AMERICAN CAPITOL INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Individual Limited Benefit

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 $150.00 $150.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 150,444 $28,173,993 $27,922,148 $7,077 $13,925,642 $14,162,998 50.72%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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% 27 $41,556.00 $42,142.00 $0.00 $46,567.00 $45,700.00 108.44%
Missouri Total 100.00% 192,204 $323,256,706 $336,472,253 $0 $241,760,172 $240,258,015 71.41%



AMERICAN CAPITOL INSURANCE COMPANY

2004 Supplemental Data for

Life

Individual Ordinary Annuities

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% 2 $68 $0 $19,119 $0 28,116.18%
Missouri Total 100.00% 343,929 $1,208,751,601 $1,418,229 $1,005,859,160 $0 83.21%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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 0.01% 46 $38,569 $0 $9,334 $320 24.20%
Missouri Total 100.00% 694,064 $347,382,114 $9,263,420 $212,249,288 $108,608,536 61.10%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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% 327 $7,900 $506 $45,573 $1,556 576.87%
Missouri Total 100.00% 2,254,309 $760,946,118 $311,864,185 $860,216,353 $58,567,813 113.05%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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% 28 $41,706.00 $42,292.00 $0.00 $46,567.00 $45,700.00 108.06%
Missouri Total 100.00% 15,325,488 $4,295,618,608 $4,290,144,267 $1,485,559 $3,002,308,121 $3,208,218,965 74.78%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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% 28 $41,706.00 $42,292.00 $0.00 $46,567.00 $45,700.00 108.06%
Missouri Total 100.00% 1,857,903 $1,002,996,693 $1,002,076,808 $1,277,502 $623,277,471 $654,489,738 65.31%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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% 375 $46,537 $506 $74,026 $1,876 159.07%
Missouri Total 100.00% 4,285,396 $5,150,758,634 $383,562,866 $4,123,058,017 $245,622,119 80.05%



AMERICAN CAPITOL INSURANCE COMPANY

2004 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 0.00% 375 $46,537 $506 $74,026 $1,876 159.07%
Missouri Total 100.00% 8,974,924 $8,565,395,650 $391,628,031 $6,503,195,417 $421,898,683 75.92%



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