-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KOsdM5F+DiJLWPSlAEjAhtgrt2D1O9wGDloFsbY3WSzksTWiySlofuEN71NYDF9D jNIFKVD91i4k53InwJXeFQ== 0000317745-97-000003.txt : 19970507 0000317745-97-000003.hdr.sgml : 19970507 ACCESSION NUMBER: 0000317745-97-000003 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970506 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UNICO AMERICAN CORP CENTRAL INDEX KEY: 0000100716 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 952583928 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-10808 FILM NUMBER: 97596784 BUSINESS ADDRESS: STREET 1: 23251 MULHOLLAND DR CITY: WOODLAND HILLS STATE: CA ZIP: 91364 BUSINESS PHONE: 8185919800 MAIL ADDRESS: STREET 1: 23251 MULHOLLAND DRIVE CITY: WOODLAND HILLS STATE: CA ZIP: 91364 FORMER COMPANY: FORMER CONFORMED NAME: UNIVERSAL COVERAGE CORP DATE OF NAME CHANGE: 19730823 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: GENERAL RE CORP CENTRAL INDEX KEY: 0000317745 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 061026471 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: FINANCIAL CENTRE P O BOX 10351 STREET 2: 695 EAST MAIN STREET CITY: STAMFORD STATE: CT ZIP: 06904-2351 BUSINESS PHONE: 2033285000 MAIL ADDRESS: STREET 1: FINANCIAL CENTRE STREET 2: P O BOX 10350 CITY: STAMFORD STATE: CT ZIP: 06904-2350 SC 13G 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No.)* UNICO AMERICAN CORPORATION ________________________________________________________________________ (Name of Issuer) COMMON STOCK, NO PAR ________________________________________________________________________ (Title of Class of Securities) 904607108 ________________________________________________________________________ (CUSIP Number) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes.) CUSIP No. 904607108 13G Page __2__ of __9__ Pages 1 NAME OF REPORTING PERSON SS or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON General Re Corporation 06-1026471 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION State of Delaware NUMBER OF SHARES 5 SOLE VOTING POWER NONE BENEFICIALLY OWNED BY 6 SHARED VOTING POWER 432,092 EACH REPORTING 7 SOLE DISPOSITIVE POWER NONE PERSON WITH 8 SHARED DISPOSITIVE POWER 432,092 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 432,092 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.1% 12 TYPE OF REPORTING PERSON* Corporation *SEE INSTRUCTIONS BEFORE FILLING OUT CUSIP No. 904607108 13G Page __3__ of __9__ Pages 1 NAME OF REPORTING PERSON SS or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON National Re Corporation 75-2300920 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION State of Delaware NUMBER OF SHARES 5 SOLE VOTING POWER NONE BENEFICIALLY OWNED BY 6 SHARED VOTING POWER 432,092 EACH REPORTING 7 SOLE DISPOSITIVE POWER NONE PERSON WITH 8 SHARED DISPOSITIVE POWER 432,092 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 432,092 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.1% 12 TYPE OF REPORTING PERSON* Corporation *SEE INSTRUCTIONS BEFORE FILLING OUT CUSIP No. 904607108 13G Page __4__ of __9__ Pages 1 NAME OF REPORTING PERSON SS or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON National Reinsurance Corporation 13-1988169 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION State of Delaware NUMBER OF SHARES 5 SOLE VOTING POWER NONE BENEFICIALLY OWNED BY 6 SHARED VOTING POWER 432,092 EACH REPORTING 7 SOLE DISPOSITIVE POWER NONE PERSON WITH 8 SHARED DISPOSITIVE POWER 432,092 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 432,092 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.1% 12 TYPE OF REPORTING PERSON* Corporation *SEE INSTRUCTIONS BEFORE FILLING OUT CUSIP No. 904607108 13G Page __5__ of __9__ Pages 1 NAME OF REPORTING PERSON SS or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON National Intermediaries, Inc. 13-2866667 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION New York NUMBER OF SHARES 5 SOLE VOTING POWER NONE BENEFICIALLY OWNED BY 6 SHARED VOTING POWER 10 EACH REPORTING 7 SOLE DISPOSITIVE POWER NONE PERSON WITH 8 SHARED DISPOSITIVE POWER 10 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 10 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 .00016% 12 TYPE OF REPORTING PERSON* Corporation *SEE INSTRUCTIONS BEFORE FILLING OUT Page 6 of 9 Pages SCHEDULE 13G Item 1. (a) Name of Issuer UNICO AMERICAN CORPORATION (b) Address of Issuer's Principal Executive Offices 23251 Mulholland Drive, Woodland Hills, California 91364 Item 2. (a) Name of Person Filing GENERAL RE CORPORATION NATIONAL RE CORPORATION NATIONAL REINSURANCE CORPORATION NATIONAL INTERMEDIARIES, INC. (b) Address of Principal Business Office or, if none, Residence FINANCIAL CENTRE, 695 EAST MAIN STREET, STAMFORD, CT 06904 (c) Citizenship General Re Corporation, National Re Corporation and National Reinsurance Corporation DELAWARE CORPORATIONS National Intermediaries, Inc. NEW YORK CORPORATION (d) Title of Class of Securities COMMON STOCK, NO PAR (e) CUSIP Number 904607108 Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b), check whether the person filing is a: General Re Corporation and National Re Corporation are each a Parent Holding Company, in accordance with Rule 13d-(b)(ii)(G) (Note: See Item 7). National Reinsurance Company and National Intermediaries, Inc. are each an Insurance Company as defined in section 3(a)(19) of the Act. Item 4. Ownership If the percent of the class owned, as of December 31 of the year covered by the statement, or as of the last day of any month described in Rule 13d-1(b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) Amount beneficially Owned See the Cover Pages for each of the Reporting Persons. (b) Percent of Class See the Cover Pages for each of the Reporting Persons. (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote (ii) shared power to vote or to direct the vote (iii) sole power to dispose or to direct the disposition of (iv) shared power to dispose or to direct the disposition of See the Cover Pages for each of the Reporting Persons. Instruction: For computations regarding securities which represents a right to acquire an underlying security see Rule 13d-3(d)(1) Page 7 of 9 Pages Item 5. Ownership of Five Percent or Less of a Class Not Applicable Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not Applicable Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company If a parent holding company has filed this schedule pursuant to Rule 13d-1(b)(ii)(G), so indicate under Item 3(g) and attach an exhibit stating the identify and Item 3 classification of the relevant subsidiary. If a parent holding company has filed this schedule pursuant to Rule 13d-1(c), attach an exhibit stating the identification of the relevant subsidiary. See Exhibit A. Item 8. Identification and Classification of Members of the Group Not Applicable Item 9. Notice of Dissolution of Group Not Applicable Item 10. Certification Not Applicable SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. April 25, 1997 ______________________________________________________ Date ERNEST C. FROHBOESE ______________________________________________________ Signature Ernest C. Frohboese, Vice President - Investments ______________________________________________________ Name/Title GENERAL RE CORPORATION April 25, 1997 _____________________________________________________ Date RICHARD G. MCCARTY _____________________________________________________ Signature Richard G. McCarty, Assistant Secretary _____________________________________________________ Name/Title NATIONAL RE CORPORATION April 25, 1997 ______________________________________________________ Date LORRAINE D. MANDEL ______________________________________________________ Signature Lorraine D. Mandel, Assistant Secretary ______________________________________________________ Name/Title NATIONAL REINSURANCE CORPORATION April 25, 1997 _____________________________________________________ Date RICHARD G. MC CARTY _____________________________________________________ Signature Richard G. McCarty, Assistant Secretary _____________________________________________________ Name/Title NATIONAL INTERMEDIARIES, INC. Page 8 of 9 Pages SCHEDULE 13G EXHIBIT A TO BE INCLUDED IN STATEMENTS FILED BY PARENT HOLDING COMPANY PURSUANT TO ITEM 7 National Re Corporation, a Delaware corporation, is a wholly owned subsidiary of General Re Corporation with its principal office at Financial Centre, 695 East Main Street, Stamford, CT 06904. National Reinsurance Corporation, a Delaware corporation, is a wholly owned subsidiary of National Re Corporation, with its principal office at Financial Centre, 695 East Main Street, Stamford, CT 06904. National Intermediaries, Inc., a New York Corporation, is a wholly owned subsidiary of National Reinsurance Corporation with its principal office at Financial Centre, 695 East Main Street, Stamford, CT 06904. National Intermediaries, Inc. is an insurance company as defined in Section 3(a)(19) of the Securities Exchange Act of 1934, with its principal office at Financial Centre, 695 East Main Street, Stamford, CT 06904. Page 9 of 9 Pages SCHEDULE 13G EXHIBIT B TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(c) RULE 13d-1(f)(1) The undersigned persons agree and consent to the joint filing on their behalf of this Schedule 13G in connection with their beneficial ownership of the Common Stock of UNICO AMERICAN CORPORATION at December 31, 1996. GENERAL RE CORPORATION ERNEST C. FROHBOESE Dated: April 25, 1997 By: ________________________________________________ NATIONAL RE CORPORATION RICHARD G. MC CARTY Dated: April 25, 1997 By: ________________________________________________ NATIONAL REINSURANCE CORPORATION LORRAINE D. MANDEL Dated: April 25, 1997 By: ________________________________________________ NATIONAL INTERMEDIARIES, INC. RICHARD G. MC CARTY Dated: April 25, 1997 By: ________________________________________________ -----END PRIVACY-ENHANCED MESSAGE-----