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HomeMy WebLinkAbout12-3565 COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT ?4I, IZ? Y t'd lJ Lr0Ula E , !IA ?a a -3s? s CIO I CERTIFICATE OF AUTHORITY Casualty Effective Date: April 1, 2012 BAR PLAN MUTUAL INSURANCE COMPANY (THE) NAIC NO. 29513 HAS COMPLIED WITH THE REQUIREMENTS OF THE LAWS OF THE COMMONWEALTH OF PENNSYLVANIA RELATING TO ADMISSION IN SAID COMMONWEALTH FOR THE PURPOSE OF TRANSACTING INSURANCE BUSINESS IN PENNSYLVANIA AND THAT THE ABOVE NAMED COMPANY IS HEREBY AUTHORIZED TO TRANSACT THE BUSINESS OF: Fidelity and Surety 40 P.S. s 382(c)(1) Other Liability 40 P.S. s 382(c)(4) FOR THE YEAR ENDING MARCH 31, 2013, IN ACCORDANCE WITH ITS CHARTER AND IN CONFORMITY WITH THE LAWS OF SAID COMMONWEALTH OF PENNSYLVANIA. IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED MY OFFICIAL SEAL, THE DATE AND YEAR FIRST ABOVE WRITTEN. MICHAEL CONSEDINE INSURANCE COMISSIONER OJm4 !V 1 ?,00 P i?i?iommimenpwmnwpuui? PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2011 OF THE CONDITION AND AFFAIRS OF THE The Bar Plan Mutual Insurance Company NAIC Group Code 1228 1228 NAIC Company Code 29513 Employer's ID Number 43-1393691 (Current) (Prior) Organized under the Laws of Missoud State of Domicile or Port of Entry _ Missouri Country of Domicile United States of America Incorporated/Organized _ 11/2111985 Commenced Business 01/0111986 Statutory Home Office 1717 Hidden Creek Court St. Louis , MO 63131-1826 (Street and Number) (City or Town, State and Zip Code) Main Administrative Office 1717 Hidden Creek Court (Street and Number) St. Louis , MO 63131-1826 (City or Town, State and Zip Code) 314-965-3333 (Area Code) (Telephone Number) Mail Address 1717 Hidden Creek Court St- Louis, MO 63 1 31-1 826 (Street and Number or P.O. Box) (City or Town, State and Zip Code) Primary Location of Books and Records 1717 Hidden Creek Court (Street and Number) SL Louis M063131-1826 314-965-3333 (City or Town, State and Zip Code) (Area Code) (Telephone Number) Internet Website Address www.thebarplan.Com Statutory Statement Contact Gregory Howard Klaus 314-965-3333-159 (Name) (Area Code) (Telephone Number) nhklaus@thebarplan com 314-965-8122 (E-mail Address) (FAX Number) OFFICERS President & CEO _ Karen Renee McCarthy Secretary Ann Patricia Hagan Treasurer Kent Owen Hyde # OTHER Gregory Howard Klaus Chief Financial Officer Stephen Cr" Couch Vice President Kimbedy Marie Edgar Vice President Patrick Michael O'Leary Vice President Cynthia Louise Ptlvirenti Vice President Gayle Elaine Tegtmeier Vice President DIRECTORS OR TRUSTEES Jerome Edward Brant Michael Joseph Delaney # Dennis Lae Gillen John Ritter Gunn Ann Patricia Hagan Kent Owen Hyde Wafter Russell Latnkin Karen Renee McCarthy Richard Gary Steele State of ti rms SS: County of St Louis The officers of this reporting entity being duly sworn, each depose and SW that they, am the described officers of said reporting entity, and that an theme itg period >? and vabl? and of the all of the herein described assets were the absolute MPertY of the die ein oordairhed, annetaed a referred to, a ful and tite t of al tihet assets statement. rid a ter oft related repoiri r sdit as and stated above, and of its income and deduc5oris Uwrefrom for the period ended, and have been completed canttfifiorr and affairs of the said reptxdt9 ? as Of the r ris ng Pam Pracb= and Procedures manual except to the mderd that (1) state law may differ, or, (2) gnat state in ac oordafee vAt h the NAIC Arintra[ Statement k struudion and Aocatxr00u and procedures. acoordlinig to ttte beat of th eir krib rnstioe. W-Aedp and bettef, rules or regsrkdons require cWarances in nq-dng not related to aopfacers ( electronic fWV with the that is an respedlurey. Furtlherrrcre the scope of this atleustation by true described olfioers also hciudes the related oorresparhdn9 in burr o or in addition exad oopy (wnaptfor formatting dkerenoes due to electronic filing) of the erhdosed slaternent- The stectrwic ffmg may be requested by 1*9u to the ericbso statemtxil Karen R- McCwft Ann P. Hagan KT yde r President & CEO Secretary ] a. is this an originat firing? °-.--.------ Yes[ X ] No[ b. If rho, S swam to before me this . 1. State the amendment number----_.. day of 2 Date -^-....._---------- ,°----- •--. 3- Number of pages attached----..__ r ,rrr•.rs•rw , Vic L. BA T;AU Notary PUbiiC. Noiary $eal $tote of Missouri Jefferson County commission # 08381746 My COtitrnlssion Expires May 04, 201.2 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company LIABILITIES, SURPLUS AND OTHER FUNDS 1 . Losses (Part 2A. Una 35, Column 8) ..... - .. ...._ . - - .......__ ----- _.__-16,897,957 2 . Reinsurance payable on paid bases and loss ad usunent ex enses (Schedul F P t 1 l C p e , ar , o umn 6) ..-_--...._._-_------- 3 . Loss adjustment expenses (Part 2A. Line 35. Column 9) --------- -_. 8,898,952 _--....8.935.975 4 . Commissions payable, contingent commissions and other similar charges- ------...100.688 . ----- - ------- ------ 117A19 5 . Other expenses (excluding taxes, Ncensesandfees) ............ ._.151,550 __ --..---- _-.370,843 6 . Taxes, licemesand fees (excluding federal and foreign income taxes) -_------- ---- ----------- 26.907 ....... .... 11.712 7 .1 Current federal and foreign income taxes (including $ ....... _.-_.. on realized capital gains (losses))--- ---....- .. . 15.360 7 .2 Net deferred tax liability ----------- - _--- 8. Borrowed money $ .-..-_- . -_ ------------ and interest thereon 9. Unearned premiums (Part 1 A, Line 38, Column 5) (after deducting unearned premiums for ceded reinsurance of $ .....____..-....2.841.400 arid including warranty reserves of $ -._..-__.____..-.__. and aocrued accident and health experience rating refunds including $ ---..._.._-.... _....... _- for medical loss ratio rebate per the Public Health Service Act).-' -' -----. ------------- - --------- --.- ---------- --.-----5.143.681 ._. _....__5.334.422 10. Advance premium ....... ----- ...... --....... -_._608,142 896.636 11. Dividends declared and unpaid: 11.1Stockholders - -.----------- -- - ..-__-- ------------ _.._. 11.2 Policyhdders --------- -------- ------ ----------- ----------- ------- 12. Ceded reinsurance premiums payable (net of ceding commissions) ...... .._._ ------- .._ ._637.214 _.687.072 13. Funds held by company under reinsurance treaties (Schedule F. Part 3. Column 19) .- -. ----.. ------- ......_- -0 14. Amounts withheld or relaMed by company for account of ofbers _.. - . ......... ._- - .. _.-_..22.215 15. Remktancesanditems riot allocated -------------- ------------ -------- ----- -------_..._-____.._..___._._-____._.-. _.- --......----.181,915 ---- -...----105,543 16. Provision for reinsurance (Schedule F.Part 7)------------------- _-_--.-------.._----..._._.----_---__._..---------- ---..._.----------------- _- .------ .._.--...-----_-.OW ... 17. Net ad6ushnents in assets and Nabiptles due to foreign exchange rates .--_.---. _...._-------- ---- .----------- ._. ._._..-._- ......_ .-_....-.__.-- - 18. Drafts outstarding.------------------ .---------------- ------------- ------------------- ------------ --'°------------------- - - 19. Payable to parent subsidiaries and ffiWlates.------------------ ---------- --...-- 20. Derivatives ---------------------- _--------------- ------------------ ..--------------------- ------------- ._.------- _----------- _------------- _------ ------- .--------_.-------- '--- _ --------. 21. Payable for aecurities......... .---------- -- ---------------- ........ .. ---- ----------- ------------ -- -- ------- -- ----------- ------- . .-...-- ------ - --- ---------- -- 22. Payable for securities lending _._......._------- .------------- 23. Liability to amounts held under uninsured plans..... --.-.-_-_---_---.._.._....____----.--.-.-._-_-_._--__..--------.-.- ------ ------ -- ........ 24. Capital notes $ --------------- -------------- -_--- and interest thereon $ ----...----- ---- --- ------------- ------ - ------ ------------- --...----- ------ - 25. Aggregate writa-imrforliabilities -------------- ------------ -_----------- .---------- _._.... _----- ------------------- .°---- 107,255 348,131 28. Total liabilities excludi g protected cell liabilities (Lines i through 25) ----- ---------- .__-.-------- --------- -------- -- ----------------- - ... ...........31.364.610 --------- ------ 3.831.527 27. Protected collWNties----- ----------- ------------- ....._------------------ _..---_....._----.'------- ------- ------ ------------- --------------- -------------- 28. Total liabilities (Lines 26and27)_-------------------------------- --------------------...---- ------- ...----------------- ---- .._ ............._31,384.840 ..----------- .-.._33.831,527 29. Aggregatewrile-Me for special surplus funds ------------ .. .-.-.--._....-____--------- .._----- ------ ___-------------- .--------------------------- ---- --433,976 ----------- _ ._.....-..496,078 30. Common capital stock ........-.--------- __--------- _---- 31. Preferred captal stock _-------------------- -------- _---------------------- Aggregate wd*4nsfor other than special surplus funds ----------- ---------------- _-.---------- ..------------_------------------------ ..--------- - --------.._...0 --------- ---------- _------- 0 33. Surplus notes..-..--- ------ ------------------------------------------ - - -------------°- -- --- --------------- -------- -- ------- -5,011.139 ----. _.....5.020.222 34. Gross paid in and contributed surplus ......__.-_................ ._..-..--------------------- ------------ ---------------------- -----_.--------------- ------ ----- -..--------- ------- ------- ------ ------ - --------- --------- 35. unassigned funds (surplus) ---------- ------------ --------------- - ---------- - - °---------_ ---------° ----------------- ------------- .---------------- - - - - ?, ----..- ._16.729,621 36. Less treasury stock, at cost: 36.1 ---------- ---------------------- -. shares common (value included in Line 30 $ ............ ) .__.---------------- -- -- .- ----------..-_--- 36.2 ------------ ------------------ shares preferred (value included in Una 31 $ ----------------- ) -------------- ----.._ .------ --.__------.__....--'-- - ------ -'-- --_.-..._.-._... 37. Surplus as regards pok*)Wers (Lines 29 to 35, less 36) (Page 4, Una 39) ------- -_---------- __ .............. .------------- __.--..-- 22 396.969 22,248,721 38. TOTALS Lbe 28, Col. 3 53 7170 609 56 060 248 DETAK.S OF WImTE4NS 2501. Guarantee Fund Payable .------------- ------------- ---------------- -------------------- ------- --_'- - - ..---- ------------------ ------ ... --------- --- .---------- 0 - -° -- ' -314.656 2502. Profit Coanission Payable ------------------------------------ ------------------------------- - --------- -------- ------------- ------ --... - -- -- 75.979 -.._.. 0 2503. Urcleimed Funds ---_------ ----- ------------ ------------ --------------- ----------- ------ .----------- -------------------- --------._._...------------------------------ - ----- -- --------- -__31,276 . . -33.475 2598. Summary of remaining wr Wft for Line 25 from overflow page..-------- _-------- 2599. Totals Lines 25W thru 2503 us 2598 Uns 25 above 107,255 348,131 2901. SSAP tai Election Adlustsent ----------------------------- -------- ---------------------------------- .--------------- - ------------------- - -....... ...... ........131,676 - 176.176 2902. Policyllolder Contributions --------------------------------- _ -.._---------- -------------- '---------------------- - - ---------- ------- ---- --...._302.300 - - ---_322.700 2903. ---- ------------- _...--°------------ ------------------------ -----..-......----------------------------...._._-_-----------------°--------------------- - 2998. ------ ---- - Summary dremaining wdle-m for Line 29from overflow page ------------------ ------- ---- _.--.------- ----------- -`._--.---------. - n n 3201. -.---------- -.-.-..-_.-- - ---"..".---......'-------_._-`-----._"---.. 3202. ----------- ..._--------- -.-....-..___._..-_-._..._._.._--..____ 3203. ---------------------- -------- --- ------------------- 32". Summary of remaining wdwWm for Line 32 from overflow page 0 3 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company STATEMENT OF INCOME UNDERWRITING INCOME 1. Premiums earned (Part 1, Una 35, Column 4)_---.--.-_--_------ ------------- _--.------------- ------------------ -. DEDUCTIONS: 2. Losses Incurred (Part 2, Una 35, Column 7) --..----- --------------------- .........--.--_-.-------.._...---...............-..---...-.-... 3. Loss adlustment expenses incurred (Part 3, Line 25, Column t) -------------- --------------- ____--.--...-.._..-----.... 4. other underwriting expenses roamed (Part 3, Line 25, Column 2) ------------- _.-..--.------------------ _. -------------------- - 5. Aggregate write-ins for underwrifing deductions ----------------------------- .---- --------------------- ......-..._...._.-"--'-- ---.--.------ 6. Total underwriting deductions (Lines 2 through 5) 7. Net income of protected cells ---------------- --------------- -------------- .---------- -- --------------- ---- ------------.. 8. Net underwriting gain or (loss) (Line 1 minus Una 6 plus Line 7).. -.--.....-.._..._--..--.-..._- -------------------- ._.....----- INVESTMENT INCOME 9. Net investment income earned (Exhibit of Net Investment Income, Line 17) .- ....-.......___ . _-..-.. 10. Net realized capital gains or (losses) less capital gains tax of $ ------------------------------ (Exhibit of Capital ---- Gains (losses) ------------------------------------------------------ -_.----------._------------------.__-. 11. Net investment gain (loss) (Ones 9 + 10) --_.._------------ __----------- ---__ ..--.---__-------- ------- - ---------- -----------.-- OTHER INCOME 12. Net gain (loss) from agents' or premium balances charged off (amount recovered --------------------- amount charged off 4 .................... .-._------ .__ ) .----- ------ .......---- .._.........-.-..- 13. Finance and service charges not included in premiums -------------- _----------------- '-- ------ 14. Aggregate write-ins for miscellaneous income ............. .....................--------_--------.-----..-..----._-.__.....---.-- - ----------------- __ 15. Total other income (Lines 12 through 14) ------------ __.._.__--..._---------------------------- ------ -----..-.--_..---------------- ....--------...._. 16. Net income before dividends to pokyholders. after capital gains tax and before all other federal and foreign income taxes (Ones 8 + 11 + 15) --------------- -------- -- --------------------------------------- ----- ------- 17. Dividends to polloyhoklers -------- ----------- ---------- ........... ----------- ---------------_-..--------_-----------.......---.-.---------- --------_._..... 18. Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Una 16 minus Line 17) 19. Federal and foreign income taxes Incurred ----------- '---------- --"-`-------._.._.-------- .._--------------- -_---------------- --------...... 20. Net Income (Una 18 minus Line 19Kb Una 22)._----------- -.------- _------- ----------------------------- ---------- ---------------------? CAPITAL AND SURPLUS ACCOUNT 21. Surplus as regards policyholders, December 31 prior year (Page 4, Line 39, Column 2) ...._-..._------..- 22. Net income (from Line 20) .---------- ------------ .----- --------- - - --------- 23. Net transfers (to) from Protected Coll accounts ---.---.-_----.-------------------- ------------------- -------- 24. Change In net unrealized capital gains or (bases) less capital gains tax of $ _...__-------------- 1133,404) 25. Change in net unrealized foreign exchange capital gain (loss) ............ ..... ---.._......... .---------- ....-.----- 26. Change in net deferred income tax........ -_----------- --------- ...--------------------------------------- ----------- --- 27. Change in nonadmf ted assets (Exhibit of Nonadmitted Assets, Una 28, Col. 3) ------ -__.-..--.----_---- 28. Change M provision for reinsurance (Page 3, Line 16, Column 2 minus Column 1) -------.-.--.------ 29. Charge in surplus notes 30. Surplus (contributed to) withdrawn from protected cells ------- ----.-------.....-..--------- -------------_-._..-. -' 31. Cumulative effect of charges in accounting principles ........ _........ ........ ___.......... -...... 32. Capitalcharges: 32.1 Paid in-------- ---------•---------- ---------- -.-------.._....__.-------- ---------------------- -----------.. 32.2 Transferred from surplus (Stock Dividend) -------------- _----`-----'-'--------------------"---------- 32.3 Transferred to Surplus ---'---------------------------__..--------_---- -------------- ------------- -_.---- ..-------- 33. Surplus adjustments: 33.1 Paid in-------------------- --------------------------- ------.......................... ....................... _---------.-- 33.2 Transferred to capital (Stock Dividend) '-------`-'.`----------------------------------- ---------------`. 33.3 Transferred from Capital ------------ --------------_--'.------- --------------------- ----------- -------- 34. Net remittances from or (to) Home Office ..... ..... ----------- ------- ---------- ----------------_--------- ---- --------- 35. Dividends to stockholders 36. Charge in treasury stock (Page 3, Lines 36.1 and 36.2, Column 2 minus Column 1) .-_------ -------- ----.. 37. Aggregate write-ins for gains and bases in surplus ------- ---..-..'----'-----------------._.._.. 38. Charge in surplus as regards policyholiers for the year (Lines 22 through 37) __....... _._---..-_.._.-._-. zo c„?,ws - rmnnsrris oolk Vholdere. December 31 current Year (Line 21 plus Una 38) (Page 3, Una 37) .150 j..----.-._..._10.964,112 199 ------------ ....---A4 911,524 971 5.189,758 .930 -----___-----4.191,201 ,106 14,288.483 .9501.---.-...._ _-(3.324,371 ,173 1...-_ .............1.115,115 ,780 (114,959) .953 .....11000.156 - --- .375 237,159 .224 125M ,599 249.689 .596 ............ _t2,074,526) .596 .--...----------- (2 , 014, 526 ) ,380 53 082) .236 (2.021 444) .721 -...----....-_0.550,998 ,236 -------------- ...(2,021.444) ---- ----------...__---- -- 0 DETAILS OF WWM4NS 0501. _-------------- _----.....------------- -........ ----------------- -....... ------- --------- -------------- -------------------------- ?----------------------- --------------------------0 --------------- ----- -- -- - _ ------------- - - -------------------------- ------------- -'--- 0598. Summary of remaining wdteans for Una 5 from overflow Pepe._------------------------------------ ----------------- ---------- --------- ------- --------- ------------- .__..-------0 0589. Totals Unes 0501 8ru 0503 pka 0508 Line 5 above 0 0 0 1401. ----------- ---------------------------- ------ -.... -........ ------------------------ ------------ ---------------- ------------------------------ ------ -------------------- --------------- -------°- 1402 gisceliarnean ------- ---------------- - -- -- --- ------ ---------------- ------ ----------- --------------------------- -----..._...-..23.224 --------- ------ ------- 12,530 ------ _---------- --.----------------------- ---- __-------------------- - 1498. Summary of remaining write-Ins for Una 14 from overflow page ----.------.---------------------------------------- ------ - ---------------_0 --- ---------- ---....__-0 1499. Totals Lines 1401 thru 1403 pbs 1 Une 14 above 23 224 12, 530 3701. ------------- --------- -`-------'-------.------- --...-----------'------------"--'-'---------- ---------- .---- -............... -"----- ---------------------- -----------------._.._.0 3702. Prior Year Tux Period hdjuatmnt - ------- -- - - - ------------------------------------- ----- ------ ..------ --------- ------- - .. ..... - - -..._-A .---------------------- '---------- - ----------------------- - - ----------- --- ------------ - 3788. Summary of remaining wrle-bs for Una 37 fran overflow page ------.------------------------------------------ --- --------- -----------------------0 -------°------------------- ..0 3799. Totals Unes 3701 t ru 3703 plus 3798 Line 37 alcove I. 0 0 4 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Cash from Operations 1. Premiums collected notofreinsurance _--------- _------ .--- ---- .-. __--._.10,090.756 2. Netinvestment Income -----------...-------- -------------- ------_-_....---'----...__ -------_--------------.._._.--........... _._..._.. --- ------------ ---- 1,213,629 ._._. __..._, 1,166,703 3. Miscellaneous income.._-....-------- _---.--'------ _...._--- ------- . _ ............. .__-..---------------- _---------- 245.5N 249.689 4. Total (Unes t through 3) ..... ------ __-_------- - --- . _ ----------- ._ 11.407 319 11.507.148 5. Benefit and Ion related payments _..----- - .-------- --------- ------ .3,W, t20 _ 1,207.9111 6. Not transient to Separate Amounts, Segregated Amounts arid Protected Celt Accounts.._.--._.._..____.._.._._.-.-._._.._..--_ ... ........ _.-------- --..___.0 ____ -0 7. Commissions, expenses paid and aggregate write-ims for deductions ---.. ....... -_-. ...... ..10.632.749 ..10.200.313 8. Dividends paid to Policyholders .............. _.._ -.......... _- ......... ..--____ . _-..-_...... -__.._-0 0 9. Federal and foreign income taxes paid (recovered) net of $ ...-__-------- tax on capital gains (losses) _.._.....----- (324 298 0 10. Total (LineaSthrough 9).._-------------------- _. -_ ........ ----------- .- L 14065570 13408224 11. Net cash from operations (Un9 4 minus Una 10)--_._--- -. _.__..._.._..__..._..._._._.__.__.. 2 658 251 1901 076 Cash from Investments 12. Proceeds from investments sold, matured or repaid: 12.1 Bonds ...__ ---__.... _-----.-13.615.671 8,418.904 12.3 Mortgageloans _._.---------------- -__-...-'----`------------------ --...-___ _.-.-._-__--_....----.._-.-_---.-.-- _--'.----_'---__- -..._._----'-----`---'-v ----° ---.....------.__v 12.4 Real eatate---------------------_-------- ?----- -------- --_...------ _----..._. .....-_.._...... ---- -------_ -..._.._ .........___.......-.0 12.5 Other Invested assets ..------- .-...... --------I------ -------'----._...._._..---........_..__._._.......__.--------- -_.-...._.-_-_-----.----- --------- ------ ------- --------- 0 ------ -- -- ------ ---- ------ _-...0 12.6 Net gains or (bases) on cash. cash equiveleMS and shat-term investments ..---...---__....__......_ .. ..............__.------ .--___.. ------------- ------------- ----° -----_ _._._.----.-.-0 1Z7MieceOaneolsproceeds ___..__.._ .....---------------------------- -..-..._......_..-._.._._...---- .---------- ..._............. _-- ------------ --------------- ....... 303,606 0 12.6 Total Investment proceeds (Uses 12.1 to 12.7) --------------- ------ .----- _--__ -.-_......._---- .._..... 19 681958 8,418,904 13. Cost of Investments acquired (long-term OW: 13.1 Bonds --------------------------------------- ------------- ------ ---------- _...----------- ...10.009.167 --------- --- 4,340,094 132 stocks ----...... -.... ------------------------- -................. .----- ------------- -------------- _._._-.---------- ------------------- --- ----------- __------------ ....-- ---------°---- -5,810,892 ---- -------- ._--------0 13.3 Mortgage loans .__..... -' _ ...----_---- ---- ....---- _....--------- ---- - -- -- _--.-------------- .._.__..------ '_-- ---.-.._...------- ... ---- `- -- ----------------------- -----0 ------ ------- _------- ----- 0 13.4 Real estate ------------_---------- _'__'.----------------------------- -----.--__._.---------- .--?------------- ---- ---...--?------------------- --------------------- 48.625 __ 71,970 13.5 Other invested assets .._------------ ...------- _ -_ -- .---------...- ---- -....._...-._._..-...... ------ ----° ----- -- - --- 0 13.6 Miscellaneous applications ------------------ ------ ------ ------------ -------------------- ------ ---...._..---- -.....-- -._....._.....------ ----------- 0 0 13.7 Total kwesdnents acquired (Lines 13.1 to 13.6)..__._----------------- ___.-__.._.------ __.._......._ ....-.-....-..----------- ._... 15,868,883. 4,412 064 14. Net increase (decease) in contrail bans and Premkxn rates ---------- ------------------------ __.----------------- -- --- --- -- .---...--------- ....-.._. 0 0 Net cash Lan I vestmects line 124 minus Line 13.7 minx: Una 14) ...................___.._.--.--- ------ 15 ----- .._._._...-.__--.---.._ 4 013 085 { 005 840 . Cash from Fkwmbp and Miscellaneous Sources 16. Cash provided (applied): 18.1 Surplus notes, capital notes --------------.-...--- --------- -- ---- ...------------ ------ --------- --------------- - - ----- - ....... .0 - -----...._-..0 182 Capital and paid in surplus, less treasury $for* ----------------------------- ---.---- ------- ----- ------------ ...---------- ------------ ------ ------ . .._--.------------- `---'--_0 -_----- --_-_._0 16.3 Borrowed funds ---------- ------ _' ----------- ---- ---------- -------------- ----- ...------ -- -----. --------- ------- ---- - ----------..-. -..------- --- - -_D ....._. -- -0 16.4 Net deposits on deposit-type contracts and other insurance liabilities ---_---._..--------------------- ----------____------------------------ ---- _-.------_------------- 0 --------------- 1) 185ONidendsbatocicholders---------.._---------_------------ ---------------- -------- --------- ------ .----__---------- ------ ---------------------- -'-- --------.--_0 ------------------ _0 16.6 Other cash provided (applied) -------------------------- ----------------- - ----------------------.........._....------..-- -- ..-__----------- ._... 20M 144,967 Net rash from financing and miscellaneous sources (Unes 16.1 to 18.4 minus Una 16.5 plus Line 16.6).--...__._------------ ._.. 17 20 996) 144,967 . RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERN INVESTMENTS cash egWvelarss and short-term inwesMnenls (Line 11, plus Unes 15 and 17) ._--------- _----------- ----------._ 18 Net charge in cash 1.333 918 2,250,731 , . 19. Cask cash equivalents and short-term investments: 19.1 Beginning ofyear-._---------------------------------.-_-----.-__----..... -_-------- ..._-__-------------- _..-------.._..---------....... --------- ._....... 5.394,266 _-------....._3.143.535 100r-.M,A-Min6a1nrs.1Ine19.11 _ 6,725,214 5394206 NOW suppiernental disclosures of cash Information flow for non-cash transacimms: 5 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 1 - PREMIUMS EAhUVEU 1 2 3 4 Unaamed Premiums Unearned Premiums Net Premiums Dec. 31 Prig Year - Dec. 31 Current Premiuma Earned Written per per Col. 3, Year - per Col. 5 During Year .. -- ^ I -I-.-- _- .e I..., .,.,tee o?nr Pee to ln,tx.ta2-31 1. Fire-------- ------- ------------------ .............. 2. Allied lines .._---------------- ---------------- ------------- ---..... 3. Famrowners multiple peril _------------- ------.--------._.... 4. Homeowners multiple peril ._._-._--------------- .........___ 5. Commercial multiple peril ._-------------------- .----- --._..... 6. Mortgage guaranty - ------------- ---------------------- --- 6. Ocean marine ........._--------------- ------------- --- ----......... 9. Inland marine --------- ---------- --.----------------- .------------- 10. Financial guaranty ..._.-._ ------------------------------------- ---- 11.1 Medical professional liability - occurrence -..----..----- 11.2 Medical professional Wily - claims-made ------ _-... 12. Earthquake ----------------- -'------- -------- ------._----------- - 13. Group accident and health .._-------- __-_.-.--._.__..._._ 14. Credit accident and health (group and individual) _ 15. Other accident and health .......... ------------------ ----.--... 16. Workers' compensation -------- ------------------- --------- 17.1 Other Oability - 00aurren10e ------- ------...--------------.. 172 Other liability -claims-made...---..-..--------- ----- _...... 17.3 Excess workers'compensation .--._..---...-_--.---.-.-_ 16.1 Products liability -occurrence .-.-...--.____._-...--- 18.2 Products liability - claims-made ----------- --------....---- 19.1, 192 Private passenger auto liability -....-_.......--____.- 19.3. 19.4 Commercial auto liability------------ __--------- -------- 21. Auto physical damage ------ ....._.--.._......-.-_..._.._..... 22. Aircraft (at parts) ----------------- -------- -------------.-. 23. Fidelity ------------ ------ -------- ------- --------------------- ----' 24. surety ------------- ----- ..---- -------------' 26. Burglary and theft ----------------- --------- ------- --- 27. Boiler and machinery ..-------- _.- ............._...-._--... 28. Credit--------------- ------"---- ------ ------- -......... 29. International .--------- ----------- ------------ ------ --------------. 30. Warr anty........ --------------------------- 31. Reinsurance - norproportional assumed property 32. Reinsurance - nonproportional assumed liability _. 33. Reinsurance - nonproportonal assumed financial 34. Aggregate writewits for other Ones of business DETAILS OF WRITE-INS 3401. ------ ---------- ---.------------ ---_-------- --'..----------_'-----". 3402. -_._..-._-..--....._------- .__..._---. 3403. ----- __----------- __-....------------ ._ ---_.._--.--_-._.-_._.._-. 3498. Summary of remaining write-fns for Line 34 from overflow page ,042 128.367 .258.565 01 0 --'-------------------- _-01...... -- 01 -------------------0 ------10.100.871 127,2791 _-------- ----- 0 1 6 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 1A - REGHiP(TLILATION.OF ALL PREMIUMS i 2 3 4 5 Reserve for Rate Amount Unearned Amount Unearned Credits and (Running One Yea Running bore Than Retrospective Total Reserve for .-- -' ^-'-.---- or Less from Date - One Year from Earned But Unbilled Adiusi menu Based unearned Premhens 1. Fire ---------- 2. Allied lines -.-------------- ------ ------ ----------------..- . _....------ 3. Fannowners multiple peril -__-..-.....___ ..... 4. Homeowners multiple peril .....-. _.----._-.-_.... 5. Commercial multiple peril ------ ---- -------- - 6. Mortgage guaranty -----._..-------................. ...... ....--....... 8. Ocean marine ._._.-........__----........_ 9. Inland marine --------- ----------- -_........ ._.___..--- 10. Financialguaranty -------------------------- -------------- ------ ....... _-... 11.1 Medical professional liability - occurrence -.....-.. __ - 11.2 Medical professional liability - claims-made 12. Earthquake------------ --------------- .._----------- ----_...._ ..__....---- 13. Group accident and heaitin--------------.---_._ 14. Credit accident and health (group and individual) ......._---------------- ----------------- .. . 15. . --------- Otlreraccidentandhealth -------------------------- 16. Workers' compensation ...-- .... ...... -. 17.1 Other hatift ty-occurrence ._. ----------- ... .. . - _. 17.2 Other liability - claims-made .... .. - --- 17.3 Excess workers' oonpensatfon..----------------__-- --------- ----- _ 18.1 Products liability -occurrence ---------------------- ------ ----------- 182 Products tiabtllty - claims-made ----- ------------------ ------------- -- 19.1,19.2 Private passenger auto liadNty ....... ..... ........... . 192, 19.4 Commercial auto liability ......-....--.....-.._ 21. Auto physical damage _.--.-._.__-.--.----.----..-. . ---------- 22. Aircraft (a6 perils)---------- .__.------------- ----------------- 23. Rdelity ...,------------- --_..----------- ---- --- -.----------- 24. Surety ..................... .------------------------ --------- -.------ - ------------- 26. Burglary and theft --------------------------------- ------------ -- ------------ 27. Boller and machinery ---------------------------------- ------ -. ._----_--- 28. Credit ------------- --.-.....------------------------------------ - -------------- 29. International..._.. ----------- -------------------------- ----°------.__. 30. Warranty ............ .------- --------- 31. Reinsurance - mmnpropor8onal assumed ty --- - -' - - -- - -- ------------- 32. ------- Reinsurance - nonpropontionai assumed Matt ity.-...---------------------------------- - -------------- 33. Reinsurance - nonpropordonw assumed finencfallines-------------- _.....------------------_.--- - -------------- 34. Aggregate writa-ins for other lines of business 35. TOTALS 36. Accrued retrospective premiums based on experience .--..-.-- 37. Earned but unbilled premiums ---------- .-.. 38. Balance Sum of Line 35 through 37 DETAILS OF WRITE-INS 3401. --------------------- 3402. ---------------------- 3403. ....------------ --------- -------- ---'-------------------...--- --...-----'------- 3496. Summary of remaining wd0e-ins for Une 34 from overlbwpapa-------- ............................. - - 3499. Totals (Linea 3401 thru 3403 plus 3496)(une 34 above) (a) State here bests of oonputetiom used In each case Doily Method _ .288.620 T/8,116 __----- 0 - ' -_0 - _0 -0 -----------0 76.945 _._.0 7 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT Line of Business Direct Business a 2 From Affiliates 3 From Non-AlNiates 4 To Affiliates 5 - To Non-Affiliates Net Premiums Written Cris. 14.3-4-5 0 1. Fire ------------------- ------ - -'------....._ ---------- - ----------- --.------ ------- - ------ - - --------------- -_----- ----------.._.._ 2. Allied lines ------ ------------- .---------------- ------- ------------ -------- - ----- ------------ .--------- - ---- ------------- -- -------------- ........... ...-------- --------_-----. -- 0 3. Faanowners multiple peril .--------- -------------------------- -- -- ------------------ -------------- -- --- ----- -------- ...-------- ....---- .- ------ ---- ------- -------------0 4. Homeowners multiple peril ----------- ------------------- ----------- ------------------ -------- ----- -_.-...._--- ----- -------- - --------- ----- --- -------------------- ---_.....---------- 0 5. Commercial multiple peril ...--.------------- - ---- __------------ _ ......... ...----------------- -_...._.... _------ ..-.._._._....-.-_ -. .... ...-... ...____...___.__._.0 6. Mortgage guaranty _.------------- ----- ---- -------- ----- ---- ------ - ------------...-------- - ...._---.-..._...--_..... ..-------------- ---...---- _--_...-.-_----------0 8. Ocean marine ...---..-_------------- ...._-..-.- ------- -------------------- ---- -------------------- ----------------------- -------------- -------- - -...... -0 9. Wand marine ------- ------------ ----------------- - --------------------------------- .... ------------------ --- ------ ...-------- _-_...---- - -...--'-------------- ---- - ------ --. ....__-----_._...._...0 10. Financial guaranty _-------- ------------- .'.°' -------------- ----------------- -------'------- -------- ---------._-._?------- ----------- ------ ---------- ------------------ ---- - ........_ 0 11.1 Medical professional liability - occurrence ............... --------------- -----`°.. ----------?----------- "------------- ..___._ -- - ----- ----- -------------------- - -- ----0 11.2 Medical professional liability- 0 claims-made -' -------------- -------------------- ------ - --------------------- ------------------- ------ ----- ------ -------..._'----...-- --.'--------- ------- ---- - - ------- -------- 12. Earthquake ----------------- .---------------- ----- -------------- -------- --- ---------- -- -------------- ------ --------- - ----- ------------- ----- --------------- -------- -------._.----- --0 13. Group accident and health ------- --------- ----------------- ._.._.------- ------ ------------ _..------- --- ------- ------ -- ---...------ ---- -------...._ 0 14. Credit accident and health (group 0 andindividual) ----......----------------------- ----- --------- ---_-.-------- -------- ._..------------------ -------- ------........------ .------ ----..----- ------.... ------ ------------------- -- --------------------- 15. Other accident and health -------------- -------------------------- --------------------------- --------------------- ------- --------...-------- ------ ------------- ----------- -..-....------- - ----.--0 16. Workers' compensation ------------ ------- ---- -------------------- ----------------------- ---------- -------- ------ ------ ----------- .-------------- --- -------------------- ---------- -- 17.1 Other lability - occurrence ------------- ----------------------- -------------- ------ ----- -- ---------------- ---....... --- ------ -------- ------ ........... ----------- -...-------------- --- ---...-_ 0 17.2 Other lability -claims{made----- -------- ---------- --16.294.387 ------------------- ------------- -------- ----------------- - ----------------------- ------ ------ --------- 6.385,345 ----------9,909,042 17.3 Excess workers' compensation-------- .------------- ------ -_--- -------------------- ------- ----------------- .------ -------------- _..-------------- ------------------------ ----..-..-..---- --- ---- 0 18.1 Products liability - occurrence -------- ------------------------ --------------------- ----------- ----------- -------------- .------ ------------------------ _._..------ .- --------- -- - -- ---.0 18.2 Products lability -cleims-made------- ---- ----------------- ---- -------- ------------------ ------------------------ ------- ------....-------- --------------------- -----. - ---------- 0 19.1, 192 Private passenger auto liability ------ --------------------- -------- -'-------------- ..._.-- -------- -------------- --. ...-------------- --------------- --------------------- _ - --_----- ---- ---...--0 19.3. 19.4 Commercial auto lability--------------- --------------- .------ -------------------- .------ ----- .--------- ----- ----- - --._...------ --------- 0 21. Auto physical damage ----- -------- ---- ------------- ------ '--------'---------------- °-------------'-'---- ------------------------ - ------ ----- ---...--------- ------ .-------- ------------- 0 22. arrxat (ail perils) ------- --------- - ------------------ ---- .----- --------------------------- ?------- --------------- ---- -----.------------ -------- - ------ ------------------ 0 23. Fidelity ----------------------- --------------- -- ------------"-- ------------------------ ----------- ------ -.-------- --- ------------- ---------- .--- --------------------------- --- ...-0 24. Surety ------------------------------- _...---- .------ ---- --............ 294.101 --.-..---------- ------ ------------ -------------------- ------------ ------ --- -- M.734 -. 128.367 26. Burglary and theft..... -......... ----------- .... ----------- ----- ----- -------------------- -------------- ----- ------- --------....---------- ---- -------- - -- -- -------- .__0 27. Boger and machinery ---....... -------- ------------------ ---....----------- ---- ------ -------------- --- ------------------------ --- 0 28. Credit _._..._.------------ .------ ---------------- ------------------ -------.._..----------------- ----------- ------------ --- ------------------------ -------- ----------------- ----- ----- _------- ------ ------- 0 29. International------------------------------ -------- --`------ ----------- -_------- ------- --------------------- ----_'.----------- ---- -------------------------- ----- _.------------ ..._0 ----------------- .._.-- ---------------- - -------- -- - 0 31. Reinsurance -.nonproportionei 0 assumed property -.. - ------------ --- - - - ----- --M - -- - - -- -- -- - ----- ...... ._. .---- -- - - ' ---- - -- -.....-- --- - -...---'------------- - -- ........... _. 32. Reinsurance - nonpropordonal 0 assumed Wily --------------- ------- -- - ---- '---------- ---- - -------------------- ----------- -.. ---------------- --.._. 33. Reinsurance - nonproportional 0 assumed financial Ones --------- ------------M------ ------------------ --------- ----------------------- ------------------------ -------------------------- ---- 34. Aggregate write-ire for other firm of 0 0 business..-------------...