Common use of Monthly Settlement Reports Clause in Contracts

Monthly Settlement Reports. First Allmerica Financial Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statemen For the Month Ending Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefit T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits Z Net Total Policy Benfits (O+T-Y — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6 AC Total Payments Relating to Commission (AA+AB — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments Less Policy Servicing Fee Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring AK Net Due to (from) Commonwealth (J - Z - AC +AG-AH-AI+AJ — calc — calc — calc — calc — calc — calc — calc — calc — calc

Monthly Settlement Reports. First Allmerica Financial Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statemen For the Month Ending Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (( K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefit T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits Z Net Total Policy Benfits (O+T-Y — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6 AC Total Payments Relating to Commission (AA+AB — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments Less Policy Servicing Fee Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring AK Net Due to (from) Commonwealth (J - Z - AC +AG-AH-AI+AJ — calc — calc — calc — calc — calc — calc — calc — calc — calc Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statement For the Month Ending: Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H) — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits * Z Net Total Policy Benfits (O+T-Y) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6) AC Total Payments Relating to Commission (AA+AB) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments* Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring) AJ Net Due to (from) Universal American ( AC+AH-AI) (positive to UA) — calc — calc — calc — calc — calc — calc — calc — calc — calc

Monthly Settlement Reports. First Allmerica Financial Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statemen For the Month Ending Jan-09 G FY Premium Collected: — H RNL Premium Collected Premiums C Total Collected Premium (with waiver) (A+B — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Y Total Inuring Reinsurance Premium Policy Benefits Paid, Payable or Provide (G+H — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-IU+V+W+X) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid AG Renewal Reins Allowance—Comm & Exp Allowances Paid, Payable or Provide (K + L+M+NAD+AE+AF) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefit T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S Number of days in month — # Policies Inforce Begining of Month — AI Premium Taxes ( 2.5% Direct Collected Prem) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less AJ Plus Change in Reinsurance Recoverables Not Admitted** — * For purposes of this calculation, the Inuring Reinsurance Policy Benefits Z Net Total Policy Benfits shall mean "Reinsurance Coverage" (O+T-Y — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating as defined in the coinsurance agreement) ** Reinsurance recoverables (including reinsurance allowances) due greater than 90 days are not admitted; for purposes of calculation, months change due to Commission new not admitted or receipt of payment previously not admitted Commonwealth Annuity and Life Insurance Company (per schedule 4.6 AC Total Payments Relating to Commission (AA+AB — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurer) Sch 4.9 - Monthly Reinsurance Allowance Payments Less Policy Servicing Fee Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring AK Net Due to (from) Commonwealth (J - Z - AC +AG-AH-AI+AJ — calc — calc — calc — calc — calc — calc — calc — calc — calcSettlement Statement For the Month Ending: Jan-09

Monthly Settlement Reports. First Allmerica Financial Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statemen For the Month Ending Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B A+B) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E D+E) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H G+H) — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefit Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S P+Q+R+S) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits Z Net Total Policy Benfits (O+T-Y Y) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6 4.6) AC Total Payments Relating to Commission (AA+AB AA+AB) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments Less Policy Servicing Fee Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring Inuring) AK Net Due to (from) Commonwealth (J - Z - AC +AGAC+AG-AH-AI+AJ AI+AJ) — calc — calc — calc — calc — calc — calc — calc — calc — calc Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statement For the Month Ending: Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H) — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K+ L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits* Z Net Total Policy Benfits (O+T-Y) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6) AC Total Payments Relating to Commission (AA+AB) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments* Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring) AJ Net Due to (from) Universal American (AC+AH-AI) (positive to UA) — calc — calc — calc — calc — calc — calc — calc — calc — calc

Monthly Settlement Reports. First Allmerica Financial Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statemen For the Month Ending Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B A+B) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E D+E) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H G+H) — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K+ L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits Z Net Total Policy Benfits (O+T-Y). — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6) AC Total Payments Relating to Commission (AA+AB) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments Less Policy Servicing Fee Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring) AK Net Due to (from) Commonwealth (J - Z - AC+AG-AH-AI+AJ) — calc — calc — calc — calc — calc — calc — calc — calc — calc Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statement For the Month Ending: Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H) — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefit Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S P+Q+R+S) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits * Z Net Total Policy Benfits (O+T-Y Y) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6 4.6) AC Total Payments Relating to Commission (AA+AB AA+AB) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments Less Policy Servicing Fee Payments* Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring AK Inuring) AJ Net Due to (from) Commonwealth Universal American (J - Z - AC +AGAC+AH-AH-AI+AJ AI) (positive to UA) — calc — calc — calc — calc — calc — calc — calc — calc — calc

Monthly Settlement Reports. First Allmerica Financial Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statemen For the Month Ending Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefit Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits Z Net Total Policy Benfits (O+T-Y — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6 AC Total Payments Relating to Commission (AA+AB — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments AG Renewal Reins Allowance—Comm & Exp Allowances Paid, Payable or Provided — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Policy Servicing Fee Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring AK Net Due to (from) Commonwealth (J - Z - AC +AG-AH-AI+AJ — calc — calc — calc — calc — calc — calc — calc — calc — calc Commonwealth Annuity and Life Insurance Company (Reinsurer) Sch 4.9 - Monthly Reinsurance Settlement Statement For the Month Ending: Jan-09 Collected Premiums C Total Collected Premium (with waiver) (A+B) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Premium F Total Collected Assumed Reinsurance Premium (D+E) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Premium I Total Inuring Reinsurance Premium (G+H) — calc — calc — calc — calc — calc — calc — calc — calc — calc J Net Total Premium (C+F-I) — calc — calc — calc — calc — calc — calc — calc — calc — calc Policy Benefits O Total Policy Benefits Paid (K + L+M+N) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Assumed Reinsurance Policy Benefits T Total Assumed Reinsurance Policy Benefits Paid (P+Q+R+S) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Inuring Reinsurance Policy Benefits * Z Net Total Policy Benfits (O+T-Y) — calc — calc — calc — calc — calc — calc — calc — calc — calc Less Payments Relating to Commission (per schedule 4.6) AC Total Payments Relating to Commission (AA+AB) — calc — calc — calc — calc — calc — calc — calc — calc — calc Plus Inuring Reinsurance Allowance Payments* Less Premium Tax Plus Uncollectible Reinsurance Recoverables (Assumed or Inuring) AJ Net Due to (from) Universal American (AC+AH-AI) (positive to UA) — calc — calc — calc — calc — calc — calc — calc — calc — calc