FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 Supplemental Data for

Life

Group Graded Death Benefits

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 $1,134 $0 $0 $975 0.00%
Missouri Total 100.00% 12,909 $4,433,309 $268 $918,427,157 $3,538,983 20,716.52%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 Supplemental Data for

Accident & Health

Group 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% 348 $9,322.00 $9,202.00 $0.00 $0.00 $-369.00 -4.01%
Missouri Total 100.00% 42,810 $38,914,899 $36,166,316 $0 $27,489,592 $22,894,600 63.30%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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 0.02% 4 $110,694 $0 $0 $456 0.00%
Missouri Total 100.00% 2,065,848 $605,945,752 $1,096,314 $550,629,913 $3,874,977,441 90.87%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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 0.00% 52 $4,385.00 $4,385.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 113,456 $112,662,320 $110,611,772 $11,319,832 $66,347,028 $55,056,329 49.77%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 Supplemental Data for

Life

Individual Graded Death Benefits

Market_Share Number of Insureds Direct Premium and Annuities Dividends Paid Direct Claims and Benefits Paid Life Insurance in Force Benefits Ratio
Company Total 3.62% 1,033 $784,805 $0 $311,598 $10,988 39.70%
Missouri Total 100.00% 81,148 $21,690,818 $65,686 $13,020,188 $45,383,333 60.03%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 Supplemental Data for

Life

Individual Other Consideration

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 $0 $0 $88 $0 0.00%
Missouri Total 100.00% 12,433 $5,117,333 $0 $218,285,568 $0 4,265.61%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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 0.35% 2,524 $2,102,546 $48,692 $1,531,552 $518,612 72.84%
Missouri Total 100.00% 849,107 $608,898,381 $8,532,070 $448,760,979 $2,003,867,920 73.70%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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% 51 $34,191 $0 $0 $10,352 0.00%
Missouri Total 100.00% 1,522,534 $879,876,012 $276,707,732 $956,198,611 $593,175,264 108.67%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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 0.00% 400 $13,707.00 $13,587.00 $0.00 $0.00 $-369.00 -2.72%
Missouri Total 100.00% 19,306,788 $12,117,109,089 $12,162,834,670 $12,444,904 $10,542,214,819 $10,004,580,052 82.26%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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% 348 $9,322.00 $9,202.00 $0.00 $0.00 $-369.00 -4.01%
Missouri Total 100.00% 17,248,675 $7,594,911,339 $7,618,085,733 $1,103,538 $6,951,838,739 $6,341,675,193 83.24%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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% 9 $111,828 $0 $0 $1,431 0.00%
Missouri Total 100.00% 3,674,408 $4,401,545,614 $7,901,906 $4,690,598,033 $4,453,509,867 106.57%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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% 52 $4,385.00 $4,385.00 $0.00 $0.00 $0.00 0.00%
Missouri Total 100.00% 2,058,113 $4,522,197,750 $4,544,748,937 $11,341,366 $3,590,376,080 $3,662,904,859 80.60%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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 0.04% 3,608 $2,921,542 $48,692 $1,843,238 $539,952 63.09%
Missouri Total 100.00% 3,493,020 $7,861,614,955 $324,199,464 $9,610,942,390 $4,042,006,290 122.25%



FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INSURANCE COMPANY

2021 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% 3,617 $3,033,370 $48,692 $1,843,238 $541,383 60.77%
Missouri Total 100.00% 7,167,428 $12,263,160,569 $332,101,370 $14,301,540,423 $8,495,516,157 116.62%



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