------------ 0 0 0 0 DETAILS OF WRITEMS 3401. --------------------- "------- -------------- 3402. ------------------ --------- ----------- 3403. ---------........ ------------ 3498. Summary of remaining write-ins for Line 34 from overflow page..____- 3499. Totds (Lines 3401 thru 3403 plus 3408)(Uris 34 above)-- (a) Does the company's direct premium written include premiums recorded on an installment basis? Yes ( 1 No I X 1 N yes: 1. The amount of such installment premiums $ - ----- .........__..__-.-__.. 2. Amount at which such Instalknent premiums would have been reported had they been reported on an anrwalized basis S 8 CIO a E 0 U C z M 7 W N C of K W 7 tCC Z EL We c u ?G o a cr) w We 2 > a Z a ILL p n Na LLy w t? N } w ?a a= ? O w W w H J Q Z Z Q I N R i i I i Jib i 3$E E I? $ HIM! O Y €. . I a?i of v i,6 moi o.= "4'j 6 14 cl c°°° ?!'^ y GDO . ^" ?` '? N N N N N N? N O M N aO Q b OO Ol Oi i7 3 I O •. J j I 1 9 4r i ?. Y Sa N Z? m ! T C C CQ L O U m U C (tl 7 N C ld ~ 7 m ? X W aF m z Ng ? N w W x > ~ Z LL _ O p N Q aZ w w 3 0 O W G t2 2 H a H J a D Z Z a I m 0 a j N p el I a I i I I i j I a i QQ R i i EE { g}g}ppee gg i? ?C ? ? ! ?. Ie !-a. ML ®a3 ? ? aLL= s q p y g LIJ _ N Y N af Y N aD aD Oi O .- ? ^v1• ' N m n 11' m W?? N N N N N N N N l7 l'! ? M?? ??? l' r 10 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Com a p ny UNDERWRITING AND INVESTMENT EXM#BIT PART 3-EXPENSES 1 2 3 4 Loses Adjustment Other Underwriting Investment Expenses expenses Exggagi Total 1. Claim adjustment services: 1.1 Direct-'--. _.---------- .. _..._ - - .._...--.. 8,323,00 6 -.. -- ........ _.8.323.006 1.2 Reinsurance assumed _ ..... -- - ----- - ----- --------- -------- -_ 0 1.3 Reinsurance ceded ------------------------------------ ------- - - - - ---------... 801,28 3 801.283 1.4 Net claim edlustmentservice(1.1+1.2-1.3).---_---------- ------------- ------ _..-___5,521,723 ---------- ...._0 _0 5,521,723 2. Commission and brokerage: 2.1 Direct excluding contingent -... ------ _.7.259.775 . ..1.259,775 2.2 Reinsurance assumed, excluding contingent -------- --_ . 2.3 Reinsurance ceded, excluding Contigent . _----- 1,660,244 ...... 2.4Contingent -direct .------ ------ .------------- -__....... _____ ___ _ _--------- 2.5 Contingent - reinsurance assumed.-. 2.6Contingent -reinsurance ceded .---..-. ------ __.__- .. 1166,530 1 2.7 Policy and membership low ------------- .-........... 0 2.8 Net commission and brokerage (2.1+2.2-2.3+2.4+2.5-2.6+2.7). . ..__--_ ...0 ..____-__.....1233,939 )----------- __0 .._._..._._-_-..1233,90 3. Allowances to managers and agents ------------ 4. Advertising ------------ .------------------------------------- _..__-... -- - - --- --------.. .._ _ -'- - _ _--- ... --- ----- ---- 193.561 193.561 5. Boards, bureaus and associations --- -.... .. ............ ........ -------- _ . ..... _28.104 28.104 6. Surveys and underwddrg reports _--. -------------- ---- ._-- ... _._A16.0D0 _..116.000 7. Audaofassuredts'records ------------- ----- --.__.-.. ..___..__.. ..------ .-- ____...-0 8. Salary and related items: 8.1 salaries. - .._....------------ ----------- .................... .---------------------------- ---------- ---------------- ---- 560,015 ------------ -------- 1,10.413 ---------------- ------------ - ------- .._.__2,395,428 8.2 Payroll taxes- ------ ............ ---------- '-- --'-------- ----------- _... ----------- ----- - _ 37,891 -- - ------131,530 -- - .._------ ---_.189.421 9. Employee relations and weltare ---------------- ------------ .__.._.__..__-__-------------- _._ ---------- ._..----------- 72,859 --.-----.--.-.337,691 ........... 10. Insurance--------------------------------------------------------------------------- ... -------- -22,892 ----------- 78,421 __ ------ -- ........ .._......... -....... 101,313 It. Directors, fees.------------------- ----------------------------- -__---------- ----- .---------- ------- ..___---------- --._41,416 .-------- ----------- .157,473 .----- -----------_------. ---- ---------- 198,899 12. Travel and travel items --------------- ---------------- -'------------- ---------- .....-- - - - - --.18.171 ------------87,229 - 105,400 13. Rem and rent hems ......... --.....--- .. -------------- ---- --------- ------------ ----- ------------ .._...32, 32,750 ----------- __-- ..112.547 - --------------- - ------ ------------ 146,308 14. Equipment--------------- ------------------------- ---------------------- ------ - _ _.....- -- ----------- _-_------ 4,415 84,513 ----_ 108,988 15. Cost or depredation of EDP equonent and software --------------- ._--- ------------ .- ---------- ------ ...--46.172 ----- --- -159,936 ----- ----- .-..- -- - - -208,108 16. Printing and stationary ._.._.°---..... ------------ ---------------------- ---------- - - -- --------- - 18,000 -------------- 60,746 -------------- ------------ ------ --- -- ._78.746 17. Postage. teieptwneendtelegraph, exchageandexpress .------- -.-.-___ _ ---------- -_-----.25,606 ............ 68,815 .--__-_------ ----.81,584 ---------- _176.075 18. Legal and slab g..__.__---.....-_----...._._.-----_---_-__.._._.._...._-.____--_--- 39.M 159 854 121.502 3111324 19. Totals (Ones 3 to 18) -° -------- ------- ---------------- - ----------- -------------- ------ ---- -.....940,254 ------------ -...3.608,883 -------------------203,066 -_---- ------- 4,752, 4,752,203 20. Taxes, licensee and toes: 20.1 State and local Insurance taxes deducting guaranty association Croatsat$ __._____.._.._...._.900 _.__.._------- .............__...__-_-.-____.. _._.---------- ... -_.._...__------ ....352.858 ------------------ .... _--._....-.-...352,858 202 Insurance deperk nont licenses and fees ............ ..__.-..._-------- ------ ------------ - - _ . --------- - ._.-_-._._--.....127,073 - _._ _. ........ - -_.... - -- ° x,079 20.3 Gras guar" association assessments ..__..._------ ..._---_--...__. ------ ------- - `- -------------------- (p - -- --' - - - -- -- -_- ---------- ---' -------- ------------------ 20.4 All other (exdudirg federal and irelgn income and real estate) .....__--. 31.360 31,380 20.5 Total taxes, licenses and fees (20.1 + 202 + 20.3 + 20.4) ------..- --------- . ....----- -------------- .---- ----- 0 _-----__-----.-_512,081 - ------------ _....--_-.----__.0 -.._.----------- ------ 512.091 21. Real estate expenses .--_-_-_--._._-------------------------- ---- -..._ - --- --- -- ----°- ------ -- - --._.110,761 .---------- ----.110,781 22. Real estate texes--- -._._..----------- ---------- ------------- ------------ ---.._..------- -- ------------------- ------ ------------ ---- --------- ...._._.30,978 ----------- . ........30,978 23. Reimbursements by uninsured plans -------------- _...--------------- -_---------_- ---------- - -------.-.._------------------ - ----- ..-...__-------._----- ------ ....---_....__------- 0 24. Aggregate wdte4rrs for miscellaneous expenses _.__......_.-.- -_-........-- -- -------- -- -------- - -- ...... 341.895 - - - - - - - - ----- -- 0 ___341,895 25. Total expenses Wowed ----.._.--------------- _..-.._._ ------- _------------- ---6.461,977 _--. ----- -----..__.--4.228,930 . .--------------- -.._344.805 a) --------- _11.035,712 26. Leas unpaid expenses - current year ......._------- ------------------ 8,898,952 _...----------- _...._279,145 9.178.097 27. Add unpaid experoes - prior year -------------- ------------ ---------- ----------- -- -.... 8.935.975 _ ..----- ---_'-----487,882 . .-------- ------ ------- .. - - __9,423,837 28. Amounts receivable relating to uninsured flans, prior year.----...----------------- _ . --------- _-- ---.------------ - ----------- ------------- ._.-_-- - ----- ----------- --------- ___-_--- ---.0 29. Amounts receivable relating to uninsured plans, current year 0 30. TOTAL EXPENSES PAID ues 25 - 26 + 27 - 28 + 29 6.499.000 4,437 647 344.805 11,281,452 DETAILS OF WgtfE4NS 2401. 0sritableContributios ------- ------ ----- -------- --------------------- ------ ---------------- ---- --'--_ --200,950. __.__200,950 2402. Iiscollanean -- ---------------- --------- ----------------------------- ------------- ---------- - ----------- --- .._-_. -- ------..._....._..140,946 _--------- --------------- -- - --------- ...140,945 2403. -------------- ----._---------- ----------- -------------------- ----------------------------- - 2498. Summary of remaining write-ins for Line 24 from overflow page .._...____...._.._ - -- - °-- --0 --------------- 0 - ------------ ------- 0 _...... _..0 2499. Totals Lisa 2401 2403 24 above 0 341,095 0 341,895, (a) Includes management fees of $ --.----...-_-.---27,019 to of llaiw and S --- to non-afhiaaes. ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF NET INVESTMENT INCOME I . U.S. Government fords .--------------------- ----_-- -- --- --------------- ----------.........----- ------------ -- - ---------.--...- ------ .....------- ------- (a) --------------- -153.030 ------------- -- ----..165,m 1.1 Bonds exempt from U.S. tax -------------------------------- ----------------------------- ------------------- ------------------------ ---------------- ----- ------------ -----._--. (a) ...._....-- ----131.9% ----------- -- .......128.370 1.2 Other bonds (unsfrrfiated)....--------------_...------ ---------- ------ . ..------ --------- -- ---- ---- --.----- ...--------------- ---------.. (a) ------- -1.165,815 ------------- -- .... 1.133,393 1.3 Bonds of affiliates ------------ ----------------- ----..-..--------- -------.---- ---- ------ ------- .'_----- . .------- ...---- -------------------- _-----_ (a) -- --- ----.----- - _- 2.1 Preferred stocks (unaffiliated) --------------- ----------------- .------------------------ _---------------------------------- ---'_-- -------------- -------------------- -------------- (b) -------- ------------ -------- - ---------------- 2.11 Preferred stocks of affiliates .------------ ---- -------- .------ ----------------- ---------------------------- ----- -------------- -------------------- ' (b) ------------ ------------------ ------------- --------- ------ ------ 2.2 Comnnonstock (unaffiliated)------------- ------------------ -------- ---- ---- ------------------ _-- _-- ----- -- -- ------'-- ----- .....-.. _._---------- ------- 78,983 ------ - ---.._._78.953 2.21 Common stockwofaffiliates ---------- _.---------------- -------- ------ ----- ------ -------------- _-------------- ------ ----------- ._....----------------- ---- - ----------- ----- ----- 150,000 -------. ...........150.000 3. Mortgage loans ...-----`-------...---------- ----- -- ----- (c) -------- ----- -...--.-._. -- --------. 4. Real estate ------------ -------------- --....--------------- ---------_------ --------- - ---- ..._ ------------------- ----------------------- (d)------------ ----- 150.000 - 150.000 5 6 Contract loans .-------------- ._-----------------_._ ....--------------- Cash, cash etpivalents and start-term investments ................_--- ----------------- ------ --------------- -----------..------------------ --------------------- -------------------- .__...-------- (o) ---------- ----------- -- ------ 26.841 -...._.- .._........ ---....._----- ...... .... __..16.841 7 Derivative Instruments ------__._.--------------- -.. ---------- ------ ------ _-------- -------'_--------------- .------ --------- (Q -------- -------------- '--- ------- 8. 9. Other invested assets ------------- ------------- ----._...----.......__. -- ----- Aggregatewdtemins forInvestment income .----------------------------------------------------- _------- ----- ----- ---------- ? ---...--------- ------------- ---------...------------.._..---------- - ...----------- - ---------- ---- -.. ---------------- 0 ------ -- ---......--------0 10. Total rossimestmentincome 1,856.605 1,825,522 11. Investment expenses ------------------------------- - -------------- ---------- i ---------------------- ------------------------------ ------------ _-- (g) (g) -- -.313,827 30 978 12. 13. ncome taxes .--------------- Investment taxes, licenses and fees, excluding federal Interest expense -------------------- .-------------------- ----- ...---- ------ ---- ---------------- ---------- .------------------------ -__------------------ ----- .---------------- ------------- --------- -------------- ---- ------- ------ ------------------ .. --------- (h)----- , ------ _.394,550 14. Depredation on real estate and other invested assets -._....-- ....................-...._--.._. --------- - ..-..-.......-_-_------ -----.-...------- ...._------ .._--- -- - (i) ...... -_°---....94.994 15. Aggregate writs-Ins for deductions from investment Income - -__..---_ __._.-.--.__-_-- -_-.-_ ---------- ----- '-------------- -.-.._0 16. Total deductions (Ones 11 through 15) ------------------ .----- --------------- .........----------- --..._------ _... ....._-.--._._..--------- -- ?----- ---?---------- .....- ------------ ---- -- ---- --.834.349 17. Net investment income Line 10 minus Line 18 991.173 DETAILS OF W RITE-M 0901. --' --------------- ------------- '---------- - -------- '------------' -------- ....----------- 0903- ------------ ----------------------------------- ------------- ------- ------- ---- ---- ----------------- ----------- ---------------- _- - ------------------------- ----'------------- ------------- ---- --------- 0 ----- ----' --- ---- 0 0998. Summary of remaining write- ins for Line 9 from overflow pop ----------------------------- --.------ ----- --...------------- ---- --------- --------- --- --------- .------- ------ ------- -------- ...- .---- - ------- 0999. Totals Unes 0901 thru 0903 plus 0998 Une 9 above 0 0 1501. ------- ------------------- -----------__.----------'_-------- -------- .------ ------ --..-._....------ -- ---------------- --- -------- -- -- ------ ------------- ----....__-------- --------- .--------- ----------- ------ ----- '.'. 1502. ..__.._.-------------- ....-------- _-._-------------_._----------- _._.._--------- .._-------- _-..-------------------- -.------ _------ _ ..------------------------- --------- ._____..-------- .. ....__...._---- . --....__ ------ .-. ----- - . 0 1598. Summary of remaining write-ins for Line 15 from overflow page ---------------- ..-_-----.-- .-- ---------- ---- ---- ----..---------------- _._.._._----..------------- ..__ -------------- ---- ..------ -- _------- ..-------- 1S T W, n inns AM thnx ISM clue 15981 It.lne 15. above) 0 (a) Includes $ 35.527 accrual of discount less $ -------- ---.-- 153.265 amortization of premium and less $ -.-- ------------------- -- tad for accrued interest on purchases. (b) kdudes $ ------- --------- -------.. accrual of discount less $ ---------- ---------- amortization of premium and leas $ -------------------- -------- paid for accrued dividends on purchases. (c) Includes $ --..-- --------- --------- accrual of discount less $ --------- ----------- amortization of premium and fees $ --------------- ---------- paid for accrued interest on purchases. (d) Includes $ ------- ---- --_.150.000 for companys occupancy of its own buildings; and excludes $ ------ --------------- --...-. Interest on encumbrances. (e) Includes $ ---- ----------------- accrual of discount less $ ---- -------- --- 14.141 amortization of premium and less $ ---------..___..---... paid for accrued interest on purchases. (f) Includes $ ------- ------------------- -..- accrual of discount less $ .------------ -------------- amortization of premium. (g) kakdes $ ivestmentexpenses and $ ..------ ------- ..-..._- investment taxes, licensee and fees, excluding fedora) income taxes, attributable to segregated and Separate Accounts. (h) includes $------ --------39'1, 394,550 interest on surplus rates and $ --- ----------------- interest on capital rates. (I) Includes $ ..... .........._94,994 depredation on real estate and $ ------- .___.-.------- . depredation on other invested assets. GYI41PIT ni: f_APITAI rAIN-q 11 nSSESI 1 Realized Gain (Loss) On Sales or Maturity 2 Other Rea9zed 3 Total Realized Capital Gait (Lose) Columns 1 + 4 Charge in Unrealized Capital Gain Lose 5 Change in Unrealized Foreign Exchange Gain Lows I . U.S. Government bonds . -- -- --- - - - - -- -- - -742.878 ------------- 0 ----------------.742,8'79 ------ ------- - - - 0 .._ ----------------- ..._..._.0 IA Borndsexempt from U.S.tax------------...--------- - ---_.---------- (37.270) -------------------- --------- ----_-(37.270) ------------------------------- ------ ----------------- -....... 1.2 Other bonds (unaffiliated)----------------------------- ------- ---- ------ --370.478 --------- 1254,929) ....... --------115,548 ---------------- -11,970 ----'--° -- -------0 1.3 Bonds of affiliates ------------._._--------------------- -----------------------0 - - -- - --.0 - ---- --- --0 - - - - --0 -- -' - -0 2.1 Preferred Mocks (unaflifated).-------------------------- -------------------------0 -----------------..0 ----------- --.----0 ---- -------- --------------- 0 ..-.------0 2.11 Preferred socks of aMWates ---- -------------- ..._------------ --...----------.__0 -----------------0 --'-'--------.-"..? -'--'°---------......0 ..----------------0 2.2 Common socks (anal0fiated) --------------------- -----------------x,624 ---------------'0 -------72D.624 ..-------1540.057) ------------------ -- ---- 2.21 Common socks of affiliates -.------------ ------- ----------------0 -------------------D ------------ ------------D --------.125,723 -------------------_D 3. Mortgage loans ----------------- --------- - - - -- - -- -- --- - -- - -.0 0 ..---------------- ........ 0 0 ----- -....... --------....0 ----- -------------------0 0 4. Real estate --------------- -..... - - 5. Contract loans .-------- __-......_._-.---.--_._........-._-.--.---.- -...----------._..__-_--- _.._--------------- __.-.-_. ------------ ---------------- -- . ---------------- .-.-_......... ------ 0 --------- -------- ------ --------- ..._-._..--------------- .__ ---- -- ------------------- -------- -- 6. Cash, cash equivalents and start-term investments -------------------------- --------------------------- ---------------------0 ------------------- .----------------------- ........ 7. Derivative instruments ----------- --------- -----°---- ------------------------ ------ ------ --..._------- -------------------D ---------- ---------------- ----------- --.-. 8. Other invested assets ---------------------- --- -----------------------D ----------------...... ...... 0 ------------------ --------------- 0 -----. ----------------- _0 9. Aggregate write-ins for capital gains (losses) --.0 ------------D -'-----------D ---------- __-----.___-.0 _.. _0 10. Total caoW gains oases 1,796 709 254 929) 1,541 780 392.364) 0 DETAILS OF WRITE-INS -- --'--'--'---------- ------'-------------------- ----------- ------------ ----- ------'---------- ... ----------------- ---'--------- --------------------' '---------------------------- ---------- -------------- -- '--------- ----- ---------"--- - -' - '------------------------------ ---------'------------- ---------- ------- 0998. Summary of remaining wrie4ns for Line 9 from 0 overflow page ------------- -........ --------------- --.... ---------------- --------------- 0 -------------------------D -----------------------------D ------------------- 0 --------- ------------------- ------ 0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9. 1 0 0 0 above 0 0 12 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF NON-ADMITTED ASSETS 1 2 3 Change in Trial Current Year Total Prior Year Total NonadmNkd Assets. Assets Nonadmlflacl Assets Col. 2 • Col. 1 1. Bonds (Schedule D)---------------- --------------- --....-.----'--_..-----------..-...__. .... .. ---------_.------ ----- - .---..--- --------- .......... _0 2. Stocks (Schelde D): 2.1 Preferred stocks -------------.- ----- -- -----_ . .... ---------- ....'- -------- ----- -------..----- .- _.-...... - .--.0 22 Common stocks -----... ... ----- ----- --------- --.__. ------ ----....__. - Wrtgage bans on real estate (Schedule B): 3.1 First liens- __.' --- --- -- ..-._....... _..... ---- -- 3.2 Other than first liens .-..-- --._.... .. _ ....... ........__ _........-- --.__--..-- -- -__... _..___._-- -- -._.-.._ ..____.. -._._.._......___._......0 4. Real estate (Schelde A): 4.1 Properties occupledby the compeny ----------- ._...-_ --..__....__.--...__---- __.......0 4.2 Properties held for the production of income.. 4.3 Properties held for sale 5. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and short-term investments (Schedule DA)------------- _------------------------- ------ ------ --------- -----____ - 6. Contract loans ............ ------------- ---- ------------- -_.'--------------- ------_---------_._......._.-_-_----- .----------------- - --._.......----------- _--- --------------- ------- ---- 0 7. Derivatives (Schedule DS)_... .-_. _-.._-_- .......... -__-' - -._......... _0 8. Other Invested assets (Schedule BA) ------ -- - ...--- -- -- -- -_--- -- ------- .......... -0 9. Receivables for securities ___- ------------ .-'--- ------ ..._,-- 10. Securities larKlingreinvested collateral assets (Schedule DL)--------- -__-.-_-........ ..--------- _--------- _....---_.--0 11. Aggregate wdtednsfor Invested assets...--------------------- -_-------..___-------------- --._____...-----._ A ---------------- ------_0 _0 12. Subtotals, cash and Invested assets (Lines Ito 11)------------ .------ ------ _-_._..._----------- .----- ---------- .__.__._.-..0 ____------------- .0 - 13. Title plants (for Tide Insurers orgy) --------- ------ .....-----------. _.--_------------'--------- '---------.----------------- ------------ --'--------....'- ----------- ----------- ------D 14. Investment Income due and accrued ._.. ---.301,536 ------------- -_----235,975 ._......-_.-..-.._...(65,561) 15. Premiums and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection _---------- ----- ----------- _.._ .-------.---------74,963 -------- -------------- 61.161 _ -------------- ___(13,812) 152 Deferred premiums, agenta' balanoss and installments booked but deferred and not yet due... ...... -------- -_-_....------ --- -------- -__------- _-- 0 15.3 Acrnred retrospective premiums ..-.-_--.......---.__._----------------- - 16. Reinsurance: 16.1 Amounts recoverable from reinsurers __.--------------------- ...-----------_------------- -----...----._._._-----. .__-_.-----_._.---.__-..... ---------- __--------- ..-__.- -----_---- 16,2 Funds hold by or deposited with reinsured companies ---_.._..__._-----.-.. 16,3 Other amounts receivable under reinsurance contracts ....---. -.----------------- --.------------ . __.------------ -----_.._.--- ...--_.--..----- ------ -------- --_----- ..--,..0 17. Amounts receivable relating to uninsured plans ---------- --------------------------------- ---- ..--..-.--.---....._------ -------- -_------ ----------- ------ ----- _ .-0 18.1 Currant federal and foreign income tax recoverable and Interest thereon ...------------------------------------- . .-..------- .------ -------- --.----- --_....----._..---.--- -----------.------ -------- 0 18.2 Net deferred tax asset .....---------------- .------------- ------ ..--------------- ------------ -.-_..--_.----- _.---- -.---- --------- --_-------------- 2,751.861 _.._-__.......-2,530,x 7 1221,2041 19. guaranty funds receivable or on deposit --.------------------ 20. Electronic data processing equipment and software -------.. - - -- - - -- - .5.991 20, 973 -- - -- -_.-_ -___ --.14.982 21. Furdare and equipment, including health care delivery assets ---..-._.----°---------__._-.---------- ._.__.- ..-------------- -.88,210 _ _.__-----98,480 ..30,250 22. Net a*mbT ant in assets and UN1608 due to foreign exchange rates --__..--- ---------- _ 23. Receivables from parent, subsidiaries and affiliates ----------- ----------------- - 24. Health care and other amounts receivable--------'--------------- ----__..-----._..-_--------------------- _-.--.---- ------ ...---------- --._------- ----- .-......----------- ------ -- ------------ ----.----- --0 25. Aggregate vafte4nsfor other than invested assets ---------------- _._.------------.--------------------- ._.------. ---------- --------- -.232.250 ._ ------ . 174,5114 . -.--------- ------ (57,746) 26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts Wnesi2to25)----------------- ---- ---------------- --°-----------------..._... _-._3,434.811 2,121,730 -.(313,081) 27. From Separate Accounts. Segregated Accounts and Protected Cell Accounts .------- ....------- 28 Total aJn" 20 and 27) 3.434.811 3.121 730 (313,081) DETAILS OF WAMNS 1101. ------------ -----------------._....------- ------------ -_"------------'..-- ..-----------___...----- ----- ----------- ' -__------- ----------------- - -- ----------- - ---------'-----..._--- ----- 1102. ----- --------- -------- ------- -'---------------- 1103. --".-"----------- ---.------------_--------------- ----------------------- ._'------------ __-..------------ -------- ---------- - --- --------- ------------- ---- -------------- ...--------- ---- - --_-_------...._-----..._-. 1198. Surnmary of remaining wrlte-bs for Line 11 from overflow page __ - ---------. -- 0 - ----------------------- --__...0 -- ---------------- wo 1199. Totals 1101 thru 1103glue 1 t 11 above 0 0 0 2501. Deductible Receivable -- - -.-...'----------- ------------------------------ ...-- --- - ---------------°2003,927 .. . --------- __172,649 .. ------'-'--(31.278) 2502. Automobile ------- --_----------------------- ...._... -------------- - --- -------------- '- -- _ za.tn 1,611. 122,3861 2503. Due from Eployeas ._.------------- ..- - ................... - .................. '---° ----- --- ..----- _ _ _ _ _...-' -4.146 - -------------------------- µ - - -' -_._ _._44.102) 2598. Summary of remaining write-ins for line 25 from overflow page --------------- ---- ----------- .. ---- - --------'----------------0 -- ------------- ._.----._0 .._ ..---------------- ------.0 2599. Total akm 2501 thru 2503 plus 2500MLIns, 25 above 232,250 174 (57,746) 13 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company NOTES TO FINANCIAL STATEMENTS i, summary of Significant Accounting Policies A. Accounting Practices The Company prepares its statutory financial statements in conformity with accounting practices prescribed or permitted by the State of Missouri Department of Insurance. The Missouri Department of Insurance recognizes only statutory accounting practices prescribed or permitted by the State of Missouri for determining and reporting the financial condition and results of operations of an insurance company for determining its solvency under the Missouri Insurance Law. The National Association of Insurance Commissioners' (NAIL) Accounting Practices and Procedures manual(NAIC SAP) has been adopted as a component of prescribed or permitted practices by the State of Missouri. The state has adopted certain prescribed or permitted practices that differ from these found in NAIC SAP. Specifically, the interest accrued on surplus notes should be included in the value of the surplus note and the unassigned surplus should be reduced by the amount of the accrued interest as reported on the balance sheet.. In NAIC SAP :interest shall not he recorded as a liability nor an expense until approved for payment. Unapproved interest shall net be reported through operations, shall not be represented as an addition to the principal or notional amount of the instrument, and shall not accrue further interest-. The Company, as directed by the Missouri Department of Insurance, zecords the value of its surplus note as $5,011,139 instead of its face value $5,000,000 as required by NAIC SAP. Additionally, unassigned surplus would be decreased by $11,139 to $16,950,854 instead of $16,961,993 as required by NAIC SAP. B. Use of Estimate in Preparation of Financial Statements The preparation of financial statements in conformity with the An=nual Statement Instructions and Accounting Practices and Procedures manual requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses. Actual results could differ from these estimates. C. Accounting Policy Premiums are earned over the terms of the related policies. Unearned premiums are established to cover the unexpired portion of premiums written. Such reserves are computed by pro rata methods for direct business and reinsurance ceded. Expenses incurred in connection with acquiring new insurance business, including such acquisition costs as sales commissions, are charged to operations as incurred. Expenses incurred are reduced for ceding allowances received or receivable. Bonds and short term investments are valued at amortized cost: using the interest method and common stocks are valued at market. Investments in subsidiary companies are stated at statutory equity value. Unpaid losses and loss adjustment expenses include an amount determined from individual case estimates and loss reports and an amount, based on past experience, for losses incurred but not reported. Such liabilities are necessarily based on assumptions and estimates and while management believes the amount is adequate, the ultimate liability may be in excess of or less than the amount provided. The methods for making such estimates and for establishing the resulting liabilities are continually reviewed and any adjustments are reflected in the period determined. 2. Accounting Changes and Corrections of Errors A. None 3. Business Combinations and Goodwill A. None B. None C. None 4. Discontinued Operations: None 5. Investments A. None B. None C. None D. Loan-Backed Securities 1) Prepayment assumptions for mortgage-backed/loan-backed and structured securities were obtained from First Tennessee's OTTI modeling systems and Intex. 2) Other-than-temporary impairment recognized with inability or lack of intent to retain the investment in the security for a period of time sufficient to recover the amortized cost basis. Total 1" Qtr: 254,929 Total 2" Qtr: --0-- Total 3`a Qtr: -0- Total 4`" Qtr: -0- Annual Total: 254,929 3) Alesco Pfd Fdg V, LTD, Cusip #01448T-NF-1 a. Amortized cost before OTTI: 850,313 b. OTTI: 131,955 c. Fair Value: 190,924 d. Amortized cost after OTTI: 718,358 Preferred Term Securities XRIV, Ltd, Cusip #74030-A.I-6 a. Amortized cost before OTTI: 230,013 b. OTTI: 122,974 c. Fair Value: 5 d. Amortized cost after OTTI: 107,039 4) < 12 months > 12 months a. Unrealized Losses 0 1,568,244 14 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company b. Fair Value 0 237,60-- 5) Several scenarios were considered in reaching the conclusion that impairments are other-than--tenporary. The scenarios were based upon Moody's assumptions as well as discussions with various dealers, such as First Tennessee, Stifel Nicholas, J.P. Morgan, and Merrill Lynch. 6. None F. None G. None 6. Joint Ventures A. None B. None Investment- Income A. Due and accrued income was excluded from surplus on the following basis: All investment income due and accrued with amounts that are over 90 days past due. B. The total amount excluded was $301,536. Derivative instruments The Company does not hold or issue derivative financial. instruments. 9. Income Taxes A. The components of the net, deferred Lax a::set/(liability) at December 31 are as Follows: -) Dacembor 31, 2011 Decrmber 31, 2010 Chnnan ordinat Ca 1 al Total Ordi a Ga It 1 Total Ordinary Capit el Total (a:Groas D7A 2,20 ,644 1,456, 63 ,695,407 2,? 7,071 t, 6 , 66 , 72,33'1 r19'3, 227) 216,797 23,5'10 (,,;Gross -1 allow adi - (c) Ad1 gross DTA 2,209,044 1,486,063 3,695,907 2,403,071 1,269,266 3,672,337 (193,227) 216,797 23,5'.10 (d)Daf tax liab 92 054 52.054 79.572 741 80 313 12,402 1741 11,471 l2 )Net DTA 2,117,790 1,486,063 ,603,653 2,32 ,499 1,268,525 1,11'21511 (205,709) 217,538 11,829 (f)DTA Nnn admit 264 798 l186 063 2 751 61 1 76 364 1,111,12! 2!,111 SD 3 6) 211,111 206,972 (glNet admit DZA 1651.992 - Act 1aa 11 1d ) 41 Dacamber 31, 2011 Dacember 31. 2010 C,hanae ordinary Gpital Total Ordinary Capital Total Ordinary Capital Torsi SSAP No.30R, Par 1 .a,l .b., and SO.c. (a)85AP 00.10R, P10.4 15,360 - 15,360 - - - 15,360 - 15,350 (b)SW N0.10R. P10.b 704,956 - 164,956 870,957 - 6. '0 95' (15E,001) - f165 p01) (The !asset of P10.bi , And 30.611 below) (..^.)SSAP No.lOR, Plo.bi 104,956 - 104,956 070,957 - 870,957 (i 6fi, 0011 - 1166,001) (d)SSAP No.10R, Ple.bii xxx XXX 1,514,572 XXX XXX - %XX X%x 1 514 572 (a) SW No.lOR, P10.c - - , , (f)Total (4a+4b+4e) 870,957 - 720,916 870,957 - 870,957 (150,641) - 1150,641) .9 11101! Par 10.e. (91SSAP pe.l OR, P10.ei 15,360 - 15.360 - - - 15,360 - 15,350 Ihi SZAP No.l0R,Pl0.e1 836,632 - $36,632 1,047,135 - 1,047,135 (210,503) - (210 503) (The leaser of PIC. , e. ii.a and 10.-,1i. b belov) (1)SSAP No.10R, P10eiia 851,992 - 851,992 1,047,135 - 1,047,135 (195,143) - (195,143) ")SS" NO.l0R,P10eSib xxX xxx 2,271,658 xxx XXX 3,261,949 XxX XXX 4990 091) (k)88AP N0.10R,P10ei11 - - - , (1)Total (49+4h+4k) 851,992 - $51,992 OaeM in S:aP Nr. IOR. Par ]O.d. 1,047,135 - 1,047,135 (195,143; - 1195,143) (m)TOtal Ad1 Cap XXX XXX - 22,395,969 XXX - 22,248,721 X%X - 147,248 (nl AUth Control Lmeel Xxx XXX - 4,432,251 XXx - 4,f22,404 XXX - 5) December 31, 2011 Dec4p4Ber 31, 2010 h Ordinary Capital Total Ordinary Capital Total Zeeaaet of rax Plannlnc ?wtaeiea ? OrdimtY Gpi sl Total (a) Adiuabd Grow DT71s 0 of Total Adi Gross DTA) 0% 0?- 04 (b) Net )Idle Ad1 Gross DTA. (s of Tot Net Ads Ad1 Gross DTA.) 08 04 01 6) December 31, 2011 Daoember 31, 2010 Chnnae OrdlnsiY Capital Total Ordinary capital Total t ordinary Capital Total hs OR. Pa ranea.? 30.a. ID. b,. nA :Adjusted 11 720,316 DTA ?50,316 - 720,316 670,957 - 870,997 1150„ 6411 - 150,641) ,,, A...ta XXX XXX 53,780,609 XXX XXX 56,080,248 XXX M (2,044,103) 7clAd1 star 61rp %l0! XXX 20,631,042 xxx Xxx 21,746,327 XXX XXX (1,115,285) (d)Tot Adi Cap from oTA xXX Xx% 720,316 XXX xxx 870,95': XXX XXX (150,641) Increases due to 98AP No. 10R, Par 10.e. le)Admltted DTA 131,676 - 131,676 11611%6 - 176,176 (44,502) - (44,502 (f)Admittetl Assets 131,676 - 131,676 176,178 - 176,178 (44,502) - (41,502) (9) Statutory surplus 131,676 - 131,67E 176,1'78 - 176,178 (44,5021 - (44,502) B. Unrecognized DTLs - Not applicable . C. Current income taxes incurred cons ist of the following maj or components: 1. Current income tax 12131/2011 12/ 31/2010 -hang. (a) Federal 15,360 - 15,360 ( b ) Foreign ... (Cl Subtotal 5,360 - 15,360 (d) FIT on net capital Gains .... _. (e) Util. of cap loss carry-forward - (f) Other-prior year true up - 153,082) 53, (g) Federal income taxes incurred 15,360 (53,082 68,442 2. Deferred Tax Assets (a) Ordinary: (1) Discounting of unpaid losses 658,383 880,890 (222,507) (2) Unearned premium reserve 391,124 430,512 (39,388) (3) Charitable contributions 368,910 300,587 68,323 (4) Nonadmitted assets 232,203 200,965 31,238 14.1 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company (5) Net oper. loss carry-forward (6) Tax credit carry-forward Subtotal 522,024 568,27' (46,253) 37,200 21.840 15.360 2,209,844 2,403,071 (1_53,227) (b) Statutory valuation allowance adj (c) Nonadmitted (d) Admitted ordinary DTA (e) Capital: (1)Investments Subtotal (f) Statutory valuation allow adj (g) Nonadmited (h) Admitted capital DTA (i) Admitted DTA 3. Deferred Tax Liabilities (a) Ordinary: (1) investments (2) Fixed assets Subtotal 1.26:.798 1.276,364 (10,566) 944,046 1,126,7107 (182,661) 1,486.063 1.269.266 216,797 1,466,063 1,269,266 216,797 1.486.063+,268.525 217,536 - 741 (741) 944,046 1,127,448 (183,402) 51,154 48,323 2,831 40.900 31.249 9.651 92,054 79,572 12,482 (b) Capital: (3) Other(incl <5% tot cap tax assets) '141 (74 ll Subtotal - 741 (741) (c) Deferred Tax Liabilities 4. Net Deferred Tax Assets/Liabilities 92,054 80,_11; 11,741 U1, 992 1,047,131 f195, 1M1 3) D. Reconciliation of Federal Income Taxes to Actual Effective Rate The provision for federal income taxes incurred is different from that which would be obtained by applying the statutory federal income tax rate to income before income taxes. The significant items causing this difference are as follows: l c 'n*ion Income before taxes mnnnt T- 733,596 Effect -_14t E 249,423 ffective Tax Rate 34.00% Tax exempt interest: 6 ORD deduction (276,799) (94,112) (12.83%) Prior year underaccrual/(overaccrual - - 0.00% Prior year true up of Deferred Tax Asset - - 0.00% Change in nonadmit.ted assets (91,876) (31,238) (4.26%) Meals s entertainment 19,455 6,615 0.90% Other 8,717 2,964 0.40% Total c q Federal income taxes incurred [expense/(benefit)) 15,360 2.09% Tax on capital gains/(losses)' 0.00% Change in net deferred income tax 118,292 16.12% Total statutory income taxes E. Operating Loss and Tax Credit Carryforwards (1) At December 31, 2011, the Company had $1.5m of net operating loss carryfowards. (2) The following is income tax expense for 2011 and 2010 that is available for recoupment in the event of future net losses: Year Amount. 2011 15,360 2010 0 F. Consolidated Federal Income Tax Return (1) The Company's federal income tax return is consolidated with the following entities: The Bar Plan Surety s Fidelity Company, The Bar Plan Insurance Agency, Inc. and TBB Holding Company Inc. (2) The method of allocation among companies is subject to a written agreement, approved by the Board of Directors, whereby allocation is made primarily on a separate return basis with current credit for any net operating losses or other items utilized in the consolidated tax return. 10. Information Concerning Parent, Subsidiaries and Affiliates A. The Company is not directly or indirectly owned or controlled by any other company, corporation, group of companies, partnership or individual. The Company owns 20,000 shares of stock of TBP Holding Company, Inc., an intermediate holding company, which in turn owns 10,000 shares of stock of The Bar Plan Insurance Agency, Inc.; and 1,500,000 shares of stock of The Bar Plan Surety and Fidelity Company. B. The Bar Plan Surety and Fidelity Company returned $150,000 of capital to its parent company, TBP Holding Company, Inc., on December 30, 2011. TBP Holding Company, Inc. paid a dividend to its parent, The Bar Plan Mutual insurance Company, on December 30, 2011. These transactions were made with the approval of The Missouri Department of Insurance, Financial Institutions, and Professional Registration. C. None D. At December 31, 2011, the Company reported $18,608 due from affiliates and $18,608 due to affiliates. The Bar Plan Foundation and The Bar Plan Surety s Fidelity Company owed the Company $18,199 and $409 respectively; and the Company owed The Bar Plan Insurance Agency $19,211. These intercompany balances will be settled within the first quarter of 2012. E. None F. The Bar Plan Surety and Fidelity Company pays the Company a monthly fee for management services, which was $16,500 per month totaling $198,000 for 2011. In addition, the Company pays an underwriting fee to The Surety and Fidelity 14.2 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Company based on a pro rata share of their expenses. The total amount of the fee paid in 2011 was $27,019. G. None H. None 1. The Company owns 100% of TBP Holding Company, Inc. This common stock investment is recorded at its statutory equity value of $4,576,458. TBP Holding Company, Inc. owns 100% of the outstanding shares of The Bar Plan Insurance Agency, Inc., and The Bar Plan Surety and Fidelity Company. J. None R. None L. The Company owns 100% of TBP Holding Company, Inc. which is a downstream noninsurance holding company the carrying va'_ue of which is $4,576,458. The financial statements of this holding company are not audited but the financial statements of the two entities owned 100% by the holding company are audited in accordance with SSAP No. 48. I1. Debt. The Company does not have any c:;t st .