Revised-Att.G-Additional-Information.pdf

PDF 7 MB Posted

Attached to
DMS-2425-232 (Group Term Life Insurance)
Solicitation number
ITN-11871
Issued by
Leon County, Florida

About this file

The file is a Revised Attachment G containing additional information for the Florida Department of Management Services (DMS), Division of State Group Insurance (DSGI) Group Term Life Insurance solicitation (DMS-24/25-232). The procurement seeks a group term life insurance provider for approximately 345,037 members, including active full-time employees, OPS employees, vested legislators, retired employees, and their dependents. The contract is set to be implemented on January 1, 2026, with a four-year initial term and potential for up to four additional one-year renewals. Key submission dates include a Reply deadline of April 14, 2025, with an evaluation phase from April 21 to May 12, 2025, and negotiations from May 19 to July 21, 2025.

The solicitation offers six group term life insurance options with varying coverage levels, including $25,000 basic life insurance for salaried employees and up to $150,000 for vested legislators, with optional term life insurance ranging from 1 to 7 times annual earnings (maximum $1 million). The enrollment data shows a stable membership, with active employees ranging from 149,155 to 160,109 annually between 2019 and 2024. Monthly costs vary, with employer-paid rates at $0.143 per $1,000 per month for active employees and different rates for OPS and retired employees. The successful vendor must provide a $5,000,000 performance bond and maintain various insurance coverages. The technical evaluation will assess responses across six categories, with a maximum of 1,425 weighted points, focusing on network access, implementation, account management, customer service, data interface, claims processing, audits, and underwriting.

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Other files

File Type Posted
AttB.Performance-Guarantees.pdf PDF
AttE.Interface-Files-Layouts-and-Enrollment-Schedule.pdf PDF
Addendum No. 1.pdf PDF
AttB.Performance-Guarantees.pdf PDF
AttE.Interface-Files-Layouts-and-Enrollment-Schedule.pdf PDF
AttH.PUR-7801.Vendor-Certification-Form.docx DOCX document
ITN-GTL-Final.pdf PDF
Revised Attachment A - Administrative Requirements.pdf PDF
AttB.Performance-Guarantees.pdf PDF
AttE.Interface-Files-Layouts-and-Enrollment-Schedule.pdf PDF
AttD.Cost-Reply.xlsx XLSX spreadsheet
AttE.Interface-Files-Layouts-and-Enrollment-Schedule.pdf PDF
AttH.PUR-7801.Vendor-Certification-Form.docx DOCX document
AttB.Performance-Guarantees.pdf PDF
Revised Attachment A - Administrative Requirements.pdf PDF
AttI.Draft-Contract.pdf PDF
AttA.Administrative-Requirements.pdf PDF
AttD.Cost-Reply.xlsx XLSX spreadsheet
AttG.Additional-Information.pdf PDF
AttA.Administrative-Requirements.pdf PDF
AttC.Technical-Reply.xlsx XLSX spreadsheet
ITN-GTL-Final.pdf PDF
AttD.Cost-Reply.xlsx XLSX spreadsheet
Addendum No. 2.pdf PDF
AttC.Technical-Reply.xlsx XLSX spreadsheet
AttD.Cost-Reply.xlsx XLSX spreadsheet
Revised-Att.G-Additional-Information.pdf PDF
Addendum No. 1.pdf PDF
AttB.Performance-Guarantees.pdf PDF
Revised Attachment A - Administrative Requirements.pdf PDF
AttE.Interface-Files-Layouts-and-Enrollment-Schedule.pdf PDF
ITN-GTL-Final.pdf PDF
Addendum No. 2.pdf PDF
Revised Attachment A - Administrative Requirements.pdf PDF
AttC.Technical-Reply.xlsx XLSX spreadsheet
AttI.Draft-Contract.pdf PDF
ITN-GTL-Final.pdf PDF
AttB.Performance-Guarantees.pdf PDF
AttD.Cost-Reply.xlsx XLSX spreadsheet
AttF.Census-File.xlsx XLSX spreadsheet
AttH.PUR-7801.Vendor-Certification-Form.docx DOCX document
AttC.Technical-Reply.xlsx XLSX spreadsheet
Addendum No. 1.pdf PDF
ITN-GTL-Final.pdf PDF
Revised Attachment A - Administrative Requirements.pdf PDF
AttI.Draft-Contract.pdf PDF
AttI.Draft-Contract.pdf PDF
AttB.Performance-Guarantees.pdf PDF
AttC.Technical-Reply.xlsx XLSX spreadsheet
AttH.PUR-7801.Vendor-Certification-Form.docx DOCX document
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Revised Attachment G: Additional Information

