STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA 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 1,189,351,828 0 1,189,351,828 1,151,394,902 2. Stocks: 2.1 Preferred stocks 0 0 0 0 2.2 Common stocks 155,134,960 0 155,134,960 146,509,455 3. Mortgage loans on real estate: 3.1 First liens 0 0 0 0 3.2 Other than first liens 0 0 0 0 4. Real estate: 4.1 Properties occupied by the company (less $ 0 encumbrances) 4,034,852 0 4,034,852 4,195,752 4.2 Properties held for the production of income (less $ 0 encumbrances) 0 0 0 0 4.3 Properties held for sale (less $ 0 encumbrances) 0 0 0 0 5. Cash ($ (14,470,209) ), cash equivalents ($ 7,837 ) and short-term investments ($ 0 ) (14,462,372) 0 (14,462,372) (15,369,562) 6. Contract loans (including $ 0 premium notes) 0 0 0 0 7. Derivatives 0 0 0 0 8. Other invested assets 85,366,909 0 85,366,909 82,848,895 9. Receivables for securities 5,624,209 0 5,624,209 100,000 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 (Lines 1 to 11) 1,425,050,387 0 1,425,050,387 1,369,679,443 13. Title plants less $ 0 charged off (for Title insurers only) 0 0 0 0 14. Investment income due and accrued 7,436,630 0 7,436,630 7,997,235 15. Premiums and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection 5,742,082 420,220 5,321,862 2,408,520 15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ 0 earned but unbilled premiums) 239,048,014 0 239,048,014 248,851,652 15.3 Accrued retrospective premiums ($ 0 ) and contracts subject to redetermination ($ 0 ) 0 0 0 0 16. Reinsurance: 16.1 Amounts recoverable from reinsurers 37,119,343 0 37,119,343 36,935,896 16.2 Funds held by or deposited with reinsured companies 0 0 0 0 16.3 Other amounts receivable under reinsurance contracts 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 0 0 0 889,063 18.2 Net deferred tax asset 10,616,565 0 10,616,565 13,195,670 19. Guaranty funds receivable or on deposit 8,809 0 8,809 12,317 20. Electronic data processing equipment and software 42,039,932 42,039,932 0 0 21. Furniture and equipment, including health care delivery assets ($ 0 ) 127,382 127,382 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 11,696,382 0 11,696,382 21,520,506 24. Health care ($ 0 ) and other amounts receivable 0 0 0 0 25. Aggregate write-ins for other than invested assets 68,895,066 252,379 68,642,687 52,700,594 26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) 1,847,780,592 42,839,913 1,804,940,679 1,754,190,896 27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 0 0 0 0 28. Total (Lines 26 and 27) 1,847,780,592 42,839,913 1,804,940,679 1,754,190,896 DETAILS OF WRITE-INS 1101. 0 0 0 0 1102. 1103. 1198. Summary of remaining write-ins for Line 11 from overflow page 0 0 0 0 1199. Totals (Lines 1101 through 1103 plus 1198)(Line 11 above) 0 0 0 0 2501. Miscellaneous Accounts Receivable 68,895,066 252,379 68,642,687 52,700,594 2502. 0 0 0 0 2503. 2598. Summary of remaining write-ins for Line 25 from overflow page 0 0 0 0 2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above) 68,895,066 252,379 68,642,687 52,700,594
2 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA LIABILITIES, SURPLUS AND OTHER FUNDS 1 2 Current December 31, Statement Date Prior Year 1. Losses (current accident year $ 79,621,000 ) 427,104,414 426,078,481 2. Reinsurance payable on paid losses and loss adjustment expenses 0 0 3. Loss adjustment expenses 73,525,625 72,907,701 4. Commissions payable, contingent commissions and other similar charges 20,002,076 50,793,287 5. Other expenses (excluding taxes, licenses and fees) 317,757 611,096 6. Taxes, licenses and fees (excluding federal and foreign income taxes) 22,696,247 18,715,806 7.1 Current federal and foreign income taxes (including $ 273,733 on realized capital gains (losses)) 9,220,243 0 7.2 Net deferred tax liability 0 0 8. Borrowed money $ 0 and interest thereon $ 0 0 0 9. Unearned premiums (after deducting unearned premiums for ceded reinsurance of $ 310,956,320 and including warranty reserves of $ 0 and accrued accident and health experience rating refunds including $ 0 for medical loss ratio rebate per the Public Health Service Act) 434,335,988 445,138,412 10. Advance premium 10,352,852 5,465,332 11. Dividends declared and unpaid: 11.1 Stockholders 0 0 11.2 Policyholders 15,000 15,000 12. Ceded reinsurance premiums payable (net of ceding commissions) (4,440,319) (4,355,939) 13. Funds held by company under reinsurance treaties 0 0 14. Amounts withheld or retained by company for account of others 11,600 14,545 15. Remittances and items not allocated 6,313,527 3,132,901 16. Provision for reinsurance (including $ 0 certified) 0 0 17. Net adjustments in assets and liabilities due to foreign exchange rates 0 0 18. Drafts outstanding 0 0 19. Payable to parent, subsidiaries and affiliates 7,400,000 0 20. Derivatives 0 0 21. Payable for securities 14,386,113 214,944 22. Payable for securities lending 0 0 23. Liability for amounts held under uninsured plans 0 0 24. Capital notes $ 0 and interest thereon $ 0 0 0 25. Aggregate write-ins for liabilities 2,373,168 2,234,856 26. Total liabilities excluding protected cell liabilities (Lines 1 through 25) 1,023,614,291 1,020,966,422 27. Protected cell liabilities 0 0 28. Total liabilities (Lines 26 and 27) 1,023,614,291 1,020,966,422 29. Aggregate write-ins for special surplus funds 0 0 30. Common capital stock 3,400,000 3,400,000 31. Preferred capital stock 0 0 32. Aggregate write-ins for other than special surplus funds 0 0 33. Surplus notes 0 0 34. Gross paid in and contributed surplus 150,844,600 150,844,600 35. Unassigned funds (surplus) 627,081,788 578,979,874 36. Less treasury stock, at cost: 36.1 0 shares common (value included in Line 30 $ 0 ) 0 0 36.2 0 shares preferred (value included in Line 31 $ 0 ) 0 0 37. Surplus as regards policyholders (Lines 29 to 35, less 36) 781,326,388 733,224,474 38. Totals (Page 2, Line 28, Col. 3) 1,804,940,679 1,754,190,896 DETAILS OF WRITE-INS 2501. Miscellaneous Liabilities 2,373,168 2,234,856 2502. 2503. 2598. Summary of remaining write-ins for Line 25 from overflow page 0 0 2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above) 2,373,168 2,234,856 2901. 0 0 2902. 2903. 2998. Summary of remaining write-ins for Line 29 from overflow page 0 0 2999. Totals (Lines 2901 through 2903 plus 2998)(Line 29 above) 0 0 3201. 3202. 3203. 3298. Summary of remaining write-ins for Line 32 from overflow page 0 0 3299. Totals (Lines 3201 through 3203 plus 3298)(Line 32 above) 0 0
3 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA STATEMENT OF INCOME 1 2 3 Current Prior Year Prior Year Ended Year to Date to Date December 31 UNDERWRITING INCOME 1. Premiums earned: 1.1 Direct (written $ 207,373,326 ) 206,956,277 219,053,781 846,862,141 1.2 Assumed (written $ 175,688,077 ) 184,901,811 186,008,185 739,277,856 1.3 Ceded (written $ 171,251,972 ) 169,246,232 183,171,495 707,665,880 1.4 Net (written $ 211,809,431 ) 222,611,856 221,890,471 878,474,117 DEDUCTIONS: 2. Losses incurred (current accident year $ 119,363,000 ): 2.1 Direct 113,851,547 124,581,123 486,072,030 2.2 Assumed 91,091,612 96,516,173 402,967,781 2.3 Ceded 94,376,624 102,440,849 396,975,448 2.4 Net 110,566,535 118,656,447 492,064,363 3. Loss adjustment expenses incurred 15,228,920 15,852,606 63,745,108 4. Other underwriting expenses incurred 59,165,755 56,519,064 231,315,909 5. Aggregate write-ins for underwriting deductions 0 0 0 6. Total underwriting deductions (Lines 2 through 5) 184,961,210 191,028,117 787,125,380 7. Net income of protected cells 0 0 0 8. Net underwriting gain or (loss) (Line 1 minus Line 6 + Line 7) 37,650,646 30,862,354 91,348,737 INVESTMENT INCOME 9. Net investment income earned 12,976,661 12,505,537 48,115,055 10. Net realized capital gains (losses) less capital gains tax of $ 273,733 880,210 (6,495,435) (2,747,955) 11. Net investment gain (loss) (Lines 9 + 10) 13,856,871 6,010,102 45,367,100 OTHER INCOME 12. Net gain or (loss) from agents’ or premium balances charged off (amount recovered $ 110,348 amount charged off $ 610,852 ) (500,504) (578,664) (2,185,187) 13. Finance and service charges not included in premiums 614,087 739,916 2,780,392 14. Aggregate write-ins for miscellaneous income (899) (3,371) 882,198 15. Total other income (Lines 12 through 14) 112,684 157,881 1,477,403 16. Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Lines 8 + 11 + 15) 51,620,201 37,030,337 138,193,240 17. Dividends to policyholders 12,716 29,823 29,823 18. Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Line 16 minus Line 17) 51,607,485 37,000,514 138,163,417 19. Federal and foreign income taxes incurred 9,837,310 8,257,937 29,493,407 20. Net income (Line 18 minus Line 19)(to Line 22) 41,770,175 28,742,577 108,670,010 CAPITAL AND SURPLUS ACCOUNT 21. Surplus as regards policyholders, December 31 prior year 733,224,474 707,120,056 707,120,056 22. Net income (from Line 20) 41,770,175 28,742,577 108,670,010 23. Net transfers (to) from Protected Cell accounts 0 0 0 24. Change in net unrealized capital gains (losses) less capital gains tax of $ 1,871,462 7,040,262 (28,862,704) 1,848,508 25. Change in net unrealized foreign exchange capital gain (loss) 0 0 0 26. Change in net deferred income tax (672,539) 984,454 2,310,355 27. Change in nonadmitted assets (168,043) (1,498,302) (6,157,936) 28. Change in provision for reinsurance 0 0 0 29. Change in surplus notes 0 0 0 30. Surplus (contributed to) withdrawn from protected cells 0 0 0 31. Cumulative effect of changes in accounting principles 0 0 0 32. Capital changes: 32.1 Paid in 0 0 0 32.2 Transferred from surplus (Stock Dividend) 0 0 0 32.3 Transferred to surplus 0 0 0 33. Surplus adjustments: 33.1 Paid in 0 0 0 33.2 Transferred to capital (Stock Dividend) 0 0 0 33.3 Transferred from capital 0 0 0 34. Net remittances from or (to) Home Office 0 0 0 35. Dividends to stockholders 0 0 (82,000,000) 36. Change in treasury stock 0 0 0 37. Aggregate write-ins for gains and losses in surplus 132,059 216,844 1,433,481 38. Change in surplus as regards policyholders (Lines 22 through 37) 48,101,914 (417,131) 26,104,418 39. Surplus as regards policyholders, as of statement date (Lines 21 plus 38) 781,326,388 706,702,925 733,224,474 DETAILS OF WRITE-INS 0501. 0502. 0503. 0598. Summary of remaining write-ins for Line 5 from overflow page 0 0 0 0599. Totals (Lines 0501 through 0503 plus 0598)(Line 5 above) 0 0 0 1401. Miscellaneous (Expense) / Income (899) (3,371) 882,198 1402. 1403. 1498. Summary of remaining write-ins for Line 14 from overflow page 0 0 0 1499. Totals (Lines 1401 through 1403 plus 1498)(Line 14 above) (899) (3,371) 882,198 3701. Pensions, Net of Tax 132,059 216,844 1,433,481 3702. 0 0 0 3703. 3798. Summary of remaining write-ins for Line 37 from overflow page 0 0 0 3799. Totals (Lines 3701 through 3703 plus 3798)(Line 37 above) 132,059 216,844 1,433,481
4 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA CASH FLOW 1 2 3 Current Year Prior Year Prior Year Ended To Date To Date December 31
Cash from Operations
1. Premiums collected net of reinsurance 226,939,111 216,322,662 897,293,783
2. Net investment income 13,716,978 13,091,501 48,931,823
3. Miscellaneous income 85,575 (28,432) 1,290,291
4. Total (Lines 1 to 3) 240,741,664 229,385,731 947,515,897
5. Benefit and loss related payments 109,724,049 128,113,318 476,083,757
6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 0 0 0
7. Commissions, expenses paid and aggregate write-ins for deductions 100,880,860 90,080,685 280,134,156
8. Dividends paid to policyholders 12,716 29,823 29,823 9. Federal and foreign income taxes paid (recovered) net of $ 0 tax on capital
gains (losses) 1,737 2,348 31,478,209
10. Total (Lines 5 through 9) 210,619,362 218,226,174 787,725,946
11. Net cash from operations (Line 4 minus Line 10) 30,122,302 11,159,557 159,789,951
Cash from Investments
12. Proceeds from investments sold, matured or repaid:
12.1 Bonds 81,645,228 51,874,442 208,225,150
12.2 Stocks 5,947,672 13,883,725 20,178,961
12.3 Mortgage loans 0 0 0
12.4 Real estate 0 0 0
12.5 Other invested assets 3,061,580 1,313,593 5,525,715
12.6 Net gains or (losses) on cash, cash equivalents and short-term investments 0 0 0
12.7 Miscellaneous proceeds 8,646,961 0 0
12.8 Total investment proceeds (Lines 12.1 to 12.7) 99,301,440 67,071,760 233,929,826
13. Cost of investments acquired (long-term only):
13.1 Bonds 120,875,907 64,659,952 337,918,739
13.2 Stocks 4,743,529 12,936,304 8,639,182
13.3 Mortgage loans 0 0 0
13.4 Real estate 0 0 0
13.5 Other invested assets 4,088,633 2,562,431 13,886,909
13.6 Miscellaneous applications 0 879,818 13,871
13.7 Total investments acquired (Lines 13.1 to 13.6) 129,708,070 81,038,505 360,458,702
14. Net increase (or decrease) in contract loans and premium notes 0 0 0
15. Net cash from investments (Line 12.8 minus Line 13.7 and Line 14) (30,406,630) (13,966,745) (126,528,875)
Cash from Financing and Miscellaneous Sources
16. Cash provided (applied):
16.1 Surplus notes, capital notes 0 0 0
16.2 Capital and paid in surplus, less treasury stock 0 0 0
16.3 Borrowed funds 0 0 0
16.4 Net deposits on deposit-type contracts and other insurance liabilities 0 0 0
16.5 Dividends to stockholders 0 0 27,529,218
16.6 Other cash provided (applied) 1,191,518 (1,685,615) (11,803,201)
17. Net cash from financing and miscellaneous sources (Line 16.1 through Line 16.4 minus Line 16.5 plus Line 16.6) 1,191,518 (1,685,615) (39,332,419)
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) 907,190 (4,492,803) (6,071,343)
19. Cash, cash equivalents and short-term investments:
19.1 Beginning of year (15,369,562) (9,298,218) (9,298,218)
19.2 End of period (Line 18 plus Line 19.1) (14,462,372) (13,791,022) (15,369,562)
Note: Supplemental disclosures of cash flow information for non-cash transactions: 20.0001. Bonds sold in settlement of intercompany dividends 0 0 (53,998,467) 20.0002. Accrued interest on bonds sold in settlement of intercompany dividends 0 0 (472,315)
5 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
NOTE 1 Summary of Significant Accounting Policies and Going Concern
A. Accounting Practices
The financial statements of Citizens Insurance Company of America (“the Company”) are presented on the basis of accounting practices prescribed or permitted by the State of Michigan Department of Insurance and Financial Services.
The Michigan Department of Insurance and Financial Services recognizes only statutory accounting practices prescribed or permitted by the State of Michigan for determining and reporting the financial condition and results of operations of an insurance company, for determining its solvency under the Michigan Insurance Law. The National Association of Insurance Commissioners (“NAIC”) “Accounting Practices and Procedures Manual” (“NAIC SAP”) has been adopted as a component of prescribed or permitted practices by the State of Michigan. The State has not adopted any prescribed accounting practices that differ from those found in NAIC SAP.
A reconciliation of the Company’s net income and capital and surplus between NAIC SAP and practices prescribed and permitted by the State of Michigan is shown below:
F/S F/S SSAP # Page Line # 2021 2020 NET INCOME
(1) State basis (Page 4, Line 20, Columns 1 & 3) XXX XXX XXX $ 41,770,175 $ 108,670,010
(2) State Prescribed Practices that are an increase/ -- (decrease) from NAIC SAP:
(3) State Permitted Practices that are an increase/(decrease) -- from NAIC SAP:
(4) NAIC SAP (1-2-3=4) XXX XXX XXX $ 41,770,175 $ 108,670,010
SURPLUS
(5) State basis (Page 3, Line 37, Columns 1 & 2) XXX XXX XXX $ 781,326,388 $ 733,224,474
(6) State Prescribed Practices that are an increase/(decrease) from NAIC SAP: --
(7) State Permitted Practices that are an increase/(decrease) from NAIC SAP: --
(8) NAIC SAP (5-6-7=8) XXX XXX XXX $ 781,326,388 $ 733,224,474
B. Use of Estimates in the Preparation of the Financial Statements
The preparation of financial statements in conformity with Statutory Accounting Principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities. It also requires disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the period. Actual results could differ from those estimates.
C. Accounting Policy
(1) Short-term investments are stated at amortized cost.
(2) Bonds not backed by loans are stated at either amortized cost or fair value, using the scientific interest method, in accordance with the NAIC Purposes and Procedures of the Securities Valuation Office ("SVO").
(3,4) Common stocks are carried at fair value. The Company does not own any preferred stock.
(5) The Company does not own any mortgage loans.
(6) Loan-backed securities are stated at either amortized cost or fair value, in accordance with the NAIC Purposes and Procedures of the SVO.
(7) The Company does not own any stocks of, or have any interest in, any subsidiaries.
(8) Other invested assets, including investments in trusts, are recorded using the equity method in accordance with the Statement of Statutory Accounting Principles ("SSAP") No. 48, "Joint Ventures, Partnerships and Limited Liability Companies".
(9) The Company has not entered into derivative contracts.
(10) The Company does utilize anticipated investment income as a factor in the premium deficiency calculation.
(11) Unpaid losses and loss adjustment expenses include an amount determined from individual case estimates and loss reports and an amount, based on past experience, for losses incurred but not reported (“IBNR”). Such liabilities are necessarily based on assumptions and estimates and while management believes the amount is adequate, the ultimate liability may be in excess of or less than the amount provided. The methods for making such estimates and for establishing the resulting liabilities are continually reviewed and any adjustments are reflected in the period determined.
(12) The Company has not modified its capitalization policy from the prior year.
(13) The Company does not write major medical insurance with prescription drug coverage.
D. Going Concern
Not applicable
NOTE 2 Accounting Changes and Corrections of Errors
Not applicable
NOTE 3 Business Combinations and Goodwill
Not applicable
NOTE 4 Discontinued Operations
Not applicable
6 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
NOTE 5 Investments
A.,B.,C
Not applicable
D. Loan-Backed Securities
(1) Prepayment assumptions for loan-backed and structured securities were obtained from prepayment models that are sensitive to refinancing, turnover, equity take-out and other relevant factors. These assumptions are consistent with the current interest rate and economic environment.
(2) Not applicable
(3) The Company had no securities with a recognized other-than-temporary impairment.
(4) All impaired securities (fair value is less than cost or amortized cost) for which an other-than-temporary impairment has not been recognized in earnings as a realized loss (including securities with a recognized other-than-temporary impairment for non-interest related declines when a non-recognized interest related impairment remains):
a) The aggregate amount of unrealized losses: 1. Less than 12 Months $ 2,370,893 2. 12 Months or Longer $ -
b)The aggregate related fair value of securities with unrealized losses: 1. Less than 12 Months $ 86,451,432 2. 12 Months or Longer $ -
(5) The Company employs a systematic methodology to determine if a decline in market value below book/adjusted carrying value is other-than-temporary. In determining whether a decline in fair value below book/adjusted carrying value is other-than-temporary, the Company evaluates several factors and circumstances, including the issuer’s overall financial condition; the issuer’s credit and financial strength ratings; the issuer’s financial performance, including earnings trends, dividend payments, and asset quality; any specific events which may influence the operations of the issuer including governmental actions; a weakening of the general market conditions in the industry or geographic region in which the issuer operates; the length of time and degree to which the fair value of an issuer’s securities remains below cost; the Company’s intent and ability to hold the security until such time to allow for the expected recovery in value; and with respect to fixed maturity investments, any factors that might raise doubt about the issuer’s ability to pay all amounts due according to the contractual terms. These factors are applied to all securities.
E. Dollar Repurchase Agreements and/or Securities Lending Transactions
(1-7) Not applicable
F., G., H., I., J., K.
Not applicable
L. Restricted Assets
1. Restricted Assets (Including Pledged)
Gross (Admitted & Nonadmitted) Restricted Current Year 6 7 1 2 3 4 5 G/A Protected Supporting Total Cell Account Protected Protected Assets Total General Cell Account Cell Account Supporting Total Increase/ Account Activity Restricted G/A Activity Total From Prior (Decrease) (5 Restricted Asset Category (G/A) (a) Assets (b) (1 plus 3) Year minus 6) a. Subject to contractual obligation for which liability is not shown $ - $ - $ - $ - $ - $ - $ - b. Collateral held under security lending agreements $ - $ - $ - $ - $ - $ - $ - c. Subject to repurchase agreements $ - $ - $ - $ - $ - $ - $ - d. Subject to reverse repurchase agreements $ - $ - $ - $ - $ - $ - $ - e. Subject to dollar repurchase agreements $ - $ - $ - $ - $ - $ - $ - agreements $ - $ - $ - $ - $ - $ - $ - g. Placed under option contracts $ - $ - $ - $ - $ - $ - $ - h. Letter stock or securities restricted as to sale - excluding FHLB capital stock $ - $ - $ - $ - $ - $ - $ - i. FHLB capital stock $ 479,200 $ - $ - $ - $ 479,200 $ 479,200 $ - j. On deposit with states $ 4,968,320 $ - $ - $ - $ 4,968,320 $ 4,867,124 $ 101,196 k. On deposit with other regulatory bodies $ - $ - $ - $ - $ - $ - $ - l. Pledged collateral to FHLB (including assets backing funding agreements) $ 28,377,525 $ - $ - $ - $ 28,377,525 $ 18,157,684 $ 10,219,841 m. Pledged as collateral not captured in other categories $ - $ - $ - $ - $ - $ - $ - n. Other restricted assets $ - $ - $ - $ - $ - $ - $ - o. Total Restricted Assets $ 33,825,045 $ - $ - $ - $ 33,825,045 $ 23,504,008 $ 10,321,037 (a) Subset of Column 1 (b) Subset of Column 3
6.1 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
Current Year 8 9 Percentage
10 11
Gross Admitted (Admitted & Restricted to Total Nonadmitted) Total Total Admitted Restricted to Admitted Nonadmitted Restricted Total Assets Assets Restricted Asset Category Restricted (5 minus 8) (c) (d) a. Subject to contractual obligation for which liability is not shown $ - $ - 0.000% 0.000% b. Collateral held under security lending agreements $ - $ - 0.000% 0.000% c. Subject to repurchase agreements $ - $ - 0.000% 0.000% d. Subject to reverse repurchase agreements $ - $ - 0.000% 0.000% e. Subject to dollar repurchase agreements $ - $ - 0.000% 0.000% agreements $ - $ - 0.000% 0.000% g. Placed under option contracts $ - $ - 0.000% 0.000% h. Letter stock or securities restricted as to sale - excluding FHLB capital stock $ - $ - 0.000% 0.000% i. FHLB capital stock $ - $ 479,200 0.026% 0.027% j. On deposit with states $ - $ 4,968,320 0.269% 0.275% k. On deposit with other regulatory bodies $ - $ - 0.000% 0.000% l. Pledged collateral to FHLB (including assets backing funding agreements) $ - $ 28,377,525 1.536% 1.572% m. Pledged as collateral not captured in other categories $ - $ - 0.000% 0.000% n. Other restricted assets $ - $ - 0.000% 0.000% o. Total Restricted Assets $ - $ 33,825,045 1.831% 1.874% (c) Column 5 divided by Asset Page, Column 1, Line 28 (d) Column 9 divided by Asset Page, Column 3, Line 28
2. Detail of Assets Pledged as Collateral Not Captured in Other Categories (Contracts That Share Similar Characteristics, Such as Reinsurance and Derivatives, Are Reported in the Aggregate)
Not applicable
3. Detail of Other Restricted Assets (Contracts That Share Similar Characteristics, Such as Reinsurance and Derivatives, Are Reported in the Aggregate)
Not applicable
4. Collateral Received and Reflected as Assets Within the Reporting Entity’s Financial Statements
Not applicable
M.,N.,O.