<:;dinq debt. 12. Retirement Plans, Deterred Compensation, Postemployment Benefits and compensated Absences and Other Postretirement Benefit Plans A. None B. Substantially all of the employees are covered under The Bar Plan Profit Sharing and 4018 Plan. Employees may contribute up to 501 of salary or a maximum of $16,500 to the plan with a $5,500 catch up option available for those participants 50 years of age or greater. The Company elected for the 2011 plan year to contribute up to a maximum of 41 of eligible employees' salary. The Company's contribution to the plan was $86,530 and $99,872 in 2011 and 2010 respectively. There was no profit sharing expense in 2011 and $61,812 in 2010. None D. None E. None F. None 13. Capital and Surplus, Dividend Restrictions and Quasi-Reorganizations (1) As of January 1, 1991, the Articles of the Association were restated and approved by The Missouri Department of Insurance for the purpose of becoming a Mutual Insurance Association and as such has no shareholders. (2) None (3) Dividends are paid as declared by the Board of Directors of the Company. Under the insurance regulations of Missouri, the maximum amount of dividends which the Company can pay to policyholders is limited to the greatest of either 10% of the prior year-end statutory surplus or the net income of the company less net realized capital gains of investments. Accordingly, the maximum dividend payout to policyholders that can be made without prior approval of the Insurance Commissioner of Missouri is $2,224,872 for 2011. No dividend was declared in 2011 or 2010. (4) None (5) None (6) None (7) None (8) None (9) The Company continues to return capitalization fees to its policyholders who have met previously set qualifications. Total capitalization fees returned in 2011 were $20,400. (10) The portion of unassigned funds (surplus) represented or reduced by cumulative unrealized gains and loss is ($1,772,418). (11) Surplus Notes a. September 21, 2006. b. Cash c. Underwriter, FTN Financial Capital Markets; Trustee, wilmingt_or, Trust. Company. d. $5,000,000 e. $5,020,222 f. 9.1% (5 Year Fixed Coupon)(3.8714 Spread + 5.23% Swap Rate). 3 Month LIBOR + 3.87% (Issue converted to floating on September 15, 2011 and adjusts quarterly). The interest rate at Sept-ember 15, 2011 was 4.21711$. g. September 15, 2036 with prepayment option on September 15, 2011. No prepayment was made on September 15, 2011. h. $11,139 i. $394,550 j. $2,320,717 k. The payment by the Company of the principal of, and premium, if any, and interest on all surplus notes shall, to the extent and in the manner hereinafter set forth, be subordinated and junior in right to the prior payment in full of all Policy Claims and Senior Indebtedness of the Company, whether outstanding at the date of this Indenture or thereafter Incurred. 1. The Company has no common or preferred shareholders. m. At least 45 days but not more than 60 days notice must be given to the Trustee in order to pay off the note or any part thereof and regulatory approval from the Missouri Department of Insurance, Financial Institutions and Professional 'Registration must be received prior to any interest or principal payment. n. The surplus note is not held by any affiliated company. (12) None (13) None 14. Contingencies A. None B. The Company is subject to guaranty fund and other assessments by the states in which it writes business. Guaranty fund assessments should be accrued at the time of insolvencies. Other assessments should be accrued either at the time of the assessments or in the case of premium based assessments, at the time the premiums were written, or, in the case of loss based assessments at the time the losses are incurred. 14.3 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company The Company has a premiwm tax benefit asset of $2,100. This represents assessments received from the states in which the Company writes business and may change due to many factors including the Company's share of the ultimate cost of current insolvencies. The net balance of the asset as of December 31, 2010 was $3,054. Guarantee fund assessments used to offset state premium taxes totaled $954 in 2011, new assessments paid totaled $700 and unused premium tax credits of $700 were written off against the asset leaving the balance of $2,100 as of December 31, 2011. On December 31" the Company recognized a gain contingency of $174,103 related to legal fees in association of the defense of a law suit. against the Company which is covered by the Company's D&O Insurance Policy less it's $75,000 deductible. The total legal fees paid through December 31, 2011 totaled $249,104 less the deductible of $75,000 equaling the contingency amount which was recorded as a credit to legal fees. None None On September 30, 2011, the Company recorded a loss contingency of $65,000 for the settlement of a lawsuit, against the Company_ The final documents were sinned and filed on January 12, 2012 and the final settlement of $68,020 was accrued in the December 31, 2011 financial statements and paid on January 12, 2012. 15. Leases A. The Company leases office equipment under various operating leases that expire through December 2012. In addition, the Company leases an automobile under an operating lease that will expire in December 2012 as well. Rental expense for 2011 and 2010 was approximately $50,438 and $48,654 respectively. At January 1, 2012, the minimum aggregate rental commitments are as follows: Year Ending December 31 Operating Leases 1. 2012, $46,958 2. 2013 $36,750 3. 2014 $36,750 4. 2015 $38,750 2016 $25,833 Total $189,041 The Company is not involved in any material sales-leaseback transactions. B. None 16. Information About Financial Instruments With Off--Balance Sheet Risk and Financial Instruments With Concentrations of Credit Risk None 17. Sale, Transfer and Servicing of Financial Assets and Extinguishment: of Liabilities A. None B. None C.. None 18. Gain or Loss to the Reporting Entity from Uninsured Plans and the Uninsured Portion of Partially Insured Plans (N/A-Title) A. None B. None C. None 19. Direct Premium Written/Produced by Managing General Agents/Third Part Administrators (N/A-Title) A. None B. None C. None D. None E. None F. None 20. Fair Value Measurement A. (1) Fair Value Measurements at Reporting Date Description Level 1 Level 2 Level 3 Total (a) Assets at fair value Bonds Ind & Misc 0 96,682 190,924 287,606 Total Bonds $? 96,682 190.924 287, b06 Common Stock Ind & Misc 4,618,429 0 0 4,618,429 Far, Sub & Affl 4,576,458 0 0 4,576,458 Total Common Stocks 9.154.887 Q 0 9.194.887 There were no transfers between Level 1 and Level 2 during 2010. (2) Fair Value Measurement in (Level 3) of the Fair Value Hierarchy eurtases Total gains Total gains iaaua_.I Balanc! a Trmaflrf In Transfers nut a ll.....) a 41.....) sale a, i eelante n 1/1/2.11 t T nel 3 of + vei s fn Net t in a sal us se it laments 12/31/2011 CDO 380,000 0 0 (131,955) 157.•7311 0 190,299 Thal ano`OOy, 0 122a u (3) Not applicable. (4) As of December 31, 2011, the reported fair value of the reporting entity's investments in Level 3, NAIC rated 6, collateralized debt obligation securities was $190,294. These securities are senior tranches in a securitization trust and have a weighted-average coupon rate of 6.314 percent and a weighted-average maturity of 12.27 years. The under- lying collateral for this security is banks, thrifts and insurance issuers, and is also diverse across issuance types (trust preferred securities, senior and subordinated debt, and surplus notes). In addi- tion to the diversification across industry, the banks that issued into the pool were small regional banks; and there is no single issuer in the 14.4 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company pool higher than 4% of the portfolio with a majority of the issues being only 2-3i of the portfolio. The underlying collateral has a weighted- average coupon rate of 6.06 percent and a weighted--average maturity of 23.15 years. This security is currently rate below investment grade. to measure the fair value, the last price posted from IOC was used, which was 38. That price is stale, and there is no observable market for the security at this time. 21. Other Items A. None B. None C. Assets in the amount: of $5,261,742 and 55,370,530 at. December 31, 2011 and 2010 respectively, were on deposit with various departanents of insurance as required by law. D. At December 31, 2011 and 2010, the Company had admitted assets of $3,262,315 and :3,625,151, respectively in premiums receivable due from policyholders. The Company routinely assesses the collectability of these receivables. Based upon Company experience, any uncollect. ibie premiums receivable as of December 31, 2011 are not expected to exceed the nonadmitted amounts totaling $74,963 and, therefore, no additional provision for uncoliectible amounts has been recorded. The potential for any additional loss is not believed to be material to the Company's financial condition. E. None F. Notre G. Nor. 22. Events Subsequent None 23. Reinsurance A. None B. None C. The following {table summarizes ceded and assumed unearned premiums and the related commission equity at December 31, 2011. (1) Assumed Ceded Net Unearned Commission Unearned Commission Unearned Commission Premiums Equity Premiums Equity Premiums Equity a. Affiliates, b. All Other 2,841,402 719,060 (2,841,402) (719,060) c. Total 2,841,402 7191060 (2,841,402) (719,060) d. Direct: Unearned Premium Reserve 7,985,083 (2) The additional or return commission, predicated on loss experience or on any other form of profit sharing arrangements in this statement as a result of existing contractual arrangements are accrued as follows: Direct Assumed Ceded Net a. Contingent: Commission (179,969) 179,969 b. Sliding Scale Adj. 13,439 (13,439) C. Other Profit Comm. d. Total (166,530) 166,530 D. There were no reinsurance write offs during 2011 and 2010. E. None F. None None H. None 24. Retrospectively Rated Contracts s Contracts Subject to Redetermination (NIA-Title) A. None B. None C. None D. None E. None 25. Change in Incurred Losses Reserves as of December 31, 2010 were 525.834 million. As of December 31, 2011, $8.879 million has been paid for incurred losses and loss adjustment expenses attributable to insured events of prior years. Reserves remaining for prior years are now $16.474 million as a result of re-estimation of unpaid claims and claim adjustment expenses principally on ether liability (claims made) lines of insurance. Therefore, there has been a $.481 million favorable prior-year development since December 31, 2010 to December 31, 2011. The decrease is generally the result of ongoing analysis of recent loss development trends. Original estimates are increased or decreased, as additional information becomes known regarding individual claims. 26. Intercompany Pooling A. None B. None C. None D. None E. None F. None G. None 27. Structured Settlements A. None B. None 28. Health Care Receivables A. None B. None. 29. Participating Policies A. None B. None C. None D. None 30. Premium Deficiency Reserves None 14.5 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company 31. High Deductibles None 32. Discounting of Liabilities for Unpaid Losses or Unpaid Loss Adjustment Expenses A. None B. None C. None 33. Asbestos/Envirornental Reserves A. None B. None None D. None E. None F. None 34. Subscriber Savings Accounts None 35. Multiple Peril Crop Insurance None 36. Financial Guaranty Insurance A. None B. None 14.6 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Note 24 - Retrospectively Rated Contracts & Contracts Subject to Redetermination NONE Note 27 - Structured Settlements NONE Note 28 - Health Care Receivables NONE Note 30 - Premium Deficiency Reserves NONE Note 32 - Discounting of Liabilities for Unpaid Losses or Unpaid Loss Adjustment Expenses NONE Note 33 - Asbestos/Environmental Reserves NONE Note 36 - Financial Guaranty Insurance NONE NOTESEDF ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES PART 1 - COMMON INTERROGATORIES GENERAL 1.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? ---............. ._...----------- ------- -- ----------- -------.------ ...------ ----------- ----- ..----..------ ..---- ----- ------------------ ..- -------------------- Yes I X I No l 1 1.2 lt yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent, cr with such regulatory official of the state of domicile of the principal insurer in the Holding Company System, a registration statement providing disclosure substantially similar to the standards adopted by the National Association of Insurance Commissioners (NAIL) in Its Model Insurance Holding Company System Regulatory Act and model regulations pertaining thereto, or is the reporting entry subject to standards and disclosure requirements substantially similar to those required by such Act and regulations? Yes I X I No I I N/A I I 1.3 State Regulating? _--------_----..----------------------------------- ------------------- _....---------------- _--. ---------------- ---_.._-------------------- Missouri 2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity? ------------- ---- -------------- ---------------- --------------------------------------- -------------- ___ __ -------------- -------------------- ..---..._...-. Yes I X 1 No ( 1 2.2 If yes, date of charge: --- --------------------------- .-----------.----- ---- --------- ------ ..-_...--......----. 05/06/2011 3.1 State as of what date the latest financial examination of the reporting entity, was made or is being made. .................-.....__._. 12/31/2008 3.2 State the as of date that the latest financial examination report became available from either the state of domidle or the reporting 12/31/2008 entity. This date should be the dare of the examined balance sheet and not the date the report was completed or released. __._........... 3.3 State as o (what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date) - ------------ ---------------------- -------------------- _....----------.--- ------------- .-- ?-- ------------ --..._..._ 03!23/2010 3.4 By what department or departments? Missouri Department of Insurance, Financial Institutions, and Professional Registration -------------------- _.___......- ...................... 3 5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial . statement filed with Departments? ---------------- ---------------- ------------------ ---.-_.-------------------- --°-------------- -.------------------------------ ------------- ---- Yes I I No I 1 N/A I X 1 3.6 Have all of the recommendations within the latest financial examination report been complied with? ------------------- __...-------------- .._------------- Yes I 1 No I 1 WA I X I 4.1 During the period covered by this statement, did arty agent, broker, sates representative, non affllated sales/service organization or any combination thereof urder common control (other than salaried employees of the reporting entity), receive credit or commissions for or control a substantial part (more than 20 percent of any major tine of business measured on direct premiums) of: 4.11 sales of new buainess? ------- ------------------------- ----------------- .._._.__._------------------_ Yes I I No I X 1 4.12 renewals? --..-------------__--------------._...._.'-------------- ----- ----- ------------- Yes I 1 No I X 1 42 During the period covered by this statement, did any saleslaervice orgaNzatlon awned in whole or in part by" reporting entity or an affiliate, receive credit or commissions for or control a substantial part (more than 20 percent of any major One of business measured on direct premiums) of: 421 sales of new business? ------------------ ...........----------....------------....- -------------- Yes I I No I X 1 4.22 renewals? ----------- ...... --------------------- ------ -------------------------------------- Yes [ 1 No [ X 1 5.1 Has the reporting entity been a party to a merger or consdidabon dtsing the period covered by this statement? ----------- ----------------- ...._--------------- Yes [ 1 No I X 1 5.2 If yes, provide the name of the entity, NAIC Company Code, and state of domicile (use two letter slate abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation. i 2 3 of Domicile Name of Entity "C Company Code State 1 6 Has the reporting entity had any certificates of Authority, licenses or registrations (including corporate registration, N applicable) suspended or . revoked by any governmental entity during the reporting period? .............-.--.-....-..-------------.__--------.---.____._..------------------------------ Yes ( I No I X 1 6.2 It yes, give full information: 7.1 Does any foreign (non-Unfted States) person or entity directly or indirectly control 10% or mareof the reporting eralty7...-.--...... ........ .-._----------- Yes I 1 No I X 1 7.2 N yes. 7.21 State the percentage of foreign control: -------- -"-------'--------'--------"-------- --------------- ------------ ---- .....-"-----._..-'-------------.._.-.......-. Y 7.22 State the natlonality(s) of dire toralgn person(s) or entity(,) or if the entity is a mutual or reciprocal, the nationality of its manager or atlomey4n4act: and identify the type of erfts) (e.g., individual, corporation or government, manager or attorney in fact). 1 2 t Nffibrtalltv Tvoe of Entity 1 - ... -' ---- ----------_--------- 15 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 8.1 Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board? _Yes I 1 No [ X 1 8.2 t response to & t Is yes, pease identify, the name of the bank Ong ocmpary. -'- -. ..-. ------------- .----------------------------------- --- -- - .... _.. 8.3 is the company affiliated with one or more banks, thrifts or securities firms? . .. ......... -- -- ---- ---- ---Yes [ 1 No I % 1 8.4 t response to &3 Is yes, please provkk 00 names and loogticrs (city and Owe of the main office) of any affiliates regulated by a federal fxuncil tagttalory services agency {f.e. the Federal Reserve Board (FRS),tw OEce of the Cormptretierof the Curtancy (OCC), the Once of Thrift SrlpervWW (OTS), the Federal Deposk Insurance Corporation (FDIC) and the Securities Exchange Commission (SEty) and identify the affiliates primary federal regufsyr. 9. What is the name and address of the independent certified public accountart or accounting firm retained to conduct the annual such? Brown Smith Wallace, LLC, 1050 N. U Wmglt, St. Louis, MC 63132 10.1 Has the insurer been grated any exemptions to the prohkrkad non audh services provided by the certified independent pudic accountant requlremerW as allowed M Section 7H of the Annual Fklendal Reporting Model Regulation (Morel Ault Rula), or substandeNy similarstate law orregWation?-------- ------ ---.........-------------------- ------- ------- .._--------------------------- ----...------------._-. .. .--------------- -------------- --------- 10.2 t the response to 10.1 is yes, provide information related to this exemption: Yes [ I No [ X 1 .....-------------------- _.-. ------ ------------- ......-- ------ ... ...._---. 10.3 Has the insurer been granted any exemptions related to the other requirements of the Annual Financial Reporting Model Repulationas allowed for in Section 17A of the Model Ropuiatocb or subatandaltysimilar sate law or regulation? ._..._.-.-------.------------- Yes [ 1 No I X I 10.4 0 the response to 10.3 is yes, provide Information related to this exemption: .................. -..---------------------- ..----------- -'---._....... ------------- .-....--------------- ------------ - ----------- -_..-----_-__...------- ------------------ ------.--._._---- 10.5 Has the reporting entity established an Audit Committee in compliance with the domiciliary state insurance lays? Yes I X I No I I WA [ 1 10.6 If the response lo 104 Is no or We, please e>rplafn _----------- --------- _--------- -- ------ .----------------- _--_------ ...------ ...._..------------__-.__ 11. What is the name, address and affiliation (offieedemployes of the reportirng entity, or acluaryloonsuhant associated with an actuarial consdtirg firm) of the individual providing the statement of actuarial apkso CwbGcafron? Chafes V. Feerber, FSA, ACAS, Rudd d Wisdom, Inc.. 9500 Arboretum Blvd., Austin, TX 78758 ------------ _-_---------------- --- -------- 12.1 Does the reporting artily own ary securities of areal estate holding company or otrarxAse told real estate indirectly? ------------- Yes [ 1 No [ x ) 12.11 Name of real estate holding company...- 12.12 Number of parcels involved .............. ------------- -__.......... _-. _....---------- ------ _. 12.13 Total bookladjusted carrying value ..-------------- ..._.---_...-----._ ----------- ---------------- - -- _ __ _ - 12.2 t, yes provide w9lanaton: -'---'----...------'----------'-----------'----.-._------------- _-----------------.------------------------- ' ------ .-----------'---------- 13. FOR UNnW STATES BRANCHES OF ALIEN REppRTM ENTITIES ONLY. 13.1 What changes have been made during the year kit rite unified States manager or the United States trustees of the reporting enttyy7 ...---.-.".----.--......... ...... ..... --------- ---_----------- -------- ----- .__---- - ...................... -------------- - - ---- ------------ ----- ---- ------ -- - 13.2 Does this stater ant conein all business transacted for the reporting entity trough its United States Branch on risks wherever located? .._.--.. Yes I I No 1 1 13.3 Have there been any c argea made te any dtrshrual kadsrgaes during the yea? ._..... __...--.--..°.'..--------- ------ ._-------------- .-_--------- ---- ------------- Yes I ] % [ I 13.4 t answer to (13.3) le yea, has rite domkdilaryi or entry state approved tw changes? ----.._----.------ ---- .----- ----------- _..-..----- .-_..._..--...--._ Yes [ 1 No C 1 WA [ 1 14.1 Are this senior officers (principal execs" d tier. prysdpst financial officer, principal accounting officer or controller, or persons performing alm ler furoll ns) of to repor" witty subject 10 a code of eavos, ~ ktchaCMs the folkn irg standards?......... -............. -..... _._. _ ...... Yes [ X I No I I (a) Honest and 60" cantluct, Mdud%the afkal he"Inp d actual or appefem con9ce of hnered between personal and professional rellallionshh- , (b) FUN, lark. accurate, timely, and understandable disclosure in the periodic reports required to be sled by the reportng entity; (c) Compliarne win applicable Oowerwmental laws. noes and repcrasons; (d) The prompt Internal reporting of violations ID an appropriate person or persons identified kit the coda; and (e) Awoumedtly Ior adherence lo this code. 14.11 If the response to 14.1 Is No, pease explain: _..-----..--`.--.-..-...--------'------------ ..--._---------------------- ------- '----- .----- _...........- 14.2 Has the code of adhlos for senior managers beat amended? ----------- ._----------- -------------------- ------ ------------ -_-- ----- ---------------- -.-- --------------- '----------- .----- Yes I I No I X 1 14.21 If the response b 142 Is yes, provide irtormatbn related to amendment(s). ...-----'------'-__.-.-...___----....-......----------------------.....----- ....----. _.....------ ..._----.------------- .-------- .-.---- .._._....._.`.--.. 14.3 Have any provisigca of the code at et ice been aakred for any of the specified officers? ------------------------- _------ _------------- ___--------------------- -------- Yes I 1 No I X 1 14.31 t the response lo 14.3 a yes, provide the nature of an y waiver(s). 15.1 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 15.1 is the reporting entity the beneficiary of a Letter of Credit that is unrelated to reinsurance with a NAIC rating of 3 or below? ---------------------------------- Yes [ 1 No [ X 1 15.2 N the response to 15.1 is yes, indicate the American Bankers Association (ABA) Roudrg Number and the name of the issuing or confirming bank of the Letter of Credit and describe the circumstances in which to Letter of credit is triggered. 1 2 3 4 American Bankers Association (ABA) Routing Number issuino or Confmmi Bank Name Circumstances That Can Trooer ' the Letter of Credit Amount- --- BOARD OF DIRECTORS 16. is the purchase or sale of all investments of the reporting amity passed upon either by the board of directors or a subordinate committee thereof? .... --------------------- -- -- --------------------------- ... ------- --------..-.-_....-- -------- ------------------- -------- -------- --------------------------- --- -_-- Yes 1 X I No [ 1 17. Does the reporting entity keep a complete permanent record of the proceedings of its board of directors and all subordinate committees thereof? ------------ - - - ---------- ---------- --------- ----------------------- ---------------_._.-.-...--------------------------- --..-- -----..----------- -- ------- Yes [ X I No [ I 18. Has the reporting amity an established procedure for disclosure to its board of directors or trustees of any material interest or aNillation on the part of any of its officers, directors, trustees or responsible employees that is In corfiict with the official duties of such person? ---...------------------- Yes I X I No [ 1 FINANCIAL 19. Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles (e.g., Generally Accepted Accounting Principles)?---------------........................................ ........ ---------------------------------------- --------- -------._-....._--------------- ---------------- -.----- _..._.._ Yes [ 1 No ( X 1 20.1 Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy bans): 20.11 To directors or other officers $ --._ - ---.- - - -- ----. ----_--. 20.12 To stockholders not officers. $ --_--.---`-----__---- 20.13 Trustees, supreme or grand (Fraternal only) ......... ............. --------- ? ---'------------'---- 20.2 Total amount of bans outstanding at the and of year (ir-dusfve of Separate Accounts, exclusive of policy bans): 20.21 To directors or other officers $ --------.------------- 20.22 To stockholders not officers.-.-.----- ------ - i ------------- - --- ------ --- 20.23 Trustees, supreme or grand (Fraternal Orly) --------------------------- -- a 21.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the Kati ity for such obligation being reported in the statement? -------.---...................... ----------------------- --------------- ----------------- -------...._--------------- Yes I I No [ X 1 21.2 t yes, state the amount thereof at December 31 of the cument year: 21.21 Rented from othera.._ .S ----- _.._.-_...- ._ --___ 21.22 Borrowed from others--_..._..... ........... . 5 ---.---- .-------------------- 21.23 Leased from others ..-..... ----------------- -- Z -----------._..-..-_.-..._.... 21.24Other ------ ------- ---------------- ---------- - $ ----- --------------- ------------ 22.1 Does this statement Include payments for asseasnhents as desahbed in to Annual Statement InsWclbn , other Man guaranty fund or guaranty association assessments? --------------------------------------------------------- -...----------------_...--------------------- ----------------------- ...-------- Yes [ X 1 No I 1 22.2 N answer is yes: 22.21 Amount paid as loses or risk adlusonent $ --------- -- ----- ------------- 22.22 Amount paid as expenses ------ ------------------- - $ 18,024 22.23 other amouns paid ------------------------- 3 ------- ------ ---- .....------- 23.1 Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement? Yes ( X I No ( 1 23.2 If yes, indicate any amounts receWable from parent Included in the Page 2 amount: ----------------- -._ . ------ ----------- - S ------- -__------ INVESTMENT 24.1 Were at the stocks. bonds and odw securities owned December 31 of current year, over which the reporting entity has exclusive Conrad, in the actual possession of the reporting entity on said date? (other than securities lending programs addressed in 24.3l..._......... ....... __-------- Yes I X 1 No [ 1 24.2 N no, give h91 and complete information relating thereto 24.3 For security lendlig programs, provide a description of the W09rem kWAA* g value for collateral and artuouht of bared securities, and whether collateral is carded on or off-balance sheet. (an alternative is to reference Note 17 where this information is also provided) 24.4 Does the Comparys security Ierdling program meet the requirements for a conforming program as outlined in to Risk-Based capital Yes [ 1 No I 1 WA I X 1 kotructims? ..---------------------- -----------...... ------------------'------------------------------ -------------------------------------------- --------- 24.5 N answer to 24.4 Is yes, report amount of collateral 24.6 t answer to 24.4 is no, report amount of collateral for other programs. -------- ---------.------------- ------ --_.- -- - ------------- .------ _. --_- ----S 24.7 Does your secudtes larding program regale 102% (domestic, sec urltes) and 105% (foreign secuddes) from the counterpargr at the outset of the contract? ----- -------- - - --- - --- - - - --- ---------------- -------------------- ----- ----------------------- Yes I 1 No I 1 WA [ X 24.8 Does the reporting entity non-admt when the c0fieleral received from the cou terpsrly falls below 100%? ....----------------------- _-_------- Yes I I No I I WA [ X 1 24.9 Does the reporting witty or the reporting entity's securities lending; agent utifize the h10eBer SeWrI1109 lending Agneemenf (MSLA) to conduct secuftes lending?-------------------------------------------------------------------------------------------------------- -------------------------- Yes I I No I 1 WA [ X 15.2 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 25.1 Were any of the stocks, bonds or otter assets of the reporting entity owned at December 31 of the current year not exclusively under the control of fee reporting antl y. or has On reporting entity sold or trafwlemed any assets KOW to -a Put cow contract that Is currently in force? (Exclude secoridss sthblad to Ntertogetory 21.1 and 24.3) ------.. ......... ._...... .......... .. ... ...... . . Yes [ X 1 ND I I 25.2 N yea, state the amount thereof at December 31 of the current year. 25.21 Subject to repurchase agreements ..--...-- -.$ ...-......--...--. _-.-..._.__. 25.22 Subject to reverse repurchase agreements --- --$ -_..----_..---------- -_.-- 25.23 Subject to dollar repurchase agreements ------- ---- A ----- ------- ..------------.... 2524 Subject to reverse dollar repurchase agreements .. .....$ ._-__.-.._-...._-.._. 25.25 Pledged as cdlatarei _ ............................... -.............. ....$ --------- --..----- -----._--.._. 2526 Placed unK er option agreements .......................... ... .._$ '---------- ..-... 25.27Letter stock aother securities mewed astosale --$..__.....-..-._..- 25.28 On deposit with state or other regulatory body -4 ._.._..._.__.,..5.261.742 25.29 Other .._._-__.. _._... S -.-___. 25.3 For category (2527) provide the following: 26.1 Does the reporting entity have any hedging transactions reported on schedule IDS? ------- _---- Yes I I No I X 1 26.2 N yes, has a comprehensive description of the hedging program been made avalahle to the domicikary state? .-----.------ --......_.-------- --- Yes I 1 No ( 1 WA I I N no, attach a dsscriphlion with tole slaMmerw. 27.1 Were any pref-ed stocks or bonds owned as of December 31 of the current year mardawy convertible into equity, or, at the option of the Issuer. conver" Inb epoly?---.......... ------------ ---- ------------- --------- ---------- --_------------------------- '------- ---------__--------------- .._'--------------------- __. Yes I 1 No ( X I 27.2 N yes, state the amount thereof at December 31 of the current year......... 28. Exdudng hems in Schecanle E - Part 3 - Spe iat Deposits, teat estate, mortgage bans and invesbnents meld physically in the reporting entity's offices, vwft or saidy elapoa' bona, woo as sbow bonds and other securities, owned thr&#xe t Not a tint year hold ptewwo to a wdodaf agraesmant vAM a gwMad bank or tryst company In amordarner w M Seaton 1, IN - General Exeminagon Consideragone, F. Ou tstavoktg of Crf W Funollons, fistcdad or Sa#skovI ft Agroamonts of the NW Financial Condition Exemehers Yea I X 1 No I I 28.01 For agreements that Comply with the requksments of the NAIC Financial condition Examiners Handbook, complete the fWbwing: P.O. 28.02 For aN agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name, looa(on and a complete exptanolon: I Name(s) I location(s) I Comehleta 4mlarmtion(s) 28.03 Have there been any charges, Irxdudkg name changes, in the custodian(s) identified In 26.01 during the current Year? .------- _-------- --------- ------ - Yes ( 1 No I X 1 2&04 N yes, Dive tut and complete hbmnadon relating dwelo: 1 2 3 4 Ofd Cusbdan Now custodian 0.013 ete a Reason 28.05 kkntly as Investment advisors, broksrddwlers orlndivkarals acting on beheN a brokemAdoalos that have access to the kweabnent accoaNS. hands securities ashd hew arNWIty to make Investments on behalf albs reporting entity: 15.3 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 29.1 Does the reporting entity have any diversified mutuai furKle reported in Schedule D, Part 2 (diversified according to the Securities and Exchange Commission (SEC) in the Investment Company Act of 1940 [Section 5(b)(1)D? Yes I X I No [ ] 29.2 N yes, compete the following schedule: 1 2 3 Book/Adjusied CUSIP W Name of Mutual Fund Carryino Value 461286-66-5.. ................ Ishares NKI Pacific Ex Japan ..---.....-_.._------------------------------------------ ----- ------ --------------------------- .. ----------------- ---------- ----------- 217,424 739165-40.8............... PoaerSharaf 08 Agriculture Fund .-------------------------------------- .----- ----------------------------- ------..._'-----------.......-........ ....- ._ 315.061 783551-66-6 Rydex SW Equal bight Energy --------------------- .---------------------------- ------ ----- --_--------------------------------------- 7848711-10-7...-........... SPQR UldCap Trust Series 1 -------- ------------------------- --- --------------------- ----------------------- --- ----------- .- ----------------- 594, 100 292999 - Total 1,439,276 29.3 For each mutual fwd listed in the table above, complete the following schedule: 1 2 3 4 Amount of Mutual Fund's Book/Adjusted Carrying Value Name of Significant Folding of the Attributable to the Date of Name of Mutual Fund from above lade Mutual Fund Holds Valuation Ishares MSCI Pacific Ex Japan ------------------------- ---------- --------------------- BP Billiton Ltd -------------- ---...._--.---- -------------------... -__----.._........... 20.286 -W31!2011 Ishares MSCI Pacific Ex Jaw.._--------------------------- -..--_.------------- Coaraaealth Be* of Australia ------- -___°------------------ -............ ...._.....13.311 ._12/31/2011 .-- I3hares M SCI Pacific Ex Japan --------------------- _...........-_------------- ----- Westpac Banking Corp ----- ---------------------------------- -------------- 10.802 _]2/31/2011 ... [shares 16CI Pacific Ex Japan ..._......----- ............. _.-.----------------- Australia 8 New Zealand ........ --_...-_...--.------------ -------- -----.....------------ .488 ._12!31120111 Ishares MSCI Pacific Ex Japan ............. _........ ............................ National Australia Bank -...._..------------- ------- ---------------- ...........................1,849 ._12/31/2011 PowerShares DB Agriculture Fund ----------------------- ------- ------ ---------- 8 01/05/12 --------- ----------------------------------------- -._----.--------- ..... _.................. 8.9,867 ..12/31/2011 PowerShares D8 Agriculture Fund ---------------- ............. ....:........-....... 8 02102112 ------------------------------- .-------------------------- ---..-..-. ---- _....-----------.._61,412 . _112/31/2011 PoserShares OB Agriculture Fund _._......... _.-......--................... 001/25/12 _......... ------- ---------- -.-.------------------------- ....... _............. --45.498 ..12131/2011 PowerShares M Agriculture Fun --------- -------- .----.---..__-.- Live Cattle Future Feb 1 .._............... ----- --------- _-..... .-_._..--- -----_42.167 ._12/31/2011 -- PoaerSlsres DID Agriculture Fud ._.------- ---------------- ----- ------- Stallard Bank SA 13 ........... -.------------------------------ ............... ...... 39,675 ..12/31/2011 -- Rydax SIP Equal Weight Energy ---------- --.._-...------------------- - Danbury Resources Inc...... -.-------------- ------------...._.. .----------------- -------- 1.533 .-- ..12/31/2011 Rydex SIP Equal Weight Energy .-------------....------------- ------ IYrathon Petrolaus Corp _..... ------------------------------------------ ----- ------------ -------- 1.083 _12/31/2011 ... Rydex SIP Equal Weight Energy ................. -.... _-------------- ------ Pioneer Natural Resourrs --------------------------- -------------- ..... ....-------------------1,011 ._12/31/2011 -- Rydex SAP Equal Weight Energy -------- -.--------------------- ------------ Sunoco Inc. ----------------------- ------ ---- ------- ----------------- '------------------- 7,0 ._12/3112011 - Rydex SIP Equal Weight Energy ...... .......... _--------------- -__-......... Valero Energy Copr ---------------------- ._.............. .------------------ .... -._............ .... .901 ..12/31/2011 SPIM MIdCap Trust Series 1 ---- ---------- -..... ......... ------------------ -- Dollar Tree Inc. ....._.._._..... -------------------------- --------- ...... ------- _------- ---_....5,495 VJ31/201 1 SPDR MidCap Trust Series 1 --------- -------- .._.._------------.._-- Perrino Co. --------------------------------------------------------- ..----_ -5,020 _12/31/2011 .-- W MidCap Trust Series 1 .......... _--------- ---..-............. __- Kansas City Southern --------------- -........... _. - -- -- -.... ....... _-.....-4.129 _12/31/2011 .-- SPQR M]dCap Trust Series 1 ................. _-------------.......... BorgWuger Inc. .------------------------- --.--------------------- ---.----_...._-_.5,992 _lV3112011 -- SPOR MidCap Trust Series 1 ------------------------------ Monster Beverage Corp --._............ __-------------------- -.---- ------- __------3.927 --=112011 -- 30. Provide the blowing information or all shat-tern and long-tern bonds and all preferred stocks. Do riot substitute amortized value or statement value for fair value. 1 2 3 Excess of Statement over Fair Value (-), or Statement (Admitted) Fair Value over Vane Fair Value Statement + 30.1 .-.------- -----'--30,968.807 .--__-.31,675.591 30.2 Prefenedstocks .------------------------'--------------- -----------._.'----._0 ------ --_.------'----- 0 ---------........ -.... 30.3 Totals 30 968,607 31,M,591 706.784 30.4 Describe the sources or methods utilized In determining the fair values: The Market Value provided by the NAIC was used t available. Where NAIC Market Value was not available, Custodian provided Market 31.1 Was the rate used to cadalaW fair value determined by a broker or custodian for any of he securities in Sine" D? --....... .......... -_.------------ Yes [ X ] No [ 312 If the answer to 31.1 Is yea, does the reporting a" have a copy of the broker's or custodian's pricing policy (lord copy or electronic copy) for all brokers or cusodans used as a pricing source? -----..---------------------------- ---..---- ------------- ------ -------- ----------- _-------- -------------- Yes I X ] No [ 1 31.3 It the answer to 312 is no, describe the reporting enttys process for determining a reliable pricing source for purposes of disclosure of fair value for Schedule D: 32.1 Have all the fling requirements of he Purposes and Procedures Manuel of he NAIL Securities Valuation Office been followed? --........ __- Yes [ X ] No I 1 32.2 K no, fist ezcepdors: 15.4 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES OTHER 33.1 Amount of payments to trade associations, service organizations and statistical or rating bureaus, it any? .....___...___._.._.._ $ ......_-. 