DMS-24/25-232

Group Term Life Insurance

Five (5) years of life insurance enrollment, five (5) years of active basic life claims experience, plan experience, and an invoice

DSGI Life Insurance Yearly Enrollment

CY 2019 thru 2024

2019 2020 2021 2022 2023 2024 Employees 144,583 157,413 153,092 149,155 153,145 160,109 Retirees 27,127 29,556 29,735 29,400 28,593 27,908 Vested Legislator 138 138 138 139 138 138 Total Basic Coverage 171,847 187,107 182,965 178,694 181,876 188,017 Spouse 12,510 14,205 14,145 13,533 13,974 14,396 Child 21,124 24,440 24,686 23,659 24,441 25,668 Total Dependent Coverage 33,635 38,645 38,831 37,192 38,415 40,064 Optional Coverage 40,447 42,761 41,042 39,209 39,222 39,661 Grand Total 245,929 268,512 262,838 255,095 259,513 267,742

Basic Life Retiree Life Optional Life Vested Legislators Spouse Life Child Life Elibilibity Active Employees

OPS/Variable hour employees

Retired Employees Active Employees Vested Legislators Spouse of Employee Child of Employee

Benefit $25,000 $2,500 or $10,000 options

One up to seven times annual earnings rounded up to the next $1,000;

Benefit maximum of $1,000,000.

$150,000 $15,000 or $20,000 options

$10,000

Monthly Cost

Active Employees Employer paid

• $0.143/$1,000/month

• $3.58/month

OPS Employees Employee paid

• $3.58/month

Retiree paid

•$2.126/$1,000/month

• $2,500: $5.32/month

• $10,000: $21.26/month

Employee paid

Age/Rate ($1,000 month) <30: $0.063

30-34: $0.090 35-39: $0.101 40-44: $0.110 45-49: $0.153 50-54: $0.220 55-59: $0.332 60-64: $0.609 65-69: $0.929 ≥70: $1.774

Vested Legislator paid $0.143/$1,000/month • $21.45/month

Employee paid

• $15,500: $5.18/month

• $20,000: $6.90/month

Employer paid

• $0.85/month

Year Premium Incurred Claims Loss Ratio Number of Claims 2019 $31,675,174 $33,623,364 106.2% 1,563 2020 $32,359,747 $36,981,066 114.3% 1,648 2021 $34,225,976 $42,812,028 125.1% 1,728 2022 $34,537,951 $31,174,210 90.3% 1,440 2023 $36,273,129 $30,255,016 83.4% 1,328 2024 $37,983,756 $32,015,314 84.3% 1,423 Total $207,055,733 $206,860,998 99.9% 9,130

Earned Premium Incurred Claims Incurred Loss Ratio

1/1/2019 12/31/2019 $6,160,766 $7,041,913 114.3% 1/1/2020 12/31/2020 $6,147,677 $7,918,857 128.8% 1/1/2021 12/31/2021 $5,978,935 $9,507,004 159.0% 1/1/2022 12/31/2022 $5,819,749 $7,339,535 126.1% 1/1/2023 12/31/2023 $5,981,012 $7,394,445 123.6% 1/1/2024 12/31/2024 $6,210,538 $6,238,049 100.4% Total $36,298,677 $45,439,803 125.2%

