.............. (0) ............... (0) ........... .45 0312512083. lFE .... .
.. ........... (0) ................ (0) ............ 33 0312512043. lFE .... .
................ 0 ............ 92 0712612066. lFE .... .
.............. (0) ................ (0) .......... 134 0212512036. lFM .. ..
........... (662) ............ (662) ........ 826 07/1512045. lFM .. ..
...... (15,037) ....... (15,037) ....... 7,792 0311512027 lFE .... .
........ (7,202) ......... (7,202) ..... 13,185 0511512019. lFE .... .
...... (25,861) ....... (25,861) ..... 25,356 0811512019. lFE .... .
.. .......... (50) .............. (50) ............ 20 0712512036. lFM .. .
................. 0 ............ 65 0712512036. lFM .. ..
............ 637 ............. 637 ........... .47 1212512035. lFM .... .
........... (615) ............ (615) .......... 126 0212512036. 4FM .. ..
D m o c.n :....
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D· PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP Ident~~ation
76112B TT 7
76112B YB 0
Description
RAMP 05RS6 M2 - RMBS ...
GMACM 05AR5 3A 1 - CMOIRMBS ...
o
ei DiSposal
Date Name of Purchaser 09125/2018. Paydown .. .
0910112018. Paydown ... .
784427 AG SLCLT 061 B - ABS... 09/1712018. Paydown .. .
78442G MR 4 SLMA 048 B - ASS........ 0712512018. Paydown .. .
78443B AI< 2 SLMA 0610 B - ABS..... 08/01/2018. Paydown .. .
784442 AC 9 SLMA 082A A3 - ASS..... 07/25/2018. Paydown .. .
78445R AA SLMA 093 A -ABS........ 0912512018. Paydown ... .
78447A AA 2 SLMAI23A-ABS.................................... 0912512018. Paydown .. .
78473T AC 4 STARM 072 2Al- CMOIRMBS... 0910112018. Paydown ..... .
80556Y AD 7 SAST 072 A.2C - RMBS... 09/2512018. Paydown .. .
80558Y f>J'. 5 SAST 072 A2D - RMBS... 09/2512018. Paydown .. .
81375W HH 2 CBASS 06CBl AF2 - RMBS... 09101/2018. Paydown.
822582 BG 6 SHELL INTERNATIONAL FINANCE BV... C 09/17/2018. MILLENIUM ADVISORS LLC ...
83611M EU SVHE 052 M5 - RMBS... 0912512018. Paydown.
855541 AE
863579 PM
863587 AE
86358E JS
86358H NX
86359A S9
86359L NA
86359L as 86359L TG
86382R AA
86382X AP
88167A AB
89352H AF 90269G AG
90276E AA
91830M AA
92890F AR
92890P AF
92890P AL
92922F 7P
92922F BW
92922F EB
92922F R7
929265 AC
92938C AN
92939K AB
92939K AH
STARM 07S1 SAl - CMOIRMBS ...
SARM 057A 4A - CMOIRMBS ...
1 SAIL 063 AS - RMBS .... .
6 SAIL 046 A3 - RMBS .. .
3 SAMI02AR3Al-CMOIRMBS .. .
SASC 0326A 3A5 - CMOIRMBS .. .
SAMI OSAR6 2A 1 - CMOIRMBS... .
SAMI OSAR7 SAl - CMOIRMBS ... SAMI 06ARI 3Al - RMBS ... .
SARM 0612A lAl - RMBS .. .
SAMI 07ARI2Al- RMBS.
TEVA PHARMACEUTICAL FINANCE NETHERLANDS
TRANSCANADA PIPELINES L TO.
UBSCM 12Cl XA - CMBS .. .
UBSCM 17Cl Al- CMBS .... .
VNDO 13PENN A - CMBS .. .
WFRBS 14C20 A2 - CMBS .. .
WFRBS 13C14 ASB - CMBS ..... .
WFRBS 13C14 XA - CMBS .. .
WAMU 05AR171Al- CMOIRMBS .. .
WAMU 03AR9 lA7 - CMOIRMBS ....... .
WAMU 03AR10 A7 - CMOIRMBS .. .
WAMU OSAR8 2A 1 - CMOIRMBS .. .
WMHE 07HE2 2A2 - RMBS ...
WFRBS llC4 XA - CMBS.
WFRBS 14C24 A2 - CMBS .. .
WFRBS 14C24 XA - CMBS ..... .
0910112018. Paydown ... .
0910112018. Paydown .. .
09125/2018. Paydown ...................... .
09/25/2018. Paydown .. .
09/1912018. Paydown .. .
0910112018. Paydown.
0912512018. Paydown .. .
0910112018. Paydown .. .
09/2512018. Paydown ...... .
0912512018. Paydown .. .
09/2512018. Paydown .. .
C 09/1212018. Corporate Action .. .
C 0811512018. Matunty@ 100.00 .. .
0910112018. Direct ...
09/1712018. VARIOUS ....
09/1112018. BARCLAYS CAPITAL INC ...
09/17/2018. VARIOUS .. .
09/25/2018. VARIOUS .. .
09101/2018. Direct
0912512018. Paydown .. .
0910112018. Paydown .... .
0910112018. Paydown ..... .
09/2512018. Paydown ... .
09/2512018. Paydown .. .
0910112018. Direct ...
08128/2018. VARIOUS ....
0910112018. Direct...
Number of Shares of Stock
9 10 Chanae in Book/Adjusted Carrying Value 11 12 13 14 15
Current Year's
Unrealized Current Other-Than-Prior Year Valuation
Book/Adjusted Increase Canvi",,'Value IDecre";" Consideration Par Value Actual Cost
............ 20,087 ............ 20,087 ......... 20,062 ................ 20,063
........... 6,607 ... 6,607 .............. 6,541 .................. 6,541
.............. 2,300 .............. 2,300 .............. 2,073 ......... 2,081
. ............ 3,130 ...... 3,130 .............. 2,914 .................. 2,916
.............. 4,803 ............. .4,803 ............ 4,322 .......... 4,329
........ 4,746 ..... 4,746 .............. 4,743
. ............. 4,579 .............. 4,579 .............. 4,556 ...... 4,558
.. 5,243 .......... 5,243 ..... 5,275 .................. 5,275
Year's Temporary (Amortization) Impairment
1 Accretion Recoan~ed
. .......... 25
................ 66
............. 218
... 214
............. .473
.... 3 ................ 23
. ........... (32) .
............ 7,041 ............. .7,041 .............. 5,897 ........... 1,144
. ............. 2,271 .............. 2,271 ............. 1,863 .............. 1,813 ............... 52 ............. .405
. ............. 2,112 .............. 2,112 ..... 1,684 .................. 1,689 .......... 421
· .............. 994 ........ 994 .... 870 ..................... 872 ........ 120
. ...... 1,381,394 ....... 1,400,000 ....... 1,394,792 ......... 1,396,381 ........... 1,099
. ............. 5,155 .............. 5,155 ..... 5,152 ............ 3
· ............... 648 ......... 648 ................. 648 ................... 648
.............. 6,396 .............. 6,396 .............. 6,380 ....... 6,380
.............. 5,613 ....... 5,613 .... 5,427 .................. 5,428
.............. 3,406 .............. 3,406 .............. 3,381 ....... 3,382
............. .7,647 ............. 7,647 .... 7,551 ................. .7,553
............ 13,025 ............ 13,025 ............ 13,090 ................ 13,088
.............. 3,423 .............. 3,423 ............. 3,291 ............. 3,291
.............. 1,583 ........... 2,855 ...... 2,764 .................. 2,764
........ 1,882 ...... 1,882 .............. 1,659 .................. 1,659
. ...... 12,818 .............. 2,789 .............. 2,496 ........... 2,496
.............. 3,116 .............. 3,116 .............. 2,940
. ......... 511,875 .......... 546,000 ........ 546,888 .............. 547,525
.......... 290,000 ....... 290,000 .......... 336,490 .... 297,973
................. 184
.......... 697,372 ........ 713,519 .......... 713,742 .............. 713,733
............ 20,184 ............ 20,000 ............ 21,008 ........... 20,873
.......... 122,917 ......... 122,872 .......... 124,430 .............. 124,423
. ....... 122,570 .......... 123,202 .......... 122,673
......... 117
· ........... 4,079 ......... 4,079 .............. 3,977 ............. 3,978
. ............. 3,233 .............. 3,233 ......... 3,249 .................. 3,249
.............. 2,238 .............. 2,238 .............. 2,257 .................. 2,257
............ 10,238 ............ 10,238 ............ 10,031 .......... 10,034
.............. 3,573 .............. 3,573 ... 1,943 .................. 1,947
................. 222 ................... 222
............ 12,639 ............ 12,651 . ... 12,602
................... 51 ....................... 51
................ 16
.......... 186
. ............... 24
. .......... 94
. .... (63)
.............. 133
........ 91
.............. 223
.............. 293
.............. 176
............ (243)
.... (7,973) .