1_.25,672 33.2 List She name of the organization and the amount paid it any such payment represented 25% or more of die total payments to trade associations, service orgl intions and'sta dial or ratng bureaus during the period covered byrffea stiternent. 34.1 Amount of payments for legal expenses, it any? . - -- 3 (30.296) 34.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal expenses during dxt period covered by Oft statennem. 1 2 Name Amount Paid 35.1 Amountof payments For expenditures in connection with matters before legislative bodies, officers or departments of government, d any? ._.....-...5 ......_--_._...__......2,400 352 List the name of the firth and the amount paid d any such payment represented 25% or more of fire intal payment expendihues m comedian wkh mailers before legisls" bodies, officer; or deper tmenb of government during the palled covered by rich statement. 15.5 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES PART 2 - PROPERTY AND CASUALTY INTERROGATORIES 1.1 Does the reporting entity have any area Medicare Supplement Insurance in force? ._------ ----- --- -_-...-__-- _ -------------------------------------- ------ _- Yes[ I No [ X l 12 N yes, indicate premium earned on U. S. business only .---------------------------- --------- ------------- ....-.__....------ ---.--------------------------------------------- ....--....-_.-s 1.3 What portion of Nom (1.2) is not reported on the Medicare Supplement Insurance Experience Exhbit? ..._ .............._--._--_- ----._...._...............__..$ 1.31 Reason for excluding 1.4 Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Nem (1.2) above. .----..-..._._...__--------------------- $ 1.5 Indicate total incurred claims on all Medicare Supplement Insurance. _- ----------------------------------------- .........-.-----_----- _...._.----.-..-......------- .._....----$ 0 1.6 Individual policies: Most current three years: 1.61 Total premium earned -------------------------- ._$ -_---- _.....-_...0 1.62 Total incurred claims -------------------------------- $ -.--..-...._. -----.----- 0 1.63 Number of covered lives ----------------------- __ - 0 Ail years prior to most current three years 1.64 Taal premium earned-... $ 1.65 Total incurred claims ..-...-..-------------------- $ -------------- .....__.._...__. 0 1.66 Number of covered lives ........ .... .__..._.__ 0 1.7 Group policies: Most current three years: 1.71 Total premium earned _.-.._....._---------- ....E - 0 1.72 Total Marred clams --------- ............. ....--$ .._-_-..---- 0 1.73 Number of covered lives ---------------------------- 0 AO years pia to most current three years 1.74 Total premium earned -.... _............... .. .$ ------------------------------------ 0 1.75 Total Incurred claims.... $ ----- ------- ..._..--------------- 0 1.76 Number of covered lives.---.------------.............--.-----_-.........._.0 2. Health Test: 2.1 Premium Numerator _.--------- .-_...._---------- -.-.--.-- 2.2 Premium Denominator 2.3 Premium Ratio (2.122) --- ------------------------ ------------ ...........------.-.--.. 2.4 Reserve Numerator -._............. ....... ...... ...-......... _._..._......... - ... 2.5 Reserve Derwilnaior ------ _-..... _-....... -_------------------ ---------------- 2.6 Reserve Ratio (2.412.5) -.-------....---.-----..._-.-......--------------------- 3.1 Does the reporting entity Issue both participating and non-participating policies? 3.2 N yes, state the amount of calendar year premiums written on: 1 2 Current Year Prior Year .... ........... -.--10, 984,112 ----------- .......................... 0.000 ----------------------- ------- _0 .... ............. .... ....-- '-0 ----.--28.915.715 ---- - -------------- 1.168,354 -..-.-....-....-..-.0.000 ------------------ _0.000 Yes[ I ND IXI 3.21 Participating policies ._--------------- _.----------- $ 3.22 Non-participating policies ............ -._.._.-.$ 4. For mutual reporting Entitles and Repptocd Exchanges Only: 4.1 Does the reporting andly issue assessable pa8ciea? ------------------------------------°--.--.---------------- --------- ----- ------ --.--.. Yes I I No I X I 4.2 Does the reporting entity issue ran-assessable poNdes? --.---.----- ----- ...------------ ----------------- .----..-----------.......-_.-..-----. Yes I X I No I I 4.3 N assessable policies are Issued, what Is the exfeM of the contingent liability of the Policyholders? ------- ----------------------------------- ..-.......... ................. . % 4.4 Total amount of assessments paid or ordered to be paid during the year on deposit notes or contingent premiums. ------------------------ ----- --.-----.- ..$ 5. For Reciprocal Exchanges Only. 5.1 Does the Exchange appoint local agents? .--------.-..----.---._.._-------- ------------- ---'-.--.._..--°----.--_..--_-_-'_' Yes I I No [ 1 5.2 t yes, is the caoihmisalen paid: 5.21 Out at Ammeysan-fact compensation..-.----- ------------ - Yes ( I No ( I WA ( I 5.22 As a direct expense of the exchenge...... -.............. ------ ------- ---------- --------- Yes ( I ND ( I WA [ I 5.3 What expenses of the Exchange are not paid out of the compensation of the Attaraydn-iact? 5.4 Has any Atiomay-in-fact compensation, contingent on fulfillment of certain conditions, been deferred? 5.5 N yes, give full information Yes I I No [ I 16 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATOMES PART 2 - PROPERTY AND CASUALTY INTERROGATORIES 6.1 What provision has this reporting entity made to protect itself from an excessive loss in the event at a catastrophe under a workers' compernadon contract issued without limit of loss? Do NotwtMWorkers'Cornpensatiatlnsurance ----------------- ... 6.2 Describe the method used to estimate this reporting entity's probable maximum insurance kiss, and identify the type of insured exposures mprising that piob maximnim bee. the locellons Ncorms computer software models). R any used in theo of those exposures, and the external resources, (such as consulting Written Unes of Insurance Are Not Subject to Catastrophe Loss -.. -.._...-.-_. _ _------ ..-._ - What provision has this reporting erdity made (such as a catastrophic reinsurance program) to protect itself from an excessive loss arising from the types and corncantrations of insured enures comprising Its probable maximum property insurance loss? Written Lines of insurance Are Nd Subject to Catastrophe toss .----_.- -. -.-..... ---_ 6.4 Does the reporting entity carry catastrophe reinsurance protection for at least one reinstatement, in an amount sufficient to cover its estimated Probable maximum kra attributable to a single low event or occurrence? ...__....--.._-........... Yes ( 1 No [ X I 6.5 0 no, describe any arrangements or mechanisms employed by the reporting entity to supplement its catastrophe reinsurance program or to Written Lits ines expowre un unreinsured catastrophio Was. Are Not Sfblectto Catastrophe Loss 7.1 Has this reporting entity reinsured any risk with any other entity under a quota share reinsurance contract that includes a provision that would limit the reins itsee tosses below the stated quota share percentage te.g., a deductible, a loss ratio corridor, a loss ratio cap, an aggregate limit or any similar provisions)?------------_.---------..._--------------- ..---------------- ------ _..------ - -------------- -_------------------------------ ------ Yes l 1 No ( X I 7.2 If yes, indicate the number of reinsurance contracts containing such provisions: -, - _.. 7.3 t yes, does the amount of reinsurance credit taken reflect the reduction in quota share coverage caused by any applicable limiting 8.1 Has this reporting entity reinsured any risk with any other entity and agreed to release such entity, from liability, in whale or in part, from any loss that may occur on thfa rsk, or I.. Hereof. raW.W? --------------- _------ -------------------------_...---.-_. ---- _------------- ...__- 8.2 If yes, give full information 9.1 Has the reporting entity ceded any risk under any reinsurance corWad (or under multiple contracts with tine same reinsurer or its affiliates) for which dAV 00 Period covered by ft didernerd: 0) It recorded surplus regardo potcyhpi illm or it reported calendar year written a en positive or negeove premium coded or? and loss expensereeserof prim ves coded greater than 5% of prior year-end surplus as regards. pol*okW%- (N) N accounted for dint contract as reinsurance and not as a deposit; and (N) He consad(s) contain am or more of the following feetres or other feakses Hat would . have sknkw results: (a) A contract farm longer Han two years and the contract is nanc ncellable by the neporong. en0lty, dwkg the contract tarn; (b) A ItmRed or conditional cancellation provision under which cancellation triggers an obligation by the reporting entity, or an affiliate of the reporHg an*, to snter into a new reinsurance conbactrwth the rai surer, or an aftle of the reinnxer; (c) Aggregate stop lase rotnwaide coverage; (d) A unit 1, , l tgM.by either party (w both parties) to commute the reinsurance contract whether conditional or rot, except for such provisions which are only atggered by a dedene In the credit own of the other party; (e) A txoviebn permitting reporHtp of tosses, or payment of Iatese, Iess tequendy than on a quartety basis (unless there is no activity during the ps"; or (Q Payment schedule, accumulating retentions from muflipte years or any features inhereraly designed to delay fimirg of the reimbursement to the swing entry.----- --------------------------- ------- -- .-------....._------------ ---- -- Yes [ 1 No ( I Yes I I No ( X 1 Yes[ 1 No[XI 9.2 Has the reporting etilyr dump the period covered by the statement ceded any risk under any reinsurance contract (Or udsr rtnurotple contracts with the same reinwaer or ft affifiehe), for which, during the period covered by thestatement, it roo mded a positive orrmagatlva undrrraldrp resuff greater then 5% of pfbr yearend surplus as reganhs pollcyfrobsfs or it reputed calendar year wrNmn prsrmtum ceded or year-end loss and loan asterm morves ceded ~ than 5% of pier year-end as mgads Pcecyhnokhas; excluding osselort to approved poolfi g anaplnhetnN or tic cspffva irhnrarfx compsnfes He! are dips r or i drady consoMing, controlled by, or Under common eomrd with (f) one or more wndltad pol cyhaMsn of this reporting antty, or (y) an association of which one or more u nallillisaed pobftliders of the repoAkg entity Is a mentlw where (a) The wdbn premium coded to In minuuaer by the reporikhg on* or b affiliates represents fifty percent (50%) or more of the entire direct and assumed premium lfllttel by the minsrer based on its most rose* awtabae lbiencW slatsnwt or (b) Twamydlue plrcem (25%) or more of the w Main premium ceded to the mainsifter her bow retoCSded back to the reporting entity or its ati4ie/es In a separate ulna rsnce contract. --_----------- -__--_-- _.---------....... ...... -------_--- Yes [ 1 No [ X I 9.3 If yea to 9.1 or 9.2, phase provide the following information in the Reinsurance Summary Supplemamai I lli g for General Interrogatory 9; (a) The aggregate financial statement impact gross of at such ceded rensurance aa16r1101s on the balance sheet and stattlment of income; (b) A summitry of the reinsurance cw&w terms and indicate, whether 4 appose to rte conin cis meeting. the. olteda to 9.1 or 92; and (c) Aachbrlef discussion of mawpemeWs principle objectives in enteMg kto the nw gura ce conirad including the economic pspose 10 be ieved. 9.4 Except for trensadlsns meeting the requirements of paragraph 32 Of SSAP No. 62R. Propetgr and Casualty Reinsurance, has the reporting anttyy ceded any rink under any reifairaloe consact (or multiple cotnacat with the sane takeuitr w Ns aNIMd 1 1 d ifkg to period covered by Itne fkyndel staemishL and eater: (a) Accaatsd for OW contract as mineurance (elther prospective or reboectve) under statutory accounting principles ('SAPS and as a (woo Under generallyacaplad --Nov prisxpl- rQAAP ); or Yes ( ] No (X 1 (b) Accounted for Hut contract as rokmuurarae under GAAP and as a deposit under SAP? 9.5 it yes to 9.4, explain In the Reirourence Summary Supplemental FAng for General Interrogatory 9 (Sedlorh D) why the contract(s) is treated differently for GAAP and SAP. 9.6 The reporting entity is exempt from the Reinsurance Attestation Supplement under one or more of the toNowirg criteria: (a) The entity does not Willa rekeurence; or, .............._------.............. _..... ... ----- --- ------------ ---------- --------.-._...------------- ..----- ------ Yes I 1 ND [ X 1 (b) The a tky sty enpagea in a 100%quota sharecontractwith an affiliate and the affiliated or lead company has Sedan attestation aupplemen; or----------- ------- --- - - - --------- -- Yes l 1 No [ X 1 (c) The en* Ives no exlemal ceseions and only puddpatea In an interoornpany fad and the aNNiated or lead company has filn- attestation supplement -------------------- - Yes [ 1 No ( X 1 10. 0 the reporting a iffy has assaned disks from another ert>ty. Hoe should be ntaged on aecoum of such ralnsumnces a reserve equal to Hat vttoh Vow" entitywouldhave been required o charge had N relsti trerleks. Has Nis been done?----.-----------------...-.--- Yes[ 1 No [ 1 WA I X 1 16.1 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES PART 2 - PROPERTY AND CASUALTY INTERROGATORIES 11.1 Has the reporting entity guaranteed policies issued by any other entity and now in force? ----------------- ---------- _ ------------------- Yes I ] No I X 1 11.2 N yes, give full information 12.1 N the reporting entity recorded accrued retrospective premiums on insurance contracts on Line 15.3 of the asset schedule, Page 2, state the amount of corresponding liabilities recorded for., 12.11 Unpaid losses ---------- --'-------------- .-------------------- -------------- -------------- ..°------5 12.12 Unpaid underwriting expenses (including lose adjustment expenses) -----5 122 Of the amount on line 15.3. Page 2, stele the amount which is secured by letters of credit, Collateral, and other 12.3 N the reporting entity underwrites commercial insurance risks, such as workers' compensation, are premium notes or promissory notes accepted from its insureds covering unpaid premiums andcor unpaid bares? ------------------------------ ----------------------------------------- ...--------------_ Yes I I No I I WA [ X 1 12.4 N yes, provide the range of interest rates charged under such rates during the period covered by this statement: 1141 From ------------------------------------------------------------------------------------------------------- 12.42 Ta.------- --------- ------------- ----------------- -- ---------------....--_...._.--------------------- % 12.5 Are letters of credit or collateral and other funds received from insureds being utilized by the reporting entity to secure premium notes or promissory notes taken by a reporting entity, or to secure any of the reporting entitys reported direct unpaid loss reserves . including unpaid losses under loss deductible features of commercial policies? .-------- - ----------------------------------- -- -------.--.------------------------------------------ --- ------ ------- - Yes I 1 No ( X 1 12.6 N yes, state the amount thereof at December 31 of the current year: 12.61 Letters of credit -------------- .---------------------------------- ........_-..--.__--...._--S 12.62 Collateral and other funds ------------------------.'-_------------------- -------------------- .5 --- -... _-'---------- .... 13.1 Largest net aggregate amount Insured in anyone risk (excluding workers' compensation):... -------------- .---------- .__.---- --- S 250,000 13.2 Does any reinsurance contract considered in the calculation of this gaunt k elude an aggregate limit of recovery without also Including a reinstatement provision? - ------------------ ---- -- -- - --------- ....... ---.-------------- ------------------------ ---------- .. - -------------- Yes I I No [ X 1 133 State the number of reinsurance contracts (excluding individual facultative risk certificates, but Including facultative programs, automatic facilities or facultative obligatory oonUacts) considered in the calculation of the amount .------- .._._-- ----------------------- .----- __---------------- ------------------------ ------------ --------.-.-5 14.1 Is the company a cedar[ in a multiple oedant reinsurance contract? ------------------- _..._----------------------- ----------- ._._..---------------------------- ..---.__-------------- Yes I 1 No I X I 14.2 N yes, please describe the method of alloceli g and recording reinsurance among Ore cedants: 14.3 If the answer to 14.1 is yes, are the methods described in hem 142 entirely contained in the respective multiple cedant reinsurance contracts? - -- - - - ---- - -- - ---- - - ..----- --------------- ---------------- ------- --- -------- ----------- --------- ---------- ---------- -- Yes I I No I I 14.4 N the answer to 143 is no, are all the methads described in 14.2 entirely contained in written agreements? --..--- ----------------------------------------- __-.._-- Yes I I No I I 14.5 N the answer to 14.4 is no, please explain: 15.1 Has the reporting entity guaranteed arty financed premium accounts? 15.2 "yes, give full Information YesI 1 No IXI 16.1 Does the reporting entity write any warranty business? --------.---------------...------------------------- -- .---.-----..._...__--_----------------- Yes I 1 No I X I If yes, disclose the following Information for each of the following types of warranty coverage: 1 2 3 4 5 Direct Losses Direct Losses Direct Written Direct Premium Direct Premium Incurred unpaid Premium Unearned Earned 16.11 Home 16.12 Products ---------- ------ -------------------------- 16.13 AuIomobife-----....---'-.------- ------.............. .._.. --........ ---------- -'-' ------- -_......... - - ........ _....-----"----- - -'-- ----------------- -------'--..__-............ 16.14 01 Disclose type of coverage: 16.2 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES PART 2 - PROPERTY AND CASUALTY INTERROGATORIES 17.1 Does the reporting entity include amounts recoverable on unauthorized reinsurance in Schedule F - Part 3 that it excludes from Schedule F - part 57......... .... ----------------------------- ......------------------ ---.._..--................ .--------- .----------- -------'---------------- ___.__----------------------------- .................... . Yes I 1 No [ X Incurred but not reported losses on contracts in force prior to July 1, 1984, and not subsequently renewed are exempt from inclusion In Schedule F - Part 5. Provide the following information for this exampdon: 17.11 Gross amount of unauthorized reinsurance in Schedule F - Part 3 excluded from Schedule F - Part 5------------------ --_._..------°--.............. ._---'------------ -_$ ---- .---------- ...-.. 17.12 Unfunded potion of Interrogatory 17.11 ...... -- - ....._..__ -$ ...._._....__._---__.__.... 17.13 Paid losses and loss a4ustment expenses portion of Interrogatory 17.11_ _.$ ---------- ---._._.-.-.-.-.._.. 17.14 Case reserves portion of Interrogatory 17.11 ----------------- ._ -- ----- - -. -- --$ 17.15 hlourred txA not reported portion of Interrogatory 17.11 -----................. -_. ...$ ------.--..._._._ 17.16 Unearned premium portion of Interrogatory 17.11------------- ----.-__.-._.... -$ .................-- 17.17 contingent commission portion of pparrog"17.11....__---._._.__.____. _.$ Provide the following information for all other amounts included in Schedule F - P art 3 and excluded from Schedule F - Part 5, not included above. 17.18 Gross amount of unauthorized reinsurance in Schedule F - Part 3 excluded from Schedule F - Part 5.----------_-_---- -------------------- - - ............. .. $ 17.19 Unfunded portion of Interrogatory 17.18 --------------- ....... .---.---- ------------ $ .---- ---- -------- -.-__-- 17.20 Paid losses and lose a*sIonentexpenses portion of Interrogaory 17.18. .-.$ ..---------- ------------- ---- __ .. 1721 Case reserves portion of Nfenngdory 17.18.._.-.. --------------------- .---------------- -- $ ------------ __...___-.-...__. 1722 incurred but not reported portion of kMerrogatory 17.18 ------------- '------------------ --- 1723 Unearned premium portion of Interrogatory 17.18 ---------------- 3 17.24 contingent commission portion of interrogatory 17.18....-_-.._..._... $-------__. 18.1 Do you act as a custodian for health savings accounts? -_.___._.... Yes I I No I X I 182 N yes, pleats provide the amount of custodial frulds held as of the reporting date. 18.3 Do you act as an administrator for health savings accounts? 18.4 N yes, please provide the balance of hods administered as of the reporting date. Yes [ 1 No I X I 16.3 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company FIVE-YEAR HISTORICAL DATA -h,.......e...en- rn ..nn A-i-.1 ..lira 17 r _.._.. _...__.._ ... "- - -- -- - 1 - - 2 3 4 5 2011 2010 2009 2008 2007 Gross Premiums Written (Papa 8, Part 18 Cols. 1,2&3) 1. Liability lines (Lines 11.1, 112, 16, 17.1, 17.2, 17.3. 18.1,18.2,19.1.19.2& 19.3.19.4)--.................... _- .................. 16,294,387 ....----.--.._16,958.397 18,204,150 20,588.460 ---_.... -_..23.138,767 2. Property Ones (Ones 1.2.9, 12, 21 & 26) --.----------- --------- -_--------------- ° --------------------...-.-0 --------------------------0 --------- ---- -------------- 0 --- - - -- -- -.----0 3. Property and liability combined lines (Lines 3, 4, 5, 8, 22 & 27)------------------ ----------------------------- -------------- -------- ......................... 0 .------------- -------------------- 0 '---.. .0 ..................... -------D 4. Ail other fines (Lines 6, 10, 13, 14, 15, 23, 24, 28, 29, 30 & 34). -- ------------------ ----' -------------- - ------------------ .._270.392 ------------ -___389.867 ----- ---- 376.297 - _318,360 5. Nonpropational reinsurance lines (Lines 31, 32 & 33) --- -- ----------------- - --------------- -------..._-.------- 0 0 0 0 0 - 6. Total (Line 35)------------------------ ------ .--.---------------------- -- -------- 16,588,488 .------.---..-.17,228,789 ----'---- ------ 18,594.017 __..---------20,966,757 ----------23,757,127 Not PremInms Written (Page 8, Part 18, Col. 6) 7. Liability lines (Lines 11. 1, 11.2, 16, 17.1. 17.2, 17.3, 18.1,16.2,19.1.19.2& 19.3.19.4)------------------- -_-- --------------9.908,042 ...-.-....°.-.-..10,430,196 ----------- 11.285,315 _-------------- 12,649.294 - 13.989,289 8. Property Ones (Unes 1, 2, 9, 12. 21 & 26) -------------- ---------------...- -------- --------------- -_-----------0 -------'- --_------.--------0 ------------- --- - 0 0 9. Property and liability combined Ones (Lines 3, 4, 5, ° 8.22 & 27). ------------------------------------------------------------ -- -------------------------0 ----------- ----------------0 ------------------------ -----..0 -0 _ .................... .... _--_ 10. All other Ones (Lines 6, 10, 13, 14, 15, 23, 24, 28, 29,30&34)-------- - - ------------------...._.... _128,367 -----------126.677 .--------------------- 124.211 .----------------------- 131.868 132.389 11. Nonproportional reinsurance Ones (Lines 31, 32 & 33) ---------------------._------------------------- - 0 0 0 0 0 ---- 12. Total (Line 35)--------- ------------------------- _.--------------------- ---_.------ .--10,037,409 10.556,873 11,409,526 ----------- _...12,781,162 ............ ._-14,121,678 Statement of Income (Pape 4) 13 Not underwhi0rggain (loss) (Une8)-----------.-_...._----- ------------ ------ (2.044,956) .......... _------- (3,324.371) ---- _-------------- 45°6.687) ------------------- 1127.M) 1.452,270 14. Net investment gain or (loss)(Line 11)------------------- -- .... .............. 2,532,953 .---_------------.1,000,156 ------------ ----- ...1,059,89;3 -----......-_.....1,578.021 -------___._.1, 765,306 15. Total other income (Una 15)--------- -... _--------...--- ----------------- ---245.598 ----- --------------- _.249.689 .............. 244.447 ------------ 263.511 -.--------_--299,768 16. Dividards 4o policyholders (Line 17)-------- ----------------- - ..................................... ----- -----------..-._._..-.- ------------ --------------- ........ _._--------------------- -- --------- _-------- -...-_..-...-. 17. Federal and foreign income taxes incurred (Una 19) 15,380 (53082) 27,150 19,847 (30,273) 18. Netincome (Una 20)............. -_...----------------_-_-_ -------- .----------- _718.236 .--.---.--_..(2,021,444) ------------- 770,503 --------------------- ,694.132 ..------....---3.547,617 Balance Stress Lines (Popes 2 and 3) 19. Total admitted assets excluding protected cell business (Page t.Una26,Col. 3)--------- -------- _._... 53.780,609 ---------- _-M.080,248 ------------ ----- 57,082,812 .--__---------- 60,053,131 --'--._.------ 2,280,246 20. Premiums and oonhsideratiore (Page 2, Col. 3) 20.1In course of colleation(Line 15.1)................... -- --------- _...__..3.282,315 .--------------- .625,151 ---------------_3.061,820 ---------------- -_3,360,3&5 3,925,248 20.2 Deterred and not yet due (Line 15-2) --------------- --------------------------- ---..0 .------- ----- --------------0 ..--------------------------------- 0 '----------------------_0 __..---- 0 20.3 Accrued retrospective premiums (Line 15.3) .... -------................. _...0 ..------------ ---------------- 0 -------- -------.--------0 .- ----- -------------------- 0 ----------------- a 21. Total liabilities excluduhp protected cell business (Pape 3, Line 26)------__-.--._-------------------........... ........ ..... ....31,384,640 ...__.____.33.831,527 .... _........ --33.522.814 ----------------- -6,802,523 38,820,858 22. Losses (Page 3, Line 1)..-..................................... .... ..._....---.--.-_14,873.062 --------...._._16.897.957 -__........ __15,335,125 ....._------------ 17.167,568 ................. .. 18,601,664 23. Loss adjustment expenses (Page 3. Line 3) ----.---_- -..---------8.898.952 --.---------- --9.935.975 -------------------- 9,727,109 .-----_..._.10.244.406 --.----.-_.-....10:587.379 24. Unearned Premiums (Pape 3, Una 9).--....-.__------ - -----_----- 5.143.681 ------------_-.5.334,422 ----------------- 5,741,661 .__.-.__.-....6,279.414 ------------- .._...6.846.436 25. Capital paid up (Pape 3. Lines 30 & 31)______ - ----......... ---------° -----?----------° ------------0 --------- ---...---------° ------------- ......._.-.-0 26. Surplus as regards polcyholders (Page 3, Una 37)_ -.-......... _-22,305,969 .--_--..--.-.22.248,721 -..--.---.-.23.559,9913 ----------- -.-.-23,250,608 -------------- __.23,439,387 Cash Flow (Paps 5) 27. Net cash from operations (Line 11)--------- _._........ .-._ -----___-..(2,858,251) ------------- (1,901,076) ----------------- (1,58.216) ------- _.............. 921,701 ------------------- .2.W,343 Risk-Based capita Analyds 28. Total adjusted capital ._.._----------- ------ ..-------------------- 22,395,939 -_----- -- _.-------- -22,216,721 ---------------29,559,998 -------- ........23,250,606 -------...-._..23.439,397 29. Autar¢edcontrol level risk-based capital _...--------- ---- -------- _...-4,432,251 ._.__---------.4.621.950 ------- ------------ 4,264,877 .._---------------- 4.369.291 ...----------------- .4,254,141 Parcerhtepe MdrNaNon of Cash, Cash EgWralwMS mrd Invested Asada (Pape 2, COL 3) (Lira divided by Paps 2, ins 12, Col. 3) 1100.0 30. Bards (Una 1) --'--------------------------- ---'----------------.63.6 --'-------------67.6 _------------- ----74.1 .----------------._..77.1 ---- --------------------- --72.9 31. Stocks (Lines 2.1 & 2.2)..-_..._.._--------------------- ----18.9 ---------- - ----------_---------16.0 .----------- ------ -------- -13.0 ------------_.----..__-16.4 32. Mortgage bans on real estate (Lines 3.1 and 32) ............... ........ ---0.0 -_---------_-_0.0 .-_.. .__0.0 -------------------------------- 0.0 _--.-..----------------------- 0.0 33. Real estate (Lines 4.1, 4.2 & 4.3)'--_--_---------- - --------------------3.7 _-----..-_---------------.3.7 __----------------- -----3.7 ---------------------------3.1 ----------------- ---------- 3.0 34. Cash, cash equivalents and short-term investments (Line 5) -'------------ ------_.._- - ....---- ------------..-.... --- ---13.8 -------- ----------- -10.8 ------------- ' -- -6.1 .------------ - - - 8.8 -. .7.7 35. Contract kww (Una 6) ----------------------- A.0 . - --- --..._A.0 . ---- - ' - °.0 . - ---------- ---- ...A.0 ............ ----------------0.0 36. Derivatives (Line 7) --------------- - - - -------------------- -------'---------A.0 .---...-------- ------------ 0.0 _...__..-.M---------- ---- -- ---M..----------- -------------- XM 37. Other Invested assets (Line BI-__ ...-_-.--_- ------- .0.0 --------------_-_0.0 -..__--------------- ---0.0 ............. ------ -------- 0.0 ------------------ ------------ O 38. Receivables for securities (Line 9) ------ - -- - ---- .------- A.O __------------- 0.0 ---------------------- 0.0 ------------ 0.0 ------------------- -------- -- 0.0 39. Securities bncift reinvested collateral asses (Line 10) ----------------------------- ----- --------------'--. __.---------------A.O --------------------- -0.0 ----------- ----------)=---------- .......... )O(X --------- --- 40. Aggregate write-hs for kw@dW assets (Una 11) 0.0 0.0 0.0 0.0 0.0 41. Cash, cash equivalents and -masted assets (Line 12).... .... ---------------------------'- ----iw.o ------- .---------- 100.0-------' --------.100.0.------------ -------- 100.0.------------ --------------- 10°.0.---------- Invest eats In Parent, Subsidiaries =4 ARBkdes 42. Affiliated bonds (Schedule D, Summary, Line 12, ca. 1) -- '-- - -- - --...-------- -' - --- - -- ------ 11 - -- - -- -- ° ---------- ---- ----------------- 0 _------------- ------- - - ---------- ----------.- 43. Affiliated preferred stocks (Schedule D, Summary, Una Is,Col. 1)-------- --------------- ----- ---"--- --------------".._..-'- ---------- -----._.-..... ------------------------ ----------------_-----`--- ---- ...._.. 44. Affiliated common soots (Schedule D, Summary. Una 24,Col. 1)--------- ---------------------------_ ---- ---------- ---- 4,576.458 ---- -------------- 4,450.735 ------- ------------- 4,307.248 --------------------- 4.175.944 --_----_.----3.892,05 2 45. Affiliated short-term kweslments (subtotals included in Schedule DA Verification. Col. 5, Line 10) -------- ---.._-..---------° ----------------A ------------------------0 -.-.... ---------------------- D ---------------- -------- ----- 0 46. Affiliated mortgage loans on real estate---------- ----------------------- --------------------- --------------------------- - -'------------------------------- --------------_._------ 47. ANatheraffiliated --...... -'..--------- -__..... ......... 48. Total of above Lines 42 to 47.... -..... __---------- ----- --__........4.578,458 --.--------4.450,735 ----------------4.307,248 ------------- ---- ,175,944 --------- -..._...3.892,052 49. Percentage of Investments in parent, subsidiaries and affiliates to surplus as regards policyholders (Una 48 above divided by Page 3, Col. 1, Una 37 X100.0) 20.4 20.0 18.3 18.0 16.6 17 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company FIVE-YEAR HISTORICAL DATA 1 2011 - ----- 2 2010 3 2009 4 2008 5 2007 Capital and Surplus Accounts (Page 4) 50. Net unrealized capital gains (losses) (Line 24).----.- . -----_--.__..--1258,960 ) . 613,077 -_--_-1379,625 -.._.. -------- ---- n,2sa,966 1 ...-- 1........... . __.369,863 51. Dividends to stockholders (Una 35)--------------------- _- .------------ _-.---..---_._...-- _......... ___-.--__.___ ---- .--------- __-_-__..-- 52. Charge In surplus as regards policyholders for the year (Une38)----- ------------------...._.._--------------.- - ----- ----------- ---- 147,248 (1.311.277 ) .......... 309,390 ---- ------ ----- ---1188.779 ) --------- -__..---3,838.076 Bross Losses Paid (Page 9. Pat 2, Cols. 1 & 2) 53. Liability lines (tines 11. 1, 11.2, 16, 171, 17.2. 17.3, 16.1, 18.2, 19.1,19.2& 19.3,19.41.--_-.----------------- ......--_----.-_4,W,018 ---------- B,509,663 4,614,883 5,164,294 _-.-..... ---5.400,166 54. Property lines (Lines 1, 2, 9, 12, 21 & 26) .. -------- 0 _ -- 55. Property and liability combined lines (Lines 3, 4, 5, 8.22 & 27) ...... ........... ---------------- -...._.__- - - -.....------ - 0 ....0 ------ .. _._ -0 .......... ._- -- ..-.....0 0 56. AN other lines (tines 6, 10, 13. 14, 15, 23.24, 28, 29, 30 & 34)_ ............ ----------. -- -- ------------------ --- - ----- __(6,993) __..__ - --- -------8.252 - -- -------35,638 - 16.000 - - ........._18.415 57. Norgxoportional reinsurance tyres (Lines 31, 32 & 33).._- _---..-...------------.---------_- - 0 0 0 0 0 58. Total (Line 35).......... ...... ......__...._._------------------------ ------- --------- -4.833,025 ..------ .-----6,515,915 -----------4.850,521 ...._-------5,180,294 ------.._...-._5.418,581 Nat Losses Paid (Page 9. Part 2, COL 4) 59. LiabNly fines (Lines 11.1, 112, 16, 17.1, 17.2, 17.3, 18.1.18.2, 19.1,19.2& 19.3,19.4)------------------ ----- ---------- --°--_3.610,570 . 3,361,566 .-_.___.._.....3,753,662 ----.--......-4.086,503 ...._..._..---..4,479.533 60. Property lines (Unas 1. 2. 9, 12, 21 & 26) ---------- - ------------- ----.._----..0 .. ---------- -_0 -------------- ------ ----------- 0 --- ---------------------0 ------ . 0 61. Properly and liability combined Ones (Ones 3, 4, 5, 8,22&27)-------- ----------------------- ---- --- ---------------_----..-...0 _._._----------- -------- ------ 0 ------ ------- ..._-----'_0 .------------- --------------- 0 ---------------- -------- --------0 62. All other fin" (Unes 6,10,13.14,16, 23,24, 28, 29,30 & 34)........... ..... ------------------------------ ....-..---------- --------------- - (3.496) ------------------ ----._.3,126 ...... ------..-17.819 ---------- --- 8.000 ----------- 9,207 63. Nonproportional reinsurance lures ((.lures 31, 32 & 33)_ --------.-----------.-----_-.-......_------------------.........._-. 0 0 0 0 0 64. Total (Line 35)....._....-............... -------------- --....-_------ -------- ----------- 3.8D7,074 _...-----_---3,364,692 ....----------- -3.711.481 ------- ----- ----4.094,503 .------------- -4,488,740 Operating Peroerdages (Page 4) (U- divided by Page 4, U-1) x 100.0 65. Premiums earned (Una 1)--.........-----'---__.------------- ------....-._100.0--------------- .__.- 100.0-------------- -- 100.0 ---------- 100A...----------- ------ ....._100.0------------ - 66. Losses incurred (Une 2) --------------- -_._----- -------------- -'------------------------ _15.5 .--------------- ---...._44.9 . ---------------- --.16.2 -------------- ---------- ..19.9 . _ --- - - 30.7 67. Lou expenses incurred (Line 3) ......----------- ---- ------ _ _-----------------------63.2 ------------- ............. -472 ............. 53.5 ----- ----- __ .....45.7 ._.-.._--_-----------._38. 3 68. Other underwriting expenses Incurred (Line 4).-...... -------------------------.41.3 ------------ ------------- 38.2 --------- --------- ---..---.34.5 ------------- _35.4 --------- ._------------ _...20.7 69. Net underwriting gain (lots) (Une 8) --------- __(20.0) ------------ -------------- (30.3) . ------------- . _ _(42) ---------- -(1.0) .........10.3 ...... _.............. Other Perourtaties, 70. Oiler urderrrtiti g expense to net premiums written (Page 4, Unes 4 + 5.15 di by Page 8, Part 18, Col. 6, u- 35 x 100.0) ----- - ----------------- 39.7 .---------------------- ----.37.3 . .. 34.0 ----------------- ........... -----------.-.18.5 71. Lasses and loss expenses Incurred to premiums earned (Page 4. Unes 2 +3 divided by Page 4. Li- 1 x 100.0)._------------------- ----------- --------- --78.6 .-------------- ------92.1 ---------------- ___69.7 ----------- ------- ...._...65.6 --------- .---------..69.0 72. Net premiums writen to policyholders' surplus (Papa 8, Pan 18, Col. 6. Una 35 divided by Page 3. Line 37, Col. 7 x 100.0) -- - --- - - - - ' ---------- 44.8 _... --------------- --- -47.4 48.4 ---------------- ------------- 55.0 60.2 O- Year Lou Development (000 Omtted) 73. Development in e0mated losses and loss experaues Incurred prior to cuirerd year (Schelde P-Pan 2-Summary, U-12,Col. 11) - --- - .----_- _._..-..(67) ----- -------- ---......-638 -(i.317)- --------.-------------- (1.918)- ---------------- _--- _(2.524) 74. Percent of development of losses and loss expenses k--W to policlholdws'surplus of prior year and (U- 73 above divided by Page 4. Une 21,Col. 1 x 100.01--------- -- --- ---- - (0.3) _-.-----------2.7 - ----------------------------- (5.7) - --- --------- ------------- (8.2) _ -------------------- (t2.9) Two Year Loss Development (000 omitlsd) 75. Development in estimated loges and loss expenses Incurred two years before the anent year and prior year (Schedule P. Part 2 - Summary, U-12, Col. 12) .----- ---------- -- - ------ -- --------------------554 - -------------- (449) - - - ° - -(1.849) (3.735) - ---------- - ---339 76. Percent of development of losses and loss j" an - ; Ino{efad to repo-d poW holders' surplus of sword Nor yea erd (Una 75 above 4. Lim 21. Col. 2 x100. 2.4 1.9 7.9 119.1 1.9 ..... ?. y-q w. awry-, rwno me see nrwr remora yeas a ass exmoa Dean ruhsawO Die m a mergan m COhnWlifl- wait fire tlkGOStue requirements of SSAP No. 3, Acoountng Clungee and Correction-ef STOW -............ .--.... ..-----------.-.----------- _----- _------ __ __--,.-- Yes I I NO ( I t no, Please exptatn: --------- -....... ------_--------- 18 T C f1 E 0 U d U C (b N C Rf 7 C ll7 a `m co m L H O N wW W Z H 2 O w z w 2 w t- z a r 5 s y? 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I 11 HIM! €? tee; io:a a7sSi 4y y, ? ;$ ! i ? 8& I J! 1 8 Y 11 a. 1? 1 8 i? i?; 3? ?? i? t R ' EEfi ? 383 _f i P 8 c a ?S 19.H1 E 0 U m U f0 N C 7 7 C f0 im G) L F- W Z F- !L 0 N X Q W } W F- cc 0 F- z w gl w F- Z Z Q gg 15 g1l a aF8, r s$ apXp°? a? a jtg?E!'_?3Eg??? yx "?:? ??°?y ?g !g Si j'?•? jE Hill' t F y? C 8 a 8 19JD s? a a a' r d W Z a a HER id 1 I j$ jo o .=NN N vi Yvi vFm m "?iri?vlNw---K-m-n---- FFFJ 10 &$? ?$.? X,? ?.??x+ r fi B s 5 a 19.11 ? T CL E 0 U a? 0 c m N C co c m a M, CD a? z H 0 N W Q W } W Z H Q 0 LL Z W 2 W F Q J Q Z Z Q 8 8 E MIN C CL E 0 U d U C fd H C fd 7 C lL1 a `off m H w F - LL 0 N Q } W H Cc LL LU W 2 W H Q F- J Q D Z Q 8 q? i 19JA T C CL E 0 U a? U G (C 7 V1 _C 7 7 C a m m m L H O N cc Q W } W m H Q 0 W Z W ME W H Q F- J Q D Z Z Q 19.KS i 6 0 8 8 i 19.KY T C C CL E 0 U a? U C 3 N C lC 7 7 C Itl a `m co d t 0 N Q Q W W S H 0 LL Z W W 1- Q H J Q Z Z Q r 5 Y s p? i 191A T C t0 Q E O U m U C td 7 N C td C O a d L O N ?1Q T W S H S 2 Z W W H Q H J Q D Z Z Q 19.ME - I 8 m cu a m U U ? E Z m 8?? m?^ a IL A m 0?m s cQ' no n ?. n ? p Y a a 0 g? i; 'fit: I ? I i8 i l I .i i E i I j ;888 ? i? ??? •? ?p$?€? I???n? I ? ?$ y I ?g?a g g m"311111111181 ? NNN?;:.c?noooo'N??d?„aNri.??s.;?nnow.coaHFp???????? gYgY??g$$? to a?eYl t?sZ a s s 19.MA c `° a E 0 U d U C Id N C ld 7 7 C lO a i`a m C7 z F- 0 N cQ W } W 2 H M 0 LL H Z W m W I- Q H J Q Z Z Q 19.M1 I_ -]! co E 0 U N 0 cc m c m c m a CIS a? L F w S F LL 0 N Q w w w m: 01 wl 2 w! I U) Q z zz all is 8 1.1 . voll e gig a 8, ?P r m N ga III] E a 11:11 1 i i 1 ? i i ?• io l a i i ? 9 •??ee ?ag?j.? 10,11 • ss p2y b e E • sp y¦4 , - !( _ $ Jp s i E F F? Z 3. ?NNNeifdr?c.doao?oiri?^i?s?drf°nn.°{m?n?',nmaaam&?FiR1'X.1BCv?Raf'?3 Sg $g$$? d+?idS??B I I r s y? C 8 s p? 8 a S 19.MN C CL E 0 U a> 0 C lC 7 to C f? O N Q? W } W S H Ir O w ww w J D z z t .6 S 8 S 19.MS iw i ?w !" C C CL E 0 U a) U C to N C 7 C a1 CL N m m F w S F LL 0 O N Q? W } w S H i LL OI LL w 2 w QI F- J Q Z Z Q 19.MO c C CL E U N U a T N c Cs ?a ? o c ? a ? r W F w =O LL OG o i N N W W F ? ?a 00 W w= J Q Z Z Q c a 9g d i $ i I ? ? 1 is ? '•? L i i? 3_ 'cmm ----i.4 '1''irsuols'Sro???^?w w?H&?7Fi&$?16R% g i? i.l H11 19.MT _e ag s? ?E a ? ? € o0 : all 1 r d ?o i ds a? a s 0 a g8 9 B g a a E a M WHIM! HIIIM! IMF ? !2 i $a ? ,??_ ec!! :?