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Exhibit 10.26
REINSURANCE AGREEMENT
(hereafter referred to as the "Agreement")
between
CONTINENTAL GENERAL LIFE INSURANCE COMPANY
(hereafter referred to as the "Company")
and
REASSURANCE COMPANY OF HANNOVER
(hereafter referred to as the "Reinsurer")
Effective: 12:01 A.M., Local Standard Time, February 1, 1999
Term: Continuous
Type: COINSURANCE HA-CGIC-01
2
TABLE OF CONTENTS
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ARTICLE PAGE
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PREAMBLE ..........................................................4
I DEFINITIONS .......................................................4
II LIABILITY; ALLOWANCES; PROFIT SHARING .............................6
III COMMENCEMENT AND TERMINATION; RECAPTURE ...........................6
IV POLICY REDUCTIONS AND TERMINATIONS ................................6
V PREMIUM ...........................................................7
VI REPORTS AND REMITTANCES; POWER OF ATTORNEY ........................7
VII EXTRA CONTRACTUAL OBLIGATIONS .....................................8
VIII REINSURER'S RIGHT OF NOTICE OF UNUSUAL PRACTICES ..................9
IX ADMINISTRATION OF THE POLICIES ....................................9
X REPRESENTATIONS, WARRANTIES AND COVENANTS .........................9
XI LOSS SETTLEMENTS ..................................................9
XII COINSURANCE; RESERVES ............................................11
XIII ERRORS AND OMISSIONS .............................................11
XIV INSOLVENCY .......................................................11
XV TREASURY REGULATION SECTION 1.848-2 (g)(8) .......................11
XVI TAXES ............................................................12
XVII ACCESS TO RECORDS ................................................13
XVIII ARBITRATION ......................................................13
XIX GOVERNING LAW ....................................................14
XX SUBROGATION ......................................................14
XXI ENTIRE AGREEMENT .................................................14
XXII POLICY CHANGES; RATE INCREASES ...................................14
XXIII OFFSET ...........................................................15
XXIV WAIVER; AMENDMENT ................................................16
XXV NO ASSIGNMENT; BINDING EFFECT ....................................16
XXVI SEVERABILITY .....................................................16
XXVII NOTICES ..........................................................16
XXVIII EXECUTION ........................................................17
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SCHEDULE A - LIFE AND ANUUITY POLICIES ..........................18
SCHEDULE A (CONT.) - ACCIDENT AND HEALTH ........................20
SCHEDULE B - CEDING ALLOWANCE; EXPENSE ALLOWANCE ................27
SCHEDULE C - RECAPTURE; EXPERIENCE REFUND .......................28
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REINSURANCE AGREEMENT
(hereafter referred to as the "Agreement")
between
CONTINENTAL GENERAL LIFE INSURANCE COMPANY
(hereafter referred to as the "Company")
and
REASSURANCE COMPANY OF HANNOVER
(hereafter referred to as the "Reinsurer")
PREAMBLE
--------
In consideration of the mutual covenants hereinafter contained the parties
hereto agree as follows:
ARTICLE I - DEFINITIONS
-----------------------
"Claim" means a claim made to the Company by a policyholder, insured,
certificate holder or dependent thereof who is entitled to coverage under a
Policy for which medical treatment, facilities or services contractually covered
by such Policy, and not excluded by such Policy, were rendered or provided to
such policyholder, insured, certificate holder or dependent thereof. A Claim is
incurred on the date it is regarded as being incurred in the administration of
the insured's Claim relating to the same medical treatment, facilities or
services.
"Coinsurance Basis" means reinsurance on a basis whereby the Company cedes to
the Reinsurer reserves underlying the Policies and assets, valued at book value
in accordance with SAP, which assets satisfy the reserve requirements necessary
or required by applicable law or regulation with respect to the Reinsurer's
proportionate share of liability hereunder, and such reserves and assets are
held by the Reinsurer.
"Company" means Continental General Life Insurance Company, a
Nebraska corporation.
"Contested Claim" has the meaning assigned to such term in Article
XI hereof.
"Effective Date" means 12:01 A.M., Local Standard Time, February 1, 1999.
"Extra Contractual Obligations means any and all costs, expenses, damages,
liabilities or obligations of any kind or nature (including without limitation
attorneys fees, consequential and incidental damages, and punitive and exemplary
damages) which are incurred by the Company and arise out of; result from or
relate to any act or omission, whether or not in bad faith, intentional,
willfill, negligent, reckless, careless or otherwise, of the Company in
connection with a Policy, and which are not contractually covered by the terms
and conditions of such Policy.
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"Local Standard Time" means the time at the location of the Company's home
office.
"Loss" means a Claim that has been actually paid by the Company. A Loss is
incurred on the date that the Loss is actually paid by the Company.
"Loss Adjustment Expenses" means all payments to other than employees of fees
and expenses associated with investigation, litigation (including without
limitation reasonable attorney's fees) and settlement of Claims, as
distinguished from the amount of a claimant's recovery from the Company under
such claimant's Policy.
"Modified Pre-tax" means the taxable income to the Reinsurer under this
Agreement consisting of the difference between (A) and (B), where (A) equals the
sum of: (i) pre-tax gain, plus (ii) change in the difference between tax and SAP
reserves on the Policies, plus (iii) capitalized deferred acquisition costs from
this Agreement, minus (iv) amortized deferred acquisition costs from this
Agreement; and (B) equals the sum of: (i) the change in risk-based capital for
the Policies, minus (ii) interest (at the Reinsurer's net portfolio rate) on
risk-based capital on the Policies.
"Person" means an individual, firm, corporation or entity.
"Policy" means the plans of insurance policies, riders, and binders listed on
Schedule A attached hereto and incorporated herein by reference which are issued
by the Company and in force on and after the Effective Date.
"Premium" means premium required by a Policy to be paid and which is actually
collected and received by the Company less premium returned to a Person after
actual collection and receipt by the Company due to rescission or cancellation
of a Policy or reductions or terminations in coverage or benefits under a
Policy.
"Reinsurer" means Reassurance Company of Hannover, a Florida corporation.
"SAP" means the statutory accounting practices and procedures permitted or
prescribed by the insurance department of the State of Nebraska.
"Services" means all of the usual and customary servicing and administrative
functions and duties associated with the Policies, including but not limited
to, premium payments; Claims administration; customer services for insureds,
owners, beneficiaries, agents and other interested Persons; file and record
maintenance and administration including system maintenance and administration;
billing and collection of Premium; maintenance of Policy financial data in such
form to allow the Reinsurer to meet any and all reporting requirements it may
have; and payment of agents' commissions related to Policies.
"Settlement Date" has the meaning assigned to such term in Article VI hereof.
"Suspension Notice" has the meaning assigned to such term in Article XXII
hereof.
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ARTICLE II - LIABILITY: ALLOWANCES; PROFIT SHARING
--------------------------------------------------
The Company agrees to cede to the Reinsurer, and the Reinsurer agrees to
reinsure from the Company, 50% of Losses under Policies in force on and after
the Effective Date; provided, however, that from and after the date on which the
Company repays the Reinsurer the loss carryforward as calculated by Schedule C
hereto, the Reinsurer and the Company agree that the Company shall cede to the
Reinsurer, and the Reinsurer shall reinsure from the Company, 35% of the
Reinsurer's proportionate share of Losses under Policies hereunder. On and after
such date, the Reinsurer agrees to pay to the Company the SAP profits, earned by
the Reinsurer under its proportionate share of reinsurance hereunder, in excess
of the Reinsurer's maximum Modified Pre-tax target return on its investment of
12%. The Reinsurer agrees to indemnify the Company for such Losses to the extent
provided by this Article II. The Company and the Reinsurer acknowledge and agree
that the reinsurance provided to the Company by the Reinsurer hereunder is on an
original terms basis on the underlying Policies reinsured hereby.
