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�2,y�S1 vi r COMMONWEALTH OF PENNSYLVANIA ° *� t INSURANCE DEPARTMENT t Harrisburg, PA April 1, 2013 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 17'' 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. c...Q Insurance Commissioner / S iu DD V` Y COMMONWEALTH OF PENNSYLVANIA INSURANCE DEPARTMENT CERTIFICATE OF AUTHORITY Casualty Effective Date: April 1, 2013 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, 2014, IN ACCORDANCE WITH ITS CHARTER AND IN CONFORMITY WITH THE LAWS OF SAID COMMONWEALTH OF PENNSYLVANIA. IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY �N o pq HAND AND AFFIXED MY OFFICIAL SEAL, THE DATE AND YEAR FIRST ABOVE WRITTEN. y F 2 a v� oy�f4trHOFPEN��� MICHAEL CONSEDINE INSURANCE COMMISSIONER 11111911 IN 181111111 2 9 5 1 8 2 0 - 1 2 2 0 1 0 9 1 0 0 PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2012 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 (Curreng (Prior) , Organized under the Laws of wwoud State of Domicile or Port of Entry Missouri Country of Domicile United States of Amence Incorporated/Organized 11/21/1985 Commended Business 01/0111986 Statutory Home Office 1717 Hidden Creek Court St Louis, MO US 63131 -1826 (Street and Number) (City or Town, State, Country and Zip Code) Main Administrative Office 1717 Hidden Creek Court (Street and Number) St Lou!', MO, US 63131 -1826 314 - 9653333 (City or Town, State, Country and Zip Code) (Area Code) (Telephone Number) Mal Address 1717 Hidden Creek Court St Louis, MO, US 63131-1826 (Street and Number or P.O. Box) (City or Town. State, Country and Zip Code) Primary Location of Books and Records 1717 Hidden Crack Court (Street and Number) �. St Louis, MO, US 63131 -1826 314 - 9653333 (City of Town, State, Country and Zip Code) (Area Code) (Telephone Number) Internet Website Address wv Jhebarplan.com Statutory Statement Contact Gregory Howard t0aus - 314 - 9653333 -159 (Name) (Area Code) (Telephone Number) . ghklaus�tilebarplan.dnm 314 - 9658122 (E-mail Address) (FAX Number) OFFICERS President & CEO Karen Renee McCarthy Treasure Kent Owen Hyde Secretary Ann Patricia Hagan OTHER Gregory Howard Klaus Chief Financial Officer Kmbenv Mane Edgar Vice President Teresa Marie Niedenvimmer # Vice President Patrick Michael O'Leary Vice President Cynthia Louise Putvimnti Vice President Gayle Elaine Tegtmeier Vice President DIRECTORS OR TRUSTEES Jerome Edward Brant Michael JasePh Delaney John Ritter Gunn Ann Patricia Hagan Kent Owen Hyde Walter Russel Lamkin Karen Renee McCarthy David Robert Monday # Richard Gary Steele State of Missouri . County of St Louts SS The officers of this reporting entity being duly swam. each depose and say that they are the described officers of said reporting entity, and Viet on the reporting period stated above, all of the herein describd assets were the absolute property of the said repotting aft free and dear from any liens or claims thereat, except as herein stated, and tint this statement together with related adubtts, schedules and explanations theerem oatlained. annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affats of the said reporting entity as of tits repatng period stated above, and of Its Income and deduclians therefrom for th period ended and have been completed In accord'"" with the NAIC Annual Statement instructions and Accounting Practices and Procedures manual except to the extent that (1) state law may differ, dnr, (2) that state rules or regulations require di fenances in reporting not related to acoatudi g practices and procedures. aapndng to Una best of their irdomation, knowledge and belie( respectively. Furthermore, the scope of this addstatiOm by the described of icets also tkdudes the related corresponding electronic filing vd h the ne tired, that is an exact copy (except fa formatting differences due to electronic filing) of the enclosed statement The electronic ¢ling may be reWested by . s regulators N li of or in addition Z t0thedosed statement. Karen R McCarthy Ann P. Kant O. Hyde Presided &CEO secretary Trees EL Is this an original Yes V 1 No[ 1 Subscribed and awrn to before meads b. If Qh�X of 1. St �O Sfata the ame number—.-- 2. Date fined i Number of pagesattadled___._ =Pubt1c, Notary Seal issouri County 12381745 res May 04; 2016 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company ASSETS Current Year Prior Year 1 2 3 4 Net Admitted Assets Net Admitted Assets Nonadmitted Assets Cols. 1 - 2 Assets 1. Bonds (Schedule D)..........._ ...................... ...._........_..__. ....._.........._._............ 28,128,553 .....- _-- ._._- _-- -_ - - -_ . .................28,128,553 ..................30,968,807 2. Stocks (Schedule D): 2.1 Preferred stocks_ ........................... .......................... _ ................. ................. _----._---.._._..._._...--- ---- -- -- ------ --- --- - ..._.____.__............. 0 ........... - __-- ---- . - --_0 2.2 Common stocks ................................ ............................... ......................9,890,909 ...................9.890,909 ....................9.194.887 3. Mortgage loans on real estate (Schedule B): 3.1 First liens ................................................................._............................................ ............................... ...... ............................... .... ..............................0 ............................... 0 3.2 Other than first liens..._._.._........_._...._____ ..... ..______._____ ............................ ........... _......... . . ..................... ......................... ._......0 ......____.___._...._....0 4. Real estate (Schedule A): 4.1 Properties occupied by the company (less $ ...... ..............................0 encumbrances) ......................1,731,825 .................:.1,731,825 ....................1,826,604 4.2 Properties held for the production of income (less $ ........... 0 encumbrances) .. ........... _......... ................ ... ....__..........__............. ._.. .._............................ ._ ............ .:................ .0 ............................... _0 4.3 Properties held for sale (less $ _ .............._..........____0 encumbrances) ............ ............................ ...................................... ............... .... ............................... _... ..........- --- ....... ......... ................................... 0 ........................ ........... 0 5. Cash ($ 1,015,460 , Schedule E - Part 1), cash equivalents ($ ....... ............................... . Schedule E - Part 2) and short-term investments ($ ............... 3.430,635 . Schedule DA) ............................ ....................4, 446, 095 _............._ ................... ...................4,446,095 .................... 6,728.214 6. Contract loans (including $ - ._._.__- _._.._.__........... premium notes) ..................... .... ........ ._......___ __.__........ ...___.......0 ._.._.._..... ___ .......... 0 7. Derivatives ( Schedule DB) ........................................................................................ ............................... ...... ............................... .... ............................... 0 .... ............................... 8. Other invested assets (Schedule BA) ...._.._ ........... ................................. _..._...... .............._......_......... ...... .._...._.........._.....__...0 _._._...................._....0 9. Receivable for securities ......................................... ............... .............................. .......................... __...... ...... ............................... ..... ..............................0 ..... ..............................0 10. Securities lending reinvested collateral assets (Schedule DL)......._.......-...... . -. -------------- _......._._...... ................................... 0 . ...__... ........................ 0 11. Aggregate write-ins for invested assets .................................................................. ..............................0 ..... ..............................0 ..... ..............................0 ..... .....................----.....0 12. Subtotals, cash and invested assets (Lines 1 to 11) ......................................... ..... .............44,197,382 ..... ..............................0 ..................44,197,382 ..................48,718,512 13. Title plants less $ .................. .................... charged off (for Title insurers only) -------------------- --- -....-'---- -- -.._._ ---------- - - -- - -- -- -- --- ._......__._0 ........................ 0 14. Investment income due and accrued .................................. ............................... ......................._525,935 -------------- - - ---- -..263,723 .......................262,212 ........................327.698 15. Premiums and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection ....................3,219,296 . .........................65,698 ....................3,153,598 ....................3,262,315 15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ ....... ............................... earnedbut unbilled premiums)......_ ............. _..---..._._... ........................ ... .. ......_............. ........... ..................................... ................................... ................................... 0 15.3 Accrued retrospective premiums ........................................... ................._..... ......._........._..........._. ......... ............. ............ _. ............................... 0 ............................. 0 16. Reinsurance: 16.1 Amounts recoverable from reinsurers ..............._..-.......... ...... .._...... - --- --- --.......--- ._..__ 405, 883 _..._.._.. ........ ................ ._....405,863 ..................... ...197,898 16.2 Funds held by or deposlted with reinsured companies .................................. ............................... ...... ............................... ................................... ..... .----.........................0 16.3 Other amounts receivable under reinsurance contracts __.. ----------------- .__._.._...---------------------- ..................................... .................................. 0 ............ .......__.._._....0 17. Amounts receivable relating to uninsured plans ...................................................... ............................... ...... ............................... ..... ..............................0 ..... -----.....--.--...............0 18.1 Current federal and foreign income tax recoverable and interest thereon _ ... . ..........__.__- _.19,157 .......... ____ .................. ......._................19,157 ............ .......... ..._.._..0 18.2 Net deferred tax asset ........... ........................................ ............................... _ -- - ' - ----....2,969,904 ------ --- - - - -- ---2,034,009 ........................ 935,895 ................. .... ..851.992 19. Guaranty funds receivable or on deposit.. ..........._.............2,100 --------- _.....___2,100 ......_ ------------------ 2,100 20. Electronic data processing equipment and software ........................................ .........................50, 755 .......... .................1,825 . .........................48.930 ............... ...........69,557 21. Fumiture and equipment including health care delivery assets ($ ...................................... ) ........._....- ........ .. ... .......... _. .... ..................... ......................... .46.760 .........................46.760 ----------------------------------- 0 .... --- ---........................0 22. Net adjustment in assets and liabilities due to foreign exchange rates ........... ............... :.__.._............ ..................................... ........... ___ .___......._0 __.___.... 0 23. Receivables from parent, subsidiaries and affiliates ......................................... .._.._._........ ....195,569 ...... ............................... ........ ................ 195,569 . .........................18.608 24. Health care ($ ........................ ) and other amounts receivable ....... ........... .._ - ----- _ ........... ..................................... .................. _......._....._0 ._........ .......... _------------ 0 25. Aggregatewdte -ins for other than invested assets,__ ................ .....-.-.............492,371 - - - - -- -----.._......236,925 ........... ............ 255,446 ..........--..........331,929 26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts ( Unes12to25 ) ----------------------------------------------------- ------ ---- ...................2,648,940 ._.........-__.49,476,172 .. - - - -- ---....53,780,609 27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts----------------------------------------------- ................. ........_.......---------------------------- ------------------------------------- ............ __._- ..... --- ...... . .._ .............. ----------- ........................ 0 28. Total Lines 26 and 2 52,125,112 2,648,940 49,476,172 1 53,780,609 DETAILS OF WRITE-INS 1101. .._ ................................_..._.................................-.----..--"---- ..........._.._................ ................................... 0 ----------------------------------- 0 1102 . ................ _.. __._........ __...._._ _........._.._......-_.................. .._............._....._........ . 1103 . ......................... . .................................................................................................... ...................................... -------------------------------------- ............. .............-------- - 1198. Summary of remaining write -ins for Line 11 from overflow page....-.-..-.... -. -.. ............................._0 ._._................. ............ 0 _. ..............._............._0 ................................... 0 1199. Totals Lines 1101 thru 1103 plus 1198 Line 11 above 0 0 0 0 2501. Deductible Receivable _ ................ ..........._..._._............. - - - _........ -- ........._..............337,945 .---- ---- ---- -- -..212.329 . ......................125.616 -- --------- - - ---- ----...61.535 2502. Due and Accrued Service Charge Fees ..__........- .............-.................. ...__....................._.... -.108,552 ___ A08,552 .96,291 2503. Due from Employees ............................. ................... ............................... ' ..12,508 ........... _ ............. 12,508 ................... .............._0 ...... ..........................0 2598. Summary of remainingwdte -ins for Une25 from overflow page -------------------- -------------------------- 3,366 ..................--- .12.088 ...........-........_..21,278 ..... - ---- ...-.--..174,103 2599. Totals 'nes 2501 thru 2503 plus 2598 Line 25 above 492,371 236,925 255,446 331,929 2 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company LIABILITIES, SURPLUS AND OTHER FUNDS 1 2 Current Year Prior Year 1. Losses (Part 2A, Line 35, Column 8) ... ............................. --------------- .................................. .............................................. ............................ 296,151 ...................14,873,082 2. Reinsurance payable on paid losses and loss adjustment expenses (Schedule F, Part 1, Column 6) ......................................... ............................... 0 .... ....... ....................... 0 3. Loss adjustment expenses (Part 2A, Line 35, Column 9) .............................................................................. ............................... ..................... .................... 8,898,952 4. Commissions payable, contingent commissions and other similar charges ............... ............ .._..._.._., ._ .. ................... 87,634 _._____...._... 100,688 5. Other expenses (excluding taxes, licenses and fees) .......................................... ............................... ................... ........................562,214 .......................151,550 6. Taxes, licenses and fees (excluding federal and foreign income taxes) - ._ .................._............_.............._..__.. ............_............._...--- ...--27,182 ............_._........26,907 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 1A, Line 38, Column 5) (after deducting unearned premiums for ceded reinsurance of $ .....................2,955,980 and including warranty reserves of $ ....... ............................... and accrued accident and health experience rating refunds including $ --- __.____. ...._..._. for medical loss ratio rebate per the Public Health ServiceAct) ....................................................................... ............................... ........................................... ............................... .........................5, ....................5,143,681 10. Advance premium _ ............................................... ... ................. - - - ..... - - .591,754 ....................... B08,142 11. Dividends declared and unpaid: 11.1 Stockholders _...._..._._---.:._..._.. .......... .._ ................................................. _. ............. _._ ............................ ------ _ --- _- _. .......... ... 11.2 Policyholders ...................................................................................................................................................................................... ............................... 12. Ceded reinsurance premiums payable (net of ceding commissions) ........................... ........... ........ ._........_......._.__. .................. ......._...___._.560,665 ..................._...637,214 13. Funds held by company under reinsurance treaties (Schedule F, Part 3, Column 19) .....................................................................: ..............................0 ..... ..............................0 14. Amountswhhheldorretainedby company for account ofothers .. ..._..._.___.._408,570 _....._ .............316,187 15. Remittances and hems not allocated .................................................................................................................. ............................... .........................43,284 ........................181,915 16. Provision for reinsurance (including $ 0 certified) (Schedule F, Part 8) .................... ..___...__._....._61,200 ............................... 800 17. Net adjustments in assets and liabilities due to foreign exchange rates .............................................................................................. ............................... ...... ............................... 18. Drafts outstanding _..-....---------- _.. ......... ........................._....--.--.......----..........................-`----------- _.._....-------------`-------__......._........ ...._.............._........... -------- -----------.....__------ 19. Payable to parent, subsidiaries and affiliates ................................................................................................ ............................... ............................... .........................19,211 20. Derivatives_...._- -- ... .......... .....-----------....------------------......._. ._..........- ---- .__......_.... .._...- --- --- -- . ............... .................... ................. 21. Payable for securities ..................... ............................. .. .............................................. ........................................................................ ............................ ........ ........................303,696 22. Payable for securities lending .............................................. .................... ......._................ ._. .... ................. ....................................... .... .. ............................... ...... ....._............. .......... 23. Liability for amounts held under uninsured plans .................................................................... ............................ . .. ...... ............................... ...... ............................... 24. Capital notes $ . ..................................... and interest thereon $ .._. ..__ ........................... .......... _ ....................................... ... .. ............ ................... ------------------------------------- 25. Aggregate write -ins for liabilities .................._._......_..................................................................... ........._.........._....._.... 210,016 107,255 26. Total liabilities excluding protected cell liabilities (Lines 1 through 25) ..................... ............................... ... ......._.................._.... .....................33,869,515 ........__...._31,384,640 27. Protected cell liabilities ................................................................................ __............... _-----------------...._._---------- 28. Total liabilities (Lines 26 and 27) ....................................................................................................................................... .------ - - - - -- -....................33,869,515 ............ 31,384,640 29. Aggregate write-ins for special surplus funds ............................................................................................................. ... ....-......- ................... ......._287,900 ....................... A33,976 30. Common capital stock ............................... ................................................................................................................... .._............... ....._..-- -- --- -- -............. .......... .-------------------------- 31. Preferred capital stock ......................... ....................................... _-_ --------- .... .----------------------- ......_. ..................................... 32. Aggregate writeins for other than special surplus funds .......................................................................................... _.__............ ..........._..__...._._.._..._0 ................................... 0 33. Surplus notes.... ° -- .. ..... .............-----------...---------------. ......__..__ .................................................... - ----- - - - --- --....5,009,284 .................... 5,011,139 34. Gross paid in and contributed surplus .---------------...._...._._...._..._ ..........................................---------------........_...................... ....................__....----- ..................................... 35. unassigned funds ( surplus) ........................................... --- - -- - --- --- ------ ------- ------------- --------------------------------------------------- ------ - - - --- ---.10.309.473 .................. 16,950,854 36. Less treasury stock, at cost: 36.1 .. shares common (value included in Line 30 $ ...................................... )..... __....__-- ...- .-.........-. .-.-.-.- -.--..-....._....... 36.2 . ----------------- .................... shares preferred (value included in Line 31 $ ....................................... ---------------------------- -- ._.. ..... .......................... 37. Surplus as regards policyholders (Lines 29 to 35, less 36) (Page 4, Line 39) -- ....... .........................._... ...._..._........._...._....... 15,606,657 22,395,969 38. TOTALS (Page 2, Line 28 Col. 3 49,476,172 53,780,609 DETAILS OF WRITE -INS 2501. Profit Commission Payable _ ..................._.._--......------._.....---------.....--.--.--......_..............- ........................- - --- -- _ . _ 193,701 ----- -------- - ----- -..75,979 2502. Unclaimed Funds ..._.... .. ..... ---- ----------------------------------------------------- _ .......................................................................... .- ............... .................- ---16,315 .......................... 31,276 2503 . ................................................................................................................................................................................................... ............................... 2598. Summary of remaining write -ins for Line 25 from overflow page ............ .... ------------------------------------------------------------ --_.._..._.......... ....... .... ........................ 0 ................................... 0 2599. Totals Lines 2501 thru 2503 plus 2598 Line 25 above 210,016 1 107,255 2901. SSAP 10R Election Adjustment ... --------------------------------------------- -- -- ------- _----- -...._ - - -- ......... ........................_......... ....................._..._..._. - ----------- - - ---- --_.131,676 2902. Policyholder Contributions ............ --........... ._..........._................. ............_...........287,900 .... 2903. ............................ - ....................................... -- -- --.....--"..__--- --_ ..--------------------- - ---- -- ........ -------------------....._----- 2998. Summary of remaining write -ins for Line 29 from overflow page ............... .. ................................................................................... ... ................................ ............... 0 2999. Totals Lines 2901 thru 2903 plus 2998 Line 29 above 287,900 433,976 3201. .............................................................._........--.....---'--`--_._._..._...... ..............................: -------------- ................................................... . _.---......._'-----.. 0 ..... ............................... . . .......... 3202- ----------------------------------------------------------- ..___---- _--------- . --- -------------------------------------------------------------------------- 3203. ..................... 3298. Summary of remaining write -ins for Line 32 from overflow page ---------------------------------------------------------- .._..___.------- ---------------------- . . ..... .-------------------------- 0 .................. .---------------- 0 3299. Totals Lines 3201 thm 3203 plus 3298 Line 32 above 0 1 0 3 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company STATEMENT OF INCOME 1 2 Current Year Prior Year UNDERWRITING INCOME 1. Premiums earned (Part 1, Line 35. Column 4) ................................. .......................................................... ...... ....................... ........ ................. ....10,454,535 ..................10.228,150 DEDUCTIONS: 2. Losses Incurred (Part 2, Line 35, Column 7) .................. ............................................................. ...................................................... .................... 6.428,005 ........... .........1,582,199 3. Loss adjustment expenses incurred (Part 3, Line 25, Column 1) ___ .................................... .__ ........... ....7,975,671 ._._.__._..- ...6,461,977 4. Other underwriting expenses incurred (Part 3, Line 25, Column 2) ..........................................................................._....... ............................... 4,562,418 ....................4,228,930 5. Aggregate write -ins for underwriting deductions__.- __..- .- _-- ._.__...._.. ______ ............ 0 .............. .0 6. Total underwriting deductions (Lines 2 through 5) ............................................................................................. ............................... 18,966,094 12,273,106 7. Net income of protected cells .......................................... ................................................... ..-------------------- 8. Net underwriting gain or (loss) (Line 1 minus Line 6 plus Line 7) .... ............................... ....................(8,511,559) ........-- ........ (2,044,956) INVESTMENT INCOME 9. Net investment income earned (Exhibit of Net Investment Income, Line 17) ................................................. ... ... ..... ......... ........... 785,089 ................... .....991,173 10. Net realized capital gains or (losses) less capital gains tax of $ ....... ............................... (Exhibit of Capital Gains(Losses)) . ...._. .- .._ ......... .. ......... . . .__ .................. ......._............... ..............._............_.- __ ____ 88,104 1.541,780 11. Net investment gain (loss) (Lines 9 + 10 ) ................... ....873,193 . ...... .................. .......... .................... ............ 2,532,953 OTHER INCOME 12. Net gain (loss) from agents' or premium balances charged off (amount recovered $ amount charged off$ .............-- __ -.._._ ) .............................................. _. ..... .._....___-- ............ .__.------------------- 13. Finance and service charges not included in premiums .................................................................................. ............................... ........................253.054 ........................222,375 14. Aggregate write -ins for miscellaneous income _...... ........... ..........______...__-._.-....................................... 28,966 23,224 15. Total other income (Lines 12 through 14) .. - -.... 282,020 245,599 16. Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Lines 8 + 11 + 15) _...- _(7,356,346) ......-- ._ ............. 733,596 17. Dividends to policyholders ................................................................................................................................ ... ..........._................ 18. Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Line 16 minus Line 17) ......................... ................... ............ ........ ..................... ...... ............................ ............................... ...................(7,356,346) . 733,596 19. Federal and foreign income taxes incurred -...--_....._ .................... .. ............................................................................ __........_ _... 15,360 20. Net income (Line 18 minus Line 19)(to Line 22) .............................................................. .......................... . .... (7,356,346) 718,236 CAPITAL AND SURPLUS ACCOUNT 21. Surplus as regards policyholders, December 31 prior year (Page 4, Line 39, Column 2) ........... ..._............................ .--------------- ............ .. -- _22,395,969 .................. 22,248,721 22. Net income (from Line 20) .......................................................................................................................................................... ............................(7, 356, 346) ........................718,236 23. Net transfers (to) from Protected Cell accounts ..._._..._..._._____ . - 24. Change in net unrealized capital gains or (losses) less capital gains tax of $ ................... .. ...104,210 ................................. ....................... 202,288 ......... .............(258,960) 25. Change in net unrealized foreign exchange capital gain (loss) _ .............._._.._.___..__..-.--.--._....-..-..-..-.-..--.- 26. Change in net deferred income tax .................................................................... ............'---.--_....................... ............................_.. ......._............._(529,740) ......................... 22,253 27. Change in nonadmitted assets (Exhibit of Nonadmitted Assets, Line 28, Col. 3).-.....__--_--_._-.-....................... ................... ......._._....__........785,871 ..._.__....- ...._(313.081) 28. Change in provision for reinsurance (Page 3, Line 16, Column 2 minus Column 1) ................. _ ....................................... ........... ........................ (60,400) -- ..-- ..-- .................. ..(800) 29. Change in surplus notes ................. ............... ................ .__._..-.--....__._..................... -----._ ................................ . 30. Surplus (contributed to) withdrawn from protected cells ......................---.... ._....................- __...... .... ...........- .- .- .._._...- -. -. -. 31. Cumulative effect of changes in accounting principles ............................................................. ............................... ......................... ........................ 131,677 ...... ............................... 32. Capital changes: 32.1 Paid in ..................'----........---.....................................................---..................................................................................................... ............................... ..........."................... 32.2 Transferred from surplus (Stock Dividend) ........ .. ..... - -----------`----`----- ......... ....... .__-.-.._------------------------- __-------------------------- ..................................... ..................................... 32.3 Transferred to surplus ....................................................................................................................................................................... ............................... ...... ............................... 33. Surplus adjustments: 33.1 Paid in .... ...... . ..... .......................................................................................................................................................... ........... .................... .(14,400) ........................ (20,400) 33.2 Transferred to capital (Stock Dividend) ................................................................................................................................................................. ... . . . . .. ................ 33.3 Transferred from capital ------------------------- : ................................................... I -------------------------------------------------------------------------------- .-...- .- ..- .-- ..- ..------ ..- ..- - - - - -. ------------------------------------- 34. Net remittances from or (to) Home Office ................................................................................................................................................ ......................... . . . . .. ...... ............................... 35. Dividends to stockholders ----------------------- .......__......._._._..-._._..._.._............._..._....._.___...._.......................__..._....._..._....-_......... ...................._.......... ... ......... ........................ 36. Change in treasury stock (Page 3, Lines 36.1 and 36.2, Column 2 minus Column 1) ....................................................................... ....................... .......0 ..... ..............................0 37. Aggregate write-ins for gains and losses in surplus--.-.---...-.._....-...'-.-.----.-----------._..----- .---- ---.- -.--- ---..- ......_- -_ 51,738 0 38. Change in surplus as regards policyholders for the year (Lines 22 through 37) ............................................. ............................... (6,789,312) 147,248 39. Surplus as regards policyholders, December 31 cunent year (Line 21 plus Line 38) (Page 3. Line 37) 15,606,657 22,395,969 DETAILS OF WRITE-INS 0501. - .----------- -'----------------- 0 0502. ........................................................................................................ ............................... 0503. --------------------------- _....._._ _.- -. -_.. __ _.._ _.. - -. -. _. -.. -.. _...-.-._....--......_._ ................ _....._..__...._..........._... 0598. Summary of remaining write -ins for Line 5 from overflow page .----.-...------.-----.---- ......... ..... ._.------- ..- ..._--- .. - -.- ................. .__.- ........... 0 ............................ 0 0599. Totals (Lines 0501 thru 0503 plus 0598)(Line 5 above) 0 0 1401. ..._..._. .................... _..-..-. .......... .-.._..-...-.--__.----_._"....-._ ........................... .._._.._.................................... ._...._..._................... ----------...„, .... ............... 1402. Miscellaneous .... ..................... . .. ......................... 28,966 ......................... 23,224 1403. 1498. Summary of remaining write -Ins for Line 14 from overflow page ......................................................................................................... ..............................0 ..... ..............................0 1499. Totals (Lines 1401 thru 1403 plus 1498)(Line 14 above ) 26,966 23,224 3701. Adjustment for SSAP101 ......... ................. ........................._. ' ............................................................... ............................... ......................(131,677) ..... ..............................0 3702. Prior Year Tax Period Adjustment ---.._._ ............... ..._..- .--------------------------------------------------------------------- --------------------------------------- ----------------------- 183,415 .. ..:-- ---- -- -.--..--.-.-.---..-0 3703. ............................................................................ ...... _........................ 3798. Summary of remaining write -ins for Line 37 from overflow page -.--.--------.---.---.-------.----..-----.-.--....-....------.-.-....--- ........ ............_..._.._..........0 ....-..-- ......._............_0 3799. Totals (Lines 3701 thru 3703 plus 3798)(Line 37 above ) 51,738 0 4 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company CASH FLOW 1 2 Current Year Prior Year Cash from Operations 1. Premiums collected net of reinsurance . ............ ............................................................................................. .. . ................................. ........ ..........10,659.130 ....................9.948,091 2. Net investment income .......... ...._- ..1,207,368 - - ............_ .................. ...._....._........_........_.. .................... 1,213,629 3. Miscellaneous income ................................................................................................................... ............................... ........................ 282,020 245,599 4. Total (Lines 1 through 3) ............_..._...._.._..._..... ....__...._._ .................. 12,148,518 11,407,319 5. Benefit and loss related payments.._._........._...._......_ .................._................................. ......_ ...................... ............._......... -.......... .................... 6,212,921 3,757,120 6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts ................................................................ ..............................0 ..... ..............................0 7. Commissions, expenses paid and aggregate write -ins for deductions ..___.....---------- ................................ ._-- _..._............_. ..................._.10,341,542 ..................10,632,749 8. Dividends paid to policyholders ............................................................................................................................................................... ..............................0 ..... ..............................0 9. Federal and foreign income taxes paid (recovered) net of $ ................_.._..____..... tax on capital gains Qosses) .............. (17,220) (324,299) 10. Total (Lines 5 through 9) ................ ...._.._ ........... ............_........................................................__............_... .............._.............__. 16,537,243 14,065,570 . 11. Net cash from operations (Line 4 minus Line 10) ............................................................................................... ............................... (4,388,725) (2,658,251) Cash from Investments 12. Proceeds from investments sold, matured or repaid: 12.1 Bonds.................................. .......... ......... .......... ...................................... ........._....... ....... .....--......... ...- _..................._...... 8.443,153 ........_........13,675,671 12.2 Stocks ... ............................... ................................. ............................... ......... ............................... ...... ................................ ................. .......755,794 .-----..............5,902.601 12.3 Mortgage loans.._. - .._0 ------------------------ 0 12.4 Real estate ......................................................................................................................................................................................... ..............................0 ..... ..............................0 12.5 Other invested assets .......... ............................._0 12.6 Net gains or Qosses) on cash, cash equivalents and short-term investments ............................................ ..............................0 ..... ..............................0 12.7 Miscellaneous proceeds ..................................................... ------ .................................................. ............................................ 0 303,696 12.8 Total investment proceeds (Lines 12.1 to 12.7) __......._.._._.._...._ ....... ................._......- __..__ 9,198,947 19,881,969 13. Cost of investments acquired (long -term only): 13.1 Bonds.......... _ . .. .. .. .........6,003,241 ._............_.10,009,167 13.2 Stocks .................... ............................... .................... ....................... ............................... ..... ............................... ........................881,073 ....................5,810,892 13.3 Mortgage loans ............................................._.........................._..........-----...............----...._..........._..........----_...------------....... ........................_...._0 ----------------------------------- 0 13.4 Real estate --_._.........--°--- ---------- -------------------------------------------------------------- _------------------ ---- ---------.........._---- - -- ----------------------- ---------- -- ---------- ----..48,825 13.5 Other invested assets ....................................................................................................................................................................... ..............................0 ..... ..............................0 13.6 Miscellaneous applications.............. ........................................... _ ......... ....._..