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68195 PROVIDENT LIFE and ACCIDENT INSURANCE COMPANY Printbooks Statement

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68195 PROVIDENT LIFE and ACCIDENT INSURANCE COMPANY Printbooks Statement STATEMENT AS OF SEPTEMBER 30, 2018 OF THE PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY ASSETS Current Statement Date 4 1 2 3 December 31 Net Admitted Assets Prior Year Net Assets Nonadmitted Assets (Cols. 1 - 2) Admitted Assets 1. Bonds 6,512,681,665 6,512,681,665 6,575,265,121 2. Stocks: 2.1 Preferred stocks 89,850,008 89,850,008 89,850,008 2.2 Common stocks 14,554,600 14,554,600 14,554,600 3. Mortgage loans on real estate: 3.1 First liens 418,387,914 418,387,914 441,382,128 3.2 Other than first liens 4. Real estate: 4.1 Properties occupied by the company (less $ 0 encumbrances) 61,465,300 61,465,300 61,767,493 4.2 Properties held for the production of income (less $ 0 encumbrances) 9,969,606 9,969,606 10,069,793 4.3 Properties held for sale (less $ encumbrances) 5. Cash ($ (3,894,348) ), cash equivalents ($ 89,217,368 ) and short-term investments ($ 0 ) 85,323,020 85,323,020 6,536,516 6. Contract loans (including $ 0 premium notes) 153,687,135 153,687,135 149,387,401 7. Derivatives 12,804,110 12,804,110 11,854,303 8. Other invested assets 119,258,216 119,258,216 134,444,340 9. Receivables for securities 100,759 100,759 735,197 10. Securities lending reinvested collateral assets 0 0 2,679,500 11. Aggregate write-ins for invested assets 12. Subtotals, cash and invested assets (Lines 1 to 11) 7,478,082,332 7,478,082,332 7,498,526,400 13. Title plants less $ charged off (for Title insurers only) 14. Investment income due and accrued 98,578,804 98,578,804 105,004,041 15. Premiums and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection 64,599,342 15,839,354 48,759,989 44,038,255 15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ 0 earned but unbilled premiums) 39,133,864 39,133,864 28,922,845 15.3 Accrued retrospective premiums ($ ) and contracts subject to redetermination ($ ) 16. Reinsurance: 16.1 Amounts recoverable from reinsurers 43,533,670 43,533,670 45,461,468 16.2 Funds held by or deposited with reinsured companies 16.3 Other amounts receivable under reinsurance contracts 5,826,279 5,826,279 5,899,454 17. Amounts receivable relating to uninsured plans 10,243 10,243 11,488 18.1 Current federal and foreign income tax recoverable and interest thereon 41,776,478 41,776,478 20,336,176 18.2 Net deferred tax asset 162,411,600 92,668,905 69,742,696 70,822,512 19. Guaranty funds receivable or on deposit 9,671,471 9,671,471 10,573,072 20. Electronic data processing equipment and software 21. Furniture and equipment, including health care delivery assets ($ 0 ) 5,064,097 5,064,097 0 0 22. Net adjustment in assets and liabilities due to foreign exchange rates 23. Receivables from parent, subsidiaries and affiliates 9,561,994 9,561,994 0 0 24. Health care ($ ) and other amounts receivable 25. Aggregate write-ins for other than invested assets 206,440,760 269,226 206,171,534 204,359,001 26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) 8,164,690,933 123,403,574 8,041,287,358 8,033,954,711 27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 28. Total (Lines 26 and 27) 8,164,690,933 123,403,574 8,041,287,358 8,033,954,711 DETAILS OF WRITE-INS 1101. 1102. 1103. 1198. Summary of remaining write-ins for Line 11 from overflow page 1199. Totals (Lines 1101 through 1103 plus 1198)(Line 11 above) 2501. Corporate owned life insurance 196,642,573 196,642,573 193,387,642 2502. Other miscellaneous assets 754,767 269,226 485,541 242,999 2503. State premium tax credits 5,940,059 5,940,059 6,944,001 2598. Summary of remaining write-ins for Line 25 from overflow page 3,103,361 3,103,361 3,784,360 2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above) 206,440,760 269,226 206,171,534 204,359,001 2 STATEMENT AS OF SEPTEMBER 30, 2018 OF THE PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY LIABILITIES, SURPLUS AND OTHER FUNDS 1 2 Current December 31 Statement Date Prior Year 1. Aggregate reserve for life contracts $ 2,185,395,183 less $ 0 included in Line 6.3 (including $ 1,451,118 Modco Reserve) 2,185,395,183 2,156,283,556 2. Aggregate reserve for accident and health contracts (including $ 2,668,844,262 Modco Reserve) 4,646,075,510 4,712,737,625 3. Liability for deposit-type contracts (including $ 0 Modco Reserve) 84,877,081 111,506,384 