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I ••• IIIIIIIJIIII[III~Ulllllllmmlll~I ~I WIII_IDI!J!U._I __ a __ 11 IllilllllmruIIIIIIIUIIII~nmmll~IIIIIIIIIIIW~lmIIWI'..!.

14 I Griggs County Courier May 21, 2021

60321ABSTRACT OF STATEMENTFOR THE YEAR ENDING

J)ECEMIlER 31.2020ofthc

MA!'vlSI Life ,UlUHealth Insurance CompanyIn the state of MarylandTotal AssetsTotal LiabilitesAggregate write-ins forSpecial surplus fundsCommon Capital SlockPrekrred Capital StockAggregate write-ins forOther than special surplus fundsSurplus NotesGross paid in andContributed surplusUnassigned fundsLess treasury stock, at cost:Total Capital and SurplusTol,1I Liabilites , CapitalAnd Surplus 58555999

NORTH DAKOTA IlUSINESS ONLYFOR THE YEAR 2020

Accident & HealthTotal Premiums EarnedTotal Amount lncurred

585559993(X)88207

()

1462500IJ

655294220452350

28467792

STATE OF NORTH DAKOTAOFFICE OF THE COMMISSIONER OF

INSURANCEI, Jon Godfread, Commissioner of Insurance

of the State of North Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement, as officially filed by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEAL1.ION GOIWREADCommissioner of Insurance

ST An: OF NORTH J)AK()TAOFFICE OF nIE COMMISSIONER

OF INSURANO:COMPANY'S CERTIFICATE (W

AUTHORITYWHEREAS. the above corporation duly

organized under the laws of its state or coun-try of domicilE', has filed in this office a swornstatement exhibiting its condition and busi-ness for the year ending December 31. 2020,conformable to the requirements of the lawsof this State regarding the business of insur-ance and

WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE, I,JON GOIWREAJ),

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, AD.,2022.IN TESTIMONY WHEREOF, I have here-

unto set my hand and seal at Bismarck this firstday of May. AD, 2021 (SEALI.ION GOOREAOCommissioner of Insurance

67814AIlSTRACT OF STATEMENTFOR THE YEAR ENDING

OEt:EMIIER 31,2020of the

!\iassall LIfe Insurance CompanyIn the st<tleuf New YorkTotal Assetsrot...l UabilitesAggregate write-ins forSpecial surplus fundsCommon Capital StockPreferred Capital StockAggregate write-ins forOther th:\II special surplus fundsSurplus NotesGross paid in lindContributed surplusUnassigned fundsLess treasury stock, at cost:Total Capital and SurplusToWI Liabilites. CapitalAnd Surplus 14021767925

NORTH DAKOTA BUSINESS ONLYFOR THE YEAR 2020

Tot...1Life and AnnuityPremiums Writtenrol,11 Life and AnnuityDired Losses PaidTotal Accident and HealthDirect Premiums WrittenTotal Accident and HealthDirect Losses Paid

1402176792513726428725

2500000IOO()()()OO

o

oI2633W124

254832814-98332538

295339200

213703

1013140

STATE OF NORTH OAKOTAOFFICE OF THE COMMISSIONER Of'


of the State of North Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement, as officially flied by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEAL).JON (;ODFREADCommissioner of Insurance

STATE OF NORTH OAKOTAOFFICE OF THE COMMISSIONER

OF INSURANCECOMPANY'S CERTIFICATE OF

AUTHORITYWI-IEREAS, the above corporation duly

organized under the laws of its state or coun-try of domicile, has filed in this office a swornstatement exhibiting its condition and busi-ness for the year ending December 31,2020,conformable to the requirements of the lawsof this State regarding the business of insur-ance and

WHERJo:AS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE, 1,.I0N (;OOFREAJ),

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, A.D.,2022.IN TESTIMONY WHEREOF, I have here-

unto set my hand and seal at Bismarck this firstday of May, AD, 2021 (SEAL).JON GODREADCommissioner of Insurance

67083ABSTRACT OF STATEMENTFOR THE YEAR ENOING

DECEMBER 31. 2020ofthe

Manhattan National Life Insurance CompanyIn the state of OhioTotal AssetsTotal LiabilitesAggregate write-ins forSpe"-'iLIIsurplus fundsCommon Capital SrockPreferred Capital SrockAggregate write-ins forOther than special surplus fundsSurplus NotesGross paid in andContributed surplusUnassigned fundsLess treasury stocl c. at costTotal Capital and SurplusTotal Liabilites. CapitalAnd Surplus 139675784

