Att.G - Additional Information.pdf

Coverage Average Enrollment Coverage Average Enrollment Basic Coverage Basic Coverage Employees 157,742 Employees 144,583 Retirees 29,700 Retirees 27,127 Total Basic Coverage 187,442 Total Basic Coverage 171,709 Spouse 13,152 Spouse 12,510 Child 21,262 Child 21,124 Total Dependent Coverage 34,414 Total Dependent Coverage 33,635 Optional Coverage 40,478 Optional Coverage 40,447 Grand Total 262,334 Grand Total 245,791

Coverage Average Enrollment Coverage Average Enrollment Basic Coverage Basic Coverage Employees 157,413 Employees 153,092 Retirees 29,556 Retirees 29,735 Total Basic Coverage 186,969 Total Basic Coverage 182,827 Spouse 14,205 Spouse 14,145 Child 24,440 Child 24,686 Total Dependent Coverage 38,645 Total Dependent Coverage 38,831 Optional Coverage 42,761 Optional Coverage 41,042 Grand Total 268,374 Grand Total 262,700

Coverage Average Enrollment Basic Coverage Employees 149,155 Retirees 29,400 Total Basic Coverage 178,555 Spouse 13,533 Child 23,659 Total Dependent Coverage 37,192 Optional Coverage 39,209 Grand Total 254,956

Life Insurance Yearly Enrollment

2018 2019

2020 2021

Appendix - 2022

Financial Experience Report State of Florida

Summary of Incurred Claims

For the Period January 1, 2022 through November 30, 2022

Estimate

Reported Reserves Reported Reserves IBNR

Life Claims Waiver of Premium

IBNR

Coverage

Insurance

Amount Paid

Interest

Paid

Current Reserve

Prior

Reserve

Current Reserve

Current Reserve

Prior

Reserve

Current Reserve

Prior

Reserve

Conv/Port

Charge Incurred Claims

Active Basic Life $6,658,841.78 $12,551.99 $1,394,499.99 $1,531,027.77 $453,809 $6,552,738 $6,674,871 $12,106 $12,452 $27,675 $6,893,871

Retiree Basic Life 6,238,715.33 9,382.27 969,522.32 843,237.65 381,141 0 0 0 0 0 6,755,523

Optional Life 14,861,410.00 16,005.25 1,544,211.11 3,219,621.11 1,668,581 2,573,976 2,836,575 94,583 92,958 27,943 14,637,555

Spouse Life 1,680,000.00 967.58 60,000.00 120,000.00 80,534 0 0 0 0 0 1,701,502

Child Life 90,000.00 69.04 10,000.00 10,000.00 18,207 0 0 0 0 0 108,276

Active Basic AD&D 292,500.00 813.66 570,000.00 387,500.00 45,494 0 0 0 0 0 521,308

Optional AD&D 1,563,000.00 4,038.42 239,000.00 1,115,000.00 109,878 0 0 0 0 0 800,916

Total $31,384,467.11 $43,828.21 $4,787,233.42 $7,226,386.53 $2,757,644 $9,126,714 $9,511,446 $106,689 $105,410 $55,618 $31,418,951

© 2022 All Rights Reserved Minnesota Life Insurance Company A Securian Company A1

Active Basic Life Claims Experience

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

STATE OF FLORIDA

1248639 21 F 03/22/2017 04/06/2017 $0.00 $0.00 $12,500.00 $12,500.00 $0.00

1294748 45 M 11/20/2017 11/30/2017 0.00 0.00 12,500.00 12,500.00 0.00

1374912 53 M 01/04/2019 01/14/2019 0.00 0.00 2,777.78 2,777.78 0.00

1376359 65 M 01/12/2019 01/22/2019 07/26/2022 25,000.00 2,652.74 0.00 25,000.00 2,652.74

1397146 40 F 04/19/2019 04/26/2019 10/06/2022 25,000.00 0.00 0.00 25,000.00 0.00

1423505 32 M 08/31/2019 09/11/2019 02/03/2022 25,000.00 0.00 0.00 25,000.00 0.00

1469316 29 F 04/26/2020 04/30/2020 0.00 0.00 25,000.00 25,000.00 0.00

1470006 51 F 04/24/2020 05/04/2020 0.00 0.00 25,000.00 25,000.00 0.00

1479888 51 M 06/17/2020 06/22/2020 08/01/2022 25,000.00 266.16 0.00 25,000.00 266.16

1493751 27 F 08/23/2020 08/28/2020 03/17/2022 25,000.00 0.00 0.00 25,000.00 0.00

1516728 64 F 12/06/2020 12/14/2020 03/17/2022 25,000.00 157.12 0.00 25,000.00 157.12

1519968 26 M 12/18/2020 12/28/2020 0.00 0.00 25,000.00 25,000.00 0.00

1527527 29 M 01/11/2021 01/22/2021 0.00 0.00 12,500.00 12,500.00 0.00

1531524 47 F 02/05/2021 02/11/2021 10/11/2022 21,250.00 0.00 0.00 21,250.00 0.00

1541281 51 F 02/21/2021 03/17/2021 04/19/2022 25,000.00 62.67 0.00 25,000.00 62.67

1552378 50 M 04/08/2021 05/06/2021 06/14/2022 25,000.00 0.00 0.00 25,000.00 0.00

1554187 66 F 05/05/2021 05/17/2021 05/16/2022 8,333.33 42.93 8,333.33 16,666.66 42.93

1556829 66 F 05/27/2021 06/02/2021 0.00 0.00 5,000.00 5,000.00 0.00

1559439 71 F 03/12/2021 06/11/2021 03/08/2022 25,000.00 123.63 0.00 25,000.00 123.63

1565126 61 M 07/02/2021 07/08/2021 0.00 0.00 25,000.00 25,000.00 0.00

1566747 43 F 07/12/2021 07/19/2021 05/27/2022 25,000.00 109.25 0.00 25,000.00 109.25

1569931 64 F 07/31/2021 08/04/2021 07/28/2022 25,000.00 123.97 0.00 25,000.00 123.97

1571987 64 M 08/09/2021 08/12/2021 03/21/2022 12,500.00 38.36 0.00 12,500.00 38.36

A Securian Company A2

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1572299 31 F 08/14/2021 08/17/2021 0.00 0.00 25,000.00 25,000.00 0.00

1573024 62 F 07/31/2021 01/28/2022 02/24/2022 25,000.00 71.23 0.00 25,000.00 71.23

1573056 53 F 08/11/2021 08/19/2021 10/03/2022 25,000.00 143.20 0.00 25,000.00 143.20

1573237 48 M 08/13/2021 08/19/2021 04/19/2022 25,000.00 85.27 0.00 25,000.00 85.27

1574107 33 F 08/15/2021 08/25/2021 0.00 0.00 25,000.00 25,000.00 0.00

1574108 33 M 08/18/2021 08/25/2021 02/09/2022 25,000.00 59.93 0.00 25,000.00 59.93

1574160 38 F 08/17/2021 08/20/2021 07/19/2022 20,750.00 7.47 0.00 20,750.00 7.47

1575582 62 F 08/27/2021 08/31/2021 0.00 0.00 25,000.00 25,000.00 0.00

1575603 34 F 08/27/2021 08/31/2021 09/06/2022 8,333.33 42.81 0.00 8,333.33 42.81

1578505 40 F 09/12/2021 09/15/2021 02/03/2022 25,000.00 49.32 0.00 25,000.00 49.32

1579056 41 M 09/09/2021 09/20/2021 03/30/2022 12,500.00 34.59 0.00 12,500.00 34.59

1581623 56 F 09/23/2021 09/28/2021 10/13/2022 25,000.00 0.00 0.00 25,000.00 0.00

1583486 48 F 09/29/2021 10/05/2021 06/06/2022 25,000.00 85.62 0.00 25,000.00 85.62

1584435 73 M 09/20/2021 10/08/2021 08/31/2022 25,000.00 118.15 0.00 25,000.00 118.15

1584727 69 M 09/25/2021 10/11/2021 03/09/2022 25,000.00 56.51 0.00 25,000.00 56.51

1584845 24 M 09/25/2021 10/11/2021 02/18/2022 25,000.00 50.00 0.00 25,000.00 50.00

1585270 24 F 10/08/2021 10/13/2021 02/21/2022 12,500.00 23.29 0.00 12,500.00 23.29

1586157 64 F 10/13/2021 10/18/2021 04/04/2022 25,000.00 59.25 0.00 25,000.00 59.25

1586737 54 F 10/17/2021 10/20/2021 03/07/2022 25,000.00 48.29 0.00 25,000.00 48.29

1586753 81 M 10/16/2021 10/20/2021 10/04/2022 25,000.00 120.89 0.00 25,000.00 120.89

1589157 52 M 10/21/2021 10/25/2021 10/26/2022 25,000.00 61.64 0.00 25,000.00 61.64

1589362 36 F 10/22/2021 11/01/2021 04/27/2022 25,000.00 64.04 0.00 25,000.00 64.04

1589363 58 F 10/25/2021 11/01/2021 0.00 0.00 25,000.00 25,000.00 0.00

A Securian Company A3

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1590218 60 M 11/01/2021 11/04/2021 03/11/2022 25,000.00 44.52 0.00 25,000.00 44.52