............. (175) .
...... (148)
. ............ (208) .
. ........ (926)
................ 18
........... (113)
.............. 101
............... (16) .
... .... (19) .
.............. 202
........... 1,627
. ..... (184)
................. .4
....... (46)
Total Change in B.lA.C.V. 111+12-131
... 25
.............. 66
..... 218
................ 214
...... 473
. .................. 3 .... 23
................. (32)
......... 1,144
..... 457
................ .421
.............. 120
....... 1,099
.................... 3 ............. 0
. ...... 16
................. 186
........ 24
................... 94
............... (63)
....... 133
................... 91
........... 223
... 293
................. 176
Total Foreign Exchange Change in B.lA.C.V.
............... (243) .
............. (7,973) ...
. .. (175)
............... (148)
. ..... (208)
............... (926)
........... 18
............... (113) .
............ 101
. .. (16) .
. ................ (19)
............ 202
.............. 1,627
..... (184) .
.................. .4 ....
... (46) .
16
Book/Adjusted Carrying Value at
Disposal Date
........ 20,087
... 6,607
. .............. 2,300
.................. 3,130
. ............... .4,803
... 4,746
................. 4,579
.... 5,243
................. .7,041
.................. 2,271
........ 2,112
... 994
........... 1,397,480
.. ... 5,155
. .................... 648
. ............ 6,396
..... 5,613
.................. 3,406
..... 7,647
................ 13,025
. .............. 3,423
...... 2,855
.................. 1,882
.................. 2,789
. ............. 3,116
...... 546,822
......... 290,000
. ............ .713,584
. ............... 20,665
.............. 123,497
.............. 122,690
.................. 4,079
.................. 3,233
. ........ 2,238
. .......... 10,236
. ................. 3,573
. ............... 12,606
17
Foreign Exchange
Gain (Loss) on Disoosal
18
Realized Gain (Loss) on DisDOsal
................ 0 ........... 0
19 20
Bond Interest 1
Stock
21 22
Stated NAIC Total Gain Dividends Contractual Designation (Loss) on Received Matunty or Marf<et DisDOsal Dunng Year Date Ind~ator la
................. 0 ........ 401 06125/2035. lFM .. .
..... 0 ............ 145 09/1912035. lFM .. .
.................. 0 .............. 25 0311512039. lFE
........ 0 .............. 33 01/2512040. lFE .. .
.................. 0 ............. 44 03/25/2044. lFE .. .
........ 0 ... 31 04125/2023. 2AM .... .
..... 0 .................. 0 .............. 69 0112512045. lFE. ..
.............. 0 .... .76 1212612025. lFE .. .
. ....... 0 .............. 81 04/2512037. 6FE .... .
....... 0 .................. 0 .............. 23 0512512037. 6FE .. .
.................. 0 ........ 0
........ 18 05125/2037. lFM .. .
... 12 0112512036. lFM ..... .
...... (16,086) ........ (16,086) ....... 25,453 05/11/2020. lFE .. .
.............. (0) ................. (0) ... . ..... 25 07/2512035. SAM .. .
........... 0 .............. 14 01/25/2037. lFM ....... .
.................. 0 ........ 138 0412512035. lFM .. .
....... 0 .... 62 0612512038. lFM .. .
.................. 0 ............. .46 07/2512034. lFM ..... .
............... 0 ......... 123 09/1912032. lFM .. .
............ 0 ... 0 ............ 267 09/25/2033. lFM .. .
...... (0) ................. (0) ............ 51 0912512045. lFM ...... .
........ (1,272) ..... (1,272) .... 47 03/2512046. lFM .. .
...... 0 .............. 22 0212512036. lFM .. .
. ...... 10,029 ......... 10,029 ............. 42 01/2512037. lFM ..... .
.................. 0 ........ 29 01/2512037. lFM .
...... (34,947) ........ (34,947) .... 6,214 07/1912019. 3FE .. .
.......... 0 ....... 18,850 0811512018. 2FE .. .
. ................. 0 05/1212045. lFE.
. ..... (16,213) ....... (16,213) ....... 10,748 06/17/2050. lFM ..... .
... (481) ............. (481) ............ 597 12114/2029. lFM .. .
........... (580) ............. (580) ..... 3,075 0511712047. lFM .. .
. ....... (120) ............. (120) ............ 865 0811512046. lFE ....... .
. ................. 0 0611512046. lFE .. .
............ 0 ... 49 1212512045. lFM.
. .. 0 .............. 69 0912512033. 1 FM ..... .
.................. 0 .............. 47 10/2512033. lFM ..... .
. .... (0) ............... (0) ......... 147 07/2512045. lFM ... .
......... 0 ...... 43 0412512037. lFM .. .
. .. 0 06/1712044. lFE ..... .
........... 33 ................ 33 ............ 190 11/1812047. lFM.
............... 0 11/18/2047. lFE .....
StatementasofSeptember30,20tBofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE D • PART 4 Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP Identification oescnption
92978T AJ 0 WBCMT 07C31 AJ - CMBS ...
933634 AA
93364B AA
939336 6H
939336 Z4
94985J CA
94988H AD
94989X BF
95000A AX
95000G AW
95000H BJ
9500lN AZ
96221T AH
981464 EY
D 981464
~ 3899999. (II 8399997.
00 8399999.
FJ
WAMU 07HY31AI- CMOIRMBS .. .
WAMU 070A51A - CMOIRMBS .. .
WMALT 054 CI3 - CMOIRMBS .. .
WAMU 05AR3 AZ - CMOIRMBS .. .
WFMBS 077 A49 - CMOIRMBS .. .
WFCM 12LC5 ASB - CMBS... .
WFCM 15NXS4 XA - CMBS ....
WFCM 15P2 XA - CMBS ...
WFCM 16BNKI AI- CMBS .... .
WFCM 16LC24 XA - CMBS .. .
WFCM 18C45 XA - CMBS ... .
WFRBS 14LCI4 XA- CMBS .....
WFNMT 15B A - ABS ...
WFNMT ISA A - ABS ...
Total- Bonds· Industrial and Miscellaneous ...
Total - Bonds - Part 4 ...
Total- Bonds ...
Preferred Stocks -Industrial and Miscellaneous
F
ei o~POsaJ
Date Name of Purchaser 08/1712018. Paydown .. .
09/01/2018. Paydown .... .
09/01/2018. Paydown .. .
09125/2018. Paydown .. .
09101/2018. Paydown .. .
0910112018. paydown .. .
0910112018. Paydown .... .
09101/2018. Di"",t...
09101/2018. oi"",t...
09101/2018. Paydown ...
09101/2018. Di"",t...
09101/2018. Direct...
0910112018. Direct...
0811612018. HSBC SECURITIES ...
BARCLAYS CAPITAL INC FIXED 08/16/2018. INC
000000 00 0 I ROLLS-ROYCE HOLDINGS PLC ............. I B I 07101/2018.1 Adjustment...
8499999. Total· Preferred Stocks -Industrial and Miscellaneous ...
8999997. Total- Preferred Stocks - Part 4 ...
8999999. Total- Preferred Stocks .....
Common Stocks· Industrial and Miscellaneous 00123Q 10 4 AGNC INVESTMENT REIT ORO ...
00206R 10 AT&T ORO ...
00287Y 10 ABBVIEORD ...
ADVANCED EMISSIONS SOLUTIONS 00770C 10 ORO
025932 10 4 AMERICAN FINANCIAL GROUP ORO ...
03349M 10 5 ANoEAVOR ORO ...
042315 50
04316A 10
05508R 10
067774 10
08915P 10
118440 10
ARMOUR RESIDENTIAL REIT ORO ...
ARTISAN PARTNERS ASSET MGMT CL A ORO
BAND G FOODS ORO ...
BARNES AND NOBLE ORO ....
BIG 5 SPORTING GOODS ORO ...
BUCKLE ORO ...
09/0712018. BTiG LLC .. .
09/0712018. BTIG LLC .. .
09107/2018. BTIG LLC .. .
09107/2018. BTIG LLC .. .
09/07/2018. BTiG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
09107/2018. BTiG LLC .. .
09107/2018. BTIG LLC .. .
0910712018. BTiG LLC .. .
09107/2018. BTIG LLC .. .
09107/2018. BTIG LLC .. .