1/1/2019 12/31/2019 $4,424,681 $7,428,229 167.9% 1/1/2020 12/31/2020 $4,483,864 $8,118,763 181.1% 1/1/2021 12/31/2021 $5,008,298 $7,873,345 157.2% 1/1/2022 12/31/2022 $5,038,147 $7,315,832 145.2% 1/1/2023 12/31/2023 $4,975,699 $7,289,488 146.5% 1/1/2024 12/31/2024 $4,903,875 $7,756,720 158.2% Total $28,834,564 $45,782,377 158.8%

1/1/2019 12/31/2019 $19,906,689 $17,808,139 89.5% 1/1/2020 12/31/2020 $20,499,595 $18,974,372 92.6% 1/1/2021 12/31/2021 $21,870,234 $23,603,186 107.9% 1/1/2022 12/31/2022 $22,372,942 $14,612,144 65.3% 1/1/2023 12/31/2023 $23,969,882 $14,198,105 59.2% 1/1/2024 12/31/2024 $25,485,356 $16,483,647 64.7% Total $134,104,698 $105,679,593 78.8%

1/1/2019 12/31/2019 $948,095 $1,062,645 112.1% 1/1/2020 12/31/2020 $979,320 $1,655,917 169.1% 1/1/2021 12/31/2021 $1,116,708 $1,654,726 148.2%

Spouse Life

Summary of Life Experience From January 1, 2019 Through December 31,2024

Active Basic Life

Retiree Basic Life

Cumulative Experience by Coverage

Optional Life

1/1/2022 12/31/2022 $1,065,804 $1,796,030 168.5% 1/1/2023 12/31/2023 $1,097,234 $1,122,727 102.3% 1/1/2024 12/31/2024 $1,121,994 $1,296,661 115.6% Total $6,329,155 $8,588,706 135.7%

1/1/2019 12/31/2019 $234,943 $282,438 120.2% 1/1/2020 12/31/2020 $249,291 $313,157 125.6% 1/1/2021 12/31/2021 $251,801 $173,767 69.0% 1/1/2022 12/31/2022 $241,309 $110,669 45.9% 1/1/2023 12/31/2023 $249,302 $250,251 100.4% 1/1/2024 12/31/2024 $261,993 $240,237 91.7% Total $1,488,639 $1,370,519 92.1%

Child Life

Summary of Life Experience From January 1, 2023 Through December 31, 2023 Coverage Earned Premium Incurred Claims Loss Ratio Active Basic Life $5,981,012 $7,394,445 123.6% Retiree Basic Life $4,975,699 $7,289,488 146.5% Optional Life $23,969,882 $14,198,105 59.2% Spouse Life $1,097,234 $1,122,727 102.3% Child Life $249,302 $250,251 100.4%

Coverage Average Paid Claim Amount

Number of Paid Claims

Average Age at Claim

Active Basic Life $25,395 273 56 Retiree Basic Life $7,394 970 81 Optional Life $205,754 69 59 Spouse Life $19,016 61 63 Child Life $10,000 24 15

Claims Statistics by Coverage for January 1, 2023 through December 31, 2023

Summary of Life Experience From January 1, 2024 Through December 31, 2024 Coverage Earned Premium Incurred Claims Loss Ratio Active Basic Life $6,210,538 $6,238,049 100.4% Retiree Basic Life $4,903,875 $7,756,720 158.2% Optional Life $25,485,356 $16,483,647 64.7% Spouse Life $1,121,994 $1,296,661 115.6% Child Life $261,993 $240,237 91.7%

Coverage Average Paid Claim Amount

Number of Paid Claims

Average Age at Claim

Active Basic Life $25,118 271 56 Retiree Basic Life $7,172 1,058 82 Optional Life $228,090 78 57 Spouse Life $18,806 67 59 Child Life $10,000 27 19