Not applicable
P. Short Sales
Not applicable
Q. Prepayment Penalty and Acceleration Fees
General Account Protected Cell 1. Number of CUSIPs 17 $ - 2. Aggregate Amount of Investment Income $ 568,442 $ -
R. Reporting Entity’s Share of Cash Pool by Asset Type
Not applicable
NOTE 6 Joint Ventures, Partnerships and Limited Liability Companies
Not applicable
NOTE 7 Investment Income
Not applicable
NOTE 8 Derivative Instruments
Not applicable
6.2 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
NOTE 9 Income Taxes
A. The components of the net deferred tax asset/(liability) at the end of current period are as follows:
1. As of End of Current Period 12/31/2020 Change
(1) (2) (3) (4) (5) (6) (7) (8) (9) (Col. 1 + 2) (Col. 4 + 5) (Col. 1 - 4) (Col. 2 - 5) (Col. 7 + 8) Ordinary Capital Total Ordinary Capital Total Ordinary Capital Total (a) Gross Deferred Tax Assets $ 36,184,945 $ - $ 36,184,945 $ 36,856,796 $ - $ 36,856,796 $ (671,851) $ - $ (671,851) (b) Statutory Valuation Allowance Adjustment $ - $ - $ - $ - $ - $ - $ - $ - $ -
(c) Adjusted Gross Deferred Tax Assets (1a - 1b) $ 36,184,945 $ - $ 36,184,945 $ 36,856,796 $ - $ 36,856,796 $ (671,851) $ - $ (671,851) (d) Deferred Tax Assets Nonadmitted $ - $ - $ - $ - $ - $ - $ - $ - $ - (e) Subtotal Net Admitted Deferred Tax Asset (1c - 1d) $ 36,184,945 $ - $ 36,184,945 $ 36,856,796 $ - $ 36,856,796 $ (671,851) $ - $ (671,851) (f) Deferred Tax Liabilities $ 9,877,051 $ 15,691,329 $ 25,568,380 $ 9,802,231 $ 13,858,895 $ 23,661,126 $ 74,820 $ 1,832,434 $ 1,907,254
(g) Net Admitted Deferred Tax Asset/(Net Deferred Tax Liability) (1e - 1f) $ 26,307,894 $ (15,691,329) $ 10,616,565 $ 27,054,565 $ (13,858,895) $ 13,195,670 $ (746,671) $ (1,832,434) $ (2,579,105)
2. As of End of Current Period 12/31/2020 Change
(1) (2) (3) (4) (5) (6) (7) (8) (9) (Col. 1 + 2) (Col. 4 + 5) (Col. 1 - 4) (Col. 2 - 5) (Col. 7 + 8) Ordinary Capital Total Ordinary Capital Total Ordinary Capital Total Admission Calculation Components SSAP No. 101 (a) Federal Income Taxes Paid In Prior Years Recoverable Through Loss Carrybacks $ 25,843,197 $ - $ 25,843,197 $ 26,273,368 $ - $ 26,273,368 $ (430,171) $ - $ (430,171)
(b) Adjusted Gross Deferred Tax Assets Expected To Be Realized (Excluding The Amount Of Deferred Tax Assets From 2(a) above) After Application of the Threshold Limitation. (The Lesser of 2(b)1 and 2(b)2 Below) $ 3,244,007 $ - $ 3,244,007 $ 2,829,887 $ - $ 2,829,887 $ 414,120 $ - $ 414,120
1. Adjusted Gross Deferred Tax Assets Expected to be Realized Following the Balance Sheet Date. $ 3,244,007 $ - $ 3,244,007 $ 2,829,887 $ - $ 2,829,887 $ 414,120 $ - $ 414,120
2. Adjusted Gross Deferred Tax Assets Allowed per Limitation Threshold. XXX XXX $115,606,473 XXX XXX $108,004,321 XXX XXX $ 7,602,152
(c) Adjusted Gross Deferred Tax Assets (Excluding The Amount Of Deferred Tax Assets From 2(a) and 2(b) above) Offset by Gross Deferred Tax Liabilities. $ 7,097,741 $ - $ 7,097,741 $ 7,753,541 $ - $ 7,753,541 $ (655,800) $ - $ (655,800) (d) Deferred Tax Assets Admitted as the result of application of SSAP No. 101. Total (2(a) + 2(b) + 2(c)) $ 36,184,945 $ - $ 36,184,945 $ 36,856,796 $ - $ 36,856,796 $ (671,851) $ - $ (671,851)
3. 2021 2020
a. Ratio Percentage Used To Determine Recovery Period And Threshold Limitation Amount. 1588% 1484% b. Amount Of Adjusted Capital And Surplus Used To Determine Recovery Period And Threshold Limitation In 2(b)2 Above. $ 770,709,823 $ 720,028,804
4.
As of End of Current Period 12/31/2020 Change (1) (2) (3) (4) (5) (6) (Col. 1 - 3) (Col. 2 - 4) Ordinary Capital Ordinary Capital Ordinary Capital
Impact of Tax Planning Strategies: (a) Determination of adjusted gross deferred tax assets and net admitted deferred tax assets, by tax character as a percentage. 1. Adjusted Gross DTAs amount from Note 9A1(c) $ 36,184,945 $ - $ 36,856,796 $ - $ (671,851) $ - 2. Percentage of adjusted gross DTAs by tax character attributable to the impact of tax planning strategies 0.000% 0.000% 0.000% 0.000% 0.000% 0.000% 3. Net Admitted Adjusted Gross DTAs amount from Note 9A1(e) $ 36,184,945 $ - $ 36,856,796 $ - $ (671,851) $ - 4. Percentage of net admitted adjusted gross DTAs by tax character admitted because of the impact of tax planning strategies 0.000% 0.000% 0.000% 0.000% 0.000% 0.000%
b. Do the Company‘s tax-planning strategies include the use of reinsurance? Yes [ ] No [X]
B. The Company does not have any deferred tax liabilities that are not recognized for amounts described in Accounting Standards Codification 740, Income Tax.
6.3 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
C. Current income taxes incurred consist of the following major components:
(1) (2) (3) As of End of (Col. 1 - 2) 1. Current Income Tax Current Period 12/31/2020 Change (a) Federal $ 9,835,573 $ 29,488,197 $ (19,652,624) (b) Foreign $ 1,737 $ 5,210 $ (3,473) (c) Subtotal $ 9,837,310 $ 29,493,407 $ (19,656,097) (d) Federal income tax on net capital gains $ 273,733 $ 332,183 $ (58,450) (e) Utilization of capital loss carry-forwards $ - $ - $ - (f) Other $ - $ - $ - (g) Federal and foreign income taxes incurred $ 10,111,043 $ 29,825,590 $ (19,714,547)
2. Deferred Tax Assets: (a) Ordinary: (1) Discounting of unpaid losses $ 5,801,714 $ 5,837,160 $ (35,446) (2) Unearned premium reserve $ 18,676,931 $ 18,925,357 $ (248,426) (3) Policyholder reserves $ - $ - $ - (4) Investments $ 1,156,900 $ 1,342,527 $ (185,627) (5) Deferred acquisition costs $ - $ - $ - (6) Policyholder dividends accrual $ - $ - $ - (7) Fixed assets $ 9,274,284 $ 9,205,989 $ 68,295 (8) Compensation and benefits accrual $ 688,140 $ 905,084 $ (216,944) (9) Pension accrual $ - $ - $ - (10) Receivables - nonadmitted $ 184,489 $ 216,173 $ (31,684) (11) Net operating loss carry-forward $ - $ - $ - (12) Tax credit carry-forward $ - $ - $ - (13) Other (including items <5% of total ordinary tax assets) $ 402,487 $ 424,506 $ (22,019) (99) Subtotal $ 36,184,945 $ 36,856,796 $ (671,851) (b) Statutory valuation allowance adjustment $ - $ - $ - (c) Nonadmitted $ - $ - $ - (d) Admitted ordinary deferred tax assets (2a99 - 2b - 2c) $ 36,184,945 $ 36,856,796 $ (671,851) (e) Capital: (1) Investments $ - $ - $ - (2) Net capital loss carry-forward $ - $ - $ - (3) Real estate $ - $ - $ - (4) Other (including items <5% of total ordinary tax assets) $ - $ - $ - (99) Subtotal $ - $ - $ - (f) Statutory valuation allowance adjustment $ - $ - $ - (g) Nonadmitted $ - $ - $ - (h) Admitted capital deferred tax assets (2e99 - 2f - 2g) $ - $ - $ - (i) Admitted deferred tax assets (2d + 2h) $ 36,184,945 $ 36,856,796 $ (671,851)
3. Deferred Tax Liabilities: (a) Ordinary: (1) Investments $ - $ - $ - (2) Fixed assets $ 8,828,386 $ 8,758,037 $ 70,349 (3) Deferred and uncollected premium $ - $ - $ - (4) Policyholder reserves $ 571,148 $ 601,230 $ (30,082) (5) Other (including items <5% of total ordinary tax liabilities) $ 477,517 $ 442,964 $ 34,553 (99) Subtotal $ 9,877,051 $ 9,802,231 $ 74,820 (b) Capital: (1) Investments $ 15,691,329 $ 13,858,895 $ 1,832,434 (2) Real estate $ - $ - $ - (3) Other (including items <5% of total capital tax liabilities) $ - $ - $ - (99) Subtotal $ 15,691,329 $ 13,858,895 $ 1,832,434 (c) Deferred tax liabilities (3a99 + 3b99) $ 25,568,380 $ 23,661,126 $ 1,907,254 4. Net deferred tax assets/liabilities (2i - 3c) $ 10,616,565 $ 13,195,670 $ (2,579,105)
The change in net deferred income taxes is comprised of the following, exclusive of non-admitted assets:
(1) (2) (3) As of End of (Col. 1 - 2) Current Period 12/31/2020 Change Adjusted gross deferred tax assets $ 36,184,945 $ 36,856,796 $ (671,851) Total deferred tax liabilities $ 25,568,380 $ 23,661,126 $ 1,907,254 Net deferred tax assets (liabilities) $ 10,616,565 $ 13,195,670 $ (2,579,105) Tax effect of the change in unrealized gains (losses) $ 1,871,462 Tax effect of the change in pension liability $ 35,104 Change in net deferred income tax $ (672,539)
D. Reconciliation of Federal Income Tax Rate to Actual Effective Rate
The significant items causing a difference between the statutory federal income tax rate and the Company's effective income tax rate are as follows:
As of End of Current Period Tax Rate Tax provision at statutory rate $ 10,895,056 21.0% Dividend received deductions and tax exempt interest income $ (77,279) -0.1% Non-deductible expenses $ 1,094 0.0% Non-admitted assets $ (35,289) -0.1% Total $ 10,783,582 20.8%
6.4 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
As of End of Current Period Tax Rate Federal income taxes incurred $ 9,837,310 19.0% Realized capital gains tax $ 273,733 0.5% Change in net deferred income taxes $ 672,539 1.3% Total statutory income taxes $ 10,783,582 20.8%
E. Operating Loss and Tax Credit Carryforwards
1. At the end of the current reporting period, the Company has no net operating loss carryforwards and no capital loss carryforwards.
2. The Company has the following federal income taxes which are available for recoupment in the event of future losses:
For the tax year 2020: $ 25,697,091 For the tax year 2021: $ 6,756,914
3. At the end of the current reporting period, the Company has no deposits under section 6603 of the Internal Revenue Service Code.
F. Consolidated Federal Income Tax Return
1. The Company's Federal Income Tax Return is consolidated with the following affiliated companies:
440 Lincoln Street Holding Company LLC NOVA Casualty Company AIX, Inc. Opus Investment Management, Inc. AIX Insurance Services of California, Inc. Professionals Direct, Inc. AIX Specialty Insurance Company Professionals Direct Insurance Services, Inc. Allmerica Financial Alliance Insurance Company The Hanover American Insurance Company Allmerica Financial Benefit Insurance Company The Hanover Atlantic Insurance Company Ltd. Allmerica Plus Insurance Agency, Inc. The Hanover Casualty Company Campania Holding Company, Inc. The Hanover Insurance Company Campmed Casualty & Indemnity Company, Inc. The Hanover Insurance Group, Inc. Citizens Insurance Company of Illinois The Hanover National Insurance Company Citizens Insurance Company of Ohio The Hanover New Jersey Insurance Company Citizens Insurance Company of the Midwest VeraVest Investments, Inc. Educators Insurance Agency, Inc. Verlan Fire Insurance Company Hanover Specialty Insurance Brokers, Inc. Verlan Holdings, Inc. Massachusetts Bay Insurance Company
2. The Board of Directors has delegated to Company Management, the development and maintenance of appropriate Federal Income Tax allocation policies and procedures, which are subject to written agreement between the companies. The Federal Income tax for all subsidiaries in the consolidated return of The Hanover Insurance Group, Inc. (“THG”) is calculated on a separate return basis. Any current tax liability is paid to THG. Tax benefits resulting from taxable operating losses or credits of THG’s subsidiaries are reimbursed to the subsidiary when such losses or credits can be utilized on a consolidated
G. The Company has no federal or foreign income tax loss contingencies, for which it is reasonably possible that the total liability will significantly increase within 12 months of the reporting date.
H., I.
Not applicable
NOTE 10 Information Concerning Parent, Subsidiaries, Affiliates and Other Related Parties
A. Nature of Relationships
The Company is a wholly-owned subsidiary of the Hanover Insurance Company ("Hanover") which, in turn, is a wholly-owned subsidiary of Opus Investment Management, Inc. ("Opus"), which, in turn, is a wholly-owned non-insurance subsidiary of THG, a publicly traded company incorporated in Delaware.
B. Detail of Transactions Greater than 1/2% of Admitted Assets
The Company has an intercompany line of credit agreement between itself, THG, and Hanover. Interest is calculated at the 3-month LIBOR rate and principal and interest are due within 90 days of the date of the loan. The following transactions occured in 2021:
Origination Date Affiliate Cash Received/(Paid) Origination Cash Received/(Paid) Repayment O/S Balance February 11, 2021Hanover $ 4,400,000 $ - $ 4,400,000 March 11, 2021 THG $ 1,800,000 $ - $ 1,800,000 March 12, 2021 Hanover $ 1,700,000 $ - $ 1,700,000 March 19, 2021 Hanover $ 2,200,000 $ - $ 2,200,000 March 22, 2021 THG $ 5,500,000 $ - $ 5,500,000 March 23, 2021 Hanover $ 800,000 $ - $ 800,000 March 24, 2021 Hanover $ 2,800,000 $ - $ 2,800,000 March 30, 2021 Hanover $ 14,200,000 $ - $14,200,000
C. Transactions with related party who are not reported on Schedule Y
Not applicable
D. Amounts Due to or from Related Parties
At the end of the reporting period, the Company reported $7,400,000 due to affiliated companies and $11,696,382 due from affiliated companies. Intercompany servicing arrangements require that intercompany balances be settled within 30 days.
E. Management, Service Contracts, Cost Sharing Arrangements
Companies affiliated with Hanover have entered into an intercompany Consolidated Service Agreement. Under the agreement, legal entities will be charged the cost of the service provided or expenses paid by the entity providing the service or paying the expense. In addition, these entities will be charged a portion of the costs associated with activities that are performed for the good of THG legal entities.
Investment related services are provided by Opus pursuant to an intercompany Advisory Agreement.
6.5 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
F. Guarantees or Contingencies for Related Parties
Not applicable
G. Nature of Relationships that Could Affect Operations
All outstanding shares of the Company are owned by Hanover.
H., I., J., K., L., M., N., O.
Not applicable
NOTE 11 Debt
A. See disclosure below related to Federal Home Loan Bank of Boston (FHLBB) Agreements.
B. FHLB (Federal Home Loan Bank) Agreements
(1) In 2016, the Company acquired FHLBB membership stock to enable short-term advances through its membership in FHLBB.
As collateral to FHLBB, the Company has pledged government agency securities with a fair value of $29,512,955 as of the end of the reporting period. The fair value of the collateral pledged must be maintained at certain specified levels (equal to 100% ro 112% of loan) of the borrowed amount, which can vary depending on the type of assets plegded. If the fair value of this collateral declines below these specified level, the Company would be required to pledge additional collateral or repay outstanding borrowings. As a requirement of membership in the FHLBB, the Company maintains a certain level of investment in FHLBB stock. Total holdings of FHLBB stock were $479,200 at the end of the reporting period.
The Company calculates the maximum borrowing capacity amount based on the 4.0% requirement rate on short-term advances, maturing within 90 days.
There are no reserves related to the FHLBB funding agreements at the end of the reporting period.
(2) FHLB Capital Stock
a. Aggregate Totals 1 2 3 General Protected Cell Total 2+3 Account Accounts 1. Current Year (a) Membership Stock - Class A $ - $ - $ - (b) Membership Stock - Class B $ 479,200 $ 479,200 $ - (c) Activity Stock $ - $ - $ - (d) Excess Stock $ - $ - $ - (e) Aggregate Total (a+b+c+d) $ 479,200 $ 479,200 $ - (f) Actual or estimated Borrowing Capacity as Determined by the Insurer $ 477,500 XXX XXX
2. Prior Year-end (a) Membership Stock - Class A $ - $ - $ - (b) Membership Stock - Class B $ 479,200 $ 479,200 $ - (c) Activity Stock $ - $ - $ - (d) Excess Stock $ - $ - $ - (e) Aggregate Total (a+b+c+d) $ 479,200 $ 479,200 $ - (f) Actual or estimated Borrowing Capacity as Determined by the Insurer $ 1,090,850 XXX XXX
11B(2)a1(f) should be equal to or greater than 11B(4)a1(d) 11B(2)a2(f) should be equal to or greater than 11B(4)a2(d)
b. Membership Stock (Class A and B) Eligible and Not Eligible for Redemption
Eligible for Redemption 2 3 4 5 6 1 6 Months to Current Year Total Not Eligible for Less Than Less Than 1 to Less Than (2+3+4+5+6) Redemption 6 Months 1 Year 3 Years 3 to 5 Years Membership Stock 1. Class A $ - $ - $ - $ - $ - $ - 2. Class B $ 479,200 $ 479,200 $ - $ - $ - $ -
11B(2)b1 Current Year Total (Column 1) should equal 11B(2)a1(a) Total (Column 1) 11B(2)b2 Current Year Total (Column 1) should equal 11B(2)a1(b) Total (Column 1)
(3) Collateral Pledged to FHLB
a. Amount Pledged as of Reporting Date 1 2 3 Aggregate Total Fair Value Carrying Value Borrowing 1. Current Year Total General and Protected Cell Account Total Collateral Pledged (Lines 2+3) $ 29,512,955 $ 28,377,525 $ - 2. Current Year General Account Total Collateral Pledged $ 29,512,955 $ 28,377,525 $ - 3. Current Year Protected Cell Account Total Collateral Pledged $ - $ - $ - 4. Prior Year-end Total General and Protected Cell Account Total Collateral Pledged $ 19,047,877 $ 18,157,684 $ -
11B(3)a1 (Columns 1, 2 and 3) should be equal to or less than 11B(3)b1 (Columns 1, 2 and 3 respectively) 11B(3)a2 (Columns 1, 2 and 3) should be equal to or less than 11B(3)b2 (Columns 1, 2 and 3 respectively) 11B(3)a3 (Columns 1, 2 and 3) should be equal to or less than 11B(3)b3 (Columns 1, 2 and 3 respectively) 11B(3)a4 (Columns 1, 2 and 3) should be equal to or less than 11B(3)b4 (Columns 1, 2 and 3 respectively)
6.6 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
b. Maximum Amount Pledged During Reporting Period
1 2 3 Amount Borrowed at Time of Maximum Fair Value Carrying Value Collateral 1. Current Year Total General and Protected Cell Account Maximum Collateral Pledged (Lines 2+3) $ 29,512,955 $ 28,377,525 $ - 2. Current Year General Account Maximum Collateral Pledged $ 29,512,955 $ 28,377,525 $ - 3. Current Year Protected Cell Account Maximum Collateral Pledged $ - $ - $ - 4. Prior Year-end Total General and Protected Cell Account Maximum Collateral Pledged $ 28,950,384 $ 28,165,639 $ 10,000,000
(4) Borrowing from FHLB
a. Amount as of Reporting Date
1 2 3 4 Funding Agreements General Protected Cell Reserves Total 2+3 Account Account Established 1. Current Year (a) Debt $ - $ - $ - XXX (b) Funding Agreements $ - $ - $ - $ - (c) Other $ - $ - $ - XXX (d) Aggregate Total (a+b+c) $ - $ - $ - $ -
2. Prior Year end (a) Debt $ - $ - $ - XXX (b) Funding Agreements $ - $ - $ - $ - (c) Other $ - $ - $ - XXX (d) Aggregate Total (a+b+c) $ - $ - $ - $ -
b. Maximum Amount During Reporting Period (Current Year) 1 2 3 General Protected Cell Total 2+3 Account Account 1. Debt $ - $ - $ - 2. Funding Agreements $ - $ - $ - 3. Other $ - $ - $ - 4. Aggregate Total (1+2+3) $ - $ - $ -
11B(4)b4 (Columns 1, 2 and 3) should be equal to or greater than 11B(4)a1(d) (Columns 1, 2 and 3 respectively)
c. FHLB - Prepayment Obligations
Does the company have prepayment obligations under the following arrangements (YES/NO)? 1. Debt No 2. Funding Agreements No 3. Other No
NOTE 12 Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences and Other Postretirement Benefit Plans
The labor for the Company is provided and paid for by Hanover. As such, the Company is included in the benefit plans in force for Hanover. The Company is charged for actual salary and benefit costs for services provided to the Company by Hanover employees.
A., B., C., D., E., F.
Not applicable
G. Consolidated/Holding Company Plans
No change
H., I.
Not applicable
NOTE 13 Capital and Surplus, Dividend Restrictions and Quasi-Reorganizations
A. Outstanding Shares
The Company has 2,000,000 shares of $2 par value common stock authorized, and 1,700,000 shares issued and outstanding. The Company has 1,000,000 shares of $1.25 par value preferred stock authorized and 0 shares issued and outstanding.
B. Dividend Rate of Preferred Stock
Not applicable
6.7 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
C-F. Dividend Restrictions
Pursuant to Michigan’s statute, the maximum dividend and other distributions that an insurer may pay in any twelve month period, without prior approval of the Michigan Insurance Commissioner, is limited to the greater of 10% of such insurer’s statutory policyholder surplus as of December 31, of the immediately preceding year or the statutory net income less realized gains, for the immediately preceding calendar year. The Company declared an extraordinary dividend to Hanover totaling $82,000,000 on October 15, 2020. Accordingly, the maximum dividend that may be paid at January 1, 2021 without prior approval is $26,670,011. Subsequent to October 15, 2021, the maximum dividend payable without prior approval is $108,670,011.
G-I.
Not applicable
J, The portion of unassigned funds (surplus) represented or reduced by cumulative unrealized gains and losses is $ 74,319,152
This unrealized gain is not net of the applicable deferred tax liability of $15,607,022
K-M.
Not applicable
NOTE 14 Liabilities, Contingencies and Assessments
A. Contingent Commitments
(1) At the end of the reporting period, there were contractual investment commitments of up to $47,426,895. The Company has no commitments related to state tax credit investments at the end of the reporting period.
Total contingent liabilities: $ 47,426,895
(2-3)
Not applicable
B., C., D., E., F.
Not applicable
G. All Other Contingencies
The Company routinely engages in various legal proceedings in the normal course of business, including claims for punitive damages. In the opinion of management, none of such contingencies are expected to have a material effect on the Company’s financial position, although it is possible that the results of operations in a particular quarter or annual period would be materially affected by an adverse development or unfavorable outcome.
NOTE 15 Leases
No change
NOTE 16 Information About Financial Instruments With Off-Balance Sheet Risk and Financial Instruments With Concentrations of Credit Risk
Not applicable
NOTE 17 Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities
A.,B.