124830 10 CBL AND ASSOCIATES PROP REIT ORO. 09107/2018. BTIG LLC ...
126117 10
134429 10
CNA FINANCIAL ORO ...
CAMPBELL SOUP ORO ...
09107/2018. BTIG LLC .. .
09107/2018. BTIG LLC .. .
Number of Shares of Stock Consideration Par Value
............ 95,842 ............ 95,842
.............. 6,'50 .............. 6,775
.............. 5,514 .............. 5,514
... 1,951 .............. 2,175
............ .4,763 .............. 4,763
.............. 2,079 .............. 2,405
.............. 5,698 .............. 5,698
............. .7,021 .............. 7,021
.......... 884,063 .......... 875,000
10
Prior Year Book/Adjusted
Actual Cost Canying Value
..... 97,451 ................ 39,673
....... 6,453 .................. 6,459
....... 5,252 .................. 5,252
....... 1,843 .................. 1,843
....... 4,811 .................. 4,811
Chanae in Book/Ad"usted Carrvina Value II 12 13 14 15
Current Year's
Unrealized Current Other-Than-Valuation Year's Temporary Increase (Amortization) Impairment
jpecrease) I Accretion Recoanized
.......... (1,602)
.............. 316
. ............. 262
.............. 332
.............. (48)
Total Foreign Total Change Exchange in B.fAC.V. Change in 111+12-13) B.lA.C.Y.
............. (1,602) ...
................. 316
................. 262
................. 332
................. (48)
....... 2,405 .................. 2,392 ............... 14 . .................. 14
................... 57 ....... 5,842
... ...... 401
........... 20
....... 6,825
....... 6,598
. ......... 152
.......... 103 ...................... 94
... 886,621 .............. 885,820
................ 57
............. (395) ...
............... (20)
.............. 196
.......... (6,533)
............. (152)
............... (85) ... .
.......... (2,487) ... .
............... (395) ...
................. (20)
. ................ 196
............. (6,533)
............... (152) .. .
................ (85) .. .
. ............ (2,487) .. .
16
Book/Adjusted Carrying Value at oi~aloate
................ 95,842
.................. 6,775
.................. 5,514
.................. 2,'75
.................. 4,763
............. .... 2,405
...... ........... 5,698
................. .7,021
. ............. 883,333
17
Foreign Exchange
Gain (Loss) on Disoosal
18
Realized Gain (Loss) on DisDOsal
19 20
Bond Interest'
Stock
21 22
Stated NAIC Total Gain Dividends Contractual DeSignation (Loss) on Received Maturity or Market oisoosaJ Dun"" Year Date Indicator (al
.............. 0 ......... 2,814 04/15/2047. IFM .. .
.......... (625) ........... (625) ............ 118 0312512037. IFM .. .
................ 0 ................ 0 .. 65 06/2512047. IFM .. .
........... (223) ........... (223) .............. 29 06/25/2035. IFM .. .
. ............... 0 ............ 104 03/25/2035. IFM .. .
. ......... (326) ........... (326) .............. 86 06125/2037. 5FM .. .
................ 0 ............ 12 10/1712045. IFE .. .
................ 0 1211712048. IFE ...
. .............. 0 1211712048. IFE...
................ 0 .............. 8 08/1712049. IFM .. .
................ 0
................ 0
................ 0
10/18/2049. IFE .. .
06116/2051. IFE .. .
03115/2047. IFE ... .
. ..... (19,271) ...... (19,271) ....... '5,'89 06/1712024. IFE .. .
....... 2,415,918 ....... 2,500,000 ....... 2,465,234 ........... 2,468,411 .......... 5,449 .............. 5,449 ........... 2,473,860 ...... (57,942) ....... (57,942 ....... 34,801 04/15/2025. IFE .. .
..... 27,476,261 ..... 27,828,586 ..... 28,059,819 ......... 24,'86,523 ............. 304 ...... (130,988) ............... 0 ......... (130,683 ............... 0 ......... 27,861,536 ................ 0 . .. .(385,811) ...... 1385,8111 ..... 518,740 XXX XXX
..... 32,325,331 ..... 32,703,177 ..... 32,959,850 ......... 24,994, 133 ............. 304 ...... (166,375) ............... 0 ......... (166,071 .............. 0 ......... 32,721,263 ............... 0 . ... (396,467) ...... (396,467 .... 559,711
..... 559,711 . .... 32,325,331 .... 32,703,177 ..... 32,959,850 ......... 24,994,'33 ............. 304 ...... 1166,375) ............... 0 ......... 1166,0711 ................ 0 ......... 32,721,263 ................ 0 . ... (396,467) ...... (396,467)
........ 0
........ 0
........ 0
.......... 1,800.000 ........... 34,389
.......... 6,900.000 .......... 221,591
.......... 1,000.000 ............ 94,'64
.......... 5,000.000 ............ 56,271
............. 200.000 ............ 22,505
............. 400.000 ............ 61,313
............. 600.000 ............ 14,235
.......... 1 ,900.000 ............ 62,690
.......... 1,600.000 ............ 50,391
......... 4,300.000 ............ 22,768
.......... 3,300.000 ............ 17,551
............. 400.000 .............. 8,978
.......... 4,'00.000 ........... '8,'0'
............. 500.000 ............ 22,457
............. 200.000 .............. 8,043
xxx xxx xxx
xxx XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0m) .................. ~ ..... (1,221) ......................... 0 ................. 0 .................. 0 ............... 0 .................... 0 ............... 0
..... 1,,22,) ......................... 0 ................. 0 .................. 0 ............... 0 .................... 0 ............... 0
..... (1,221) ......................... 0 ................. 0 .................. 0 ............... 0 .................... 0 ............... 0
.... 38,583 ................ 36,342 .......... 2,241
... 198,150 .............. 234,757 ...... (65,182)
..... 56,315 ................ 96,710 ...... (40,395) .
..... 56,179
.... 22,343
.... 31,773 ................ 45,775 ....... (14,002)
..... 11,'95 ................ 15,432 ......... (4,238).
..... 55,519 ............... .75,050 ....... (19,531).
..... 49,256 ................ 56,240 ........ (6,984).
..... 37,475 ............ .28,810 .......... 8,665
.... 26,252 ................ 25,080 .......... ','72
...... 6,502 .................. 9,500 ......... (2,998).
.... 31,796 ................ 23,206 .......... 8,590
..... 21,241 ................ 26,525 ......... (5,284) .
...... 8,'43 ............... 9,622 ......... (1,479).
. ........... 2,241
.......... (65,'82)
........... (40,395)
.................... 0
.................... 0
........... (14,002)
............. (4,238)
........... (19,531) .. .
............. (6,984) .. .
.............. 8,665
............. 1,172
............. (2,998)
.............. 8,590
............. (5,284)
............. (1,479) ...
................. (1,221 ............ 213 ......... 1,008 ......... 1,221
................. 11,2211 ............ 213 ......... 1,008 ......... 1,221 ................ 0
................. 1,,22,1 ............ 213 ......... 1,008 ......... 1,221 ................ 0
. ................ (1,221 ............ 213 ........ 1,008 ......... 1,221 ................ 0
................ 38,583 ........ (4, 194) ........ (4,'94) ......... 2,916
............. '98,'50
................ 56,315
............... 56, 179
............... 22,343
................ 31,773
. ............... ",'95
. ............... 55,519
. .............. .49,256
................ 37,475
................ 26,252
.................. 6,502
................ 31,796
. ............... 21,241
................. 8,'43
....... 23,440 ....... 23,440 ......... 9,488
....... 37,849 ....... 37,849 ......... 2,630
. ............. 93
............ 162
....... 29,541
......... 3,040
......... 7,171
......... ','35
...... (14,706)
........ (8,700)
........ 2,476
...... (13,694)
......... 1,216
........... (100)
............. 93 ......... 2,500
. .......... 162 ............ 370
....... 29,541 .......... ..472
......... 3,040 ............ 912
......... 7,'7' ......... 4,921
......... ','35 ......... 2,248
..... (14,706) ......... 1,935
....... (8,700) ......... 1,485
........ 2,476 ......... 1,000
..... (13,694) ......... 2,460
. ....... 1,216 ......... 1,475
. ......... (100) ............ 210
xxx XXX
xxx xxx xxx xxx
xxx XXX
PIUZ ...
xxx xxx xxx
XXX L-
XXX L.
XXX L ....
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
L.
L .
L ..
L ...
L ...
L ..
L ..
L ..
L .. .
L .. .
L ..
L ..
Statement as of September 30,2018 of the Wellmark Health Plan of Iowa, Inc. SCHEDULE D • PART 4
Showing all Long·Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
CUSIP Identification DescriDtion
136375 10 2 CANADIAN NATIONAL RAILWAY ORO ....
