LFE AND ACCIDENT AND HEALTH COMPANIES - ASSOCIATION EDITION ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER, 007 OF THE CONDITION AND AFFAIRS OF THE Jackson National Life Insurance Company NAIC Group Code ~ ~ NAIC Company Code 65056 Employer's ID Number 8-65985 (Current) (Prior) Organized under the Laws of Michi~an, State of Domicile or Port of Entry Michi~an Country of Domicile United States of America Incorporated/Organized 06/9/96 Commenced Business 08/0/96 Statutory Home Office Corporate Way (Street and Number) Lansln~, MI 895 (City or Town, State and Zip Code) Main Administrative Office Lansin~, MI 895 (City or Town, State and Zip Code) Corporate Way (Street and Number) 57-8-5500 (Area Code) (Telephone Number) Mail Address Corporate Way (Street and Number or P.O. Box) Lansin~, MI 895 (City or Town, State and Zip Code) Primary Location of Books and Records Intemet Website Address Lansin~, MI 895 (City or Town, State and Zip Code) Corporate Way (Street and Number) www.inl.com 57-8-5500 (Area Code) (Telephone Number) Statutory Statement Contact statjnlic@jnli.com (E-mail Address) Robert Arthur Fritts (Name) 57-8-5500 (Area Code) (Telephone Number) 57-706-5505 (FAX Number) President Secretary Clark Preston Mannin~ Jr. Thomas John Meyer OFFICERS Treasurer Actuary James Patrick Binder Richard David Ash Michael Andrew Wells Chief Operatin~ Officer Julius Geor~e Napoles Executive Vice President Robert Arthur Fritts Senior Vice President John Bruce Banez Vice President Marianne Clone Vice President James Dou~las Garrison Vice President Everett William Kunzelman Vice President Keith Richard Moore Vice President Russell Erwin Peck Vice President William Robert Schulz # Vice President Robert Marquis Tucker Jr. Vice President Andrew Boutwell Hoppin~ Michael Andrew Wells OTHER Andrew Boutwell Hoppln~ Chief Financial Officer James Ronald Sopha Executive Vice President Stephen Anthony Hrapkiewicz Jr. Senior Vice President John Howard Brown Vice President James Bradley Croom Vice President Julia Anne Goatley # Vice President Lynn Withers Lopes Vice President Jacky Morin Vice President Laura Louene Prleskorn Vice President Kathieen Marie Smith Vice President Eamon Joseph Twomey # Vice President DIRECTORS OR TRUSTEES Clark Preston Mannin~ Jr. Clifford James Jack Executive Vice President Lisa Carol Drake Senior Vice President Paul Chadwick Myers Senior Vice President Joseph Mark Clark Vice President Phillip Brian Eaves Vice President Clifford Schuyler Hale # Vice President Dean Michael Miller Vice President Mark Daniel Nerud Vice President James Brian Quinn Vice President Heather Rachelle Stran~ Vice President James Ronald Sopha State of County of Michi~an In~ham SS: The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: () state law may differ; or, () that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAI,when required, that is an exact copy (except ~:ormattmg differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various re I t~orsin lieu of or in addition to the 6fl~I0fri')nt. -"i ~ ~(; -f L- I/~./ Subscribed and sworn to before me this C Clark Preston Manning, Jr.. ' "-') Robert Arthur Fritts President Controller st day ~ Febru008 ~~ loq~ Rhon Phillips Notary Public PS November 0, 0 RHON ~,r~michlgan NOTARV ~ OF INGHAM My Commission Expires NOV. 0. 0 Actlng in the CountY of Ingham ~_,~- a. Is this an original filing?. Yes [ X ] No [ b. If no,. State the amendment number... Date filed.. Number of pages attached.non
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY ASSETS Assets Current Year Nonadmitted Assets Net Admitted Assets (Cols. - ) Prior Year Net Admitted Assets. Bonds (Schedule D). Stocks (Schedule D):. Preferred stocks. Common stocks. Mortgage loans on real estate (Schedule B):. First liens. Other than first liens. Real estate (Schedule A):. Properties occupied by the company (less $ encumbrances). Properties held for the production of income (less $ encumbrances). Properties held for sale (less $ encumbrances) 5. Cash ($, Schedule E - Part ), cash equivalents ($, Schedule E - Part ) and short-term investments ($, Schedule DA) 6. Contract loans (including $ premium notes) 7. Other invested assets (Schedule BA) 8. Receivables for securities 9. Aggregate write-ins for invested assets 0. Subtotals, cash and invested assets (Lines to 9). Title plants less $ charged off (for Title insurers only). Investment income due and accrued. Premiums and considerations:. Uncollected premiums and agents' balances in the course of collection. Deferred premiums and agents' balances and installments booked but deferred and not yet due (including $ earned but unbilled premiums). Accrued retrospective premiums. Reinsurance:. Amounts recoverable from reinsurers. Funds held by or deposited with reinsured companies. Other amounts receivable under reinsurance contracts 5. Amounts receivable relating to uninsured plans 6. Current federal and foreign income tax recoverable and interest thereon 6. Net deferred tax asset 7. Guaranty funds receivable or on deposit 8. Electronic data processing equipment and software 9. Furniture and equipment, including health care delivery assets ($ ) 0. Net adjustment in assets and liabilities due to foreign exchange rates. Receivables from parent, subsidiaries and affiliates. Health care ($ ) and other amounts receivable. Aggregate write-ins for other than invested assets. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 0 to ) 5. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 6. Total (Lines and 5) DETAILS OF WRITE-INS 090. 090. 090. 0998. Summary of remaining write-ins for Line 9 from overflow page 0999. Totals (Lines 090 thru 090 plus 0998)(Line 9 above) 0.! " " 0. # $ % 0. &'( " ") 98. Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 thru 0 plus 98)(Line above)
