US Alliance Corporation
|
Kansas
|
26-482142
|
4123 SW Gage Center Drive, Suite 240, Topeka, Kansas
|
66604
|
Registrant's telephone number, including area code
|
(785) 228-0200
|
Title of each class
to be so registered
|
Name of each exchange on which
Each class is to be registered
|
_________________
________________
|
____________________
___________________
|
Item
|
Item Description
|
Page
|
Item 1
|
Business
|
1 |
Item 1A
|
Risk Factors
|
7 |
Item 2
|
Financial Information
|
13 |
Item 3
|
Description of Property
|
24 |
Item 4
|
Security Ownership of Certain Beneficial Owners
|
24 |
Item 5
|
Directors and Executive Officers
|
24 |
Item 6
|
Executive Compensation
|
26 |
Item 7
|
Certain Relationships and Related Transactions and Director Independence
|
27 |
Item 8
|
Legal Proceedines
|
27 |
Item 9
|
Market Price of and Dividends on the Registrant’s Common Equity
and Related Stockholder Maters
|
27 |
Item 10
|
Recent Sales of Unregistered Securities
|
28 |
Item 11
|
Description of Securities
|
28 |
Item 12
|
Indemnification of Directors and Officers
|
29 |
Item 13
|
Financial Statements and Supplementary Data
|
29 |
Item 14
|
Changes in and Disagreement with Accountant on Accounting and Financial Disclosure
|
29 |
Item 15
|
Financial Statements and Exhibits
|
31 |
Item 1
|
Business
|
|
Overview and History.
|
Ø
|
Solid Solutions Term Life Series®, Registered Trademark No 4,740,828. This simplified issue term life insurance product is designed to provide coverage with a face value of $250,000 or less. This product features limited underwriting and is offered with 10, 20, 25, and 30 year terms.
|
Ø
|
Sound Solutions Term Life Series®, Registered Trademark No, 4,740,827. This is a fully underwritten term life insurance product designed to provide coverage for higher face amounts. This product features multiple risk classifications and is offered with 15, 20, 25 and 30 year terms.
|
Ø
|
Pioneer Whole Life. This is a traditional whole life insurance product designed to provide permanent coverage with a limited premium paying period. This product is sold with death benefits typically ranging from $25,000 to $100,000.
|
Ø
|
Legacy Juvenile Series® Registered Trademark No. 4,577,835. This product is term life insurance to age 25 available for purchase on children up to the age of 16 in an amount of $10,000 or $20,000 with a one-time premium payment.
|
Ø
|
American Annuity Series®, Registered Trademark No 4,582,074 This product is a flexible premium deferred annuity with a minimum initial deposit of $10,000.
|
Ø
|
Thoughtful Pre-Need Series®, Registered Trademark No 4,620,073 This series of products includes a single or multiple pay premium pre-need whole life insurance policy sold by funeral directors who are licensed by the KID in conjunction with a preplanned funeral. This product is typically sold with smaller death benefits than our traditional Pioneer Whole Life.
|
Ø
|
Group Products. This is a series of group non-medical insurance products developed for the small group marketplace. These products are sold to employers and provide benefits for their employees. Our group suite of products include group term life insurance, group long term disability, and group short-term disability.
|
Ø
|
Approved Investment Instruments. We may invest in the following approved investment classes in accordance with the restrictions and subject to the benchmark ranges set forth in our Investment Policy and described below:
|
v
|
United States Government Securities — bonds or other evidences of indebtedness that are hilly guaranteed or insured by the U.S. Government or any agency or instrumentality thereof.
|
v
|
Securities of the District of Columbia, State, Insular or Territorial Possession Government of the United States —bonds or other evidences of indebtedness, without limitation, of the District of Columbia, State, or any political subdivision of such, or Insular or Territorial Possession of the United States.
|
v
|
Canadian Government, Provincial and Municipal Obligations —bonds or other evidences of indebtedness issued by the Dominion of Canada, or by any Province thereof, or by any municipality, agency or instrumentality thereof.
|
v
|
Fixed Income Obligations — bonds or other evidence of indebtedness issued, assumed or guaranteed by a corporation.
|
v
|
Equity Interests - preferred stocks, common stocks, mutual funds, exchange traded funds, master limited partnerships and other securities representing equity ownership interests in a corporation, provided that we may not own more than 2% of any corporation, mutual fund, exchange traded fund, master limited partnership or other equity security.
|
v
|
Real Estate - real estate for use in the operations of the Company, which we refer to as "Home Office Real Estate," or for the production of income. We may also invest in shares of beneficial interest in or obligations issued by a Real Estate Investment Trust qualified under pertinent sections of the United States Internal Revenue Code.
|
v
|
Mortgage Loans - first-lien mortgage loans on commercial or residential property with loan to value of no greater than 80% at the time of purchase.
|
v
|
Mortgage - Backed Securities -mortgage-backed securities issued by the Federal Home Loan Mortgage Corporation (Freddie Mac), Federal National Mortgage Association (Freddie Mae), or a private entity. Any such securities must be rated investment grade by Moody's, S&P or Fitch.
|
v
|
Asset-Backed Securities - asset-backed securities designated as investment grade by Moody's, S&P or Fitch or the equivalent rating by another nationally recognized statistical rating organization.
|
v
|
Certificates of Deposit, Time Deposits, Overnight Bank Deposits, Banker's Acceptances and Repurchase Agreements - certificates of deposit, time deposits, overnight bank deposits, banker's acceptances issued by federally insured banks with maturities of 270 days or less from the date of acquisition, repurchase agreements with acceptable collateral and maturities of 270 days or less from date of acquisition.
|
v
|
Commercial Paper - commercial paper of US corporations that are rated at least "A-2" by S&P or "P-2" by Moody's or the equivalent rating of another nationally recognized statistical rating organization if S&P 8c Moody's cease publishing ratings of these securities, and have maturities of 270 days or less from the date of acquisition.
|
v
|
Money Market Accounts or Funds - money market accounts or funds that meet the following criteria:
|
Ø
|
Diversification. Our portfolio is constructed to diversify risk with respect to asset class, geographical location, quality, maturity, business sector and individual issuer and issue concentrations.
|
Ø
|
Benchmarks. We benchmark the allocation of our investments based on the criteria set forth in the table below to help assure our investments are appropriately diversified The benchmarks may change to respond to market conditions Based on market conditions and other considerations, investments in the approved investment instruments described are maintained in the following ranges:
|
% of Portfolio Cost Value
|
||
Asset Class
|
Minimum
|
Maximum
|
Cash/Short Term
|
0%
|
100%
|
Investment Grade Fixed Income
|
20%
|
100%
|
High Yield Fixed Income
|
0%
|
15%
|
Equity
|
0%
|
50%
|
Mortgage and Mortgage related
|
0%
|
50%
|
Real Estate (including REITs)
|
0%
|
20%
|
Ø
|
Reporting. The President or his designee shall provide monthly reports to the Executive Committee and quarterly reports to the Board of Directors reflecting the securities purchased and sold during the quarter, securities held at the end of the quarter, current benchmarks and an overall evaluation of the portfolio's investment performance.
|
§
|
We may assume liabilities that were not disclosed or exceed estimates;
|
§
|
We may be unable to integrate acquired businesses successfully and realize anticipated economic, operational and other benefits in a timely manner;
|
§
|
Acquisitions could disrupt our on-going business, distract our management and divert our financial and human resources;
|
§
|
We may experience difficulties operating in markets in which we have no or only limited direct experience; and
|
§
|
There is the potential for loss of customers and key employees of any acquired company.
|
Year ended Dec. 31,
|
||
2015
|
2014
|
|
(audited)
|
Income: | ||||||||
Premium income
|
$ | 4,143,344 | $ | 2,097,925 | ||||
Net investment income
|
291,208 | 229,980 | ||||||
Net realized (loss) gain on sale of securities
|
(1,524 | ) | 40,130 | |||||
Other income
|
34,101 | 44,422 | ||||||
Total income
|
$ | 4,467,129 | $ | 2,412,457 |
Three months ended March 31,
|
||
2016
|
2015
|
|
(unaudited)
|
Income: | ||||||||
Premium income
|
$ | 1,357,372 | $ | 1,022,834 | ||||
Net investment income
|
91,261 | 50,889 | ||||||
Net realized (loss) gain on sale of securities
|
10,838 | - | ||||||
Other income
|
13,405 | 2,153 | ||||||
Total income
|
$ | 1,472,876 | $ | 1,075,876 |
Years ended December 31,
|
||||||||
Dec. 31, 2015
|
Dec. 31, 2014
|
|||||||
(audited)
|
||||||||
Direct
|
$ | 1,743,155 | $ | 1,211,758 | ||||
Assumed
|
2,453,957 | 921,320 | ||||||
Ceded
|
(53,768 | ) | (35,153 | ) | ||||
Total
|
$ | 4,143,344 | $ | 2,097,925 |
Three months ended March 31,
|
||||||||
2016
|
2015
|
|||||||
(unaudited)
|
||||||||
Direct
|
$ | 583,615 | $ | 434,966 | ||||
Assumed
|
800,730 | 595,683 | ||||||
Ceded
|
(26,973 | ) | (7,814 | ) | ||||
Total
|
$ | 1,357,372 | $ | 1,022,834 |
Years ended
December 31,
|
||||||||
2015
|
2014
|
|||||||
(audited)
|
||||||||
Fixed maturities
|
$ | 197,926 | $ | 156,340 | ||||
Equity Securities
|
125,648 | 98,169 | ||||||
Cash and short term investments
|
641 | 162 | ||||||
324,215 | 254,671 | |||||||
Less investment expenses
|
(33,007 | ) | (24,691 | ) | ||||
$ | 291,208 | $ | 229,980 |
Three months ended
March 31,
|
||||||||
2016 2015 | ||||||||
(unaudited)
|
||||||||
Fixed Maturies |
|
$
|
69,502
|
$
|
41,742
|
|||
Equity Securities
|
31,476
|
16,414
|
||||||
Cash and short term investments
|
199
|
30
|
||||||
101,177
|
58,186
|
|||||||
Less investment expenses
|
(9,916
|
) |
(7,297
|
) | ||||
$
|
91,261
|
$
|
50,889
|
Year ended December 31,
|
||||||||
2015
|
2014
|
|||||||
(audited)
|
||||||||
Gross gains
|
$ | 90,602 | $ | 50,938 | ||||
Gross losses
|
(92,126 | ) | (10,808 | ) | ||||
Net security (losses) gains
|
$ | (1,524 | ) | $ | 40,130 |
Three months ended March 31,
|
||||||||
2016
|
2015
|
|||||||
(unaudited)
|
||||||||
Gross gains
|
$ | 10,838 | $ | - | ||||
Gross losses
|
- | - | ||||||
Net security gains
|
$ | 10,838 | - |
Year ended December 31,
|
||||||||
2015
|
2014
|
|||||||
(audited)
|
||||||||
Expenses:
|
||||||||
Death claims
|
$ | 363,870 | $ | 215,509 | ||||
Policyholder benefits
|
2,166,113 | 727,637 | ||||||
Increases in policyholder reserves
|
1,214,695 | 928,483 | ||||||
Commission, net of deferral
|
361,943 | 226,233 | ||||||
Amortization of deferred acquisition costs
|
113,294 | 61,495 | ||||||
Salaries & benefits
|
683,383 | 593,673 | ||||||
Other operating expenses
|
901,208 | 933,997 | ||||||
Total expenses
|
$ | 5,804,506 | $ | 3,687,027 |
For the three months ended
|
||||||||
2016
|
2015
|
|||||||
(unaudited)
|
||||||||
Expenses:
|
||||||||
Death claims
|
$ | 116,527 | $ | 107,607 | ||||
Policyholder benefits
|
722,145 | 504,439 | ||||||
Increases in policyholder reserves
|
359,552 | 265,074 | ||||||
Commission, net of deferral
|
108,215 | 89,142 | ||||||
Amortization of deferred acquisition costs
|
37,457 | 34,279 | ||||||
Salaries & benefits
|
188,367 | 130,645 | ||||||
Other operating expenses
|
267,330 | 294,754 | ||||||
Total expenses
|
$ | 1,799,593 | $ | 1,425,940 |
As of December 31,
|
As of March 31,
|
||||||
2015
|
2014
|
2016
|
|||||
(audited)
|
(Unaudited)
|
||||||
Fair Value
|
Percent of
Total
|
Fair Value
|
Percent of
Total
|
Fair Value
|
Percent of
Total
|
||
Fixed maturities:
|
|||||||
US Treasury securities
|
$ 426,316
|
3.0%
|
$ 254,309
|
2.8%
|
$ 454,644
|
2.6%
|
|
Corporate bonds
|
2,911,553
|
20.5%
|
1,574,270
|
17.6%
|
2,924,988
|
16.9%
|
|
Municipal bonds
|
1,744,137
|
12.3%
|
1,088,268
|
12.1%
|
2,402,362
|
13.9%
|
|
Mortgage backed and asset backed securities
|
3,049,113
|
21.4%
|
1,798,211
|
31.3%
|
3,206,164
|
18.5%
|
|
Total fixed maturities
|
8,131,119
|
57.2%
|
5,715,058
|
63.8%
|
8,988,158
|
51.9%
|
|
Equities:
|
|||||||
Equities
|
3,430,054
|
24.2%
|
2,289,141
|
25.5%
|
3,773,462
|
21.8%
|
|
Other equity investments
|
174,214
|
1.2%
|
365,458
|
4.1%
|
145,488
|
0.8%
|
|
Limited partnership interests
|
-
|
0.0%
|
21,210
|
0.2%
|
-
|
0.0%
|
|
Total equities
|
3,604,268
|
25.4%
|
2,675,809
|
29.8%
|
3,918,950
|
22.6%
|
|
Cash and cash equivalents
|
2,466,526
|
17.4%
|
575,005
|
6.4%
|
4,419,597
|
25.5%
|
|
Total
|
$ 14,201,913
|
100.0%
|
$ 8,965,872
|
100.00%
|
$ 17,326,705
|
100.0%
|
As of December 31,
|
As of March 31,
|
||||||||
2015
|
2014
|
2016
|
|||||||
(audited)
|
(unaudited)
|
||||||||
Fair Value
|
Percent of
Total
|
Fair Value
|
Percent of
Total
|
Fair Value
|
Percent of
Total
|
||||
AAA and U.S. Government
|
$
|
886,602
|
10.9%
|
$
|
672,965
|
11.8%
|
$
|
911,542
|
10.1%
|
AA
|
4,072,538
|
50.1%
|
3,253,241
|
56.9%
|
4,899,485
|
54.6%
|
|||
A
|
1,239,436
|
15.2%
|
757,882
|
13.3%
|
1,169,894
|
13.0%
|
|||
BBB
|
1,932,543
|
23.8%
|
1,030,970
|
18.0%
|
1,817,565
|
20.2%
|
|||
BB
|
-
|
0.0%
|
-
|
0.0%
|
155,422
|
1.7%
|