149205 10 6 CATOCLAORO ......
156700 10 6 CENTURYLINK ORO ...
16934Q 20 CHIMERA INVESTMENT REIT...
17275R 10 CISCO SYSTEMS ORO ...
191216 10 COCA-COLA ORO ...
194162 10
22160K 10
22410J 10
23334L 10
257867 20
COLGATE PALMOLIVE ORO ..... .
COSTCO WHOLESALE ORO .. .
CRACKER BARREL OLD COUNTRY STORE ORO
OSWCLAORO ...
RR OONNELLEY AND SONS ORO .....
F
ei Disposal
Date Name of Purchaser
MERRILL LYNCH PIERCE 0710212018. FENNER
09107/2018. BTiG LLC .. .
09107/2018. BTIG LLC .. .
09107/2018. BTIG LLC .. .
09107/2018. BTIG LLC ..... .
09107/2018. BTIG LLC .. .
09107/2018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTiG LLC .. .
0910712018. BTiG LLC .. .
0910712018. BTIG LLC .... .
26138E 10 9 DR PEPPER SNAPPLE GROUP ORO ..... C 0713112018. CORPORATE ACTION .....
26441C 20 DUKE ENERGY ORO... 0910712018. BTIG LLC .. . o 297602 10 4 ETHAN ALLEN ORO... 09107/2018. BTIG LLC .................................. .
m 30231G 10 2 EXXON MOBIL ORO... 09107/2018. BTIG LLC .. . C (II 302635 10 7 FS INVESTMENT ORO.... . 09107/2018. BTIG LLC .. .
CQ 345370 86 0 FORD MOTOR ORO... 09107/2018. BTIG LLC .... ..
354613 10
36162J 10
36174X 10
FRANKLIN RESOURCES ORO ...
GEO GROUP REIT ORO ...
GGPORD ...
GAMING AND LEISURE PROPERTIES 36467J 10 REIT ORO
36467W 10 9 GAMESTOP CL A ORO ........
36473H 10 4 GANNETT ORO ...
364760 10 8 GAP ORO ...
369604 10 GENERAL ELECTRIC ORO ...
370334 10 4 GENERAL MILLS ORO ...
37045V 10 0 GENERAL MOTORS ORO .....
393657 10 GREENBRIER ORO ...
40414L 10
40416E 10
45378A 10
459200 10
478160 10
49803T 30
500255 10
502175 10
517834 10
HCP REIT ORO ...
HCI GROUP ORO .....
INDEPENDENCE REAL TV ORO ...
INTERNATIONAL BUSINESS MACHINES ORO
JOHNSON & JOHNSON ORO ...
KITE REAL TV GROUP REIT ORO .......
KOHL'S ORO .........
LTC PROPERTIES REIT ORO
LAS VEGAS SANDS ORO ....
524660 10 7 LEGGETT & PLATT ORO ......
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
C 0812712018. CORPORATE ACTION ...
0910712018. BTiG LLC .. .
09107/2018. BTIG LLC .. .
0910712018. BTIG LLC ...... .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
09107/2018. BTIG LLC ...... ..
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
09/07/2018. BTIG LLC .. .
09/07/2018. BTIG LLC .. .
09/07/2018. BTIG LLC .. ..
0910712018. BTIG LLC ..... .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .... .
0910712018. BTiG LLC .. .
0910712018. BTIG LLC ........................... .
6
Number of Shares of Stock Consideration
.......... 3,665.000 .......... 299,621
.......... 1,300.000 ............ 27,423
.. ........... 800.000 .... 17,548
....... 1,300.000 ............ 24,602
.......... 1 ,500.000 .... .70,567
... ..... 500.000 ............ 22,857
............. 300.000 ............ 20,101
............. 400.000 ............ 96,581
.. ........... 100.000 ....... 15,524
. ..... 100.000 .............. 3,224
.......... 6,300.000 ............ 34, 114
.. ........... 600.000 ........ 69,389
.... 800.000 ............ 65,971
.......... 1 ,300.000 ............ 29,243
.......... 1,600.000 .......... 130,918
.......... 4,500.000 ............ 33,518
...... 6,000.000 ......... 55,589
.......... 1,600.000 ............ 48,215
.. ........ 2,500.000 ............ 62,362
.......... 2,000.000 ........ 15,190
......... 1,000.000 ............ 34,485
.. ........ 2,000.000 ............ 32,250
.......... 1,900.000 ............ 18,306
.. ........ 2,400.000 ............ 69,443
.......... 4,200.000 ............ 52,058
..... 400.000 ............ 19,018
.......... 1 ,600.000 ............ 54,247
.. ........... 400.000 ............ 22,638
.......... 1,600.000 .... 42,311
.. .... 200.000 .............. 8, 148
.. ........ 1,000.000 ............ 10,285
. . ....... 500.000 ............ 72,722
............. 200.000 ........ 27,463
.......... 1,100.000 ............ 18,958
............. 100.000 .............. 8,024
.......... 1,100.000 ... 49,901
............ 800.000 ............ 48,491
............. 200.000 ........ 9,141
Par Value
xxx XXX
XXX XXX
XXX XXX
XXX XXX
XXX XXX
XXX XXX XXX
XXX XXX
XXX XXX XXX
XXX XXX
XXX XXX
XXX XXX XXX
XXX XXX
XXX XXX
XXX XXX
XXX
XXX XXX
XXX XXX
XXX XXX
10 Chanae In Book/Ad usted CarTYin. Value 11
Unrealized Prior Year Valuation
12 13 14
Current Year's
Current Other-Than-Year's Temporary Total Change
15
Book/Adjusted Increase (Amortization) Impainment in B.lA.C.v.
Total Foreign Exchange Change in B.lA.C.V. Actual Cost CanvincValue IDecreaset 1 Accretion Recogn~ed (11.12·13)
.......... 214,780 .............. 302,363 ....... (87,582).
............ 15,386
............ 17,876 ................ 13,344
............ 24,603 ........... 24,024
..... ...... 41,828
............ 21,833
........ 57,450
........ 22,940
. .......... 22,040 ................ 22,635
.... 4,532
............. 579
.... (15,623) .
.. ....... (1,108) ."
.. ......... (596) .
...... .... 72,983 ................ 74,448 ......... (1,465).
............ 15,759
.............. 2,132 ........ 2,141
........... 44,641 ................ 23,250
........... 69,389 ............... 58,236
............ 62,390 ................ 67,288
............ 31,402
.............. (10) ..
. ..... (3,813) .
....... (33,398) .
.. ....... (4,898) .
.......... 131,226 ............. 133,824 ......... (2,598) .
............ 42,623 ................ 33,075 .......... 9,546
............ 69,945 ................ 74,940 ......... (4,996).
............ 63,016
............ 73,476 ................ 59,000 ........ 14,476
............ 41,150
............ 31,945 ................ 37,000 ......... (5,055) ...
............ 44,350 ................ 35,900 .......... 8,450
............ 17,110 ................ 22,021
.......... 57,852 ................ 81,744
............ 64,922 ...... 73,290
.......... 19,747 ................ 23,716
............ 48,520 ............. 65,584
.............. 9,630 ................ 21,320
.. (4,912)
....... (23,892) .
.. ....... (8,369) .
. ........ (3,969) .
....... (17,064) ."
. .... (11,690) .
........... .45,884 ................ 41,728 .......... 4,156
.............. 6,072 .................. 5,980 ............... 92
.......... 10,405 ................ 10,090 ............. 315
.. .......... 72,068 ................ 76,710 ......... (4,643).
... 25,071
............ 21,436 ........ 21,560 ............ (124) .
.. ........... 4,668 .................. 5,423 ........... (755).
............ 52,696 ................ 47,905 .......... 4,791
............ 37,420 .55,592 ... (18,172) ..
.. ............ 8,785 .................. 9,546 ......... (761) .
.. ......... (87,582) .
................. 0
.............. 4,532
.... 579
.. ......... (15,623) .
· ......... (1,108) .
..... (596) ...
............ (1,465) .
.................... 0
................. (10) ....
............. (3,813) ..
. .......... (33,398) .
............. (4,898) ....
.................... 0 · .......... (2,598) .
.............. 9,546
............. (4,996) .
......... 0
............ 14,476
............... 0
............. (5,055) .
.............. 8,450
............. (4,912) .
.. ...... (23,892) .
............. (8,369) .
............. (3,969) ..
. .... (17,064) .
........... (11,690) ......
· ........... 4,156
................... 92
................. 315
. ....... (4,643) .
...... 0 ....
............ (124) .
............... (755) .