--.-.-.-. - ----- --------------------------------- 303,696 0 13.7 Total investments acquired (Lines 13.1 to 13. 6) .............................................................................._...... ......._......._............... 7,186,010 15,868,883 14. Net increase (decrease) in contract loans and premium notes .................................... ............................... 0 0 15. Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14) ........... ......... ---------------------- -------------- - - - - -- 2,010,936 4,013,085 Cash from Financing and Miscellaneous Sources 16. Cash provided (applied): 16.1 Surplus notes, capital notes ................................ ......................................................................... ....._.._................................ . - -- ----------------------------------- 0 ..... ..............................0 16.2 Capital and paid in surplus, less treasury stock ..................................................................................... --- ............................ ..... ---- --- -- ---- - -...0 -------.......-----------...0 16.3 Borrowed funds .............._.-...._...._.............................._..._...... ........... .. ------ ------- -._... ..............._......_....... ...........----- ---- --- -- - --- -0 ----------------------------------- 0 16.4 Net deposits on deposit-type contracts and other insurance liabilities... ........... .._ ----------------------- ------------------------------------------ ----- ------------------------------Q ------------------------------- :--- 0 16.5 Dividends to stockholders ............................................................... ............................................................................................ ... - .............................. 0 ..... ..............................0 16.6 Other cash provided (applied) .._............______.__ ........................._..._......._...._.._.. ..._--------------------- - - - - -- 95,669 (20,886) 17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6) 95,669 (20,886) RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT -TERM INVESTMENTS 18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) - ......... ............................... (2,282,120) 1,333,948 19. Cash, cash equivalents and short-term investments: 19. 1 Beginning of year ............................................................................ .............- ....-- ....... --'- -` -..... .................... 6,728,214 .................... 5,394,266 19.2 End of period Line 18 plus Line 19.1 4,446,095 6,728,214 Note: Supplemental disclosures of cash flow information for non•cash transactions: 5 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 1 - PREMIUMS EARNED 1 2 3 4 Unearned Premiums Unearned Premiums Net Premiums Dec. 31 Prior Year - Dec. 31 Current Premiums Earned Written per per Col. 3, Year- per Col. 5 During Year Line of Business Column 6, Part 1B Last Year's Part 1 Part 1A Cols. 1 + 2 - 3 1. Fire......._._.......___......__..._......._ ..............._.__.._........__._......_......... _....___..._.._........__.....0 ....._._........_.-..___..0 ................ -0 ......._.._...- -- __......._0 2. Allied lines .............. ........................................................................................... ............................._0 ..... ..............................0 ..... ..............................0 ..._0 3. Farmovmers multiple peril ................................................................................. ..............................0 ..... ..............................0 .. 0 ..... .---'--.......................0 . ............................... 4. Homeowners multiple peril __...._._............ ............. .__.---------- -- ......._......... - __._...0 _...._....._._.._........_ -0 -- -......._.0 . ...._.-- __ ....................0 5. commercial multiple peril ................................................................................. ..............................0 .... ..............................0 ...0 ...........0 6. Mortgage guaranty ............................................................................................. ..............................0 .... ............................._0 ..... ..............................0 ..... ..............................0 8. Ocean marine _ ........... ..._..... __..........._...........__.... ....__........_.._......._._0 .. .......- __ ............ ......_.0 0 ...._- ._......._....._....._.0 9. Inland marine ........................:..............................--- ......---....._......__._...... ._0 . ........._....._._......_.....0 ... .....- ..............._........0 10. Financial guaranty ............................................................................................. ..............................0 .... ..............................0 ..... ..............................0 ................0 ................... 11.1 Medical professional liability - occurrence ......._.. ......_.----------- ___.........- - ._......A - __- ...........0 ...__0 11.2 Medical professional liability - claims-made ........................... .............._........ --- ...........................0 ........._........- __.........0 ...._..........__........_._..0 . ......_- ......_............._.0 12. Earthquake ............. ............. ..................................................... ...... ............... ........ ....... ........ --.... ..... 0 ..... ..............................0 ....._0 ..... ..............................0 13. Group accident and health ............... -_0 _..._._.........__......._...0 - _..0 ._..._.._...._....._......_..0 14. Credit accident and health (group and Individual) ...................... ..........._...... ..............................0 ......... 0 . ._.__......................_..0 ..._.._.._- ..._......._... -..0 ......................... 15. Other accident and health ................................................................................. ..............................0 ..... ..............................0 ..... ..............................0 ..... ..............................0 16. Workers' compensation....._..._..._....._....._ ----- ----------- - ............ ---..._0 ..._.._...........- --_..._._0 ...----- ................._...A --- -- ---- _._....._....._0 17.1 Other liability - occurrence . ..................................................................... ... ...... .. .......... ..................0 ..............0 .... .............---......._......0 .... ............_.................0 ..................... 17.2 Otherliability - claims- made ........................................... ............................. .................. 10,498,148 ....................5,066.736 .5,240,577 ................... 10.324,307 17.3 Excess workers' compensation ...._.......... ..._ ........................... _..._......0 ._....._...__....__._._._0 ...._._..................._._.0 ... ..........0 18.1 Products liability - occurrence .............................................................. --... ..............._...-- -- -......0 . ......_...._....-- -........_..0 ....._......_......--- -- --.._0 ... ......................._.._...0 18.2 Products liability - claims- made ....................................................................... ..............................0 .... ..............................0 .... ..............................0 ..... ..............................0 19.1,192 Private passenger auto liability ----................ .-------------------------------- ._.. .....--- ------------- ...---...0 _ ...... _ .--- - ..._...-- -..._ ...... --- -...-A 0 19.3, 19.4 Commercial auto liability ............................................................. ..-- ...... .... .... ..... _... ........ ...- - ....... .....0 . ..._._............_.'- -......'U .- --.................._._.......0 21. Auto physical damage ....................................................................................... ..............................0 .... ............................._0 ..... ..............................0 .... ............................._0 22. Aircraft (all perils) ----------------------------- -------------------------- ..............._....... _...._._...- ..........._......0 ... ._.......- ........- _..........0 ... ....._......................._0 .. ...._........._........_......0 23. Fidelity ................................................................................................................ ..............................0 ..... ..............................0 0 ..... ..............................0 24. Surety ................................ ....._........... _...- ....._........... --........._- ......._........._ ............. 135.937 ._._............. .76.945 ........................92.654 ........................130,228 26. Burglary and theft .... .......... .-------- --- ------- -- ----- ---- .....-- -- ' - 0 ----0 -- . _ ...... _ -- __.......-- -. 27. Boiler and machinery .......................... .............................................. ........... ... .. ....... ............ ...... ..._0 _--............_.._- ......._0 - -....0 ... .....-- -.............._.......0 28. Credit .......................................----------........_..........._....... .--- ......................_...0 ... .................--- _.........0 -- --.........- ---.............0 - --......---- ................._0 29. International ....._ ---..._...---- ---------- ----- --------- ----__.- -------.-_..- ._......-- .. ---- -0 ...0 ..0 .__._--- --- --......._.. 30. Warranty ................... - .....-.--....... ................................ ..........--........... ..............._..............0 .. ........- ..........._._......_0 ._.. ........_.......... ..0 _._..-- ......_._...._......0 31. Reinsurance - nonproportional assumed property .............................. ..... ................................... 0 .........._`..._...-"'..._._ 0.. ...._---- ...'._..............'0 _.. ............................._0 32. Reinsurance - nonproportional assumed liability ---------- ............._.... ........ ............. ... ............. ..... 0 ..__- ..,........... _...........0 _._......__..........._......0 .....___0 33. Reinsurance - nonproportional assumed financial lines ........................... .... .. ......._....................0 _... ....................---.......0 ..... .............---'-............0 .. ....._'---'--.........._....._0 34. Aggregate write-Ins for other lines of business .... -..... 0 0 0 0 35. TOTALS 10,634,085 5,143,681 5,323,231 10,454,535 DETAILS OF WRITE -INS 3401. ....._._ ................................:.._..._.............__.........._............_--....................... ............................... ._........._..._............._ 0 .... ..................._..........0 ....... . ............................. 3402 -----.......----- ------------------------------------------------------------------------------------------------ - 3403 ............................................................................................................................. ............................... . 3498. Summary of remaining write-ins for Line 34 from overflow page ............. ............................._. ........0 ..... ..............................0 0 0 ........................... ....... 3499. Totals Lines 3401 thru 3403 plus 3498 ine 34 above 0 0 0 0 6 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART to - RECAPITULATION OF ALL PREMIUMS 1 2 3 4 5 Reserve for Rate Amount Unearned Amount Unearned Credits and (Running One Year (Running More Than Retrospective Total Reserve for or Less from Date One Year from Eamed But Unbilled Adjustments Based Uneamed Premiums Line of Business of Policy) a Date of Policy) a Premium on Experience Cols. 1 + 2 + 3 + 4 1. Fire. ---....__._.... ... _ ...............___ _..--- - ........ .................. ............ ..................................... ... ..............................0 2. Allied lines.......... ..... ............................... ..... ..............................0 3. Farnimners multiple peril ..........._...___....__..... ..... .............._................ ..................................... ._..._...._....--.___..._... .... ...- --------- ..._------ .......- .............................. 4. Homeowners multiple peril ........................................ ............................... ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 5. Commercial multiple peril _..._..._ ....................._. ............................... ........- ---- - - - - -- _ ............. . ......_...._.........--- --..... ._._..._......__............... ................_....... - --._0 6. Mortgage guaranty ..................................................... ............................... ...... ............................... ...... ............................... ...... ............................... ................................... 0 8. Ocean marine............_....... ._ .............._.........._ __ ............... ..._.........._._...._...__._. ..._.__..___..........__... ------------- ------------_---- _._._. .......................... 0 9. Inland marine .......................... ............................... ..... ............................... -.... ............................... ...... ............................... ..... ..............................0 10. Financial guaranty ................. - _ _-_ ___ - -------------- -- . ...... ............................... ...... ............................... ...... ............................... .............................. ..._0 11.1 Medical professional liability - occurrence ............... ............................... ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 11.2 Medical professional liability - claims-made ............................................ .----- ----_.--- ......__.. ......___...- ---_.__...-- - --_._......_....._.._.__-- --__-- _- ._._._...........0 12. Earthquake .................................................................. ............................... ... ... ....................... I....... ...... ............................... ...... ............................... ..... ..............................0 13. Group accident and health. . . ....__..--- -._..._...._...... _ ....__......_...._............. .................. ............... .... .. ..._.........._.............._0 14. Credit accident and health (group and individual) ................ ..___0 15. Other accident and health ......................................... ............................... ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 16. Workers' compensation _- __-____-__- ------------------------------ ...... _. -_.__ 0 17.1 Other liability - occurrence ......................................... ............................... ........ I ......................... I.. ...... ............................... ...... ............................... ..................... .............. 0 17.2 Other liability- claims-made .-..- _'_-- _.._. ............ ........- ........_4.483,124 ....._.._....._.._- _757,453 --- __--- _._.___...- _..... __....._.--- __._- _._..._. - -.._- .._....5,240,577 17.3 Excess workers' compensation ................................. ............................... ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 18.1 Products liability - occurrence _ . .............___...- ...___0 18.2 Products liability - daims- made .............. ............................... ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 19.1, 19.2 Private passenger auto liability .-:------------------------ ._. _ ................_......_...... - _... ._-- ---------- ......_0 ------ ----...._--......-- ..................................... _........_----- ---------- .. 19.3. 19.4 Commercial auto liability ............................................ ............................... ..... ..............................0 21. Auto physical damage -- - -__ _ .......... .------------ ----------------------- - - - - -- -------- ------...------.... ....._..__._____._.....__ ..._.._.._..._.__.- -------- -_. ------------------------------ 22. Aircraft (all perils).-, ............................................... ..................................... ...... ............................... ...... ............................... ...... ......................... . . . . .. ..... ..............................0 23. Fidelity ......_._......._.__.... ....................... ....._...------ ------------------------------------- --- --------------_... __ . ......_...._... ---------- ...__.- -_.___._-_-__ _ -__.._. ._....__..............._....._0 24 . Surety ................................................................. ............................E2. 654 ..................................... ................. ................ ...... ............................... .........................82.654 26. Burglary and theft - . ----._..._ ..................... ... --------------------- .._...._0 27. Boiler and machinery ................. ...... ............................... ...... ............................... ...... ............................... ------------------------------- - - - -- ..... , .................... ..... ._0 28. Credit. .......................... ..... 0 29. International .......................................................... - ----- --------- ---- -- - ------- -- ..................................... ...... ............................... --- - - - - -- ---------------------------- _ ... .......... ...................... 0 30. Warranty .................._._.°_._.".___ ....................... ...._.....__..._...._...._..... . ..._ ------------ .___..._.._..- _....._._ - - -- ... ._---------------- -------------- .... ....................._........0 31. Reinsurance - nonproportional assumed -------- .............-----.... _----- --........_.___.._._ ._.....--------._._...._.._. ..- .... ... - -- --____ _....----------..........-- 32. Reinsurance - nonproportional assumed .. liability ----------------- 33. Reinsurance - nonproportional assumed financiallines ............... ............................. ...... ............................... ------------------------------------- ..... ..............................0 34. Aggregate write -ins for other lines of business 0 0 1 0 0 0 35. TOTALS 1 4,565,778 1 757,453 0 0 5,323,231 36. Accrued retrospective premiums based on experience ...__'_ .......... ................................................. ............... ........... .... ......... - .. .......... ---------- .. 37. Earned but unbilled premiums ................................................ - ......................................................................................................... ................................. .................................... . 38. Balance Sum of Line 35 throw h 3 5,323,231 DETAILS OF WRITE-INS 3401. ............._._._..__.___.__..__.__._ __________`._'--------- ........ ...................................... ................._... ------------ _ - ........ ................. ............................. 3402. ............................................ ............................... . ............................... . ............................... . ......................... . . . . ........................................ ....... _............................. 3403. ..._ ..................._............_.... ..----------------------- - - - - -- ..................................... ------------------------------------ ------------------------ ........................... ....._.._.._........_...... ... 3498. Summary of remaining write -ins for Line 34 fromoverflow page ----- --------------- ................ ------------------------------ ----- 0 ............ 0 ........................... .._0 ........... ........................ ._._-- ----- ._.........._0 3499. Totals (Lines 3401 thru 3403 plus 3498)(Une 34 above ) 0 0 0 0 0 (a) State here basis of computation used in each case Daily Method ........................................................... ............................... ................................ ............................... 7 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 1 B - PREMIUMS WRITTEN 1 Reinsurance Assumed I Reinsurance Ceded 6 2 3 4 5 Net Premiums Written Line of Business Direct Business (a) From Affiliates From Non - Affiliates To Affiliates To Non-Affiliates Cols. 1 +2t3-0 -5 ............0 0 1. Fire ........................ ............................... ................ .. . ............................... .. ............................... .. ............................... . . ............................... . .............................. .. 2. Allied lines ........................................... -- .- ._...................._.0 ...__...............__.. .... ............... -. -- _- -- __.._.-- ...._.- ..... ........... 3. Farmowners multiple peril .............. ................ ..- ...__.._...0 ................. ............................. ....................... ..........._....- _.._....._. .. .................... .._._0 4 . Homeowners multiple peril ................ ..... .......................... 0 ........................ ....... .. ............................... .. ............................... ................. --- ......... . ..............................0 5 . Commercial multiple peril ___.___.... _.._..._.._...._..._.__0 .........- _...- .____... -_ _- __._.._.._.........._.. ........ --- _............ ............. ._..........._.._..........0 6 . Mortgage guaranty .............................. ..............................0 .. ............................... .. ............................... .. ............................... .. ............................... . ..............................0 8 . Ocean marine.. . - .............................0 .............. ................................. ...... ... ......__.._........ - - - -- ........... -- --.._.------- _..__..0 9 . Inland marine ....................................... .................... ..........0 .. ............................... .. ............................... .. ............................... .. ............................... . ..............................0 10 Financial guaranty .............................. ............................... 0 ...._..._ ..................... . .............................._ .. ............................... ........ .......................... - -0 11.1 Medical professional liability - occurrence .............................. ......... ................................. ...._............_ ............ ........... ................. ..._.......- _._..._...._._. . ..............................0 11.2 Medical professional liability - .. claims- made.... .... - -- -- .__ ..................... ................_...... -_.._0 _ ....._............_ ...... .._.. ........___ .___ . 12. Earthquake ........................................... ..............................0 .. ............................... .. ............................... .. ............................... .. ............................... . ..............................0 13 Group accident and health ................ :.............................0 .. ............................... .. ................. ............. .. ............................... .................... - .......... . ............---.............._0 14. Credit accident and health (group andindividual) .... ........................ - ---0 ................................. .......................... ................................. ------ ......................0 15. Other accident and health .................. ........ ......................0 ....................... ..:....... .. ............................... .. ............................... .. ............................... . ..............................0 16 Workers' compensation ...................... ..............................0 .. ............................... ........... ....................- .. ............................... .. ............................... . ..........................---.0 17 .1 Other liability - occurrence ................. ............................... 0 -------------------------------- ... ._..- ---- ............. - ----- -- --- -- ---- - - -- -- ----------------- -----0 17.2 Otherliability - claims- made .............. ............... 17,387,777 ..............6,889,629 .. ............ 10,498,148 17.3 Excess workers' compensation ._.. ... ....... ..._.._.._._ ....._0 ...._...__._...._____ -- ..................... ---- _..___ --- __. --- _........................ ._..._..............._......0 18 .1 Products liability - occurrence ............. ............................... .. ............................... .. ............................... .. ............................... .. ............................... . ..............................0 18 .2 Products liability - claims- made......... .. ............................... .. ............................... .. ............................... ............................... ........... ............ 0 19.1, 19.2 Private passenger auto liability- -. .... ................. .------------- -- ---------- .................. .._.. .................. ......- � -'-- - ----..._.._ _..._...- .. ......................... 0 19.3, 19.4 Commercial auto liability ..................... ..............................0 .. ............................... .. ............................... . ............................... -- ----------------------- ---- - - -- . ..............................0 21. Auto physical damage ........_...._ ._.._.._....._........... _......0 ------------------ .................._...........0 22. Aircraft (all perils) ................................ ............................... 0 ................................. ................................. ................................. ..._........ ................... ............................... 0 23. Fidelity ............................. ......._....... ....._........_........._...._0 ......._.......... ....... ------------- 0 24. Surety ........................... -- ----- ..- ------ -304,402 -------- -- ---------- ----- ---- -- ..................... . ....... .................... 168,465 -- -- -- --._.135.937 26. Burglary and theft ................................ ..............................0 .. ............................... .. ............................... .......... I...................... .. ............................... ........... ....................0 27. Boiler and machinery . .-. -------------------------- 0 - - .................. 0 28. Credit......._.........._-.......-- ........... ......._.....- --- _....._....._0 ................................. ................................. ................................. ............................... 0 29. International --- ---- ------ ------ -- ----- -- - -- - - ---- -- -........-- ----.. ................................. . ....... .........:...._......... ..___.____......____. ............................... 0 . ............................... ...-- 30. Warranty ........................ ...................... ....... ....................... 0 ................... ............ :................... ...... .------------ .------------- .. ............................... ............ ................. _0 31. Reinsurance - nonproportional assumedproperty -- .....................-...`.._....... XXX°........ ...._..._._................_... .. ............................... --------------------------------- --------------------------------- ..................... ..... --- .0 32. Reinsurance - nonproportional assumedliability ............................... ............. XXX............. ................................. .......................... ............................... 0 33. Reinsurance - nonproportional assumedfinancial lines -------------------- --------- .... XXX ............. .......................... ....... .. ............................... .. ............................... ............. - - - -- ......---- --. . ..............................0 34. Aggregate write -ins for other lines of business ............. ............................... 0 0 0 1 0 0 0 35. TOTALS 17,692,179 0 0 0 7,058,094 10,634,085 DETAILS OF WRITE4NS 3401.................................. ......_..............__.__._ ..._..........._........_..._.. ------ 3402. .................................................................................................. ............................... ------------------------- _- ------ 3403. ............................................................. - -.._...._..._ ......... ............................ .................................. ........:-- --------- - - - - -- .................................. ............................... 3498. Summary of remaining write -ins for Line34 from overflow page..---.....- ------- ..------------- ....._0 ............................. .0 __..........-- .............0 ------------------------------ ....--------- - -- ------------ 0 0 3499. Totals (Lines 3401 thru 3403 plus 3498 )(Line 34 above 0 0 0 0 0 0 (a) Does the company's direct premiums written include premiums recorded on an installment basis? Yes [ ] No I X I If yes: 1. The amount of such installment premiums $ ... ............................... 2. Amount at which such Installment premiums would have been reported had they been reported on an annualized basis $ ........... . . .. 8 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 2 - LOSSES PAID AND INCURRED Losses Paid Less Salvage 5 6 7 8 1 2 3 4 Percentage of Losses Incurred Net Losses Unpaid Losses Incurred (Cot' 7 , Part 2) to - Reinsurance Reinsurance Net Payments Current Year Net Losses Unpaid Current Year Premiums Earned Line of Business Direct Business Assumed Recovered Cols. 1 + 2 -3 Part 2A , Col. 8) Prior Year Cols. 4 + 5 - 6 Col. 4, Part 1 1. Fire .................................................................................................................................................................... ..............................0 ...... ............................... ...... ............................... ................................... 0 .... ..............................0 ..... ..............................0 .. ............................... 2. Allied lines.. .._.._.. ...... ...- ... ..... ......_. .._..... ........ ......... .. __..._._0 ..-- - ----. . _____ _..-- --_ ....__._..._. 0 ...-- - -- . 0 _._...._._ _ _.........0 ...._....._ _ - ...._0 ._ .._- .._..__.......0.0 3. Farmowners multiple peril ............................................................................................................................... ..............................0 ...... ............................... ...... ............................... ......................... ........_0 ..... ..............................0 .... ..............................0 ..... ..............................0 ... ............................0.0 4. Homeowners multiple peril ....................... ................................... ....................... ........... - ........................ ...................... _0 .............__-- _. ...... -.... ...._ .........................0 .... _.............................0 .............. ._ ............. 0.0 5. Commercial mult1ple peril ..............._............................._.........................................._._..............._.............. ......................__......0 ... ............_ ............. .. ..._.................._._..._.. .. ......................_.._....0 ..__.-- ..... .......__._.....0 .. .....___ .. .............. ....0 ... ..................._.,........0 ._........_.._..._._......0.0 6. Mortgage guaranty .............. ............................... ........................................................................................... ..............................0 ...... ............................... ...... ............................... ..... ..............................0 ..... ..............................0 .... ..............................0 ..... ..............................0 ... ............................0.0 8. Ocean marine ............................. ........................................................................ .._.._._... ........................... ..................... ..._._.....0 ...................... ......._..0 .. ._........_ .................. .... ..............................0 . ..._....._.... ................. 9. Inland marine .........................................................................:......................................................................... ..............................0 ...... ............................... ...... ............................... .... ..............................0 ..... ..............................0 .......... ................ ..,....0 .... ..............................0 ... ............................0.0 10. Financial guaranty .......................................................................... _.._...............__.__._..... ........ ............ _........._0 .......................... .......... ____ ............... _.- ................................. 0 _._ ___ ......... ............ .0 ................ .._........_.-.0 .............. 0 ............................... 0.0 11.1 Medical professional liability - occurrence ...................................................................................................... ............................... ...... ............................... ...... ............................... ............... . ................... 0 ..... ..............................0 ..... ..............................0 ..... ..............................0 ... ............................0.0 11.2 Medical professional liability - claims- made _....... .._..... ..... ___ ..... - -.... . -- --- _ -- -__ .......... .............. -_-.._._...... .... ..... __._.__._ 0 .............. ........._ -0 -_---- ..._.- _- __.....0 ........_ ._.____0 . _.- -.0.0 12. Earthquake .. ............................... - - .......... _ _..- ..... ............................... ... ....... . 13. Group accident and health ..................................................... .................. ......._ _. ................................... ..................... .... .......... 0 ............................... ............. .._............ ....... ................................. _0 ...................... 0 ........................ _____0 ......... - _- _._............. 0 ..._....._._............... 0.0 14. Credit accident and health (group and individual) .................................................................................... ... ....._........................0 ..____ .............. .._.. .... .......................... . .. .._.............._............ ....._...__ ____ ...........0 ..........._._._._..._.......0 . ........ .......... .......... ..............- ...... 15. Other accident and health ..._..._ ...................._....__..........._...................--.................._....................__.. ........._................._._. 0 ..................................... ..................................... ..... ._. .......................... 0 ..... .......................... -...0 ..... ..............................0 ..._.........._...... _..........0 .. ............. ................ 0.0 16. Workers' compensation ........................................... . _.._ ................._........, .........._..._.__............. 0 ...... ............ ....._............................ 0 ..................... ._ -- ------ 0 . -.... .. ...._ ............. .............................. . 17.1 Other liability - occurrence ..._.. ...................._._.................................._...................._.... .........__........._.......... _......._..._._......... 0 ...... ............................... .... ............................... .. ................................... 0 . .._..............._............ 0 ...... ..............................0 ................................. 0 .. ......_.....................0.0 17.2 Other liability - claims-made ..._............... .................... ............. ........................................................ .. ............._...._...8,964,213 .__. ................ .............. --..__...._.....2,995,960 5,968,253 .......... 15,290.151 ............... _14,856,582 ...................6,401,822 ........._.._..._.._62.0 17.3 Excess workers' compensation ...................................................................................................................... ..............................0 ...... ............................... ...... ............................... ..... ..............................0 .... ...........................---0 .... ..............................0 ..................... .............. 0 ... ............................0.0 r018.1 Products liability - occurrence ................ ...._.._ ....................................................... ......_..__...__-- -...... .__.__....__.... .............. ............ ........._- __.... ............................. ....... ....._ ........................... 0 .._... ___ .....___..__ 0 .................................. ......_......--- __....._0 ._._.....___........._.. 0.0 18 .2 Products liability - claims- made ....: .................................................................................. .......................... ..................................... ...... ............................... ...... ............................... ........ ......... ................. 0 ..... ..............................0 ............................ ....._0 ..... ..............................0 ... ............................0.0 19.1.19.2 Private passenger auto liability ............................... ............._.._......._. ............................. ...................... ........ ........_............_...0 ............................... . ....... ....................._..._0 ................ .._......_.. -_.0 ............................... ..0 ____ .......__- _.._.0 ..................... ____.0.0 19.3,19.4 Commercial auto liability ................... ........................... ...._................................................. ............ ..__ ..... ................................... 0 ... .......... .............. ___ ............ .................. ........ ................... ........0 . ..._...._...._.......... .......0 ................ __o .... ..............................0 . ........._................._0.0 21. Auto physical damage ...................... ..-...._._. ....................................... ................_....... ...................... ....... ....................... ...._....0 ...... ............................... ... ._..._.................... ..... .................... .............0 ....................... _..0 ................................... . ..__....._........... ___ -..0 ........... 0.0 22. Aircraft (all penis) ............ ...._ .................. .......................................... - ................................................. ...... ......... ..._....................0 ... .......................... ...._.. ............. .......... ___ - _._........... 0 ............. ..._.--__.._...0 ................... ____o ....._._._...._ .............. 0 ... ......... .- --..__.......0.0 23. Fidelity .....................................................................-........................................................................................ ..............................0 .....0 ..0 ......0 0 0.0 24. Surety ...... ....- ............................................. ........... ................................... .._... ...._._.........____..__......_ ._..,_-- --..........142,376 ...................____...._.._ ....._...._....._...105,693 .......... 36,683 ........... 6,000 ......._._........_....16,500 ..._...____ -._ 26,183 - ................... ....._.20.1 26 . Burglary and theft..: ................................................ ................................. .................................................. ................................... 0 ...... ............................... ..................................... .... ..............................0 .... ..............................0 ............ ..... ..............................0 ... ............................0.0 27. Boiler and machinery ------ ........................ ............... ... .......... ...._..........._. - -_0 _ . __._.0 ............ .....__ _ - - 0 . ...................... ._...._0 - _- _..0.0 28. Credit ................................................................................................................................................................. .............................. ............ ...................... ...... ............................... ....... .... .... ..... .... ..... ...... 0 ..... ..............................0 .... .........0 .... ..............................0 ... ............................0.0 29. International ............................ . ................. ___ .__ _ ____ ...................... .... ......._ ___ ................ ............ .... .............. - 0 . ...__.............. .._........0 .- ------ _..................... . ........_.._..................0 .................. ........... 0.0 30 Warranty ................. ............................... ......................................................................................................... ..............................0 .... ..............................0 ..... ..............................0 . 