_:€$ .? I s! ? Q a s!!I Rill ff. I I r fir S a 1 -11 z 1801181-al B s $ 19.NE T C N a E 0 U m U C f0 7 N C t0 7 7 C ld 'a m r E- 0 N QS W } W S N S 0 LL F- Z W W F Q H J Q D Z Z Q 5 B 8 I 19.NV co E 0 d U (d 7 N C m 7 7 C CL w ca a? r w z LL O 0 N Q w W w z F- I ? I OI LL ZI w? m, <I U) a z z a g m N a F? UUU 3 ? U U g Z ?q$ r E. E :.6.666 "i i4^dr?3 mrt°°?^?°°? &vRIR1&18??F3atXt S$ SSA 19.NJ T C lC CL E 0 U a? U C R! 7 N C tO 7 C ftl m co m L W H LL 0 0 N cQ W } W S 1- cr 0 LL Z W W H Q F J Q z z Q a s s s 8 4 19.NM i m C a E 0 m U cc c m 0 CL m m L h w Z h LL O N Q W w! H I ? I 01 I w? w' h? W a z ?EB Q hr a=8 a m 1 Am ??e s ?- a Do r n a J h > 322 L ? 8aa '1€1N1 IIf,_ 8 a JE i i ? I! 1 I i c e j^ ? j o i K j i i i I ''', ? `T• B ! pp s a l •: a iao i t I?•- I 'a lei iE i i$&''#•?_ '? N nl ? to tl .- N N N N V Nr..teir:t:smcao?e'i??'ins'i??^i'e's?e?rwrdmo:oaa&FfJF3X?R^?.8$.?5'A3 ssggg$R? ' ?iMdS?idS? 9 >y? C 8 s 8 $ 19.NY c a E 0 U N U C fC 7 N C t0 7 C N a 2 Gf L F' O N Q? W r w x H O 1 IZ W W F Q F J Q Z Z Q 19.NC r 5 F B s 8 5 19.ND m a c Ca G U U /c tj' ? T 7 ? C CI ?a ? o r a ? L cn W w N =O ~ J LL OQ O N N W w W ~a o LL. O W m w X=X ? W J Q Z Z Q i o ?P s !jl 19.OH ?e ?e a R 1 a $B 9 l? gE? 4R is ?9t a ?tiari:?s?.amoo'.'???'tn.^s?n?sm?? ?m?ma?&&Flfix18F1SA?81 i s.x a$? r s B s a 19.OK T C a E 0 U N U C fC 7 V1 C fd 7 O N iQ W W S F 0 LL Z W W F- Q H J Q Z Q 2 y? C f 8 q? i 19.OR i Q- E 0 U m U C lC 7 N C tC 7 7 C CL m °' L F- W S F- LL Q N S Q W W F fL I 0 I LL W ! z - ' w F- al F- rn Q D Z z Q i I r s L I 19.PA C CL E 0 U 0 U C R! 7 N C (11 7 C f6 n. C2 N t F O N Q W H cr 0 LL w W W H Q 1- N J Q D Z Z Q 1 9.R1 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule F - Part 1 NONE Schedule F - Part 2 NONE 20,21 M i ?a •a LL i W . J Q W ?V :N m LL m C ti as g a s ° 3.5 ? CL U? ..° Nyp°?b Y. :??0?0? J $sQ[ Sgt Um 9n a a 19d99gi99igi9gi9;f9i9 i? 1w: 19i cT?81L??? is I' Aloe: FAI Ii I' ?4$$$$$4$$?g+$$$$ 1` 1, 1 'tHHI e 22 a cu °0 CL E 0 U c m N C N 7 7 C f6 0- 6 co M H Q a LL w J 0 w U CO) 0 N Q W } W x 0 Z W 2 W a J D Z Z Q '$ ??bpbp % N c Ra 2 B' s E S 89AtS g b? i t 1 1 i a .d u ?g spY O - 1 I -U 8Pi y P? 9N 18 mgt 22.1 obb ?> ' gooo^O OGO?RG gqoooo IOOQC1CO o O ee lV o, 0. og 610 gq 0 o Ci o Ni 01 N a ? N Oej ejg6iq of 61 Cj Gi Cjg lV N 0 9C1O O ? tj tV U o a + I N F a E O + O o a^ ? m $ o W a U WW O m c4i ' d o o :o o ? ? W ? aa 8 dds666 m ?i s a p o ? i i t o 0 00 s i t i.. 1? ? O O I O O o SlM I Y 9- .m z : G? a g g QQ $r Issas VJ , ,y I HIS Q F F ?jt : F F F F f- i- V CL W J W U N 23 C d E 0 U U C N C 3 c:3 L C a co Q 4) CL 2 LL O W r N Q Q W W }V W N 2 0 z 111 2 w a J D z z v 0 00 0 0 ? ?• a 1Q ? ? Y ?'?'- a I N F SS M Y m y?U•- Gj Y i i N?"gb?O $on m Bs? A_a vEi U U $?o c n EU e rv u°o ? o $o° ,a o Y a w ? $ m O ? c! . o ? o ? N S W c U U y m N75 n q N o?5}{U U ?aY LLI 0 °0 3 n? tp e 1° ? i l! ! N u q = A S a i iii j:':•:a l l Y ? i ! i ? q yt O 1 Y i !! i `o m s X?[ xx 1 i yXy?i !!ii U O i:' i !i ii I Qg gg ' J d. i l l l i i i! l i i? s N V aU j ' ' Z !?j a i is i !! i i i 8 i! Z 6 e i i! k je e'S z i i a i i i i ! c U £ v N z? 3cRj g b o O 1 i f 7 ; i ! i;; ? 1 H Oi - F r Ci di F i $ Q Oi ! ! 1 ! ! ! ! - ; ; 0I `a O1 m i Y 24 d E O U m c c`a to C RS 7 C? G C 0 0- 4) o F- a W , f=- U. LL J o N a W w W F? 0 w W W Q J Q a z z Q s a `o 9 o ? c pis f v Y ag o 1 Z v a LL IA H W ?yy A Q Ql W ? n yQy?? J f f7 CWt 1 1 tL i LL 25 O O r C o+ ULLm S m .e g$a ?UU (? N C co E O U c m c cJ a U N ?. J hhp O W U Upo E Q m'£S m Lr° ? E V Q c m ? y C t a co t Q ?a w z o LL W i w < W? m ?a 0 N E 2 a w 2 w Q H J Q D Z Z a ?a Z Q O r LL QQ: ° i ioa N C '; U c ? N '-cE jN r LL ? C ° J J C W :°yN i ? is 'a v g D ..a` s° E N Lo Y g 21 22 ?ma.aa Nt7Y Yf O 26 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 8 Q..NMn...n.N n1 Qnisnnn Ciueuf fn 4laftilV Nui r?IOfa} 1nrQGInG1 VAMP 1 2 3 As Reportetl Nat of Gaoled Restatement Adjustments Restated Gross of Ceded ASSETS (Page 2, Col. 3) 1. Cash and invested assets (Una 12) _ .-..-....___-48.718,512 ---- - 48,718, 512 2. Premiums and considerations (Una 15)........... .. _--------- ----- -_---- .--------- 3.262,315 ... .....-._-_.3.262.315 3. Reinsurance recoverable on loss and loss ad)ustmentexpense payments (Una 16.1)-___........... .. ......-.._._-_--_197.896 .---._..----__-.1197,898) .-__..._....._...._.____0 4. Funds hold by or deposited with reinsured companies (Una 16.2)-._-- ---------- - -- ------- _._..... ---- _- - - 5. Other assets ..... --_.-_..-. .......... ... 1,601,884 _._............ .-__- 1.601.884 6. Net amount recoverable from reinsurers . 15.534.126 15.534.126 _.._..._...__..____ ............ ........ ______..... Protected cell assets (Una 27) 7 0 0 ._ . _-_'-..... _--...... Totals (Line 28) 8 53,780,6W 15,338.228 89.116 837 .------ ---..._............. .- . LIABILITIES (Page 3) 9. Losses and loss adjustment expenses (Ones 1 through 3) ----.__-23,772.034 ----- -..----..13.208,818 .-.--_---36,980,852 10. Taxes, expenses, and other obligations (Unes4through 8).---------- ------- ------ _------- 294.505 ----------- .-.---- .-_----- .._... 294,505 11. Unearned premiums (Una 9)--------------- ------------------- ._...---------------- ..___..-...-------- _-------------- ------- ....-.°---..-...5.143.681 .-.-....-_.-----2.841.403 ---------------- ---- 7.9 ,084 12. Advance premiums (Une 10).- .-_...-----------_---------------------------..._.-----------_-- -------------- .-_._-----------608,142 --- - _--------- -..------------- -----.608,142. 13. Dividends declared and unpaid (Una 11.1 and 11.2) -.------------------ ---------- -_----- - ------.0 _------- .__ ------ ----------- -_._ 0 14. Ceded reinsurance premiums payable (net of ceding commissions (Lena 12) ._.__...---- ------------ ..._..... ._.___......637,214 ._._--------------- 1637.2141 --...._..-.._---------- __..0 15. Funds held by company under reinsurance treaties (Line 13)-..---.---------- -0 -------- ------------------- ---- ------------ 0 16. Amounts withheld or retained by company for account of others (Line 14) ---------------- ----------- ---- ----- -__..-_........ 316.187 -------------------------------- ---- --------- ---- --....... 316,187 17. Provision for reinsurance (Line 16).. ------------_----....--.-----_----------------_--------.-_-----------.-_.. ...-------------_--1100 .._._.-_.---------- ---- ..-(800) -------------------- ---- 0 18. Other liabilities ------------------ ...-.-_...------ .................. .. -----------_- -------------------- --- -- ---- ---------- - -612.077 ------ --------------- (75.979) - - ----- ------ 596.098 19. Total liabilities exdudng protected cell business (Una 26) --------- ..---------._...__._.-- 31.384 640 15,336,228 48 686 Protected cell liabilities (Line 27)......... ..-.------------ _----------- --------------------- ,_.--------------- ..._. ---- 20 0 . holders (Line 37) olic as re ards r l 21 S 22,395,9139 XXX 22,395, 9W p y u g . p us 22 Totals (Une 381 53,780 609 15 336 228. 69,116,637 NOTE: Is the restatement of this exhibit he result of grossing up balances ceded to attillates under 100 percent reinsurance or pooling anargements7 ............... -----------------•------------- -------- -------- --------- ---------...---------------- ---------- ----------- -------- ------ ----- ---- - Yes I 1 No [ X 1 If yes, give full explanation: 27 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule H - Part 1 NONE Schedule H - Part 2 - Reserves and Liabilities NONE Schedule H - Part 3 --Prior Year's Claim Reserves and Liabilities NONE Schedule H - Part 4 - Reinsurance NONE Schedule H - Part 5 - Health Claims NONE 28, 29, 30 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - ANALYSIS OF LOSSES AND LOSS EXPENSES SCHEDULE P - PART 1 - SUMMARY rtnnn nurrTFnt Pr emiums Eam ed and Loss E Pa is 12 Years in 1 2 3 Defense and Cost AtlNutkng ernd Other 10 11 Which Loss Pa ems Conigimrert P Pa Number of Premiums Were 4 5 6 7 8 9 Total Net Clabns Eamed and Salvage and Pad Cola Reported Losses Were Direct and Direct and Direct and Direct and Subrogation (4 - 5 +6 - 7 Direct NW Incurred Assumed Ceded Net 1 - 2 Asetsned Ceded Ceded Assumed Ceded Received +8-9) med 1. Prior._ ---- ------------ ..... .------ -- ----- ------ 10 ...........A _..79 23 0 ---- .0 ._.... _.2 _----------86 _._..XXX-..--- 2. 2002._. 11,311 -_----_4,429 -------6,868 .._.._3.795 ----._2.228 _4,019 1,961 ...-_476 ____0 122 .._..._4,101 _ ..-XXX...... 3. 2003...... --------- 14,809 ...........6.011 ..-_-.-..8.796 .._._.5.729 ._._....1,768 -__-._3.279 __-_-_-..567 ..___....555 ._.._.__..._-0 ._.....--.-.__0 ......__3,228 _....XXX.. 4. 2004_.... 17,967 .------- 7,240 _.-----10.727 ----...9,373 _------- 5,056 _-_._-4,162 ------ -.._466 577 ._..---- ------- 0 -__...17 .--__.....8,591 -__XXX._-. 5. 2005---- - --------- 19,983 .----..._8,260 _..._..11.723 ..10,075 --_-5,255 ._.._._7,083 __--_-1.169 .._ __.602 .....____.-0 0 .........11,336 .---.XXX._-_ 6. 2006 _22,583 ..._..---9,332 ....__13,251 ..___1539 .............. 229 ....__._5.527 __252 __676 ............. _0 _....28 _-__-9,261 XXX..., 7. 2007------ ....._23,710 .----..._9,611 ..___..14.099 ..._._._5.002 .__.._...1,219 .7.204 - Y23 - 720 -...0 ._.----__.45 10,964 ......XXX...._ 8. 2008.---- ..-----22,205 ..-------- 8,657 .-....---13,348 ..--..._2,063 ..............126 ..-----._3,954 _ ...183 __915 0 39 ......... 6,623 ..__.XXX..-_ 9. 2009._. --------- 19.470 ---_..7,523 __.._..11,947 _--._.1,436 _1 ._._._3,565 -_..399 -__-_....973 .__._.0 2 _-_-_._5,574 .__.XXX 10. 2010------- -._._17,789 _--_6,825 ----_-.10,964 ---._2,104 268 _37 _-_888 _-_.0 _0 _.4,532 _ _ _XXX- -- 11. 2011 116,806 6,578 , 10,228 79 , 0 328 0 820 0 0 1,227 XXX 12. Totals XXX XU XXX 43,205 IS, 149 41 045 5,780 7,212 0 255 69,5n XXX Losses Case Bulk + ION 13 14 15 16 Direct Direct and and Assured Coded Assumed Ceded Defense and Coal Comaimrent Unpaid Built + BNR 17 18 19 20 Direct Direct and and Assumed Ceded Assumed Ceded Adjusting and Other urmild 21 22 Direct and Assumed Ceded 23 alvage and Subnog- ation 24 otal Net Losses and Expenses 25 Number of Claims OubWd- Ing Direct and I. Prior._.. IN _.......... 97 ------------0 ..... ....0 ----------- -.35 .--------- _36 ---------0 .. _0 ... -7 -_0 --------0 ---°--17 2. 2002.. --------0 . _ --------------5 5 __---379 .----------- 103 _ 2 2 -7 0 .- - - 0 __7 .._.JOfX. 3. 2003--- ...... - 36 ........-....0 - .._.27 -------------- 27 -15 - -.-._._0 .. ...... 12 10 -----------0 ---------------- ..--------61 ......x)0(___. 4. 2004- -- --------249 - .129 -------------107 - - ...101 - - 57 - - -120 - __48 45 -- - ....i0 ---------- --0 --0 ----------85 5. 2005. - 5110 ------------54 161 211 --54 _113 -_66 ------._45 0 ---0 --------797 - - 6. 2008 - ------------ ------- ----- 326 ._-------- 444 -.213 392 .----------- 222 - ..200 ------- 85 --------- --..65 -----------0 - ._0 ._.._..1.234 .-...J000..... 7. 2007.. __1115 -_23 __+.__890 ..---------- 326 ------------- 456 -20 - 310 ......... _123 _- ------.-92 ---------------- 0 ---------- 0 ------.1,670 _-..JOCX..... 8. 2008--- -------.1.700 .--- - 178 . 1.586 ............ 749 633 ----------- .131 ------------ 712 .281 ----- -- --.134 _ ------------- 0 ---------- 0 _3.426 - -)O(X--.. 9. 2009 ... ..---3.742 ----2.124 .. -2,107 ._1,026 . .....879 -- OW - j -------3% ----------164 0 ----------- 0 -3,616 __X001 10. 2010._- ......--.1.046 -..-_......._13 _.._.3.414 ...--.._1,554 .-----1.289 --.-----.-_5 _..---1,533 _-._-.---576 _._......247 .--------___0 ------_----0 .-__._5.361 ____ J(XX--- 11. 2011 1954 43 4 412 1972 11174 17 1,981 725 534 0 0 7.298 XXX t2 Totals 11 119 3254 13 125 6,146 5,499 / 506 5 893 2.301 1.315 0 0 23 772 XX1C Total r I d Loss and Lass E)pxm Percentage irmurred Nonlabuler Discount 34 Net Oakum Sheet Losses and 26 Loss 27 nGrr e 28 29 30 31 32 33 Inter- 35 30 Comparry Direct Direct Poling Loss and and Loss Per ion Losses Expenses ed Ceded Net Assumed Ceded Net Las Expense P 1. Prior.._ ____.XX( - -_X0C------- ..----)00( ------ ----- -)XX....... .... ---X XXX----- _ ------------0 ---------0 - ....)0Cx __.- ......... -----It -.----------- 6 2. 2002---- _--------- 8.863 -._4.575 ----------- 4.108 ------------ 76.7 ------- ------ 103.3 _......-.-.59.6 0 - ----- -------- 0 _ -------- -.... ..- (276 ----------- .._283 3. 2003------- ---------1,663 - .._2.374 -------------7,289 ...._....-.._65.3 - _- ._39.5 -- _82.8 -- _0 -- -------- _0 --------- - - - --36 _.--.-...._._.25 4. 2004...-- ...... _...14.583 ..-------.5.907 ._....._..8,676 -------...._.81.2 _ .............81.6 --------_..80.9 0 .---_.-__-------- --.---------.135 -_-__...._.150 5. 2005.---- --------.18.892 ---.._...6,759 .....----12,133 -......__.._94.5 ------------ -81.6 ---------._103.5 ..------.-__-_0 .._--------_.0 -- __ 548 .-._._......249 6. 2008.. ........... 11.832 1.337 ....-----10.495 - - 52.4 --- ----....14.3 .......... -79.2 ---- --------0 - _..0 - -- -------- ...---------884 ..----------- MO 7. 2007..-- ------15.288 ._.----2.434 ......... 12,854 _.--------- .64.5 _.---_-_-_-25.3 _._-------.91.2 __ _.0 --------------- 0 -------..--__.. --------1.156 .---__.-....714 8. 200&------ ---------11.897 ........ __1,W -----10.019 ...-------._521 ---...----18.6 ------_.75.3 -0 ------------_0 __------- .----- -------- ..-.._-..1,067 9. 2009--- ---------- 13.9?B --------------- 71.5 ......... 63.0 -- 76A ---_-_....----- 0 --- .0 ._---------------- - - 2.777 839 10. 2010.----- ._._-_12.346 ------2.453 ---------9.893 ------------.69.4 ---------_35.9 ...-_._-----90.2 0 -----------.....0 ..---------------- .. .---------- 2,468 11. 2011 11.282 2,757 1 8,525 1 67.1 41.9 83.3 0 0 4,351 2,947 12. Totals X)OX XXX XXX XXX XXx XXX 0 0 XXX 14,874 0898 Nate: Parts 2 and 4 are gross of all disoountirp, ir"Ift tabular dscoul8rq- Part 1 is gran of"nontsbu lar discom*V, W** is reported in Columns 32 and 33 of Part 1. The tabular discour, 0 any, is reported in the Notes to R* ncW Statements' wi8 moortc" Pan 1 w8h Pans 2 and 4. 31 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 2 - SUMMARY Years in INCURRED NET LOSSES AND DEFE NSE AND CO ST CONTAIN MENT EXPE NSES REPO RTED AT YE AR END OMrrTED DEVELO PMENT Which Losses 1 2 3 4 5 8 7 8 9 10 11 12 Were krarred 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 one Year Two Year I . Prior__ 7,541 ........--.7.652 8.045 ........... 8,708 --_------2,766 __....... 8.517 .........-8.643 ..-------8.527 .....----8,564 ----.....8.549 ..--__.-_(15 _......_-.....22 2. 2002..--- ----.---5,318 .-------4.219 .----..._3.423 ----------3,756 ..___...3.860 ---------3,738 _ 3,511 ----------3,644 ....---.._3.655 .----.._3.625 .._-.......... (30 ............... (19 1 2003_... ------- XXX...... --------1,571 --------6,167 ----------- 6,859 --------..7.214 --------6,616 ----------.6,618 ---------6.708 ------...6,766 ._._..._6324 ...............(42 ..------------- - .16 4. 2004..---- ....--)00( - .......XXX------ ..... 8,271 .....-----8,040 ..... ..... 8,272 ........ -8.423 -------..8,296 --------- -8.191 --------..8.268 .--------.8.089 -----°.-_(179) ------------(1 02 5. 2005.----- ------- XXX.-_- .-.._-XXX------ ------- XXX------ -------- 11,374 _ t2,635 .........11,582 .-----.-11,288 ......_-11.282 ..-_....11,366 ....__.11.486 ..----..---120 _--------- 204 6. 2006-__- ---_-XXX------ ------- XXX---- ..._.XXX------ ------- XXX...... ._.... .12,010 --------11,157 _.......10.666 -___----9,627 ....._.._9,863 ..........2.754 ..-...___(109 _ -_-_--.127 7. 2007...-.. --..XX)( --..XXX.---- ------- XXX------ ------- XXX----- -----XXX------ --------11,300 10.593 11.705 .......... 11.648 -12,042 ....------.394 -------.....-337 9 2008...... -..---X)X.--- -----XXX..--- ------- XXX------ ----- .XXX------ ------- XXX------ ------ XXX ...... ........._9.745 -------_8.359 ...._..._8,781 _--.---._9,000 .....--.__--219 641 9. 2009.__. ..---X)O(_---- --_---XXX.--- -----------8,725 -.-----_8.495 .--_-...-.8,053 ..-------(442 _ .......... (672 10. 2010_._. --_-XXX.-... ..._..XXX.--- .---- XXX----- ----------- 8.741 ..------...17 _----X)X-_... 11. 2011 XXX XXX XXX XXX XXX XXX XXX XXX XXX 7,171 XXX XXX 12. Totals L (67p 554] SCHEDULE P - PART 3 - SUMMARY CUMULATIVE PAID NET LOSSES AND DEFENSE AND CO q ST CONTAINMENT EXPENSES REPORTED AT YEAR END MITTEO 11 Number o1 12 Number of Years in 1 2 3 4 5 6 7 8 9 10 Claims claims Which Closed Closed Losses with Without were Loss LOSS 4xaured 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Pa Payment 1. Prior---- -_-_D00....... .... ...... 1,993 ----------4,901 ..-_-_..-6,337 ...._._..7.516 ._..._-8.384 ..-------- 8,371 ----------8.473 ... 8.5% ....._XXX------ -------XXX----- 2. 2002--- ............ 368 ---------1.200 ----------1.888 ........ 2,543 --------3,097 _ 3.335 ---------3,595 ..-....._.3.567 __ 3,625 ------X)OC..-... ....... XXX__. 3. 2003 XXX_----- --------------- 861 ...----...1.583 ......__3.976 --......5.239 ......... 6,019 ----------6.345 .---._5,450 - 3,632 .-----.....6,673 ------ ---- -.XXX--- 4. 2004------ ......)00( .-_..XXX..---- ._------------ _-_._..1.576 _......... 4.020 ----------5,704 ........... 6,731 .---------7,465 -..-------:1.676 ------- 6,014 .....-.XXX.__. _.....X)X.-.--- 5. 2005_ --- ------- XXX...... ------ XXX_---- ------- XXX..... ..... ___925 ---.-----4,055 ------- 6,764 ._.._._8.659 ----------- 9,727 ------10,202 -.--...10,734 .......XXX...--- ------- XXX---- 6. 2006------ ------- XXX----- ----- --XXX ..... ...... XXX..... ...... IOC------ -----------M ..---3.266 - 5.645 ----------7,171 ........ -8,168 .......... 1,585 -XXX...... ....... XXX.-- 7. 2007---- ----XXX----- -. -.XXX..--- ------- XXX-.- °-.-XXX...-. -----)o0C ---- ------684 -3.774 -----8.992 - 6,711 _ A0,264 )DOC ..._-XXX----- 9 2008..-.. ....... X)O( ----- ------ -XXX-- ----)O(X- -- XXX -- ----X)CX-- - --...._.6% -- 2.630 ----------- 4,306 -....... 5.708 XXX.----- ----- -XXX ._. 9. 2009------- ------XXX - -XXX ----XXX_-- .--XX)C-..... ..... -XXX---- ------J(tOC-..- - - - - --8? ----------1,922 ---..-4.601 )= ----- -----XXX- 10. 2010-...... -----)00( --- ....... XXX------ --..-.XX1C.-... °--- ----- ------XX)( ------ -------XXK- -XXX__ -----.X)0(__-- ------.._BDZ -..... -3.644 .------XXX.--- ._._XXX._... 11. 2011 XXX XXX XXX XXX XXX )XX XXX XXX XXX 407 XXX XXX SCHEDULE P - PART 4 - SUMMARY Years in Which Loses Were Incurred BULK AND I 1 002 SNR RESERVE 2 003 S ON NET LOS 3 004 SES AND DEFE 4 005 NSE AND COS 5 006 T CONTAINMEN 6 007 T EXPENSES 7 008 REPORTED AT 8 009 YEAR END (W 9 010 W OMITTED 10 011 1. Prim __- -------------2,747 -------------A,387 .....-....---215 ----------- . .....511 ..9 --------------.....-0 --------- 2 2002-. ............... .930 ---......... 2,030 -------...611 --- - - --..... 104 ...--------------- x ........... ___q - -------- ------- D 3. 2003.. --._XXX..-_. ..... ._...... .3.302 ----2.919 .- - -1,3? - -- ..---------- -373 --- --? ----------------9t ------- 4. 2MA------ -------- XXX........ .........XXX..-_._ - -4.211 ---.1.666 --------------974 ....------732 ------------------- 426 ----------------M -- --170 -------------- ------ 9 5. 2005---- -------XXX ..... _. ..... ...XXX - - -- ...-........ 5.379 ------3.383 .... -....... 2.010 ----..__J, 185 -------- 503 __--- __............. 373 ---- -._.-..138 6. 2006..---- --------- XXX_....... ......... XXX----- __XXX------ ----XXX. --- ......... -5,411 - ---3.218 .......------2,015 ......... J,020 ------------- ..w - ------ _..336 7. 2007_- ______X)0( - X)G(---. - - - - ----XXX--- -- - - - 5.313 ------- ------ 3,206 ----------- 2.330 ...... _ 1,173 .......... ----551 a. 2009---- --------M-------- ------ XXX - - - )ooc----- --- -- - -- XXX ----- -----..--..5,038 ---------------- 1,268 9. 2009._---- -------- XXX - -..... ) C----- ----._XXX........ .... ..... X)O------- ----- _XXX...... ....... M------- ------XXX ------ .-........ -4,403 -----3.413 ..__....1.755 10. 2010---- --------- XXX-------- -----XX)( ---.... ._-X)(X_..-- ---XXX--- - -- - - -- - ........ ..... --XXX - - --XXX------ ------------4.070 -- ------- 2.817 11. 2011 XXX XXX XXX XXX XXX XXX XXX XXX XXX 3,696 32 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 1 A - Homeowners/Farmowners NONE Schedule P - Part 1 B - Private Passenger Auto Liability/Medical NONE Schedule P - Part 1 C - Commercial Auto/Truck Liability/Medical NONE Schedule P - Part 1 D - Workers' Compensation (Excluding Excess Workers' Compensation) NONE Schedule P - Part 1 E - Commercial Multiple Peril NONE Schedule P - Part 1 F - Section 1 - Medical Professional Liability - Occurrence NONE Schedule P - Part 1 F - Section 2 - Medical Professional Liability - Claims-Made NONE Schedule P - Part 1 G - Special Liability (Ocean Marine, Aircraft (all perils), Boiler and Machinery) NONE Schedule P - Part 1 H - Section 1 - Other Liability - Occurrence NONE 33, 34, 35, 36, 37, 38, 39, 40, 41 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 1 H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE rxnnrl nu1TTicn1 Pr emiums Earn ed Lou and Lass Pawnems 12 Years in 1 2 3 Defense and Cast Adjtrstirlp and Other 10 11 Which Low Payments Containment Payments Pa ants Number of Premiums Were 4 5 6 7 8 9 Total Net claims P_amed and Salvage and Paid Cols Reported Losses Were Direct and Direct and Direct and Direct and Subrogation 4-S+6-7 Direct and Incurred Assumed Ceded Net 1-2 Assumed Ceded Assumed Ceded Assumed Ceded Received .8-9) Assumed 1. Prior.. - tDIX--.... .- .XXX------ ------XXX------ -------- .-..10 -- -0 ................ 79 ___ 23 - .._0 ------------------ 0 - -- 2 .............. 66 __ -)00( 2 2002.--- ----.--.11,262 _--------- 4,409 ........... 6,853 ----------- 3,795 .......... 2,228 ........... ---------1,961 - 476 .-.------.___-0 ------.-------122 ------.._4.101 .............. 231 3. 2003--- .......-.14,736 - _-._5,962 ----------- 8,774 ---------- ,729 ........... 1,768 .-----.2,279 ----------- -567 ..-._..._..555 --------.----0 ------------ ---- 0 .......... 7,228 ..__...._250 4. 2DO4__- ------.17,843 .... ....... 7,166 ___10.677 ...........9,361 ---------5,049 ----..-._4.145 -----------458 ._.....-----577 --__._.._._0 ..-.-------..-17 ...... _.8.576 _...-----273 5. 2005-_..- ------.19,803 .__.._6,162 -----_._11,641 -------10,068 --------..5,251 ----------7,071 ----------- 1,163 ..-_-----602 ---------...----0 ---------....0 11,327 --...--......3% 6. 2DOr---- -..-.--.22,374 ._------- 9.216 -------13,156 ------....3,521 --------- ---220 --------5,491 . --.234 . 676 _ ................0 - 19 .....--..-.9,234 -.---.__335 7. 2007 - 23,427 --_9,448 .--.---.13,979 ........... ........ ..7,188 ------------- 714 ---------- 7M _..-_..__..__0 ------------------ 45 .-----_10,976 ___-----.-347 8. 2008._._ __ _21.869 .-_--....8,647 ._...._13,222 .._._..-2.023 ----------.-107 ._--.._.3,932 --.173 - ---.915 --_-......0 .------------ .-24 ..----.-6,58(1 - ----_.-324 9. 2009...---- ----- --.19,092 - 7,270 ...._...11,822 ---------- 1,436 ------- ---------- 1 .-------- 3,565 .------------399 -.---....---.973 _.__... ' 0 .--.---------2 ..------...5,574 ---------264 10. 2010___ -----.17,482 ..------- 6,643 -------10,839 ---_.---2,104 _...------168 ----------- 1.845 ------- ---.._37 .------.-_.888 ---------- -------- 0 ------------------ 0 .._....... 4,532 ------ ------- 254 11. 2011 16,508 6,40 10.101, 79, 0 326, 0 820, 0 0 1 227 225 12. Totals XXX XXX XXX 43,125 16,109 40,942 5,729 7,202 0 231 68,431 XXX 23 24 25 Losses Unpaid Defense and Cost Cordairment Unoald Adjusting and Case Basis Buk + IBNR Case Basis Bulk + IBNR Other id 13 14 15 16 17 18 19 20 21 22 Number Salvage Total Net of Claims and Losses Outstard- Direct Direct Direct Direct Direct Sutxog- and ing and arwi and and and ation Expenses Direct and Assumed Ceded Assumed Ceded Assumed Ceded Assumed Ceded Assumed Ceded Anticipated U Assumed 1. Prior ..-...._.108 .. ___97 -......... -0 - -....0 ----------35 - -36 ..-..------..0 .-------------- 0 ----------------7 -----------0 --- -A -------.--.17 --.. --.....2 2. 2002-_ ----------- _...0 - .-._._.276 ----------5 -------------5 ---------- 379 ........... 103 --------- 2 ..-----------2 ------------7 ___0 -------------0 ............... _7 - 2 ---------- - 3. 2003..--- ----------36 ----------0 -------------27 ....-_27 -- -15 -------------0 ----------72 --------- ._12 ............. JO ---------------0 ---------------- 0 ..----------- 61 ..----------3 4. 2004-- ---------249 ---------.120 ---------107 ----------101 .-------- --'57 ------------- 120 - -..-.48 .. ..... .... 5 ------------10 ----------0 -- ._...0 .-----------85 ---------- 3 5. 2005 -- - 510 ----------- 54 253 -----------161 ---------- 211 ---------54 - - -_113 ----------- _66 --------------- --- - - 0 - ------------0 --------.797 -- --------13 6. 2006 -- -- -9139 -- --36 -------- 444 --------223 ---------391 -.-----m ---- -200 ----------1% ---------65 ........... ---0 ..----------- 0 -- - 1.233 - ---.._ 19 7. 2007 - ------------ 909 - 20 - ----BDD -326 - -- 5f -- - --20 ----------310 -------------123 ----------92 _.. .... -- .0 --------------0 ---..1.867 -----------27 8. 2008. -----1,700 ---------178 -----1.506 .......... -749 ----------630 ----_129 -........ 712 . 281 ---------- 134 _ ---..0 . ----------- 0 -----_3'425 -----? 9. 2009------ --------3,742 ------- 2.124 - -2.187 -1.026 -----879 -800 ------- _912 - - 366 ---164 - -_0 --------------0 ---.3.816 -------------- 48 10. 2010------ --------1.046 ----------13 3,414 ---1,554 ...._...1,269 ........... -.... 5 ---.1.533 --576 _____.___247 - --....... 0 -------------0 - 5.361 .------------ 72 11. 2011 1,927 30, 4,412, 1,972 1,171 15 1,981 725 534 0 0 7.283 156 12 Totals 11,1161 3,238 13,125 6,146 5.492 1 504 5,893 2,301 1 315 0 0 23,M 364 Total Loss and Loss Expense Pementege 34 Net Balance street Losses and Lass Nlouned (Incurred /Premluns Nontabular Discount Reserves After Discount 26 27 28 29 30 31 32 33 kder- 35 36 Direct Direct Company Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Net Loss Expense P unpaid Lkwald 1. Prior.----- ------ XXX- - --- -- - ------ --------XXX--- ---- --- ---__XXX------- --------------0 -- - -0 -----)0(X -- -------------1t --------------6 2. 200------- ------ 6.683 .......... 4.575 .------4.106 -- --77.1 ___.__10318 ---------- 59.9 ------------------0 -- ---- ----- 0 --------------- 0.0 (276 -------------283 3. 2003---- - ---------9.653 __.......-2.374 ----------- 7.209 ----------- 65.6 ----- 39.8 - __83.1 ------------ ----- 0 - -...----------.0 ------------ 0.0 _._----- -------- 36 _.-..25 4. 2004--- -_.--.14.554 - ----5,893 ----------- -8.661 ----81.6 ............... 02.2 -- ----- ---81.1 ---- -------------0 ------------------0 ---- ......... .0.0 135 ----------------- (50 ------ --- 5. 200&--- ---------18,873 ----------6,749 ...... -12.124 -------82-7 --- --104.1 ---------------0 _..-------- ---- 0 ------ -------- 0.0 ..--- -___546 --........ -.249 6. 2006------ -----------11.777 ----- ------ 1.311 ____.__I0,467 ---52.6 ..... --...... 14.2 ------79.5 -- -0 ------------0 ------- ---0.0 -------------884 -_349 7. 2007---- - .----15,263 ----2,420 ------12,643 ---------65.2 ---...... 25.6 -----------91.9 ............ ..--0 ..-------------.0 ......... ---...0.0 -----------1,153 714 8. 2008.---- --_--...11.632 1,617 ------- ---10.015 _._--532 -----------18.7 .... .......... 75.7 ------ 0.0 ---------1,066 9. 2009 - 13.928 ---.._.4.738 - -9.190 ... --73.0 -------- 65.2 -......... 77.7 ---------------0 .... -----0 ------------- --0.0 2.777 -------------B39 10. 2010 - ----12.346 ------------2,453 ---------- __36.9 ----------- 91.3 ------------------0 ------------0 .................. 0.0 ----------- .883 - ..2,468 11. 2011 11,252 2,742 8 510 68.2 42.8 84.2 0 0 0.0 4,337 2,946 12. Totals X)X XXX XXX XXX XXX XXX D D XXX 14.857 8,11115 42 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 11- Special Property (Fire, Allied Lines...) NONE Schedule P - Part 1 J - Auto Physical Damage NONE 43,44 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 1 K - FIDELITY/SURETY t$DDD ourrTr-m - -- -- Pr emiums Eas ed Loan and Loss E Pawnents 12 Years in Which 1 2 3 Loss Pa ents Defense and Coat Containment Pawnents Adjusting and Other Payments; 10 11 Number of Premiums Were Earned and Losses Were teamed Direct and Assumed eded et 1 - 2 4 Direct and Assumed 5 Ceded 6 Direct and Assumed 7 Ceded 8 Direct and Assumed 9 Ceded Salvage and Subrogation Received Total Net Paid Cole (4 - 5 + 6 - 7 +8-9) Claims Reported Direct and Assumed 1. prior__ . ..... -X)O-- .. .... -XXX..... ....... XXX--- ....... ........ 17) --------------- .141 --------------- .19) --- 141 -------------- -0 ----------- _.-_0 -------------- 16 ............. -.18 )O(x 2. 2010 .307 .----------iffi --------....125 ..--.----------.0 _.--._....---0 -------------0 ---- -------- .---0 ------------0 -------------0 ------------ ___0 ............. .--0 -----OX ------ 3. 2011 298 171 127 0 0 0 0 0 0 0 0 )IXX 4. Totals X70( XXX XXX 7) (4) (9) (4) 0 0 16 (8) XXX 23 24 25 Losses Unpaid Defense and Cost Cordainmem Unpald Adjusting and Case Basis Bulk + IBNR Case Basis Bulk+ 18NR Other Un ' 13 14 15 16 17 18 19 20 21 22 Number Salvage Total Net of Claims and Losses Outstand- Direct Direct Direct Direct Direct Subrog- and ing and and and and and ation Expenses Direct and Assumed Ceded Assumed Ceded Assumed Ceded Assumed Coded Assumed Ceded Antict ed Un id Assumed 1. Prior - `-6 ---- ----------- 3 ------------0 --------------0 4 --------- ------ 2 ---------------- 0 - - - 0 ...-------0 ---------------- 0 ...... -...0 -._._..5 2. 2010 0 - ----------0 ---------------- 0 ._...-- -° ------- ------ _0 -----------.-0 - - 0 ---------------- 0 - -° - - - 0 -° - ° - 1 3. 2011 27 13, 0 0 3 2 0 0 0 0 0 15 2 4. Totals 33 16 0 0 7 4 0 0 0 0 0 20 9 Total Loss and Lose Expense Percentage 34 Not Balance Sheet Losses and Loss E)venses tralnred JPremi ms Nonlabular Discount Reserves After Discount 26 27 29 30 31 32 33 Inter- 35 36 Company Direct j Direct Pooling Lose and and Loss articipation Losses en Fses Assumed Ceded Assumed Ceded Net Loss Expense P unpaid 1. Prior----- ----- __)00(_.__ -- =--- )jo0(...__ - -- -----XXX------ -------- XXX.._- ----------------0 .................... 0 - )0(X --- ------------..-3 .... ... 2 2. 2010 - - - - __0 -------------- 0 --.......... ---0 -------------- 0.0 .............. -.0.0 -------- --0.0 --------------0 --------- -....... 0 --------------0.0 --° --------..-0 - 0 3. 2011 30 15 15 10.1 8.8 11.8 0 0 0.0 14 1 4. Totals XXX )00C XXX XXX XXX XXX 0 0 XXX 17 3 45 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 1 L - Other (including Credit, Accident and Health) NONE Schedule P - Part 1 M - International NONE Schedule P - Part 1 N - Reinsurance - Nonproportional Assumed Property NONE Schedule P - Part 10 - Reinsurance - Nonproportional Assumed Liability NONE Schedule P - Part 1 P - Reinsurance - Nonproportional Assumed Financial Lines NONE Schedule P - Part 1 R - Section 1 - Products Liability - Occurrence NONE Schedule P - Part 1 R - Section 2 - Products Liability - Claims-Made NONE Schedule P - Part 1 S - Financial Guaranty/Mortgage Guaranty NONE Schedule P - Part 1T - Warranty NONE Schedule P - Part 2A - Homeowners/Farmowners NONE Schedule P - Part 2B - Private Passenger Auto Liability/Medical NONE Schedule P - Part 2C - Commercial Auto/Truck Liability/Medical NONE Schedule P - Part 2D - Workers' Compensation (Excluding Excess Workers' Compensation) NONE Schedule P - Part 2E - Commercial Multiple Peril NONE 46, 47, 48, 49, 50, 51, 52, 53, 54, 55 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 2F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE Years in INCURRED NET LOSSE S AND DEFENSE AND COST CONTAW MENT EXPE NSES REPORTED AT YEAR END OMITTED DEVELO PMENT Which Losses Were krcurred 1 2002 2 2003 3 4 5 2004 2005 2006 6 2007 7 8 2008 2009 9 2010 10 2011 11 One Year 12 TWO Year 1. Prior __ -------------------- ---------------- ---------------- ---.---------------- ------ ----------------- ----- ----------------- ---°-'------- ---------------- ------------- ' 2. 2002._.. ---------------- .-. ----------- ---------- --- .............- ----------'---- ------ ----- ------- ----'---------_ - -- -------.....----. ....__.._.----- ------------ 3. 2001 ..... ....... XXX------ ----------- -'-...... .............. ...-- -------------- --------------------- _-------------------- ..-------------- ------'--._.._._. _...._......-'----- --- --------...--- 4. 2004---- -- _XXX---- ---XXX---- _--_--------------- ...... .... . ---- '-- -- ------ --'- --- .....__.-------- ---------- ---------- -----.....---... ...---------- 5. 2005--- ---_-XXX------ --'-XXX----- -.._.XXX----- - ------ ' --' --°- -- --- ------ --- --------------------- ------- -- ------------ -----....----.... .._---------- 6. 200&...... 6. ....... XXX------ ....... X)0(..'-- .-- --- '-- - - ------.... _..- -' - --- - ------------ -----.....---- 7. 2007---- ----..XXX_ _ ----_.XXX---- -----XXK-'- -- - ----' - --'- '- -- -------------- ---------'--'---- --------------- 8. 2008..-- ---XXX---- ------- XXX.... - .....A)CC - -- ---- -- --- ------ ..... -- -.--------------- ---------------- - ........ ..---- ------------- 9. 2009--- ---..XXX_--- -------- XXX...... ------- XXX_.._ .._-_.XXX------ ....... XXX------- ------- XXX------ ------- XXX---- --------------- ._--'------___ ------------ -'----- --- -------- -...._-------- 10. 2010----- ---..X)O( -_.._.)XX------ ------ .)00(----- ..__.XXX_.__XXX...... _..__XXX------ ------- XXX------ ------X)D( --------- ------- -------- ---- 11. 2011 XXX )XX XXX XXX )00( XXX X)IX M XXX XKX )00( 12. Totals SCHEDULE P - PART 2F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE 1. Prior.---- ------------------- ---'----------- -'--'------------ ----- --------- ---------- ---------..._-- -------'---- ----.._.. 2. 2002.-- -------------- -- -------------- -- ................ ..--- ... ..---- ............. 3. 2003..-- ------ XXX-_- ------ -------------- ---- ---------.... ..._--------.._. ..----------_ 4. 2004..__ _......XXX__.. _..._XXX...... _ ------------------- ..__._....._._._ ._._....._.... .._.___. .._.._._...._..._ ....._...._...._ _._---'------ 5. 2005_-- ----XXX_.... __..XXX...... ....._XXX------- --------- ...-..... .......... - --"--- ---- -.. .----------- ------------- --...._-----... _.__ 6. 200&..... ----- -XXX ...... ....... XXX----- ------- X.----- __ .... ....... .... ... .._. _.._`- _" ..`--------- ---- -----'-' ---- -----.. ._----_ _ ------ 7. 2007.._-_ ----- XX( ------ ------- )O X..___ ._.__XXX...._ ...._....___. . .__.. ........_._..._.. __------ --- - 8. 2008----- ...... X)OC----- -..._7000.... . .__._)O(X--- '- -' ----- - -- -- - ---- --------------------- _- ................. .-------.._.-.. ._---._....---- --- ---------- ----- 9. 2009..-._ ---..XXX__- ------- XXX...... ------- XXX...... ... ....... ------- 10. 2010_---- ------- XXX.__.. ...._XX( ...... ._.-XXX-._ ....._)COC...... ...__J000...... ...... ._XXX...... ------- XXX-_ ---XXX--- --------- ..._---- -------------- --- )0(X_ 11. 2011 XXX XXX )00( X)0( X)OX XXX XXX XXX XXX XXX XXX 12. Totals bL;HhUULE P - PART 2G - SPECIAL LIABIL BOILER AN ITY (OC D MAC EAN MARINE, AIRCRAFT (ALL PERILS), HINER 1. Prior---- ------- ----- ------ ---- -------- ------ -'---------- ----'------- ----'------- -----'------- ------------- ----- - -----......------ --------- ------- ------- ----------- ._. 2. 2002--' ..................... .---`-----.-_ _--------- ........ ...----- ------- -- ------------ ------- ..-----------.--_ ------------.'- ._--------------. -----_------------ .---------------- .. -_.._......._. ............ ._--- ...----------'- 3. 2003 ------ ------- )OOC--... ..------------------ -------------- ----------- ------ -- _--------------. ...... _------------- -------------- ...-------------- ---......---------- --.......--- ----- --- -------......----' ------------- a. 2004 ..... ------- XXX------ .... _)0(X._"_ ---------------- ---- .------------- - -------- ------- --- ------------- ----- ------------- .'_ ------...-------- 5. 2005.-- ---_.XXX_- "---)00(.---- _. _X)0---- --'-- ... ---- - -"- --- -- ----.......-'----- ---'--'..------ .-- .. ------------ ..--- ----------`-` 6. 2008.-- -----M'--- ......' --- -- - -.. _._.._ ._ ..._ ..---'- - -'--------. _...__...------- --.._--------- -`--------- -------- 7. 2007----- -'-..XX( ----. ._._ )0(X--- -------)00r(--- ----- 8. 2008.--- --....X)OC------ --.-XXX.-- ------'..... --- - - - -----------'-- °--------------- -----------'-'- -----._....---- -____..------.- ---'-`---------- 9. 2009-- ----XXX--- ...---- -----.... ..._ ..' -- --------'-"-' -----------.. .------------ -.........__----- 10. 2010.._._ ._.._)000.... . ........ )0 X---- ----XXX_' --- - ----- -'- ---- ---- -------X)OC --- ----.XXX.-- ------............... -----.._.....--- ---._--...--- --- -----' 1t. 2011 XXX XXX 700( XXX XXX XXX XXX XXX XXX XXX X)O( 12. Totals SCHF,]m F P_ PART 914. CGCTIAN 1 _ 111TUCM I IA1211 ITV _ AP/?I IMIaCwlnr 1. Prior-'- -------- ------- -- ----- ---------- ---------- ------ ----------- ------- ------- --- ----- ------- ---'------- --- -_--.. 2. 2002--- -------------- --------------- '------°--- -------------- ---------------- -----------._ .....----------- ----------------- "-'-------- ..... --------- ----------- ------.----- ----------- 3. 2003---- ------- XXY ----' '------------- ----------' '---'------- ---------- --- ----------------- ------------- -°---------- -------------- -------------- ..----_---- _--- -------------- _. -------------- 4. 2004...... ------- )XK ...... ........ XXX--- ------------------ .------- --------- ------------------- ---------------- ------ ---- ------ -------------- ----............ .-- .............. .------ ----------- --- -------- -' 5. 2005--- ----- -XXX- ------XXX_.- ---- )DOC-- ------- ----- --- - ------ --- -- -----------'--- ------'---------- --°---------- - -------- _ . 6. 2008---- -----XXK ----- ---.-)OCX.... _.__XXX-.- - - ------ - - -- - --------- '----..-'------ -------...-- _ .------'---- 7. 2007--- .... -.. --- ......' ---- ----..' --' - - ---' - - -'- -." ---------------- _---- ......... ..... '..... -----------'----- .... -._------------ -----..------- .. ' 6. 2008..-- ------- )00(...... .___-JODC.- ....__XXX_... _.. _ - ---'---" -----....--`-- ----._---`----. __.------._-_. .- -----------."- 9. 2009--- ------ XXX...... ..... _.XXX.. -_-----'---.. 10. 2010---- ------- X)OC.__ ------- XXX.-'-- -.. --------- -....- --------.-..--- ---- ------ ---._..__------ -'-- 11. 2011 XXX XXX XXX )00( XXX XXX XXX XXX XXX XXX XXX 12. Totals I I I SCHFnl11 F P - PART 9N - CCf_TI[1tJ 9 _ ATUCM 1 -AMU ITV /N AlaRt-1 uAnr 1. Prior__ ----------- 7,541 ----_..--- 7,652 -------A.045 .-._...1.706 ...__..8.766 --.6.517 ........... 8,643 ---- _----- 1,527 -.--_----8.564 ------1.549 ...... _------- .(15 _-_.._----_.22 2. 2002.--- --------- 5,318 -----4,219 -----._....3.423 .-._3.756 __.._.3,680 _..___3,736 ._--._.3,511 ------ -3.644 _-----3,665 ......... ..3,6251 ................ (30) -----_-._..- 119 3. 2003------ -------XXX_-- ----6,571 ---.---6.167 ......._6,859 ......... 7,214 ....---1,816 ......... .6,618 ______6.708 ..._..__6,766 _.-.__.6.714 ..---------.(42 ----------_..16 4. 2004.__. --)XX--- ----8,249 .._-.__6,025 _...._.8,257 -----8,408 ._-._11,176 ------.-8,253 .----..-8.074 ----------- 1179 ..---------(102 5. 2005----- -----)00(-_._ ----)O(X--- _._)00C___-- ------11.374 --------12,636 -------- 11.575 -----..11.278 ...----11.273 ------.11,357 ----..11.477 ------------120 -------.204 6. 2006...... ... _.)O(X-- ----11.991 .-.._11,119 --..10.640 --------9.596 __ 9,63D .----9.726 ------------ (104 ------ -..... _128 7. 2007---- -------)00(--__ -._)0(X.__._ __._XXX..._. __._.11,265 -----..10,561 -...11,691 ----11,631 -----12,031 ........ __. 400 ------------ _-340 8. 2006.-- ------ - - - - -- --- - - --X)OC --- --------9.73D ---------- 8.318 _...__1.744 - - 8.966 - - -----------w 9. XXX .---.8.720 _-...8.495 .---8.053 -----(442 ------067 10. 2010. - ---M ...... .......70(X - - - - - - - - - - - -°-X -- )00( 1.741 .... --8.758 -------------17 )C)(X---- 11. 