Name Form # Approved nd/group Type State Tracking # or nterstate Compact Tracking Number Bankers Life and Casualty 17630 5/7/2009 MSC 52633 Bankers Life and Casualty 17631 5/7/2009 MSC 52633 Bankers Life and Casualty 17632 5/7/2009 MSC 52633 Bankers Life and Casualty 17633 5/7/2009 MSC 52633 Bankers Life and Casualty 17634 5/7/2009 MSC 52633 Bankers Life and Casualty 17635 5/7/2009 MSC 52633 Bankers Life and Casualty 17636 NE 5/7/2009 APP 52633 Bankers Life and Casualty 303A 5/7/2009 RD 52633 Bankers Life and Casualty 304R 5/7/2009 RD 52633 Bankers Life and Casualty 304X 5/7/2009 RD 52633 Bankers Life and Casualty 308A 5/7/2009 RD 52633 Bankers Life and Casualty 309A 5/7/2009 RD 52633 Bankers Life and Casualty 310A 5/7/2009 RD 52633 Bankers Life and Casualty 310L 5/7/2009 RD 52633 Bankers Life and Casualty 311A 5/7/2009 RD 52633 Bankers Life and Casualty 312A 5/7/2009 RD 52633 Bankers Life and Casualty 313A 5/7/2009 RD 52633 Bankers Life and Casualty 314A 5/7/2009 RD 52633 Bankers Life and Casualty 315A 5/7/2009 RD 52633 Bankers Life and Casualty 321L 5/7/2009 RD 52633 Bankers Life and Casualty GR N500 9/29/2006 POL 44180 Bankers Life and Casualty GR N620 5/7/2009 POL 52633 Bankers Life and Casualty GR N640 5/7/2009 POL 52633 Bankers Life and Casualty GR N650 5/7/2009 POL 52633 Genworth Life nsurance 130948 NE 05/15/12 6/27/2012 APP 61835 Genworth Life nsurance 131384 05/09/12 6/27/2012 APP 61835 Genworth Life nsurance 133363 NE 05/15/12 6/27/2012 APP 61835 Genworth Life nsurance 135362 05/24/12 6/27/2012 MSC 61835 Genworth Life nsurance 135363 01/01/13 6/27/2012 MSC 61835 Genworth Life nsurance 8000 END FPO 6/27/2012 END 61835 Genworth Life nsurance 8000 END GPO 6/27/2012 END 61835 Genworth Life nsurance 8000 END C 6/27/2012 END 61835 Page 1 of 12
Genworth Life nsurance 8000 END NF 6/27/2012 END 61835 Genworth Life nsurance 8000 END WHC 6/27/2012 END 61835 Genworth Life nsurance 8000 NE 6/27/2012 POL 61835 Genworth Life nsurance 8000 RDR CB 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR ESURV 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR GRP 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR LP10 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR LP65 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR NFO 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR RB 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR RP10 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR SB 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR SB 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR SURV10 6/27/2012 RD 61835 Genworth Life nsurance 8000 RDR TB 6/27/2012 RD 61835 Genworth Life nsurance 8000 OL 6/27/2012 MSC 61835 Genworth Life nsurance 8001 END FPO 6/27/2012 END 61835 Genworth Life nsurance 8001 END GPO 6/27/2012 END 61835 Genworth Life nsurance 8001 END C 6/27/2012 END 61835 Genworth Life nsurance 8001 END NF 6/27/2012 END 61835 Genworth Life nsurance 8001 END WHC 6/27/2012 END 61835 Genworth Life nsurance 8001 NE 6/27/2012 POL 61835 Genworth Life nsurance 8001 RDR CB 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR ESURV 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR GRP 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR LP10 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR LP65 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR NFO 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR RB 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR RP10 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR SB 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR SB 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR SURV10 6/27/2012 RD 61835 Genworth Life nsurance 8001 RDR TB 6/27/2012 RD 61835 Genworth Life nsurance 8001 OL 6/27/2012 MSC 61835 Page 2 of 12
