ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
ASSETS
1. Bonds (Schedule D)
1
Current Year
2
3
Prior Year
4
Assets
Nonadmitted Assets
Net Admitted Assets
(Cols. 1 - 2)
Net Admitted
Assets
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,082,829
1,577,513
0
0
0
0
0
0
1,082,829
0
0
1,577,513
0
3,861
0
5,700
0
0
0
0
0
0
2,291
0
0
0
0
0
0
0
74,717
0
0
0
0
0
0
0
0
0
0
0
0
2. Stocks (Schedule D):
2.1 Preferred stocks
2.2 Common stocks
3. Mortgage loans on real estate (Schedule B):
3.1 First liens
3.2 Other than first liens
4. Real estate (Schedule A):
4.1 Properties occupied by the company (less
$
encumbrances)
4.2 Properties held for the production of income
(less $
encumbrances)
4.3 Properties held for sale (less
$
encumbrances)
5. Cash ($
680,172 , Schedule E - Part 1), cash equivalents
0 , Schedule E - Part 2) and short-term
($
402,657 , Schedule DA)
investments ($
6. Contract loans (including $
1,082,829
premium notes)
7. Derivatives
0
8. Other invested assets (Schedule BA)
9. Receivables for securities
10. Securities lending reinvested collateral assets
0
1,082,829
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants less $
0
0
0
0
charged off (for Title insurers
only)
3,861
14. Investment income due and accrued
15. Premiums and considerations:
15.1 Uncollected premiums and agents’ balances in the course of
collection
15.2 Deferred premiums, agents’ balances and installments booked but
deferred and not yet due (including $
earned
80,422
but unbilled premium)
80,422
15.3 Accrued retrospective premiums
16. Reinsurance:
2,291
16.1 Amounts recoverable from reinsurers
16.2 Funds held by or deposited with reinsured companies
16.3 Other amounts receivable under reinsurance contracts
17. Amounts receivable relating to uninsured plans
18.1 Current federal and foreign income tax recoverable and interest thereon
18,766
18.2 Net deferred tax asset
18,766
19. Guaranty funds receivable or on deposit
20. Electronic data processing equipment and software
21. Furniture and equipment, including health care delivery assets
($
11,686,746
11,686,746
52,312
52,312
0
0
0
0
0
12,927,227
11,838,246
1,088,981
1,657,930
12,927,227
11,838,246
0
1,088,981
0
1,657,930
0
0
0
0
0
0
0
0
48,112
4,200
48,112
4,200
0
0
0
0
0
52,312
0
52,312
0
0
0
0
)
22. Net adjustment in assets and liabilities due to foreign exchange rates
23. Receivables from parent, subsidiaries and affiliates
24. Health care ($
) and other amounts receivable
25. Aggregate write-ins for other than invested assets
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines 12 to 25)
27. From Separate Accounts, Segregated Accounts and Protected
Cell Accounts
28. Total (Lines 26 and 27)
DETAILS OF WRITE-INS
1101.
1102.
1103.
1198. Summary of remaining write-ins for Line 11 from overflow page
1199. Totals (Lines 1101 through 1103 plus 1198)(Line 11 above)
2501. Note Receivable
2502. Other Receivable
2503.
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above)
2
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
LIABILITIES, SURPLUS AND OTHER FUNDS
1
Current Year
2
Prior Year
271,344
1. Losses (Part 2A, Line 35, Column 8)
3. Loss adjustment expenses (Part 2A, Line 35, Column 9)
86,103
112,766
21,449
26,653
210,079
236,620
0
4. Commissions payable, contingent commissions and other similar charges
5. Other expenses (excluding taxes, licenses and fees)
6. Taxes, licenses and fees (excluding federal and foreign income taxes)
7.1Current federal and foreign income taxes (including $
636,725
0
2. Reinsurance payable on paid losses and loss adjustment expenses (Schedule F, Part 1, Column 6)
0
on realized capital gains (losses))
0
7.2 Net deferred tax liability
8. Borrowed money $
0
and interest thereon $
9. Unearned premiums (Part 1A, Line 38, Column 5)
(after deducting unearned premiums for ceded reinsurance of $
reserves of $
)
and including warranty
0
0
0
10. Advance premium
11. Dividends declared and unpaid:
11.1 Stockholders
0
11.2 Policyholders
0
0
12. Ceded reinsurance premiums payable (net of ceding commissions)
52,088
13. Funds held by company under reinsurance treaties (Schedule F, Part 3, Column 19)
57,945
14. Amounts withheld or retained by company for account of others
0
15. Remittances and items not allocated
0
0
14,943
18. Drafts outstanding
28,069
36,305
19. Payable to parent, subsidiaries and affiliates
23,003
23,003
16. Provision for reinsurance (Schedule F, Part 7)
0
17. Net adjustments in assets and liabilities due to foreign exchange rates
20. Derivatives
0
21. Payable for securities
22. Payable for securities lending
23. Liability for amounts held under uninsured plans
0
24. Capital notes $
0
and interest thereon $
25. Aggregate write-ins for liabilities
26. Total liabilities excluding protected cell liabilities (Lines 1 through 25)
97,594
86,233
789,729
1,231,193
789,729
1,231,193
0
0
5,000,000
5,000,000
0
27. Protected cell liabilities
28. Total liabilities (Lines 26 and 27)
29. Aggregate write-ins for special surplus funds
30. Common capital stock
0
31. Preferred capital stock
0
0
33. Surplus notes
4,500,000
4,500,000
34. Gross paid in and contributed surplus
8,135,000
8,135,000
(17,335,746)
(17,208,263)
32. Aggregate write-ins for other than special surplus funds
35. Unassigned funds (surplus)
36. Less treasury stock, at cost:
36.1
shares common (value included in Line 30 $
)
0
36.2
shares preferred (value included in Line 31 $
)
0
299,254
426,737
1,088,983
1,657,930
2501. Deferred FJUA Service Fees
52,772
51,647
2502. Escheat reserve
44,822
34,586
37. Surplus as regards policyholders (Lines 29 to 35, less 36) (Page 4, Line 39)
38. Totals (Page 2, Line 28, Col. 3)
DETAILS OF WRITE-INS
2503.
0
0
97,594
86,233
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
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
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above)
2901.
2902.
2903.
3201.
3202.
3203.
3
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
STATEMENT OF INCOME
1
Current Year
UNDERWRITING INCOME
1. Premiums earned (Part 1, Line 35, Column 4)
2
Prior Year
0
0
DEDUCTIONS:
2.
3.
4.
5.
6.
7.
8.
(193,310)
144,671
240,656
0
192,017
Losses incurred (Part 2, Line 35, Column 7)
Loss adjustment expenses incurred (Part 3, Line 25, Column 1)
Other underwriting expenses incurred (Part 3, Line 25, Column 2)
Aggregate write-ins for underwriting deductions
Total underwriting deductions (Lines 2 through 5)
Net income of protected cells
Net underwriting gain (loss) (Line 1 minus Line 6 plus Line 7)
(192,017)
(210,241)
194,648
218,279
0
202,686
0
(202,686)
26,748
0
26,748
34,851
1,397
36,248
35,596
35,596
0
0
36,351
36,351
INVESTMENT INCOME
9. Net investment income earned (Exhibit of Net Investment Income, Line 17)
10. Net realized capital gains (losses) less capital gains tax of $
11. Net investment gain (loss) (Lines 9 + 10)
(Exhibit of Capital Gains (Losses))
OTHER INCOME
12. Net gain (loss) from agents' or premium balances charged off (amount recovered $
charged off $
)
13. Finance and service charges not included in premiums
14. Aggregate write-ins for miscellaneous income
15. Total other income (Lines 12 through 14)
amount
16. Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes
(Lines 8 + 11 + 15)
17. Dividends to policyholders
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)
19. Federal and foreign income taxes incurred
20. Net income (Line 18 minus Line 19) (to Line 22)
(129,673)
(130,087)
0
(129,673)
(130,087)
0
(130,087)
(129,673)
CAPITAL AND SURPLUS ACCOUNT
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
Surplus as regards policyholders, December 31 prior year (Page 4, Line 39, Column 2)
Net income (from Line 20)
Net transfers (to) from Protected Cell accounts
Change in net unrealized capital gains or (losses) less capital gains tax of $
Change in net unrealized foreign exchange capital gain (loss)
Change in net deferred income tax
Change in nonadmitted assets (Exhibit of Nonadmitted Assets, Line 28, Col. 3)
Change in provision for reinsurance (Page 3, Line 16, Column 2 minus Column 1)
Change in surplus notes
Surplus (contributed to) withdrawn from protected cells
Cumulative effect of changes in accounting principles
Capital changes:
32.1 Paid in
32.2 Transferred from surplus (Stock Dividend)
32.3 Transferred to surplus
Surplus adjustments:
33.1 Paid in
33.2 Transferred to capital (Stock Dividend)
33.3 Transferred from capital
Net remittances from or (to) Home Office
Dividends to stockholders
Change in treasury stock (Page 3, Lines 36.1 and 36.2, Column 2 minus Column 1)
Aggregate write-ins for gains and losses in surplus
426,736
(129,673)
(23,206)
10,454
14,943
437,841
(130,087)
0
0
0
(5,723)
36,451
88,255
0
0
0
0
0
0
0
0
(127,482)
299,255
0
0
0
0
0
0
0
(11,104)
426,736
Summary of remaining write-ins for Line 14 from overflow page
Totals (Lines 1401 through 1403 plus 1498) (Line 14 above)
0
0
0
35,596
0
0
35,596
0
0
25,000
11,351
0
0
36,351
Summary of remaining write-ins for Line 37 from overflow page
Totals (Lines 3701 through 3703 plus 3798) (Line 37 above)
0
0
0
0
34.
35.
36.
37.
38. Change in surplus as regards policyholders for the year (Lines 22 through 37)
39. Surplus as regards policyholders, December 31 current year (Line 21 plus Line 38) (Page 3, Line 37)
DETAILS OF WRITE-INS
0501.
0502.
0503.
0598.
0599.
1401.
1402.
1403.
1498.
1499.
3701.
3702.
3703.
3798.
3799.
Summary of remaining write-ins for Line 5 from overflow page
Totals (Lines 0501 through 0503 plus 0598) (Line 5 above)
Recovery of losses under high deductible policy
Miscellaneous Income
Reinsurance Recoverable Charged off
4
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
CASH FLOW
1
Current Year
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Cash from Operations
Premiums collected net of reinsurance
Net investment income
Miscellaneous income
Total (Lines 1 through 3)
Benefit and loss related payments
Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts
Commissions, expenses paid and aggregate write-ins for deductions
Dividends paid to policyholders
tax on capital gains (losses)
Federal and foreign income taxes paid (recovered) net of $
Total (Lines 5 through 9)
Net cash from operations (Line 4 minus Line 10)
Cash from Investments
Proceeds from investments sold, matured or repaid:
12.1 Bonds
12.2 Stocks
12.3 Mortgage loans
12.4 Real estate
12.5 Other invested assets
12.6 Net gains or (losses) on cash, cash equivalents and short-term investments
12.7 Miscellaneous proceeds
12.8 Total investment proceeds (Lines 12.1 to 12.7)
Cost of investments acquired (long-term only):
13.1 Bonds
13.2 Stocks
13.3 Mortgage loans
13.4 Real estate
13.5 Other invested assets
13.6 Miscellaneous applications
13.7 Total investments acquired (Lines 13.1 to 13.6)
Net increase (decrease) in contract loans and premium notes
Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14)
Cash from Financing and Miscellaneous Sources
Cash provided (applied):
16.1 Surplus notes, capital notes
16.2 Capital and paid in surplus, less treasury stock
16.3 Borrowed funds
16.4 Net deposits on deposit-type contracts and other insurance liabilities
16.5 Dividends to stockholders
16.6 Other cash provided (applied)
Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6)
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17)
Cash, cash equivalents and short-term investments:
19.1 Beginning of year
19.2 End of year (Line 18 plus Line 19.1)
5
2
Prior Year
0
28,587
35,596
64,183
99,645
0
443,736
0
0
543,381
(479,198)
0
32,578
36,351
68,929
126,748
0
461,929
0
0
588,677
(519,748)
0
0
0
0
0
0
0
0
0
1,397
0
0
0
0
0
1,397
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,397
0
0
0
0
(15,484)
(15,484)
0
0
0
0
0
43,342
43,342
(494,682)
(475,009)
1,577,511
1,082,829
2,052,520
1,577,511
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Part 1
NONE
Part 1A
NONE
Part 1B
NONE
6, 7, 8
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
UNDERWRITING AND INVESTMENT EXHIBIT
PART 2 - LOSSES PAID AND INCURRED
Losses Paid Less Salvage
2
3
1
9
Line of Business
1.
Fire
2.
Allied lines
3.
Farmowners multiple peril
4.
Homeowners multiple peril
5.
Commercial multiple peril
6.
Mortgage guaranty
8.
Ocean marine
9.
Inland marine
10.
Financial guaranty
11.1
Medical professional liability - occurrence
11.2
Medical professional liability - claims-made
12.
Earthquake
13.
Group accident and health
14.
Credit accident and health (group and individual)
15.
Other accident and health
16.
Workers' compensation
17.1
Other liability - occurrence
17.2
Other liability - claims-made
17.3
Excess workers’ compensation
18.1
Products liability - occurrence
18.2
Products liability - claims-made
19.1,19.2 Private passenger auto liability
19.3,19.4 Commercial auto liability
21.
Auto physical damage
22.
Aircraft (all perils)
23.
Fidelity
24.
Surety
26.
Burglary and theft
27.
Boiler and machinery
28.
Credit
29.
International
30.
Warranty
31.
Reinsurance - nonproportional assumed property
32.
Reinsurance - nonproportional assumed liability
33.
Reinsurance - nonproportional assumed financial lines
34.
Aggregate write-ins for other lines of business
35.
TOTALS
DETAILS OF WRITE-INS
3401.
3402.
3403.
3498.
Sum. of remaining write-ins for Line 34 from overflow page
3499.
Totals (Lines 3401 through 3403 + 3498) (Line 34 above)
Reinsurance
Assumed
Direct Business
5
6
7
Net Losses
Unpaid
Current Year
(Part 2A, Col. 8)
Net Losses
Unpaid
Prior Year
Losses Incurred
Current Year
(Cols. 4 + 5 - 6)
8
Percentage of Losses
Incurred
(Col. 7, Part 2)
to Premiums Earned
(Col. 4, Part 1)
4
Reinsurance
Recovered
Net Payments
(Cols. 1 + 2 - 3)
0
214,933
0
0
0
42,862
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
141,841
6,099
0
0
0
0
24,081
0
50
0
0
0
0
0
0
0
0
0
0
0
0
172,071
0
0
0
0
0
0
0
0
141,841
6,099
66,493
42,412
500
450
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
244,585
0
0
0
0
0
7,459
19,300
0
0
0
0
0
0
0
0
0
0
0
0
0
271,344
0
0
0
0
5,000
0
0
0
0
0
0
0
0
0
0
594,975
7,500
0
0
0
0
9,250
20,000
0
0
0
0
0
0
0
0
0
0
0
0
0
636,725
0
0
0
0
0
0
0
0
(5,000)
0
0
0
0
0
0
0
0
0
0
(208,549)
(1,401)
0
0
0
0
22,290
(700)
50
0
0
0
0
0
0
0
0
0
0
0
0
(193,310)
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
UNDERWRITING AND INVESTMENT EXHIBIT
PART 2A - UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES
Reported Losses
1
10
Line of Business
1.
Fire
2.
Allied lines
3.
Farmowners multiple peril
4.
Homeowners multiple peril
5.
Commercial multiple peril
6.
Mortgage guaranty
8.
Ocean marine
9.
Inland marine
10.
Financial guaranty
11.1
Medical professional liability - occurrence
11.2
Medical professional liability - claims-made
12.
Earthquake
13.
Group accident and health
14.
Credit accident and health (group and individual)
15.
Other accident and health
16.
Workers' compensation
17.1
Other liability - occurrence
17.2
Other liability - claims-made
17.3
Excess workers’ compensation
18.1
Products liability - occurrence
18.2
Products liability - claims-made
19.1,19.2 Private passenger auto liability
19.3,19.4 Commercial auto liability
21.
Auto physical damage
22.
Aircraft (all perils)
23.
Fidelity
24.
Surety
26.
Burglary and theft
27.
Boiler and machinery
28.
Credit
29.
International
30.
Warranty
31.
Reinsurance - nonproportional assumed property
32.
Reinsurance - nonproportional assumed liability
33.
Reinsurance - nonproportional assumed financial lines
34.
Aggregate write-ins for other lines of business
35.
TOTALS
DETAILS OF WRITE-INS
3401.
3402.
3403.
3498.
Sum. of remaining write-ins for Line 34 from overflow page
3499.
Totals (Lines 3401 through 3403 + 3498) (Line 34 above)
(a) Including $
for present value of life indemnity claims.
2
3
Deduct Reinsurance
Recoverable from
Authorized and
Unauthorized
Companies
Reinsurance
Assumed
Direct
4
Net Losses Excl.
Incurred But
Not Reported
(Cols. 1 + 2 - 3)
0
594,996
0
0
0
419,006
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
165,990
0
0
0
0
0
0
10,000
0
0
0
0
0
0
0
0
0
0
0
0
0
175,990
0
0
0
0
0
0
0
0
584,996
419,006
10,000
XXX
XXX
XXX
5
Incurred But Not Reported
6
7
Direct
Reinsurance
Assumed
Reinsurance
Ceded
8
9
Net Losses
Unpaid
(Cols. 4 + 5 + 6 - 7)
Net Unpaid Loss
Adjustment
Expenses
0
446,630
0
0
0
351,276
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
244,585
0
0
0
0
0
7,459
19,300
0
0
0
0
0
0
0
0
0
0
0
0
0
271,344
0
0
0
0
0
0
0
0
(a)
426,330
347,735
11,000
9,300
3,541
XXX
XXX
XXX
(a)
51,261
1,605
5,660
27,577
0
86,103
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
UNDERWRITING AND INVESTMENT EXHIBIT
PART 3 - EXPENSES
1
Loss Adjustment
Expenses
2
Other Underwriting
Expenses
3
Investment
Expenses
4
Total
1. Claim adjustment services:
42,483
1.1 Direct
42,483
0
1.2 Reinsurance assumed
(587)
1.3 Reinsurance ceded
43,070
1.4 Net claim adjustment services (1.1 + 1.2 - 1.3)
(587)
0
0
43,070
2. Commission and brokerage:
2.1 Direct, excluding contingent
0
2.2 Reinsurance assumed, excluding contingent
0
2.3 Reinsurance ceded, excluding contingent
0
2.4 Contingent-direct
0
2.5 Contingent-reinsurance assumed
0
2.6 Contingent-reinsurance ceded
0
0
2.7 Policy and membership fees
0
2.8 Net commission and brokerage (2.1 + 2.2 - 2.3 + 2.4 + 2.5 - 2.6 + 2.7)
0
0
0
3. Allowances to manager and agents
0
4. Advertising
0
5. Boards, bureaus and associations
0
6. Surveys and underwriting reports
0
7. Audit of assureds' records
0
8. Salary and related items:
8.1 Salaries
8.2 Payroll taxes
9. Employee relations and welfare
25,704
37,270
1,285
64,259
2,003
2,905
100
5,008
367
532
18
917
10. Insurance
0
11. Directors' fees
0
12. Travel and travel items
0
13. Rent and rent items
0
22,775
14. Equipment
32,849
1,135
56,759
0
15. Cost or depreciation of EDP equipment and software
0
16. Printing and stationery
4
17. Postage, telephone and telegraph, exchange and express
18. Legal and auditing
19. Totals (Lines 3 to 18)
5
9
24
35
1
60
50,877
73,596
2,539
127,012
20. Taxes, licenses and fees:
20.1 State and local insurance taxes deducting guaranty association
0
credits of $
20.2 Insurance department licenses and fees
0
20.3 Gross guaranty association assessments
0
20.4 All other (excluding federal and foreign income and real estate)
0
7,950
20.5 Total taxes, licenses and fees (20.1 + 20.2 + 20.3 + 20.4)
0
7,950
7,950
0
7,950
21. Real estate expenses
0
22. Real estate taxes
0
0
23. Reimbursements by uninsured plans
24. Aggregate write-ins for miscellaneous expenses
25.
Total expenses incurred
26. Less unpaid expenses - current year
27. Add unpaid expenses - prior year
28. Amounts receivable relating to uninsured plans, prior year
50,724
159,110
0
209,834
144,671
240,656
2,539 (a)
387,866
86,103
231,528
112,766
263,273
0
317,631
376,039
0
0
0
0
0
29. Amounts receivable relating to uninsured plans, current year
30. TOTAL EXPENSES PAID (Lines 25 - 26 + 27 - 28 + 29)
171,334
272,401
75,140
159,110
2,539
446,274
DETAILS OF WRITE-INS
2401. DFS Receiver Expensese
2402. FAJUA LAE Expense
234,250
(24,416)
(24,416)
2403. Miscellaneous
0
2498. Summary of remaining write-ins for Line 24 from overflow page
2499. Totals (Lines 2401 through 2403 plus 2498) (Line 24 above)
(a) Includes management fees of $
to affiliates and $
0
0
0
0
50,724
159,110
0
209,834
to non-affiliates.
11
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
EXHIBIT OF NET INVESTMENT INCOME
1
Collected
During Year
1.
1.1
1.2
1.3
2.1
2.11
2.2
2.21
3.
4.
5.
6.
7.
8.
9.
10.
U.S. Government bonds
Bonds exempt from U.S. tax
Other bonds (unaffiliated)
Bonds of affiliates
Preferred stocks (unaffiliated)
Preferred stocks of affiliates
Common stocks (unaffiliated)
Common stocks of affiliates
Mortgage loans
Real estate
Contract loans
Cash, cash equivalents and short-term investments
Derivative instruments
Other invested assets
Aggregate write-ins for investment income
Total gross investment income
11.
12.
13.
14.
15.
16.
17.
Investment expenses
Investment taxes, licenses and fees, excluding federal income taxes
Interest expense
Depreciation on real estate and other invested assets
Aggregate write-ins for deductions from investment income
Total deductions (Lines 11 through 15)
Net investment income (Line 10 minus Line 16)
2
Earned
During Year
(a)
(a)
(a)
(a)
(b)
(b)
0
0
0
0
0
(c)
(d)
(e)
(f)
28,247
30,086
0
28,247
0
30,086
3,338
(g)
(g)
(h)
(i)
0
3,338
26,748
DETAILS OF WRITE-INS
0901.
0902.
0903.
0998.
0999.
Summary of remaining write-ins for Line 9 from overflow page
Totals (Lines 0901 through 0903) plus 0998 (Line 9 above)
1501.
1502.
1503.
1598.
1599.
Summary of remaining write-ins for Line 15 from overflow page
Totals (Lines 1501 through 1503) plus 1598 (Line 15 above)
0
0
0
0
0
0
(a) Includes $
0 paid for accrued interest on purchases.
accrual of discount less $
amortization of premium and less $
(b) Includes $
0 paid for accrued dividends on purchases.
accrual of discount less $
amortization of premium and less $
(c) Includes $
0 accrual of discount less $
0 amortization of premium and less $
paid for accrued interest on purchases.
(d) Includes $
for company’s occupancy of its own buildings; and excludes $
interest on encumbrances.
(e) Includes $
accrual of discount less $
amortization of premium and less $
paid for accrued interest on purchases.
(f) Includes $
accrual of discount less $
amortization of premium.
(g) Includes $
investment expenses and $
investment taxes, licenses and fees, excluding federal income taxes, attributable to
segregated and Separate Accounts.