|||
B
|
-
|
0.0%
|
-
|
0.0%
|
34,250
|
0.4%
|
|||
Total
|
$
|
8,131,119
|
100.0%
|
$
|
5,715,058
|
100.0%
|
$
|
8,988,158
|
100.0%
|
As of December 31, 2015
|
As of March 31, 2016
|
|||||||
(audited)
|
(unaudited)
|
|||||||
Amortized cost
|
Fair Value
|
Amortized Cost
|
Fair Value
|
|||||
Amounts maturing in:
|
||||||||
One year or less
|
$
|
50,105
|
$
|
50,127
|
$
|
50,303
|
$
|
50,101
|
After one year through five years
|
1,046,934
|
1,040,747
|
1,100,819
|
1,108,461
|
||||
After five years through ten years
|
1,664,103
|
1,592,766
|
1,510,850
|
1,505,646
|
||||
More than ten years
|
2,465,627
|
2,398,366
|
3,056,335
|
3,117,786
|
||||
Mortgage backed and asset backed securities
|
3,083,389
|
3,049,113
|
3,181,284
|
3,206,164
|
||||
$
|
8,310,158
|
$
|
8,131,119
|
$
|
8,899,591
|
$
|
8,988,158
|
As of December 31, 2015
|
|||||||||||||
(audited)
|
|||||||||||||
Less than 12 months
|
Greater than 12 months
|
Total
|
|||||||||||
Fair Value
|
Unrealized Loss
|
Fair Value
|
Unrealized Loss
|
Fair Value
|
Unrealized Loss
|
||||||||
December 31, 2015
|
|||||||||||||
Available for sale
|
|||||||||||||
Fixed Maturities
|
|||||||||||||
US Treasury Securities
|
$
|
197,719
|
$
|
(1,351)
|
$
|
228,597
|
$
|
(33,465)
|
$
|
426,316
|
$
|
(34,816)
|
|
Corporate bonds
|
2,141,253
|
(143,701)
|
-
|
-
|
2,141,253
|
(143,701)
|
|||||||
Municipal bonds
|
675,885
|
(10,595)
|
-
|
-
|
675,885
|
(10,595)
|
|||||||
Mortgage backed and asset backed securities
|
1,943,017
|
(39,189)
|
438,173
|
(14,642)
|
2,381,190
|
(53,831)
|
|||||||
Total fixed maturities
|
$
|
4,957,874
|
$
|
(194,836)
|
666,770
|
$
|
(48,107)
|
$
|
5,624,644
|
$
|
(242,943)
|
||
Equities
|
|||||||||||||
Equities
|
1,036,877
|
(73,352)
|
820,370
|
(102,404)
|
1,857,247
|
(177,756)
|
|||||||
Total Equities
|
$
|
1,036,877
|
$
|
(75,352)
|
$
|
820,370
|
$
|
(102,404)
|
$
|
1,857,247
|
$
|
(177,756)
|
|
Total Available for sale
|
$
|
5,994,751
|
$
|
(270,188)
|
1,487,140
|
$
|
(150,511)
|
$
|
7,481,891
|
$
|
(420,699)
|
As of March 31, 2016
|
||||||||||||
(unaudited)
|
||||||||||||
Less than 12 months
|
Greater than 12 months
|
Total
|
||||||||||
Fair Value
|
Unrealized Loss
|
Fair Value
|
Unrealized Loss
|
Fair Value
|
Unrealized Loss
|
|||||||
December 31, 2015
|
||||||||||||
Available for sale
|
||||||||||||
Fixed Maturities
|
||||||||||||
US Treasury Securities
|
$
|
-
|
$
|
-
|
$
|
253,206
|
$
|
(7,831)
|
$
|
253,206
|
$
|
(7,831)
|
Corporate bonds
|
861,017
|
(77,627)
|
98,574
|
(2,353)
|
959,591
|
(79,980)
|
||||||
Municipal bonds
|
366,441
|
(2,559)
|
-
|
-
|
366,441
|
(2,559)
|
||||||
Mortgage backed and asset backed securities
|
514,969
|
(8,708)
|
1,177,107
|
(8,252)
|
1,692,076
|
(16,960)
|
||||||
Total fixed maturities
|
$
|
1,742,427
|
$
|
(88,894)
|
$ |
1,528,887
|
$
|
(18,436)
|
$
|
3,271,314
|
$
|
(107,330)
|
Equities
|
||||||||||||
Equities
|
1,027,778
|
(62,429)
|
829,006
|
(93,767)
|
1,856,784
|
(156,196)
|
||||||
Other equity investments
|
41,472
|
|
(46)
|
-
|
-
|
41,472
|
(46)
|
|||||
Total Equities
|
$
|
1,069,250
|
$ |
(62,475)
|
$
|
829,006
|
$ |
(93,637)
|
$ |
1,898,256
|
$
|
(156,242)
|
Total Available for sale
|
$
|
2,811,677
|
$
|
(151,369)
|
$ |
2,357,893
|
$
|
(112,203)
|
$
|
5,169,570
|
$
|
(263,572)
|
Name | Amount of Beneficiary Ownership |
Percent of
Class
|
Jack H. Brier (2) | 414,800 | 8.01 |
Bob Boaldin (1) (2) (3) | 52,000 | 1.00 |
Rochelle Chronister (2) | 50,000 | 0.97 |
Kurt Scott (2) | 50,000 | 0.97 |
James Concannon (2) | 50,000 | 0.97 |
William Graves (2) | 60,000 | 1.16 |
Jeff Brown (1) (4) | 55,000 | 1.06 |
All officers, directors and beneficiary owners as a group: | 731,800 | 14.14 |
Name
|
Age
|
Position with Company
|
Jack H Brier
|
69
|
President, Chairman of the Board, and Director
|
Kurt Scott
|
55
|
Treasurer and Director
|
Bob Boaldin(1)
|
76
|
Director
|
Rochelle Chronister
|
76
|
Director
|
James Concannon
|
68
|
Director
|
William Graves
|
62
|
Director
|
Jeffry Brown
|
43
|
Executive Vice President and Chief Operating Officer, USALSC
|
Name And Principal Position
|
Year Ended
Dec. 31,
|
Salary
|
Bonus
|
All Other
Compensation
|
Total
|
||||||||||||
Jack H. Brier,
|
2015
|
$ | 200,000 | $ | 102,778 | $ | 29,186 | (1) | $ | 331,964 | |||||||
President/Chairman
|
2014
|
$ | 200,000 | $ | N/A | $ | 29,073 | (2) | $ | 229,073 | |||||||
Jeffrey Brown,
|
2015
|
$ | 141,000 | $ | 90,000 | $ | N/A | $ | 231,000 | ||||||||
Coo/Vice-President of USALSC
|
2014
|
$ | 141,000 | $ | 66,000 | $ | N/A | $ | 207,000 |
Name
|
Fees earned or
paid in cash ($)
|
|||||||
2015
|
2014
|
|||||||
Jack H. Brier
|
$ | 8,800 | $ | 8,800 | ||||
Bob Boaldin(1)
|
$ | - | $ | 3,000 | ||||
Rochelle Chronister
|
$ | 3,500 | $ | 4,000 | ||||
James Concannon
|
$ | 8,800 | $ | 8,800 | ||||
William Graves
|
$ | 2,500 | $ | 750 | ||||
Kurt Scott
|
$ | 8,800 | $ | 8,800 |
(a) Except for the updated Report of the Company Independent Registered Public Accounting Firm, the following financial statements and schedules were filed as part of the Company’s Registration Statement on Form 10 filed on May 2, 2016 (File No. 000-55627), and are incorporated herein by reference:
|
||
*Updated Report of Independent Registered Public Accounting Firm
|
||
Audited Consolidated Financial Statements:
|
||
Consolidated Balance Sheets as of December 31, 2015 and 2014
|
||
Consolidated Statements of Changes in Shareholders' Equity for the years ended December 31, 2015 and 2014
|
||
Consolidated Statements of Cash Flows for the years ended December 31, 2015 and 2014
|
||
Notes to Consolidated Financial Statements
|
||
The following financial statements and schedules are filed herewith:
|
||
Consolidated Financial Statements (unaudited):
|
F-1 | |
Consolidated Balance Sheets at March 31, 2016
|
F-2 | |
Consolidated Statements of Comprehensive Loss for the three months ended March 31, 2016
|
F-3 | |
Consolidated Statements of Changes in Shareholders' Equity for the three months ended March 31, 2016
|
F-4 | |
Consolidated Statements of Cash Flows for the
|
F-5 | |
Notes to Consolidated Financial Statements
|
F-6 | |
(b) The following documents are filed herewith as Exhibits hereto:
|
||
Exhibit Number:
|
Document
|
|
3.1
|
Articles of Incorporation of US Alliance Corporation (filed as Exhibit 3.1 to the Company’s Registration Statement on Form 10 filed on May 2, 2016 (File No. 000-55627), is incorporated herein by reference as Exhibit 3.1)
|
|
3.2
|
Bylaws of US Alliance Corporation (filed as Exhibit 3.2 to the Company’s Registration Statement on Form 10 filed on May 2, 2016 (File No. 000-55627), is incorporated herein by reference as Exhibit 3.2)
|
|
4.1
|
Form of Warrant to Purchase Common Shares of US Alliance (filed as Exhibit 4.1 to the Company’s Registration Statement on Form 10 filed on May 2, 2016 (File No. 000-55627), is incorporated herein by reference as Exhibit 4.1)
|
|
10.1*
|
Commercial Lease Agreement dated October 11, 2011 between Lindemuth, Inc., DBA Gage Center and USAC
|
10.2*
|
Automatic Yearly Term Reinsurance Agreement between USALSC and General Re Life Insurance Corporation
|
|
10.3*
|
Group Long Term and Short Term Disability Reinsurance Agreement between USALSC and Reliance Standard Life Insurance Company, DBA Custom Disability Solutions
|
|
10.4*
|
Automatic Reinsurance Agreement between USALSC and Optimum Re Insurance Company (schedules omitted)
|
|
10.5*
|
Bulk Reinsurance Agreement between USALSC and Optimum Re Insurance Company
|
|
10.6*
|
Group Medical Reinsurance Agreement between USALSC and Unified Life Insurance Company
|
|
10.7.1*
|
Investment Management Agreement between USAIC and General Re – New England Asset Management, Inc.
|
|
10.7.2
|
Subadvisory Investment Management Agreement between USAIC and General Re - New England Asset Management, Inc. | |
10.8*
|
Third Party Insurance Services Agreement between USALSC and Dakota Capital Life Insurance Company, as amended
|
|
10.9*
|
Group Life and Accidental Death & Dismemberment Reinsurance Agreement between USALSC and General Re Life Corporation, as amended
|
|
16.1*
|
Letter from RSM US LLP regarding change in certifying accountant
|
|
21.1
|
List of Subsidiaries (filed as Exhibit 21.1 to the Company’s Registration Statement on Form 10 filed on May 2, 2016 (File No. 000-55627), is incorporated herein by reference as Exhibit 21.1)
|
US Alliance Corporation
|
|
(Registrant)
|
|
Date: June 29, 2016
|
By: /s/ Jack H. Brier
|
Jack H. Brier, President and Chairman
|
US Alliance Corporation
Consolidated Balance Sheets
|
March 31, 2016
(unaudited)
|
December 31, 2015
|
||||||
Assets
|
|
|
||||||
Cash and cash equivalents
|
$ | 4,419,597 | $ | 2,466,526 | ||||
Investments in available-for-sale securities, at fair value
|
12,907,108 | 11,735,387 | ||||||
Investment income due and accrued
|
67,631 | 78,540 | ||||||
Deferred acquisition costs, net
|
96,978 | 86,053 | ||||||
Reinsurance related assets
|
17,960 | 21,444 | ||||||
Pre-paid expenses
|
90,960 | 123,162 | ||||||
Other assets
|
5,501 | 7,504 | ||||||
Property, equipment and software, net
|
273,848 | 283,582 | ||||||
Total assets
|
$ | 17,879,583 | $ | 14,802,198 | ||||
Liabilities and Shareholders' Equity
|
||||||||
Liabilities:
|
||||||||
Accounts payable and accrued expenses
|
$ | 61,778 | $ | 85,888 | ||||
Policyholder benefit reserves
|
2,966,964 | 2,576,964 | ||||||
Deposit-type contracts
|
1,955,037 | 1,573,988 | ||||||
Advance premiums
|
85,313 | 69,573 | ||||||
Other liabilities
|
493,017 | 4,992 | ||||||
Total liabilities
|
5,562,109 | 4,311,405 | ||||||
Shareholders' Equity:
|
||||||||
Preferred stock, $5.00 par value. Authorized 1,000,000 shares; none issued or outstanding
|
- | - | ||||||
Common stock, $0.10 par value. Authorized 9,000,000
shares; issued and outstanding 5,532,039 and 5,177,245
shares as of March 31, 2016 and December 31, 2015, respectively
|
553,204 | 517,725 | ||||||
Outstanding warrants
|
- | 15,876 | ||||||
Common stock subscribed
|
900 | 13,799 | ||||||
Common stock subscription receivable
|
(54,012 | ) | (827,952 | ) | ||||
Additional paid-in capital
|
18,119,460 | 17,018,285 | ||||||
Accumulated deficit
|
(6,473,180 | ) | (6,146,463 | ) | ||||
Accumulated other comprehensive income
|
171,102 | (100,477 | ) | |||||
Total shareholders' equity
|
12,317,474 | 10,490,793 | ||||||
Total liabilities and shareholders' equity
|
$ | 17,879,583 | $ | 14,802,198 |
US Alliance Corporation
Consolidated Statements of Comprehensive Loss
(unaudited)
|
Three months ended March 31,
2016 2015
|
|||||||
Income:
|
|
|
||||||
Premium income
|
$ | 1,357,372 | $ | 1,022,834 | ||||
Net investment income
|
91,261 | 50,889 | ||||||
Net realized gain on sale of securities
|
10,838 | - | ||||||
Other income
|
13,405 | 2,153 | ||||||
Total income
|
1,472,876 | 1,075,876 | ||||||
Expenses:
|
||||||||
Death claims
|
116,527 | 107,607 | ||||||
Policyholder benefits
|
722,145 | 504,439 | ||||||
Increase in policyholder reserves
|
359,552 | 265,074 | ||||||
Commisions, net of deferrals
|
108,215 | 89,142 | ||||||
Amortization of deferred acquistion costs
|
37,457 | 34,279 | ||||||
Salaries & benefits
|
188,367 | 130,645 | ||||||
Other operating expenses
|
267,330 | 294,754 | ||||||
Total expense
|
1,799,593 | 1,425,940 | ||||||
Loss before income taxes
|
(326,717 | ) | (350,064 | ) | ||||
Provision for income tax expense
|
- | - | ||||||
Net loss
|
$ | (326,717 | ) | $ | (350,064 | ) | ||
Unrealized net holding gains arising during the period
|
282,417 | 118,003 | ||||||
Reclassification adjustment for loss (gains) included in net loss
|
(10,838 | ) | - | |||||
Other comprehensive income
|
271,579 | 118,003 | ||||||
Comprehensive loss
|
$ | (55,138 | ) | $ | (232,061 | ) | ||
Net loss per common share, basic and diluted
|
||||||||
$ | (0.06 | ) | $ | (0.08 | ) | |||
See Notes to Consolidated Financial Statements
|
|
Number of
Shares of
Common Stock
|
Common
Stock
|
Additional
Paid-in Capital
|
Outstanding
Warrants
|
Common
Stock
Subscribed
|
Subscription
Receivable
|
Accumulated
Other
Comprehensive
Income / (Loss)
|
Accumulated
Deficit
|
Total
|
Balance, December 31, 2014
|
4,232,400
|
423,240
|
11,353,508
|
25,324
|
-
|
-
|
287,082
|
(4,809,086)
|
7,280,068
|
Common stock issued upon exercise of warrants, $6.00 per share
|
9,600
|
960
|
56,736
|
(96)
|
-
|
-
|
-
|
-
|
57,600
|
Costs associated with warrant exercise
|
-
|
-
|
(40,418)
|
-
|
-
|
-
|
-
|
-
|
(40,418)
|
Other comprehensive loss
|
-
|
-
|
-
|
-
|
-
|
-
|
118,003
|
-
|
118,003
|
Net loss
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
(350,064)
|
(350,064)
|
Balance, March 31, 2015
|
4,242,000
|
$424,200
|
$11,369,826
|
$25,228
|
$ -
|
$ -
|
$405,085
|
$(5,159,150)
|
$7,065,189
|
Balance, December 31, 2015
|
5,177,245
|
517,725
|
17,018,285
|
15,876
|
13,799
|
(827,952)
|
(100,477)
|
(6,146,463)
|
10,490,793
|
Common stock issued upon exercise of warrants, $6.00 per share
|
354,794
|
35,479
|
2,109,161
|
(15,876)
|
-
|
-
|
-
|
-
|
2,128,764
|
Costs associated with warrant exercise
|
-
|
-
|
(246,945)
|
-
|
-
|
-
|
-
|
-
|
(246,945)
|
Common stock subscribed
|
-
|
-
|
(761,041)
|
-
|
(12,899)
|
773,940
|
-
|
-
|
-
|
Other comprehensive loss
|
-
|
-
|
-
|
-
|
-
|
-
|
271,579
|
-
|
271,579
|
Net loss
|
-
|
-
|
-
|
-
|
-
|
-
|
-
|
(326,717)
|
(326,717)
|
Balance, March 31, 2016
|
5,532,039
|
$553,204
|
$18,119,460
|
$ -
|
$ 900
|
$(54,012)
|
$171,102
|
$ (6,473,180)
|
$ 12,317,474
|
See Notes to Consolidated Financial Statements.