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY LIABILITIES, SURPLUS AND OTHER FUNDS Prior Year Current Year. Aggregate reserve for life contracts $ (Exh. 5, Line 9999999) less $ included in Line 6. (including $ Modco Reserve). Aggregate reserve for accident and health contracts (Exhibit 6, Line 7, Col. ) (including $ Modco Reserve). Liability for deposit-type contracts (Exhibit 7, Line, Col. ) (including $ Modco Reserve). Contract claims:. Life (Exhibit 8, Part, Line., Col. less sum of Cols. 9, 0 and ). Accident and health (Exhibit 8, Part, Line., sum of Cols. 9, 0 and ) 5. Policyholders dividends $ and coupons $ due and unpaid (Exhibit, Line 0) 6. Provision for policyholders dividends and coupons payable in following calendar year - estimated amounts: 6. Dividends apportioned for payment (including $ Modco) 6. 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 (Exhibit, Part, Col., sum of lines and ) 9. Contract liabilities not included elsewhere: 9. Surrender values on canceled contracts 9. Provision for experience rating refunds, including $ accident and health experience rating refunds 9. Other amounts payable on reinsurance including $ assumed and $ ceded 9. Interest maintenance reserve (IMR, Line 6) 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. General expenses due or accrued (Exhibit, Line, Col. 6). Transfers to Separate Accounts due or accrued (net) (including $ accrued for expense allowances recognized in reserves, net of reinsured allowances). Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit, Line 9, Col. 5) 5. Current federal and foreign income taxes including $ on realized capital gains (losses) 5. 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 0. Net adjustment in assets and liabilities due to foreign exchange rates. Liability for benefits for employees and agents if not included above. Borrowed money $ and interest thereon $. Dividends to stockholders declared and unpaid. Miscellaneous liabilities:. Asset valuation reserve (AVR, Line 6, Col. 7). Reinsurance in unauthorized companies. Funds held under reinsurance treaties with unauthorized reinsurers. Payable to parent, subsidiaries and affiliates.5 Drafts outstanding.6 Liability for amounts held under uninsured plans.7 Funds held under coinsurance.8 Payable for securities.9 Capital notes $ and interest thereon $ 5. Aggregate write-ins for liabilities 6. Total Liabilities excluding Separate Accounts business (Lines to 5) 7. From Separate Accounts Statement 8. Total Liabilities (Lines 6 and 7) 9. Common capital stock 0. Preferred capital stock. Aggregate write-ins for other than special surplus funds. Surplus notes. Gross paid in and contributed surplus (Page, Line, Col. plus Page, Line 5., Col. ). Aggregate write-ins for special surplus funds 5. Unassigned funds (surplus) 6. Less treasury stock, at cost: 6. shares common (value included in Line 9 $ ) 6. shares preferred (value included in Line 0 $ ) 7. Surplus (Total Lines ++++5-6) (including $ in Separate Accounts Statement) 8. Totals of Lines 9, 0 and 7 (Page, Line 55) 9. Totals of Lines 8 and 8 (Page, Line 6, Col. ) DETAILS OF WRITE-INS 50. 50. 50.!"#$%!& 598. Summary of remaining write-ins for Line 5 from overflow page 599. Totals (Lines 50 thru 50 plus 598)(Line 5 above) 0. 0. 0. 98. Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 thru 0 plus 98)(Line above) 0. '' 0. 0. 98. Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 thru 0 plus 98)(Line above)
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY SUMMARY OF OPERATIONS Current Year Prior Year. Premiums and annuity considerations for life and accident and health contracts (Exhibit, Part, Line 0., Col., less Col. ). Considerations for supplementary contracts with life contingencies. Net investment income (Exhibit of Net Investment Income, Line 7). Amortization of interest maintenance reserve (IMR, Line 5) 5. Separate Accounts net gain from operations excluding unrealized gains or losses 6. Commissions and expense allowances on reinsurance ceded (Exhibit, Part, Line 6., Col. ) 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. Charges and fees for deposit-type contracts 8. Aggregate write-ins for miscellaneous income 9. Total (Lines to 8.) 0. Death benefits. Matured endowments (excluding guaranteed annual pure endowments). Annuity benefits (Exhibit 8, Part, Line 6., Cols. + 8). Disability benefits and benefits under accident and health contracts. 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 0. Totals (Lines 0 to 9). Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit, Part, Line, Col. ). Commissions and expense allowances on reinsurance assumed (Exhibit, Part, Line 6., Col. ). General insurance expenses (Exhibit, Line 0, Cols.,, and ). Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit, Line 7, Cols. + + ) 5. Increase in loading on deferred and uncollected premiums 6. Net transfers to or (from) Separate Accounts net of reinsurance 7. Aggregate write-ins for deductions 8. Totals (Lines 0 to 7) 9. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 8) 0. Dividends to policyholders. Net gain from operations after dividends to policyholders and before federal income taxes (Line 9 minus Line 0). 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 ). 