In connection with the reinsurance hereunder the Reinsurer agrees to pay to the
Company (i) a ceding allowance and (ii) expense allowances on the terms and
provisions set forth in Schedule B.
ARTICLE III - COMMENCEMENT AND TERMINATION; RECAPTURE
-----------------------------------------------------
This Agreement, and the rights, obligations and duties hereunder of the parties
hereto, shall become effective on the Effective Date. The Reinsurer shall
continue to provide reinsurance only for Losses incurred by the Company under
Policies so long as such Policies continue to be in force and this Agreement
continues to be in effect as to such Policies. The Reinsurer shall have no
liability hereunder for Losses paid by the Company under Policies prior to the
Effective Date.
This Agreement may be amended in writing by the mutual written consent of the
parties hereto. This Agreement shall become effective on the Effective Date and
shall remain in effect until its termination, which shall occur upon one party
delivering to the other party ninety (90) days prior written notice of such
termination. On the date of such termination, the Reinsurer shall have no
liability with respect to Policies issued by the Company on and after such date
of termination; provided, however, that the Reinsurer shall continue to remain
liable for reinsurance hereunder with respect to Losses under inforce Policies
as of such termination date.
The Policies may be recaptured by the Company within the first twenty-four
calendar months after the Effective Date upon compliance by the Company with the
recapture provisions of Schedule C hereto. After such twenty-four month period,
the Policies may be recaptured upon terms agreeable to the Reinsurer. Upon
recapture, the Reinsurer shall transfer to the Company assets, valued in
accordance with SAP, equal to the SAP reserves of the Policies recapture as of
the date of such recapture, which calculation of SAP assets shall include
provision for realized capital gains and losses (to account for change in market
value of such assets as of the recapture date).
ARTICLE IV - POLICY REDUCTIONS AND TERMINATIONS
-----------------------------------------------
The Reinsurer's liability hereunder shall not be increased by reason of the
inability of the Company
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to collect from any other reinsurers any amounts which may become due from such
reinsurers which amounts arise, relate to or result from reinsurance of risk by
such reinsurers under Policies or any other policy issued by the Company.
Reductions and terminations of coverage and benefits under Policies shall reduce
or terminate the Reinsurer's liability hereunder in a corresponding amount as of
the same date.
ARTICLE V - PREMIUM
-------------------
The Company shall pay to the Reinsurer an amount equal to 50% of Premium with
respect to Policies; provided, however, that from and after the date upon which
the Company repays the Reinsurer the loss carryforward as calculated by Schedule
C hereto, the Reinsurer and the Company agree that the Company shall pay to the
Reinsurer an amount equal to 35% of Premium with respect to Policies.
ARTICLE VI - REPORTS AND REMITTANCES; POWER OF ATTORNEY
-------------------------------------------------------
Premium funds collected by the Company with respect to the Policies shall be
deposited in a bank account or accounts under the control of the Company and
identified as the Company's Premium account(s). The Company shall authorize the
deposit of checks drawn to its order in this account, as well as the use of this
account for Premium drafting plans with respect to the Policies. Funds may be
transferred or paid from such Company Premium account(s) only:
1. To pay return Premiums to policyholders (provided that such Premiums were
received by the Company hereunder);
2. To pay Claims or fund a bank account, identified as the Company's claim
account, used to pay Claims under Policies, and Loss Adjustment Expenses
with respect to Policies;
3. To pay commissions with respect to Premiums on Policies;
4. To pay the Company estimated Premium taxes with respect to the Policies;
5. To pay the Company's expense allowance provided for in Schedule B hereto;
6. To pay, when applicable, the Company's share of the SAP profits in excess
of the Reinsurer's maximum Modified Pre-tax target return on its
investment of 12%.
7. To pay the net balance due from Premiums each month to the Reinsurer.
Any expenses associated with this account shall be borne by, and interest earned
thereon credited to, the Company.
Within forty-five (45) days after the end of each calendar quarter the Company
(the "Settlement Date") shall deliver in writing to the Reinsurer a report
delineating all of the foregoing, and shall also
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include in such report (i) change in reserves, calculated in accordance with
SAP, on the Policies in force as of the end of the calendar quarter preceding
the Settlement Date (reported on a quarterly basis only) as compared to the
quarter prior thereto; and (ii) such other information as the Reinsurer may
reasonably request. During such forty-five (45) day period, investment income
shall accrue on the net balance due and payable for the applicable calendar
quarter. Such investment income shall accrue at a rate equal the Reinsurer's net
portfolio rate for the quarter prior to the Settlement Date. If the net balance
due is not paid as of the Settlement Date by the party owing such amount, the
investment income rate shall be increased by 3% per annum for the period from
the Settlement Date through and including the actual payment date.
Together with the delivery of each such report by the Company to the Reinsurer,
the Company shall remit all amounts due and payable by the Company to the
Reinsurer, if any, as indicated by such report. Within twenty (20) days after
the Reinsurer's receipt of the report, the Reinsurer shall pay the Company all
amounts due and payable to the Company by the Reinsurer, if any, as indicated by
such report.
If the Company decides to deliver such report via electronic media, the Company
shall consult with the Reinsurer to determine the appropriate reporting format.
Should the Company subsequently desire to make changes in the data format or the
code structure, the Company shall communicate such changes to the Reinsurer
prior to the use of such changes in reports to the Reinsurer.
Upon receipt of a report, the Reinsurer may, in its discretion and upon
reasonable information and belief, contest the information contained in the
report. If the Reinsurer so contests, the Reinsurer shall deliver to the Company
written notice thereof stating the reasons upon which the Reinsurer disputes the
report, and the parties shall use their best efforts to resolve the dispute
within twenty (20) days thereafter. If the parties fail to resolve such dispute
within such period, the dispute shall be resolved by arbitration as provided
herein. During the time such dispute is pending, the Reinsurer shall have the
right to suspend all payment obligations relating to the disputed portion(s) of
such report until resolution of such dispute. If such dispute is resolved by
arbitration in favor of the Company, the Reinsurer shall be liable for interest
(as provided below) on the amount owed by the Reinsurer to the Company as of the
date such amount became past due.
ARTICLE VII - EXTRA CONTRACTUAL OBLIGATIONS
-------------------------------------------
The Reinsurer shall have no liability for Extra Contractual Obligations, unless
the Reinsurer was an active party or directed, consented to, or ratified the
act, omission or course of conduct which ultimately resulted in assessment of
Extra Contractual Obligations against the Company, in which case the Reinsurer
shall share pro rata in such Extra Contractual Obligations in proportion to the
Reinsurer's liability for a Loss hereunder.
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ARTICLE VIII - REINSURER'S RIGHT OF NOTICE OF UNUSUAL PRACTICES
---------------------------------------------------------------
The parties acknowledge and agree that the Reinsurer has placed its utmost good
faith and confidence in the Company, and the parties assume that, except as
otherwise notified by the Company, the underwriting, claims and other insurance
practices employed by the Company with respect to the reinsurance under this
Agreement are consistent with the customary and usual practices of the insurance
industry as a whole. Where the Company does engage in exceptional or uncustomary
practices, the Company agrees to notify the Reinsurer of such practices. The
parties agree that the Company's failure to so notify the Reinsurer will result
in the Reinsurer having no liability hereunder with respect to Losses relating
to such exceptional or uncustomary practices.