0 ..........0 .. ............................0.0 31 Reinsurance - nonproportional assumed property ............... .................................... .._............. .....__..... ............... XXX ............... .............. ... ................ ..- .............................. .............................. 0 .. ._...._........... ............ 0 ... ..............................0 ................................... ....................... 0.0 32. Reinsurance - nonproportional assumed liability ............_. .................................. ........................._.................)=.................. ....._.._.................._... _.__....................._._ _...- ......__.................0 ......._......_.............. _..0 _- ._......_................._0 .........._._.._........... 0.0 ..... ............................... . 33. Reinsurance - nonproportional assumed financial lines .................................. ........................................ ............... XXX .......... .......................................... ...... ............................... ............... .................... 0 .... ..............................0 .... ..............................0 ..... ..............................0 ............................ 0.0 34. Aggregate write -ins for other lines of business ........................................................ ............................... 0 0 .. 0 0 0 0 0 0.0 35. TOTALS 9,106,589 0 3,101,653 6,004,936 15,296,151 14,873,082 6,428,005 61.5 DETAILS OF WRITE -INS 3401 ..................................................................................................................................... ............................... ...... ............................... .... ..............................0 ..............0 ........... ........................ 0 .... ..............................0 .... ..............................0 .. 3402 .._......_ ..........................._...._-----------.........._..._..._.._---_........__........................_......_...._._..........._..._........-----...._........ .....____..._._._.....-- .._.- -. ...... .........._...... .. ....... .. . 3403 .................................................................................................................................................................................................................. ............................... 3498. Summary of remaining writesins for Line 34 from overflow page ......................................................... ... ...._._._.....................0 .. ...._........._...............0 ................... .................. 0 ..................._..__....0 . ..................... 0 ........... ........................ .......................... 3499. Totals Lines 3401 thru 3403 plus 3498 Llne 34 above 0 0 0 0 0 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 2A - UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES Re orted Losses Incurred But Not Re ort ed 8 9 1 2 3 4 5 6 7 Deduct Reinsurance Recoverable from Net Losses Excl. Authorized and Incurred But Not Net Unpaid Reinsurance Unauthorized Reported Reinsurance Reinsurance Net Losses Unpaid Loss Adjustment Line of Business Direct Assumed Companies Cols. 1 + 2 - 3 Direct Assumed Ceded Cols. 4 + 5 + 6 - 7 Expenses 1. Fire ----'-----._............_ ........................_..............._......_.... ....................._.._...... _._..........._.----.....__.... .... ......._....._................. ... ...................----........ ................_---- ...-... -0 . ..._._._..._.................._ ._._......._................__. ....____...._..............._.. .... ..............................0 ... ......._......._.._............ 2. Allied lines ....... ............................... ........... ...... ....:.......................... ...... ............................... ..... ..............................0 ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... 3. Farmowners multiple peril _....._............. .............. ...___.... ................... -...._ ... ............._._.... .............. ......................... ....................... --. ......_.................._....0 _._.. _--- .__...._..... ........ 0 __.__................_....... 4 . Homeowners multiple peril ................................................. ...................................... ............................... ...... ............................... ...... ............................... ................................... 0 ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... S. Commercial multiple peril .. 6. Mortgage guaranty ..... ............................... ................................... 0 ...... ................................................. .................... ...... ............................... .... ..............................0 ...... ............................... 8. Ocean marine .............. ....................... ... .............................................................. ..................................... ................ .... .............._..........._.... .. .........................__.._0 .. ._............_........_......_ ... ........._......__............. ._ _......_........._............. ._........_..-- ___._._..0 .. .................._.__..._..... 9. Inland marine ............................. ............................... ......... ............. ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... ........................... ............................... 10. Financial guaranty .................... ............................... 11.1 Medical professional liability - occurrence 11.2 Medical professional liability - claims- made ........................................................... ............................... - --.... ............................... 12. Earthquake. ...... ............................... 11 Group accident and. health ....................................................................................... ............................... ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... ...... ............................... ...... ............................... ( a)............................0 ...... ............................... 14. Credit accident and health (group and Individual) ----------- ____ -...._ ............... .. __.._........................... .. ...._.. .................. .............. ....................... ........................ ......... 0 . ......._............. _...._.._.. ....................... ._.._._._ .. .....__.................._....- ------ _................_....0 ... .........._...._......- _....... 15. Other accident and health ........................................................................................ ............................... ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... ...... ............................... ...... ............................... (a) ...........................0 ...... ............................... 16. Workers' compensation .. _._ ............._..........._.. ... ......................_... ____ ............... ........_._.. .................... ...... ......- ._.............._..... .. .._.._....._..._............... ... ---------- -..........0 ._..._._- _- -- -.._.._......... 17.1 Other liability - occurrence ..._ ....................................._..... ............_..._......._...... ...... .._........................... ................ .... ................._ ........... ...... ............................... .... ._.........._.................. .. ..........._.........._......_0 ..... ..........._................... 17.2 Otherliability - claims- made ............................................. ............................... .....................11,304,302 ...... ............................... ....................3,175,204 ........--- ..................13.124,989 ...... ....................5,963.936 ..................15.290,151 ..................10.094.460 17.3 Excess workers' cempensation ........................... ____ ...._ ........... ............... ................................ ..... .... .... ............................ ....... ................ ...._........ ..... ..............................0 _ ..................... .............. . ......_........_......... - -._.. ......_..............._..___-- ......_............_.....__...0 .. ..............._._.....__...... 16.1 Products liability - occurrence .................................................................................. ............................... .. ..... ............................0 O18.2 Products liability - claims- made_ ................................ __..__.. ......................... ........ .._......................... ........ .......,.................... ........... ...- _..._............... .............................. ... 0 . ..........._ .................. _... .. ..........._..........._._..._. ... ....---.._...................__ ..._....._......_......_..._.0 -- .._....._........._... _._. 19.1, 19.2 Private passenger auto liability ............................................ ............................... ..... ..............................0 19.3, 19.4 Commercial auto liability- - _ - - ...................... _ ._.. 21. Auto physical damage .................. ...... ............................... ..... ..............................0 ...... ............................... ...... ............................... ...... ............................... ... ............................... 0 ...... ............................... 22. Aircraft (all perils) ................................. .........__-...............__..... ............._................_ _ ...................... --.. ...... .......................... ..................................... .......... _ .................. ....0 ............... _---- --.._.................._ ._.__....---- ___.__........ ......_...._..._.-- --_.__ 0 ..._..................._..__..-- 23. Fidelity_._...._.... ........................................... ......-...._._._ ...__..._......._.............. _ ........... .. ................................... 24. Surety ........................................................................... ............................... ..... .........................12,000 ... ..........................6,000 . ..........................6,000 6,000 ......... 3,154 26. Burglary and theft .......... ........................ ...._._...._- __...._...._._.. .........._..._...--- -...__._ .. ... ......................_._...._. .. _..._...._...................0 .. ._..........__._............... 27. Boiler and machlnery .......................................................................... ............................... 28. credit................................... ....... _ _........._ ..............._. ..................----- ......_ . ....._.................._.._..- -- ._.._.. ......................-----__._...... ........._._.._._.............. - -.. _......... - ......._..._._._.. 29. International . .............................. ...... ............................... ..... .............................. ...... ............................... ...... ............................... ...... ............................... ..... ..............................0 ...... ............................... ................................................................................ ............................... ...... ............................... 30. Warranty --._......_.................... _.......__. .........._._.._._...._.._..... 31. Reinsurance - nonproportional assumed property ........................................... ............... XXX ............... . ................................... .... ..............................0 ...............XXX. 32. Reinsurance - nonproportionai assumed liability..........._..._ ...... ................. .......... ..... XXX............... ....... _............................ .......................... - -- - - -0 ._............XXX_..........._ ..........................:. --- ---- '- ___.........0 ..._._.....--- ------- _....... 33. Reinsurance - nonproportional assumed financial lines ........... ....................... XXX ............... .......... ................ I.......... ...... ............................... ..... ..............................0 ............... XXX...... ......... ..... . ............................... ...... ............................... ..... ..............................0 ...... ............................... 34. Aggregate write -fns for other lines of business ................ ............................... 0 0 0 0 0 0 0 0 0 35. TOTALS 11,316,302 0 3,181,204 8,135,098 13,124,989 0 5,963,936 15,296,151 10,097,614 DETAILS OF WRITE -INS 3401 .... .......................... --... _._........... ......_._._.....__.___._.._.... _........---........._......... . 3402 .................................................................................................................................................................................................... ............................... 3403. ................................................................................................................................................................................................................... ............................... ......................._.._..........................._................................. _.........._............._...._ --.................--......._.............._....... ............_._....__.- ....._.- ._..._.............._._.....__. _ 3498. Summary of remaining write -ins for Line 34 from overflow page ........................ ..............................0 .... ..............................0 .... ....................... .... ..............................0 .... ..............................0 .... ..............................0 .. . ..............................0 .... ..............................0 .... ..............................0 3499. Totals Lines 3401 thru 3403 plus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 (a) Including $ ....... ............................... for present value of life Indemnity claims. ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company UNDERWRITING AND INVESTMENT EXHIBIT PART 3- EXPENSES 1 2 3 4 Loss Adjustment Other Underwriting Investment Expenses Expenses Expenses Total 1. Claim adjustment services: 1.1 Direct.._._..- -- _ - ,.. ................................................. ..... . ........... 11,481,549 . ........_......_.._... .. ..................................... ......... 11,481,549 1 .2 Reinsurance assumed ......................................................................................... ............................... ...... ............................... ...... ............................... .... ............0 1.3 Reinsurance ceded ............ ................. __........................ 4,625,865 4,625,865 1.4 Net claim adjustment service (1.1 + 1.2 -1.3) ................................ ............................... 6,855,684 ..... ..............................0 ..... ..............................0 ....................6,855,684 2. Commission and brokerage: 2.1 Direct excluding contingent... .......... ........ ..... ............................... ....................1,377,198 ..................................... ....................1,377.198 2.2 Reinsurance assumed. excluding contingent ....... __._ ...... .........._......_... ____.___...._............... ...... ............................... .......... ...... ......................... 0 2.3 Reinsurance ceded, excluding contingent ......................................................... ............................... ....................1,212.800 ...... ............................... .........---........1,212,800 2.4 Contingent - direct __ -_- .._... __.._..___.____.__ _. _ .. ................._.._....... . _- ---.------ ........_.......__. ......................... _.....0 2.5 Contingent - reinsurance assumed .................................................................... ............................... ...... ............................... ...... ............................... ..... ..............................0 2 +6 Contingent- reinsurance ceded,..., . ..................._1 192 ,9701.- .- ._...___.._._._..___. _____.__...- A192.970) 2.7 Policy and membership fees .......................................... ............................... 0 2.8 Net commission and brokerage ( 2. 1+ 2. 2- 2. 3+ 2. 4+ 2. 5- 2. 6+ 2. 7).- ................................... 0 ...........__.___357,368 .- __--- __.___.__0 - --- ........ .... 357.368 3. Allowances to managers and agents ... .............._............ ..... ...... ............ ........... ........ - ................................. 0 4. Advertising _................................................. .... ..............__ -- -- -- . ........... ................ 141,338 .......................141,338 S . Boards, bureaus and associations ...................................... .......................:....... ............................... . .........................34,163 ...... ............................... .........................34,163 6. Surveys and underwriting reports .._........_..--- _..__ ........ ..............._......116,000 ..................................... --- ---------_-- -- ._116,000 7. Audit of assureds' records ......................................................................................... ............................... ..... ............................... ...... ............................... ..... ..............................0 8. Salary and related items: 8 .1 Salaries .............................................. ........................................................ - ... ....... ................. 594,527 ....................1,823,979 ...... ............................... ....................2,418,506 8.2 Payroll taxes .......................... ....._..........._-.__...._..---- -- -- -._........................ - -..................43,025 .......... .... .......... 128,376 .........._.......... ...__ -- ---- ---- --- - -- ..171,401 9. Employee relations and welfare .........................72,872 ........................326,416 ......... ..............399,288 10 Insurance .. _...... -' -- ....__. - ......... - -- ......... ........ ..._..._ ............... ._.......................32.059 ..._.................._85,666 ............. ---- ............... .-- ------ --...------_.117,725 11. Directors' fees ............................................................................ _....._ _........- ..................... ---.......27,427 --- -- ------- -.....---..81,298 ................ - -- - ......... ....... ... - --...108,725 12. Travel and travel items ....................... ...13,239 .........................95,445 ...... ............................... ........................ 108,684 13. Rent and rent Items .................................. ............................................................ 41.709 ................._.- ..110,977 . __ .......... .._......_......._. --- .......... ._....152.686 14. Equipment ............................................................................................................. .......................... 19.506 ......................... 52,102 ..................................... .......................... 71,608 15. Cost or depreciation of EDP equipment and software ...................................... - ........................ 78,077 .......................208,409 ...... ............................... .......................286,486 16. Printing and stationery ..........-......_. ......_ ........................ _...._............__.....20,974 ..._ .................... 53 .946 __....._... ...........74,920 17. Postage, telephone and telegraph, exchange and express ............................. ......................... 26,920 .........................54,163 ........................100,518 .......................181,601 18. Legal and auditing .._.............................................................. - .............._._....._.. 149,652 128,300 103,770 381,722 19. Totals (Lines 3to18)--- ------------ -...................................................................... ... -- --._.......1,119,987 --------- --- --- --.3,440,578 .. ..... - -- --..204,288 .. - . --........4,764,853 20. Taxes, licenses and fees: 20.1 State and local Insurance taxes deducting guaranty association creditsof$ ...................................... ........ _..... -......................... ......................... ....... ................... 369,806 ..................................... . ................ ---....369,806 20.2 Insurance department licenses and fees -------------------------------------------------- .... ........................ 127.189 ..................................... ........................ 127,189 20.3 Gross guaranty association assessments ................ . . . . .. ........700 .. ............................ 700 20.4 All other (excluding federal and foreign income and real estate)...... -..... 26,379 26,379 20.5 Total taxes, licenses and fees (20.1 + 20.2 + 20.3 + 20.4) ..................... .................................... 0 .................... -..524,074 ..... .:............................0 ._-.- ._.._.-- ...524,074 21. Real estate expenses ................................... .............. .........-- --_..- -------------- .- ------ --___..._ _._........_......_.._...... ... ........ 124,628 ........................ 124,628 22. Real estate taxes .............................................._......-`--------.._.-------------._.._. ....._....- --- ......- ---- -..... ...... ............................... -- ---- ---- _..........31,625 ........................ 31,625 23. Reimbursements by uninsured plans ......................... -. ------------------------------------ ... - -------------------- -- ........ ..................................... - ------- ------- ------------ ._ --------------------- -- ._-..0 24. Aggregate write -ins for miscellaneous expenses .............................................. ..... ..............................0 ....................... 240,398 .--. .......................-- --...0 _------ -- --- --- ---.240,398 25. Total expenses incurred ---------------------------------------------------------------- .---------------------- -------------------- 7,975,671 ....................4,562,418 ---- - ------ ..._......360,541 a) ----- ---12,898,630 26. Less unpaid expenses - armentyear .............. ...._......._.._.........._.... .10,097,614 ----------------------- 648,571.................. .-------------- .... .................. 10,746,185 27. Add unpaid expenses - prior year ------------------------- ...... ...............____.__8,898,952 ......._ ----- .... ---279,145 .. _.................. .............. ---- --- - - ---- --9,178,097 28. Amounts receivable relating to uninsured plans, prior year ............................. ...................... ............... ...... ............................... .... ...... -------------------------- ................................... 0 29. Amounts receivable relating to uninsured plans, current year .........:............... 0 30. TOTAL EXPENSES PAID Lines 25- 26 +27 -28 +29 6,777,009 4,192,992 360,541 11,330,542 DETAILS OF WRITE -INS 2401. Charitable Contributions ................................................................. ............................... ................ 175,510 .......................175,510 2402. Miscellaneous ----------- .------.._.-_.._._ ....... ......_......-_ .. ------------------------------ _ ------ ..64,888 ------------------------------------- - ---------------------- 64,888 2403 . .................................................................................................................................................................................................... ............................... 2498. Summary of remaining write-ins for Line 24 from overflow page ............ .._----- -------- -__....___0 .._.........._......__......_0 ------------------------- ..._...._.._....- ......_..._..0 2499. Totals Lines 2401 thru 2403 plus 2498 Line 24 above 0 240,398 0 240,398 (a) Includes management fees of $ .....21,919 to affiliates and $ ------------------------ ------------ to non - affiliates. . 11 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF NET INVESTMENT INCOME 1 2 Collected During Year Earned During Year 1. U.S. Government bonds ....................................................................................................................................... ............................... (a) ...................68,218 .........................45,794 1.1 Bonds exempt from U.S. tax ................ ._._.................____.._......_..................._....._...._......._............. _.._...._._._._.._...._........ (a)._........_...139.791 .152.227 1.2 Other bonds ( unaffiliated)_ ................... ._ ........... ..................... . ................................................... ._ .................... ................ ................ (a) ----------------- ....._.--_...........901,810 1.3 Bonds of affiliates... .......................................... .................._....................................._................................... ........_- ____...........__.... (a) .............................. .. ..................... 2.1 Preferred stocks ( unaffiliated)---__ ......................._....................._.............._......_..._._.._._.............._......._... ..................._........... (b) .............................. __... .......... ._.._._......._ 2.11 Preferred stocks of affiliates .................................................................................................................................. ............................... (b) .............................. .... ............. __................ 2.2 Common stocks (unaffiliated) ............................ ......................175,510 ........................175,510 2.21 Common stocks of affiliates. ...... ............................... ...... ............................... 3. Mortgage loans ............................. ....................................................__....................................... ............................... (c) ... --- - - - - -- 4. Real estate ................................ (d) ................ A50,000 ......___....._....150,000 5 Contract loans_ .....: ............ ........... ...................................................... : .................................. ...................................... ....................................... ._.._._.... ...................... 6 Cash, cash equivalents and short-term investments .......................................................................................... ............................... (e) ...................58,174 . .........................36.845 7 Derivative instruments .... ............................... _......................... ........._....._._..._........_ _................_.._....... ....._._._......-- .__._........ (1) .............._....... ...... ....._.._......_... .............. 8. Other invested assets ............................................... ............................... ......----.......... ............................... ..................................... S. Aggregate write -ins for investment income .......................................................................................................... ............................... ................................... 0 .... ..............................0 10. Total gross investment income 1 1,565,484 1,462,186 11. Investment expenses ............................................................................................................ ............................... ....----.---. ............................... (g) ................. 328,916 12. Investment taxes, licenses and fees, excluding federal income taxes ...................................................................................................... ............................... (g) ........... 31,625 13. Interest expense ....................................................... - (h) - .._..._._._221.777 14. Depreciation on real estate and other invested assets ..... ............................... .................................................................. ........__..................... (i) 94,779 15. Aggregate write -ins for deductions from investment income ............ .................................................................................................................................. .. .... .............. ..................._0 16. Total deductions (Lines 11 through 15) ............... ................ ............. ................. ............... .__ ------------ ..._.677,097 17. Net investment income Line 10 minus Line 16 785,089 DETAILS OF WRITE-INS 0901. ...... _. _... _ _ ..................... . _. _ -- _- - -_-_. _ -- _. _....... _ ................. _. _..... _.......................... _... _.............. _.... ............................................................................................... ............................... 0902 . ........................................................................................................................................................... ............................... 0903. ..__..._._..._.__._. __._........._...._......_.____ .__......_..._......... .................................................................................................... ............................... _ .... . 0998. Summary of remaining write-ins for Line 9 from overflow page ................. .......... .................................. ...............__....._.._......_...... ............................._0 ................................... 0 0999. Totals Lines 0901 thru 0903 plus 0998 Line 9, above 0 0 1501 _.... __........_..---.__---------_._._......._.._--___.-----------__._...._...._.__.........._._ ..............................---......_.....................---...... .......-- ....._.._.._.......... . 1502 . ------------------- __ ................... ............... .................... ........................................ 1503. 1598. Summary ofremainingwrite-ins for Line 15 from overfimpage_-,_.___....__-._-.----..-.--_.......___ ----- ---- -- ------------ .------------- ........:.............................. ._.............._............_0 1599. Totals Lines 1501 thru 1503 plus 1598 Line 15 above 0 (a) Includes $ ... ............... 29,173 accrual of discount less $ ................ 253,374 amortization of premium and less $ .. ................. 12,523 paid for accrued interest on purchases. (b) Includes $ .............................. accrual of discount less $ --- -_._._------ _...___ amortization of premium and less $ ...__. ......... ............ paid for accrued dividends on purchases. (c) Induces $ .__ ......................... accrual of discount less $ .............................. amortization of premium and less $ .............................. paid for accrued interest on purchases. (d) Includes $ ................150,000 for company's occupancy of its own buildings: and excludes $ .............................. Interest on encumbrances. (e) Includes $ .............................. accrual of discount less $ ___..._.....36.233 amortization of premium and less $ ------------------------ paid for accrued interest on purchases. (f) Includes $ ..........:................... accrual of discount less $ .............................. amortization of premium. (g) Includes $ _.- ..- ...._- __- .....__. -- investment expenses and $ ------------------------------ investment taxes, licenses and fees, excluding federal income taxes, attributable to segregated and Separate Amounts. (h) Includes $ ................ interest on surplus notes and $ ________ ----- interest on capital notes. (i) Indudes $ ............ ....94,779 depreciation on real estate and $ .............. on other invested assets. EXHIBIT OF CAPITAL GAINS LOSSES 1 2 3 4 5 Total Realized Capital Change in Change in Unrealized Realized Gain (Loss) Other Realized Gain (Loss) Unrealized Capital Foreign Exchange On Sales or Matu Adjustments Columns 1 + 2 Gain Loss Capital Gain Loss 1. U.S. Government bonds _......----........_...................... ..............._-- ------- - -- 0 ----. .. ..._--._ . ..............0 ...- ... -- -- - - --- -- 0-------------------------- -- - __ 1.1 Bonds exempt from U.S. tax... . .........._._.......... -- - ---- ...... ..............__(14,623) ------------ ........_----- ------ .. ........................ (14,623) - -.--- -- --- -------- --- -- ---- --------- 1.2 Other bonds (unatfiliated) ............................................ ..._.....................19,481 ................................... 0 ------ -- ---- --.........19,481 ......................( 180, 998) - --- --- -- ----- -.......... ..... 0 1.3 Bonds of affiliates _-. - __ - - -+ 0 -- -------- -- __._............0 __ ............... - _ _ ---- -- - - - -- _-___ - -----0 ...-- .....-- -- ....... ..._._. 2.1 Preferred stocks (unaffiliated) ............................... ...... ------- ........... ---- _..-----_0 . ............_..._. ............ ----------------------------------- 0 ....._...._......_.....- .._._.0 --------------------------------- 0 2.11 Preferred stocks of affiliates ............................... .........................._---0 ----------------------------------- 0 ..... ..............................0 ................................... 0 ..... --............................0 2.2 Common stocks (unafiliated). -. ------------------------- ----------- ---- --__- _- -- ...__....0 .._ ..................... 63,246 ------------- 273,282 _._.--- -------- ._...- -- ...._0 2.21 Common stocks of affiliates...._ .................._............... ..._.......... ----------------0 ................................... 0 .. --------------------------------- 0 ---- --- ........_214,213 ................................... 0 3. Mortgage loans ............................................................. ... ............................ --- ...........--- ............._..._0 ..... ..............................0 ................................... 0 .............................. .....0 4. Real estate ...___.._._...._._.....-_ ._----------------------------- _----- ............____.......- __..__----- ____._ -0 ----------------------------------- ---------- ---------------------------------- 5. Contract loans ..................................................................... ............................... _----------------- ................. ..... ..............................0 ------------------------------------- ......................... I........... 6. Cash, cash equivalents and short-term investments .... ...._..........._ .............. ........_....._... --- ..._... ... 0 7. Derivative instruments ................................ ..........___ ..................................... ............ ......._..__._ _ _..... -_...0 ..................................... .... ___ .... -. 6. Other invested assets ------------------------------------------------ ....... ........_...................... ...........--- -.......'- -- -' -0 --------------------------------- 0 ..... ..............................0 ----------------------------------- 0 9. Aggregate write-ins for capital gains (losses)- -..._._ .......................... 0 ....... --- -----------....0 ---- -- -- --- ----- ------- --- - -0 - --_....---.....--- _........0 ...................... __0 10. Total capital gains Posses) 88,104 0 88.104 306.498 0 DETAILS OF WRITE4NS 0901. ......_..__... _........._--_ ...................._. .......- ---- ................... _.. _.............. _..... 0902 . ............... ..... ............................... _.................................................... . 0903 . ............................................................................................... ............................... . 0996. Summary of remaining write -ins for Line 9 from overflowpage -----`--------------------- ...................-..-.. .._....................- - ----.0 0 --- : .-------------------------- .._0 .- _.:.._.............. ........... 0 ----------------------------------- 0 0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above ) 0 0 0 0 0 12 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF NON - ADMITTED ASSETS 1 2 3 Change in Total Current Year Total Prior Year Total Nonadmitted Assets Nonadmitted Assets Nonadmitted Assets Col. 2 - Col. 1 1. Bonds (Schedule D) ............ .............__............._........----__...................._..._........ ....__...._....._............__ ........._.._.._............... _0 2. Stocks (Schedule D): 2.1 Preferred stocks. .......... ........... ._ ................--.........................__...--.._....._. ........_......._- -- ._......._. -- -- -..._0 2.2 Common stocks ........................................................................................................................................... ............................... ..... ..............................0 ...... ............................... 3. Mortgage loans on real estate (Schedule B): 3.1 First liens ...................................................................................................................................................... ............................... ..... ..............................0 ...... ............................... 3.2 Other than first liens, ............ _ ............._....._._._.._..._...............---.._....----....... ....._............__........... -- --...__...._-- ...._..._... ..__...._._._......._. -.__._ ... ..- ...- _............_.........0 4. Real estate (Schedule A): 4.1 Properties occupied by the com ............._....----...._..._......... ..__..............._._._..._._- -----'-0 4.2 Properties held for the production of income ............................................................................................ ............................... ..... ..............................0 ...... ............................... 4 .3 Properties held for sale __..._..._. .............. .............. _._.........__._...._._..... .........__.......__..__....... -. ........_.......__............. _.. .............._...............0 5. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and short-term investments (Schedule DA) ................................................ ._.._--......_...................._.._......._............................_.._ ._........._-.__...---.... -__._ _.._ ............................... ._............_............_ -_0 6. Contract loans .................................... .....:.........................................._._......----.............................._.............. _.........................._... .. ...................._...._....0 ...... ............................... 7. Derivatives (Schedule OB) ............................ ..............._.---------........ ......._-- .-.........___......- .... 0 8. Other invested assets (Schedule BA) ......................................................................... ............................... ..... ..............................0 ...... ............................... ...... ............................... 9. Receivables for securities ........................ ............._....... .._._.........._......_........ _...._0 10. Securities lending reinvested collateral assets (Schedule DL) ...................................................................... ............................... ---.. ..............................0 11. Aggregate write-ins for invested assets ............ .. ........ ....._ .............._._._.._.._......_...___......_.._...---. ......_...- .......---_- ..__._.0 .._._...___.__.........__0 _.....- ___._......._....._..0 12. Subtotals, cash and invested assets (Lines 1 to 11) ..................................................................................... ..............................0 ..... ..............................0 ..... ..............................0 13. Title plants (for Title insurers only) . ................. ............... ............__......._.....___. .._.--- -..._..................- - --._..._.:....-_..............0 14. Investment income due and accrued .......................................................................... ............................... ........................263,723 ........................301.536 . ..............- ----.....37,813 15. Premiums and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection ....................................... ......................... B5,698 . ....... ........... ...... .74,963 . ..........................9,265 15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due... -- _. .......... --- ............. . ........................... . __.... ---------- ._.............0 15.3 Accrued retrospective premiums ...................................................................................--.--....................... ............................... ...... ............................... ..... ..............................0 16. Reinsurance: 16.1 Amounts recoverable from reinsurers ...................................................................................................... ............................... ...... ............................... .... ............................._0 16.2 Funds held by or deposited with reinsured companies -...----_.._....... _................ .. -------------- ------ -------- ------------- -------------- ........--.._..- ._....._.--- .._._0 16.3 Other amounts receivable under reinsurance contracts ....................................................................... ............................... ...... ..............................0 17. Amounts receivable relating to uninsured plans ------------- _- .......... .