.............. 4,791
.... (18,172) .
.......... (761)
16
Book/Adjusted Carrying Value at
Disposal Date
.............. 214,780
.. .............. 15,386
........... 17,876
................ 24,603
................ 41,828
................ 21,833
................ 22,040
.. ..... 72,983
............ 15,759
.................. 2,132
................ 44,641
................ 24,839
.. .............. 62,390
......... 31,402
.............. 131,226
................ 42,623
. .... 69,945
................ 63,016
................ 73,476
................ 41,150
.. .. 31,945
................ 44,350
............... 17,110
........ 57,852
.......... 64,922
................ 19,747
................ 48,520
.................. 9,630
.... 45,884
.................. 6,072
.... 10,405
............... .72,068
.. .............. 25,071
.. ... 21,436
.................. 4,668
.. ... 52,696
.. ...... 37,420
.................. 8,785
17
Foreign Exchange
Gain (Loss) on Disposal
18
Realized Gain (Loss) on Disposal
..... 84,841
....... 12,038
........ (328)
.............. (0)
19
Tolal Gain (Loss) on Disposal
20
Bond Interest I
S10ck Dividends Received
Dunne Year
.. ....... 84,841 ......... 2,175
......... 12,038 ............ 858
............. (328). . .... 884
.. ....... (0) ......... 1,950
.... 28,739 ......... 28,739 ......... 1,425
......... 1,025 ........... 1 ,025 ............ 390
.. ...... (1,938) .......... (1,938) ........... 582
...23,598 ......... 23,598 .......... ..428
...... (234) ............. (234) ............ 500
......... 1,093 .......... 1,093 .............. 50
...... (10,726) ........ (10,726) ......... 1,421
.. ..... 44,550 ......... 44,550 ....... 18,396
......... 3,581 ........... 3,581 ......... 2,166
....... (2, 158) .......... (2,158) ............ 247
.. ............................ (308) ........ (308) ......... 3,611
.. ...... (9, 105) .......... (9,105) ...... 2,565
.. .... (14,355) ........ (14,355) ......... 3,480
...... (14,801) ...... (14,801) ......... 5,536
.... (11,114) ........ (11,114) ....... 3,525
.. .... (25,960) ........ (25,960) ....... 29,724
......... 2,540 ........... 2,540 ......... 1,890
.. .... (12,100) ........ (12,100) ......... 1,520
....... 1,197 ........... 1,197 ....... 608
.... 11,591 ......... 11,591 ......... 1,716
...... (12,863) .... (12,863) ......... 1,512
.. ........ (729) ............. (729) ........ 588
......... 5,727 .......... 5,727 ......... 1,824
....... 13,008 ......... 13,008 ........... 292
.. ...... (3,573) .......... (3,573) .1,776
.. ....... 2,077 ........... 2,077 ............ 145
.......... (120) ............. (120) ............ 420
....... 654 .............. 654 ......... 2,320
......... 2,392 ........... 2,392 ............ 360
.. .... (2,478) .......... (2,478) ..... 1,048
.. ....... 3,357 ........... 3,357 ........ 122
........ (2,795) .......... (2,795) ......... 1,672
.... 11,071 ......... 11,071 ... 1,200
............ 356 .......... 356 ... 220
21 22
S1aIed Contractual
Maturity Date
NAIC Designation or Market
Indk:a1or (a'
XXX L ... XXX L...
XXX L.. ....
XXX L...
XXX L .. .
XXX L .. .
XXX L .. . XXX L .. ..
XXX XXX XXX
XXX XXX XXX
XXX XXX XXX
XXX XXX XXX
L ...
L...
L...
L...
L...
L .. .
L .. .
L .. .
L .. .
L .. .
L ... .
L...
XXX L...
XXX L.. ..
XXX L...
XXX L .. . XXX L .. .
XXX L. XXX XXX L...
XXX L ...
XXX L.. ..
XXX L...
XXX L...
XXX XXX L.
XXX L .. .
XXX L .. ..
XXX L XXX
StatementasofSeptember30,20180fthe Wellmark Health Plan of Iowa, Inc. SCHEDULE D . PART 4
Showing all Long·Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Quarter
£) m o UI
CUSIP Identification Description
55608B 10 5 MACQUARIE INFRASTRUCTURE ORO ...
58470H 10
58933Y 10
61022P 10
635309 10
63888P 40
64704V 10
655664 10
676220 10
68389X 10
690732 10
69351T 10
703395 10
709102 10
717081 10
718172 10
723484 10
724078 10
MEDIFAST ORO ...
MERCK & CO ORO ...
MONOTYPE IMAGING HOLDINGS ORO ..
NATIONAL CINEMEolA ORO ....
NATURAL HEALTH TRENDS ORO ....
NEW MEDIA INVESTMENT GROUP ORO
NORDSTROM ORO ...
OFFICE DEPOT ORO ...
ORACLE ORO ...
OWENS & MINOR ORO ...
PPL ORO ...
PATTERSON COMPANIES ORO ...
PENNSYLVANIA REIT ORO ..... .
PFIZER ORO .....
PHILIP MORRIS INTERNATIONAL ORO ..
PINNACLE WEST ORO .. .
PIPER JAFFRAY ORO .. .
4
a
ei Disposal
Date Name of Purchaser
0910712018. BTIG LLC
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC ... .
0910712018. BTiG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTiG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC ..... .
0910712018. BTiG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
Q 724479 10 PITNEY BOWES ORO .. . 0910712018. BTIG LLC ... .
742718 10 PROCTER & GAMBLE ORO ..... .
747301 10 9 QUAD GRAPHICS CL A ORO ...
78648T 10
80589M 10
808541 10
81663A 10
SAFETY INSURANCE GROUP ORO ...
SCANAORO ..... .
SCHWEITZER MAUD ORO .....
SEMGROUP CL A ORO ...
81721M 10 9 SENIOR HOUSING REIT ORO ...
83175M 20 5 SMITH NEPHEW AoR REP 2 ORO ...
83416M 10 SOLAR SENIOR CAPITAL ORO ...
842587 10 7 SOUTHERN ORO ...
85571B 10 5 STARWOOO PROPERTY REIT ...
871503 10
87403A 10
SYMANTEC ORO ...
TAILORED BRANDS ORO ...
87612E
899896
911312
10 TARGET ORO ...
10 4 TUPPERWARE BRANOS ORO ....
10 6 UNITED PARCEL SERVICE CL B ORO ...
91325V 10
913456 10
91913Y 10
UNITI GROUP ORO ...
UNIVERSAL ORO ...
VALERO ENERGY ORO ...
92240M 10 8 VECTOR GROUP ORO ...
92276F 10 0 VENTAS REIT ORO ...
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTiG LLC .. .
0910712018. BTiG LLC .. .
C 0811612018. MORGAN STANLEY CO ...
0910712018. BTIG LLC .. .
0910712018. BTiG LLC .. .
0910712018. BTiG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC ... .
0910712018. BTIG LLC .. .
0910712018. BTIG LLC .. .
0910712018. BTiG LLC .... .
0910712018. BTIG LLC ... .
0910712018. BTIG LLC .. .
92343V 10 VERIZON COMMUNICATIONS ORO... 0910712018. BTIG LLC .. .
930059 10 WADOELL REEO FINANCIAL CL A ORO.. 0910712018. BTIG LLC .. .
7
Number of Shares of Stock Consideration
.......... 1,200.000 ............ 55,913
. ............ 100.000 ............ 23,655
............. 500.000 ............ 34,832
.......... 1,100.000 ............ 22,159
.......... 4,600.000 ............ 41,330
............. 800.000 ............ 19,688
.......... 3,700.000 ............ 58,034
............. 200.000 ............ 13,143
.......... 1,500.000 .. .4,972
.......... 1,000.000 ............ 47,804
............. 200.000 ... 3,605
......... 5,500.000 .......... 163,595
............. 200.000 ... 4,883
.......... 3,900.000 ............ 39,682
.......... 2,200.000 ............ 92,828
.......... 1,000.000 ........... .78,594
............. 500.000 ............ 39,792
............. 600.000 ............ 44,546
.......... 6,700.000 ............ 48,809
.......... 1,800.000 .......... 147,427
............. 900.000 ............ 19,372
............ 100.000 ... 9,800
............. 300.000 ............ 10,978
............. 500.000 ............ 20,012
.......... 2,200.000 ........... 52,238
.......... 1,200.000 ............ 22,434
.......... 2,211.000 ............ 77,899
.......... 1,200.000 ............ 20,031
. ......... 1,800.000 ........... .79,784
.......... 4,600.000 .......... 102,694
............. 800.000 ............ 15,860
.......... 2,200.000 ............ 49,730
............. 400.000 ............ 35,494
.......... 1,100.000 ............ 35,227
. ............ 200.000 ............ 24,597
............. 800.000 ............ 15,620
............. 800.000 ............ 48,115
............ .400.000 ............ 46,029
.......... 3,638.000 ............ 57,061
. ............ 200.000 ............ 11,769
. ......... 2,100.000 .......... 113,388
. ......... 1,300.000 ............ 26,071
Par Value
xxx XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10 11
Unrealized Prior Year Valuation
Chanae in Book/Adjusted Carrvin. Value 12 13 14
Current Year's
Current Other-Than-Year's Temporary
15
Book/Adjusted Increase Actual Cosl CalT'lin. Value (Decreasel
(Amortization) Impairment I Accretion 8~nized
Total Change in B.lA.C.V. 111+12-(3)
Total Foreign Exchange Change in B.lA.C.v.