1591089 74 F 11/05/2021 11/09/2021 02/11/2022 25,000.00 33.56 0.00 25,000.00 33.56

1591281 45 M 10/24/2021 11/10/2021 0.00 0.00 25,000.00 25,000.00 0.00

1591881 52 F 11/04/2021 11/12/2021 03/14/2022 25,000.00 524.25 0.00 25,000.00 524.25

1591919 58 M 10/27/2021 11/12/2021 07/08/2022 25,000.00 1,034.57 0.00 25,000.00 1,034.57

1591954 52 F 11/12/2021 11/12/2021 0.00 0.00 0.00 25,000.00 (25,000.00)

1591993 58 M 11/09/2021 11/12/2021 07/06/2022 25,000.00 955.71 0.00 25,000.00 955.71

1594123 51 M 11/12/2021 11/23/2021 03/08/2022 6,250.00 9.93 0.00 6,250.00 9.93

1595308 41 F 11/16/2021 12/01/2021 04/15/2022 25,000.00 51.37 0.00 25,000.00 51.37

1596166 49 F 11/18/2021 12/03/2021 02/18/2022 25,000.00 0.00 0.00 25,000.00 0.00

1597331 73 M 11/17/2021 01/04/2022 0.00 0.00 25,000.00 25,000.00 0.00

1598200 28 M 09/21/2021 12/13/2021 0.00 0.00 12,500.00 12,500.00 0.00

1599871 61 M 12/18/2021 01/03/2022 04/11/2022 12,500.00 19.52 0.00 12,500.00 19.52

1600179 61 M 12/03/2021 12/22/2021 03/22/2022 25,000.00 37.33 0.00 25,000.00 37.33

1600310 57 F 12/10/2021 12/27/2021 02/16/2022 25,000.00 23.30 0.00 25,000.00 23.30

1600456 61 M 12/20/2021 12/28/2021 06/14/2022 25,000.00 60.27 0.00 25,000.00 60.27

1602728 62 F 12/19/2021 01/04/2022 06/14/2022 25,000.00 36.21 0.00 25,000.00 36.21

1602798 64 F 01/05/2022 01/12/2022 01/13/2022 25,000.00 2.74 0.00 0.00 25,002.74

1603103 56 M 01/03/2022 01/05/2022 03/08/2022 25,000.00 21.92 0.00 0.00 25,021.92

1603141 28 M 12/15/2021 01/06/2022 03/08/2022 25,000.00 28.42 0.00 25,000.00 28.42

1603426 53 F 01/05/2022 01/10/2022 02/08/2022 25,000.00 9.42 0.00 0.00 25,009.42

1603752 64 M 01/01/2022 01/12/2022 02/01/2022 25,000.00 9.58 0.00 0.00 25,009.58

1604181 47 F 01/01/2022 01/11/2022 02/01/2022 25,000.00 10.62 0.00 0.00 25,010.62

A Securian Company A4

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1604496 63 M 01/08/2022 01/12/2022 02/17/2022 25,000.00 13.70 0.00 0.00 25,013.70

1604791 55 M 01/01/2022 01/13/2022 02/21/2022 25,000.00 15.43 0.00 0.00 25,015.43

1605040 35 F 12/03/2021 01/14/2022 06/29/2022 25,000.00 71.24 0.00 25,000.00 71.24

1605399 51 F 12/29/2021 01/19/2022 02/08/2022 25,000.00 14.04 0.00 25,000.00 14.04

1605521 59 F 01/07/2022 01/18/2022 02/08/2022 25,000.00 128.04 0.00 0.00 25,128.04

1605601 69 M 12/01/2021 01/18/2022 02/02/2022 25,000.00 21.58 0.00 25,000.00 21.58

1605650 43 M 12/26/2021 01/18/2022 06/29/2022 25,000.00 25.68 0.00 25,000.00 25.68

1605933 54 M 01/12/2022 01/18/2022 02/15/2022 25,000.00 11.64 0.00 0.00 25,011.64

1606117 57 F 12/23/2021 01/20/2022 03/25/2022 25,000.00 31.51 0.00 25,000.00 31.51

1606720 64 F 01/05/2022 01/20/2022 02/15/2022 25,000.00 14.04 0.00 0.00 25,014.04

1606733 52 M 01/06/2022 01/20/2022 01/31/2022 25,000.00 8.56 0.00 0.00 25,008.56

1606938 42 F 01/14/2022 01/21/2022 02/07/2022 25,000.00 8.22 0.00 0.00 25,008.22

1606992 60 M 01/20/2022 01/25/2022 02/04/2022 25,000.00 5.14 0.00 0.00 25,005.14

1607517 40 F 01/23/2022 01/25/2022 02/22/2022 25,000.00 10.27 0.00 0.00 25,010.27

1607528 63 M 01/24/2022 01/25/2022 03/03/2022 25,000.00 13.01 0.00 0.00 25,013.01

1607782 58 M 01/22/2022 01/26/2022 02/15/2022 25,000.00 8.22 0.00 0.00 25,008.22

1607877 60 M 01/15/2022 01/26/2022 02/22/2022 25,000.00 13.01 0.00 0.00 25,013.01

1608084 59 F 01/15/2022 01/24/2022 02/03/2022 25,000.00 6.51 0.00 0.00 25,006.51

1608150 65 M 01/21/2022 01/26/2022 02/22/2022 25,000.00 10.96 0.00 0.00 25,010.96

1608514 88 F 01/23/2022 01/25/2022 02/21/2022 25,000.00 9.93 0.00 0.00 25,009.93

1608849 69 F 01/24/2022 01/28/2022 02/16/2022 25,000.00 7.88 0.00 0.00 25,007.88

1608955 54 F 01/25/2022 01/27/2022 02/09/2022 25,000.00 5.14 0.00 0.00 25,005.14

1609460 34 F 01/30/2022 02/01/2022 02/22/2022 25,000.00 7.88 0.00 0.00 25,007.88

A Securian Company A5

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1609908 53 F 12/21/2021 02/02/2022 03/16/2022 25,000.00 29.11 0.00 0.00 25,029.11

1610481 39 M 01/30/2022 02/04/2022 07/29/2022 25,000.00 0.00 0.00 0.00 25,000.00

1610728 44 M 01/31/2022 03/10/2022 08/12/2022 25,000.00 16.10 0.00 0.00 25,016.10

1610998 60 F 01/26/2022 04/12/2022 04/15/2022 25,000.00 27.05 0.00 0.00 25,027.05

1611376 48 M 12/27/2021 02/09/2022 02/23/2022 25,000.00 19.86 0.00 0.00 25,019.86

1611483 61 M 02/07/2022 02/14/2022 03/16/2022 25,000.00 12.67 0.00 0.00 25,012.67

1611689 62 F 02/06/2022 02/09/2022 03/15/2022 25,000.00 12.50 0.00 0.00 25,012.50

1611941 60 F 01/25/2022 02/11/2022 03/25/2022 25,000.00 20.20 0.00 0.00 25,020.20

1611994 60 F 02/07/2022 02/11/2022 04/04/2022 25,000.00 19.18 0.00 0.00 25,019.18

1612144 55 F 02/06/2022 02/11/2022 08/16/2022 25,000.00 65.42 0.00 0.00 25,065.42

1612146 36 F 02/05/2022 02/11/2022 03/14/2022 25,000.00 12.67 0.00 0.00 25,012.67

1612536 23 F 02/06/2022 02/11/2022 03/22/2022 25,000.00 13.18 0.00 0.00 25,013.18

1612696 75 M 01/19/2022 02/14/2022 03/01/2022 25,000.00 14.04 0.00 0.00 25,014.04

1612710 60 F 01/29/2022 02/14/2022 04/26/2022 25,000.00 29.79 0.00 0.00 25,029.79

1612852 58 M 02/03/2022 02/15/2022 05/03/2022 25,000.00 30.48 0.00 0.00 25,030.48

1612884 47 M 02/10/2022 02/15/2022 02/25/2022 25,000.00 5.14 0.00 0.00 25,005.14

1612955 56 F 02/11/2022 02/15/2022 05/03/2022 25,000.00 27.74 0.00 0.00 25,027.74

1613524 58 F 01/31/2022 02/17/2022 02/24/2022 25,000.00 8.22 0.00 0.00 25,008.22

1613791 63 M 01/08/2022 02/17/2022 03/15/2022 25,000.00 22.60 0.00 0.00 25,022.60

1613823 89 M 02/15/2022 02/18/2022 03/18/2022 25,000.00 10.62 0.00 0.00 25,010.62

1614496 53 F 02/18/2022 02/21/2022 02/25/2022 25,000.00 2.40 0.00 0.00 25,002.40

1614547 56 F 02/11/2022 02/22/2022 03/09/2022 25,000.00 8.90 0.00 0.00 25,008.90

1615243 56 M 02/19/2022 02/24/2022 03/01/2022 25,000.00 3.42 0.00 0.00 25,003.42

A Securian Company A6

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1615341 59 M 02/20/2022 02/24/2022 03/04/2022 25,000.00 4.11 0.00 0.00 25,004.11