(h) Includes $
interest on surplus notes and $
interest on capital notes.
(i) Includes $
depreciation on real estate and $
depreciation on other invested assets.
EXHIBIT OF CAPITAL GAINS (LOSSES)
1
Realized
Gain (Loss)
On Sales or
Maturity
1.
1.1
1.2
1.3
2.1
2.11
2.2
2.21
3.
4.
5.
6.
7.
8.
9.
10.
0901.
0902.
0903.
0998.
0999.
U.S. Government bonds
Bonds exempt from U.S. tax
Other bonds (unaffiliated)
Bonds of affiliates
Preferred stocks (unaffiliated)
Preferred stocks of affiliates
Common stocks (unaffiliated)
Common stocks of affiliates
Mortgage loans
Real estate
Contract loans
Cash, cash equivalents and short-term investments
Derivative instruments
Other invested assets
Aggregate write-ins for capital gains (losses)
Total capital gains (losses)
DETAILS OF WRITE-INS
Summary of remaining write-ins for Line 9 from
overflow page
Totals (Lines 0901 through 0903) plus 0998 (Line 9,
above)
2
3
Other
Realized
Adjustments
4
5.
Total Realized Capital
Change in Unrealized
Gain (Loss)
Change in Unrealized Foreign Exchange
(Columns 1 + 2)
Capital Gain (Loss)
Capital Gain (Loss)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
EXHIBIT OF NONADMITTED ASSETS
1
2
Current Year Total
Nonadmitted Assets
Prior Year
Nonadmitted Assets
3
Change in Total
Nonadmitted Assets
(Col. 2 - Col. 1)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4.1 Properties occupied by the company
0
0
0
4.2 Properties held for the production of income
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
80,422
0
80,422
0
0
0
0
0
0
0
0
18,766
0
0
0
0
11,686,746
0
52,312
0
0
0
0
0
41,972
0
0
0
0
11,686,746
0
39,560
0
0
0
0
0
23,206
0
0
0
0
0
0
(12,752)
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
11,838,246
0
11,848,700
0
10,454
0
28. Total (Lines 26 and 27)
11,838,246
11,848,700
10,454
0
0
0
0
0
0
48,112
4,200
0
0
52,312
39,560
0
0
0
39,560
1. Bonds (Schedule D)
2. Stocks (Schedule D):
2.1 Preferred stocks
2.2 Common stocks
3. Mortgage loans on real estate (Schedule B):
3.1 First liens
3.2 Other than first liens
4. Real estate (Schedule A):
4.3 Properties held for sale
5. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and
short-term investments (Schedule DA)
6. Contract loans
7. Derivatives
8. Other invested assets (Schedule BA)
9. Receivables for securities
10. Securities lending reinvested collateral assets
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11)
13. Title plants (for Title insurers only)
14. Investment income due and accrued
0
0
15. Premiums and considerations:
15.1 Uncollected premiums and agents’ balances in the course of
collection
15.2 Deferred premiums, agents’ balances and installments booked but deferred
and not yet due
15.3 Accrued retrospective premiums
16. Reinsurance:
16.1 Amounts recoverable from reinsurers
16.2 Funds held by or deposited with reinsured companies
16.3 Other amounts receivable under reinsurance contracts
17. Amounts receivable relating to uninsured plans
18.1 Current federal and foreign income tax recoverable and interest thereon
18.2 Net deferred tax asset
19. Guaranty funds receivable or on deposit
20. Electronic data processing equipment and software
21. Furniture and equipment, including health care delivery assets
22. Net adjustment in assets and liabilities due to foreign exchange rates
23. Receivables from parent, subsidiaries and affiliates
24. Health care and other amounts receivable
25. Aggregate write-ins for other than invested assets
26. Total assets excluding Separate Accounts, Segregated Accounts and
Protected Cell Accounts (Lines 12 to 25)
DETAILS OF WRITE-INS
1101.
1102.
1103.
1198. Summary of remaining write-ins for Line 11 from overflow page
1199. Totals (Lines 1101 through 1103 plus 1198)(Line 11 above)
2501. Note Receivable
2502. Note Receivable
2503. Other non admitted assets
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above)
13
(8,552)
(4,200)
0
0
(12,752)
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
Note 1 – Summary of Significant Accounting Principles
A.
Accounting Practices
The accompanying financial statements of Union American insurance Company (“the Company”) have been prepared
on the basis of accounting practices prescribed or permitted by the Florida Office of Insurance Regulation (“FOOIR”).
The FOOIR requires insurance companies domiciled in the state of Florida to prepare their statutory financial
statements in accordance with the National Association of Insurance Commissioners’ Accounting Practices and
Procedures Manual (“NAIC SAP”), subject to any deviations prescribed or permitted by the FOOIR.
B.
Use of Estimates
The preparation of statutory financial statements requires management to make estimates and assumptions that affect
the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the
statutory financial statements and the reported amounts of revenues and expenses during the reporting period. Actual
results could differ from those estimates.
C.
Accounting Policy
Earned premiums are recorded using the daily pro rata method over the policy period and are subject to revisions after
the end of the policy period. Unearned premiums represent the portion of premium related to the unexpired policy term.
An estimate has been accrued for expected revisions to premium from the final premium audit process on policies
subject to final audit. Related expenses, including commissions and premium-related taxes/assessments, are
recognized on the basis of written premium. The Company is subject to premium-based assessments from certain
state agencies to fund administrative expenses, second injury fund benefits and the guarantee fund. Assessments are
accrued based on current year premiums written. Expenses incurred are reduced for ceding allowances received or
receivable.
In addition, the Company uses the following accounting policies:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Cash and short-term investments are stated at cost, which approximates fair value.
Bonds not backed by other loans are stated at amortized value using the interest method.
Common stocks, other than investments in stocks of subsidiaries and affiliates, are stated at market.
The Company has no preferred stocks.
The Company has no mortgage loans.
The Company has no loan-backed securities.
The Company has no investments in subsidiaries or affiliates.
The Company has no interests in joint ventures, partnerships or limited liability companies.
The Company has no derivatives.
The Company does not utilize anticipated investment income as a factor in the premium deficiency calculation.
The liability for loss and loss adjustment expense reflects the estimated cost of claims occurring prior to the end of
the accounting period, whether or not reported to the Company. Liabilities for losses and loss adjustment expenses
(including liabilities for losses incurred but not reported) are estimated by management based upon independent
actuarial reviews of current year and historical loss experience, premium data, and industry development factors.
Management continually reviews the adequacy of these loss liabilities and adjusts these liabilities as additional loss
experience data becomes available; such adjustments are included in current operations. Ultimate losses may
differ from loss liabilities currently recorded due to uncertainties inherent in the loss estimation process. The
Company does not discount its WC reserves. Liabilities are reduced for estimated amounts of salvage,
subrogation, deductibles recoverable from policyholders and amounts recoverable through reinsurance contracts.
Although considerable variability is inherent in such estimates, management believes that the liabilities for losses
and loss adjustment expenses are adequate.
D.
On February 9, 2005, Judge P. Kevin Davey of the Second Judicial Circuit Court in Leon County, Florida
signed a Consent Order placing the Company in receivership for purposes of rehabilitation. The Florida Department of
Financial Services (“Department”) is the court appointed Receiver. The Company consented to be placed into
rehabilitation in order to better assist the Company in meeting its obligations. Company voluntarily agreed with the
FOOIR to place the Company into a protective order of rehabilitation following a 30 day consent order that required the
Company to obtain a loss portfolio transfer (“LPT”) on the large deductible workers’ compensation policy with Certified
HR Services. The Company has attracted markets for the LPT and will continue to seek a solution acceptable to the
FOIR.
Note 2 – Accounting Changes and Corrections of Errors
A.
Material Changes and Corrections of Errors - Not applicable
Note 3 – Business Combinations and Goodwill
A.
Statutory Purchase Method – Not applicable
B.
Statutory Merger – Not applicable
C.
Impairment Loss – Not applicable
14
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
Note 4 – Discontinued Operations
None
Note 5 – Investments
A.
Mortgage Loans – Not applicable.
B.
Debt Restructuring – Not applicable
C.
Reverse Mortgages – Not applicable
D.
Loan Backed Securities – Not applicable
E.
Repurchase Agreements – Not applicable
F.
Real Estate – Not applicable
G.
Low income housing tax credits – Not applicable
Note 6 – Joint Ventures, Partnerships and Limited Liability Companies
A.
Investments Exceeding 10% of Admitted Assets – Not Applicable
B.
Impaired Investments – Not Applicable
Note 7 – Investment Income
A.
Accrued Investment Income
The Company non-admits investment income due and accrued if amounts are over 90 days past due.
B.
Amounts Non-Admitted – Not applicable
Note 8 – Derivative Instruments
A.
Market Risk, Credit Risk and Cash Requirements – Not applicable
B.
Objectives – Not applicable
C.
Description of Accounting Policies – Not applicable
D.
Net gain or loss – Not applicable
Note 9 – Income Taxes
A.
The components of the net deferred tax asset (“DTA”) and deferred tax liability (“DTL”) at December 31 are as
follows:
2010
Ordinary
$ 18,766
18,766
18,766
$
-
Description
Gross deferred tax assets
Gross deferred tax liabilities
Net deferred tax asset
Non admitted deferred tax assets
Admitted deferred tax asset
Increase (decrease) in non admitted
Deferred tax assets
2010
Capital
2009
Ordinary
$ 41,972
41,972
41,972
$
-
$ (23,206)
$ (5,723)
B.
Unrecognized Deferred Tax Liabilities – Not Applicable
C.
Current Tax and Change in Deferred Tax
Description
Current income tax expense
Prior year adjustments
Income taxes incurred
2009
Capital
$
2010
-
$
-
$
$
2009
-
The main components of the deferred tax amounts were as follows:
Deferred Tax Assets
2010
2009
14.1
Change
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
Loss and lae reserves
Unearned
premium
reserves
Other
Gross DTAs
Non admitted DTAs
$ 18,766
-
$ 41,972
-
$ (23,206)
-
$ 18,766
$ 18,766
$ 41,972
$ 41,972
$ (23,206)
$ (23,206)
Deferred Tax
Liabilities
Salvage
and
subrogation
Unrealized gains
Other
Gross DTLs
2010
2009
Change
-
-
-
-
-
-
D.
Reconciliation of Federal Income Tax Rate to Actual Effective Rate
The significant book-to-tax adjustments were as follows:
Description
Income before taxes
Change in discounted unpaid losses
Change in unearned premium reserve
Net operating loss carryforward
Taxable income
Federal income taxes incurred
Total statutory income taxes
Amount
(129,673)
-
E.
Operating Loss and Tax Credit Carryforwards
F.
Consolidated Federal Income Tax Return
Tax Effect @ 35%
-
The Company’s federal income tax return is consolidated with the following entities:
AIB Financial Group, Inc.
J.P.C. Insurance Underwriters, Inc.
Associated Insurance Brokers, Inc.
AIB International Insurance Co.
AIB Associate Advertisers, Inc.
AIB Syndicate, Inc.
First Security Insurance Underwriters, Inc.
Associated Membership Club of America
AIB Insurance Underwriters of Texas, Inc.
AIB Insurance Group, Inc.
The Cigar Connection, Inc.
AIB Travel and Tours, Inc.
Loopo, Inc.
AIB Life and Health Underwriters, Inc.
Auto Premium Finance Corp.
AIB Claims Management, Inc.
Under an inter-company tax sharing agreement, the companies compute their tax liabilities (or receivable) on a
separate return basis without benefit for the surtax exemptions. Those companies suffering a loss may report a tax
benefit and a concurrent receivable only to the extent that other members of the group have reported sufficient taxable
income to realize the benefit of the individual company’s tax loss. Inter-company tax balances are settled annually in
the first quarter.
Note 10 – Information Concerning Parent, Subsidiaries and Affiliates
A.
Nature of Relationships
The Company is a wholly owned subsidiary of AIB Insurance Group, which is wholly owned by AIB Financial Group,
Inc.
B.
Details of Transactions Greater than ½ of 1% of Admitted Assets
In 2003, the Company issued Surplus Notes to AIB Insurance Group with a face value amount of $4,500,000. The
Surplus Notes are recorded as statutory surplus and bear an interest rate of 5% per annum. Any payments of principal
and interest are subject to approval by the FOOIR.
C. Change in Terms of Inter-company Arrangements – Not applicable
D. Amounts Due to or from Related Parties – Not applicable
E.
Guarantees or Contingencies for Related Parties – Not applicable
14.2
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
F.
Management, Service Contracts, Cost Sharing Agreements – Not applicable
G.
Nature of Relationship that Could Affect Operations – Not applicable
H.
Amount Deducted for Investment in Upstream Company – Not Applicable
I.
Detail of Investments in Affiliates Greater than 10% of Admitted Assets – Not Applicable
J.
Write-down of Impairments of Investments in Subsidiary, Controlled or Affiliated Companies
Not Applicable
K.
Investment in foreign insurance subsidiary – Not applicable
L.
Investment in a downstream non-insurance holding company – Not applicable
Note 11 – Debt
None
Note 12 – Retirement Plans, Deferred Compensation, Post-employment Benefits and Compensated Absences
and Other Postretirement Benefit Plans
A.
Defined Benefit Plans – Not applicable
B.
Defined Contribution Plans
None
C.
Multi-employer Plans – Not applicable
D.
Consolidated Company Plans
None
E.
Post-employment Benefits and Compensated Absences – Not applicable
Note 13 – Capital and Surplus Shareholders’ Dividend Restrictions and Quasi-Reorganizations
A.
Outstanding Shares
The Company has 50,000 shares of $100 par value common stock authorized, issued and outstanding. The Company
has no preferred stock authorized, issued or outstanding.
B.
Dividend Rate of Preferred Stock – Not applicable
C.
Dividend Restrictions
Dividends on common stock must be declared by the Board of Directors of the Company. Florida Statutes restrict
dividends to stockholders to that part of its available and accumulated surplus funds which is derived from realized net
operating profits on its business and net realized capital gains. In addition, without the prior approval of the FOOIR,
dividends may not exceed the larger of: 10% of the Company’s surplus as to policyholders derived from realized net
operating profits on its business and net realized capital gains; or the Company’s net operating profits and realized net
capital gains derived during the immediately preceding calendar year.
D.
Available Surplus
The Company does not have sufficient surplus to pay dividends to surplus.
E.
Surplus Restrictions
See Note 13 C.
F.
G.
Mutual Surplus Advances – Not applicable
Company Stock Held for Special Purposes – Not applicable
H.
Changes in Special Surplus Funds – Not applicable
14.3
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
I.
Changes in Unassigned Funds attributable to unrealized gains / losses - none
J.
Surplus Notes
On 6/17/03 and 6/30/03, the Company issued Surplus Notes, in the amounts of $1,500,000 and $3,000,000,
respectively, to AIB Insurance Group, Inc. in exchange for $4,500,000 in cash. Interest accrues at 5% per annum.
There is no maturity date or repayment schedule. Payments of principal and interest are subject to approval by the
FOOIR.
K., L.
Quasi Reorganizations – Not applicable
Note 14 – Contingencies
A.
Contingent Commitments – Not applicable
B.
Guaranty Fund and Other Assessments
The Company is subject to guaranty fund and other assessments in the state of Florida. Guaranty fund assessments
should be accrued at the time of insolvencies if the amount of loss can be reasonably estimated. Other assessments
should be accrued either at the time of assessments or in the case of premium based assessments, at the time the
premiums were written. At December 31, 2010, the Company owed $210,079.
C.
Gain Contingencies – Not applicable
D.
Claims related extra contractual obligation and bad faith losses stemming from lawsuits – None
E.
All Other Contingencies
The Company is party to litigation and workers’ compensation administrative proceedings involving claims arising in the
normal course of business, none of which, in the opinion of management, will have a materially adverse effect on the
financial position or results of operations of the Company. The Company has committed no reserves to cover any
contingent liabilities.
Note 15 – Leases
A.
Lessee Operating Lease – Not applicable
B.
Lessor Leases – Not applicable
Note 16 – Information about Financial Instruments with Off-Balance Sheet Risk and Financial Instruments with
Concentrations of Credit Risk
A.
Financial Instruments – Not applicable
Note 17 – Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities
A.
Transfers of Receivables Reported as Sales – Not applicable
B.
Transfer and Servicing of Financial Assets – Not applicable
C.
Wash Sales – Not applicable
Note 18 – Gain or Loss to the Reporting Entity from Uninsured A&H Plans and the Uninsured Portion of
Partially Insured Plans
A.
Administrative Services Only (ASO) Plans – Not applicable
B.
Administrative Services Contract (ASC) Plans – Not applicable
C.
Medicare or Other Similarly Structured Cost Based Reimbursement Contracts – Not applicable
Note 19 – Direct Premium Written/Produced by Managing General Agents/Third Party Administrators
None
Note 20 – Fair Value Measurements
A.
All financial assets are cash and STI in money market funds - Not applicable
Note 21 – Other Items
A.
Extraordinary Items – Not applicable
14.4
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
B.
Troubled Debt Restructuring for Debtors – Not applicable
C.
Other Disclosures
Required Disclosure for Florida Special Disability Trust Fund (“SDTF”)
Item
Credit taken in loss reserves
for anticipated recoveries
Payments received
Assessments
D.
2009
$
$
$
2008
-
$
$
$
0
0
Uncollectible Premiums Receivable
Florida Disclosure for Agents’ Balances Certification:
Agents’ Balances
Premiums collected by “controlled” or
“controlling” person
Amount of applicable collateral:
Trust Fund
Letter of Credit
Financial Guaranty Bond
Total Collateral
$
$
$
$
0
$
0
$
-
Note 22 – Events Subsequent
Management evaluated subsequent events through February 18, 2011, the date the statutory statement was available
to be issued.
Note 23 – Reinsurance
A.
Unsecured Reinsurance Recoverable
At December 31, 2010, the Company had unsecured aggregate recoverable for losses, paid and unpaid, including
IBNR and LAE with in excess of 3% of policyholders’ surplus with the following reinsures:
Lloyds Atrium Syndicate (FEIN AA-1126570)
$ 830,000
B. Reinsurance Recoverable in Dispute - none
C.
Reinsurance Assumed and Ceded
The Company has no assumed reinsurance. The following table summarizes ceded unearned premiums and the
related commission equity at December 31, 2010:
Unearned Premium
Affiliate
$
All Other
Total
$
Direct Unearned Premium Reserve - $0
Commission Equity
$
$
-
D.
Uncollectible Reinsurance – Not applicable
F.
Commutation of Ceded Reinsurance – Not applicable
G.
Retroactive Reinsurance – Not applicable
H.
Reinsurance Accounted for as a Deposit – Not applicable
Note 24 – Retrospectively Rated Contracts and Contracts Subject to Re-determination
A.
Method Used to Estimate – Not applicable
B. Premium Recognition – Not applicable
14.5
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
C. Net Premiums Written – Not applicable
D.
Calculation of Nonadmitted Accrued Retrospective Premiums – Not applicable
Note 25 – Changes in Incurred Losses and Loss Adjustment Expenses
The estimated cost of loss and loss adjustment expenses attributable to insured events of prior years provided a
savings of $49,00 during 2010, as shown in the chart below:
See Note 31 for an explanation for the development for prior years.
Line of Business
Homeowners
Commercial Multiple
Peril
Workers’
Compensation
Other Liability
Private Passenger
Auto Liability
Commercial Auto
Liability
Auto Physical
Damage
Total
$
Incurred In Current Calendar Year ($000’s)
Current
Prior
Accident Year
Accident Years
Total
$
$
-
$
-
(3)
-
(148)
4
(148)
4
-
32
32
-
65
65
-
1
(49)
$
(3)
$
1
(49)
There were no adjustments to premiums as the result of the adverse development in claims.
Note 26 – Inter-company Pooling Arrangements
A.
Participating Companies – Not applicable
B.
Lines of Business – Not applicable
C.
Cessions to Non-affiliated Reinsurers – Not applicable
D.
Parties with Reinsurance Agreements with Non-affiliates – Not applicable
E.
Explanation of Discrepancies – Not applicable
F.
Inter-company Sharing Agreement – Not applicable
H. Amount due to/from Lead Entity – Not applicable
Note 27 – Structured Settlements
A.
Reserves Released due to Purchase of Annuities – Not applicable
B.
Annuity Insurers – Not applicable
Note 28 – Health Care Receivables
A. Pharmaceutical Rebate Receivables – Not applicable
B. Risk Sharing Receivables – Not applicable
Note 29 - Participating Policies
A. Percentage of Participating Insurance – Not applicable
B. Method of Accounting for Policyholder Dividends – Not applicable
C. Amount of Dividends – Not applicable
D. Income allocated to Participating Policyholders – Not applicable
Note 30 – Premium Deficiency Reserves
As of December 31, 2010, the Company had no liabilities related to premium deficiency reserves. The Company did
not consider anticipated investment income when calculating its premium deficiency reserves.
14.6
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
NOTES TO FINANCIAL STATEMENTS
Note 31 – High Deductibles
On December 1, 2004 the Company terminated its large deductible workers’ compensation policy with Certified HR
Services, formerly the Cura Group, Inc., for non-payment of premiums. The policy was originally issued on June 30,
2003 with a $1 million deductible limit. The policy is accounted for in accordance with SSAP 65. During 2005, the
insured filed a claim for bankruptcy and has not been paying for the claims under the $1 million deductible. Since the
insured is insolvent, the total liabilities under the workers compensation policy are being recorded on the Company’s
books and therefore, there is no reserve credit. As of December 31, 2010, the amount of gross and net loss and LAE
reserves recorded by the Company for workers compensation amounted to $1,125,746 and $298,846, respectively.
Note 32 – Discounting of Liabilities for Unpaid Losses and Unpaid Loss Adjustment Expenses
A.
Tabular Discounts – Not applicable
B.
Non-Tabular Discounts – Not applicable
C.
Changes in Discount Assumptions – Not applicable
Note 33 – Asbestos/Environmental Reserves
A.
Liability for Asbestos Losses – Not applicable
B.
IBNR for Asbestos Losses – Not applicable
C.
Loss Adjustment Reserves for Asbestos Losses – Not applicable
D.
Liability for Environmental Losses – Not applicable
E.
IBNR for Environmental Losses – Not applicable
F.
Loss Adjustment Reserves for Environmental Losses – Not applicable
Note 34 – Subscriber Savings Accounts
Not applicable
Note 35 – Multiple Peril Crop Insurance
Not applicable
Note 36 – Financial Guaranty Insurance
Not applicable
14.7
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
PART 1 - COMMON INTERROGATORIES
GENERAL
1.1
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 [
] No [ X ]
1.2
If yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent or with
such regulatory official of the state of domicile of the principal insurer in the Holding Company System, a registration statement
providing disclosure substantially similar to the standards adopted by the National Association of Insurance Commissioners (NAIC) in
its Model Insurance Holding Company System Regulatory Act and model regulations pertaining thereto, or is the reporting entity subject
to standards and disclosure requirements substantially similar to those required by such Act and regulations?
] No [
] NA [ X ]
1.3
State Regulating?
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:
Yes [
3.1
State as of what date the latest financial examination of the reporting entity was made or is being made.
12/31/2008
3.2
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.
12/31/2008
3.3
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).
01/29/2010
3.4
By what department or departments? Florida Office of Insurance Regulation
3.5
Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial
statement filed with Departments?
Yes [
3.6
Have all of the recommendations within the latest financial examination report been complied with?
Yes [ X ] No [
4.1
During the period covered by this statement, did any agent, broker, sales representative, non-affiliated sales/service organization or any
combination thereof under common control (other than salaried employees of the reporting entity) receive credit or commissions for or
control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:
4.11 sales of new business?
4.12 renewals?