|
|
|
|
|
|
|
|
|
|
US Alliance Corporation
Consolidated Statements of Cash Flows
(unaudited)
|
Three months ended March 31,
2016 2015
|
|||||||
Cash Flows from Operating Activities:
|
|
|
||||||
Net loss
|
$ | (326,717 | ) | $ | (350,064 | ) | ||
Adjustments to reconcile net loss to net cash and cash equivalents provided by (used in) operating activities:
|
||||||||
Depreciation and amortization
|
9,734 | 6,309 | ||||||
Net realized (gains) on the sale of securities
|
(10,838 | ) | - | |||||
Amortization of investment securities, net
|
5,520 | 8,814 | ||||||
Interest credited on deposit type contracts
|
14,244 | 5,644 | ||||||
(Increase) decrease in operating assets:
|
||||||||
Investment income due and accrued
|
10,909 | 7,076 | ||||||
Deferred acquisition costs capitalized
|
(48,382 | ) | (39,053 | ) | ||||
Deferred acquisition costs amortized
|
37,457 | 34,279 | ||||||
Reinsurance related assets
|
3,484 | (8,388 | ) | |||||
Pre-paid expenses
|
32,202 | 3,322 | ||||||
Other assets
|
2,003 | 3,115 | ||||||
Increase (decrease) in operating liabilities:
|
||||||||
Policyowner benefit reserves
|
390,000 | 252,533 | ||||||
Advance premiums
|
15,740 | 13,670 | ||||||
Other liabilities
|
488,025 | 49,265 | ||||||
Accounts payable and accrued expenses
|
(24,110 | ) | (6,614 | ) | ||||
Net cash provided by (used in) operating activities
|
599,271 | (20,092 | ) | |||||
Cash Flows from Investing Activities:
|
||||||||
Available-for-sale securities
|
||||||||
Purchase of investments
|
(1,140,464 | ) | (225,587 | ) | ||||
Proceeds from sales and repayments
|
245,640 | 81,585 | ||||||
Purchase of property, equipment and software
|
- | (20,688 | ) | |||||
Net cash (used in) investing activities
|
(894,824 | ) | (164,690 | ) | ||||
Cash Flows from Financing Activities:
|
||||||||
Receipts on deposit-type contracts
|
441,382 | 136,680 | ||||||
Withdrawals on deposit-type contracts
|
(74,577 | ) | - | |||||
Proceeds received from exercise of warrants, net of costs of issuance
|
1,881,819 | 17,182 | ||||||
Net cash provided by financing activities
|
2,248,624 | 153,862 | ||||||
Net increase (decrease) in cash and cash equivalents
|
1,953,071 | (30,920 | ) | |||||
Cash and Cash Equivalents:
|
||||||||
Beginning
|
2,466,526 | 575,005 | ||||||
Ending
|
$ | 4,419,597 | $ | 544,085 |
|
|||
See Notes to Consolidated Financial Statements.
|
|
Three months
ended March 31,
2016
|
Year ended
December 31,
2015
|
||||||
Computer
|
$ | 20,755 | $ | 20,755 | ||||
Furniture and equipment
|
80,956 | 80,956 | ||||||
Software
|
257,500 | 257,500 | ||||||
Accumulated depreciation
|
(85,363 | ) | (75,629 | ) | ||||
Balance at end of period
|
$ | 273,848 | $ | 283,582 |
|
Three months
ended March 31,
2016
|
Year ended
December 31,
2015
|
||||||
Balance at beginning of period
|
$ | 1,573,988 | $ | 686,316 | ||||
Deposits received
|
441,382 | 910,817 | ||||||
Interest credited
|
14,244 | 31,478 | ||||||
Withdrawals
|
(74,577 | ) | (54,623 | ) | ||||
Balance at end of period
|
$ | 1,955,037 | $ | 1,573,988 |
|
2016
|
2015
|
||||||
Balance at beginning of period
|
$ | 86,053 | $ | 52,808 | ||||
Capitalization of commissions, sales and issue expenses
|
48,382 | 146,539 | ||||||
Amortization net of interest
|
(37,457 | ) | (113,294 | ) | ||||
Balance at end of period
|
$ | 96,978 | $ | 86,053 |
- Use of Estimates:
|
The preparation of consolidated financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
|
- Regulatory Factors:
|
US Alliance Life and Security Company is highly regulated by the states in which it operates. Such regulations, among other things, limit the amount of rate increases on policies and impose restrictions on the amount and type of investments and the minimum surplus required to conduct business in the state.
|
|
Recently enacted and potential further financial regulatory reforms could have a significant impact on the Company’s business. In July 2010, the Dodd-Frank Wall Street Reform and Consumer Protection Act (the “Dodd-Frank Act”) was signed into law. The Dodd-Frank Act is expected to have a broad impact on the financial services industry, including significant regulatory and compliance changes. Many of the Dodd-Frank Act requirements will be implemented over time and most will be subject to implementing regulations over several years. Given the uncertainty associated with the manner in which the provisions of the Dodd-Frank Act will be implemented by the various regulatory agencies and through regulations, the full extent of the impact such requirements will have on our operations is unclear. The changes resulting from the Dodd-Frank Act may impact the profitability of business activities, require changes to certain business practices, impose more stringent capital, liquidity and leverage requirements or otherwise adversely affect the Company’s business.
|
- Reinsurance:
|
Reinsurance contracts do not relieve the Company from its obligations to insureds. Failure of reinsurers to honor their obligations could result in losses to the Company; consequently, allowances are established for amounts deemed uncollectible when necessary. The Company evaluates the financial condition of its reinsurers to minimize its exposure to losses from reinsurer insolvencies. Management believes that any liabilities arising from this contingency would not be material to the Company’s financial position.
|
- Interest Rate Risk:
|
Reinsurance Interest rate risk arises from the price sensitivity of investments to changes in interest rates. Interest represents the greatest portion of an investment’s return for most fixed maturity securities in stable interest rate environments. The changes in the fair value of such investments are inversely related to changes in market interest rates. As interest rates fall, the interest and dividend streams of existing fixed-rate investments become more valuable and fair values rise. As interest rates rise, the opposite effect occurs. The Company attempts to mitigate its exposure to adverse interest rate movements through staggering the maturities of the fixed maturity investments and through maintaining cash and other short term investments to assure sufficient liquidity to meet its obligations and to address reinvestment risk considerations. Due to
|
|
the composition of the Company’s book of insurance business, management believes it is unlikely that the Company would encounter large surrender activity due to an interest rate increase that would force the disposal of fixed maturities at a loss.
|
- Investment Risk:
|
The Company is exposed to risks that the issuers of the securities owned by the Company will default or that interest rates will change and cause a decrease in the value of its investments. As interest rates decline, the velocity at which these securities pay down the principal may increase. Management mitigates these risks by conservatively investing in investment grade securities and by matching maturities of the Company’s investments with the anticipated payout of its liabilities.
|
- Credit Risk:
|
The Company is exposed to credit risk through counterparties and within the investment portfolio. Credit risk relates to the uncertainty associated with an obligor’s ability to make timely payments of principal and interest in accordance with the contractual terms of an instrument or contract. The Company manages its credit risk through established investment policies and guidelines which address the quality of creditors and counterparties, concentration limits, diversification practices and acceptable risk levels. These policies and guidelines are regularly reviewed and approved by senior management and the Company’s board.
|
2016 | ||||||||||||
|
Cost or
Amortized
Cost
|
Gross
Unrealized
Gains
|
Gross
Unrealized
Losses
|
Fair Value
|
||||||||
Available for sale:
|
|
|
|
|||||||||
Fixed maturities:
|
|
|
|
|||||||||
US Treasury securities
|
$ | 460,152 | $ | 2,324 $ | (7,831) | $ | 454,644 | |||||
Corporate bonds
|
2,940,646 | 64,322 | (79,980) | 2,924,988 | ||||||||
Municipal bonds
|
2,317,509 | 87,412 | (2,559) | 2,402,362 | ||||||||
Mortgage backed and asset backed securities
|
3,181,284 | 41,840 | (16,960) | 3,206,164 | ||||||||
Total fixed maturities
|
8,899,591 | 195,898 | (107,330) | 8,988,158 | ||||||||
Equities:
|
||||||||||||
Equities
|
3,712,226 | 217,432 | (156,196) | 3,773,462 | ||||||||
Other equity investments
|
124,190 | 21,344 | (46) | 145,488 | ||||||||
Total equities
|
3,836,416 | 238,776 | (156,242) | 3,918,950 | ||||||||
Total available for sale
|
$ | 12,736,007 | $ | 434,674 $ | (263,572) | $ | 12,907,108 | |||||
|
2015 | |||||||||||
|
Cost or
|
Gross
|
Gross | |||||||||
|
Amortized
|
Unrealized
|
Unrealized | |||||||||
|
Cost
|
Gains
|
Losses |
Fair Value
|
||||||||
Available for sale:
|
||||||||||||
Fixed maturities:
|
||||||||||||
US Treasury securities
|
$ | 461,132 | $ | - $ | (34,816) | $ | 426,316 | |||||
Corporate bonds
|
3,039,539 | 15,715 | (143,701) | 2,911,553 | ||||||||
Municipal bonds
|
1,726,098 | 28,634 | (10,595) | 1,744,137 | ||||||||
Mortgage backed and asset backed securities
|
3,083,389 | 19,554 | (53,831) | 3,049,113 | ||||||||
Total fixed maturities
|
8,310,158 | 63,903 | (242,943) | 8,131,119 | ||||||||
Equities:
|
||||||||||||
Equities
|
3,387,927 | 219,883 | (177,756) | 3,430,054 | ||||||||
Other equity investments
|
137,778 | 36,436- | 174,214 | |||||||||
Total equities
|
3,525,705 | 256,319 | (177,756) | 3,604,268 | ||||||||
Total available for sale
|
$ | 11,835,863 | $ | 320,222 $ | (420,699) | $ | 11,735,387 |
|
Amortized Cost
|
Fair Value
|
||||||
Amounts maturing in:
|
|
|
||||||
One year or less
|
$ | 50,303 | $ | 50,101 | ||||
After one year through five years
|
1,100,819 | 1,108,461 | ||||||
After five years through ten years
|
1,510,850 | 1,505,646 | ||||||
More than 10 years
|
3,056,335 | 3,117,786 | ||||||
Mortgage backed and asset backed securities
|
3,181,284 | 3,206,164 | ||||||
|
$ | 8,899,591 | $ | 8,988,158 |
2016 | 2015 | |||
Gross Gains | $ | 10,838 | $ | - |
Gross Losses | - | - | ||
Net security (losses) gains | $ | 10,838 | $ | - |
Less than 12 months
|
Greater than 12 months
|
Total
|
||||||||||||||||||||||
Fair
Value
|
Unrealized
Loss
|
Fair
Value
|
Unrealized
Loss
|
Fair
Value
|
Unrealized
Loss
|
|||||||||||||||||||
March 31, 2016 |
|
|
|
|
|
|
||||||||||||||||||
Available for sale: Fixed maturities:
|
|
|
|
|
|
|
||||||||||||||||||
US Treasury Securities
|
$ | - | $ | - | $ | 253,206 | $ | (7,831 | ) | $ | 253,206 | $ | (7,831 | ) | ||||||||||
Corporate bonds
|
861,017 | (77,627 | ) | 98,574 | (2,353 | ) | 959,591 | (79,980 | ) | |||||||||||||||
Municipal bonds
|
366,441 | (2,559 | ) | - | - | 366,441 | (2,559 | ) | ||||||||||||||||
Mortgage backed and asset backed securities
|
514,969 | (8,708 | ) | 1,177,107 | (8,252 | ) | 1,692,076 | (16,960 | ) | |||||||||||||||
Total fixed maturities
|
1,742,427 | (88,894 | ) | 1,528,887 | (18,436 | ) | 3,271,314 | (107,330 | ) | |||||||||||||||
Equities:
|
||||||||||||||||||||||||
Equities
|
1,027,778 | (62,429 | ) | 829,006 | (93,767 | ) | 1,856,784 | (156,196 | ) | |||||||||||||||
Other equity investments
|
41,472 | (46 | ) | - | - | 41,472 | (46 | ) | ||||||||||||||||
Total equities
|
1,069,250 | (62,475 | ) | 829,006 | (93,767 | ) | 1,898,256 | (156,242 | ) | |||||||||||||||
Total available for sale
|
$ | 2,811,677 | $ | (151,369 | ) | $ | 2,357,893 | $ | (112,203 | ) | $ | 5,169,570 | $ | (263,572 | ) |
Less than 12 months
|
Greater than 12 months
|
|
Total
|
|||||||||||||||||||||
Fair
Value
|
Unrealized
Loss
|
Fair
Value
|
Unrealized
Loss
|
Fair
Value
|
Unrealized
Loss
|
|||||||||||||||||||
|
|
|
|
|
|
|||||||||||||||||||
Available for sale:
|
|
|
|
|
|
|
||||||||||||||||||
Fixed maturities:
|
|
|
|
|
|
|
||||||||||||||||||
US Treasury Securities
|
$ | 197,719 | $ | (1,351 | ) | $ | 228,597 | $ | (33,465 | ) | $ | 426,316 | $ | (34,816 | ) | |||||||||
Corporate bonds
|
2,141,253 | (143,701 | ) | - | - | 2,141,253 | (143,701 | ) | ||||||||||||||||
Municipal bonds
|
675,885 | (10,595 | ) | - | - | 675,885 | (10,595 | ) | ||||||||||||||||
Mortgage backed and asset backed securities
|
1,943,017 | (39,189 | ) | 438,173 | (14,642 | ) | 2,381,190 | (53,831 | ) | |||||||||||||||
Total fixed maturities
|
4,957,874 | (194,836 | ) | 666,770 | (48,107 | ) | 5,624,644 | (242,943 | ) | |||||||||||||||
Equities:
|
||||||||||||||||||||||||
Equities
|
1,036,877 | (75,352 | ) | 820,370 | (102,404 | ) | 1,857,247 | (177,756 | ) | |||||||||||||||
Total equities
|
1,036,877 | (75,352 | ) | 820,370 | (102,404 | ) | 1,857,247 | (177,756 | ) | |||||||||||||||
Total available for sale
|
$ | 5,994,751 | $ | (270,188 | ) | $ | 1,487,140 | $ | (150,511 | ) | $ | 7,481,891 | $ | (420,699 | ) |
·
|
Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access at the measurement rate.