Not applicable
C. Wash Sales
The Company generally does not sell and reacquire securities within 30 days of the sale date. There were no wash sale transactions with a NAIC designation of 3 or below in the current year.
NOTE 18 Gain or Loss to the Reporting Entity from Uninsured Plans and the Uninsured Portion of Partially Insured Plans
Not applicable
NOTE 19 Direct Premium Written/Produced by Managing General Agents/Third Party Administrators
Not applicable
NOTE 20 Fair Value Measurements
A. (1) Fair Value Measurements at Reporting Date
Description for each class Net Asset Value of asset or liability (Level 1) (Level 2) (Level 3) (NAV) Total a. Assets at fair value Bonds: Industrial and Miscellaneous $ 9,546,843 $ 12,696,059 $ - $ - $ 22,242,902 Common stocks: industrial and miscellaneous (a) $ 154,655,760 $ - $ - $ - $ 154,655,760 Total assets at fair value/NAV $ 164,202,603 $ 12,696,059 $ - $ - $ 176,898,662 (a) Excludes equities carried at cost of $479,200 at the end of the reporting period which consists of FHLB common stock.
b. The Company does not have any liabilities measured at fair value at the end of the current reporting period.
6.8 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
(2) Fair Value Measurements in (Level 3) of the Fair Value hierarchy
a. Not applicable
b. Not applicable
(3) The reporting entity's policy is to recognize transfers in and transfers out as of the actual date of the event or change in circumstances that caused the transfer.
(4) For fair value measurements categorized within Level 2 of the fair value hierarchy, fair values of bonds are obtained by a quoted market price if available, otherwise, fair values are estimated using independent pricing sources or internally developed pricing models using discounted cash flow analyses.
The Company utilizes a third party pricing service for the valuation of the majority of its fixed maturity securities and receives one quote per security. When quoted market prices in an active market are available, they are provided by the pricing service as the fair value and such values are classified as Level 1. Since fixed maturities other than U.S. Treasury securities generally do not trade on a daily basis, the pricing service prepares estimates of fair value for those securities using pricing applications based on a market approach. Inputs into the fair value pricing applications which are common to all asset classes include benchmark U.S. Treasury security yield curves, reported trades of identical or similar fixed maturity securities, broker/dealer quotes of identical or similar fixed maturity securities and structural characteristics of the security, such as maturity date, coupon, mandatory principal payment dates, frequency of interest and principal payments and optional principal redemption features. Inputs into the fair value applications that are unique by asset class include, but are not limited to:
• U.S. government – determination of direct versus indirect government support and whether any contingencies exist with respect to the timely payment of principal and interest.
• All other governments – estimates of appropriate market spread versus underlying related sovereign treasury curves dependent on liquidity and direct or contingent support.
• Corporate bonds, which are included in Industrial and miscellaneous bonds - overall credit quality, including assessments of the level and variability of: economic sensitivity; liquidity; corporate financial policies; management quality; regulatory environment; competitive position; ownership; restrictive covenants; and security or collateral.
• Municipal bonds, which are included in States, territories and possessions; Political subdivisions of states, territories and possessions; and Special revenue and special assessment obligations - overall credit quality, including assessments of the level and variability of: sources of payment such as income, sales or property taxes, levies or user fees; credit support such as insurance; state or local economic and political base; natural resource availability; and susceptibility to natural or man-made catastrophic events such as hurricanes, earthquakes or acts of terrorism.
• Residential mortgage-backed securities, U.S. agency pass-thrus and collateralized mortgage obligations (“CMOs”) which are included in U.S. governments and Special revenue and special assessment obligations - estimates of prepayment speeds based upon: historical prepayment rate trends; underlying collateral interest rates; geographic concentration; vintage year; borrower credit quality characteristics; interest rate and yield curve forecasts; government or monetary authority support programs; tax policies; and delinquency/default trends.
• Residential mortgage-backed securities, non-agency CMOs, which are included in Industrial and miscellaneous bonds - estimates of prepayment speeds based upon: historical prepayment rate trends; underlying collateral interest rates; geographic concentration; vintage year; borrower credit quality characteristics; interest rate and yield curve forecasts; government or monetary authority support programs; tax policies; delinquency/default trends; and severity of loss upon default and length of time to recover proceeds following default.
• Commercial mortgage-backed securities, which are included in Industrial and miscellaneous bonds - overall credit quality, including assessments of the value and supply/demand characteristics of: collateral type such as office, retail, residential, lodging, or other; geographic concentration by region, state, metropolitan statistical area and locale; vintage year; historical collateral performance including defeasance, delinquency, default and special servicer trends; and capital structure support features.
• Asset-backed securities, which are included in Industrial and miscellaneous bonds – overall credit quality, including assessments of the underlying collateral type such as credit card receivables, auto loan receivables and equipment lease receivables; geographic diversification; vintage year; historical collateral performance including delinquency, default and casualty trends; economic conditions influencing use rates and resale values; and contract structural support features.
Generally, all prices provided by the pricing service, except actively traded securities with quoted market prices, are reported as Level 2.
The Company holds privately placed corporate bonds and certain other bonds that do not have an active market and for which the pricing service cannot provide fair values. The Company determines fair values for these securities using either matrix pricing or broker quotes. The Company will use observable market data to the extent it is available, but is also required to use a certain amount of unobservable judgment due to the illiquid nature of the securities involved. Additionally, the Company may obtain nonbinding broker quotes which are reported as Level 3.
Fair values of common and preferred stocks are based on SVO valuation, if available. If SVO valuations are not available, quoted market prices are used. If neither SVO prices nor quoted market prices are available, fair values are estimated using independent pricing sources or internally developed pricing models using discounted cash flow analyses.
Level 2 includes securities that are valued using pricing for similar securities and pricing models that incorporate observable inputs. Level 3 consists of common stock of private companies for which observable inputs are not available. The Company uses a third party pricing service for the valuation of the majority of its equity securities. When quoted market prices in an active market are available, they are provided by the pricing service as the fair value and such values are classified as Level 1. Generally, all prices provided by the pricing service except quoted market prices, are reported as Level 2. Occasionally, the Company may obtain nonbinding broker quotes which are reported as Level 3.
(5) Not applicable
B. Not applicable
C. Aggregate fair value for all financial instruments and the level within the fair value hierarchy in which the fair value measurements in their entirety fall.
Type of Financial Aggregate Net Asset Value Not Practicable Instrument Fair Value Admitted Assets (Level 1) (Level 2) (Level 3) (NAV) (Carrying Value) Bonds $ 1,236,492,733 $ 1,189,351,828 $ 29,232,032 $ 1,204,870,785 $ 2,389,916 $ - $ - Common Stock $ 155,134,960 $ 155,134,960 $ 154,655,760 $ 479,200 $ - $ - $ - Cash and Short-Term Investments $ (14,462,372) $ (14,462,372) $ (14,462,372) $ - $ - $ - $ -
D., E.
Not applicable
NOTE 21 Other Items
A. Unusual or Infrequent Items
Not applicable
6.9 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
B. Troubled Debt Restructuring: Debtors
Not applicable
C. Other Disclosures
IBNR loss and loss adjustment expense reserves are allocated to the Company based on the proportion of the Company’s earned premiums and case loss reserves relative to other affiliates in The Hanover Insurance Group. Fluctuations by affiliate and state may occur as a result of this re-estimation process.
The Company elected to use rounding to the nearest dollar in reporting amounts in the Statement, except as otherwise directed by instructions.
D. Business Interruption Insurance Recoveries
Not applicable
E. State Transferable and Non-transferable Tax Credits
Not applicable
F. Subprime Mortgage Related Risk Exposure
The Company has reviewed its investments in mortgage-backed securities and has determined that these investments are not subprime.
G. Insurance-Linked Securities (ILS) Contracts
Not applicable
H. The Amount That Could Be Realized on Life Insurance Where the Reporting Entity is Owner and Beneficiary or Has Otherwise Obtained Rights to Control the Policy
Not applicable
NOTE 22 Events Subsequent
Not applicable
NOTE 23 Reinsurance
A. Unsecured Reinsurance Recoverables
Individual Reinsurers with Unsecured Reinsurance Recoverables Exceeding 3% of Policyholder Surplus
No change
B. Reinsurance Recoverable in Dispute
The Company had no reinsurance recoverable on paid and unpaid losses in dispute which exceeds 5% of the Company's policyholder surplus. The aggregate of the Company's disputed items did not exceed 10% of policyholder surplus.
C. Reinsurance Assumed and Ceded
(1) The following table summarizes ceded and assumed unearned premiums and the related commission equity at the end of the current reporting period: Assumed Reinsurance Ceded Reinsurance Net
Premium Commission Premium Commission Premium Commission Reserve Equity Reserve Equity Reserve Equity a. Affiliates $ 350,441,801 $ - $ 292,881,830 $ - $ 57,559,971 $ - b. All Other $ 452,525 $ 66,902 $ 17,714,491 $ 554,318 $ (17,261,966) $ (487,416) c. Total $ 350,894,326 $ 66,902 $ 310,596,321 $ 554,318 $ 40,298,005 $ (487,416)
d. Direct Unearned Premium Reserve $ 394,037,982
(2) The additional or return commission, predicated on loss experience or any other form of profit sharing arrangements in this annual statement as a result of existing contractual arrangements are accrued as follows:
Direct Assumed Ceded Net a. Contingent Commission $ 9,610,605 $ - $ - $ 9,610,605 b. Sliding Scale Adjustments $ - $ - $ - $ - c. Other Profit Commission Arrangements $ - $ - $ - $ - d. TOTAL $ 9,610,605 $ - $ - $ 9,610,605
(3) Not applicable
D.,E.,F.,G.,H.,I.,J.,K.
Not applicable
NOTE 24 Retrospectively Rated Contracts & Contracts Subject to Redetermination
Not applicable
6.10 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA NOTES TO FINANCIAL STATEMENTS
NOTE 25 Change in Incurred Losses and Loss Adjustment Expenses
A. The estimated cost of loss and loss adjustment expenses (“LAE”) attributable to insured events of prior year’s decreased by $10,160,000 during the current year. The redundancy of $10,160,000 is 2.0% of unpaid losses and LAE of $498,986,182 as of December 31, 2020. The favorable loss and LAE reserve development during 2021 is primarily due to lower than expected losses in the personal auto, other liability and workers compensation lines of business. Increases or decreases generally occur as a result of claim settlements during the current year, and as additional information is received regarding individual claims, causing changes from the original estimates of the costs of these claims. Recent loss development trends are also taken into account evaluating the overall adequacy of unpaid losses and LAE.
B. There were no significant changes in methodologies and assumptions used in calculating the liability for unpaid property and casualty losses and loss adjustment expenses.
NOTE 26 Intercompany Pooling Arrangements
Not applicable
NOTE 27 Structured Settlements
A. Reserves Released due to Purchase of Annuities
The company has purchased annuities from life insurers under which the claimants are payees as follows: Loss Unrecorded Reserves Loss Eliminated by Contin- Annuities gencies $ 7,574,655 $ 7,574,655
B. Annuity Insurers with Balances due Greater than 1% of Policyholders' Surplus
Not applicable
NOTE 28 Health Care Receivables
Not applicable
NOTE 29 Participating Policies
Not applicable
NOTE 30 Premium Deficiency Reserves
1. Liability carried for premium deficiency reserves $ - 2. Date of the most recent evaluation of this liability 03/31/2021 3. Was anticipated investment income utilized in the calculation? Yes [X] No [ ]
NOTE 31 High Deductibles
Not applicable
NOTE 32 Discounting of Liabilities for Unpaid Losses or Unpaid Loss Adjustment Expenses
A. Tabular Discount
Total liabilities for unpaid property and casualty losses and loss adjustment expenses are not discounted. However, case unpaid losses for pension-type workers’ compensation reserves are discounted on a tabular basis using the National Council on Compensation Insurance (“NCCI”) published tables at a rate of 3.5%. This discount is completely offset in the Company’s IBNR reserves.
B. Nontabular Discount
Not applicable
C. Charges in Discount Assumptions
Not applicable
NOTE 33 Asbestos/Environmental Reserves
No change
NOTE 34 Subscriber Savings Accounts
Not applicable
NOTE 35 Multiple Peril Crop Insurance
Not applicable
NOTE 36 Financial Guaranty Insurance
Not applicable
6.11 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA GENERAL INTERROGATORIES
PART 1 - COMMON INTERROGATORIES
GENERAL
1.1 Did the reporting entity experience any material transactions requiring the filing of Disclosure of Material Transactions with the State of Domicile, as required by the Model Act? Yes [ ] No [ X ]
1.2 If yes, has the report been filed with the domiciliary state? Yes [ ] No [ ]
2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity? Yes [ ] No [ X ]
2.2 If yes, date of change:
3.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? Yes [ X ] No [ ] If yes, complete Schedule Y, Parts 1 and 1A.
3.2 Have there been any substantial changes in the organizational chart since the prior quarter end? Yes [ ] No [ X ]
3.3 If the response to 3.2 is yes, provide a brief description of those changes.
3.4 Is the reporting entity publicly traded or a member of a publicly traded group? Yes [ X ] No [ ]
3.5 If the response to 3.4 is yes, provide the CIK (Central Index Key) code issued by the SEC for the entity/group. 0000944695
4.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? Yes [ ] No [ X ] If yes, complete and file the merger history data file with the NAIC.
4.2 If yes, provide the name of the entity, NAIC Company Code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation.
1 2 3 Name of Entity NAIC Company Code State of Domicile
5. If the reporting entity is subject to a management agreement, including third-party administrator(s), managing general agent(s), attorney- in-fact, or similar agreement, have there been any significant changes regarding the terms of the agreement or principals involved? Yes [ ] No [ ] N/A [ X ] If yes, attach an explanation.
6.1 State as of what date the latest financial examination of the reporting entity was made or is being made. 12/31/2019
6.2 State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. This date should be the date of the examined balance sheet and not the date the report was completed or released. 12/31/2019
6.3 State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date). 04/02/2021
6.4 By what department or departments? Michigan Department of Insurance and Financial Services 6.5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial statement filed with Departments? Yes [ ] No [ ] N/A [ X ]
6.6 Have all of the recommendations within the latest financial examination report been complied with? Yes [ ] No [ ] N/A [ X ]
7.1 Has this reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked by any governmental entity during the reporting period? Yes [ ] No [ X ]
7.2 If yes, give full information:
8.1 Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board? Yes [ ] No [ X ]
8.2 If response to 8.1 is yes, please identify the name of the bank holding company.
8.3 Is the company affiliated with one or more banks, thrifts or securities firms? Yes [ X ] No [ ]
8.4 If response to 8.3 is yes, please provide below the names and location (city and state of the main office) of any affiliates regulated by a federal regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate's primary federal regulator.
1 2 3 4 5 6 Affiliate Name Location (City, State) FRB OCC FDIC SEC Opus Investment Management, Inc. Worcester, MA YES
7 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA GENERAL INTERROGATORIES
9.1 Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions) of the reporting entity subject to a code of ethics, which includes the following standards ? Yes [ X ] No [ ] (a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships; (b) Full, fair, accurate, timely and understandable disclosure in the periodic reports required to be filed by the reporting entity; (c) Compliance with applicable governmental laws, rules and regulations; (d) The prompt internal reporting of violations to an appropriate person or persons identified in the code; and (e) Accountability for adherence to the code. 9.11 If the response to 9.1 is No, please explain:
9.2 Has the code of ethics for senior managers been amended ? Yes [ ] No [ X ] 9.21 If the response to 9.2 is Yes, provide information related to amendment(s).
9.3 Have any provisions of the code of ethics been waived for any of the specified officers ? Yes [ ] No [ X ] 9.31 If the response to 9.3 is Yes, provide the nature of any waiver(s).
FINANCIAL
10.1 Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement? Yes [ X ] No [ ] 10.2 If yes, indicate any amounts receivable from parent included in the Page 2 amount: $ 37,770,417
INVESTMENT
11.1 Were any of the stocks, bonds, or other assets of the reporting entity loaned, placed under option agreement, or otherwise made available for use by another person? (Exclude securities under securities lending agreements.) Yes [ ] No [ X ] 11.2 If yes, give full and complete information relating thereto:
12. Amount of real estate and mortgages held in other invested assets in Schedule BA: $ 0 13. Amount of real estate and mortgages held in short-term investments: $ 0 14.1 Does the reporting entity have any investments in parent, subsidiaries and affiliates? Yes [ ] No [ X ] 14.2 If yes, please complete the following: 1 2 Prior Year-End Current Quarter Book/Adjusted Book/Adjusted Carrying Value Carrying Value 14.21 Bonds $ 0 $ 0 14.22 Preferred Stock $ 0 $ 0 14.23 Common Stock $ 0 $ 0 14.24 Short-Term Investments $ 0 $ 0 14.25 Mortgage Loans on Real Estate $ 0 $ 0 14.26 All Other $ 0 $ 0 14.27 Total Investment in Parent, Subsidiaries and Affiliates (Subtotal Lines 14.21 to 14.26) $ 0 $ 0 14.28 Total Investment in Parent included in Lines 14.21 to 14.26 above $ 0 $ 0
15.1 Has the reporting entity entered into any hedging transactions reported on Schedule DB? Yes [ ] No [ X ] 15.2 If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? Yes [ ] No [ ] N/A [ ] If no, attach a description with this statement.
16. For the reporting entity’s security lending program, state the amount of the following as of the current statement date: 16.1 Total fair value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2. $ 0 16.2 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2 $ 0 16.3 Total payable for securities lending reported on the liability page. $ 0
7.1 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA GENERAL INTERROGATORIES
17. Excluding items in Schedule E - Part 3 - Special Deposits , real estate, mortgage loans and investments held physically in the reporting entity’s offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a custodial agreement with a qualified bank or trust company in accordance with Section 1, III - General Examination Considerations, F. Outsourcing of Critical Functions, Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook? Yes [ X ] No [ ] 17.1 For all agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following:
1 2 Name of Custodian(s) Custodian Address Bank of New York Mellon 225 Liberty Street, New York, NY 10286
17.2 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name, location and a complete explanation: 1 2 3 Name(s) Location(s) Complete Explanation(s)
17.3 Have there been any changes, including name changes, in the custodian(s) identified in 17.1 during the current quarter? Yes [ ] No [ X ] 17.4 If yes, give full information relating thereto:
1 2 3 4 Old Custodian New Custodian Date of Change Reason
17.5 Investment management – Identify all investment advisors, investment managers, broker/dealers, including individuals that have the authority to make investment decisions on behalf of the reporting entity. For assets that are managed internally by employees of the reporting entity, note as such. ["…that have access to the investment accounts"; "…handle securities"] 1 2 Name of Firm or Individual Affiliation Opus Investment Management, Inc. A
17.5097 For those firms/individuals listed in the table for Question 17.5, do any firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") manage more than 10% of the reporting entity’s invested assets? Yes [ ] No [ ]
17.5098 For firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") listed in the table for Question 17.5, does the total assets under management aggregate to more than 50% of the reporting entity’s invested assets? Yes [ ] No [ ]
17.6 For those firms or individuals listed in the table for 17.5 with an affiliation code of "A" (affiliated) or "U" (unaffiliated), provide the information for the table below. 1 2 3 4 5 Investment Management Central Registration Agreement Depository Number Name of Firm or Individual Legal Entity Identifier (LEI) Registered With (IMA) Filed 107569 Opus Investment Management, Inc. SEC DS
18.1 Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Investment Analysis Office been followed? Yes [ X ] No [ ] 18.2 If no, list exceptions:
19. By self-designating 5GI securities, the reporting entity is certifying the following elements for each self-designated 5GI security: a. Documentation necessary to permit a full credit analysis of the security does not exist or an NAIC CRP credit rating for an FE or PL security is not available. b. Issuer or obligor is current on all contracted interest and principal payments. c. The insurer has an actual expectation of ultimate payment of all contracted interest and principal. Has the reporting entity self-designated 5GI securities? Yes [ ] No [ X ]
20. By self-designating PLGI securities, the reporting entity is certifying the following elements of each self-designated PLGI security: a. The security was purchased prior to January 1, 2018. b. The reporting entity is holding capital commensurate with the NAIC Designation reported for the security. c. The NAIC Designation was derived from the credit rating assigned by an NAIC CRP in its legal capacity as a NRSRO which is shown on a current private letter rating held by the insurer and available for examination by state insurance regulators. d. The reporting entity is not permitted to share this credit rating of the PL security with the SVO. Has the reporting entity self-designated PLGI securities? Yes [ ] No [ X ]
21. By assigning FE to a Schedule BA non-registered private fund, the reporting entity is certifying the following elements of each self-designated FE fund: a. The shares were purchased prior to January 1, 2019. b. The reporting entity is holding capital commensurate with the NAIC Designation reported for the security. c. The security had a public credit rating(s) with annual surveillance assigned by an NAIC CRP in its legal capacity as an NRSRO prior to January 1, 2019. d. The fund only or predominantly holds bonds in its portfolio. e. The current reported NAIC Designation was derived from the public credit rating(s) with annual surveillance assigned by an NAIC CRP in its legal capacity as an NRSRO. f. The public credit rating(s) with annual surveillance assigned by an NAIC CRP has not lapsed. Has the reporting entity assigned FE to Schedule BA non-registered private funds that complied with the above criteria? Yes [ ] No [ X ]
7.2 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA GENERAL INTERROGATORIES
PART 2 - PROPERTY & CASUALTY INTERROGATORIES
1. If the reporting entity is a member of a pooling arrangement, did the agreement or the reporting entity’s participation change? Yes [ ] No [ ] N/A [ X ] If yes, attach an explanation.
2. Has the reporting entity reinsured any risk with any other reporting entity and agreed to release such entity from liability, in whole or in part, from any loss that may occur on the risk, or portion thereof, reinsured? Yes [ ] No [ X ] If yes, attach an explanation.