4.2
During the period covered by this statement, did any sales/service organization owned in whole or in part by the reporting entity or an
affiliate, receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on
direct premiums) of:
4.21 sales of new business?
4.22 renewals?
5.1
Has the reporting entity been a party to a merger or consolidation during the period covered by this statement?
5.2
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
Name of Entity
2
NAIC Company Code
Has the 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?
6.2
If yes, give full information
7.1
Does any foreign (non-United States) person or entity directly or indirectly control 10% or more of the reporting entity?
7.2
If yes,
7.21 State the percentage of foreign control
7.22 State the nationality(s) of the foreign person(s) or entity(s); or if the entity is a mutual or reciprocal, the nationality of
its manager or attorney - in - fact and identify the type of entity(s) (e.g., individual, corporation, government, manager
or attorney - in - fact).
2
Type of Entity
15
] NA [ X ]
] NA [
]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
3
State of Domicile
6.1
1
Nationality
] No [
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
8.1
8.2
Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board?
If response to 8.1 is yes, please identify the name of the bank holding company.
Yes [
] No [ X ]
8.3
8.4
Is the company affiliated with one or more banks, thrifts or securities firms?
If response to 8.3 is yes, please provide the names and locations (city and state of the main office) of any affiliates regulated by a federal
financial regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Office
of Thrift Supervision (OTS), the Federal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and
identify the affiliate’s primary federal regulator.
Yes [
] No [ X ]
1
Affiliate Name
9.
2
Location
(City, State)
3
4
5
6
7
FRB
OCC
OTS
FDIC
SEC
What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit?
10.1 Has the insurer been granted any exemptions to the prohibited non-audit services provided by the certified independent public
accountant requirements as allowed in Section 7H of the Annual Financial Reporting Model Regulation (Model Audit Rule), or
substantially similar state law or regulation?
10.2 If the response to 10.1 is yes, provide information related to this exemption:
Yes [
] No [ X ]
10.3 Has the insurer been granted any exemptions to the audit committee requirements as allowed in Section 14H of the Annual
Financial Reporting Model Regulation, or substantially similar state law or regulation?
10.4 If the response to 10.3 is yes, provide information related to this exemption:
Yes [
] No [ X ]
10.5 Has the insurer been granted any exemptions related to the other requirements of the Annual Financial Reporting Model Regulation
as allowed for in Section 17A of the Model Regulation, or substantially similar state law or regulation?
10.6 If the response to 10.5 is yes, provide information related to this exemption:
Yes [
] No [ X ]
10.7 Has the reporting entity established an Audit Committee in compliance with the domiciliary state insurance laws?
10.8 If the response to 10.7 is no or n/a, please explain
The company is in receivership and currently does not maintain an audit committee.
Yes [
What is the name, address and affiliation (officer/employee of the reporting entity or actuary/consultant associated with an actuarial
consulting firm) of the individual providing the statement of actuarial opinion/certification?
Comany is exempt from an actuarial opinion
12.1 Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly?
12.11 Name of real estate holding company
12.12 Number of parcels involved
$
12.13 Total book/adjusted carrying value
12.2 If yes, provide explanation
] No [ X ] NA [ ]
11.
Yes [
] No [ X ]
13. FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY:
13.1 What changes have been made during the year in the United States manager or the United States trustees of the reporting entity?
13.2
13.3
13.4
14.1
Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located?
Have there been any changes made to any of the trust indentures during the year?
If answer to (13.3) is yes, has the domiciliary or entry state approved the changes?
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?
Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and
a. 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.
14.11 If the response to 14.1 is no, please explain:
Yes [
Yes [ ] No [
Yes [ ] No [
] No [ ] NA [
]
]
]
Yes [ X ] No [
]
14.2 Has the code of ethics for senior managers been amended?
14.21 If the response to 14.2 is yes, provide information related to amendment(s).
Yes [
] No [ X ]
14.3 Have any provisions of the code of ethics been waived for any of the specified officers?
14.31 If the response to 14.3 is yes, provide the nature of any waiver(s).
Yes [
] No [ X ]
BOARD OF DIRECTORS
15.
16.
17.
Is the purchase or sale of all investments of the reporting entity passed upon either by the board of directors or a subordinate committee
thereof?
Does the reporting entity keep a complete permanent record of the proceedings of its board of directors and all subordinate committees
thereof?
Has the reporting entity an established procedure for disclosure to its board of directors or trustees of any material interest or affiliation on
the part of any of its officers, directors, trustees or responsible employees that is in conflict or is likely to conflict with the official duties of
such person?
15.1
Yes [ X ] No [
]
Yes [ X ] No [
]
Yes [ X ] No [
]
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
FINANCIAL
18.
Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles (e.g., Generally Accepted
Accounting Principles)?
19.1 Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy loans):
19.2 Total amount of loans outstanding at end of year (inclusive of Separate Accounts, exclusive of
policy loans):
Yes [
$
0
19.12 To stockholders not officers
$
0
19.13 Trustees, supreme or grand
(Fraternal only)
$
19.21 To directors or other officers
$
0
19.22 To stockholders not officers
$
0
19.23 Trustees, supreme or grand
(Fraternal only)
$
20.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for such
obligation being reported in the statement?
20.2 If yes, state the amount thereof at December 31 of the current year:
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
$
20.21 Rented from others
20.22 Borrowed from others
$
20.23 Leased from others
$
20.24 Other
$
21.1 Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund or
guaranty association assessments?
21.2 If answer is yes:
] No [ X ]
19.11 To directors or other officers
21.21 Amount paid as losses or risk adjustment
$
21.22 Amount paid as expenses
$
21.23 Other amounts paid
$
22.1 Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement?
22.2 If yes, indicate any amounts receivable from parent included in the Page 2 amount:
$
INVESTMENT
23.1 Were all the stocks, bonds and other securities owned December 31 of current year, over which the reporting entity has exclusive control, in
the actual possession of the reporting entity on said date? (other than securities lending programs addressed in 23.3)
Yes [ X ] No [
]
23.2 If no, give full and complete information, relating thereto
23.3 For security lending programs, provide a description of the program including value for collateral and amount of loaned securities, and
whether collateral is carried on or off-balance sheet. (an alternative is to reference Note 17 where this information is also provided)
23.4 Does the company’s security lending program meet the requirements for a conforming program as outlined in the Risk-Based Capital
Instructions?
Yes [
] No [
] NA [ X ]
23.7 Does the company’s security lending program require 102% (domestic securities) and 105% (foreign securities) from the counterparty at
Yes [
the outset of the contract?
] No [
] NA [ X ]
23.8 Does the reporting entity non-admit when the collateral received from the counterparty falls below 100%?
Yes [
] No [
] NA [ X ]
23.9 Does the reporting entity or the reporting entity’s securities lending agent utilize the Master Securities Lending Agreement (MSLA) to
conduct securities lending?
Yes [
] No [
] NA [ X ]
23.5 If answer to 23.4 is yes, report amount of collateral for conforming programs.
$
23.6 If answer to 23.4 is no, report amount of collateral for other programs.
$
24.1 Were any of the stocks, bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under the
control of the reporting entity or has the reporting entity sold or transferred any assets subject to a put option contract that is currently in
force? (Exclude securities subject to Interrogatory 20.1 and 23.3)
24.2 If yes, state the amount thereof at December 31 of the current year:
Subject to repurchase agreements
$
24.22
Subject to reverse repurchase agreements
$
24.23
Subject to dollar repurchase agreements
$
24.24
Subject to reverse dollar repurchase agreements $
24.21
24.25
Pledged as collateral
$
24.26
Placed under option agreements
$
24.27
Letter stock or securities restricted as to sale
$
24.28
On deposit with state or other regulatory body
$
24.29
Other
$
Yes [ X ] No [
]
600,000
24.3 For category (24.27) provide the following:
1
Nature of Restriction
2
Description
3
Amount
Yes [
25.1 Does the reporting entity have any hedging transactions reported on Schedule DB?
25.2 If yes, has a comprehensive description of the hedging program been made available to the domiciliary state?
If no, attach a description with this statement.
Yes [
26.1 Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity, or, at the option of
the issuer, convertible into equity?
26.2 If yes, state the amount thereof at December 31 of the current year.
Yes [
$
15.2
] No [
] No [ X ]
] NA [
]
] No [ X ]
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
27.
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 [
]
27.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following:
1
Name of Custodian(s)
2
Custodian’s Address
27.02 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
Name(s)
2
Location(s)
3
Complete Explanation(s)
27.03 Have there been any changes, including name changes, in the custodian(s) identified in 27.01 during the current year?
27.04 If yes, give full and complete information relating thereto:
1
2
Old Custodian
New Custodian
3
Date of
Change
Yes [
] No [ X ]
Yes [
] No [ X ]
4
Reason
27.05 Identify all investment advisors, brokers/dealers or individuals acting on behalf of broker/dealers that have access to the investment
accounts, handle securities and have authority to make investments on behalf of the reporting entity:
1
Central Registration Depository Number(s)
2
Name
3
Address
28.1 Does the reporting entity have any diversified mutual funds reported in Schedule D - Part 2 (diversified according to the Securities and
Exchange Commission (SEC) in the Investment Company Act of 1940 [Section 5 (b) (1)])?
28.2 If yes, complete the following schedule:
1
CUSIP #
2
Name of Mutual Fund
3
Book/Adjusted Carrying Value
0
28.2999 TOTAL
28.3 For each mutual fund listed in the table above, complete the following schedule:
1
2
Name of Mutual Fund
(from above table)
Name of Significant Holding
of the Mutual Fund
3
Amount of Mutual Fund’s
Book/Adjusted Carrying Value
Attributable to the Holding
15.3
4
Date of Valuation
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
29.
Provide the following information for all short-term and long-term bonds and all preferred stocks. Do not substitute amortized value or
statement value for fair value.
1
2
Statement (Admitted)
Value
3
Excess of Statement
over Fair Value (-)
or Fair Value
over Statement (+)
Fair Value
29.1
Bonds
0
29.2
Preferred Stocks
0
29.3
Totals
0
0
0
0
0
29.4 Describe the sources or methods utilized in determining the fair values:
Utilizing statements from banks
30.1 Was the rate used to calculate fair value determined by a broker or custodian for any of the securities in Schedule D?
Yes [ X ] No [
]
30.2 If the answer to 30.1 is yes, does the reporting entity have a copy of the broker’s or custodian’s pricing policy (hard copy or electronic copy)
for all brokers or custodians used as a pricing source?
Yes [ X ] No [
]
Yes [ X ] No [
]
30.3 If the answer to 30.2 is no, describe the reporting entity’s process for determining a reliable pricing source for purposes of disclosure of fair
value for Schedule D:
31.1 Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Securities Valuation Office been followed?
31.2 If no, list exceptions:
OTHER
32.1 Amount of payments to trade associations, service organizations and statistical or rating bureaus, if any?
$
0
32.2 List the name of the organization and the amount paid if any such payment represented 25% or more of the total payments to trade
associations, service organizations and statistical or rating bureaus during the period covered by this statement.
1
Name
2
Amount Paid
33.1 Amount of payments for legal expenses, if any?
$
65,516
33.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal expenses during
the period covered by this statement.
1
Name
2
Amount Paid
Lydecker Diaz
66,516
34.1 Amount of payments for expenditures in connection with matters before legislative bodies, officers or departments of government, if any? $
34.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payment expenditures in
connection with matters before legislative bodies, officers or departments of government during the period covered by this statement.
1
Name
2
Amount Paid
15.4
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
(continued)
PART 2 - PROPERTY & CASUALTY INTERROGATORIES
Yes [
1.1
Does the reporting entity have any direct Medicare Supplement Insurance in force?
1.2
If yes, indicate premium earned on U.S. business only.
$
1.3
What portion of Item (1.2) is not reported on the Medicare Supplement Insurance Experience Exhibit?
$
] No [ X ]
0
1.31 Reason for excluding
1.4
Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item (1.2) above.
$
1.5
Indicate total incurred claims on all Medicare Supplement insurance.
$
0
1.6
Individual policies:
1.61 Total premium earned
$
0
1.62 Total incurred claims
$
0
Most current three years:
0
1.63 Number of covered lives
All years prior to most current three years:
1.64 Total premium earned
$
0
1.65 Total incurred claims
$
0
0
1.66 Number of covered lives
1.7
Group policies:
Most current three years:
1.71 Total premium earned
$
0
1.72 Total incurred claims
$
0
0
1.73 Number of covered lives
All years prior to most current three years:
1.74 Total premium earned
$
0
1.75 Total incurred claims
$
0
0
1.76 Number of covered lives
2.
Health Test:
1
Current Year
3.1
3.2
2
Prior Year
2.1
Premium Numerator
$
0
$
2.2
Premium Denominator
$
0
$
2.3
Premium Ratio (2.1/2.2)
0
0
0.000
0.000
2.4
Reserve Numerator
$
0
$
0
2.5
Reserve Denominator
$
357,447
$
749,491
2.6
Reserve Ratio (2.4/2.5)
0.000
0.000
Does the reporting entity issue both participating and non-participating policies?
If yes, state the amount of calendar year premiums written on:
3.21 Participating policies
3.22 Non-participating policies
4.
4.1
4.2
4.3
4.4
For Mutual reporting entities and Reciprocal Exchanges only:
Does the reporting entity issue assessable policies?
Does the reporting entity issue non-assessable policies?
If assessable policies are issued, what is the extent of the contingent liability of the policyholders?
Total amount of assessments paid or ordered to be paid during the year on deposit notes or contingent premiums.
5.
5.1
5.2
For Reciprocal Exchanges Only:
Does the exchange appoint local agents?
If yes, is the commission paid:
5.3
5.21 Out of Attorney's-in-fact compensation
5.22 As a direct expense of the exchange
What expenses of the Exchange are not paid out of the compensation of the Attorney-in-fact?
5.4
5.5
Has any Attorney-in-fact compensation, contingent on fulfillment of certain conditions, been deferred?
If yes, give full information
Yes [
] No [ X ]
Yes [
Yes [
] No [
] No [
$
$
%
$
Yes [
16
]
]
] No [
]
Yes [ ] No [ ] NA [ ]
Yes [ ] No [ ] NA [ ]
Yes [
] No [
]
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
PART 2 - PROPERTY & CASUALTY INTERROGATORIES
6.1
What provision has this reporting entity made to protect itself from an excessive loss in the event of a catastrophe under a workers’
compensation contract issued without limit of loss:
Workers compensation excess of loss reinsurance providing for limits in excess of $1 million and up to $5 million on an
occurance basis.
6.2
Describe the method used to estimate this reporting entity’s probable maximum insurance loss, and identify the type of insured exposures
comprising that probable maximum loss, the locations of concentrations of those exposures and the external resources (such as
consulting firms or computer software models), if any, used in the estimation process:
The comany primarily underwrote diversified classes of workers compensation in Florida and through 2009, the company utilized
the services of an actuary to esimated ultimate loss
6.3
What provision has this reporting entity made (such as a catastrophic reinsurance program) to protect itself from an excessive loss arising
from the types and concentrations of insured exposures comprising its probable maximum property insurance loss?
6.4
Does the reporting entity carry catastrophe reinsurance protection for at least one reinstatement, in an amount sufficient to cover its
estimated probable maximum loss attributable to a single loss event or occurrence?
If no, describe any arrangements or mechanisms employed by the reporting entity to supplement its catastrophe reinsurance program or
to hedge its exposure to unreinsured catastrophic loss.
The company does not purchase catastrophe reinsurance due to its limited property exposure.
6.5
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
See response to 6.3
7.1
7.2
7.3
8.1
8.2
9.1
9.2
9.3
9.4
9.5
9.6
10.
Has the reporting entity reinsured any risk with any other entity under a quota share reinsurance contract that includes a provision that
would limit the reinsurer's losses below the stated quota share percentage (e.g., a deductible, a loss ratio corridor, a loss cap, an
aggregate limit or any similar provisions)?
If yes, indicate the number of reinsurance contracts containing such provisions.
If yes, does the amount of reinsurance credit taken reflect the reduction in quota share coverage caused by any applicable limiting
provision(s)?
Has this reporting entity reinsured any risk with any other 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?
If yes, give full information
]
Has the reporting entity ceded any risk under any reinsurance contract (or under multiple contracts with the same reinsurer or its affiliates)
for which during the period covered by the statement: (i) it recorded a positive or negative underwriting result greater than 5% of prior yearend surplus as regards policyholders or it reported calendar year written premium ceded or year-end loss and loss expense reserves
ceded greater than 5% of prior year-end surplus as regards policyholders; (ii) it accounted for that contract as reinsurance and not as a
deposit; and (iii) the contract(s) contain one or more of the following features or other features that would have similar results:
(a) A contract term longer than two years and the contract is noncancellable by the reporting entity during the contract term;
(b) A limited or conditional cancellation provision under which cancellation triggers an obligation by the reporting entity, or an affiliate of
the reporting entity, to enter into a new reinsurance contract with the reinsurer, or an affiliate of the reinsurer;
(c) Aggregate stop loss reinsurance coverage;
(d) A unilateral right by either party (or both parties) to commute the reinsurance contract, whether conditional or not, except for such
provisions which are only triggered by a decline in the credit status of the other party;
(e) A provision permitting reporting of losses, or payment of losses, less frequently than on a quarterly basis (unless there is no activity
during the period); or
(f) Payment schedule, accumulating retentions from multiple years or any features inherently designed to delay timing of the
reimbursement to the ceding entity.
Has the reporting entity during the period covered by the statement ceded any risk under any reinsurance contract (or under multiple
contracts with the same reinsurer or its affiliates), for which, during the period covered by the statement, it recorded a positive or negative
underwriting result greater than 5% of prior year-end surplus as regards policyholders or it reported calendar year written premium ceded
or year-end loss and loss expense reserves ceded greater than 5% of prior year-end surplus as regards policyholders; excluding cessions
to approved pooling agreements or to captive insurance companies that are directly or indirectly controlling, controlled by, or under
common control with (i) one or more unaffiliated policyholders of the reporting entity, or (ii) an association of which one or more unaffiliated
policyholders of the reporting entity is a member, where:
(a) The written premium ceded to the reinsurer by the reporting entity or its affiliates represents fifty percent (50%) or more of the entire
direct and assumed premium written by the reinsurer based on its most recently available financial statement; or
(b) Twenty–five percent (25%) or more of the written premium ceded to the reinsurer has been retroceded back to the reporting entity or
its affiliates in a separate reinsurance contract.
If yes to 9.1 or 9.2, please provide the following information in the Reinsurance Summary Supplemental Filing for General Interrogatory 9:
(a) The aggregate financial statement impact gross of all such ceded reinsurance contracts on the balance sheet and statement of
income;
(b) A summary of the reinsurance contract terms and indicate whether it applies to the contracts meeting the criteria in 9.1 or 9.2; and
(c) A brief discussion of management's principle objectives in entering into the reinsurance contract including the economic purpose to
be achieved.
Except for transactions meeting the requirements of paragraph 32 of SSAP No. 62, Property and Casualty Reinsurance, has the reporting
entity ceded any risk under any reinsurance contract (or multiple contracts with the same reinsurer or its affiliates) during the period
covered by the financial statement, and either:
(a) Accounted for that contract as reinsurance (either prospective or retroactive) under statutory accounting principles ("SAP") and as a
deposit under generally accepted accounting principles ("GAAP"); or
(b) Accounted for that contract as reinsurance under GAAP and as a deposit under SAP?
If yes to 9.4, explain in the Reinsurance Summary Supplemental Filing for General Interrogatory 9 (Section D) why the contract(s) is
treated differently for GAAP and SAP.
The reporting entity is exempt from the Reinsurance Attestation Supplement under one or more of the following criteria:
(a) The entity does not utilize reinsurance; or,
(b) The entity only engages in a 100% quota share contract with an affiliate and the affiliated or lead company has filed an attestation
supplement; or
(c) The entity has no external cessions and only participates in an intercompany pool and the affiliated or lead company has filed an
attestation supplement.
If the reporting entity has assumed risks from another entity, there should be charged on account of such reinsurances a reserve equal to
that which the original entity would have been required to charge had it retained the risks. Has this been done?
16.1
Yes [ ] No [ ] N/A [X]
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
PART 2 - PROPERTY & CASUALTY INTERROGATORIES
Yes [
11.1 Has the reporting entity guaranteed policies issued by any other entity and now in force:
11.2 If yes, give full information
12.1 If the reporting entity recorded accrued retrospective premiums on insurance contracts on Line 15.3 of the asset schedule, Page 2, state
the amount of corresponding liabilities recorded for:
12.11 Unpaid losses
12.12 Unpaid underwriting expenses (including loss adjustment expenses)
12.2 Of the amount on Line 15.3, Page 2, state the amount that is secured by letters of credit, collateral and other funds?
12.3 If the reporting entity underwrites commercial insurance risks, such as workers’ compensation, are premium notes or promissory notes
accepted from its insureds covering unpaid premiums and/or unpaid losses?
12.4 If yes, provide the range of interest rates charged under such notes during the period covered by this statement:
12.41 From
12.42 To
12.5 Are letters of credit or collateral and other funds received from insureds being utilized by the reporting entity to secure premium notes or
promissory notes taken by the reporting entity, or to secure any of the reporting entity’s reported direct unpaid loss reserves, including
unpaid losses under loss deductible features of commercial policies?
12.6 If yes, state the amount thereof at December 31 of the current year:
12.61 Letters of Credit
12.62 Collateral and other funds
] No [ X ]
$
$
$
Yes [ ] No [X] NA [ ]
%
%
Yes [
] No [ X ]
Yes [
20,000
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [
]
Yes [
] No [
]
Yes [
] No [ X ]
Yes [
] No [ X ]
$
$
13.1 Largest net aggregate amount insured in any one risk (excluding workers’ compensation):
$
13.2 Does any reinsurance contract considered in the calculation of this amount include an aggregate limit of recovery without also including a
reinstatement provision?
13.3 State the number of reinsurance contracts (excluding individual facultative risk certificates, but including facultative programs, automatic
facilities or facultative obligatory contracts) considered in the calculation of the amount.
14.1 Is the company a cedant in a multiple cedant reinsurance contract?
14.2 If yes, please describe the method of allocating and recording reinsurance among the cedants:
14.3 If the answer to 14.1 is yes, are the methods described in item 14.2 entirely contained in the respective multiple cedant reinsurance
contracts?
14.4 If the answer to 14.3 is no, are all the methods described in 14.2 entirely contained in written agreements?
14.5 If the answer to 14.4 is no, please explain:
15.1 Has the reporting entity guaranteed any financed premium accounts?
15.2 If yes, give full information
16.1 Does the reporting entity write any warranty business?
If yes, disclose the following information for each of the following types of warranty coverage:
1
Direct Losses
Incurred
2
Direct Losses
Unpaid
3
Direct Written
Premium
4
Direct Premium
Unearned
5
Direct Premium
Earned
16.11 Home
$
$
$
$
$
16.12 Products
$
$
$
$
$
16.13 Automobile
$
$
$
$
$
16.14 Other*
$
$
$
$
$
* Disclose type of coverage:
16.2
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
GENERAL INTERROGATORIES
PART 2 - PROPERTY & CASUALTY INTERROGATORIES
17.1 Does the reporting entity include amounts recoverable on unauthorized reinsurance in Schedule F – Part 3 that it excludes from Schedule F
– Part 5.