--------------- .. --------------- ----------- ..-..-.-- - .- ..._...._....__._.._._0 18.1 Current federal and foreign income tax recoverable and interest thereon .................... ............................... ....,,.,........ .... -. _ - - 0 18.2 Net deferred tax asset------ ---------------------------------------------------------- -------------------------------- ------------ .--- - - -------- -- .............. :.2, 034,009 ------------- _2,751,861 ..---.... --------------- 717,852 19. Guaranty funds receivable or on deposit .................................................................... ............................... ...... ............................... .................. 20. Electronic data processing equipment and software ---------------------- --------------- ----- ............ _ ............... ----- .............. -..-.-....1,625 - ----------------- ------- 5,991 ............ .... ----------- 4,166 21. Fumiture and equipment, including health care delivery assets ............................... ............................... .........................46,760 . .........................68,210 .........................21,450 22. Net adjustment in assets and liabilities due to foreign exchange rates ........_....-- ------ ----- ----- - _------------.------ - - - -- ..................................... ............ .- _...._....- ...__0 23. Receivables from parent, subsidiaries and affiliates ...................................................... ............................... ----........................... ---. ............................._0 24. Health care and other amounts receivable. -- --------------------------------------- _ ------ - ---------- ------------- --- --- --- ---------- -.. ...---- .......-- ........ -_0 25. Aggregate write -ins for other than invested assets ...................-............................ ............................... .............-- -.........M.925 ...................... -232,250 .. ........................(4,675) 26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) ............ :.............................................................................................................................. ----- -.............2,648.940 .................... 3,434,811 ......................... 785,871 27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts ........._.....--........-.-- -. ------ -_--------- -__-----.. -....0 28. Total (Lines 26 and 2 2,648,940 3,434,811 1 785,871 DETAILS OF WRITE-INS _ 1101 . ....................._..._..._....._...---.._......--..........."---.............................`.---..............---.............--.-----....---..............-----.. ..............................- ------........_----.-.................. ......_........................ 1102. .............._ _.....- ......._._...._......... 1103. _....... ...---- 1198. Summary of remaining wrlte4ns for Line 11 from overflow page ------------------------- ................ ............___0 . .........- ._............_._. -_0 - 0 1199. Totals Lines 1101 thru 1103 plus 1198 Line 11 above 0 0 0 2501. Deductible Receivable ... ......._ ................. ......_ _..._.............- --- -------- ..........._.... - -.. ......__......._....._..212,329 . .....................203,927 _.. (8.402) 2502. Automobile .... .............. - ......................_.. ............ -........ . ................................ ................... ....---..................12,088 ......................... 24,177 ............ - --......_12,089 2503. Due from Employees ........................ .._---------------------------- -------------- --------------------------------- --- --------- ------ -------------------------- 12,508 - - - -------- 4.146 ............... .......... (8,362) 2598. Summary of remaining write-ins for Une 25 from overflow page ................................................................. ..............................0 ..... ..............................0 ..... ..............................0 2599. Totals (Lines 2501 thm 2503 plus 2598 Line 25 above 232,250 (4,675) 13 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company NOTES TO FINANCIAL STATEMENTS 1. 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' (NAIC) 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 those 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 be recorded as a liability nor an expense until approved for - - payment. Unapproved interest shall not 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, records the value of its surplus note as $5,009,284 instead of its face value $5,000,000 as required by NAIC SAP. Additionally, unassigned surplus would be decreased by $9,284 to $10,470,043 instead of $10,479,327 as required by NAIC SAP. State of Domicile 2012 2011 SURPLUS - (1) TBPMIC state basis Missouri $5,009,284 $5,011,139 (Page 3, Line 33, Columns 162) (2) State Prescribed Practices that Increase /(Decrease) NAIC SAP (9,284) (11,139) (3) NAIC SAP $5,000,000 $5,000,000 (4)_TBPMIC state basis Missouri $10,470,043 $16,950,854 (Page 3, Line 35, Columns 162) (5) State Prescribed Practices that Increase /(Decrease) NAIC SAP 9,284 11,139 (6) NAIC SAP $10,479,327 $16,961,993 B. Use of Estimate in Preparation of Financial Statements The preparation of financial statements in conformity with the Annual 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 The Company adopted SSAP101 as of January 1, 2012. The impact of the adoption was an increase to Total Assets and to Surplus in the amount of $131,677. This impacts the 2012 year only. 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. 14 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Total 1' Qtr: -0- Total 2 nd Qtr: -0- Total 3 rd Qtr: -0- Total 9 th Qtr: -0- Annual Total: -0- 3) None 4) < 12 months i 12 months a. Unrealized Losses 0 1,749,242 b. Fair Value 0 315,021 5) Several scenarios were considered in reaching the conclusion that impairments are other - than - temporary. 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. E. None F. None G. None 6. Joint Ventures A. None B. None 7. 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 $263,723. 8. Derivative Instruments The Company does not hold or issue derivative financial instruments. 9. Income Taxes A. The components of the net deferred tax asset /(liability) at December 31 are as Follows: 1) December 31, 2012 December 31, 2011 Change Ordinary Capital Total Ordinary Capital Total Ordinary capital T L 1 (a)Gross DTA 4,62],983 1,381,859 6,009,33] 2,209,844 1,486,063 3,695,90] 2,41],639 (104,209) 2,313,430 (b)Stat Valu Allow 1985,]68 - 2,985,]68 2 985 768 2 985 768 (c)Adj Gross DTA 1,641,715 1,381,054 3,023,569 2,209,849 1,486,063 3,695,907 (568,1291(104,209) (6]2,338) (tl)DTA Nonedmittetl 652,155 1,381,859 2,034,009 1,139,121 1,486,063 2,620,189 1481 9661(109 209) (586 175 (s)Subtot Net Ad. DTA 989,560 - 989,560 1,075,]23 - 1,075,723 (86,163) - 186,1631 (f)DTLS 53,665 - 53.665 92,054 92,054 (38 389) (38 389 (g) Net Admitted DTA. - 935.895 - 935.895 983.669 - 983,669 147.7741 - 147.774 2) December 31, 2012 December 31, 2011 Change Ordinary Capital Total Ordinary Capital Total Ordinary Ca it al Total • )i mi =sien al Ala ion (a)Fed ral Inc Taxes Pd in Prior Yrs Paco, Through Loss Carrybacks ___ - - - 15,360 15,360 (15 360) (15,360 (b)Adj Gross DTAS Expected To be Realized (Excluding She amount of DTA, from 2(a) above) after the - Application of Threshold Limit (Lesser of 2(b)l And 2(b)2 below) 935,895 - 935,895 968,309 968,309 (32,414) (32,414 1. Adj Gross DTAS Expected to be Realized Following The B/S Data 935,895 - 935,895 983,669 983,669 (47,774) 447,774 2. Adj Gross DTA, Allowed Per Limit Threshold XXX XXX 1,469,520 XXX XXX 3,359,395 XXX XXX (1 (c)Adj Gross DTAe Exclutling Amt of DTAS From 2(a) and 2(b) above) Offset by Gros. DTLS 53,665 - _ 53,665 92,054 92,054 (38,389) (38,369 (d)DTA, Admitted as Result Of Application of SSAP No. 101 Total 2(a) +2(6)62(.) 989,560 - 989,560 1,075,723 - 1,075,723 (86,163) (86,163 3) 2012 2011 (a)Retin % Used to Determine Recovery Period b Threshold Limitation Amount 281% 505% (b)Amt of Adj Capital 6 Surplus U"d to Determine Re, Period 6 Threshold Limitation in 2(b)2 above 14,695,195 22,395,969 4) Impact of Sax Planning Strategies December 31, 2012 December 31, 2011 Change Ord in a ry Capital Total Ordinary Capital Total Ordinary Capital Total Percent Percent Percent Percent Percent Percent Percent Percent Percent (a)Adj Gross DTAS (t of Tot Adj Gross DTAS) 0% 0% O% 0% 0% 0% 0% at O% Ib)Net Ado Adj Gross DTAS (% o f Tot Net Ad, Adj Gross DTAS) 01 0% 0% 0% 0% 0% Ot 0% 0% (c)Doea the Company's tax planning strategies include the use of reinsurance? Yea x No -As reported on the statutory balance sheet for the most r .ntly filed statement with the domiciliary state Commissioner adjusted in accordance with SSAP No. 10R, Paragraph l.b.ii. B. Unrecognized DTLS - Not applicable. C. Current income taxes incurred consist of the following major components: 1. Current income tax 12/3112012 12/31/2011 Chanae .(a) Federal - 15,360 (15,360) (b) Foreign (c) Subtotal - 15,360 (15,360) (d) FIT on net capital Gains - - (e) Util. of cap loss carry- forward - - - (f) Other (4,5171 (4,517) (g) Federal income taxes incurred (9,517) 15,360 (19,877) 14.1 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company 2. Deferred Tax Assets (a) Ordinary: (1) Discounting of unpaid losses 592,973 658,383 (65,410) (2) Unearned premium reserve 402,219 391,124 11,095 (3) Policyholder reserves - - - (4) Investments - - - (5) Charitable contributions 404,763 368,910 35,853 (6) Policyholder dividends - - - (7) Fixed assets - - - (8) Compensation & benefits accrual - - - (9) Pension accrual - - - (10) Nonadmitted assets 209,077 232,203 (23,126) (11) Net oper. loss carry- forward 2,985,768 522,024 2,463,744 (12) Tax credit carry- forward 32,683 37,200 (4,517) (13) Other(Incl items <56 of ordinary tax assets) Subtotal 4,627,483 2,209,844 2,417,639 (b) Statutory valuation allowance adj 2,985,768 - 2,985,768 (c) Nonadmitted 652.155 1.134,121 (481,966 (d) Admitted ordinary DTA 989,560 1,075,723 2,899,605 (e) Capital: (1)Investments - 1,381,854 1,486,063 (104,209) (2)Net capital loss carry - forward - - - (3)Real estate - - - (9)Other (Incl items <5% of total capital tax assets) Subtotal 1,381,854 1,486,063 (104,209) (f) Statutory valuation allow adj - - - (g) Nonadmited 1,381,.854 1,486,063 (104,209) (h) Admitted capital DTA - - (104,209) (i) Admitted DTA 989,560 1,075,723 2,795,396 3. Deferred Tax Liabilities (a) Ordinary: (1) Investments 37,570 51,154 (13,584) (2) Fixed assets 16,095 40,900 (24,805) (3) Deferred & uncollected premium - - - (4) Policyholder reserves - - - (5) Other (Incl Items <5% of total ordinary tax assets) Subtotal 53,665 92,054 (38,389) (b) Capital: (1) Investments - - - (2) Real estate - - (3) Other (Inc items <5% of total capital tax assets) Subtotal - - - (c) Deferred Tax Liabilities 53,665 92,054 (38,389) 4. Net Deferred Tax Assets /Liabilities 935,895 983,669 2,833,785 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: Description Amount Tax Effect at 34% Effective Tax Rate Income before taxes (7,356,346) (2,501,158) 34.00% DRD deduction & tax exempt int, net (233,821) (79,499) 1.08% Prior year underaccrual /(overaccrual) (63,884) (21,720) 0.30% Change in nonadmitted assets 68,018 23,126 (0.31 %) Meals & entertainment 16,512 5,614 ,(0.086) Change in valuation allowance 8,781,671 2,985,768 (40.59 %) Other 72,266 24,570 ( 0.33$) Total 1,289,916 936 70�, (5.94$) Federal Income taxes incurred (expense /(benefit)) (4,517) 0.06% Tax on capital gains /(losses) - 0.00% Change in net deferred income tax 441,218 ( 6.00$) Total statutory income taxes 96. 701 ( 98 E. Operating Loss and Tax Credit Carryforwards (1) At December 31, 2012, the Company had $8.8m of net operating loss carryforwards. (2) The following is income tax expense for 2012 and 2011 that is available for recoupment in the event of future net losses: Year Amount 2012 0 2011 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 & Fidelity Company, The Bar Plan Insurance Agency, Inc. and TBB Holding Company Inc. 14.2 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company (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. No transactions of this type were made in 2012. C. None D. At December 31, 2012, the Company reported $195,569 due from affiliates. The Bar Plan Insurance Agency, Inc., The Bar Plan Foundation, The Bar Plan Surety 6 Fidelity Company and TBP Holding Company, Inc. owed the Company $9,866, $18,413, $167,260 and $30 respectively. These intercompany balances will be settled within the first quarter of 2013. 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 2012. In addition, the Company pays an underwriting fee to The Surety and Fidelity Company based on a pro rata share of their expenses. The total amount of the fee paid in 2012 was $21,919. G. None H. None I. The Company owns 100% of TBP Holding Company, Inc. This common stock investment is recorded at its statutory equity value of $4,790,671. 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 K. None L. The Company owns 1008 of TBP Holding Company, Inc. which is a downstream noninsurance holding company the carrying value of which is $4,790,671. The financial statements of this holding company are not audited.but the financial - statements of the two entities owned 1008 by the holding company are audited in accordance with SSAP No. 48. 11. Debt The Company does not have any outstanding debt. 12. Retirement Plans, Deferred 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 401K Plan. Employees may contribute up to 508 of salary or a maximum of $17,000 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 2012 plan year to contribute up to a maximum of 4% of eligible employees' salary. The Company's contribution to the plan was $88,377 and $86,530 in 2012 and 2011 respectively. There was no profit sharing expense in 2012 and 2011. C. 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 $2,239,597 for 2012. No dividend was declared in 2012 or 2011. (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 2012 were $14,400. (10) The portion of unassigned funds (surplus) represented or reduced by cumulative unrealized gains and loss is ($3,034,164). (11) Surplus Notes - The Company issued the following surplus debenture or similar obligation: Par Value Carrying Int And /Or Tot Int Unappr Date Interest (Face Amt) Value Prin Pd And /Or Int And /Or Date of Issued Rate of Note) of Note Crt Year Prin Pd Principal Maturit 9/21/2006 9.18* $5,000,000 $5,009,284 $221,778 $2,542,495 $9,284 9/15/2036 The surplus note listed above was issued pursuant to Rule 144A under the Securities Act of 1933, underwritten by FIN Capital Markets, and is administered by Wilmington Trust Company as trustee. 14.3 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company -The original interest rate was 9.1% (5 Year Fixed Coupon)(3.87% spread + 5.23% Swap Rate). On September 15, 2011 the issue converted to a floating rate (3 Month LIBOR + 3.878) and adjusts quarterly). The interest rate at December 17, 2012 was 4.178% with an interest payment due of $51,064.44 on March 15, 2013. The surplus note has the following repayment conditions and restrictions: The note matures on September 15, 2036 with a prepayment option on September 15, 2011. No prepayment was made on September 15, 2011 and none were made in 2012. 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. The surplus note has the following subordination terms: 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. The Company has no common or preferred shareholders. The surplus note is not held by any affiliated company. (12) None (13) None 14. Contingencies A. None B. (1) 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. (2) a. Assets recognized from paid assessments and premium tax offsets prior year-end $2,100 b, Decreases current year: Unused premium tax credits $ 700 c. Increases current year: Guaranty fund assessments paid $ 700 d. Assets recognized from paid assessments and premium tax offsets current year-end $2,100 C. On December 31, 2011 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 its $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. The total amount of insurance recoveries received in 2012 equaled $254,154. No gain contingency was recorded in 2012. D. None E. None F. 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 signed 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. No loss contingency was recorded in 2012. 15. Leases A. The Company leases office equipment under various operating leases that expire through September 2016. In addition, the Company leases an automobile under an operating lease that will expire in December 2012 as well. Rental expense for 2012 and 2011 was approximately $44,871 and $50,438 respectively. At January 1, 2012, the minimum aggregate rental commitments are as follows: Year Ending December 31 Operating Leases 1- 2013 $45,541 2. 2014 $45,541 3. 2015 $45,541 4. 2016 $45,541 5. 2017 $--,--- Total $182,164 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) 14.4 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company 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 0 315,021 315,021 Total Bonds D Q AiL_o 3�5,Q21 Common Stock Ind & Misc 5,100,238 0 0 5,100,238 Par, Sub & Affl 4,790,671 0 0 4,790,671 Total Common Stocks _2.a 6 9,§90 9-09 _aq_909 a There were no transfers between Level I and Level 2 during 2012. (2) Fair Value Measurement in (Level 3) of the Fair Value Hierarchy Purchases Total gains Total gain. i.au..c.., Balance at Transfers in Transfers out & (losses) I (i...e a) sale., I Balance at 1,1,2012 , I in NCt To' CDO -=227606-- 2 0 27,415 0 315,021 Total Zy-k-u 0 31" (3) Not applicable. (4) As of December 31, 2012, 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 trancbes 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 pool higher than 4% of the portfolio with a majority of the issues being only 2-34 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 IDC was used, which was 38. That price is stale, and there is no observable market for the security at this time. (5) Not applicable. B. Not applicable. C. Aggregate Admitted Type of Invest Fair Value Assets .(Level 1) (Level 2) (Level 3)." NP Bonds 28,129,553 28,129,553 5,420,788 22,383,744 315,021 -0- Common Stock 9,890,909 9,890,909 9,890,909 -0- .- -0- -0- Total 462 15,311.697 22,383.744 315.021 _ D. Not applicable. 21. Other Items A. None B. None C. Assets in the amount of $5,398,201 and $5,261,742 at December 31, 2012 and 2011 respectively, were on deposit with various departments of insurance as required by law. D. At December 31, 2012 and 2011, the Company had admitted assets of $3,153,598 and $3,262,315, respectively in premiums receivable due from policyholders. The Company routinely assesses the collectability of these receivables. Based upon Company experience, any uncollectible premiums receivable as of December 31, 2012 are not expected to exceed the nonadmitted amounts totaling $65,698 and, therefore, no additional provision for uncollectible 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. None G. None 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 2,955,980 758,767 (2,955,980) (758,767) C. Total 2,955,980 758,767 (2,955,980) (758,767) d. Direct Unearned Premium Reserve 8,279,212 (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 -0- -0- (206,509) 206,509 b. Sliding Scale Adj. -0- -0- (588,470) 588,470 C. Other Profit Comm. -0- -0- -0- -0- d. Total -0- -0- (794,979) 794,979 14.5 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company D. There were no reinsurance write offs during 2012 and 2011. E. None F. None G. None H. None 24. Retrospectively Rated Contracts & contracts Subject to Redetermination (N/A-Title) A. None B. None C. None D. None E. None 25. Change in Incurred Losses Reserves as of December 31, 2011 were $23.772 million. As of December 31, 2012, $11.399 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 $17.559 million as a result of re-estimation of unpaid claims and claim adjustment expenses principally on other liability (claims made) lines of insurance. Therefore, there has been a $5.186 million unfavorable prior-year development since December 31, 2011 to December 31, 2012. 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. Reserve strengthening occurred during 2012 on various report years due to an external reserve sufficiency study prepared in the first half of the year. 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 31. High Deductibles None 32. Discounting of Liabilities for Unpaid Losses or Unpaid Loss Adjustment Expenses A. None B. None C. None 33. Asbestos/Environmental Reserves A. None S. None C. 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 2012 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES PART I-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 isan insurer?.................. .............-...............--.................................... ..................--...................................................__............... Yes[X I No I I 12 If yes,did the reporting entity register and file with its domiciliary State Insurance Commissioner,Director or Superintendent,or 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(NAIC)in its Model Insurance Holding Company System Regulatory Act and model regulations pertaining thereto,or is the reporting entity subject to standards and disclosure requirements substantially similar to those required by such Act and regulations? Yes I X I No I I WA I 1.3 State Regulating? ...........................11--- 11................ ...................................-............ ---.......... Missouri 21 Has any change been made during the year of this statement In the charter,bylaws,articles of Incorporation,or deed of settlement of the reportingentity?............-.................-- ....................- - -................-................ --------------...................._......................................__------------ Yes No I X 1 2.2 If yes,date of change:,. —.......... .................... ............ ........... 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 domicile or the reporting entity.This date should be the date of the examined balance sheet and not the date the report was completed or released..--------._...._ 12/31!2006 3.3 State as of 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 03/23/2010 examination(balance sheet date).................-------------------- ............ .......... .......... 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?....................---.......... ..........................-- 7 --- - -.......... Yes No I I WA I X 1 3.6 Have all of the recommendations within the latest financial examination report been complied with?--------------- ..................... Yes I I No I I WA[X 1 4.1 Outing the period covered by this statement,did any agent,broker,sales representative,non-affiliated salestservice organization or any combination thereof under 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 line of business measured on direct premiums)of 4,11 sales of new business?.. --------------- ----------- yes I I No I X 1 4.12 renewals?..-.._.....__.._...---_...._._--.-.-...._....-.............. ------------ Yes No[X 1 4.2 During the period covered by this statement,did any sales/service organization owned in whole or in part by the reporting entity or an affiliate, receive credit or commissions for or control a substantial part(more than 20 percent of any major line of business measured on direct premiums)of'. 421 sates of new business? .............. ----------------------------- Yes I 1 No I X 1 4.22 renewals?...........-._...........-............................................................................. Yes I 1 No[X I 5.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement?---------------- ...............------------ Yes I I No I X 1 5.2 If yes,provide the name of the entity,NAIC Company Code,and state of domicile(use two letter state abbreviation)for any entity that has ceased to exist as a result of the merger or consolidation. 1 2 Name ofEn* INAIC Cornriamy Code l State of Domicile .............. ........................................................................ ................-..............................--[.................--................ -- 61 Has the reporting entity had any Certificates of Authority,licenses or registrations(including corporate registration,if applicable)suspended or revoked by any governmental entity during the reporting period? ................................ ................................ ............. Yes I I No I X I 6.2 If yes,give full information: .............. .............. ............. ............. ............. .......... 7.1 Does any foreign(non-United States)person or entity directly or indirectly control 10%or more of the reporting entity?-,,,.......... Yes I I No I X 1, 7.2 If yes, 7.21 State the percentage of foreign control; --------------L ------------------------------------------- % 7.22 State the nationalty(s)"ofthe foreign person(s)or entity(s)or if the entity is a mutual or reciprocal,the nationality of Its manager or attorneywin-fact;and identify the type of entity(s)(e.g.,individual,corporation or government manager or attorney in fact). 1 2 Nationality Type of Entity --------- ............ ........... ........... ---------- ANNUAL STATEMENT FOR THE YEAR 2012 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 I No I X 1 8,2 If response to 8.1 is yes,please identity the name of the bank holding company. ----------* **..................*................: ----------------................... ........... ................ .......... .............. 8.3 Is the company affiliated with we or more banks,thrifts or securities firms?---------------- ..........I - Yes I I No X I 8.4 If response to 8.3 is yes,please provide below the names and location(city and state of the main office)of any affiliates regulated by a federal regulatory services agency[i.e.the Federal Reserve Board(FRB),the Office of the Comptroller of the Currency(OCC),the Federal Deposit Insurance Corporation(FDIC)and the Securities Exchange Commission(SEC))and identify the affiliates primary federal regulator. 1 2 3 4-T-5-T 67-1 Affiliate Name Location(City,State) FRB OCC 1 FDIC I SEC 9. What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit? Brown Smith Wallace,LLC,1050 N.Lindbergh,St.Louis,MO 63132 10.1 Has the insurer been granted any exemptions to the prohibited non•aucfit services provided by the certified independent public accountant requirements as allowed in Section 7H of the Annual Financial Reporting Model Regulation(Model Audit Rule),or substantially similar state law or regulation?.- ............ ....................................... ----------............... .......... Yes No X 1 10.2 If the response to 10.1 is yes,provide information related to this exemption: .......... ............. ........ . ...... .. ........ . ......... . ....... . ...... . .......... 10.3 Has the insurer been granted any exemptions related to the other requirements of the Annual Financial Reporting Model Regulation as allowed for In Section 17A of the Model Regulation,or substantially similar state law or regulation? ............................. Yes f I No I X 1 10.4 If 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 laws? ........................... Yes I X I NO I I NA 1 1 10.6 If the response to 10.5 is no or rda,please explain ........ .................. ..... .. ............................. ..... ........... ............... ............. 11. What is the name,address and affiliation(officer/employee of the reporting entity or actuary/consultant associated with an actuarial consulting firm)of the individual providing the statement of actuarial opiniontcertification? Charles V.Faerber,FAS.ACAS,Rudd&Wisdom,Inc.,9500 Arboretum Blvd.,Austin,TX 78759 ........... ..............--------------- 12.1 Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly?..-.._..........._...,.._............_. Yes No I X 1 12.11 Name of real estate holding company 12.12 Number of parcels involved..........................------------- ....................... 12.13 Total bookladjusted carrying value ........... ............ 12.2 If,yes provide explanation: ........... .............--1-................. ............ .............._._..--........_.........-_.-.-............_----- 13. FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY: 13.1 What changes have been made during the year in the United States manager or the United States trustees of the reporting entity? ......------ ........ .. ........................* ----------------------------- -------------------------------- ---------------------------- 113.2 Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located?----------- Yes I I No 1 1 13.3 Have there been any changes made to any of the trust Indentures during the year?...,............... --................................---------------- Yes 1 j No[ I 13.4 It answer to(13.3)is yes,has the domiciliary or entry state approved the changes?..........-- -.................-- - -- Yes No N/A 14.1 Are the senior officers(principal executive officer,principal financial officer,principal accounting officer or controller,or persons performing similar functions)of the reporting entity subject to a code of ethics,which includes the following standards?,............-- ---------------................... Yes I X I No f I (a)Honest and ethical conduct,including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships; (b)Full,fair,accurate,timely and understandable disclosure in the periodic reports required to be filed by the reporting entity; (c)Compliance with applicable govemmental laws,rules and regulations; (d)The prompt internal reporting of violations to an appropriate person or persons identified In the code;and (a)Accountability for adherence to the code. 14.11 If the response to 14.1 is No,please explain: '*........................................* *.....................................*................*...............*...........................*.......... ................*..............................*.......... 142 Has the code of ethics for senior managers been amended?..---.-------- ----------------------------................ Yes I I No I X I 14.21 If the response to 14.2 is yes,provide information related to amendment(s). ...........'........................................ ...........*..............*------............... ..........**.............**............... 14.3 Have any provisions of the code of ethics been waived for any of the specified officers? ...........----........... ................................. Yes I I No I X I 14.31 ff the response to 14.3 is yes,provide the nature of any walver(s). ........... .............. ..................................................... .................... .......... ............ ................. ---------- .............. 151 ANNUAL STATEMENT FOR THE YEAR 2012 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 where the issuing or confirming bank is not on the SVOBank List?...._.........................................._.................................._..............__..._..._--.......--__.........--..-...-.._...._____........_._.......... Yes[ 1 No I X 1 15.2 If the response to 15.1 is yes,Indicate the American Bankers Association(ABA)Routing Number and the name of the issuing or confirming bank of the Letter of Credit and describe the circumstances in which the Letter of Credit is triggered-2 3 4 Am Ba Asso (ABA)NuIssuing or Confirming Bank Name Circumstances That Can Trigger the Letter of Credit Amount BOARD OF DIRECTORS 16. Is the purchase or sale of all investments of the reporting entity passed upon either by the board of directors or a subordinate committee thereof?._.._._.._..........................................._...._.......................----........_..----.._...__........__._...........--_.-......._..._........_. _........_._----_... Yes[X 1 No I 1 17. Does the reporting entity keep a complete permanent record of the proceedings of its board of directors and all subordinate committees ........................ Yes[X] No thereof? I 1 18. Has the reporting entity an established procedure for disclosure to its board of directors or trustees of any material interest or affiliation on the part of any of Its officers,directors,trustees or responsible employees that is in conflict with the official duties of such person?.......................... Yes[X I No[ ] FINANCIAL 19. Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles(e.g.,Generally Accepted AccountingPrinciples)?......._........................................:..........___..-----.............---_......._........._......__---............ __ ................. Yes[ I No[X I 20.1 Total amount loaned during the year(inclusive of Separate Accounts,exclusive of policy loans): 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 loans outstanding at the end of year(inclusive of Separate Accounts,exclusive of policy loans): 20.21 To directors or other officers......._..........$...................................... 20.22 To stockholders not officers....................$...................................... 20.23 Trustees,supreme or grand (Fraternal Only)......................................S...................................... 21.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for such obligation being reported in the statement? .................................................. ...._- --------------------------------......_...........__..........._..... Yes[ ] No[X] 21.2 If yes,state the amount thereof at December 31 of the current year. 21.21 Rented from others..................................$-..................................... 21.22 Borrowed from others.-.. --...._....-........$-_.------..........._...--------- 21.23 Leased from others.................................$-.....--------_.-------- .......... 21.24 Other........................................................$...................................... 22.1 Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund or guarantyassociation assessments?........._..........................-----"---.....----..........----...........-.........................._°-------............_............._..__°-.---.. Yes[X 1 No[ 1 22.2 If answer is yes: 22.21 Amount paid as losses or risk adjustment$ ...................................... 22.22 Amount paid as expenses...-------------.__....$.......----..__........_9,831 22.23 Other amounts paid......................................E...................................... 23.1 Does the reporting entity report any amounts due from parent,subsidiaries or affiliates on Page 2 of this statement?------------------------------------------- Yes[X I No[ ] 23.2 If yes,indicate any amounts receivable from parent included in the Page 2 amount:._................._....__.................._._..._................._..._........._._........$...................................... INVESTMENT 24.01 Were all the stocks,bonds and other securities owned December 31 of current year,over which the reporting entity has exclusive control,In the actual possession of the reporting entity on said date?(other than securities lending programs addressed in 24.03)------------------------------- Yes[X] No( ] 24.02 If no,give full and complete information relating thereto . .....------'.............................__............._...........................--...----.._........°-.........---.....---_.........._......._......._.-_............._.....----'-_.._.--...........------' 24.03 For security lending programs,provide a description of the program including value for collateral and amount of loaned securities,and whether collateral is carried on or o"alance sheet(an alternative is to reference Note 17 where this information is also provided) - ................................................................................................................................................................................................................................................ 24.04 Does the Company's security lending program meet the requirements for a conforming program as outlined in the Risk-Based Capital Instructions?._............................._.................-------..................................................................................----..._............................._............_... Yes[ 1 No[ 1 N/A[X I 24.05 If answer to 24.04 is yes,report amount of collateral for conforming programs._.................................................................................................------------- ...................................... 24.06 If answer to 24.04 is no,report amount of collateral for other programs._.........................._---------------...................................... ............................ ._......._.--.................... 24.07 Does your securities lending program require 102%(domestic securities)and 105%(foreign securities)from the counterparty at the outsetof the contract?._._...-------------.------------..............................-------------........_.._..---------------------------.......----------....._----------`---- Yes I I No I 1 N/A I X] 24.08 Does the reporting entity non-admit when the collateral received from the ceunterparty,falls below 100%?................................................. Yes[ ] No[ ] N/A[X] 24.09 Does the reporting entity or the reporting entity's securities lending agent utilize the Master Securities lending Agreement(MSLA)to conduct securities l ending?.................----------------......................................................................................................................................... :........ Yes( I No[ ] N/A[X I 15.2 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 24.10 For the reporting entity's security lending program state the amount of the following as December 31 of the current year: 24.101 Total fair value of reinvested collateral assets reported on Schedule DL,Parts 1 and 2._................................................... 0 24.102 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL,Parts 1 and 2.. __-----------3 -......__......._._.....--------0 24.103 Total payable for securities lending reported on the liability page.............................................................................................$ ................. ......._........_0 25.1 Were any of the stocks,bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under the control of the reporting entity,or has the reporting entity sold or transferred any assets subject to a put option contract that is currently in force?(Exclude securities subject to Interrogatory 21.1 and 24.03).................._.._..........__......................................................_.._............_....._...... Yes[X I No[ 1 25.2 If yes,state the amount thereof at December 31 of the current year 25.21 Subject to repurchase agreements...............................$...........................------ ..... 25.22 Subject to reverse repurchase agreements.................$....................I................. 25.23 Subject to dollar repurchase agreements $-_.__............__.---------- . 25.24 Subject to reverse dollar repurchase agreements.......$...................................... 25.25 Pledged as collateral._.____..........._....._._..___..........$-_......---------............_..... 25.26 Placed under option agreements...- $- - - 25.27 Letter stock or other securities restricted as to sale...$...................................... 25.28 On deposit with state or other regulatory body............$.....................5,370,355 25.29 Other...................._....._.......__._._............._............. -...._..----...---._.._..__.. 25.3 For category(25.27)provide the following: 1 2 3 Nature of Restriction Description..... Amount 26.1 Does the reporting entity have any hedging transactions reported on Schedule DB?................................................................................................... Yes[ ] No[X I 26.2 If yes,has a comprehensive description of the hedging program been made available to the domiciliary state?._....... Yes[ I No[ I N/A( I If no,attach a description with this statement 2741 Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity,or,at the option of the Issuer,convertible Into equity?......................................................................................................................................................... Yes( 1 No(X 1 27.2 N yes,state the amount thereof at December 31 of the current year........................_..._. ............____...............___....._......__.---.._......5. 28. Excluding items in Schedule E-Part 3-Special Deposits,real estate,mortgage loans and investments held physically in the reporting entitys offices,vaults or safety deposit boxes,were all stocks,bonds and other securities,owned throughout the current year held pursuant to a custodial agreement with a qualified bank or trust company in accordance with Section 1,111-General Examination Considerations,F. Outsourcing of Critical Functions,Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook?_ Yes(X I No 1 I 28.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook,complete the following: 1 2 Name of Custodians Custodian's Address US Bank... ......... ......... - ._,._.. SL-M0-Tl6T,P.O.Box 387,St.Louis,NO 63133......... - --------- — - 28.02 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook,provide the name,location and a complete explanation: 1 2 3 Names Locations Complete Explanation(s) 28.03 Have there been any changes,including name changes,in the custodian(s)Identified in 28.01 during the current year?