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 ) CAPITAL AND SURPLUS ACCOUNT 6. Capital and surplus, December, prior year (Page, Line 8, Col. ) 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) 0. Change in net deferred income tax. Change in nonadmitted assets and related items. Change in liability for reinsurance in unauthorized companies. Change in reserve on account of change in valuation basis, (increase) or decrease (Exh. 5A, Line 9999999, Col. ). Change in asset valuation reserve 5. Change in treasury stock (Page, Lines 6. and 6., Col. minus Col. ) 6. Surplus (contributed to) withdrawn from Separate Accounts during period 7. Other changes in surplus in Separate Accounts Statement 8. Change in surplus notes 9. Cumulative effect of changes in accounting principles 50. Capital changes: 50. Paid in 50. Transferred from surplus (Stock Dividend) 50. Transferred to surplus 5. Surplus adjustment: 5. Paid in 5. Transferred to capital (Stock Dividend) 5. Transferred from capital 5. Change in surplus as a result of reinsurance 5. Dividends to stockholders 5. Aggregate write-ins for gains and losses in surplus 5. Net change in capital and surplus for the year (Lines 7 through 5) 55. Capital and surplus, December, current year (Lines 6 + 5) (Page, Line 8) DETAILS OF WRITE-INS 08.0. 08.0. 08.0.!"#" 08.98. Summary of remaining write-ins for Line 8. from overflow page 08.99. Totals (Lines 08.0 thru 08.0 plus 08.98)(Line 8. above) 70. $""%&"'!(#" 70. $)"*"+%," 70. -% 798. Summary of remaining write-ins for Line 7 from overflow page 799. Totals (Lines 70 thru 70 plus 798)(Line 7 above) 50. 50. 50. 598. Summary of remaining write-ins for Line 5 from overflow page 599. Totals (Lines 50 thru 50 plus 598)(Line 5 above)
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY CASH FLOW Current Year Prior Year Cash from Operations. Premiums collected net of reinsurance. Net investment income. Miscellaneous income. Total (Lines through ) 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 minus Line 0) Cash from Investments. Proceeds from investments sold, matured or repaid:. Bonds. Stocks. Mortgage loans. Real estate.5 Other invested assets.6 Net gains or (losses) on cash, cash equivalents and short-term investments.7 Miscellaneous proceeds.8 Total investment proceeds (Lines. to.7). Cost of investments acquired (long-term only):. Bonds. Stocks. Mortgage loans. Real estate.5 Other invested assets.6 Miscellaneous applications.7 Total investments acquired (Lines. to.6). Net increase (decrease) in contract loans and premium notes 5. Net cash from investments (Line.8 minus Line.7 minus Line ) Cash from Financing and Miscellaneous Sources 6. Cash provided (applied): 6. Surplus notes, capital notes 6. Capital and paid in surplus, less treasury stock 6. Borrowed funds 6. 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 (Lines 6. to 6. 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. End of year (Line 8 plus Line 9.) Note: Supplemental disclosures of cash flow information for non-cash transactions: 5
6 ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY ANALYSIS OF OPERATIONS BY LINES OF BUSINESS Ordinary 6 Group Accident and Health 5 7 8 9 0 Aggregate of All Total Industrial Life Life Insurance Individual Annuities Supplementary Contracts Credit Life (Group and Individual) Life Insurance (a) Annuities Group Credit (Group and Individual) Other Other Lines of Business. Premiums and annuity considerations for life and accident and health contracts. Considerations for supplementary contracts with life contingencies. Net investment income. 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. Fees associated with income from investment management, administration and contract guarantees from Separate Accounts 8. 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). Annuity benefits. Disability benefits and benefits under accident and health contracts. 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 0. Totals (Lines 0 to 9). Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only). Commissions and expense allowances on reinsurance assumed. General insurance expenses. Insurance taxes, licenses and fees, excluding federal income taxes 5. Increase in loading on deferred and uncollected premiums 6. Net transfers to or (from) Separate Accounts net of reinsurance 7. Aggregate write-ins for deductions 8. Totals (Lines 0 to 7) 9. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 8) 0. Dividends to policyholders. Net gain from operations after dividends to policyholders and before federal income taxes (Line 9 minus Line 0). Federal 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 ) DETAILS OF WRITE-INS 08.0. 08.0.! 08.0. ""# 08.98. Summary of remaining write-ins for Line 8. from overflow page 08.99. Totals (Lines 08.0 thru 08.0 plus 08.98) (Line 8. above) 70. $"%&'""(" 70. $#)!*""+"%, 70. -% 798. Summary of remaining write-ins for Line 7 from overflow page 799. Totals (Lines 70 thru 70 plus 798) (Line 7 above) (a) Includes the following amounts for FEGLI/SGLI: Line, Line 0, Line 6, Line, Line
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR Ordinary 6 Group 5 7 Total Industrial Life Life Insurance Individual Annuities Supplementary Contracts Credit Life (Group and Individual) Life Insurance 8 Annuities Involving Life or Disability Contingencies (Reserves) (Net of Reinsurance Ceded). Reserve December, prior year. Tabular net premiums or considerations. Present value of disability claims incurred XXX. Tabular interest 5. Tabular less actual reserve released 6. Increase in reserve on account of change in valuation basis 7 7. Other increases (net) 8. Totals (Lines to 7) 9. Tabular cost XXX 0. Reserves released by death XXX XXX XXX. Reserves released by other terminations (net). Annuity, supplementary contract and disability payments involving life contingencies. Net transfers to or (from) Separate Accounts. Total Deductions (Lines 9 to ) 5. Reserve December, current year