3.1 Have any of the reporting entity’s primary reinsurance contracts been canceled? Yes [ ] No [ X ]
3.2 If yes, give full and complete information thereto.
4.1 Are any of the liabilities for unpaid losses and loss adjustment expenses other than certain workers’ compensation tabular reserves (see Annual Statement Instructions pertaining to disclosure of discounting for definition of “ tabular reserves” ) discounted at a rate of interest greater than zero? Yes [ ] No [ X ]
4.2 If yes, complete the following schedule:
TOTAL DISCOUNT DISCOUNT TAKEN DURING PERIOD 1 2 3 4 5 6 7 8 9 10 11 Maximum Discount Unpaid Unpaid Unpaid Unpaid Line of Business Interest Rate Losses LAE IBNR TOTAL Losses LAE IBNR TOTAL 0.0 0.000 0 0 0 0 0 0 0 0 TOTAL 0 0 0 0 0 0 0 0
5. Operating Percentages:
5.1 A&H loss percent 0.000 %
5.2 A&H cost containment percent 0.000 %
5.3 A&H expense percent excluding cost containment expenses 0.000 %
6.1 Do you act as a custodian for health savings accounts? Yes [ ] No [ X ]
6.2 If yes, please provide the amount of custodial funds held as of the reporting date $ 0
6.3 Do you act as an administrator for health savings accounts? Yes [ ] No [ X ]
6.4 If yes, please provide the balance of the funds administered as of the reporting date $ 0
7. Is the reporting entity licensed or chartered, registered, qualified, eligible or writing business in at least two states? Yes [ X ] No [ ]
7.1 If no, does the reporting entity assume reinsurance business that covers risks residing in at least one state other than the state of domicile of the reporting entity? Yes [ ] No [ ]
8 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE F - CEDED REINSURANCE Showing All New Reinsurers - Current Year to Date 1 2 3 4 5 6 7 Effective Certified Date of NAIC Reinsurer Certified Company ID Domiciliary Rating Reinsurer Code Number Name of Reinsurer Jurisdiction Type of Reinsurer (1 through 6) Rating
9 NONE STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE T - EXHIBIT OF PREMIUMS WRITTEN Current Year to Date - Allocated by States and Territories 1 Direct Premiums Written Direct Losses Paid (Deducting Salvage) Direct Losses Unpaid Active 2 3 4 5 6 7 Status Current Year Prior Year Current Year Prior Year Current Year Prior Year States, etc. (a) To Date To Date To Date To Date To Date To Date 1. Alabama AL L 790,727 1,075,515 135,546 142,455 1,068,223 972,971 2. Alaska AK L 0 (575) 0 0 0 147 3. Arizona AZ L 2,054,153 1,428,748 362,993 639,406 4,211,449 3,291,708 4. Arkansas AR L 12,128 11,426 0 0 6,008 5,090 5. California CA L 11,726,070 11,468,267 4,131,217 5,823,166 67,637,004 64,993,696 6. Colorado CO L 1,772,489 1,469,085 427,977 1,279,725 5,161,941 7,321,225 7. Connecticut CT L 6,200,819 5,794,401 2,576,589 2,517,440 23,212,460 23,227,112 8. Delaware DE L 222,135 223,478 58,776 670 320,390 201,186 9. District of Columbia DC L 231,790 220,061 38,929 16,589 431,700 288,384 10. Florida FL N 0 0 0 0 0 0 11. Georgia GA L 4,951,942 4,770,430 729,260 1,146,564 13,742,962 13,478,813 12. Hawaii HI L 1,413 (56) 0 0 391 1,083 13. Idaho ID L 106,510 103,538 0 4,871 382,615 223,343 14. Illinois IL L 11,974,521 10,388,548 4,271,355 2,801,864 37,156,046 27,537,850 15. Indiana IN L 4,808,858 4,952,729 6,328,535 705,886 20,687,273 17,763,087 16. Iowa IA L 233,702 189,277 51,955 198,813 221,901 175,789 17. Kansas KS L 337,444 399,961 46,450 6,183 725,365 1,387,347 18. Kentucky KY N 0 0 0 0 0 0 19. Louisiana LA N 0 0 0 0 0 0 20. Maine ME L 11,123,780 10,818,296 3,655,467 6,836,486 26,288,025 27,096,663 21. Maryland MD L 706,217 326,859 62,732 28,864 696,732 771,908 22. Massachusetts MA L 48,304,898 51,585,671 21,262,603 25,533,647 105,652,133 97,578,763 23. Michigan MI L 41,897,580 48,587,338 37,074,791 44,250,028 726,173,115 720,966,804 24. Minnesota MN L 6,729,071 6,352,894 2,735,556 2,079,238 21,590,643 14,000,342 25. Mississippi MS L 1,556 21,833 10,340 0 41,007 6,499 26. Missouri MO L 853,933 992,238 94,307 274,651 2,295,564 2,889,682 27. Montana MT L 7,596 4,281 8,427 0 28,726 81,204 28. Nebraska NE L 22,140 31,139 3,250 0 40,030 40,069 29. Nevada NV L 652,089 230,981 (6,675) 42,322 788,727 845,400 30. New Hampshire NH L 4,659,264 4,000,755 513,377 967,346 14,558,513 14,340,247 31. New Jersey NJ L 8,887,387 9,132,941 3,598,382 2,847,421 39,413,493 39,013,622 32. New Mexico NM L 35,402 64,998 0 54,487 56,262 144,654 33. New York NY L 12,916,843 13,721,456 7,159,033 5,708,823 89,972,429 94,448,501 34. North Carolina NC L 1,016,487 705,060 138,805 362,232 1,619,715 1,351,462 35. North Dakota ND L 323,942 241,316 0 0 90,273 21,157 36. Ohio OH L 2,885,184 2,950,679 817,335 737,076 6,349,364 9,810,954 37. Oklahoma OK L 26,828 21,292 0 0 20,459 15,052 38. Oregon OR L 11,242 2,392 0 0 25,058 6,608 39. Pennsylvania PA L 3,337,359 3,259,611 1,517,587 675,865 13,081,009 12,037,741 40. Rhode Island RI L 1,006,069 1,261,560 205,730 128,753 5,824,898 4,295,374 41. South Carolina SC L 2,240,189 2,252,054 293,135 223,527 10,134,886 5,552,811 42. South Dakota SD L 167,367 335,360 4,081 15,356 494,620 103,655 43. Tennessee TN L 215,308 205,722 54,025 102,110 966,603 4,729,855 44. Texas TX L 270,951 316,424 15,620 48,875 323,558 273,777 45. Utah UT L 789,463 824,980 1,874,791 146,896 2,293,148 1,298,111 46. Vermont VT L 934,480 743,416 197,000 355,960 1,889,412 1,616,346 47. Virginia VA L 4,118,638 3,586,444 568,524 879,424 14,764,025 5,980,665 48. Washington WA L 1,569,894 1,631,043 1,105,009 139,019 4,119,925 3,630,804 49. West Virginia WV L 1,666 3,196 0 3,650 3,972 13,336 50. Wisconsin WI L 6,235,804 5,678,064 2,253,637 1,474,554 17,485,067 17,147,780 51. Wyoming WY N 0 0 0 0 0 0 52. American Samoa AS N 0 0 0 0 0 0 53. Guam GU N 0 0 0 0 0 0 54. Puerto Rico PR N 0 0 0 0 0 0 55. U.S. Virgin Islands VI N 0 0 0 0 0 0 56. Northern Mariana Islands MP N 0 0 0 0 0 0 57. Canada CAN N 0 0 0 0 0 0 58. Aggregate Other Alien OT XXX 0 0 0 0 0 0 59. Totals XXX 207,373,328 212,385,126 104,376,451 109,200,242 1,282,047,119 1,240,978,677 DETAILS OF WRITE-INS 58001. XXX 0 0 0 0 0 0 58002. XXX 58003. XXX 58998. Summary of remaining write-ins for Line 58 from overflow page XXX 0 0 0 0 0 0 58999. Totals (Lines 58001 through 58003 plus 58998)(Line 58 above) XXX 0 0 0 0 0 0 (a) Active Status Counts: L - Licensed or Chartered - Licensed Insurance carrier or domiciled RRG 47 R - Registered - Non-domiciled RRGs 0 E - Eligible - Reporting entities eligible or approved to write surplus lines in the state (other Q - Qualified - Qualified or accredited reinsurer 0 than their state of domicile - see DSLI) 0 N - None of the above - Not allowed to write D - Domestic Surplus Lines Insurer (DSLI) - Reporting entities authorized to write surplus business in the state 10 lines in the state of domicile 0
10 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA 11 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE Y PART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Type If of Control Control (Ownership, is Is an Name of Securities Relation- Board, Owner- SCA Exchange Domi- ship Management, ship Filing NAIC if Publicly Traded Names of ciliary to Attorney-in-Fact, Provide Re- Group Company ID Federal (U.S. or Parent, Subsidiaries Loca- Reporting Directly Controlled by Influence, Percen- Ultimate Controlling quired? Code Group Name Code Number RSSD CIK International) Or Affiliates tion Entity (Name of Entity/Person) Other) tage Entity(ies)/Person(s) (Y/N) * The Hanover Insurance Group 80-0266582 440 Lincoln Street Holding Company LLC MA NIA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 84-3300049 AIXHI LLC MA NIA Nova Casualty Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 27-1304098 AIX Insurance Services of California, Inc. CA NIA AIX, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 12833 20-5233538 AIX Specialty Insurance Company DE IA Nova Casualty Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 20-3051651 AIX, Inc. DE NIA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 10212 04-3272695 Allmerica Financial Alliance Insurance Co. NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 41840 23-2643430 Allmerica Financial Benefit Insurance Co. MI IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 04-3194493 Allmerica Plus Insurance Agency, Inc. MA NIA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group Allmerica Securities Trust MA NIA The Hanover Insurance Group, Inc. Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 54-1632456 Campania Holding Company, Inc. VA NIA The Hanover Insurance Group, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 12260 52-1827116 Campmed Casualty & Indemnity Co. Inc. NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 31534 38-0421730 Citizens Insurance Company of America MI RE The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 10714 36-4123481 Citizens Insurance Company of Illinois IL IA Opus Investment Management, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 10176 38-3167100 Citizens Insurance Company of Ohio OH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 10395 35-1958418 Citizens Insurance Company of the Midwest IN IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 27-1652700 CitySquare II Development Co., L.L.C MA NIA Opus Investment Management, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 27-3626264 CitySquare II Investment Co., L.L.C MA NIA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 27-2400275 Educators Insurance Agency, Inc. MA NIA The Hanover Insurance Group, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 38-4000989 Front Street Financing LLC MA NIA CitySquare II Investment Co. LLC Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N
12 The Hanover Insurance Group 52-1172293 Hanover Specialty Insurance Brokers, Inc. VA NIA Verlan Holdings, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 22306 04-2217600 Massachusetts Bay Insurance Company NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 84-3309673 NAG Merger LLC MA NIA AIXHI LLC Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 42552 16-1140177 NOVA Casualty Company NY IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 04-2854021 Opus Investment Management, Inc. MA UIP The Hanover Insurance Group, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 38-3324634 Professionals Direct, Inc. MI NIA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 36064 04-3063898 The Hanover American Insurance Company NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 98-1303999 The Hanover Atlantic Insurance Company Ltd. BMU IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. Y 0088 The Hanover Insurance Group 41602 75-1827351 The Hanover Casualty Company TX IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 22292 13-5129825 The Hanover Insurance Company NH UDP Opus Investment Management, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 04-3263626 New York Stock Exchange The Hanover Insurance Group, Inc. DE UIP 0.000 N 0088 The Hanover Insurance Group 13147 74-3242673 The Hanover National Insurance Company NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 11705 86-1070355 The Hanover New Jersey Insurance Company NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 04-2448927 VeraVest Investments, Inc. MA NIA The Hanover Insurance Group, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N 0088 The Hanover Insurance Group 10815 52-0903682 Verlan Fire Insurance Company NH IA The Hanover Insurance Company Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N The Hanover Insurance Group 52-2044133 Verlan Holdings, Inc. MD NIA The Hanover Insurance Group, Inc. Ownership, Board,Management 100.000 The Hanover Insurance Group, Inc. N
Asterisk NONEExplanation STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA PART 1 - LOSS EXPERIENCE Current Year to Date 4 1 2 3 Prior Year to Date Direct Premiums Direct Losses Direct Loss Direct Loss Line of Business Earned Incurred Percentage Percentage 1. Fire 1,546,070 940,271 60.8 32.7 2. Allied Lines 1,925,004 253,160 13.2 47.9 3. Farmowners multiple peril 0 0 0.0 0.0 4. Homeowners multiple peril 56,200,059 22,469,365 40.0 44.7 5. Commercial multiple peril 89,742,074 42,965,028 47.9 46.1 6. Mortgage guaranty 0 0 0.0 0.0 8. Ocean marine 0 0 0.0 0.0 9. Inland marine 1,703,740 389,364 22.9 27.5 10. Financial guaranty 0 0 0.0 0.0 11.1 Medical professional liability - occurrence 0 0 0.0 0.0 11.2 Medical professional liability - claims-made 0 0 0.0 0.0 12. Earthquake 736,889 68,899 9.3 21.7 13. Group accident and health 0 0 0.0 0.0 14. Credit accident and health 0 0 0.0 0.0 15. Other accident and health 0 0 0.0 0.0 16. Workers’ compensation 13,008,087 13,008,650 100.0 50.5 17.1 Other liability - occurrence 4,882,953 42,077 0.9 (1.6) 17.2 Other liability - claims-made 93,783 67,171 71.6 87.7 17.3 Excess workers’ compensation 0 (529,959) 0.0 0.0 18.1 Products liability - occurrence 638,553 8,688 1.4 (6.2) 18.2 Products liability - claims-made 0 0 0.0 0.0 19.1,19.2 Private passenger auto liability 17,681,513 25,686,360 145.3 185.1 19.3,19.4 Commercial auto liability 1,935,059 276,204 14.3 62.5 21. Auto physical damage 16,560,217 8,255,542 49.9 36.7 22. Aircraft (all perils) 0 0 0.0 0.0 23. Fidelity 19,396 (17,726) (91.4) 280.6 24. Surety 30,529 13,112 42.9 (12.5) 26. Burglary and theft 31,812 (50,199) (157.8) 6.7 27. Boiler and machinery 220,539 5,540 2.5 10.5 28. Credit 0 0 0.0 0.0 29. International 0 0 0.0 0.0 30. Warranty 0 0 0.0 0.0 31. Reinsurance - Nonproportional Assumed Property XXX XXX XXX XXX 32. Reinsurance - Nonproportional Assumed Liability XXX XXX XXX XXX 33. Reinsurance - Nonproportional Assumed Financial Lines XXX XXX XXX XXX 34. Aggregate write-ins for other lines of business 0 0 0.0 0.0 35. Totals 206,956,277 113,851,547 55.0 56.9 DETAILS OF WRITE-INS 3401. 0 0 0.0 0.0 3402. 0 0 0.0 0.0 3403. 0 0 0.0 0.0 3498. Summary of remaining write-ins for Line 34 from overflow page 0 0 0.0 0.0 3499. Totals (Lines 3401 through 3403 plus 3498)(Line 34 above) 0 0 0.0 0.0
PART 2 - DIRECT PREMIUMS WRITTEN 1 2 3 Current Prior Year Line of Business Current Quarter Year to Date Year to Date 1. Fire 1,799,090 1,799,090 1,253,376 2. Allied Lines 1,991,196 1,991,196 1,990,966 3. Farmowners multiple peril 0 0 0 4. Homeowners multiple peril 45,292,383 45,292,383 51,071,319 5. Commercial multiple peril 96,023,135 96,023,135 91,925,992 6. Mortgage guaranty 0 0 0 8. Ocean marine 0 0 0 9. Inland marine 1,315,626 1,315,626 1,504,948 10. Financial guaranty 0 0 0 11.1 Medical professional liability - occurrence 0 0 0 11.2 Medical professional liability - claims-made 0 0 0 12. Earthquake 787,879 787,879 626,390 13. Group accident and health 0 0 0 14. Credit accident and health 0 0 0 15. Other accident and health 0 0 0 16. Workers’ compensation 18,334,178 18,334,178 17,973,847 17.1 Other liability - occurrence 5,498,990 5,498,990 5,135,215 17.2 Other liability - claims-made 37,465 37,465 64,295 17.3 Excess workers’ compensation 0 0 0 18.1 Products liability - occurrence 1,002,684 1,002,684 1,122,629 18.2 Products liability - claims-made 0 0 0 19.1,19.2 Private passenger auto liability 16,734,729 16,734,729 19,474,098 19.3,19.4 Commercial auto liability 2,347,339 2,347,339 2,102,987 21. Auto physical damage 15,888,957 15,888,957 17,773,226 22. Aircraft (all perils) 0 0 0 23. Fidelity 19,685 19,685 39,104 24. Surety 44,901 44,901 33,202 26. Burglary and theft 28,487 28,487 60,990 27. Boiler and machinery 226,602 226,602 232,542 28. Credit 0 0 0 29. International 0 0 0 30. Warranty 0 0 0 31. Reinsurance - Nonproportional Assumed Property XXX XXX XXX 32. Reinsurance - Nonproportional Assumed Liability XXX XXX XXX 33. Reinsurance - Nonproportional Assumed Financial Lines XXX XXX XXX 34. Aggregate write-ins for other lines of business 0 0 0 35. Totals 207,373,326 207,373,326 212,385,126 DETAILS OF WRITE-INS 3401. 3402. 3403. 3498. Summary of remaining write-ins for Line 34 from overflow page 0 0 0 3499. Totals (Lines 3401 through 3403 plus 3498)(Line 34 above) 0 0 0
13 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA PART 3 (000 omitted) LOSS AND LOSS ADJUSTMENT EXPENSE RESERVES SCHEDULE 1 2 3 4 5 6 7 8 9 10 11 12 13 Prior Year-End Prior Year-End Q.S. Date Known Known Case Loss IBNR Loss and Prior Year-End 2021 Loss and Q.S. Date Known Case Loss and and LAE Reserves LAE Reserves Total Loss and Total Prior 2021 Loss and LAE Payments on Case Loss and LAE Reserves on Developed Developed LAE Reserve Prior Year- Year-End Loss LAE Payments on Claims Total 2021 Loss LAE Reserves on Claims Reported Total Q.S. Loss (Savings)/ (Savings)/ Developed Years in Which Prior Year-End End IBNR and LAE Claims Reported Unreported and LAE Claims Reported or Reopened Q.S. Date IBNR and LAE Deficiency Deficiency (Savings)/ Losses Known Case Loss Loss and LAE Reserves as of Prior as of Prior Payments and Open as of Subsequent to Loss and LAE Reserves (Cols.4+7 (Cols. 5+8+9 Deficiency Occurred and LAE Reserves Reserves (Cols. 1+2) Year-End Year-End (Cols. 4+5) Prior Year End Prior Year End Reserves (Cols.7+8+9) minus Col. 1) minus Col. 2) (Cols. 11+12) 1. 2018 + Prior 85,318 67,298 152,616 13,751 449 14,200 73,199 811 62,873 136,883 1,632 (3,165) (1,533) 2. 2019 61,012 43,431 104,443 12,955 474 13,429 51,144 1,211 38,225 90,580 3,087 (3,521) (434) 3. Subtotals 2019 + Prior 146,330 110,729 257,059 26,706 923 27,629 124,343 2,022 101,098 227,463 4,719 (6,686) (1,967) 4. 2020 78,484 163,443 241,927 38,666 11,236 49,902 59,485 9,047 115,300 183,832 19,667 (27,860) (8,193) 5. Subtotals 2020 + Prior 224,814 274,172 498,986 65,372 12,159 77,531 183,828 11,069 216,398 411,295 24,386 (34,546) (10,160) 6. 2021 XXX XXX XXX XXX 46,621 46,621 XXX 27,247 62,088 89,335 XXX XXX XXX 7. Totals 224,814 274,172 498,986 65,372 58,780 124,152 183,828 38,316 278,486 500,630 24,386 (34,546) (10,160) 8. Prior Year-End Surplus Col. 11, Line 7 Col. 12, Line 7 Col. 13, Line 7 As Regards As % of Col. 1 As % of Col. 2 As % of Col. 3 Policyholders 733,224 Line 7 Line 7 Line 7 1. 10.8 2. (12.6) 3. (2.0) Col. 13, Line 7 As a % of Col. 1
14 Line 8 4. (1.4)
STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES
The following supplemental reports are required to be filed as part of your statement filing. However, in the event that your company does not transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a “NONE” report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions.
Response
1. Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC with this statement? NO
2. Will Supplement A to Schedule T (Medical Professional Liability Supplement) be filed with this statement? NO
3. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC with this statement? NO
4. Will the Director and Officer Insurance Coverage Supplement be filed with the state of domicile and the NAIC with this statement? YES
Explanations:
1.
2.
3.