-. .......... Yes I ) No(X I 28.04 If yes,give full and complete information relating thereto: 1 2 3 4 Old Custodian New Custodian Date of Chan a Reason 28.05 Identify all investment advisors,brokers/dealers or individuals acting on behalf of brokers/dealers that have access to the investment accounts, handle securities and have authority to make Investments on behalf of the reporting entity: 1 2 3 Central Registration De oslto Numbe - Name Address 152607..........................._s....... Montage Asset Management.................................................... 4200 W. 115th St,Suite 100,Leawood,KS 66211... -.... 148472..... Convergence Investment Partners....................................... 10555 Port Washington Rd..Suite 204,Mequon,WI 53092 123711..._-._......_._._......_.._ Tortoise Capital Advisors _...... 11500 Ash St.,Suite 300,Leawood,KS 66211.........._------------ 152533.................................... Ascent Investment Partners................................................ 1401 South Brentwood Blvd,Suite 390,St.Louis,MO 63144 15.3 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 29.1 Does the reporting entity have any diversified mutual funds reported in Schedule D,Part 2(diversified according to the Securities and Exchange Commission(SEC)in the Investment Company Act of 1940(Section Yes[X] No 29.2 If yes,complete the following schedule: 1 2 3 Book/Adjusted CUSIP# Name of Mutual Fund Carrying Value 464286-66-5 IShares V&I Pacific Ex Japan ..........—........... ........... 263,27 73936B-40-8 PowerShares 08 Agriculture Fund ..........--- -- .......... .......... 304.935 705W-86-6 ............Guggenheim S&P Equal Weight Energy.....................................-....................................................... ....................... .:.............._....324,039 78467Y-10-7............. SPDP MidCap Trust.Series I ---------------- ------------ ------- .._.........---._...691,770 29.2999-Total 1,584.021 29.3 For each mutual fund listed in the table above,complete the following schedule: 2 3 4 Amount of Mutual Fund's Book/Adjusted Carrying Value Name of Significant Holding of the Attributable to the Date of Name of Mutual Fund from above table) Mutual Fund Holding Valuation IShares MSCI Pacific Ex Japan ----------- BHP Billiton Ltd— -- __-........... — 211,246 ..12/31/2012— IShares MSCI Pacific Ex Japan---...,...°°-.---...._.._........_-.---......... Commonwealth Bank of Australlia----------- --------------------------_,_..----_17,587 12/31/2012— IShares MCI Pacific Ex Japan.............................---.................... Westpac Banking Corp..........---...............................--............— 14,243 ..12/31/2012 IShares MSCI Pacific Ex Japan. -- -- -...................... Australia&New Zealand Bank Corp. ---................ .........—..............12,OB4 ..12/31/2012 IShares MSCI Pacific Ex Japan -------------- .............. National Australia Bank..........................__ ...........--..........10,084 .12/31/2012 Guggenheim S&P 500 Equal Weight Energy .............. Nabors Industries Ltd— _-- ----------- .............. ---_.....--....._....---.8,286 ,12/31/2012 Guggenheim S&P 500 Equal Weight Energy ........................ Noble Corp —,—........... ..........-- — ___........_...........8.201 .12/31/2012 Guggenheim S&P 500 Equal Weight Energy........................................ Denbury Rsources Inc.............................................._..._, ........... ...........7,997 ..12/31/2012 Guggenheim SP 500 Equal Weight Energy ............................ FMC Technologies Inc..-- -- --.................... ..........7,984 ..12/31/2012 Guggenheim S&P 5DO Equal Weight Energy --------------------- Ifelmerich&Payne Inc,-------------------------- ------------ _.-.---------.......------7,958 12/3112012 SPOR MidCap Trust Series I............-................ --................. Regenewon Pharmaceuticals Inc..........................................................-.3,492 .12/31/2012 SPQR MidCap Trust Series I...........................................- Equinix Inc..._.--...-__.......--.................................................-- 5,825 ..12/31/2012 M MidCap Trust Series 1.............--.................—...................... Holly Frontier Corp --.............. --. ..................... 5.479 12/31/2012 M MidCap Trust Series 1-----------—.....................—-------------- Kansas City Southern ----.............. .......................... ------------5,340 12131/2012 SPOR MidCap Trust Series I..............- ........ .......—.— Ametek Inc........—.................................. ..... ........._......._-......5,306 .12/31/2012 PowerShares OB Agriculture Fund......--...-................................... Corn.............................................. --....................... ... ...............38,1117 12/31/2012 PowerShares DB Agriculture Fund...__.......--.......__.._............. Soybeans..............................--..................-................................ 38,117 ..12/31/2012 PowerShares D8 Agriculture Fund.........------------------------.,_.._- Sugar.. -- ----------------'- --- -------------------. ---.-..-_..__.--__38,117 12/31/2012 PowerShares 08 Agriculture Fund ...............--.............. Live Cattle............... ............... ..............-... - 38,117 .12/31/2012 PowerShares DB Agriculture Fund ........... ................... cocoa—..............--.................. ...........-.......................... .---.....................33.878 ..12/31/2012 ..................----------------- ........... ............ ........... --------------...........— 30. Provide the following information for all short-term and long-term bonds and all preferred stocks.Do not substitute amortized value or statement value for fair value. 2 3 Excess of Statement over Fair Value(-),or Statement(Admitted) Fair Value over Value Fair Value Statement(-) 30.1 Bonds......................................--........................................................................28,128.554 ........._.......29,0$7.833 ........._......_.....959,279 30.2 Preferred stocks-........................................----------............ _._--......_---------........_----.0 ....................—.............. ................................0 30.3 Totals 28,128,554 29,087,833 959.279 30.4 Describe the sources or methods utilized in determining the fair values; The Market Value provided by the NAIC was used if available.Where NAIC Market Value was not available,Custodian Market Value was used........-----------------------—-------------- ------------ -----------------------—------ ----------- --------------—-------- -------------------------------------- ---------- 31.1 Was the rate used to calculate fair value determined by a broker or custodian for any of the securities in Schedule D? .................. Yes I X I No 31.2 If the answer to 311,11 Is yes,does the reporting entity have a copy of the broker's or custodian's pricing policy(hard copy or electronic copy)for all brokers or custodians used as a pricing source?-,............---------------- .......... .......... ..........------------............... yes I X I No I 31.3 If the answer to 31.2 is no,describe the reporting entity's process for determining a reliable pricing source for purposes of disclosure of fair value for Schedule 0: ............11................... ----------I--..............—....................--------------- ..............—..............-----------------— --------------- ---------- 32-1 Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Securities Valuation Office been followed? Yes I X I No 1 1 32,2 If r*,list exceptions: .................... ----------- ------------ .............. ............ ....................................... ................ ...................................... 15.4 ANNUAL STATEMENT FOR THE YEAR 2012 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,H any?...................................................................$...........................32,544 33.2 List the name of the organization and the amount paid'd any such payment represented 25%or more of the total payments to trade associatons, service organizations and statistical or rating bureaus during the period covered by this statement. 1 2 Name Amount Paid - National Association of Mutual Insurance Companies............................__......._....___.............._........._._........__._._........._...11,345 AMBest Company..................................................................... .............................................................................................................8.800 34.1 Amount of payments for legal e enses,if an $.........................148,051) 34.2 List the name of the firm and the amount paid if any such payment represented 25%or more of the total payments for legal expenses during the period covered by this statement. 1 2 Name Amount Paid 35.1 Amount of payments for expenditures in connection with matters before legislative bodies,officers or departments of government,if any?............$............................2,400 35.2 List the name of the firm and the amount paid if any such payment represented 25%or more of the total payment expenditures in connection with matters before legislative bodies,officers or departments of government during the period covered by this statement. 1 2 Name Amount Paid MissouriInsurance Coalil ion........... ......... ............_._......._.........................--------............... - -......._2.400 15.5 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES PART 2-PROPERTY AND CASUALTY INTERROGATORIES 1.1 Does the reporting entity have any direct Medicare Supplement Insurance in force?_......--..._.-................._............................ ..... Yes I 1 No(X I 1.2 If yes,indicate premium earned on U.S.business only........................................................................................................................................................$ 1.3 What portion of Item(1.2)is not reported on the Medicare Supplement Insurance Experience Exhibit?.....................................--..............-..--...........$ 1.31 Reason for excluding - ....-----.._............_....................................................................._. .............................. ._................-_................._._.....:.-.-.. 1.4 Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item(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 All years prior to most current three years 1.64 Total premium earned...._....-......-..........$__-------------------- ---------0 1.65 Total incurred claims................................$.....--------------...-............0 1.66 Number of covered lives.................................................................0 1.7 Group policies: Most current three years: 1.71 Total premium earned..............................$ --------------...................0 1.72 Total incurred claims-_.............................S..--------------_----._----..-_0 1.73 Number of covered lives.................................................................0 All years prior 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: 1 2 Current Year Prior Year 2.1 Premium Numerator......................................................................................................:.......................................................................... 2.2 Premium Denominator_.--.......-----------............................................. ...._.._...10,454.535 ...--........-....10,228,150 2.3 Premium Ratio(2.1/2.2)......_._..............------._..........-.---___....------..._...._...............-.._.._...-....-_--0.000-----.--.°-----------0.000 2.4 Reserve Numerator............................................................................................................._.................._....._0.......----..........----.--....0 2.5 Reserve Denominator-----------------------_-............... ............._- _-----_...__.30,716,996.._._..-.._.....28.915,715 2.6 Reserve Ratio(2.42.5)............................................................................................:.:.............................0.000.......---------............0.000 3.1 Does the reporting entity issue both participating and non-participating policies?.......................,.._-.................._...................................-__..............-. Yes( 1 No[X 1 3.2 If yes,state the amount of calendar year premiums written on: 3.21 Participating policies.................................$...................................... 3.22 Non-participating policies.........................$...................................... 4. For mutual reporting Entities and Reciprocal Exchanges Only: 4.1 Does the reporting entity issue assessable policies?-..---___..................................._ ..... ..........................;............................ Yes I I No I X 1 4.2 Does the reporting entity issue non-assessable policies?--.-..._............--..........----..--........---.............................................._..._...---...--....__......_.-- Yes[X I No[ 1 4.3 N assessable policies are issued,what is the extent 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......._ ------------........E 5. For Reciprocal Exchanges Only. 5.1 Does the Exchange appoint local agents?----------------------- -----------------------------------------------............. Yes( 1 No I 1 5.2 If yes,is the commission paid: 5.21 Out of Attorneys-in-fact compensation.--.._--------------..__---------------------------------- Yes[ 1 No[ 1 N/A[ 1 5.22 As a direct expense of the exchange..................................................................... Yes[ 1 No I I N/A I I 5.3 What expenses of the Exchange are not paid out of the compensation of the Attorney-in-fact? -._._.........................------.-...........--_'__-_-'_----._..-------------.-.------------ --------------..................__---------------- 5.4 Has any Attorney-in-fact compensation,contingent on fulfillment of certain conditions,been deferred?..................................................................... Yes[ I No[ I 5.5 N yes,give full information ..-..............-----__...........................----..--"-`-.._...--'---......_--........_.......---.................._.......-------.-........................-......................----...._...'---_.......... 16 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company GENERAL INTERROGATORIES 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 of a catastrophe under a workers' compensation contract issued without limit of loss? Do Not Write Worker's Compensation Insurance..........._........................._._..........__.................-....._................_.._..........._...__._..........._._............. 6.2 Describe the method used to estimate this reporting entitys probable maximum insurance loss,and identify the type of insured exposures comprising that probable maximum loss,the locations of concentrations of those exposures and the external resources(such as consulting firms or computer software models),if any,used in the estimation process. Written Lines of Insurance are Not Subject to Catastrophe Loss.....___..............__. ._._......___.........__...........___........__......._....... 6.3 What provision has this reporting entity made(such as a catastrophic reinsurance program)to protect itself from an excessive loss arising from the types and concentrations of insured exposures comprising its probable maximum property insurance loss? Written Lines of Insurance are Not Subject to Catastrophe Loss......................................_......................_.._---..........................---.............. ........ 6.4 Does the reporting entity tarty catastrophe reinsurance protection for at least one reinstatement,in an amount sufficient to cover its estimated probable maximum loss attributable to a single loss event or occurrence?..............--.............................................................................................- Yes[ 1 No I X 1 6,5 if no,describe any arrangements or mechanisms employed by the reporting entity to supplement its catastrophe reinsurance program or to hedge its exposure to unreinsured catastrophic loss. Written Lines of Insurance are Not Subject to 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 reinsurer's losses below the stated quota share percentage(e.g..a deductible,a loss ratio corridor,a loss ratio cop,an aggregate limit or any similar provisions)7...-.-.-.. .___.............___._....................._.._._...........--. ---------...._.._............ Yes[ ] No[X) 7.2 if yes,indicate the number of reinsurance contracts containing such provisions: .............................................-----------........................................................................................ 7.3 If yes,does the amount of reinsurance credit taken reflect the reduction in quota share coverage caused by any applicable limiting provision(s)?........................................................................ ..-.....................-............................... ................................................................................ Yes[ 1 No( 1 8.1 Has this reporting entity reinsured any risk with any other entity and agreed to release such entity from liability,in whole or in part,from any loss that may occur on this risk,or portion thereof,reinsured?...................................................................................................................................... Yes I 1 No[X 1 8.2 If yes,give full information .....-........---........--..............---...._........__.....................----_......-....-......._..........................................._..........._.°-...................................----............ 9.1 Has the reporting entity ceded any risk under any reinsurance contract(or under multiple contracts with the same reinsurer or its affiliates)for - which during the period covered by the statement:(I)it recorded a positive or negative underwriting result greater than 5%of prior year-end surplus as regards policyholders or it reported calendar year written premium ceded or year-end loss and loss expense reserves ceded greater than 5%of prior year-end surplus as regards policyholders;(ii)it accounted for that contract as reinsurance and not as a deposit;and (iii)the contract(s)contain one or more of the following features or other features that would have similar results: (a)A contract term longer than two years and the contract is noncancellable by the reporting entity during the contract tens; (b)A limited or conditional cancellation provision under which cancellation triggers an obligation by the reporting entity,or an affiliate of the reporting entity,to enter Into a new reinsurance contract with the reinsurer,or an affiliate of the reinsurer, (c)Aggregate stop loss reinsurance coverage; (d)A unilateral right by either party(or both parties)to commute the reinsurance contract,whether conditional or not,except for such provisions which are only triggered by a decline in the credit status of the other party; (e)A provision permitting reporting of losses,or payment of losses,less frequently than on a quarterly basis(unless there is no activity during the period);or (f)Payment schedule,accumulating retentions from multiple years or any features inherently designed to delay timing of the reimbursement to theceding entity.—...------------- ------------------------- .--...................................................... ....... -......._._................... Yes[ ] No[X 1 9.2 Has the reporting entity during the period covered by the statement ceded any risk under any reinsurance contract(or under multiple contracts with the same reinsurer or its affiliates),for which,during the period covered by the statement,it recorded a positive or negative underwriting result greater than 5%of prior year-end surplus as regards policyholders or it reported calendar year written premium ceded or year-end loss and loss expense reserves ceded greater than 5%of prior year-end surplus as regards policyholders;excluding cessions to approved pooling arrangements or to captive insurance companies that are directly or indirectly controlling,controlled by,or under common control with()one or more unaffiliated policyholders of the reporting entity,or(ii)an association of which one or more unaffiliated policyholders of the reporting entity is a member where: (a)The written premium ceded to the reinsurer by the reporting entity or its affiliates represents fifty percent(50%)or more of the entire direct and assumed premium written by the reinsurer based on its most recently available financial statement;or (b)Twenty-five percent(25%)or more of the written premium ceded to the reinsurer has been retroceded back to the reporting entity or its affiliates in a separate reinsurance contract.—............................................................................................................................................................ Yes[ 1 No[X j 9.3 If yes to 9.1 or 9.2,please provide the following information in the Reinsurance Summary Supplemental Filing for General Interrogatory 9: (a)The aggregate financial statement impact gross of all such ceded reinsurance contracts on the balance sheet and statement of income; (b)A summary of the reinsurance contract terms and indicate whether it applies to the contracts meeting the criteria In 9.1 or 9.2;and (c)A brief discussion of management's principle objectives in entering into the reinsurance contract including the economic purpose to be achieved. 9.4 Except for transactions meeting the requirements of paragraph 32 of SSAP No.62R,Property and Casualty Reinsurance,has the reporting entity ceded any risk under any reinsurance contract(or multiple contracts with the same reinsurer or its affiliates)during the period covered by the financial statement,.and either. (a)Accounted for that contract as reinsurance(either prospective or retroactive)under statutory accounting principles(°SAP)and as a deposit under generally accepted accounting principles CGAAP");or (b)Accounted for that contract as reinsurance under GAAP and as a deposit under SAP?........................................................................................ Yes I 1 No I X I 9.5 lf yes to 9.4,explain In the Reinsurance Summary Supplemental Filing for General Interrogatory 9(Section D)why the oontract(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 following criteria: (a)The entity does not utilize reinsurance;or..............__-_.__....................._...._......:._..............._..._.............._......._._....................__...._........_._........ -Yes I 1 No[X 1 (b)The entity only engages in a 100%quota share contract with an affiliate and the affiliated or lead company has filed an attestation Yes[ ] No I X 1 supplement;or...................... (c)The entity has no external cessions and only participates in an intercompany pool and the affiliated or lead company has filed an attestationsupplement.---- -----------...................._---..._..._......._...................................---..........---------------------_------------__--- Yes[ I No[X] 10. If the reporting entity has assumed risks from another entity,there should be charged on account of such reinsurances a reserve equal to that which the original entity would have been required to charge had it retained the risks.Has this been done?..................................Yes[ ] No I I WA[X I 16.1 ANNUAL STATEMENT FOR THE YEAR 2012 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[ ] No I X 1 11.2 If yes,give full information 12.1 If 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 loss adjustment expenses)......5.._.................................. 12.2 Of the amount on Line 15.3,Page 2,state the amount which is secured by letters of credit,collateral,and other funds..............................................$ 12.3 If the reporting entity underwrites commercial insurance risks,such as workers'compensation,are premium notes or promissory notes accepted from its insureds covering unpaid premiums and/or unpaid losses?................................................................................................. Yes[ ] No I ] N/A I X 1 12.4 If yes,provide the range of interest rates charged under such notes during the period covered by this statement: 12.41 From........................-....................................................................................................................... 12.42 To_...- ........... 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[ 1 No[X] 12.6 If yes,state the amount thereof at December 31 of the current year 12.61 Letters of credit...............................................................................................$...................................... 12.62 Collateral and other funds.....................-_._..._.....................___................$-.................---....._..... 13.1 Largest net aggregate amount insured in any one risk(excluding workers'compensation):............................................................................................$ 250,000 13.2 Does any reinsurance contract considered In the calculation of this amount include an aggregate limit of recovery without also including a reinstatementprovision?..................................................................................................................................................................................................... Yes I 1 No[X 1 13.3 State the number of reinsurance contracts(excluding individual facultative risk cerfificates,but including facultative programs,automatic facilities or facultative obligatory contracts)considered in the calculation of the amount.......................................................................................................................................5 14.1 Is the company a cedant in a multiple cedent reinsurance contract?............_.--._........_......-...:.................._........................................................__-. Yes I 1 No I X 1 14.2 If yes,please describe the method of allocating and recording reinsurance among the cedants: . .............................................................................................................................................................................................................................................. 14.3 If the answer to 14.1 is yes,are the methods described in item 14.2 entirely contained in the respective multiple cedant reinsurance contracts?.......- ..............................-.._....._........--..........._..............................................................--....._.....................-.................................... Yes I ] No I 1 14A If the answer to 14.3 is no,are all the methods described in 14.2 entirety contained in written agreements?......._..........__.--------------._........._._..... Yes I ] No I 1 14.5 If the answer to 14.4 is no,please explain: 15.1 Has the reporting entity guaranteed any financed premium accounts?................_....--.._.......-.-....-...._._................................................................. Yes[ ] No I X] 15.2 If yes,give full Information 16.1 Does the reporting entity write any warranty business?....... ..............................._................._............................_.................................... Yes I 1 No I 1 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 trimmed Unpaid Premium Unearned Earned 16.11 Home.................................................-................--... -...:----------.................... ---................................. ..........._ .................... 16.12 Products.----.....---.....................---------......_------ ..................................... ---................................. ...................................... ° ----- ---------...............__._. 16.13 Automobile......................................................................................................... ..................................... ..................................... ..................................... ..................................... 16.14 Other* Disclose type of coverage: 16.2 ANNUAL STATEMENT FOR THE YEAR 2012 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 S?....----.....................................__-............................................................... .....................................................................---....... Yes I I No I X 1 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 exemption: 17.11 Gross amount of unauthorized reinsurance in Schedule F-Part 3 excluded from Schedule F-Part 5 _..............._.___._._....................__..$.........____._.__._.......... 17.12 Unfunded portion of Interrogatory 17.11................_........._..............................$...................................... 17.13 Paid losses and loss adjustment expenses portion of Interrogatory 17.11.....$............_....................... 17.14 Case reserves portion of Interrogatory 17.11.......... ...$ 17.15 Incurred but not reported portion of Interrogatory 17.11..................................$..-..................... .............. 17.16 Unearned premium potion of Interrogatory 17.11 $-_...-..-.-..................._-. 17.17 Contingent commission portion of Interrogatory 17.11 ..................$......... .... 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............................................................$...................................... 17.20 Paid losses and loss adjustment expenses portion of Interrogatory 17.18.....$................. . 17.21 Case reserves portion of Interrogatory 17.18.........--..._._.........._.._....__.......$...._..................._.....--.. 17.22 Incurred but not reported portion of Interrogatory 17.18..................................$...................................... 1723 Unearned premium portion of Interrogatory 17.18 $---.- - --- 17.24 Contingent commission portion of Interrogatory 17.18....................................$.......------....---.------------ 18.1 Do you act as a custodian for health savings accounts?.................... ._......_._._. -------------- ---------- Yes( I No I X I 18.2 If yes,please provide the amount of custodial funds held as of the reporting date.__............__....._..._......._........___........._......_............._..........- .................... 18.3 Do you act as an administrator for health savings accounts?..................................................._........._.-..-..............-.....--............._...................._..... Yes I 1 No I X 1 18.4 If yes,please provide the balance of funds administered as of the reporting date.............................................................................................................$...................................... 16.3 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company FIVE-YEAR HISTORICAL DATA Show amounts in whole dollars only,no cents;show percentaae s to one decimal place,i.e.17.6. 1 2 3 4 5 2012 2011 2010 2009 2008 Gross Premiums Written(Page S.Part 18 Cols. 1,2&3) 1. Liability lines(Lines 11.1,11.2,16,17.1,17.2,17.3, 18.1,18.2,19.1,19.2&19.3,19.4).............................................17,387,777 ...................16,294,387 ...................16,958,397 ..................18,204,150 ..................20,588,460 2. Property lines(Lines 1,2,9,12,21&26)............... ...............0 _.__.............---___._.0 ---_...._............ 0 .............._0 _..............._..............0 3. Property and liability combined lines(Lines 3,4,5, 8.22&27)---................_...................................................----..........0 ...............................0 ..-................._..-.........0 ...._ ...._.0 ........... -0 4. All other lines(Lines 6,10,13,14,15,23,24,28, 29,30&34)........................................................................................304,402 .......................294,101 ........................270,392 ........................389,867 ........................378,297 5. Nonproportional reinsurance lines(Lines 31,32& 33)-....__................__............_..-.....--........._......-_...... 0 0 0 0 0 e. Total(Line 35).................................................................................17.692.179 ...............-..16.588.488 ...................17.228.789 ..................18,594,017 ..................20,966,757 Net Premiums Written(Page 8,Part 1B,Col.6) 7. Liability lines(Lines 11.1,11.2,16,17.1,17.2,17.3, 18.1,18.2,19,1,19.2&19.3,19.4)....................................--......10,498,148 ...................9,909,042 ..................10,430,196 ..................11,285,315 ..................12,649,294 S. Property lines(Lines 1,2,9,12,21&26).........................._..-..___...........-.0 ..........................-._.....0 _...-..- ................ ...0 ._.--_...__._...-._..-....-_0 .................._...............0. 9. Property and liability combined lines(Lines 3,4,5, 8.22&27) .............__... 0 ...-........_......._.....-.__0 _.._...._.._..__........._0 ._ 0 -.._._..........................0 10. All other lines(Lines 6,10,13,14,15,23,24,28, 29.30&34)................................................................ ........................135,937 ........................128.367 .......................126,677 .......................124,211 ........................131.868 11. Nonproportional reinsurance lines(Lines 31,32& 33)....._..........................---.--..........................._.......... 0 0 0 0 0 12. Total(Line 35)................................:-......... .................10,634.085 ...................10,037,409 ...................10,556,873 ..................11,409,526 ..................12,781,162 Statement of Income(Page 4) 13 Net underwriting gain(loss)(Line 8).............................................(8.511,559)..--..--..........(2,044,956)...................(3,324,371)......................(506,687)......................(127,553) 14. Net investment gain or(loss)(Line 11). ...................V3,193 ................ ...2,532,953 1,000,156 -- 1,059,893 1,578,021 15. Total other income(Line 15)....................................... 282.020 ..---------------------245,599 .......................249,689 ..............-..-.....244,447 .............---...263,511 16. Dividends to policyholders(Line 17).............................................................. ..................................... ..................................... ..................................... ..................................... 17. Federal and foreign income taxes incurred(Line 19) 15,360 (53,082) 27,150 19,847. 18. Net income(Line 20).......................................................................(7.356.346)........................718,236 ..................(2,021,444)........................770.503 ....................1.694,132 Balance Sheet Lines(Pages 2 and 3) 19.. Total admitted assets excluding protected cell business(Page 2,Line 26,Col.3)..............................................49,476,172 ..................53,780,609 ..................56,060,248 .................57,082,812 .........-........60,053,131 20. Premiums and considerations(Page 2,Col.3) 20.1 In course of collection(Line 15.1)..........................................3,153,598 ..................--3,262.315 ....................3,625,151 ....................3,061,820 ....................3,360,385 20.2 Deferred and not yet due(Line 15.2)................ -------------------- _...-...0 ...................................0 ....................................0 ...................................0 ...................................0 20.3 Accrued retrospective premiums(Une 15.3)._. ............0 ._.-.._._--.................0 ---._.......-..----....-..0 ................_..._.-...-.-._0 ........-...._. 0 21. Total liabilities excluding protected cell business (Page 3,Line 26)..............................._........._..............................33.869,515 .............. 31,384,640 ......__......33,831,527 .................M,522.814 ..................36,802.523 22. Losses(Page 3,Line 1)._..._.. ......................._......_...15,296,151 ....--............14,873,082 ..................16,897,957 ............-`---15,335,125 ..__..._.......17,167,568 23. Loss adjustment expenses(Page 3,Line 3)............. ..................10,097,614 ....................8,898,952 ..........-........8,935,975 ....:...............9,727,109 ..................10,244,406 24. Unearned premiums(Page 3,Line 9)_ -..5,323,231 ................... 5,334,422 -___._._...._5,741,661 6,279,414 25. Capital paid up(Page 3.Lines 30&31)......................................................0 .................................. --..............................-..0 ...................................0 ..................................0 26. Surplus as regards policyholders(Page 3,Line 37)....................15.606,657 ..................22,395,969 ..................22,248,721 .--.-.._.......23,559,998 ..................23.250,608 Cash Flow (Page 5) 27. Net cash from operations(Une 11).............................---............ ..................(2,658,251)..................11,901,076).................J1,556,216)........................921,701 Risk-Based Capital Analysis 28. Total adjusted capital.l.._.................................................................15,606,657 ..-------.---..22,395,969 ..................22,248,721 .............__23,99,998 ..................23.250,608 29. Authorized control level risk-based capital..-.._......... ....................5,232,787 ....................4,432,251 .................. ...................4,264,877 ...................4,369,291 Percentage Distribution of Cash,Cash Equivalents and Invested Assets(Page 2,Col. 3)(Line divided by Page 2,Line 12,Col.3) X100.0 30. Bonds(Une 1)........................ .............................63.6 ..................---........63.6 .............................67.6 ......................-'---..74.1 ......------.................77.1 31. Stocks(Lines 2.1&2.2) ---....._` ........ ._._........................22.4 .... ....................18.9 ........_.........---.....17.9 .... 16.0 ------------------ 13.0 32. Mortgage loans on real estate(Ones 3.1 and 3.2) ...............................0.0 ...............................0.0 .......... ..0.0 -------------........----------0.0 ......... ..0.0 33. Real estate(Lines 4.1,4.2&4.3)..............................................................3.9 ...............................3.7 ...............................3.7 ...............................3.7 ...............................3.1 34. Cash,cash equivalents and short-term investments (Line 5).....................................................................................................10.1 ........................:.---13.6 .......-......................10.8 ----....................-..._6.1 -.... .......6.8 35. Contract loans(Une 6)...--------......_.........----....._.... ......_.......................0.0 ...............................0.0 ........--------.........0.0 ...............................0.0 ...............................0.0 36. Derivatives(Line 7)._..._..-----------------...._------.._._ -------------- 0.0 ...............------- --0.0 ..-----------------------0.0 --------.._ ---........-----------. ------_-. 37. Other invested assets(Line 8)...................................................................0.0 ...............................0.0 ...................--..........0.0 ....................-.------...0.0 ...............................0.0 38. Receivables for securities(Line 9)_......................-------------------------- 0.0 ---------------..............0.0 ..--._.. _.0.0 .................--------------0.0 ..........................-.-0.0 39. Securities lending reinvested collateral assets(Line 0.0 0.0 10)...................... ..................... ................. ............ ................ ........ ..................0.0 ...............XXX..............................XXX.............. 40. Aggregate write-ins for invested assets(Line 11)..... 0.0 0.0 0.0 0.0 0.0 41. Cash,cash equivalents and invested assets(Line 12)............................................................................................._100.0............................_100.0............................_100.0..............................100.0..............................100.0............... Investments In Parent,Subsidiaries and Affiliates 42. Affiliated bonds(Schedule D,Summary,Une 12, Col.1).........................------------- --------------- ------------- ..._..........................0 ----------------- - 0 ----------- 0 -------------- ._----------- 43. Affiliated preferred stocks(Schedule D,Summary, Une18,Col.1)...............................................__.......---....---._...----------------- ..................................... ..................................... ..................................... ..................................... 44. Affiliated common stocks(Schedule D,Summary, Line 24,Col.1)............................................................... 4.790,671 ....-..............4,576,456 ....................4,450.735 ....................4,307,248 ...................4.175,944 45. Affiliated short-term investments(subtotals included In Schedule DA Verification,Col.5,Une 10)......_.. ........................-....0 -----.._ 0 ._0 ...-.._._..---------.._0 ._-----_.._.........--...-_0 46. Affiliated mortgage loans on real estate......................................................... ..................................... ..................................... ..................................... ..................................... 47. All other affiliated...------------------------------ 48. Total of above Lines 42 to 47..........................................................4,790.671 ....................4.576,458 ...................4,450,735 ....................4,307,248 ....................4,175,944 49. Total Investment in Parent included in Lines 42 to 47 above_.................................._...................._....._._........_..--..-...