...... 46,854
........ 3,702
. ..... 28,413
. ..... 24,756
. ..... 31,622
. ..... 16,873
...... 63,262
. ....... 9,293
. ...... 3,458
. ..... 44,495
....... 3,233
.... 200,954
....... 4,473
. ..... 47,366
. ..... 73,508
. ..... 94,139
. ..... 42,883
. ..... 59,564
. ..... 74,305
. ... 150,823
. ..... 15,877
. ....... 7,316
...... 12,170
...... 19,268
. ..... 56,441
. ..... 23,610
. .... 48,963
. ..... 19,050
...... 84,942
...... 99,641
...... 13,548
...... 31,779
. ..... 21,442
. ..... 59,615
...... 20,821
...... 14,932
...... 55,964
. ..... 22,162
. ..... 71,924
. ..... 11,135
.......... 6,981 ......... (3,279)
............ 28, 135 ............. 278
............ 18,522 ............ (419) .
.............. 9,476 ............ (183)
........... .47,280 ......... (2,785)
......... 170,225 ........ 30,729
........... 46,371 ............. 995
............ 79,684 ........ (6,177)
.......... 105,650 ....... (11,511).
............ 42,590 ............. 293
............ 36,894 .......... 6,386
.......... 165,384 ....... (14,561)
............ 20,340 ......... (4,463)
.............. 8,040 ............ (725).
........... 22,680 ......... (3,413)
............ 22,980 ............. 630
. ........... 77,407 ....... (28,444).
. ........... 21,312 ......... (2,262)
.......... 86,562 ......... (1 ,620)
............ 98,210 .......... 1,431
............ 22,448 ......... (8,900).
........... .48,026 ....... (16,247) .
............ 26, 100 ......... (4,658)
............ 68,970 ........ (9,356)
............ 23,830 ....... (3,009).
. ........... 14,232 ............. 700
........... 42,000 ........ 13,964
............ 36,764 ....... (14,602)
............ 81,424 ........ (9,501) .
............ 12,002 ............ (867).
...... 68,282 .......... 111,153 ....... (42,871)
...... 25,919 ............ 29,042 ......... (3,123)
.................. 0
.......... (3,279) ....
.............. 278
................. 0
............. (419) ....
.................. 0
.................. 0
............. (183)
.................. 0
.......... (2,785) ....
.................. 0
......... 30,729
.................. 0 ............. 995
.......... (6,177) ....
. ...... (11,511)
............. 293
................. 0
........... 6,386
........ (14,561)
.......... (4,463)
............. (725) ....
.................. 0
.......... (3,413)
................. 0
.............. 630
. ...... (28,444) ... .
.......... (2,262)
.......... (1,620)
........... 1,431
. ......... (8,900) ... .
........ (16,247) ... .
.......... (4,658)
.......... (9,356)
. ........ (3,009) ... .
............. .700
......... 13,964
. ....... (14,602)
.......... (9,501)
............. (867) ....
........ (42,871)
.......... (3,123)
16
BooklAdjusted Carrying Value at O~DOsal Oate
.............. 46,854
................ 3,702
.............. 28,413
.............. 24,756
.............. 31,622
.............. 16,873
.............. 63,262
................ 9,293
............... 3,458
. ............. 44,495
. ............... 3,233
............ 200,954
.............. .4,473
.............. 47,366
............. 73,508
.............. 94,139
.............. 42,883
............. 59,564
............. 74,305
............ 150,823
.............. 15,877
. ............... 7,316
.............. 12,170
.............. 19,268
.............. 56,441
............. 23,610
. ............. 48,963
.............. 19,050
.............. 84,942
............. 99,641
.............. 13,548
.............. 31,779
.............. 21,442
.............. 59,615
. ............. 20,821
.............. 14,932
.............. 55,964
.............. 22,162
.............. 71,924
. ............. 11,135
............. 68,282
.............. 25,919
17
Foreign Exchange
Gain (Loss) on Disoosal
18
Realized Gain (Loss) on Disoosaf ......... 9,059
19
Total Gain (Loss) on oisDOsal
.......... 9,059
20
Bond Interest I
SJock Dividends Received
During Year
....... 2,400
....... 19,953 ........ 19,953 .......... 144
......... 6,420 .......... 6,420 .......... 720
........ (2,596) ......... (2,596) .......... 128
......... 9,708 .......... 9,708 ....... 2,023
......... 2,815 .......... 2,815 ....... 1,840
........ (5,228) ......... (5,228) ....... 3,404
......... 3,850 .......... 3,850 .......... 148
......... 1,515 .......... 1,515 ............ 38
......... 3,309 .......... 3,309 .......... 570
... ... . ... 372 ............. 372 ............ 52
...... (37,358) ....... (37,358) ....... 6,683
............ 410 ............ .410 .......... 104
........ (7,684) ......... (7,684) ....... 2,457
....... 19,320 ........ 19,320 ....... 2,244
...... (15,545) ....... (15,545) ....... 3,280
........ (3,091) ......... (3,091) ....... 1,043
...... (15,018) ....... (15,018) ...... 1,647
...... (25,496) ....... (25,496) ....... 3, 131
........ (3,396) ......... (3,396) ...... .3,823
......... 3,495 .......... 3,495 .......... 540
. ........ 2,484 .......... 2,484 .......... 160
........ (1,191) ......... (1,191) ............ 37
............ 745 ........... .745 .......... 430
........ (4,203) ......... (4,203) ....... 2,079
........ (1,176) ......... (1,176) ....... 1,404
....... 28,937 ....... 28,937 .......... 982
............ 981 ............. 981 ....... 1,269
....... (5,158) ......... (5,158) ....... 3,204
......... 3,053 .......... 3,053 ....... 6,624
........ 2,312 .......... 2,312 ......... 120
....... 17,951 ........ 17,951 .......... 792
....... 14,052 ........ 14,052 .......... 496
. ..... (24,387) ....... (24,387) ....... 2,244
......... 3,776 .......... 3,776 .......... 546
............ 688 ............. 688 ....... 1,440
........ (7,849) ......... (7,849) ....... 1,480
....... 23,867 ........ 23,867 .......... 960
...... (14,862) ....... (14,862) ....... 2,910
............ 634 ............. 634 .......... 474
....... 45, 106 ........ 45, 106 ....... 3,717
............ 152 ............. 152 .......... 975
21
Slaled Contractual
Maturity Date
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
22
NAIC Designation or Market
Indicator (a
L. ..
L. ..
L ...
L. ..
L. .
L...
L ...
L. ..
L...
L ....
L. ..
L. ..
L. ..
L ...
L. ..
L.. ... .
L .. .
L .. .
L.. .
L .. .
L .. .
L. ..
L...
L .. .
L .. .
L. ..
L...
L ...
L. ..
L... L .... .
L .. .
L. ..
L...
L ...
L. ..
L. ..
L .. .
L .. .
L .. .
XXX L. .
XXX L ...
£) m CI UI .... ....
---.-..... -••............
StatementasofSeptember3O,201Bofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE D • PART 4 Showing all Long-Term Bonds and Stocks SOLD. REDEEMED or Otherwise DISPOSED OF During Current Quarter
4
ei DiSposal
CUSIP Identffication Descnption Date Name of Purchaser 931142 10 3 WALMART ORD ... 09107/2018. BTIG LLC .. .
93627C 10 1 WARRIOR MET COAL ORD ... 09107/2018. BTiG LLC .. .
93964W 10 8 WASHINGTON PRIME GROUP ORD ... 09107/2018. BTIG LLC ... .
960400 10 4 WELL TOWER ORD ..... 09107/2018. BTIG LLC .. .
969457 10 0 WILLIAMS ORD ... 09107/2018. BTIG LLC ... .