Yes [
] No [ X ]
Yes [
] No [ X ]
Yes [
] No [ X ]
Incurred but not reported losses on contracts not in force prior to July 1, 1984, and not subsequently renewed are exempt from inclusion in
Schedule F – Part 5. Provide the following information for this exemption:
17.11
Gross amount of unauthorized reinsurance in Schedule F – Part 3
excluded from Schedule F – Part 5
$
17.12
Unfunded portion of Interrogatory 17.11
$
17.13
Paid losses and loss adjustment expenses portion of Interrogatory $
17.11
17.14
Case reserves portion of Interrogatory 17.11
$
17.15
Incurred but not reported portion of Interrogatory 17.11
$
17.16
Unearned premium portion of Interrogatory 17.11
$
17.17
Contingent commission portion of Interrogatory 17.11
$
Provide the following information for all other amounts included in Schedule F – Part 3 and excluded from Schedule F – Part 5, not included
above.
17.18
Gross amount of unauthorized reinsurance in Schedule F – Part 3
excluded from Schedule F – Part 5
$
17.19
Unfunded portion of Interrogatory 17.18
$
17.20
Paid losses and loss adjustment expenses portion of Interrogatory $
17.18
17.21
Case reserves portion of Interrogatory 17.18
$
17.22
Incurred but not reported portion of Interrogatory 17.18
$
17.23
Unearned premium portion of Interrogatory 17.18
$
17.24
Contingent commission portion of Interrogatory 17.18
$
18.1 Do you act as a custodian for health savings accounts?
18.2 If yes, please provide the amount of custodial funds held as of the reporting date.
$
18.3 Do you act as an administrator for health savings accounts?
18.4 If yes, please provide the balance of the funds administered as of the reporting date.
16.3
$
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
FIVE-YEAR HISTORICAL DATA
Show amounts in whole dollars only, no cents; show percentages to one decimal place, i.e., 17.6.
1
2
3
4
2010
2009
2008
2007
Gross Premiums Written
(Page 8, Part 1B, Cols. 1, 2 & 3)
1. Liability lines (Lines 11.1, 11.2, 16, 17.1, 17.2, 17.3,
18.1, 18.2, 19.1, 19.2 & 19.3, 19.4)
2. Property lines (Lines 1, 2, 9, 12, 21 & 26)
3. Property and liability combined lines (Lines 3, 4, 5,
8, 22 & 27)
4. All other lines (Lines 6, 10, 13, 14, 15, 23, 24, 28,
29, 30 & 34)
5. Nonproportional reinsurance lines (Lines 31, 32 &
33)
6. Total (Line 35)
Net Premiums Written (Page 8, Part 1B, Col. 6)
7. Liability lines (Lines 11.1, 11.2, 16, 17.1, 17.2, 17.3,
18.1, 18.2, 19.1, 19.2 & 19.3, 19.4)
8. Property lines (Lines 1, 2, 9, 12, 21 & 26)
9. Property and liability combined lines
(Lines 3, 4, 5, 8, 22 & 27)
10. All other lines
(Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34)
11. Nonproportional reinsurance lines
(Lines 31, 32 & 33)
12. Total (Line 35)
13.
14.
15.
16.
17.
Statement of Income (Page 4)
Net underwriting gain (loss) (Line 8)
Net investment gain (loss) (Line 11)
Total other income (Line 15)
Dividends to policyholders (Line 17)
Federal and foreign income taxes incurred
(Line 19)
18. Net income (Line 20)
Balance Sheet Lines (Pages 2 and 3)
19. Total admitted assets excluding protected cell
business (Page 2, Line 26, Col. 3)
20. Premiums and considerations (Page 2, Col. 3)
20.1 In course of collection (Line 15.1)
20.2 Deferred and not yet due (Line 15.2)
20.3 Accrued retrospective premiums (Line 15.3)
21. Total liabilities excluding protected cell
business (Page 3, Line 26)
22. Losses (Page 3, Line 1)
23. Loss adjustment expenses (Page 3, Line 3)
24. Unearned premiums (Page 3, Line 9)
25. Capital paid up (Page 3, Lines 30 & 31)
26. Surplus as regards policyholders (Page 3, Line 37)
Cash Flow (Page 5)
27. Net cash from operations (Line 11)
Risk-Based Capital Analysis
28. Total adjusted capital
29. Authorized control level risk-based capital
Percentage Distribution of Cash, Cash
Equivalents and Invested Assets
(Page 2, Col. 3)(Item divided by Page 2, Line 12,
Col. 3) x 100.0
30. Bonds (Line 1)
31. Stocks (Lines 2.1 & 2.2)
32. Mortgage loans on real estate (Lines 3.1 and 3.2)
33. Real estate (Lines 4.1, 4.2 & 4.3)
34. Cash, cash equivalents and short-term investments
(Line 5)
35. Contract loans (Line 6)
36. Derivatives (Line 7)
37. Other invested assets (Line 8)
38. Receivables for securities (Line 9)
39. Securities lending reinvested collateral assets (Line
10)
40. Aggregate write-ins for invested assets (Line 11)
41. Cash, cash equivalents and invested assets (Line
12)
Investments in Parent, Subsidiaries and Affiliates
42. Affiliated bonds, (Sch. D, Summary, Line 12, Col. 1)
43. Affiliated preferred stocks
(Sch. D, Summary, Line 18, Col. 1)
44. Affiliated common stocks
(Sch. D, Summary, Line 24, Col. 1)
45. Affiliated short-term investments (subtotals included
in Schedule DA Verification, Col. 5, Line 10)
46. Affiliated mortgage loans on real estate
47. All other affiliated
48. Total of above Lines 42 to 47
49. Percentage of investments in parent, subsidiaries
and affiliates to surplus as regards policyholders
(Line 48 above divided by Page 3, Col. 1, Line 37
x 100.0)
5
2006
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(192,017)
26,748
35,596
0
(202,686)
36,248
36,351
0
42,842
41,207
1,036,918
0
(924,119)
618,088
38,551
0
594,834
570,304
547
0
0
(129,673)
0
(130,087)
10,130
1,110,837
0
(267,480)
12,873
1,152,812
1,088,981
1,657,930
2,128,905
2,776,952
4,017,063
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
789,729
271,344
86,103
0
5,000,000
299,254
1,231,193
636,725
112,766
0
5,000,000
426,737
1,691,067
970,856
135,236
0
5,000,000
437,838
3,494,138
2,530,465
316,281
0
5,000,000
(717,185)
4,416,819
3,494,822
407,676
0
5,000,000
(399,755)
(1,757,823)
(1,730,061)
(717,185)
176,372
(399,755)
225,126
(479,198)
(519,748)
(632,148)
299,254
48,385
426,737
67,039
437,838
65,383
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
10.3
100.0
0.0
0.0
0.0
0.0
100.0
0.0
100.0
0.0
100.0
0.0
89.7
0.0
XXX
XXX
0.0
0.0
0.0
0.0
XXX
XXX
0.0
100.0
XXX
0.0
0.0
100.0
XXX
0.0
0.0
XXX
0.0
100.0
0.0
0.0
XXX
0.0
100.0
0.0
100.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
17
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
FIVE-YEAR HISTORICAL DATA
(Continued)
2
2009
1
2010
3
2008
4
2007
5
2006
Capital and Surplus Accounts (Page 4)
0
0
50. Net unrealized capital gains (losses) (Line 24)
51. Dividends to stockholders (Line 35)
52. Change in surplus as regards policyholders for the
year (Line 38)
0
0
0
0
0
0
(127,482)
(11,104)
1,155,026
(317,430)
214,433
500
144,740
(100)
917,602
0
947,010
(167)
0
0
1,887,670
Gross Losses Paid (Page 9, Part 2, Cols. 1 & 2)
53. Liability lines (Lines 11.1, 11.2, 16, 17.1, 17.2, 17.3,
18.1, 18.2, 19.1, 19.2 & 19.3, 19.4)
54. Property lines (Lines 1, 2, 9, 12, 21 & 26)
857,467
(748)
55. Property and liability combined lines
(Lines 3, 4, 5, 8, 22 & 27)
0
0
0
112,800
0
56. All other lines
(Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34)
0
0
0
0
0
0
214,933
0
144,640
0
917,602
0
1,059,643
0
856,719
172,021
50
123,990
(100)
862,375
0
57. Nonproportional reinsurance lines
(Lines 31, 32 & 33)
58. Total (Line 35)
Net Losses Paid (Page 9, Part 2, Col. 4)
59. Liability lines (Lines 11.1, 11.2, 16, 17.1, 17.2, 17.3,
18.1, 18.2, 19.1, 19.2 & 19.3, 19.4)
60. Property lines (Lines 1, 2, 9, 12, 21 & 26)
940,780
(167)
832,943
(663)
61. Property and liability combined lines
(Lines 3, 4, 5, 8, 22 & 27)
0
0
0
109,362
0
62. All other lines
(Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34)
0
0
0
0
0
0
172,071
0
123,890
0
862,375
0
1,049,975
0
832,280
63. Nonproportional reinsurance lines
(Lines 31, 32 & 33)
64. Total (Line 35)
Operating Percentages (Page 4)
(Item divided by Page 4, Line 1) x 100.0
65. Premiums earned (Line 1)
100.0
100.0
100.0
100.0
100.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
70. Other underwriting expenses to net premiums
written (Page 4, Lines 4 + 5 - 15 divided by
Page 8, Part 1B, Col. 6, Line 35 x 100.0)
0.0
0.0
0.0
0.0
0.0
71. Losses and loss expenses incurred to premiums
earned (Page 4, Lines 2 + 3 divided by
Page 4, Line 1 x 100.0)
0.0
0.0
0.0
0.0
0.0
72. Net premiums written to policyholders' surplus
(Page 8, Part 1B, Col. 6, Line 35 divided by Page
3, Line 37, Col. 1 x 100.0)
0.0
0.0
0.0
0.0
0.0
73. Development in estimated losses and loss
expenses incurred prior to current year
(Schedule P, Part 2 - Summary, Line 12, Col. 11)
(100)
(182)
(710)
266
(1,679)
74. Percent of development of losses and loss
expenses incurred to policyholders' surplus of
prior year end (Line 73 above divided by Page 4,
Line 21, Col. 1 x 100.0)
(23.4)
(41.6)
98.9
(66.7)
73.4
(282)
(892)
(443)
(1,412)
4,345
61.7
101.5
66. Losses incurred (Line 2)
67. Loss expenses incurred (Line 3)
68. Other underwriting expenses incurred (Line 4)
69. Net underwriting gain (loss) (Line 8)
Other Percentages
One Year Loss Development (000 omitted)
Two Year Loss Development (000 omitted)
75. Development in estimated losses and loss
expenses incurred 2 years before the current year
and prior year (Schedule P, Part 2 - Summary,
Line 12, Col. 12)
76. Percent of development of losses and loss
expenses incurred to reported policyholders'
surplus of second prior year end (Line 75 above
divided by Page 4, Line 21, Col. 2 x 100.0)
(64.4)
124.3
110.8
NOTE: If a party to a merger, have the two most recent years of this exhibit been restated due to a merger in compliance with the
disclosure requirements of SSAP No. 3, Accounting Changes and Correction of Errors?
If no, please explain:
18
Yes [ ] No [ ]
*15075201043010100*
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14)
NAIC Group Code
0000
BUSINESS IN THE STATE OF Florida
3
Gross Premiums, Including Policy and
Membership Fees Less Return Premiums
and Premiums on Policies not Taken
19.FL
1.
2.1
2.2
2.3
3.
4.
5.1
5.2
6.
8.
9.
10.
11.
12.
13.
14.
15.1
15.2
15.3
15.4
15.5
15.6
15.7
15.8
16.
17.1
17.2
17.3
18.
19.1
19.2
19.3
19.4
21.1
21.2
22.
23.
24.
26.
27.
28.
30.
34.
35.
Line of Business
Fire
Allied lines
Multiple peril crop
Federal flood
Farmowners multiple peril
Homeowners multiple peril
Commercial multiple peril (non-liability portion)
Commercial multiple peril (liability portion)
Mortgage guaranty
Ocean marine
Inland marine
Financial guaranty
Medical professional liability
Earthquake
Group accident and health (b)
Credit A & H (group and individual)
Collectively renewable A & H (b)
Non-cancelable A & H (b)
Guaranteed renewable A & H (b)
Non-renewable for stated reasons only (b)
Other accident only
Medicare Title XVIII exempt from state taxes or fees
All other A & H (b)
Federal employees health benefits program premium (b)
Workers' compensation
Other liability - Occurrence
Other Liability - Claims-Made
Excess workers' compensation
Products liability
Private passenger auto no-fault (personal injury protection)
Other private passenger auto liability
Commercial auto no-fault (personal injury protection)
Other commercial auto liability
Private passenger auto physical damage
Commercial auto physical damage
Aircraft (all perils)
Fidelity
Surety
Burglary and theft
Boiler and machinery
Credit
Warranty
Aggregate write-ins for other lines of business
TOTALS (a)
DETAILS OF WRITE-INS
3401.
3402.
3403.
3498. Summary of remaining write-ins for Line 34 from overflow page
3499. Totals (Lines 3401 through 3403 plus 3498) (Line 34 above)
1
Direct Premiums
Written
2
Direct Premiums
Earned
Dividends Paid
or Credited to
Policyholders on
Direct Business
4
5
Direct
Unearned
Premium
Reserves
Direct Losses
Paid
(deducting
salvage)
DURING THE YEAR 2010
7
8
Direct Defense
and Cost
Containment
Direct Losses
Direct Losses
Expense
Incurred
Unpaid
Paid
6
(5,000)
395
70
NAIC Company Code 15075
10
11
12
Direct Defense
and Cost
Containment
Commissions
Taxes,
Expense
and Brokerage
Licenses and
Unpaid
Expenses
Fees
141,841
6,099
(230,455)
(1,401)
1,011,326
37,564
2,210
18,970
3,328
66,493
11,000
3,512
19,300
32,244
8,032
(325)
(325)
58,724
500
60,493
(5,000)
(5,000)
4,300
500
0
(181,563)
0
1,041,626
0
75,925
0
88,474
0
138,511
0
0
0
7,950
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
214,933
0
0
0
0
0
0
0
0
0
0
(a) Finance and service charges not included in Lines 1 to 35 $
.
(b) For health business on indicated lines report: Number of persons insured under PPO managed care products
9
Direct Defense
and Cost
Containment
Expense
Incurred
0
0
and number of persons insured under indemnity only products
105,256
1,605
5,565
4,845
1,590
26,805
795
*15075201043059100*
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14)
NAIC Group Code
0000
BUSINESS IN THE STATE OF Consolidated
3
Gross Premiums, Including Policy and
Membership Fees Less Return Premiums
and Premiums on Policies not Taken
19.GT
1.
2.1
2.2
2.3
3.
4.
5.1
5.2
6.
8.
9.
10.
11.
12.
13.
14.
15.1
15.2
15.3
15.4
15.5
15.6
15.7
15.8
16.
17.1
17.2
17.3
18.
19.1
19.2
19.3
19.4
21.1
21.2
22.
23.
24.
26.
27.
28.
30.
34.
35.
Line of Business
Fire
Allied lines
Multiple peril crop
Federal flood
Farmowners multiple peril
Homeowners multiple peril
Commercial multiple peril (non-liability portion)
Commercial multiple peril (liability portion)
Mortgage guaranty
Ocean marine
Inland marine
Financial guaranty
Medical professional liability
Earthquake
Group accident and health (b)
Credit A & H (group and individual)
Collectively renewable A & H (b)
Non-cancelable A & H (b)
Guaranteed renewable A & H (b)
Non-renewable for stated reasons only (b)
Other accident only
Medicare Title XVIII exempt from state taxes or fees
All other A & H (b)
Federal employees health benefits program premium (b)
Workers' compensation
Other liability - Occurrence
Other Liability - Claims-Made
Excess workers' compensation
Products liability
Private passenger auto no-fault (personal injury protection)
Other private passenger auto liability
Commercial auto no-fault (personal injury protection)
Other commercial auto liability
Private passenger auto physical damage
Commercial auto physical damage
Aircraft (all perils)
Fidelity
Surety
Burglary and theft
Boiler and machinery
Credit
Warranty
Aggregate write-ins for other lines of business
TOTALS (a)
DETAILS OF WRITE-INS
3401.
3402.
3403.
3498. Summary of remaining write-ins for Line 34 from overflow page
3499. Totals (Lines 3401 through 3403 plus 3498) (Line 34 above)
1
Direct Premiums
Written
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
Direct Premiums
Earned
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Dividends Paid
or Credited to
Policyholders on
Direct Business
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(a) Finance and service charges not included in Lines 1 to 35 $
0 .
(b) For health business on indicated lines report: Number of persons insured under PPO managed care products
4
5
Direct
Unearned
Premium
Reserves
Direct Losses
Paid
(deducting
salvage)
0
DURING THE YEAR 2010
7
8
Direct Defense
and Cost
Containment
Direct Losses
Direct Losses
Expense
Incurred
Unpaid
Paid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(5,000)
0
395
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(230,455)
1,011,326
37,564
(1,401)
0
2,210
0
0
0
0
0
0
0
0
0
60,493
11,000
3,512
(5,000)
0
0
(5,000)
0
0
4,300
19,300
32,244
500
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(181,563)
1,041,626
75,925
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
141,841
6,099
0
0
0
66,493
0
0
0
500
0
0
0
0
0
0
0
0
0
214,933
0
0
0
0
0
0
and number of persons insured under indemnity only products
0
0
9
Direct Defense
and Cost
Containment
Expense
Incurred
0
0
0
0
0
0
70
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18,970
3,328
0
0
0
8,032
(325)
(325)
58,724
0
0
0
0
0
0
0
0
0
0
88,474
0
0
0
0
0
NAIC Company Code 15075
10
11
12
Direct Defense
and Cost
Containment
Commissions
Taxes,
Expense
and Brokerage
Licenses and
Unpaid
Expenses
Fees
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
105,256
0
5,565
1,605
0
0
0
0
0
0
0
0
0
0
0
4,845
0
1,590
0
0
0
0
0
0
26,805
0
795
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
138,511
0
7,950
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule F - Part 1
NONE
Schedule F - Part 2
NONE
20, 21
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE F - PART 3
1
2
Federal
ID
Number
0499999 23-2023242
0599998 0599999 AA-1126570
0899998 0899999 0999999 1399999 1499998 23-1581485
1799998 1799999 1899999 1999999 2099999 -
3
NAIC
Company
Name of Reinsurer
Code
Total - Authorized - Affiliates
33855
Lincoln General Ins Co
Other U.S. Unaffil Insurers (Under $100,000)
Authorized - Other U.S. Unaffiliated Insurers
00000
Lloyds Atrium Syndicate
Authorized - Other Non-U.S. Insurers (Under $100,000)
Authorized - Other Non-U.S. Insurers
Total - Authorized
Total - Unauthorized - Affiliates
Unauthorized - Other U.S. Unaffiliated Insurers (Under $100,000)
13064
United National Ins Co
Unauthorized - Other Non-U.S. Insurers (Under $100,000)
Unauthorized - Other Non-U.S. Insurers
Total - Unauthorized
Total - Authorized and Unauthorized
Total - Protected Cells
4
Domiciliary
Jurisdiction
PA
Ceded Reinsurance as of December 31, Current Year (000 Omitted)
Reinsurance Recoverable On
6
7
8
9
10
11
12
5
Reinsurance
Contracts
Ceding 75%
or More of
Reinsurance
Direct
Premiums
Premiums
Ceded
Written
Paid
Losses
Paid
LAE
13
Known Case Known Case
Loss
LAE
IBNR Loss
Reserves
Reserves
Reserves
IBNR LAE
Reserves
3
1
2
2
419
0
2
3
348
1
61
2
419
419
2
2
348
351
61
62
2
419
2
351
62
2
419
2
351
62
GB
Unearned
Premiums
14
Reinsurance Payable
16
17
15
Contingent
Commissions
Cols.
7 thru 14
Totals
0
6
0
6
830
0
830
836
0
0
0
0
PA
0
0
836
0
Ceded
Balances
Payable
18
19
Net Amount
Recoverable Funds Held
By Company
From
Other
Under
Reinsurers
Amounts
Cols. 15 - Reinsurance
Due to
Treaties
[16 + 17]
Reinsurers
0
6
0
6
830
0
830
836
0
0
0
52
0
52
0
52
836
52
0
22
9999999 Totals
NOTE:
A.
Report the five largest provisional commission rates included in the cedant’s reinsurance treaties. The commission rate to be reported is
by contract with ceded premium in excess of $50,000:
1
2
3
Name of Reinsurer
Commission Rate
Ceded Premium
1.
2.
3.
4.
5.
Report the five largest reinsurance recoverables reported in Column 15, due from any one reinsurer (based on the total recoverables, Line 9999999, Column 15),
the amount of ceded premium, and indicate whether the recoverables are due from an affiliated insurer.
2
3
4
1
Total Recoverables
Ceded Premiums
Affiliated
Name of Reinsurer
1.
Yes [ ] No [ ]
Yes [ ] No [ ]
2.
Yes [ ] No [ ]
3.
Yes [ ] No [ ]
4.
5.
Yes [ ] No [ ]
B.
836
836
52
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE F - PART 4
1
2
3
4
Aging of Ceded Reinsurance as of December 31, Current Year (000 Omitted)
Reinsurance Recoverable on Paid Losses and Paid Loss Adjustment Expenses
Overdue
5
6
23
Federal
ID
Number
0199999 0299999 0399999 0499999 23-2023242
0599999 0699999 0799999 0899999 0999999 1099999 1199999 1299999 1399999 1499999 1599999 1699999 1799999 1899999 1999999 2099999 -
NAIC
Company
Name of Reinsurer
Code
Authorized - Affiliates - U.S. Intercompany Pooling
Authorized - Affiliates - U.S. Non-Pool
Authorized - Affiliates - Other (Non-U.S.)
Total - Authorized - Affiliates
33855
Lincoln General Ins Co
Authorized - Other U.S. Unaffiliated Insurers
Authorized - Pools - Mandatory Pools
Authorized - Pools - Voluntary Pools
Authorized - Other Non-U.S. Insurers
Total - Authorized
Unauthorized - Affiliates - U.S. Intercompany Pooling
Unauthorized - Affiliates - U.S. Non-Pool
Unauthorized - Affiliates - Other (Non-U.S.)
Total - Unauthorized - Affiliates
Unauthorized - Other U.S. Unaffiliated Insurers
Unauthorized - Pools - Mandatory Pools
Unauthorized - Pools - Voluntary Pools
Unauthorized - Other Non-U.S. Insurers
Total - Unauthorized
Total - Authorized and Unauthorized
Total - Protected Cells
9999999 Totals
Domiciliary
Jurisdiction
PA
7
8
9
12
13
11
10
0
0
0
2
2
0
2
0
0
2
0
0
0
0
2
0
Percentage
Overdue
Col. 10/Col. 11
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
2
0
2
0.0
Current
1 to 29 Days
2
2
2
30 - 90 Days
91 - 120 Days
Over 120 Days
Total Overdue
Cols. 6 + 7 + 8 + 9
Total Due
Cols. 5 + 10
Percentage more
Than 120 Days
Overdue Col. 9 /
Col. 11
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE F - PART 5
1
2
3
Federal
NAIC
ID
Company
Number
Code
Name of Reinsurer
23-1581485
13064
United National Ins Co
0599999 - Other U.S. Unaffiliated Insurers
0999999 - Total - Affiliates and Others
1099999 - Total - Protected Cells
4
Domiciliary
Jurisdiction
PA
Provision for Unauthorized Reinsurance as of December 31, Current Year (000 OMITTED)
5
6
7
8
9
10
11
Reinsurance
Recoverable
all Items
Schedule F
Part 3,
Col. 15
Funds Held
By Company
Under
Reinsurance
Treaties
52
52
52
Letters of
Credit
Ceded
Balances
Payable
Miscellaneous
Balances
Other
Allowed
Offset Items
12
Sum of Cols.
