|
Line |
Assets Current Statement Date |
Nonadmitted Assets Current Statement
Date |
Net Admitted Assets Current Statement
Date |
Net Admitted Assets Prior Year |
| 01 |
Bonds |
22,827,640 |
0 |
22,827,640 |
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 $324995 and short-term
investments $2210 |
327,205 |
0 |
327,205 |
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 |
Aggregate write-ins for invested assets |
0 |
0 |
0 |
0 |
| 11 |
Subtotals, cash and invested assets |
23,154,845 |
0 |
23,154,845 |
27,344,723 |
| 12 |
Title plants less $0 charged off (for Title insurers
only) |
0 |
0 |
0 |
0 |
| 13 |
Investment income due and accrued |
213,576 |
0 |
213,576 |
214,870 |
| 14.1 |
Uncollected premiums and agents' balances in the
course of collection (premiums and considerations) |
1,262,829 |
149,018 |
1,113,811 |
2,175,211 |
| 14.2 |
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 |
| 14.3 |
Accrued retrospective premiums |
0 |
0 |
0 |
0 |
| 15.1 |
Amounts recoverable from reinsurers (reinsurance) |
0 |
0 |
0 |
0 |
| 15.2 |
Funds held by or deposited with reinsured companies
(reinsurance) |
0 |
0 |
0 |
0 |
| 15.3 |
Other amounts receivable under reinsurance contracts
(reinsurance) |
0 |
0 |
0 |
0 |
| 16 |
Amounts receivable relating to uninsured plans |
0 |
0 |
0 |
0 |
| 17.1 |
Current federal and foreign income tax recoverable
and interest thereon |
42,466 |
0 |
42,466 |
0 |
| 17.2 |
Net deferred tax asset |
2,002,330 |
0 |
2,002,330 |
2,416,470 |
| 18 |
Guaranty funds receivable or on deposit |
0 |
0 |
0 |
0 |
| 19 |
Electronic data processing equipment and software |
0 |
0 |
0 |
0 |
| 20 |
Furniture and equipment, including health care
delivery assets ($0) |
0 |
0 |
0 |
0 |
| 21 |
Net adjustment in assets and liabilities due to
foreign exchange rates |
0 |
0 |
0 |
0 |
| 22 |
Receivables from parent, subsidiaries and
affiliates |
22,686 |
0 |
22,686 |
9,822 |
| 23 |
Health care ($95173) and other amounts receivable |
95,173 |
0 |
95,173 |
193,465 |
| 24 |
Aggregate write-ins for other than invested
assets |
33,621 |
0 |
33,621 |
39,213 |
| 25 |
Total assets excluding Separate Accounts, Segregated
Accounts and Protected Cell Accounts |
26,827,526 |
149,018 |
26,678,508 |
32,393,774 |
| 26 |
From Separate Accounts, Segregated Accounts and
Protected Cell Accounts |
0 |
0 |
0 |
0 |
| 27 |
Totals |
26,827,526 |
149,018 |
26,678,508 |
32,393,774 |
|
Details of Write-Ins |
| 1099 |
|
0 |
0 |
0 |
0 |
| 2401 |
Medicare Part D Low Income Cost Share
Receivable |
33,621 |
0 |
33,621 |
21,352 |
| 2402 |
Medicare Part D Catastrophic Coverage
Receivable |
0 |
0 |
0 |
17,861 |
| 2499 |
|
33,621 |
0 |
33,621 |
39,213 | |