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT OF NET INVESTMENT INCOME Collected During Year Earned During Year. U.S. Government bonds (a). Bonds exempt from U.S. tax (a). Other bonds (unaffiliated) (a). Bonds of affiliates (a). Preferred stocks (unaffiliated) (b). Preferred stocks of affiliates (b). Common stocks (unaffiliated). Common stocks of affiliates. Mortgage loans (c). Real estate (d) 5 Contract loans 6 Cash, cash equivalents and short-term investments (e) 7 Derivative instruments (f) 8. Other invested assets 9. Aggregate write-ins for investment income 0. Total gross investment income. Investment expenses (g). Investment taxes, licenses and fees, excluding federal income taxes (g). Interest expense (h). Depreciation on real estate and other invested assets (i) 5. Aggregate write-ins for deductions from investment income 6. Total deductions (Lines through 5) 7. Net investment income (Line 0 minus Line 6) DETAILS OF WRITE-INS 090. 090. 090. 0998. Summary of remaining write-ins for Line 9 from overflow page 0999. Totals (Lines 090 thru 090 plus 0998) (Line 9, above) 50.!!""! 50. #$!!% 50. #$!"%&'"#!&( 598. Summary of remaining write-ins for Line 5 from overflow page 599. Totals (Lines 50 thru 50 plus 598) (Line 5, above) (a) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued interest on purchases. (b) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued dividends on purchases. (c) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued interest on purchases. (d) Includes $ for company s occupancy of its own buildings; and excludes $ interest on encumbrances. (e) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued interest on purchases. (f) Includes $ accrual of discount less $ amortization of premium. (g) Includes $. investment expenses and $ investment taxes, licenses and fees, excluding federal income taxes, attributable to segregated and Separate Accounts. (h) Includes $ interest on surplus notes and $ interest on capital notes. (i) Includes $ depreciation on real estate and $ depreciation on other invested assets. EXHIBIT OF CAPITAL GAINS (LOSSES) 5 Total Realized Capital Gain (Loss) (Columns + ) Change in Unrealized Capital Gain (Loss) Change in Unrealized Foreign Exchange Capital Gain (Loss) Realized Gain (Loss) On Sales or Maturity Other Realized Adjustments. U.S. Government bonds. Bonds exempt from U.S. tax. Other bonds (unaffiliated). Bonds of affiliates. Preferred stocks (unaffiliated). Preferred stocks of affiliates. Common stocks (unaffiliated). Common stocks of affiliates. Mortgage loans. Real estate 5. Contract loans 6. Cash, cash equivalents and short-term investments 7. Derivative instruments 8. Other invested assets 9. Aggregate write-ins for capital gains (losses) 0. Total capital gains (losses) DETAILS OF WRITE-INS 090. "" 090. 090. 0998. Summary of remaining write-ins for Line 9 from overflow page 0999. Totals (Lines 090 thru 090 plus 0998) (Line 9, above) 8
9 ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT - PART - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS Ordinary 5 Group Accident and Health 6 7 8 9 0 Aggregate of All Total Industrial Life Life Insurance Individual Annuities Credit Life (Group and Individual) Life Insurance Annuities Group Credit (Group and Individual) Other Other Lines of Business FIRST YEAR (other than single). Uncollected. Deferred and accrued. Deferred, accrued and uncollected:. Direct. Reinsurance assumed. Reinsurance ceded. Net (Line + Line ). Advance 5. Line. - Line 6. Collected during year: 6. Direct 6. Reinsurance assumed 6. Reinsurance ceded 6. Net 7. Line 5 + Line 6. 8. Prior year (uncollected + deferred and accrued - advance) 9. First year premiums and considerations: 9. Direct 9. Reinsurance assumed 9. Reinsurance ceded 9. Net (Line 7 - Line 8) SINGLE 0. Single premiums and considerations: 0. Direct 0. Reinsurance assumed 0. Reinsurance ceded 0. Net RENEWAL. Uncollected. Deferred and accrued. Deferred, accrued and uncollected:. Direct. Reinsurance assumed. Reinsurance ceded. Net (Line + Line ). Advance 5. Line. - Line 6. Collected during year: 6. Direct 6. Reinsurance assumed 6. Reinsurance ceded 6. Net 7. Line 5 + Line 6. 8. Prior year (uncollected + deferred and accrued - advance) 9. Renewal premiums and considerations: 9. Direct 9. Reinsurance assumed 9. Reinsurance ceded 9. Net (Line 7 - Line 8) TOTAL 0. Total premiums and annuity considerations: 0. Direct 0. Reinsurance assumed 0. Reinsurance ceded 0. Net (Lines 9. + 0. + 9.)
0 DIVIDENDS AND COUPONS APPLIED (included in Part ) ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT - PART - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (Direct Business Only) Ordinary 5 Group Accident and Health 6 7 8 9 0 Total Industrial Life Life Insurance Individual Annuities Credit Life (Group and Individual) Life Insurance Annuities Group Credit (Group and Individual) Other Aggregate of All Other Lines of Business. To pay renewal premiums. All other REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES INCURRED. First year (other than single):. Reinsurance ceded. Reinsurance assumed. Net ceded less assumed. Single:. Reinsurance ceded. Reinsurance assumed. Net ceded less assumed 5. Renewal: 5. Reinsurance ceded 5. Reinsurance assumed 5. Net ceded less assumed 6. Totals: 6. Reinsurance ceded (Page 6, Line 6) 6. Reinsurance assumed (Page 6, Line ) 6. Net ceded less assumed COMMISSIONS INCURRED (direct business only) 7. First year (other than single) 8. Single 9. Renewal 0. Deposit-type contract funds. Totals (to agree with Page 6, Line )