6 thru 10 but
not in excess
of Col. 5
0
Subtotal
Col. 5 minus
Col. 11
0
0
0
24
9999999 Totals
1. Amounts in dispute totaling $
2. Amounts in dispute totaling $
52
are included in Column 5.
are excluded from Column 13.
0
13
14
Recoverable
Paid Losses
& LAE
Expenses
Over 90 Days
Past Due not
in Dispute
20% of
Amount in
Col. 13
15
0
0
16
17
Total Provision
for
Smaller of Col. Unauthorized
11 or 20% of Reinsurance
Amount in
Smaller of
Smaller of
Dispute
Col.5 or
Included in
Cols.
Col. 11 or
Col. 5
12 +15 + 16
Col. 14
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule F - Part 6
NONE
Schedule F - Part 7
NONE
25, 26
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE F - PART 8
Restatement of Balance Sheet to Identify Net Credit for Reinsurance
1
As Reported
(Net of Ceded)
2
Restatement
Adjustments
3
Restated
(Gross of Ceded)
ASSETS (Page 2, Col. 3)
1. Cash and invested assets (Line 12)
2. Premiums and considerations (Line 15)
3. Reinsurance recoverable on loss and loss adjustment expense payments (Line 16.1)
4
Funds held by or deposited with reinsured companies (Line 16.2)
5. Other assets
1,082,829
1,082,829
0
0
2,291
(2,291)
0
0
0
3,860
3,860
365,263
6. Net amount recoverable from reinsurers
365,263
0
7. Protected cell assets (Line 27)
0
1,088,980
362,972
1,451,952
9. Losses and loss adjustment expenses (Lines 1 through 3)
357,447
415,060
772,507
10. Taxes, expenses, and other obligations (Lines 4 through 8)
231,528
231,528
11. Unearned premiums (Line 9)
0
0
12. Advance premiums (Line 10)
0
0
13. Dividends declared and unpaid (Line 11.1 and 11.2)
0
0
14. Ceded reinsurance premiums payable (net of ceding commissions) (Line 12)
0
0
8. Totals (Line 28)
LIABILITIES (Page 3)
52,088
15. Funds held by company under reinsurance treaties (Line 13)
(52,088)
0
16. Amounts withheld or retained by company for account of others (Line 14)
0
0
17. Provision for reinsurance (Line 16)
0
0
18. Other liabilities
148,666
148,666
19. Total liabilities excluding protected cell business (Line 26)
789,729
362,972
1,152,701
0
20. Protected cell liabilities (Line 27)
299,254
21. Surplus as regards policyholders (Line 37)
1,088,983
22. Totals (Line 38)
0
362,972
NOTE: Is the restatement of this exhibit the result of grossing up balances ceded to affiliates under 100 percent reinsurance or pooling arrangements?
If yes, give full explanation:
27
299,254
XXX
1,451,955
Yes [
] No [ X ]
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule H - Part 1
NONE
Schedule H - Part 2
NONE
Schedule H - Part 3
NONE
Schedule H - Part 4
NONE
Schedule H - Part 5
NONE
28, 29, 30
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - ANALYSIS OF LOSSES AND LOSS EXPENSES
SCHEDULE P - PART 1 - SUMMARY
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1. Prior
Premiums Earned
2
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
Ceded
XXX
XXX
Net
Direct and
(Cols. 1 - 2) Assumed
68
XXX
(287)
Direct and
Assumed
Ceded
40
Direct and
Assumed
Ceded
4
1
12
10
Number of
Claims
Reported Direct and
Assumed
Salvage
Total Net
and
Paid (Cols.
Subrogation 4 - 5 + 6 Received
7 + 8 - 9)
Ceded
16
11
5
1
42
XXX
2. 2001
328
615
260
72
6
2
89
0
0
281
XXX
3. 2002
4,852
1,477
3,375
4,039
1,353
351
263
1,094
145
22
3,722
XXX
4. 2003
12,186
4,908
7,278
5,394
1,892
411
232
1,594
97
89
5,178
XXX
5. 2004
7,159
2,799
4,360
2,174
34
305
3
967
4
49
3,405
XXX
6. 2005
103
0
103
60
0
4
0
34
1
0
98
XXX
7. 2006
0
0
0
0
0
0
0
0
0
0
0
XXX
8. 2007
0
0
0
0
0
0
0
0
0
0
0
XXX
9. 2008
0
0
0
0
0
0
0
0
0
0
0
XXX
10. 2009
0
0
0
0
0
0
0
0
0
0
0
XXX
11. 2010
0
0
0
0
0
0
0
0
0
0
0
XXX
11,995
3,391
1,081
502
3,794
252
161
12,726
XXX
23
24
25
12. Totals
XXX
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Ceded
Total
Number of
Salvage
Net
Claims
and
Losses
OutstandSubrogand
ing ation
Expenses Direct and
Anticipated Unpaid
Assumed
1.
0
0
2
1
3
0
0
0
1
0
0
5
XXX
2.
0
0
0
0
0
0
0
0
0
0
0
0
XXX
3.
0
0
3
2
0
0
1
0
0
0
0
2
XXX
4.
533
419
355
349
40
2
62
62
5
0
0
163
XXX
5.
62
0
85
0
18
0
15
0
5
0
0
185
XXX
6.
0
0
2
0
0
0
0
0
0
0
0
2
XXX
7.
0
0
0
0
0
0
0
0
0
0
0
0
XXX
8.
0
0
0
0
0
0
0
0
0
0
0
0
XXX
9.
0
0
0
0
0
0
0
0
0
0
0
0
XXX
10.
0
0
0
0
0
0
0
0
0
0
0
0
XXX
11.
0
0
0
0
0
0
0
0
0
0
0
0
XXX
595
419
447
352
61
2
78
62
11
0
0
357
XXX
12. Totals
Total
Losses and Loss Expenses Incurred
26
27
28
Direct and
Assumed
Ceded
XXX
XXX
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
2.
355
74
281
108.3
(25.8)
45.7
0
0
3.
5,488
1,763
3,724
113.1
119.4
110.3
0
0
1
1
4.
8,395
3,053
5,341
68.9
62.2
73.4
0
0
120
43
5.
3,631
41
3,590
50.7
1.5
82.3
0
0
147
38
6.
100
1
100
97.6
0.0
97.0
0
0
2
0
7.
0
0
0
0.0
0.0
0.0
0
0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0
0
1.
XXX
XXX
1
4
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0
0
11.
0
0
0
0.0
0.0
0.0
0
0
0
0
0
0
271
86
12. Totals
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Note: Parts 2 and 4 are gross of all discounting, including tabular discounting. Part 1 is gross of only nontabular discounting, which is reported in Columns 32 and 33 of Part 1.
The tabular discount, if any, is reported in the Notes to Financial Statements which will reconcile Part 1 with Parts 2 and 4.
31
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 2 - SUMMARY
Years in Which
Losses Were
Incurred
1. Prior
2. 2001
INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END
($000 OMITTED)
2
3
4
5
6
7
8
9
10
1
2001
2002
1,407
2003
2,001
168
2004
2,872
2005
3,210
2006
3,202
2007
3,206
2008
3,321
2009
3,322
DEVELOPMENT
11
12
2010
3,330
One Year
Two Year
15
23
3,345
145
145
147
155
190
190
192
192
192
0
0
2,029
2,734
2,799
2,764
2,759
2,768
2,774
2,778
2,776
(2)
2
2,325
2,222
5,856
4,275
3,986
3,742
3,796
3,839
43
97
756
3,150
3,049
3,502
3,028
2,780
2,622
(158)
(406)
117
86
64
64
64
66
2
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
XXX
(100)
12. Totals
XXX
XXX
(282)
SCHEDULE P - PART 3 - SUMMARY
CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000
OMITTED)
1
2
3
4
5
6
7
8
9
10
Years in Which
Losses Were
Incurred
1. Prior
2. 2001
2001
2002
000
131
2003
2004
2005
2006
2007
2008
2009
11
12
Number of
Number of
Claims
Claims
Closed
Closed With
Without
Loss
Loss
Payment
Payment
2010
1,172
2,377
2,980
3,040
3,040
3,216
3,304
3,310
3,341
XXX
XXX
140
141
146
155
190
190
192
192
192
XXX
XXX
921
2,493
2,724
2,755
2,753
2,768
2,774
2,774
2,774
XXX
XXX
1,582
2,100
2,176
2,711
3,341
3,503
3,587
3,681
XXX
XXX
489
626
1,033
1,482
2,230
2,321
2,442
XXX
XXX
64
64
64
64
64
64
XXX
XXX
0
0
0
0
0
XXX
XXX
0
0
0
0
XXX
XXX
0
0
0
XXX
XXX
0
0
XXX
XXX
0
XXX
XXX
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
SCHEDULE P - PART 4 - SUMMARY
Years in Which
Losses Were
Incurred
BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1. Prior
140
78
32
10
4
27
10
2
3
1
2. 2001
25
1
2
1
0
0
0
0
0
0
33
42
4
3
0
0
4
2
431
71
2,395
846
185
9
10
6
144
449
1,146
944
400
223
100
37
19
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
119
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
32
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1A - HOMEOWNERS/FARMOWNERS
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
Net
(Cols. 1 - 2)
1. Prior
XXX
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
Number of
Claims
Reported Direct and
Assumed
0
0
0
0
0
0
0
0
373
34
0
0
0
0
0
0
34
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
6. 2005
0
0
0
0
0
0
0
0
0
0
0
0
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
34
0
0
0
1
0
0
35
2. 2001
0
3. 2002
0
4. 2003
0
5. 2004
(373)
0
11. 2010
0
XXX
12. Totals
0
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
0
XXX
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
0
0
0
0
0
0
0
0
0
0
0
0
0
5.
0
0
0
0
0
0
0
0
0
0
0
0
0
6.
0
0
0
0
0
0
0
0
0
0
0
0
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Direct and
Assumed
Ceded
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
XXX
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
2.
34
0
34
0.0
0.0
9.1
0
0
0.0
0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
4.
1
0
1
0.0
0.0
0.0
0
0
0.0
0
0
5.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
6.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
7.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
11.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0
12.
XXX
XXX
XXX
XXX
XXX
XXX
33
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1B - PRIVATE PASSENGER AUTO
LIABILITY/MEDICAL
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
XXX
1. Prior
Net
(Cols. 1 - 2)
Ceded
XXX
Direct and
Assumed
XXX
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
61
40
2
1
10
5
0
27
Number of
Claims
Reported Direct and
Assumed
XXX
2. 2001
234
118
116
149
65
4
2
73
0
0
159
196
3. 2002
4,002
1,222
2,780
3,643
1,219
351
262
1,012
128
6
3,397
1,627
4. 2003
5,638
2,608
3,030
3,333
1,609
144
219
926
71
4
2,503
1,501
5. 2004
394
77
317
158
32
4
3
65
1
0
191
81
6. 2005
0
0
0
0
0
0
0
0
0
0
0
1
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
11. 2010
0
0
0
0
0
0
0
0
0
0
0
0
7,344
2,965
505
488
2,085
205
10
6,277
XXX
12. Totals
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
2
1
1
0
0
0
1
0
0
3
2
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
3
2
0
0
1
0
0
0
0
2
0
4.
0
0
5
1
2
0
1
1
0
0
0
6
1
5.
0
0
1
0
0
0
0
0
0
0
0
1
0
6.
0
0
0
0
0
0
0
0
0
0
0
0
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
0
0
11
4
3
0
2
1
1
0
0
12
3
Total
Losses and Loss Expenses Incurred
26
27
28
Direct and
Assumed
Ceded
XXX
XXX
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Net
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
Loss
Expense
Loss
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
1
2
2.
226
67
159
96.7
56.8
137.2
0
0
0.0
0
0
3.
5,010
1,611
3,399
125.2
131.8
122.3
0
0
0.0
1
1
4.
4,411
1,901
2,509
78.2
72.9
82.8
0
0
0.0
4
2
5.
228
36
192
57.7
46.6
60.5
0
0
0.0
1
0
6.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
7.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0.0
0
0
0.0
0
0
0
0
7
5
1.
0
11.
12.
XXX
XXX
0
XXX
0
XXX
0.0
XXX
0.0
XXX
XXX
34
XXX
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1C - COMMERCIAL AUTO/TRUCK
LIABILITY/MEDICAL
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
XXX
1. Prior
Net
(Cols. 1 - 2)
Ceded
XXX
Direct and
Assumed
XXX
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
0
0
0
0
0
0
0
0
Number of
Claims
Reported Direct and
Assumed
XXX
2. 2001
43
5
38
55
0
2
0
10
0
0
67
20
3. 2002
6
0
6
0
0
0
0
0
0
0
0
2
4. 2003
337
0
337
225
0
45
0
57
1
0
326
67
5. 2004
698
0
698
534
0
20
0
125
3
0
676
134
6. 2005
83
0
83
49
0
2
0
27
0
0
78
22
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
11. 2010
0
0
0
0
0
0
0
0
0
0
0
0
863
0
69
0
218
4
0
1,146
XXX
12. Totals
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
10
0
2
0
25
0
0
0
1
0
0
38
3
5.
0
0
6
0
0
0
1
0
0
0
0
7
0
6.
0
0
2
0
0
0
0
0
0
0
0
2
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
10
0
10
0
25
0
1
0
1
0
0
47
3
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Direct and
Assumed
Ceded
XXX
XXX
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Net
Direct and
Assumed
Ceded
XXX
XXX
Net
0
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0.0
107.9
0
0
0.0
12
26
98.2
0.0
97.8
0
0
0.0
6
1
80
95.8
0.0
95.8
0
0
0.0
2
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0.0
0
0
0
0
0
3.
0
0
4.
365
1
5.
686
3
6.
80
7.
0
8.
0.0
0
0.0
364
108.2
683
0
0
0
9.
10.
12.
0
XXX
67
XXX
155.8
11.
Loss
Expense
Loss
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
176.3
XXX
67
2.
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
0
XXX
0
XXX
0.0
XXX
0.0
XXX
XXX
35
XXX
0.0
XXX
0
0
0
0
0
0
20
27
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1D - WORKERS' COMPENSATION
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
1. Prior
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
0
2. 2001
Net
(Cols. 1 - 2)
Direct and
Assumed
XXX
0
0
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number of
Claims
Reported Direct and
Assumed
XXX
0
3. 2002
0
0
0
0
0
0
0
0
0
0
0
0
4. 2003
4,906
1,736
3,170
1,188
0
210
0
541
0
29
1,939
783
5. 2004
5,847
2,703
3,144
1,328
0
274
0
713
0
19
2,315
1,000
6. 2005
0
0
0
0
0
0
0
0
0
0
0
0
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,516
0
484
0
1,254
0
48
4,254
0
11. 2010
0
XXX
12. Totals
0
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
0
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
523
419
348
348
13
2
61
61
4
0
0
119
1
5.
62
0
78
0
18
0
14
0
5
0
0
177
3
6.
0
0
0
0
0
0
0
0
0
0
0
0
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
585
419
426
348
31
2
75
61
9
0
0
296
4
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Direct and
Assumed
Ceded
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
XXX
XXX
XXX
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
0
2.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
4.
2,888
830
2,058
58.9
47.8
64.9
0
0
0.0
104
15
5.
2,492
0
2,492
42.6
0.0
79.3
0
0
0.0
140
37
6.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
7.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
11.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
244
52
12.
XXX
XXX
XXX
XXX
XXX
XXX
36
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1E - COMMERCIAL MULTIPLE PERIL
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
Net
(Cols. 1 - 2)
1. Prior
XXX
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
Number of
Claims
Reported Direct and
Assumed
0
0
0
0
3
0
0
3
2. 2001
(1)
(13)
12
0
0
0
0
0
0
0
0
0
3. 2002
0
0
0
0
0
0
0
0
0
0
0
0
4. 2003
0
0
0
0
0
0
0
(1)
0
0
(1)
0
5. 2004
0
0
0
0
0
0
0
11
0
0
11
0
6. 2005
0
0
0
0
0
0
0
0
0
0
0
0
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13
0
0
13
0
11. 2010
0
XXX
12. Totals
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
0
XXX
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
0
0
0
0
0
0
0
0
0
0
0
0
0
5.
0
0
0
0
0
0
0
0
0
0
0
0
0
6.
0
0
0
0
0
0
0
0
0
0
0
0
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Direct and
Assumed
Ceded
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
XXX
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
2.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
4.
(1)
0
(1)
0.0
0.0
0.0
0
0
0.0
0
0
5.
11
0
11
0.0
0.0
0.0
0
0
0.0
0
0
6.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
7.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
11.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0
12.
XXX
XXX
XXX
XXX
XXX
XXX
37
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 1F - Prof. Liab. Occur
NONE
Schedule P - Part 1F - Prof. Liab. Claim
NONE
Schedule P - Part 1G - Special Liability
NONE
38, 39, 40
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1H - SECTION 1 - OTHER LIABILITY - OCCURRENCE
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
1. Prior
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Net
(Cols. 1 - 2)
Direct and
Assumed
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
Number of
Claims
Reported Direct and
Assumed
7
0
2
0
3
0
1
12
2. 2001
5
1
4
0
0
0
0
0
0
0
0
0
3. 2002
0
0
0
0
0
0
0
0
0
0
0
0
4. 2003
0
0
0
0
0
0
0
0
0
0
0
0
5. 2004
0
0
0
0
0
0
0
1
0
0
1
0
6. 2005
0
0
0
0
0
0
0
0
0
0
0
0
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
2
0
4
0
1
13
0
11. 2010
0
XXX
12. Totals
XXX
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
0
XXX
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
2
0
0
0
0
0
0
2
1
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
0
0
0
0
0
0
0
0
0
0
0
0
0
5.
0
0
0
0
0
0
0
0
0
0
0
0
0
6.
0
0
0
0
0
0
0
0
0
0
0
0
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
0
0
0
0
2
0
0
0
0
0
0
2
1
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Direct and
Assumed
Ceded
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
XXX
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
2
2.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
4.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
5.
1
0
1
0.0
0.0
0.0
0
0
0.0
0
0
6.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
7.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
11.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
2
12.
XXX
XXX
XXX
XXX
XXX
XXX
41
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
1. Prior
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Net
(Cols. 1 - 2)
Direct and
Assumed
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
Number of
Claims
Reported Direct and
Assumed
0
0
0
0
0
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
0
0
0
0
0
0
0
0
0
0
0
0
4. 2003
0
0
0
0
0
0
0
0
0
0
0
0
5. 2004
0
0
0
0
0
0
0
0
0
0
0
0
6. 2005
0
0
0
0
0
0
0
0
0
0
0
0
7. 2006
0
0
0
0
0
0
0
0
0
0
0
0
8. 2007
0
0
0
0
0
0
0
0
0
0
0
0
9. 2008
0
0
0
0
0
0
0
0
0
0
0
0
10. 2009
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11. 2010
0
XXX
12. Totals
XXX
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
0
XXX
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
0
0
0
0
0
0
0
0
0
0
0
0
0
5.
0
0
0
0
0
0
0
0
0
0
0
0
0
6.
0
0
0
0
0
0
0
0
0
0
0
0
0
7.
0
0
0
0
0
0
0
0
0
0
0
0
0
8.
0
0
0
0
0
0
0
0
0
0
0
0
0
9.
0
0
0
0
0
0
0
0
0
0
0
0
0
10.
0
0
0
0
0
0
0
0
0
0
0
0
0
11.
0
0
0
0
0
0
0
0
0
0
0
0
0
12.
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Direct and
Assumed
Ceded
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
XXX
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
2.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
4.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
5.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
6.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
7.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
8.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
9.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
10.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
11.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0
12.
XXX
XXX
XXX
XXX
XXX
XXX
42
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1I - SPECIAL PROPERTY (FIRE, ALLIED LINES,
INLAND MARINE, EARTHQUAKE, BURGLARY AND THEFT)
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
Net
(Cols. 1 - 2)
1. Prior
XXX
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
NONE
Direct and
Assumed
Ceded
Ceded
Direct and
Assumed
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
Number of
Claims
Reported Direct and
Assumed
0
0
0
0
0
0
0
0
XXX
2. 2009
0
0
0
0
0
0
0
0
0
0
0
XXX
3. 2010
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
XXX
XXX
4. Totals
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
NONE
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Ceded
Direct and
Assumed
23
24
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Direct and
Assumed
Ceded
Net
Direct and
Assumed
XXX
XXX
XXX
XXX
NONE
Ceded
Net
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
2.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0
4.
XXX
XXX
XXX
XXX
XXX
XXX
43
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 1J - AUTO PHYSICAL DAMAGE
Years in
Which
Premiums
Were
Earned
and Losses
Were
Incurred
Premiums Earned
2
Direct and
Assumed
Ceded
Net
(Cols. 1 - 2)
1. Prior
XXX
XXX
XXX
1
($000 Omitted)
Loss and Loss Expense Payments
Defense and Cost
Adjusting and Other
Containment Payments
Payments
6
7
8
9
3
Loss Payments
4
5
Direct and
Assumed
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
12
Ceded
10
11
Salvage
and
Subrogation
Received
Total
Net Paid
(Cols. 4 - 5
+6-7
+ 8 - 9)
0
0
0
0
0
0
0
0
Number of
Claims
Reported Direct and
Assumed
XXX
2. 2009
0
0
0
0
0
0
0
0
0
0
0
0
3. 2010
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4. Totals
XXX
XXX
XXX
Losses Unpaid
Case Basis
Bulk + IBNR
13
14
15
16
Direct and
Assumed
Direct and
Assumed
Ceded
Adjusting and Other
Unpaid
21
22
Defense and Cost Containment Unpaid
Case Basis
Bulk + IBNR
17
18
19
20
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
Direct and
Assumed
Ceded
23
24
25
Total
Salvage
Net Losses
and
and
Subrogation Expenses
Anticipated
Unpaid
Ceded
XXX
Number of
Claims
Outstanding - Direct
and
Assumed
1.
0
0
0
0
0
0
0
0
0
0
0
0
0
2.
0
0
0
0
0
0
0
0
0
0
0
0
0
3.
0
0
0
0
0
0
0
0
0
0
0
0
0
4.
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
Losses and Loss Expenses Incurred
26
27
28
1.
Loss and Loss Expense Percentage
(Incurred/Premiums Earned)
29
30
31
Direct and
Assumed
Ceded
Net
Direct and
Assumed
Ceded
Net
XXX
XXX
XXX
XXX
XXX
XXX
34
InterCompany
Pooling
Participation
Percentage
Nontabular Discount
32
33
Loss
Expense
Loss
0
0
XXX
Net Balance Sheet
Reserves After Discount
35
36
Loss
Losses
Expenses
Unpaid
Unpaid
0
0
2.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
3.
0
0
0
0.0
0.0
0.0
0
0
0.0
0
0
0
0
0
0
4.
