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 "Revised-Att.G-Additional-Information.pdf" is associated with the State of Florida's Department of Management Services (DMS), Division of State Group Insurance (DSGI) Invitation to Negotiate (ITN) No. DMS-24/25-232 for Group Term Life Insurance. The solicitation seeks a vendor to provide comprehensive life insurance services for approximately 345,037 members, including active full-time employees, OPS employees, vested legislators, retired employees, and their dependents, with an implementation date of January 1, 2026. The contract requires the selected vendor to establish a customer service unit, maintain a participant website, process enrollment and claims, conduct open enrollment benefit fairs, and develop communication materials. Key implementation milestones include establishing a dedicated website by August 1, 2025, and participating in fall 2025 open enrollment events. The Reply submission deadline is April 14, 2025, with an evaluation phase from April 21 to May 12, 2025, and negotiations from May 19 to July 21, 2025. The initial contract term is four years, with the potential for up to four additional one-year renewals.
The solicitation covers six group term life insurance options with various coverage levels, including basic life insurance of $25,000 for salaried employees and up to $150,000 for vested legislators, with optional term life insurance ranging from 1 to 7 times annual earnings (capped at $1 million). The successful vendor must provide a performance bond of $5,000,000 and maintain various insurance coverages. The cost reply document indicates estimated annual enrollments, with active employees representing the largest group at 153,145 participants. Respondents must provide detailed premium rates per $1,000 per month for different coverage types and age groups. The procurement does not explicitly indicate specific set-aside designations or restrictions for disadvantaged enterprises. The vendor is expected to integrate with the state's existing People First system for data transmission and enrollment management, suggesting a complex technical implementation requiring careful coordination with existing state infrastructure.
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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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