1615343 61 M 02/10/2022 02/25/2022 03/09/2022 25,000.00 9.25 0.00 0.00 25,009.25

1615820 28 M 11/16/2021 02/28/2022 03/11/2022 25,000.00 39.38 0.00 0.00 25,039.38

1616603 56 M 01/24/2022 03/02/2022 06/23/2022 25,000.00 51.36 0.00 0.00 25,051.36

1616620 31 M 02/12/2022 02/28/2022 0.00 0.00 25,000.00 0.00 25,000.00

1616970 67 M 03/02/2022 03/05/2022 03/25/2022 25,304.00 7.97 0.00 0.00 25,311.97

1616999 59 F 02/22/2022 03/03/2022 03/09/2022 25,000.00 5.14 0.00 0.00 25,005.14

1617083 63 F 02/18/2022 03/04/2022 03/17/2022 25,000.00 9.24 0.00 0.00 25,009.24

1618316 68 F 02/28/2022 03/09/2022 04/18/2022 25,000.00 16.78 0.00 0.00 25,016.78

1618350 42 M 03/03/2022 03/10/2022 05/10/2022 25,000.00 21.23 0.00 0.00 25,021.23

1618468 70 M 02/20/2022 03/10/2022 05/24/2022 25,000.00 31.85 0.00 0.00 25,031.85

1618509 62 F 02/12/2022 03/09/2022 03/24/2022 25,000.00 13.70 0.00 0.00 25,013.70

1619052 68 M 02/23/2022 03/11/2022 05/23/2022 25,000.00 30.48 0.00 0.00 25,030.48

1619210 84 M 02/28/2022 03/11/2022 04/11/2022 25,000.00 11.98 0.00 0.00 25,011.98

1619309 72 M 03/13/2022 03/16/2022 06/06/2022 22,010.00 25.62 0.00 0.00 22,035.62

1619349 64 F 03/04/2022 03/15/2022 04/20/2022 25,000.00 14.04 0.00 0.00 25,014.04

1619351 56 M 03/04/2022 03/15/2022 04/20/2022 25,000.00 16.10 0.00 0.00 25,016.10

1619539 67 M 03/08/2022 03/14/2022 03/31/2022 25,000.00 7.88 0.00 0.00 25,007.88

1619657 31 F 03/10/2022 03/16/2022 06/09/2022 25,000.00 19.35 0.00 0.00 25,019.35

1620123 47 F 03/17/2022 03/21/2022 06/02/2022 25,000.00 26.36 0.00 0.00 25,026.36

1620944 22 F 03/05/2022 03/22/2022 05/24/2022 25,000.00 27.40 0.00 0.00 25,027.40

1621051 70 F 03/12/2022 03/22/2022 05/31/2022 25,000.00 15.75 0.00 0.00 25,015.75

1621088 58 M 03/15/2022 03/22/2022 04/25/2022 25,000.00 13.72 0.00 0.00 25,013.72

A Securian Company A7

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1621387 48 M 03/08/2022 03/24/2022 04/04/2022 25,000.00 9.25 0.00 0.00 25,009.25

1621426 77 M 03/13/2022 03/24/2022 04/18/2022 25,000.00 12.33 0.00 0.00 25,012.33

1621892 60 M 03/08/2022 03/28/2022 04/05/2022 25,000.00 9.59 0.00 0.00 25,009.59

1621908 63 F 03/22/2022 03/28/2022 05/27/2022 25,000.00 22.60 0.00 0.00 25,022.60

1622058 68 F 03/20/2022 03/28/2022 04/15/2022 25,000.00 8.90 0.00 0.00 25,008.90

1622192 69 F 03/22/2022 03/29/2022 07/05/2022 25,000.00 35.96 0.00 0.00 25,035.96

1622216 45 F 03/03/2022 03/29/2022 0.00 0.00 25,000.00 0.00 25,000.00

1622416 61 M 03/15/2022 03/30/2022 04/25/2022 25,000.00 14.04 0.00 0.00 25,014.04

1622471 62 M 03/08/2022 03/30/2022 05/03/2022 25,000.00 19.18 0.00 0.00 25,019.18

1622536 59 M 03/23/2022 03/28/2022 04/11/2022 25,000.00 6.51 0.00 0.00 25,006.51

1622652 57 F 03/09/2022 03/30/2022 09/30/2022 25,000.00 444.27 0.00 0.00 25,444.27

1624131 53 F 03/13/2022 04/06/2022 04/25/2022 25,000.00 14.73 0.00 0.00 25,014.73

1624221 51 F 04/02/2022 04/07/2022 07/20/2022 25,000.00 34.76 0.00 0.00 25,034.76

1624336 81 F 03/26/2022 04/07/2022 11/01/2022 25,000.00 75.34 0.00 0.00 25,075.34

1624663 53 F 03/30/2022 04/08/2022 05/18/2022 25,000.00 16.80 0.00 0.00 25,016.80

1624667 67 M 03/31/2022 04/11/2022 05/09/2022 25,000.00 13.36 0.00 0.00 25,013.36

1625512 63 M 04/03/2022 04/14/2022 05/03/2022 25,000.00 10.27 0.00 0.00 25,010.27

1625557 63 M 03/31/2022 04/14/2022 0.00 0.00 25,000.00 0.00 25,000.00

1626547 52 F 04/08/2022 04/20/2022 05/26/2022 25,000.00 16.44 0.00 0.00 25,016.44

1626565 65 F 04/03/2022 04/20/2022 05/04/2022 25,000.00 10.62 0.00 0.00 25,010.62

1626580 44 M 04/08/2022 04/20/2022 05/09/2022 25,000.00 10.62 0.00 0.00 25,010.62

1626750 60 M 03/16/2022 04/21/2022 05/09/2022 25,000.00 18.49 0.00 0.00 25,018.49

1626753 64 M 04/14/2022 04/21/2022 08/03/2022 25,000.00 38.01 0.00 0.00 25,038.01

A Securian Company A8

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1626786 64 M 04/16/2022 04/21/2022 05/03/2022 25,000.00 5.82 0.00 0.00 25,005.82

1626928 63 M 04/19/2022 04/21/2022 05/11/2022 25,000.00 7.54 0.00 0.00 25,007.54

1627240 55 F 04/19/2022 04/25/2022 05/25/2022 25,000.00 12.32 0.00 0.00 25,012.32

1627266 50 M 03/27/2022 04/25/2022 0.00 0.00 25,000.00 0.00 25,000.00

1627860 39 M 04/16/2022 04/27/2022 05/12/2022 25,000.00 8.90 0.00 0.00 25,008.90

1628279 59 F 04/26/2022 04/29/2022 06/09/2022 25,000.00 15.07 0.00 0.00 25,015.07

1628905 47 F 04/23/2022 05/03/2022 05/17/2022 25,000.00 8.22 0.00 0.00 25,008.22

1628969 51 F 04/01/2022 05/04/2022 05/16/2022 25,000.00 15.41 0.00 0.00 25,015.41

1629001 54 F 04/26/2022 05/04/2022 06/14/2022 25,000.00 16.78 0.00 0.00 25,016.78

1629303 41 F 04/11/2022 05/05/2022 06/07/2022 25,000.00 15.69 0.00 0.00 25,015.69

1630003 55 M 04/30/2022 05/10/2022 05/25/2022 25,000.00 8.56 0.00 0.00 25,008.56

1630325 68 M 05/05/2022 05/11/2022 05/25/2022 25,000.00 6.85 0.00 0.00 25,006.85

1630724 63 F 04/23/2022 05/13/2022 05/16/2022 25,000.00 7.88 0.00 0.00 25,007.88

1630919 50 F 04/30/2022 05/16/2022 06/09/2022 25,000.00 13.70 0.00 0.00 25,013.70

1631272 64 M 04/29/2022 05/16/2022 06/09/2022 25,000.00 14.04 0.00 0.00 25,014.04

1631492 77 M 04/30/2022 05/18/2022 05/27/2022 25,000.00 9.25 0.00 0.00 25,009.25

1631593 64 F 05/15/2022 05/17/2022 06/15/2022 25,000.00 8.56 0.00 0.00 25,008.56

1631648 59 F 05/14/2022 05/20/2022 06/02/2022 25,000.00 6.51 0.00 0.00 25,006.51

1632648 61 M 05/07/2022 05/24/2022 07/29/2022 25,000.00 28.42 0.00 0.00 25,028.42

1632708 77 M 04/29/2022 05/24/2022 06/13/2022 25,000.00 15.41 0.00 0.00 25,015.41

1632840 54 M 05/21/2022 05/24/2022 08/11/2022 25,000.00 15.01 0.00 0.00 25,015.01

1632923 59 F 05/20/2022 05/24/2022 06/20/2022 25,000.00 10.62 0.00 0.00 25,010.62

1633150 69 M 05/14/2022 05/26/2022 06/14/2022 25,000.00 10.62 0.00 0.00 25,010.62

A Securian Company A9

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1633734 60 F 05/20/2022 05/31/2022 06/16/2022 25,000.00 9.25 0.00 0.00 25,009.25