XXX
XXX
XXX
XXX
XXX
XXX
44
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 1K - Fidelity/Surety
NONE
Schedule P - Part 1L - Other
NONE
Schedule P - Part 1M - International
NONE
Schedule P - Part 1N - Reinsurance A
NONE
Schedule P - Part 1O - Reinsurance B
NONE
Schedule P - Part 1P - Reinsurance C
NONE
Schedule P - Part 1R - Prod Liab Occur
NONE
Schedule P - Part 1R - Prod Liab Claims
NONE
Schedule P - Part 1S-Fin./Mtg. Guaranty
NONE
Schedule P - Part 1T - Warranty
NONE
45, 46, 47, 48, 49, 50, 51, 52, 53, 54
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 2A - HOMEOWNERS/FARMOWNERS
INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
Years in Which
1
2
3
4
5
6
7
8
9
10
Losses Were
Incurred
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1. Prior
45
54
50
56
64
63
65
68
68
68
2. 2001
37
34
34
34
34
34
34
34
34
34
3. 2002
0
0
0
0
0
0
0
0
0
XXX
4. 2003
0
0
0
0
0
0
0
0
XXX
XXX
5. 2004
0
0
0
0
0
0
0
XXX
XXX
XXX
6. 2005
0
0
0
0
0
0
XXX
XXX
XXX
XXX
7. 2006
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
8. 2007
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
12. Totals
DEVELOPMENT
11
12
One Year
Two Year
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
XXX
XXX
0
0
SCHEDULE P - PART 2B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
600
87
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
663
64
1,821
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
798
62
2,473
1,801
XXX
XXX
XXX
XXX
XXX
XXX
XXX
769
65
2,540
1,642
137
XXX
XXX
XXX
XXX
XXX
XXX
782
65
2,503
1,646
138
0
XXX
XXX
XXX
XXX
XXX
784
84
2,498
1,635
131
0
0
XXX
XXX
XXX
XXX
792
84
2,507
1,637
127
0
0
0
XXX
XXX
XXX
801
86
2,513
1,639
127
0
0
0
0
XXX
XXX
803
86
2,514
1,649
127
0
0
0
0
0
XXX
822
86
2,515
1,655
128
0
0
0
0
0
0
19
0
1
6
1
0
0
0
0
0
XXX
21
0
2
16
1
0
0
0
0
XXX
XXX
27
12. Totals
40
SCHEDULE P - PART 2C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
625
27
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
976
32
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1,483
34
0
214
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1,614
33
0
226
505
XXX
XXX
XXX
XXX
XXX
XXX
1,615
41
0
215
434
113
XXX
XXX
XXX
XXX
XXX
1,639
57
0
205
412
77
0
XXX
XXX
XXX
XXX
1,679
57
0
205
614
51
0
0
XXX
XXX
XXX
1,650
57
0
213
559
51
0
0
0
XXX
XXX
1,645
57
3
254
554
51
0
0
0
0
XXX
1,640
57
0
306
565
53
0
0
0
0
0
(5)
0
(3)
52
11
2
0
0
0
0
XXX
(10)
0
0
93
6
2
0
0
0
XXX
XXX
57
91
0
0
0
(16)
(166)
0
0
0
0
0
0
0
0
(13)
(409)
0
0
0
0
12. Totals
SCHEDULE P - PART 2D- WORKERS’ COMPENSATION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
2
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
3,631
2,442
0
XXX
XXX
XXX
XXX
XXX
0
0
0
2,076
2,362
0
0
XXX
XXX
XXX
XXX
0
0
0
1,780
2,605
0
0
0
XXX
XXX
XXX
0
0
0
1,526
2,183
0
0
0
0
XXX
XXX
0
0
0
1,529
1,940
0
0
0
0
0
XXX
0
0
0
1,513
1,774
0
0
0
0
0
0
12. Totals
XXX
XXX
XXX
(182)
(422)
(5)
0
0
0
0
0
0
0
0
0
(3)
0
0
0
0
0
0
0
0
SCHEDULE P - PART 2E- COMMERCIAL MULTIPLE PERIL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
138
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
224
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
358
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
436
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
392
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
372
0
0
0
0
0
0
XXX
XXX
XXX
XXX
404
0
0
0
0
0
0
0
XXX
XXX
XXX
420
0
0
0
0
0
0
0
0
XXX
XXX
422
0
0
0
0
0
0
0
0
0
XXX
417
0
0
0
0
0
0
0
0
0
0
12. Totals
55
XXX
(5)
XXX
XXX
(3)
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 2F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY OCCURRENCE
Years in Which
Losses Were
Incurred
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
2004
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2005
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
2006
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
2007
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
2008
0
0
0
0
0
0
0
0
XXX
XXX
XXX
2009
0
0
0
0
0
0
0
0
0
XXX
XXX
2010
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
DEVELOPMENT
11
12
One Year
Two Year
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
XXX
XXX
0
12. Totals
0
SCHEDULE P - PART 2F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY CLAIMS-MADE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
12. Totals
0
SCHEDULE P - PART 2G - SPECIAL LIABILITY
(OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
12. Totals
0
SCHEDULE P - PART 2H - SECTION 1 - OTHER LIABILITY - OCCURRENCE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
92
2
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
121
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
165
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
293
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
303
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
302
0
0
0
0
0
0
XXX
XXX
XXX
XXX
335
0
0
0
0
0
0
0
XXX
XXX
XXX
337
0
0
0
0
0
0
0
0
XXX
XXX
346
0
0
0
0
0
0
0
0
0
XXX
349
0
0
0
0
0
0
0
0
0
0
3
0
0
0
0
0
0
0
0
0
XXX
12
0
0
0
0
0
0
0
0
XXX
XXX
3
12. Totals
12
SCHEDULE P - PART 2H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
12. Totals
56
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
XXX
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 2I - SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND
MARINE, EARTHQUAKE, BURGLARY, AND THEFT)
Years in Which
Losses Were
Incurred
INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
2003
2004
2005
2006
2007
2008
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2009
0
2010
DEVELOPMENT
11
12
One Year
Two Year
0
0
0
0
0
0
0
0
XXX
XXX
4. Totals
XXX
XXX
0
0
0
SCHEDULE P - PART 2J - AUTO PHYSICAL DAMAGE
0
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
XXX
XXX
4. Totals
XXX
XXX
0
0
0
SCHEDULE P - PART 2K - FIDELITY, SURETY
0
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
0
0
0
0
0
0
0
XXX
XXX
4. Totals
XXX
XXX
0
0
0
SCHEDULE P - PART 2L - OTHER
(INCLUDING CREDIT, ACCIDENT AND HEALTH)
0
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
0
0
0
0
0
0
0
XXX
XXX
4. Totals
XXX
XXX
0
0
SCHEDULE P - PART 2M - INTERNATIONAL
1. Prior
0
0
0
0
0
0
0
0
0
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
NONE
0
XXX
12. Totals
57
XXX
XXX
XXX
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 2N
NONE
Schedule P - Part 2O
NONE
Schedule P - Part 2P
NONE
Schedule P - Part 2R - Prod Liab Occur
NONE
Schedule P - Part 2R - Prod Liab Claims
NONE
Schedule P - Part 2S
NONE
Schedule P - Part 2T
NONE
58, 59
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 3A - HOMEOWNERS/FARMOWNERS
CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END
($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
Years in Which
Losses Were
Incurred
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2001
2002
32
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
50
34
0
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2004
50
34
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2005
56
34
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
2006
56
34
0
0
0
0
XXX
XXX
XXX
XXX
XXX
2007
56
34
0
0
0
0
0
XXX
XXX
XXX
XXX
2008
65
34
0
0
0
0
0
0
XXX
XXX
XXX
2009
68
34
0
0
0
0
0
0
0
XXX
XXX
11
12
Number of
Number of
Claims
Claims
Closed
Closed With Without
Loss
Loss
Payment
Payment
2010
68
34
0
0
0
0
0
0
0
0
XXX
68
34
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
5
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 3B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
000
58
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
423
59
690
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
690
60
2,235
1,149
XXX
XXX
XXX
XXX
XXX
XXX
XXX
755
65
2,463
1,543
85
XXX
XXX
XXX
XXX
XXX
XXX
777
65
2,494
1,607
122
0
XXX
XXX
XXX
XXX
XXX
777
84
2,492
1,615
127
0
0
XXX
XXX
XXX
XXX
787
84
2,507
1,633
127
0
0
0
XXX
XXX
XXX
793
86
2,513
1,635
127
0
0
0
0
XXX
XXX
798
86
2,513
1,645
127
0
0
0
0
0
XXX
820
86
2,513
1,649
127
0
0
0
0
0
0
336
51
1,318
1,225
47
0
0
0
0
0
0
16
145
309
275
34
1
0
0
0
0
0
SCHEDULE P - PART 3C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
000
26
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
502
32
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1,237
32
0
97
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1,560
32
0
196
256
XXX
XXX
XXX
XXX
XXX
XXX
1,574
41
0
205
352
51
XXX
XXX
XXX
XXX
XXX
1,574
57
0
205
353
51
0
XXX
XXX
XXX
XXX
1,622
57
0
205
353
51
0
0
XXX
XXX
XXX
1,650
57
0
208
554
51
0
0
0
XXX
XXX
1,643
57
0
238
554
51
0
0
0
0
XXX
1,643
57
0
270
554
51
0
0
0
0
0
89
13
0
50
102
16
0
0
0
0
0
17
7
2
14
32
6
0
0
0
0
0
0
0
0
639
808
0
0
0
0
0
0
0
0
0
143
189
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 3D - WORKERS’ COMPENSATION
0
0
0
000
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
0
0
527
401
0
0
XXX
XXX
XXX
XXX
0
0
0
1,139
846
0
0
0
XXX
XXX
XXX
0
0
0
1,296
1,390
0
0
0
0
XXX
XXX
0
0
0
1,340
1,481
0
0
0
0
0
XXX
0
0
0
1,398
1,602
0
0
0
0
0
0
SCHEDULE P - PART 3E - COMMERCIAL MULTIPLE PERIL
70
0
0
000
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
231
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
280
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
295
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
295
0
0
0
0
0
0
XXX
XXX
XXX
XXX
60
398
0
0
0
0
0
0
0
XXX
XXX
XXX
415
0
0
0
0
0
0
0
0
XXX
XXX
417
0
0
0
0
0
0
0
0
0
XXX
417
0
0
0
0
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 3F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY OCCURRENCE
CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END
($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
Years in Which
Losses Were
Incurred
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2001
2002
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
0
0
0
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
2004
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2005
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
2006
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
2007
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
2008
0
0
0
0
0
0
0
0
XXX
XXX
XXX
2009
0
0
0
0
0
0
0
0
0
XXX
XXX
11
12
Number of
Number of
Claims
Claims
Closed
Closed With Without
Loss
Loss
Payment
Payment
2010
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 3F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY CLAIMS-MADE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
0
000
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 3G - SPECIAL LIABILITY
(OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
0
000
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
SCHEDULE P - PART 3H - SECTION 1 - OTHER LIABILITY - OCCURRENCE
88
0
0
000
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
123
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
282
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
292
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
292
0
0
0
0
0
0
XXX
XXX
XXX
XXX
298
0
0
0
0
0
0
0
XXX
XXX
XXX
332
0
0
0
0
0
0
0
0
XXX
XXX
338
0
0
0
0
0
0
0
0
0
XXX
347
0
0
0
0
0
0
0
0
0
0
10
0
0
0
0
0
0
0
0
0
0
4
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 3H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE
0
0
0
000
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
61
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 3I - SPECIAL PROPERTY
(FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY, AND THEFT)
CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END
($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
Years in Which
Losses Were
Incurred
2009
11
12
Number of
Number of
Claims
Claims
Closed
Closed With Without
Loss
Loss
Payment
Payment
2001
2002
2003
2004
2005
2006
2007
2008
2010
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
0
0
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
XXX
XXX
SCHEDULE P - PART 3J - AUTO PHYSICAL DAMAGE
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
0
0
0
0
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
SCHEDULE P - PART 3K - FIDELITY/SURETY
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
0
0
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
XXX
NONE
XXX
SCHEDULE P - PART 3L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH)
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
0
0
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
XXX
NONE
XXX
SCHEDULE P - PART 3M - INTERNATIONAL
1. Prior
000
0
2. 2001
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
NONE
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
XXX
XXX
0
0
0
0
XXX
XXX
0
0
0
XXX
XXX
0
0
XXX
XXX
0
XXX
XXX
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
62
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 3N
NONE
Schedule P - Part 3O
NONE
Schedule P - Part 3P
NONE
Schedule P - Part 3R - Prod Liab Occur
NONE
Schedule P - Part 3R - Prod Liab Claims
NONE
Schedule P - Part 3S
NONE
Schedule P - Part 3T
NONE
63, 64
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 4A - HOMEOWNERS/FARMOWNERS
Years in Which
Losses Were
Incurred
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
(40)
4
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2004
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2005
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
2006
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
2007
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
2008
0
0
0
0
0
0
0
0
XXX
XXX
XXX
2009
0
0
0
0
0
0
0
0
0
XXX
XXX
2010
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 4B - PRIVATE PASSENGER AUTO LIABILITY/MEDICAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
317
23
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
85
1
119
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
38
0
33
350
XXX
XXX
XXX
XXX
XXX
XXX
XXX
7
0
44
54
16
XXX
XXX
XXX
XXX
XXX
XXX
4
0
4
21
8
0
XXX
XXX
XXX
XXX
XXX
4
0
3
12
4
0
0
XXX
XXX
XXX
XXX
2
0
0
4
0
0
0
0
XXX
XXX
XXX
2
0
0
4
0
0
0
0
0
XXX
XXX
1
0
1
4
0
0
0
0
0
0
XXX
1
0
2
4
1
0
0
0
0
0
0
SCHEDULE P - PART 4C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
(47)
(4)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(11)
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(6)
2
0
81
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(3)
1
0
24
169
XXX
XXX
XXX
XXX
XXX
XXX
(8)
0
0
11
50
48
XXX
XXX
XXX
XXX
XXX
16
0
0
0
38
23
0
XXX
XXX
XXX
XXX
5
0
0
0
11
0
0
0
XXX
XXX
XXX
0
0
0
5
5
0
0
0
0
XXX
XXX
2
0
3
6
0
0
0
0
0
0
0
0
0
2
7
2
0
0
0
0
0
0
0
0
0
223
0
0
0
0
0
0
0
0
0
92
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
SCHEDULE P - PART 4D - WORKERS’ COMPENSATION
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
2
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
2,363
407
0
XXX
XXX
XXX
XXX
XXX
0
0
0
839
1,112
0
0
XXX
XXX
XXX
XXX
0
0
0
181
933
0
0
0
XXX
XXX
XXX
0
0
0
0
395
0
0
0
0
XXX
XXX
XXX
SCHEDULE P - PART 4E - COMMERCIAL MULTIPLE PERIL
(66)
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(1)
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
6
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
65
7
0
0
0
0
0
0
XXX
XXX
XXX
XXX
1
0
0
0
0
0
0
0
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 4F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY OCCURRENCE
Years in Which
Losses Were
Incurred
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
2004
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2005
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
2006
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
2007
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
2008
0
0
0
0
0
0
0
0
XXX
XXX
XXX
2009
0
0
0
0
0
0
0
0
0
XXX
XXX
2010
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 4F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY CLAIMS-MADE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 4G - SPECIAL LIABILITY
(OCEAN MARINE, AIRCRAFT (ALL PERILS), BOILER AND MACHINERY)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 4H - SECTION 1 - OTHER LIABILITY - OCCURRENCE
(24)
2
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
5
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
1
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
2
0
0
0
0
0
0
0
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
SCHEDULE P - PART 4H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
66
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
0
0
0
0
XXX
XXX
0
0
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 4I - SPECIAL PROPERTY
(FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE, BURGLARY AND THEFT)
Years in Which
Losses Were
Incurred
BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
1
2
3
4
5
5
7
8
9
10
2001
2002
2003
2004
2005
2006
2007
2008
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2009
0
2010
0
0
0
0
0
XXX
SCHEDULE P - PART 4J - AUTO PHYSICAL DAMAGE
0
1. Prior
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
0
XXX
SCHEDULE P - PART 4K - FIDELITY/SURETY
1. Prior
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
0
0
0
0
0
XXX
SCHEDULE P - PART 4L - OTHER (INCLUDING CREDIT, ACCIDENT AND HEALTH)
1. Prior
XXX
XXX
XXX
2. 2009
XXX
XXX
XXX
3. 2010
XXX
XXX
XXX
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
NONE
0
0
0
0
0
XXX
SCHEDULE P - PART 4M - INTERNATIONAL
1. Prior
0
0
0
0
0
0
0
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
NONE
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
67
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 4N
NONE
Schedule P - Part 4O
NONE
Schedule P - Part 4P
NONE
Schedule P - Part 4R - Prod Liab Occur
NONE
Schedule P - Part 4R - Prod Liab Claims
NONE
Schedule P - Part 4S
NONE
Schedule P - Part 4T
NONE
68, 69
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 5A - HOMEOWNERS/FARMOWNERS
SECTION 1
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END
2
3
4
5
6
7
8
9
1
2001
2002
2003
2004
2005
2006
2007
2008
10
2009
2010
1. Prior
5
3
0
0
0
0
1
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 2
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
8
4
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 3
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
3. 2002
XXX
4. 2003
XXX
CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
2
0
0
0
1
(1)
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
70
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 5B - PRIVATE PASSENGER AUTO
LIABILITY/MEDICAL
SECTION 1
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END
2
3
4
5
6
7
8
9
1
2001
2002
1. Prior
1,335
2. 2001
47
2003
205
2004
99
2005
2006
14
8
2007
1
2008
6
10
2009
1
2010
0
2
50
51
51
51
51
51
51
51
51
280
1,175
1,289
1,310
1,310
1,318
1,318
1,318
1,318
930
1,182
1,208
1,216
1,222
1,223
1,225
1,225
36
46
46
47
47
47
47
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 2
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
1
2
2001
2002
2003
2004
2005
2006
2007
2008
9
10
2009
2010
1. Prior
302
143
76
22
14
12
5
4
4
2
2. 2001
16
3
1
0
0
0
0
0
0
0
833
164
31
10
10
0
0
0
0
297
43
18
10
4
3
1
1
12
6
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 3
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
1
2
2001
2002
2003
2004
2005
2006
0
2007
(1)
2008
9
10
2009
2010
1. Prior
275
58
34
(40)
1
0
0
0
2. 2001
164
193
197
196
196
196
196
196
196
196
1,251
1,615
1,626
1,627
1,627
1,627
1,627
1,627
1,627
1,443
1,497
1,500
1,501
1,501
1,501
1,501
1,501
70
81
81
81
81
81
81
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
71
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 5C - COMMERCIAL AUTO/TRUCK
LIABILITY/MEDICAL
SECTION 1
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END
2
3
4
5
6
7
8
9
1
2001
2002
2003
2004
2005
2006
2007
2008
10
2009
2010
1. Prior
191
50
28
10
0
0
0
1
0
0
2. 2001
12
13
13
13
13
13
13
13
13
13
0
0
0
0
0
0
0
0
0
24
48
50
50
50
50
50
50
69
94
97
100
102
102
102
9
10
16
16
16
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 2
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
1. Prior
106
54
29
16
16
13
3
0
0
0
2. 2001
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
16
3
0
0
0
0
2
3
34
11
8
2
0
0
0
8
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 3
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
1. Prior
56
10
3
(2)
0
(1)
(8)
(2)
0
0
2. 2001
19
20
20
20
20
20
20
20
20
20
2
2
2
2
2
2
2
2
2
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
52
64
64
64
64
64
66
67
124
134
134
134
134
134
134
22
22
22
22
22
22
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 5D - WORKERS' COMPENSATION
SECTION 1
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END
2
3
4
5
6
7
8
9
1
2001
2002
2003
2004
2005
2006
2007
2008
10
2009
2010
1. Prior
0
0
0
0
0
0
0
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
602
626
634
639
639
639
0
755
792
800
807
807
808
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 2
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31
13
5
1
1
1
0
54
23
15
8
4
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 3
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
3. 2002
XXX
4. 2003
XXX
CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
776
782
782
783
783
783
0
998
1,004
1,004
1,004
1,000
1,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
73
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 5E - COMMERCIAL MULTIPLE PERIL
SECTION 1
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END
2
3
4
5
6
7
8
9
1
2001
2002
2003
2004
2005
2006
2007
2008
10
2009
2010
1. Prior
0
3
0
0
0
0
1
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 2
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
19
12
5
4
4
0
1
0
1
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 3
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
3. 2002
XXX
4. 2003
XXX
CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
2
3
(1)
(1)
0
(4)
2
(1)
1
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
74
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 5F- SN1A
NONE
Schedule P - Part 5F- SN2A
NONE
Schedule P - Part 5F- SN3A
NONE
Schedule P - Part 5F- SN1B
NONE
Schedule P - Part 5F- SN2B
NONE
Schedule P - Part 5F- SN3B
NONE
75, 76
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 5H - OTHER LIABILITY - OCCURRENCE
SECTION 1A
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END
2
3
4
5
6
7
8
9
1
2001
2002
2003
2004
2005
2006
2007
2008
10
2009
2010
1. Prior
14
4
5
0
0
0
0
1
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 2A
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
7
4
6
6
6
0
2
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
XXX
SECTION 3A
Years in
Which
Premiums
Were Earned
and Losses
Were Incurred
1
2
2001
2002
1. Prior
2. 2001
3. 2002
XXX
4. 2003
XXX
CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END
3
4
5
6
7
8
2003
2004
2005
2006
2007
2008
9
10
2009
2010
13
3
9
0
0
(6)
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
77
XXX
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 5H- SN1B
NONE
Schedule P - Part 5H- SN2B
NONE
Schedule P - Part 5H- SN3B
NONE
Schedule P - Part 5R- SN1A
NONE
Schedule P - Part 5R- SN2A
NONE
Schedule P - Part 5R- SN3A
NONE
Schedule P - Part 5R- SN1B
NONE
Schedule P - Part 5R- SN2B
NONE
Schedule P - Part 5R- SN3B
NONE
Schedule P - Part 5T- SN1
NONE
Schedule P - Part 5T- SN2
NONE
78, 79, 80, 81
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 5T- SN3
NONE
81
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 6C - COMMERCIAL AUTO/TRUCK LIABILITY/MEDICAL
SECTION 1
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
1
2001
2002
1,226
43
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
1,922
43
6
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
43
2004
0
43
6
337
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
6
2005
0
43
6
337
698
XXX
XXX
XXX
XXX
XXX
XXX
XXX
337
2006
0
43
6
337
698
83
XXX
XXX
XXX
XXX
XXX
XXX
698
2007
0
43
6
337
698
83
0
XXX
XXX
XXX
XXX
XXX
83
2008
0
43
6
337
698
83
0
0
XXX
XXX
XXX
XXX
0
2009
0
43
6
337
698
83
0
0
0
0
2010
0
43
6
337
698
83
0
0
0
0
XXX
XXX
XXX
11
Current
Year
Premiums
Earned
10
XXX
XXX
0
0
43
6
337
698
83
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
SECTION 2
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
1
CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED)
3
4
5
6
7
8
2
2001
2002
164
5
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
310
5
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
5
2004
0
5
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2005
0
5
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2006
0
5
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
2007
0
5
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
2008
0
5
0
0
0
0
0
0
XXX
XXX
XXX
XXX
0
9
2009
0
5
0
0
0
0
0
0
0
0
2010
0
5
0
0
0
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
11
Current
Year
Premiums
Earned
10
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
SCHEDULE P - PART 6D - WORKERS' COMPENSATION
SECTION 1
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
