Michigan Life & Health Insurance Guaranty Association

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1 Michigan Life & Health Insurance Guaranty Association 1640 Haslett Road, Suite 160 Haslett, MI telephone fax To: Member Company Michigan Life & Health Insurance Guaranty Association From: John C. Colpean, General Counsel & Administrator Date: February 29, 2016 Health Account Assessment The Board of Directors of the Michigan Life & Health Insurance Guaranty Association (hereafter MLHIGA ) has approved a health account assessment in the aggregate amount of $11,000,000 on its members to cover the costs and expenses relative to the Consumers Mutual Insurance of Michigan insolvency. Your share of the assessment has been calculated pursuant to section of the Michigan Compiled Laws and is set forth on the enclosed worksheet. Your share of the assessment is based on the percentage that the Michigan premiums for your company bear to the total Michigan premiums for all member companies for the 3 most recent calendar years for which information is available. If MLHIGA is holding funds on your behalf for a previously issued refund, such funds have been applied to offset amounts due under this assessment call. The enclosed assessment is in compliance with section (6) of the Michigan Compiled Laws, which states in part that assessments shall be made with a reasonable degree of accuracy, recognizing that exact determinations may not always be possible. Pursuant to section (14) of the Michigan Compiled Laws, if a member insurer wishes to protest an assessment, the amount assessed shall be paid to MLHIGA pending the outcome of the protest. Payment is due on or before March 30, 2016

2 EVER LIFE INSURANCE COMPANY 231, AAA LIFE INSURANCE COMPANY 5, ACE AMERICAN INSURANCE COMPANY 16, AEGIS SECURITY INSURANCE CO AETNA LIFE INSURANCE CO 371, ALL SAVERS INSURANCE CO 13, ALLIANCE HEALTH AND LIFE INSURANCE CO 317, ALLIANZ LIFE INS CO OF NORTH AMERICA 7, ALLSTATE LIFE INSURANCE COMPANY 1, AMERICAN BANKERS LIFE ASR CO OF FLORIDA AMERICAN CONTINENTAL INSURANCE COMPANY 19, AMERICAN FAMILY LIFE ASSUR OF COLUMBUS 281, AMERICAN FIDELITY ASSURANCE CO 10, AMERICAN GENERAL LIFE INSURANCE COMPANY 10, AMERICAN HEALTH & LIFE INS CO 4, AMERICAN HERITAGE LIFE INS CO 17, AMERICAN INCOME LIFE INSURANCE CO 4, AMERICAN MEDICAL AND LIFE INSURANCE CO AMERICAN MODERN LIFE INSURANCE CO AMERICAN NATIONAL INSURANCE CO AMERICAN NATIONAL LIFE INS OF TEXAS 3, AMERICAN PUBLIC LIFE INSURANCE COMPANY AMERICAN REPUBLIC INSURANCE 1, AMERICAN SECURITY INSURANCE CO AMERICAN UNITED LIFE INSURANCE CO 2, AMERITAS LIFE INSURANCE CORP 16, AMEX ASSURANCE CO 2, ARCH INSURANCE COMPANY ASSOCIATED MUTUAL 20, ASSURITY LIFE INSURANCE CO 50, ATHENE ANNUITY & LIFE ASSURANCE CO. 1, ATHENE ANNUITY AND LIFE COMPANY ATLANTIC SPECIALTY INSURANCE COMPANY 1, AURIGEN REINSURANCE COMPANY OF AMERICA 1, AUTO CLUB LIFE INSURANCE CO 1, AUTO-OWNERS LIFE INSURANCE CO 8,591

