CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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 11.98% 42,199 $4,063,296 $0 $702,940 $199,308 17.30%
Missouri Total 100.00% 540,054 $33,920,188 $33,742 $18,191,182 $2,987,583 53.63%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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% 17 $32,380.00 $13,587.00 $0.00 $0.00 $-548.00 -4.03%
Missouri Total 100.00% 1,120,380 $216,398,030 $216,750,400 $37,513 $147,429,402 $174,125,247 80.33%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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 0.13% 135 $195,860.00 $199,361.00 $0.00 $118,743.00 $117,180.00 58.78%
Missouri Total 100.00% 99,512 $153,031,398 $151,573,487 $0 $122,604,054 $131,392,182 86.69%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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 7.32% 4,878 $2,163,043.00 $1,011,706.00 $0.00 $118,982.00 $289,271.00 28.59%
Missouri Total 100.00% 334,847 $29,558,218 $31,473,169 $0 $14,588,023 $13,987,422 44.44%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.49% 520 $38,748.00 $40,700.00 $0.00 $2,600.00 $3,079.00 7.57%
Missouri Total 100.00% 74,821 $7,920,812 $7,937,783 $0 $2,669,080 $2,485,075 31.31%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.04% 373 $130,111 $0 $39,295 $3,715 30.20%
Missouri Total 100.00% 3,195,709 $340,509,430 $2,662,813 $375,549,371 $154,098,346 110.29%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.03% 362 $14,048.00 $15,368.00 $0.00 $11,080.00 $21,274.00 138.43%
Missouri Total 100.00% 778,791 $40,880,088 $40,573,682 $175 $18,717,124 $19,492,689 48.04%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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% 1 $26.00 $26.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 182,728 $303,237,042 $296,093,330 $709 $206,151,024 $205,452,502 69.39%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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 -1.80% 10,801 $-59,325 $0 $574,711 $57,541 -968.75%
Missouri Total 100.00% 51,054 $3,297,476 $0 $2,866,583 $338,627 86.93%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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 $1,130 $0 $0 $0 0.00%
Missouri Total 100.00% 41,975 $96,881,454 $277,219 $48,101,602 $0 49.65%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.03% 79 $24,116.00 $24,395.00 $0.00 $17,245.00 $-31,240.00 -128.06%
Missouri Total 100.00% 136,980 $82,139,891 $82,487,795 $1,259,941 $46,835,397 $53,586,832 64.96%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.01% 61 $3,730.00 $3,817.00 $0.00 $190.00 $-409.00 -10.72%
Missouri Total 100.00% 150,444 $28,173,993 $27,922,148 $7,077 $13,925,642 $14,162,998 50.72%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.02% 20 $32,621.00 $32,972.00 $0.00 $124,740.00 $181,055.00 549.12%
Missouri Total 100.00% 125,238 $165,476,602 $158,127,812 $9,628 $67,127,857 $90,850,534 57.45%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.29% 481 $952,849.00 $962,315.00 $0.00 $710,256.00 $708,634.00 73.64%
Missouri Total 100.00% 192,204 $323,256,706 $336,472,253 $0 $241,760,172 $240,258,015 71.41%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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 -3.36% 2,868 $-92,928.00 $566,321.00 $0.00 $369,555.00 $412,513.00 72.84%
Missouri Total 100.00% 17,480 $2,768,712 $3,707,915 $-28 $1,562,445 $1,451,410 39.14%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 1.06% 3,122 $520,932.00 $506,697.00 $0.00 $297,772.00 $291,302.00 57.49%
Missouri Total 100.00% 217,469 $49,088,053 $48,694,411 $0 $23,964,793 $25,558,105 52.49%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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% 43 $18,018 $0 $0 $2,533 0.00%
Missouri Total 100.00% 694,064 $347,382,114 $9,263,420 $212,249,288 $108,608,536 61.10%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

2004 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% 630 $196,347 $0 $284,514 $9,423 144.90%
Missouri Total 100.00% 453,561 $552,152,498 $4,442,311 $479,281,007 $45,190,056 86.80%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.01% 386 $83,941 $21,824 $78,944 $2,587 94.05%
Missouri Total 100.00% 2,254,309 $760,946,118 $311,864,185 $860,216,353 $58,567,813 113.05%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.09% 12,544 $3,885,425.00 $3,377,265.00 $0.00 $1,771,163.00 $1,992,111.00 58.99%
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%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.07% 5,550 $2,430,031.00 $1,265,354.00 $0.00 $240,325.00 $408,982.00 32.32%
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%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.12% 42,572 $4,193,407 $0 $742,235 $203,023 17.70%
Missouri Total 100.00% 4,689,528 $3,414,637,016 $8,065,165 $2,380,137,400 $176,276,564 69.70%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.15% 6,994 $1,455,394.00 $2,111,911.00 $0.00 $1,530,838.00 $1,583,129.00 74.96%
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%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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% 11,860 $240,111 $21,824 $938,169 $72,084 390.72%
Missouri Total 100.00% 4,285,396 $5,150,758,634 $383,562,866 $4,123,058,017 $245,622,119 80.05%



CENTRAL STATES HEALTH & LIFE CO OF OMAHA

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 0.05% 54,432 $4,433,518 $21,824 $1,680,404 $275,107 37.90%
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):