AMERICAN INTERNATIONAL LIFE ASSURANCE COMPANY OF NEW YORK ORDINARY-None GROUP Policies in force December 31, 1966 Policies issued during 1967 ------------------- Number 1 0 Total _--------------- 1 Ceased to be in force during 1967 _-------- --0 ( Policies in force December 31, 1967 -_- 1 Losses and claims: Unpaid December 31, 1966 -----------_ 0 Incurred during 1967 ------------------- 0 Total --------------------------- 0 Settled during 1967 ------------------- 0 Unpaid December 31, 1967... --- 0 Net premiums collected in Canal Zone during 1967: Life Insurance ---------------------------- Accident and Health Total Premium tax paid in Canal Zone ------------- *Portion of estimated incurred but not reported claim allocated force premiums. Amount $256,555.00 0.00 $256,555.00 -) 32,306.00 $288,861.00 $246.29* 31.02 $277.31 0.00 $277.31 $3,027.13 0.00 $3,027.13 $45.41 on basis of in BANKERS LIFE INSURANCE COMPANY OF AMERICA ORDINARY Number Policies in force December 31, 1966 ------------ 1,544 Policies issued during 1967 ------------------ 0 Total_ __ ---------------------------- 1,544 Ceased to be in force during 1967 -------------- 341 Policies in force December 31, 1967------------ 1,203 Losses and claims: Unpaid December 31, 1966---_--------- 4 Incurred during 1967 ---- ------------------ 10 Total ___________- Settled during 1967- ---- Unpaid December 31, 1967 --- 14 10 4 Amount $5,930,717.00 0.00 $5,930,717.00 1,143,816.00 $4,786,901.00 $3,500.00 7,375.00 $10,875.00 7,375.00 $3,500.00 GROUP-None Net premiums collected in Canal Zone during 1967: Life Insurance --------------- Accident and Health -------- Total ------------ -------- Premium tax paid in Canal Zone --------- ----- $189,056.39 0.00 $189,056.39 $2,835.85