3 62944 AXA EQUITABLE LIFE INSURANCE COMPANY 3, AXIS INSURANCE COMPANY 2, BANKERS FIDELITY LIFE INSURANCE COMPANY 10, BANKERS LIFE AND CASUALTY CO 49, BCS INSURANCE CO 10, BERKLEY LIFE AND HEALTH INS CO 3, BERKSHIRE LIFE INSURANCE CO OF AMERICA 22, BEST LIFE & HEALTH INSURANCE COMPANY 2, BLUE CROSS BLUE SHIELD OF MI MUTUAL INS 3,513, BOSTON MUTUAL LIFE INSURANCE CO CANADA LIFE ASSURANCE CO CATLIN INSURANCE COMPANY INC CELTIC INSURANCE CO 7, CENTRAL STATES HEALTH & LIFE CO OF OMAHA 1, CENTRAL STATES INDEMNITY CO OF OMAHA 4, CENTRAL UNITED LIFE INSURANCE CO CENTRE LIFE INSURANCE COMPANY 1, CHEROKEE INSURANCE CO 60, CHESAPEAKE LIFE INSURANCE CO, THE 9, CIGNA HEALTH AND LIFE INSURANCE COMPANY 77, CINCINNATI LIFE INSURANCE CO, THE CMFG LIFE INSURANCE COMPANY 45, COLONIAL LIFE & ACCIDENT INS CO 29, COLONIAL PENN LIFE INSURANCE CO. 17, COLUMBIAN LIFE INSURANCE CO COMBINED INSURANCE CO OF AMERICA 36, COMMERICAL TRAVELERS MUTUAL INS CO, THE COMMONWEALTH ANNUITY & LIFE INS COMPANY COMPANION LIFE INSURANCE CO 67, CONNECTICUT GENERAL LIFE INS CO 57, CONSTITUTION LIFE INSURANCE CO 2, CONTINENTAL AMERICAN INSURANCE COMPANY 15, CONTINENTAL CASUALTY CO 41, CONTINENTAL GENERAL INSURANCE CO 4, CONTINENTAL LIFE INS CO OF BRENTWOOD TN 6, COUNTRY LIFE INSURANCE CO 565

4 71129 DEARBORN NATIONAL LIFE INSURANCE CO 14, DELAWARE AMERICAN LIFE INSURANCE CO DENTEGRA INSURANCE COMPANY 12, EQUITABLE LIFE & CASUALTY INSURANCE CO 6, FAMILY HERITAGE LIFE INS CO OF AMERICA 1, FAMILY LIFE INSURANCE CO 6, FARM BUREAU MUTUAL INS CO OF MICHIGAN FARMERS NEW WORLD LIFE INSURANCE CO FEDERAL INSURANCE CO 1, FEDERATED LIFE INSURANCE CO 2, FEDERATED MUTUAL INSURANCE CO 72, FIDELITY SECURITY LIFE INSURANCE CO 40, FINANCIAL AMERICAN LIFE INSURANCE COMPAN 1, FIRST HEALTH LIFE & HEALTH INSURANCE CO FORETHOUGHT LIFE INSURANCE CO FREEDOM LIFE INSURANCE CO OF AMERICA 2, GENERAL AMERICAN LIFE INSURANCE CO GENWORTH LIFE AND ANNUITY INSURANCE CO 3, GENWORTH LIFE INSURANCE COMPANY 114, GERBER LIFE INSURANCE CO 18, GLOBE LIFE & ACCIDENT INSURANCE CO 1, GOLDEN RULE INSURANCE CO 217, GOVERNMENT PERSONNEL MUTUAL LIFE INS CO 7, GREAT AMERICAN INSURANCE CO GREAT WEST LIFE ASSURANCE CO GREAT-WEST LIFE & ANNUITY INSURANCE 3, GUARANTEE TRUST LIFE INSURANCE CO 14, GUARANTY INCOME LIFE INSURANCE COMPANY GUARDIAN LIFE INSURANCE CO OF AMER 163, HARLEYSVILLE LIFE INSURANCE CO 2, HARTFORD LIFE & ACCIDENT INSURANCE CO 78, HARTFORD LIFE INSURANCE CO 3, HCC LIFE INSURANCE CO 38, HEALTH CARE SERVICE CORPORATION 3, HEALTHPLUS INSURANCE COMPANY 357, HM LIFE INSURANCE COMPANY 22,048

