OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.00% 168 $0 $0 $0 $20,827 0.00%
Missouri Total 100.00% 3,195,709 $340,509,430 $2,662,813 $375,549,371 $154,098,346 110.29%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.00% 0 $1,474.00 $1,285.00 $0.00 $2,699.00 $2,773.00 215.80%
Missouri Total 100.00% 778,791 $40,880,088 $40,573,682 $175 $18,717,124 $19,492,689 48.04%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.00% 0 $927.00 $808.00 $0.00 $1,768.00 $1,817.00 224.88%
Missouri Total 100.00% 136,980 $82,139,891 $82,487,795 $1,259,941 $46,835,397 $53,586,832 64.96%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.00% 0 $164.00 $143.00 $0.00 $279.00 $287.00 200.70%
Missouri Total 100.00% 150,444 $28,173,993 $27,922,148 $7,077 $13,925,642 $14,162,998 50.72%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

2004 Supplemental Data for

Life

Individual 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 $703 $0 $0 $0 0.00%
Missouri Total 100.00% 343,929 $1,208,751,601 $1,418,229 $1,005,859,160 $0 83.21%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.06% 0 $28,947.00 $25,232.00 $0.00 $44,765.00 $45,992.00 182.28%
Missouri Total 100.00% 217,469 $49,088,053 $48,694,411 $0 $23,964,793 $25,558,105 52.49%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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% 34 $18,020 $251 $12,903 $2,506 71.60%
Missouri Total 100.00% 694,064 $347,382,114 $9,263,420 $212,249,288 $108,608,536 61.10%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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% 219 $108,271 $1,619 $83,107 $12,120 76.76%
Missouri Total 100.00% 453,561 $552,152,498 $4,442,311 $479,281,007 $45,190,056 86.80%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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% 161 $35,933 $1,190 $61,097 $1,081 170.03%
Missouri Total 100.00% 2,254,309 $760,946,118 $311,864,185 $860,216,353 $58,567,813 113.05%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.00% 0 $31,512.00 $27,468.00 $0.00 $49,511.00 $50,869.00 185.19%
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%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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% 168 $0 $0 $0 $20,827 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%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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 0.00% 0 $31,512.00 $27,468.00 $0.00 $49,511.00 $50,869.00 185.19%
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%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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% 415 $162,927 $3,060 $157,107 $15,707 96.43%
Missouri Total 100.00% 4,285,396 $5,150,758,634 $383,562,866 $4,123,058,017 $245,622,119 80.05%



OCCIDENTAL LIFE INSURANCE COMPANY OF NORTH CAROLINA

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% 583 $162,927 $3,060 $157,107 $36,534 96.43%
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):