Bar Codes: 1. Trusteed Surplus Statement [Document Identifier 490] *31534202149000001* 2. Supplement A to Schedule T [Document Identifier 455] *31534202145500001* 3. Medicare Part D Coverage Supplement [Document Identifier 365] *31534202136500001*
15 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA OVERFLOW PAGE FOR WRITE-INS NONE
16 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE A - VERIFICATION Real Estate 1 2 Prior Year Ended Year to Date December 31 1. Book/adjusted carrying value, December 31 of prior year 4,195,752 4,850,982 2. Cost of acquired: 2.1 Actual cost at time of acquisition 0 0 2.2 Additional investment made after acquisition 0 0 3. Current year change in encumbrances 0 0 4. Total gain (loss) on disposals 0 0 5. Deduct amounts received on disposals 0 0 6. Total foreign exchange change in book/adjusted carrying value 0 0 7. Deduct current year’s other than temporary impairment recognized 0 0 8. Deduct current year’s depreciation 160,900 655,230 9. Book/adjusted carrying value at the end of current period (Lines 1+2+3+4-5+6-7-8) 4,034,852 4,195,752 10. Deduct total nonadmitted amounts 0 0 11. Statement value at end of current period (Line 9 minus Line 10) 4,034,852 4,195,752
SCHEDULE B - VERIFICATION Mortgage Loans 1 2 Prior Year Ended Year to Date December 31 1. Book value/recorded investment excluding accrued interest, December 31 of prior year 0 0 2. Cost of acquired: 2.1 Actual cost at time of acquisition 0 0 2.2 Additional investment made after acquisition 0 0 3. Capitalized deferred interest and other 0 0 4. Accrual of discount 0 0 5. Unrealized valuation increase (decrease) 0 0 6. Total gain (loss) on disposals 0 0 7. Deduct amounts received on disposals 0 0 8. Deduct amortization of premium and mortgage interest points and commitment fees 0 0 9. Total foreign exchange change in book value/recorded investment excluding accrued interest 0 0 10. Deduct current year’s other than temporary impairment recognized 0 0 11. Book value/recorded investment excluding accrued interest at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) 0 0 12. Total valuation allowance 0 0 13. Subtotal (Line 11 plus Line 12) 0 0 14. Deduct total nonadmitted amounts 0 0 15. Statement value at end of current period (Line 13 minus Line 14) 0 0
SCHEDULE BA - VERIFICATION Other Long-Term Invested Assets 1 2 Prior Year Ended Year to Date December 31 1. Book/adjusted carrying value, December 31 of prior year 82,848,895 76,420,293 2. Cost of acquired: 2.1 Actual cost at time of acquisition 770,848 1,020,721 2.2 Additional investment made after acquisition 3,317,785 12,866,188 3. Capitalized deferred interest and other 0 0 4. Accrual of discount 0 0 5. Unrealized valuation increase (decrease) 1,502,829 (1,885,120) 6. Total gain (loss) on disposals 0 0 7. Deduct amounts received on disposals 3,061,580 5,525,715 8. Deduct amortization of premium and depreciation 11,868 47,472 9. Total foreign exchange change in book/adjusted carrying value 0 0 10. Deduct current year’s other than temporary impairment recognized 0 0 11. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) 85,366,909 82,848,895 12. Deduct total nonadmitted amounts 0 0 13. Statement value at end of current period (Line 11 minus Line 12) 85,366,909 82,848,895
SCHEDULE D - VERIFICATION Bonds and Stocks 1 2 Prior Year Ended Year to Date December 31 1. Book/adjusted carrying value of bonds and stocks, December 31 of prior year 1,297,904,357 1,232,192,804 2. Cost of bonds and stocks acquired 125,619,437 347,959,954 3. Accrual of discount 230,989 1,146,374 4. Unrealized valuation increase (decrease) 7,408,896 4,225,003 5. Total gain (loss) on disposals 1,335,187 7,020,751 6. Deduct consideration for bonds and stocks disposed of 88,161,341 284,743,013 7. Deduct amortization of premium 237,935 1,399,397 8. Total foreign exchange change in book/adjusted carrying value 0 0 9. Deduct current year’s other than temporary impairment recognized 181,244 9,436,520 10. Total investment income recognized as a result of prepayment penalties and/or acceleration fees 568,442 938,402 11. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9+10) 1,344,486,788 1,297,904,357 12. Deduct total nonadmitted amounts 0 0 13. Statement value at end of current period (Line 11 minus Line 12) 1,344,486,788 1,297,904,357
SI01 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 1B Showing the Acquisitions, Dispositions and Non-Trading Activity During the Current Quarter for all Bonds and Preferred Stock by NAIC Designation 1 2 3 4 5 6 7 8 Book/Adjusted Book/Adjusted Book/Adjusted Book/Adjusted Book/Adjusted Carrying Value Acquisitions Dispositions Non-Trading Activity Carrying Value Carrying Value Carrying Value Carrying Value Beginning During During During End of End of End of December 31 NAIC Designation of Current Quarter Current Quarter Current Quarter Current Quarter First Quarter Second Quarter Third Quarter Prior Year
BONDS
1. NAIC 1 (a) 754,332,291 73,590,161 62,811,460 (18,752,616) 746,358,376 0 0 754,332,291 2. NAIC 2 (a) 340,603,006 37,299,597 13,416,756 18,597,336 383,083,183 0 0 340,603,006 3. NAIC 3 (a) 32,656,407 5,036,767 2,179,148 (36,350) 35,477,675 0 0 32,656,407 4. NAIC 4 (a) 23,234,830 4,949,383 4,193,901 (836,715) 23,153,596 0 0 23,234,830 5. NAIC 5 (a) 1,543,433 0 645,161 379,416 1,277,688 0 0 1,543,433 6. NAIC 6 (a) 23,309 0 0 (22,000) 1,309 0 0 23,309 7. Total Bonds 1,152,393,276 120,875,907 83,246,426 (670,930) 1,189,351,828 0 0 1,152,393,276
SI02
PREFERRED STOCK
8. NAIC 1 0 0 0 0 0 0 0 0 9. NAIC 2 0 0 0 0 0 0 0 0 10. NAIC 3 0 0 0 0 0 0 0 0 11. NAIC 4 0 0 0 0 0 0 0 0 12. NAIC 5 0 0 0 0 0 0 0 0 13. NAIC 6 0 0 0 0 0 0 0 0 14. Total Preferred Stock 0 0 0 0 0 0 0 0 15. Total Bonds and Preferred Stock 1,152,393,276 120,875,907 83,246,426 (670,930) 1,189,351,828 0 0 1,152,393,276 (a) Book/Adjusted Carrying Value column for the end of the current reporting period includes the following amount of short-term and cash equivalent bonds by NAIC designation: NAIC 1 $ 0 ; NAIC 2 $ 0 ; NAIC 3 $ 0 NAIC 4 $ 0 ; NAIC 5 $ 0 ; NAIC 6 $ 0 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE DA - PART 1 Short-Term Investments 1 2 3 4 5 Paid for Book/Adjusted Interest Collected Accrued Interest Carrying Value Par Value Actual Cost Year-to-Date Year-to-Date 9199999 Totals NONEXXX
SCHEDULE DA - VERIFICATION Short-Term Investments 1 2
Prior Year Ended Year To Date December 31
1. Book/adjusted carrying value, December 31 of prior year 998,374 0
2. Cost of short-term investments acquired 0 992,200
3. Accrual of discount 1,626 6,174
4. Unrealized valuation increase (decrease) 0 0
5. Total gain (loss) on disposals 0 0
6. Deduct consideration received on disposals 1,000,000 0
7. Deduct amortization of premium 0 0
8. Total foreign exchange change in book/adjusted carrying value 0 0
9. Deduct current year’s other than temporary impairment recognized 0 0
10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 0 998,374
11. Deduct total nonadmitted amounts 0 0
12. Statement value at end of current period (Line 10 minus Line 11) 0 998,374
SI03 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA
Schedule DB - Part A - Verification - Options, Caps, Floors, Collars, Swaps and Forwards N O N E
Schedule DB - Part B - Verification - Futures Contracts N O N E
Schedule DB - Part C - Section 1 - Replication (Synthetic Asset) Transactions (RSATs) Open N O N E
Schedule DB-Part C-Section 2-Reconciliation of Replication (Synthetic Asset) Transactions Open N O N E
Schedule DB - Verification - Book/Adjusted Carrying Value, Fair Value and Potential Exposure of Derivatives N O N E
SI04, SI05, SI06, SI07 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE E - PART 2 - VERIFICATION (Cash Equivalents) 1 2
Prior Year Ended Year To Date December 31
1. Book/adjusted carrying value, December 31 of prior year 7,837 4,921,959
2. Cost of cash equivalents acquired 813 263,676,653
3. Accrual of discount 0 0
4. Unrealized valuation increase (decrease) 0 0
5. Total gain (loss) on disposals 0 0
6. Deduct consideration received on disposals 813 268,590,775
7. Deduct amortization of premium 0 0
8. Total foreign exchange change in book/adjusted carrying value 0 0
9. Deduct current year’s other than temporary impairment recognized 0 0
10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 7,837 7,837
11. Deduct total nonadmitted amounts 0 0
12. Statement value at end of current period (Line 10 minus Line 11) 7,837 7,837
SI08 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA
Schedule A - Part 2 - Real Estate Acquired and Additions Made N O N E
Schedule A - Part 3 - Real Estate Disposed N O N E
E01 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE B - PART 2 Showing All Mortgage Loans ACQUIRED AND ADDITIONS MADE During the Current Quarter 1 Location 4 5 6 7 8 9 2 3 Additional Loan Actual Cost at Investment Made Value of Land Loan Number City State Type Date Acquired Rate of Interest Time of Acquisition After Acquisition and Buildings 0899999. Total Mortgages in good standing 0 0 0 1699999. Total - Restructured Mortgages 0 0 0 2499999. Total - Mortgages with overdue interest over 90 days 0 0 0 3299999. Total - Mortgages in the process of foreclosure 0 0 0
3399999 - Totals 0 0 0
E02 SCHEDULE B - PART 3 Showing All Mortgage Loans DISPOSED, Transferred or Repaid During the Current Quarter 1 Location 4 5 6 7 Change in Book Value/Recorded Investment 14 15 16 17 18 2 3 Book Value/ 8 9 10 11 12 13 Book Value/ Recorded Current Recorded Investment Year’s Other- Total Investment Foreign Excluding Unrealized Current Than- Capitalized Change Total Foreign Excluding Exchange Realized Total Accrued Valuation Year’s Temporary Deferred in Exchange Accrued Gain Gain Gain Loan Date Disposal Interest Increase (Amortization) Impairment Interest and Book Value Change in Interest on Consid- (Loss) on (Loss) on (Loss) on Loan Number City State Type Acquired Date Prior Year (Decrease) /Accretion Recognized Other (8+9-10+11) Book Value Disposal eration Disposal Disposal Disposal
0599999 - Totals 0 0 0 0 0 0 0 0 0 0 0 0 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE BA - PART 2 Showing Other Long-Term Invested Assets ACQUIRED AND ADDITIONS MADE During the Current Quarter 1 2 Location 5 6 7 8 9 10 11 12 13 3 4 NAIC Designation, NAIC Designation Modifier and SVO Commitment Admini- Date Type Actual Cost Additional for CUSIP Name of Vendor strative Originally and at Time of Investment Made Amount of Additional Percentage of Identification Name or Description City State or General Partner Symbol Acquired Strategy Acquisition After Acquisition Encumbrances Investment Ownership 000000-00-0 AEA Mezzanine Partners IV LP STAMFORD CT AEA Mezzanine Partners IV LP 07/23/2018 2 0 152,884 0 1,587,798 0.507 000000-00-0 AEA Mezzanine Partners LP STAMFORD CT AEA Mezzanine Partners LP 06/20/2014 2 0 4,794 0 138,652 0.522 000000-00-0 AEA Middle Market Debt Fnd III STAMFORD CT AEA Middle Market Debt Fnd III 12/14/2016 2 0 20,554 0 655,205 0.870 000000-00-0 AEA Middle Market Debt Fnd IV STAMFORD CT AEA Middle Market Debt Fnd IV 05/31/2019 2 0 74,584 0 827,424 0.549 000000-00-0 Barings Real Estate Credit Str HARTFORD CT Barings Real Estate Credit Str 03/30/2017 2 0 244,209 0 1,192,521 1.040 000000-00-0 Heartwood Partners III, LP NORWALK CT Heartwood Partners III, LP 05/30/2018 3 0 202,895 0 1,469,399 0.667 000000-00-0 Heartwood Partners II, LP NORWALK CT Heartwood Partners II, LP 12/31/2013 3 0 1,072 0 236,321 1.072 000000-00-0 Falcon Structured Equity Ptner BOSTON MA Falcon Structured Equity Ptner 05/06/2019 2 0 103,519 0 592,400 0.663 000000-00-0 GCG Investors IV, LP CHICAGO IL GCG Investors IV, LP 03/14/2017 2 0 77,313 0 447,314 1.455 000000-00-0 Graham Partners IV, LP NEWTOWN SQUARE PA Graham Partners IV, LP 06/20/2017 3 0 53,426 0 538,667 0.545 000000-00-0 Graycliff Mezzanine III, LP NEW YORK NY Graycliff Mezzanine III, LP 10/02/2018 2 0 117,315 0 943,794 2.085 000000-00-0 Harvest Partners SCF II, LP NEW YORK NY Harvest Partners SCF II, LP 06/28/2018 2 0 379,182 0 391,720 0.382 000000-00-0 Harvest Partners SCF, LP NEW YORK NY Harvest Partners SCF, LP 09/27/2016 2 0 223,809 0 385,843 1.329 000000-00-0 Ironwood Mezzanine Fund IV, LP AVON CT Ironwood Mezzanine Fund IV, LP 06/12/2018 2 0 (950) 0 1,653,848 1.831 000000-00-0 North Haven Credit Partners II NEW YORK NY North Haven Credit Partners II 12/22/2014 2 0 98,914 0 1,632,255 0.519 000000-00-0 New Canaan Funding Mezz VI, LP NEW CANAAN CT New Canaan Funding Mezz VI, LP 11/09/2015 2 0 43,174 0 370,984 5.895 000000-00-0 Newstone Capital Partners III DALLAS TX Newstone Capital Partners III 11/09/2016 2 0 85,283 0 353,375 0.730 000000-00-0 PA Direct Credit Opport. II DARIEN CT PA Direct Credit Opport. II 03/27/2017 2 0 31,575 0 469,009 0.436
000000-00-0 Spire Capital Partners III LP NEW YORK NY Spire Capital Partners III LP 06/11/2015 3 0 34,785 0 456,922 0.842 E03 000000-00-0 Falcon Private Credit Opp. VI BOSTON MA Falcon Private Credit Opp. VI 11/30/2019 2 0 903,788 0 1,220,596 0.227 000000-00-0 Siguler Guff Small Business II NEW YORK NY Siguler Guff Small Business II 10/31/2019 2 0 (50,000) 0 2,604,000 1.353 000000-00-0 North Haven Credit Prtners III NEW YORK NY North Haven Credit Prtners III 12/20/2019 2 0 90,662 0 3,932,604 0.551 000000-00-0 Newstone Capital Partners IV DALLAS TX Newstone Capital Partners IV 12/23/2019 2 0 292,078 0 1,879,847 0.352 000000-00-0 PENINSULA Fund VII LP DETROIT MI PENINSULA Fund VII LP 02/12/2020 2 0 52,207 0 1,746,793 0.549 000000-00-0 GCG INVESTORS V, LP CHICAGO IL GCG INVESTORS V, LP 10/01/2020 2 0 80,714 0 1,836,739 0.714 000000-00-0 Performance Direct Investments IV, LP Greenwich CT Performance Direct Investments IV, LP 03/09/2021 3 770,848 0 0 1,629,152 0.779 2599999. Joint Venture Interests - Other - Unaffiliated 770,848 3,317,785 0 29,193,182 XXX 4899999. Total - Unaffiliated 770,848 3,317,785 0 29,193,182 XXX 4999999. Total - Affiliated 0 0 0 0 XXX 5099999 - Totals 770,848 3,317,785 0 29,193,182 XXX
SCHEDULE BA - PART 3 Showing Other Long-Term Invested Assets DISPOSED, Transferred or Repaid During the Current Quarter 1 2 Location 5 6 7 8 Change in Book/Adjusted Carrying Value 15 16 17 18 19 20 3 4 9 10 11 12 13 14 Book/ Current Book/ Adjusted Year’s Total Total Adjusted Carrying Current Other Change in Foreign Carrying Value Year’s Than Capital- Book/ Exchange Value Foreign Less Unrealized (Depre- Temporary ized Adjusted Change in Less Exchange Encum- Valuation ciation) or Impair- Deferred Carrying Book/ Encum- Gain Realized Total Date brances, Increase (Amorti- ment Interest Value Adjusted brances (Loss) Gain Gain Invest- CUSIP Name of Purchaser or Originally Disposal Prior (De- zation)/ Recog- and (9+10- Carrying on Consid- on (Loss) on (Loss) on ment Identification Name or Description City State Nature of Disposal Acquired Date Year crease) Accretion nized Other 11+12) Value Disposal eration Disposal Disposal Disposal Income 000000-00-0 AEA Mezzanine Partners IV LP STAMFORD CT Return of Capital 07/23/2018 02/23/2021 58,044 0 0 0 0 0 0 58,044 58,044 0 0 0 0 000000-00-0 AEA Mezzanine Partners LP STAMFORD CT Return of Capital 06/20/2014 03/12/2021 206,272 0 0 0 0 0 0 206,272 206,272 0 0 0 0 000000-00-0 AEA Middle Market Debt Fnd III STAMFORD CT Return of Capital 12/14/2016 01/26/2021 454,100 0 0 0 0 0 0 454,100 454,100 0 0 0 0 000000-00-0 AEA Middle Market Debt Fnd IV STAMFORD CT Return of Capital 05/31/2019 01/26/2021 167,194 0 0 0 0 0 0 167,194 167,194 0 0 0 0 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE BA - PART 3 Showing Other Long-Term Invested Assets DISPOSED, Transferred or Repaid During the Current Quarter 1 2 Location 5 6 7 8 Change in Book/Adjusted Carrying Value 15 16 17 18 19 20 3 4 9 10 11 12 13 14 Book/ Current Book/ Adjusted Year’s Total Total Adjusted Carrying Current Other Change in Foreign Carrying Value Year’s Than Capital- Book/ Exchange Value Foreign Less Unrealized (Depre- Temporary ized Adjusted Change in Less Exchange Encum- Valuation ciation) or Impair- Deferred Carrying Book/ Encum- Gain Realized Total Date brances, Increase (Amorti- ment Interest Value Adjusted brances (Loss) Gain Gain Invest- CUSIP Name of Purchaser or Originally Disposal Prior (De- zation)/ Recog- and (9+10- Carrying on Consid- on (Loss) on (Loss) on ment Identification Name or Description City State Nature of Disposal Acquired Date Year crease) Accretion nized Other 11+12) Value Disposal eration Disposal Disposal Disposal Income 000000-00-0 GCG Investors IV, LP CHICAGO IL Return of Capital 03/14/2017 02/01/2021 28,403 0 0 0 0 0 0 28,403 28,403 0 0 0 0 000000-00-0 Graycliff Mezzanine III, LP NEW YORK NY Return of Capital 10/02/2018 03/31/2021 203,901 0 0 0 0 0 0 203,901 203,901 0 0 0 0 000000-00-0 Ironwood Mezzanine Fund IV, LP AVON CT Return of Capital 06/12/2018 02/05/2021 127,220 0 0 0 0 0 0 127,220 127,220 0 0 0 0 000000-00-0 LBC Credit Partners III, LP PHILADELPHIA PA Return of Capital 11/21/2013 02/19/2021 23,034 0 0 0 0 0 0 23,034 23,034 0 0 0 0 000000-00-0 LBC Credit Partners IV, LP PHILADELPHIA PA Return of Capital 01/13/2017 02/19/2021 113,660 0 0 0 0 0 0 113,660 113,660 0 0 0 0 000000-00-0 North Haven Credit Partners II NEW YORK NY Return of Capital 12/22/2014 01/28/2021 303,085 0 0 0 0 0 0 303,085 303,085 0 0 0 0 000000-00-0 Newstone Capital Partners III DALLAS TX Return of Capital 11/09/2016 01/13/2021 102,142 0 0 0 0 0 0 102,142 102,142 0 0 0 0 000000-00-0 PA Direct Credit Opport. II DARIEN CT Return of Capital 03/27/2017 02/22/2021 140,316 0 0 0 0 0 0 140,316 140,316 0 0 0 0 000000-00-0 Peninsula Fund VI LP DETROIT MI Return of Capital 12/09/2015 02/25/2021 126,408 0 0 0 0 0 0 126,408 126,408 0 0 0 0 000000-00-0 TCW Direct Lending LLC LOS ANGELES CA Return of Capital 03/31/2015 02/24/2021 37,249 0 0 0 0 0 0 37,249 37,249 0 0 0 0 000000-00-0 Falcon Private Credit Opp. VI BOSTON MA Return of Capital 11/30/2019 03/05/2021 186,167 0 0 0 0 0 0 186,167 186,167 0 0 0 0 000000-00-0 North Haven Credit Prtners III NEW YORK NY Return of Capital 12/20/2019 02/25/2021 490,967 0 0 0 0 0 0 490,967 490,967 0 0 0 0 000000-00-0 Newstone Capital Partners IV DALLAS TX Return of Capital 12/23/2019 02/23/2021 162,314 0 0 0 0 0 0 162,314 162,314 0 0 0 0 000000-00-0 Spire Capital Parnerts IV,LP NEW YORK NY Return of Capital 08/01/2020 01/22/2021 5,147 0 0 0 0 0 0 5,147 5,147 0 0 0 0 000000-00-0 PA Direct Credit Opport. III DARIEN CT Return of Capital 10/01/2020 02/10/2021 49,411 0 0 0 0 0 0 49,411 49,411 0 0 0 0 000000-00-0 Performance Direct Investments IV, LP Greenwich CT Return of Capital 03/09/2021 03/10/2021 0 0 0 0 0 0 0 76,545 76,545 0 0 0 0 2599999. Joint Venture Interests - Other - Unaffiliated 2,985,035 0 0 0 0 0 0 3,061,580 3,061,580 0 0 0 0