5 73288 HUMANA INSURANCE COMPANY 132, HUMANADENTAL INSURANCE COMPANY 20, ILLINOIS MUTUAL LIFE INSURANCE COMPANY 6, IMPERIUM INSURANCE COMPANY 3, INDEPENDENCE AMERICAN INSURANCE COMPANY INSURANCE CO OF THE STATE OF PENN INTEGON NATIONAL INSURANCE CO INVESTORS HERITAGE LIFE INSURANCE CO JACKSON NATIONAL LIFE INSURANCE CO 3, JOHN ALDEN LIFE INSURANCE CO 36, JOHN HANCOCK LIFE & HEALTH INSURANCE CO JOHN HANCOCK LIFE INSURANCE CO (USA) 89, KANAWHA INSURANCE CO 13, KANSAS CITY LIFE INSURANCE CO 7, LAMORAK INSURANCE COMPANY LIBERTY LIFE ASSURANCE CO OF BOSTON 34, LIBERTY NATIONAL LIFE INSURANCE CO LIBERTY UNION LIFE ASSURANCE CO 37, LIFE INSURANCE CO OF NORTH AMERICA 117, LIFE OF THE SOUTH INSURANCE COMPANY 1, LIFESECURE INSURANCE COMPANY 3, LINCOLN BENEFIT LIFE CO 3, LINCOLN HERITAGE LIFE INSURANCE COMPANY 3, LINCOLN LIFE & ANNUITY COMPANY LINCOLN NATIONAL LIFE INSURANCE CO 133, LOYAL AMERICAN LIFE INSURANCE CO 11, MADISON NATIONAL LIFE INS CO, INC 42, MANHATTAN LIFE INSURANCE CO, THE MARKEL INSURANCE CO MASSACHUSETTS MUTUAL LIFE INS CO 25, MEDAMERICA INSURANCE CO 2, MEDICAL MUTUAL OF OHIO 4, MEDICO CORP LIFE INSURANCE COMPANY MEDICO INSURANCE COMPANY 3, METLIFE INSURANCE COMPANY USA 3, METROPOLITAN LIFE INSURANCE CO 328,803

6 66087 MID-WEST NATIONAL LIFE INS CO OF TN 8, MINNESOTA LIFE INSURANCE COMPANY 22, MONY LIFE INSURANCE CO MUTUAL OF AMERICA LIFE INSURANCE CO MUTUAL OF OMAHA INSURANCE CO 18, NATIONAL GUARDIAN LIFE INSURANCE CO 28, NATIONAL INS CO OF WISCONSIN, INC NATIONAL LIFE INSURANCE CO 2, NATIONAL TEACHERS ASSOCIATES LIFE INS CO NATIONAL UNION FIRE INS CO OF PITTS 38, NATIONWIDE LIFE INSURANCE CO 7, NEW ENGLAND LIFE INSURANCE CO NEW YORK LIFE INSURANCE CO 12, NIPPON LIFE INSURANCE CO OF AMERICA 32, NORTHWESTERN LONG TERM CARE INSURANCE CO 26, NORTHWESTERN MUTUAL LIFE INSURANCE 42, OHIO NATIONAL LIFE ASR CORPORATION 1, OHIO NATIONAL LIFE INSURANCE CO OLD REPUBLIC INSURANCE CO OLD UNITED LIFE INSURANCE CO 3, OMAHA INSURANCE COMPANY 8, OXFORD LIFE INSURANCE CO 1, PACIFICARE LIFE & HEALTH INSURANCE CO 1, PAN-AMERICAN LIFE INSURANCE CO 13, PARAMOUNT INSURANCE COMPANY 15, PAUL REVERE LIFE INSURANCE CO 14, PEKIN LIFE INSURANCE CO 5, PENN MUTUAL LIFE INSURANCE CO PENNSYLVANIA LIFE INSURANCE CO 3, PHILADELPHIA AMERICAN LIFE INS CO PHP INSURANCE COMPANY 75, PHYSICIANS LIFE INSURANCE CO PHYSICIANS MUTUAL INSURANCE CO 5, PRINCIPAL LIFE INSURANCE COMPANY 52, PRIORITY HEALTH INSURANCE COMANY 415, PROFESSIONAL INSURANCE CORPORATION 4,363