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT - GENERAL EXPENSES Insurance 5 6 Accident and Health Life Cost Containment All Other All Other Lines of Business Investment Total. Rent. Salaries and wages. Contributions for benefit plans for employees. Contributions for benefit plans for agents. Payments to employees under non-funded benefit plans. Payments to agents under non-funded benefit plans. Other employee welfare. Other agent welfare. Legal fees and expenses. Medical examination fees. Inspection report fees. Fees of public accountants and consulting actuaries.5 Expense of investigation and settlement of policy claims 5. Traveling expenses 5. Advertising 5. Postage, express, telegraph and telephone 5. Printing and stationery 5.5 Cost or depreciation of furniture and equipment 5.6 Rental of equipment 5.7 Cost or depreciation of EDP equipment and software 6. Books and periodicals 6. Bureau and association fees 6. Insurance, except on real estate 6. Miscellaneous losses 6.5 Collection and bank service charges 6.6 Sundry general expenses 6.7 Group service and administration fees 6.8 Reimbursements by uninsured plans 7. Agency expense allowance 7. Agents balances charged off (less $ recovered) 7. Agency conferences other than local meetings 9. Real estate expenses 9. Investment expenses not included elsewhere 9. Aggregate write-ins for expenses 0. General expenses incurred (a). General expenses unpaid December, prior year. General expenses unpaid December, current year. Amounts receivable relating to uninsured plans, prior year. Amounts receivable relating to uninsured plans, current year 5. General expenses paid during year (Lines 0+--+) DETAILS OF WRITE-INS 09.0. 09.0. 09.0. 09.98. Summary of remaining write-ins for Line 9. from overflow page 09.99. Totals (Lines 09.0 thru 09.0 plus 09.98) (Line 9. above) (a) Includes management fees of $ to affiliates and $ to non-affiliates. EXHIBIT - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES) Insurance 5 Life Accident and Health All Other Lines of Business Investment Total. Real estate taxes. State insurance department licenses and fees. State taxes on premiums. Other state taxes, including $ for employee benefits 5. U.S. Social Security taxes 6. All other taxes 7. Taxes, licenses and fees incurred 8. Taxes, licenses and fees unpaid December, prior year 9. Taxes, licenses and fees unpaid December, current year 0. Taxes, licenses and fees paid during year (Lines 7 + 8-9) EXHIBIT - DIVIDENDS OR REFUNDS Life Accident and Health. Applied to pay renewal premiums. Applied to shorten the endowment or premium-paying period. Applied to provide paid-up additions. Applied to provide paid-up annuities 5. Total Lines through 6. Paid in cash 7. Left on deposit 8. Aggregate write-ins for dividend or refund options 9. Total Lines 5 through 8 0. Amount due and unpaid. Provision for dividends or refunds payable in the following calendar year. Terminal dividends. Provision for deferred dividend contracts. Amount provisionally held for deferred dividend contracts not included in Line 5. Total Lines 0 through 6. Total from prior year 7. Total dividends or refunds (Lines 9 + 5-6) DETAILS OF WRITE-INS 080. 080. 080. 0898. Summary of remaining write-ins for Line 8 from overflow page 0899. Totals (Lines 080 thru 080 plus 0898) (Line 8 above)
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial Ordinary 5 Credit (Group and Individual) 6 Group LIFE INSURANCE: 00000. 00000. 00000. 00000. 000005. 000006. 000007. 000008. 000009. 00000. 0000. 0000. 0000. 0000. 00005. 00006. 00007. 00008. 00009. 00000. 0000. 0000. 0000. 0000. 00005. 00006. 00007. 00008. 00009. 00000. 0000. 0000. 0000. 0000. 00005. 00006. 00007. 00008. 00009. 00000. 0000. 0000. 0000. 0000. 00005. 00006. 00007. 00008. 00009. 000050. 00005. 00005.!"#$% 00005.!"#$% 00005.!"#$% 000055.!"#$% 000056.!"#$% 000057.!"#&% 000058.!"#$% 000059.!"#$% 000060.!"#$% 00006.!"#$% 00006.!"#$% 00006.!"#$% 00006.!"#$% 000065.!"#$% 000066.!"#$% 000067.!"#$% 000068.!"#$% 000069.!"#$% 000070.!"#$% 00007.!"#$% 00007.!"#$% 00007.!"#$% 00007.!"#$% 000075.!"#$% 000076.!"#$% 000077.!"#$% 000078.!"#$% 000079.!"#$% 000080.!"#$% 00008.!"#$% 00008.!"#$% 00008.!"#$% 00008.!"#$% 000085.!"#$% 000086.!"#$% 000087.!"#$% 000088.!"#$% 000089.!"#$% 000090.!"#$%
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial Ordinary 5 Credit (Group and Individual) 6 Group 00009. 00009. 00009. 00009. 000095. 000096. 000097. 000098. 000099. 00000. 0000. 0000. 0000. 0000. 00005. 00006. 00007. 00008. 00009. 0000. 000. 000. 000. 000. 0005. 0006. 0007. 0008. 0009. 0000. 000. 000. 000. 000. 0005. 0006. 0007. 0008. 0009. 0000. 000. 000. 000. 000. 0005. 0006. 0007.!"#$ 099997. Totals (Gross) 099998. Reinsurance ceded 099999. Life Insurance: Totals (Net) ANNUITIES (excluding supplementary contracts with life contingencies): 00000. %$&'"& XXX XXX 00000. % XXX XXX 00000. % XXX XXX 00000. % XXX XXX 000005. % XXX XXX 000006. % XXX XXX 000007. % XXX XXX 000008. % XXX XXX 000009. % XXX XXX 00000. % XXX XXX 0000. % XXX XXX 0000. % XXX XXX 0000. % XXX XXX 0000. % XXX XXX 00005. % XXX XXX 00006. % XXX XXX 00007. % XXX XXX 00008. % XXX XXX 00009. % XXX XXX 00000. % XXX XXX 0000. % XXX XXX 0000. % XXX XXX 0000. % XXX XXX 0000. % XXX XXX 00005. XXX XXX 00006. XXX XXX 00007. XXX XXX 00008. XXX XXX 00009. XXX XXX 00000. XXX XXX 0000. XXX XXX 0000. XXX XXX 0000. XXX XXX 0000. XXX XXX 00005. XXX XXX 00006. XXX XXX 00007. XXX XXX 00008. XXX XXX 00009. XXX XXX.