Claims Statistics by Coverage for January 1, 2024 through December 31, 2024

Appendix - 2022

Financial Experience Report State of Florida

Summary of Incurred Claims

For the Period January 1, 2022 through December 31, 2022

Life Claims Waiver of Premium

Reported Reserves Reported Reserves IBNR

Coverage

Insurance

Amount Paid

Interest

Paid

Current Reserve

Prior

Reserve

Current Reserve

Prior

Reserve

Current Reserve

Prior

Reserve

Conv/Port

Charge Incurred Claims

Active Basic Life $7,818,578.38 $13,638.07 $1,153,386.39 $1,531,027.77 $6,530,984 $6,674,871 $12,124 $12,452 $29,175 $7,339,535

Retiree Basic Life 7,329,923.91 10,831.85 818,313.74 843,237.65 0 0 0 0 0 7,315,832

Optional Life 16,300,910.00 16,666.93 1,622,711.11 3,219,621.11 2,489,677 2,836,575 95,085 92,958 236,248 14,612,144

Spouse Life 1,815,000.00 1,029.99 100,000.00 120,000.00 0 0 0 0 0 1,796,030

Child Life 90,000.00 69.04 30,000.00 10,000.00 0 0 0 0 600 110,669

Active Basic AD&D 357,500.00 1,066.69 565,000.00 387,500.00 0 0 0 0 0 536,067

Optional AD&D 1,558,000.00 4,035.47 374,000.00 1,115,000.00 0 0 0 0 0 821,035

Total $35,269,912.29 $47,338.04 $4,663,411.24 $7,226,386.53 $9,020,661 $9,511,446 $107,209 $105,410 $266,023 $32,531,312

© 2023 All Rights Reserved Minnesota Life Insurance Company A Securian Company A1

Active Basic Life Claims Experience

For the Period January 1, 2022 through December 31, 2022

Death Claims

Claim Number D e

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 D

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

For the Period January 1, 2022 through December 31, 2022

Death Claims

Claim Number D e

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

Claim Number D e

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 12/12/2022 12,500.00 76.58 0.00 12,500.00 76.58

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

Claim Number D e

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

Claim Number D e

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

For the Period January 1, 2022 through December 31, 2022

Death Claims

Claim Number D e

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

Claim Number D e

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 12/06/2022 25,000.00 95.21 0.00 0.00 25,095.21

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

For the Period January 1, 2022 through December 31, 2022

Death Claims

Claim Number D e

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 12/28/2022 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

Claim Number D e

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 12/20/2022 25,000.00 73.97 0.00 0.00 25,073.97

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

1634986 62 M 05/18/2022 01/09/2023 0.00 0.00 25,000.00 0.00 25,000.00

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

A Securian Company A10

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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

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

A Securian Company A11

For the Period January 1, 2022 through December 31, 2022

Death Claims

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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

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 12/08/2022 25,000.00 29.46 0.00 0.00 25,029.46

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 12/28/2022 25,000.00 33.22 0.00 0.00 25,033.22

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

A Securian Company A12

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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

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 01/19/2023 25,000.00 60.62 0.00 0.00 25,060.62

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 12/07/2022 25,000.00 32.53 0.00 0.00 25,032.53

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

A Securian Company A13

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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

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 01/18/2023 25,000.00 48.97 0.00 0.00 25,048.97

1653408 70 F 09/11/2022 09/16/2022 12/07/2022 25,000.00 29.80 0.00 0.00 25,029.80

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 12/07/2022 25,000.00 23.63 0.00 0.00 25,023.63

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 01/25/2023 25,000.00 20.11 0.00 0.00 25,020.11

A Securian Company A14

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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

1658838 24 M 10/01/2022 11/14/2022 01/27/2023 25,000.00 15.41 0.00 0.00 25,015.41

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 01/18/2023 25,000.00 26.88 0.00 0.00 25,026.88

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 12/09/2022 8,335.00 31.40 16,665.00 0.00 25,031.40