Genworth Life nsurance CCC13 8000R1 4/3/2014 i POL GEFA 129414442 Genworth Life nsurance CCC13 800R1 4/3/2014 i POL GEFA 129414442 John Hancock Life nsurance (U.S.A.) LTC NPRT NE 10/07 12/13/2007 MSC 47517 John Hancock Life nsurance (U.S.A.) LTC OC PRT NE 10/07 12/13/2007 MSC 47517 John Hancock Life nsurance (U.S.A.) LTC PRT NE 10/07 12/13/2007 MSC 47517 John Hancock Life nsurance (U.S.A.) CORPAPP09 2 3/30/2009 APP 52407 John Hancock Life nsurance (U.S.A.) CORP CP/GO 2/09 3/30/2009 END 52407 John Hancock Life nsurance (U.S.A.) LTCAPP09 2 3/30/2009 APP 52407 John Hancock Life nsurance (U.S.A.) LTC EEP 2/09 3/30/2009 END 52407 John Hancock Life nsurance (U.S.A.) OCLTC 07 2 2/09 3/30/2009 MSC 52407 John Hancock Life nsurance (U.S.A.) CC10 LTC 11 POL C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 BLD/GO 7/16/2012 END C12 00105 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CP/GO END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CP75GO END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 5COMP END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 3COMP END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 SHC END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 WEP END C10 00316 (nterstate Compact Tracking #) Page 3 of 12
John Hancock Life nsurance (U.S.A.) CC10 SURV END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 ACB END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 NF 7/12 6/11/2012 END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CNF END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 DAB END C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 LTCAPP12 APP C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC11 MGS11 8/15/2011 APP C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CRED APP11 APP C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) LTC 7269R 1/10 APP C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 RE11 APP C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 CR11 APP C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC12 OCLTC11 7/12 6/11/2012 MSC C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 LTC 1064 MSC C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 PWK MSC C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 PWKDM MSC C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 SUT MSC C10 00316 (nterstate Compact Tracking #) John Hancock Life nsurance (U.S.A.) CC10 R MSC C10 00316 (nterstate Compact Tracking #) Page 4 of 12
John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) John Hancock Life nsurance (U.S.A.) CC10 15 11 CC10 15 11DM CC10 MED11 CC14 LTC 15 CC14 LTC 15 John Hancock Life nsurance (U.S.A.) CC14 5COMP 1/15 John Hancock Life nsurance (U.S.A.) CC14 3COMP 1/15 1/26/2015 1/26/2015 1/26/2015 1/26/2015 i MSC C10 00316 (nterstate Compact Tracking #) MSC C10 00316 (nterstate Compact Tracking #) MSC C10 00316 (nterstate Compact Tracking #) POL 68311 POL 68311 END 68311 END 68311 LifeSecure nsurance LS 0002 NE 07/07 8/12/2008 POL 49222 LifeSecure nsurance LS 0127 NE 03/08 8/12/2008 MSC 49222 LifeSecure nsurance LS 0202 NE 07/07 8/12/2008 APP 49222 LifeSecure nsurance LS 0202A NE 07/07 8/12/2008 APP 49222 LifeSecure nsurance LS 0203 ST 07/07 8/12/2008 APP 49222 LifeSecure nsurance LS 0204A NE 08/09 6/24/2009 APP 53140 LifeSecure nsurance LS 0205 NE 08/09 6/24/2009 APP 53140 LifeSecure nsurance LS 0051 ST 08/09 6/24/2009 MSC 53140 LifeSecure nsurance LS 0204 NE 09/09 1/22/2010 APP 55003 Massachusetts Mutual Life nsurance MM500 P 3 NE 7/19/2012 POL 61906 Massachusetts Mutual Life nsurance MM501 P 3 NE 7/19/2012 POL 61906 Massachusetts Mutual Life nsurance MMD PRT NE 3/25/2008 MSC 15303 MedAmerica nsurance 200 0210 3/9/2010 MSC 55256 MedAmerica nsurance 200A 11/10/2003 MSC 34362 MedAmerica nsurance 200B 11/10/2003 MSC 34362 MedAmerica nsurance 200 11/10/2003 MSC 34362 MedAmerica nsurance 200S 11/10/2003 MSC 34362 MedAmerica nsurance 202 11/10/2003 APP 34362 Page 5 of 12