NORT~~;~~:~~,\~~~~:~~ ONLY I

Total Life and AnnuityPremiums WrittenTotal Life and AnnuityDirect Losses PaidTotal Accident and HealthDirect Premiullls \VrittenTotal Accident and HealthDirect Losses Paid

139675784 I1_10482460 I

o2500(0)

o

122467887-115774563

9193324

100756

73207~ i

I

STATE OF NORTH OAKOTAOFFICE OF THE COMMISSIONER OF I

INSURANCE II, Jon Godfread, Commissioner of Insurance

of the State of North Dakota, do hereby ceTj-tify that the foregloing is a true Abstract ofStatement, as offic ialty filed by the Compant

In th~~off;~~STlMONY WHEREOF. I hav~hereunto set my hand and affixed the sea:'~~~~~so~~i~eE:~~ismarck,the first day of Ma~,

JON GOJ)FREAO ICommissioner of Insurance I

STATE OF NORTH DAKOTAOFFICE OF THE COMMISSIONER I

OF INSURANCE ICOMPANY'S CERTIFICATE OF

Al·THORITYWHEREAS, the above corporation duly

organized under the laws of its state or counitry of domicile, ha~>fil~d in this office a swor~.statement exhibiting Its condition and business for the year E'nding December 31, 202 ,conformable to the requirements of the lawof this State regarding the business of insurL

Iance and I

WHEREAS, the said company has filedin this office a duly certified copy of its char~ter with certificate of organization in campti:..arlce with the requirements of insurance lawaforesaid,NOW THEREFORE, I, JON GOIlFREAIJ,

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company h fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho:..rized insurance in the state according to thelaws thereof, until the 30th day of April, AD"20n .IN TESTIMONY WHEREOF, I have here"

unto set my hand Clndseal at Bismarck this firstday of May, AD. 2(121 (SEALI.ION GOOREAIlCommissioner of Insurance

61409ABSTRACT OF STATEMENTFOR THE YEAR ENI>ING

DECEII1I1ER 31,2020of the

National Benefit Life Insurance Company[n the stateof New YorkTotal AssetsTotal LiabilitesAggregate write-in:; forSpedal surplus fundsCommon Capital SmckPreferred Capital SU.KkAggregate write-im; forOther than special ~;urplusfundsSurplus NotesGross paid in andContributcd surplu~Unassigned fundsLess treasury stock. at cost:Total Capital and SLlrplusTotal Liabilites, CapitalAnd Surplus 63602~162


Total Life and AnnuityPremiums WrittenTotal Life and AnnuityDirect Losses PaidTotal Accident and HealthDirect Premiums WrittenTotal Accident and HealthDirect Losses Paid

636028162501935170

378262500000

o

6123963070315536

134092992

STATE OF' NORTH DAKOTA IOFFICE OF THE COMMISSIONER OF

INSURANCEI, Jon Godfread, Commissioner of Insurancf'

of the State of North Dakota, do hereby ce~-tify that the fore90ing is a true Abstract 9fStatement, as officially filed by the Companyin this office. I

IN TESTIMONY WHEREOF, I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEAL)..JON GOD FREADCommissioner of Insurance

STATE OF NORTH !lAKOTAOFFICE OF THE COMMISSIONER


AUTHORITY IWHEREAS, the above corporation duly

organized under the laws of its state or coun-try of domicile, has filed in this office a sworrstatement exhibiting its condition and bus!-ness for the year ending December 31, 202(j1,conformable to the requirements of the la..-.1sof this State regarding the business of insu'"l-ance and

WHEREAS. the sai? company has filerin this office a du,ly certified copy of its cha~-ter with certificate of organization in compli-ance with the requirements of insurance lay.,aforesaid, INOW THEREFORE, I,JON (;ODFREAq,

Commissioner of Insurance of the State qfNorth Dakota, pursuant to the provisions qfsaid laws, do hereby certify that the abov~~amed co.mpany is fully empowered t~rougrIts authOrized ag.E'nts and representatIves, tptransact its appropriated business of auth~~rized insurance 111 the state according to thelaws thereof. until the 30th day of April. A.9"2022.IN TESTIMONY WHEREOF, I have here~

unto set my hand and seal at Bismarck this fir!!tday of May. AD. 2021 (SEAL).JON GODREADCommissioner of Insurance I