4899999. Total - Unaffiliated 2,985,035 0 0 0 0 0 0 3,061,580 3,061,580 0 0 0 0 E03.1 4999999. Total - Affiliated 0 0 0 0 0 0 0 0 0 0 0 0 0 5099999 - Totals 2,985,035 0 0 0 0 0 0 3,061,580 3,061,580 0 0 0 0 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 3 Show All Long-Term Bonds and Stock Acquired During the Current Quarter 1 2 3 4 5 6 7 8 9 10 NAIC Designation, NAIC Designation Modifier and SVO Number of Paid for Accrued Admini- CUSIP Date Shares of Interest and strative Identification Description Foreign Acquired Name of Vendor Stock Actual Cost Par Value Dividends Symbol 91282C-AV-3 UNITED STATES TREASURY 01/21/2021 B.A. Securities Inc. 195,766 200,000 329 1.A 91282C-BL-4 UNITED STATES TREASURY 03/22/2021 GOLDMAN 379,953 400,000 448 1.A 0599999. Subtotal - Bonds - U.S. Governments 575,719 600,000 776 XXX 30300Y-AU-3 FREMF 2017-K67 C - CMBS 03/22/2021 PPM 533,828 500,000 1,260 1.A 3130AK-V5-2 FEDERAL HOME LOAN BANKS 01/22/2021 STC 2,000,000 2,000,000 0 1.A 3133KL-H2-6 FH RA4749 - RMBS 02/25/2021 CMG 4,123,802 3,994,602 2,774 1.A 3137F9-GM-7 FHR 5074 KP - CMO/RMBS 01/11/2021 INL 2,070,781 2,000,000 3,111 1.A 3137FY-TN-6 FHR 5096 C - CMO/RMBS 03/24/2021 INL 1,970,703 2,000,000 2,500 1.A 3140J7-XA-8 FN BM3372 - CMBS/RMBS 02/08/2021 BMO Capital Markets 1,895,216 1,774,666 2,368 1.A 3140KP-7J-6 FN BQ4496 - RMBS 02/17/2021 BARCLAYS CAPITAL INC 4,074,205 3,989,735 2,217 1.A 3140KV-XP-0 FN BQ9685 - RMBS 02/17/2021 WFM 2,884,299 2,823,851 1,569 1.A 3140KV-XR-6 FN BQ9687 - RMBS 02/17/2021 WFM 6,493,949 6,324,939 3,514 1.A 3140L0-D8-7 FN BR1926 - RMBS 01/08/2021 PPM 2,068,125 2,000,000 1,444 1.A 3140QG-5K-9 FN CA8949 - RMBS 03/30/2021 BARCLAYS CAPITAL INC 3,083,833 2,987,667 2,697 1.A 3140QG-UM-7 FN CA8687 - RMBS 03/04/2021 CMG 1,988,779 1,978,884 1,099 1.A 3140XA-GK-2 FN FM6501 - RMBS 03/18/2021 CMG 2,058,125 2,000,000 1,806 1.A 31418D-YC-0 FN MA4306 - RMBS 03/12/2021 BARCLAYS CAPITAL INC 2,060,938 2,000,000 1,806 1.A 54651R-DL-0 LOUISIANA ST UNCLAIMED PPTY SPL REV 03/18/2021 RBC CAPITAL MARKETS 470,435 500,000 495 1.E FE
60416Q-JA-3 MINNESOTA ST HSG FIN AGY HOMEOWNERSHIP F 02/11/2021 RBC CAPITAL MARKETS 570,000 570,000 0 1.A FE E04 759136-VH-4 REGIONAL TRANSN DIST COLO SALES TAX REV 03/10/2021 GOLDMAN 892,412 900,000 22 1.C FE 810489-WK-6 SCOTTSDALE ARIZ MUN PPTY CORP EXCISE TAX 01/22/2021 WELLS FARGO SECURITIES LLC 1,000,000 1,000,000 0 1.B FE 3199999. Subtotal - Bonds - U.S. Special Revenues 40,239,430 39,344,344 28,681 XXX 00081T-AK-4 ACCO BRANDS CORP 03/02/2021 SALOMON BROTHERS INC 394,500 400,000 0 3.C FE 00164V-AF-0 AMC NETWORKS INC 01/25/2021 Various 270,225 270,000 0 3.C FE 00507V-AP-4 ACTIVISION BLIZZARD INC 01/26/2021 RBC CAPITAL MARKETS 581,250 600,000 3,780 2.A FE 00846U-AN-1 AGILENT TECHNOLOGIES INC 03/16/2021 Various 1,090,362 1,100,000 192 2.A FE 013822-AG-6 ALCOA NEDERLAND HOLDING BV C 03/09/2021 Various 179,888 180,000 0 3.A FE 01400E-AB-9 ALCON FINANCE CORP 03/18/2021 B.A. Securities Inc. 416,052 400,000 5,967 2.B FE 02665W-DW-8 AMERICAN HONDA FINANCE CORP 03/24/2021 Various 1,001,274 1,000,000 67 1.G FE 03073E-AT-2 AMERISOURCEBERGEN CORP 03/25/2021 JP Morgan Securities LLC 1,596,688 1,600,000 0 1.G FE 031162-CW-8 AMGEN INC 01/21/2021 STC 625,434 600,000 9,928 2.A FE 03674X-AQ-9 ANTERO RESOURCES CORP 01/11/2021 JP Morgan Securities LLC 90,000 90,000 0 4.B FE 03969Y-AA-6 ARDAGH METAL PACKAGING FINANCE USA LLC C 03/19/2021 STC 343,875 350,000 348 3.B FE 052528-AL-0 AUSTRALIA AND NEW ZEALAND BANKING GROUP C 03/12/2021 Deutsche Bank Securities, Inc. 413,772 400,000 1,770 2.A FE 053332-BA-9 AUTOZONE INC 03/15/2021 MITSUBISHI UFJ SECURITIES 369,900 400,000 1,137 2.B FE 05583J-AJ-1 BPCE SA C 01/12/2021 SALOMON BROTHERS INC 1,000,000 1,000,000 0 1.G FE 05605H-AC-4 BWX TECHNOLOGIES INC 03/29/2021 MORGAN STANLEY CO 90,000 90,000 0 3.C FE 06541A-BB-5 BANK 2021-BNK31 - CMBS 01/28/2021 WFM 2,019,848 2,000,000 984 1.A FE 06542B-BC-0 BANK 2021-BNK32 A4 - CMBS 03/16/2021 MORGAN STANLEY CO 2,019,844 2,000,000 3,002 1.A FE 06650A-AD-9 BANK 2017-BNK8 A3 - CMBS 01/19/2021 WFM 862,622 780,000 1,399 1.D FM 071734-AL-1 BAUSCH HEALTH COMPANIES INC C 03/29/2021 SALOMON BROTHERS INC 148,875 150,000 2,581 4.B FE 072863-AH-6 BAYLOR SCOTT & WHITE HOLDINGS 01/14/2021 JP Morgan Securities LLC 240,000 240,000 0 1.D FE 075887-CL-1 BECTON DICKINSON AND CO 02/08/2021 MORGAN STANLEY CO 400,000 400,000 0 2.C FE 08162R-AC-1 BENCHMARK 2021-B23 MORTGAGE TRUST - CMBS 01/29/2021 SALOMON BROTHERS INC 2,019,902 2,000,000 1,722 1.A FE 08162R-AD-9 BMARK 2021-B23 A5 - CMBS 03/17/2021 JP Morgan Securities LLC 980,859 1,000,000 1,035 1.A FE 08163A-AE-3 BMARK 2020-B18 A5 - CMBS 03/25/2021 Deutsche Bank Securities, Inc. 1,950,391 2,000,000 2,994 1.D FM 125523-CM-0 CIGNA CORP 03/01/2021 SALOMON BROTHERS INC 399,536 400,000 0 2.B FE 12685J-AC-9 CABLE ONE INC 03/17/2021 B.A. Securities Inc. 158,400 160,000 2,311 4.B FE 141781-BQ-6 CARGILL INC 01/28/2021 SALOMON BROTHERS INC 619,715 620,000 0 1.F FE 14879E-AH-1 CATALENT PHARMA SOLUTIONS INC 03/10/2021 Various 403,250 410,000 469 3.C FE 159864-AG-2 CHARLES RIVER LABORATORIES INTERNATIONAL 03/08/2021 JP Morgan Securities LLC 40,000 40,000 0 3.B FE 159864-AJ-6 CHARLES RIVER LABORATORIES INTERNATIONAL 03/08/2021 JP Morgan Securities LLC 50,000 50,000 0 3.B FE 16411Q-AH-4 CHENIERE ENERGY PARTNERS LP 02/25/2021 JP Morgan Securities LLC 200,000 200,000 0 3.B FE 174610-AV-7 CITIZENS FINANCIAL GROUP INC 02/03/2021 B.A. Securities Inc. 617,688 600,000 5,496 2.B FE 185899-AK-7 CLEVELAND-CLIFFS INC 02/09/2021 Various 274,306 275,000 0 4.C FE 20030N-DM-0 COMCAST CORP 02/25/2021 MITSUBISHI UFJ SECURITIES 972,870 1,000,000 2,492 1.G FE STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 3 Show All Long-Term Bonds and Stock Acquired During the Current Quarter 1 2 3 4 5 6 7 8 9 10 NAIC Designation, NAIC Designation Modifier and SVO Number of Paid for Accrued Admini- CUSIP Date Shares of Interest and strative Identification Description Foreign Acquired Name of Vendor Stock Actual Cost Par Value Dividends Symbol 202712-BN-4 COMMONWEALTH BANK OF AUSTRALIA C 03/04/2021 Various 1,341,326 1,350,000 0 2.A FE 233851-ED-2 DAIMLER FINANCE NORTH AMERICA LLC 02/25/2021 B.A. Securities Inc. 1,000,922 1,000,000 0 2.A FE 23802W-AA-9 COLO 211 A2 - ABS 02/24/2021 Deutsche Bank Securities, Inc. 739,958 740,000 0 1.G FE 263534-CP-2 E I DU PONT DE NEMOURS AND CO 03/25/2021 RBC CAPITAL MARKETS 603,714 600,000 2,837 1.G FE 26442C-BB-9 DUKE ENERGY CAROLINAS LLC 03/29/2021 MORGAN STANLEY CO 99,885 100,000 0 1.F FE 26444H-AJ-0 DUKE ENERGY FLORIDA LLC 03/30/2021 Jefferies 567,282 600,000 3,092 1.F FE 267475-AD-3 DYCOM INDUSTRIES INC 03/30/2021 Various 380,000 380,000 0 3.C FE 285512-AE-9 ELECTRONIC ARTS INC 03/18/2021 Various 1,138,878 1,195,000 2,107 2.A FE 30212P-BF-1 EXPEDIA GROUP INC 02/16/2021 JP Morgan Securities LLC 198,162 200,000 0 2.C FE 30251G-BC-0 FMG RESOURCES (AUGUST 2006) PTY LTD C 03/18/2021 JP Morgan Securities LLC 100,000 100,000 0 3.A FE 31620M-BS-4 FIDELITY NATIONAL INFORMATION SERVICES I 02/23/2021 JP Morgan Securities LLC 198,846 200,000 0 2.B FE 343498-AC-5 FLOWERS FOODS INC 03/04/2021 Various 992,736 1,000,000 0 2.B FE 34959E-AB-5 FORTINET INC 02/24/2021 B.A. Securities Inc. 398,640 400,000 0 2.A FE 354613-AL-5 FRANKLIN RESOURCES INC 01/12/2021 RBC CAPITAL MARKETS 585,450 600,000 2,267 1.F FE 35805B-AB-4 FRESENIUS MEDICAL CARE US FINANCE III IN 02/11/2021 FIRST BOSTON 596,874 600,000 0 2.C FE 361448-BG-7 GATX CORP 02/16/2021 Various 983,452 1,000,000 317 2.B FE 38141G-XR-0 GOLDMAN SACHS GROUP INC 01/20/2021 GOLDMAN 1,001,872 1,000,000 0 1.G FE 382550-BJ-9 GOODYEAR TIRE & RUBBER CO 03/31/2021 SALOMON BROTHERS INC 400,000 400,000 0 4.A FE
E04.1 421946-AM-6 HEALTHCARE REALTY TRUST INC 01/12/2021 WELLS FARGO SECURITIES LLC 593,778 600,000 3,485 2.B FE 44891A-BT-3 HYUNDAI CAPITAL AMERICA 01/05/2021 SALOMON BROTHERS INC 998,950 1,000,000 0 2.A FE 451102-CA-3 ICAHN ENTERPRISES LP 01/12/2021 Various 230,450 230,000 0 3.C FE 456837-AV-5 ING GROEP NV C 03/25/2021 Various 1,001,104 1,000,000 0 1.G FE 456837-AW-3 ING GROEP NV C 03/25/2021 GOLDMAN 1,004,320 1,000,000 0 1.G FE 46647P-BX-3 JPMORGAN CHASE & CO 01/28/2021 JP Morgan Securities LLC 400,000 400,000 0 1.G FE 49271V-AN-0 KEURIG DR PEPPER INC 03/01/2021 JP Morgan Securities LLC 398,756 400,000 0 2.B FE 50220P-AC-7 LSEGA FINANCING PLC C 03/25/2021 SALOMON BROTHERS INC 999,090 1,000,000 0 1.D FE 50220P-AD-5 LSEGA FINANCING PLC C 03/26/2021 Various 996,688 1,000,000 0 1.D FE 502431-AF-6 L3HARRIS TECHNOLOGIES INC 03/18/2021 BARCLAYS CAPITAL INC 625,236 600,000 4,688 2.B FE 513075-BR-1 LAMAR MEDIA CORP 01/28/2021 GOLDMAN 355,250 350,000 583 4.A FE 527298-BT-9 LEVEL 3 FINANCING INC 01/12/2021 Various 225,225 225,000 19 3.B FE 52736R-BJ-0 LEVI STRAUSS & CO 02/02/2021 B.A. Securities Inc. 20,000 20,000 0 3.B FE 546347-AM-7 LOUISIANA-PACIFIC CORP 03/23/2021 Various 644,600 650,000 381 3.B FE 548661-DX-2 LOWE'S COMPANIES INC 03/12/2021 US BANCORP INVESTMENTS INC. 644,078 675,000 3,510 2.A FE 548661-DY-0 LOWE'S COMPANIES INC 02/16/2021 GOLDMAN 390,332 400,000 2,191 2.A FE 574599-BQ-8 MASCO CORP 02/18/2021 Deutsche Bank Securities, Inc. 596,047 600,000 0 2.B FE 577081-BE-1 MATTEL INC 03/09/2021 B.A. Securities Inc. 20,000 20,000 0 3.B FE 579780-AS-6 MCCORMICK & COMPANY INC 02/08/2021 B.A. Securities Inc. 595,272 600,000 0 2.B FE 588056-BA-8 MERCER INTERNATIONAL INC C 01/14/2021 FIRST BOSTON 90,000 90,000 0 4.A FE 609207-AT-2 MONDELEZ INTERNATIONAL INC 03/17/2021 SALOMON BROTHERS INC 1,228,212 1,200,000 14,300 2.B FE 609207-AY-1 MONDELEZ INTERNATIONAL INC 01/12/2021 BARCLAYS CAPITAL INC 694,428 700,000 3,245 2.B FE 617446-8X-0 MORGAN STANLEY 01/21/2021 Various 998,011 1,000,000 0 1.F FE 626717-AM-4 MURPHY OIL CORP 03/23/2021 MORGAN STANLEY CO 174,600 180,000 3,349 3.C FE 626717-AN-2 MURPHY OIL CORP 03/23/2021 B.A. Securities Inc. 342,125 350,000 1,240 3.B FE 62886E-BA-5 NCR CORP 03/22/2021 B.A. Securities Inc. 90,000 90,000 0 4.A FE 629377-CQ-3 NRG ENERGY INC 02/19/2021 JHY 202,000 200,000 1,519 3.B FE 63111X-AD-3 NASDAQ INC 01/22/2021 Various 1,362,946 1,400,000 1,604 2.B FE 632525-AU-5 NATIONAL AUSTRALIA BANK LTD C 01/26/2021 Various 1,210,976 1,200,000 11,790 2.A FE 63938C-AL-2 NAVIENT CORPORATION 01/28/2021 JP Morgan Securities LLC 599,952 600,000 0 4.A FE 65339K-BR-0 NEXTERA ENERGY CAPITAL HOLDINGS INC 01/20/2021 SALOMON BROTHERS INC 1,036,200 1,000,000 3,188 2.A FE 665859-AV-6 NORTHERN TRUST CORP 03/18/2021 B.A. Securities Inc. 398,828 410,000 3,131 1.E FE 69007T-AE-4 OUTFRONT MEDIA CAPITAL LLC 01/21/2021 SALOMON BROTHERS INC 450,563 450,000 191 4.A FE 71427Q-AA-6 PERNOD RICARD INTERNATIONAL FINANCE LLC 03/12/2021 GOLDMAN 950,848 1,000,000 5,674 2.A FE 720186-AN-5 PIEDMONT NATURAL GAS COMPANY INC 03/08/2021 MIZUHO SECURITIES USA/FIXED INCOME 199,262 200,000 0 2.A FE 72147K-AF-5 PILGRIMS PRIDE CORP 03/25/2021 BARCLAYS CAPITAL INC 346,479 350,000 0 3.A FE 723787-AR-8 PIONEER NATURAL RESOURCES CO 01/20/2021 Various 1,000,068 1,000,000 0 2.B FE 737446-AR-5 POST HOLDINGS INC 02/24/2021 GOLDMAN 200,000 200,000 0 4.B FE 74112B-AM-7 PRESTIGE BRANDS INC 03/05/2021 Various 396,500 400,000 167 4.B FE STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 3 Show All Long-Term Bonds and Stock Acquired During the Current Quarter 1 2 3 4 5 6 7 8 9 10 NAIC Designation, NAIC Designation Modifier and SVO Number of Paid for Accrued Admini- CUSIP Date Shares of Interest and strative Identification Description Foreign Acquired Name of Vendor Stock Actual Cost Par Value Dividends Symbol 75281A-BH-1 RANGE RESOURCES CORP 01/05/2021 B.A. Securities Inc. 20,000 20,000 0 4.B FE 76117W-AC-3 RESOLUTE FOREST PRODUCTS INC C 01/27/2021 SALOMON BROTHERS INC 360,000 360,000 0 4.B FE 778296-AG-8 ROSS STORES INC 01/15/2021 RBC CAPITAL MARKETS 398,072 400,000 1,854 2.A FE 78410G-AE-4 SBA COMMUNICATIONS CORP 03/17/2021 Various 391,475 400,000 760 4.A FE 78486Q-AF-8 SVB FINANCIAL GROUP 01/27/2021 Various 1,397,248 1,400,000 0 2.B FE 80281L-AP-0 SANTANDER UK GROUP HOLDINGS PLC C 03/08/2021 JP Morgan Securities LLC 1,400,000 1,400,000 0 2.A FE 808513-BP-9 CHARLES SCHWAB CORP 03/18/2021 Various 998,882 1,000,000 89 1.F FE 817826-AD-2 7-ELEVEN INC 01/27/2021 FIRST BOSTON 598,122 600,000 0 1.D FE 817826-AE-0 7-ELEVEN INC 01/27/2021 FIRST BOSTON 999,450 1,000,000 0 1.D FE 84762L-AX-3 SPECTRUM BRANDS INC 02/19/2021 SALOMON BROTHERS INC 200,500 200,000 0 4.B FE 85236K-AE-2 SIDC 211 A2 - ABS 03/12/2021 Deutsche Bank Securities, Inc. 300,000 300,000 0 1.G FE 857477-BP-7 STATE STREET CORP 02/26/2021 B.A. Securities Inc. 997,060 1,000,000 0 1.G FE 85917P-AA-5 STERIS IRISH FINCO UNLIMITED CO C 03/24/2021 JP Morgan Securities LLC 998,970 1,000,000 0 2.B FE 86562M-CE-8 SUMITOMO MITSUI FINANCIAL GROUP INC C 01/05/2021 GOLDMAN 401,172 400,000 0 1.G FE 87264A-BH-7 T-MOBILE USA INC 01/21/2021 GOLDMAN 616,242 600,000 7,209 2.C FE 87264A-BV-6 T-MOBILE USA INC 03/17/2021 JP Morgan Securities LLC 179,550 180,000 0 3.B FE 875127-BH-4 TAMPA ELECTRIC CO 03/17/2021 Various 1,396,063 1,400,000 30 1.G FE 879360-AD-7 TELEDYNE TECHNOLOGIES INC 03/08/2021 B.A. Securities Inc. 1,396,836 1,400,000 0 2.C FE
E04.2 892331-AN-9 TOYOTA MOTOR CORP C 03/18/2021 JP Morgan Securities LLC 1,400,000 1,400,000 0 1.E FE 893647-BM-8 TRANSDIGM INC 01/14/2021 GOLDMAN 100,000 100,000 0 4.C FE 902613-AE-8 UBS GROUP AG C 02/03/2021 MITSUBISHI UFJ SECURITIES 1,004,050 1,000,000 0 1.G FE 90265E-AT-7 UDR INC 02/11/2021 WELLS FARGO SECURITIES LLC 596,484 600,000 525 2.A FE 92343V-GH-1 VERIZON COMMUNICATIONS INC 03/12/2021 Various 1,002,486 1,000,000 0 2.A FE 928377-AC-4 VISTA OUTDOOR INC 03/24/2021 MORGAN STANLEY CO 426,563 430,000 719 4.B FE 928881-AC-5 VONTIER CORP 03/04/2021 Various 1,196,536 1,200,000 0 2.C FE 92939U-AE-6 WEC ENERGY GROUP INC 01/21/2021 Various 596,926 600,000 3,120 2.A FE 959802-BA-6 WESTERN UNION CO 02/23/2021 SALOMON BROTHERS INC 2,997,390 3,000,000 0 2.B FE 961214-EM-1 WESTPAC BANKING CORP C 03/17/2021 Deutsche Bank Securities, Inc. 413,188 400,000 1,447 2.A FE 988498-AN-1 YUM! BRANDS INC 02/17/2021 BARCLAYS CAPITAL INC 197,000 200,000 2,900 4.A FE 988498-AP-6 YUM! BRANDS INC 03/16/2021 SALOMON BROTHERS INC 200,000 200,000 0 3.C FE 3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 80,060,759 80,250,000 141,196 XXX 8399997. Total - Bonds - Part 3 120,875,907 120,194,344 170,653 XXX 8399998. Total - Bonds - Part 5 XXX XXX XXX XXX 8399999. Total - Bonds 120,875,907 120,194,344 170,653 XXX 8999997. Total - Preferred Stocks - Part 3 0 XXX 0 XXX 8999998. Total - Preferred Stocks - Part 5 XXX XXX XXX XXX 8999999. Total - Preferred Stocks 0 XXX 0 XXX 049560-10-5 ATMOS ENERGY ORD 01/14/2021 Fidelity Capital Markets 500.000 44,005 0 053015-10-3 AUTOMATIC DATA PROCESSING ORD 01/25/2021 Fidelity Capital Markets 1,200.000 194,193 0 060505-10-4 BANK OF AMERICA ORD 03/02/2021 Fidelity Capital Markets 17,930.000 599,167 0 064058-10-0 BANK OF NEW YORK MELLON ORD 03/04/2021 Fidelity Capital Markets 4,950.000 217,305 0 09247X-10-1 BLACKROCK ORD 03/08/2021 Fidelity Capital Markets 383.000 271,975 0 125896-10-0 CMS ENERGY ORD 03/26/2021 Fidelity Capital Markets 6,700.000 397,957 0 174610-10-5 CITIZENS FINANCIAL GROUP ORD 01/21/2021 Fidelity Capital Markets 2,520.000 100,189 0 29364G-10-3 ENTERGY ORD 01/14/2021 Fidelity Capital Markets 1,060.000 99,087 0 316773-10-0 FIFTH THIRD BANCORP ORD 01/29/2021 Fidelity Capital Markets 1,720.000 49,567 0 446150-10-4 HUNTINGTON BANCSHARES ORD 03/23/2021 Fidelity Capital Markets 20,920.000 315,867 0 459506-10-1 INTERNATIONAL FLAVORS & FRAGRANS ORD 01/05/2021 Fidelity Capital Markets 920.000 99,573 0 493267-10-8 KEYCORP ORD 02/26/2021 Fidelity Capital Markets 26,410.000 510,893 0 494368-10-3 KIMBERLY CLARK ORD 01/20/2021 Fidelity Capital Markets 400.000 52,401 0 539830-10-9 LOCKHEED MARTIN ORD 03/19/2021 Fidelity Capital Markets 1,774.000 603,798 0 59156R-10-8 METLIFE ORD 01/29/2021 Fidelity Capital Markets 1,040.000 49,910 0 665859-10-4 NORTHERN TRUST ORD 01/15/2021 Fidelity Capital Markets 520.000 49,905 0 681919-10-6 OMNICOM GROUP ORD 01/22/2021 Fidelity Capital Markets 880.000 55,164 0 75513E-10-1 RAYTHEON TECHNOLOGIES ORD 01/25/2021 Fidelity Capital Markets 8,720.000 598,713 0 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 3 Show All Long-Term Bonds and Stock Acquired During the Current Quarter 1 2 3 4 5 6 7 8 9 10 NAIC Designation, NAIC Designation Modifier and SVO Number of Paid for Accrued Admini- CUSIP Date Shares of Interest and strative Identification Description Foreign Acquired Name of Vendor Stock Actual Cost Par Value Dividends Symbol 7591EP-10-0 REGIONS FINANCIAL ORD 03/02/2021 Fidelity Capital Markets 4,100.000 87,576 0 838518-10-8 S JERSEY INDS ORD 03/17/2021 Fidelity Capital Markets 4,200.000 99,627 0 857477-10-3 STATE STREET ORD 01/29/2021 Fidelity Capital Markets 720.000 49,825 0 902973-30-4 US BANCORP ORD 01/20/2021 Fidelity Capital Markets 2,080.000 98,049 0 92343V-10-4 VERIZON COMMUNICATIONS ORD 01/05/2021 Fidelity Capital Markets 840.000 49,146 0 94106L-10-9 WASTE MANAGEMENT ORD 02/03/2021 Fidelity Capital Markets 440.000 49,636 0 9099999. Subtotal - Common Stocks - Industrial and Miscellaneous (Unaffiliated) Publicly Traded 4,743,529 XXX 0 XXX 9799997. Total - Common Stocks - Part 3 4,743,529 XXX 0 XXX 9799998. Total - Common Stocks - Part 5 XXX XXX XXX XXX 9799999. Total - Common Stocks 4,743,529 XXX 0 XXX 9899999. Total - Preferred and Common Stocks 4,743,529 XXX 0 XXX 9999999 - Totals 125,619,437 XXX 170,653 XXX