-------._----- -------------_...------------------. .............._.._......---------- ---------,---.................... -----------------.------------------- 50. Percentage of Investments In parent,subsidiaries and affiliates to surplus as regards policyholders (Une 48 above divided by Page 3,Col.1,Une 37 x 100.0) 30.7 20.4 20.0 18.3 18.0 17 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company FIVE-YEAR HISTORICAL DATA Continued 1 2 3 4 5 2012 2011 2010 2009 2008 Capital and Surplus Accounts(Page 4) 51. Net unrealized capital gains 0osses)(Line 24).................................202,288 ......................(258,960)......................_613,077 ......................(379,625)..................(1,264,986) 52. Dividends to stockholders(Line 35)......_.......-............._..........._............-- ...._._............_........_. .._- ........ .......... -... 53. Change In surplus as regards policyholders for the year(Line 38).. ......................------------...............- --16.789,312) ...........147,248 ._....__......_(1,311.277) .............309.390 ......_._...........(188.779) Gross Losses Paid(Page 9,Part 2,Cols.1&2) 54. Liability lines(Lines 11.1,11.2,16,17.1,17.2,17.3, 18.1.18.2,19.1,19.2&19.3,19.4).............................................8,964.213 ...................4.840,018 ...................6.509,663 ...................4,614,883 ................_..5,164,294 55. Property lines(Lines 1,2,9,12.21&26)..._._..........------------- ........... ......__.__...................0 ................__..............0 .- ..... ......._.__._........._...._0 56. Property and liability combined lines(Lines 3,4,5, 8,22&27)............................ .....................................0 ._.____..........._.._-- ......._...__.._.---..:........0 ...................................0 _.................................0 57. All other lines(Lines 6,10,13,14,15,23,24,28, 29,30&34)........_..._- ....-. ._......_.._.............................................142.376 ................... (6,993) ................6,252 ..........................35,638 ........----..............16.000 58. Nonproportional reinsurance lines(Lines 31,32& 33)................................................................................ 0 0 0 0 0 59. Total(Line 35)....................._........_...--........._......._..........._....._..9,106,589 ........._....._.4,833,025 ...____...._..6,515.915 4.650,521 ...........__._5,180,294 Net Losses Paid(Page 9,Part 2,Col.4) 60. Liability lines(Lines 111,11.2,16,17.1,17.2,17.3, 18.1.18.2,19.1,19.2&19.3,19.4)..............................................5,968,253 ....................3,610,570 ....................3.361,566 ....................3,753,662 ...................4,086.503 61. Property lines(Lines 1,2,9,12.21&26)..-_............................................0 ..................._......._.....0 ----------.....:..................0 _................:................0 .... ..........0 62. Property and liability combined lines(Lines 3,4,5, 8,22&27)...................................-----......"'.---........................................0 -----------------_................0 .........._.......... 0 ..................._.._..........0 ......-........._._,............0 63. All other lines(Lines 6,10,13,14,15,23,24,28, 29.30&34)................................................................ _ . ................ ---..................._(3.496) ._3.126 ......__.__--__..._17,819 .-- 8.000 64. Nonproportionai reinsurance lines(Lines 31,32& 33)----------......................... . 0 0 0 0 0 65. Total(Line 35). .......................... ......... ............................_6,004.936 ....................3,607,074 ....................3,364692.....................3.771,481 ....................4.094,503 Operating Percentages(Page 4)(Line divided by Page 4,Line 1)x 100.0 66. Premiums earned(Line 1)......--.....-------------------------------......._..100.0.............. _...._-..-100.0.._.----------...............100.0------------ ---.-------100.0..-...--_...............100.0.............. 67. Losses Incurred(Line 2)........ ................................................61.5 ..............................15.5 .............................44.9 ..................... -16.2 ......... ............19.9 68. Loss expenses incurred(Line 3).................................._-----..................76.3 .......................--63.2 ................._........_47.2 ---..........................53.5 --.......................45.7 69. Other underwriting expenses incurred(Line 4)......... .............................. .............................41.3 ...-.- 38.2 .........................-34.5 ................._..........35.4 70. Net underwriting gain(loss)(Line 8).......................................................(81.4)..................----------(20.0)............................(30.3)..............................(4.2)..............................(1.0) Other Percentages . 71. Other underwriting expenses to net premiums written(Page 4,Lines 4+5-15 divided by Page 8,Part 18,Col.6,Line 35 x 100.0).... ------------------------ 40.3 ........-..................39.7 ....._..._----_._.37.3 ---------------------------34.0 .....-------....--_.......34.9 72. Losses and loss expenses incurred to premiums earned(Page 4,Lines 2+3 divided by Page 4, Line1 x 100.0)._................- -......._..................................................137.8 - ............._......78.6 .....................--....92.1 ..--..................----...69.7 ....----......_........_65.6 73. Net premiums written to policyholders surplus (Page S.Part 1B,Col.6,Line 35 divided by Page ........................_47.4 ......-......................55.0 3,Line 37.Col.1 x 100.0)......................................... .............................68.1 ...........--.--.............44.8 ._. .............................48.4 One Year Loss Development(000 omitted) 74. Development in estimated losses and loss expenses incurred prior to current year(Schedule P-Part 2-Summary,Line 12,Col.11) ..----..................5.534 ...............................(67).......................-----638 ---------------...........(1,317)........................_(1.918) 75. Percent of development of losses and loss - expenses incurred to policyholders surplus of prior year end(Line 74 above divided by Page 4,Line 21,Col.t x 100.0)....---------------------..._...------------------------------- ......24.7 ._... (0.3) ------.2.7 __-------------_-----------(5.7)._.._...._...- ......18.2) Two Year Loss Development(000 omitted) 76. Development in estimated losses and loss expenses Incurred two years before the current year and prior year(Schedule P,Part 2- Summary,Line 12,Col.12)..-_------------...................._.....:.._......_.._4.251 ...__....--_-..._.__...554 . (449)...._..._--.............(1.849)...._.. ...........-(33M) 77. Percent of development of losses and loss expenses Incurred to reported policyholders surplus of second prior year end(Line 76 above divided b Pa e 4 Line 21 Cot.2x100+0) 19.1 1 2.4 1 (7.9) (19.1) NOTE:If a party to a merger,have the two most recent years of this exhibit been restated due to a merger in compliance with the disclosure requirements of SSAP No.3,Amounting Changes and Correction of Errors7...__------------------------.-----------------------__--------------------------------------.. Yes[ ] No ifno,please explain: ...................................................................................................................................................................................................... 18 2 0 a s 1 0 2 0 1 2 4 s a o 1 1 o a ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Alabama urinq the Year 2012 NAIC C mpany Code 29513 Gross Preniunn,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fee', Direct Defense Less Return Premiums and and Premiums on Policies not Taken Dividends Paid Direct Datense Direct Defense and Cast 1 2 or Credited to and Coat and Cost Containment Commisslons Direct Premiumm Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Eamed on Direct Business Premium Reserves deduNn salve a Incurred Losses Un aid Ex ense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire._.................._........_...............__............................_..._.__..................__.................... ............._....._.__.. ..............___._........ ...._._...._._......_... __..._...._............. _._......................_ ______..........._..... .........._..._._.._.._. ...._................_..:_ ..._......_................ ...................._......_ 2.1 Allied lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril ue ..............._............ ............._.............. ._......._..........._.... ........._._............... ........................._.. ..._........................ ..._........................ ......................._.... 2.3 Federal food...................._._................._..............................._......__..._........................_.... ...__...................... ...................__..._ _._.................._.... .._._._..............._.. _..._..........._._...... ..................._........ ._._._.._..._......_... ._....... ._ ._......._................. __ ..... 3. Farmowners multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril__.........._...... ..............._.........._ ...._...................___ _..._............._..__. ....._.........._.......... ........_......._.__.._.... 5.1 Commerclal multiple peril(noMiability portion)....................................... ..................._........ ...._..................._.. ................_..._..__ .._..........._............ ................._.......... ........... 5.2 Commercial multiple pert(liability portion).................._.. ............................._........._......... ........_....__._........ ................_.._..._.. .............._............. ........._._............... ......._.................... ..........................._ ...._....................... ..........__............... ............_............._ ....._................_.... 6. Mortgage guaramy...........____......._..._......_..._..._................._..._..__......._..........._._._... ......__..............._.. ..._..............._.._.. _......_.................. ..._.._..._._............ ............................ ..__............__..__ ._......................._. __.._..._........_...._ _ . ...-'-._..........___.... 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. .......................I..... ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine.._...................._........._..._._._._._..._.......................__.__........_......._......_... ............_.............. ........................._.. ...._........____...._.. .._........._........_._. _._...._.__..........._ _._......._........_._.. ............................. .._......_.__...._....... ...........___._.......... ..._........................ ......_..................... 10. Financial guaranty..................................................................................._.:. ......._..._............... ......._......._....._.... ..............._..__...._ ._.........._.............. ....._.................._.. ..._........................ ........................_... .....___................. ----.................. ......_..................... 11. Medical Professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12. Earthquake.............. ......................_...........___. ..__....................... .._...._..........._._._. __._...................... ..............._.______ .........._..._........._. ......._______._... .............__.._.___ .........................__ ._.._.............._..._ ............_......_....... ._._ 13. Group accident and health(b)................................................................................................. ............................. ....__..................... ............................. ............................. .............._............. ......._......._. . ...... .... ........................_... ..............I..._......... 14. Credit accident and health(group and individual).....__._................................._....._._.__..._. ._........................_ .._............___._._.. ............................. .....___.__._........... ....................._...._ .__..............__...... ........ .. ................ . _...........- ............................. ....... 15.1 Collectively renewable accident and health(b).......................... ....._....._...._......... ............................. _........................... ....._._................... .__....._..............._ ......._.....__....._._. ._._._...._.............. ....__._.___.......... ..................._._.:_. ............_....._...._.. ....._...__.__..__.... ..........__._....___.. 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)....._..................................... ............. .............. .........._............... ........ ...................... ............__......_._. r15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.5 Other accident onty_...._............-------..............._....................---..:.._..............._._............ ......._.................... ..._........................ ................___._.... 15.8 Medirarc T'iOe RVlll exempt from state taxes or fees_ .....__....._...__._... ......._.............._.... ............................. .._......................... ....... . _.........._............_- ..._.___.__._........ ._........._....____. ..................._...__ __..................__... r 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)...__-.................._........................... ......................... ....__................... ............ ...................... ------------------------.... ............................. ..____._._...._...... ....._._.._................ 16. Workers'compensation...................................................................................................:...... ............................ ............................. ............................. .......-.................... ............................. I............................ ............................. ............. . ............_..............- .................... ........ 17.1 Other Liability-occurrence................._......_............_................._.__........_....._..........._...... .........................._. ............................. .................._......_. .........._................. ....._......._............. ............................. .._.............__........ 17.2 Other Liability-claims made........................................... ..........._....._......... ..........._............_.. ..._........._....._...... ............___..__... ....._._............._.._ .............._.....__..... 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..................._........ ............................. 18. Products liability................_......._......... .............. --------------- ... ...._...__._------------- ----------------------- .._------------------------ 19.1 Private passenger auto no-fault(personal Injury protection)...................................................... ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other private Passenger auto liability....................................................................................... ............................. .....------------------...... ............................. ............................. ............................. ......................:...... ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no-fault(personal injury Protection)...____... ....._......_..........___....__..... ............................. ._......................... ._..__._.._.......,.... ......................_._.. ...____..__...._._. ....................__.._ _............_______. .............__....___ ._._._............_...... 19.4 Other commercial auto liability................................................................................................ ............................. ...........------------------ ............................. 21.1 Private Passenger auto Physical damage..._..__...................................._._..................._...._... _......__............__ ------------._.............. ......__................... ._.......__........._... ....____................ 21.2 Commercial auto physical damage ................ ._...... ..._..__. .. ...... _ ......... ...._.......... ........___. .. ._.__ ............. ........___... ._......._.._..._._ 22. Aircraft(all perila)................................................................................................................... ............................. ............................. ............................. ............................. ....I........................ ............................. ............................. ........................I.... ............................. ............................. ............................. 23. Fidelity............................._.....-------..............._.._... _........................... ..................._.___. .._..._............._.__ ..__...__.__........... .._.._._._._........._. .._._..........._......_. .._.__._.._._......... ..._......_____...._. ........._........_._..... .............___......... ......._..__.._..___. ................_.......... .................................................................................. .........................41 ............................. ..........................31 ............................. ............................. ........ ......................793 24. surety................................................. ............................ ............................ ............................. ............................. 26. Burglary and theft...............................-.................................................................................. ............................. ............................. ............................ ............................. ......................._..... ............................. ............................. ............................. ............................. ............................. 27. Boiler and machine .._........_......_....... ................. ......._.......___...... ......._._......_._._... ...._......_...____..... ....._....._....___..._ __._...................... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty_...._._._......_................'___.-__.......... ..._.... ............................. ...............__._......... ......._:......._.......... . i ......................................D ...........................0 ...........................0 ......................_...D ...........................0 .......................... ..._.0 .....0 0 ........................._0 ...........................0 34. Aggregate wnte4ns for other lines of business............................... 0 ...........................D ..................... ...................... .......................... 35. TOTALS a 0 41 0 31 0 0 0 0 0 0 0 2,793 DETAILS OF WRIT&MS 3401. ........................................................................................................................................................................................................................ ........................................................................................................... .............................. ........................................................................................................................ 3402. ..._..._.........._._.._........................._._....._... __.......__....._._............__............._...._._._.................... .........................._...._......._.__.__................._.._......_...... 3403. .............................................................:..........................................................................:............................................................................................... ..._...._......_....................._....._.........._._........................ ................_........_. .............._..........._..._..__.._.............._...............................___..._............. 3498. Summary of rerrelnlnp writo-ina for Line 34 from oveAow Da9e..............................................0 ...........................0 ...........................D ...........................D ...........................D ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499. Totals Lines 3401 thm 3403 lua 3498 Line 34 above 0 0 0 0 - 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Lines 1 to 35§...................................... (b)For health business on Indicated lines report Number of persons insured under PPO managed rare products ...................................... and number of persons Insured under indemnity only products ...................................... . IIIIIIIII�IIIIIIIIIIIIiIll��llllllllllllllll�llllllll�llllllllllllllllllllllll� 2 a s 1 a : 0 1 2 i a o 0 2 1 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Alaska uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiume Direct Premiums Policyholders Direct Unearned Direct Losaea Paitl Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Dired Business Premium Reserves dedudin salve a Incurred Losaea Unpaid ense Paid Expense Incurred Unpaid Expenses and Fees I. Fire............._..._................__._......_....__......._........................_.._._................_.............__ ____...._............... ......_._..._............. ...._____.._.___... ......_.........._........_ __.._..._._............ ........_........_____ ...._.............. ........ 2.i Allied lines................................................ ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop..................................._.........................__.............:.................................. ......._._..........._.... ........................._.. ...................._.__.. ............:..._........... .........._._........:..... ......._._._._........... ........................._.. ............................. 2.3 Federel flood............................._....._..............................................._........._...._......_......... ............................. ...................._..._.. ............__....._...... ........__..__._........ .......__..._._.......... __........_.___........ ..._._......._...._._... .........._............._.. ................ ... ............... 3. Fannovmem muliple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Hon"ovmeramul tipleperil......._.._...._...__..__._._......._...................__....._......_............._.. ........._........_........ _......___..__.._..... ........_._._...._._.... .............._.........._. _._...___..._....__. .._...._........._....__ _.._.._.........._...... ......._.........__..__. __...__............._... ....__..................._ ..._......._...._._.__. 5.1 commercial multiple peril(non-(lability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................._.. 5.2 Commerdal multiple pedl Qiabiliry portion)_..._.. .................................... ........._....._...__.... ............................. ............................. ...................._....... ................._._....... .........................._. ..............._.._........ ....................._...... ............................. ...__.............._...... ............_............... 6. Mortgage guaranty.........._............................................_...._._.....__. _......._._...._.._..... ..._...._.................. ..._........................ .._...._..........._...... ..............._............ _......__...._..._..._. .........._._._........... _...._..._._.._._...... ..._......._....._.__... ................__..._.... ......._...........__.... 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine........................._....._....__...._.__._........._..._...._...._.......__..._._------.._----- ......._................... ........___._.._.._.- .___................_._. ...._..._.____........ .._............._.......... .............. .............._..........._ .____.................. ...._......_........_.... 10. Financial guaranty................................................................................................_................ ......_..__....._....._. ....................._._... ..._................._..... ............................. ............................. ..._........................ ............................. .._..._.................... ..._........_._._........ ............................. ...._..._........_........ 17. Medical Drofesslonal liability................................................................... ............................. ............................. 12. Earthquake..._..._._.__............._....._._._...... ...... ......._..........__...... ._.............._.......... ..................._....._. ........._._..__.......... _............._._......._ _ ...................._.___ .._.__.._.__._._..... ....._....._....._.__... ._.............___.__. ..._......_......._.__- 73. Group accident and health(b).................... ............................. ---......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4* accident and health(group and Individual)..............................................:....---.......... ............................ _........................... ........._._............... ................._.....__. ...._.__._............... .._....._..............._. ..._............._......... 15.1 Collectively renewable accident and health(b)..............................._...__._..................._.......... ..............._............ ............................. ...................._....... .__........_...._........ ......._............._.._. .___.___........_...._ .............._..._........ ..._._..................... _......_........____._ ............._.............. ..___....._........._... 15.2 No ncelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b).........................._....._-------------------------.._... ......___.------------- ----------------------------- ------__._._........... ---------------- .......... ___.._'__............ ----------------------------- ___.._..._...._........ ...............__._.__ ____..._................ _.__-__............_.. ..__........._..__....... 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. f015.5 Other accident only..............................................................................-.............................. ..._....................... ............................. D75.6 Medicare Tifle XVlll exempt from state taxes or fees._......_............_........... . .._...._........._........ ...................._._.._ -._...............___.. ......._............._- 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)-_............................._..._......_......_. . ..... __... ... __.. .._ ............._....._. ...___.. _.._.. ....... .._.:..._.. ...._.____..._.. ..................._._._ ........................... ..___. ..........._........_.._ ......._...............__. 18. Workers'cempensaflon.......................................................................................................... ._..............._.._.._.............._ ........................._........._... ................................... ....... ..................... ....................._............... ................_..........._.... .................. ............. . . .. _............ ...................................... ............................. ............................. 17.1 Other Liability'occurrence_.:....._......._............................ ..._..............._...... ............................. ............................. ........................_... ..................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. . 17.2 Other Liability-claims made............................................................_...._.---------------------------- ...................._....... .............. _............. ...._......._......._.__ ..........._................ .._......._.._._.__._. ...._......._____.... ......_............._.._.. ...........____........ ._.__._..........___. Excessw row orke ' mpensatlon................................................................................................ ............................. ............................. ............................. ............................. ............................. ......................:...... ............................. ..... 17.3 ........................ ............................. ............................. ............................. I. Products liability--------_.............._.................................._............_..........__........................... ......._...__.._.._..... __........_..._.......... .._._................_.... ............._._........... .._._......._...._..._. _._........................ ._ ._._.........._._....__. ..._........._____.... ........._......._...._... ........_.........._....... 19.1 Private passenger auto no-fault(personal injury protection)...................................................... .................... ._.......................... ............................. ---..............._......... ...........-................. .. ......._...._..._......... ..........._._......_..... ..........__............... ._.__.........._........ 19.2 Other private passenger auto liability.....................................................................................I- -----.........----.....----- ............................. ............................. ............................. .......... ............................. ............................. ............................. ............................. .. . ................ 19.3 Commercial auto no-fault(personal Injury protection)....................._..____ -----__................... .......................... _ ._.._..................:.. _ _..__................__. ............__...._.__.. ........_..____.___... .............._...._........ __.........__.__...... 19.4 Other commercial auto liability................................................................................................ ............................. ............................. ............................. 21.1 Private passenger auto physical damage............................................... _.......................... ........._--------.._.... .._...._................... ..._........................ _.....__..........._._.. ........................._.. _.... ....._....._....._.._.... .................._.__.... ............................. 21.2 Commercial auto physical damage...................................................................._................._: ....__...._..._......_... ............__..._.._.... _...._..........._._...... ..._._....._........_.._. _._.._.................... ........................___ ............._......._...... ........................._.... .....___............_...... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ......... ............................. ............................. ............................. ............................. ............................. 23. Fidelity....._........................___.__......._........................................_. ---------------.-----_- -----......-------...---- ...._....._................ ..........__...___.... ..............._........_.. .......___.___.._.. ..........._..__..._._._ ..... ..........._.............. 2- 24. Surely.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ....................2.844 26. Burglary ant the fl................ ......................_................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Bollerandmachmary......_...._.._...................... ......_................__......._...._...... .........._................. ------------................ ...._....._.............._ ......._.....__._._.__ ._............_............ ................._.......... ..........._.-_-__.... .........._.....__.._.... .._... ......... ...._...._......__....... 28. Credit..................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. :............................ 30. Warranty._................................................__.__..._............_........__.............__.................... ......___.___.......... __..._.._............._. ._._....................... _........................... ............................. .__................:.._.. ...._......_............... ...._......_.._............ ...___._.................... _........_._......._.... 34. Aggregate wdte4ns for other lines of bus ineas......................................................................D ...........................D ...........................0 ...........................D ...........................D ...........................D ...........................D ...........................0 ...........................0 ...........................D ..._......................0 ...........................0 35. TOTALS a 0 1 0 1 0 1 0 1 0 1 0 0 0 1 0 0 0 2,844 DETAILS OF WRITE-INS 3401. .................................................................................................................................................................._........................................................_....._._........................................................................................................................ 3402. ......_...._..._........._.................._....__........._._............_._._._._................._.__.............._..............__....__....................._._....._......__................................ .................................................................................. ............. 3403. ........................................................................................................................................................................... 3498. Summary of remainin9wrlte-Ins for Line 34from overflow Page..............................................D ...........................0 ...........................D ...........................0 ...........................D ...........................D ...........................0............................0 D ...........................D ...........................0 ...........................0 3499. Totals Lines 3401 thm 3403 Pl. 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included In Lines 1 to 35 8...................................... (b)For health business on indicated lines report Number of persons insured under PPO managed care products ...................................... and number of persons insured under Indemnity only products ...................................... . s o s t 4 x o t s 4 1 4 0 4 1 4 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIL Group Code 1228 Direct Business in the state of Arizona uring the Year 2012 NAIC C mpany Code 29513 Gross Pramlums,Including 3 .4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Lees Return Premiums and Direct Defense Premlunis on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves (deducting salvoes) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire............................................____._..........................................................._.............. _..._..__.___....._. ............._.............. .......____..._._..... ............._...__....._ ......................._.... ...._.._.._............... ........__.....___.... ..___......._...__._. ............_............._ ........... 2.1 Allied line......................:........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................................................................ 2.2 Multiple peicrop....._.............__............................................_..........__..................._......._ ..._.........__......... .....__.._._._.......... ..._..._.._............... ._.............._.._...... .._......................_. ....._.__................. ........................._.. ................_........... .................._......... ......_..................... 2.3 Federal flood..................................................._..............__............................_.................... ._........__....._....... ........................_... ............................. ..............._._.._..... ............_............... _............__........_ ._._..._................... ..._......._.........._... ........_..__._.._..... .._.....____........_- _-__ 3. Farmomers multiple peril....................................................................................................... ............................. ........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ .. 4. Homeowners multiple peril.....__......._...._......_..._._...._..............___..........................____. ..........__.._...._..__ .._._..............._._.. ._._...._._._........._ .............._..____... .._._._..._._............ ..__._........_._..._ ...._...___.._._..... ._............__._.__ .._......................_. ............_.........__. 5.1 Commerciat multiple peril(n-liability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple peril(liabiliry portion)........._...............__........_.....__._........_..._...._...... ............._.............. ..............._............ ......._.............._.... ............................. ............................. ............................. .........................._. ...........................-. ............................. ............................. ............................. 8. Mortgage guarenty....._............._....................._..__..._..._.............._......__..._..._........._...... ._.............-............ .._..... ... ._........_.... .......__..__......._... ...._....._............... ..._._..........._........ 8. Ocean marine........................................................................................................................ ............................. .............. ......... ................. ............................. ............................. ............................. ............................. ............................. ............................. ..........---................ 9. Inland marine.._........._._.........__.__....................._......_...................__......._.....__............ .....__.................... _......._....._........._ ......._............_...... ._...__......_...._.... ..._......._............_. ._..__.................... __.._-._.........._.... ___.__......_........... _........_................. __......................... ..............._............ 10. Financial guaranty................................................................................................................ ............................. ............................. 11. Medical professional liability....................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12. Earthquake.....................--------------------------------------......._...................... ........._..___......... ..........._......_........ ........____............. ........_.....____._. ._._............_.._.... .._. ....._...._____._.. ..._.........._._._...... ..............._............ ._...._.___._.._..... ..........._._......_._- 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and Individual)._.............__._..._.____..........__.....___..... .........._....._.......... ..............__........... ................_..._..._. ........__.........._..... _......._._....._........ ........................_... ..........................._ .._._._....__........... ....._..._....._.......... ...._......._.._.._...... 15.1 Collectively renewable accident and health(b).......................................................................... .................._......... ....._......._............. ......_..........._........ .._......................... .._......................... ........................._.. ....._....._.._....-_.... ..._......_........._._... ....._._._...____.... ................_____... ...._..._.................. 15.2 Ncrncancelable accident and health(b).................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)....................................... ............................ ............................. ...._. ------- ----------- _.._..__............._- ....... ........_.._.-..-._. ..._...... .... _......... . ..................._------- ........_....... .....__.. 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.5 Other accident only. ............................ ........._..._............. _........_....._.......... ........._.................. .........__............._. ...._....................... ...... .......... ............_............... ........ ................._.......... y.................._...._.................._.............__................_........_..._._........... _........................... p 15.8 Medicare'nif Wit exempt from state taxes or fees....._............_............... _...................._..... .....__.................... ..........._._............. ............................. ........................__. ....._...................... ........_.._............... ._...._.........._.......- __....................._.. .._. ......__......._.._...... N15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)......... ............................ ............................. -......................... ..................... ._..............._._.._. _..___._.....__._.... 16. Workers'compensation..................................._...........................:..................