ARTICLE IX - ADMINISTRATION OF THE POLICIES
-------------------------------------------
As of the Effective Date, the Company agrees to perform the Services with the
utmost good faith for as long as the Reinsurer is required to provide
reinsurance hereunder.
If the Reinsurer reasonably believes that the Company has failed to perform the
Services, the Reinsurer shall notify the Company in writing of such failure and
the Company shall have ten (10) business days to cure such failure to the
reasonable satisfaction of the Reinsurer. If the Company fails or refuses to
cure such failure within such period, or has become financially impaired, the
Reinsurer may request the Company to secure another Person to perform the
Services, in which case the Company shall engage another Person selected by the
Company and reasonably satisfactory to the Reinsurer to perform the Services.
Such other Person shall have in good standing all governmental, regulatory and
other licenses, permits and authorizations necessary or required by law to
perform the Services.
In the event the Company is removed from performing the Services pursuant to
this Article, the Company shall deliver to the replacement Person providing the
Services all reports, records, documents, instruments and other information
necessary or required to perform satisfactorily the Services. All costs
associated with the transfer of the Services to another Person shall be borne by
the Company.
ARTICLE X - REPRESENTATIONS, WARRANTIES AND COVENANTS
-----------------------------------------------------
The Company represents and warrants to the Reinsurer that if required by
applicable law, rule or regulation, each Policy has been filed with the
appropriate governmental or regulatory agency or authority and approval of such
filed Policy has been obtained by the Company from such agency or authority.
The Company covenants and agrees to perform all of its duties and obligations
hereunder with the utmost good faith.
ARTICLE XI - LOSS SETTLEMENTS
-----------------------------
The Reinsurer shall accept the decision of the Company with respect to a Claim
and the incurrence
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of a Loss, except as otherwise provided herein. The Company agrees to deliver
written notice to the Reinsurer of each Claim which would, if paid, cause the
Reinsurer's liability hereunder to be $50,000 or more prior to such Claim
actually being paid. The Company agrees to deliver to the Reinsurer all
documents, reports and other information in the possession of or known by the
Company relating to such Claim to permit the Reinsurer to evaluate the Claim and
advise the Company in writing with respect to payment of the Claim. If the
Reinsurer fails to advise the Company in writing within twenty (20) days after
the Company's delivery to the Reinsurer of the documents, reports and other
information relating to such Claim, the Company shall pay the Claim and the
Reinsurer shall be estopped from denying reinsurance liability hereunder for
such Loss.
The Company may, in its discretion, deliver written notice to the Reinsurer of
each Claim as to which the Company is uncertain, or has reasonable cause to
believe, that such Claim is or may not be properly payable. In addition, the
Company shall deliver immediately such a notice to the Reinsurer as to each
Claim denied in whole or in part by the Company if a notice of litigation or
threatened litigation is filed with the Company relating to such denied Claim
(each Claim as to which such a notice is delivered is referred to herein as a
"Contested Claim"). The Company agrees to deliver immediately to the Reinsurer
all documents, reports and other information relating to such Contested Claim to
permit the Reinsurer to evaluate the Contested Claim and advise the Company in
writing with respect to payment of the Contested Claim. In the event the Company
complies with the Reinsurer's advice with respect to a Contested Claim, and
Extra Contractual Obligations later arise with respect to such Contested Claim,
the Reinsurer shall share in the Extra Contractual Obligations in proportion to
the Reinsurer's liability for a Loss hereunder, but if the Company fails to give
such notice or to comply with such advice, the Reinsurer shall not share in any
of the Extra Contractual Obligations. In no event shall the Reinsurer be liable
for any Extra Contractual Obligations based upon acts, omissions, facts,
circumstances or events which occurred prior to the Effective Date.
The Company agrees to deliver written notice to the Reinsurer of each Policy
that the Company reasonably believes should be rescinded and Premium reimbursed
to the policyholder prior to the Company actually rescinding such Policy. The
Reinsurer shall review facts surrounding the Policy and the reasons for the
reasonable belief of the Company that the Policy should be rescinded and the
Reinsurer will advise the Company in writing with respect to the rescission of
the Policy within twenty (20) days after the Company delivers its written notice
to the Reinsurer regarding the Policy. In the event the Reinsurer advises the
Company to rescind the Policy and Extra Contractual Obligations later arise due
to such advice from the Reinsurer, the Reinsurer shall share in the Extra
Contractual Obligations in proportion to the Reinsurer's liability for a Loss
hereunder, but if the Company fails to comply with such advice, the Reinsurer
shall not share in any of the Extra Contractual Obligations.
The parties agree that the Company's intentional or grossly negligent acts or
omissions with respect to this Article XI shall relieve the Reinsurer of any
liability hereunder with respect to any such Claim, Loss or Policy.
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ARTICLE XII - COINSURANCE; RESERVES
-----------------------------------
The reinsurance hereunder shall be on a Coinsurance Basis. The parties agree
that the SAP reserves relating to the Policies, including but not limited to the
Claim reserves (including Loss Adjustment Expenses), the advance premiums, and
uneamed premiums shall be reviewed at least quarterly and that any redundancy or
deficiency thereof shall be adjusted immediately. SAP reserves relating to the
Policies shall be ceded, and assets, acceptable to the Reinsurer (if other than
cash assets) and valued at book value (or marked to market as of the Effective
Date in the case of marketable securities) in accordance with SAP, which assets
satisfy the reserve requirements necessary or required by applicable law or
regulation with respect to the Reinsurer's proportionate share of liability
hereunder, shall be transferred by the Company to the Reinsurer in connection
with the reinsurance hereunder. As of the end of the calendar quarter in which
this Agreement commences and as part of such quarterly accounting and reporting,
the parties agree to true-up the value of the assets transferred based upon the
value of such assets as of the Effective Date and to pay to the other any
amounts owed by one party to the other as a result of such true-up.
ARTICLE XIII - ERRORS AND OMISSIONS
-----------------------------------
Any inadvertent or clerical delay, error or omission made by any party hereto in
connection with this Agreement shall not relieve either party from any liability
of such party hereunder had such inadvertent or clerical delay, error or
omission not occurred. The parties agree to cure all inadvertent and clerical
delays, errors and omissions immediately upon discovery thereof.
ARTICLE XIV - INSOLVENCY
------------------------
In the event of insolvency of the Company, all payments of the Reinsurer for
Losses shall be payable directly to the Company, or to the Company's liquidator,
receiver, conservator or statutory successor, without diminution because of the
insolvency of the Company.
The Company or its liquidator, receiver, conservator or statutory successor
shall give written notice to the Reinsurer of the pendency of a Claim,
indicating the Policy under which such Claim is pending, within a reasonable
time after such Claim is filed in the insolvency proceeding. During the pendency
of such Claim the Reinsurer may investigate such Claim and interpose, at its own
expense, in the proceeding where such Claim is to be adjudicated, any defense or
defenses that it may deem available to the Company or its liquidator, receiver,
conservator or statutory successor.
The expense thus incurred by the Reinsurer shall be chargeable, subject to the
approval of the insolvency court, against the Company as part of the
administrative expenses of the estate to the extent of a pro rata share of the
benefit which may accrue to the Company solely as a result of the defense
undertaken by the Reinsurer.