969904 10 WILLIAMS SONOMA ORD ... 09107/2018. BTiG LLC .. .
984121 60 XEROXORD .. . 09107/2018. BTiG LLC .. .
98421B 10 XPERIORD ......... . 09107/2018. BTIG LLC ...
D0712D 16 BAYER NORD .. . B 08116/2018. GOLDMAN SACHS & CO, NY .... .
F5548N 10 SANOFIORD ... ................. B 0811612018. GOLDMAN SACHS & CO, NY .. .
G16249 10
G3910J 11
G76225 10
G7945M 10
G81075 10
G9787K 10
BROOKFIELD PROPERTY PARTNERS UNT 091071201& BTIG LLC ...
GLAXOSMITHKLlNE ORD... B 0811612018. GOLDMAN SACHS & CO, NY ...
ROLLS-ROYCE HOLDINGS ORD ...
7 SEAGA TE TECHNOLOGY ORD...... .
6 SHIP FINANCE INT ORD ...
WPPORD.
B 0710112018. Adjustment... ..... .
C 09/07/2018. BTIG LLC .. .
C 09107/2018. BTIG LLC .. .
MERRILL LYNCH INTL LONDON B 07103/2018. EQUITIES
6
Number of Shares of Stock Cons~eration
......... 200.000 ............ 19,165
. ............ 600.000 ........... 14,517
. ...... 4,700.000 ... 35,602
. ........... .700.000 ............ 46,469
. ... 1 ,000.000 ............ 28,575
. ............ 100.000 ............. 6,992
.... 200.000 . .... 5,393
. ......... 2,800.000 ............ 44,085
........... .797.000 . ... 70,401
. ..... 790.000 ............ 64,745
............. 752.000 ............ 14,750
.......... 3,800.000 ........... .77,121
.......... 1,500.000 ............ 74,692
. ......... 2, 100.000 ........ 29,074
...... 6,004.000 ...... 92,016
H5820Q 15 NOVARTIS NORD ...
ROCHE HOLDING PAR. ..
NOVO NORDISK B ORD ....
COSTAMARE ORD ...
B 0811612018. GOLDMAN SACHS & CO, NY... . ............ 932.000 ........... .76,015
H69293 21 B 0711112018. GOLDMAN SACHS & CO, Ny....... . ............ 985.000 ...... 221,376
K72807 13 B 08/1612018. GOLDMAN SACHS & CO, Ny...... . ... 1,648.000 ............ 78,593
Y1771G 10 D 09107/2018. BTIG LLC .......... 5,000.000 ............ 32,127
9099999. Total- Common Stocks . Industrial and Miscellaneous ..... . ...... 5,367,098
Common Stocks· Mutual Funds 72201F 49 0 I PIMCO:INCOME INST ..... ........ 1 C I 0910412018.1 DIRECT ... ................ 1 ..... 336,700.337 ....... 4,000,000
9299999. Total· Common Stocks· Mutual Funds .... . ..... .4,000,000
9799997. Total· Common Stocks· Part 4 ... . .... 9,367,098
9799999. Total· Common Stocks .......... . ....... 9,367,098
9899999. Total· Preferred and Common Stocks. . ...... 9,367,098
9999999. Total· Bonds, Preferred and Common Stocks ... . .... 41,692,429
(a) For all common stock beanng the NAIC marKet Inchcator ·u· provide. the number of such ISSUes. 7.
Par Value
xxx XXX
XXX XXX
XXX XXX
XXX XXX
XXX
XXX
XXX XXX
XXX XXX
XXX
XXX
XXX
XXX XXX
XXX
XXX
XXX
XXX
XXX XXX
XXX
XXX
10 Chanoe in Book/Ad usted Carrying Value 11 12 13 14 15
Current Year's
Unrealized Current Other-Than-Prior Year
Book/Adjusted Actual Cost Carrvino Value
........... 16,257 ................ 19,750
............ 17,085
Valuation Yea~s Temporary Increase (Amortization) Impairment
(Decrease) I Accretion RecOQn~ed
......... (3,493) ..
............ 39,269 ............... 33,464 .......... 5,805
........... .48,907 ................ 44,639 ...... 4,268
........... 30,425 ............... 30,490 .............. (65)
.............. 5,375 .................. 5,170 ......... 205
. ............. 5,235 ..... 5,830 ............ (595).
..... 58,954
............ 80,576 ............. 99,532 ..... (24,993)
............ 78,062 ............. 68,159 .......... 4,054
.......... 15,190
............ 85,833 ................ 67,982 .......... 9,155
... 72,818 ................ 62,760 ........ 10,058
............ 28.466 ............... 32,550 ....... (4,085)
Total Change in B./A.C.V. (11+12·13)
............. (3,493)
................. 0
.............. 5,805
.............. 4,268
................. (65)
................. 205
Total Fore~n Exchange Change in B./A.C.V.
............... (595) .
.................... 0
....... (24,993) .......... 6,037
.............. 4,054 .......... 5,848
.................... 0 .............. 9,155 ......... 8,696
....... 0 ............ 10,058
............. (4,085)
16 17 18
Foreign Book/Adjusted Exchange Real~ed
Carrying Value at Gain (Loss) Gain (Loss) DiSDOSal Dale on DisDosal on DisDOsal
. ....... 16,257 ......... 2,908
................ 17,085 ........ (2,568)
...... 39,269 ........ (3,666)
................ 48,907 ....... (2,436)
...... 30,425 ........ (1,850)
.................. 5,375 ......... 1,618
........ 5,235 ............ 158
................ 58,954 ...... (14,869)
................ 80,576 ...... (9,864) .......... (311)
........ 78,062 ... (9,556) ........ (3,761)
19
Total Gain (Loss) on D~DOsal
. ....... 2,908
.......... (2,568)
. ......... (3,666)
.......... (2,438)
. ......... (1,850)
20
Bond Interest!
Stock Dividends Received
Dunna Year
... 414
......... 3,977
.... 3,525
......... 1,827
..... 1,020
.... 1,618 ............ 125
.............. 158 .......... 150
........ (14,869) ......... 1,120
........ (10,175) ......... 1,908
........ (13,317) ...... 1,988
.... 15,190
................ 85,833
........... (440) ............ (440) .... 130
. ......... (5,850)
..... 72,818
. ............... 28,466
...... (13,272) ......... 4,560 .......... (8,712) ......... 3,176
...... 5,850
......... 1,874
..... 609
........... 5,850
......... 1,874 ...... 2,835
.... 609 ......... 1,470
. ......... 120,584 ......... 108,915 ............. 534 ......... 534 ........ 11,136 ......... 120,584 ..... (14,114) ...... (14,455) ........ (28,569) ......... 2,971
. .. 64,128 ............... .78,806 ....... (16,314). . .......... (16,314) ....... 1,635 .... 64,128 ........ (2,901) ....... 14,788 ... 11,887 .. .1,788
.......... 233,124 ........... 249,156 ....... (21,780). . ......... (21,780) .......... 5,748 ............. 233,124 ........ (9,973) ....... (1,775) ........ (11,748) ......... 5,588
............ 57,913 ............... 88,907 ....... (35,246) ........... (35,246) ......... .4,253 .... 57,913 ........ (7,089) ....... 27,768 ......... 20,680 ........ 971
........... .41,425 ................... 0 ................ 41,425 ........ (9,297) .......... (!l,297) ............ 500
....... 5,236,365 .......... 4,913,940 ..... (558,041 .................. 0 .............. 0 ......... {558,041) ....... .43,353 ..... 5,185,965 ...... {60,919) ..... 242,052 ....... 181,134 ..... 238,390
. ...... 4030,303 .................... 0 ........... 4,030,303 ...... (30,303 ...... ,1.30,303) ....... 38,620
....... 4,030,303 ......................... 0 .............. 0 ........ 0 ............... 0 .... 0 ......... 0 ........... 4,030 303 ................ 0 ..... {3O,303 ........ (30,303) ....... 38,620
....... 9,266,668 ........... 4,913,940 ..... {558041 .................. 0 ............... 0 ......... (558,041) ........ 43,353 ........... 9,216,268 ...... (60,919) ..... 211,749 ....... 150830 ..... 277,010
....... 9,266,668 .......... .4,913,940 .... .(558,041\ .................. 0 ....... 0 ....... ,.(558,041\ ........ 43,353 ........... 9,216,268 ...... {60.91ID. ..... 211,749 ....... 150,830 ..... 277,010
....... 9,265,447 .......... 4,913,940 ..... (558,041 ..... 0 ............... 0 ......... (558,041 .. 43,353 ........... 9,215047 ...... (60,706) ..... 212,757 ....... 152,051 ..... 277,010
. .... 42,225,297 ......... 29,908,073 ..... (557,737) ...... (166,375) ............ 0 ......... (724,111) ....... .43,353 ......... 41,936,310 ...... (60,706) .... (183,711) ...... (244,416) ..... 836,720
21
Stated Contractual
Matur1ty Dale
XXX XXX
XXX
XXX
XXX XXX
XXX XXX XXX
XXX
XXX XXX
XXX
XXX XXX
XXX
XXX XXX
XXX XXX XXX
22
NAIC Designation or Market
Indicatorra
L .. .
l.. .. .
l...
l. ..
l. ..
l...
l.
l.. .. .