|
·
|
Level 2 inputs are inputs other than quoted prices included within Level 1 that are observable for the asset or liability, either directly or indirectly.
|
·
|
Level 3 inputs are unobservable for the asset or liability and reflect an entity’s own assumptions about the assumptions that market participants would use in pricing the assets or liabilities.
|
|
|
2016
|
|
|||||||||||||
|
Total
|
Level 1
|
Level 2
|
Level 3
|
||||||||||||
Available for sale: Fixed maturities:
|
|
|
|
|
||||||||||||
US Treasury securities
|
$ | 454,644 | $ | 454,644 | $ | - | $ | - | ||||||||
Corporate bonds
|
2,924,988 | - | 2,924,988 | - | ||||||||||||
Municipal bonds
|
2,402,362 | - | 2,402,362 | - | ||||||||||||
Mortgage backed and asset backed securities
|
3,206,164 | - | 3,206,164 | - | ||||||||||||
Total fixed maturities
|
8,988,158 | 454,644 | 8,533,514 | - | ||||||||||||
Equities:
|
||||||||||||||||
Equities
|
3,773,462 | 3,773,462 | - | - | ||||||||||||
Other equity investments
|
145,488 | 145,488 | - | - | ||||||||||||
Total equities
|
3,918,950 | 3,918,950 | - | - | ||||||||||||
Total
|
$ | 12,907,108 | $ | 4,373,594 | $ | 8,533,514 | $ | - |
|
|
2015
|
|
|||||||||||||
|
Total
|
Level 1
|
Level 2
|
Level 3
|
||||||||||||
Available for sale: Fixed maturities:
|
|
|
|
|
||||||||||||
US Treasury securities
|
$ | 426,316 | $ | 426,316 | $ | - | $ | - | ||||||||
Corporate bonds
|
2,911,553 | - | 2,911,553 | - | ||||||||||||
Municipal bonds
|
1,744,137 | - | 1,744,137 | - | ||||||||||||
Mortgage backed and asset backed securities
|
3,049,113 | - | 3,049,113 | - | ||||||||||||
Total fixed maturities
|
8,131,119 | 426,316 | 7,704,803 | - | ||||||||||||
Equities:
|
||||||||||||||||
Equities
|
3,430,054 | 3,430,054 | - | - | ||||||||||||
Other equity investments
|
174,214 | 174,214 | - | - | ||||||||||||
Total equities
|
3,604,268 | 3,604,268 | - | - | ||||||||||||
Total
|
$ | 11,735,387 | $ | 4,030,584 | $ | 7,704,803 | $ | - |
2016
|
2015
|
|||||||||||||||
|
Carrying Value
|
Fair Value
|
Carrying Value
|
Fair Value
|
||||||||||||
Financial Assets:
|
|
|
|
|
||||||||||||
Cash and cash equivalents
|
$ | 4,419,597 | $ | 4,419,597 | $ | 2,466,526 | $ | 2,466,526 | ||||||||
Investments, at fair value
|
12,907,108 | 12,907,108 | 11,735,387 | 11,735,387 | ||||||||||||
|
$ | 17,326,705 | $ | 17,326,705 | $ | 14,201,913 | $ | 14,201,913 | ||||||||
Financial Liabilities:
|
||||||||||||||||
Policyholder deposits in deposit-type contracts
|
$ | 1,955,037 | $ | 1,937,442 | $ | 1,573,988 | $ | 1,406,724 | ||||||||
|
$ | 1,955,037 | $ | 1,937,442 | $ | 1,573,988 | $ | 1,406,724 |
|
2016
|
2015
|
||||||
Balance Sheet
|
|
|
||||||
Benefits and claim reserves ceded
|
$ | 13,862 | $ | 19,622 | ||||
Amounts due from ceding company
|
4,098 | 1,822 | ||||||
Statements of Comprehensive Loss
|
||||||||
Ceded premium
|
26,973 | 7,814 | ||||||
Assumed premium
|
800,730 | 595,683 | ||||||
Allowances on ceded premium
|
708 | 2,109 | ||||||
Allowances paid on assumed premium
|
90,355 | 85,140 | ||||||
Assumed benefits
|
700,850 | 504,439 |
Notice Address: (Section 23)
Tenant:
US Alliance Corporation
Attn: Jack Brier
4123 SW Gage Center Drive Suite 240
Topeka, KS 66604
Phone: 785-273-5578
Fax: 785-228-1038
|
Landlord:
Lindemuth Inc, dba Gage Center
CIO KS Commercial Real Estate Services, Inc.
4125 SW Gage Center Dr., Suite 200
Topeka, KS 66604
Phone: 785-272-2525
Fax: 785-272-2507
|
Period:
|
Rent Per Month:
|
10/11/11 — 12/31/11 |
$0.00
|
01/01/12 — 12/31/14 |
$2,000.0
|
1)
|
Repair Roof Leaks
|
2)
|
Replace damages or stained ceiling tiles,
|
3)
|
HVAC system; replace filters, clean ceiling air registers, clean ductwork if inspection of the ductwork determines that cleaning is necessary, make repairs, adjustments or additions as necessary to provide sufficient heating and cooling throughout the premises and adequate to accommodate a training room in the SE room of the premises,
|
4)
|
Lights: Replace lights bulbs or repair fixtures to provide tenant with all existing lights in proper operating condition. Tenant shall be responsible for light bulbs and fixtures after this initial work is performed by Landlord,
|
1)
|
Replace Carpet throughout the Premises,
|
2)
|
Paint the interior of the Premises,
|
3)
|
Install window blinds,
|
4)
|
Be responsible for janitorial service and minor interior maintenance within the premises after occupancy.
|
(i)
|
If Tenant files a voluntary petition in bankruptcy, or for reorganization under the bankruptcy laws, or is adjudged a bankrupt by a court of competent jurisdiction;
|
(ii)
|
If Tenant makes an assignment for the benefit of creditors;
|
(iii)
|
If a receiver is appointed by a court of competent jurisdiction for Tenant's business;
|
(iv)
|
If Tenant abandons Premises.
|
32)
|
NO REPRESENTATIONS BY LANDLORD: Neither Landlord nor any agent or employee of Landlord has made any representations or promises with respect to the leased Premises or building except as herein expressly set forth, and no rights, privileges, easements or licenses are required by Tenant as except as herein expressly set forth. The Tenant, by taking possession of the leased Premises, shall accept the same "as is" unless otherwise specified in this Lease, in such taking of possession shall be conclusive evidence that the leased Premises in the building are in good and satisfactory condition at the time of such taking of possession.
|
33)
|
DISCLOSURE: THE FOLLOWING DISCLOSURE IS MADE IN COMPLIANCE WITH KANSAS REAL STATE LAWS AND RULES AND REGULATIONS. The following real estate brokerage relationships are available in Kansas. The brokerage relationships offered by KS Commercial Real Estate Services, Inc. are Transaction Broker and Seller/Landlord Agency in limited situations such as properties managed By KS Commercial Real Estate Services, Inc. KS Commercial Real Estate Services, Inc. and any cooperating broker have disclosed to both Landlord and Tenant their brokerage relationship per the Lease Summary. The Landlord and Tenant acknowledge that this disclosure was previously given to them.
|
a)
|
Seller/Landlord Agency Only. (Buyer/Tenant not represented) Listing Broker and Listing/Selling Agent are acting as agent for Seller/Landlord only ("Seller's Agent") and not as agent for Buyer/Tenant. Buyer/Tenant is not represented.
|
b)
|
Buyer/Tenant Agency Only. (Seller/Landlord not represented) Selling Broker and Selling Agent are acting as agents for Buyer/Tenant only ("Buyer's Agents") and not as agent for Seller/Landlord. Seller/Landlord is not represented.
|
c)
|
Separate Single Agency. (Seller/Landlord and Buyer/Tenant each have separate agents) Listing Broker and Listing Agent are acting as agent for Seller/Landlord only ("Seller's Agents") and not as agent for Buyer/Tenant. Selling Broker and Selling Agent are acting as agent for Buyer/Tenant only ("Buyer's Agents") and not as agent for Seller/Landlord.
|
d)
|
Seller/Landlord Sub-Agency. (Buyer/Tenant not represented) Listing Broker and Listing Agent are acting as agent for Seller/Landlord only ("Seller's Agents") and not as agent for Buyer/Tenant. Selling Broker and Selling Agent are acting as agent for Seller/Landlord only ("Seller's Sub-Agents") in cooperating with Listing Broker and Listing Agent and not as agent for Buyer/Tenant. Buyer is not represented.
|
e)
|
Designated Agency. Listing Agent is acting as agent for Seller/Landlord only ("Seller's Agent") and not as agent for Buyer/Tenant. Selling Agent has been designated by Broker to act as legal agent for Buyer/Tenant only ("Designated Agent") and not as agent for Seller/Landlord. Broker is acting in a limited capacity.
|
f)
|
Transaction Broker. Broker and his/her affiliated licensees assist one more parties without being an agent for advocate for the interests of any party to the transaction. A broker, acting as a Transaction Broker, is not an agent for either Landlord or Tenant and does not advocate the interests of either party, but is responsible for assisting both parties in closing the transaction. A Transaction Broker has the following rights and obligations:
|
|
A) MATTERS THAT CAN BE DISCLOSED. Except as provided in B below, licensees acting as a Transaction Broker regarding the lease of commercial property may disclose the following information unless prohibited by the parties:
|
|
B) MATTERS THAT CANNOT BE DISCLOSED. Licensees acting as a transaction Broker shall not disclose any information or personal confidences about a party to the transaction which might place the other party at an advantage over the party unless the disclosure is required by law or failure to disclose such information would constitute fraudulent misrepresentation.
|
|
C) NO DUTY TO INVESTIGATE. Licensees acting as a Transaction Broker have no duty to conduct an independent inspection of the property for the benefit of any party to the transaction; to independently verify the accuracy or completeness of statements made by the Landlord, Tenant or qualified third party inspectors; to conduct an independent investigation of the Tenant's financial condition; or to verify the accuracy or completeness of any statement made by the either party.
|
|
D) DUTY TO DISCLOSE MATERIAL FACTS. Licensees acting as a Transaction Broker have the same duty to disclose material facts as a seller's, Landlord's or Tenant's agent.
|
1.
|
the amount of ultimate reinsurance causes the Binding Limit, shown in Exhibit A, to be exceeded; or
|
2.
|
the amount of ultimate reinsurance causes the Jumbo Limit, as shown in Exhibit A, to be exceeded; or
|
3.
|
the Company has submitted the risk for facultative underwriting consideration to any reinsurer, including the Reinsurer, within five (5) years except for any prior facultative submission that was solely for capacity and which may now be accommodated within the terms of this Agreement; or
|
4.
|
the substandard mortality rating assessed to the risk exceeds Table P (500%) or its equivalent on an extra premium basis; or
|
5.
|
the risk at the time of issue exceeds the maximum issue age shown in Exhibit A; or
|
6.
|
the individual life insurance is to be issued on a professional athlete, politician, or diplomat.
|
n
|
Punitive Damages are those damages awarded as a penalty, the amount of which is neither governed nor fixed by statute.
|
n
|
Compensatory Damages are those amounts awarded to compensate for the actual damages sustained, and are not awarded as a penalty nor fixed in amount by statute.
|
n
|
Statutory Penalties are those amounts awarded as a penalty, but are fixed in amount by statute.
|
1.
|
The Company must give the Reinsurer thirty (30) days written notice prior to its intended date of the commencement of recapture.
|
2.
