MCS Life Insurance Company - Puerto Life Insurance Company IA 2015.pdf · MCS Life Insurance Company…

Download MCS Life Insurance Company - Puerto Life Insurance Company IA 2015.pdf · MCS Life Insurance Company…

Post on 27-Jun-2018

212 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

<ul><li><p>2015</p><p>ANNUAL STATEMENT</p><p>OF THE</p><p>MCS Life Insurance Company</p><p>of</p><p>San Juan</p><p>in the state of</p><p>Puerto Rico</p><p>TO THE</p><p>Insurance Department</p><p>OF THE STATE OF</p><p>Puerto Rico</p><p>For the Year EndedDECEMBER 31, 2015</p><p>LIFE AND ACCIDENT AND HEALTH</p><p>2015</p></li><li><p>60030201520100100 2015 Document Code: 201</p><p>LIFE AND ACCIDENT AND HEALTH COMPANIES - ASSOCIATION EDITION</p><p>ANNUAL STATEMENTFor the Year Ended DECEMBER 31, 2015</p><p>OF THE CONDITION AND AFFAIRS OF THE</p><p>MCS Life Insurance CompanyNAIC Group Code 1301 , 1301 NAIC Company Code 60030 Employer's ID Number 66-0520918</p><p>(Current Period) (Prior Period)</p><p>Organized under the Laws of Puerto Rico , State of Domicile or Port of Entry Puerto Rico</p><p>Country of Domicile Puerto Rico</p><p>Incorporated/Organized 02/02/1995 Commenced Business 01/01/1996</p><p>Statutory Home Office Suite 900 255 Ponce de Leon Avenue , San Juan, PR, 00917(Street and Number) (City or Town, State, Country and Zip Code)</p><p>Main Administrative Office Suite 900 255 Ponce de Leon Ave(Street and Number)</p><p>San Juan, PR, 00917 (787)758-2500-2920(City or Town, State, Country and Zip Code) (Area Code) (Telephone Number)</p><p>Mail Address P O Box 193310 , San Juan, PR, 00919-3310(Street and Number or P.O. Box) (City or Town, State, Country and Zip Code)</p><p>Primary Location of Books and Records Suite 900 255 Ponce de Leon Ave(Street and Number)</p><p>San Juan, PR, 00917 (787)758-2500-2920(City or Town, State, Country and Zip Code) (Area Code) (Telephone Number)</p><p>Internet Website Address www.mcs.com.pr</p><p>Statutory Statement Contact David P Schaffer (787)758-2500-2920(Name) (Area Code)(Telephone Number)(Extension)</p><p>davids@medicalcardsystem.com (787)764-5866(E-Mail Address) (Fax Number)</p><p>OFFICERSName Title</p><p>Jose Duran PresidentYumac Velez CFOMaritza Munich Secretary</p><p>OTHERS</p><p>DIRECTORS OR TRUSTEESDan Agroskin Paul S LevyGerald Landgraf Robert VanHeesJames P O'Drobinak Jose G DuranCyril Meduna David Schaffer</p><p>State of Puerto Rico</p><p>County of US ss</p><p>The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of the said reporting entity, and that on the reporting period stated above, all of the herein described assets </p><p>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 </p><p>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 above, and of its income and </p><p>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 that: (1) state law </p><p>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. </p><p>Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to </p><p>electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement.</p><p>(Signature) (Signature) (Signature)</p><p>Jose Duran Yumac Velez(Printed Name) (Printed Name) (Printed Name)</p><p>1. 2. 3.</p><p>Presidente Chief Financial Officer(Title) (Title) (Title)</p><p>Subscribed and sworn to before me this a. Is this an original filing? Yes[X] No[ ]</p><p>day of , 2016 b. If no, 1. State the amendment number</p><p>2. Date filed</p><p>3. Number of pages attached</p><p>(Notary Public Signature)</p></li><li><p>2</p><p>ANNUAL STATEMENT FOR THE YEAR OF THE 2015 MCS Life Insurance Company</p><p>ASSETSCurrent Year Prior Year</p><p>1 2 3 4</p><p>Net Admitted</p><p>Nonadmitted Assets Net Admitted</p><p>Assets Assets (Cols.1-2) Assets</p><p>1. Bonds (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,225,821 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,225,821 . . . . . . . . . 12,243,159</p><p>2. Stocks (Schedule D)</p><p>2.1 Preferred stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285,486 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 285,486 . . . . . . . . . . . . . 335,778</p><p>2.2 Common Stocks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215,052 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215,052 . . . . . . . . . . . . . 242,774</p><p>3. Mortgage loans on real estate (Schedule B):</p><p>3.1 First liens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>3.2 Other than first liens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>4. Real estate (Schedule A):</p><p>4.1 Properties occupied by the company (less $...............0 </p><p>encumbrances) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>4.2 Properties held for the production of income (less $...............0 </p><p>encumbrances) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>4.3 Properties held for sale (less $...............0 encumbrances) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>5. Cash ($......43,217,476, Schedule E Part 1), cash equivalents </p><p>($...............0, Schedule E Part 2) and short-term investments </p><p>($...............0, Schedule DA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43,217,476 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43,217,476 . . . . . . . . . 27,385,534</p><p>6. Contract loans (including $...............0 premium notes) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>7. Derivatives (Schedule DB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>8. Other invested assets (Schedule BA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>9. Receivables for securities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>10. Securities Lending Reinvested Collateral Assets (Schedule DL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>11. Aggregate write-ins for invested assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>12. Subtotals, cash and invested assets (Lines 1 to 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49,943,835 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49,943,835 . . . . . . . . . 40,207,245</p><p>13. Title plants less $...............0 charged off (for Title insurers only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>14. Investment income due and accrued . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,328 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70,328 . . . . . . . . . . . . . 122,023</p><p>15. Premiums and considerations:</p><p>15.1 Uncollected premiums and agents' balances in the course of </p><p>collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,166,616 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,166,616 . . . . . . . . . 13,618,917</p><p>15.2 Deferred premiums, agents' balances and installments booked </p><p>but deferred and not yet due (Including $...............0 earned but </p><p>unbilled premiums) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>15.3 Accrued retrospective premiums ($...............0) and contracts </p><p>subject to redetermination ($...............0) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>16. Reinsurance:</p><p>16.1 Amounts recoverable from reinsurers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344,352</p><p>16.2 Funds held by or deposited with reinsured companies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>16.3 Other amounts receivable under reinsurance contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>17. Amounts receivable relating to uninsured plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,757,958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,757,958 . . . . . . . . . . 5,866,368</p><p>18.1 Current federal and foreign income tax recoverable and interest thereon . . . . . . . . . . . . . . . . 153,877 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153,877 . . . . . . . . . . . . . 153,865</p><p>18.2 Net deferred tax asset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>19. Guaranty funds receivable or on deposit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>20. Electronic data processing equipment and software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>21. Furniture and equipment, including health care delivery assets </p><p>($...............0) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>22. Net adjustment in assets and liabilities due to foreign exchange rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </p><p>23. Receivables from parent, subsidiaries and affiliates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18,974</p><p>24. Health care ($...............0) and other amounts receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564,204 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564,204 . . . . . . . . . . . . . 552,249</p><p>25. Aggregate write-ins for other than invested assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46,302 . . . . . . . . . . . . . . 46,302 . . . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . </p><p>26. TOTAL Assets excluding Separate Accounts, Segregated Accounts and </p><p>Protected Cell Accounts (Lines 12 to 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71,703,120 . . . . . . . . . . . . . . 46,302 . . ....</p></li></ul>