|
Line |
Assets Current Year |
Nonadmitted Assets Current Year |
Net Admitted Assets Current Year |
Net Admitted Assets Prior Year |
| 01 |
Bonds |
19,947,569 |
0 |
19,947,569 |
21,604,576 |
| 02.1 |
Preferred stocks (stocks) |
0 |
0 |
0 |
0 |
| 02.2 |
Common stocks (stocks) |
0 |
0 |
0 |
0 |
| 03.1 |
First liens - mortgage loans on real estate |
0 |
0 |
0 |
0 |
| 03.2 |
Other than first liens - mortgage loans on real
estate |
0 |
0 |
0 |
0 |
| 04.1 |
Properties occupied by the company (less $0
encumbrances) (real estate) |
0 |
0 |
0 |
0 |
| 04.2 |
Properties held for the production of income (less
$0 encumbrances) (real estate) |
0 |
0 |
0 |
0 |
| 04.3 |
Properties held for sale (less $0 encumbrances)
(real estate) |
0 |
0 |
0 |
0 |
| 05 |
Cash $0, cash equivalents $124998 and short-term
investments $2776 |
127,774 |
0 |
127,774 |
4,254,213 |
| 06 |
Contract loans (including $0 premium notes) |
0 |
0 |
0 |
0 |
| 07 |
Derivatives |
0 |
0 |
0 |
0 |
| 08 |
Other invested assets |
0 |
0 |
0 |
0 |
| 09 |
Receivables for securities |
0 |
0 |
0 |
1,485,934 |
| 10 |
Securities lending reinvested collateral assets |
0 |
0 |
0 |
0 |
| 11 |
Aggregate write-ins for invested assets |
0 |
0 |
0 |
0 |
| 12 |
Subtotals, cash and invested assets |
20,075,343 |
0 |
20,075,343 |
27,344,723 |
| 13 |
Title plants less $0 charged off (for Title insurers
only) |
0 |
0 |
0 |
0 |
| 14 |
Investment income due and accrued |
237,581 |
0 |
237,581 |
214,870 |
| 15.1 |
Uncollected premiums and agents' balances in the
course of collection (premiums and considerations) |
1,345,290 |
143,748 |
1,201,542 |
2,175,211 |
| 15.2 |
Deferred premiums, agents' balances and installments
booked but deferred and not yet due (including $0 earned but
unbilled premiums) (premiums and considerations) |
0 |
0 |
0 |
0 |
| 15.3 |
Accrued retrospective premiums (premiums and
considerations) |
0 |
0 |
0 |
0 |
| 16.1 |
Amounts recoverable from reinsurers (reinsurance) |
0 |
0 |
0 |
0 |
| 16.2 |
Funds held by or deposited with reinsured companies
(reinsurance) |
0 |
0 |
0 |
0 |
| 16.3 |
Other amounts receivable under reinsurance contracts
(reinsurance) |
0 |
0 |
0 |
0 |
| 17 |
Amounts receivable relating to uninsured plans |
0 |
0 |
0 |
0 |
| 18.1 |
Current federal and foreign income tax recoverable
and interest thereon |
392,651 |
0 |
392,651 |
0 |
| 18.2 |
Net deferred tax asset |
1,806,694 |
0 |
1,806,694 |
2,416,470 |
| 19 |
Guaranty funds receivable or on deposit |
0 |
0 |
0 |
0 |
| 20 |
Electronic data processing equipment and software |
0 |
0 |
0 |
0 |
| 21 |
Furniture and equipment, including health care
delivery assets ($0) |
0 |
0 |
0 |
0 |
| 22 |
Net adjustment in assets and liabilities due to
foreign exchange rates |
0 |
0 |
0 |
0 |
| 23 |
Receivables from parent, subsidiaries and
affiliates |
0 |
0 |
0 |
9,822 |
| 24 |
Health care ($91321) and other amounts receivable |
91,321 |
0 |
91,321 |
193,465 |
| 25 |
Aggregate write-ins for other than invested
assets |
407,851 |
0 |
407,851 |
39,213 |
| 26 |
Total assets excluding Separate Accounts, Segregated
Accounts and Protected Cell Accounts |
24,356,731 |
143,748 |
24,212,983 |
32,393,774 |
| 27 |
From Separate Accounts, Segregated Accounts and
Protected Cell Accounts |
0 |
0 |
0 |
0 |
| 28 |
Totals |
24,356,731 |
143,748 |
24,212,983 |
32,393,774 |
|
Details of Write-Ins |
| 1199 |
|
0 |
0 |
0 |
0 |
| 2501 |
Current State Income Tax Receivable |
336,965 |
0 |
336,965 |
0 |
| 2502 |
Medicare Part D Catastrophic Coverage Receivable |
37,913 |
0 |
37,913 |
17,861 |
| 2503 |
Medicare Part D Low Income Cost Share Receivable |
32,973 |
0 |
32,973 |
21,352 |
| 2504 |
Pharmacy Manufacturer's Discount Receivable |
24,255 |
0 |
24,255 |
0 |
| 2505 |
Medicare Part D Low Income Cost Share Receivable |
0 |
0 |
0 |
32,973 |
| 2599 |
|
407,851 |
0 |
407,851 |
39,213 | |