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial Ordinary 5 Credit (Group and Individual) 6 Group 00000. XXX XXX 0000. XXX XXX 0000. XXX XXX 0000. XXX XXX 0000. XXX XXX 00005. XXX XXX 00006. XXX XXX 00007. XXX XXX 00008. XXX XXX 00009. XXX XXX 000050. XXX XXX 00005. XXX XXX 00005. XXX XXX 00005. XXX XXX 00005. XXX XXX 000055. XXX XXX 000056. XXX XXX 000057. XXX XXX 000058. XXX XXX 000059. XXX XXX 000060. XXX XXX 00006. XXX XXX 00006. XXX XXX 00006. XXX XXX 00006. XXX XXX 000065. XXX XXX 000066. XXX XXX 000067. XXX XXX 000068. XXX XXX 000069. XXX XXX 000070. XXX XXX 00007. XXX XXX 00007. XXX XXX 00007. XXX XXX 00007. XXX XXX 000075. XXX XXX 099997. Totals (Gross) XXX XXX 099998. Reinsurance ceded XXX XXX 099999. Annuities: Totals (Net) XXX XXX SUPPLEMENTARY CONTRACTS WITH LIFE CONTINGENCIES: 00000. 00000. 00000. 00000. 000005. 000006. 000007. 000008. 000009. 00000. 0000. 0000. 0000. 0000.!"# "! 00005. $% &""' 099997. Totals (Gross) 099998. Reinsurance ceded 099999. SCWLC: Totals (Net) ACCIDENTAL DEATH BENEFITS: 00000. "!$!$() 00000. "!$!$ () 00000.! () 00000.! " 000005.!$ () 000006. *+,-.!$ 000007. *+,-.!$ 000008. *+,-.!$ 000009. *+,-.!$ 00000. *+,-.!$ 0000. *+,-.!$ 0000. *+,-.!$ 0000. *+,-.!$ 0000. *+,-.!$ 00005. * " 00006. *" 00007.!$ ( ) 099997. Totals (Gross) 099998. Reinsurance ceded 099999. Accidental Death Benefits: Totals (Net) DISABILITY-ACTIVE LIVES: 050000.!-//() " 050000. */0!$ +.. 050000. */0!$+.. 050000. */0!$ +.. 0500005. */0!$ +.. 0500006. */0!$+.. 0500007. */0!$ +.. 0500008. */0!$+.. 0500009. */0!$ +.. 050000. */0!$ +...
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial Ordinary 5 Credit (Group and Individual) 6 Group 05000. 05000. 05000. 05000. 050005.!" 050006. 050007. # 050008. 050009. $%& 0599997. Totals (Gross) 0599998. Reinsurance ceded 0599999. Disability-Active Lives: Totals (Net) DISABILITY-DISABLED LIVES: 060000. "'()*+," 0699997. Totals (Gross) 0699998. Reinsurance ceded 0699999. Disability-Disabled Lives: Totals (Net) MISCELLANEOUS RESERVES: -./0., '".++"/!'!./ 070000..//.+(+/. /!'! -./+.+(('".+.,(,//(,/".+ 070000. /!'!.//"'/+.,/!'! "("5 -./'/+"(!+!'!'!' ".+ 070000. +,".+/ ++'" -./'/+"(!+!'!("5+,".+ 070000. / ++'" -./'/+"(!+!'!+.!+,".+ 0700005. / ++'" -./'/+"(!+!'!6"5(/6 +," 0700006..+/ ++'" 0799997. Totals (Gross) 0799998. Reinsurance ceded 0799999. Miscellaneous Reserves: Totals (Net) 9999999. Totals (Net) - Page, Line.
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 5 - INTERROGATORIES. Has the reporting entity ever issued both participating and non-participating contracts?. If not, state which kind is issued.. Does the reporting entity at present issue both participating and non-participating contracts?. If not, state which kind is issued.. Does the reporting entity at present issue or have in force contracts that contain non-guaranteed elements? If so, attach a statement that contains the determination procedures, answers to the interrogatories and an actuarial opinion as described in the instructions.. Has the reporting entity any assessment or stipulated premium contracts in force? If so, state:. Amount of insurance? $. Amount of reserve? $. Basis of reserve:. Basis of regular assessments:.5 Basis of special assessments:.6 Assessments collected during the year $ 5. If the contract loan interest rate guaranteed in any one or more of its currently issued contracts is less than 5%, not in advance, state the contract loan rate guarantees on any such contracts. 6. Does the reporting entity hold reserves for any annuity contracts that are less than the reserves that would be held on a standard basis? 6. If so, state the amount of reserve on such contracts on the basis actually held: $ 6. That would have been held (on an exact or approximate basis) using the actual ages of the annuitants; the interest rate(s) used in 6.; and the same mortality basis used by the reporting entity for the valuation of comparable annuity benefits issued to standard lives. If the reporting entity has no comparable annuity benefits for standard lives to be valued, the mortality basis shall be the table most recently approved by the state of domicile for valuing individual annuity benefits: $ Attach statement of methods employed in their valuation. 7. Does the reporting entity have any Synthetic GIC contracts or agreements in effect as of December of the current year? 7. If yes, state the total dollar amount of assets covered by these contracts or agreements $ 7. Specify the basis (fair value, amortized cost, etc.) for determining the amount: 7. State the amount of reserves established for this business: $ 7. Identify where the reserves are reported in the blank: EXHIBIT 5A - CHANGES IN BASES OF VALUATION DURING THE YEAR Valuation Basis Increase in Actuarial Reserve Due to Description of Valuation Class NONE Changed From Changed To Change 9999999 - Total (Column, only)
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 7 - DEPOSIT TYPE CONTRACTS Total Guaranteed Interest Contracts Annuities Certain Supplemental Contracts 5 Dividend Accumulations or Refunds 6 Premium and Other Deposit Funds. Balance at the beginning of the year before reinsurance. Deposits received during the year. Investment earnings credited to the account. Other net change in reserves 5. Fees and other charges assessed 6. Surrender charges 7. Net surrender or withdrawal payments 8. Other net transfers to or (from) Separate Accounts 5 9. Balance at the end of current year before reinsurance (Lines +++-5-6-7-8) 0. Reinsurance balance at the beginning of the year. Net change in reinsurance assumed. Net change in reinsurance ceded. Reinsurance balance at the end of the year (Lines 0+-). Net balance at the end of current year after reinsurance (Lines 9 + )
. Due and unpaid:. In course of settlement: ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS PART - Liability End of Current Year Ordinary 6 Group Accident and Health 5 7 8 9 0 Total Industrial Life Life Insurance Individual Annuities Supplementary Contracts Credit Life (Group and Individual) Life Insurance Annuities Group Credit (Group and Individual). Direct. Reinsurance assumed. Reinsurance ceded. Net. Resisted. Direct. Reinsurance assumed. Reinsurance ceded. Net (b) (b) (b) (b) Other 6. Other. Direct. Reinsurance assumed. Reinsurance ceded. Net (b) (b) (b) (b) (b) (b) (b). Incurred but unreported:. Direct. Reinsurance assumed. Reinsurance ceded. Net (b) (b) (b) (b) (b) (b) (b). TOTALS. Direct. Reinsurance assumed. Reinsurance ceded. Net (a) (a) (a) (a) Including matured endowments (but not guaranteed annual pure endowments) unpaid amounting to $ in Column, $ in Column and $ in Column 7. (b) Include only portion of disability and accident and health claim liabilities applicable to assumed "accrued" benefits. Reserves (including reinsurance assumed and net of reinsurance ceded) for unaccrued benefits for Ordinary Life Insurance $ Individual Annuities $, Credit Life (Group and Individual) $, and Group Life $, are included in Page, Line, (See Exhibit 5, Section on Disability Disabled Lives); and for Group Accident and Health $ Credit (Group and Individual) Accident and Health $, and Other Accident and Health $ are included in Page, Line (See Exhibit 6, Claim Reserve).