E04.3 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21 22 11 12 13 14 15 NAIC Desig- nation, NAIC Total Total Desig- Current Change in Foreign Bond nation Year's Book/ Exchange Book/ Interest/ Modifier Prior Year Current Other Than Adjusted Change in Adjusted Foreign Stock Stated and Book/ Unrealized Year's Temporary Carrying Book Carrying Exchange Realized Dividends Con- SVO CUSIP Number of Adjusted Valuation (Amor- Impairment Value /Adjusted Value at Gain Gain Total Gain Received tractual Admini- Ident- For- Disposal Name Shares of Consid- Actual Carrying Increase/ tization)/ Recog- (11 + 12 - Carrying Disposal (Loss) on (Loss) on (Loss) on During Maturity strative ification Description eign Date of Purchaser Stock eration Par Value Cost Value (Decrease) Accretion nized 13) Value Date Disposal Disposal Disposal Year Date Symbol 38380T-B7-0 GNR 2017-107 T - CMO/RMBS 03/01/2021 Paydown 8,953 8,953 9,131 9,095 0 (142) 0 (142) 0 8,953 0 0 0 22 01/20/2047 1.A 38382A-NY-7 GNR 2019-125 EA - CMO/RMBS 03/01/2021 Paydown 342,177 342,176 340,737 340,481 0 1,695 0 1,695 0 342,176 0 0 0 954 10/20/2049 1.A 912828-PC-8 UNITED STATES TREASURY 03/01/2021 Maturity @ 100.00 0 0 0 0 0 0 0 0 0 0 0 0 0 1,313 11/15/2020 1.A 0599999. Subtotal - Bonds - U.S. Governments 351,129 351,129 349,867 349,577 0 1,553 0 1,553 0 351,129 0 0 0 2,289 XXX XXX 100853-LJ-7 BOSTON MASS 01/29/2021 Call @ 100.00 1,000,000 1,000,000 998,900 999,606 0 5 0 5 0 999,612 0 388 388 16,225 04/01/2026 1.A FE 2499999. Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions 1,000,000 1,000,000 998,900 999,606 0 5 0 5 0 999,612 0 388 388 16,225 XXX XXX 196479-C3-1 COLORADO HSG & FIN AUTH 03/01/2021 Call @ 100.00 247,618 247,618 247,618 247,618 0 0 0 0 0 247,618 0 0 0 1,197 09/01/2047 1.A FE 196479-Y4-5 COLORADO HSG & FIN AUTH 03/01/2021 Call @ 100.00 70,000 70,000 70,000 70,000 0 0 0 0 0 70,000 0 0 0 503 11/01/2027 1.A FE 196480-GG-6 COLORADO HSG & FIN AUTH 03/01/2021 Paydown 29,465 29,465 29,364 29,365 0 100 0 100 0 29,465 0 0 0 159 04/01/2050 1.A FE 30262D-AL-5 FREMF 2011-K13 B - CMBS 01/01/2021 Paydown 3,000,000 3,000,000 3,188,789 3,000,000 0 0 0 0 0 3,000,000 0 0 0 24,396 01/25/2048 1.A 3128M9-CT-7 FH G06982 - RMBS 03/01/2021 Paydown 46,719 46,719 48,413 47,935 0 (1,215) 0 (1,215) 0 46,719 0 0 0 305 04/01/2042 1.A 3128MJ-3J-7 FH G08800 - RMBS 03/01/2021 Paydown 554,921 554,921 548,343 549,302 0 5,619 0 5,619 0 554,921 0 0 0 3,138 02/01/2048 1.A 3128MJ-WB-2 FH G08641 - RMBS 03/01/2021 Paydown 23,014 23,014 23,762 23,565 0 (551) 0 (551) 0 23,014 0 0 0 129 05/01/2045 1.A 3128MJ-WV-8 FH G08659 - RMBS 03/01/2021 Paydown 68,468 68,468 68,050 68,092 0 375 0 375 0 68,468 0 0 0 383 08/01/2045 1.A 3128MJ-XE-5 FH G08676 - RMBS 03/01/2021 Paydown 345,213 345,213 354,959 352,668 0 (7,455) 0 (7,455) 0 345,213 0 0 0 1,915 11/01/2045 1.A
3128MJ-XJ-4 FH G08680 - RMBS 03/01/2021 Paydown 505,754 505,754 504,608 504,886 0 868 0 868 0 505,754 0 0 0 2,264 12/01/2045 1.A E05 3128MJ-Y5-3 FH G08731 - RMBS 03/01/2021 Paydown 179,033 179,033 176,124 176,987 0 2,046 0 2,046 0 179,033 0 0 0 723 11/01/2046 1.A 3128MJ-ZB-9 FH G08737 - RMBS 03/01/2021 Paydown 664,872 664,872 671,636 669,361 0 (4,489) 0 (4,489) 0 664,872 0 0 0 3,219 12/01/2046 1.A 3128MJ-ZF-0 FH G08741 - RMBS 03/01/2021 Paydown 150,409 150,409 150,239 150,237 0 172 0 172 0 150,409 0 0 0 738 01/01/2047 1.A 3128P8-E8-0 FH C91959 - RMBS 03/01/2021 Paydown 137,369 137,369 132,614 133,025 0 4,344 0 4,344 0 137,369 0 0 0 664 11/01/2037 1.A 3130AD-D8-2 FEDERAL HOME LOAN BANKS 01/25/2021 Call @ 100.00 2,000,000 2,000,000 1,918,400 1,935,663 0 481 0 481 0 1,936,144 0 63,856 63,856 30,700 07/25/2028 1.A 3130AJ-5H-8 FEDERAL HOME LOAN BANKS 02/26/2021 Call @ 100.00 1,300,000 1,300,000 1,299,025 1,299,085 0 11 0 11 0 1,299,096 0 904 904 16,250 02/26/2032 1.A 3132AE-J7-2 FH ZT2086 - RMBS 03/01/2021 Paydown 297,475 297,475 304,563 307,010 0 (9,535) 0 (9,535) 0 297,475 0 0 0 1,676 06/01/2049 1.A 3132DV-3J-2 FH SD8001 - RMBS 03/01/2021 Paydown 163,877 163,877 167,898 168,916 0 (5,039) 0 (5,039) 0 163,877 0 0 0 894 07/01/2049 1.A 3132DV-3N-3 FH SD8005 - RMBS 03/01/2021 Paydown 427,852 427,852 438,749 442,131 0 (14,278) 0 (14,278) 0 427,852 0 0 0 2,336 08/01/2049 1.A 3132DV-4V-4 FH SD8036 - RMBS 03/01/2021 Paydown 269,034 269,034 273,111 273,300 0 (4,266) 0 (4,266) 0 269,034 0 0 0 1,314 01/01/2050 1.A 3132DV-LC-7 FH SD7523 - RMBS 03/30/2021 Various 2,993,621 2,906,528 3,084,099 3,081,974 0 (6,221) 0 (6,221) 0 3,075,752 0 (82,131) (82,131) 20,525 08/01/2050 1.A 3132DV-LG-8 FH SD7527 - RMBS 03/01/2021 Paydown 15,789 15,789 16,441 16,440 0 (651) 0 (651) 0 15,789 0 0 0 52 11/01/2050 1.A 3132DV-LH-6 FH SD7528 - RMBS 03/04/2021 Various 2,000,748 1,982,429 2,057,390 2,056,591 0 (1,887) 0 (1,887) 0 2,054,704 0 (53,955) (53,955) 10,950 11/01/2050 1.A 3132GR-L6-6 FH Q06349 - RMBS 03/01/2021 Paydown 76,415 76,415 78,277 77,639 0 (1,224) 0 (1,224) 0 76,415 0 0 0 325 02/01/2042 1.A 3132VN-3M-3 FH Q62603 - RMBS 03/01/2021 Paydown 118,710 118,710 121,270 121,528 0 (2,818) 0 (2,818) 0 118,710 0 0 0 661 12/01/2048 1.A 3132WH-5N-1 FH Q44452 - RMBS 03/01/2021 Paydown 207,713 207,713 208,427 208,134 0 (421) 0 (421) 0 207,713 0 0 0 990 11/01/2046 1.A 3132WK-Q8-4 FH Q45878 - RMBS 03/01/2021 Paydown 461,966 461,966 457,888 458,781 0 3,185 0 3,185 0 461,966 0 0 0 2,371 12/01/2046 1.A 3133EL-LP-7 FEDERAL FARM CREDIT BANKS FUNDING CORP 02/04/2021 Call @ 100.00 1,000,000 1,000,000 999,500 999,533 0 3 0 3 0 999,536 0 464 464 12,650 02/04/2032 1.A 3133EL-MP-6 FEDERAL FARM CREDIT BANKS FUNDING CORP 02/10/2021 Call @ 100.00 1,150,000 1,150,000 1,148,850 1,148,917 0 8 0 8 0 1,148,926 0 1,074 1,074 14,605 02/10/2033 1.A 3133KJ-5Y-4 FH RA3563 - RMBS 02/17/2021 Various 3,033,105 2,973,677 3,079,381 3,075,907 0 (4,354) 0 (4,354) 0 3,071,554 0 (38,449) (38,449) 16,398 09/01/2050 1.A 3133KK-D6-3 FH RA3725 - RMBS 02/17/2021 Various 2,010,715 1,971,657 2,038,816 2,036,975 0 (2,418) 0 (2,418) 0 2,034,558 0 (23,843) (23,843) 10,876 10/01/2050 1.A 3133TH-V7-9 FHR 2113 QG - CMO/RMBS 03/01/2021 Paydown 17,027 17,027 17,117 17,083 0 (56) 0 (56) 0 17,027 0 0 0 191 01/15/2029 1.A 3136A8-LL-2 FNR 2012-93 TY - CMO/RMBS 03/01/2021 Paydown 58,657 58,657 55,287 56,170 0 2,487 0 2,487 0 58,657 0 0 0 185 06/25/2042 1.A 3136AG-ZA-3 FNR 2013-101 A - CMO/RMBS 03/01/2021 Paydown 38,538 38,538 39,074 38,604 0 (67) 0 (67) 0 38,538 0 0 0 200 09/25/2030 1.A 3136AH-H9-4 FNR 2013-130 A - CMO/RMBS 03/01/2021 Paydown 49,092 49,092 48,647 48,761 0 331 0 331 0 49,092 0 0 0 282 01/25/2044 1.A 3136AR-PP-7 FNR 2016-11 LA - CMO/RMBS 03/01/2021 Paydown 109,154 109,154 109,751 109,273 0 (119) 0 (119) 0 109,154 0 0 0 659 05/25/2042 1.A 3136B1-LV-4 FNR 2018-24 VD - CMO/RMBS 03/01/2021 Paydown 50,635 50,635 51,078 50,845 0 (209) 0 (209) 0 50,635 0 0 0 296 04/25/2031 1.A 3136B5-QE-8 FNR 2019-45 CL - CMO/RMBS 03/01/2021 Paydown 266,799 266,799 266,757 266,764 0 35 0 35 0 266,799 0 0 0 1,268 08/25/2049 1.A 3137A3-H7-7 FHR 3751 HB - CMO/RMBS 03/01/2021 Paydown 143,645 143,645 143,645 143,645 0 0 0 0 0 143,645 0 0 0 820 11/15/2025 1.A 3137A7-KX-7 FHR 3826 BK - CMO/RMBS 03/01/2021 Paydown 45,320 45,320 47,648 45,846 0 (526) 0 (526) 0 45,320 0 0 0 225 03/15/2026 1.A 3137BV-EH-5 FHR 4655 HA - CMO/RMBS 03/01/2021 Paydown 54,208 54,208 54,868 54,249 0 (41) 0 (41) 0 54,208 0 0 0 306 01/15/2042 1.A 3137F7-JJ-5 FHR 5057 GA - CMBS/CMO/RMBS 03/01/2021 Paydown 27,953 27,953 28,951 28,944 0 (991) 0 (991) 0 27,953 0 0 0 95 12/25/2050 1.A 3137F7-MW-2 FHR 5050 CP - CMO/RMBS 03/01/2021 Paydown 27,136 27,136 28,171 28,165 0 (1,029) 0 (1,029) 0 27,136 0 0 0 93 12/25/2050 1.A 3137F9-GM-7 FHR 5074 KP - CMO/RMBS 03/01/2021 Paydown 12,872 12,872 13,328 0 0 (456) 0 (456) 0 12,872 0 0 0 33 02/25/2051 1.A 3137FL-3C-6 FHR 4863 HP - CMO/RMBS 03/01/2021 Paydown 387,310 387,310 390,941 391,059 0 (3,749) 0 (3,749) 0 387,310 0 0 0 2,206 03/15/2049 1.A 3137FL-3R-3 FHR 4863 K - CMO/RMBS 03/01/2021 Paydown 302,633 302,633 304,619 304,296 0 (1,663) 0 (1,663) 0 302,633 0 0 0 1,717 03/15/2049 1.A 3137FL-A3-8 FHR 4875 DA - CMO/RMBS 03/01/2021 Paydown 163,444 163,444 165,717 165,094 0 (1,650) 0 (1,650) 0 163,444 0 0 0 931 07/15/2048 1.A 3137FL-W5-9 FHR 4881 AK - CMO/RMBS 03/01/2021 Paydown 87,152 87,152 88,895 89,279 0 (2,127) 0 (2,127) 0 87,152 0 0 0 486 02/15/2048 1.A STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21 22 11 12 13 14 15 NAIC Desig- nation, NAIC Total Total Desig- Current Change in Foreign Bond nation Year's Book/ Exchange Book/ Interest/ Modifier Prior Year Current Other Than Adjusted Change in Adjusted Foreign Stock Stated and Book/ Unrealized Year's Temporary Carrying Book Carrying Exchange Realized Dividends Con- SVO CUSIP Number of Adjusted Valuation (Amor- Impairment Value /Adjusted Value at Gain Gain Total Gain Received tractual Admini- Ident- For- Disposal Name Shares of Consid- Actual Carrying Increase/ tization)/ Recog- (11 + 12 - Carrying Disposal (Loss) on (Loss) on (Loss) on During Maturity strative ification Description eign Date of Purchaser Stock eration Par Value Cost Value (Decrease) Accretion nized 13) Value Date Disposal Disposal Disposal Year Date Symbol 3137FM-2E-1 FHR 4891 PB - CMO/RMBS 03/01/2021 Paydown 227,778 227,778 232,173 232,878 0 (5,100) 0 (5,100) 0 227,778 0 0 0 1,270 06/15/2049 1.A 3137FN-FS-4 FHR 4911 LB - CMO/RMBS 03/01/2021 Paydown 234,124 234,124 238,550 239,151 0 (5,027) 0 (5,027) 0 234,124 0 0 0 599 08/25/2049 1.A 31393V-LJ-8 FHR 2635E E - CMO/RMBS 03/01/2021 Paydown 5,501 5,501 5,116 5,457 0 44 0 44 0 5,501 0 0 0 33 04/15/2033 1.A 31393V-LL-3 FHR 2635E EB - CMO/RMBS 03/01/2021 Paydown 5,183 5,183 5,335 5,196 0 (13) 0 (13) 0 5,183 0 0 0 33 04/15/2033 1.A 31397S-C5-1 FNR 2011-36 DB - CMO/RMBS 03/01/2021 Paydown 251,854 251,854 251,618 251,426 0 429 0 429 0 251,854 0 0 0 1,215 05/25/2026 1.A 31397U-ZB-8 FNR 2011-58 AL - CMO/RMBS 03/01/2021 Paydown 218,456 218,456 223,917 219,581 0 (1,126) 0 (1,126) 0 218,456 0 0 0 1,264 07/25/2026 1.A 31403D-AP-4 FN 745314 - RMBS 03/01/2021 Paydown 19,394 19,394 19,369 19,368 0 26 0 26 0 19,394 0 0 0 122 05/01/2034 1.A 3140EV-VF-1 FN BC1513 - RMBS 03/01/2021 Paydown 317,819 317,819 319,954 318,957 0 (1,139) 0 (1,139) 0 317,819 0 0 0 1,772 08/01/2046 1.A 3140F0-JJ-4 FN BC4764 - RMBS 03/01/2021 Paydown 594,078 594,078 599,044 597,615 0 (3,537) 0 (3,537) 0 594,078 0 0 0 2,989 10/01/2046 1.A 3140FX-C7-5 FN BF0093 - RMBS 03/01/2021 Paydown 202,566 202,566 208,706 209,664 0 (7,098) 0 (7,098) 0 202,566 0 0 0 1,087 05/01/2056 1.A 3140HA-XB-1 FN BJ8773 - RMBS 03/01/2021 Paydown 208,441 208,441 209,450 209,551 0 (1,110) 0 (1,110) 0 208,441 0 0 0 1,021 09/01/2049 1.A 3140J7-XA-8 FN BM3372 - CMBS/RMBS 03/01/2021 Paydown 2,888 2,888 3,083 0 0 (195) 0 (195) 0 2,888 0 0 0 11 01/01/2028 1.A 3140JP-M9-3 FN BN6683 - RMBS 03/01/2021 Paydown 332,045 332,045 340,631 341,878 0 (9,833) 0 (9,833) 0 332,045 0 0 0 1,874 06/01/2049 1.A 3140KL-YF-3 FN BQ1609 - RMBS 03/01/2021 Paydown 42,224 42,224 44,612 44,540 0 (2,316) 0 (2,316) 0 42,224 0 0 0 174 09/01/2050 1.A 3140KM-SW-1 FN BQ2332 - RMBS 03/01/2021 Paydown 63,861 63,861 67,793 67,681 0 (3,820) 0 (3,820) 0 63,861 0 0 0 337 09/01/2050 1.A
3140L0-D8-7 FN BR1926 - RMBS 03/01/2021 Paydown 8,073 8,073 8,348 0 0 (275) 0 (275) 0 8,073 0 0 0 20 01/01/2051 1.A E05.1 3140Q7-SL-2 FN CA0522 - RMBS 03/01/2021 Paydown 397,660 397,660 391,804 393,625 0 4,035 0 4,035 0 397,660 0 0 0 1,864 10/01/2047 1.A 3140QE-X2-3 FN CA6996 - RMBS 02/25/2021 Various 3,025,856 2,935,422 3,125,192 3,116,702 0 (5,787) 0 (5,787) 0 3,110,915 0 (85,059) (85,059) 20,214 09/01/2050 1.A 31418C-CP-7 FN MA2777 - RMBS 03/01/2021 Paydown 597,907 597,907 588,004 590,246 0 7,661 0 7,661 0 597,907 0 0 0 2,827 10/01/2046 1.A 31418C-T9-5 FN MA3275 - RMBS 03/01/2021 Paydown 676,216 676,216 664,594 667,212 0 9,004 0 9,004 0 676,216 0 0 0 3,177 02/01/2048 1.A 31418D-C6-7 FN MA3692 - RMBS 03/01/2021 Paydown 198,953 198,953 203,429 204,645 0 (5,692) 0 (5,692) 0 198,953 0 0 0 1,094 07/01/2049 1.A 31418D-P9-7 FN MA4047 - RMBS 03/01/2021 Paydown 389,288 389,288 396,539 396,010 0 (6,722) 0 (6,722) 0 389,288 0 0 0 1,292 06/01/2050 1.A 31418D-VB-5 FN MA4209 - RMBS 02/12/2021 Various 3,988,414 3,989,029 4,020,973 4,020,487 0 (980) 0 (980) 0 4,019,507 0 (31,093) (31,093) 16,531 12/01/2050 1.A 54627D-EF-4 LOUISIANA HSG CORP SINGLE FAMILY MTG REV 03/01/2021 Redemption @ 100.00 26,327 26,327 26,327 26,327 0 0 0 0 0 26,327 0 0 0 65 03/01/2041 1.A FE 57419R-GH-2 MARYLAND ST CMNTY DEV ADMIN DEPT HSG & C 03/01/2021 Call @ 100.00 40,172 40,172 40,172 40,172 0 0 0 0 0 40,172 0 0 0 238 07/01/2043 1.A FE 57563R-JZ-3 MASEDU 11J J722 01/04/2021 Call @ 100.00 845,000 845,000 842,888 844,623 0 2 0 2 0 844,625 0 375 375 17,956 07/01/2022 1.F FE 60416Q-GX-6 MINNESOTA ST HSG FIN AGY HOMEOWNERSHIP F 03/01/2021 Call @ 100.00 338,493 338,493 338,493 338,493 0 0 0 0 0 338,493 0 0 0 1,612 10/01/2047 1.A FE 60416Q-HX-5 MINNESOTA ST HSG FIN AGY HOMEOWNERSHIP F 03/01/2021 Redemption @ 100.00 49,594 49,594 49,594 49,594 0 0 0 0 0 49,594 0 0 0 167 06/01/2050 1.A FE 60416Q-HY-3 MINNESOTA ST HSG FIN AGY HOMEOWNERSHIP F 03/01/2021 Redemption @ 100.00 98,720 98,720 98,720 98,720 0 0 0 0 0 98,720 0 0 0 323 09/01/2050 1.A FE 60416Q-HZ-0 MINNESOTA ST HSG FIN AGY HOMEOWNERSHIP F 03/01/2021 Redemption @ 100.00 5,194 5,194 5,194 5,194 0 0 0 0 0 5,194 0 0 0 14 12/01/2050 1.A FE 60637B-B6-6 MISSOURI ST HSG DEV COMMN SINGLE FAMILY 03/01/2021 Redemption @ 100.00 8,062 8,062 8,062 8,062 0 0 0 0 0 8,062 0 0 0 12 11/01/2050 1.B FE 641279-NX-8 NEVADA HSG DIV SINGLE FAMILY MTG REV 03/01/2021 Paydown 57,383 57,383 57,383 57,383 0 0 0 0 0 57,383 0 0 0 177 11/01/2044 1.B FE 64469D-VA-6 NEW HAMPSHIRE ST HSG FIN AUTH SINGLE FAM 02/01/2021 Call @ 100.00 10,000 10,000 10,000 10,000 0 0 0 0 0 10,000 0 0 0 165 01/01/2022 1.C FE 64469D-VL-2 NEW HAMPSHIRE ST HSG FIN AUTH SINGLE FAM 02/01/2021 Call @ 100.00 5,000 5,000 5,000 5,000 0 0 0 0 0 5,000 0 0 0 84 07/01/2022 1.C FE 658207-MA-0 NORTH CAROLINA HSG FIN AGY HOMEOWNERSHIP 03/01/2021 Call @ 100.00 55,000 55,000 55,000 55,000 0 0 0 0 0 55,000 0 0 0 1,101 01/01/2030 1.B FE 677377-2P-7 OHIO HSG FIN AGY SINGLE FAMILY MTG REV 03/01/2021 Call @ 100.00 40,000 40,000 40,000 40,000 0 0 0 0 0 40,000 0 0 0 188 11/01/2041 1.A FE 684907-WN-4 ORANGE CNTY FLA HSG FIN AUTH HOMEOWNER R 03/01/2021 Call @ 100.00 14,838 14,838 14,838 14,838 0 0 0 0 0 14,838 0 0 0 23 09/01/2050 1.A FE 704668-DF-6 PEACHTREE CITY GA WTR & SEW AUTH SWR SYS 03/01/2021 Maturity @ 100.00 1,000,000 1,000,000 953,770 998,910 0 1,090 0 1,090 0 1,000,000 0 0 0 10,750 03/01/2021 1.B FE 88275F-SH-3 TEXAS ST DEPT HSG & CMNTY AFFAIRS SINGLE 03/01/2021 Redemption @ 100.00 27,310 27,310 27,310 27,310 0 0 0 0 0 27,310 0 0 0 98 03/01/2036 1.B FE 3199999. Subtotal - Bonds - U.S. Special Revenues 40,021,123 39,727,404 40,502,084 40,341,137 0 (96,916) 0 (96,916) 0 40,268,979 0 (247,856) (247,856) 287,093 XXX XXX 00081T-AJ-7 ACCO BRANDS CORP 03/31/2021 Call @ 100.00 513,125 500,000 501,563 500,683 0 (39) 0 (39) 0 500,645 0 (645) (645) 20,854 12/15/2024 4.A FE WELLS FARGO SECURITIES 00507V-AP-4 ACTIVISION BLIZZARD INC 02/24/2021 LLC 1,312,570 1,400,000 1,360,922 780,330 0 441 0 441 0 1,362,020 0 (49,450) (49,450) 10,290 09/15/2030 2.A FE 013093-AD-1 ALBERTSONS COMPANIES LLC 01/04/2021 Call @ 100.00 296,280 288,000 270,687 277,409 0 18 0 18 0 277,427 0 10,573 10,573 10,635 03/15/2025 4.A FE 02361D-AV-2 AMEREN ILLINOIS CO 02/25/2021 STC 571,158 600,000 598,898 598,909 0 16 0 16 0 598,925 0 (27,767) (27,767) 2,532 11/15/2030 1.F FE JP Morgan Securities LLC 03674X-AF-3 ANTERO RESOURCES CORP 03/23/2021 175,219 175,000 70,000 70,000 0 0 0 0 0 70,000 0 105,219 105,219 3,117 06/01/2023 4.B FE 038779-AB-0 ARBYS 2020-1 A2 - RMBS 01/30/2021 Paydown 2,500 2,500 2,516 2,517 0 (17) 0 (17) 0 2,500 0 0 0 20 08/01/2050 2.C FE 06540Y-AC-3 BANK 2020-BNK28 A3 - CMBS 03/09/2021 WFM 1,724,063 1,800,000 1,817,917 1,817,445 0 (363) 0 (363) 0 1,817,082 0 (93,019) (93,019) 7,920 03/15/2063 1.D FM 08162W-BB-1 BMARK 2020-B19 A4 - CMBS 03/09/2021 CMG 1,934,375 2,000,000 2,019,901 2,019,307 0 (458) 0 (458) 0 2,018,849 0 (84,474) (84,474) 8,589 09/17/2053 1.D FM 08163A-AD-5 BMARK 2020-B18 A4 - CMBS 03/25/2021 WFM 1,913,125 2,000,000 2,019,854 2,018,982 0 (510) 0 (510) 0 2,018,472 0 (105,347) (105,347) 10,961 07/15/2053 1.D FM 085790-AY-9 BERRY GLOBAL INC 01/25/2021 Call @ 100.00 70,897 70,000 70,000 70,000 0 0 0 0 0 70,000 0 0 0 2,113 07/15/2023 3.B FE 08883@-AA-1 BOWLING GREEN KETUCKY CTL PASS-THROUGH T 03/15/2021 Paydown 16,048 16,048 16,048 16,048 0 0 0 0 0 16,048 0 0 0 143 06/15/2036 2.B STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21 22 11 12 13 14 15 NAIC Desig- nation, NAIC Total Total Desig- Current Change in Foreign Bond nation Year's Book/ Exchange Book/ Interest/ Modifier Prior Year Current Other Than Adjusted Change in Adjusted Foreign Stock Stated and Book/ Unrealized Year's Temporary Carrying Book Carrying Exchange Realized Dividends Con- SVO CUSIP Number of Adjusted Valuation (Amor- Impairment Value /Adjusted Value at Gain Gain Total Gain Received tractual Admini- Ident- For- Disposal Name Shares of Consid- Actual Carrying Increase/ tization)/ Recog- (11 + 12 - Carrying Disposal (Loss) on (Loss) on (Loss) on During Maturity strative ification Description eign Date of Purchaser Stock eration Par Value Cost Value (Decrease) Accretion nized 13) Value Date Disposal Disposal Disposal Year Date Symbol JP Morgan Securities LLC 09261B-AA-8 BLACKSTONE HOLDINGS FINANCE CO LLC 03/08/2021 932,920 1,000,000 998,170 998,212 0 30 0 30 0 998,242 0 (65,322) (65,322) 7,156 03/30/2031 1.E FE 124857-AG-8 VIACOMCBS INC 03/15/2021 Call @ 100.00 3,087,150 3,000,000 2,941,410 2,992,032 0 1,350 0 1,350 0 2,993,382 0 6,618 6,618 141,713 03/01/2022 2.B FE 12527G-AG-8 CF INDUSTRIES INC 03/22/2021 Call @ 100.00 255,276 250,000 247,818 249,573 0 102 0 102 0 249,675 0 325 325 7,850 12/01/2021 2.C FE 12530M-AB-1 SORT 2020-1 A2 - ABS 03/15/2021 Paydown 950 950 949 949 0 0 0 0 0 950 0 0 0 3 07/15/2060 1.D FE 131347-CK-0 CALPINE CORP 02/01/2021 Call @ 100.00 0 0 0 0 0 0 0 0 0 0 0 (2,260) (2,260) 0 06/01/2026 3.A FE 141781-BQ-6 CARGILL INC 03/30/2021 SALOMON BROTHERS INC 584,468 620,000 619,715 0 0 4 0 4 0 619,719 0 (35,251) (35,251) 1,727 02/02/2031 1.F FE 159864-AC-1 CHARLES RIVER LABORATORIES INTERNATIONAL 03/23/2021 Call @ 100.00 135,504 130,000 126,263 126,668 0 120 0 120 0 126,789 0 3,211 3,211 8,920 04/01/2026 3.B FE 16411Q-AB-7 CHENIERE ENERGY PARTNERS LP 03/29/2021 Call @ 100.00 153,938 150,000 149,813 149,879 0 5 0 5 0 149,884 0 116 116 7,788 10/01/2025 3.B FE 185899-AD-3 CLEVELAND-CLIFFS INC 03/12/2021 Call @ 100.00 773,910 750,000 600,000 621,396 0 3,965 0 3,965 0 625,361 0 124,639 124,639 43,433 10/15/2025 5.B FE 226373-AL-2 CRESTWOOD MIDSTREAM PARTNERS LP 01/08/2021 Call @ 100.814 277,310 275,000 154,055 154,055 0 0 0 0 0 154,055 0 123,255 123,255 5,252 04/01/2023 4.A FE WELLS FARGO SECURITIES 231021-AT-3 CUMMINS INC 03/02/2021 LLC 1,147,056 1,200,000 1,193,016 1,193,243 0 111 0 111 0 1,193,354 0 (46,298) (46,298) 9,500 09/01/2030 1.F FE 24704A-AD-8 DEFT 2018-1 A3 - ABS 03/22/2021 Paydown 139,434 139,434 139,420 139,433 0 1 0 1 0 139,434 0 0 0 619 06/22/2023 1.A FE 30251G-AU-1 FMG RESOURCES (AUGUST 2006) PTY LTD C 03/26/2021 Call @ 100.00 104,700 100,000 100,000 100,000 0 0 0 0 0 100,000 0 0 0 6,428 05/15/2022 3.A FE