ARTICLE XV - TREASURY REGULATION SECTION 1.848-2(g)(8) JOINT ELECTION
---------------------------------------------------------------------
The Company and the Reinsurer hereby agree to the following pursuant to Section
1.848-2(g)(8) of the Income Tax Regulations issued December 1992, under Section
848 of the Internal Revenue Code
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of 1986, as amended. This election shall be effective for the taxable year ended
December 31, 1999 and for all subsequent taxable years for which this Agreement
remains in effect unless such election is terminated by mutual written agreement
of the parties hereto with the consent, if required, of the Commissioner of the
Internal Revenue Service.
As used in this Article XV, the term "party" will refer to either the Company or
the Reinsurer as appropriate.
The terms used in this Article XV are defined by reference to Treasury
Regulation Section 1.848-2 in effect as of December 29, 1992. The term "net
consideration" will refer to either net consideration as defined in Treasury
Regulation Section 1.848-2(f) or "gross premium and other consideration" as
defined in Treasury Regulation Section 1.848-2(b) as appropriate.
Both parties agree to identify this Agreement as one for which the joint
election under Treasury Regulation Section 1.848-2(g)(8) has been made in a
schedule attached to their respective federal income tax returns for the taxable
period ended December31, 1999.
The party with the positive net consideration for this Agreement for each
taxable year will capitalize specified policy acquisition expenses with respect
to this Agreement without regard to the general deductions limitation of Section
848(c)( 1).
Both parties agree to exchange information pertaining to the amount of net
consideration under this Agreement each year to ensure consistency or as
otherwise required by the Internal Revenue Service.
The Company will submit a schedule to the Reinsurer by July 1st of each year of
its calculation of the net consideration for the preceding calendar year. This
schedule of calculations will 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.
The Reinsurer may contest such calculation by providing an alternative
calculation to the Company in writing within forty-five (45) days of the
Reinsurer's receipt of the Company's calculation. If the Reinsurer does not so
notify the Company, the Reinsurer will report the net consideration as
determined by the Company in the Reinsurer s tax return for the previous year.
If the Reinsurer disputes the Company's calculation of the net consideration,
the parties will act in good faith to reach an agreement as to the correct
amount within forty-five (45) 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. If the parties fail to
reach agreement on an amount of net consideration, the dispute shall be resolved
by arbitration as provided herein.
ARTICLE XVI - TAXES
-------------------
The Company shall not claim a deduction in respect of the ceded Premium
hereunder when making tax returns, other than income or profits tax returns, to
any state or territory of the United States of
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America or the District of Columbia.
Within fifteen (15) days after the Company files with all governmental
authorities its premium tax returns for the preceding calendar year, the Company
shall provide a copy of same to the Reinsurer. Within fifteen (15) days
thereafter, the Reinsurer shall compute the excess or the deficiency of premium
taxes actually paid to the Company for such preceding calendar year based upon
the estimated payment made by the Company each month pursuant to Article VI
hereof. If there exists an excess, the Company agrees to pay such excess amount
to the Reinsurer. If there exists a deficiency, the Reinsurer agrees to pay such
deficiency to the Company. The Company and the Reinsurer agree to pay the other
party, as applicable, such excess or deficiency in Premium taxes within 5 days
after the determination of the actual amount of Premium taxes paid by the
Company.
ARTICLE XVII - ACCESS TO RECORDS
--------------------------------
The Company shall make available to the Reinsurer and the Reinsurer shall have
the right to inspect (at the Reinsurer's expense), through its authorized
representatives, at all reasonable times, the books, records and papers of the
Company pertaining to the reinsurance provided hereunder and all Claims made and
Losses paid in connection therewith.
ARTICLE XVIII - ARBITRATION
---------------------------
Any dispute arising out of this Agreement, whether arising before or after
termination, which is not resolved by the parties shall be submitted to
arbitration for decision by a board of arbitrators composed of two arbiters and
an umpire, meeting in Orlando, Florida unless otherwise agreed. Arbitration
shall be commenced by one party delivering to the other party(ies) written
notice of arbitration, which notice shall set forth the nature of the dispute
and the relief sought. Within thirty (30) days after receipt of such notice,
each party to the dispute shall appoint an arbiter, and within thirty (30) days
thereafter, such arbiters shall appoint the umpire. If any party fails to select
an arbiter within the period prescribed, the other party(ies) shall select the
arbiter(s). If the arbiters so selected fail to agree upon the appointment of an
umpire within such thirty (30) day period, each arbiter shall propose three
names, of whom the other shall decline two, and the decision shall be made by
drawing lots. The members of the board of arbitrators shall be active or
retired, disinterested officers of life, accident and health insurance or
reinsurance companies.
The arbitration hearing shall be commenced within thirty (30) days after the
selection of the umpire. During the pendency of the arbitration, the parties may
provide the board of arbitrators, as well as the other party(ies), briefs and
memorandum of law supporting their respective position in the dispute. The board
of arbitrators shall consider all such briefs and memoranda as well as testimony
at the arbitration.
The board of arbitrators shall follow the Commercial Arbitration Rules and shall
make its decision with due regard to applicable law and to custom and practice
in the insurance and reinsurance industry. The board of arbitrators shall issue
its decision in writing based upon a hearing in which evidence may be introduced
without following strict rules of evidence but in which cross-examination and
rebuttal shall be allowed. The board shall make its decision within sixty (60)
days
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following the termination of the hearing. The majority decision of the board
shall be final, binding, nonappealable and conclusive upon all parties to the
proceeding. The board's decision may be entered as a judgment in any court
having jurisdiction thereof.
Each party shall bear the expenses of its own arbiter and the party against
which the decision of the arbitration board is rendered shall bear the expense
of the umpire, unless the arbitration board, in its discretion, otherwise
allocates expenses. Any remaining costs of the arbitration proceedings shall be
allocated by the arbitration board.
This Article XVIII shall survive any termination of this Agreement.
ARTICLE XIX - GOVERNING LAW
---------------------------
This Agreement shall be governed by and construed in accordance with the laws of
the State of Nebraska without regard to applicable principles of conflicts of
law.
ARTICLE XX - SUBROGATION
------------------------
The Reinsurer shall be credited with its proportionate share of subrogation
(i.e., reimbursement obtained or recovery made by the Company, less the actual
cost, excluding salaries of officials and employees of the Company and sums paid
to attorneys as retainer, of obtaining such reimbursement or making such
recovery) on account of Losses. The Company hereby agrees to enforce its rights
to subrogation relating to any expenses if requested to do so by the Reinsurer
(at the expense of the Reinsurer), and to prosecute all claims arising out of
such rights.
ARTICLE XXI - ENTIRE AGREEMENT
------------------------------
This Agreement constitutes the entire agreement and understanding among the
parties hereto with respect to the subject matter hereof. There are no
agreements or understandings among the parties with respect to the subject
matter hereof other than as expressed in this Agreement.
ARTICLE XXII- POLICY CHANGES; RATE INCREASES
--------------------------------------------
If any change is made in a Policy by the Company that affects reinsurance
hereunder, the Company shall immediately deliver written notice thereof to the
Reinsurer. Except for Policy Changes required by state or federal law or
regulation, any proposed change shall not be effective until approved in writing
by the Reinsurer.