7 ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS PART - Incurred During the Year Ordinary 6 Group Accident and Health 5 7 8 9 0 Total Industrial Life (a) Life Insurance (b) Individual Annuities Supplementary Contracts Credit Life (Group and Individual) Life Insurance (c) Annuities Group Credit (Group and Individual). Settlements During the Year:. Direct. Reinsurance assumed. Reinsurance ceded. Net (d). Liability December, current year from Part :. Direct. Reinsurance assumed. Reinsurance ceded. Net. Amounts recoverable from reinsurers December, current year. Liability December, prior year:. Direct. Reinsurance assumed. Reinsurance ceded. Net 5. Amounts recoverable from reinsurers December, prior year 6. Incurred Benefits 6. Direct 6. Reinsurance assumed 6. Reinsurance ceded 6. Net (a) Including matured endowments (but not guaranteed annual pure endowments) amounting to $ in Line., $ in Line.. $ in Line 6., and $ in Line 6.. (b) Including matured endowments (but not guaranteed annual pure endowments) amounting to $ in Line., $ in Line.. $ in Line 6., and $ in Line 6.. (c) Including matured endowments (but not guaranteed annual pure endowments) amounting to $ in Line., $ in Line.. $ in Line 6., and $ in Line 6.. (d) Includes $ premiums waived under total and permanent disability benefits. Other
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY EXHIBIT OF NON-ADMITTED ASSETS Current Year Total Nonadmitted Assets Prior Year Total Nonadmitted Assets Change in Total Nonadmitted Assets (Col. - Col. ). Bonds (Schedule D). Stocks (Schedule D):. Preferred stocks. Common stocks. Mortgage loans on real estate (Schedule B):. First liens. Other than first liens. Real estate (Schedule A):. Properties occupied by the company. Properties held for the production of income. Properties held for sale 5. Cash (Schedule E - Part ), cash equivalents (Schedule E - Part ) and short-term investments (Schedule DA) 6. Contract loans 7. Other invested assets (Schedule BA) 8. Receivables for securities 9. Aggregate write-ins for invested assets 0. Subtotals, cash and invested assets (Lines to 9). Title plants (for Title insurers only). Investment income due and accrued. Premiums and considerations:. Uncollected premiums and agents'balances in the course of collection. Deferred premiums, agents'balances and installments booked but deferred and not yet due. Accrued retrospective premiums. Reinsurance:. Amounts recoverable from reinsurers. Funds held by or deposited with reinsured companies. Other amounts receivable under reinsurance contracts 5. Amounts receivable relating to uninsured plans 6. Current federal and foreign income tax recoverable and interest thereon 6. Net deferred tax asset 7. Guaranty funds receivable or on deposit 8. Electronic data processing equipment and software 9. Furniture and equipment, including health care delivery assets 0. Net adjustment in assets and liabilities due to foreign exchange rates. Receivables from parent, subsidiaries and affiliates. Health care and other amounts receivable. Aggregate write-ins for other than invested assets. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 0 to ) 5. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 6. Total (Lines and 5) 090. 090. 090. DETAILS OF WRITE-INS 0998. Summary of remaining write-ins for Line 9 from overflow page 0999. Totals (Lines 090 thru 090 plus 0998)(Line 9 above) 0. 0.! 0. " #$ 98. Summary of remaining write-ins for Line from overflow page 99. Totals (Lines 0 thru 0 plus 98)(Line above) 8
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY. Summary of Significant Accounting Policies A. Accounting Policies The financial statements of the Company are presented on the basis of accounting practices prescribed or permitted by the Michigan Office of Financial and Insurance Services. The Office of Financial and Insurance Services recognizes statutory accounting practices prescribed or permitted by the State of Michigan for determining and reporting the financial condition and results of operations of an insurance company, for determining its solvency under Michigan Insurance Law. The Office of Financial and Insurance Services has adopted the National Association of Insurance Commissioners' (NAIC) Accounting Practices and Procedures Manual (NAIC SAP), including appendices A - F and excluding Actuarial Guideline XXXV in Appendix C, as a component of prescribed or permitted practices by the State of Michigan to the extent that the accounting practices, procedures, and reporting standards are not modified by the Michigan Insurance Code. The commissioner of insurance has the right to permit other specific practices that deviate from prescribed practices. A reconciliation of the Company's net income and capital and surplus between NAIC SAP and practices prescribed or permitted by the State of Michigan is shown below: //007 //006 Net income, Michigan basis $ 90,00,567 $,5,9 Adjustments: Valuation of Life Insurance Policies Model Regulation (XXX): Increase in aggregate reserves for life and accident and health policies and contracts (,5,76) (,86,78) Actuarial Guideline XXXV: Increase in aggregate reserves for life and accident and health policies and contracts (5,0,606) (,7,875) Increase in market values of financial derivatives used to hedge equity-index linked liabilities,798,796,675, Actuarial Guideline XXXV adjustment 6,658,90 (,696,66) (Increase)/decrease in federal income taxes (,9,0) 0,87,506 Net income, NAIC SAP $ 9,80,80 $ 89,56,980 Statutory Capital and Surplus, Michigan basis $,0,056,77 $,676,896,86 Adjustments: Aggregate reserve for life policies