PROVIDENT AMERICAN LIFE AND HEALTH INSURANCE COMPANY

2004 Supplemental Data for

Accident & Health

Group Comprehensive Medical Expense - Small Employer

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 $26,076.00 $26,200.00 $0.00 $35,381.00 $33,469.00 127.74%
Missouri Total 100.00% 335,440 $804,495,751 $806,421,137 $0 $617,065,254 $620,790,892 76.98%



PROVIDENT AMERICAN LIFE AND HEALTH INSURANCE COMPANY

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% 1 $1,375 $0 $0 $15 0.00%
Missouri Total 100.00% 3,195,709 $340,509,430 $2,662,813 $375,549,371 $154,098,346 110.29%



PROVIDENT AMERICAN LIFE AND HEALTH INSURANCE COMPANY

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% 1 $26,076.00 $26,200.00 $0.00 $35,381.00 $33,469.00 127.74%
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%



PROVIDENT AMERICAN LIFE AND HEALTH INSURANCE COMPANY

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 0.00% 1 $26,076.00 $26,200.00 $0.00 $35,381.00 $33,469.00 127.74%
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%



PROVIDENT AMERICAN LIFE AND HEALTH 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 $1,375 $0 $0 $15 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%



PROVIDENT AMERICAN LIFE AND HEALTH 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% 1 $1,375 $0 $0 $15 0.00%
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):