From and after the Effective Date, the Company shall, or shall cause its duly
appointed actuary or representative to, timely file with all applicable
regulatory authorities a request for rate increases with respect to the Policies
reinsured under this Agreement that are subject to rate increases. Such rate
increase filings shall be made (i) within fifteen (15) days after the date on
which such rate increase filings are requested in writing by the Reinsurer to
the Company, and (ii) in the amounts requested by the Reinsurer up to amounts
permitted by applicable law based upon all relevant factors, including without
limitation, loss experience for the Policies. The costs of calculating the
-14-
15
rate increase amount, if calculated by an outside actuary or other qualified
outside representative of the Company, shall be borne by the Reinsurer in
proportion to its share of liability hereunder.
The Company agrees to deliver to the Reinsurer within forty-five (45) days after
the end of each calendar quarter a written report showing:
1. The loss experience on the Policies reinsured under this Agreement for
the preceding quarter; and
2. The dates on which rate increase filings were actually made for Policies
reinsured under this Agreement for the preceding quarter, if any; and
3. The amounts of the rate increases which were filed and the amounts which
were approved for Policies reinsured under this Agreement; and
4. Whether approval of the rate increase filings have been obtained; and
5. Any other information reasonably requested by the Reinsurer relating to
the Policies reinsured under this Agreement.
It is acknowledged and agreed that the making of timely rate increase filings as
requested by the Reinsurer under this Agreement is a material inducement to the
Reinsurer agreeing to enter into this Agreement and that absent the assurance
that such filings will be made and the Reinsurer's reliance on such assurance,
the Reinsurer would not have entered into this Agreement. Accordingly, the
parties hereto agree that the failure or refusal by the Company to comply
strictly with the material requirements of this Article XXII shall constitute a
material breach of this Agreement by the Company and the Reinsurer may, in its
discretion, suspend performance of its obligations under this Agreement (without
incurring any liability, including without limitation, interest or other
penalties on amounts due from the Reinsurer hereunder) by delivering to the
Company written notice of the Reinsurer's intent to suspend performance of its
obligations under this Agreement (the "Suspension Notice"). If the Company has
not cured, or diligently pursued the cure of; the material breach of this
Article XXII within ten (10) business days after the date of the Suspension
Notice, then the Reinsurer may, in its discretion, immediately terminate this
Agreement, in which case the Reinsurer shall have no further liability or
obligations whatsoever under this Agreement. On the date of such termination,
the Reinsurer shall have no liability with respect to Policies issued by the
Company on and after such date of termination. The Reinsurer shall continue to
be liable for reinsurance hereunder with respect to Losses under Policies in
force as of the date of termination. Upon a cure of the material breach by the
Company, the Reinsurer shall perform its obligations with respect to such
material breach relating back to the date of such suspension of the Reinsurer's
obligations with no interruption of reinsurance coverage.
ARTICLE XXIII - OFFSET
----------------------
The Company or the Reinsurer shall have, and may exercise at any time and from
time to time, the right to offset any balance or balances, whether on account of
Premiums or Losses or otherwise, due
-15-
16
from one party with respect to this Agreement.
ARTICLE XXIV - WAIVER; AMENDMENT
--------------------------------
Except as provided herein, any waiver by any party hereto of a breach by the
other party of any provision of this Agreement shall not operate or be construed
as a continuing waiver or a waiver of any subsequent breach by such party.
Except as otherwise provided herein, no waiver shall be valid unless in writing
and signed by the party exercising such waiver. Any modification or amendment of
this Agreement shall be in writing and signed by the parties hereto.
ARTICLE XXV - NO ASSIGNMENT; BINDING EFFECT
-------------------------------------------
Except as otherwise provided herein, the right, duties and obligations hereunder
of the parties hereto may not be assigned or delegated by any party hereto to
any other Person without the prior written consent of the parties hereto;
provided, however, that the Reinsurer may retrocede any portion of its liability
hereunder. This Agreement shall be binding upon and inure to the benefit of the
parties' respective successors and permitted assigns.
ARTICLE XXVI - SEVERABILITY
---------------------------
The invalidity or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of the remainder of this Agreement, and
any such invalid or unenforceable provision shall be severable from the
remainder of this Agreement.
ARTICLE XXVII - NOTICES
-----------------------
Any notice or other communication which is required or permitted to be delivered
to any party hereunder shall be in writing and deemed delivered if sent by
government-sponsored mail; an internationally-recognized overnight carrier with
confirmation receipt of delivery; certified mail, return receipt requested; or
facsimile with confirmation receipt of successful and complete transmission
addressed as follows:
If to the Company: Continental General Life Insurance Company
00000 Xxxxxxxx Xxxx
Xxxxxxxxxxxx, Xxxx 00000
Facsimile: 440/572-4500
Attn: Chief Financial Officer
If to the Reinsurer: Reassurance Company of Hannover
000 X. Xxxxxxxx Xxxxxx, Xxxxx 0000
Xxxxxxx, Xxxxxxx 00000
Facsimile: 407/648-1468
Attn: Xx. Xxxxx X. Xxxxxxx
-16-
17
ARTICLE XXVIII - EXECUTION
--------------------------
The parties, by and through each of their respective authorized representatives,
have executed this Agreement as of the date below written.
REASSURANCE COMPANY OF HANNOVER
Orlando, Florida
Taxpayer I.D.# 00-0000000
Date: February 22, 1999
-----------------------------
/s/ Xxxxx X. Xxxxxxx
By: -----------------------------
Xxxxx X. Xxxxxxx
Title: Senior Vice President
Witness: /s/
----------------------------
CONTINENTAL GENERAL LIFE INSURANCE COMPANY
Omaha, Nebraska
Taxpayer I.D.# 00-0000000
Date: 2/22/99
-----------------------------
By: /s/ Xxx Xxxxx
-----------------------------
Xxx Xxxxx
Title: Authorized Officer
Witness:/s/ Xxxx Xxxxx
-----------------------------
-17-
18
SCHEDULE A
----------
LIFE AND ANNUITY POLICIES
-------------------------
The life and annuity insurance Policy plans subject to this Agreement are as
follows:
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
2063 L2063 Flex Prem Annuity IRS Qualified
2064 L2063R Flex Prem Annuity IRS Qualified
2065 L2063R Flex Prem Annuity Non- Qualified
2066 L2063 Flex Prem Annuity Non- Qualified
7000 L7005F Flexible Premium Annuity Non-Qualified
7001 L7000F Flexible Premium Annuity Non-Qualified
7005 L7005F Flexible Premium Annuity Qualified
7006 L7005F/L7010F Flexible Premium Annuity Qualified
7030 G7030F Grp Flexible Prem Deferred Annuity
7055 L7055F Single Premium Deferred Annuity Qualified
7100 L7200F Flexible Premium Annuity Non-Qualified
7105 L7205F/L7210F Flexible Premium Annuity Qualified
7130 G7130C-F13 Grp Flexible Premium Deferred Annuit-ILL
7402 L2067 Retirement Annuity Benefit Rider
7403 L2068 Limited Annuity Benefit Rider
7500 L7500F Flexible Premium Deferred Annuity N.Q.
7505 L7505F/7710F Flexible Premium Deferred Annuity Q
7700 L770F General Flex - Bank Edition (NQ)
7705 L7705F/7710F General Flex - Bank Edition (Q)
7800 L7800F Bonus Single Premium Deferred (NQ)
7801 L7800F Bonus Single Premium Deferred (NQ)
7805 L7805F/7810F Bonus Single Premium Deferred (Q)
7806 L805F/7810F Bonus Single Premium Deferred (Q)
8701 L8701F Flexible Premium Annuity Rider
8702 8702 Flapp II Annuity Rider
9115 L9115F 155YRS81-84 Universal Life - Male
9116 L9115F 155YRS81-84 UniversalLife-Female
9127 L9130F 155YRS81-84 V Life-Band 1 Female
9128 L9130F 155YRS81-84 Versatile Life - Male Band 2
9129 L9130F 155YRS81-84 Versatile Life - Female Band 2
9130 L9130F 155YRS81-84 Versatile Life - Male
9131 L9130F 155YRS81-84 Versatile Life - Female
9132 L9150F 155YRS81-84 Universal Life II - Male
9133 L9150F 155YRS81-84 Universal Life II - Female
9135 L9155F 155YRS81-84 Universal Life III - Male
-18-
19
(LIFE AND ANNUITY POLICIES CONT.)