1660229 43 F 10/23/2022 10/26/2022 12/06/2022 25,000.00 15.07 0.00 0.00 25,015.07

1660255 52 M 10/13/2022 10/24/2022 01/20/2023 22,222.22 95.14 2,777.78 0.00 25,095.14

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 12/14/2022 25,000.00 20.21 0.00 0.00 25,020.21

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 10/28/2022 11/04/2022 12/15/2022 25,000.00 16.44 0.00 0.00 25,016.44

1662067 61 F 11/01/2022 11/04/2022 12/22/2022 25,000.00 17.47 0.00 0.00 25,017.47

1662099 38 M 10/31/2022 11/04/2022 12/07/2022 25,000.00 12.33 0.00 0.00 25,012.33

1662112 76 M 11/01/2022 11/04/2022 12/12/2022 25,000.00 14.04 0.00 0.00 25,014.04

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 12/08/2022 25,000.00 11.99 0.00 0.00 25,011.99

1663919 79 M 11/10/2022 11/30/2022 01/20/2023 23,750.00 21.24 1,250.00 0.00 25,021.24

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

A Securian Company A15

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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 12/20/2022 25,000.00 11.99 0.00 0.00 25,011.99

1665327 66 F 11/14/2022 11/22/2022 12/29/2022 25,000.00 13.14 0.00 0.00 25,013.14

1665400 66 F 11/16/2022 11/22/2022 12/27/2022 25,000.00 14.04 0.00 0.00 25,014.04

1666265 50 F 11/10/2022 11/29/2022 12/14/2022 25,000.00 11.47 0.00 0.00 25,011.47

1666390 66 M 10/31/2022 11/04/2022 01/10/2023 25,000.00 24.32 0.00 0.00 25,024.32

1666554 66 M 11/21/2022 11/30/2022 01/23/2023 25,000.00 21.58 0.00 0.00 25,021.58

1666559 71 M 11/23/2022 11/30/2022 01/26/2023 25,000.00 21.92 0.00 0.00 25,021.92

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

1666800 74 M 11/18/2022 12/01/2022 01/09/2023 25,000.00 17.81 0.00 0.00 25,017.81

1666916 61 M 11/20/2022 11/30/2022 12/16/2022 25,000.00 8.90 0.00 0.00 25,008.90

1667038 52 F 11/19/2022 12/02/2022 01/25/2023 25,000.00 22.95 0.00 0.00 25,022.95

1667315 75 M 10/10/2022 12/05/2022 0.00 0.00 25,000.00 0.00 25,000.00

1667884 59 F 12/04/2022 12/07/2022 0.00 0.00 25,000.00 0.00 25,000.00

1668191 62 F 12/04/2022 12/07/2022 01/19/2023 25,000.00 15.75 0.00 0.00 25,015.75

1669101 56 F 12/08/2022 12/19/2022 12/27/2022 25,000.00 6.51 0.00 0.00 25,006.51

1669112 69 M 11/23/2022 12/15/2022 01/13/2023 43,623.00 30.48 0.00 0.00 43,653.48

1669455 20 F 01/14/2022 12/15/2022 0.00 0.00 25,000.00 0.00 25,000.00

1669708 36 M 12/14/2022 12/16/2022 01/11/2023 25,000.00 9.59 0.00 0.00 25,009.59

1669719 57 M 12/14/2022 12/16/2022 01/09/2023 25,000.00 8.90 0.00 0.00 25,008.90

1669921 57 F 12/08/2022 12/19/2022 01/05/2023 25,000.00 9.59 0.00 0.00 25,009.59

1670000 64 F 12/14/2022 12/19/2022 01/05/2023 25,000.00 7.53 0.00 0.00 25,007.53

1670503 78 M 12/15/2022 12/20/2022 0.00 0.00 25,000.00 0.00 25,000.00

A Securian Company A16

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

1670538 63 M 12/17/2022 12/20/2022 01/10/2023 25,000.00 8.22 0.00 0.00 25,008.22

1670832 44 F 12/08/2022 12/22/2022 0.00 0.00 25,000.00 0.00 25,000.00

1670838 36 F 12/14/2022 12/22/2022 0.00 0.00 25,000.00 0.00 25,000.00

1670864 36 F 12/19/2022 12/22/2022 01/31/2023 25,000.00 14.73 0.00 0.00 25,014.73

1670925 64 F 10/22/2022 12/27/2022 01/06/2023 25,000.00 26.03 0.00 0.00 25,026.03

1671334 54 M 12/26/2022 12/29/2022 0.00 0.00 25,000.00 0.00 25,000.00

1671429 26 F 12/22/2022 12/28/2022 0.00 0.00 25,000.00 0.00 25,000.00

1671641 41 M 12/22/2022 12/29/2022 0.00 0.00 25,000.00 0.00 25,000.00

1672249 60 M 12/23/2022 01/03/2023 01/17/2023 25,000.00 8.56 0.00 0.00 25,008.56