|
The reduction of reinsurance on affected policies shall become effective on the policy anniversary date immediately following the notice of election to recapture; however, no reduction shall be made until a policy has been in force for at least [insert number of years] years.
|
3.
|
If any reinsured policy is recaptured, all reinsured policies eligible for recapture under the provisions of this Article must be recaptured up to the Company's new maximum retention limits in a consistent manner and the Company must increase its total amount of insurance on each reinsured life. The Company may not revoke its election to recapture for policies becoming eligible at future anniversaries.
|
1.
|
the Preferred Criteria for business ceded under this Agreement is included in Exhibit A;
|
2.
|
the age and amount requirements for business ceded under this Agreement are included in Exhibit A;
|
3.
|
the underwriting manual used for the classification of risk business ceded under this Agreement is General Re Life Corporation;
|
4.
|
the application for insurance and conditional receipt or temporary insurance agreement is on file with the Reinsurer.
|
1.
|
the risk should have been declined, postponed, or additional information obtained based on the underwriting manual cited above;
|
2.
|
a risk that exceeds the agreed upon limits or capacity;
|
3.
|
not obtaining age and amount requirements;
|
4.
|
reducing ratings outside approved guidelines;
|
5.
|
business decisions.
|
1.
|
absent any knowledge by the Company of a claim on the policy, the Reinsurer shall receive the appropriate premium, together with interest, based on the appropriate underwriting rate per the agreed upon underwriting guidelines. The Reinsurer's liability remains unchanged.
|
2.
|
in all other cases, the Reinsurer's liability shall be reduced to the same proportion as the reinsurance premiums credited to the Reinsurer bear to the reinsurance premiums based on the appropriate underwriting rating per the agreed upon underwriting guidelines.
|
1.
|
The term "Party" shall refer to either the Company or the Reinsurer, as appropriate.
|
2.
|
The terms used in this Article are defined by reference to Regulation Section 1.848-2 in effect as of December 29, 1992.
|
3.
|
The Party with the net positive consideration for this Agreement for each taxable year shall capitalize specified policy acquisition expense with respect to this Agreement without regard to the general deductions limitation of Section 848 (c)(1).
|
4.
|
The Company and the Reinsurer agree to exchange information pertaining to the amount of the net consideration under this Agreement each year to ensure consistency or as otherwise required by the Internal Revenue Service.
|
5.
|
The Company shall submit a schedule to the Reinsurer by June 1 of each year of its calculation of the net consideration for the preceding calendar year. This schedule of calculations shall be accompanied by a statement signed by an officer of the Company stating that the Company shall report such net consideration in its tax return for the preceding calendar year.
|
6.
|
The Reinsurer may contest such calculation by providing an alternative calculation to the Company in writing within thirty (30) days of the Reinsurer's receipt of the Company's calculation. If the Reinsurer does not so notify the Company, the Reinsurer shall report the net consideration as determined by the Company in the Reinsurer's tax return for the previous calendar year.
|
7.
|
If the Reinsurer contests the Company's calculation of the net consideration, the Parties shall act in good faith to reach an agreement as to the correct amount within thirty (30) days of the date the Reinsurer submits its alternative calculation. If the Reinsurer and the Company reach agreement on an amount of net consideration, each Party shall report such amount in their respective tax returns for the previous calendar year.
|
1.
|
applies for or consents to the appointment of a receiver, rehabilitator, conservator liquidator or statutory successor of its properties or assets; or
|
2.
|
is adjudicated as bankrupt or insolvent; or
|
3.
|
files or consents to the filing of a petition in bankruptcy, seeks reorganization to avoid insolvency or makes formal application for any bankruptcy, dissolution, liquidation or similar law or statute; or
|
4.
|
becomes the subject of an order to rehabilitate or an order to liquidate as defined by the insurance code of the jurisdiction of the Party's domicile.
|
1.
|
is or becomes available to the general public through no fault of the Party receiving the Customer or Proprietary Information (the "Recipient");
|
2.
|
is independently developed by the Recipient;
|
3.
|
is acquired by the Recipient from a third party not covered by a confidentiality agreement; or
|
4.
|
is disclosed under a court order, law, or regulation.
|
US ALLIANCE LIFE & SECURITY COMPANY
|
GENERAL RE LIFE COPORATION
|
By: /s/ Jeff Brown
|
By: /s/ James M. Greenwood
|
Title: EVP & COO
|
Title: Senior Vice President
|
Date: January 7, 2015
|
Date: November 24, 2014
|
Attest: /s/ Jack H. Brier
Title: President
|
Attest: /s/ Kathy Gollbach
Title: Second Vice President
|
Base Plan and Effective Date
|
Reinsured Riders
|
2014 Level Term Series
|
Primary Insured Rider
|
Additional Insured Rider
|
Effective Date
|
Reinsurer’s Share
|
7/1/2014
|
100%
|
Issue Age
|
Standard to Table 4
|
Table 1 — Table 6
|
Table 7 — Table 8
|
18 — 65
|
$25,000
|
$25,000
|
$25,000
|
MALE RATES
|
15YT
|
20YT
|
25YT
|
30YT
|
|
||||||
|
UW Class
|
Issue Ages
|
Dur 2-5
|
Dur 6-15
|
Dur 2-5
|
Dur 6-20
|
Dur 2-5
|
Dur 6-25
|
Dur 2-5
|
Dur 6-30
|
Post Level and Conversions
|
Preferred Plus NT
|
18-29
|
72%
|
72%
|
64%
|
64%
|
62%
|
58%
|
62%
|
56%
|
125%
|
|
30-39
|
46%
|
46%
|
45%
|
42%
|
45%
|
39%
|
45%
|
37%
|
150%
|
||
40-49
|
44%
|
40%
|
44%
|
36%
|
44%
|
35%
|
44%
|
35%
|
175%
|
||
50-59
|
46%
|
38%
|
46%
|
37%
|
46%
|
37%
|
46%
|
37%
|
225%
|
||
60-65
|
47%
|
47%
|
47%
|
47%
|
N/A
|
N/A
|
N/A
|
N/A
|
275%
|
||
Preferred NT
|
18-29
|
90%
|
90%
|
80%
|
80%
|
78%
|
72%
|
78%
|
69%
|
150%
|
|
30-39
|
63%
|
63%
|
62%
|
58%
|
62%
|
53%
|
62%
|
50%
|
200%
|
||
40-49
|
62%
|
56%
|
62%
|
50%
|
62%
|
48%
|
62%
|
47%
|
225%
|
||
50-59
|
63%
|
52%
|
63%
|
49%
|
63%
|
49%
|
63%
|
49%
|
250%
|
||
60-65
|
64%
|
63%
|
64%
|
63%
|
N/A
|
N/A
|
N/A
|
N/A
|
300%
|
||
Standard NT
|
18-29
|
111%
|
111%
|
98%
|
98%
|
97%
|
89%
|
97%
|
85%
|
175%
|
|
30-39
|
80%
|
80%
|
80%
|
74%
|
80%
|
68%
|
80%
|
64%
|
250%
|
||
40-49
|
80%
|
72%
|
80%
|
64%
|
80%
|
61%
|
80%
|
60%
|
275%
|
||
50.59
|
84%
|
69%
|
84%
|
64%
|
83%
|
64%
|
83%
|
64%
|
320%
|
||
60-65
|
90%
|
88%
|
90%
|
88%
|
N/A
|
N/A
|
N/A
|
N/A
|
320%
|
||
Standard Tb
|
18-29
|
79%
|
79%
|
74%
|
74%
|
71%
|
71%
|
71%
|
71%
|
175%
|
|
30-39
|
77%
|
69%
|
77%
|
66%
|
77%
|
63%
|
76%
|
61%
|
300%
|
||
40-49
|
84%
|
71%
|
84%
|
66%
|
83%
|
66%
|
83%
|
66%
|
320%
|
||
50-59
|
92%
|
79%
|
92%
|
76%
|
92%
|
75%
|
92%
|
75%
|
320%
|
||
60-65
|
96%
|
87%
|
96%
|
87%
|
N/A
|
N/A
|
N/A
|
N/A
|
320%
|
FEMALE RATES
|
15YT
|
20YT
|
25YT
|
30YT
|
|
||||||
|
UW Class
|
Issue Ages
|
Dur 2-5
|
Dur 6-15
|
Dur 2-5
|
Dur 6-20
|
Dur 2-5
|
Dur 6-25
|
Dur 2-5
|
Dur 6-30
|
Post Level and Conversions
|
Preferred Plus NT
|
18-29
|
59%
|
51%
|
59%
|
50%
|
59%
|
50%
|
59%
|
49%
|
225%
|
|
30-39
|
52%
|
50%
|
52%
|
46%
|
52%
|
42%
|
52%
|
40%
|
225%
|
||
40-49
|
41%
|
40%
|
41%
|
37%
|
41%
|
36%
|
41%
|
36%
|
225%
|
||
50-59
|
42%
|
42%
|
42%
|
42%
|
42%
|
42%
|
42%
|
42%
|
250%
|
||
60-65
|
52%
|
52%
|
52%
|
52%
|
N/A
|
N/A
|
N/A
|
N/A
|
300%
|
||
Preferred NT
|
18-29
|
72%
|
62%
|
72%
|
62%
|
72%
|
61%
|
72%
|
60%
|
250%
|
|
30-39
|
68%
|
65%
|
68%
|
59%
|
68%
|
54%
|
68%
|
51%
|
250%
|
||
40-49
|
55%
|
52%
|
55%
|
48%
|
55%
|
47%
|
55%
|
47%
|
250%
|
||
50-59
|
56%
|
56%
|
56%
|
56%
|
56%
|
56%
|
56%
|
56%
|
275%
|
||
60-65
|
68%
|
68%
|
68%
|
68%
|
N/A
|
N/A
|
N/A
|
N/A
|
300%
|
||
Standard NT
|
18-29
|
100%
|
85%
|
100%
|
85%
|
100%
|
85%
|
100%
|
83%
|
275%
|
|
30-39
|
89%
|
85%
|
89%
|
77%
|
89%
|
70%
|
89%
|
67%
|
325%
|
||
40-49
|
73%
|
69%
|
73%
|
63%
|
73%
|
63%
|
73%
|
63%
|
325%
|
||
50-59
|
73%
|
73%
|
73%
|
73%
|
73%
|
73%
|
73%
|
73%
|
325%
|
||
60-65
|
86%
|
86%
|
86%
|
86%
|
N/A
|
N/A
|
N/A
|
N/A
|
325%
|
||
Standard Tb
|
18-29
|
84%
|
62%
|
84%
|
62%
|
84%
|
62%
|
83%
|
62%
|
275%
|
|
30-39
|
81%
|
73%
|
81%
|
67%
|
81%
|
62%
|
81%
|
61%
|
325%
|
||
40-49
|
72%
|
72%
|
72%
|
69%
|
72%
|
68%
|
72%
|
68%
|
325%
|
||
50-59
|
92%
|
92%
|
86%
|
86%
|
86%
|
86%
|
86%
|
86%
|
325%
|
||
60-65
|
116%
|
113%
|
116%
|
113%
|
N/A
|
N/A
|
N/A
|
N/A
|
325%
|
Type of Flat Extra Premium
|
First Year
|
Renewal Years
|
Temporary Flat Extra (1-5 years)
|
10%
|
10%
|
Permanent Flat Extra (6 years and greater)
|
75%
|
10%
|
|
1. NEW BUSINESS - New issues* only, first time policy is reported to the Reinsurer. Policies appear only once in this detail and should include the following information: policy number, name of insured, DOB, age, sex, policy date, tobacco use, reinsured amount and NAR, table rate, flat extra rate, and premium.
|
|
* Policies which are new, but result from replacements or conversions from other plans covered under other agreements with the Reinsurer should be clearly identified; these policies should not be reported as new issues. The Reinsurer suggests these policies be identified with a transaction code and be reported in the "Changes Detail". The original policy date and duration should also be reported.
|
2.
|
FIRST YEAR, OTHER THAN NEW BUSINESS - Policies previously reported on the new business detail, and are still in their first duration or policies involved in first year premium adjustments.
|
3.
|
RENEWAL YEAR - All renewal policies.
|
4.
|
CHANGES/TERMINATIONS - Polices involved in a change during the current reporting period. Type of change or termination activity must be clearly identified for each policy.
|
5.
|
ACCOUNTING INFORMATION - Premiums summarized for Life, ADB, Waiver, and Other by the following categories: Automatic /Facultative, First Year/Renewal Year, and Allowances where applicable.
|
6.
|
RESERVE INFORMATION - Quarterly, a report of reinsured amounts in force and Policy reserves summarized by Life, ADB, Waiver, and Deficiency. Annually, an actuarial opinion prepared by a qualified actuary certifying ceded in force and reserves, a detailed description of the reserving assumptions including X-factors and the Company's actuarial report in support of its X-factor opinion.
|
7.
|
POLICY EXHIBIT INFORMATION - Summary of the current period's activity and year-to-date totals, reporting the number of policies and reinsurance amount.
|
8.
|
QUARTERLY INFORCE - Quarterly detail report of all policies in force including reserve information.
|
a.
|
"Anniversary Date" means the first day of January of each year following the Effective Date.
|
b.
|
"Company Retention" means:
|
c.
|
"Reinsurance Percentage" means:
|
d.
|
"Effective Date" means January 1, 2015.
|
e.
|
"Initiation Period" means the one-year period from the Effective Date to December 31, 2015, during which Company may, without cause, terminate this Agreement with ninety (90) days advance written notice to the other party.
|
f.
|
"Policy(ies)" mean the group Short Term and Long Term Disability Policies referenced in Section 1.01, and all endorsements, riders attachments, and agreements thereto.
|
g.
|
"Insolvent or Insolvency" means:
|
|
1.
|
The entry by a court of competent jurisdiction of
|
|
A. An order declaring the Company Insolvent, or
|
|
B. An order appointing a receiver or receivers, or trustee or trustees, or liquidators, of the Company or of all or any substantial part of its property; or
|
|
2.
|
The entry of an order or petition pertaining to the Company for relief under Title 11 of the United States Code or any similar order under any applicable law or statute of the United States or any state thereof
|
h.
|
"Risk Premium" means the total premium received by the Company for the reinsured
Policies, less:
|
1.
|
the amount of premium priced by the Managing Agent to cover: (1) premium tax, (2) commissions, (3) other acquisition expenses and (4) other expenses borne by the Company in the administration of such Policies, and
|
2.
|
Reinsurance Management Fees, not including the Initial Start Up Fee, as described in Appendix D.
|
i.
