Exhibit 8 5 Yr Claims Data.pdf
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- Attached to
- OCC Group Life Insurance
- Solicitation number
- CC-10-HQ-R-0035
About this file
Exhibit 8
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Text version
Sex
EE
Type Date of Loss
MM/YY
Birth Date
MM/YY Age State Coverage
Code* Face Value
Paid Interest
Paid Paid Date
M EE Dec-09 Mar-60 50 VA 010 $146,000 Feb-10 M RET Jan-10 Aug-48 61 MI 010 $183,000 Apr-10 M RET Oct-09 May-46 63 TX 010 $104,000 Dec-09 M RET Jan-09 Aug-44 64 SC 010 $86,000 Sep-09 M RET Jun-08 Sep-46 61 MA 010 $94,000 Feb-09 M RET Sep-09 Jul-35 74 CO 010 $14,000 Dec-09 M RET Aug-09 Aug-34 74 IL 010 $19,250 Oct-09 M EE Aug-09 May-38 71 FL 010 $102,000 Sep-09 F EE Jul-09 Jul-52 56 MD 010 $208,000 $43 Sep-09 M RET Jul-09 Jul-42 67 OH 010 $26,250 $33 Sep-09 F RET Jan-09 Feb-69 39 NJ 010 $71,000 Apr-09 M RET Dec-08 Mar-20 88 CO 010 $16,500 Feb-09 M EE Oct-08 Jan-51 57 CO 010 $72,000 Nov-08 M RET Sep-08 Mar-31 77 TX 010 $29,000 Mar-09 F RET Jul-08 Jun-24 84 MO 010 $6,500 Aug-08 M RET Jun-08 Jan-30 78 AL 010 $16,000 Aug-08 M RET Apr-08 Sep-32 75 NJ 010 $10,250 Jun-08 M RET Mar-08 Jul-27 80 NJ 010 $14,250 May-08 M RET Feb-08 Jul-26 81 CA 010 $12,250 $20 May-08 M RET Nov-07 Oct-42 65 MS 010 $18,000 $68 May-08 M RET Nov-07 Nov-35 72 MD 010 $10,500 Feb-08 M RET Nov-07 Mar-22 85 MA 010 $16,500 Feb-08 F EE May-07 Oct-56 50 MA 010 $65,000 Jun-07 M RET Apr-07 Jan-35 72 VA 010 $22,500 $59 May-07 F RET Apr-07 Sep-15 91 TX 010 $6,000 Jul-07 M RET Apr-07 Jul-42 64 CT 010 $300,000 $317 Jun-07 M RET Nov-06 Dec-24 81 VA 010 $13,500 $30 Dec-06 F EE Oct-06 Oct-54 52 CA 010 $215,000 $456 Jan-07 F EE Oct-06 Sep-46 60 WV 010 $58,000 $40 Nov-06 M EE May-06 Jan-60 46 NE 010 $105,000 Jun-06 F EE Apr-06 Nov-42 63 CO 010 $67,000 Jul-06 F RET Jan-06 Jul-43 62 VA 010 $79,000 $293 Mar-06 F EE Dec-05 Dec-36 69 MD 010 $94,000 Jan-06 M EE Dec-05 Jun-60 45 TX 010 $91,000 $115 Feb-06 M RET Aug-05 May-28 77 FL 010 $15,750 Oct-05 M RET Jun-05 Jun-28 77 WA 010 $11,750 Sep-05 M RET Apr-05 Jan-53 52 WI 010 $81,000 Aug-05
* Coverage Code 010 = Basic Life Face Value Amount
Exhibit # 8 5- Year Claims Experience Data
COMPTROLLER OF THE CURRENCY
5-YR CLAIMS HISTORY FOR BASIC LIFE COVERAGE
Sex
EE
Type Date of Loss
MM/YY
Birth Date
MM/YY Age State Coverage
Code* Face Value
Paid Interest
Paid Paid Date
M SP Jan-10 May-44 65 MD 040 $54,400 Feb-10 M SP Oct-09 May-46 63 TX 020 $104,000 Dec-09 M EE Sep-09 Jun-27 82 IL 020 $50,000 Oct-09 M SP Aug-09 Jun-44 65 PA 040 $80,000 Sep-09 F EE Jul-09 Jul-52 56 MD 020 $50,000 $10 Sep-09 M SP Jun-09 Jun-39 70 VA 030 $149,000 $849 Sep-09 M SP Jan-09 Aug-56 52 SC 050 $10,000 Mar-09 M EE Oct-08 Jan-51 57 CO 020 $175,000 Nov-08 M CH Sep-08 Sep-93 15 VA 050 $12,500 $164 Mar-09 F SP May-08 Jan-53 55 IA 040 $44,000 Jul-08 F SP Jan-08 Sep-57 50 TN 040 $71,000 Feb-08 M CH Sep-07 Sep-91 15 TN 050 $5,000 Nov-07 M SP Aug-07 Oct-46 60 TX 050 $10,000 Sep-07 F EE Oct-06 Oct-54 52 CA 020 $300,000 $657 Jan-07 M SP Dec-05 Jun-60 45 TX 050 $25,000 Feb-06 M SP Aug-05 Jun-36 71 MD 040 $55,500 Oct-05 M SP Jul-05 Aug-38 66 VA 040 $35,000 $255 Aug-05
* Coverage Code 020 = Option 1 Coverage Face Value Amount Coverage Code 030 = Option 2 Coverage Face Value Amount (100%) Coverage Code 040 = Option 2 Coverage Face Value Amount (50%) Coverage Code 050 = Option 3 Coverage Face Value Amount
COMPTROLLER OF THE CURRENCY
5-YR CLAIMS HISTORY FOR OPTIONAL COVERAGE (Options 1, 2 and 3)
Exhibit # 8 5- Year Claims Experience Data
| Basic Life Insurance Claims |
| Optional Coverage Claims |
File details come from the government source that posted it. Updated .