1672451 37 M 12/26/2022 01/03/2023 01/26/2023 12,500.00 5.31 12,500.00 0.00 25,005.31

1673039 56 F 12/19/2022 01/06/2023 01/12/2023 25,000.00 8.22 0.00 0.00 25,008.22

1673139 64 M 12/26/2022 01/04/2023 01/19/2023 25,000.00 8.22 0.00 0.00 25,008.22

1673574 61 F 12/17/2022 01/09/2023 0.00 0.00 25,000.00 0.00 25,000.00

1673624 71 M 12/29/2022 01/10/2023 01/26/2023 25,000.00 9.59 0.00 0.00 25,009.59

1673628 56 M 12/31/2022 01/10/2023 0.00 0.00 25,000.00 0.00 25,000.00

1674164 51 F 12/27/2022 01/11/2023 0.00 0.00 25,000.00 0.00 25,000.00

1674334 82 M 12/14/2022 01/12/2023 01/30/2023 16,667.50 10.27 8,332.50 0.00 25,010.27

1676364 49 F 12/18/2022 01/23/2023 0.00 0.00 25,000.00 0.00 25,000.00

1677044 47 F 09/21/2022 01/23/2023 0.00 0.00 25,000.00 0.00 25,000.00

D128188 39 M 12/15/2022 12/22/2022 01/25/2023 25,000.00 0.00 0.00 0.00 25,000.00 (A)

365 Claims Subtotal $7,768,578.38 $13,606.91 $1,153,386.39 $1,531,027.77 $7,404,543.91

OPS D

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

A Securian Company A17

Claim Number D e

Age at Death Gender

Date of Death

Date Notice Received Date Paid

Insurance Amount Paid Interest Paid

Current Reserve

Prior Reserve

Incurred Claims

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

367 Total Claims $7,818,578.38 $13,638.07 $1,153,386.39 $1,531,027.77 $7,454,575.07

(A) Accelerated Death Benefit

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

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 A19

For the Period January 1, 2022 through December 31, 2022

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 0 26,837 (26,837)

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 160,616 175,176 172,526 2,650

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 66,686 65,244 1,442

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 A20

For the Period January 1, 2022 through December 31, 2022

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 19,273 18,858 36,952 (18,094)

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 76,036 74,355 1,681

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 58,923 57,890 1,033

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 A21

For the Period January 1, 2022 through December 31, 2022

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 A22

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 22,935 22,399 536

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 23,925 23,513 412

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

D061433 58 F 06/30/2011 25,000 24,420 23,925 495

D061663 54 M 04/17/2012 25,000 23,925 23,059 866

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 A23

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 40,687 39,845 842

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 A24

For the Period January 1, 2022 through December 31, 2022

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 22,399 21,904 495

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 A25

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 21,450 20,955 495

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 21,904 21,409 495

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 21,450 20,955 495

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 A26

For the Period January 1, 2022 through December 31, 2022

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 19,594 19,058 536

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

D085…

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