|
"Loss Adjustment Expenses" means any third party claim expenses incurred in the investigating, settling, litigating, adjusting, auditing, managing and processing of claims, except for salaries of Company's and Managing Agent's employees, and other routine office and administrative expenses of the Company and the Managing Agent. Loss Adjustment Expenses include but are not limited to expenses for:
|
a.
|
If Extra-Contractual amounts are awarded against the Company solely as a result of the Managing Agent's decision, action, delay or failure to act, the Reinsurer shall pay one hundred percent (100%) of all such amounts.
|
b.
|
If Extra-Contractual amounts are awarded against the Company solely as a result of Company's decision, action, delay, or failure to act, the Reinsurer shall pay zero percent (0%) of all such amounts.
|
c.
|
When Extra-Contractual amounts are awarded against the Company as a result of both the Managing Agent's and the Company's decision, action, delay or failure to act, the parties agree to share proportionately, based on the allocation of responsibility to the respective parties, in the liability for all such amounts.
|
d.
|
To expedite the resolution of certain claims, amounts other than Policy benefits may be added to a claim settlement. Where such amounts are added, which will be determined by mutual agreement by the parties, the additional amounts shall not be considered to be Extra-Contractual amounts and shall be allocated according to the respective liabilities of the parties under this Agreement. If the parties are unable to agree on either the feasibility or amount of such additional sums, the matter shall be settled by arbitration in accordance with the Arbitration section of this Agreement.
|
a.
|
Classified by the Company as group Short Term and Long Term Disability Insurance; and
|
b.
|
Underwritten or renewed by or on behalf of the Company during the term of this Agreement, at the direction of the Managing Agent,
|
a.
|
Either party may, at its option, terminate this Agreement if the other party fails to pay when due any amounts due under this Agreement. The terminating party may exercise this right only after giving the other party written notice of delinquency, stating its intent to terminate this Agreement and providing 15 days from the date of written notification to cure the default by payment of all delinquent amounts. If the
|
b.
|
This Agreement shall automatically terminate, with respect to reinsurance for new Policies, on the date of Company's insolvency or cessation of operations, if earlier. Reinsurance in-force on the date of Company's Insolvency or cessation of operations, if earlier, will be administered in accordance with the Insolvency section of this Agreement.
|
c.
|
During the Initiation Period, either Party may terminate this Agreement without cause by providing ninety (90) days advance written notice to the other Party. In the event of such termination during the Initiation Period, the Company may immediately recapture any business reinsured under this Agreement.
|
d.
|
In the event the Agreement is not terminated during the Initiation Period, then neither party may terminate this Agreement without cause until December 31, 2019, after which date either party may terminate this Agreement effective on an Anniversary Date by giving the other party one hundred twenty (120) days prior written notice.
|
e.
|
Either party may terminate this Agreement effective on January 1, 2018 by giving the other party one hundred twenty (120) days prior written notice, in the event that the in force reinsured premium as of July 1, 2017 is less than S100,000.
|
a.
|
use or permit the use of any of the Confidential Information for any purpose other than the performance of its duties under the terms of this Agreement, or
|
b.
|
disclose or permit the disclosure of any of the Confidential Information to any person or entity other than the Company's representatives, or as required by law.
|
If to Company:
US Alliance Life and Security Company
4123 SW Gage Center Dr. Suite 240
Topeka, KS 66604
Attn: Chief Operating Officer
|
If to Reinsurer or Managing Agent:
Custom Disability Solutions (CDS)
600 Sable Oaks Drive, Suite 200
South Portland, ME 04106
Attn: Chief Financial Officer
|
PARTICIPATING REINSURERE[S]
|
DOLLAR
PARTICIPATION
|
PERCENTAGE
PARTICIPATION
|
Reliance Standard Life Insurance Company
|
$15,000
|
100%
|
TOTAL AUTHROIZED PARTICIPATION
|
$15,000
|
100%
|
·
|
A periodic STD Claim Payment Register Report and a periodic LTD Claim Payment Register Report, indicating the amount of Federal Income Tax ("FIT"), State Income Tax ("SIT") and FICA tax withheld from benefit amounts paid for each claimant;
|
·
|
An Annual Report capturing forms "W-2" and "1099 Misc" data reported to LTD claimants, providers and the IRS if requested.
|
1.
|
13.5% of earned STD and LTD premium due from the policyholder ("street premium").
|
2.
|
Loss Adjustment Expenses are not included in the Management Fees. Liability for Loss Adjustment Expenses incurred for a claim shall be apportioned between the Reinsurer and the Company in direct proportion to the risk each bears on such claim
|
3.
|
An Initial Start Up Fee of $30,000 ("Accumulated Fee") will be due from the Company on the Effective Date of the Agreement and shall be held by the Managing Agent in an escrow account. The Accumulated Fee will offset 50% of the Management Fees due to the Managing Agent as described in Section 1 of this Appendix D for the first thirty (30) months the Agreement is in force.
|
·
|
The Agreement terminates after having been in force for less than thirty (30) months; or
|
·
|
The Accumulated Fee is greater than zero after the Agreement has been in force for thirty (30) months or more.
|
ARTICLE 1 | REINSURANCE CEDED AND ACCEPTED |
1.1. Automatic Reinsurance | |
1.2. Facultative Reinsurance | |
1.3. Currency | |
1.4. Capacity of Agreement | |
ARTICLE 2 | PROCEDURES TO EFFECT REINSURANCE |
2.1. Automatic Reinsurance | |
2.2. Facultative Application For Reinsurance | |
ARTICLE 3 | LIABILITY |
3.1. Automatic Reinsurance | |
3.2. Facultative Reinsurance on Policies Otherwise Subject to Automatic Reinsurance | |
3.3. All Other Facultative Reinsurance | |
3.4. Liability Limitations | |
ARTICLE 4 | REINSURANCE AMOUNT OF RISK |
4.1. Face Amount Basis | |
4.2. Net Amount at Risk Basis | |
4.3. Supplementary Benefits | |
4.4. Minimum Reinsured Risk Amount | |
ARTICLE 5 | REINSURANCE PREMIUMS |
5.1. Life Premiums | |
5.2. Standard Risks | |
5.3. Substandard Risks | |
5.4. Term Riders | |
ARTICLE 6 | ALLOWANCES |
6.1. Allowances | |
6.2. Premium Taxes | |
ARTICLE 7 | GENERAL PROCEDURES |
7.1. The Company's Forms, Rates and Procedures | |
7.2. Inspection of Records | |
7.3. Errors and Omissions | |
7.4. Reserves | |
7.5. Reporting | |
7.6. Confidentiality |
ARTICLE 8 | ACCOUNTING AND BILLING |
8.1. Reinsurance Premiums | |
8.2. Billing | |
8.3. Late Payment | |
ARTICLE 9 | CHANGES AND ADJUSTMENTS |
9.1. Change Information | |
9.2. Reductions | |
9.3. Increases | |
9.4. Reinstatements | |
9.5. Conversions | |
9.6. Underwriting Reassessment | |
9.7. Terminations | |
9.8. Policy Replacement | |
9.9. Cash Values | |
9.10. Policy Loans and Dividends | |
9.11. Reduced Paid Up and Extended Term | |
9.12. Recapture | |
ARTICLE 10 | CLAIMS |
10.1. Claims Liability | |
10.2. Notice | |
10.3. Authorization for Payment | |
10.4. Adjusted Amounts | |
10.5. Payment | |
10.6. Contest | |
10.7. Punitive Damages | |
ARTICLE 11 | ARBITRATION |
11.1. Principle | |
11.2. Arbitrators | |
11.3. Matters in Dispute | |
11.4. Procedures | |
11.5. Decision | |
11.6. Applicable Laws | |
ARTICLE 12 | INSOLVENCY |
12.1. Payment of Claims | |
12.2. Notice to OPTIMUM RE | |
12.3. Expenses | |
12.4. Right to Offset | |
ARTICLE 13 | DEFERRED ACQUISITION COST TAX |
ARTICLE 14 | EXECUTION |
14.1. Duration | |
14.2. Parties to the Agreement | |
14.3. Written Agreement | |
14.4. Change of Control/Assignment | |
14.5. Compliance | |
14.6. Signatures |
SCHEDULE A | RETENTION AND REINSURANCE LIMITS |
SCHEDULE B | PLANS AND RIDERS REINSURED |
SCHEDULE C | YRT PREMIUM RATES |
PART 1 - MALE RATES 619.00 | |
PART 2 - FEMALE RATES 620.00 | |
SCHEDULE D | LIFE APPLICATION (LIFE-APP 3/13) |
SCHEDULE E | UNDERWRITING REQUIREMENTS |
SCHEDULE F | PART 1 - REINSURANCE APPLICATION |
PART 2 - REINSURANCE ADVICE NOTICE | |
PART 3 - REINSURANCE CESSION FORM |
Automatic Reinsurance | Shall mean reinsurance which must be ceded by THE COMPANY in accordance with the terms of this Reinsurance Agreement, and must be accepted by OPTIMUM RE. |
Compensatory Damages
|
Shall mean the amounts awarded to compensate for the actual damages sustained, and not awarded as a penalty, nor fixed in amount by statute. |
Facultative Reinsurance | Shall mean reinsurance which THE COMPANY has the option to cede and OPTIMUM RE has the option to accept or decline. |
Insolvency
|
Shall mean the legal incapacity of a company to operate as declared by a court of competent jurisdiction. |
Jumbo Risk | A jumbo risk is one where: |
a. the amount of Life insurance inforce, including any amounts to be replaced, as stated on the application or signed amendment, if any;
|
|
PLUS | |
b. the new amount of Life insurance applied for in all companies | |
|
exceeds the Jumbo Limit specified in Schedule A. Amounts to be replaced cannot be deducted from the amount of Life insurance inforce. Amount of Life insurance is defined as a sum of the highest amounts of death benefit over the duration of each individual and group policy for this insured. |
Policy
|
Shall mean the contract(s) of insurance issued by THE COMPANY in respect of which reinsurance is applied for and/or placed in whole or in part. |
Punitive Damages
|
Shall mean the damages awarded as a penalty, the amount of which is not governed, nor fixed by statute. |
Reinsurance Cession | Shall mean the insurance transferred to OPTIMUM RE by THE COMPANY on a policy. |
Reinsurance Cession Form | Shall mean the document outlining the particulars of the Reinsurance Cession such as name, date of birth, date of policy, plan, amount of policy, risk class, and reinsurance premium amount. |
Statutory Penalties | Shall mean the amounts which are awarded as a penalty, but fixed in amount by statute. |
A.
|
A risk exceeding the automatic reinsurance limit, as specified in SCHEDULE A;
|
B.
|
A jumbo risk, as defined in the Definition of Terms;
|
C.
|
A risk where the complete underwriting evidence according to THE COMPANY's published requirements, as specified in SCHEDULE E, has not been obtained;
|
D.
|
A risk where THE COMPANY's normal underwriting standards were not applied;
|
E.
|
A policy not containing both a standard contestable period and a standard suicide exclusion;
|
F.
|
A risk where the substandard rating assessed by THE COMPANY exceeds Table 8 (300%), or its equivalent on any flat extra premium basis;
|
G.
|
A risk exceeding age 70;
|
H.
|
Any cession to be ceded to OPTIMUM RE at an effective date different from the original issue date of the policy;
|
I.
|
Conversion or replacement of policies where OPTIMUM RE is not the original reinsurer;
|
J.
|
A risk which has been currently or previously submitted to any reinsurer for underwriting assessment by THE COMPANY;
|
K.
|
A risk in which an MIB was not run on the application.
|
A.
|
Upon acceptance of OPTIMUM RE's offer of facultative Reinsurance, THE COMPANY shall complete and send to OPTIMUM RE a Reinsurance Advice Notice (SCHEDULE F, PART 2).
|
B.
|
When the initial premium on a policy that involves facultative reinsurance is received by THE COMPANY, THE COMPANY will complete the same procedure as for Automatic Reinsurance in Article 2.1.
|
C.
|
If THE COMPANY does not accept OPTIMUM RE's offer for reinsurance, THE COMPANY shall complete and send to OPTIMUM RE a Reinsurance Advice Notice (SCHEDULE F, PART 2).
|
i)
|
THE COMPANY's liability under the Policy or Conditional Receipt, whichever applies, minus:
|
ii)
|
The automatic reinsurance limit in this Agreement as described in SCHEDULE A.
|
A.
|
Another reinsurer's offer is accepted;
|
B.
|
48 hours (2 working days) after OPTIMUM RE has declined the case;
|
C.
|
7 working days after OPTIMUM RE's final assessment of the case; if not a decline;
|
D.
|
60 days after the application date.
|
A.
|
OPTIMUM RE's unconditional underwriting offer has been accepted;
|
B.
|
Such acceptance has been communicated to OPTIMUM RE in accordance with Article 2.2.A., in the time frame designated by OPTIMUM RE, during which such offer is valid; and
|
C.
|
The policy has been placed.
|
|
Accidental Death Benefit
|
1.
|
Notify OPTIMUM RE of the situation; and
|
2.
|
Present OPTIMUM RE with a plan of action to correct the situation, including a time frame to solve the problem.
|
1.
|
Make modifications to the plan;
|
2.
|
Pay estimated premiums for the duration of the reporting problem; and/or
|
3.
|
Report larger individual exposures manually, until the situation is resolved.
|
a.
|
is or becomes available to the general public through no fault of the party receiving the Customer or Proprietary Information (the "Recipient");
|
b.
|
is independently developed by the Recipient;
|
c.
|
is acquired by the Recipient from a third party not covered by a confidentiality agreement; or
|
d.
|
is disclosed under a court order, law or regulation.
|
1.
|
The Party with net positive consideration for the Agreement(s) for each taxable year shall compute specified policy acquisition expenses without regard to the general deductions limitation of Section 848(c)(1).
|
2.
|
THE COMPANY and OPTIMUM RE agree to exchange information pertaining to the amount of net consideration as determined for all reinsurance agreements in force between them to ensure consistency or as may otherwise be required by the Internal Revenue Service.
|
3.
|
THE COMPANY will submit a schedule to OPTIMUM RE by May 1st of its calculation of the net consideration for the preceding calendar year. This calculation shall be accompanied by a statement signed by an officer of THE COMPANY stating that THE COMPANY will report such net consideration in its tax return for the preceding calendar year.
|
4.
|
OPTIMUM RE shall advise THE COMPANY if it disagrees with the amounts provided and OPTIMUM RE and THE COMPANY agree to amicably resolve any difference. The amounts provided by THE COMPANY shall be presumed correct if it does not receive a response from OPTIMUM RE at the latest 30 days after receipt by OPTIMUM RE of these amounts or by May 30th of the current year.