1634232 58 M 05/29/2022 06/02/2022 07/07/2022 25,000.00 11.13 0.00 0.00 25,011.13

1634327 48 F 05/31/2022 06/02/2022 06/28/2022 25,000.00 9.58 0.00 0.00 25,009.58

1634666 56 F 04/08/2022 06/02/2022 06/30/2022 25,000.00 28.42 0.00 0.00 25,028.42

1634689 53 F 05/18/2022 06/03/2022 0.00 0.00 25,000.00 0.00 25,000.00

1634711 56 F 05/25/2022 06/02/2022 06/30/2022 25,000.00 12.33 0.00 0.00 25,012.33

1636409 62 M 05/14/2022 06/14/2022 06/24/2022 25,000.00 14.04 0.00 0.00 25,014.04

1636415 35 M 06/09/2022 06/14/2022 07/13/2022 25,000.00 11.64 0.00 0.00 25,011.64

1636459 50 M 06/09/2022 06/14/2022 06/30/2022 25,000.00 7.20 0.00 0.00 25,007.20

1636606 53 F 06/10/2022 06/14/2022 08/08/2022 25,000.00 20.20 0.00 0.00 25,020.20

1636729 68 F 06/04/2022 06/14/2022 07/05/2022 25,000.00 10.62 0.00 0.00 25,010.62

1636738 59 F 06/02/2022 06/15/2022 06/28/2022 25,000.00 8.90 0.00 0.00 25,008.90

1636807 35 F 06/12/2022 06/15/2022 07/26/2022 25,000.00 5.99 0.00 0.00 25,005.99

1636991 56 M 06/11/2022 06/15/2022 11/30/2022 25,000.00 58.90 0.00 0.00 25,058.90

1637081 51 F 06/13/2022 06/16/2022 07/25/2022 25,000.00 14.38 0.00 0.00 25,014.38

1637083 54 F 01/17/2022 06/16/2022 07/06/2022 25,000.00 58.22 0.00 0.00 25,058.22

1637703 61 F 06/21/2022 06/24/2022 07/15/2022 25,000.00 28.53 0.00 0.00 25,028.53

1638117 66 M 06/19/2022 06/22/2022 07/25/2022 25,000.00 29.48 0.00 0.00 25,029.48

1638168 43 F 05/31/2022 06/22/2022 07/11/2022 25,000.00 14.04 0.00 0.00 25,014.04

1638468 57 M 06/18/2022 06/27/2022 07/11/2022 25,000.00 27.34 0.00 0.00 25,027.34

1638996 71 F 06/23/2022 06/29/2022 07/26/2022 25,000.00 38.41 0.00 0.00 25,038.41

1639222 51 F 06/27/2022 07/01/2022 07/19/2022 25,000.00 26.16 0.00 0.00 25,026.16

1639271 56 F 06/17/2022 06/29/2022 07/25/2022 25,000.00 45.18 0.00 0.00 25,045.18

A Securian Company A10

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1639349 51 M 06/15/2022 06/29/2022 07/11/2022 25,000.00 8.90 0.00 0.00 25,008.90

1639661 26 F 06/26/2022 07/01/2022 08/12/2022 25,000.00 16.10 0.00 0.00 25,016.10

1639895 62 F 06/25/2022 07/07/2022 07/29/2022 25,000.00 40.43 0.00 0.00 25,040.43

1640185 60 F 06/19/2022 07/07/2022 08/10/2022 25,000.00 17.81 0.00 0.00 25,017.81

1640264 56 M 06/15/2022 07/07/2022 09/06/2022 25,000.00 28.42 0.00 0.00 25,028.42

1640269 38 F 06/24/2022 07/07/2022 07/21/2022 25,000.00 32.10 0.00 0.00 25,032.10

1640313 25 F 05/20/2022 07/07/2022 08/19/2022 25,000.00 31.16 0.00 0.00 25,031.16

1640503 74 M 06/15/2022 07/08/2022 08/02/2022 25,000.00 16.44 0.00 0.00 25,016.44

1641614 22 F 01/21/2022 07/14/2022 0.00 0.00 25,000.00 0.00 25,000.00

1641789 28 M 05/19/2022 07/14/2022 0.00 0.00 25,000.00 0.00 25,000.00

1642045 37 F 06/22/2022 07/15/2022 07/25/2022 25,000.00 39.24 0.00 0.00 25,039.24

1642052 67 M 07/09/2022 07/15/2022 09/01/2022 25,000.00 18.49 0.00 0.00 25,018.49

1642598 27 M 06/24/2022 07/19/2022 10/24/2022 25,000.00 41.78 0.00 0.00 25,041.78

1642950 67 F 07/16/2022 07/21/2022 08/26/2022 25,000.00 6.88 0.00 0.00 25,006.88

1642952 57 M 07/06/2022 08/29/2022 10/28/2022 25,000.00 39.04 0.00 0.00 25,039.04

1643378 51 F 06/26/2022 07/22/2022 08/03/2022 25,000.00 13.01 0.00 0.00 25,013.01

1643585 60 M 07/20/2022 07/25/2022 0.00 0.00 25,000.00 0.00 25,000.00

1643849 74 M 07/20/2022 07/25/2022 08/31/2022 25,000.00 14.38 0.00 0.00 25,014.38

1643942 51 M 07/21/2022 07/26/2022 08/19/2022 25,000.00 9.93 0.00 0.00 25,009.93

1644273 54 M 07/22/2022 07/27/2022 09/21/2022 25,000.00 20.89 0.00 0.00 25,020.89

1645158 49 F 07/25/2022 08/02/2022 08/16/2022 25,000.00 7.53 0.00 0.00 25,007.53

1645298 39 M 07/09/2022 08/02/2022 08/09/2022 25,000.00 10.62 0.00 0.00 25,010.62

1645716 59 M 07/28/2022 08/04/2022 08/25/2022 25,000.00 9.59 0.00 0.00 25,009.59

A Securian Company A11

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1645727 32 M 05/25/2022 08/03/2022 09/09/2022 25,000.00 36.64 0.00 0.00 25,036.64

1646036 44 M 07/27/2022 08/05/2022 09/02/2022 25,000.00 12.67 0.00 0.00 25,012.67

1646159 67 M 08/08/2022 08/11/2022 08/30/2022 25,000.00 7.53 0.00 0.00 25,007.53

1646381 48 M 07/26/2022 08/09/2022 09/01/2022 12,500.00 6.34 12,500.00 0.00 25,006.34

1646684 56 M 08/04/2022 08/08/2022 09/08/2022 25,000.00 8.56 0.00 0.00 25,008.56

1646764 42 F 07/17/2022 08/10/2022 08/25/2022 25,000.00 13.36 0.00 0.00 25,013.36

1647052 61 F 07/28/2022 08/11/2022 09/26/2022 25,000.00 193.86 0.00 0.00 25,193.86

1647059 52 F 08/05/2022 08/11/2022 10/13/2022 25,000.00 23.63 0.00 0.00 25,023.63

1647430 60 M 07/22/2022 08/12/2022 09/02/2022 25,000.00 14.38 0.00 0.00 25,014.38

1647650 60 M 08/10/2022 08/16/2022 09/26/2022 25,000.00 16.10 0.00 0.00 25,016.10

1647790 63 M 08/11/2022 08/16/2022 09/02/2022 25,000.00 7.53 0.00 0.00 25,007.53

1647799 55 M 08/12/2022 08/16/2022 10/05/2022 25,000.00 18.49 0.00 0.00 25,018.49

1647931 58 M 08/14/2022 08/18/2022 09/20/2022 25,000.00 8.44 0.00 0.00 25,008.44

1648193 49 F 06/22/2022 08/18/2022 09/22/2022 25,000.00 31.40 0.00 0.00 25,031.40

1648370 56 F 08/06/2022 08/19/2022 08/30/2022 25,000.00 8.22 0.00 0.00 25,008.22

1648437 46 F 08/10/2022 08/19/2022 08/29/2022 25,000.00 6.51 0.00 0.00 25,006.51

1648483 43 F 08/10/2022 08/19/2022 0.00 0.00 25,000.00 0.00 25,000.00

1648522 52 F 08/15/2022 08/18/2022 08/30/2022 25,000.00 5.14 0.00 0.00 25,005.14

1648641 65 F 08/19/2022 08/23/2022 08/31/2022 25,000.00 4.10 0.00 0.00 25,004.10

1648650 69 F 08/19/2022 08/24/2022 09/27/2022 25,000.00 156.14 0.00 0.00 25,156.14

1649134 34 M 08/21/2022 08/24/2022 10/25/2022 12,500.00 11.13 12,500.00 0.00 25,011.13

1649164 55 M 08/19/2022 08/23/2022 09/01/2022 25,000.00 4.45 0.00 0.00 25,004.45

1649286 58 F 08/21/2022 08/24/2022 09/13/2022 25,000.00 7.88 0.00 0.00 25,007.88

A Securian Company A12

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1649413 25 M 08/08/2022 08/23/2022 10/25/2022 25,000.00 26.71 0.00 0.00 25,026.71

