QUARTERLY STATEMENT OF THE. Athene Annuity & Life Assurance Company TO THE. Insurance Department OF THE STATE OF
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1 QUARTERLY STATEMENT OF THE Athene Annuity Life Assurance Company TO THE Insurance Department OF THE STATE OF FOR THE QUARTER ENDED SEPTEMBER 0, 204 LIFE AND ACCIDENT AND HEALTH 204
2
3 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company ASSETS Assets Current Statement Date 4 2 December Net Admitted Assets Prior Year Net Nonadmitted Assets (Cols. - 2) Admitted Assets. Bonds 2. Stocks: 2. Preferred stocks 2.2 Common stocks. Mortgage loans on real estate:. First liens.2 Other than first liens 4. Real estate: 4. Properties occupied by the company (less $ encumbrances) 4.2 Properties held for the production of income (less $ encumbrances) 4. Properties held for sale (less $ encumbrances) 5. Cash ($ ), cash equivalents ($ ) and short-term investments ($ ) 6. Contract loans (including $ premium notes) 7. Derivatives 8. Other invested assets 9. Receivables for securities 0. Securities lending reinvested collateral assets. Aggregate write-ins for invested assets 2. Subtotals, cash and invested assets (Lines to ). Title plants less $ charged off (for Title insurers only) 4. Investment income due and accrued 5. Premiums and considerations: 5. Uncollected premiums and agents' balances in the course of collection 5.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ earned but unbilled premiums) 5. Accrued retrospective premiums 6. Reinsurance: 6. Amounts recoverable from reinsurers 6.2 Funds held by or deposited with reinsured companies 6. Other amounts receivable under reinsurance contracts 7. Amounts receivable relating to uninsured plans 8. Current federal and foreign income tax recoverable and interest thereon 8.2 Net deferred tax asset 9. Guaranty funds receivable or on deposit 20. Electronic data processing equipment and software 2. Furniture and equipment, including health care delivery assets ($ ) 22. Net adjustment in assets and liabilities due to foreign exchange rates 2. Receivables from parent, subsidiaries and affiliates 24. Health care ($ ) and other amounts receivable 25. Aggregate write-ins for other than invested assets 26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 2 to 25) 27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 28. Total (Lines 26 and 27) DETAILS OF WRITE-INS 98. Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 through 0 plus 98)(Line above) Summary of remaining write-ins for Line 25 from overflow page Totals (Lines 250 through 250 plus 2598)(Line 25 above) 2
4 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company LIABILITIES, SURPLUS AND OTHER FUNDS Current 2 December Prior Year Statement Date. Aggregate reserve for life contracts $ less $ included in Line 6. (including $ Modco Reserve) 2. Aggregate reserve for accident and health contracts (including $ Modco Reserve). Liability for deposit-type contracts (including $ Modco Reserve) 4. Contract claims: 4. Life 4.2 Accident and health 5. Policyholders dividends $ and coupons $ due and unpaid 6. Provision for policyholders dividends and coupons payable in following calendar year - estimated amounts: 6. Dividends apportioned for payment (including $ Modco) 6.2 Dividends not yet apportioned (including $ Modco) 6. Coupons and similar benefits (including $ Modco) 7. Amount provisionally held for deferred dividend policies not included in Line 6 8. Premiums and annuity considerations for life and accident and health contracts received in advance less $ discount including $ accident and health premiums 9. Contract liabilities not included elsewhere: 9. Surrender values on canceled contracts 9.2 Provision for experience rating refunds, including the liability of $ accident and health experience rating refunds of which $ is for medical loss ratio rebate per the Public Health Service Act 9. Other amounts payable on reinsurance, including $ assumed and $ ceded 9.4 Interest Maintenance Reserve 0. Commissions to agents due or accrued-life and annuity contracts $, accident and health $ and deposit-type contract funds $. Commissions and expense allowances payable on reinsurance assumed 2. General expenses due or accrued. Transfers to Separate Accounts due or accrued (net) (including $ accrued for expense allowances recognized in reserves, net of reinsured allowances) 4. Taxes, licenses and fees due or accrued, excluding federal income taxes 5. Current federal and foreign income taxes, including $ on realized capital gains (losses) 5.2 Net deferred tax liability 6. Unearned investment income 7. Amounts withheld or retained by company as agent or trustee 8. Amounts held for agents'account, including $ agents'credit balances 9. Remittances and items not allocated 20. Net adjustment in assets and liabilities due to