2011 700( XXX )00( XXX XXX X70( XXX XXX 700( 7156 )00C 70D( 12. Totals 1 (534 5701 56 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 21- SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, FARTHOUAKE. BURGLARY. AND THEFT) Years in W"Looser Worekrcumid INCURRED 1 2002 fvE rt 2 2003 3 4 8 2004 2010 i 2011 DEVEL: 11 OneYear T 12 T Y.. 1. Prior---- ------- XXX------ ....... XXX....... .... ...XXX... ---------- -------......__.. .._.__._..-....._ .._..--------..- 2. 2010._... ...---_-_ .......XXX.-- ----X'- -' -- - `-_.XXX..-. ........ -------- -'------------. ._----------- ------- XXX.__ 3. 2011 XXX XXX XXX )00( XXX XXX XXX 4. Totals gn14FDULE P - PART 2J - AUTO PHYSICAL DAMAGE 1. Prior----- ------ X)OC ---... ..---XXX---.. --.. ---- ------- M------ ---- .-XXX------ ---- -XXX_.-.....-..------- --------.___- _.___.-._-? _._.._.___...- 2. 2010 . -.. ....... )00( ..' ........ )XX...... ......XXX._. ... - ... -- - - --. ,.^ -------------- ----°--------- --`--_..._ _--Xxy 3. 2011 XXX XXX 7 XXX -.. .. )00( XXX XXX . 4. Totals SCHEDULE P - PART 2K - FIDELITY/SURETY 1. Prig. --'--X7(X-...- -------- )0(X ---- ------- )XX------ ----- )0(X ---)0(X - - -XXX------ ------- )XX._... _._.°- a ..-........ .23 ._._......- ..9 - 114 ---------- -I18 2. 2010---- ....... XXX...... ........ XXX.__. .._...XXX------ ------ X)OC_-- -----..m-...- ----..XXX.__.. .-----XX( .-- ------- )OX..--- -------------0 ---------..._0 0 ......_)0(X_._. 3. 2011 XXX XXX XXX )00( XXX X)O( XXX XXX )OX 15 X)O( )00( 4. Totals 14 15 SCHEDULE P - PART 2L - OTHER INCLUDING CREDIT,ACCIDENT AND HEALTH 1. Prior - ----X)OC ---- --- ----)0(X HOC ---- ------ ......... _------- -----_. .....----°I----- ------..._..._. 2. 201101 ---- -----XXX----- ----- AM- ----_)XX.- 0(X--- ' ? --------- .... _............. - ...... ..------------ - --_X>O( 34 2011 X)O( XXX )00C XXX X70( X)O( XXX 4. Totals S['_MEnULF P - PART 2M - INTERNATIONAI 1. Prior ----. .._.----------- -...- -------------- ---------- ------ .._.....-------- ----------- ----- ------------ .----- ------- ---- ---------- ._----- ----------- ---------------- . ..---------- -----------'- 2. 2002--- -'-'---------- -------°°-- ------........_. ---- ---- ._._.._. .-----'--._- --'------- -- ----------- ..._._.-....__... 3. 2003..-- --.-)00( ---- -------------- --------- '----------- ---- ------------ -------------- ------------------ ------.-'....... ------ -------- -._-----------. -------------- .._--------- 4. 2004..- ..---)OCK '---' _'....XXX._- --------'--- '---._.._..----- --'-------. ....-------------- ----------.-- ------------- ------'---- --.------- -------- -------------.- ----- ----- .------ 5. 2005.--- '--..XXX.---- --------------- ------------ ----.--._...--- . 200&_. -..)00(---... .-_XXX..- _..--------- ------ -..-.--.... ------ -------- --...--.-------- 7 7. 2002---- ------- --'--'---- ---'- - :' .... -' ---•---------- -------__._--° -------- .--------- _....-----._..-- 8. ------------- --------------------- -----.----...-.- ---------- .__-_.. 9. 2M.- 9. 2009._- ------- ----- ---'---- --.XXK.__ _..---X%X_.. .._..XXX_.. -..-XXX_-- •------------ - ----__---°--- ------------ '--------_...._-- 10. 2010- .-_-700(-.- _._..XXX. XXX...._ XXX...... _._-. ------ ------------ --._-...--.--._ 11. 2011 XXX XX 7000 )00( XXX X)O( X70( 700( 700( )00( )00( 12. Totals 57 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 2N - Reinsurance - Nonproportional Assumed Property NONE Schedule P - Part 20 - Reinsurance - Nonproportional Assumed Liability NONE Schedule P - Part 2P - Reinsurance - Nonproportional Assumed Financial Lines NONE Schedule P - Part 2R - Section 1 - Products Liability - Occurrence NONE Schedule P - Part 2R - Section 2 - Products Liability - Claims-Made NONE Schedule P - Part 2S - Financial Guaranty/Mortgage Guaranty NONE Schedule P - Part 2T - Warranty NONE Schedule P - Part 3A - Homeowners/Farmowners NONE Schedule P - Part 3B - Private Passenger Auto Liability/Medical NONE Schedule P - Part 3C - Commercial Auto/Truck Liability/Medical NONE Schedule P - Part 3D - Workers' Compensation (Excluding Excess Workers' Compensation) NONE Schedule P - Part 3E - Commercial Multiple Peril NONE 58, 59, 60 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 3F - SECTION 1 - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE CUMULATIVE PAID NET LOSSES AND DEFENSE AND CO 11M O ST CONTAWENT EXPENSE$ flEPOPIM AT YFAR END N"ITTI) 11 Number of 12 Number of Years in 1 2 3 4 5 6 7 8 9 10 claims Claims Which Closed Closed Losses With Without Were Loss Loss Aiasred 2002 2003 2004 2005 2006 2007 2006 2009 2010 2011 Payment Pa t 1. Prior ._.... ._--D00.------- --------------- --.... .-.......... ------ ---------...--- ------------------ ... ...._.......-..-_.- .--.--_...._..............---------- .. ---------- ._----- ---------- ___...._---- .... 3. 2003.....- ----.XXX------ ---------------------- --------------------- --------- 2004 -- -------XXX ...... ........ )XX..... -------- -- --.._ --_..- ......_ ;. ,._ .._: :._...._ 5. 2005 ..... ------- XXX...... ....... XXX .---.-XXX--.. ._ .._ .. ......_- _ -• --- --------------- ----- 6. 2006.--- ------- XXX---. .-...XXX------ ------- )M--. --1- ...............--- ..._.......-__... .__-----°-- 7. 2007....... -__..XXX------ -------- )MOM .. ..._-XXX-...- ... ..................... ......._-......._.. .....-._.____._. 8. 2008 --- -----.-XXX. _.. ....... XXX ...... ------- XXX -.... . -_XXX... _-- '-" _-_XXX -- ----'- ' ' - ------------------ -- . 9. 2009_...- -_....XXX ...... .......XXX..-- ..-.-XXX.-_. -..__XXX_..-. _.._..XXX..-_- -_.__XXX._... ----- -XXX.....- _-._._._____ 10. 2010..'.- -_-..XXX.--. ___.XXX_._ ..._...X)OC ...... .......XXX.._.. _.__XXX___ --_XXX...... _-..XXX..._.- ....-..XXX..._. ...-.___-_- 11. 2011 XXX XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P - PART 3F - SECTION 2 - MEDICAL PROFESSIONAL LIABILITY - CLAIMS-MADE 1. Prior- _.._...-.000------- ------- --- --- ....---- --------...--------------------°----._..._._---____- 2. 2002--.. _..---------- --------------- 3. 2003------ ....... X)O( -- -------- --------------- -----`------ -_.....--.-_.... ---- -------'---- --._.._----._-. ------------- ------ - 4. 2004----- -°-XXX------ ------- )XX...... ------ ----- ---.... .- 5. 2005--.- .--X)0( ------ -------- XXX__. __--XXX ---------- _. _..--- °-- ---.-- ---- °- -- . 6. 2006 ------ ------- XXX -. .-.....XXX- .. ------- XXX.__ -------- ---- 7. 2007------ ._--XXX------ .-..---XXX.-- ----------------- ---------- ----..- ...._...---__.-- 8. 2008.---- ---..XXX---- ------- XXX...... -----.J00C.- ---- - ----------------- --------------- 9. 2009. . ------- XXX... _..__XXX -- '....._ ----------- ..... _..-------- 10. 2010.-_. ..._._X0X_-.--. ._.---XXX_..... ------XXX...... ..... _XXX....-. ..... )O(X- _--. ------------ -_._-_----- 11. 2011 XXX XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P - PART 3G - SPECIAL LIABILITY (OCEAN MARINE, AIRCRAFT (ALL PERILS), Rrull.FR ANn UAr-WINFAV) 1. Prior ---_ ........ 00-------- -------- _._.-....-' -'--------------- ._. ....'------- ---- ------ ------ ---. -.-------- ----------------- --------------- --------------- .--...._-.-------- . ...--XXX------ ------- XXX--- 2- 2002---- --- -------------'--- ----'.----------- ---------- -`--.------- --...- -------- ___. ..------'---- ----------- -- ------------ ----.--._.------ .__-M._- _.---)OOC 3. 2003---- ------XXX.---- -------'---'--- -'------------- ---------- .__._. ------------ --___._...._' _-°-------- - ...............------ ------- -------- -----XXX--- ----)O(X 4. 2004-._-. ------X)CX--- ----XXX---.. ........ -...- -------------- ...... -------------- --. ..__--__..... ----- .XXX_._,. ----Ox 5. 2005._- -X)OC ------'-- ----- -- --- '- -- ...---..--------'_ -------- ---------- ..-----XXX_.--- -._..XXX-_. 6. 2006---- -_---XXX------ ----- -- --• -------)O(X_ - _ ..._..:._.._ ._.-------°_.-- ---------- ----.X)X---. .---_XXX-..... 7. 2007.-- ------)o(X . ..---X)oC--- ----XXX-_. ----M.--- ------- XXX---- 8. 2008..-'- ..-...-XXX---- -'-'--- ---_-XXX-- -- --------_. --"'---'----'-- - -- ---- 9- 2009----. ....-..XXX.---. ...._-X)OC._... ----...-......-_. ...-..-XXX- -- -----1--- 10. 2010_--.- .-----XXX.__. .--..-XXX----- ------- 1000.-.- ---_XXX- _ - ..__.XXX.._: ___ __ _--• -----------.__ ------ ....... 1 1. 2011 XXX XX( )= XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P - PART 3H - SECTION 1 - OTHER LIABILITY - OCCURRENCE 1. Prior.__. ..- -' - --- - --- - ------------- - -- ---- -- - °- -- --- -------------- --------- 2. 2002.---. ._..---------- ----------- -------___._. .-------- ----- --- --------- -----.--- --------------- - -------------- ------ ------------- -.------ -------- ---------------- ----- ----- 3. 2003_.... ----XXX----- ----- ----........ ----------- ..------------- -- ---- ---- ----.._ ----'------ ---------- ---- ------------ . ----- ------- -- 4. 2004-.--- -.--XXX.-- ---- ._-. ----------_.-_ ---------- ------------- '-'---------- --- ----------- .-._.._._-------- --...._---" ------_....._- --------. _.-----.__..._ 5. 2005..-- -----1t1IX---- --XXX------ ----XX)C-- ----"° - - -- -- --------------- --.-....._....-- 6. 200(---- ----- ------•--- ---- - ` --- ------ ._----------- ----__._..._- --.----------- 7. 2007-- ----..)OOL---. ._--1000.-- -- - t y' •, .. ----'----°--- -------------. .__-....... ---- .. 2W&- - --------------.. --- .__---..__..._. .--------.----- .---- ._ -... 9. 2009-_ ---X100 - ---10(10 - - -1000-- - - - - - ------- - -------_- 10. 2010_-_. ..__.XXX__.. .-.._XXX..._ -..-._XXX.... ..__.XXX__ --°- .. -- -•-1000'•-- ---X1QC-.- --- _-_ _--_..°-------- --.-.._........_. .___ 11. 2011 )00( XXX XXX XXX XXX XXX XXX )C)00 X)0( SCHEDULE P - PART 3H - SECTION 2 - OTHER LIABILITY - CLAIMS-MADE 1. Prim ------- -------00---- -_--4.901 --------5.337 .-._..-..7,518 ----8.371 _-....... 8.473 ..... ..... 8.538 .._.__.5.162 -.._.....-._....0 2. 2002---.- ---- ----- --.-68 ._....... 1,200 -------1.898 -----.-_2.503 -___--.2,886 .... ...... 3.097 ......... 3.335 _..._..---3.595 ----------- 3,567 ----- ----- 3.625 -------_--. 1 2003--- ------- XXX-.._. ._..-------881 ._--.----2.583 -_.__.3.238 --------6.019 -.--_-6.345 _..-.---6,450 ---------- 6,632 _.._....6.673 ---------------- 91 ----- -------- -156 4. 2004------ ---------- 2,561 _.---.-5.889 ......... 6.716 -------7,450 ------7.863 _.---._7,999 ------------- .96 ----..---.-174 5. 2005------ ------- X)X_._.. ..----XXX------ ------- 1000-..° -- -925 -..._4.055 ..... -.... 6,762 -------- --8.663 ----9.718 10.193 -----10,725 -- - 92 - ..--.153 6- 200&-_-- -.._..XXX...._. ---_-.XXX...- -.-M ------ ------- XXX...--- -_.... ...... 631 _------3,243 ._.__--.5.620 ------- --7.144 ---------- 9.136 ._.__.-.6.558 ._.... ....... 92 --.-------224 7. 2007--- -----)00(- -- ------1000--_' __...)OOC..... .......XXX..--- ----1000.--- -..._..__.-W ----------3.769 .---------6,967 ...------1.703 ----._10.256 ------------79 _._-----.-241 e. 2008-_.- _---.XXX- .----1000-_-- ----1000--.-. ...-XXX---- ----_)OOC-_ ---10(X--- --__.-.__-527 .------_2.598 ...___.-4.ZM ----------- 5.675 --------------- R ._..__.__.233 9- 200&-_ ------1000---- -..J00C--.- --X)D( -- ..-XXX__. _..-.XXK ---- ---_-XXX-_-- -------.._B19 ._.--._..2A2 .-------4.601 -------- ---48 ---_------- 168 10. 2010-_-- ------- )00X--- _-.-_XXX.--- -----XX(--.._ -_...XXX------ ...._XXX... -----XXX...-.- .__--)OOC----- ------- XXX_-_- ------------ 602 .-----..-_3.644 -----_-_-_40 --------------- 142 11. 2011 XXX XXX XXX M XXX XXX XXX XXX XXX 407 4 65 61 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 31- SPECIAL PROPERTY (FIRE, ALLIED LINES, INLAND MARINE, EARTHQUAKE. BURGLARY. AND THEFT) CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END OMITTED 11 Number of 12 Number of Years in 1 2 3 4 5 6 9 10 Claims Claims Which Closed Closed Losses With Widw Were Loss Loss Mcurred 2002 2003 2004 2010 2011 Pa Payment 1. Prior---- -----.XXX-._. .----XXX------ ----XXX---' -- ------ ---- ----- -------------._.- --------- ----_XXX XXX 2. 2010 --- ----XXX----- ------)0 X--.._._XXX.--- ----..XXX---- XXX------ -.----XXX-- t .------. -------------- -XXX.-... _XXX 3. 2011 XXX XXX XXX XXX XXX XXX XXX l XXX XX% XXX SCHEDULE P - PART 3J - AUTO PHYSICAL DAMAGE 1. Prior _.... ...--- ---- ----.-M------ ------ XXX...... ----- - ----.. - .__D00.....-. _--....-------. ....---.._....---- --'---------- 2. 2010.-... ----XXX.--- ....... XXx---- - ------- XXX.__ N -.......- --------------- --_.---------- 3. 2011 XXX XXX XXX XXX XXX w -qmwv ¦ w t• SCHEDULE P - PART 3K - FIDELITY/SURETY 1. Prior.-... ..----)0(X------ ------ )XX--- - - °-- ..-- -XXX...... ....... XXX - ------XXX-.- - ..-- --------------12 ............... -_4 XXX - XXX -- 2. 2010..... ....... XXX.---. -....-)00(.__ ....... )Do(--- ----)0()( ----- ------ )OXX-.... ..... -XXX.... . ....... XXX----- ------- XX( ...... ...... _........... 0 ---------------0 ---._)fXX.._. ---..XXX----- 3. 2011 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0 XXX XXX SCHEDULE P - PART 3L_ OTHER (=LUDING CREDIT_ ACCIDENT AND HEALTH) 1. Prior.----- ----XXX------ ------XXX-- - --'-------- ----------t --.XXX.-- -------- 2. 2010.----- ---..?----- ---XXX--- ----?- - -- - i ----- -'-- ---.XXX._... ..----XXX--- 3. 2011 XXX XXX XXX XXX XXX XXX SCHEDULE P - PART 3M - INTERNATIONAL 1. Prior----- ------- ----- -------------- ---------- --------- ---------- ---...--- -------... -- - -- -.-)(Yx ---' ------)0(x ---- 2. 2002---- ---------- --------- ------- --------- ------- - ------ ---------- ------ --- --------------- -----X)O( ---- 3. 2003.--... ..... _)0XX..._ --_-------__-- ------------ ---------- -----------. .----- ----------- ------- --......... --..X)OC----- ------- --- 4. 2004------- ----X)O( ----- ----- - )O(X--- ----'----- ----' - -----'-------- -"----'---'- -........ -..._.__-.----- .......".'-----` --------'--' --....XXX.-- ---- -- 5. 2005.-- ---- -- -.-)0X_- ---.XXX -- - -------- 6. 2006 -XXX- ----XXX-- -- ?-- 7. 2007 ---- 00(----- ---- XXX 8. 2008.- -----XXX--- --XXX.--- .--.XXX r ----------- 9. 2009--- -------XXX--- -----XXA ? --- - --- --- 10. 2010 ? --- )w 11. 2 XXX XXX w XXX XXX XXX XXX XX% XXX 62 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 3N - Reinsurance - Nonproportional Assumed Property NONE Schedule P - Part 30 - Reinsurance - Nonproportional Assumed Liability NONE Schedule P - Part 3P - Reinsurance - Nonproportional Assumed Financial Lines NONE Schedule P - Part 3R - Section 1 - Product Liability - Occurrence NONE Schedule P - Part 3R - Section 2 - Product Liability - Claims-Made NONE Schedule P - Part 3S - Financial Guaranty/Mortgage Guaranty NONE Schedule P - Part 3T - Warranty N O N-E Schedule P - Part 4A - Homeowners/Farmowners NONE Schedule P - Part Q - Private Passenger Auto Liability/Medical NONE Schedule P - Part 4C - Commercial AutoFfruck Liability/Medical NONE Schedule P - Part 4D - Workers' Compensation (Excluding Excess Workers' Compensation) NONE Schedule P - Part 4E - Commercial Multiple Peril NONE 63, 64, 65 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company scntuuLt r - rAK 1 41- - 5tC I IVN i - MEDICAL PROFESSIONAL LIABILITY - OCCURRENCE BULK AND I BNR RESERVE S ON NET LOS SES AND DEFE NSE AND (AS T CONTAINMEN T EXPENSES R EPORTED AT YEAA END OMITTED Years in i 2 3 4 5 8 7 8 9 10 Which Losses Were Incurred 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 1. Prior.----- ----- -------------- ---- --------------------------- ---------------- ----------------- ..----- ------------------------ -- ------------- -----....... '------- ----....-`--`------- -------_-_--...._ ----------_"_----- 2. 2002_... -------------------------- ....- . 3. 2003----- --------- XXX..._'- ------------- ------- ...... _..-- ---- ----- ----- -'--- - ........ ----- ----- ------ . ...----- .------ -------- - ----------------- ..---------------- 4. 2004------- --------- XXX--------- -------°)OOC.._.."' --------- ----- '-' -'-------.._._. ...---'------------- ---------------- ._._......----..._. 5. 2005------- --------- XXX_--- ------XXX--------- -----' --- ----- 2006.--. ... XXX-----... -------- XXX----'- -------. _...-- - ----- ----- --' -- •-- .._- ' ---- -----------._-. ...---------------- ---------......-- 7. 2007------- --------- XXX--------- --------- XXX--------- -.--' __----- --- ._ ...-" ---- ------------ --- ------ --------- -- - -- -- - _--..... _ --.... 8. 2008----- _ ..-.__XXX----- ------- _XXX--------- ---- ---- XXX --------- ....----XXX....... ... .--.--XXX--...._ ..._..-XXX--------- .--.----------- ---. -------- ---------------- --------- ---------------- ------ ---- --_---_._ 9. 2009----- ---......XXX------ ---_-..XXX-------- ------XXX ------ ------- -xxX--------- -XXX -------xxx ------- --------- xxX.......- .- ---------------------- --- - ------------- -- -------------- 10. 2010--- '----_XXX--------- ------ -XXX......... ......... XXX--------- ---- ---- XxX--------- ------- -xxx-------- ---------- XXX..-.-- --------- XXX--------- - ------- XXX-.---' -`--------- 11. 2011 XXX XXX XXX XXX XXX XXX XXX XXX XXX 'GtitUULt F - PAM 1 41- - 5tC I IVN 2 - MtuICAL PR011-E5510NAL LIABILITY - CLAIMS-MADE 1. Prior ----- --- ----------------------- -------------------------- -------------------------- -------------------------- ------ ------------------- ._.....-_---------- _._------------ 2. 2002_... -------- - ' ------- -------------'-' ---------------- ---------------- -_-------._... _._........-----... 3. 2003---. .-- ----XXX--------- -------------------- ---. _ - 4. 2004----- --- ---- -XXX...... - ...... _JIXX----- ------------------------ -------------------- --------------- _...--- ------------------ ------- ----- _................... ----------------- '-'- --- ---.._.-._'_---.. ----__--------------- 5. 2005_.... --- ------ XXX ........ .........X)O(._.__. ......" --.--.. .---. 6. 2006_-- _ -.-XXX------- -------XXX------ ----.... .. .... - 7. 2007---- -- ------?------ -.-'----?'---- -_._.- -' ---- 8. 2008---- -- .----XXX------ ..._....X%X----'- --------- ---- -'-- ...--'- ---"----'----..... .--------------.... _..-.....----------- ---------------- 9. 2009----- -- ---XXX--------- ------?-.-. ....._.. ---`- -- - - ----'... ...---------------- ---------'------.....- ---___ ............. 10. 2010------ -- ----XXX------ ------- X)oL--- '-'-"--XXX ------ ------- --)00( '--'- --------XXX-- -)o(L_---- ---'- -- '---- --- -"--"---------- ------'-'------ 11. 2011 XXX XXX XXX XXX XXX XXX xxx XXX xxx SCHEDULE P - PART 4G - SPECIAL LIABILITY (OCEAN MARINE, AIRCRAFT (ALL PERILS), ROILFR AND MACHINFRVI 1. Prior ..... - - -' ----- ------- ----- ------- ------------- --' ----'---'---- -------- --..... __. ---------------- 2. 2002-- ----------------- --- 3. 2003----- ------XXX--------- ------- --------------- -------------------- ------------- ------ -------- 4. 2004.__. .-_-XXX--------- -.-_-.--------- _... ._._...__..-._. -------- ----- _.._.....__..._.._ 5. 2005_-.. .____XXX__..- -_-..--X70L._._ _..-. ... 6. 200&---- ------------ ---------- -- ' - - - - ... -'----`- --...---------- ------- - - -.._----- -- ------------- 7. 2007---- -'-----XXX -"-'-- ----------- -- - 4 f 8. 2008----- ------XXX------ ---------XXX_..-._ ..--- -' --- - -- ---- -- ------------ --- 9. 2009--- -------XxX------ ---------. ---- --'----'------ ------------...... -._....---.---------- 10. 2010-- ------ --xxx...... ....... )OOC...--- '---...)00(._------ --------- XXX_---- --.-"70(X.- ..._.)OOC---- --'- ---`- --....--- ------- ----------------- ----- --__.------------ 11 2011 xxx xxx )00( XXX XXX XXX X70( XXX XXX SCHEDULE P - PART 4H - SECTION i - OTHER LIABILITY - OCCIIRRENCF I . Prior------- ------------------------ -------------- --....... -...... -'- '---------------- -------- -----------•---- ----- -- 2 200------ ---------- ---------- ------------------ -------'---._- --"-- --'------ ----.-.._. 3. 2003------ ---------- XXX---- --- -------------------- ----- ----- ------------ ---- ------------- --- --- -------- 4. 2004--- -------- XXX-------- ---- .-XXX--------- ----'-'---..' --------- ------ ---'---- -..._...------ ---- ---...----- ------------------ -------- ------------ ------ - 5. 2005---- --------- XXX--------- ----------' '--- '--' --' 6. 2006- XXX------ ---- 7. 2007- 8. 2008. X- 9. -- -'-` ------- --------------------- ------ 10. 2010- -----?----. ......-xxX.--' )wc ---XXX- '------X)X._..- .__-' --"----' ---------'---- 11. 2011 xxx XXX XXX XXX XXX XXX xxx XXX XXX SCHFDHLF P - PART dH -SECTION 9 - OTHER 1 IARII ITV - M A1UQ-UAnv: 1. Prior.----- ----------2,747 ------1.381 ------.--b15 _------.._---511 - -10 .-- D -- 2. 2002---- ------------2.9W ...-.2.038 .-__'- -._486 .-- ---.611 . -- - - - - -- -? ------- ------------- 9 --6 -- - D 3. 2003------- --------- XXX.---- -----------'3,302 ---------- ---- 2.189 .-----1385 -'-- --- '--`- --Al ----------------71 ------------ --------- 0 4. 2004---- --------- XXX--' ----------- 4.211 ------2.868 -..---- 974 ---- -732 _"............ -426 -.--.-----222 - ._.-....170 - ..'-_'-- -- S 5. 2005----' ------ XXX ---XXX-'- --XxX- - ----_-5.379 ---3.393 ------2.010 - - - 1,185 --'--'---503 -------------- _-373 - -._..139 6. 2006-- - ----XXX- -- ---XXX----- --XXX----- --------- -5.411 --------3.279 ------2,015 --------1.020 --- - - -----------336 7. 2007---- -------- -00C- - ---- - - X)OC-- - - - --XXX-- ----------3,206 .._..._......2, 2,330 - 1.173 - - -.._S51 8. 2008--- ----- ---pOC -- -------- )OXOK--- -)0DC---- -- -- ------5,038 --------,2.993 -- - .1,731 ............ 1,2M 9. 2009 - XXX - --- - --- - - ...-XXX - -- -------- -------- - - ------------- 3.413 -------.-._..1.755 10. 204-- --._..>DO( -- -- - --XXX--- ----' - ' - -- - )00( - ---------4.070 ------------ 2.817 11. 2011 xxx )00( xxx XXX XXX xxx XXX xxx xxx 3.696 66 ANNUAL STATEMENT FOR THE YEAR 2411 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 41- Special Property NONE Schedule P - Part 4J - Auto Physical Damage NONE Schedule P - Part 4K - Fidelity/Surety N ON E Schedule P - Part 4L - Other (Including Credit, Accident and Health) NONE Schedule P - Part 4M - International NONE Schedule P - Part 4N - Reinsurance - Nonproportional Assumed Property NONE Schedule P - Part 40 - Reinsurance - Nonproportional Assumed Liability N ON E Schedule P - Part 4P - Reinsurance - Nonproportional Assumed Financial Lines NONE Schedule P - Part 4R - Section 1 - Products Liability - Occurrence NONE Schedule P - Part 4R - Section 2 - Products Liability - Claims-Made NONE Schedule P - Part 4S - Financial Guaranty/Mortgage Guaranty N 0 N E Schedule P - Part 4T - Warranty NONE Schedule P - Part 5A - Homeowners/Farmowners - Section 1 NONE Schedule P - Part 5A - Homeowners/Farmowners - Section 2 NONE 67, 68, 69, 70 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 5A - Homeowners/Farmowners - Section 3 NONE Schedule P - Part 5B - Private Passenger Auto Liability/Medical - Section 1 NONE Schedule P - Part 5B - Private Passenger Auto Liability/Medical - Section 2 NONE Schedule P - Part 5B - Private Passenger Auto Liability/Medical - Section 3 NONE Schedule P - Part 5C - Commercial Auto/Truck Liability/Medical - Section 1 NONE Schedule P - Part 5C - Commercial Auto/Truck Liability/Medical - Section 2 NONE Schedule P - Part 5C - Commercial Auto/Truck Liability/Medical - Section 3 NONE Schedule P-Part 5D-Workers' Compensation (Excluding Excess Workers' Compensation)-Section 1 NONE Schedule P-Part 513-Workers' Compensation (Excluding Excess Workers' Compensation)-Section 2 NONE Schedule P-Part 513-Workers' Compensation (Excluding Excess Workers' Compensation)-Section 3 NONE Schedule P - Part 5E - Commercial Multiple Peril - Section 1 NONE Schedule P - Part 5E - Commercial Multiple Peril - Section 2 NONE Schedule P - Part 5E - Commercial Multiple Peril - Section 3 NONE Schedule P - Part 5F - Medical Professional Liability - Occurrence - Section 1 A NONE 70, 71, 72, 73, 74, 75 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 5F - Medical Professional Liability - Occurrence - Section 2A NONE Schedule P - Part 5F - Medical Professional Liability - Occurrence - Section 3A NONE Schedule P - Part 5F - Medical Professional Liability - Claims-Made - Section 1 B NONE Schedule P - Part 5F - Medical Professional Liability - Claims-Made - Section 2B NONE Schedule P - Part 5F - Medical Professional Liability - Claims-Made - Section 3B NONE Schedule P - Part 5H - Other Liability- Occurrence - Section 1 A NONE Schedule P - Part 5H - Other Liability - Occurrence - Section 2A NONE Schedule P - Part 5H - Other Liability - Occurrence - Section 3A NONE 75, 76, 77 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 5H - OTHER LIABILITY - CLAIMS-MADE Years in Which Premiums Were Earned and Losses 3. 2003--°-1-------M------1--------------17 7. 2007...-. ---'--XXX------ ------Y-__ -`-----)= ..------- _--.M------ ----XXX.---- ------------- ------------ ---------- 8. 2008 ----- -----XXX---- - ------ XXX-' --- --------? - ° b(C - -- M---- -------XXX °- ---- --------------- 10 ------------ 28 1 - --.52 10. 2010----.4...-----)onc----....j.-------)°°c...._._1...----.)00c.-------J--.._)=-.---I-------)DOC.-..._1...-----)O(x ----.1x)oc.------1..----..XXX-------1-------------12 SECTION 2B Years In Years in Which Premkons Were Earned and Lasses Were Inured 1 002 2 003 NUMBE 3 004 R OF CLAIMS O 4 005 UTSTANDING 5 006 DIRECT AND A 6 007 SSUMED AT YE 7 008 AR ENO 8 009 9 010 10 011 1. Prior----- ................ ..151 ------ 4 ............ --..--68 -------------50 -- -- - ------....---12 ---------------7 -...--------- ----- 8 --------------- -3 ----------- --.......2 2. 2002---- ---------------124 - - - ..48 -------------------- 36 ..... ....... ---23 ------------ ---_.19 ------------------- -14 - - .7 .------------------3 -------......3 -2 3. 2003....... --------- XXX-----. _.-...... .-...._136 ---------------54 ----------' --------------- ---.19 ._..--...--------- 9 ------_....------- 5 ----------------------- 4 ___---------.....3 ... ........... 3 4. 2004--- ------- X)O( - J= -- -----------------166 .--......... -86 --------------56 ......--- .. _33 ---------------20 -------------------12 ...------------------- 6 ---- ----------- ---3 5. 2005---- --------X)X-.- -------XXX-------- -------- XXX......... .- - -- .201 --------------106 -----------49 - __ _.31 -----------------25 --- -------------t5 ---------- -.13 6. 2006------ ---------- XXX----- -------X700------- --------- XXX------ ----.XXX------- ----------------- 224 .......... _-111 ----------- --------- 1 ------- --------- 3 --------------- __24 ----------------19 7. 2007 XX(-_...- -- - - X)D( - --.X)X.----- -------- XX( ----- - ----- ---------- 215 -------------- ---91 -------------------- 54 ......... _._- 40 ----------------- _17 8. 200&..- ---------)DO(-.-- -_'._XXX_...- ._-..XXX_--- --- -- ------- ------- _203 --------------- ----- 5 __ `_----.-51 .................... 39 9. 2009_-- - -- ---_)XX------ -- - - --- ---_)DO(--------- ----- ---XXX._-- ---.)(XX-------- -------- -..... _157 66 -----------------48 10. 2010.--- --------X)O.--_. ._.__)0(X ---- ----- --- -----)OOC----- ------_)OOC----- --...X70C_---_ --------XXX-------- --------- XXR--------- -----------------171 -----------------72 11. 2011 XXX XXX XX( XXX XXX XXX XXX XXX )= 156 SECTION 3B Years in Years in Which Premiwns Were Earned and Losses Were Warted 1 002 2 003 CUMULATIVE 3 004 NUMBER OF C 4 005 LAIMS REPOR 5 006 TED DIRECT A 6 007 ND ASSUMED A 7 008 T YEAR END 8 009 9 010 10 011 1. Prior ------- ------------- -2.565 .------2543 ..... --..._2.544 .-----'_4543 -----------2542 -------------- 2.542 ---..... --2.542 .------------- 2,544 --------------2,536 -----0 2. 2002 ---- ------2? ---- -- ?4 - --- -------M ....... ...... -..M ----------------- 29 -------------M - __229 -------- ---- --.231 3. 2003._.. -----X)0( ----- ---------------226 ..-........... 245 ---------246 -----------248 .-.-----249 ----------------249 --_------------ 49 ----- ------------- M ------------ -..250 4. 2004_- ------ XXX-- - - -XXX..-- - --------- --240 ----- --266 - - -.271 ...---. -------275 -- _____.275 .---------------276 -----------------274 - - - - ? 5. 2005...... ......... )XX------- ------ XXX-. -- L-- ----.314 ----344 ----------------= ----------354 .- .... .......... 22 ----------- --_.357 -------------Z8 6. 2006---- ------ -XXX.-- --------)00(--.' _"--' -- --' --' ------------302 '--'--924 -------------331 -------------336 "----------336 --'..... ..... _M5 7. 2007---- - -- - - - - --)XX........ -----XXK-- --XXX------- ----- -_...... 310 -- - -334 .---- --------- ..351 -----------246 8. 2006----- -------- XXX - -------- )O(C--------- -------X)0(- - ---X)0(--. .-.-700---- - ------ ----------------302 -_---------------323 ------------._321 -------324 9. 2009----- -__-.X)X.------ -------- -°--- ------- -- ._-XXX---- ------ ---- ---- -----.. ...----XXX------- ----.-------M ---------- 244 ..-__..-...-264 10. 2010------ -------X)OC......... ..___-X)OL---- -- ----- ------ -- _)0(X----- --------)=-- ---..XXX...----- -------- ----- .._---------236 ------_.---254 11. 2011 7000 XXX X)O( XXX )XX XXX XXX XXX X)0( 225 78 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 513 - Products Liability - Occurrence - Section 1 A NONE Schedule P - Part 5R - Products Liability - Occurrence - Section 2A NONE Schedule P - Part 5R - Products Liability - Occurrence - Section 3A NONE Schedule P - Part 513 - Products Liability - Claims-Made - Section 1 B NONE Schedule P - Part 5R - Products Liability - Claims-Made - Section 2B NONE Schedule P - Part 511 - Products Liability - Claims-Made - Section 3B NONE Schedule P - Part 5T - Warranty - Section 1 NONE Schedule P - Part 5T - Warranty - Section 2 NONE Schedule P - Part 5T - Warranty - Section 3 N ON E Schedule P - Part 6C - Commercial Auto/Truck LiabNity/Medical - Section 1 NONE Schedule P - Part 6C - Commercial Auto/Truck Liability/Medical - Section 2 NONE Schedule P-Part 6D-Workers' Compensation (Excluding Excess Workers' Compensation)-Section 1 NONE Schedule P-Part 6D-Workers' Compensation (Excluding Excess Workers' Compensation)-Section 2 NONE Schedule P - Part 6E - Commercial Multiple Peril - Section 1 NONE 79, 80, 81, 82, 83 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 6E - Commercial Multiple Peril - Section 2 NONE Schedule P - Part 6H - Other Liability - Occurrence - Section 1A NONE Schedule P - Part 6H - Other Liability - Occurrence - Section 2A NONE 83 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 6H - OTHER LIABILITY - CLAIMS-MADE SECTION 1'B Yom in Which Premiums Were Earned and Losses Were Incurred 1 2002 CUMU 2 2003 LATIVE PRE 3 2004 MNMS - 4 2005 006 6 2007 AT YEAR 4 7 2008 4D IS= OMM 8 2009 TTEO 1 9 2010 10 2011 11 curter Year Premiums Famed 1. Prior. ......... .... ......_.16.084 ...---11,728 ---------------0 -'--........ -0 ------ -...------ 0 --- ---0 ------------ ---.0 ............... -------------0 ...._--.._....0 2 2002..---__._.. ........... 5,906 _12.484 . 12.564 --.--- __.._._..12,564 --------.12.584 -------..12,584 ----_--._12,581 ....___11,584 ----------- 12.15M ...---....12,584 3. 2003_.--_----.._. ....... XXX----- ---'------1,158 ........_16,473 ---------- 16.473 ...._.._16,473 .----.._16,473 16,473 .._----._16,473 ..._.....16.473 .......... 16,473 4. 2004.---- ----------- ------- VOC.._._ ...... .XXX-...._ .......... .9,428 .......... 18,547 _.----_.18,547 . ..18.547 ......_..18.547 .......... 18,547 .--------18.547 ._...._.10.547 5. 200------------------ ....... XXX.----_ ------- XXX....- ------ XxX------- ----- 10,11M -_-_--.20,632 ..-.--._20.632 ......._.20,632 ...--.._20.632 ....___.20.632 .--.....20,632 .._.__. 6. 2005._-__-.--..._ )00(_ ..... ....... XXX....... .___)0(X..-- -----_XX( ...__ .------25.003 ...___.25,003 .---.---25,003 ......._25,003 ._.....25.003 7. 2007.__.._-__._. ....... XXX_---- ___)00(__ --- ------- X%X_ _- ------- ) (K------ ------- XXX..---- .__.__10,850 --°---.21.876 ..-----.21.876 .-------21,876 ....__..21.876 ..__... ............ e. 2008......_---- __ _.)XX------- ------- XXX...... . ------- XXX....- .___..XXX..---- ------- XXX.__. .__..X(X...-'- ----- ._.-10.843 ----111,462 ._.__.20,462 .----_20.462 .. 9. 2009..__---_..-.- ---- ---XXX..__.. .------)00( .... _.__XXX------ ------- )OXX.-- __..XXX...... ------ XXX------ - ----- -XXX...... ..-----._9,473 .---...18.297 ---------- 18,297 10. 2010._.............. ---- -XXX.-.__ ------- XXX_...... )Ocx. _-_XXX...__ ._._.)0(X------ _ ...... )ODC . ..__.XXX XXX._- ..._..._.-6,858 ---------- 16. 83 ...__...$,125 11. 2011 ___.XXX._.._.. .._._.)O0( .__..)O(X.___- .)OO( _.__ '_.. XXX------- ------- )OOC.._.. .XXX_.... .....__XXX_..__ ._._.XXX_..... ..------ ._8,383 ___ .8,383 12. Totals .....-.__... ._...._XXX...._. ....... XXX_...__ XXX__-- ----- ..)0(X....._ .__.X)X--__ ------- XXX..--_ XXX...... ------- 0X_ ... ....... XXX._.-. ...__X)0(-.... ...... 16,508 13. Earned Premiums Sch P-Pt 1 11.262 14,736 17,843, 19,803 22,374 23.427 21.859 19,092 17,482 16 508 XXX SECTION 213 Years in Which Premiums Were Earned and Losses were Incurred 1 2002 2 2003 CUMULATI 3 2004 VE PREMMJ 4 2005 5 Zoos ED AT YEA 6 2007 R END (UM 7 2008 OMITTED) 8 2009 9 2010 10 2011 11 Current Year Premiums Earned 1. Prior- .............-- ............ 4.992 ---------3,269 -------...------.0 ....._..---------- 0 -----.---_0 -- -.__0 .....---._..0 ............... 0 ................... 0 -...A 2. 200Z.- ---- ---------.2,686 --.._.._--5,058 .....___5,140 -_-----..5,140 --.----..5.1140 5,140 ..---.-..5,140 ..._--_.5,140 .-----_-5.140 ..... ..... 5,140 3. 2003_.............. _ ------- )OX....... ......... ._3,500 _...._.._A.523 ........_-- 6,523 ...-_--.$,523 _----.5.523 ..---.__8.523 ._6,523 .-----_.8,523 ._..--..-8,523 4. 2004_ ............... .__._XXX._.". __.XXX_.._... `.___4,151 ------ ----- 7,462 ._.......7,,V 7,462 __...._.-_7.462 ...-.-.-7,462 ..-__.__- 7,462 ..__-7,462 5. 2005 )DOC XXX - -'XXX--- --------- -4.851 - 1,636 .. _1,636 1.636 ....---_8,838 5.636 .......... 1,636 ---............ ... 6. 2006--------------- .. ....._. ..... _---- XXX---_--- ------ ...... ._....XXX--_-- --- ----XXX...._ _._..XXX------ ---------- .5,431 .-----...10.951 .........-10.951 ...--_..1,951 __._._.10,951 - 10.961 7. 2007_......... ..... --XXK -- ----- "XXX--- ----XXX...... .-...)OOC------- ------- XXX------ --------- ...3,828 .... 7.966 ..----7,965 ----------1.985 ........... 7,90 ... ---------- 8. 2008_--...------- ---- --XXX---- - ------- XXX_-- - -? - -.XXX._... ....-)OCK_ --_.XXX....... ....... -4.610 .._...._.7,917 ---------7.917 _...---_7,917 -..------ 9. 2009------------- _.. . - '' - -- - - ...-_.XXX------ ------- )ODC....- ------- XXX...... ------- XXX--- ------- XXX------- --------3,983 ... --.7.703 - 7,703 ....... -- - 10. 2010------....._.._. .---.._XXX..._.. ...... XXX----. ...._)OCX------ ------- XXX_----- ------- XXX.__.. .-----)0oc------ ...._.XXX------ ----- -X)OC._.... ....... _-.1.903 ...-----..5.664 _.._-- ---2,781 11. 2011 ------------'-- ---_XX)( ___X(X----- ...---Voc ----- ------- )XX..... ....... Voc...... ----_)DO( ----)OLK ----- ------ _=.... - ...... _VOL--- --------- -'3.818 ------- 9,626 12. Totals ------...-' .---')o(X ----- _..... )O(X -- "-'- --- -----.)XX.------ ------- XXX_-_. .-.__.XXX.----- -----XXX--- ---.)O(X._.... ..__.XXX------ ------- VOL-._ ....__...._1,407 13. Earned Premiums Sch P-PL 1 4,409 5,9M 7,166, 8,162, 9,216 9,448 8,647 7.270 6.643 6,407 , XXX SCHEDULE P - PART 6M - INTERNATIONAL SECTION 1 Years in Which CUMU LATIVE PRE MOJ - T' AT YEAR E ND IS= ED 11 Premitsns 1 2 3 4 5 8 7 8 9 10 curter Were Earned Year and Loom Premiums Were Ixaxred 2002 2003 2004 2005 2006 2007 2000 20M 2010 2011 Earned 1. ------- -------'---°-- ------ --_------- ---------- "----- --- ------------- - ---------- .....---- --------- -------- -------------------- ---- .------ .---------- ------------- -------- -....--------------- ...--------- ....._._. -----'--------. ....-------...--- -------------- --------------- --------------- ---- _...--____ ----.._.....-'- ---------------'- -------------- -----_._._._.... 3. 2003_.---'---°- ---- ------ ------- ----------. ....-------------- ------- --..------- - ------ --------- ---......---'------- ----------------- --------------- ------_..._.... -. 4. 2004----'------' ---XXX---- ___XXX_- "..'-' ---- -' -`-- --'- -` '-.. ------------' __-_------- ---..._..._.__.. - ------ 5. 2005_ ............... ..---?--.... ---.X)OC.._ - - - -- -- ------------- --------------- -----------_..-- ----....------ 6. 2006.-'-'---- -_._X10(.--- __)0(X °--.---------- --'--------- ----------------- _.----.------ 7. 2007.-..-._..._-- .... -)OOC.-- -----.)IXX...- ---- -'--...--'_...-- -------..------ _---.......----- 8. 2D08___ ............. --'-_XXX._--- ..._ ....• °--------------- ......_...------- -----------.-- ------------- 9. 2009------- ------- - °--._XXX....... _.... XXX.... _ ....._ ...--...---- --------- '-------- --------------- ____--_......_ 10. 2010---- -------- __. ...._XXX__._. ._._XXX_..._ _.....)00(-- ____)Ox.... ..... J00L.._. ._. -.'.?. ...._)0(X..._- ------------- _._-.. __..-_--_-_----- ----- .__._-__..-- 11. 2011 ---------- - ------)O X'..... .---XXX..._.. ___XXX------- ------- X(X------- ------ =........ .... --)O(X ------ -----'------ 12. Totals --------------- ,_ .....)X( _.__. ..--X)OC'.-_. .__..XXX....- )00(__ ---- ------- X)X_-__ ...'._XXX._... ..__-.)000...._. ._....XXX_-_ -.__XXX....._ 13. Earned Premiums Sch P-Pt. 1 XXX SECTION 2 Years In Which CUMULATI VE C EDED AT YEA R EKD MW OMITTE 11 Prwnkxns 1 2 3 4 6 7 8 9 10 Current Were Earned Year and Losses Premiums Were Incurred 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Earned 1. Prbr.------------- --'--"--'-- ----'-------- '------- --------'--`-.. _.---------- .-- --------- ------- ------------ .---- ?------------ "----------- -- ------------ ------------ ---- 2. 2002............... -------- ---...... ------------- ----- -'----------------- ------ .-.. ..---------- -'--'--"-- --------- .----------' '------------- --------- .---------- 3. 2003------------- '--- -------------- ----- ------._ ----------°--- _------- ----- --- ---------- --------- -------------- -------------- -------_. --- 4. 2004.----------- --- X---- ----------- ---- ---------------- ............ __----- ------....._..... 5. 2005 ------------------ _.._)OOL--. __)0(X_._ -- ---- ----. '- ' ----- -- _--- 6. 2006.-.........._.. ___-)D(X .... -..XXX_ .. ._. _-._ _. --. .____..._.._.-___ 7. 2007_._.......__ _..... _..... )XXX_ )X)(X-- ............ ---- ._..__.-_.. .._..._....__._.... 8. 2008.--------------- ---?-- ---XX)L.' --- - -. ._.-. .--°------. .---...----- -- ------------- ---------- -------- 9. 2009.-------------- -._XXX....... .XXX_ ------ ---------------- 10. 2010_--_--._-__ __._)OOC__.._ ___.XXX-- ---)D(1C._ -XXX- [...?WL.__. ...._XXX_ ..._,ODC._ -.-XXX-- '------------ --.._._._._----- ----.---_----'- 11. 2011................. .._..')WC__•- ----.J00(---... ----- ----- --.__-_._. 12 Totals.- ----------- .-._.)OOC_-'_' ...._._X000.___ ._..._ ----- _XXX.._. ..._...XXX_._. ._....X10C..._. ._._-)000_..__. ._.._.XXX-- --------'--?