U .. .
L .. .
l.. .. . U ....... .
U .. .
l. ..
L .....
U .. .
U .. .
U .... .
U .. .
l...
XXX
XXX l. ..
XXX XXX XXX XXX
XXX XXX
XXX XXX XXX XXX
D m CI 0)
StatementasofSeptember30,2016ofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE DB • PART A • SECTION 1 Showing all Options, Caps, Floors, Collars, Swaps and Forwards Open as of Current Statement Date
10 11 12 13 14 15 16
Cumulative Prior Year(s) Current Yea'"
Type(s) Strike Price, Initial Cost of Initial Cost of C Schedule of Date of Rate of Index Premium Premium
Description of ltem(s) Hedged, Used for Income I Exhibit Risk(s) Exchange, Counterparty Trade Maturity or NUmber.of Notional Received (Received) (Received) Current Year Book/Adjusted DescriDtion Generation or Reolicated Identifier {ai or Central Clearinahouse Date ExDiration Contracts Amount (Paid) Paid Paid Incon-.. C .... naVaue Fair Value
Purchased ODtions • Other • Other
Total SA 04.10.18 Ri.hts .... ..................... L ............................ 1 ........ 1 .... . TOTAL SA ... 529900S21EQ1B04ESM68 ... 09124120181 ............. 1 .............. 1 .... . .. .............. 588
0349999. Total-Purchased DrItions-Other-Other .... ................... 0 ......... 0 ............... 588 ....................... 0 XX ...................... 0
0359999. Total-Purchased OOtions-Other .... .................... 0 ......... 0 .............. 588 ....................... 0 XX. .. ........... 0
0419999. Total-Purchased ODtions-Other .... ................... 0 ......... 0 ................ 588 ...................... 0 XX ...................... 0
0429999. Total-Purchased Options ... ................... 0 .. ....... 0 ................ 588 .................... o)() .................... 0
1439999. Tofaj-01her ...... ................ 0 .. ....... 0 ............... 588 ...................... 0 XX ..................... 0
n n <AA n n
17 18 19 20 21 22 23
Adjustment Hedge Unrealized Total Foreign Current to Carrying Credit Effectiveness Valuation Exchange Year's Value of Quality of at InceptiOn Increase Change in (Amortization Hedged :::tial Reference and at Year-
{Decreasel B.lA.C.v. -)1 Accretion llems sure Enti1v end (til
.......... 0 .................. 0 .................. 0 ....... 0 .. ........ .. ... 0 XXX XXX
.......... 0 .................. 0 ................. 0 ....... 0 ..... ..... .. .. 0 XXX XXX
........... 0 ................ 0 .................. 0 .. .... 0 . ......... ....... .0 XXX XXX
........... 0 ................. 0 ................ 0 ....... 0 ... ............. 0 XXX XXX
......... 0 .................. 0 ................. 0 ....... 0 ... ............... 0 XXX XXX
... 0 .. 0 .. 0 n n XXX XXX
£) m Q ~
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
1 2 3 4 5 6 7 8
Number Descnption of ltem(s) Hedged, Schedu~ Type(s) Date of Ticker of Notional Used for Income Generation or I Exhibit Of Risk(s) Maturity or
Symbol Contracts Amount Descnption Replicated Identifier (a) Expiratkm
SCHEDULE DB • PART B . SECTION 1 Futures Contracts Open as of the Current Statement Date
9 10 11 12 13 14
Trade Transaction Reporting Book/Adjusted Exchange Date Price Date Poco Fair Value Carrying Value
NONE
H~h~ Effective Hedges 18 19 20 21 22
15 16 17
Change in Variation Change in
Margin Gain Variation Hedge (Loss) Used to Cumulative Margin Gain Effectiveness
Cumulative Defemed Adjust Basis Variation (Loss) at Inception Variation Variation of Hedged Margin for All Recognized in Potential and at Year- Value of One Margin Margin 1tem Other Hedges Current Year Exposure end (b) (1) Point
D m o CO
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
SCHEDULE DB - PART 0 - SECTION 1 Counterparty Exposure for Derivative Instruments Open as of Current Statement Date
1 2 3 4 Book Adjusted Cmying Value
5 6 7
Credit - support Contracts with Contracts 'Mth
Desaiption of Exchange, Counterpaty or Central Cleilinghouse Agreement ~~nex Fair Value of Acceptable Book/Adjusted Cowrying BookIAdjusted C~ng ExpoSln Net Iv",NI ",NI Collateral Value) 0 Value < 0 of Collateral
NAlC 1 De.igndlon
TOTALS.A ... 529900S2fEQfB04ESM68 .. I Y ............... 1 N ... .. .. ...................... 0 0299999. Total NAIC f D~nation ... .. ............................... 0 .................................. 0 ................................. 0 ........................ 0 0999999. Gross Totals ... .. ................................ 0 .................................. 0 ................................. 0 ........................ 0 1. Offset DOr SSAP No. 64 ...
2. Net after richt of offset DOr SSAP No. 64 ... . ................................ D ................................ D
Fair Value 11 12 6 9 10
Contracts with Contracts with ExpoSln Net Potential Off·Balance Fair Value> 0 Fair Value < 0 of Coltateral Exoosure Sheet Exoosure
.................................. 0 .............................. 0 .............. 0 ...... D ................................. D ................................ D .............................. 0 ................ 0 ....... 0 .................................. 0 ................................. 0 ............................... 0
Statement as of September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
Sch. DB - Pt. D - Sn. 2 NONE
Sch. DL - Pt. 1 NONE
Sch. DL - Pt. 2 NONE
QE09, QE10, QE11
c-'"_ • ..,."~~ ....... _~,_c~p,,,.,,,,"",_~ ____ ~#_,.~, __________ , __________________ .... ____________________ _
Statement as of September 30, 20t8ofthe Wellmark Health Plan of Iowa, Inc.
SCHEDULE E • PART 1 • CASH
Open Depositories
Bankers Trust... ..
Bri of New Yoo. Mellon Custodial....
0199999. Total Open Depositories ....
0399999. Total Cash on Deposit ....
0599999. Total Cash ...
,
D.,,,.,,,,,
Des Moines, IA ...
P_rgh,PA"
Month End Deposito~ Balances 2 3 4
Amount of Interest Received Oiling
Cod. Ra~ of Intare. Current Quater
xxx xxx ....................... ,0
XXX XXX ....................... 0
XXX XXX . ...................... 0
QE12
5
Amount of Interest Accrued at Current
Statement Date
.... .... ,0
........... ,0
.... ",0
Book Balance at End of Each 9 Month DlSina Current Quarter
6 7 6
FiI'st Month Second Month Third Monlh
....... ................ 120 ........... 1,311 .. ............. "I''') XXX
.. ........ ....... .. 4,397 .... 3,993,032 . ................ ..... 5,841 XXX
..................... 4,517 .... 3,994,343 ............... ,5,646 XXX
................. .4,517 .... 3,994,343 ....................... 5,646 XXX
....... .... ........ 4,517 .... 3,994,343 ....... . ..... .... ,5,646 XXX
(;) m -Co)
Statement as 01 September 30, 2018 of the Wellmark Health Plan of Iowa, Inc.
1 2
CUSIP Descnpllon All Other Money Martel Mutual Funds
4812C2 68 4 1 JPMORGAN:US GVT MM INST ...
8699999. Total- All Other Money MarXet Mutual Funds ...
8899999. Total- Cash Equivalents
SCHEDULE E . PART 2 • CASH EQUIVALENTS Show Investments Owned End of Current Quarter
3 4 5 6
Code Date Acouired Rate 01 I nteresl Matuntv Date
.............. 1 ............. 109/2812018 ....... 1.... . .. 1.980 I····
7 8 9
Amount of Interest Due & Book/Adjusted Carrying Value Accrued Amount Received Dunng Year
................ .4,775,206 . .................. 4,924 ................................... 2,712 ........ 4,775,206 . .......... 4,924 ..... 2,712
................... 4,775,206 ........................... 4,924 ................................... 2,712