foreign exchange rates 2. Liability for benefits for employees and agents if not included above 22. Borrowed money $ and interest thereon $ 2. Dividends to stockholders declared and unpaid 24. Miscellaneous liabilities: 24.0 Asset valuation reserve Reinsurance in unauthorized and certified ($ ) companies 24.0 Funds held under reinsurance treaties with unauthorized and certified ($ ) reinsurers Payable to parent, subsidiaries and affiliates Drafts outstanding Liability for amounts held under uninsured plans Funds held under coinsurance Derivatives Payable for securities 24.0 Payable for securities lending 24. Capital notes $ and interest thereon $ 25. Aggregate write-ins for liabilities 26. Total liabilities excluding Separate Accounts business (Lines to 25) 27. From Separate Accounts Statement 28. Total liabilities (Lines 26 and 27) 29. Common capital stock 0. Preferred capital stock. Aggregate write-ins for other than special surplus funds 2. Surplus notes. Gross paid in and contributed surplus 4. Aggregate write-ins for special surplus funds 5. Unassigned funds (surplus) 6. Less treasury stock, at cost: 6. shares common (value included in Line 29 $ ) 6.2 shares preferred (value included in Line 0 $ ) 7. Surplus (Total Lines ) (including $ in Separate Accounts Statement) 8. Totals of Lines 29, 0 and 7 9. Totals of Lines 28 and 8 (Page 2, Line 28, Col. ) DETAILS OF WRITE-INS Summary of remaining write-ins for Line 25 from overflow page Totals (Lines 250 through 250 plus 2598)(Line 25 above) Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 through 0 plus 98)(Line above) Summary of remaining write-ins for Line 4 from overflow page 499. Totals (Lines 40 through 40 plus 498)(Line 4 above)
5 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company SUMMARY OF OPERATIONS Current Year 2 Prior Year To Date Prior Year Ended December To Date. Premiums and annuity considerations for life and accident and health contracts 2. Considerations for supplementary contracts with life contingencies. Net investment income 4. Amortization of Interest Maintenance Reserve (IMR) 5. Separate Accounts net gain from operations excluding unrealized gains or losses 6. Commissions and expense allowances on reinsurance ceded 7. Reserve adjustments on reinsurance ceded 8. Miscellaneous Income: 8. Income from fees associated with investment management, administration and contract guarantees from Separate Accounts 8.2 Charges and fees for deposit-type contracts 8. Aggregate write-ins for miscellaneous income 9. Totals (Lines to 8.) 0. Death benefits. Matured endowments (excluding guaranteed annual pure endowments) 2. Annuity benefits. Disability benefits and benefits under accident and health contracts 4. Coupons, guaranteed annual pure endowments and similar benefits 5. Surrender benefits and withdrawals for life contracts 6. Group conversions 7. Interest and adjustments on contract or deposit-type contract funds 8. Payments on supplementary contracts with life contingencies 9. Increase in aggregate reserves for life and accident and health contracts 20. Totals (Lines 0 to 9) 2. Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) 22. Commissions and expense allowances on reinsurance assumed 2. General insurance expenses 24. Insurance taxes, licenses and fees, excluding federal income taxes 25. Increase in loading on deferred and uncollected premiums 26. Net transfers to or (from) Separate Accounts net of reinsurance 27. Aggregate write-ins for deductions 28. Totals (Lines 20 to 27) 29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) 0. Dividends to policyholders. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 0) 2. Federal and foreign income taxes incurred (excluding tax on capital gains). Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or (losses) (Line minus Line 2) 4. Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of $ (excluding taxes of $ transferred to the IMR) 5. Net income (Line plus Line 4) CAPITAL AND SURPLUS ACCOUNT 6. Capital and surplus, December, prior year 7. Net income (Line 5) 8. Change in net unrealized capital gains (losses) less capital gains tax of $ 9. Change in net unrealized foreign exchange capital gain (loss) 40. Change in net deferred income tax 4. Change in nonadmitted assets 42. Change in liability for reinsurance in unauthorized and certified companies 4. Change in reserve on account of change in valuation basis, (increase) or decrease 44. Change in asset valuation reserve 45. Change in treasury stock 46. Surplus (contributed to) withdrawn from Separate Accounts during period 47. Other changes in surplus in Separate Accounts Statement 48. Change in surplus notes 49. Cumulative effect of changes in accounting principles 50. Capital changes: 50. Paid in 50.2 Transferred from surplus (Stock Dividend) 50. Transferred to surplus 5. Surplus