STATE OF NEW JERSEY DEPARTMENT OF BANKING & INSURANCE COMISSIONER'S ANNUAL REPORT FOR 2004 LINES OF AUTHORITY PROPERTY / CASUALY COMPANIES LIFE INSURANCE COMPANIES N.J.S.A. 17 : 17-1 TITLE 17B 1. FIRE & ALLIED LINES 28. LIFE 2. EARTHQUAKE 29. HEALTH 3. GROWING CROPS 30. ANNUITIES 4. OCEAN MARINE 31. VARIABLE CONTRACTS 5. INLAND MARINE 32. OTHER 6. WORKERS' COMPENSATION & EMPLOYERS' LIABILITY 7. AUTOMOBILE LIABILITY (BI) 8. AUTOMOBILE LIABILITY (PD) OTHER COMPANIES 9. AUTOMOBILE PHYSICAL DAMAGE 10. AIRCRAFT PHYSICAL DAMAGE N. J. S. A. 17 : 46B-1 ET SEQ. 11. OTHER LIABILITY 12. BOILER & MACHINERY 33. TITLE INSURANCE 13. FIDELITY & SURETY 14. CREDIT N. J. S. A. 17 : 44A-1 ET SEQ. 15. BURGLARY & THEFT 16. GLASS 34. FRATERNAL BENEFIT SOCIETY 17. SPRINKLER LEAKAGE & WATER DAMAGE 18. LIVESTOCK N. J. S. A. 17 : 44A-1 ET SEQ 19. SMOKE OR SMUDGE 20. PHYSICAL LOSS TO BUILDINGS 35. RESIDENTIAL MORTGAGE GUARANTY 21. RADIOACTIVE CONTAMINATION 36. COMMERCIAL MORTGAGE GUARANTY 22. MECHANICAL BREAKDOWN / POWER FAILURE 23. OTHER SPECIAL CONDITIONS N. J. S. A. 17B-17-4 40. NON-PARTICIPATING INSURANCE ONLY 50. RECIPROCAL EXCHANGE 26. ACCIDENT AND HEALTH 60. REINSURANCE ONLY 70. PARTICIPATING BUSINESS REQUIREMENTS N. J. S. A. 17 : 17-1 (G) AND 80. CAPITAL & SURPLUS GUARANTEE N. J. S. A. 11 : 7-1.1 ET SEQ. 99. SPECIAL CONDITIONS 27. MUNICIPAL BOND INSURANCE LICENSED COMPANIES 5 STAR LIFE INSURANCE COMPANY (77879) ACACIA LIFE INSURANCE COMPANY (60038) Mailing Address: 909 NORTH WASHINGTON STREET Mailing Address: 5900 "O" STREET ALEXANDRIA, VA 22314 LINCOLN, NE 68510 State of Domicile: LOUISIANA State of Domicile: DISTRICT OF COLUMBIA Type of Company LIFE INSURANCE Type of Company LIFE INSURANCE Licensed For: 28, 29, 30 Licensed For: 28, 29, 30 Admitted Assets: $138,423,187 Admitted Assets: $1,647,321,330 Total Liabilities: $89,104,354 Total Liabilities: $1,410,008,958 Capital Surplus: $49,318,833 Capital Surplus: $237,312,371 New Jersey Direct Premiums Written: $1,034,963 New Jersey Direct Premiums Written: $2,979,568 New Jersey Direct Losses Incurred: $1,004,381 New Jersey Direct Losses Incurred: $1,290,897 Worldwide Direct Premiums Written: $80,859,656 Worldwide Direct Premiums Written: $72,717,244 Worldwide Direct Losses Incurred: $68,081,220 Worldwide Direct Losses Incurred: $52,073,712 AAA LIFE INSURANCE COMPANY (71854) ACCEPTANCE INDEMNITY INSURANCE COMPANY (20010) Mailing Address: SUITE 100 Mailing Address: 702 OBERLIN ROAD 17250 NEWBURGH ROAD P O BOX 10800 LIVONIA, MI 48152 RALEIGH, NC 27605-0800 State of Domicile: MICHIGAN State of Domicile: NEBRASKA Type of Company LIFE INSURANCE Type of Company PROPERTY/CASUALTY Licensed For: 28, 29, 30 Licensed For: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 15, Admitted Assets: $246,179,243 16, 17, 18, 19, 20, 21, 22 Total Liabilities: $211,696,353 Admitted Assets: $121,487,611 Capital Surplus: $34,482,890 Total Liabilities: $70,348,469 New Jersey Direct Premiums Written: $2,463,657 Capital Surplus: $51,139,142 New Jersey Direct Losses Incurred: $458,497 New Jersey Direct Premiums Written: $821,890 Worldwide Direct Premiums Written: $272,563,211 New Jersey Direct Losses Incurred: $193,837 Worldwide Direct