- 13. Earned Premiums Sch P-PL 1 XXX 84 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 6N- Reinsurance A - Nonproportional Assumed Property - Section 1 NONE Schedule P - Part 6N- Reinsurance A - Nonproportional Assumed Property - Section 2 NONE Schedule P - Part 60 - Reinsurance B - Nonproportional Liability - Section 1 NONE Schedule P - Part 60 - Reinsurance B - Nonproportional Assumed Liability - Section 2 NONE Schedule P - Part 6171 - Products Liability - Occurrence - Section 1 A NONE Schedule P - Part 6R - Products Liability - Occurrence - Section 2A NONE Schedule P - Part 6R - Products Liability - Claims-Made - Section 1 B NONE Schedule P - Part 613 - Products Liability - Claims-Made - Section 2B NONE Schedule P - Part 7A - Section 1 - Primary Loss Sensitive Contracts NONE Schedule P - Part 7A - Section 2 - Primary Loss Sensitive Contracts NONE Schedule P - Part 7A - Section 3 - Primary Loss Sensitive Contracts NONE Schedule P - Part 7A - Section 4 - Primary Loss Sensitive Contracts NONE Schedule P - Part 7A - Section 5 - Primary Loss Sensitive Contracts NONE Schedule P - Part 7B - Section 1 - Reinsurance Loss Sensitive Contracts NONE 85, 86, 87, 88, 89 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule P - Part 7B - Section 2 - Reinsurance Loss Sensitive Contracts NONE Schedule P - Part 7B - Section 3 - Reinsurance Loss Sensitive Contracts N ON E Schedule P - Part 7B - Section 4 - Reinsurance Loss Sensitive Contracts NONE Schedule P - Part 7B - Section 5 - Reinsurance Loss Sensitive Contracts NONE Schedule P - Part 7B - Section 6 - Reinsurance Loss Sensitive Contracts NONE Schedule P - Part 7B - Section 7 - Reinsurance Loss Sensitive Contracts NONE 89,90 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P INTERROGATORIES 1. The following questions relate to yet-lo-be--issued Extended Reporting Endorsements (EREs) arising from Death. Disability, or Retirement (DDR) provisions in Medical Professional Liability Claims Made insurance policies. EREs provided for reasons other than DDR are rat to be included. 1.1 Does the company issue Medical Professional Liability Claims Made insurance policies that provide tail (also known as an extended reporting endorsement, or -EREJ benefits in the event of Death, Disability, or Retirement (DDR) at a reduced charge or at no additional cost? .--.........__ Yes [ 1 No I X I N the answer to question 1.1 is "rV, leave the following questions blank. If the answer to question 1.1 is 'yes", please answer the following questions: 12 What is the total amount of the reserve for that provision (DDR Reserve), as reported, explicitly or not, elsewhere in this statement (in dollars)? ............. _---_.-----------------_--------------------------------- 1.3 Does the company report any DDR reserve as Unearned Premium Reserve per SSAP X657 .--------------------- .-------------- Yes I I No [ X 1 1.4 Does the company report any DDR reserve as loss or loss arfjustmem expense reserve? -_- _ . ....... Yes [ 1 No I X 1 1.5 If the company reports DDR reserve as unearned Premium Reserve, does that amount match the figure on the underwriting and investment Exhibit, Part IA - Recapitulation of all Premiums (Page 7) Column 2, Lines 11.1 plus 11.2? ..__..__ ................ ----------------- Yes I 1 No [ I WA f X 1 1.6 if the company reports DDR reserve as loss or loss adjustment expense reserve, please complete the following table corresponding to where these reserves are reported in Schedule P: Schedule P. Part IF, Medical Professional 1.601 Prior 1.602 2002 1.603 2003 1.604 2DD4 1.605 2005 1.606 2006 1.607 2007 1.606 2006 1.609 2009 1.610 2010 1.611 2011. 0 2. The definition of allocated loss ad(ustmenl expenses (ALAE) and, therefore, unallocated loss adfjustmert expenses (ULAE) was changed effective January 1,199& This charge in MOW applies to both paid and unpaid expenses. Are these expenses (now reported as' Defense and Cost Containment' and •Adyusting and DOW) reported M compliance vlfh these definitions In this statement? .--.--..._.-...... ...- Yes [ X I No I 1 3. The Adluusting and Othe expense payments and reserves should be allocated to the years in which the losses were Incurred based on the number of ciaims reported, dosed and outstanding to those years. When allocating Adlusdrg and other expense between companies In a group or a pod, the Ad Resting and other expense should be allocated in the same percentage used for the lose amounts and the dais counts. For reinsurers, AdIus" and Other expense assumed should be reported according to the reinsurance contract. For AdMitirg and Other expense starred by reinsurers, or in those situatbrs where suitable claim cars Information is rat ava0eble, Adjusting and Other expense should be allocated by a reasonable medad determined by the oompary and described In Interrogatory 7, below Are They so reported in this statement? ...... ..... __---- -------- -------------------- ------ --------------------- ---------- --------- ---------- -------------------- ------------ ----------------- Yes I X I No I 4. Do any lines in Schedule P Include reserves that are reported gross of any discount to present value of future payments, and Mat are reported net of such discounts on Page 107 --.---.--.-.._.--------.-_..---.---------- ----._.-.-.-.----.--.-.---.----.__.__..-.....-....... - Yes I I No I X I - it yes, proper disclosure must be made in the Notes to Financial statements, as specified in the Instructions. Also, the discounts must be reported in schedule P - Part 1, Columns 32 and 33. Schedule P mum be completed gross of non-tabular discounting. Work papers rela&hg to discount calculations must be available for examination upon request. Discounting is allowed only if expressly permitted by the state insurance department to which this Annual Statement is being filed. 5. What were the net premiums in force at the and of the year for. (in thousands of dollars) 5.1 Fidelity 52 surety. 144 6. Claim count information is reported per claim or per claimant (Indicate which)__ .--.--------------- If not the same in all years, explain In Interrogatory 7. 7.1 The kdormation provided In schedule P will be used by many persons to estimate she adequacy of the current loss and expose reserves, among other things. Are two any especially significant events, coverage, retention or accounting charges that have occurred that must be considered when making rich analyses? ------.._....__---.--._ . 7.2 (An extended statement may be attached.) Clain- -------------------- Yes[ I No[XI 91 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE T - EXHIBIT OF PREL 1UMS WRITTEN AWvmtsr( 1w Atnfwn aM T rdIM- 1 Grass Pramkrhs, Inotimillng 4 5 6 7 8 9 Policy and Membership Fees, Direct Lou RaMm Premiums and Premiums Premiums on Policies Not Dividends Written for Taken Paid or Direct Frarwemid Federal 2 3 Credited to LOW" Service Purchasing Direct Direct Pok Vhciders Paid Direct Direct Cferyes Not Groups Active Premiums Premium on Okect (Deducting Loewe LOU" ktckidmd in (Included in States Etc. Written E m Bustrim Incurred 2 1. Alabama----.........__--AL .-----L----- ---.............. (694) _--............ _42 -----------------0 _------.__.--0 -------------------- 0 ------------------ 0 ?-------__........_.. ------- -- 2. Alaska-------------------AK --------L...-'--- ----------- ---0 -- _0 - - - -__0 -----_.....----_a . 0 ..-.---- _.._.--° 3. Mimia ....-.....__........" _ - L_ - ------------.-100 ............... ...135 . 0 ...__...---------0 -.-...__..-.._._0 .- 4. Arkansas All ---------- L------- ------- ----- ------- .0 ..._--------...-_4 - - - ----_0 ----------.._0 .0 .._____----- -.... 5. California .......................CA __-.1 --------- ------------ -- ------_9.671 - ------------0 ----------...0 .............. .---._ 6. Colorado ........ ------------- CO L_ ..... ---------- -600 - _.... --600 - -- --- -_.0 0 .__....-.._ -- . - - - - .--0 -' °- ------------------ .._._ 7. Connecticut .._.._.... ..._.. CT ..........it __.. _-. _0 _0 . _0 ___.._.-._.._._0 ......_._--____0 ._..-_--------_ ...----- __..._._.- 8. Delaware --------------------DE .......... L--------- ----- -------- 0 _..0 --0 - -.....0 .. ----------- ...- - - - 9. District of Columbia DC ----.-._L........ .... .----------------- 0 0 _-0 . 10. Florida -------------------- .......FL - 58.537 ___67.967 . - -0 ----(5,000) -_0 11. Georgia ..---...._------------- GA .......... L--------- ------------ A7,964 -_.._...-.-45,920 ------------ _0 ............. (6,903) _..---(12,193) --------------- 6,000 . 12. Hawaii .............. ........... ..H) ----------L---..... ...... -_........... 0 -. ._0 -----._0 . ____0 --------------------- - - 13. Idaho ---------------- ------------ ID .......... L---- .......... a ---'------------0 -----_0 .. -0 0 ------------- ------- .. ---------- ..... _..... 14. Winans......._-------------------- IL .......... L_---- -------------- 2,153 _---------- 2.302 ___._._....._._0 ..._-._...._....-_0 - 0 .. ......0 . 15. Indiana. ----------- _lN .......... L---------- .----.2.774,715 .-.2,837,622 ............... ...0 _-_---583.875 240,258 _.._.2,773,786 ............. _9 ......_.._- 16. Iowa- ..................... 1A -L......... -------- ----.3,183 - 1.885 . _-0 ----------------'-0 ----0 .. D . 17. Kamas.._..._-_----.-_---_KS .------L-------- - ----..2,832,693 _...-.2,838.405 ......._-._....__0 _----.204,900 .....__....91,149 .----.3.701,854 ------.---44.941 --'-------_.-.-- 18. Kentucky ....... ..------------ V ._._...L - . -----...12.8381 ...... .... 10,963 .._..._.-..._0 ._-..0 ... _0 ----- ----....- 0 - -------------- __- - _-- -..---- 19. Louisiana ...------------------ .LA .. L.----- ------------------0 ..------ --- ..0 - ....0 0 - --------------- ..-_-- ---...1.._._. ...._ 1,012 ------------------ 948 ......... ............ 0 -- --0 -° ----------.....__0 - ------ --- __ -_ 21. Maryland ------ ------- --.---MD -------- L ......... ........... .0 - --a - -------- ------ _...0 ..----------....-...0 ----------------- 22. Msssads+setls -- ' MA ---------L------- .............11,059 ............. t2,687 - --..0 ... 0 ---------- _21.000 ._.-...--21,000 _...-----_._- - -_..._ -- 23. Midhigan.._............ - -hull .--._L ........ --------------- 1,246 ...-__- °523 _0 - - --_0 -------------- ......__..___-- 24. Minnesota-.._.._.._..-.-_mN -----L---- __---- --------- ._0 ..0 -._...-. ---------- 0 - ?---__0 - ..A ------------------0 ------°--'----- ---'-------------- 25. K011981391 W _--.--_-_-MS __L .._.--.. - --- ..._ 607 _..... - _ ..808 _ .0 ... _----0 ---- --.. ... --° 0 _. ... - --.--.. - ---' -- ------- Missouri .----.......__...#4p .__....L.-..-- ------9.716.036 _..... 9,955.802 ------------------ ...0 '-----2,942,493 -__2,864,386 .._..17,372,449 ....------168,012 ._---'-• .............. 27. Montana-------------MT L ° --------------- --_0 ------------- 0 -------------0 --------------....0 -..__...---....a ------------ 0 2& Nebraska ------------- __NE ._....L..-..... --------------------.0 0 _..--------------0 _.....0 -------------------- ----- - - - 29. Nevada.--------- -- L.. -.. -....-.... -...._..0 .._------- --------- 0 .. -------------- .0 -° -------- -° - ----------- •0 ------------ ' - ------------------- 30. NewHartrpshire----°--NH . _....N._...._ . ......0 -------- ------------ a ----'---_.----._ .--------...._-_--- 31. New Jersey ......... Nh ... .L..._._. ..----------- -4,421 . _6.824 -------- ------ - -------- 0 0 ----------------0 ------- ------ ..0 ----------------- ------ °- .. 32 NowMeAco---------- ----- -NM --------- ..-....... OW,949 ---------819.260 .------- ---° ----------108.750 ............ 127,355 ....----_.261.692 -----------9,595 33. NewYodk_...... -__NY --l- ------ ------- -----. 494 ..-.-.-...578 .--------------- _.._0 - -----a ----------- .......... __..... .--------- 34. North Carolina _____NC ---_.-L.------ -..__-._102,916 ._.__...96.442 --.. ------0 .0 - .. 6,000 ----------- ._. 35. North Dakota ------__ND ........ L_....-- -----------0 --------- ---0 ---------- .0 -------------...0 ......-_.......... A ---------------... ___.------------ .... 36. Ohio ---.--_--..-.-___ad4 --_.L__.... ---.-_...--13,089 _.._.__.14.652 -_.--._._-..._....0 .-.-._--..-----.._0 -.__._._.-..__0 ----------------- ......0 .--..--- .-__..-..-.__.-_... 97. Oklahoma .---------.._oK _.-..L_..... ...... ______0 ........ ___3 -.0 .-° -----......----° .__--------------- 0 ..... 9& Oregon--------------Oft - ------------- ---- 64 .__-__._4.312 -------------- 0 -_0 .0 . ------------0 ---------- .--------- ------------- .------- 99. Puxxtsylvania ---'------PA - ..L._..... ----- _0 -. _.27 °----..__. -------------- ...0 --- ----- 0 .---- ...---' ------..... _a _----------------- ----- -------- 40. Rhode Island ...--------Rl -------L.-__ ------..12,7(111 --------_1785) ---------------------0 .-.........---------0 --------.....----°.0 .----...-----------0 ..-......._...__.... .-------------- --.... 41. South Carolina ------ .... SC --L'- --- .956 _----------- .-954 - - - ° - -- -_.0 --------------- -.0 ----------------0 -------... - 42. South Dakota------sD ._-._L._... .---------° -------------0 ------------0 ------- ----....-0 --------•----0 .--------.-...--a ---------- -_. _.-- ------------- ------- 43. Tennessee------ -----._TN _____1V,374 -._.---_.64.915 ---_------------- 0 _----- __........ 0 --_.--.130,516 ..__._130,8* ._..-...._.1.903 .... _..... ............ 44. Texas.-----------...._..T)t ---L--- ----------1.971 --..._-------0 ------------- -.....--0 ---------.---0 -.............. --- ---.....--'---- 45. Utah -------------- - -LT - ..L - - - - --- 0 ____0 ---0 ----- ---------a - 46. Vomant._-------YT -----L..----- --------3.652 -0 ------------ ----- _0 --_.-..-.....--0 -------------------- _'0 __---------------- ------------ ------ 47. VkgMk__.__'_'.__.VA ---'--- -------------- 02 .----------------- ..0 _-_...--°-----0 -------- .--......_0 ___ ____0 ------------- -----............... 48. WashRtpton.__.__-WA -- -------------0 ' -- A ------------------0 --- -_0 -_.------------.D _...__..._._------ _ ............._-..._.. 49. Walt VirgWa---.-----WV -_.-.-.L. - - ---------- ---- -° -- -.-......_0 ... - - () -- - -----.D -- --------------0 -----._.._-...__ .-. ------ ..L __ ----..._11,788 ---------.-.9.052 .... -_0 - ----------a ° - _.-...0 --------------- ---___.._..- 51. Wyoming --'----- VVY ........ L.-----. -- ------_---------0 --' ....._...-.....0 -....0 ---------------0 -- __ ----------- ____ 52. American Samoa ....... AS _K ___ _.--------- ---_0 ----- ------------- _0 ----------0 --------- ........ _0 ------- ------- ------ 0 ......__._.._..._o ---------- - °_--_....----- ---- 53. Guam ------ -- - - K - -- ---------------0 --------------- _ _0 -----0 64. Puerto Rico.--'-------PR .------N..----- ---------..._-0 ------------------ 0 _--------- ---.0 .---------------0 --'----------0 ------------------ __0 ---------------.. . - 55. U.S. Virgin ktends.- --VI ------N------- ------------- -------- 0 _----- ------------ 0 -----0 - ..0 ...0 58. Northam Mariana islands _.___.__MP _____A-------- ------- -------- _..0 ... 0 ------------ ..----- 0 ---------------.0 ----------- ...__...0 .--------------- _..0 ------------- ---- - 57. Carnsdek _- --'------CN - ---x--- 0 - - ---- - - °° -- - -- - _0 0 - -- - -... .. 0 ____ _--- _0 -- ------ --- ---- ------------ ...-------- 58. Aggregate oiler alien _ OT -._...X%X.__. -------------- ----0 --------------- ...-0 -.-0 59. Totals a 49 16.688.488 16,806 261 0 4,833.M5 3,471,000 24,273,827 222,473 0 DETAILS OF WRRE4NS 5801. ----------------- -----__- ----------------- ----------------- ---------- ..--------- ---- -------- ------- -------------------- ------------ - 5802. ------------------------------- --_.10(1L.-... ...._------ ---------- ------------- .-------- ------ _._..----_..... .------------ ----- -- __.__------------- --------- ------ _--- ----....------.....- ----_..._...------ 5803. ---------...------------ ----_X%K.-... ---------------- ------------------------- --------------- ---------- --_ - ------------- .._.------ --------------.. _....-----------.-. _...----------- 589& summary of remaining Wd*lm for Una 58 from OVe1flowpags- - - )0(x - -- ------ -..0 -- ---- -0 ---------------_0 ---.....0 ------------------ .0 .....-----------0 ------------ ____0 - -- ° 5899. ToWs(UnesS8011hragll 580 3 plus 58BBxl Yte 58 XXX 0 0 0 0 0 0 0 0 (L) Uosrasd or ChrlsrW - likened Insurance Carrier or Domiciled RRG; (FO Rsgisered - Mon-dDiskiled,tlfraK (a) GUluaiea • UtWMM Of AaCl)alfBa nernrr9r, (t) tsgam . neporeng EMees e6gEe or approved to write Saplre Unes In fie ems: (N) Nano of the above - Not allowed to wife business M the state. EVIaredon of basis of allocation of premiums by slates, etc. Actual Premkxns Written in the State. (a) Insert the number of L responses except or Canada and Other Alien. 92 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE T - PART 2 INTERSTATE COMPACT - EXHIBIT OF PREMIUMS WRITTEN Allocated States and Territories Direct Bus iness Only 1 2 3 4 5 6 Disability Lora-Term Life Arourdes Inoome Care (Group and (Group and (Group and (Group and Deposit-Type States Etc. Individual kdtvidual Individual Individual Contracts Totals 1. Alabama---------- --------------- ----------------------------- -- ---._. ._-'--------.._._..... 2. Alaska __-------------------- -------------------------------------------- - AK --___-.------------------- ------------------------------ ------------------ -------------------- ....... .. 3. Arizona _..__._. .......__._..-_--... AZ ---------- ------------- 4. Arkansas ----------------- ----- All --------------------- --------------------- --------------- --- - - -- -- --- ------ ------ 5. California -- ------------ -------------- ---- CA --------------------- --------- Colorado ----- ---- --------- ----------...___................. -.._..._..._._-__---- ..... _.._.._._.._-_.. .-..... _.----------- '- 7. Conecticut..-----...............------------------------------ CT -------------------- ----------------------- ------------ ---------- --------------------- ------..._--------- ---- 8. Delaware ---------------.... .....-------___-..-----.... DE ._.......... _-._.__.__. ..._.-._--------_--- 9. District of Columbia ------------------------------------------------------ DC ----------------------- ----- ----------.._----- - 10. Florida._ ------------------------------------------- FL ... ---------------------- -----... ------------------- ---- 11. Georgia ---------------------------------- --------------- _----- ----.__------------ ------------------------------- ---------- -------------- - 12. Hawaii ---- - ---------- ---.------------------------------------------------ HI 13. Idaho ----- -- - --------------- --------- -----`------- -------------- ---- -------------------------- --- ------------------ 14. Illinois --IL _._._...._____...._.._---- ------------- _ ............... -------------- _----------- .. ---------- ___...--------- _ ---------------- _------------ ---------- .._............__.. 15. Indiana ------------------- --______ _-----._-----.... ....... -- IN ------------------- ----- ----------------------- -------------------- -------- - 16. Iowa ------------------- ----------------------- .... ....... ......... -- --------------- --------------------- --------------------- ...... °----'-...__----- . ....-------------- ----- 17. Kansas --------------------- --._ KS .. . __._.....-'-------- ---.------'.._._...... ---- ._-------------- -- ------ ...------- -- -- ---------- --------- ---- 18. Kentucky ---- ------ ----...--------------------------- ---- ---------- KY ------------ ------- 19. Louisiana----------------- --._.._-.---- -----._.--- LA --------------------- -------------------- ----------------------- ----------------------- ------------------------ ------ ---------_.---- 20. Maine ---- ---------------------------------------_._..........------- ME -------------_---- ---------------------- ------------------------- ---------- ---------------- ----------------------- - --------------_---.... 21. Maryland ...-----_---------____-----------------------'__...._.. MD _............ .... ...... - -----------_--- 22. Massachusetts------------------------------------------------ MA --_._.__-..... ---- -------'------------ ---------------------- --------------------- -------- ---------------------- ------------ ------- 23. Michigan ........... ------------------ ----- ------------- MI -. .__..._ _._.._.._'_ _._-_----------------- ---- ------------------ -...._.....-------'---- --- 24. Minnesota ------........... _.... __..-"...._............. --------- MN ------------------ -----------°---- -- 25. Mississippi ------------------------------------------ ----------- __---- -- MS --------------- -------------------- -------------- ---- ------ _... --._.._.....-.__._.... .---------------- --------- - - ----- MO ---- --------------- ------------ ------------ -------------------- --------- ----------- ----- - 27. Montana -------------------- -.................. ---------- - --- --------- ----------- ------------------ - - -- -------- 28. Nebraska .-------------------___----------------- ---------.------- ------ ----------------. .--.------------------- 29. Nevada --------------------------'---.--------- K - I -----.----------- -------------------- ---------------------- 30. New Hampshire ----------------------------....__-'- NH -- . .. -----------.---'----- ----------- ------...---. ._..----- _-'--?-- 31. New Jersey ------------------ ----------- ------....._._........... _ NJ - New Mexico -------------...------------------......... NM ---------------------- ------...... ........... .......... ...... ------- ----------------------- ------------------------ ------------ ----------- ---- 33. New York--------------------'-'---'---'---'-'-'-- NV ------------------ ----- .............. .... --- --------- -......... - ---'-....... ..... - ....... -..-...__........ .-'---....... _.__..... 34. North Carolina---------------------'--'- NC -------'----- -------------- ---------'-'--"- -------`--------- -- ------ --------------------- -'- 35. North Dakota ---------------------------------------..-.- NO --.-..-.-..-_. ------- ------ ------ ------ ------------------ ------------- --------- -- ----- ____ ------------- .. .--------- ---------------- 36. Ohio -------------------- ----_----- ....----------- ------- ---- ------------ OH ------------.._. _....------- _....-..- 37. Oklahoma ------------ -------- __-'------ ------------- ---------------- ----------------------- --.-...... ..._...._. ..---------------- --------------'----... ..-------------- ----- 38. Oregon ---- --------------------- --------'--'-------._.-. OR -------- ---------------- ----------------------------- ------- ------------------ '------------------- -------------------... .----- --- ------ ---------- 39. Pennsylvania .------ --------- ..... --------- -........... ........ ... PA ------------------------ ---- ------------------------ --------- ----------- ------- ---------- ------------ 40. Rhode Island -------- ------------- -----------------.._._... RI --------------- ----------------- ----------------------- ------------ ---------------- -------- ----- --------------- 41. South Carolina--------------------------------------------- ---------'--- ---------- --------------- -------_----_---- ------------------------- -------- --------...---- 42. South Dakota---------------------------- SD '--'-...... ---- -.._._..----------- ---- ..----- -------- --------- -------- -------- --------- ----- ------ -------- ... .-----...-_...---- 43. Tennessee ------------------------ --------------- -.._ TN .-'--'---. ..---'_.._.. ...-'---'----...-----'- -'-------'---- -----'------- .-_-- ------------ -- 44. Texas------------- --- TX ----- ......... ------ ---'- .------------ --------- - 45. Utah .------------------------------------- ------------ lJi --------------- ------------------ ---------------------- -------- ---- ------- ---- ---------- 46. Vermont --------------------- ---- '------ ------------------ ...-..-._...--"------- -------- ---------- -------- --------- ------------------ - ------------._.._.-. 47. Virginia ............... -.......... -' VA -- ---------------'-- ---------- ----- --------- _------------------- -- 48. Washitriton---------------------------------- ------- ------- ------------- WA ...------......... -- ----------- ---- --------._.... ..--------------- 49. West Virginia ---- ------ ----- --------- __ WV - Wisconsin ---- -------- ---------------------. WI .--'--------.. .----------- -------- --------------------- ------ ------.._-----_._.._. .---- ---------- ------ _...----------------- 51. Wyoming .----'---°------- --------------- WY --------------. ._...-------- ----- --------------------------- ........... ...... .... _...... '--°--------------- ------- ----- -------------- 52- American AS - _-------- _---- .__....... ........__...__._._...__ --....._.-.__.._. .-.__-._..-._---- . ------- __._._.-_.___._ 53. Guam... GU -------------------- ------------- --------------- --------------------- -------------------- ----------------------- ------ ------------ 54. Puerto Rico ------ ----------------- -------- ------- ---------------- PR - U.S. Virgin VI 56. Northern Mariana Islands ----------------------------- MP ----------------- ----------------- --------------------- --------- --------- ----------- -------------- .-_.-------_...--- 57. Canada ........... -------'-------------- CN ----°-- ----- ._----------- -------------' ---._._------------- -.-------------------- 58. Aggregate Other Allen ------------------------- OT ---------- ------------------- -- ----------- -----'--' 59. Total 93 CL D O m a a O z D J O a LL O Cl) m w m? w °C ?U w .,? ?a Nz z0 LL. a ON Cl) Z Ca'3 H m >0 H 4 T CI I z a za m z O U z O a m O U. z w J D w U Cl) oha _ , CIS ,2710 cr) oo m ?s U m CD .- (D Lo H U Q 94 Cl) Cf) w J 0 C.) w U N W D a T Oa. N i i 1 1 1 p qC {yt y { oo W i i r i mY? a 8 y S 8 8 j- d. d d i g4 S 6 S d s p 3 . 9 g ' N i 1 i ¢ 1 i I 1 i .. 1 a L! ? i j i o., i i .. m Y I{! i ! I i i l i! 1 1?. ` ' a°C i I • i LL f Y . 1 r ? <?? }}((?jj j N ? qg{ j ? j 25 i i 1 I I 1 i i! 1 1 j i! i l i I . jilt = N (7 5 ? 5 i? l I I ? FF ? I I ? VV ¢ ¢¢ N N W a O R J Z O s1 Al !7 ? I i i i i . 1 i i i i l i 95 N W H Q J LL U. E 0 Z Q y C ld 7 d O co co Q L ? a Cl) ~J a W N w N W z ? N cr z 0 LL w O W a ? a Z Q Cl) N Q CL 96 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The following atpplernental reports we required to be tied as pan of your statement Mire urtese specifically waived by the dornid9ary state. Hovrevar, in the evens that your donYd9ary slate waives the Mire requirement, your response of WAIVED to the specific interrogatory will be accepted M lieu of filling a "NONIF report and a bar code wM be printed below. It the supplement is required of your oorrpany but Is not being toed for whatever reason enter SEE EXPLANATION and provide an explanation following the Interrogatory questions. Responses MARCH FILING 1. Will an actuarial opinion be filed by March 1?._..-------------------------------- ----- --------------------- ------------ - --- ------ .....................---.--------- ---- YES 2. Will to Supplemental compensation Exhibit be toed with the state of domicile by Mardi 1? ... .._...._-_ YES 3- WNi the oorrfidential Risk-based Capital Report be Ned with the NAIC by Mardi 1?-.-.---_-.---.--------........._.. .------------- ........--._._........._._..._._____...._....... YES 4. Wllf the confidential Risk-based Capital Report be Ned with to state of domicile, it required by March 17 ._.._........_...__._...-_._..._.-..-.._....... YES APRIL FILING 5. Will the Irau rance Expense Exhibit be filed with Bhe state of domicile ant the NAIC by April 17 _.._..___._...__- . -------------------- Y 6. Will ManagemsrCs Discussion and Analysis be fled by April 17------------------------------------ ------------ -------------------- . YES 7. Will the Supplemental Investment Rdsk Interrogatories be filed by April 1? ------------ _--------------- .. ......------------------------ ......... _----------------------------- _ YES MAY FILING 8. Will this company be included in a combined arcaml statement which is filed with the NAIC by May 17 ---------------------------------------- YES JUNE FILING. 9. Will an audited financial report be flied by June 17.........____--.-_ -- YES 10. Wlll Accounlads Letter of QusMFeadons be Mad with the state of domicile and electronically with the NAIC by June 1? -._._...._----------- ------------------------ ---- YES AUGUST FILING 11. Will Commurdcation of Internal Control Related Matters Noted M Audit be filed with the slate of domicile by August 1? ................. .----------------------- YES The fallowing srpplemsntal reports are required to be filed as the the spoofed report must be filed, your response of NO to the part of your annual will etc accepted i However, in the event that you and a bar code does not transact tho type of business for tat Is sparequired of your company but is net balng filed for whatever reason enter SEE EXPLANATION and of tiling a "NOW i report ant a Dods will be printed below. N the supplemental is provide an explanatanatbn fallowing the kttertogatory ghestione. MARCH FLING 12. Will Schedule SIS (Stockholder Information Supplement) be Mad with the state of domicile by March 1 ? ---------- _.__-------------------------------------------------------- . NO 13. Will the Financial Guaranty Insurance Exhibit be filed by March 17............ .._..._._.....------------ ---------------------------------- -- 14. Will she Medicare Supplement Insurance Experience E~ be toed with the Veto of domicile and the NAIL by March 17 ---------------------------------------------- NO 15. WIN Supplement A b Schedule T (Medical Professional Liability Supplement) be filed by Mach 1?--------------------------------- ..... ..._..---------- NO 16. WIN the Trusteed Surplus Statement be toed with the state of domidle and the NAIC by March 1? ------------------- ._. - -..... ------------------------ .------------- .. ND 17. WIN the Premiums Attributed to Protected Calls Exhibit be filed by March 17 ----------------------- -------------------- ------- -_._..__--.._-_.-.-._-----_--_-_-_--_-_-____-- Nit 18. Will the Reinsurance Summary Supplemental Filing for General Interrogatory 9 be filed with the state of domicile and the NAIC by March 17 ND 19. Will the Medicare Part D Coverage Supplement be Mod with the state of domicile and the NAIL by March 17 ------ __ ND 20. Will the confidatial Actuarial Opinion Summary be toed with to state of domicile, N required, by Mach 15 (or the dale otherwise specified)?........_._-__ YES 21. Will the Reinsurance Attestation Supplement be filed with to awe of domicile and the NAIC by March 17----------------------------------- ----- ------- ._._------------------ YES 22. WIN Be E=9pBoe to Be Reinsurance Attestation Supplement be Mod with the state of domicile by Match 1? --------------------------------------------------------- 23. Will the Sell Bond supplement be filed with the store of domicile ant the NAIC by March 1?.-...... .... - . --- ---------------------------------------------- ------------- -_ ND 24. WIN the Director and Officer i sumac a Coverage Supplement be Meal with the state of domicile and the NAIL by March 17-------------- .-------- ._----------- _..__ Iq 25. MR an approval from the reporting will" state of dons for relief related to the five-year rotation requlremaYt for lead audit partner be red electronically whir the NAIC by Much 1?......... __------ --------- ------------------------------- ------ --..---------------- -------------------------- ---------------- ---..__.-._.--'------ NO 26. MR an approval from to reporting entry's see of domicile for relief related to to one-year coding of period for independent CPA be filed electroricaly with de NAIC by MUoh 1?._...._..__.__.--.---.._-...--.___----- __..._----- _---------------------------------------------- _-------- _._. ---------- 10 27. WIII an approval From the reporting entWa; state of domicile for WW related to the Requirements ton Audit Committees be lied electronically with the NAIC by Martin 17..--__....-.._.---- _-------- .__.._-._..--._._.._....__......._._._-._...._--.-.._..-_...._._....._----- _- APRIL FILING 28. Will the Credit Insurance Experience E* U be filed with to state of domicile end the NAIL by April 1? - _-....._._.-------------------------------- 29 NO WM the Long-term Care Experience Reporting Fume be toed with the state of domicile and the NAIC by April I? ...............------------ _..---------- 30 tit WIN the Accident ant Hoeft Polley Experience EAW be tied by April 1?....._.__....__...-..._.--.......-_-......_..... __...__............ ._.__---------- ----------- ND 31. Will Be Supplemental HWM Care Exhbit (Pails 1, 2 and 3) be filed with the state of domicile and the NAIC by April 17 _..____.-.._.___-------------------------- ND 32. WIII the regulator onty (non-putlb) Supplemental Health Care ExHdfe Expense Necaton Report be find with is awe of domicile and the NAIC by April 17.................. ........... ._ . _..._...._-_------------ --------------- _..--..--.-..-_-____-------------- -------- _-------------- _ ..................... _....__........._..__. rp AUGUST FILING 33. WIN Management 'a Report of internal Control Over Financial Repo" be filed with the state of domicile by August 1? ---- _-...-____._--------------- __.-..____... YES Explanations: 12. Not Applicable 13. Not Applicable 14. Not Applicable 15. Not Applicable 16. Not Applicable 17. Not Applicable 18. Not Applicable 19. NotAppBCable 22. Not Applicable 23. Not Applicable 24. Not Applicable 25. Not Applicable 26. Not Applicable 27. Not Applicable 28. Not Applicable 29. Not Applicable 30. Not Applicabe 31. Not Applicable 32. Not Applicable Bar Cordes: 12. SIS Stockholder Incantation Supplement [Document Identifier 4201 13. Financial Guaranty Insurance Exhibit [Document Identifier 2401 14. Medicare Supplement Insurance Experience E)"bit (Document Identifier 3601 15. Suppenrerht A toSct edule T [Document Wertifier 455] 16. Trusteed Surplus Statement [Document Identifier 4901 17. Premiums Attributed to Protected Cells Pocurnert klatifier 385) 18. Reinsurance Summary&4)oemenel F&g [Dom merd Wwtfier 4011 19. Medicare Pan D Coverage Supplement (Document Identifier 365) 22. Excepift s to the Reinsurance Attes A§w Supplemerd [Document Identifier 4001 23. Sall Both Supplement [Document Identifier 500] 24. Director and Officer Insurance Coverage Supplement [Document kbW ier 505] I IBM OPIUM@= owl ieIUm,MM1 FIRMI 1110 Now, iN?IM?1??1MIN? i4woP IN 111111101111111111 U?INII?IIIN? 97 ANNUAL STATEMENT FOR THE YEAR 2011 25. Relief from ttm tw-year mww mqurwnwd for lead aunt pwtrw [Dmmm t IderWW 2241 26. Relief tram the one-year cowling alt pedal for itdeperdent CPA [Document tderlH - 2251 27. Relief from the Requirements for Audit Committees (Document Identifier 2261 28. Credit Insurance Experience Exhibit [Document klentifier 230] 29. Long-Tenn Care Experience Reporting Forms (Document Identifier 306] 30. Acddent and Health Poky Experence Exhibit (Document Identifier 2101 31. Supplemental Health Care Exhibit (Parts 1, 2 and 3) [Document Identifier 216] 32. Supplemental Health Care Exhib rs Expmse Allocation Report [Document Ider*W 2171 97.1 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company OVERFLOW PAGE FOR WRITE-INS Addfional W rife-ins for Assets Line 25 Currem Year Prior Year 1 2 3 4 Net Admitted Assess Net Admitted Assets Nonadmkted Assets Cols. 1 - 2 Assets 2504. Autombile.._..- --" -_--------------- -------- ------------------------------- --'_----------------- ----------------------- -24.177 ---------- ------------ 4.177 ................ -_--------------0 -------- --- ---- 0 2505. Miami line= Receivable -------------------------- -------- ......-----'----------- 174,100 .............. 0 ...-----------174,103 ...---- --------------------------- 2597. Summary of remaining write-ins for We 25 from overflow page 198,280 24, 177 174 103 0 Additional Write-ins for Liahilities Line 25 1 2 Currem Year Prior Year 2504. ----° --- _ ..._._ 1 --------------------------- _._.---------------------- 2597. Sum mary of remaining wrbe-ins for une 25 from overflow page 0 0 98 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SUMMARY INVESTMENT SCHEDULE Admitted Assets as Reported Grosa Mvesbnem Hoklings in the Annua Statement 1 2 3 4 S iti 5 6 ecur es Landing Reimeested Total Cdieter? (Cit. 3 + 4) krvestment categories Amount Percentage Amount Amaurl Amount. Percentage 1. Bend's: 1.1 U.S.treasury securities --------------- ...-.... .... .._..-- --------------------------- -------.__ .6,550.739 ------------ 13.446 ....-._..6,550.739 -._.__.6.550.738 ....._...-..13.446 1.2 U.S. government agency obligations (excluding mortgage-backed securities): 1.21 Issued by U.S. government agencies .._.._.__..___.___._..._.. .... .__..___-_.-- _.D _D.000 1.22 Issued by U.S.government sponsored agencies ---.-........... ...._.___ ....-..__---_..._.-_. -.:_...._.._0.000 .._.._.....--.--..- .... ..........._ _ ....___-....D D.OOD 1.3 Non-U.S. government (including Canada, excluding mortgaged-backed securities) ------------------------------ ... ---- ------- ------------------- --0.000 - --- -- - - - D . D.000 1.4 Securities issued by states, territories, and possessions and political subdivisions in the U.S. : 1.41 States, territories and possessions general obligations---..._._ .-------- .---------- _.-- _._._0.000 _.__.._.0 ._.___.._0.000 1.42 Political subdwisiors of states, territories and possessions and political subdivisions general obligations .._..------- -------------------- _.-... ..._-__1,271,03:3 ----._----2.609 _-----.1,271.033 ..._-------- ------ ----- ........ -1,271,033 2.600 1.43 Revenue and assessment obligations ------------ .__..---_--__--_-._.... ........ 11,389.486 ------------ 23.M _._.-11.398,466 _......... .. ._._..11.389:488 1.44 industrial development and similar obligations -....__---------- _-...__- - ---- ------- ._ .-------- D 0.000 1.5 Mortgage-backed securities (includes residential and commercial MBS): 1.51 Pass4hrough securities: 1.511 Issued or guaranteed by GNMA------------------- _ -------------- .0.000 ------------- _...-------------- ._-_--._._...--_.D .----_..--0.000 1.512 Issued or guaranteed byFNMA andFHLMC---------------- _...... .......... 1,901.360 3.903 ---------- 1,901.389 .-.--'_-----._-.-_ -- ------- 1.001,369 - --3.9w 1.513 All other. ---------------- .....------------------------ -------- -- ---- - ...599,752 --'--1.231 - 588.752 ---------------------------- --_..-..598.752 --.1231 1.52 CMGs and REMICs: 1.521 Issued or guaranteed byGNMA,FNMA, FHLMCorVA--.._ ...._.-_-..__--------- .------ ------ 0.000 ------ -------- _------.----_ -------------- D ----_--..0.000 1522 Issued by non-U.S. Government issuers and collateralized by mortgage-backed securities Issued or guarameed by agendas shown in Line 1.521---------------------- '---------------------- - -0.000 - ------------------ -- ------------------ - ---- -------------- D ...._..._...1.000 1.523 All other --------- ------------------'- - ----------- - ----------------- ----------0.000 - ...------ ------- -------- ° --- -------- ---------- -....... -_D -------------D.000 2. Other debt and other fixed Income securities (excluding start-term): 2.1 Unaffiliated domestic securities (includes credit tenant bars and hybrid securities) ..-.---------- -.._..-'---------------------- ----- --------------- ---- ... -------------- ------ _8.534,167 .---------17.517 -9.534,167 ----------------- ---°- -------- 8.534.167 ---- 17.517 2.2 Unaffiliated nor-U.S. securities (including Canada) ......_.-----.._--°------ ------ ___-_---- 712.261 ---...-.------1.462 _.----_._712,281 ------------ ----------- 12,261 ------------ _1.462 2.3 Afiiated securities ----------- ------- ..-------------------- .'---------------------------- - ----- ----------------- -------------- 0.000 -.------------ ------- ' --------------------- ------- -------D ---.__...0.000 3. Equity interests: 3.1 Investments in mutual lends -------------------------- --_-------- ----------------- - - - -------- 0.000 ..-------------------- ........... -- -------------- ._.-D .....-------0.000 32 Preferred stacks: 321Affiliated .....---------- ----- -------------- ---- ..-.._....- -------------- ------------ ----------- .. ......0.000 ---- --------------------- -' `--------- --...... D ---- -------- 0.000 322 Unaffiliated. ---------------- ------------ .--...-------------------- ---- ..... -' --- ----- -------.----- ------------ -2.000 ------------ --------- - - -' - -- --------------- ---D ..............0.000 3.3 Pubiciy traded equity semattles (excluding preferred stocks): 3.31Affiliated- ------------ ---------------- ------------------- -------- .....