AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 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 0.01% 35 $19,311.00 $19,287.00 $0.00 $1,732.00 $1,756.00 9.10%
Missouri Total 100.00% 1,120,380 $216,398,030 $216,750,400 $37,513 $147,429,402 $174,125,247 80.33%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 Supplemental Data for

Accident & Health

Group 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 $126.00 $119.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 6,264,867 $189,400,158 $189,152,886 $0 $46,587,157 $50,775,087 26.84%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 Supplemental Data for

Accident & Health

Group 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 0.17% 15 $13,231.00 $12,882.00 $0.00 $3,617.00 $3,733.00 28.98%
Missouri Total 100.00% 74,821 $7,920,812 $7,937,783 $0 $2,669,080 $2,485,075 31.31%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 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 0.03% 480 $86,139 $0 $70,680 $12,461 82.05%
Missouri Total 100.00% 3,195,709 $340,509,430 $2,662,813 $375,549,371 $154,098,346 110.29%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 Supplemental Data for

Accident & Health

Individual Accident Only

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 50.37% 148,257 $20,592,867.00 $20,586,641.00 $0.00 $10,368,779.00 $10,560,541.00 51.30%
Missouri Total 100.00% 778,791 $40,880,088 $40,573,682 $175 $18,717,124 $19,492,689 48.04%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 Supplemental Data for

Accident & Health

Individual Dental

Market_Share Number of Insureds Direct Premium Written Direct Premium Earned Dividends Paid Direct Losses Paid Direct Losses Incurred Loss Ratio
Company Total 29.71% 10,649 $2,367,683.00 $2,378,698.00 $0.00 $689,986.00 $1,108,236.00 46.59%
Missouri Total 100.00% 56,445 $7,968,150 $7,990,035 $0 $3,230,658 $3,674,059 45.98%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 Supplemental Data for

Accident & Health

Individual 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 10.04% 22,133 $8,247,623.00 $8,221,050.00 $0.00 $3,424,680.00 $3,861,492.00 46.97%
Missouri Total 100.00% 136,980 $82,139,891 $82,487,795 $1,259,941 $46,835,397 $53,586,832 64.96%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 17.14% 47,396 $4,829,619.00 $4,817,007.00 $0.00 $1,777,156.00 $1,835,046.00 38.10%
Missouri Total 100.00% 150,444 $28,173,993 $27,922,148 $7,077 $13,925,642 $14,162,998 50.72%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

2004 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 0.30% 609 $490,249.00 $501,175.00 $0.00 $239,075.00 $240,723.00 48.03%
Missouri Total 100.00% 125,238 $165,476,602 $158,127,812 $9,628 $67,127,857 $90,850,534 57.45%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 0.38% 533 $1,225,933.00 $1,224,113.00 $0.00 $880,305.00 $863,474.00 70.54%
Missouri Total 100.00% 192,204 $323,256,706 $336,472,253 $0 $241,760,172 $240,258,015 71.41%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 39.20% 120,460 $19,241,738.00 $19,245,765.00 $0.00 $7,467,074.00 $8,360,184.00 43.44%
Missouri Total 100.00% 217,469 $49,088,053 $48,694,411 $0 $23,964,793 $25,558,105 52.49%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 0.41% 4,297 $1,419,018 $0 $368,882 $293,534 26.00%
Missouri Total 100.00% 694,064 $347,382,114 $9,263,420 $212,249,288 $108,608,536 61.10%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 0.03% 905 $239,216 $0 $39,652 $22,108 16.58%
Missouri Total 100.00% 2,254,309 $760,946,118 $311,864,185 $860,216,353 $58,567,813 113.05%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 1.33% 350,088 $57,028,380.00 $57,006,737.00 $0.00 $24,852,404.00 $26,835,185.00 47.07%
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 FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 0.00% 51 $32,668.00 $32,288.00 $0.00 $5,349.00 $5,489.00 17.00%
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 FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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% 480 $86,139 $0 $70,680 $12,461 82.05%
Missouri Total 100.00% 4,689,528 $3,414,637,016 $8,065,165 $2,380,137,400 $176,276,564 69.70%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 5.68% 350,037 $56,995,712.00 $56,974,449.00 $0.00 $24,847,055.00 $26,829,696.00 47.09%
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 FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 0.03% 5,202 $1,658,234 $0 $408,534 $315,642 24.64%
Missouri Total 100.00% 4,285,396 $5,150,758,634 $383,562,866 $4,123,058,017 $245,622,119 80.05%



AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS

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 0.02% 5,682 $1,744,373 $0 $479,214 $328,103 27.47%
Missouri Total 100.00% 8,974,924 $8,565,395,650 $391,628,031 $6,503,195,417 $421,898,683 75.92%



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