I

94587ABSTRACT OF STATEMENTFOR THE YEAR ENDING

OECEMIlER 31,2020of the

Members Health Insurance CompanyIn the stateof ArizonaTotal AssetsTotal LiahilitesAggregate write-ins forSpecial surplus fundsCommon Capital StockPreferred Capital StockAggregate write-ius forOther Ih'HI special surplus fundsSurplus NotesGross paid in andContri buted surpl usUnassigned fundsLess treasury stock. at cost:Total Capital and SurplusTotal Liabilites. CapitalAnd Surplus 40236729

NORTH !)AKOTA IIUSINESS ONLYFOR THE YEAR 2020

Total Premiums EarnedTotal Amount Incurred

402367294075376

o24000lXi

o

46886723-13125370

36161:\53



of the State of North Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement, as officially filed by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,A.D. 2021 (SEALI..ION GOOFREADCommissioner of Insurance

STATE OF NORTH DAKOTAOFFICE OF THE COMMISSIONER



organized under the laws of its state or coun-try of domicile, has filed in this office a swornstatement exhibiting its condition and busi-ness for the year ending December 31, 2020,conformable to the requirements of the lawsof this State regarding the business of insur-ance and

WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE, I,JON GOJ)FREAJ),


unto set my hand and seal at Bismarck this firstday of May. AD. 2021 (SEALI.ION G()DREADCommissroner of Insurance

66540AIlSTRACT OF STATEMENTFOR THE YEAR ENDING

J)ECEMIlER 31, 2020of the

National Farmers Union Life InsuranceCompanyIn the st<ltcof TexasTotal AssetsTotal LiabilitesAggregate write-ins fnrSpeCialsurplus fundsCommon Capital StockPreferred Capital Sto(:kAggregate write-in::; forOther than special surplus fundsSurpJ us NotesGross paid in andContributed sllrplu~Unassigned fundsLess treasury stock, at cosl:Total Capital and SurplusTotal Li ...bilites. CapitalAnd Surplus 163005634


Total Life and AnnuityPremiums WrittenTotal Life and AnnuityDirect Losses PaidTotal Accident and HealthDirect Premiums WrittenTotal A(;cident and HeallhDirect Losses Paid

163005634132917984

60261356198

o2750000

ooo

1549443011843220

3(X)87650

3911 I

4200 I

43071

I

736784

ST ATE OF NORTH DAKOTAm'FICE OF THE COMMISSIONER OF


of the State of North Dakota, do hereby cer-tify that the foregOing is a true Abstract ofStatement, as officially filed by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEALI.JON GOIlFREADCommissioner of Insurance

STATE OF NORTH I>AKOTAOFFIO: OF THE COMMISSIONER




WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli·ance with the requirements of insurance lawaforesaid,NOW THEREFORE, I, .JON GOOFREAD,

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, A.D.,20n.IN TESTIMONY WHEREOF, I have here-

unto set my hand and seal at Bismarck this firstday of May, AD. 2021 (SEALIJON GOIJREADCommissioner of Insurance

oo

65978AIlSTRACT OF STATEMENTFOR THE YEAR ENJ)lNG

f)ECEMIlER 31, 2021)of the

Metropolitan life Insurance CompanyIn the stateof New YorkTotal AssetsTotal LiabihresAggregate write-ins forSpecial surplus fundsCommon Capital StockPreferred Capital StockAggregate write-ins forOther than special surplus fundsSurplus NotesGross paid in andContributed surplusUnassigned fundsLess treasury stock, at cost:Total Capital and SurplusTotal Liabilites , CapitalAnd Surplus 409245420761

NORTH DAKOTA BUSINESS ONLYFOR THE YEAR 2020

Total Life and AnnuityPremiums WrittenTotal Life tlnd AnnuityDi rect Losses PaidTotal Accident and HealthDi rect Premiullls WrittenTotal Accident and HealthDirect Losses Paid

40924542076139792992X353

o4944{>67

o

o1100000000

57S6 I0613 I4424441610

11315492408

oo 8887060

2413(>651

16802059

!233177S



of the State of North Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement, as offiCially filed by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEALI.JON GODFREAOCommissioner of Insurance

STATE OF NORTH OAKOTAOFFICE OF THE COMMISSIONER




WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE, I, JON GOIJFREAIJ,

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the proviSions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, AD.,2022.IN TESTIMONY WHEREOF, I have here~

unto set my hand and seal at Bismarck this firstday of May. AD. 2021 (SEALIJON GOOREAOCommissioner of Insurance

oo

66583AIlSTRACT OF STATEMF:NTFOR THE YEAR ENDING

J)ECEMBER 31,2020oflhe

National Guardian Life Insurance CompanyIn the stateof WisconsinTotal-Assets 4419306354Total Liabilites 4001841820Aggregate write-ins. forSpecial surplus funds 0Common Capit.al Stock 0Preferred Capital Stock ()Aggregate write-ins forOther than special surplus funds 0Surplus Notes 52325000Gross paid in andContributed surplus 0Unassigned funds 365139534Less treasury ~tock, at cost:Total Capital and Surplus 417464534Total Liabilites. CapitalAnd Surplus 4419306354