1649814 55 F 08/20/2022 08/26/2022 0.00 0.00 25,000.00 0.00 25,000.00

1649847 56 F 07/26/2022 08/29/2022 0.00 0.00 25,000.00 0.00 25,000.00

1650068 60 M 08/14/2022 08/29/2022 09/12/2022 25,000.00 9.93 0.00 0.00 25,009.93

1650423 48 F 08/20/2022 08/30/2022 0.00 0.00 25,000.00 0.00 25,000.00

1650706 57 F 08/19/2022 09/01/2022 10/14/2022 25,000.00 19.18 0.00 0.00 25,019.18

1650970 59 M 08/31/2022 09/02/2022 0.00 0.00 25,000.00 0.00 25,000.00

1650978 59 F 08/05/2022 09/02/2022 10/13/2022 25,000.00 17.74 0.00 0.00 25,017.74

1650979 48 M 08/28/2022 09/02/2022 09/30/2022 25,000.00 11.30 0.00 0.00 25,011.30

1651023 55 M 08/20/2022 09/02/2022 09/30/2022 25,000.00 14.04 0.00 0.00 25,014.04

1651069 70 M 08/30/2022 09/02/2022 09/22/2022 25,000.00 7.88 0.00 0.00 25,007.88

1651760 59 M 08/30/2022 09/08/2022 10/17/2022 25,000.00 16.44 0.00 0.00 25,016.44

1651794 44 F 09/03/2022 09/08/2022 0.00 0.00 25,000.00 0.00 25,000.00

1651870 55 F 08/06/2022 09/08/2022 09/13/2022 25,000.00 13.01 0.00 0.00 25,013.01

1651988 65 F 08/21/2022 09/09/2022 09/27/2022 25,000.00 11.76 0.00 0.00 25,011.76

1652353 51 F 09/03/2022 09/12/2022 09/27/2022 25,000.00 8.22 0.00 0.00 25,008.22

1652363 84 M 08/30/2022 09/12/2022 09/27/2022 25,000.00 9.59 0.00 0.00 25,009.59

1652428 41 F 08/17/2022 09/16/2022 10/11/2022 25,000.00 18.84 0.00 0.00 25,018.84

1652449 23 M 09/05/2022 09/12/2022 0.00 0.00 25,000.00 0.00 25,000.00

1652644 57 F 09/07/2022 09/09/2022 10/25/2022 25,000.00 192.30 0.00 0.00 25,192.30

1652794 59 F 09/03/2022 09/14/2022 11/04/2022 25,000.00 21.23 0.00 0.00 25,021.23

1653068 61 M 09/07/2022 09/15/2022 09/26/2022 25,000.00 6.50 0.00 0.00 25,006.50

1653071 19 M 08/12/2022 09/15/2022 10/24/2022 25,000.00 20.72 0.00 0.00 25,020.72

A Securian Company A13

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1653320 60 F 08/28/2022 09/16/2022 10/05/2022 25,000.00 13.01 0.00 0.00 25,013.01

1653390 30 F 08/28/2022 09/15/2022 0.00 0.00 25,000.00 0.00 25,000.00

1653408 70 F 09/11/2022 09/16/2022 0.00 0.00 25,000.00 0.00 25,000.00

1653442 56 F 09/12/2022 09/16/2022 10/12/2022 25,000.00 10.27 0.00 0.00 25,010.27

1653465 34 M 08/31/2022 09/16/2022 11/08/2022 25,000.00 22.27 0.00 0.00 25,022.27

1653761 79 M 08/20/2022 09/16/2022 10/04/2022 25,000.00 14.73 0.00 0.00 25,014.73

1653806 44 M 11/01/2021 09/20/2022 10/26/2022 25,000.00 122.84 0.00 0.00 25,122.84

1654037 63 M 09/06/2022 09/21/2022 11/15/2022 25,000.00 18.92 0.00 0.00 25,018.92

1654088 45 M 08/31/2022 09/20/2022 09/26/2022 25,000.00 8.90 0.00 0.00 25,008.90

1654293 66 M 09/18/2022 09/22/2022 10/12/2022 25,000.00 8.22 0.00 0.00 25,008.22

1655458 76 M 09/20/2022 09/28/2022 10/07/2022 25,000.00 5.82 0.00 0.00 25,005.82

1655482 74 M 09/23/2022 09/28/2022 10/24/2022 25,000.00 10.62 0.00 0.00 25,010.62

1655532 49 M 09/19/2022 09/28/2022 10/11/2022 25,000.00 7.53 0.00 0.00 25,007.53

1655814 36 F 09/19/2022 09/29/2022 0.00 0.00 25,000.00 0.00 25,000.00

1656184 83 M 09/29/2022 10/03/2022 0.00 0.00 25,000.00 0.00 25,000.00

1656436 38 F 09/27/2022 10/04/2022 10/21/2022 25,000.00 8.22 0.00 0.00 25,008.22

1657633 62 M 09/30/2022 10/12/2022 10/27/2022 25,000.00 9.25 0.00 0.00 25,009.25

1657683 59 F 10/04/2022 10/11/2022 11/17/2022 16,750.00 10.09 8,250.00 0.00 25,010.09

1657949 51 M 09/23/2022 10/12/2022 10/25/2022 25,000.00 10.96 0.00 0.00 25,010.96

1657970 69 F 07/07/2022 10/12/2022 11/18/2022 25,000.00 45.89 0.00 0.00 25,045.89

1657974 30 M 08/29/2022 10/12/2022 11/08/2022 25,000.00 24.32 0.00 0.00 25,024.32

1658158 59 F 09/26/2022 10/13/2022 11/21/2022 18,750.00 9.75 6,250.00 0.00 25,009.75

1658763 63 M 10/07/2022 10/18/2022 11/16/2022 25,000.00 12.33 0.00 0.00 25,012.33

A Securian Company A14

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1659051 56 M 10/14/2022 10/24/2022 11/10/2022 25,000.00 9.25 0.00 0.00 25,009.25

1659101 62 M 10/09/2022 10/18/2022 11/02/2022 25,000.00 8.22 0.00 0.00 25,008.22

1659115 67 M 10/10/2022 10/19/2022 0.00 0.00 25,000.00 0.00 25,000.00

1659217 61 M 08/03/2022 10/19/2022 0.00 0.00 25,000.00 0.00 25,000.00

1659678 21 M 10/12/2022 10/21/2022 11/22/2022 25,000.00 11.47 0.00 0.00 25,011.47

1659928 65 F 10/15/2022 10/21/2022 0.00 0.00 25,000.00 0.00 25,000.00

1660229 43 F 10/23/2022 10/26/2022 0.00 0.00 25,000.00 0.00 25,000.00

1660255 52 M 10/13/2022 10/24/2022 11/18/2022 11,111.12 64.04 13,888.88 0.00 25,064.04

1660664 59 F 09/08/2022 10/27/2022 11/15/2022 25,000.00 23.29 0.00 0.00 25,023.29

1660744 75 F 10/16/2022 10/28/2022 11/18/2022 25,000.00 11.30 0.00 0.00 25,011.30

1661509 40 F 10/28/2022 11/02/2022 0.00 0.00 25,000.00 0.00 25,000.00

1661563 59 F 10/16/2022 11/02/2022 0.00 0.00 25,000.00 0.00 25,000.00

1661655 65 F 10/25/2022 11/02/2022 11/10/2022 25,000.00 5.48 0.00 0.00 25,005.48

1662064 78 M 10/27/2022 11/04/2022 0.00 0.00 25,000.00 0.00 25,000.00

1662067 61 F 11/01/2022 11/04/2022 0.00 0.00 25,000.00 0.00 25,000.00

1662099 38 M 10/31/2022 11/04/2022 0.00 0.00 25,000.00 0.00 25,000.00

1662112 76 M 11/01/2022 11/04/2022 0.00 0.00 25,000.00 0.00 25,000.00

1662422 40 M 10/29/2022 11/04/2022 0.00 0.00 25,000.00 0.00 25,000.00

1663001 57 F 11/03/2022 11/10/2022 0.00 0.00 25,000.00 0.00 25,000.00

1663919 79 M 11/10/2022 11/30/2022 0.00 0.00 25,000.00 0.00 25,000.00

1664010 67 M 11/02/2022 11/14/2022 0.00 0.00 25,000.00 0.00 25,000.00

1664756 22 M 11/03/2022 11/16/2022 11/23/2022 25,000.00 6.84 0.00 0.00 25,006.84

1665319 66 M 11/15/2022 11/21/2022 0.00 0.00 25,000.00 0.00 25,000.00

A Securian Company A15

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1665327 66 F 11/14/2022 11/22/2022 0.00 0.00 25,000.00 0.00 25,000.00