__................... ..__...................... ............................. ............................ ._..............._......_. ... ................... .. .......... ...._....__........._..- ....._........___........ ..._........._..._........ ............................. 17.1 Other Liability.ocwrrenca..................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............ 17.2 Other Liability•claima made.................._..........__............._..._....__............__................._.. ........._...._._......_. ...__._................. ._.......................... ----..._._................ ........................._. ._.......................... .... ............. .__......__.........._.. ............_.........._... 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability-------------_...._............_-.....----............._......._....__....._------------.__'-..._---- ._...._..........._....... ..........._..__...------- .._......................... __..__......-----------_ ......_._-_.__--------- .----............__-__ --._...... ............_ .._.........-............... 19.1 Private passenger auto no-fault(personal injury Protection)...................................................... ............................. .......................... ............................. ............................. ................._......... ............................. ..._._._.................. _----------._..._.__.... ............__........__. 19.2 Otherprivate passenger auto liability....................................................................................... ............................. 19.3 Commercial auto no4ault(Personal Injury protection).__..__........._._..................................... ............__......._... ..........._.....__.__. ..........................._ ....._.............._..._. ................_...._..... ....................__..._ ._..................._._.. ...._.........._...._..... .._....._._............... ......._..............__.. 19.4 Other commercial auto liability ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage----------------------_...............................__.................... ............................. ............................ ............... .............__............ ......... ..........................._ ...._.._................... . ........................ 21.2 Commercial auto Physical damage............................................._............................_......__... ._..._....._............. ..................._...._.. ............._..._...._._ ......._..............._.... ............_.._........... ...._........_._._..._.. _......................_.. _..:.......____......... ._............_._....._.. _...___..._..._....... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity......_.........................._._..........................._........................_..................................._ ---......................... ......._..._._.__....... ................._...._.... ..........._................ ..........._.._........... _......._.................. ..._................._..... 24. Surety...............................................................................................................................200 .................`.....176 ............................. .........................29 ............................. ............................. ............................. ............................. ............................. ..........................55 .....................1703 26. Burglary and theft................................................................................................................... ............................. ............................. ............................. ............................ ............................ ............................. ............................. ............................. ............................. 27. Boiler and machine -__..._......._._:..._ ....._.. _...___......._.__.... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. 30. Warranry..........._._.................._........_.__.._.._.............._...__.._........_...._...._.----------------- ............__....._----- ------------------....__... ...._----------------------- ......_.__---------------- 34. Aggregatewnte-Ins for other Ones of business......................................................................0 ...........................0 ...........................9 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D 35. TOTALS a 200 178 0 29 0 0 0 0 0 0 55 7,703 DETAILS OF WRITE-INS 3401. ............................................................................................................................................................................................................................................................................................................................................................................................. . ............................................................. .............................. 3402. ........................._..._......................-------.....-----..._.....__......_.............._-_._...._._......__.-------........__... -----.._..............................................................._............_.............................._._............._.._... 3403. ............................................................................................................................................................................................................................................................................................................................................................... ................_......._............... _..........._........ 3498. Summary of remaining wrteirs for Line 34 from overflow page...............................................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................D ...........................0 ...........................D ...........................D ...........................0 3499. Totals Lines 3401 NN 3403 lus 3498 Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 - (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indlcated lines report:Number of persons Insured under PPO managed care products ........._......................._.. and number of persons Insured under Indemnity only products .................. IHiii11 0iiiiiiiiiiiiiiii1111 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Arkansas uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 B 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves deductin salva a Incurred Losses Un aid Ex ense Paid ense Incurred Unpaid Expenses and Fees _. 2.1 Allied[In es................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .......................... 2.2 Multiple peril crop-.._.................._...............__..._._..._........_........__.__........._...__.._......... ...._....................... ......._..............._... .._......................... ............_............... _........._........._.._. 2.3 Fedarat flood.............................. ................. ......_....._......._..... ......._......._........_ _.._.____............. ....._...._._.........__ _......._........._....... ..............._........._ .........___.....__.... ........_................... 3. F---re mUtopia Pedl....................................................................................................... ............................. ............................. ............................. ............................. ................ ............. ............................. ............................. ............................. ............................. ............................. .........................._. 4. Homeowners multiple perit....................................... ......._......_......_.... ............_._............ .._..._ ..... .._................._...... .................._......... ..........._-............. ....._...._.__....__... ._.._.....__............. _..............._...._._. ..............._._...._.. .._..__._______. __.._...._._..._._.__ 5.1 Commercial multiple Peril(non-llability portion).....__.................................._.................... . _....I..............._..... ............................. ............................. ............................. ......I...................... ............................. ............................. ............................. ...................__._._ ............................. ......................._.... 5.2 Commercial multiple peril(liability portion)......._._................._........................................_..._.. _............_............. ............................. ............................. ._.......................... ............................. ...._.............__..._. ....._..................._. _........................... ......_....._.__......... ..__........_.._......... .._... 8. Mortgage guaranty.................................................................................. ............................. ............................. ............................. ............................. ............................. 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. .........I................... ............................. ......I...................... ............................. ............................. ............................. ............................. ............................. 9. Inland marine._......_..._._..__..............._._..__...._._...._........__._...._.........._..................... ......__..__.__....._.. ......._.........._........ ......................_..._ ......___..........._.... ..._..._._.......__.._. ..........._................ ..____........_......_. ............................. ........._.................. ....._.__...._._..___ ...._...........__._.... 10. Financial guaranty.................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. 11. Medical professional liability.................................................................... ...........................-- ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b).................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual). ............................. 15.1 Collectively renewable accident and health(b)................_.._....._..........._.. ........................._.. ............................. .........................._. _........._.......__..... .........._._...._........ .................__._..... _................__....... ..........._.........__... .._...._................_. .............. .._..................___ .......... 15.2 Non-oanoelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...... 15.3 Guarerdeed renewable accident and health(b)......................................_....___..................._ .................._...__.. ...........------............ ........................._.. ............................. ..............._.._...._.. ._........__.__...._... .._.....__................ _........_..._..._....... .............._...__...... .........________ ._. 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. cp. 15.5 Other accident only................................................................................................__....__.... ...... .......... .......... ................._.......... ..__.__.._.............. ........._'___.._._.. ........................._.. _.._______...._.._...... ..._...._.._.__...._.. _........................... .............._....._...._ ............__._...._.... D15.8 Medicare Title XVlll exempt from state taxes or fees....._...................................................._..... ............._.............. ............................ _._...__................ ....._................_._. .__.._..._............... ...._...__......_........ _....._.......____.__ ............................. ................------------- ...._..............___-' ___ . 15.7 All other accident and health(b)................:. ............................. ............................. ............................ ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)....._..........._._.__..........__.............. ............................. ............_.............. ............................ ............................. ............................. ................... ............................. _...._........_.____ ____.__.............. ._......_.............._.. ......... 18. orkere'cempeneation............................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................................................. 17.1 Other Liability-occumence...._...._...._................_ ......_........................... ......_..._........._..... ...._.........__.......... ......................__... ._._............_......... 17.2 Other liability-claims made..................................................................... ............._........_._.. ............__..._..-_.. ..._._._.................. _.__...___............ ....._...._......_....._. .._.. ........ .._._...................... ........._.._......._..._ _._._..................... ................._....._... ._._..__........._....... 17.3 Fxceas vrorkers'camp ensatlon................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability..._.............._........_.............._.__._.................................._....._....:.............. ..._.._......_............ __-___._.............. ...._.__..._.___._.... ............._._.._.___ ...___.._....._......._ ._._.__.__._.._._ __._......._............. ........._.______.._. _._..........._........... .._...._......._.......... ......___...._..._...... 19.1 Private Passenger auto no-fault(personal injury protection)...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ... ............................. ............................. ............................. ............................. 19.2 Other Private passenger auto liability....................................................................................... ............................. ............ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no4ult(personal Injury protection)................................... 19.4 Other commercial auto liability................................................................................................ ....... 21.1 Private passenger auto physical damage................................................................................_ ............_._............ ....._......_.............. _. ... ..................._........ ..._.._.............._._. ..._..........._.....___ __..__._.._._......... ......._------..------..... __-____...._...__.. _....................._.... 21.2 Commercial auto Physical damage............._.................._.._...._................__._....._....._....._. ..........._................ ..........---........_... _..._.__...... ....... ...._.................._... __......................... __......................... .._..........I.......... ._..._..................__ _........__._...._...... ....................._...... ..........._...._..__.... 22. Aircraft(ail perils)................................................................................................................... ............................ ............................. ............................. ............................. ............................. ...................I......... ........I.................... ............................. ............................. ...I......................... -----------................. 23. Fidelity..........................................................................................................................._...... _....___.__.........._. _...____.._........_. _........_.___....._... .__...._.__............. ....._..................... _.._._................... ............................ ........... . _................._......_ ............_...__....._. '...............3 ........................28 ............................ ............................ ............................. ............................. ............................. ....................2.585 ............................. ............................. ............................. .....................--.... ................_._........ ............................. ................._.......... 27. Boiler and machinery....................................__.................._._..._.......................................... ......._.................... ...... ................. ............................. ............................. ................ .... _..........__...___.. ___..................... .................. ................ 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ... ............................. ............................. ............................. ............................. 30. Warranty_..._._..........................._......._.._.._...._...._..............._.............._._....._._..._._..... 34. Aggregate write-ins for other lines of business......................................................................D ...........................0 ...........................D ...........................D ...........................D ...........................0 ...........................D ...........................0 ...........................0 ........................._D ...........................0 ..........................D 35. TOTALS a 0 1 3 1 0 28 1 D 1 0 1 0 1 0 1 0 0 1 0 1 2,585 DETAILS OF WRITE-INS 3401. ......... ........................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................. 3402. ....:........_............_._........._.................................___...__....................._...___ .. 3403. ______...__..... ......._... ................................................................................................................................................................................................................................................................................................................................................................ .......................................................................................... .............................. 3498. Summary of remaining wdte4ns for Line 34 from overflow page..............................................D ...........................0 ...........................0 ...........................D ...........................D ...........................0 ......................... -........................ 3499. Totals Linea 3401 thnp 3403 ua 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Lines 1 to 35$...................................... (b)For health business on indicated lines report Number of persons Insured under PPO managed care product. ___................................ and number of persons Insured under indemnity only products .................................... . - I�IIIIII���III�II�II�IIIIIIIIIIII�I�IIIIIII�IIII�III�[�II�II�I�� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) ` NAIC Group Code 1228 Direct Business in the state of Cal'lfomia uring the Year 2012 NAIC C mpany Code 29513 Gross Promlurro,lndur ing 3 4 5 6 7 :efen 9 10 11 12 Palley and Membership Fees, Less Return Promiurns and - Direct Data so Prerrsures on Policies not Taken OMdends Paid Direct s e Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Conrnissions Diced Pmrriuno, Direct Proniures Policyholders Direct Unearned Direct Losses Paid ^DIroC Losses Direct Containment Containment Expense and Brokerage Taxes,Ucenses Une of Business Written Earned on Direct Business Pnerrlum Reserves (deducting salvo a Incurred Losses Unpaid Expense Paid Expenselnourred Unpaid Expenses and Fees ............................ ............................. ............................. ............................. ............................. 2tAllied lines................................................................................................._.......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .........................:... 2.2 Multiple peril crop...................................................................................................'............... ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. . ad ............................. ............................. ............................. ............................. ............................. 3. armowners multiple Pe dl...................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. r ' - ............................. ............................. ............................. .............................. :............................ ............................. ............................. 4. Horremmers md8ple peril.....:............................................................................................'._. ............................. ..................._........ ............................. 5.1 Commardal multiple peril(non-llabOity portion)........................................................................ ............................. ............:................ ...._....................... ..............._............ ............................. ............................. ............................. ............................. ............................. ......................'...... 5.2 Connerdal multiple peri101abli ty portion)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Mortgage guaranty............................................................................................'.................... ' ............................. ..........::................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Ocean nnrine............................................................................................ ...... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......................._.... ............................. 9. Wand narins.............................._. ............................ ............................_ ..._..._._................... ............................. ............................. ............._. ............................. . ............................................................ 10. Financial guaranty...................................................................................... ............................ ...................._....... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. r11. Medial professional liability.............................................................................................:...... ............................. ............................. ............................. .._......................... ............................ ............................. ............................. .............................. ............................. ............................. ............................. 12. Earthquake............................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b)..................................................................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. . 14. Credit accident and health(group and Individual)......................._. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.1 Collectively renewable accident and health ry)............................_:............... ............................ ............................. ............................. ............................. ..........................:.. ............................. ............................. ............................ ............................. ............................. ............................. . 15.2 Non-Cancelable accident and heaMN)..........._....................................................................... ............................. ............................. ............................. -........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)......................................................................... ............................. ............................. .................:........... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 1 S.4 Non renewable for stated reasons only(b)............................................................................... .............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ID14.5 Other accidentonly................................................................................................................ ............................. ............................. ............................. ............._.............. ............................. ..........:.................. ............................. ............................. ............................. ............................. ............................. n15.4 Medlars Title XVOI exempt from state taxes or f ees................................................................ ............................. ......_...................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. D15.7 All other accident and health(b).............................................................................................. ............................. ............................ ................._.......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b).......................................................... ..........:.................. ............................. ............................. ............................. ----------------------------- ............................. ............................. ............................. ............................. ............................. 15. Worke n'ampensatlort.......................................................................................................... 17.1 Other Liability-otourtena.._................................................................................................. ............................. ............................. ............................. ............._.............. ............................. ............................. ............................. ............................. ............................. ............................. 17.2 Other Liability-claims made................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.3 Excess waken'comps.satlon......................................_........................................................ ............................. ............................. ............................. -........................... ............................ ............................. ............................. ............................. ............................. ............................. 18 Products liability..................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.1 Private Passenger auto no-fault(persons)Injury protecllon)...................................................... ............................. ................:........... ............................. ............................. ............................. .........:................... ............................. .....................:....... ............................. ............................. ............................. 19.2 Other private passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ...... ............................. ............................. ............................. ............................. ............................. 19.3 Comrordal auto no-fault(personal injury protection)............................................................... ............................. ............................. .._......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.4 Other c.mmandal auto liability................................................................................................ ............................. ............................. .....:....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical derraga................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..............._............ ...........................- ............................. ............................. 21.2 Commerdal auto physics,damage.......................................................................................... ............................. ............................. ............................. ............................. ........................._.. ............................. ..._........................ .........................._. ............................. ...............I.............. 22. Aircraft(a0 pe di.)................................................................................................................... ......I...................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity.....................................................................................................I............................. ............................. ............................. ............................. ............................. ............................. ...I......................... ............................. ............................. ............................. ............................ 24. Suety............................................................................................................................7,665 .....................7,658 ............................. ..................._4.199 ............................. ............................. ............................. ............................. ............................. ............................. .....................2.193 .................._10,535 28. Burglary and theft................................. ............................ ......:...................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..................................................... 27. Boller and meWnery,.............................................................................................................. ............................. ............................. ............................. ....T....................... ............................. ............................. ............................. ............................. .."............................ 28, ro i.............................._.................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. ............................ ............................. ......:...................... ............................. ............................. .............. ................. 34. Aggregate wdteans for other Ones of business......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........................0 35. TOTALS e 7.665 1 7,658 01 4,1881 0 1 01 0 1 0 1 0 1 0 1 2,193 1 10 5:15 DETAILS OF WRfrE4NS 3401. ........................................................................................................•................................................................... ... . ........................................................................................................................................................................................................................................................................... .............................. 3402. ......................................................_..._........................................................................................................................................................................................................................................................................................................................................................................................................................... 3403. .........................................................................................................._............................................................... - 3498. Summery of rorrmlNng write-ins for Una 34 from overflow page..............................................0 ...........................D ...........................D ...........................D ...........................0 ...........................0 ...........................0 ........................... ........................... ........................... ........................... 3499. Totah nes 3401 thru 3403 h, 3498 fro 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Unes 1 to 35 It...................................... (b)For health business on Indicated On"report Number of persons Insured under PPO managed are products ...................................... and number of persons insured under Indemnity only products ...................................... . + s 2 4 s 1 0 2 0 1 2 4 0 0 o e 1 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Colorado uring the Year 2012 NAIC C mparly Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premium on Policies not Taken :.nD, ends Paid Direct Defense Direct Defense and Cost 1 2 redited to and Cost and Cost Containment Comrrvssions Direct Premiums Direct Premiums yholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Una of Business Written Earned ct Business Pr emium Reserves (deducting salvage) Incurred Losses Un ald Expense Paid Expense Incurred Un aid Expenses and Fee. 1. Fire...................................._........................................_......................................_..._........... ............................. ........................__. ._..............__..__.. ___...._.__..._...._. ......................_..... _.._..._............._._ ._..........._..........._ __._._.._........_..... ............................. ....._..._....__._...... ............................. 2.1 Allied lines.......................................................................................................................""a, ............................. ............................. ............................. ............................. ............ 2.2 Multiple peril crop................................................................................................................... ............................. ............................. ............................. ............................. 2.3 Federal flood.......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .......... 3. Famlownero multiple peril....................................................................................................... ............................. ............................. .1........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......_..................... 4. Homeovmers multple peril......................_.................._......_........_.._..........._.......__............ ..._..__.............._.. .__.................._.... 5.1 Commercial multlple Peril(non•liability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial mulbple pall(Iiability portion)............................................................................... S. Mortgage guaranty......__..._...................................................................._....._.................._ .._.........._........__. ........_............__... ........_................... ....._..._......__.__.. ............._......._..... _.. ............. 8. Ocean marine......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine................................................_...............__......._.._.........._............_............_ __...................._._ ......._._........_........ ..._.__._...___..... _.............._._......_ 10. Financial guaranty.................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................I ............................. ... .... ............................. ............................. 11. Medical professional liability........................_.._..........._............._............ .__........_.............. .....__.................... ..._............._......... ..................._........ .._......................... .............._........_... .._......................... ...._............._......_ _..........__............. ............................. ............................. ................ 12. Earthquake....................................................................... ............_........................-._.......... ____.._................... ..........___.._...._.. ....._............._....... __._...._..__......._. ..____......_.......... ........_.__._...._._.. ........___..._.......... ..................._........ ..............._.___... 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)._......-----------................................__.__..._.. ........._._..._...._.... ........_._...._.......... ..........._............_.. ............_......_.._._ .._........_..........._.. ..........._..........._... ._............_._._._... .................__........ ..._........._........._.. ....__.______...... 15.1 Collectively renewable accident and health(b).......................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................_........... .................._......... ............................. 15.2 Non-tancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b1...._.__......._........_....................._........._....._.. ___....___._.......... ........_................... ._._._..._._._......... .............._._.__._.. _........................... ________..___. ..._........_______ __..___................ ............................ _.........._.._.___... 15.4 Non-renewable for atated reasons only(b)............................................................................... 8 15.5 Otheraoctdenl only...................................._....._................._........_.........__._....._........_..... ._....._................... ......................._.... ......................._._. .__..._................... ............................. ............................. ...._.............._._.... .._..........._.._........ ..__.....______._.__. ...__......._............ ......_............._..._. n15.3 Medicare Title Zit exempt from state taxes or fee ................................... ................._.......... ........._.................. .. ......... ...._......_- ............................. ............................. ............................. ....._....._............... O15.7 An other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..........................:.. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)..._................_...-.__........_.........._... .........._.._._.......... ....._...................... ............................. ...:..........._............ .........................- 18. Workers'mmpensation.......................................................................................................... ............................. ............................. ............................. ............................. ........I.................... ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Liability•occurrence....._...._--..........................._.....:.............._.......,.._............_..... 17.2 Other liability.claims made...._....._....._........_...........__.._._..__......................................_. .........._................. ......._........_.......... .........................._. .........................._. ..................._........ ............................. ............_.........__.. ............................. ...................__._._ ................._.__.... _._......__.............. 17.3 Excess workers'compensation................................................................................................ .......... 18. Products liability........................................................_......__............-.__............._._............ .........---............. ......_.._._............. ............................. 19.1 Private passenger auto no•fauft(personal Injury protection)..................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 11.2 Other private passenger auto liability --.............................................................................. ............................. ............................. ............................. ............................. ............................. ............................. .....................__.... ............................. ............._.............. ............................. ............................. 19.3 Commercial auto no-fault(personal injury protection)...___.. ._......................... ........__._..._......._ ..._......_._____... ..._.................._.... ......_________.. ............_.............. ......... ................................ ............................. ............................. ............................. ............................ . 19.4 Other commercial auto liability................................................................................................ ............................. 21.1 Private passenger auto physical damage......................._......._._......................_._...._.._..__.. ........ . ............:..__.......... ---......................... ................_.._....... .._..............._........ ..._................._..... ..........._................ ...........___..._._... _.........._............ ... _....._......_._.__._ 21.2 Commercial auto physical damage........................ ..........._............................_................._... ......_._.......__....... ......._.................... ......................._.... ...._............._........ ............................. ..._..._................... ................_...._._.. .............._..._....... ......._._....._........_ ._.........