PLAN POLICY FORM# NAME AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
9136 L9155F 155YRS81-84 Universal Life III - Female
9160 L9160F 155YRS81-84 VP Life - Male $25,000 - $49,999
9161 L9160F 155YRS81-84 VP Life - Female $25,000 - $49,999
9163 L9160F 155YRS81-84 VP Life - Female $50,000 - $99,999
9170 L9170F The General - Male
9171 L9170F The General - Female
9172 L9170F The 5 Star General - Male
9173 L9170F The S Star General - Female
9180 L9170F K - Life Universal Life
9181 L9170F K - Life Universal Life
9200 L9200F Premier Choice - Male
9201 L9200F Premier Choice - Female
9202 L9200F Premier Choice Plus - Male
9203 L9200F Premier Choice Plus - Female
9300 L9300F Achievalife - Male Band 1
9301 L9300F Achievalife - Female Band 1
9302 L9300F Achievalife - Male Band 2
9303 L9300F Achievalife - Female Band 2
9304 L9300F Achievalife - Male Preferred
9305 L9300F Achievalife - Female Preferred
-19-
20
SCHEDULE A (CONTINUED)
----------------------
ACCIDENT AND HEALTH POLICIES
----------------------------
The accident & health insurance Policy plans subject to this Agreement are as
follows:
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
01A MM-01A COMP MAJ MED OVER 60 1000 DED
01B MF-01B COMPREHENSIVE MAJOR MED-5000 DED
01C MF-01C LIMITED BENEFIT HEALTH-500 DED
01D MF-01D COMP MAJ MED OVER 60 500 DED
01E MF-01E COMP MAJ MED OVER 60 500
01H MF-01H LIMITED BENEFIT HEALTH - 250 DED
02A MF-02A COMPRESHENSIVE MAJOR MED-250 DED
02B MF-02B COMP MAJ MED OVER 60 2500 DED
03A MF-03A MAJ MED OVER 60 1000-D-MONTANA
03B MF-03B MAJ MED OVER 60 10-D-MONTANA
03C MF-03C LIMITED BENEFIT 1000 DED-MONTANA
105 MF-105 HOSP MED SURG/COLUMBUS LIFE
106 MF-106 HOSPITAL SURGICAL MEDICAL
108 MF-108 HOSPITAL SURGICAL MEDICAL
109 MF-109 HOSPITAL SURGICAL MEDICAL
110 MF-110 HOSPITAL MEDICAL EXPENSE POLICY
111 MF-111 MAJOR HOSPITAL PROTECTION
112 MF-112 HOSPITAL SURGICAL MEDICAL
114 MO-C1 HOSP MED SURG-MAJOR MED POLICY
000 XX-000 XXXX XXX XXXX-XXXXX MED POLICY
116 MF-116 COMPREHENSIVE MAJOR MED-5000 DED
117 MF-117 COMP MAJ MED OVER 60 250 DED
000 XX-000 XXXX XXX XXX-000 XXX-XXXXXXXXX
120 MF-120 COMP MAJ MED-1000 DED-TENNESSEE
124 XX-000 XXXX XXX XXX-00000 XXX-XX OVER 60
125 MF-125 MAJ MED OVER 60-1000 D-CALIFORNIA
126 MF-126 MAJ MED OVER 60 100 D-ARKANSAS
128 MF-128 COMP MAJ MED 100 DED-MARYLAND
12A MF-12A COMP MAJOR MED 1000 DED
12B MF-12B COMP MAJOR MED 2500 DED
12C MF-12C COMP MAJOR MED 5000 DED
12E MF-12E MAJOR MEDICAL-300 DED
12M MF-12M SINGLE PERSON MSA POLICY DED #2
12N MF-12N MSA MAJOR MEDICAL EXPENSE
130 MF-130 MAJ MED OVER 00 000 X-XXXXXXXXX
-00-
00
(ACCIDENT AND HEALTH POLICIES CONT.)
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
13A MF-13A COMP MAJ MED-10000 DED
14A MF-14A COMP MAJ MED-900
14M MF-14M MSA MAJOR MED EXPENSE POLICY
15A MF-15A LIMITED BENEFIT 600
160 MF-160 STD HEALTH INS POLICY 1000 DED
161 MF-161 BASIC HEALTH INS POLICY 5000 DED
164 MF-164 BASIC INDIV. REFORM CONTRACT
000 XX-000 XXX XXXXX. REFORM CONTRACT
166 MF-166 BASIC HEALTH PLAN
167 MF-167 STANDAPD HEALTH PLAN
168 MF-0168 MAJOR MED EXPENSE POLICY
169 MF-169 MAJOR MED EXPENSE POLICY
16A MF-16A MAJOR MED-1000 DED
17A MF-17A ASSOC GROUP MAJ MED-5000 DED
19A MF-19A LIMITED BENEFIT HEALTH POL-300
203 MF-203 DISABILITY
204 MF-204 DISABILITY
205 MF-205 DISABILITY
206 MF-206 DISABILITY
207 MF-207 DISABILITY
208 MF-208 DISABILITY INCOME POLICY
211 MF-211 DISABILITY INCOME POLICY - FL
220 MF-220 DISABILITY INCOME/COLUMBUS LIFE
264 MF-264 DISABILITY
302 MF-302 MEDICARE SUPPLEMENT PLAN
303 MF-303 MEDICARE SUPPLEMENT PLAN
304 MF-304 MEDICARE SUPPLEMENT PLAN
307 MF-307 MEDICARE SUPPLEMENT PLAN
308 MF-308 MEDICARE SUPPLEMENT PLAN
309 MF-309 MEDICARE SUPPLEMENT PLAN
310 MF-310 MEDICARE SUPPLEMENT PLAN
311 MF-311 MEDICARE SUPPLEMENT PLAN-MN
312 MF-312 MEDICARE SUPPLEMENT PLAN-MN
313 MF-313 MEDICARE SUPPLEMENT PLAN
314 MF-314 MEDICARE SUPPLEMENT PLAN
316 MF-316 MEDICARE SUPPLEMENT PLAN-MN
317 MF-317 MEDICARE SUPPLEMENT PLAN-VA
318 MF-318 MEDICARE SUPPLEMENT PLAN-WI
319 MF-319 MEDICARE SUPPLEMENT PLAN-FL
320 MF-320 MEDICARE SUPPLEMENT PLAN-MI
-21-
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(ACCIDENT AND HEALTH POLICIES CONT.)