NORTH J)AKOTA BUSINESS ONLYFOR THE YEAR 2020

Total Life and AnnuityPremiums Written 9038382Total Life and AnnuityDirect Losses Paid 7006609Total Accident and HealthDirect Premiums Written 3470345Total Accident and HealthDirect Losses Paid 1871341

o



of the State of North Dakota, do hereby cer-tify that the foregOing is a true Abstract ofStatement, as officially filed by the Companyinthis office.

IN TESTIMONY WHEREOF, I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEAL).JON GODF'READCommissioner of Insurance

STAn; OF NORTH IlAKOT AOFFICE OF THE COMMISSIONER


AUTHORITYWHEREAS, the above corporation duly


WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE, I, .ION GOJ)FREAJ),

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, A.D.,2022.IN TESTIMONY WHEREOF, 1have here~

unto set my hand and seal at Bismarck this firstday of May. A.D, 2021 (SEAL)JON GODREADCommissioner of Insurance

66044ABSTRACT OF STATEMENTFOR THE n:AR ENDING

DECEMIlER 31,2020of the

Midland National Life Insurance CompanyIn the stateof IowaTotal AssetsTotal LiabiliresAggregate write-ins forSpecial surplus fundsCommon Capital SlackPreferred Capital StockAggregate write-ins forOther than special surplus fundsSurplus NolesGross paid in andContributed surplusUnassigned fundsLess treasury stock, at costTotal Capital and SurplusTotal Liabilites , CapitalAnd Surplus 6726250261!

NORTH J)AKOTA IlUSINESS ONLYFOR THE YEAR 2020

Total Life and AnnuityPremiums WrittenTotal Life and AnnuityDirect Losses PaidTotal Accident and HealthDirect Premiums WrittenTotal Accident and HealthDirect Losses Paid

6726250261163057443393

o2549439

o

o1037000000

7939272352371582544

42050592 IX

43095747

30478755

STATE OF NORTH J)AKOTAOFFICE OF THE COMMISSIONER OF

INSURANCEI, Jon (jodfread, Commissioner of Insurance

of the State of North Dakota, do hereby cer-tify that the foregOing is a true Abstract ofStatement, as offiCially filed by the Companyin this offke.

IN TESTIMONY WHEREOF, I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEAL)..JON GODFREADCommissioner of Insurance

STATE OF NORTH J)AKOTAOFFICE OF THE COMMISSIONER




WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW Tm:REFORE, I.JON GODFREAD,

Commissioner of Insurance of the St~te ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, AD ..2022.IN TESTIMONY WHEREOF, I have here-

unto set my hand and seal at Bismarck this firstday of May. AD. 2021 (SEALIJON GODREAOCommissioner of Insurance

8253HABSTRACT OF STAn:MENTFOR THE YEAR ENDING

nECEMBER 31, 2020of the

National He~lllh Insurance CompanyIn the state of TexasTotal AssetsTotal LiabilitesAggregate write-ins forSpecial surplus fundsCommon Capital Stock]->referredCapital StockAggregate write-ins forOther than special surplus fundsSurplus NotesGross p,dd in andContribut.ed surplusUnassigned fundsLess treasury ~t.ock,at COst:Total Capital and SurplusTotal Liabilites, Capit...1And Surplus 12%28297

NORTH IJAKOTA IlUSINESS ONLYFOR THE YEAR 2020

Total Life and AnnuityPremiums WrittenTotal Life and AnnuityDirect Los:o;esPaidTotal Accident and HealthDirect Premiums WrittenTotal Accident and HealthDirect Losses Paid

12%282%77429552

o2270963230000

52734585-3036803

52198745

562610



of the State of North Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement, as offiCially filed by the Companyin this office.