|
ARTICLE 1
|
BUSINESS COVERED - CAPACITY
|
ARTICLE 2
|
EXCLUSIONS FROM COVERAGE
|
ARTICLE 3
|
TERM OF AGREEMENT AND TERMINATION REQUIREMENTS
|
ARTICLE 4
|
CHANGES IN RETENTION AND RECAPTURE
|
ARTICLE 5
|
LOSS SETTLEMENT
|
ARTICLE 6
|
PREMIUMS
|
ARTICLE 7
|
ACCOUNTING
|
ARTICLE 8
|
ERRORS AND OMISSIONS
|
ARTICLE 9
|
ACCESS TO RECORDS
|
ARTICLE 10
|
REPORTING
|
ARTICLE 11
|
CONFIDENTIALITY
|
ARTICLE 12
|
INSOLVENCY
|
ARTICLE 13
|
ARBITRATION
|
ARTICLE 14
|
DEFERRED ACQUISITION COST TAX
|
ARTICLE 15
|
EXECUTION
|
SCHEDULE A
|
RETENTION AND REINSURANCE LIMITS
|
SCHEDULE B
|
POLICY FORM #ADB
|
SCHEDULE C
|
BULK BILLING FORM
|
1.
|
Name of the policyholder
|
2.
|
The claimant's name
|
3.
|
Date of claim
|
4.
|
Claim papers relating to the claim including Certificate of Death
|
5.
|
Amount of ADB insurance issued by THE COMPANY and the amount of ADB reinsurance for which the claim is being submitted.
|
1.
|
Notify OPTIMUM RE of the situation; and
|
2.
|
Present OPTIMUM RE with a plan of action to correct the situation, including a time frame to solve the problem.
|
1.
|
Make modifications to the plan;
|
2.
|
Pay estimated premiums for the duration of the reporting problem; and/or
|
3.
|
Report larger individual exposures manually, until the situation is resolved.
|
a.
|
is or becomes available to the general public through no fault of the party receiving the Customer or Proprietary Information (the "Recipient");
|
b.
|
is independently developed by the Recipient;
|
c.
|
is acquired by the Recipient from a third party not covered by a confidentiality agreement; or
|
d.
|
is disclosed under a court order, law or regulation.
|
1.
|
The Party with net positive consideration for the Agreement(s) for each taxable year shall compute specified policy acquisition expenses without regard to the general deductions limitation of Section 848(c)(1).
|
2.
|
THE COMPANY and OPTIMUM RE agree to exchange information pertaining to the amount of net consideration as determined for all reinsurance agreements in force between them to ensure consistency or as may otherwise be required by the Internal Revenue Service.
|
3.
|
THE COMPANY will submit a schedule to OPTIMUM RE by June 1st of its calculation of the net consideration for the preceding calendar year. This calculation shall be accompanied by a statement signed by an officer of THE COMPANY stating that THE COMPANY will report such net consideration in its tax return for the preceding calendar year.
|
4.
|
OPTIMUM RE shall advise THE COMPANY if it disagrees with the amounts provided and OPTIMUM RE and THE COMPANY agree to amicably resolve any difference. The amounts provided by THE COMPANY shall be presumed correct if it does not receive a response from OPTIMUM RE at the latest 30 days after receipt by OPTIMUM RE of these amounts or by May 30th of the current year.
|
ADB | |
THE COMPANY's Retention
|
|
Per Life
|
$0
|
Maximum Issue Limit
|
|
Per Life
|
$300,000
|
Maximum Participation Limit
|
|
Per Life
|
$300,000
|
Maximum Amount Reinsured
|
|
Per Life
|
$300,000
|
Portion of Alphabet
|
|
Reinsured by OPTIMUM RE
|
A - Z
|
Optimum Re
Insurance Company
|
ACCIDENTAL DEATH BENEFIT
Rate per $1,000 $ 0.68 / Annual
|
|
|
I.
In Force Dec 31, 2013
(Prior Year)
In Force April 1, 2013
(Prior Year)
Increase (Decrease)
Premiums in Arrears
|
|
|
|
|
|||
|
|||
$0.34
|
|||
|
|||
II.
In Force Jan 01, 2014
(Current Year)
Premiums in Advance
|
|
|
|
$0.68
|
|||
|
|||
III.
Premiums in Arrears
Premiums in Advance
TOTAL BY COVERAGE
|
|
|
|
|
|||
|
|||
|
1.
|
ceased underwriting operations; or
|
2.
|
been ordered by a state insurance department or a court of competent jurisdiction to cease writing business or is being placed under regulatory supervision; or
|
3.
|
become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary) by a court of competent jurisdiction, or, pursuant to law, there has been instituted against them proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, or trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operations; or
|
4.
|
over any period the RBC Ratio drops below 300% where the RBC Ratio is the ratio of(1) the Authorized Control Level Risk-Based Capital as calculated in the Five Year
|
|
Historical Data of National Association of Insurance Commissioners' Annual Statement Blank to (2) the Total Adjusted Capital as calculated in the Five Year Historical Data of the National Association of Insurance Commissioners' Annual Statement Blank; or
|
5.
|
been acquired or merged with another entity or individual(s) not controlling the Reinsurer's operation at the inception of this Agreement; or
|
6.
|
reinsures its entire liability under this Agreement without the Company's prior written consent.
|
1.
|
The month being reported;
|
2.
|
Reinsurer's quota share percentage of Gross Premiums for the month by Policy;
|
3.
|
Less Reinsurer's quota share percentage of Losses paid during the month by Policy;
|
4.
|
Less the Company Fee as defined in attached Schedule A;
|
5.
|
Less any funds withheld, which are equal to the current statutory reserves;
|
6.
|
Less Reinsurer's quota share percentage of Ceding Allowance by Policy pursuant to Schedule A.
|
1.
|
"Punitive damages" are those damages awarded as a penalty, the amount of which is not governed, nor fixed by statute.
|
2.
|
"Statutory penalties" are those amounts which are awarded as a penalty but fixed in amount by statute.
|
3.
|
"Compensatory damages" are those amounts awarded to compensate for the actual damages sustained, and are not awarded as a penalty or fixed in amount by statue.
|
1.
|
Clean, irrevocable and unconditional letters of credit issued and confirmed, if confirmation is required by the insurance regulatory authorities involved, by a bank or banks meeting the NAIC Securities Valuation Office credit standards for issuers ofletters of credit and acceptable to said insurance regulatory authorities; and/or
|
2.
|
Cash advances; and/or
|
3.
|
Funds withheld (to include the amount, ifany, held in the claims fund); and/or
|
4.
|
Any other security acceptable to the insurance regulatory authorities having jurisdiction over the Company's reserves.
|
(i)
|
To reimburse the Company for the Reinsurer's obligations, the payment of which is due under the terms of this Reinsurance Agreement and which had not been otherwise paid;
|
(ii)
|
To reimburse itself for the Reinsurer's share of any other amounts claimed to be due hereunder, unless paid in cash by the Reinsurer;
|
(iii)
|
To fund a cash account in an amount equal to the Reinsurer's obligations if said letter of credit has not been renewed or replaced by the Reinsurer 10 days prior to its expiration date. Such cash deposit shall be held in an interest bearing account separate from the Company's other assets and the interest thereon not in excess of the prime rate shall accrue to the benefit of the Reinsurer;
|
(iv)
|
To refund to the Reinsurer any sum in excess of the actual amount required to fund the Reinsurer's obligations if so requested by the Reinsurer.
|
A.
|
❑ Client directs Manager not to vote proxies for equity securities held for the Account.
|
B.
|
❑ Client directs Manager to vote all proxies for equity securities held for Client's Account in accordance with (select one):
|
Custodian Bank:
Capital City Bank
3710 SW Topeka Boulevard
Topeka, Kansas 66609
Contact: Mark Burenheide
Phone #: (785) 274-5792
Email: mark.burenheide@capcitybank.corn
|
Custodian Account Name:
|
Custodian Account #:
|
US Alliance Corporation
|
C889000
|
|
|
|
|
|
III.
|
Benchmarks
|
% of Portfolio Market Value
|
||
Asset Class
|
Minimum
|
Maximum
|
Cash/Short Term
|
0%
|
100%
|
Investment Grade Fixed Income
|
7.0%
|
100%
|
High Yield Fixed Income
|
0%
|
15%
|
Equity
|
0%
|
30%
|
Name
|
State of Incorporation
|
Principal Business Address
|
Tax ID #
|
Custodian Information
|
NONE
|
|
|
|
|
|
(a)
|
Notwithstanding anything to the contrary contained in this-Addendum, Client shall not:
|
|
(a)
|
Any use or misuse of the Services by Client or its Eligible Users including, without limitation, any material violation by Client or any Client of the Manager Terms and Conditions or the Documentation; or
|
|
(b)
|
Any allegation or claim that any Client Data or any other intellectual property used by Client in connection with the transactions contemplated in this Addendum infringe or violate any Proprietary Rights of any third party.
|
NAME
|
PHONE
NUMBER
|
E-MAIL ADDRESS
|
Program Administrator:
Jeff Brown
|
785-228-0200
|
jeffb@usalliancecorporation.com
|
|
|
|
Authorized Users:
Jack H. Brier
|
785-228-0200
|
jackb@usalliancecorporation.com
dons@usalliancecorporation.com
|
Don Schepker
|
785-228-0200
|
NAME
|
PHONE
NUMBER
|
E-MAIL ADDRESS
|
Program Administrator:
Jeff Brown
|
785-228-0200
|
jeffb@usalliancecorporation.com
|
|
|
|
Authorized Users:
Jeff Brown
|
785-228-0200
|
jeffb@usalliancecorporation.com
jackb@usalliancecorporation.com
dons@usalliancecorporation.com
|
Jack H. Brier
|
785-228-0200
|
|
Don Schepker
|
785-228-0200
|
q
|
Investment Income Earned
|
q
|
Securities on Deposit - By State
|
q
|
Summary of General Ledger Journal Entries
|
q
|
Trial Balance
|
q
|
Schedule D data, including NAIC Rating information
|
US ALLIANCE INVESTMENT
CORPORATION
|
GENERAL-RE NEW ENGLAND
ASSET MANAGEMENT, INC.
|
BY: /s/ Jack H. Brier
Its: President
|
BY: /s/ Gerald T. Lynch
Its: President
|
Custodian Bank:
Capital City Bank
3710 SW Topeka Boulevard
Topeka, Kansas 66609
Contact: Mark Burenheide
Phone #: (785) 274-5792
Email: mark.burenheide@capcitybank.corn
|
Custodian Account Name:
|
Custodian Account #:
|
N/A - See Schedule E
|
N/A - See Schedule E
|
|
|
|
|
|
®
|
Ensure the existence of sufficient liquidity for the day-to-day obligations and operations of the company;
|
®
|
Management of risk across the investment portfolio and preservation of capital to assure financial strength;
|
®
|
Diversification with respect to asset class, location, maturity and position size;
|
®
|
Management of portfolio to maximize total returns in accordance with policy benchmarks and risk tolerance; and
|
®
|
Compliance with investment laws and regulations.
|
1.
|
United States Government Securities — The Company may invest, without limitation, in bonds or other evidences of indebtedness that are fully guaranteed or insured by the U.S. Government or any agency or instrumentality thereof.
|
2.
|
Securities of the District of Columbia, State, Insular or Territorial Possession Government of the United States - The Company may invest in bonds or other evidences of indebtedness, without limitation, of the District Columbia, State, or any political subdivision of such, or Insular or Territorial Possession of the United States.
|
3.
|
United States Corporate Obligations — The Company may invest in bonds or other evidence of indebtedness issued, assumed or guaranteed by a corporation incorporated under the laws of the United States of America, or any state, district or insular or territorial possession thereof that are rated "1" or "2" by the National Association of Insurance Commissioners ("NAIC") at the time of purchase, or, if no NAIC rating is available, rated investment grade by S&P or Moody's.
|
4.
|
United States Preferred Stocks — The Company may invest in preferred stocks of a corporation incorporated under the laws of the United States of America, or any state, district, or insular or territorial possession thereof. Such investments, in aggregate, shall not exceed 25% of admitted assets.
|
5.
|
United States Common Stocks — The Company may invest in common stocks of a corporation incorporated under the laws of the United States of America, or any state, district, or insular or territorial possession thereof. Such investments, in aggregate, shall not exceed the lesser of 15% of admitted assets or total capital and surplus. In addition, the Company shall not make investments of greater than 2% in common stocks of any one corporation.
|
6.
|
Real Estate — The Company may purchase real estate for use in the operations of the Company (Home Office Real Estate) or for the production of income. Such investments, in aggregate, shall not exceed 20% of the admitted assets of the Company.
|
7.
|
Mortgage Loans — The Company may invest in first-lien mortgage loans on commercial or residential property with loan to value of no greater than 75% at the time of purchase. Such investments, in aggregate, shall not exceed 25% of the admitted assets of the Company. In addition, the Company shall not make investments of greater than 2% of admitted assets in any one mortgage loan.
|
8.
|
Mortgage-Backed Securities — The Company may invest in mortgage-backed securities issued by the federal home loan mortgage corporation, federal national mortgage association or a private entity. All private entity mortgage-backed securities must be designated as either a "1" or "2" by the NAIC at the time of purchase. In addition, the Company shall not make investments of greater than 2% of admitted assets in any one mortgage-backed security.
|
9.
|
Asset-Backed Securities — The Company may invest in asset-backed securities designated as either a "1" or "2" by the NAIC at the time of purchase. Such investments shall not exceed, in aggregate, 20% of the admitted assets of the Company. In addition, the Company shall not make investments of greater than 2% of admitted assets in any one asset-backed security.
|
10.
|
Certificates of Deposit, Time Deposits, Overnight Bank Deposits, Banker's Acceptances and Repurchase Agreements — The Company may invest in any of the following:
|
a.
|
Certificates of deposits, time deposits, overnight bank deposits and banker's acceptances issued by federally insured banks with maturities of 270 days or less from the date of acquisition; and
|
b.
|
Repurchase agreements with acceptable collateral and maturities of 270 days or less from the date of acquisition.
|
11.
|
Commercial Paper — The Company may invest in the commercial paper of US corporations that:
|
a.
|
Are rated at least "A-2" by S&P or "P-2" by Moody's or the equivalent rating of another nationally recognized rating agency if S&P & Moody's cease publishing ratings of these securities; and
|
12.
|
Money Market Accounts or Funds — The Company may in money market accounts or funds that meet the following criteria:
|
a.
|
A substantial portion of the assets of the money market account or fund must be comprised of the investments instruments described in clauses (1) through (3) and (11) above;
|
b.
|
Issuers of the fund or account's investments must have a combined capital and surplus in excess of $500,000,000;
|
c.