1665400 66 F 11/16/2022 11/22/2022 0.00 0.00 25,000.00 0.00 25,000.00

1666265 50 F 11/10/2022 11/29/2022 0.00 0.00 25,000.00 0.00 25,000.00

1666390 66 M 10/31/2022 11/04/2022 0.00 0.00 25,000.00 0.00 25,000.00

1666554 66 M 11/21/2022 11/30/2022 0.00 0.00 25,000.00 0.00 25,000.00

1666559 71 M 11/23/2022 11/30/2022 0.00 0.00 25,000.00 0.00 25,000.00

1666585 45 F 11/25/2022 11/30/2022 0.00 0.00 25,000.00 0.00 25,000.00

329 Claims Subtotal $6,608,841.78 $12,520.83 $1,394,499.99 $1,531,027.77 $6,484,834.83

OPS

1628909 83 M 04/22/2022 05/03/2022 06/14/2022 $25,000.00 $18.15 $0.00 $0.00 $25,018.15

1661620 53 F 10/15/2022 11/01/2022 11/22/2022 25,000.00 13.01 0.00 0.00 25,013.01

2 Claims Subtotal $50,000.00 $31.16 $0.00 $0.00 $50,031.16

Total $6,658,841.78 $12,551.99 $1,394,499.99 $1,531,027.77 $6,534,865.99

IBNR $453,809

331 Total Claims $6,988,674.99

A Securian Company A16

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

STATE OF FLORIDA

D046719 58 M 06/04/2008 $73,269 $47,185 $46,775 $410

D046740 41 F 09/30/2008 47,566 24,544 24,164 380

D046817 44 F 03/24/2008 72,704 39,842 39,260 582

D047481 57 M 04/30/2008 274,040 174,947 173,193 1,754

D047718 52 M 02/28/2009 60,787 58,173 57,170 1,003

D047810 53 M 07/17/2008 62,629 38,529 38,129 400

D047901 58 M 08/11/2008 114,825 73,304 72,569 735

D048080 40 M 05/31/2008 46,845 0 23,797 (23,797)

D048091 53 M 04/29/2008 60,019 36,924 36,540 384

D048140 35 F 10/28/2008 58,626 27,484 27,062 422

D048203 57 F 07/07/2008 74,054 46,802 46,387 415

D048212 57 M 12/12/2008 72,277 45,679 45,274 405

D048366 43 M 10/10/2008 90,946 49,111 48,383 728

D048511 59 M 10/30/2008 52,524 33,825 33,531 294

D048550 53 F 07/09/2008 37,340 22,733 22,494 239

D048627 49 F 08/27/2008 55,622 32,706 32,261 445

D048630 49 F 06/11/2009 57,938 48,468 47,321 1,147

D048698 44 M 02/23/2009 33,197 27,771 27,114 657

D048777 51 F 06/26/2008 37,415 22,539 22,269 270

D048805 59 M 05/01/2009 29,124 31,764 62,567 (30,803)

D048970 46 F 12/31/2008 160,800 89,405 88,118 1,287

D049016 49 F 10/31/2008 32,977 19,127 18,863 264

D049023 51 F 06/30/2008 25,578 15,224 15,040 184

A Securian Company A17

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D049197 54 M 09/02/2008 43,623 27,081 26,837 244

D049205 51 F 12/08/2008 79,221 47,152 46,582 570

D049216 51 M 08/21/2008 48,156 0 28,316 (28,316)

D049949 52 M 12/18/2008 199,608 120,244 118,807 1,437

D050165 53 F 07/28/2008 38,345 23,590 23,344 246

D050226 39 M 11/18/2009 40,970 29,271 28,460 811

D050235 59 M 05/14/2009 42,932 46,824 46,115 709

D050253 54 M 05/01/2009 60,434 59,830 58,832 998

D050383 49 F 08/28/2009 46,698 38,141 37,293 848

D051415 59 M 10/07/2009 160,616 172,526 172,526 0

D052037 55 F 11/09/2009 38,915 36,471 35,701 770

D052372 52 F 07/24/2009 64,225 24,123 56,165 (32,042)

D052484 57 M 06/24/2010 117,137 122,150 120,024 2,126

D052670 54 F 03/04/2010 72,821 65,244 65,244 0

D052925 53 M 07/06/2010 46,472 45,240 44,474 766

D052928 53 F 02/13/2009 35,816 32,799 32,089 710

D052974 52 F 03/18/2010 77,046 67,377 65,851 1,526

D053357 47 M 06/24/2009 55,818 49,734 48,813 921

D053470 47 M 03/01/2010 46,261 39,616 38,776 840

D053471 53 F 12/11/2009 64,838 58,092 56,808 1,284

D053745 50 F 11/14/2009 45,145 37,766 36,872 894

D053814 59 F 06/07/2010 21,461 21,742 21,352 390

D054329 45 F 11/29/2009 36,956 27,440 26,708 732

A Securian Company A18

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D054331 54 F 10/29/2009 40,356 36,956 36,157 799

D054357 57 F 11/30/2010 85,126 81,606 79,780 1,826

D054413 50 M 03/09/2010 92,811 85,757 84,073 1,684

D054415 57 F 06/24/2010 38,546 37,715 36,952 763

D054440 36 F 08/01/2010 45,112 25,457 24,563 894

D054536 59 F 12/15/2010 19,929 19,828 19,434 394

D054816 53 F 07/15/2010 84,866 74,355 74,355 0

D054938 53 F 07/30/2008 59,327 36,118 35,739 379

D055061 44 F 09/24/2010 138,816 97,803 95,054 2,749

D055069 53 F 10/28/2010 44,588 39,066 38,183 883

D055080 51 M 12/10/2009 62,651 57,890 57,890 0

D055081 44 F 02/22/2011 25,000 17,614 17,119 495

D055097 57 F 10/23/2009 39,452 38,602 37,821 781

D055245 57 M 05/04/2010 106,823 111,395 109,456 1,939

D055357 50 M 09/23/2008 44,241 26,014 25,660 354

D055407 44 M 07/08/2010 79,423 63,296 61,724 1,572

D055427 45 F 12/20/2010 91,630 66,221 64,558 1,663

D055588 51 F 05/28/2009 45,696 39,132 38,227 905

D055852 54 F 04/28/2011 25,000 21,904 21,409 495

D055855 54 M 05/20/2010 46,390 45,926 45,161 765

D055899 35 M 08/31/2009 116,523 73,829 71,522 2,307

D056018 49 F 07/06/2010 111,186 88,793 86,775 2,018

D056019 51 F 03/23/2010 43,556 37,299 36,437 862

A Securian Company A19

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D056088 53 M 03/14/2011 25,000 0 23,513 (23,513)

D056089 59 F 07/29/2010 69,793 69,441 68,059 1,382

D056178 58 F 02/17/2011 25,000 23,925 23,389 536

D056226 50 F 02/13/2011 25,000 20,419 19,965 454

D056227 56 F 04/22/2011 25,000 23,430 22,935 495

D056295 54 M 02/09/2010 43,991 42,825 42,099 726

D056462 47 M 06/18/2010 48,980 42,833 41,944 889

D056529 57 F 06/29/2011 25,000 23,966 23,430 536

D056554 52 F 12/23/2010 42,430 36,265 35,425 840

D056569 55 M 01/26/2011 25,000 24,791 24,379 412

D056589 48 F 03/21/2011 25,000 19,470 19,058 412

D056715 56 M 10/02/2010 25,304 0 25,093 (25,093)

D056718 58 F 03/29/2011 25,000 24,420 23,925 495

D057003 44 F 08/03/2011 25,000 17,119 16,624 495

D057172 50 F 02/28/2011 25,000 20,419 19,965 454

D057212 51 F 02/25/2011 25,000 20,914 20,419 495

D057350 52 F 12/02/2010 62,482 53,403 52,166 1,237

D057396 52 M 05/19/2011 25,000 23,513 23,100 413

D057618 53 F 02/03/2011 25,000 21,904 21,409 495

D057846 52 F 09/07/2011 25,000 21,368 20,873 495

D057847 49 F 11/04/2011 25,000 19,511 19,058 453

D057862 49 F 08/19/2011 25,000 19,965 19,511 454

D058047 52 M 11/17/2011 25,000 23,100 22,688 412

A Securian Company A20

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D058192 55 F 07/26/2011 25,000 22,399 22,399 0

D058239 50 M 08/20/2011 25,000 22,234 21,821 413

D058839 57 F 02/08/2011 25,000 23,966 23,430 536

D058840 51 F 07/29/2011 25,000 20,419 19,965 454

D058883 56 F 04/26/2011 25,000 22,935 22,399 536

D059072 52 M 06/23/2011 25,000 23,100 22,688 412

D059176 56 F 01/26/2012 25,000 22,935 21,863 1,072

D059323 31 F 01/04/2011 25,000 11,261 10,849 412

D059394 57 F 03/08/2012 25,000 23,430 22,358 1,072

D059467 56 F 08/03/2010 93,120 87,272 85,428 1,844

D059771 54 M 01/19/2012 25,000 0 23,059 (23,059)