IN TESTIMONY WHEREOF, I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,A.D. 2021 (SEAL!..JON GOIJFREADCommissioner of Insurance

ST ATE OF NORTH DAKOTAOFnCE OF THE COMMISSIONER



organized under the laws of its state or coun-try of domicile, has filed in this office a swornstatement exhibiting its condition and busi-ness for the year ending December 31. 2020,conformable to the requirements of the lawsof this State regarding the business of insur-ance and

WHEREAS. the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE, I, ,JON GOIJFREAO,

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, A.D..2022.IN TESTIMONY WHEREOF, I have here~

unto set my hand and seal at Bismarck this firstday of May. AD. 2021 (SEALI.JON GOOREADCommissioner of Insurance

2526

6616HABSTRACT OF STATEMENTFOR THE YEAR ENDING

IlECFMBER ,11,2020of the

Minnesota life Insurance CompanyIn the state of MinnesotaTotal AssetsTotal LiabilircsAggregate write-ins forSpecial surplus fundsCommon CapitLlI StockPreferred Capital StockAggregate write-ius forOther than special surplus fundsSurplus NotesGross paid in andContributed surplusUnassigned fundsLess treasury stock. at cost:Total Capital and SurplusTotal Liabilitcs, CapitalAnd Surplus 60201928157

NORTH DAKOTA 1l1iSINESS ONLYFOR THE YEAR 2020

Total Life and AnnuityPremiums WrittenTotal Life and AnnuityDi rect Losses P:udTotal Au:idenl and HealthDirect Premiums WnllenTOlal Accidenl (Iud HealthDirect I,osses Paid

60201928157568383221.11

1326923905000000

o

o118000(](X)

216540267315675815R

3163606026

.L1252(i(X)

21982039

1564677

2622R 641195


iNSURANCEI, Jon Godfread, Commissioner of Insurance

of the State of l\Iorth Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement, as offiCially flied by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEALI..JON GOllFREAIJCommissioner of Insurance

ST ATE OF NORTH DAKOT AOFFICE OF THE COMMISSIONER




WHEREAS. the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE. I, .ION GODFREAIl,

Commissioner of Insurance of the State ofNorth Dakota, pursuant to the provisions ofsaid laws, do hereby certify that the abovenamed company is fully empowered throughits authorized agents and representatives, totransact its appropriated business of autho-rized insurance in the state according to thelaws thereof, until the 30th day of April, A.D"2022.IN TESTIMONY WHEREOF, I have here-

unto set my hand and seal at Bismarck-this firstday of May, AD. 2021 (SEAL)JON GOOREADCommissioner of Insurance

oo

87963AIISTRACT OF STATEMENTFOR THE YEAR ENDING

llECEMBER 31,2020of the

National TeachersAsso(:iates Life InsuranceCompanyIn the state of TcxasTotal AsselsTotal LiabilitesAggregate write-ins forSpecial surplus fundsCommon Capital StockPreferred Capital StockAggregate write-ins fOIOther than special surplus fundsSurplus Note5Gross paid in amiContributed surplusUnas~iglled fundsLess treasury stm:k, at co:.;!·Total Capit<li and SurplusTotal Liabilitcs, CapiTalAnd Surplus 5~%05236

NORTH J)AKOTA BUSINESS ONIXFOR THE YEAR 2020

Total Life and AnnuityPremiums WritteIlTotal Life and AnnuityDirect Losses PnedTotal Accident and HealthDirect Premiums WrittenTotal Accident and HealthDirect Losses Paid

589605236538386682

o2500(XX)

IJ

414866907231864

51218554

8897118

34031 o

276IJ

89527 o

STATE OF' NORTH f)AKOTAOFFICE OF THE COMMISSIONER OF


of the State of North Dakota, do hereby cer-tify that the foregoing is a true Abstract ofStatement as officially flied by the Companyin this office.

IN TESTIMONY WHEREOF. I havehereunto set my hand and affixed the sealof this office at Bismarck, the first day of May,AD. 2021 (SEALI.JON GOIJFREADCommissioner of Insurance

STATE OF NORTH IlAKOTAOFFICE OF THE COMMISSIONER



organized under the laws of its state or coun-try of domiCilE', has filed in this office a swornstatement exhibiting its condition and busi-ness for the year ending December 31, 2020,conformable to the requ irements of the lawsof this State regarding the business of insur-ance and

WHEREAS, the said company has filedin this office a duly certified copy of its char-ter with certificate of organization in compli-ance with the requirements of insurance lawaforesaid,NOW THEREFORE. I . .JON GOIWR~:AI).


unto set my hand and seal at Bismarck this firstday of May. AD. 2021 (SEALI.JON GOIlREAJ)Commissioner of Insurance I

j

~i wiii idi!j!u. i a 11 illilllllmruiiiiiiiuiiii~nmmll

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