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Sundance, Wyoming
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June 3, 2004     The Sundance Times
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June 3, 2004
 

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rage o- Thursday, June 3, 2004 DEPARTMENT OF INSURANCE STATE OF WYOMING Life and Health Company Academy Life Insurance Company NAIC NUMBER 60046 FEIN 84-0528301 11975 Westline Drive St Louis MO 63146 433 Edgewood Rd NE Cedar Rapids IA 52499 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,2003 POLICY AMOUNT ISSUED DURING YEAR DIRECT PREMIUM AND ANNUITY CONSIDERATIONS RECEIVED DIRECT BENEFITS & LOSSES PAID DIRECT BENEFITS & LOSSES INCURRED $ 555,560 $ 92,986 $ 30,781 $ 2,193 TOTAL ADMITTED ASSETS $ 360,590,679 UABILmES $ 314,594,773 CAPITAL STOCK PAID UP $ 2,500,000 SURPLUS $ 43,495,906 INCOME $ 48,727,577 EXPENDITURES $ 35,959,023 PURSUANT TO SECTION 26-3-126 OF THE WYOMNG INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AU- THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING Dated this first day of March 2004. Publish: June 3, t0, 17, 24, and July 1 and 8, 2004 • • • DEPARTMENT OF INSURANCE STATE OF WYOMING Life and Health Company American International Life Assurance Company of New York NAIC NUMBER 60607 FEIN 13-6101875 70 Pine Street New York New York 10270 P.O. Box 727 New York New York 10268 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,2003 POLICY AMOUNT ISSUED DURING YEAR DIRECT PREMIUM AND ANNUITY CONSIDERATIONS RECEIVED DIRECT BENEFITS & LOSSES PAID DIRECT BENEFITS & LOSSES INCURRED Kenneth G Vines Insurance Commissioner State of Wyoming $ 0 $ 346,387 $ 364,803 $ 321,648 TOTAL ADMITTED ASSETS $ 8,259,975,800 UABI~,~,~ ;~ .~ ~.:~ ~ .......... . ~. r, $ CAPITAL STOCK PAIDUP $ SURPLUS $ INCOME $ EXPENDITURES $ 865,873,099 Columbus Life Insurance Company NAIC NUMBER 99937 FEIN 31-1191427 40O E thl~ O%hth ~'eet Cincinnati .~202 400 East 4th Street Cincinnati Ohio 45202 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,2003 POUCY AMOUNT ISSUED DURIN YEAR DIRECT PREMIJM AND ARNIJl13f CONSlDI~.ATIONS RECBVED DIRECT BENERTS & LOSSES PAID DIRECT BENERTS & ~ INCURRED $ 0 $ 144,203 $ 17,574 $ o TOT/~/Id~ITllED/I~SETS $ 2,228,006,458 MABILtlllES $ 1,960,633,076 CAPITAl. STOCK PAID UP $ 10,000,000 SURPLUS $ 257,373,382 INCOME $ 340,623,716 E~YDItlJRES $ 331,724,736 PURSUANT TO SECTION 26-3-126 OF THE WYOMNG INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AU- THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OFWYOMING Dated this first day of March 2004. Kenneth G Vines Insurance Commissioner State of Wyoming Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • ~oF~ STATE OF WYOIING Life and Health Company Family Heritage Life Insurance Company of America NAIC NUMBER 77968 FEIN 34-1626521 Three Summit Park Drive, Suite 400 Cleveland, Ohio 44131 Three Summit Park Drive, Suite 400 Cleveland, Ohio 44131 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,2003 1331 West Memonal Road, Suite 112, Oklahoma, OK 73114 9151 Grapevine Highway, North Richland Hills, rx 76180 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,200S $ 0 POUCY AMOUNT ISSJED DURING YEAR DIRECT ~ AND ANNLICrY CONSI)ERATIONS ~ DIRECT BENERTS & LOSSES PAID DIRECT BENEFffS & LOSSES INCURRED $ TOTAL ADMITTED ASSETS $ uABcnlEs $ CAPITAL STOCK PAID UP $ SURPLUS $ INCOME $ EXPIS~o'nJl~S $ PURSUANT TO SECTION 26-3-12( I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BEUEI:;. ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DUL~ THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE 4F57 OF WYOMING Dated this first day of March 2004. Kenneth G ! Insurance ComrniS~ State of WY0 Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • DEPARTMENT OF ~ STATE OF WYOMING life and Health Company Mutual Service Life Insurance Company NAIC NUMBER 66419 FEIN 41-0203970 Two Pine Tree Drive, Arden Hills, MN 55112 P.O. Box 64035, St. Paul, MN 55164 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,20~ POUCY AMOUNT ISSUED DURING YEAR DIRECT PREMKIM/~ID ~ CONSIDERATIONS RECEIVED DIRECT BENEFITS & ~ PAID DIRECT BENEFITS & LOSSES INCURRED $ $ $ POUCY AMOUNT ISSUED DURING YEAR 61,', DIRECT PREMIUM AND ANNUCW ~TIONS RECBVED $ 32,118 DIRECT BEINIBRI"S & LOSSES PAID $ 12,460 DIRECT BENBRTS & LOSSES ~ $ 13,201 TOTAL ADMITTED ASSETS $ 374,92~ UABUTES $ 3,35,13~ TOTAL ADWTllED AS,~I='TS $ 119,604,449 CAPITAL STOCK PAID UP $ UABILrFES $ 107,188,878 SURPLUS $ 39,7~I CAPITAL STOCK PAR) UP $ 2,555,000 INCOME $ 11,955! SURPLUS $ 9,859,571 ~ $ 9,12~ ~o e,~ $ 65,985,315~ PUFISUANTTEISECTION26-3-J26OFTHEWYDltANGINS~CE~ 1 3,225~0(7 ~ _ I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BEUEr, : $ 63,899,205 ABOVE-NAMED INSURER IS, IN ALL RESPECTSI IN COMPLIANCE 493,015,335 PURSUANT TO SECTION 26-3-126 OF THE WYOMNG INSURANCE CODE, THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS ~cLq~ 955,804,330 I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE THORIZEDTOTRANSACTTHE BUSINESS OF INSURANCE IN THE~ PURSUANT TO SECTION 26-3-126 OF THE WYOMNG INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AU- THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE Kenneth G Vines Insurance Commissioner State of Wyoming OF WYOMING Dated this first day of March 2004. Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • DEPARTMISNT 0F INSURANCE STATE OF WYOMING Life and Health Company Amencom Life & Annuity Insurance Company NAIC NUMBER 94471 FEIN 76-0102023 5206 FM 1960 West, Suite 101, Houston, TX 77069 p.o. Box 17401, Baltimore, MD 21297-1401 WYOMING BUSINESS FOR YEAR ENDING DECEMBER 31,2003 POUCY AMOUNT ISSUED DURING YEAR DIRECT PREMIUM AND ANNUITY CONSIDERATIONS RECBVED DIRECT BENEFITS & LOSSES PAID DIRECt BENEFITS &LOSSES INCURRED $ 4,000,000 $ 58,097 $ 25,868 $ o TOTAL ADMITTED ASSETS $ 243,172,447 UABILmES $ 228,414,771 CAPITAL STOCK PAID UP $ 2,500,000 SURPLUS $ 12,257,676 INCOME $ 105,445,370 EXPENDITURES $ 105,445,370 PURSUAN ]" TO SECTION 26-3-126 OF THE WYOMNG INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AU- THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING ~ Dated this first day of March 2004. Kenneth G Vines Insurance Commissioner State of Wyoming Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • DEPARTMENT OF INSURANCE STATE OF WYOMING Life and Health Company ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH OFWYOMING THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AU- Dated this first day of March 2004. THORIZED TO TRANSACTTHE BUSINESS OF INSURANCE IN THE STATE OFWYOMING Dated this first day of March 2004. Kenneth G. Vines Insurance Commissioner Slate of Wyoming Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • ~OF~ STATE OF WYOMING Life and Health Company Uberty Ufe Insurance Company NAIC NUMBER 65323 FEIN 57-0249218 2000 Wade Hampton Boulevard Greenville South Carolina 29615 PO Box 789 Greenville South Carolina 29602-0789 WYOMING ~ FOR YEAR ENDING DECEMBER 31,2003 $ 1,477,266 $ 166,359 $ 58,299 $ 55,441 POUCY AMOUNT ISSUED DURING YEAR DII~CT PFIIBk~K~ AHD ~ ~TIOHS I:ECENED DIRECT BENERTS & LOSSES PAID 01RECT BIENEFI~ & LOSSES INCURI:ED TOTAL~ASSETS $ 1,539,490,967 LIABIJllES $ 1,262,326,388 C/~WI'AL STOCK ~ UP $ 9,920,000 SURPLUS $ 267,244,579 BIICOME $ 307,517,275 E)0=EN01Tt,~ES " $ 288,308,178 PURSUANT TO SECTION 26-3-126 OF THE WYOMNG INSURANCE CODE, I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPLIANCE WITH THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DULY AU- THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE STATE OF WYOMING Dated this first day of March 2004. Kenneth G. Vines Insurance Commissioner State of Wyoming Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • DEPARIMENI"OF~ STATE OF WYOtIING life and Health Company The Mega Life and HeaJth Insurance Company NAIC NUMBER 97055 FEIN 59-2213662 Kenneth G~! Insurance CommiSS~ State of WY~ Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 DEP~OF~ STATE OF WYOMING Life and Health Company PHYSICIANS MUTUAL INSURANCE COMPANY NAIC NUMBER 80578 FEIN 47-0470450 2600 DODGE STREET, OMAHA, NEBRASKA 68131-2671 26OO DODGE STREET, OMAHA, NEBRASKA 68131-2671 WYOMING BUSINESS FOR YEAR ENI)ING DECEliER 31,200~ POUCY AIdOUNTISSUI~ IXIRING YEAI~ $ DIRECT ~ AND AI~INIXrY CONSIDERATIONS ~ $ 1,78~ DIRECT BENERTS & LOSSES PAED . $ 83’| O~ECT BEamS & LOSS~ m~:~ED $ ~ TOTALADtB131EDASSETS $ 1,149,1g’ LI/gBIUIllES $ 513,98~ CAPITAL STOCK PAID UP $ SURPLUS $ 63,5,210~ INCOME $ 543,71t) !~ " $ 495,60~f PURSUANT TO SECTION 26-3-126 OF THE WYOMNG INSURANCE I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEE.~ ABOVE-NAMED INSURER IS, IN ALL RESPECTS, IN COMPL_IANCE ,~ THE LAWS OF THIS STATE RELATING TO INSURANCE AND IS DU~IITq[ THORIZED TO TRANSACT THE BUSINESS OF INSURANCE IN THE 51r | OF WYOMING GJ Dated this first day of March 2004. Kenneth Insurance Commi~ State of WYv'" Publish: June 3, 10, 17, 24, and July 1 and 8, 2004 • • • DEPARTMENT OF ~ STATE OF WY Life and Health Company Reliance Standard Life Insurance Company NAIC NUMBER 68381 FEIN 36-0883760 115 South LaSalle St., Chicago, IL 60603 2001 Market Street, Suite 1500, PUI:~I: JI POLICY~J OlIB3" B ~OT~.~ I~p=RSU/~ VE-N ~ LAW I~CTB i~r~U/~