1
2001
2002
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
4,906
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
4,906
2004
0
0
0
4,906
5,847
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2005
2006
0
0
0
4,906
5,847
0
XXX
XXX
XXX
XXX
XXX
XXX
5,847
2007
0
0
0
4,906
5,847
0
0
XXX
XXX
XXX
XXX
XXX
0
2008
0
0
0
4,906
5,847
0
0
0
XXX
XXX
XXX
XXX
0
2009
0
0
0
4,906
5,847
0
0
0
0
XXX
XXX
XXX
0
2010
0
0
0
4,906
5,847
0
0
0
0
0
XXX
XXX
0
11
Current
Year
Premiums
Earned
10
0
0
0
4,906
5,847
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
SECTION 2
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
1
CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED)
3
4
5
6
7
8
2
2001
2002
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
0
0
1,736
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
1,736
2004
0
0
0
1,736
2,703
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2,703
2005
2006
0
0
0
1,736
2,703
0
XXX
XXX
XXX
XXX
XXX
XXX
2007
0
0
0
1,736
2,703
0
0
XXX
XXX
XXX
XXX
XXX
0
82
2008
0
0
0
1,736
2,703
0
0
0
XXX
XXX
XXX
XXX
0
0
0
0
1,736
2,703
0
0
0
0
XXX
XXX
XXX
0
9
10
2009
2010
0
0
0
1,736
2,703
0
0
0
0
0
XXX
XXX
0
11
Current
Year
Premiums
Earned
0
0
0
1,736
2,703
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 6E - COMMERCIAL MULTIPLE PERIL
SECTION 1
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
1
2001
2002
235
(1)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
(276)
(1)
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(1)
2004
0
(1)
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2005
0
(1)
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2006
0
(1)
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
2007
0
(1)
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
2008
0
(1)
0
0
0
0
0
0
XXX
XXX
XXX
XXX
0
2009
0
(1)
0
0
0
0
0
0
0
XXX
XXX
XXX
0
11
Current
Year
Premiums
Earned
10
2010
0
(1)
0
0
0
0
0
0
0
0
XXX
XXX
0
0
(1)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
SECTION 2
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
1
CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED)
3
4
5
6
7
8
2
2001
2002
40
(13)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
(39)
(13)
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(13)
2004
0
(13)
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2005
0
(13)
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2006
0
(13)
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
2007
0
(13)
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
2008
0
(13)
0
0
0
0
0
0
XXX
XXX
XXX
XXX
0
9
2009
0
(13)
0
0
0
0
0
0
0
XXX
XXX
XXX
0
11
Current
Year
Premiums
Earned
10
2010
0
(13)
0
0
0
0
0
0
0
0
XXX
XXX
0
0
(13)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
SCHEDULE P - PART 6H - OTHER LIABILITY - OCCURRENCE
SECTION 1A
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
1
2001
2002
368
5
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
(313)
5
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
5
2004
0
5
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2005
0
5
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2006
0
5
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
2007
0
5
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
2008
0
5
0
0
0
0
0
0
XXX
XXX
XXX
XXX
0
2009
0
5
0
0
0
0
0
0
0
XXX
XXX
XXX
0
2010
0
5
0
0
0
0
0
0
0
0
XXX
XXX
0
11
Current
Year
Premiums
Earned
10
0
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
SECTION 2A
Years in Which
Premiums Were
Earned and Losses
Were Incurred
1. Prior
2. 2001
3. 2002
4. 2003
5. 2004
6. 2005
7. 2006
8. 2007
9. 2008
10. 2009
11. 2010
12. Total
13. Earned
Premiums
(Sch P, Part 1)
1
CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END ($000 OMITTED)
3
4
5
6
7
8
2
2001
2002
51
1
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2003
(51)
1
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1
2004
0
1
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2005
0
1
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
2006
0
1
0
0
0
0
XXX
XXX
XXX
XXX
XXX
XXX
0
2007
0
1
0
0
0
0
0
XXX
XXX
XXX
XXX
XXX
0
83
2008
0
1
0
0
0
0
0
0
XXX
XXX
XXX
XXX
0
2010
0
1
0
0
0
0
0
0
0
0
XXX
XXX
0
11
Current
Year
Premiums
Earned
10
2009
0
1
0
0
0
0
0
0
0
XXX
XXX
XXX
0
9
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
XXX
0
0
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 6H - SN1B
NONE
Schedule P - Part 6H - SN2B
NONE
Schedule P - Part 6M - SN1
NONE
Schedule P - Part 6M - SN2
NONE
Schedule P - Part 6N - SN1
NONE
Schedule P - Part 6N - SN2
NONE
Schedule P - Part 6O - SN1
NONE
Schedule P - Part 6O - SN2
NONE
Schedule P - Part 6R - SN1A
NONE
Schedule P - Part 6R - SN2A
NONE
Schedule P - Part 6R - SN1B
NONE
84, 85, 86
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule P - Part 6R - SN2B
NONE
86
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 7A - PRIMARY LOSS SENSITIVE CONTRACTS
($000 OMITTED)
SECTION 1
1
Total Net Losses
and Expenses
Unpaid
Schedule P - Part 1
1. Homeowners/Farmowners
2. Private Passenger Auto Liability/Medical
3. Commercial Auto/Truck Liability/Medical
4. Workers’ Compensation
5. Commercial Multiple Peril
6. Medical Professional Liability - Occurrence
7. Medical Professional Liability - ClaimsMade
8. Special Liability
9. Other Liability - Occurrence
10. Other Liability - Claims-Made
11. Special Property
12. Auto Physical Damage
13. Fidelity/Surety
14. Other
15. International
2
Net Losses and
Expenses Unpaid
on Loss Sensitive
Contracts
3
4
5
6
Loss Sensitive
as Percentage of
Total
Total Net
Premiums
Written
Net Premiums
Written on Loss
Sensitive Contacts
Loss Sensitive
as Percentage of
Total
0
13
47
296
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0
0
2
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0
0
0
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
16. Reinsurance - Nonproportional Assumed
Property
XXX
XXX
XXX
XXX
XXX
XXX
17. Reinsurance - Nonproportional Assumed
Liability
XXX
XXX
XXX
XXX
XXX
XXX
18. Reinsurance - Nonproportional Assumed
Financial Lines
XXX
XXX
XXX
XXX
XXX
0
0
0
0
19. Products Liability - Occurrence
20. Products Liability - Claims-Made
21. Financial Guaranty/Mortgage Guaranty
22. Warranty
357
23. Totals
0
XXX
0.0
0.0
0.0
0.0
0
0
0
0
0.0
0
0.0
0.0
0.0
0.0
0
0.0
SECTION 2
Years in
Which
Policies
Were Issued
INCURRED LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
1
2001
2002
0
0
1. Prior
2. 2001
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
2009
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
2010
0
0
0
0
0
0
0
0
0
0
XXX
SECTION 3
Years in
Which
Policies
Were Issued
BULK AND INCURRED BUT NOT REPORTED RESERVES FOR LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES AT YEAR END ($000
OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
0
0
1. Prior
2. 2001
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
87
2009
0
0
0
0
0
0
0
0
0
2010
0
0
0
0
0
0
0
0
0
0
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 7A - PRIMARY LOSS SENSITIVE CONTRACTS
(Continued)
SECTION 4
Years in
Which Policies
Were Issued
1
2
3
2001
2002
2003
NET EARNED PREMIUMS REPORTED AT YEAR END ($000 OMITTED)
4
5
6
7
8
2004
2005
2006
2007
2008
9
10
2009
2010
1. Prior
0
0
0
0
0
0
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
0
XXX
SECTION 5
Years in
Which Policies
Were Issued
1
NET RESERVE FOR PREMIUM ADJUSTMENTS AND ACCRUED RETROSPECTIVE PREMIUMS AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
1. Prior
0
0
0
0
0
0
0
0
0
2. 2001
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NONE
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
0
88
0
XXX
10
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 7B - REINSURANCE LOSS SENSITIVE CONTRACTS
($000 OMITTED)
SECTION 1
1
Total Net Losses
and Expenses
Unpaid
Schedule P - Part 1
2
Net Losses and
Expenses Unpaid
on Loss Sensitive
Contracts
3
4
5
6
Loss Sensitive
as Percentage of
Total
Total Net
Premiums
Written
Net Premiums
Written on Loss
Sensitive Contacts
Loss Sensitive
as Percentage of
Total
0
13
47
296
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
15. International
0
0
2
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0
0
0
0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
16. Reinsurance - Nonproportional Assumed
Property
0
0.0
0
0.0
17. Reinsurance - Nonproportional Assumed
Liability
0
0.0
0
0.0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
0.0
0
1. Homeowners/Farmowners
2. Private Passenger Auto Liability/Medical
3. Commercial Auto/Truck Liability/Medical
4. Workers’ Compensation
5. Commercial Multiple Peril
6. Medical Professional Liability - Occurrence
7. MedicalProfessional Liability - Claimsmade
8. Special Liability
9. Other Liability - Occurrence
10. Other Liability - Claims-made
11. Special Property
12. Auto Physical Damage
13. Fidelity/Surety
14. Other
18. Reinsurance - Nonproportional Assumed
Financial Lines
19. Products Liability - Occurrence
20. Products Liability - Claims-made
21. Financial Guaranty/Mortgage Guaranty
22. Warranty
357
23. Totals
0
0
0.0
SECTION 2
Years in
Which Policies
Were Issued
INCURRED LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
1
2001
2002
0
0
1. Prior
2. 2001
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
2009
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
2010
0
0
0
0
0
0
0
0
0
0
XXX
SECTION 3
Years in
Which Policies
Were Issued
BULK AND INCURRED BUT NOT REPORTED RESERVES FOR LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES AT YEAR END ($000
OMITTED)
1
2
3
4
5
6
7
8
9
10
2001
2002
0
0
1. Prior
2. 2001
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
89
2009
0
0
0
0
0
0
0
0
0
2010
0
0
0
0
0
0
0
0
0
0
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P - PART 7B - REINSURANCE LOSS SENSITIVE CONTRACTS
(CONTINUED)
SECTION 4
Years in
Which Policies
Were Issued
1
2
2001
2002
0
0
1. Prior
2. 2001
3
NET EARNED PREMIUMS REPORTED AT YEAR END ($000 OMITTED)
4
5
6
7
8
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
9
2008
0
0
0
0
0
0
0
0
2009
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
2010
0
0
0
0
0
0
0
0
0
0
XXX
SECTION 5
Years in
Which Policies
Were Issued
1
NET RESERVE FOR PREMIUM ADJUSTMENTS AND ACCRUED RETROSPECTIVE PREMIUMS AT YEAR END ($000 OMITTED)
2
3
4
5
6
7
8
9
2001
2002
0
0
1. Prior
2. 2001
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
2009
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
2010
0
0
0
0
0
0
0
0
0
0
XXX
SECTION 6
Years in
Which Policies
Were Issued
1
2
2001
2002
0
0
1. Prior
2. 2001
INCURRED ADJUSTABLE COMMISSIONS REPORTED AT YEAR END ($000 OMITTED)
3
4
5
6
7
8
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
9
2009
0
0
0
0
0
0
0
0
0
3. 2002
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
2010
0
0
0
0
0
0
0
0
0
0
XXX
SECTION 7
Years in
Which Policies
Were Issued
1
2
2001
2002
0
0
1. Prior
2. 2001
RESERVES FOR COMMISSION ADJUSTMENTS AT YEAR END ($000 OMITTED)
3
4
5
6
7
8
2003
0
0
0
NONE
2004
0
0
0
0
2005
0
0
0
0
0
2006
0
0
0
0
0
0
2007
0
0
0
0
0
0
0
2008
0
0
0
0
0
0
0
0
XXX
4. 2003
XXX
XXX
5. 2004
XXX
XXX
XXX
6. 2005
XXX
XXX
XXX
XXX
7. 2006
XXX
XXX
XXX
XXX
XXX
8. 2007
XXX
XXX
XXX
XXX
XXX
XXX
9. 2008
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10. 2009
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
11. 2010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
2009
0
0
0
0
0
0
0
0
0
3. 2002
90
9
2010
0
0
0
0
0
0
0
0
0
0
XXX
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE P INTERROGATORIES
1.
The following questions relate to yet-to-be-issued Extended Reporting Endorsements (EREs) arising from Death, Disability, or Retirement (DDR) provisions in Medical
Professional Liability Claims Made insurance policies. EREs provided for reasons other than DDR are not to be included.
1.1 Does the company issue Medical Professional Liability Claims Made insurance policies that provide tail (also known as an extended
reporting endorsement, or "ERE") benefits in the event of Death, Disability, or Retirement (DDR) at a reduced charge or at no additional
cost?
If the answer to question 1.1 is "no", leave the following questions blank. If the answer to question 1.1 is "yes", please answer the following
questions:
Yes [
] No [ X ]
1.3 Does the company report any DDR reserve as Unearned Premium Reserve per SSAP #65?
Yes [
] No [ X ]
1.4 Does the company report any DDR reserve as loss or loss adjustment expense reserve?
Yes [
] No [ X ]
1.2 What is the total amount of the reserve for that provision (DDR Reserve), as reported, explicitly or not, elsewhere in this statement (in
dollars)?
1.5 If the company reports DDR reserve as Unearned Premium Reserve, does that amount match the figure on the Underwriting and
Investment Exhibit, Part 1A – Recapitulation of all Premiums (Page 7) Column 2, Lines 11.1 plus 11.2?
Yes [
] No [
] N/A [ X ]
1.6 If the company reports DDR reserve as loss or loss adjustment expense reserve, please complete the following table corresponding to
where these reserves are reported in Schedule P:
Years in Which Premiums Were Earned and
Losses Were Incurred
1.601
1.602
1.603
1.604
1.605
1.606
1.607
1.608
1.609
1.610
1.611
1.612
2.
3.
4.
DDR Reserve Included in
Schedule P, Part 1F, Medical Professional Liability
Column 24: Total Net Losses and Expenses Unpaid
1
2
Section 1: Occurrence
Section 2: Claims-Made
Prior
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Totals
0
0
The definition of allocated loss adjustment expenses (ALAE) and, therefore, unallocated loss adjustment expenses (ULAE) was
changed effective January 1, 1998. This change in definition applies to both paid and unpaid expenses. Are these expenses (now
reported as "Defense and Cost Containment" and "Adjusting and Other") reported in compliance with these definitions in this
statement?
Yes [ X ] No [
]
The Adjusting and Other expense payments and reserves should be allocated to the years in which the losses were incurred based on
the number of claims reported, closed and outstanding in those years. When allocating Adjusting and Other expense between
companies in a group or a pool, the Adjusting and Other expense should be allocated in the same percentage used for the loss
amounts and the claim counts. For reinsurers, Adjusting and Other expense assumed should be reported according to the reinsurance
contract. For Adjusting and Other expense incurred by reinsurers, or in those situations where suitable claim count information is not
available, Adjusting and Other expense should be allocated by a reasonable method determined by the company and described in
Interrogatory 7, below. Are they so reported in this Statement? Answer:
Yes [ X ] No [
]
Do any lines in Schedule P include reserves that are reported gross of any discount to present value of future payments, and that are
reported net of such discounts on Page 10?
Yes [
] No [ X ]
If yes, proper disclosure must be made in the Notes to Financial Statements, as specified in the Instructions. Also, the discounts must
be reported in Schedule P - Part 1, Columns 32 and 33.
Schedule P must be completed gross of non-tabular discounting. Work papers relating to discount calculations must be available for
examination upon request.
Discounting is allowed only if expressly permitted by the state insurance department to which this Annual Statement is being filed.
5.
What were the net premiums in force at the end of the year for:
(in thousands of dollars)
5.1Fidelity
5.2Surety
6.
Claim count information is reported per claim or per claimant (indicate which)
If not the same in all years, explain in Interrogatory 7.
7.1
The information provided in Schedule P will be used by many persons to estimate the adequacy of the current loss and expense
reserves, among other things. Are there any especially significant events, coverage, retention or accounting changes that have
occurred that must be considered when making such analyses?
7.2
An extended statement may be attached.
91
CLAIMANT
Yes [
] No [ X ]
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE T - EXHIBIT OF PREMIUMS WRITTEN
1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
States, etc.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist. of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
No. Carolina
No. Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
So. Carolina
So. Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Puerto Rico
U.S. Virgin Islands
Northern Mariana
Islands
Canada
Aggregate other
alien
Totals
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
GU
PR
VI
Active
Status
N
N
N
N
N
N
N
N
N
L
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
MP
CN
OT
Allocated by States and Territories
Gross Premiums, Including
4
5
Policy and Membership Fees
Less Return Premiums and
Premiums on Policies Not
Dividends
Taken
Paid
2
3
or Credited to
Direct Losses
Direct
Direct
Policyholders
Paid
Premiums
Premiums
on Direct
(Deducting
Written
Earned
Business
Salvage)
6
Direct Losses
Incurred
8
9
Direct
Premium
Written for
Federal
Purchasing
Groups
(Included in
Col. 2)
Direct Losses
Unpaid
Finance and
Service
Charges Not
Included in
Premiums
0
0
0
0
0
0
0
0
0
1,041,626
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,041,626
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
214,933
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
N
N
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
214,933
XXX
0
0
0
0
0
0
0
0
XXX
0
0
0
0
0
0
0
0
(a) 1
0
0
0
0
0
0
0
0
0
(181,563)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
7
0
0
0
(181,563)
DETAILS OF WRITEINS
5801.
5802.
5803.
5898. Sum. of remaining
write-ins for Line 58
from overflow page
5899. Totals (Lines 5801
through 5803 + 5898)
(Line 58 above)
XXX
XXX
XXX
(L) Licensed or Chartered - Licensed Insurance Carrier or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Qualified - Qualified or Accredited Reinsurer; (E) Eligible Reporting Entities eligible or approved to write Surplus Lines in the state; (N) None of the above - Not allowed to write business in the state.
Explanation of basis of allocation of premiums by states, etc.
(a) Insert the number of L responses except for Canada and Other Alien.
92
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE T – PART 2
INTERSTATE COMPACT – EXHIBIT OF PREMIUMS WRITTEN
Allocated By States and Territories
States, Etc.
1. Alabama
2. Alaska
3. Arizona
4. Arkansas
5. California
6. Colorado
7. Connecticut
8. Delaware
9. District of Columbia
10. Florida
11. Georgia
12. Hawaii
13. Idaho
14. Illinois
15. Indiana
16. Iowa
17. Kansas
18. Kentucky
19. Louisiana
20. Maine
21. Maryland
22. Massachusetts
23. Michigan
24. Minnesota
25. Mississippi
26. Missouri
27. Montana
28. Nebraska
29. Nevada
30. New Hampshire
31. New Jersey
32. New Mexico
33. New York
34. North Carolina
35. North Dakota
36. Ohio
37. Oklahoma
38. Oregon
39. Pennsylvania
40. Rhode Island
41. South Carolina
42. South Dakota
43. Tennessee
44. Texas
45. Utah
46. Vermont
47. Virginia
48. Washington
49. West Virginia
50. Wisconsin
51. Wyoming
52. American Samoa
53. Guam
54. Puerto Rico
55. US Virgin Islands
56. Northern Mariana Islands
57. Canada
58. Aggregate Other Alien
59. Totals
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
GU
PR
VI
MP
CN
OT
1
2
Life
(Group and
Individual)
Annuities (Group
and Individual)
Direct Business Only
3
4
Disability
Income
Long-Term Care
(Group and
(Group and
Individual)
Individual)
5
6
Deposit-Type
Contracts
Totals
NONE
0
0
93
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE Y - INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP
PART 1 - ORGANIZATIONAL CHART
AIB Financial Group, Inc.
AIB Insurance Group
94
Associated Insurance
Brokers, Inc.
Union American
Insurance Company
JPC Insurance
Underwriters, Inc.
AIB Insurance Underwriters
of Texas, Inc.
AIB General Insurance
Agency, Inc.
AIB Syndicate, Inc.
AIB Claims
Management, Inc.
Auto Premium
Finance Corp.
Loopo, Inc.
First Security Insurance
Underwriters, Inc.
AIB International
Insurance Company
AIB Life & Health
Underwriters, Inc.
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE Y
PART 2 - SUMMARY OF INSURER’S TRANSACTIONS WITH ANY AFFILIATES
1
NAIC
Company
Code
15075
2
Federal ID
Number
59-2115058
59-1468772
59-2479463
3
Names of Insurers and Parent, Subsidiaries or Affiliates
4
7
Income/
(Disbursements)
Purchases, Sales or
Incurred in
Exchanges of
Connection with
Loans, Securities,
Guarantees or
Real
Undertakings for
Estate, Mortgage
the
Loans or Other
Benefit of any
Investments
Affiliate(s)
5
Shareholder
Dividends
6
Capital
Contributions
13
8
9
Management
Agreements and
Service Contracts
10
Income/
(Disbursements)
Incurred Under
Reinsurance
Agreements
*
11
12
Any Other Material
Activity Not in the
Ordinary Course of
the Insurer’s
Business
AIB Claim Management
AIB, Inc.
Union American Insurance Co
Reinsurance
Recoverable/
(Payable) on
Losses and/or
Reserve
Credit
Taken/(Liability)
Totals
0
0
0
95
9999999 Control Totals
0
0
0
0
0
0
XXX
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES
The following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state.
However, in the event that your domiciliary state waives the filing requirement, your response of WAIVED 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.
RESPONSES
MARCH FILING
WAIVED
1.
Will an actuarial opinion be filed by March 1?
2.
Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1?
YES
3.
Will the confidential Risk-based Capital Report be filed with the NAIC by March 1?
YES
4.
Will the confidential Risk-based Capital Report be filed with the state of domicile, if required, by March 1?
YES
5.
APRIL FILING
Will the Insurance Expense Exhibit be filed with the state of domicile and the NAIC by April 1?
YES
6.
Will Management’s Discussion and Analysis be filed by April 1?
YES
7.
Will the Supplemental Investment Risks Interrogatories be filed by April 1?
YES
8.
MAY FILING
Will this company be included in a combined annual statement that is filed with the NAIC by May 1?
9.
Will an audited financial report be filed by June 1?
WAIVED
10.
Will Accountants Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1?
WAIVED
11.
AUGUST FILING
Will Communication of Internal Control Related Matters Noted in Audit be filed with the state of domicile by August 1?
WAIVED
SEE EXPLANATION
JUNE FILING
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.
12.
MARCH FILING
Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1?
NO
13.
Will the Financial Guaranty Insurance Exhibit be filed by March 1?
NO
14.
Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1?
NO
15.
Will Supplement A to Schedule T (Medical Professional Liability Supplement) be filed by March 1?
NO
16.
Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC by March 1?
NO
17.
Will the Premiums Attributed to Protected Cells Exhibit be filed by March 1?
NO
18.
Will the Reinsurance Summary Supplemental Filing for General Interrogatory 9 be filed with the state of domicile and the NAIC by March 1?
NO
19.
Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1?
NO
20.
Will the confidential Actuarial Opinion Summary be filed with the state of domicile, if required, by March 15 (or the date otherwise specified)?
NO
21.
Will the Reinsurance Attestation Supplement be filed with the state of domicile and the NAIC by March 1?
YES
22.
Will the Exceptions to the Reinsurance Attestation Supplement be filed with the state of domicile by March 1?
NO
23.
Will the Bail Bond Supplement be filed with the state of domicile and the NAIC by March 1?
NO
24.
APRIL FILING
Will the Credit Insurance Experience Exhibit be filed with the state of domicile and the NAIC by April 1?
NO
25.
Will the Long-term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1?
NO
26.
Will the Accident and Health Policy Experience Exhibit be filed by April 1?
NO
27.
Will the Supplemental Health Care Exhibit be filed with the state of domicile and the NAIC by April 1?
NO
28.
Will the regulator only (non-public) Supplemental Health Care Exhibit's Expense Allocation Report be filed with the state of domicile and the
NAIC by April 1?
NO
29.
AUGUST FILING
Will Management’s Report of Internal Control Over Financial Reporting be filed with the state of domicile by August 1?
NO
Explanation:
8. Not applicalbe
12.
13.
14.
96
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES
15.
16.
17.
18.
19.
20.
22.
23.
24.
25.
26.
27.
28.
29.
Bar Code:
1.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
22.
*15075201044000000*
*15075201022100000*
*15075201022100000*
*15075201022200000*
*15075201042100000*
*15075201024000000*
*15075201036059000*
*15075201045500000*
*15075201049000000*
*15075201038500000*
*15075201040100000*
*15075201036500000*
*15075201044159000*
*15075201040000000*
96.1
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES
23.
24.
25.
26.
27.
28.
29.