------------------ ....._4.-M.458 ----.9.384 _._.__4.576.158 ..------------------------ _4.576.458 - .9.394 3.32 Unaffiliated .--------------- ------ ------------------- --. ------------------------------ ------- 4.618.09 - 9.480 _4.618.428 ----------- '----------- -----' -4.618.429 .------------- 9.480 3.4 Other equity securities: 3.41 Affiliated _ ................................--'------------------------------- ...------- .------------------ -- ------------ -2.000 - - -- -- ------------ ------ -----------..-..---D --------- --D.000 3.42Unafiliated............ -------------------------- _---------------------- ------------------ ..._.-..---------- --... --0.000 _._....----------- ---------------- -' - - ----D ------ ------- D.000 3.5 Other equity interests Including tengble Personal property under lease: 3.51 Af68ated.--------------------------- ----------------- -._..-.-------------------- ---- -------- -- ----------- ---- .------- ----------.'-.0.000 ----------------- -------------------- --------- _._-------- 0 ---------- _..DA00 3.52 Unaffiliated . -------- ------ -----'--'----------------------------------------- ------- ------------- ° - - 0.000 ..------------ --- ---------- --------- D --------D.000 4. Mortgage bans: 4.1 construction and land development ------------- ------------- - -- ---------- .. ....... . --- ---------- -------- -2.000 ----------........ - ---------'------- ------------------------ D .... -' D.000 4.2 Agricultural ..---- ----------------- ------------- -------------- - -' ----- --- ----------'------- --------- -.0.000 -- -------------- --------- -- .......... .._--- -D - -0.000 4.3 Single family residential properties ---------------------- -_----------------- __. --------------- 0.000 ._._------------ --_. ----------------- ..----- ------------------- ---- 0 D.000 4.4 Multifamily residential properties ----- --..... ---------------------- ------ 2.000 ----------------- ---- ._.--....------ -----------_.D .__..__...D.t100 4.5 Consnerclal bans.------------------------------------------- ....------------ .- - - ------------ -' ------------ - - --------- ------- - 0 ----D.000 4.6 Mezzanine real estate bars .------- ---------------------'----------------- - -- ------' -_-.------ --------2.000 .-.-.....------ -- --- --------- ------------ - - _ .......... 0 ------ - _-.D.000 5. Real estate invesfisnts: 5.1 Property occupied by cornpanY ---------------------------- ------ ----------_-------- ---- ....... -1,826,604 ---------- --.3.749 --------1.826.604 .--------------..----- ------.-1.826.604 ------ ------- 2.749 5.2 Property held for production of income (including $ ._..._-.---------------- .......--- of properly acquired in satisfaction of 0 ------- 0.000 -D ------------------'- ...-------------- ---0 -------------- 0.000 5.3 Property held for sale (indudirg $ property acquired in satisfaction of debt) -------- -------...__.------------- .._.--- ------------'---D -----------.0.000 ----------------D -'----------------- .-. ..__----------..-.-D .-_.......-.. 0.000 6. Contract bars ' ----------- -------------------- ----------------- ._..-------- - ------------...------D .0.000 ------------------ 1) ----------------------- --- ----- ------------ .._D ----- -----.0200 7. Derivaives ------------- ----------------------- -------------------- ---------------- ---------- ----- -- ---_-----D - 0.000 ---------- D --------------- - ---- -------------' ...D - - 0.000 8. Receivables for securities-------------------------'------------------------------ _.'_------------ 0 -------0.000 _-....-. ------------------ ----------------0 .------..0.000 9. Securities Lending (Line 10, Asset Page reinvested collateral) ---_-........_-----' ._-..__......-_.--1 .......... 0.000 - D ..__--.M.......... ._-.._.JO -----.-.. -------- xxx__ 10. Cash, cash equivalents and short-term krvestmsma------------------- ------- ---- __. ._.-----6,728.214 ..--------.13.810 ------..8,728,214 .__....------------- ---_-_.6.728,214 ..-..--13.810 it. Other invested assets .--......._----------------- -...---- ------ ----------- _.. 0.900 0 0.000 12. Total invested assets 1 48 718 512 100000 48,710,5121 0 48,718,512 100.000 S101 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE A - VERIFICATION BETWEEN YEARS Real Estate 1. Book/adjusted carrying value, December 31 of prior year---------------------- ---- -------------------------------- -........ -- -"'- ------ --- ---- ------------------------ --- _ ___....-1.872,773 2. Cost of acquired: 2.1 Actual cost at time of acquisition (Part 2, Column 6)...--------------------- --_-- --------------------------------------------- - -------------------------- --------- .-.48,825 2.2 Additional investment made after acquisition (Part 2, Column 9)............. -.------ ---.-------------------------------------- ._...---- -------------- ------------------ _._-__.-....0 -------- - -_-..__..... 48,825 3. Current year change in encumbrances: 3.1 Totals, Part 1, Column 13 ---------- ------------------------------------------ _. -------- ..--- -- ------ __----------------------- ------- 0 3.2 Totals. Part 3, Column 1 f -- -------------------------------------- ------------ ---- -------------------------- --------------------- --------- -- ------------------------ ----0 4. Total gain (loss) on disposals, Part 3, Column 18 ------- ._------ .._--------------------- 5. Deduct amounts received on disposals. Part 3, Column 15..---- -.---------------- -_. - . - .. 6. Total foreign exchange change in book/acqusted carrying value: 6.1 Totals, Part 1, Column 15............ ......-._.._..._-...--------------------------------- --_ ..----- ------------------------------------- -----------'- -- ---.....------.....-------------.0 6.2 Totals, Part 3, Column 13 ---------- ---------- 7. Deduct current year's other than temporary impairment recognized: 7.1 Totals, Part 1. Column 12 . ---- ---------------------------------------------- --._._.------- ------------------- ---------- ---- ------ ----- - ---------------------------- .-..0 7.2 Totals, Part 3, Column 10 ----------- -------------------- -- - --- -------------------------------------------- ----- - ------------------- ---- ---------- --_. -_---.0 8. Deduct current year's depreciation: 8.1 Totals, Part 1, Column ii .-......._-------- ----------------------- ------------------- ------- -...... .._...----......... ...................... 94.994 8.2 Totals. Part 3. Column 9 ----------------------- ------------------------------------------------------- -- ---- ------------------------------------- ---------------- ---------------------- --- 94.994 9. Book/adjusted carrying value at the and of anent period (Ones 1+2+3,4-5+6-7.8) .1,826,604 10. Deduct total n onadmithM amounts .......... _.... ..-........ ----- ----------------------------------------------- ------ -------- ---------------------- ---------- --------------- ---------------------------- -------------------0 11. Statement value at and of current period (Una 9 minus Line 10) ------- ------------ ---- --.----------------------------- -- ------- ---------------------------------------- __- ------- - ------------ .826,604 SCHEDULE B - VERIFICATION BETWEEN YEARS Mortgage Loans 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. it. 12. 13. 14. 15. Book valreheoorded investment excluding accrued interest, December 31 of prior year.._---.---------- ..---- . Cost of acquired: 2.1 Actual cost at time of acquisition (Part 2, Column 7) ----------- .........._...-.._.---....._- 22 Additional investment made after acquisition (Part 2, Column 8)--------- ___.__. -- --- . _-° -... Capitalized deferred interest and other: 3.1 Totals. Part 1, Column 12-'-------...--------------------------------------- ------------'._---------....----------- -----_. 3.2 Totals, Part 3, Column 1 t ------- ----- ------------ ------------------------------------- _...._------.......... -- --------- Accrual ot -..... ---'---....------------------------ --.......-'---'---...... Unrealized valuation increase (decrease): 5.1 Totals, Part 1, Column 9 --'----._-.K-n 5.2 Tot als, Part 3, Column 8 Total gain (km) on disposals, Part 3, Column 1 Deduct amounts received on disposals, Part 3, Deduct amarliza0on ot premium end mortgagefees Total foreign exchange change in book valt ahecorded investment exofudirg accrued Interest: 9.1 Totals, Part 1, Column 13.------ ------_--------------------------------------- __------ ------------------------------------------------- 9.2 Totals, Part 3, Comm 13 Deduct current year's other than temporary impairment recognized: 10.1 Totals, Part 1, Column 11-----°'------------ ----------------------------- ----- -............ ...... ----------------------------------- ------ ---... 10.2 Totals, Part 3, Column 10 "----------.-- ------------- ----------- --'-'----------- ---------'---............... -.... Book vat efirs orded investment excluding accrued interest at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) Tots) valuation allowance -------------'-........... -- ------------- ---.. ----------------------------------- Subtotal (line 11 plus 12) --'--_-------- ----------------------- ----'-------._----------------'--'----- Deduct total nonadmitted amounts -.--___--.._.-_---.-..-.------------ _._---- ------------------ ---....-.. Statement value of mortgages owned at end of current period (Une 13 minus Lime 14) -..._..---.--.-----------------.-.-.---. S102 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE BA VERIFICATION BETWEEN YEARS Other Long-Term invested Assets 1. Book/adlustedcarrying value, December 31 of prior year_ 2. Cost of acquired: 2.1 Actual cost at time of acquisition (Part 2, Column 8) .......... _ 2.2 Additional investinent made after acquisition (Part 2, Column 9) 3. Capitalized deferred Interest and other: 3.1 Totals, Part 1, Column 16--.-----_----------------------------.--. ----- 3.2 Totals, Part 3, Column 12 4. Accrual of discount :_.._-_.._._. ........... _.-_---.._-_....-..._....-.._-_._.-. 5. Unrealized valuation increase (decrease): 5.1 Totals, Pan 1, Column 13...._.--------------------- ._ ..._......... 5.2 Totals, Part 3, Cokxnn 9 _ ..__-_.--..._- 6. Total gain (loss) on disposals, Part 3, Column 1 ... _......_ 7. Deduct amounts received on disposals, Part 3, mn 18 8. Deduct amortization of premium and depreciation ---__--_ 9. Total foreign exchange change in book/aclusted carrying value: 9.1 Totals. Part 1, Column 17-------- ----- __...._-__....-.._._. 9.2 Totals, Part 3, Column 14 10. Deduct current years other than temporary impairment recognized: 10.1 Totals, Part 1, Colsnn .__._..----------------- ----------- ................ ..............--- 102 Totals, Part 3, Column 11 ------ ------------------------ .---------------- ._......... _ 11. BookJadlusted carrying value at and of current period (Lines 1+2+3+4+5+8-743+9- 12. Deduct total nonadmitted amounts .-.----------- ------ _----------------------------- -------------------- .-_ 13. Statement value at end of current period (Line 11 minus Line 12) -_.. SCHEDULE D - VERIFICATION BETWEEN YEARS l3orlds and Stocks 1. Book/adusted carrying value, December 31 of prior year -----.----_--.--____..._..-..._..-------- Cost of bonds and stocks acquired, Part 3, Column 7......................... .-_.-.._--------- .-------- ----- ._----------------- ------- ---------------------- ..._...... ........ _--.---_--__------- -. ._-------- ._15,820,058 3. Aoaualofdiscount ................ ---- ---------- --------- ----- ------------- ----- __._..------------------------ ----------- __--------- -------------------------- ------.-_._..------'----..-- ----------- -------- -----...----.35,527 4. unrealized valuation Increase (decrease): 4.1. Part 1, Colxnn 12 ---- -------- ........_.._------------- ----------------- ---------._.----------- _--------- --.......... ------ - ---- -- -- - ----------------- ------------ --..__._.._21.970 4.2. Part 2, Section 1, Column 15----------------- ------------- ----------- ---------------- ------- ----.--------- -'.-----°-------- --..__-____..__.____......._---`--------------------- 4.3. Pan 2, Section 2, Column 13 ---------------.................. .---- ------------- .__.__...._.____ --------...-- ------------...------------------------------143.366 4.4. Part 4, Column t 1 ._---- -..----------------..-----...--------- '-'---------- ---------------- --_.__------ ---°_--_ -------- -.-------------------- --------'----1557,700) --- -----'---_?392,3 6q 5. Total gain (toes) on disposals, Part 4. Column 18 --.------'----_----.--.._....--------------.------ -...-.--._..-- 1.796.709 6. Deduction consideration for bolds and stocks deposed of, Pan 4. Column 7 _...... .._- _._.-_.----------- ------- ----- .-------------- -------------------------- ----- ------ _19.578,273 7. Deduct amortization of Premium -` `- --------- -------- - ------ ----------------- -- .......... --...... --... - ` ....... ----------------- - ---- --------.153,265 8. Total foreign exchange change in tool/aclf anted carrying value: 8.1. Part 1, Column 15.---'------------------------- -------- ------------ ---.-..._---------- ---------------.--_...-.._...----..- -_._...._...__.---- .............----------------.._...0 82. Part 2. Section 1, Column 19 _....... .... _..... ------ -------- -------- ---- ------------- ----- ------_.---------------- - --.-...---------------__.....---- 8.3. Part 2, Section 2. Column 16------------- -_............. ..... __------------------------------- ----'-----_..------- -- --- -------------------_----------.-___._...-_-..._...0 8.4. Part 4, Column 15------------------ ---------- ----- ------ ---------------- ---------_---.._-_.-----_.-_.------------------ .-------- - --------------- -------------- --0 A 9. Deduct current years other then temporary Impairment recognized: 9.1. Part 1, Column 14 ---_-'-'-.......... ------- ----------------------- --- _---------- ------- ---- ------ -------- ------------ ----- ------- ----'.-- 254.929 9.2. Part 2. Section 1. Column 17 ------------ __........... ------ ------ ---- ---------- --------- _._ _ _...------------ -------------....------------------------------.. 9.3. Part 2. Section 2. Column 14..--__.._.---------------- ------------- ----------------- ---------------------------- ----------------------_ 0 9.4. Part 4, Column 13 ------------------ __..'- ------------ ----------- -------- ---- --- ----- ------ - ------- ---- ---- 0 - ________254.929 10. Book/adlusted canykhg value at end of amen period (Linea 1+2+3+4+5-6-748-9) _------------------- -------- ---------------------- ----------------------------- A0.163,695 11. Deduct toWnonadml8edamounts _._._..__.----- -------------------------------------------- _--------- ----------- ---------- -------_-...__-..----------------------------- -----------`-°-._0 12. Statement value at and of current period (Line 10 minus Line 11) ---------------- ---'---.._.-_------ ----------------- - --------- .---- ------------ --.----------- ._ ---------- 40, M,W5 S103 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - SUMMARY BY COUNTRY Long-Term Bonds and Stocks OWNED Deciamher 31 of Mrrant Year 1 2 3 4 Book/Adjusted Carrying Value Fair Value Actual Cost Par Value of Bonds BONDS I. United States ------------------------ --------------- --------------------- 6,550.739 -------.----6.803,611 ----------- --.-...-6.582.663 _6,320,000 --------- _- Governments 2. Canada------- ---------------- .... _.... _........ .............. ------------- -------- --------------------------- ---- ............. - ------ .....-------------...-..... (Including all obligations guaranteed 3. Other Countries by governments) 4. Totals 6,550,739 6 603,511 6,582,663 6,320 000 U.S. States, Territories and Possessions (Dkect and guaranteed) 5. Totals 0 0 0 0 U.S. Political Subdivisions of States, Terttoiee and Possessare (Direct and guaranteed) 6. Totals 1,271 033 1,269,884 1,315.194 1,225,000 U.S. Special revenue and special assessment obligations and all non- guaranteed obligations of agencies and authorities of governments and their politicalsubdivisions 7. Totals 13,900 607 14 195,679 13,932,980 13,720,204 8. United States ........_.............. _------------- .------....._.--6,534,167 -------.----.6.891,504 ._--...-._.-_10,141,266 ---.--........--10,782,124 Industrial and Miscellaneous and 9. Canada _...... .......----..._.--...437, 438 437.116 ---- 437,544 _400.000 Hybrid Securities (unaffiliated) 10. Other Countries 274,823 777,11118 Z74,945 250,(100 it. Totals 9,246,428 9,606,518 10,853,755 11,412,124 Parent Subsidiaries and Affiliates 12. Totals 0 0 0 0 13. Total Bonds 30,988 807 31 675.591 32,684,592 32,677,328 PREFERRED STOCKS 14. United States -------------------------- .... ............--.-----.-.-- ..... .--.------------------- .-.. ---------- .------------------------ - Industrial and Miscellaneous 15. Canada --------------------------------- .'....--..--- --..._----- -.--- --'---- - - -.---------- ---- ----..---..-..-----.-.-. (unaffiliated) 16. Other Countries 17. Totals 0 0 0 Parent Subsidiaries and Affiliates 18. Totals 19. Total Preferred Stocks 0 0 0 - COMMON STOCKS 20. United States------------------------------- -------------------- .616,429 ------- ---------- _4,618.429 _..... _.......... !,60,786 Industrial and Miscellaneous 21. Canada ------..-. ...------- _----------------- _-_- ----.-------------- - - -.._....-------- "-'------... lun a fixated) 22. Other Countries 23. Totals 4,618,429 4 600 786 Parent Subsidiaries and Affiliates 24. Total M 4,576,458 6,366,510 25. Total Canaan Stocks = 9 9,194 887 10967 304 26. Total Stocks 9 194 867 10,967.304 27. Total Bonds and Stool s 4 0.. 1%63,W4 10,870 478 43,1 M6 S104 TL 1= 0 U m U C fC 3 N C cC 7 7 r Z 50 a p mW r N w a _V- HI.- 0LL r li O a N 0 w J w a = W F- _ U 2w w m w h J Q Z Z Q S105 C CL E O U U C lC 7 i? C td ? C a U a ?- m z d p r . H H wW H N LL Oa r r- o I- N is an w } w = W ~ J 0 O W w N H Q H J Q Z Z a I _a U F a F N !? C ?$$O ? nQS m U m ? 13 v Z a-fa F ym CK! OR N ? N O, ?n of O n m O ? m J H O yo m 8 N lh f h 4D yU CSUUUU - N Cl O N m OG ?G ?O fG m m ?Z3t'SU2S?r= N (7R MtDh N^. NI?Y YZm Nh n!? ri n n n ?EOm t000O 2 S106 c co 0 m c N C 7 a m d H w x I- LL 0 N 4r } w F. Q 10 m w Q Q D z z a m U 4 a E E N ffi io 4 a u m E N N O A G a LN b aF $ gm B N OU I i Ecr s $ » Z w ? » Z z S107 a C u E g?g U p c ? ? a ? g N S C f. C ? a tU 0=5 m U? m W t ? Nc = Q H F- c o a N 0 w J? } = C w m We Q=§ ? UC LL N w w H J t z O 2 c Q $$ F 0 0 0 0 0 0 0 0 0 0 io 0 0 0 0 0 0 0 0 0 0 0 0 o a 0 0 0 0 0 0 0 0 0 0 0 73 ? ? ? i nS }.@. ! ? aa? ^?F g 0 0 0. F an em?'ooo r °do °d o 0 0 0 0 dddd 0 o e6o .p?r ooo vgj' m?,'o o m?' 0 0 oodd 0 d a o 0 0 dddd o m LLa` ,p m E ? 2 p i m p _ o o o ? ? g , ag o at ? of o 3 CL F `o ? N 000 ?ooo ? 000 0000 0 mooo o onoo ?o d ? 000 ?Podd .?R' 0000 dddd 0 d 0000 doo 0 r Or ? r O m? gooo g 0000 0 0!000 0 Aoo,o tt S f Q 2255 yyoo ?? ii ? ?oo,o 00,00 0 -,990 0 m g :66 i6 76 ? I ! i i i ^? i '? ? j Q a{ ? ! 'erg I i i i ? i? ° ! ° j o y? 25? ? yQ? F I o ! 0 0 , r O I ' i 8 ? N i ? 86 ? 26 i i !G NN r Ep ! i i ! ? i I i i i i ? ! i v: ! i ! ! ! ! ! N ' N + I I A N p b i ! ? i ij I I ? !I) i I ! ! i i ! ii i A ? 5 Q $ ! li i ? I i l! .p tl Y LS Y LS i i 1 ! j ! 4 A o ! j yy B f? n ? ? 0 se ? ? ? r ? O ! ? ? w ? 8 ? yyygggy¢¢ ? ? p .j ? ?e ? m ! ? fil ?j F$'EEO ?cS0 ?q ?6b0 y ?O ?a0t= E tlv g r. r V) l4 O;v N N N !V lV f';v Yj h 0 m ah ao tl1 ty(?Y O r v v v v W ryl7f N 8 4? N i 0 6 0 M fy OjvN ? td m m'G 0 ?NCi vN f I 1? f 1? ?Nt7 ?(N ? m aG m m aD tai of v h ro ai S108 d =a? ?a r m U 0 r n 3?6 m LLa` m o -.L ?a CD r c m S O noc U ? 1O? m c'n U O ? 0 a Y R Nan $ o F- 1- V N ? 4 a ?o ? _? N ? m W U w N? Q c ? ? Z ? Z 'c Q R off! ? o E; 9 ' h 1 ??r?.-aY?YnR'cy?•rymn laY??,l?je?Rmt? NR'?"?aR 0000 GOdd ';ytf Ne?oi NlV ai S109 a .5 T C a E Cl) U m (a fCW 0 C N C Z cts W W a W m co Z N O w. = F- Ua w aU Z; U. N Fr QW } > w S a - cr: Q 0 J w = w Q W w _ ?U QN z z Q o ? ? 23 F N 0 IM i ? i3 o 0 0 i i2 ! i i i ? 'g ?- fV C1 f If; fG A m 01 C 3 s b silo ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule DB - Part A - Verification - Options, Caps, Floors, Collars, Swaps and Forwards NONE Schedule DB - Part B - Verification - Futures Contracts NONE Schedule DB - Part C - Section 1 - Replication (Synthetic Asset) Transactions (RSATs) Open NONE Schedule DB-Part C-Section 2-Reconciliation of Replication (Synthetic Asset) Transactions Open NONE Schedule DB - Verification - Book/Adjusted Carrying Value, Fair Value and Potential Exposure of Derivatives NONE Schedule E - Verification - Cash Equivalents NONE Sill, SI12, SI73, SI14, SI15 C 0 U Rf 7 c co 7 I - CL m ?ca Q 0W N Q w < W w w ?0- w 2 w ti U) Q z z Q n h ll ii i i ?CmX$w y4yy+?? pgp CO j' ?p C ?p?f $2 i i i i y? ? W 2 W L it it U h j ? " $?N aa a i !x m ?a L ° > M ig ' I it it i it i l 1 ! U j $ U 'Q m ? ? G A gR co c N ??F E¢ I i ? ? ?a ?x a I i ? Ix C 8 'a o j ! i ' o _ M LL? i; i i t : l i l!! iiij !!!i ? ?? ?T?A Y y8ya N?y I I p? g?g l ! ! ! I e i ! I ! i ? i6b f 4 ?a ? Milli ii i ! Q W U J l i i l i!?! 1 1 ; 0 ? Il :lill!?? II!I! : l l i t t. ' I i I I I ! W a ? ?C i l l :? ? 1 1 ! I l?; a I l I' liiiliiilill 4 I i i? I i I I j I I j i i I I i lj?{i ij 111 : I.ll!ilil jiil i l l j? j i ?!! I li !ill li lili i l lli l l i? _ ? I I l{ l I? I. m i i l i l l '. ! i I I i ! I l i ' it i !it l i l !it l ? £ aE ! i ? ? i I j i i ' ! • I { CL h ' 'iliil lil l i i i! i i {ili !?? li! ii 3 il! !ili!i .? 1 i it E01 c a E U tU U C lC N C N C R N a co ma L a. w =Q oW ?J o cli c 0 W w H cr O LL f- z w m w H Q J Q D z z Q E02 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule A - Part 3 - Real Estate Disposed NONE Schedule B - Part 1 - Mortgage Loans Owned NONE Schedule B - Part 2 - Mortgage Loans Acquired and Additions Made NONE Schedule B - Part 3 - Mortgage Loans Disposed, Transferred or Repaid NONE Schedule BA - Part 1 - Other Long-Term Invested Assets Owned NONE Schedule BA - Part 2 - Other Long-Term Invested Assets Acquired and Additions Made NONE Schedule BA - Part 3 - Other Long-Term Invested Assets Disposed, Transferred or Repaid NONE E03, E04, EO5, EO6, EO7, EO8, EO9 C a E 0 U U .7 C is 3 a m H W LL O 0 N Q w W z Ir 0 W 2 W Q U Q z z Q MMr a a r., J ? c ?-C a W I Z U? 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' E15 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 6 - SECTION 1 SCHEDULE D - PART 6 - SECTION 2 Total Mmc#y by Insurer on Amount of wC.us?a.,l ( Intangible Assets Included In 1 6 ua,.?eatmwv_ner r- I Name of ?t?r ??v Which I AColumn 7. Section mount Shown int Nurc?er or Sh OutsbOf Controls E16 included therein: $ .---- ------------------------ ----- 27otal amount of Intangible assets nonadmitted $ C E O U U tC 7 C Y. a 2 Q LL Lu O N ? Q w W w V H cl) O ww ww Q J Q Z Z Q ? $ $$ ee ee ee e$ ee e$ i e e? ?? CL q o ee ee ee oe ee ee ee e-;A 9 ^?? So 6 i pp : CL XxXx X Xxxx?? XX ((Xx XX xxS? XX X X XX X ?gg gy s 59 {?;}• ?' +=Q? o eI xx ?j(? }J X JC ? (? }x( GX xx jX? j X JC I x? jX? C IC xx Xx Jj X XJ (? } C? x( fix( ?j X XJ (? C i 1 Ij x f? ( R? X jj(? ?JG W c ' OWC? XXxX yxxx? XX xxxx XXxX XX Xxxx xXxX y XX Xxx?XXXX XX XXXx xuxx XX Xxxx XxXx XX XXxX ?xxx[ XX Xxxx J X i i L x X xX xx XX m • ? m pp ?j Z ?Oq ! 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F 16 : I E17 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company Schedule DB - Part A - Section 1 - Options, Caps, Floors, Collars, Swaps and Forwards Open NONE Schedule DB - Part A - Section 2 - Options, Caps, Floors, Collars, Swaps and Forwards Terminated NONE Schedule DB - Part B - Section 1 - Futures Contracts Open NONE Schedule DB - Part B - Section 1 B - Brokers with whom cash deposits have been made NONE Schedule DB - Part B - Section 2 - Futures Contracts Terminated NONE Schedule DB - Part B - Section 2B - Brokers with whom cash deposits have been made NONE Schedule DB - Part D - Counterparty Exposure for Derivative Instruments Open NONE Schedule DL - Part 1 - Reinvested Collateral Assets Owned NONE Schedule DL - Part 2 - Reinvested Collateral Assets Owned NOME E18, E19, E20, E21, E22, E23, E24 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE E - PART 1 - CASH i 2 3 4 5 6 7 Amount of Interest Amount of Interest Rate of Received During Accrued December 31 Deppskm Code Merest Year of Cunem Year Batance ' Midwest 6ak4ntre --------------------- ---.......... SL Louis. Missouri .._...-------------- __._.. .-_--- ..---------- 0.163 ....... ..... --------------- 1.21e --------------------- _------ - -..-------- .......358.216 -)00( Central Bark ._....__._.._............................... Jefferson City, Missouri ---------------------- .-._----- .. ... .......... 0.050 --- ---- _------------------------- 192 ------------------- ------------ .._... ----- ---------------------- 81.102 .)00C 0198998 Deposits in... depositories WNch do not exceed the allowable IMM in any one depository (See Instructions) - open depositories XXX xxx 0199999. Totals - ODen Depositories XXX )DN 1.441 0 660.320 XXX 0299898 Deposits in ... depositories which do not exceed the allowable limit in any one depository (See Instructions) - suspended depositories XXX XXX XXX 02"W. Totals - Suspesided Depositories XXX XXX 0 0 0 XXX 0399999. Total Cash M Deposit XXX XXX 1,441 0 650,320 XXX 0499999. Cash in Com n s Office XXX XXX XXX XXX 481 XXX -----..._- ----- ------ -- -------- .... .................. ----- ----------- ----------------------- --------------------------------_ --------------------------------------------------- ------------------------------------ -`---°---`-_..-`--'-'----`--'--------------- --'------___----------------------------------- --"----------- ---------------- ----------------------- ----------------- ----------------------------------- -------------- --------------------------- -------------------------------- -------_'-- --------- ---------- ---.----------- - ......................... _----...... ........ ...... ..-------------- ------ --------- ---.....---------"--- ........ ....... ....... -.._...---------- -------- --- ----------------------------------....-------- .................... -............ '..--------------- ------- ----- - -- --- - ----------------- -------------- ----- - --- -------------------------- --- -- - -- ------ -------- -------- ..-_...... ---------- --`----- ---------- -- -------- --------- - --- ---- ---- .... ---- --- --- --- ---- --------- -------- --------- ---.. ----------- ...... ....... ... --------- - ------------ -------------- --------------- ------------- --- .- -- ... --- --- --- -- ---- --------- ------- - -- -- ------------- -------- ------- ------ --------- .---------------------------------- --- --'----- ?------ ----------------------------- ----------------------------------- ---------------------------- ----- -------- ------------- ------------------------------------ ------------------------------------- -- --------------------------- ----------------------------- ----------- - -------------------------------------- ------------------------------ ---- -------------------------------- - ------ --- - .----- ------ ----- --- ------ ---- ------ ------ --- ---------- -- - -----° ----- --. _._----- ---- -- ------....._---- --'--' -- -------- ..__.....-- ............ --------------.----- ----------- -................ --------- ._---------- ---- - - ------- ------------- ------- ------- ------.-. -`----- --------- I ---------- ...--... '----..... ---------- --------. ----------- ----------------- -------------------------------------------- ------------------------------------- - ----- - ---------------- - - ------ - -------- ------------------------- --------------- ----- ----------------- ----------------------- -- - -- - -------- - ------ - ----------------------- - ---------- -- ---------- - --------------------------- --- ------ - - ---- - ------ ------ ---------------------- - --- - --------------------- -------------------- - ------------ - -- - ----- - -- ----------------------------------..._-...----------'--- -------'-`-`°-'----......----------------- - ---- - -- ---- - - - - ---- ------ ---- - ---- ---- --- ---- - ------------- -- --- - -------- --- ---------------- - - - ----- ------------------ ---------------- ---- ---- --- -- - --- -- ----------------------------------- - - -- - --------- ----- - --------- ------- -------------------------------- - - - - ----- - ------------------- --- ---------------------------- - - ------------------------------ ------------ --- --- ---- ------------ ---------------- - -------------------- -- -------------- - - - --------- - ---------------------------------- -------- ------ --- ------- - ----- -------- ----------------- ----------- - - -------- -- ------- - ---------------------------------- ------ ------ ---- - ------ - -- ---_ -------------- ------------------ -------------- ----------------- - ------ ----- --- ----------------------------- - ----------- - --- -------- ----- ----- ----- ------.----_--.... ...... -- ------- ---- ---- -------- .... ---- 0599989 Total -Cash XXX )Dx 1,4411 0 50,7V XXX TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR F1 1 January _....------------..-BN.6T7 4. Apol- ---.--.--..1.271.522 7. -- --.-.-------------1J81.668 10. OcOOber 2. February5. Mev _.. 1.132.616 8. Aullust__-_-. -.-------.--.---.-1.125.081 11. November-- -------------._186.087 E25 C a E 0 U m c mZ N W c J ? Q a Q W m d ? N w V U. LN O r N }a w ? W oW LL M W a U J Q D Z Z Q 8 E E U I `c m Z > d ? U ? j E { ii m i } a S r i i I ' ,; m Q Li t ii I; !! V : I : I I 0 i ? ?' ?•? is !; .:i; is I it i ? i i i w i E26 ANNUAL STATEMENT FOR THE YEAR 2011 OF THE The Bar Plan Mutual Insurance Company SCHEDULE E - PART 3 - SPECIAL DEPOSITS I Type of I 2 RocfcBenefit of A JA3d'rnrstedDa aPol 4 8mek/Adiusled 6 I -or the All Other 1. Alabama .._------_--------------------- AL --'------ --------- ----------------..__---------- 2. Alaska ------- ------___----_--..._AK - -------------------- ------------ ------- ---------------------- -------------- -------"-'-------'---- -------......_....----- ------'---------- ----------. .._- 3. Arizona --------- ---- ---'-----......... AZ ------`- ----------------------- ----... 4. Arkansas----------------------------AR ---------- ------------------------- ------------- ------------------- ..----------------------- -- ----------------------------- --------------- 5. Calitomia ........ CA 6. Colorado .......................... co ----------- -- ------------------------------------- ----------------------- 7. Connocticut CT -----'--- ---- -------- ..-------- ........... ..---'------------------ -'-------. -------------_-_.-... ----------------- ------'----__._..... .-------------- 8. Delaware-----------------------------DE .............. ----------- 9. District of Cdumbia---------------------- DC .--------- ------------ ------------------------ ------------ ------------------ - ------------------------- --------------------- -_._------.....---- ---- 10. F'loricta_--_.__.....-----'------.------- FL -----fl..._. Per Regulatory Requirement ----------------- ------ ----_.. ---------- --- .----------------------- _.. ------------..224.979 ........... ... M.846 11. Georgia .------------ ------- --...------------- GA -.-.ST.__. Per Regulatory RoWirement .----. --- ...._.........__.....__. ---------......25,008 ---------------- 25,0W 12. Hawaii _---HI ._ 13. Idaho --------------------------- ---------------- -.ID ---------- --------------- -------------- -------- ---- ?°------------------------ ------_..-------_..... -_..------------------- ...... -----........ ._._--___.-------- 14. Illinois ---- _-------- ....-....._.._.JL 15. Indiana------------------------------IN ----------- '-- --__-------- ------------------ ----------- .---- ------------- ----- ------------------------ ----------------- ---------------..-.... ._. _-------------- 16. Iowa ---------------- ---------------- JA --------- -- ---------.._....`----------------------------------- -------------- ---._--------------- ------ ----------------- ._----------- -------- .._---- ------------- 17. Kansas...------_---'--_-'---------- KS ----------- ---'------`------------------- --.----------------------------------- -'-------------- ------------ --._._..._.------------ ---------------- --- -------------- 18. Kentucky-------------------------------KY ---------- - --------------------- ---- ----_-.-------------------------- ----- -----. ............. ----- ---------------------- -- -----..----------- .--- _------...----------- 19. Louisiana .._..--__..-.-_LA 20. Maine --------------------------------- ----------- ME ---- -------- -------------- -------------------------------- ._----_----------- --------'.--------- ------------------ ...---.._ .......... ......... ---°-- 21. Maryland ............ ___---- ------- _....-MD 22. Massachusetts ------- --------- .-_-------- MA Per Regulatory Requirement ---------------- --------------- -------- ------------------- ------- -......_--.-------- -_---__-_-525.150 ...----_-_-- -528.056 23. Michigan _-...-.._MI ------------------------ Mirvlesota...... _.............................. AN ----------- ---'--'-----'---------------- ------........... --------- -------------'._...-'- -------- -----..----- ------ _.----- ------------------- _-_....._------------ 25. Mississippi -....... _......-_.......... -- 26. Missouri ................ -.... --------- MO ---fl....-. Per Regulatory Requirement ---.._.__.°---- 2,567,773 ------------ 2,593,298 27. Montana .------ ---------- '-------------------- MT '----'-'_. .....-'--------------------......__... 2& Nebraska ....--------------------------- ---- NE ------ -_._. ------------ --------- ---------------- --------------- ----- ------- ....... ............. ...... _--------------._. _...---`------- -----.. 29. Nevada._____._........... .... ._----_--NV -._fl.._. Per Regulatory Requirement ....... .--------------------- - - ..249,784 . _158.575 30. New Hampshire _NH ------- ---------------------------......... ----------------------------- 31. New Jersey ---------------------------- ------ .NJ ...._-..- ____ ---- .------_.------------------------------- ----- -.-._............... - 32. New Mexico ---------------------------------- NM ----.I_- Per Regulatory Requiremel ------- ----------------------- -------------- -124,892 ...129,287 33. New York .... ......... '_----........... --NY ------- -'---------------- ----------------- ------------ .... .-.------ -------------- ------_._------------ ------------------ ------- -- ------------.__..... 34. North Carolina ....... .... .... ..... .... _NC __ST__ Per Regulatory Requirement -- - .-...---_---...___- ----------------- -------- _ ........ _----- 00.003 ---- ---- --__290,003 35. North Dakota -'-`-----`-'---"-`---ND ----'-- ---'--"------ ----------------_ _--------------- --- ----------------------- ... .---- - _--------.---------- 36. Ohio ----------- ------- ---------- ---------- ----- OH Per Regulatory Requirseent --------------- ----- ----- .- - . _316.611 37. Oklahoma.-..._........ _............. OK --@.-_. Per Regulatory Requirement .__-...... --------------- -- ---' ---._ _.--' -- -- - -- - - - --- 325.510 .... - ........ ------------ 330.233 38. Oregon ------------ -------------- ---.---OR -_.&--- Per Regulatory Requirement ..------ ------------- --------- - ._- _. ' __........ 216.603 ..- -. _-..284,4(16 39. Pennsylvania -----..------_PA . 40. Rhode Island -----------.._---._......RI ------ ------------------- --------- ._...... ......... -------- ---- . --------- ------------ ----- 41. South Carolina...__._--....__SC _------ ._............ .-.___.-- -.._._.._.___..._. ..-....__.._....-___. .__...._----------------- ..__-_-....._.._.__- 42. South Dakota ..._'.-_.-----`_ ----.SD -'- ----._-..'_--_`------------ ----------------------- ......------------ ----- -------- -------- .-------- ----------------------------- - ----_-------------------- 43. Tennessee .... _....... _......... ------TN ..-------- ... --.'------ -- - - - -- ------------------ -- --._......------------- ....... -------------- ------ '---------- ' .. -- 44. Texas _..---................ .-..--TX .--------"---'-'--------- ------ --------- -.--- -------- ----_-------'_- _..__...... ..__...'-- -------- --------- ------ ... 45. Utah ----- ------ ..._-'---UT -------- _..------- ---- - 46. Vermont ------------ -.._....... ............. VT ------ ---------------------`---------------------------------- - 47. Virginia-_-..._.._................ ------ VA -.- fl-...-- Per Regulatory Requirement ---- --------- ___._.-. ..___._.........-.-__ ........ .------------------ ...._.._._...250.000 -------- ------ 251,827 4& Washington -.-._....... ........ ___WA .............. ......... _..._....---_._- 49. West -_--__-_.------------------- __----------------------- - ---------------- -.---- ...-.-._..-------_--- ............................. .....-_.................. 50. Wisconsin ------- Wi ----- -------------------- Wyoming ---._-------- ----------------- WY $__. Per Regulatory Requirement -__-.-...... 173.828 ...._..-.._._179,704 52. American Samoa----------------AS ----'-- '----"------'--'---'-...------------------ ----------- ----...-' ------------'-- -------------------- ------- --'------------. 53. Guam__--__ --------------GU ----- -------...----------- ---------------- ------`-------------- -------- -................. --------------- ------ -------------------- ------._.------------- - 54. Puerto Rico ----- ------.---- ------ PR ---- --------------------- --------------------------- ---- --------------- - ---------- -._.._----- - --------------------- ---- ------------------- 55. U.S. Virgin Islands .---........ ....... VI .----' --'--"--------------"--- '- ---------------- -----------`---`-- ------------ --------------- -------------- -....._-- 5& Northam Mariana Islands -..--MP ----- ----------- --------- -----'---------- ------------- ..------------------ ..... ----------- --------- ------------ ------ ---.....------- 57. Canada.--------------------°----CN ----- ----------------------------------- --------------- -- 58. Aggregate Alen and OUrer.._..__OT XXX XXX 0 0 0 0 59. Subtotal 700( XXX 2.567.773 2,593,298 2,683 980 2,729,652 DETAILS OF WRTrE4NS 5801. 5802....... ---..__'----"---'----- ---- - ------ 5803. ---------------- 5898. Summary of remaining wrile-krs for Line 58 from overflow page..-- _100(... ------ ------- .------- ...-__.0 . ---0 5699. Totals (Uses 5601 MRu 5803 plus 5698 a 58 above 7o0( )0X 0 0 0 0 E27 ?? Pqq J ? ?o r yC 4m" of rH'~ COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT Harrisburg, PA April 1, 2012 Whereas, the BAR PLAN MUTUAL INSURANCE COMPANY (THE), located at St. Louis, MO, has filed in this Department a certified copy of its charter and a detailed statement of its Assets and Liabilities, and otherwise complied with the requirements of Section 661 of the Act of Assembly of the Commonwealth of Pennsylvania, entitled "An act relating to insurance; amending, revising and consolidating the Law &c.," approved the 17th day of May, A.D. 1921, as well as with the requirements of the laws of this Commonwealth applicable to such company in doing business herein. Now Therefore, I, Michael Consedine, Insurance Commissioner of the Commonwealth of Pennsylvania, do hereby certify, in accordance with Section 1, of the Act of Assembly approved June 29, 1923 and known as act No. 373 of the Laws of 1923, that Bar Plan Mutual Insurance Company (The), of St. Louis, MO, is duly authorized to become and be accepted as sole surety on all bonds, undertakings and obligations required or permitted by law or the ordinances, rules or regulations of any municipality, board, body, organization, or public officer. In Witness Whereof, I have hereunto set my hand and affixed my official seal, the day and year first above written. Insurance Commissioner