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
321 MF-321 MEDICARE SUPPLEMENT PLAN-MI
323 MF-323 MEDICARE SUPPLEMENT POLICY
324 MF-324 MEDICARE SUPPLEMENT POLICY
325 MF-325 MEDICARE SUPPLEMENT POLICY
000 XX-000 XXXXXXXX XXXXXXXXXX - XX
327 MF-327 MEDICARE SUPPLEMENT POLICY
328 MF-328 BASIC MEDICARE SUP POLICY
000 XX-000 XXXXXXXX XXXXXXXXXX - XX
330 MF-330 MEDICARE SUPPLEMENT - MN
331 MF-331 MEDICARE SUPPLEMENT - MN
332 MF-332 MEDICARE SUP POLICY-LEVEL
333 MF-333 MEDICARE SUPPLEMENT POLICY
334 MF-334 MEDICARE SUPPLEMENT POLICY
335 MF-335 MEDICARE SUP POLICY-JAN'92
340 MF-340 MEDICARE SUPPLEMENT POLICY
341 MF-341 MEDICARE SUPPLEMENT POLICY
342 MF-342 MEDICARE SUPPLEMENT POLICY
343 MF-343 MEDICARE SUPPLEMENT POLICY
345 MF-345 MEDICARE SUPPLEMENT POLICY
346 MF-346 MEDICARE SUPPLEMENT POLICY
347 MF-347 MEDICARE SUPPLEMENT POLICY
348 MF-348 MEDICARE SUPPLEMENT POLICY
349 MF-349 MEDICARE SUPPLEMENT POLICY
350 MF-350 MEDICARE SUPPLEMENT POLICY
351 MF-351 MEDICARE SUPPLEMENT POLICY
352 MF-352 MEDICARE SUPPLEMENT POLICY
360 MF-360 MEDICARE
361 MF-361 MEDICARE SUP CERTIFICATE
362 MF-362 MEDICARE
363 MF-363 MEDICARE
364 MF-364 MEDICARE
365 MF-365 MEDICARE
366 MF-366 MEDICARE SUPPLEMENT CERT.
367 MF-367 MEDICARE SUPPLEMENT CERT.
368 MF-368 MEDICARE SUPPLEMENT CERT.
370 MF-370 MEDICARE SUPPLEMENT POLICY
390 MF-390 MEDICARE SUPPLEMENT POLICY
391 MF-391 MEDICARE SUPPLEMENT POLICY
392 MF-392 MEDICARE SUPPLEMENT POLICY
-22-
23
(ACCIDENT AND HEALTH POLICIES CONT.)
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
393 MF-393 MEDICARE SUPPLEMENT POLICY
403 MF-403 NURSING CARE FACILITY POLICY
404 MF-404 NURSING CARE FACILITY POLICY
405 MF-405 LONG-TERM CARE INSURANCE
407 MF-407 LONG-TERM CARE INSURANCE
408 MF-408 LONG-TERM CARE INS POLICY
409 MF-409 LONG-TERM CARE INS POLICY
410 MF-410 LONG-TERM CARE INS POLICY
411 IGR-TX LONG-TERM CARE INSURANCE
414 MF-414 LONG-TERM CARE INSURANCE
420 MF-420 LONG-TERM CARE W/O ROP RIDER
421 MF-421 LONG-TERM CARE INSURANCE
422 MF-422 NURSING HOME INSURANCE
423 MF-423 LONGTERM CARE INS POLICY
425 MF-425 MAJOR MEDICAL
426 MO-C1 MAJOR MEDICAL
428 RP(10)(WI) NURSING HOME INS POLICY
429 MF-429 LONG-TERM CARE INSURANCE
430 MF-430 COMPREHENSIVE LONG TERM CARE
431 MF-431 LONG TERM CARE INSURANCE
432 MF-432 LONG TERM CARE INS POLICY
000 XX-000 XXXX XXXX CARE INSURANCE
436 MF-436 LONG TERM CARE INSURANCE
437 MF-437 BASIC NUR HOME LONG TERM CARE
438 MF-438 BASIC NUR HOME LONG TERM CARE
440 MF-440 LONG TERM CARE UNDER 80W/O ROP
442 MF-442 QUALIFIED LONG TERM CARE
443 MF-443 QUALIFIED LONG TERM CARE
444 MF-444 QUALIFIED LONG TERM CARE
445 MF-445 QUALIFIED LONG TERM CARE
446 MF-446 QUALIFIED LONG TERM CARE INS
449 MF-449 QUALIFIED LONG TERM CARE
450 IG(Q)-1 QUALIFIED LONG TERM CARE INS
000 XX-000 XXXX XXX XXXX XXX XXX MED OVER 80 $140 FM
529 MF-429 NE PETROLEUM MARKETERS OV 60 500 DED
000 XX-000 XXXX XXX XXX XX 000000 DED
540 MF-540 COMP MAJ MED BANKS 2500 DED
-23-
24
(ACCIDENT AND HEALTH POLICIES CONT.)
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
541 MF-541 COMP MAJ MED ASSN/BUS OV 60 1000 DED
542 MF-542 COMP MAJ MED COOP OVER 60 1000 DED
543 MF-543 AAA MAJ MED-250 DED
544 MF-544 COMP MAJ MED BK DEP. OV 60 250 DED
545 MF-545 COMP MAJ MED NE STKGR. OV 60 100 DED
000 XX-000 XXXXXXXXX MAJ MED EXP 2500 DED
000 XX-000 XXXXXXXXX XXX MED EXP 250
625 MF-625 TRAVEL ACCIDENT POLICY
627 MF-627 CANCER POLICY
640 MF-640 EMPLOYEE GROUP HEALTH PLAN
701 MF-701 HOSPITAL INDEMNITY POLICY
702 MF-702 HOSPITAL INDEMNITY POLICY
703 MF-703 HOSPITAL INDEMNITY POLICY
704 MF-704 HOSPITAL INDEMNITY POLICY
705 MF-705 HOSPITAL INDEMNITY POLICY
706 MF-706 HOSPITAL INDEMNITY POLICY OV 64
708 MF-708 HOSPITAL INDEMNITY POLICY
709 MF-709 HOSPITAL INDEMNITY POLICY
730 MF-730 HOSPITAL CONF INDEMNITY
731 MF-731 HOSPITAL CONF INDEMNITY
735 MF-735 HOSPITAL CONF INDEMNITY-FL
750 MF-750 GROUP MEDICAL "WRAP"
800 MF-800 ACCIDENT ONLY POLICY
801 MF-801 ACCIDENT ONLY POLICY
802 MF-802 ACCIDENT ONLY POLICY
804 MF-804 ACCIDENT ONLY POLICY
805 MF-805 ACCIDENT DISABILITY POLICY
810 MF-810 ACCIDENT ONLY POLICY
811 MF-811 ACCIDENT ONLY POLICY
812 MF-912 ACCIDENT ONLY POLICY
815 MF-815 ACCIDENT ONLY POLICY-FL
816 MF-816 ACCIDENT ONLY POLICY
901 MF-901 CANCER POLICY
902 MF-902 CANCER POLICY
903 MF-903 CANCER POLICY
904 MF-904 CANCER POLICY
-24-
25
(ACCIDENT AND HEALTH POLICIES CONT.)