D059826 50 F 12/29/2011 25,000 19,965 19,511 454

D059827 49 F 05/23/2012 25,000 19,511 18,604 907

D060052 48 F 02/28/2012 25,000 19,058 18,150 908

D060103 59 F 06/30/2012 25,000 0 23,348 (23,348)

D060314 56 F 06/29/2012 25,000 22,935 21,863 1,072

D060570 54 M 12/18/2011 25,000 23,513 23,513 0

D060610 56 M 07/31/2012 25,000 24,791 23,925 866

D061433 58 F 06/30/2011 25,000 23,925 23,925 0

D061663 54 M 04/17/2012 25,000 23,513 23,059 454

D061864 47 M 07/22/2012 25,000 20,955 19,965 990

D062322 55 M 12/15/2011 25,000 0 23,925 (23,925)

D062325 48 M 04/11/2011 25,000 21,821 21,368 453

A Securian Company A21

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D062441 58 F 09/07/2012 25,000 23,389 22,853 536

D063182 57 F 03/08/2012 25,000 23,430 22,358 1,072

D063199 59 M 08/31/2012 25,000 25,616 25,163 453

D063364 56 F 04/28/2010 42,515 39,845 39,845 0

D063416 59 F 11/12/2012 25,000 23,884 23,348 536

D063594 47 F 05/31/2012 25,000 18,563 17,696 867

D063729 57 M 11/03/2011 25,000 0 24,750 (24,750)

D063941 55 F 11/30/2012 25,000 21,904 21,409 495

D064038 53 F 09/30/2011 25,000 21,409 20,914 495

D064573 58 F 01/31/2013 25,000 24,296 23,801 495

D064661 53 M 11/29/2012 25,000 23,100 22,646 454

D065561 56 F 06/06/2013 25,000 0 22,853 (22,853)

D065652 51 M 08/15/2013 25,000 23,224 22,729 495

D065790 56 M 03/29/2013 25,000 25,286 24,874 412

D065910 49 F 01/18/2013 25,000 20,089 19,553 536

D066359 55 F 10/18/2013 25,000 22,853 22,399 454

D066425 23 M 03/16/2013 25,000 10,354 10,065 289

D066544 58 M 01/17/2012 25,000 25,616 24,750 866

D066560 57 F 05/11/2013 25,000 23,801 23,306 495

D066782 53 F 11/02/2012 25,000 20,914 20,460 454

D066983 51 F 11/13/2013 25,000 20,996 20,501 495

D067040 53 F 09/09/2013 25,000 21,945 21,450 495

D067373 54 M 11/17/2013 25,000 24,461 24,008 453

A Securian Company A22

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D067554 57 F 11/21/2013 25,000 23,801 23,306 495

D067686 54 M 09/22/2011 25,000 23,925 23,513 412

D067693 58 F 02/27/2014 25,000 23,801 23,306 495

D067811 49 F 02/25/2014 25,000 19,553 19,016 537

D067869 54 M 09/29/2013 25,000 24,461 24,008 453

D067987 50 M 06/20/2013 25,000 22,770 22,275 495

D069303 51 F 11/05/2008 34,000 20,237 19,992 245

D069377 56 M 01/20/2014 25,000 24,874 24,420 454

D069671 54 F 12/10/2013 25,000 21,904 21,904 0

D069680 59 M 06/13/2014 25,000 26,070 25,616 454

D069735 53 M 06/30/2014 25,000 23,595 23,100 495

D070165 57 F 09/03/2013 25,000 23,801 23,306 495

D070190 43 F 07/31/2014 25,000 0 15,840 (15,840)

D070305 59 M 11/15/2013 25,000 26,524 26,070 454

D070383 54 F 08/01/2014 25,000 21,904 21,409 495

D070609 55 F 09/20/2013 25,000 22,853 22,399 454

D070890 52 F 10/11/2010 81,000 69,231 67,627 1,604

D071460 59 F 10/20/2014 25,000 24,296 23,801 495

D071510 43 M 06/01/2014 25,000 18,728 18,191 537

D072154 43 F 01/31/2014 25,000 16,418 15,840 578

D072520 54 M 11/10/2014 25,000 24,008 23,513 495

D072978 49 F 04/04/2014 25,000 19,553 19,016 537

D073091 56 F 05/05/2014 25,000 22,853 22,358 495

A Securian Company A23

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D073130 51 M 10/07/2014 25,000 22,729 22,193 536

D073148 53 F 12/04/2014 25,000 20,955 20,955 0

D073879 40 F 07/13/2017 25,000 12,953 12,334 619

D074286 49 M 11/21/2014 25,000 21,821 21,244 577

D074646 56 M 09/18/2014 25,000 24,874 24,420 454

D074699 44 F 03/03/2015 25,000 16,376 15,799 577

D074783 54 F 12/01/2014 25,000 21,409 21,409 0

D075157 55 F 06/18/2015 25,000 21,904 21,450 454

D075755 49 M 06/14/2015 25,000 21,244 20,749 495

D075892 53 M 08/28/2015 25,000 23,100 22,564 536

D076343 45 M 08/02/2013 25,000 20,336 19,800 536

D076515 53 F 05/27/2015 25,000 20,955 20,501 454

D076545 39 M 05/27/2015 25,000 16,129 15,551 578

D076819 56 M 05/20/2015 25,000 24,420 23,966 454

D077196 51 F 07/02/2015 25,000 20,006 19,511 495

D077489 53 F 05/08/2015 25,000 20,955 20,501 454

D078019 53 F 12/27/2014 25,000 20,955 20,955 0

D078264 57 F 11/20/2015 25,000 22,853 22,358 495

D079494 54 F 12/17/2015 25,000 20,955 20,955 0

D079545 57 F 03/06/2015 25,000 22,853 22,358 495

D080083 59 M 09/02/2015 25,000 25,616 25,121 495

D080110 55 F 03/24/2016 25,000 21,450 20,955 495

D081209 51 F 06/30/2016 25,000 19,511 19,016 495

A Securian Company A24

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D081406 36 F 07/13/2014 25,000 12,705 12,086 619

D081490 53 F 07/08/2016 25,000 20,501 20,006 495

D082044 57 F 03/08/2016 25,000 22,358 21,904 454

D082313 48 F 12/20/2013 25,000 19,058 19,058 0

D082849 56 M 01/20/2016 25,000 23,966 23,513 453

D083581 59 F 09/15/2016 25,000 23,306 22,770 536

D085310 46 M 04/07/2016 25,000 19,264 18,893 371

D085785 52 F 02/20/2017 25,000 19,553 19,016 537

D091362 50 F 08/25/2017 25,000 18,480 17,944 536

D094090 53 F 07/13/2018 25,000 0 18,769 (18,769)

D094855 59 M 01/19/2017 25,000 24,626 24,173 453

D099321 52 F 12/06/2018 25,000 18,480 18,480 0

D099821 55 F 02/21/2019 25,000 20,460 20,130 330

D101074 42 F 06/21/2017 25,000 14,066 13,406 660

D101998 59 M 11/21/2018 25,000 24,049 0 24,049

D104339 44 F 03/24/2015 25,000 16,376 15,799 577

D106379 56 F 01/03/2020 25,000 20,378 20,295 83

D109048 47 M 05/20/2019 25,000 0 18,150 (18,150)

D109144 59 F 02/21/2020 25,000 21,161 21,079 82

D109590 40 F 05/24/2019 25,000 11,633 11,014 619

D114244 39 F 01/29/2021 25,000 11,426 11,261 165

D114518 48 F 12/11/2020 25,000 15,758 15,881 (123)

D114617 55 M 05/01/2020 25,000 22,605 9,460 13,145

A Securian Company A25

Waiver of Premium Claims

Claim Number Age at Onset Gender

Date of Onset

Amount of Insurance

Current Reserve

Prior Reserve

Incurred Claims

D114618 57 F 07/12/2019 25,000 20,996 20,625 371

D116823 54 F 12/12/2020 25,000 18,480 7,692 10,788

D117563 59 F 05/09/2021 25,000 0 9,217 (9,217)

D118216 54 F 07/10/2021 25,000 19,676 19,305 371

D118767 44 F 01/15/2021 25,000 14,396 0 14,396

D120875 56 M 10/28/2020 25,000 22,770 9,962 12,808

D124604 42 M 09/16/2021 25,000 16,748 0 16,748

D126174 62 M 05/18/2022 25,000 2,824 0 2,824

D127281 52 F 07/31/2021 25,000 8,091 0 8,091

216 Claims Subtotal $8,570,279 $6,552,738 $6,674,871 ($122,133)

Total $8,570,279 $6,552,738 $6,674,871 ($122,133)

IBNR $12,106 $12,452 ($346)