MedAmerica nsurance 202 REV 1/13/2011 MSC 57448 MedAmerica nsurance FC 151 NE 1/13/2011 MSC 57448 MedAmerica nsurance FC 15830 NE 1/13/2011 APP 57448 MedAmerica nsurance FC 15831 NE 1/13/2011 APP 57448 MedAmerica nsurance FC 200 1/13/2011 MSC 57448 MedAmerica nsurance FC 200S 1/13/2011 MSC 57448 MedAmerica nsurance FC 238 NE 1/13/2011 MSC 57448 MedAmerica nsurance FC 336 NE 1/13/2011 POL 57448 MedAmerica nsurance FC 337 NE 1/13/2011 POL 57448 MedAmerica nsurance FC 345 NE 1/13/2011 APP 57448 MedAmerica nsurance FC CASHR NE 1/13/2011 RD 57448 MedAmerica nsurance FC CBR NE 1/13/2011 RD 57448 MedAmerica nsurance FC CMP2X NE 1/13/2011 RD 57448 MedAmerica nsurance FC CMP NE 1/13/2011 RD 57448 MedAmerica nsurance FC DBR NE 1/13/2011 RD 57448 MedAmerica nsurance FC EBR NE 1/13/2011 RD 57448 MedAmerica nsurance FC EPR NE 1/13/2011 RD 57448 MedAmerica nsurance FC GPOR NE 1/13/2011 RD 57448 MedAmerica nsurance FC GROPR NE 1/13/2011 RD 57448 MedAmerica nsurance FC MBR NE 1/13/2011 RD 57448 MedAmerica nsurance FC ROBR NE 1/13/2011 RD 57448 MedAmerica nsurance FC ROPR NE 1/13/2011 RD 57448 MedAmerica nsurance FC SBPR NE 1/13/2011 RD 57448 MedAmerica nsurance FC SEBR NE 1/13/2011 RD 57448 MedAmerica nsurance FC SMP2X NE 1/13/2011 RD 57448 MedAmerica nsurance FC SMP NE 1/13/2011 RD 57448 MedAmerica nsurance FC SVR NE 1/13/2011 RD 57448 MedAmerica nsurance FC SWR NE 1/13/2011 RD 57448 MedAmerica nsurance CC14 336 3/20/2015 POL MEAM 129758137 MedAmerica nsurance CC14LP 336 3/20/2015 POL MEAM 129758137 MedAmerica nsurance S2 103 3/6/2007 MSC 44966 MedAmerica nsurance S2 150 3/6/2007 MSC 44966 MedAmerica nsurance S2 150A 3/6/2007 MSC 44966 MedAmerica nsurance S2 151 NE 0210 3/9/2010 MSC 55256 MedAmerica nsurance S2 15830 NE 3/6/2007 APP 44966 Page 6 of 12
MedAmerica nsurance S2 15831 NE 3/6/2007 APP 44966 MedAmerica nsurance S2 345R NE 6/2/2009 APP 52946 MedAmerica nsurance S2 346A NE 6/2/2009 APP 52946 MedAmerica nsurance S2 346B NE 6/2/2009 APP 52946 MedAmerica nsurance S2 CMP2X 3/6/2007 RD 44966 MedAmerica nsurance S2 CMP NE 3/6/2007 RD 44966 MedAmerica nsurance S2 COMMR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 FACR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 FROPR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 ROBR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 ROPR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 SBR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 SBPR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 SCR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 SVR NE 3/6/2007 RD 44966 MedAmerica nsurance S2 SWR NE 3/6/2007 RD 44966 MedAmerica nsurance SPL2 336 NE 3/6/2007 POL 44966 MedAmerica nsurance SPL 238 NE 3/6/2007 MSC 44966 Mutual of Omaha nsurance FORM 0MC3M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MC4M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MC5M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MC7M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MC8M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MC9M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MF0M 1/12/2009 RD 51486 Mutual of Omaha nsurance FORM 0MG1M 1/12/2009 RD 51486 Mutual of Omaha nsurance CC13 LTC13 8/22/2013 POL 64662 Mutual of Omaha nsurance CC13 LTC13 AG 8/22/2013 POL 64662 Mutual of Omaha nsurance LTC09M[ AG, 5ML, 10ML] NE 1/12/2009 POL 51486 Mutual of Omaha nsurance LTC09M[ AG, 5ML, 10ML] NE 1/12/2009 POL 51486 New York Life nsurance ALTC 5037 (0306) 8/10/2006 /G RD 43586 New York Life nsurance ALTC 5038 (0306) 8/10/2006 /G RD 43586 New York Life nsurance ALTC 5039 (0306) 8/10/2006 /G END 43586 New York Life nsurance ALTC 5042 (0707) 9/7/2007 /G END 47089 New York Life nsurance ALTC 5050(NE)(0704) 4/14/2005 /G END 38069 Page 7 of 12
