CLOVER INSURANCE COMPANY

2004 Supplemental Data for

Life

Group 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% 1 $0 $0 $2,053 $0 0.00%
Missouri Total 100.00% 258,386 $799,869,908 $558,916 $597,706,268 $0 74.73%



CLOVER 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% 2 $1,038 $0 $2,584 $200 248.94%
Missouri Total 100.00% 694,064 $347,382,114 $9,263,420 $212,249,288 $108,608,536 61.10%



CLOVER INSURANCE COMPANY

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 0.02% 130 $100,970 $0 $4,335 $7,691 4.29%
Missouri Total 100.00% 453,561 $552,152,498 $4,442,311 $479,281,007 $45,190,056 86.80%



CLOVER 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% 6 $2,946 $0 $0 $150 0.00%
Missouri Total 100.00% 2,254,309 $760,946,118 $311,864,185 $860,216,353 $58,567,813 113.05%



CLOVER 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% 1 $0 $0 $2,053 $0 0.00%
Missouri Total 100.00% 4,689,528 $3,414,637,016 $8,065,165 $2,380,137,400 $176,276,564 69.70%



CLOVER 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% 138 $104,954 $0 $6,919 $8,041 6.59%
Missouri Total 100.00% 4,285,396 $5,150,758,634 $383,562,866 $4,123,058,017 $245,622,119 80.05%



CLOVER 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% 139 $104,954 $0 $8,972 $8,041 8.55%
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):