CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Group Credit Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 8.63% 17,112 $973,681 $0 $327,458 $88,263 33.63%
Missouri Total 100.00% 106,115 $11,277,759 $0 $5,666,023 $1,675,738 50.24%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Group Disability Income

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.00% 1 $0.00 $171.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 1,426,585 $355,664,414 $355,935,208 $344,752 $263,047,903 $287,828,265 80.87%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Group Medicare Supplement

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.05% 37 $108,785.00 $108,326.00 $0.00 $93,281.00 $86,322.00 79.69%
Missouri Total 100.00% 102,479 $231,243,121 $226,547,910 $0 $182,759,305 $186,085,105 82.14%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Group Short Term Credit Disability

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 4.91% 2,371 $411,456.00 $544,672.00 $0.00 $99,940.00 $-20,352.00 -3.74%
Missouri Total 100.00% 34,556 $8,388,231 $7,985,778 $0 $1,945,640 $1,644,520 20.59%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Group Term Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.00% 3 $-13 $0 $0 $18 0.00%
Missouri Total 100.00% 2,065,848 $605,945,752 $1,096,314 $550,629,913 $3,874,977,441 90.87%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Individual Credit Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.57% 0 $6,974 $0 $0 $0 0.00%
Missouri Total 100.00% 18,121 $1,220,988 $0 $1,191,952 $19,795,813 97.62%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Individual Deposit-Type Funds

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.00% 0 $29 $0 $0 $0 0.00%
Missouri Total 100.00% 36,575 $91,645,557 $0 $57,203,456 $0 62.42%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Individual Long Term Care

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.00% 3 $1,843.00 $1,585.00 $0.00 $36,219.00 $40,431.00 2,550.85%
Missouri Total 100.00% 106,276 $207,548,649 $211,856,320 $37 $190,154,744 $194,051,268 91.60%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Individual Medicare Supplement

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.01% 16 $82,239.00 $78,134.00 $0.00 $48,205.00 $54,538.00 69.80%
Missouri Total 100.00% 229,712 $581,543,241 $584,863,816 $0 $437,225,084 $438,610,987 74.99%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Individual Short Term Credit Disability

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.00% 0 $15.00 $15.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 8,736 $1,407,413 $1,371,955 $0 $294,103 $197,584 14.40%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Individual Term Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.00% 16 $13,756 $0 $1,203 $805 8.75%
Missouri Total 100.00% 849,107 $608,898,381 $8,532,070 $448,760,979 $2,003,867,920 73.70%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Individual Universal Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.01% 0 $55,962 $0 $234,702 $0 419.40%
Missouri Total 100.00% 364,184 $796,038,412 $5,570,618 $705,700,881 $1,280,812,226 88.65%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Individual Whole Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.00% 286 $9,098 $4,720 $48,801 $5,461 536.39%
Missouri Total 100.00% 1,522,534 $879,876,012 $276,707,732 $956,198,611 $593,175,264 108.67%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Total Accident & Health

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.00% 2,428 $604,338.00 $732,903.00 $0.00 $277,645.00 $160,939.00 21.96%
Missouri Total 100.00% 19,306,788 $12,117,109,089 $12,162,834,670 $12,444,904 $10,542,214,819 $10,004,580,052 82.26%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Total Group Accident & Health

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.01% 2,409 $520,241.00 $653,169.00 $0.00 $193,221.00 $65,970.00 10.10%
Missouri Total 100.00% 17,248,675 $7,594,911,339 $7,618,085,733 $1,103,538 $6,951,838,739 $6,341,675,193 83.24%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Total Group Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.02% 17,115 $973,668 $0 $327,458 $88,281 33.63%
Missouri Total 100.00% 3,674,408 $4,401,545,614 $7,901,906 $4,690,598,033 $4,453,509,867 106.57%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Accident & Health

Total Individual Accident & Health

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.00% 19 $84,097.00 $79,734.00 $0.00 $84,424.00 $94,969.00 119.11%
Missouri Total 100.00% 2,058,113 $4,522,197,750 $4,544,748,937 $11,341,366 $3,590,376,080 $3,662,904,859 80.60%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Total Individual Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.00% 302 $85,819 $4,720 $284,706 $6,266 331.75%
Missouri Total 100.00% 3,493,020 $7,861,614,955 $324,199,464 $9,610,942,390 $4,042,006,290 122.25%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2021 Supplemental Data for

Life

Total Life

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 0.01% 17,417 $1,059,487 $4,720 $612,164 $94,547 57.78%
Missouri Total 100.00% 7,167,428 $12,263,160,569 $332,101,370 $14,301,540,423 $8,495,516,157 116.62%



Additional data is available for this company for the following year(s):