|
Maturities of 270 days or less from the date of acquisition;
|
d.
|
Have net assets of not less than $500,000,000; and
|
e.
|
Have the highest rating available of S&P or Moody's, or carrying an equivalent rating by a nationally recognized rating agency if both of the two named rating agencies cease publishing ratings of investments.
|
a.
|
No more than 10% of the Company's admitted assets shall consist of lower grade obligations;
|
b.
|
No more than 3% of the Company's admitted assets shall consist of obligations designated as a "5" or "6" in the NAIC most recently published valuations of securities manual;
|
c.
|
No more than 1% of the Company's admitted assets shall consist of obligations designated "6" in the valuations of securities manual;
|
d.
|
No more than 1% of the Company's admitted assets shall be invested in medium grade obligations, issued, guaranteed or insured by any one institution;
|
e.
|
No more than '/2% of the Company's admitted assets shall be invested in lower grade obligations issued, guaranteed or insured by any one institution; and
|
f.
|
No more than 1% of the Company's admitted assets shall be invested in any medium or lower grade obligations issued, guaranteed or insured by any one institution.
|
Name
|
State of Incorporation
|
Principal Business Address
|
Tax ID #
|
Custodian Information
|
US Alliance Life and Security Company
|
Kansas
|
4123 SW Gage Center Drive, Suite 240 Topeka, Kansas 66604
|
32-0348453
|
Custodian Bank: Capital City Bank
Account Name: US ALLIANCE LIFE & SECURITY COMPANY (KID) CUSTODY ACCT. U/A DTD 7/15/11
Account No.: C888600
Account Name: US ALLIANCE LIFE & SECURITY CO CUSTODIAL ACCT U/A DTD 10/17/11
Account No.: C888500
|
|
(a)
|
Notwithstanding anything to the contrary contained in this-Addendum, Adviser shall not:
|
(a)
|
Any use or misuse of the Services by Adviser or its Eligible Users including, without limitation, any material violation by Adviser or any Adviser of the Sub-Adviser Terms and Conditions or the Documentation; or
|
(b)
|
Any allegation or claim that any Adviser Data or any other intellectual property used by Adviser in connection with the transactions contemplated in this Addendum infringe or violate any Proprietary Rights of any third party.
|
US ALLIANCE INVESTMENT
CORPORATION
|
GENERAL-RE NEW ENGLAND
ASSET MANAGEMENT, INC.
|
BY: /s/ Jack H. Brier
Its: President
|
BY: /s/ Gerald T. Lynch
Its: President
|
NAME
|
PHONE NUMBER
|
E-MAIL ADDRESS
|
|
||
Program Administrator:
Jeff Brown
|
785-228-0200
|
jeffb@usalliancecorporation.com
|
|
|
|
Authorized Users:
Jack H. Brier
|
785-228-0200
|
jackb@usaltiancecorporation.com
|
Don Schepker
|
785-228-0200
|
dons@usalliancecorporation.com
|
NAME
|
PHONE NUMBER
|
E-MAIL ADDRESS
|
Program Administrator:
Jeff Brown
|
785-228-0200
|
jeffb@usalliancecorporation.com
|
|
|
|
Authorized Users:
Jeff Brown
|
785-228-0200
|
jeffb@usalliancecorporation.com
jackb@usalliancecorporation.com
dons@usalliancecorporation.com
|
Jack H. Brier
|
785-228-0200
|
|
Don Schepker
|
785-228-0200
|
If to Servicee: Northern Plains Capital Corporation
|
|
Attention: President
|
US ALLIANCE LIFE
AND SECURITY COMPANY
|
NORTHERN PLAINS CAPITAL CORPORATION
|
By: /s/ Jack H. Brier
President
|
BY: /s/
President
|
Date: September 4, 2016
|
Date: September 2, 2016
|
|
|
Percentage of
|
|||
Minimum Lives
|
Maximum Lives
|
Premium Fee
|
|||
3
|
15
|
17.00%
|
|||
16
|
30
|
15.75%
|
|||
31
|
40
|
14.50%
|
|||
41
|
50
|
13.25%
|
|||
51
|
60
|
12.00%
|
|||
61
|
90
|
10.90%
|
|||
91
|
120
|
9.80%
|
|||
121
|
150
|
8.70%
|
|||
151
|
300
|
6.75%
|
|||
301
|
600
|
5.00%
|
|||
600
|
1,500
|
3.48%
|
|||
1,501
|
3,000
|
1.99%
|
|||
3001 +
|
|
2.00%
|
|||
|
Group Disability
|
|
|||
|
|
Percentage of
|
|||
Minimum Lives
|
Maximum Lives
|
Premium Fee
|
|||
2
|
9
|
12.00%
|
|||
10
|
25
|
10.00%
|
|||
26
|
100
|
8.00%
|
|||
101
|
199
|
5.00%
|
|||
200 +
|
|
3.00%
|
Sound Solutions Term | |
1st Year - Band 1 | 25% of Premium |
1st Year - Band 2 | 18.75% of Premium |
1st Year - Band 3 | 12.5% of Premium |
Maintenance | $60/policy/year |
10 Pay Whole Life | |
1st Year | 15% of Premium + $30 |
Maintenance | $38/policy/year |
20 Pay Whole Life | |
1st Year | 20% of Premium + $30 |
Maintenance | $38/policy/year |
Juvenile | |
1st Year | 20% of Premium |
Maintenance | $1/policy/year |
Pre-need | |
1st Year | $75/policy |
Maintenance | $25/policy/year |
Annuity | |
1st Year | 1% of Premium + $70 |
Maintenance | $35/policy/year |
1.
|
STANDARD SERVICES. During the term of this agreement and subject to inspection by the management of Servicee as hereafter provided, Servicer agrees to consult with Servicee regarding its overall operations, development, sales presentations, and agrees to perform and is hereby granted the authority to perform the following standard services respecting all insurance business of Servicee such as: rate and form filings for approval with the appropriate state regulatory authorities, new application underwriting, policy owner service, policy accounting, commission accounting, transactional reports to support general accounting and routine data processing ("Standard Services"). Additionally, the Servicer shall provide all the necessary data to the Servicee's statutory accountant to facilitate timely statutory statement filings, will prepare GAAP financial statements for Dakota Capital Life Insurance Company, and using data provided by the Servicee, will prepare consolidated GAAP financial statements for Northern Plains Capital Corporation. The fee for standard services is attached in Schedule A.
|
|
|
Percentage of
|
Minimum Lives
|
Maximum Lives
|
Premium Fee
|
3
|
15
|
17.00%
|
16
|
30
|
15.75%
|
31
|
40
|
14.50%
|
41
|
50
|
13.25%
|
51
|
60
|
12.00%
|
61
|
90
|
10.90%
|
91
|
120
|
9.80%
|
121
|
150
|
8.70%
|
151
|
300
|
6.75%
|
301
|
600
|
5.00%
|
600
|
1,500
|
3.48%
|
1,501
|
3,000
|
1.99%
|
3001 +
|
|
2.00%
|
|
|
Percentage of
|
Minimum Lives
|
Maximum Lives
|
Premium Fee
|
2
|
9
|
6.00%
|
10
|
25
|
5.00%
|
26
|
100
|
4.00%
|
101
|
199
|
2.50%
|
200+
|
|
1.50%
|
Sound Solutions Term | |
1st Year - Band 1 | 25% of Premium |
1st Year - Band 2 | 18.75% of Premium |
1st Year - Band 3 | 12.5% of Premium |
Maintenance | $60/policy/year |
10 Pay Whole Life | |
1st Year | 15% of Premium + $30 |
Maintenance | $38/policy/year |
20 Pay Whole Life | |
1st Year | 20% of Premium + $30 |
Maintenance | $38/policy/year |
Juvenile | |
1st Year | 20% of Premium |
Maintenance | $1/policy/year |
Pre-need | |
1st Year | $75/policy |
Maintenance | $25/policy/year |
Annuity | |
1st Year | 1% of Premium + $70 |
Maintenance | $35/policy/year |
Accumulator | |
1st Year | 15% of Premium + $150 |
Maintenance | $45/policy/year |
US ALLIANCE LIFE
AND SECURITY COMPANY
|
NORTHERN PLAINS CAPITAL CORPORATION
|
By: /s/ Jack H. Brier
President
|
By: /s/
President
|
Date: December 15, 2015
|
Date: December 8, 2015
|
n
|
for life and AD&D claims, the reinsurance claim form and copies of notification, claim papers and proofs shall be furnished to the Reinsurer within twelve (12) months following the date the claim was reported to the Company;
|
n
|
for waiver of premium disability claims, the Reinsurer must receive initial notification of the claim within twelve (12) months following the later of the date the Company first received notice of the waiver of premium claim or the date the elimination period was completed. Following the initial notification, the Company shall send proof of the claimant's on-going disability to the Reinsurer on an annual basis (or more frequently if deemed appropriate by the Reinsurer for the disabling condition claimed) for as long as the claimant is eligible for waiver of premium benefit.
|
1.
|
Upon the Company's payment of death proceeds of a Covered Policy to the policy beneficiary, the Company will provide Reinsurer with a request for payment of the reinsurance proceeds associated with the Covered Policy. This procedure applies to all reinsured claims.
|
2.
|
All reinsured contested claims, pre-existing claims and claims with locations of loss that occur outside the United States and claims in litigation: The Company will provide proof
|
1.
|
applies for or consents to the appointment of a receiver, rehabilitator, conservator, liquidator, or statutory successor of its properties or assets; or
|
2.
|
is adjudicated as bankrupt or insolvent; or
|
3.
|
files or consents to the filing of a petition in bankruptcy, seeks reorganization or an arrangement with creditors or takes advantage of any bankruptcy, dissolution, liquidation or similar law or statute; or
|
4.
|
becomes the subject of an order to rehabilitate or an order to liquidate as defined by the insurance code of the jurisdiction of the party's domicile.
|
1.
|
is or becomes available to the general public through no fault of the party receiving the Customer and Proprietary Information (the "Recipient");
|
2.
|
is independently developed by the Recipient;
|
3.
|
is acquired by the Recipient from a third party not covered by a confidentiality agreement; or
|
4.
|
is disclosed under a court order, law or regulation.
|
1.
|
Intimidate or coerce a civilian population; or
|
2.
|
Disrupt any segment of an economy; or
|
3.
|
Influence the policy of a government by intimidation or coercion; or
|
4.
|
Affect the conduct of a government by destruction, assassination, kidnapping or hostage-taking; or
|
5.
|
Advance a political, religious or ideological cause.
|
1.
|
The term "Party" shall refer to either the Company or the Reinsurer as appropriate.
|
2.
|
The terms used in this Article are defined by reference to Regulation Section 1.848-2 in effect as of December 29, 1992.
|
3.
|
The Party with the net positive consideration for this Agreement for each taxable year shall capitalize specified policy acquisition expense with respect to this Agreement without regard to the general deductions limitation of Section 848(c)(1).
|
4.
|
The Company and the Reinsurer agree to exchange information pertaining to the amount of the net consideration under this Agreement each year to ensure consistency or as otherwise required by the Internal Revenue Service.
|
5.
|
The Company shall submit a schedule to the Reinsurer by June 1 of each year of its calculation of the net consideration for the preceding calendar year. This schedule of calculations shall be accompanied by a statement signed by an officer of the Company stating that the Company shall report such net consideration in its tax return for the preceding calendar year.
|
6.
|
The Reinsurer may contest such calculation by providing an alternative calculation to the Company in writing within thirty (30) days of the Reinsurer's receipt of the Company's calculation. If the Reinsurer does not so notify the Company, the Reinsurer shall report the net consideration as determined by the Company in the Reinsurer's tax return for the previous calendar year.
|
7.
|
If the Reinsurer contests the Company's calculation of the net consideration, the parties shall act in good faith to reach an agreement as to the correct amount within thirty (30) days of the date the Reinsurer submits its alternative calculation. If the Company and the Reinsurer reach agreement on an amount of net consideration, each party shall report such amount in their respective tax returns for the previous calendar year.
|
8.
|
Both the Company and the Reinsurer represent and warrant that they are subject to United States taxation under either Subchapter L or Subpart F of Part III of Subchapter N of the Internal Revenue Code of 1986, as amended.
|
1.
|
The Company is placed upon a "watch list" by its domiciliary insurance regulators;
|
2.
|
the regulatory authority of any jurisdiction in which the Company is authorized to do business revokes the Company's right to continue conducting business in that jurisdiction for financial reasons;
|
3.
|
an order appointing a receiver, conservator or trustee for management of the Company is entered or a proceeding is commenced for rehabilitation, liquidation, supervision or conservation of the Company;
|
4.
|
the Company is merged, purchased or there is any other change in whole or in part of at least twenty percent (20%) in the ownership or control of the Company; or
|
5.
|
the Company deviates from the agreed upon underwriting guidelines without the prior approval of the Reinsurer. The Reinsurer shall have no liability for any business quoted on a basis deviating from the agreed upon underwriting guidelines.
|
1.
|
for claims incurred following the termination date of this Agreement; and
|
2.
|
for claims incurred prior to the termination date of this Agreement, if proof of claim approved by the Company and proof of claim payment made by the Company is not provided to the Reinsurer within twelve (12) calendar months following the end of the month in which termination of this Agreement is effective.
|
US ALLIANCE LIFE & SECURITY COMPANY
|
GENERAL RE LIFE COPORATION
|
By: /s/ Jack H. Brier
|
By: /s/ Drew F. King
|
Title: President
|
Title: Senior Vice President
|
Date: April 13, 2015
|
Date: March 26, 2015
|
Place: Topeka, KS
|
Place: Stamford, CT
|
Attest: /s/ Jeff Brown
Title: EVP & COO
|
Attest: /s/ Stacy A. Varney
Title: Vice President
|
Minimum Lives
|
Maximum Lives
|
Allowances
|
||
3
|
15
|
32.0%
|
||
16
|
30
|
29.5%
|
||
31
|
40
|
27.0%
|
||
41
|
50
|
24.5%
|
||
51
|
60
|
22.0%
|
||
61
|
90
|
19.9%
|
||
91
|
120
|
17.8%
|
||
121
|
150
|
15.7%
|
||
151
|
300
|
11.7%
|
||
301
|
600
|
8.3%
|
||
600
|
1,500
|
5.2%
|
||
1,501
|
3,000
|
3.1%
|
||
3001 +
|
|
2.8%
|
U169-001-000
Amendment No. 2
|
AMENDMENT No. 2 to the
|
Gen Re
|
RSM
RSM US LLP
1299 Farnam Street, Ste. 530
Omaha, NE 68102
O +1 402 344 6100
F +1 402 344 6101
www rsmus.com
|