Common use of Bordereau Detail Reports Clause in Contracts

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums (First Year-End Renewal) Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Company Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. [page break] Schedule F - Reinsurance Reports

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy Policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy Policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse [ ] Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments. Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Sex Date of Birth Issue Age Policy Date Joint Life Information Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Underwriting Classification Reinsurance Premiums Reinsurance Commission or Allowances Policy Fee Premium Taxes Reimbursed Cash Values Reimbursed Dividends Reimbursed Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Surrender Lapse Reinstatement Conversion Exchange Increase in Amount Decrease in Amount Surrender Cancellation of Reinsurance Lapse Reinstatement Recapture Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. [page break] SCHEDULE E: REINSURANCE REPORTS (Continued)

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums (First Year-End Renewal) Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Company Underwriting Classification * Name or Identifier of Corporation or Bank Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. SCHEDULE E: REINSURANCE REPORTS (Continued)

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. SCHEDULE E: REINSURANCE REPORTS (Continued)

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums (First Year-End Renewal) Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Company Underwriting Classification Name or Identifier of Corporation or Bank * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments. SCHEDULE E – REINSURANCE REPORTS (Continued) Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments. SCHEDULE F: REINSURANCE REPORTS (Continued) Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification Automatic Quota Share, Facultative and Automatic Excess YRT Reinsurance Agreement * Transaction codes may be used to identify policy Policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy Policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments. [page break] Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Sex Date of Birth Issue Age Policy Date Policy Year Policy Duration Transaction Type* Transaction Effective Date Table Rating Flat Extra Amount and Duration Plan Name or Code Underwriting Classification Joint Life Information Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Surrender Lapse Reinstatement Conversion Exchange Increase in Amount Decrease in Amount Surrender Cancellation of Reinsurance Lapse Reinstatement Recapture Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments.[page break]

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification Residence of Issue * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments. SCHEDULE F: REINSURANCE REPORTS (Continued) Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Automatic Quota Share, Facultative, Automatic Excess and [_____] YRT Reinsurance Agreement Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy Policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy Policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. [page break]

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments. SCHEDULE E: REINSURANCE REPORTS (Continued) Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy Policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy Policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings shall be provided separately for new issues, renewals, terminations, and other adjustments. Summary Reports Summary reports shall be provided to the Reinsurer, which include appropriate subtotals and totals of premiums, commissions and allowances, and premium tax by reporting category and in total. Policy exhibit summaries shall also be provided to the Reinsurer showing the reinsured amounts at the beginning of the reporting period, any increases, decreases and terminations during the reporting period, and the reinsured amounts at the end of the reporting period.

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. [page break] SCHEDULE E: REINSURANCE REPORTS

Bordereau Detail Reports. New business and change reports shall be provided to the Reinsurer on a bordereau basis and include the following items: Policy Number Joint Life Information Name of the Insured Policy Face Amount Sex Reinsurance Amount(s) Issued Date of Birth Retained Amount Issue Age Reinsurance Net Amount at Risk Policy Date Death Benefit Option Policy Year Reinsurance Premiums Policy Duration Reinsurance Commission or Allowances Transaction Type* Policy Fee Transaction Effective Date Premium Taxes Reimbursed Table Rating Cash Values Reimbursed Flat Extra Amount and Duration Dividends Reimbursed Plan Name or Code Net Amount due the Reinsurer or the Ceding Co. Underwriting Classification * Transaction codes may be used to identify policy Policy activity affecting reinsurance including new reinsurance issued, continuation of coverage, and policy Policy movements or changes such as: Not Takens Decrease in Amount Surrender Cancellation of Reinsurance Lapse Recapture Reinstatement Death Conversion Expiration Exchange Other Changes Increase in Amount Listings Separate listings shall be provided separately for new issues, renewals, terminations, and other adjustments.. SCHEDULE E: REINSURANCE REPORTS (Continued)