New York Life nsurance ALTC 5060 (0305) 8/4/2005 /G RD 40077 New York Life nsurance ALTC 5090 (NE) (0707) 12/12/2007 MSC 59916 New York Life nsurance ALTC 5185 (1001) 2/27/2002 /G APP 28453 New York Life nsurance ALTC 5901 (0305) 2/9/2006 APP 41894 New York Life nsurance ALTC 5901 MLP (0305) 8/4/2005 G APP 40077 New York Life nsurance ALTC 5902 (0707) 9/7/2007 /G APP 47089 New York Life nsurance LTC 5000 (NE)(1001) 2/27/2002 /G POL 28453 New York Life nsurance LTC 5012 (0908) 10/7/2008 /G APP 50685 New York Life nsurance LTC 5015 APPC (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5015 COC (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5015 MLP APPC (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5101 (0306) 8/10/2006 APP 43586 New York Life nsurance LTC 5101 MLP LF (0306) 8/10/2006 APP 43586 New York Life nsurance LTC 5101 MLP SF (0306) 8/10/2006 APP 43586 New York Life nsurance LTC 5101 PC (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5101 PC MLP (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5102 (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5102 MLP (0305) 8/4/2005 APP 40077 New York Life nsurance LTC 5201 (0306) 8/10/2006 MSC 43586 New York Life nsurance LTC 5201 MLP (0306) 8/10/2006 MSC 43586 New York Life nsurance LTC 5230 MLP (0305) 8/4/2005 APP 40077 New York Life nsurance NH 5000 (NE)(1001) 2/27/2002 POL 28453 New York Life nsurance LTC 910 (0304) 4/28/2004 APP 36162 New York Life nsurance LTCHPAAAUTH (0403) 8/4/2005 APP 40077 New York Life nsurance ALTC 5010 (0712) 8/8/2012 MSC 62238 New York Life nsurance LTCHPAAAUTH (07/12) 8/8/2012 MSC 62238 New York Life nsurance LTC 5015 MLP COC (0305) 8/4/2005 APP 40077 Northwestern Long Term Care nsurance TT.LTC.(1010) 3/29/2010 POL 55231 State Farm Mutual Automobile nsurance 1004195 8/22/2011 MSC 59469 State Farm Mutual Automobile nsurance 1004232NE 8/22/2011 APP 59469 State Farm Mutual Automobile nsurance 99717NE 8/22/2011 RD 59469 Page 8 of 12
State Farm Mutual Automobile nsurance CC11 1004057 7/7/2011 MSC 58560 State Farm Mutual Automobile nsurance CC11 1004058 7/7/2011 MSC 58560 State Farm Mutual Automobile nsurance CC11 1004059 7/7/2011 MSC 58560 State Farm Mutual Automobile nsurance CC11 1004060 7/7/2011 MSC 58560 State Farm Mutual Automobile nsurance CC11 1004061 7/7/2011 MSC 58560 State Farm Mutual Automobile nsurance CC11 1004062 7/7/2011 APP 58560 State Farm Mutual Automobile nsurance CC1597063C3C 11/3/2015 i POL 70370 State Farm Mutual Automobile nsurance CC1197062CC 7/7/2011 POL 58560 State Farm Mutual Automobile nsurance CC1197062C 7/7/2011 POL 58560 State Farm Mutual Automobile nsurance CC1197062SC 7/7/2011 POL 58560 State Farm Mutual Automobile nsurance CC1199005C 7/7/2011 APP 58560 State Farm Mutual Automobile nsurance CC1199718C 7/7/2011 RD 58560 Thrivent Financial for Lutherans CC13 H HX LTC 11/26/2013 POL 65626 Thrivent Financial for Lutherans CC13 HR HT CAB3 11/13/2013 RD 65626 Thrivent Financial for Lutherans CC13 HR HT CAB5 11/13/2013 RD 65626 Thrivent Financial for Lutherans CC13 HR HF FB 8/3/2012 RD 61465 Thrivent Financial for Lutherans CC15 HR HO CAB1 10/28/2015 RD 70314 Thrivent Financial for Lutherans CC15 HR HW CAB2 10/28/2015 RD 70314 Transamerica Life nsurance CC10 TLC 3 4/1/2011 POL 57711 Transamerica Life nsurance CC10 TLC 3 OC 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 ABCAPP 4/1/2011 APP 57711 Transamerica Life nsurance CC10 TLC 3 ACB E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 CAPP 4/1/2011 APP 57711 Page 9 of 12
