CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 9.49% 32,298 $2,973,674 $0 $395,171 $115,142 13.29%
Missouri Total 100.00% 492,360 $31,327,282 $11,355 $22,656,984 $3,288,536 72.32%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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% 11 $1,987.00 $10,893.00 $0.00 $0.00 $340.00 3.12%
Missouri Total 100.00% 966,905 $207,926,823 $208,768,671 $12,202 $139,285,242 $148,519,747 71.14%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.15% 136 $191,479.00 $188,294.00 $0.00 $96,434.00 $89,768.00 47.67%
Missouri Total 100.00% 90,067 $129,108,423 $126,847,899 $0 $100,541,376 $103,551,157 81.63%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 4.98% 1,403 $1,494,147.00 $342,751.00 $0.00 $26,595.00 $46,311.00 13.51%
Missouri Total 100.00% 303,968 $29,986,007 $35,416,213 $0 $16,617,563 $14,050,157 39.67%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.07% 142 $3,135.00 $3,422.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 37,786 $4,672,472 $4,658,934 $0 $2,405,986 $2,605,717 55.93%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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% 385 $99,491 $0 $0 $2,830 0.00%
Missouri Total 100.00% 2,776,226 $346,465,528 $3,769,039 $348,268,875 $137,313,054 100.52%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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% 1 $18.00 $63.00 $0.00 $0.00 $-110.00 -174.60%
Missouri Total 100.00% 176,477 $283,208,114 $283,113,051 $720 $188,257,721 $183,924,523 64.97%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 19.63% 20,890 $694,134 $0 $681,934 $116,519 98.24%
Missouri Total 100.00% 56,736 $3,536,919 $0 $2,241,861 $371,158 63.38%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 $1,239 $0 $0 $0 0.00%
Missouri Total 100.00% 42,871 $102,610,655 $498,456 $39,995,760 $0 38.98%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.03% 84 $24,079.00 $26,942.00 $0.00 $21,412.00 $-252,152.00 -935.91%
Missouri Total 100.00% 125,665 $75,424,426 $76,643,511 $1,128,031 $44,821,395 $54,384,423 70.96%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.02% 68 $3,728.00 $3,803.00 $0.00 $650.00 $1,215.00 31.95%
Missouri Total 100.00% 145,722 $23,832,756 $23,694,730 $7,114 $11,594,074 $12,130,196 51.19%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.03% 40 $41,050.00 $41,783.00 $0.00 $102,650.00 $147,454.00 352.90%
Missouri Total 100.00% 120,489 $160,677,734 $152,231,374 $9,757 $60,749,850 $85,685,868 56.29%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.29% 560 $999,176.00 $1,006,564.00 $0.00 $676,818.00 $630,596.00 62.65%
Missouri Total 100.00% 205,175 $341,322,625 $341,769,460 $0 $231,360,020 $229,580,797 67.17%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 8.28% 5,404 $301,250.00 $978,334.00 $0.00 $430,263.00 $444,370.00 45.42%
Missouri Total 100.00% 21,967 $3,637,584 $4,579,964 $0 $1,481,337 $1,548,296 33.81%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 1.14% 2,511 $503,343.00 $498,680.00 $0.00 $199,827.00 $255,907.00 51.32%
Missouri Total 100.00% 217,565 $44,329,413 $45,000,689 $0 $21,077,976 $23,153,492 51.45%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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% 83 $18,757 $0 $0 $2,902 0.00%
Missouri Total 100.00% 682,356 $311,467,903 $10,173,738 $184,996,306 $93,566,603 59.39%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.04% 597 $181,327 $0 $204,813 $9,184 112.95%
Missouri Total 100.00% 458,295 $491,131,691 $6,524,954 $331,504,239 $43,493,081 67.50%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.01% 455 $83,255 $16,943 $98,241 $3,138 118.00%
Missouri Total 100.00% 2,308,146 $719,119,352 $323,220,961 $797,276,767 $66,887,681 110.87%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.09% 10,360 $3,563,392.00 $3,101,529.00 $0.00 $1,554,649.00 $1,363,699.00 43.97%
Missouri Total 100.00% 10,342,971 $3,852,900,654 $3,820,337,190 $1,631,763 $2,664,219,455 $2,730,742,332 71.48%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.06% 1,692 $1,690,748.00 $545,360.00 $0.00 $123,029.00 $136,419.00 25.01%
Missouri Total 100.00% 8,540,410 $2,878,594,040 $2,850,934,447 $443,521 $2,086,264,285 $2,118,878,045 74.32%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.10% 32,683 $3,073,165 $0 $395,171 $117,972 12.86%
Missouri Total 100.00% 4,461,154 $3,210,980,742 $9,512,580 $2,151,672,191 $158,266,535 67.01%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.19% 8,668 $1,872,644.00 $2,556,169.00 $0.00 $1,431,620.00 $1,227,280.00 48.01%
Missouri Total 100.00% 1,802,561 $974,306,614 $969,402,743 $1,188,242 $577,955,170 $611,864,287 63.12%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.02% 22,025 $978,712 $16,943 $984,988 $131,743 100.64%
Missouri Total 100.00% 4,330,504 $4,930,506,696 $404,183,765 $3,349,037,869 $235,658,520 67.92%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2003 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 0.05% 54,708 $4,051,877 $16,943 $1,380,159 $249,715 34.06%
Missouri Total 100.00% 8,791,658 $8,141,487,438 $413,696,345 $5,500,710,060 $393,925,055 67.56%



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