216 Total Claims $6,564,844 $6,687,323 ($122,479)

A Securian Company A26

Conversions

Name Age at

Conversion Gender Effective

Date Amount of Conversion

Conversion 1 39 F 12/01/2021 $25,000

Conversion 2 58 F 01/01/2022 25,000

Conversion 3 65 F 07/01/2022 10,000

Conversion 4 66 M 02/01/2022 25,000

Conversion 5 58 F 08/08/2022 10,000

Conversion 6 67 F 03/03/2022 10,000

Conversion 7 60 F 06/01/2022 20,000

7 Total Conversions $125,000

Conversion Charge: $27,675

A Securian Company A27

Retiree Basic Life Claims Experience

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

STATE OF FLORIDA

1223289 77 M 08/20/2016 11/23/2016 03/29/2022 $2,500.00 $433.13 $0.00 $2,500.00 $433.13

1240697 68 F 12/14/2016 02/20/2017 03/29/2022 2,000.00 327.17 0.00 2,000.00 327.17

1314513 83 F 02/15/2018 03/06/2018 0.00 0.00 3,300.00 3,300.00 0.00

1324930 87 F 04/20/2018 04/24/2018 0.00 0.00 415.00 415.00 0.00

1326055 78 F 04/25/2018 04/27/2018 0.00 0.00 2,500.00 2,500.00 0.00

1330078 90 F 03/09/2018 05/21/2018 0.00 0.00 357.14 357.14 0.00

1341497 84 F 07/11/2018 07/17/2018 0.00 0.00 2,500.00 2,500.00 0.00

1359621 62 M 10/21/2018 10/24/2018 0.00 0.00 2,000.00 2,000.00 0.00

1361061 94 M 10/05/2018 10/31/2018 0.00 0.00 500.00 500.00 0.00

1361205 62 F 09/28/2018 10/31/2018 0.00 0.00 1,250.00 1,250.00 0.00

1368134 80 M 11/06/2018 12/07/2018 0.00 0.00 2,500.00 2,500.00 0.00

1371758 67 F 12/18/2018 12/28/2018 0.00 0.00 2,500.00 2,500.00 0.00

1378279 78 F 01/24/2019 01/29/2019 0.00 0.00 5,000.00 5,000.00 0.00

1386413 79 F 01/07/2019 03/08/2019 0.00 0.00 2,500.00 2,500.00 0.00

1394668 74 M 01/27/2017 04/15/2019 0.00 0.00 10,000.00 10,000.00 0.00

1407274 85 M 05/06/2019 06/18/2019 0.00 0.00 2,500.00 2,500.00 0.00

1407826 71 F 06/15/2019 06/20/2019 0.00 0.00 2,500.00 2,500.00 0.00

1407985 73 M 10/18/2018 06/17/2019 0.00 0.00 10,000.00 10,000.00 0.00

1408180 85 M 03/17/2019 06/21/2019 0.00 0.00 625.00 625.00 0.00

1421270 91 F 07/17/2019 08/28/2019 0.00 0.00 2,500.00 2,500.00 0.00

1425438 66 M 09/16/2019 09/19/2019 0.00 0.00 2,500.00 2,500.00 0.00

1431505 81 M 10/04/2019 10/23/2019 0.00 0.00 2,500.00 2,500.00 0.00

1432023 82 M 09/03/2019 10/25/2019 0.00 0.00 2,500.00 2,500.00 0.00

A Securian Company A28

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1434359 86 F 10/03/2019 11/06/2019 0.00 0.00 10,000.00 10,000.00 0.00

1441619 87 M 11/06/2019 12/13/2019 0.00 0.00 2,500.00 2,500.00 0.00

1441972 89 M 11/15/2019 12/16/2019 0.00 0.00 2,500.00 2,500.00 0.00

1443047 65 M 12/18/2019 12/23/2019 0.00 0.00 10,000.00 10,000.00 0.00

1443775 69 M 12/24/2019 12/27/2019 08/08/2022 1,250.00 33.08 0.00 1,250.00 33.08

1445857 72 F 01/05/2020 01/08/2020 0.00 0.00 10,000.00 10,000.00 0.00

1446645 89 F 12/08/2019 01/10/2020 0.00 0.00 833.34 833.34 0.00

1447793 68 F 01/14/2020 01/16/2020 0.00 0.00 2,500.00 2,500.00 0.00

1454002 86 F 01/21/2020 02/14/2020 0.00 0.00 5,000.00 5,000.00 0.00

1454783 76 M 01/20/2020 02/19/2020 04/29/2022 2,500.00 57.21 0.00 2,500.00 57.21

1455287 89 F 01/17/2020 02/21/2020 0.00 0.00 2,500.00 2,500.00 0.00

1460710 75 F 01/11/2020 03/19/2020 0.00 0.00 10,000.00 10,000.00 0.00

1468279 84 M 04/03/2020 04/27/2020 0.00 0.00 2,500.00 2,500.00 0.00

1469017 75 M 04/05/2020 04/29/2020 0.00 0.00 10,000.00 10,000.00 0.00

1482184 91 M 06/03/2020 07/02/2020 0.00 0.00 2,000.00 2,000.00 0.00

1486402 89 M 06/20/2020 07/24/2020 0.00 0.00 10,000.00 10,000.00 0.00

1491003 77 M 08/12/2020 08/14/2020 0.00 0.00 10,000.00 10,000.00 0.00

1493424 66 F 06/08/2020 08/27/2020 02/17/2022 10,000.00 84.94 0.00 10,000.00 84.94

1494948 81 F 07/04/2020 09/03/2020 0.00 0.00 10,000.00 10,000.00 0.00

1496442 102 F 08/16/2020 09/11/2020 0.00 0.00 1,250.00 1,250.00 0.00

1497499 74 F 08/26/2020 09/14/2020 0.00 0.00 10,000.00 10,000.00 0.00

1499293 90 F 09/11/2020 09/24/2020 0.00 0.00 2,500.00 2,500.00 0.00

1510523 64 F 11/12/2020 11/17/2020 06/07/2022 1,250.00 41.95 0.00 1,250.00 41.95

A Securian Company A29

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1513644 60 F 10/28/2020 12/02/2020 0.00 0.00 1,250.00 1,250.00 0.00

1527484 74 M 01/14/2021 01/26/2021 05/10/2022 2,500.00 16.49 0.00 2,500.00 16.49

1527501 76 F 01/14/2021 01/25/2021 03/09/2022 1,250.00 7.18 0.00 1,250.00 7.18

1535936 83 M 08/17/2020 02/25/2021 0.00 0.00 2,500.00 2,500.00 0.00

1541907 88 F 03/04/2021 03/22/2021 0.00 0.00 1,250.00 1,250.00 0.00

1545196 89 F 02/05/2021 04/05/2021 0.00 0.00 2,500.00 2,500.00 0.00

1552431 76 M 04/17/2021 05/06/2021 0.00 0.00 10,000.00 10,000.00 0.00

1553548 90 M 02/26/2021 05/27/2021 11/01/2022 2,500.00 18.87 0.00 2,500.00 18.87

1553957 96 M 04/17/2021 05/13/2021 0.00 0.00 2,500.00 2,500.00 0.00

1553963 65 M 04/23/2021 05/13/2021 03/01/2022 10,000.00 42.74 0.00 10,000.00 42.74

1555160 85 F 05/10/2021 05/20/2021 02/02/2022 3,300.00 12.12 0.00 3,300.00 12.12

1555330 85 F 04/17/2021 05/20/2021 02/25/2022 2,500.00 69.36 0.00 2,500.00 69.36

1555347 67 M 04/17/2021 05/20/2021 0.00 0.00 2,500.00 2,500.00 0.00

1555380 88 M 04/10/2021 05/21/2021 03/09/2022 2,500.00 11.40 0.00 2,500.00 11.40

1555987 94 M 05/22/2021 05/26/2021 03/24/2022 10,000.00 41.92 0.00 10,000.00 41.92

1558681 59 F 06/07/2021 06/10/2021 05/03/2022 2,500.00 135.23 0.00 2,500.00 135.23

1559965 75 F 10/12/2020 06/14/2021 0.00 0.00 2,500.00 2,500.00 0.00

1560080 76 F 05/09/2021 06/14/2021 05/03/2022 1,708.25 8.25 0.00 1,708.25 8.25

1560333 73 F 08/09/2020 06/15/2021 06/03/2022 2,000.00 18.20 0.00 2,000.00 18.20

1560347 82 F 01/21/2021 06/15/2021 0.00 0.00 2,500.00 2,500.00 0.00

1560364 89 F 01/18/2021 06/15/2021 0.00 0.00 2,500.00 2,500.00 0.00

1560423 73 M 05/06/2021 06/16/2021 0.00 0.00 2,500.00 2,500.00 0.00

1560427 83 M 01/07/2020 06/15/2021 0.00 0.00 2,500.00 2,500.00 0.00

A Securian Company A30

Death Claims

Claim Number Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1560429 71 F 02/09/2021 06/15/2021 0.00 0.00 2,500.00 2,500.00 0.00

1560435 79 M 02/21/2021 06/15/2021 0.00 0.00 10,000.00 10,000.00 0.00

1560437 87 M 12/21/2020 06/16/2021 0.00 0.00 2,500.00 2,500.00 0.00