7 68136 PROTECTIVE LIFE INSURANCE CO 1, PROVIDENT LIFE & ACCIDENT INS CO 74, PRUDENTIAL INSURANCE CO OF AMERICA 81, PYRAMID LIFE INSURANCE CO QBE INSURANCE CORPORATION 2, RELIANCE STANDARD LIFE INSURANCE CO 47, RELIASTAR LIFE INSURANCE CO 14, RELIASTAR LIFE INSURANCE COMPANY OF NY RENAISSANCE LIFE & HEALTH INS CO OF AMER 45, RESERVE NATIONAL INSURANCE CO RETAILERS INSURANCE COMPANY RIVERSOURCE LIFE INSURANCE COMPANY 32, SEARS LIFE INSURANCE COMPANY SECURIAN LIFE INSURANCE CO 5, SECURITY LIFE INS CO OF AMERICA 5, SENIOR HEALTH INSURANCE CO OF PENNSYLVAN 8, SENTRY LIFE INSURANCE CO SHELTERPOINT LIFE INSURANCE COMPANY SHENANDOAH LIFE INSURANCE CO SIRIUS AMERICA INSURANCE COMPANY 4, STANDARD INSURANCE CO 31, STANDARD LIFE AND ACCIDENT INSURANCE CO 25, STANDARD SECURITY LIFE INS CO OF NY 10, STARMOUNT LIFE INSURANCE COMPANY 1, STARR INDEMNITY & LIABILITY COMPANY STATE FARM MUTUAL AUTOMOBILE INS CO 44, STATE LIFE INSURANCE CO 1, STERLING LIFE INSURANCE COMPANY SUN LIFE AND HEALTH INSURANCE CO (US) 9, SUN LIFE ASR COMPANY OF CANADA 57, SYMETRA LIFE INSURANCE COMPANY 33, TEACHERS INSURANCE AND ANNUITY ASSOCIAT 1, TIAA-CREF LIFE INSURANCE COMPANY TIME INSURANCE COMPANY 92, TRANSAMERICA CASUALTY INSURANCE COMPANY TRANSAMERICA FINANCIAL LIFE INSURANCE CO 196

8 86231 TRANSAMERICA LIFE INSURANCE COMPANY 42, TRANSAMERICA PREMIER LIFE INSURANCE CO 15, TRUSTMARK INSURANCE CO (MUTUAL) 9, TRUSTMARK LIFE INSURANCE CO 11, UNICARE LIFE & HEALTH INSURANCE CO 5, UNIFIED LIFE INSURANCE COMPANY 1, UNIMERICA INSURANCE COMPANY 10, UNION CENTRAL LIFE INSURANCE CO 1, UNION FIDELITY LIFE INSURANCE CO UNION LABOR LIFE INSURANCE CO 6, UNION SECURITY INSURANCE COMPANY 30, UNITED AMERICAN INSURANCE CO 49, UNITED CONCORDIA INSURANCE CO 1, UNITED INSURANCE COMPANY OF AMERICA UNITED OF OMAHA LIFE INSURANCE CO 155, UNITED SECURITY ASSURANCE CO OF PENNSYL UNITED STATES FIRE INSURANCE CO 4, UNITED STATES LIFE INS CO IN CITY OF NY 8, UNITED TEACHER ASSOCIATES INS CO 2, UNITED WORLD LIFE INSURANCE CO 6, UNITEDHEALTHCARE INSURANCE CO 897, UNITEDHEALTHCARE LIFE INSURANCE COMPANY 11, UNUM LIFE INSURANCE COMPANY OF AMERICA 186, US HEALTH AND LIFE INSURANCE CO 60, USAA LIFE INSURANCE CO 3, VISION SERVICE PLAN INSURANCE CO 89, WASHINGTON NATIONAL INSURANCE CO 13, WESCO INSURANCE CO WESTERN & SOUTHERN LIFE INS CO 1, WESTPORT INSRUANCE CORP 21, WILCO LIFE INSURANCE CO WISCONSIN PHYSICIANS SERVICE INS CORP WORLD INSURANCE CO ZURICH AMERICAN INSURANCE CO 6,783

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