AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Group Comprehensive Medical Expense - Large Employer

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.58% 303 $5,763,144.00 $5,706,888.00 $0.00 $3,941,180.00 $3,333,727.00 58.42%
Missouri Total 100.00% 388,370 $990,361,626 $991,633,986 $0 $858,201,657 $874,822,148 88.22%



AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Group Comprehensive Medical Expense - Small Employer

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 1.81% 822 $14,584,324.00 $14,441,961.00 $0.00 $9,908,391.00 $10,068,305.00 69.72%
Missouri Total 100.00% 335,440 $804,495,751 $806,421,137 $0 $617,065,254 $620,790,892 76.98%



AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Group Dental

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 0.30% 175 $422,330.00 $418,207.00 $0.00 $186,562.00 $205,264.00 49.08%
Missouri Total 100.00% 676,475 $141,386,608 $134,078,757 $43,464 $101,787,485 $102,738,450 76.63%



AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 Supplemental Data for

Life

Group 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 0.21% 749 $101,048 $0 $65,000 $11,721 64.33%
Missouri Total 100.00% 69,115 $47,766,867 $72,074 $159,350,495 $2,656,326 333.60%



AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Individual Comprehensive Medical Expense

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% 13,823 $12,738.00 $16,142.00 $0.00 $2,056.00 $21,203.00 131.35%
Missouri Total 100.00% 182,728 $303,237,042 $296,093,330 $709 $206,151,024 $205,452,502 69.39%



AMERICAN COMMUNITY MUTUAL 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 0.00% 1 $2,292.00 $2,663.00 $0.00 $1,347.00 $1,715.00 64.40%
Missouri Total 100.00% 192,204 $323,256,706 $336,472,253 $0 $241,760,172 $240,258,015 71.41%



AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Individual Specified Disease

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% 5 $2,133.00 $2,116.00 $0.00 $0.00 $186.00 8.79%
Missouri Total 100.00% 217,469 $49,088,053 $48,694,411 $0 $23,964,793 $25,558,105 52.49%



AMERICAN COMMUNITY MUTUAL 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 0.00% 97 $14,755 $0 $0 $3,865 0.00%
Missouri Total 100.00% 694,064 $347,382,114 $9,263,420 $212,249,288 $108,608,536 61.10%



AMERICAN COMMUNITY MUTUAL 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% 25 $19,714 $1,974 $56 $1,261 0.28%
Missouri Total 100.00% 2,254,309 $760,946,118 $311,864,185 $860,216,353 $58,567,813 113.05%



AMERICAN COMMUNITY MUTUAL 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 0.48% 15,129 $20,786,961.00 $20,587,977.00 $0.00 $14,039,536.00 $13,630,400.00 66.21%
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 COMMUNITY MUTUAL INSURANCE COMPANY

2004 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 0.63% 1,300 $20,769,798.00 $20,567,056.00 $0.00 $14,036,133.00 $13,607,296.00 66.16%
Missouri Total 100.00% 13,467,585 $3,292,621,915 $3,288,067,459 $208,057 $2,379,030,650 $2,553,729,227 77.67%



AMERICAN COMMUNITY MUTUAL INSURANCE COMPANY

2004 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 0.00% 749 $101,048 $0 $65,000 $11,721 64.33%
Missouri Total 100.00% 4,689,528 $3,414,637,016 $8,065,165 $2,380,137,400 $176,276,564 69.70%



AMERICAN COMMUNITY MUTUAL 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% 13,829 $17,163.00 $20,921.00 $0.00 $3,403.00 $23,104.00 110.43%
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 COMMUNITY MUTUAL 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% 122 $34,469 $1,974 $56 $5,126 0.16%
Missouri Total 100.00% 4,285,396 $5,150,758,634 $383,562,866 $4,123,058,017 $245,622,119 80.05%



AMERICAN COMMUNITY MUTUAL 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% 871 $135,517 $1,974 $65,056 $16,847 48.01%
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):