*15075201050000000*
*15075201023059000*
*15075201030600000*
*15075201021000000*
*15075201021559000*
*15075201021600000*
*15075201022300000*
96.2
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
OVERFLOW PAGE FOR WRITE-INS
97
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SUMMARY INVESTMENT SCHEDULE
Gross
Investment Holdings
1
Amount
Investment Categories
2
Percentage
Admitted Assets as Reported
in the
Annual Statement
3
4
Amount
Percentage
1. Bonds:
0.000
0.000
1.21 Issued by U.S. government agencies
0.000
0.000
1.22 Issued by U.S. government sponsored agencies
0.000
0.000
0.000
0.000
1.41 States, territories and possessions general obligations
0.000
0.000
1.42 Political subdivisions of states, territories and possessions and
political subdivisions general obligations
0.000
0.000
1.43 Revenue and assessment obligations
0.000
0.000
1.44 Industrial development and similar obligations
0.000
0.000
1.511 Issued or guaranteed by GNMA
0.000
0.000
1.512 Issued or guaranteed by FNMA and FHLMC
0.000
0.000
1.513 All other
0.000
0.000
1.521 Issued or guaranteed by GNMA, FNMA, FHLMC or VA
0.000
0.000
1.522 Issued by non-U.S. Government issuers and
collateralized by mortgage-backed securities issued or
guaranteed by agencies shown in Line 1.521
0.000
0.000
1.523 All other
0.000
0.000
2.1 Unaffiliated domestic securities (includes credit tenant loans and hybrid
securities)
0.000
0.000
2.2 Unaffiliated non-U.S. securities (including Canada)
0.000
0.000
2.3 Affiliated securities
0.000
0.000
0.000
0.000
3.21 Affiliated
0.000
0.000
3.22 Unaffiliated
0.000
0.000
3.31 Affiliated
0.000
0.000
3.32 Unaffiliated
0.000
0.000
3.41 Affiliated
0.000
0.000
3.42 Unaffiliated
0.000
0.000
3.51 Affiliated
0.000
0.000
3.52 Unaffiliated
0.000
0.000
4.1 Construction and land development
0.000
0.000
4.2 Agricultural
0.000
0.000
4.3 Single family residential properties
0.000
0.000
4.4 Multifamily residential properties
0.000
0.000
4.5 Commercial loans
0.000
0.000
4.6 Mezzanine real estate loans
0.000
0.000
1.1 U.S. treasury securities
1.2 U.S. government agency obligations (excluding mortgage-backed
securities):
1.3 Non-U.S. government (including Canada, excluding mortgage-backed
securities)
1.4 Securities issued by states, territories, and possessions and political
subdivisions in the U.S.:
1.5 Mortgage-backed securities (includes residential and commercial
MBS):
1.51 Pass-through securities:
1.52 CMOs and REMICs:
2. Other debt and other fixed income securities (excluding short term):
3. Equity interests:
3.1 Investments in mutual funds
3.2 Preferred stocks:
3.3 Publicly traded equity securities (excluding preferred stocks):
3.4 Other equity securities:
3.5 Other equity interests including tangible personal property under lease:
4. Mortgage loans:
5. Real estate investments:
5.1 Property occupied by company
0.000
0
0.000
0.000
0
0.000
5.2 Property held for the production of income (including
$
of property acquired in satisfaction of debt)
5.3 Property held for sale (including $
property
0.000
0
0.000
6. Contract loans
0.000
0
0.000
7. Receivables for securities
0.000
0
0.000
100.000
1,082,830
100.000
1,082,830
100.000
acquired in satisfaction of debt)
1,082,830
8. Cash, cash equivalents and short-term investments
0.000
9. Other invested assets
1,082,830
10. Total invested assets
SI01
100.000
0.000
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule A - Verification
NONE
Schedule B - Verification
NONE
Schedule BA - Verification
NONE
Schedule D - Verification
NONE
Schedule D - Summary By Country
NONE
Schedule D - Part 1A - Section 1
NONE
Schedule D - Part 1A - Section 2
NONE
SI02, SI03, SI04, SI05, SI6, SI7, SI08, SI9, SI10
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE DA - VERIFICATION BETWEEN YEARS
Short-Term Investments
1
2
3
4
5
Total
Bonds
Mortgage Loans
Other Short-term
Investment Assets(a)
Investments in Parent,
Subsidiaries and Affiliates
874,473
1. Book/adjusted carrying value, December 31 of prior year
0
16,768
2. Cost of short-term investments acquired
3. Accrual of discount
0
4. Unrealized valuation increase (decrease)
0
5. Total gain (loss) on disposals
0
SI11
7. Deduct amortization of premium
0
8. Total foreign exchange change in book/adjusted carrying value
0
9. Deduct current year’s other than temporary impairment recognized
0
402,657
10. Book adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)
874,473
0
16,768
488,584
6. Deduct consideration received on disposals
488,584
0
0
402,657
0
0
0
402,657
0
0
11. Deduct total nonadmitted amounts
402,657
12. Statement value at end of current period (Line 10 minus Line 11)
(a) Indicate the category of such assets, for example, joint ventures, transportation equipment:
0
Treasury Fund
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule DB - Part A - Verification
NONE
Schedule DB - Part B - Verification
NONE
Schedule DB - Part C - Section 1
NONE
Schedule DB - Part C - Section 2
NONE
Schedule DB - Verification
NONE
Schedule E - Verification
NONE
Schedule A - Part 1
NONE
Schedule A - Part 2
NONE
Schedule A - Part 3
NONE
Schedule B - Part 1
NONE
Schedule B - Part 2
NONE
SI12, SI13, SI14, SI15, SI16, E01, E02, E03, E04, E05
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule B - Part 3
NONE
Schedule BA - Part 1
NONE
Schedule BA - Part 2
NONE
Schedule BA - Part 3
NONE
Schedule D - Part 1
NONE
Schedule D - Part 2 - Section 1
NONE
Schedule D - Part 2 - Section 2
NONE
Schedule D - Part 3
NONE
Schedule D - Part 4
NONE
Schedule D - Part 5
NONE
Schedule D - Part 6 - Section 1
NONE
E06, E07, E08, E09, E10, E11, E12, E13, E14, E15, E16
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule D - Part 6 - Section 2
NONE
E16
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE DA - PART 1
Showing all SHORT-TERM INVESTMENTS Owned December 31 of Current Year
1
2
3
CUSIP
Description
Identification
8399999 - Total - Bonds
SPIA
9099999 - Total - Other
Codes
4
Code Foreign
5
6
7
8
9
Date
Acquired
Name of Vendor
03/04/2009 Florida Tresury
Maturity
Date
12/31/2010
Book/
Adjusted
Carrying
Value
0
402,657
402,657
Change In Book/Adjusted Carrying Value
10
11
12
Current
Unrealized
Year’s
Valuation
(Amortization)
Increase/
/
(Decrease)
Accretion
0
0
Current
Year’s
Other Than
Temporary
Impairment
Recognized
13
Total
Foreign
Exchange
Change in
B./A.C.V.
0
Interest
17
14
Par Value
16
Amount Due
And Accrued
Dec. 31 of
Current Year
On Bond Not
In Default
Non-Admitted
Due and
Accrued
0
390
390
0
0
XXX
0
402,657
402,657
Rate of
XXX
1.200
XXX
XXX
402,657
390
0
XXX
0
Actual Cost
15
0
21
18
Effective
Rate of
XXX
1.200
XXX
19
20
When
Paid
XXX
MON
XXX
Amount Received
During Year
0
16,768
16,768
Paid for
Accrued
Interest
0
E17
9199999 Totals
402,657
0
0
0
0
XXX
XXX
16,768
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
Schedule DB - Part A - Section 1
NONE
Sch. DB - Pt. A - Sn. 1 - Footnote (a)
NONE
Schedule DB - Part A - Section 2
NONE
Sch. DB - Pt. A - Sn. 2 - Footnote (a)
NONE
Schedule DB - Part B - Section 1- Future
NONE
Sch. DB - Pt. B - Sn. 1 - Footnotes
NONE
Schedule DB - Part B - Section 2- Future
NONE
Sch. DB - Pt. B - Sn. 2 - Footnotes
NONE
Schedule DB - Part D
NONE
Schedule DL - Part 1
NONE
Schedule DL - Part 2
NONE
E18, E19, E20, E21, E22, E23, E24
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE E - PART 1 - CASH
1
2
Depository
Code
BNY Mellon - Operating
Miami, FL
BNY Mellon - Disbursement
Miami, FL
BNY Mellon - Workers Compensation
Miami, FL
Florida Department of Financial Services
Tallahassee, FL
0199998 Deposits in
depositories which do not exceed the
allowable limit in any one depository (See Instructions) - open depositories
0199999 Totals - Open Depositories
0399999 Total Cash on Deposit
0499999 Cash in Company’s Office
0599999 Total Cash
1. January
2. February
3. March
3
Rate of
Interest
4
5
6
Amount of Interest Amount of Interest
Received
Accrued
During
December 31 of
Year
Current Year
15,156
3,471
3,471
XXX
XXX
XXX
XXX
15,156
XXX
XXX
XXX
XXX
XXX
XXX
15,156
XXX
15,156
3,471
XXX
3,471
TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR
1,482,441 4. April
1,333,459 7. July
1,191,509 10. October
1,447,746 5. May
1,385,465 8. August
1,180,214 11. November
1,402,618 6. June
1,247,955 9. September
1,157,748 12. December
E25
7
Balance
53,772
(5,070)
31,470
600,000
*
XXX
XXX
XXX
XXX
XXX
680,172 XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
680,172 XXX
XXX
680,172 XXX
1,147,441
1,132,960
1,009,938
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE E - PART 2 - CASH EQUIVALENTS
1
2
Description
Code
3
Date
Acquired
Show Investments Owned End of Current Quarter
4
5
Rate of
Maturity
Interest
Date
6
Book/Adjusted
Carrying Value
7
Amount of Interest Due
& Accrued
8
Amount Received
During Year
NONE
E26
8699999 Totals
0
0
0
ANNUAL STATEMENT FOR THE YEAR 2010 OF THE UNION AMERICAN INSURANCE COMPANY
IN RECEIVERSHIP
SCHEDULE E PART 3 - SPECIAL DEPOSITS
States, Etc.
1. Alabama
2. Alaska
3. Arizona
4. Arkansas
5. California
6. Colorado
7. Connecticut
8. Delaware
9. District of Columbia
10. Florida
11. Georgia
12. Hawaii
13. Idaho
14. Illinois
15. Indiana
16. Iowa
17. Kansas
18. Kentucky
19. Louisiana
20. Maine
21. Maryland
22. Massachusetts
23. Michigan
24. Minnesota
25. Mississippi
26. Missouri
27. Montana
28. Nebraska
29. Nevada
30. New Hampshire
31. New Jersey
32. New Mexico
33. New York
34. North Carolina
35. North Dakota
36. Ohio
37. Oklahoma
38. Oregon
39. Pennsylvania
40. Rhode Island
41. South Carolina
42. South Dakota
43. Tennessee
44. Texas
45. Utah
46. Vermont
47. Virginia
48. Washington
49. West Virginia
50. Wisconsin
51. Wyoming
52. American Samoa
53. Guam
54. Puerto Rico
55. US Virgin Islands
56. Northern Mariana Islands
57. Canada
58. Aggregate Other Alien
59. Total
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
GU
PR
VI
MP
CN
OT
1
2
Type of
Deposits
Purpose of
Deposits
ST
Deposits For
The Benefit of All Policyholders
3
4
Book/Adjusted
Fair
Carrying Value
Value
Benefit of policyholders
All Other Special Deposits
5
6
Book/Adjusted
Fair
Carrying Value
Value
600,000
600,000
XXX
XXX
XXX
XXX
0
600,000
0
600,000
0
0
0
0
XXX
XXX
0
0
0
0
XXX
XXX
0
0
0
0
DETAILS OF WRITE-INS
5801.
5802.
5803.
5898.
5899.
Summary of remaining write-ins for
Line 58 from overflow page
Totals (Lines 5801 - 5803 +
5898)(Line 58 above)
E27
ALPHABETICAL INDEX
ANNUAL STATEMENT BLANK
Assets
Cash Flow
Exhibit of Capital Gains (Losses)
Exhibit of Net Investment Income
Exhibit of Nonadmitted Assets
Exhibit of Premiums and Losses (State Page)
Five-Year Historical Data
General Interrogatories
Jurat Page
Liabilities, Surplus and Other Funds
Notes To Financial Statements
Overflow Page For Write-ins
Schedule A – Part 1
Schedule A – Part 2
Schedule A – Part 3
Schedule A – Verification Between Years
Schedule B – Part 1
Schedule B – Part 2
Schedule B – Part 3
Schedule B – Verification Between Years
Schedule BA – Part 1
Schedule BA – Part 2
Schedule BA – Part 3
Schedule BA – Verification Between Years
Schedule D – Part 1
Schedule D – Part 1A – Section 1
Schedule D – Part 1A – Section 2
Schedule D – Part 2 – Section 1
Schedule D – Part 2 – Section 2
Schedule D – Part 3
Schedule D – Part 4
Schedule D – Part 5
Schedule D – Part 6 – Section 1
Schedule D – Part 6 – Section 2
Schedule D – Summary By Country
Schedule D – Verification Between Years
Schedule DA – Part 1
INDEX1
2
5
12
12
13
19
17
15
1
3
14
97
E01
E02
E03
SI02
E04
E05
E06
SI02
E07
E08
E09
SI03
E10
SI05
SI08
E11
E12
E13
E14
E15
E16
E16
SI04
SI03
E17
ALPHABETICAL INDEX
ANNUAL STATEMENT BLANK (Continued)
Schedule DA – Verification Between Years
Schedule DB – Part A – Section 1
Schedule DB – Part A – Section 2
Schedule DB – Part A – Verification Between Years
Schedule DB – Part B – Section 1
Schedule DB – Part B – Section 2
Schedule DB – Part B – Verification Between Years
Schedule DB – Part C – Section 1
Schedule DB – Part C – Section 2
Schedule DB – Part D
Schedule DL – Part 1
Schedule DL – Part 2
Schedule DB – Verification
Schedule E – Part 1 – Cash
Schedule E – Part 2 – Cash Equivalents
Schedule E – Part 3 – Special Deposits
Schedule E – Verification Between Years
Schedule F – Part 1
Schedule F – Part 2
Schedule F – Part 3
Schedule F – Part 4
Schedule F – Part 5
Schedule F – Part 6
Schedule F – Part 7
Schedule F – Part 8
Schedule H – Accident and Health Exhibit – Part 1
Schedule H – Parts – 2, 3, and 4
Schedule H – Part 5 – Health Claims
Schedule P – Part 1 – Analysis of Losses and Loss Expenses
Schedule P – Part 1A – Homeowners/Farmowners
Schedule P – Part 1B – Private Passenger Auto Liability/Medical
Schedule P – Part 1C – Commercial Auto/Truck Liability/Medical
Schedule P – Part 1D – Workers’ Compensation
Schedule P – Part 1E – Commercial Multiple Peril
Schedule P – Part 1F – Section 1 – Medical Professional Liability – Occurrence
Schedule P – Part 1F – Section 2 – Medical Professional Liability – Claims-Made
Schedule P – Part 1G - Special Liability (Ocean, Marine, Aircraft (All Perils), Boiler and
Machinery)
Schedule P – Part 1H – Section 1 – Other Liability–Occurrence
Schedule P – Part 1H – Section 2 – Other Liability – Claims-Made
Schedule P – Part 1I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary
& Theft)
Schedule P – Part 1J – Auto Physical Damage
Schedule P – Part 1K – Fidelity/Surety
Schedule P – Part 1L – Other (Including Credit, Accident and Health)
Schedule P – Part 1M – International
INDEX2
SI11
E18
E19
SI12
E20
E21
SI12
SI13
SI14
E22
E23
E24
SI15
E25
E26
E27
SI16
20
21
22
23
24
25
26
27
28
29
30
31
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
ALPHABETICAL INDEX
ANNUAL STATEMENT BLANK (Continued)
Schedule P – Part 1N – Reinsurance
Schedule P – Part 1O – Reinsurance
Schedule P – Part 1P – Reinsurance
Schedule P – Part 1R – Section 1 – Products Liability – Occurrence
Schedule P – Part 1R – Section 2 – Products Liability – Claims – Made
Schedule P – Part 1S – Financial Guaranty/Mortgage Guaranty
Schedule P – Part 1T – Warranty
Schedule P – Part 2, Part 3 and Part 4 - Summary
Schedule P – Part 2A – Homeowners/Farmowners
Schedule P – Part 2B – Private Passenger Auto Liability/Medical
Schedule P – Part 2C – Commercial Auto/Truck Liability/Medical
Schedule P – Part 2D – Workers’ Compensation
Schedule P – Part 2E – Commercial Multiple Peril
Schedule P – Part 2F – Section 1 – Medical Professional Liability – Occurrence
Schedule P – Part 2F – Section 2 – Medical Professional Liability – Claims – Made
Schedule P – Part 2G – Special Liability (Ocean Marine, Aircraft (All Perils), Boiler and
Machinery)
Schedule P – Part 2H – Section 1 – Other Liability – Occurrence
Schedule P – Part 2H – Section 2 – Other Liability – Claims – Made
Schedule P – Part 2I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary,
and Theft)
Schedule P – Part 2J – Auto Physical Damage
Schedule P – Part 2K – Fidelity, Surety
Schedule P – Part 2L – Other (Including Credit, Accident and Health)
Schedule P – Part 2M – International
Schedule P – Part 2N – Reinsurance
Schedule P – Part 2O – Reinsurance
Schedule P – Part 2P – Reinsurance
Schedule P – Part 2R – Section 1 – Products Liability – Occurrence
Schedule P – Part 2R – Section 2 – Products Liability – Claims-Made
Schedule P – Part 2S – Financial Guaranty/Mortgage Guaranty
Schedule P – Part 2T – Warranty
Schedule P – Part 3A – Homeowners/Farmowners
Schedule P – Part 3B – Private Passenger Auto Liability/Medical
Schedule P – Part 3C – Commercial Auto/Truck Liability/Medical
Schedule P – Part 3D – Workers’ Compensation
Schedule P – Part 3E – Commercial Multiple Peril
Schedule P – Part 3F – Section 1 –Medical Professional Liability – Occurrence
Schedule P – Part 3F – Section 2 – Medical Professional Liability – Claims-Made
Schedule P – Part 3G – Special Liability (Ocean Marine, Aircraft (All Perils), Boiler and
Machinery)
Schedule P – Part 3H – Section 1 – Other Liability – Occurrence
Schedule P – Part 3H – Section 2 – Other Liability – Claims-Made
Schedule P – Part 3I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary,
and Theft)
Schedule P – Part 3J – Auto Physical Damage
INDEX3
48
49
50
51
52
53
54
32
55
55
55
55
55
56
56
56
56
56
57
57
57
57
57
58
58
58
59
59
59
59
60
60
60
60
60
61
61
61
61
61
62
62
ALPHABETICAL INDEX
ANNUAL STATEMENT BLANK (Continued)
Schedule P – Part 3K – Fidelity/Surety
Schedule P – Part 3L – Other (Including Credit, Accident and Health)
Schedule P – Part 3M – International
Schedule P – Part 3N – Reinsurance
Schedule P – Part 3O – Reinsurance
Schedule P – Part 3P – Reinsurance
Schedule P – Part 3R – Section 1 – Products Liability – Occurrence
Schedule P – Part 3R – Section 2 – Products Liability – Claims-Made
Schedule P – Part 3S – Financial Guaranty/Mortgage Guaranty
Schedule P – Part 3T – Warranty
Schedule P – Part 4A – Homeowners/Farmowners
Schedule P – Part 4B – Private Passenger Auto Liability/Medical
Schedule P – Part 4C – Commercial Auto/Truck Liability/Medical
Schedule P – Part 4D – Workers’ Compensation
Schedule P – Part 4E – Commercial Multiple Peril
Schedule P – Part 4F – Section 1 – Medical Professional Liability – Occurrence
Schedule P – Part 4F – Section 2 – Medical Professional Liability – Claims-Made
Schedule P – Part 4G – Special Liability (Ocean Marine, Aircraft (All Perils), Boiler and
Machinery)
Schedule P – Part 4H – Section 1 – Other Liability – Occurrence
Schedule P – Part 4H – Section 2 – Other Liability – Claims-Made
Schedule P – Part 4I – Special Property (Fire, Allied Lines, Inland Marine, Earthquake, Burglary
and Theft)
Schedule P – Part 4J – Auto Physical Damage
Schedule P – Part 4K – Fidelity/Surety
Schedule P – Part 4L – Other (Including Credit, Accident and Health)
Schedule P – Part 4M – International
Schedule P – Part 4N – Reinsurance
Schedule P – Part 4O – Reinsurance
Schedule P – Part 4P – Reinsurance
Schedule P – Part 4R – Section 1 – Products Liability – Occurrence
Schedule P – Part 4R – Section 2 – Products Liability – Claims-Made
Schedule P – Part 4S – Financial Guaranty/Mortgage Guaranty
Schedule P – Part 4T – Warranty
Schedule P – Part 5A – Homeowners/Farmowners
Schedule P – Part 5B – Private Passenger Auto Liability/Medical
Schedule P – Part 5C – Commercial Auto/Truck Liability/Medical
Schedule P – Part 5D – Workers’ Compensation
Schedule P – Part 5E – Commercial Multiple Peril
Schedule P – Part 5F – Medical Professional Liability – Claims-Made
Schedule P – Part 5F – Medical Professional Liability – Occurrence
Schedule P – Part 5H – Other Liability – Claims-Made
Schedule P – Part 5H – Other Liability – Occurrence
Schedule P – Part 5R – Products Liability – Claims-Made
INDEX4
62
62
62
63
63
63
64
64
64
64
65
65
65
65
65
66
66
66
66
66
67
67
67
67
67
68
68
68
69
69
69
69
70
71
72
73
74
76
75
78
77
80
ALPHABETICAL INDEX
ANNUAL STATEMENT BLANK (Continued)
Schedule P – Part 5R – Products Liability – Occurrence
Schedule P – Part 5T – Warranty
Schedule P – Part 6C – Commercial Auto/Truck Liability/Medical
Schedule P – Part 6D – Workers’ Compensation
Schedule P – Part 6E – Commercial Multiple Peril
Schedule P – Part 6H – Other Liability – Claims-Made
Schedule P – Part 6H – Other Liability – Occurrence
Schedule P – Part 6M – International
Schedule P – Part 6N – Reinsurance
Schedule P – Part 6O – Reinsurance
Schedule P – Part 6R – Products Liability – Claims-Made
Schedule P – Part 6R – Products Liability – Occurrence
Schedule P – Part 7A – Primary Loss Sensitive Contracts
Schedule P – Part 7B – Reinsurance Loss Sensitive Contracts
Schedule P Interrogatories
Schedule T – Exhibit of Premiums Written
Schedule T – Part 2 – Interstate Compact
Schedule Y – Information Concerning Activities of Insurer Members of a Holding Company
Group
Schedule Y – Part 2 – Summary of Insurer’s Transactions With Any Affiliates
Statement of Income
Summary Investment Schedule
Supplemental Exhibits and Schedules Interrogatories
Underwriting and Investment Exhibit Part 1
Underwriting and Investment Exhibit Part 1A
Underwriting and Investment Exhibit Part 1B
Underwriting and Investment Exhibit Part 2
Underwriting and Investment Exhibit Part 2A
Underwriting and Investment Exhibit Part 3
INDEX5
79
81
82
82
83
84
83
84
85
85
86
86
87
89
91
92
93
94
95
4
SI01
96
6
7
8
9
10
11
INDEX6