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
905 MF-905 CANCER POLICY 65 OF OLDER
907 MF-907 CANCER AND SPEC DISEASE POLICY
908 MF-908 CANCER AND SPEC DISEASE POLICY
909 MF-909 CANCER AND SPEC DISEASE POLICY
910 MF-910 CANCER AND SPECIFIED DISEASE
911 MF-911 CANCER AND SPECIFIED DISEASE
913 MF-913 CANCER AND SPEC DIS POLICY-FL
914 MF-914 CANCER AND SPEC DIS POLICY-FL
915 MF-915 CANCER AND SPECIFIED DISEASE
DG1 MF-DG1 GROUP DENTAL
XX0 XX-XX0 INDIVIDUAL DENTAL
H04 MF-H04 MAJOR MEDICAL EXPENSE POLICY
H05 MF-H05 HOSPITAL AND SURGICAL POLICY
H07 MF-H07 HOSPITL AND SURGICAL POLICY
HS1 MF-HS1 COMPREHENSIVE MAJ MED 500 DED
HS2 MF-HS2 HOSPITAL SURG EXPENSE 250 DED
HSS MF-HS5 COMPREHENSIVE MAJ MED 10000 DED
PPA MF-PPA PREFERRED PROVIDER POLICY
PPB MF-PPB PREFERRED PROVIDER POLICY
PPC MF-PPC PREFERRED PROVIDER POLICY
PPD MF-PPD PREFERRED PROVIDER POLICY
PPE MF-PPE PRE PROVIDER POLICY 1000 DED
PPF MF-PPF PRE PROVIDER POLICY DED 2500
PPG MF-PPG PRE PROVIDER CERTIFICATE
PPI MF-PPI PREFERRED PROVIDER POLICY
PPJ MF-PPJ PREFERRED PROVIDER POLICY
PPL MF-PPL PREFERRED PROVIDER POLICY
PPM MF-PPM PRE PROVIDER POLICY 250 DED
PPO MF-PPO PREFERRED PROVIDER POLICY
PPQ MF-PPQ PREFERRED PROVIDER POLICY
PPR MF-PPR PREFERRED PROVIDER POLICY
PPS MF-PPS PREFERRED PROVIDER POLICY
PPZ MF-PPZ PREFERRED PROVIDER CERTIFICATE
S10 MF-S10 SHORT TERM NON-RENEWABLE MED
S20 MF-S20 SHORT TERM NON-RENEW MED 600
S21 MF-S21 SHORT TERM NON-RENEW MED 150
SE1 MF-SE1 SMALL EMP GRP PLAN BASIC
SE2 MF-SE2 SMALL EMP GRP PLAN STANDAPD
SE3 MF-SE3 BASIC PLAN
SE4 MF-SE4 STANDARD PLAN
-25-
26
(ACCIDENT AND HEALTH POLICIES CONT.)
PLAN POLICY FORM # NAMES AND DESCRIPTION
CODE
--------------------------------------------------------------------------------
ST1 MF-ST1 SHORT TERM NON-RENEWABLE MED
STD MF-STD SHORT TERM NON-RENEW MED EXP 600 DED
STM MF-STM SHORT TERM NON-RENEW MED EXP 1200
XXX MF-XXX XXXXX TERM NON-RENEW MAJ MED
TIP MF-TIP SHORT TERM NON-RENEW HOSP SURG POLICY
WP1 MF-WP1 MAJOR MED EXPENSE POLICY
WP3 MF-WP3 SURGICAL EXPENSE POLICY
WP4 MF-WP4 BASIC HOSP MEDICAL EXPENSE
WP5 MF-WP5 CANCER POLICY
WP6 MF-WP6 DOCTOR CALL POLICY
-26-
27
SCHEDULE B
----------
CEDING ALLOWANCE; EXPENSE ALLOWANCES
------------------------------------
CEDING ALLOWANCE: The ceding allowance payable to the Company by the Reinsurer
is $13,000,000 for 50% of the Losses and Premium under Policies on and after the
Effective Date.
EXPENSE ALLOWANCES: In conjunction with the quarterly accounting, a
proportionate share of the following allowances will be credited to the Company
at the end of each quarter in the premium/claim calculation based on the number
of Policies and/or certificates in force and/or applicable Premium during the
quarter. With respect to the Reinsurer's proportionate share of liability
hereunder, the agreed-to Expense Allowances are as follows:
1. Policy Administration Fee:
(i) Life and Annuity Policies: $35 per Policy, plus a management fee
equal to 3% of collected Premium.
(ii) Accident & Health Policies
a) Medicare Supp.: 10% of collected Premium;
b) Major Medical: 9% of collected Premium;
c) Long Term Care: 6% of collected Premium;
d) All others: 15% of collected Premium;
provided that if the ceding
allowance is not repaid within 5
years after the Effective Date, the
above allowances shall be reduced
effective the first quarter
following expiration of the 5 year
period in an amount equal to the
lesser of (i) the actual amount
required to service the Policies in
accordance with Nebraska law or (ii)
the above allowances. Upon
conversion of this Agreement to
65/35 profit sharing on the
Reinsurer's proportionate share
hereunder, the allowance then in
effect shall remain fixed until
termination of the Agreement.
3. Commissions will be paid on an actually incurred basis.
4. Premium taxes will be paid on an actually incurred basis.
-27-
28
SCHEDULE C
----------
RECAPTURE; EXPERIENCE REFUND
----------------------------
At the end of each quarter, an experience refund will be calculated on
the Policies reinsured. If positive, this experience refund will be payable to
the Company by the Reinsurer. Should the Company elect to exercise its recapture
option pursuant to Article III hereof, the Company shall be liable for repayment
of the then outstanding LBF as defined below, in addition to an amount
sufficient to assure the Reinsurer of a maximum Modified Pre-tax 12% return on
its investment from the Effective Date. Such calculation shall include the
provision for target surplus in the amount of 200% of the Authorized Control
Level RBC using the factor agreed to by the Company and the Reinsurer as
appropriate for the Policies reinsured. The formula for the calculation of the
recapture amount will be agreed to by the parties to this Agreement. In
addition, the recapture shall call for a net cash settlement, with interest at
the rate of "I" as defined below, of all outstanding reserve amounts as of the
recapture date.
Define the following for the Policies reinsured:
P = Premiums incurred during the quarter, and experience
refunds under other reinsurance treaties, net of
any reinsurance premiums for the Reinsurer's
Share of the Policies reinsured.
I = Net Investment income, to be defined as the
Reinsurer's net portfolio rate for the quarter prior
to the settlement date applied to the total
beginning reserves for the Policies reinsured,
including provision for realized capital gains and
losses. The Company will provide the Reinsurer with
a breakdown of all pertinent reserve elements.
R = Statutory Unearned Premium and Active Life Reserve
increase for the quarter.
B = Policyholder Benefits incurred during the quarter,
net of any reinsurance benefits recovered under
other reinsurance treaties for the Policies
reinsured (i.e. incurred benefits = paid + change in
aggregate claim reserve).
A = Overhead Expense Allowances incurred during the
quarter.
T = Premium Taxes.
LBF = Loss Brought Forward from prior quarter end.
(The initial value for LBF will be the Initial Ceding Allowance set
forth in Schedule B)
-28-
29
Then:
C = Commission allowances incurred during the quarter.
N = Net gain during the quarter.
- P+I-R-B-C-A-T
ER = Experience Refund for the quarter, defined as:
= 65%[N - {1.12 to the power of .25 x LBF}] ,but not
less than zero.
and:
LCF = Loss Carried Forward from current quarter end (=LBF
for next quarter), defined as:
= {1.12 to the power of .25 x LBF} - N, but not less
than zero.
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