Losses Incurred: $64,618,937 Worldwide Direct Premiums Written: $81,180,592 Worldwide Direct Losses Incurred: $30,508,892 AAA MID-ATLANTIC INSURANCE COMPANY OF NEW JERSEY (42960) Mailing Address: ONE RIVER PLACE ACCIDENT FUND INSURANCE COMPANY OF AMERICA (10166) WILMINGTON, DE 19801 Mailing Address: P O BOX 40790 State of Domicile: NEW JERSEY LANSING, MI 48901-7990 Type of Company PROPERTY/CASUALTY State of Domicile: MICHIGAN Licensed For: 01, 02, 03, 04, 05, 07, 08, 09, 10, 11, 1, 51, 61, 72, 0 Type of Company PROPERTY/CASUALTY Admitted Assets: $32,453,175 Licensed For: 06, 11 Total Liabilities: $14,768,721 Admitted Assets: $1,636,671,645 Capital Surplus: $17,684,451 Total Liabilities: $1,153,614,610 New Jersey Direct Premiums Written: $93,351,534 Capital Surplus: $483,057,035 New Jersey Direct Losses Incurred: $49,206,686 New Jersey Direct Premiums Written: $89,251 Worldwide Direct Premiums Written: $93,351,534 New Jersey Direct Losses Incurred: $11,589 Worldwide Direct Losses Incurred: $49,206,686 Worldwide Direct Premiums Written: $499,030,354 Worldwide Direct Losses Incurred: $245,388,366 ACA FINANCIAL GUARANTY CORPORATION (22896) Mailing Address: 47TH FLOOR ACCREDITED SURETY AND CASUALTY COMPANY, INC. (26379) 140 BROADWAY Mailing Address: SUITE 320 NEW YORK, NY 10005-1101 400 SOUTH PARK AVENUE State of Domicile: MARYLAND WINTER PARK, FL 32789-4320 Type of Company PROPERTY/CASUALTY State of Domicile: FLORIDA Licensed For: 13, 27 Type of Company PROPERTY/CASUALTY Admitted Assets: $540,456,581 Licensed For: 11, 13 Total Liabilities: $250,453,970 Admitted Assets: $41,861,682 Capital Surplus: $290,002,606 Total Liabilities: $26,255,774 New Jersey Direct Premiums Written: $329,564 Capital Surplus: $15,605,907 New Jersey Direct Losses Incurred: $0 New Jersey Direct Premiums Written: $105,270 Worldwide Direct Premiums Written: $49,200,788 New Jersey Direct Losses Incurred: $19,614 Worldwide Direct Losses Incurred: $16,318,522 Worldwide Direct Premiums Written: $21,782,121 Worldwide Direct Losses Incurred: $3,599,719 1 LICENSED COMPANIES ACE AMERICAN INSURANCE COMPANY (22667) ACE PROPERTY AND CASUALTY INSURANCE COMPANY (20699) Mailing Address: 1601 CHESTNUT STREET Mailing Address: 1601 CHESTNUT STREET P O BOX 41484 P O BOX 41484 PHILADELPHIA, PA 19101-1484 PHILADELPHIA, PA 19101-1484 State of Domicile: PENNSYLVANIA State of Domicile: PENNSYLVANIA Type of Company PROPERTY/CASUALTY Type of Company PROPERTY/CASUALTY Licensed For: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 14, Licensed For: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 22, 26 15, 16, 17, 18, 20, 21, 22, 26, 27 Admitted Assets: $5,374,011,925 Admitted Assets: $4,495,745,741 Total Liabilities: $4,492,452,814 Total Liabilities: $3,698,031,573 Capital Surplus: $881,559,111 Capital Surplus: $797,714,168 New Jersey Direct Premiums Written: $142,291,146 New Jersey Direct Premiums Written: $5,759,358 New Jersey Direct Losses Incurred: $53,990,253 New Jersey Direct Losses Incurred: $12,941,405 Worldwide Direct Premiums Written: $3,171,282,033 Worldwide Direct Premiums Written: $938,017,560 Worldwide Direct Losses Incurred: $1,231,000,372 Worldwide Direct Losses Incurred: $890,687,145 ACE AMERICAN REINSURANCE COMPANY (22705) ACIG INSURANCE COMPANY (19984) Mailing Address: 1601 CHESTNUT STREET Mailing Address: SUITE 1660 P O BOX 41484 12222 MERIT DRIVE PHILADELPHIA, PA 19101-1484 DALLAS, TX 75251 State of Domicile: PENNSYLVANIA State of Domicile: ILLINOIS Type of Company PROPERTY/CASUALTY Type of Company PROPERTY/CASUALTY Licensed For: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 14, Licensed For: 06, 07, 08, 09, 11 15, 16, 17, 18, 19, 20, 21, 26, 60 Admitted Assets: $194,222,392 Admitted Assets: $277,749,173 Total Liabilities: $134,801,369 Total Liabilities: $196,410,066 Capital Surplus: $59,421,005 Capital Surplus: $81,339,107 New Jersey Direct Premiums Written: $131,295 New Jersey Direct Premiums Written: $0 New Jersey Direct Losses Incurred: $343,667 New Jersey Direct Losses Incurred: $0 Worldwide Direct Premiums Written: $8,177,187 Worldwide Direct Premiums Written: $0 Worldwide Direct Losses Incurred: $5,382,809 Worldwide Direct Losses Incurred: $0 ACSTAR INSURANCE COMPANY (22950) ACE FIRE UNDERWRITERS INSURANCE COMPANY (20702) Mailing Address: P O BOX 2350 Mailing Address: 1601 CHESTNUT STREET NEW BRITAIN, CT 06050-2350 P O BOX 41484 State of Domicile: ILLINOIS PHILADELPHIA, PA 19101-1484 Type of Company PROPERTY/CASUALTY State of Domicile: PENNSYLVANIA Licensed For: 01, 02, 03, 04, 05, 07, 08, 09, 10, 11, 12, 13, 14, 15, Type of Company PROPERTY/CASUALTY 16, 17, 18, 19, 20 Licensed For: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 14, Admitted Assets: $86,200,183 15, 16, 17, 18, 20, 21, 22, 26 Total Liabilities: $58,830,131 Admitted Assets: $77,246,419 Capital Surplus: $27,370,052 Total Liabilities: $25,191,495 New Jersey Direct Premiums Written: $65,341 Capital Surplus: $52,054,924 New Jersey Direct Losses Incurred: -$16,888 New Jersey Direct Premiums Written: $3,910,036 Worldwide Direct Premiums Written: $10,854,549 New Jersey Direct Losses Incurred: $1,678,222 Worldwide Direct Losses Incurred: $4,214,262 Worldwide Direct Premiums Written: $84,864,928 Worldwide Direct Losses Incurred: $72,034,035 ADMIRAL INDEMNITY COMPANY (44318) Mailing Address: 1255 CALDWELL ROAD ACE INDEMNITY INSURANCE COMPANY (10030) CHERRY HILL, NJ 08034 Mailing Address: 1601 CHESTNUT STREET State of Domicile: DELAWARE P O BOX 41484 Type of Company PROPERTY/CASUALTY PHILADELPHIA, PA 19101-1484 Licensed For: 01, 02, 05, 06, 07, 08, 09, 11, 12, 15, 1, 61, 71, 92, State of Domicile: PENNSYLVANIA 02, 12, 2 Type of Company PROPERTY/CASUALTY Admitted Assets: $54,910,257 Licensed For: 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 11, 12, 13, 15, Total Liabilities: $28,208,063 16, 17, 18, 19, 20, 21, 22 Capital Surplus: $26,702,194 Admitted Assets: $23,829,457 New Jersey Direct Premiums Written: $56,512 Total Liabilities: $12,595,619 New Jersey Direct Losses Incurred: $5,590 Capital Surplus: $11,233,838 Worldwide Direct Premiums Written: $49,998,663 New Jersey Direct Premiums Written: $0 Worldwide Direct Losses Incurred: $22,551,641 New Jersey Direct Losses Incurred: $63,945 Worldwide Direct Premiums Written: $134,135 Worldwide Direct Losses Incurred: $11,852,479 2 LICENSED COMPANIES ADMIRAL INSURANCE COMPANY (24856)