Transamerica Life nsurance CC10 TLC 3 CBLC R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 CC A J 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 CC A S 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 CCF 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 CN E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 CNLP E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 CR 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 DB E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 DF 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 DFSP 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 END 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 END S 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 EPT A J 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 EPT A R 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 EPT A S 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 EPT CS 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 FCB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 FRB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 FSB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 FSRB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 FSW R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 FTB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 GPO E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 HPAA A 0111 4/1/2011 MSC 58468 Transamerica Life nsurance CC10 TLC 3 JABCAPP 4/1/2011 APP 57711 Transamerica Life nsurance CC10 TLC 3 JCAPP 4/1/2011 APP 57711 Transamerica Life nsurance CC10 TLC 3 JWP R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 MB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 MB FCRA 0111 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 NF R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 PR DF 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 PRLP DF 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 PWS 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 PWSP 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 REP 4/1/2011 MSC 57711 Page 10 of 12
Transamerica Life nsurance CC10 TLC 3 RL E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 ROP E 4/1/2011 END 57711 Transamerica Life nsurance CC10 TLC 3 ROP R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 SBLC R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 SC R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 SGH 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 SRBLC R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 SRF 4/1/2011 MSC 57711 Transamerica Life nsurance CC10 TLC 3 SWP R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 TBLC R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 WCB R 4/1/2011 RD 57711 Transamerica Life nsurance CC10 TLC 3 WHC R 4/1/2011 RD 57711 Transamerica Life nsurance CC12 TLC 3 HPPA A 0113 12/7/2012 MSC 58468 Transamerica Life nsurance CC13 TLC 4 6/20/2013 POL 64327 United of Omaha Life nsurance 0NB2U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB3U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB4U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB5U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB6U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB7U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB8U 10/24/2011 RD 60241 United of Omaha Life nsurance 0NB9U 10/24/2011 RD 60241 United of Omaha Life nsurance LTC09U[ AG, 5ML, 10ML] NE 1/12/2009 POL 51485 United of Omaha Life nsurance LTC09U[ AG, 5ML, 10ML] NE 1/12/2009 POL 51485 Page 11 of 12
United of Omaha Life nsurance U7860 1/12/2009 MSC 51485 United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of United Security Assurance of A 31(SELECT)6 10 1/10/2012 APP 60587 CCL3000 TQ SELECT(NE) 1/10/2012 POL 60603 CCL3000 TQ(NE) 1/10/2012 POL 60587 CCLOC 3000 TQ SELECT(NE) 1/10/2012 MSC 60603 CCLOC 3000 TQ(NE) 1/10/2012 MSC 60587 CCLR3 NF 1/10/2012 RD 60587 CCLR NF 3C 1/10/2012 RD 60587 CCLR NF 3S 1/10/2012 RD 60587 CCLR NF 5C 1/10/2012 RD 60587 CCLR NF 5S 1/10/2012 RD 60587 LTCP/CN(NE) 1/10/2012 MSC 60587 Page 12 of 12