4. Contract claims: 4.1 Life 19,863,599 23,215,576 4.2 Accident and health 61,142,853 53,782,540 5. Policyholders’ dividends $ and coupons $ due and unpaid 6. Provision for policyholders’ dividends and coupons payable in following calendar year - estimated amounts: 6.1 Dividends apportioned for payment (including $ Modco) 6.2 Dividends not yet apportioned (including $ Modco) 6.3 Coupons and similar benefits (including $ Modco) 7. Amount provisionally held for deferred dividend policies not included in Line 6 8. Premiums and annuity considerations for life and accident and health contracts received in advance less $ 7,500,382 discount; including $ 0 accident and health premiums 8,910,874 11,285,500 9. Contract liabilities not included elsewhere: 9.1 Surrender values on canceled contracts 9.2 Provision for experience rating refunds, including the liability of $ 533,149 accident and health experience rating refunds of which $ 0 is for medical loss ratio rebate per the Public Health Service Act 1,534,673 1,857,869 9.3 Other amounts payable on reinsurance, including $ 0 assumed and $ 39,530,209 ceded 39,530,209 45,519,794 9.4 Interest Maintenance Reserve 37,056,761 39,210,342 10. Commissions to agents due or accrued-life and annuity contracts $ 2,646,163 , accident and health $ 11,848,455 and deposit-type contract funds $ 0 14,494,618 16,665,477 11. Commissions and expense allowances payable on reinsurance assumed 12. General expenses due or accrued 1,312,969 917,226 13. Transfers to Separate Accounts due or accrued (net) (including $ accrued for expense allowances recognized in reserves, net of reinsured allowances) 14. Taxes, licenses and fees due or accrued, excluding federal income taxes 7,884,409 8,514,744 15.1 Current federal and foreign income taxes, including $ on realized capital gains (losses) 15.2 Net deferred tax liability 16. Unearned investment income 17. Amounts withheld or retained by company as agent or trustee 232,610 8,860 18. Amounts held for agents' account, including $ agents' credit balances 19. Remittances and items not allocated 38,103,175 41,033,617 20. Net adjustment in assets and liabilities due to foreign exchange rates 21. Liability for benefits for employees and agents if not included above 22. Borrowed money $ 0 and interest thereon $ 0 0 3,500,461 23. Dividends to stockholders declared and unpaid 24. Miscellaneous liabilities: 24.01 Asset valuation reserve 78,225,296 80,839,946 24.02 Reinsurance in unauthorized and certified ($ 0 ) companies 1,301,381 75,651 24.03 Funds held under reinsurance treaties with unauthorized and certified ($ ) reinsurers 24.04 Payable to parent, subsidiaries and affiliates 50,816,348 46,300,845 24.05 Drafts outstanding 24.06 Liability for amounts held under uninsured plans 24.07 Funds held under coinsurance 24.08 Derivatives 13,376,438 17,564,445 24.09 Payable for securities 0 6,041 24.10 Payable for securities lending 0 2,679,500 24.11 Capital notes $ and interest thereon $ 25. Aggregate write-ins for liabilities 54,784,598 55,415,142 26. Total liabilities excluding Separate Accounts business (Lines 1 to 25) 7,344,918,585 7,428,921,139 27. From Separate Accounts Statement 28. Total liabilities (Lines 26 and 27) 7,344,918,585 7,428,921,139 29. Common capital stock 43,501,205 43,501,205 30. Preferred capital stock 31. Aggregate write-ins for other than special surplus funds 17,663,155 21,996,172 32. Surplus notes 33. Gross paid in and contributed surplus 271,208,526 271,208,526 34. Aggregate write-ins for special surplus funds 35. Unassigned funds (surplus) 363,995,888 268,327,669 36. Less treasury stock, at cost: 36.1 shares common (value included in Line 29 $ ) 36.2 shares preferred (value included in Line 30 $ ) 37. Surplus (Total Lines 31+32+33+34+35-36) (including $ in Separate Accounts Statement) 652,867,569 561,532,367 38. Totals of Lines 29, 30 and 37 696,368,774 605,033,572 39. Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3) 8,041,287,358 8,033,954,711 DETAILS OF WRITE-INS 2501. Pensioner life reserve 16,032,091 16,119,430 2502. Missing claimants liability 20,378,354 20,295,829 2503. Unfunded commitments 8,015,140 9,091,210 2598. Summary of remaining write-ins for Line 25 from overflow page 10,359,013 9,908,673 2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above) 54,784,598 55,415,142 3101. Deferred gains on reinsurance transactions 17,663,155 21,996,172 3102.
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