adjustment: 5. Paid in 5.2 Transferred to capital (Stock Dividend) 5. Transferred from capital 5.4 Change in surplus as a result of reinsurance 52. Dividends to stockholders 5. Aggregate write-ins for gains and losses in surplus 54. Net change in capital and surplus for the year (Lines 7 through 5) 55. Capital and surplus, as of statement date (Lines ) DETAILS OF WRITE-INS " Summary of remaining write-ins for Line 8. from overflow page Totals (Lines 08.0 through 08.0 plus 08.98) (Line 8. above) 270. # "$ %" ' ( Summary of remaining write-ins for Line 27 from overflow page Totals (Lines 270 through 270 plus 2798)(Line 27 above) 50. ) 502. * Summary of remaining write-ins for Line 5 from overflow page 599. Totals (Lines 50 through 50 plus 598)(Line 5 above) 4
6 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company CASH FLOW Current Year To Date 2 Prior Year To Date Prior Year Ended December Cash from Operations. Premiums collected net of reinsurance 2. Net investment income. Miscellaneous income 4. Total (Lines to ) 5. Benefit and loss related payments 6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 7. Commissions, expenses paid and aggregate write-ins for deductions 8. Dividends paid to policyholders 9. Federal and foreign income taxes paid (recovered) net of $ tax on capital gains (losses) 0. Total (Lines 5 through 9). Net cash from operations (Line 4 minus Line 0) Cash from Investments 2. Proceeds from investments sold, matured or repaid: 2. Bonds 2.2 Stocks 2. Mortgage loans 2.4 Real estate 2.5 Other invested assets 2.6 Net gains or (losses) on cash, cash equivalents and short-term investments 2.7 Miscellaneous proceeds 2.8 Total investment proceeds (Lines 2. to 2.7). Cost of investments acquired (long-term only):. Bonds.2 Stocks. Mortgage loans.4 Real estate.5 Other invested assets.6 Miscellaneous applications.7 Total investments acquired (Lines. to.6) 4. Net increase (or decrease) in contract loans and premium notes 5. Net cash from investments (Line 2.8 minus Line.7 and Line 4) 6. Cash provided (applied): Cash from Financing and Miscellaneous Sources 6. Surplus notes, capital notes 6.2 Capital and paid in surplus, less treasury stock 6. Borrowed funds 6.4 Net deposits on deposit-type contracts and other insurance liabilities 6.5 Dividends to stockholders 6.6 Other cash provided (applied) 7. Net cash from financing and miscellaneous sources (Line 6. through Line 6.4 minus Line 6.5 plus Line 6.6) RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS 8. Net change in cash, cash equivalents and short-term investments (Line, plus Lines 5 and 7) 9. Cash, cash equivalents and short-term investments: 9. Beginning of year 9.2 End of period (Line 8 plus Line 9.) Note: Supplemental disclosures of cash flow information for non-cash transactions: " #$ " #$% ' ()(% ' ()( *' +,-. 5
7 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company " # $ $ "" % " '() '(* +,+ ( " )$- *.$(/*+ *0$*)$.2 )2$).2$. " " * " " ) "(44*5)+ *0$*)$.2 )2$).2$. "67-6". " *$- *0$(/+ ($(*)$('.$8) ($'.'$'8$.. 8 " " " " 0 " ($(*)$('.$8) ($'.'$'8$ : "% % *($'(*$ 4 - <20$0($8'( "= " *($'(* > - >-$ $ <('$'''$'''" >-$? = "" ""2$ $ >- *($'() " 7 "7"7 *($'(* "7 <(0$'''$'''6" 6"$? "7""2 <(0$'''$''' 6" = '()$ "7<(0$'''$''' A B " " # $ % ',+ ( )* -% 9 7 % 7%,+ -49=" ( 4= = 7
8 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company ( * C9 9,44 7 C -, : D (4E, C(F = C (F, CF = C F, C*F = C *F, C)F A = = C )F * ( 9=A D * ) 7 C. C 8 : C D,44,44 " 6" 9, A : : D, G 7 HHH HHH HHH HHH HHH ) "*'$'() 44 C C % C% (-(('$8'$8)* (-($.''$08* C% (-(*.2$*'($*)* 44 $ "? + 7" - % : 7+% B 4? %,+ > 7 % G= : %,+ +,-. # / )* )
9 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company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
10 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company J-4F - % (F =# F 4 =# *@= # ) = $ $ =? G = = $ = $ $? -=@ " - :? 9,: D %,+ : D : : : D -( - -* D K9 )$.00$0(*$(8')$)'$0'*$..0L8$*0)$())$)$'*0$(((('.$*2'$**. K=L(*$.0($.''L(*$.''$'''(*$.0($.'' K= L.2$288$*)*L.2$288$*)*.2$288$*)* KK L)2$(0'$(8 LL.($2)$'2 )2$(0'$(8 KK L80.$00$))(L80.$(.$2 80.$00$))( K LL($8(8$8()LL($8(8$8()LL($8(8$8() K4 L*'($)()$).)L*'($)()$).) *'($)()$).) K L0($'2'$'.'L0($(0$)8( LL0($'2'$'.' K, L220$*$.(L220$*$.(LL(*$8''$'''20)$8*$.( K"% L(.$2)8$.2)L(.$2)8$.2) LL(.$2)8$.2) - K LL($8(2$*2* LL($8)$'* LL($8(2$*2* - K L(2)$'*$.**L''$)($)0) (2)$'*$.** - K L$*$)).L$*$)). $*$)). - K" % L(.$2)8$.2)L(.$2)8$.2) LL(.$2)8$.2) 9 - =@9 -* 4=@ -* $ $ C I -*D $A D:? -*$? " - 6 =$ $ - = 7 + : D%,+ ) +? %,+ 9 7 %,+, 6% ($'() " 7 $ $ 'M = 7 $ <*2$(8)$02* 9 7 %,+ + "4? %,+ : " 4477 =+?%,+ B 7 %,+ >, - %,+ 7.
11 STATEMENT AS OF SEPTEMBER 0, 204 OF THE Athene Annuity Life Assurance Company *#? 4 4*4 #@4,+ ( 2 + ),+ /,+ 0 A4*#,+ '4*B AC,+ 4* '7 4* '##: % ' <,+ ( 2,+ 7.4
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