30262D-AL-5 FREMF 2011-K13 B - CMBS 01/25/2021 Paydown 0 0 0 0 0 0 0 0 0 0 0 0 0 (12,198) 01/25/2048 1.D FM E05.2 307000-AA-7 FAMILY DOLLAR STORES INC 01/20/2021 Call @ 100.00 500,759 500,000 497,470 499,973 0 16 0 16 0 499,990 0 10 10 12,425 02/01/2021 2.B FE 36250G-AN-5 GSMS 2015-GC30 A3 - CMBS 01/01/2021 Paydown 89,600 89,600 90,494 89,982 0 (382) 0 (382) 0 89,600 0 0 0 233 05/12/2050 1.D FM 36804P-AF-3 GATX CORP - ABS 01/02/2021 Paydown 89,210 89,210 89,212 89,207 0 3 0 3 0 89,210 0 0 0 4,077 01/02/2025 2.B FE 37185L-AF-9 GENESIS ENERGY LP 01/04/2021 R. W. PRESSPRICH 341,688 350,000 245,000 245,000 0 0 0 0 0 245,000 0 96,688 96,688 1,148 06/15/2024 4.A FE 438516-BA-3 HONEYWELL INTERNATIONAL INC 03/01/2021 Maturity @ 100.00 700,000 700,000 757,582 701,408 0 (1,408) 0 (1,408) 0 700,000 0 0 0 14,875 03/01/2021 1.F FE 451102-BJ-5 ICAHN ENTERPRISES LP 02/01/2021 Call @ 100.00 186,000 186,000 189,864 186,118 0 (118) 0 (118) 0 186,000 0 0 0 5,813 02/01/2022 3.C FE 46124H-AD-8 INTUIT INC 02/26/2021 KEY CAPITAL MARKETS 977,530 1,000,000 1,000,666 1,000,637 0 (11) 0 (11) 0 1,000,627 0 (23,097) (23,097) 11,138 07/15/2030 1.G FE 46637W-AD-5 JPMCC 2012-CIBX A4 - CMBS 03/01/2021 Paydown 134,343 134,343 137,030 134,415 0 (71) 0 (71) 0 134,343 0 0 0 1,111 06/16/2045 1.D FM 47837R-AA-8 JOHNSON CONTROLS INTERNATIONAL PLC C 03/31/2021 BARCLAYS CAPITAL INC 563,418 600,000 598,134 598,187 0 45 0 45 0 598,232 0 (34,814) (34,814) 5,950 09/15/2030 2.B FE 49456B-AA-9 KINDER MORGAN INC 02/15/2021 Maturity @ 100.00 300,000 300,000 300,000 300,000 0 0 0 0 0 300,000 0 0 0 7,500 02/15/2021 2.B FE 546347-AK-1 LOUISIANA-PACIFIC CORP 03/29/2021 Various 563,577 550,000 543,581 546,680 0 168 0 168 0 546,847 0 7,344 7,344 23,105 09/15/2024 3.A FE 571676-AL-9 MARS INC 03/09/2021 Various 1,482,391 1,600,000 1,594,066 1,594,226 0 88 0 88 0 1,594,313 0 (111,922) (111,922) 16,972 07/16/2032 1.F FE 574754-AM-9 MASHANTUCKET (WESTERN) PEQUOT TRIBAL NAT 01/15/2021 Call @ 100.00 45 45 0 0 0 0 0 0 0 0 0 45 45 0 07/01/2036 6. 58769L-AD-4 MBALT 2018-B A4 - ABS 03/15/2021 Paydown 2,000,000 2,000,000 1,999,871 1,999,987 0 13 0 13 0 2,000,000 0 0 0 16,310 07/15/2024 1.A FE 588056-AU-5 MERCER INTERNATIONAL INC C 02/16/2021 Call @ 100.00 508,125 500,000 448,500 454,937 0 1,188 0 1,188 0 456,125 0 43,875 43,875 25,458 02/01/2024 4.A FE Imperial Capital Markets 594087-AV-0 MICHAELS STORES INC 03/09/2021 583,200 540,000 536,566 536,671 0 79 0 79 0 536,749 0 46,451 46,451 11,400 10/01/2027 4.A FE 609207-AX-3 MONDELEZ INTERNATIONAL INC 02/01/2021 J P MORGAN SECURITIES 581,598 600,000 595,624 595,745 0 34 0 34 0 595,780 0 (14,182) (14,182) 3,725 02/04/2031 2.B FE 61761A-AY-4 MSBAM 2012-C5 A3 - CMBS 03/01/2021 Paydown 69,951 69,951 71,349 70,023 0 (72) 0 (72) 0 69,951 0 0 0 752 08/17/2045 1.D FM 61763M-AE-0 MSBAM 2014-C16 A4 - CMBS 02/01/2021 Paydown 1,586 1,586 1,602 1,590 0 (4) 0 (4) 0 1,586 0 0 0 10 06/17/2047 1.D FM 61764P-BT-8 MSBAM 2014-C19 A3 - CMBS 03/01/2021 Paydown 31,849 31,849 32,165 31,965 0 (116) 0 (116) 0 31,849 0 0 0 258 12/17/2047 1.D FM 65478N-AD-7 NAROT 2018-C A3 - ABS 03/15/2021 Paydown 25,814 25,814 25,809 25,813 0 1 0 1 0 25,814 0 0 0 134 06/15/2023 1.A FE 664675-AF-2 NORTHEASTERN UNIVERSITY 03/01/2021 Maturity @ 100.00 555,000 555,000 555,000 555,000 0 0 0 0 0 555,000 0 0 0 9,987 03/01/2021 1.E FE 71427Q-AB-4 PERNOD RICARD INTERNATIONAL FINANCE LLC 02/25/2021 SALOMON BROTHERS INC 943,280 1,000,000 991,580 991,766 0 119 0 119 0 991,885 0 (48,605) (48,605) 6,771 04/01/2031 2.A FE 737446-AK-0 POST HOLDINGS INC 03/11/2021 Call @ 100.00 814,156 780,000 765,125 770,031 0 287 0 287 0 770,318 0 9,682 9,682 56,473 08/15/2026 4.B FE WELLS FARGO SECURITIES 74256L-EG-0 PRINCIPAL LIFE GLOBAL FUNDING II 03/02/2021 LLC 949,990 1,000,000 994,930 995,085 0 80 0 80 0 995,165 0 (45,175) (45,175) 7,792 08/27/2030 1.E FE 74340X-BE-0 PROLOGIS LP 03/08/2021 Call @ 100.00 3,092,788 2,750,000 2,844,298 2,804,012 0 (1,995) 0 (1,995) 0 2,802,017 0 (52,017) (52,017) 379,168 11/01/2025 1.G FE 760759-AX-8 REPUBLIC SERVICES INC 02/24/2021 FIRST BOSTON 1,052,878 1,120,000 1,102,181 1,102,705 0 240 0 240 0 1,102,945 0 (50,067) (50,067) 8,391 02/15/2031 2.B FE 776743-AL-0 ROPER TECHNOLOGIES INC 03/31/2021 RBC CAPITAL MARKETS 557,778 600,000 599,034 599,061 0 21 0 21 0 599,082 0 (41,304) (41,304) 6,242 02/15/2031 2.A FE 78388J-AV-8 SBA COMMUNICATIONS CORP 03/11/2021 SALOMON BROTHERS INC 513,000 500,000 492,795 495,442 0 226 0 226 0 495,668 0 17,332 17,332 13,135 09/01/2024 4.A FE 80105N-AG-0 SANOFI SA C 03/29/2021 Maturity @ 100.00 1,000,000 1,000,000 989,760 999,714 0 286 0 286 0 1,000,000 0 0 0 20,000 03/29/2021 1.E FE 81762P-AE-2 SERVICENOW INC 02/24/2021 RBC CAPITAL MARKETS 1,490,528 1,600,000 1,567,070 1,567,713 0 481 0 481 0 1,568,194 0 (77,666) (77,666) 12,133 09/01/2030 2.A FE MITSUBISHI UFJ 832696-AS-7 J M SMUCKER CO 03/31/2021 SECURITIES 987,420 1,000,000 1,049,660 1,048,025 0 (1,281) 0 (1,281) 0 1,046,744 0 (59,324) (59,324) 13,194 03/15/2030 2.B FE 83546D-AJ-7 SONIC 2020-1 A22 - RMBS 03/20/2021 Paydown 2,000 2,000 2,000 2,000 0 0 0 0 0 2,000 0 0 0 14 01/20/2050 2.B FE 86203#-AA-8 STONEHENGE CAPITAL FUND CONNECTICUT IV L 03/15/2021 Paydown 39,300 39,300 39,300 39,300 0 0 0 0 0 39,300 0 0 0 786 12/15/2025 1.G STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21 22 11 12 13 14 15 NAIC Desig- nation, NAIC Total Total Desig- Current Change in Foreign Bond nation Year's Book/ Exchange Book/ Interest/ Modifier Prior Year Current Other Than Adjusted Change in Adjusted Foreign Stock Stated and Book/ Unrealized Year's Temporary Carrying Book Carrying Exchange Realized Dividends Con- SVO CUSIP Number of Adjusted Valuation (Amor- Impairment Value /Adjusted Value at Gain Gain Total Gain Received tractual Admini- Ident- For- Disposal Name Shares of Consid- Actual Carrying Increase/ tization)/ Recog- (11 + 12 - Carrying Disposal (Loss) on (Loss) on (Loss) on During Maturity strative ification Description eign Date of Purchaser Stock eration Par Value Cost Value (Decrease) Accretion nized 13) Value Date Disposal Disposal Disposal Year Date Symbol JP Morgan Securities LLC 86562M-CE-8 SUMITOMO MITSUI FINANCIAL GROUP INC C 03/08/2021 374,056 400,000 401,172 0 0 (17) 0 (17) 0 401,155 0 (27,099) (27,099) 1,102 01/12/2031 1.G FE 86614W-AD-8 SUMMIT MIDSTREAM HOLDINGS LLC 01/26/2021 RBC CAPITAL MARKETS 145,800 180,000 19,800 19,800 0 0 0 0 0 19,800 0 126,000 126,000 2,961 04/15/2025 5.B FE 893647-AX-5 TRANSDIGM INC 02/16/2021 Call @ 100.00 376,013 370,000 353,272 352,348 0 (242) 0 (242) 0 352,106 0 17,894 17,894 19,975 07/15/2024 4.C FE 897051-AA-6 TRONOX INC 03/31/2021 Call @ 100.00 362,177 350,000 332,350 335,250 0 559 0 559 0 335,808 0 14,192 14,192 22,667 04/15/2026 4.C FE 92936Q-AG-3 WFRBS 2012-C6 A4 - CMBS 03/01/2021 Paydown 11,648 11,648 11,764 11,643 0 5 0 5 0 11,648 0 0 0 69 04/17/2045 1.D FM 92938E-AM-5 WFRBS 2013-C16 A4 - CMBS 02/01/2021 Paydown 21,309 21,309 21,521 21,357 0 (47) 0 (47) 0 21,309 0 0 0 147 09/17/2046 1.D FM JP Morgan Securities LLC 94106L-BP-3 WASTE MANAGEMENT INC 02/03/2021 386,604 400,000 399,052 399,062 0 8 0 8 0 399,069 0 (12,465) (12,465) 1,300 03/15/2031 2.A FE 94989T-AY-0 WFCM 2015-LC22 A3 - CMBS 01/01/2021 Paydown 184,241 184,241 186,074 185,113 0 (872) 0 (872) 0 184,241 0 0 0 1,894 09/17/2058 1.D FM 95000L-AY-9 WFCM 2016-C33 A3 - CMBS 03/01/2021 Paydown 128,794 128,794 129,537 129,057 0 (263) 0 (263) 0 128,794 0 0 0 565 03/17/2059 1.D FM 95081Q-AK-0 WESCO DISTRIBUTION INC 01/14/2021 Call @ 100.00 1,000,000 1,000,000 1,000,960 999,613 0 14 0 14 0 999,627 0 372 372 4,330 12/15/2021 3.C FE 3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 40,841,417 41,327,622 40,621,751 39,022,729 0 1,840 0 1,840 0 40,626,705 0 (353,730) (353,730) 1,056,855 XXX XXX 8399997. Total - Bonds - Part 4 82,213,670 82,406,156 82,472,602 80,713,049 0 (93,518) 0 (93,518) 0 82,246,425 0 (601,198) (601,198) 1,362,462 XXX XXX 8399998. Total - Bonds - Part 5 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX
E05.3 8399999. Total - Bonds 82,213,670 82,406,156 82,472,602 80,713,049 0 (93,518) 0 (93,518) 0 82,246,425 0 (601,198) (601,198) 1,362,462 XXX XXX 8999997. Total - Preferred Stocks - Part 4 0 XXX 0 0 0 0 0 0 0 0 0 0 0 0 XXX XXX 8999998. Total - Preferred Stocks - Part 5 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 8999999. Total - Preferred Stocks 0 XXX 0 0 0 0 0 0 0 0 0 0 0 0 XXX XXX Fidelity Capital Markets 00287Y-10-9 ABBVIE ORD 02/17/2021 1,800.000 191,230 94,592 192,870 (98,278) 0 0 (98,278) 0 94,592 0 96,638 96,638 2,340 Fidelity Capital Markets 018802-10-8 ALLIANT ENERGY ORD 02/05/2021 14,735.000 727,741 328,535 759,295 (430,759) 0 0 (430,759) 0 328,535 0 399,205 399,205 5,931 Fidelity Capital Markets 233331-10-7 DTE ENERGY ORD 01/26/2021 11,459.000 1,402,359 729,269 1,391,237 (661,968) 0 0 (661,968) 0 729,269 0 673,089 673,089 12,433 Fidelity Capital Markets 277432-10-0 EASTMAN CHEMICAL ORD 01/05/2021 760.000 77,675 60,014 76,213 (16,198) 0 0 (16,198) 0 60,014 0 17,661 17,661 524 Fidelity Capital Markets 30040W-10-8 EVERSOURCE ENERGY ORD 03/23/2021 8,050.000 664,980 372,228 696,406 (324,178) 0 0 (324,178) 0 372,228 0 292,752 292,752 4,850 Fidelity Capital Markets 372460-10-5 GENUINE PARTS ORD 03/26/2021 1,098.000 128,510 96,740 110,272 (13,532) 0 0 (13,532) 0 96,740 0 31,770 31,770 867 Fidelity Capital Markets 418056-10-7 HASBRO ORD 03/05/2021 9,625.000 903,490 774,403 900,323 (125,920) 0 0 (125,920) 0 774,403 0 129,087 129,087 6,545 Fidelity Capital Markets 457187-10-2 INGREDION ORD 03/16/2021 740.000 67,886 59,940 58,216 1,724 0 0 1,724 0 59,940 0 7,946 7,946 474 Fidelity Capital Markets 458140-10-0 INTEL ORD 02/17/2021 6,684.000 369,903 281,205 332,997 (51,792) 0 0 (51,792) 0 281,205 0 88,698 88,698 973 Fidelity Capital Markets 487836-10-8 KELLOGG ORD 03/24/2021 5,250.000 324,958 331,272 326,708 4,565 0 0 4,565 0 331,272 0 (6,315) (6,315) 2,993 Fidelity Capital Markets 494368-10-3 KIMBERLY CLARK ORD 03/08/2021 600.000 79,584 73,469 26,966 (5,898) 0 0 (5,898) 0 73,469 0 6,114 6,114 214 Fidelity Capital Markets 670346-10-5 NUCOR ORD 03/30/2021 5,600.000 399,928 270,206 297,864 (27,658) 0 0 (27,658) 0 270,206 0 129,722 129,722 2,268 Fidelity Capital Markets 717081-10-3 PFIZER ORD 02/17/2021 1,500.000 52,184 50,549 55,215 (4,666) 0 0 (4,666) 0 50,549 0 1,635 1,635 585 Fidelity Capital Markets 91913Y-10-0 VALERO ENERGY ORD 02/17/2021 1,440.000 97,862 81,461 81,461 0 0 0 0 0 81,461 0 16,401 16,401 1,411 Fidelity Capital Markets 96145D-10-5 WESTROCK ORD 03/01/2021 10,305.000 459,383 407,402 448,577 (41,174) 0 0 (41,174) 0 407,402 0 51,981 51,981 2,061 9099999. Subtotal - Common Stocks - Industrial and Miscellaneous (Unaffiliated) Publicly Traded 5,947,672 XXX 4,011,286 5,754,617 (1,795,732) 0 0 (1,795,732) 0 4,011,286 0 1,936,386 1,936,386 44,469 XXX XXX 9799997. Total - Common Stocks - Part 4 5,947,672 XXX 4,011,286 5,754,617 (1,795,732) 0 0 (1,795,732) 0 4,011,286 0 1,936,386 1,936,386 44,469 XXX XXX STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21 22 11 12 13 14 15 NAIC Desig- nation, NAIC Total Total Desig- Current Change in Foreign Bond nation Year's Book/ Exchange Book/ Interest/ Modifier Prior Year Current Other Than Adjusted Change in Adjusted Foreign Stock Stated and Book/ Unrealized Year's Temporary Carrying Book Carrying Exchange Realized Dividends Con- SVO CUSIP Number of Adjusted Valuation (Amor- Impairment Value /Adjusted Value at Gain Gain Total Gain Received tractual Admini- Ident- For- Disposal Name Shares of Consid- Actual Carrying Increase/ tization)/ Recog- (11 + 12 - Carrying Disposal (Loss) on (Loss) on (Loss) on During Maturity strative ification Description eign Date of Purchaser Stock eration Par Value Cost Value (Decrease) Accretion nized 13) Value Date Disposal Disposal Disposal Year Date Symbol 9799998. Total - Common Stocks - Part 5 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 9799999. Total - Common Stocks 5,947,672 XXX 4,011,286 5,754,617 (1,795,732) 0 0 (1,795,732) 0 4,011,286 0 1,936,386 1,936,386 44,469 XXX XXX 9899999. Total - Preferred and Common Stocks 5,947,672 XXX 4,011,286 5,754,617 (1,795,732) 0 0 (1,795,732) 0 4,011,286 0 1,936,386 1,936,386 44,469 XXX XXX 9999999 - Totals 88,161,341 XXX 86,483,888 86,467,667 (1,795,732) (93,518) 0 (1,889,251) 0 86,257,711 0 1,335,188 1,335,188 1,406,931 XXX XXX
E05.4 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA
Schedule DB - Part A - Section 1 - Options, Caps, Floors, Collars, Swaps and Forwards Open N O N E
Schedule DB - Part B - Section 1 - Futures Contracts Open N O N E
Schedule DB - Part B - Section 1B - Brokers with whom cash deposits have been made N O N E
Schedule DB - Part D - Section 1 - Counterparty Exposure for Derivative Instruments Open N O N E
Schedule DB - Part D-Section 2 - Collateral for Derivative Instruments Open - Pledged By N O N E
Schedule DB - Part D-Section 2 - Collateral for Derivative Instruments Open - Pledged To N O N E
Schedule DB - Part E - Derivatives Hedging Variable Annuity Guarantees N O N E
Schedule DL - Part 1 - Reinvested Collateral Assets Owned N O N E
Schedule DL - Part 2 - Reinvested Collateral Assets Owned N O N E
E06, E07, E08, E09, E10, E11, E12 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE E - PART 1 - CASH Month End Depository Balances 1 2 3 4 5 Book Balance at End of Each Month 9 During Current Quarter Amount of Amount of 6 7 8 Interest Received Interest Accrued Rate of During Current at Current Depository Code Interest Quarter Statement Date First Month Second Month Third Month * Bank One, NA Indianapolis, IN 0.000 0 0 1,638,523 1,772,521 1,721,035 XXX Deutsche Bank Trust Co. Americas New York, NY 0.000 0 0 (17,284,305) (10,039,043) (17,206,092) XXX JP Morgan Chase & Co. New York, NY 0.000 0 0 3,598,317 1,902,536 1,162,382 XXX 0199998. Deposits in ... 5 depositories that do not exceed the allowable limit in any one depository (See instructions) - Open Depositories XXX XXX 0 0 91,259 141,766 (147,534) XXX 0199999. Totals - Open Depositories XXX XXX 0 0 (11,956,206) (6,222,220) (14,470,209) XXX 0299998. Deposits in ... 0 depositories that do not exceed the allowable limit in any one depository (See instructions) - Suspended Depositories XXX XXX 0 0 0 0 0 XXX 0299999. Totals - Suspended Depositories XXX XXX 0 0 0 0 0 XXX 0399999. Total Cash on Deposit XXX XXX 0 0 (11,956,206) (6,222,220) (14,470,209) XXX 0499999. Cash in Company's Office XXX XXX XXX XXX 0 0 0 XXX
0599999. Total - Cash XXX XXX 0 0 (11,956,206) (6,222,220) (14,470,209) XXX
E13 STATEMENT AS OF MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA SCHEDULE E - PART 2 - CASH EQUIVALENTS Show Investments Owned End of Current Quarter 1 2 3 4 5 6 7 8 9 Book/Adjusted Amount of Interest Amount Received CUSIP Description Code Date Acquired Rate of Interest Maturity Date Carrying Value Due and Accrued During Year 0599999. Total - U.S. Government Bonds 0 0 0 1099999. Total - All Other Government Bonds 0 0 0 1799999. Total - U.S. States, Territories and Possessions Bonds 0 0 0 2499999. Total - U.S. Political Subdivisions Bonds 0 0 0 3199999. Total - U.S. Special Revenues Bonds 0 0 0 3899999. Total - Industrial and Miscellaneous (Unaffiliated) Bonds 0 0 0 4899999. Total - Hybrid Securities 0 0 0 5599999. Total - Parent, Subsidiaries and Affiliates Bonds 0 0 0 6099999. Subtotal - SVO Identified Funds 0 0 0 6599999. Subtotal - Unaffiliated Bank Loans 0 0 0 7699999. Total - Issuer Obligations 0 0 0 7799999. Total - Residential Mortgage-Backed Securities 0 0 0 7899999. Total - Commercial Mortgage-Backed Securities 0 0 0 7999999. Total - Other Loan-Backed and Structured Securities 0 0 0 8099999. Total - SVO Identified Funds 0 0 0 8199999. Total - Affiliated Bank Loans 0 0 0 8299999. Total - Unaffiliated Bank Loans 0 0 0 8399999. Total Bonds 0 0 0 09248U-70-0 BLKRK LQ:FEDFUND INSTL 03/01/2021 0.040 7,262 0 0 857492-70-6 SS INST INV:US GV MM PRM 10/26/2020 0.040 575 0 0 8699999. Subtotal - All Other Money Market Mutual Funds 7,837 0 0
E14
9999999 - Total Cash Equivalents 7,837 0 0 *31534202150500101* SUPPLEMENT FOR THE QUARTER ENDING MARCH 31, 2021 OF THE CITIZENS INSURANCE COMPANY OF AMERICA DIRECTOR AND OFFICER INSURANCE COVERAGE SUPPLEMENT Year To Date For The Period Ended MARCH 31, 2021
NAIC Group Code 0088 NAIC Company Code 31534
Company Name CITIZENS INSURANCE COMPANY OF AMERICA
If the reporting entity writes any director and officer (D&O) business, please provide the following:
1. Monoline Policies
1 2 3 Direct Written Direct Earned Direct Losses Premium Premium Incurred $ 0 $ 0 $ 0
2. Commercial Multiple Peril (CMP) Packaged Policies
2.1 Does the reporting entity provide D&O liability coverage as part of a CMP packaged policy? Yes [ X ] No [ ] 2.2 Can the direct premium earned for D&O liability coverage provided as part of a CMP packaged policy be quantified or estimated? Yes [ X ] No [ ] 2.3 If the answer to question 2.2 is yes, provide the quantified or estimated direct premium earned amount for D&O liability coverage in CMP packaged policies 2.31 Amount quantified: $ 96,755 2.32 Amount estimated using reasonable assumptions: $ 0 2.4 If the answer to question 2.1 is yes, provide direct losses incurred (losses paid plus change in case reserves) for the D&O liability coverage provided in CMP packaged policies. $ 0
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