and contracts: Valuation of Life Insurance Policies Model Regulation (XXX): Reserve, Michigan basis 8,86,598 8,07, Reserve, NAIC SAP,5,706 9,909,806 Model Regulation (XXX) adjustment (,8,08) (,87,8) Actuarial Guideline XXXV: Reserve, Michigan basis,8,,08,50,98,50 Reserve, NAIC SAP,8,59,780,65,95,650 Mark to market of financial derivatives used to hedge equity-index linked liabilities 7,9,669 6,,87 Actuarial Guideline XXXV adjustment (8,06,08) (,86,7) Tax effect of differences 9,8,067 5,090,68 Statutory Capital and Surplus, NAIC SAP $,9,75,59 $,57,85,099 B. Use of Estimates in the Preparation of the Financial Statements The preparation of financial statements in conformity with Statutory Accounting Principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities. It also requires disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the period. Actual results could differ from those estimates. C. Accounting Policy Life premiums are recognized as income over the premium-paying period of the related policies. Annuity considerations are recognized as revenue when received. Health premiums are earned ratably over the terms of the related insurance and reinsurance contracts or policies. Expenses incurred in connection with acquiring new insurance business, including acquisition costs such as sales commissions, are charged to operations as incurred. In addition, the Company uses the following accounting policies: () Short-term investments are stated at amortized cost. 9
ANNUAL STATEMENT FOR THE YEAR 007 OF THE JACKSON NATIONAL LIFE INSURANCE COMPANY () Bonds not backed by other loans are stated at amortized cost except those with an NAIC rating of 6, which are at lower of amortized cost or fair value. Acquisition discounts and premiums are amortized into investment income through call or maturity dates using the interest method. () Common stocks are stated at fair value, except as described in item (7) below. () Preferred stocks are stated at cost, except those with an NAIC SVO rating of through 6, which are at lower of cost or fair value. (5) Mortgage loans on real estate are stated at unpaid principal balances adjusted for unamortized purchase discounts or premiums. (6) Loan-backed securities and structured securities are stated at amortized cost except those with an NAIC rating of "6", which are at lower of amortized cost or fair value. The retrospective yield adjustment method is used to value all securities except those where the yield has become negative, which are valued using the prospective adjustment method (see Note 5.D.()). (7) The Company carries its audited wholly owned insurance and non-insurance subsidiaries at statutory capital and surplus and U.S. generally accepted accounting principles (GAAP) equity, respectively. The Company is nonadmitting an unaudited $.5 million equity of Jackson National Life (Bermuda) Limited, a wholly owned subsidiary, and reflecting $.5 million carrying value in Schedule D, Part, Section. (8) The Company carries ownership interests in partnerships and limited liability companies based on the GAAP equity of the investee. (9) Derivative instruments used for hedging purposes are stated at amortized cost or fair value. Derivative instruments held for investment purposes are stated at fair value. See Note 8 for more information on derivative instruments. (0) The Company anticipates investment income as a factor in the premium deficiency calculation, in accordance with SSAP No. 5, Individual and Group Accident and Health Contracts. () Unpaid losses and loss adjustment expenses include an amount determined from individual case estimates and loss reports and an amount, based on past experience, for losses incurred but not reported. Such liabilities are necessarily based on assumptions and estimates and while management believes the amount is adequate, the ultimate liability may be in excess of or less than the amount provided. The methods for making such estimates and for establishing the resulting liability are continually reviewed and any adjustments are reflected in the period determined. () The Company did not modify its capitalization policy from the prior period.. Accounting Changes and Corrections of Errors A. Material Changes in Accounting Principles and/or Correction of Errors The Company had no material changes in accounting principles, correction of errors or changes in estimates for the years ended December, 007 and 006.. Business Combinations and Goodwill A. Statutory Purchase Method () () On May 8, 005, Brooke Life Insurance Company (BLIC), parent of the Company, purchased 00% interest of the Life Insurance Company of Georgia (LOG) from a downstream subsidiary of ING Groep, N.V. (ING). On May, 005, BLIC transferred 00% of its interest in LOG to the Company. On December, 005, LOG was merged into the Company. The purchase of LOG by BLIC was accounted for as a statutory purchase and the subsequent transfer to the Company as a capital contribution. The final adjusted purchase price paid by BLIC for LOG was $5,58,89, with the $9,99,00 excess of the adjusted purchase price over the net statutory assets acquired recorded as goodwill. There was no value ascribed to the Life Insurance Company of Georgia name or other such intangibles. The Company amortizes LOG goodwill, recording amortization expense of $9,,606 and $9,89,979 during 007 and 006, respectively. B. Statutory Merger The Company did not have business combinations during the year accounted for as a statutory merger. C. Assumption Reinsurance The Company did not have goodwill resulting from assumption reinsurance during the year. 9.