__......._.... ......................_..... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ...........................- ............................. ............................. ............................. ............................. 23. Fidelity....._...__......._..................................._......._................__............................_............ ___..._.................. ........_.............._... ............................. ......_..................... ...................... _..._....__.__...._._ ._._......_...._..__.. _._____....__....._. ................_........... ._........._............_ ... 24. Suroty.................................................................................................................................... ........................376 ............................. ........................(32)............................. ............................. ............................. ............................ ....................1.858 26. Burglary antl theft......................._.................................._.....____..__.... ....:......._............... ....................._.__. ..._........_...._.._.... _._........_............_ ....:....__.....______ ...__...__............... ..._......_.........._.... ._.___._.._......_.... ............................. 27. Boiler and machinery........__........._......................_......._............._....... ............_........_..... ............................. .._._...................... ..._...................._.. ...._....._................ ....._.._................. ............................ .......... ..._...__...._......__. ............................. .......... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty..--------------------------------_..-------.....__..._._..-------------...._...----...... ............_....._..._._ __.........._..._........ ___...._._.............. ....._...._....____. ..._..._._........._..._ .........__.__._...._ ._...._...._._......._.. _......._..._..........._ ._._.._._._._...._._. ._.._...................... ._........_______. 34. Aggregate writeans for other lines of business......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........................0 ...........................0 ........._................0 ...........................0 35. TOTALS a 0 1 376 1 0 (32) 0 1 0 0 0 0 0 0 1 1,858 DETAILS OF WRITE-INS 3401. ............................................................................................................................................................... ............................................................................................................................................................................................ 3402. .. . ................................................................................................................... ._.........._......._............___.__........._............__............._..............................................._._.__........_........._................_.._..._............_.._......._.__.._ 3403. .................................................................................................................................................................... ............................................................................................................................................................................................ .............................. .......................................................................................... 3498. Summlary of remaining write-Ins for Line 34 horn overflow page..............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499.. Totals Lines 3401 thro 3403 plus 3498 Llne 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons insured under PPO managed care products .__.__..__...................... and number of persons Insured under indemnity only products ............._... ................ . ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Delaware uring the Year 2012 NAIC C tripany Code 29513 Grosa Premiums,Indus ing 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premium Premlu and Dire.Defense Premiums on Policies not Taken Dividends Paid Dire.Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment C.mrnissions Dire.Premiumm Dire.Premiums Policyholders Dire.Unearned Dire.Losses Paid Dire.Losses Dire. Containment Containment Expense and Brokerage Taxes,Licenses Une of Business Written Earned on Dire.Business P,.rN.m Reserves dedu.ln salve a Incurred Losses Unpaid Expense Paid ens.Incurred Un old Expenses and Fees 1. Fire......_..._......................._..._.........._......_......_.......... ......_.._._........___ ..._...............__ ......._.................... ....... ... ........................-. ._........_................ ._.._........._........._ ..._................_..._. ......................._._. ......._......._..._...... ......._..._..__._._... __.._......_....._.__ ............................. 2.1 Allied lines.............................................................................................. ......:...................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............................. ............................. ............................. 2.2 MuMpie peril crop.............................._.....................................__..._.................._._...__....._ _........................... ._......_._.__.......... ..........._..__.._...... ....._......_.___.__. ._..._................._. ......._._.._._.._.... ..._........................ ..__......_._...._..._ _______..__._... ......_........_._..._... ._.......................... eera oo .......................................................................................................................... 3. Fa-mnere multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. me Hoowners multi _ ple peril.........................................................._.._.___. .._..___......_..._...._ _____._._._............_. _...........____.__._._ ........_.._....._..__._ ___.........:............. 5.1 Commerdal multiple peril(mWiability portion)............................................ 5.2 Commercial multiple peril(liability portion).............. ........................ ._........_....._......... 8. Mortgage guaranty................................................................................................................. 8. Ocean marine............................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Ireland marine ....._. ........ . ....._........ _._.._ ..... ...... ...... ............. ________ ._....____ ___..._. ._.._.._ - __._____ ..._._____ 10. Financial guaranty.................................................................................................................. ......................... ........................ 11. Medical professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ........................:.... ............................. ............................. ............................. 12. Earthquake................................................... _................................___.._...._........_............. ..........._............._. ........_..__._...._.... ........._..__......._.__ .........................._. _.___.................. ........__.____.___ ......_.......__....__.. .__.._...._..__.:..._. ..__.__..._._._..._ _..._.._.._....._._.... ..__._._......___._. 13. Group accident and health(b)....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)......._._.._.._........_....................................._ .._......._.._..-.--... _....__................... ......................._.... ..._..._...._.........._. _..._......._........:.... .._....._........_._..._ .........__._______ _._..................__.. _._.........._.._....._ ..._................__..... ._......_..............._. 15.1 Collectively renewable accident and health(b).......................................................................... .............:............... ............................. ............................. ............................. ............................. ............................. ............................. .........._................. ............................. ............................. ............................. 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ......-----................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)............._..._.._....._....._........._............_......._. ......._......:............. _..._._..._...._...._.. .........._......._..._... ._......._............._.. _..._...................._ ..__...._...:.._....._.. ..........__._..__._.._. .._._.._._._............ ___...._..............._ ........._.._.___._...... _._..........__._...... 15.4 Nonrenewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ro 15.5 Otheraccident only....................................._..._........._._._..............._..:.. 0 15.8 Medicaro Title XVlllexemptf romstete taxesorfeea............__......._....__.. ...................._....... _.........._............... ........................_... _.......................... _._.............._........ ............................. ........................_... _..........._........_.._- .------...._........_._.. ....__..._................ ....._...._.......__..... .............._....__.._. m15.7 An other accident and health(b)............................................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)__....................... _.__........._........... ------.___._.._........ ._.... .. .........._........___. __.._...._._........... ..._......_.._.._..__ _..._..._............._.. ......_..................... .._._._..._..._....._.. _...._.._...._---------- ......_.._._.....____ 18. Workers'compensation................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Uabillly•occurrence.......................... ......_..........._........ _...___.__._....._.. ........._.._._._....._ _._........_.............. ..............._............ 17.2 Other Uabiliry-.aims mad.............................................................._...:_...._..._.._..__......._ _............._............ .........._...._........... ._......................_.. ..._...._............._... _..........._........_.... ......._.._._.._......... ..___...._..___...._ ................__.___.. ................_......._.. ...._........._...._.._.. _.................._..._.. 17.3 Excess-rkere'mmpensatlon................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. 171. Products liability...................._............_................................._..._............_.._........................ ...................._._..._ ........_........_......... .___.-__.____..._... ......_..................... ..............._............ _........................__ __..__.______...._.._.... 19.1 Private passenger auto no-fault(personal injury protection)...................................................... 19.2 Other private passenger auto liability....................................................................................... ................ ............................. ............................. ............................. ............................. ............................. ............................. ........................._.. ............................. ............................. 19.3 Commerdai auto no-fault(personal Injury protection)__... 19.4 Other cemmerUal auto llabiliry..............................................:................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...I......................... ............................. ............................. 21.1 Private passenger auto physicaldamage............... ...................... ._.._....._._.........._ ......._._................. ..................._...._.. ............._..........._. ..._......_................ .__......__.............. ............................. ............................. _......__._.............. __..__.___._.__... 21.2 Commercial auto phyairal damage_..........._-...._..........................__.................................. .............._.........._. ._.__........_...__..... ..._..........._............ ....._.................._.. .............__............ _............................ ......................_..... .__....................__. ........_..._........._.. ..........____............ ............................. 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity....................................................................................................... .__..._.__......_.._ __..___.__.._.__._ ............_....__._._ .._................__._. _.._._.._....._.._._. ..._._._...._............ ............................. ........._.........._...... ......_...._......_.-'-- _._._.__.............__ _.._._ _..__.. ...__._................... 24. Surety.................................................................................................................................... ............................. ............................. ............................. ............................. .....................2.900 26. Burglary and theft.............................. ................._..._...................................._..._.................. ............_............... ........._._............... ........___........._.... ............._._.._..._.. _................_......... ........_._....._......... . 27. Boiler and machinery.............._....._........._................_........._.__...__.........._._........_._........ ._.._.._._............... .............._........__ ......................._.... _.__._....._........... ......_._...._............ ....._...................... ....._........_...._..._. ..__........._...___-_ _.................._....... _...._____.._...... 28. Credit..................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. W""Ity........._...._..__._.._..._..........................__.....__......._.._.........._.............................. ..._......._-.._...---.... .._......................... 34. Aggregate write-ins for other fines of business......................................................................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS a 01 01 01 01 01 111 01 0 1 01 0 1 0 1 2,900 DETAILS OF WrtrrE4N3 ...................................................................... 3402. ..........................._................._............_.......__-__............................................._....................................__._.............................___.._....__._............_..............._...._.............._........_....._...._._........_........_._.........._......_........._-_....._......................._....__............_..__._......_.._........._..._... 3498. Summary of remelting vrtlte-Ina far Une 341rom overflow page..............................................D ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................D ...........................0 ...........................0 ...........................D ........................... ........................... 3499. Totals Unea 3401 Mmu 3403 lua 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Linea 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons insured under PPO managed care products ...__._._._..................... and number of persons Insured under Indemnity only products .............. . 2 a s t a 2 2 a 1 2 a a o a a 1 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of District of Columbia uring the Year 2012 NAIC C rinparly Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment C."Issions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Una of Business Written Earned on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid ense Incurred Unpaid Expenses and Feea 1. Fire................................._......_............._.._.........._..........................._.........._....._......__.... ..------......._....__.... ............................. ......_... ..... ------......_........._.... ...._..._................_ ._...._.___._.._...._ ..._...__..........._.... .___.._...._.......... .......................__.. ..__.........._...._._.. .... .. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ..................... 2.2 Multiple peril crop.._..........................................__........................................_..._..._.._......... ............._.............. ...................._._.... ........................_... ......_........_......_... ........._..........._..... .................____.. 2.3 Federal food............_......._..._................................_............_........_.................................... ........... ........ ............_............... ._..._.._................. -----....................... ............._._........... ................._.......... .............._...'.-..._. _....__..............._.. ..........................._ ._.................__..... 3. Farmovmers multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril.........................................................................._._...__._.__..... - . 5.1 Commercial multiple peril(non4lability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple peril(liability portion)............................................................................... 8. Mortgage guaranty ........_..._....._..._......_.._....................._......_....___..........._........._......_. .._......................... ........_._....__....._. ........._._............... ............................. .... ... _............. ....._.._....._........... ._.............__.___.. .........................._. ...... ... 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine........................................_.................._......_._.....__................................... _..................__..... ...__._................... ............................ .........._._............. _......_......_...._----- ..................._..__. ..........._................ ..................._..._- _..___......._.._...... ......... 10. Financial guaranty.................................................................................................................. 11. Medical professional liability................................_................................................................. ............................. ............................. ............................. ............................. ............................. ...._....................... ............................. ............................. ............................. ............................. 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ........I.................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)...:..........._........................._....._.................. ........................._.. ..._...................__. ..........:......._..._.... _..._......._............. ....._.._...__...._._.. ..........._......__.__. .__.............._........ ......................:...... __...__........._._... .........__....._._...... 15.1 Collectively renewable accident and health(b).................................................._........_........_.. _........................... ..._._..................... ...._....................._ _........................._ ....._...................... ............:................ ..._................_...... ................_........... ..........._.........._.._ ....._.........._.__...... 15.2 Nor cancelable accident and health(b)..:................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and heafth(b)...___..._.._..............................._................._.... ............. ............................. ._.._......_.........._... ..__..__...._..__._.... ....._..........__........ ._.........._.........__ --____...__.....__. ..........._................ .......______..._....... ................._.......... y15.4 Non-renewable for stated masons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ..... ............................. t015.5 Other accident only....................._..................._..__..._............................ .......... .......... ..........._............... ........_................... ................._..._._.. ._........__.............. .............._.._......... ..............._............ ..__..__..._......_.... ......................._.... ._....._................... .._ ............... ...._....................... 0 16.8 Medicare Title XVlll exempt from state taxes or fees._..................................._......__.._....._..... ......_._.................. .._...._------............. .............._.._._..._. ............................. _..._.------.............. ..._._..................... ........._................. .._._._.__.__........_. ..........._._.__..._.... ............_......._...... ......_...._....__........ n15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program Premium(b)......_..._..._.. ......._.....__._..__.. ...._....__....._........ ._........_......._._.... ._.........___._...._ _....._.................... .............__......._... ........................__ -__..__...........___ _..__.._................. ._.......................... 19. Wo ere compenssbon............................... .._......................... ........._..._........_... ............................. ............_....._........ ............................. ........................................................................... 17.1 Other Liability•occurrence..............................._.........._-----........................._...................... .........:.._............... _.............._........... .................._._._._ ............................. ...................._....... ............................. ......................_..... _......_................... ............................. ......................_..... ............................. 17.2 other Liability•claims made...................... ........_.............._... ......_.... .... ....__.................... ....._...................... ............._.._......_.. ............................. _....______._..... ................___....... .._..........__._...... _........'-'-'--'"__-. _......._._._............ ............................................................................. 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability....._....._------_...... . ................_....__... ......_....__............. ............_..__._._... ._...__._................ ................__..._.... ......_.._......._........ ..____................... _.._._..............._... .._...__......_.......... 19.1 Private passenger auto no-fault(personal Injury protection)..................................................._. ...................._.._... ............_............_. ............_._............ ..............._.._._..... .._._.. .........._...._.._._.... ...................__..._. ....._.........__....._.. .___..................._. .........._..._._......... ...................._...._. 19.2 Other private passenger auto llabiliry....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no-fault(personal injury protection)...__..............._...._...._.._..._._....._........ ..................._.__... ._.._................_.-- .._._._................... ........_................... .......___................ _.._...:....._._____ .._.......__.___...... _......_.__...._........ .......................___ 19.4 Other commercial autoliabiiity................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage..._.................................._._.............._.................... ._.......................... _......_................._ .._._......_.............. .................._..._.... ....._....._................ .._......................... ..........._.......__..._ ._................._..._.. ............._._.._....... ..............._............ ..................._........ 21.2 Commercial auto physical damage---- ............._..._...... ... ...... ......... ........... .... .. ._.. .... ._._... ._....... __.. ....... ......... . ._...........__ .._..__...._. ._... .. ......_____ _._....____... .. .___...__. ........___........ 22. Alraaft(all Paris)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity._........................__._...................._ .._____...__..._..... ..........._............._. ..__..........____._. __.__.._._.._......... ........_............:...... ._......_........_...._.. ............................. __-___................ _..:......_._.......... .._._..__......._._..._ 24. Surely.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .....................1.318 26. Burglary and theft_..............................................................................................._..._........... ............................. ............................. ................_...-_.. ...._...._................. -------------............... ._......................... 27. Boiler and machinery......._.....................................___._................._................._.__._.._._.. ......_..................._ _.....__._........___. .........._......._........ ...__......._....._.. ... ._.............._._....... ................._.......... _._......................_ ____........._..._._.. 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warrant'.....`..`..---.-----------------..._..__-------_- ............. ..............._....._..... .........----------___. ............:................ ................_......._.. ..._........_.............. ........_............_.__ .........._.._.....___.. _................._._..._ ...__............._..._.. ................................................................... 34. Aggmgate arite-Ins for other lines of business................._.........................._..........._..........0 ...........................0 ...........................0 ...........................0 ...................0 ...........................0 ...........................D .............0 .............0 ................0 ............. __G ...........................0 35. TOTALS a 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 D 1 1,318 DETAILS OF WRITE-INS 3401. ......................................................................................................................._.........................................................--------........................... 3402. ..........._........................_._..._............................._........__._.........................---.--.........................._....__._.._.._.. ........_............_......._._.._......_......_._. 3403. ............ .._._..............._._..._._...._..........._._... ..........................................._.................._........_................................__........_..................................._............................................. ..._......................_.__...._.._.. .._.. ......_........_......_.... ..._...................._......_...__._..........._.................................. 3498. Summary olrcmalning write4na for Line 34 horn overflow page..............................................9 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................D ...........................D ...........................D ...........................0 ...........................0 ...........................D 3499. Totals Unes 3401 thro 3403 lus 3498 ne 34 above 0 0 D 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ................................. and number of persons Insured under indemnity only products _........... ............. . IIIIII III I�IIIII III II VIII VIII II,II0 1III II4 �I,I��II 0��II 1����a I�1 0 II a�II��� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Florida uring the Year 2012 NAIC C mpany Code 29513 Gross Prerniums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premium Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves deductin saiva a Incurred Losses Un aid Ex ense Paid ense Intoned Un aid Ex enses and Fees 2.1 Allied lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop........................................................................_......................................... ............................. ............................. 3. Famiowners multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. He m-are multiple peril........_............__. _._.._._....._......... .........................._. ..........._........_...... ......._....._........_... .....___.................. 5.1 Commercial multiple peril(non-Ilabllity porfion)........................................................................ ..............._............ ............................. ............................. ............................. ............................. ...............-------------- ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple peril(liability portion)........ .......... ............ ........................._.. ......_....._......_...... S. Mortgage guaranty.......... ........_................... ............................. ..._...._._....._._ ...._._................... 8. Ocean mrins............................................................................................ 9. Inland mrine..'..__..............._.__._........_.............................._............... ..._...._._..._........_ _--`......._.............. ............................. .........................._. ........_..._.............. ....__...__....._...... ......._....... ._.._. ....._._._................ ....__................_.. 10. Financial guaranty........................................................................_...__................................. 11. Medical professional Ilablllty................................................................................................... ............................. ............................. ............................. Earthquake...................__............_ _........._..._....._._ ............._..__._..... ...._..._.._............_ ...................._....... 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individuaQ....__......................_.......... ................._...._._. ._....................._._ ......._......_............ ............................. .............._.._......... ...._......_..._......... .._.__._._.__.__ -__..____._........_ ___.__._.._......._._ __..._._............_... 15.1 Collectively renewable accident and health @)_............................._......._........................._...... ... ._.... _._................._..... ............................. _............._....`...... ........_....._.__._....... .............._............. ............................. ..._....................._. ............................. ._......_._.__.......... ..................... ...... 15.2 Non-cancelable occldent and health(b).................................................................................... ............................. ............................. ............................. ........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renevesbie accident and heailh(b).. ..............__ ........ _.....__..............._. ------------- --.._.. ............................. ................._.......... 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ....... ............................. .... ................. ............................. ............................. ................I............ ............I............ ..... 15.5 Other accident only T15.8 Medicare Tl0e Z11 exemptfrom state taxes or feel._............................. ..._....._.._........._.. ...... ._. ............................. ...................._..----- ...._._........__._..... ............_............... ............................. ................___.._... ....._..........._......... .................._......... ..................._....._. (- 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. .............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)........_....._.............................__.... ........................... ............................ .............._._..__... .....__.._.__..__.... ..._...........____.._. ......_..........._........ .._._.._._._.....__._ ___._._....___.._._ ._.._..._.............__ ............................ ..._........`-___.... 18. Workere'ccmpens ado n.................................. ............................. ............................. ............................. ............................. ............................. ............................. -........................... 17.1 Other Liability-occunente................ ............................. ............................. ............................. ............................. ............................. ............................. .........._.............._. .._.._............_....... ................._........ .._......._.._............ .._._............ .._...... ..................................................................................... 17.2 Oth Liability-cialmmde...__......................._._................................. .._.._.___..........._ __...._.... .........._.._._.._...... ._..______...<..... ._._.____.___.._.. ...............__.._...... 17.3 Excess workers'compensadon.................... ............................. ............................. ............................. ............................. 18. Products liabiliy......_.__......._.............._..._...._............__........................---...........__._...... 19.1 Private passenger auto no-fault(personal injury proteNon)................._................._........._..._ _..._......._............. ........................._.. ............................. ............................. ..........................._ ............................. ........._........._....... ...._..._._............... ............................. ..___...._......... ... . . .. . 19.2 Other private passenger auto liability.......................................... .. . ............................. 19.3 Commercial auto no-fault(personal Injury protection)............................................................... 19.4 Other commercial auto liability................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage._........_.._...................._.....__..........._.._.__........... ........._............_.... ...._............... ............................. ..................._........ ........_._._........_... ._ ............... ......_...__......._..... .____..__........_.. ___._.._................ ---------------- 21.2 Commercial auto physical damage...................................._...................._....__....................... ....................._...... ......_ ...... _.............._..._..._. .........................._. ..._.__._.._...._...._ .._._..._........_...__ ....._..........._....__. __.........._......._..... ............._.............. ......................._.... ..._...._..........._...... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. .. ..... ............................. ............................. ............................. ............................. ...:......................... 23. Fidelity................................_..___..._..................___.............................._-----__._...__..... ._._...._.._...._._. ....................._._ ............................. 24. Surety..........................................................................................................................6'2.277 ...................60,155 ..................33.627 ............................. ............................. ...................14.731 .....................5.050 ............................. ............................. ............................. ............................. ............................. ............................. ....._.... ----------------- ............................. --------------------_..... 27. Boiler and machinery................_.......__.........._...._................_.__._..._... ....................... ............................. ............................. 28 .................... ............................. ............................. ..... ----------.................. 30. Warrenty....................................._..._._.._....._........_..._.._.....__......_....._............__..._..... ..........---.............. ..._..-................. 34. Aggregate write-ins for other lines of business......................................................................0 .........:.................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS Wi 62,277 I 60,155 0 1 33.627 1 0 1 0 1 0 1 0 1 0 1 0 1 14,731 1 5,050 DETAILS OF WRITE-INS 3401. .............................................................................................................................................................................. .............................................................................................................................................................................................................................................. 3402. ............................................... 3403. .................................................................................................................................._....................................................................... .._........._...._...................._......................................................................._......................................_........_....................._.._........_............._..................... .......... 3199. Summary of remaining write-ins for Line 34 from overflow page..............................................0 ...........................D ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........................D ...........................0 ...........................0 3499. Totals Lines 3401 thm 3403"us 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Lines 1 to 35$...................................... (b)Far health business on Indicated lines report:Number of persons Insured under PPO managed care products ...._..............._....._.__.. and number of persons Insured under indemnity only products ............ . ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Georgia uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Polities not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Una of Business Written Eased on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expense, and Fees 2.1 Allied lines..........................................................'---------.................................................... ............................. .................----....... .........-................... ...-........-................ ........----..........-..... ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril croP._................................._............-.-.._._..._........-......_-_............_-....-....-.-.-. ............................. .............._._...._._. ............-......-......... .................._._...... ...._...._....._._.-..... ......-.....-_.........._.. ......-.............. ._-..--....._.-_......._. _-..._.__................ ........_._......._.._... _.................-...__.. 2.3 Federelflootl.._............._.......-...--...-.............._-_......- ......_............-...._.. ._.-...........--......_.. ._.......................... ........................_... .........-.._._-.._....... ............................................................ ............................. ............................. ............................. ............................. ......-...-...........-...... ................-.....-...... 3. artrowners multiple peril.......................... ............................ ............................. -.....-.....-................ ............................. ............--........-....-. ............................. ............................. .................. ...... ............................. ............................. ....................--....... ......-.........-............ 4. Homeowners multiple peril- ...................................................__..._-__...--..._-.-- _-................--...--.-. .._......._.......-........ .._._....._....-_........ 5.1 Commercial multiple Peril(norr•Ilabillty,portion)........................................................................ ............................. 5.2 Commercial multiple aril labili 6. Mortgage guaranty........................................................_...............-..-___._.-__..-.._..........._. ..--._._--._.-........_.. ......-......_.............. ....._._...._._..__.... ....__......._..-.__..-. ..........................-.. Oman marine.................... ............................ ............................. ....................-......-. ...-....................-.... ............................. ............................. ............................. ._.._........... _.__.___._._...-_..- .._........._......._..... ._...-.....___-..._.-. t0. Financial guaranty.................................................................................................................. 11. Medical professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b)................................................................................................. ............................ ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)-_..............._.........._._..-...._.. .- _-___...--_-__........ ........-...._..-.-_....... -.....-._..........-.._.-.. -___......_.............. ......-._-.__._....._.. .....-..--.._..._.____ ___._._........_.-.... ............-..--.._..._... ............_...-....._._. .._.....-......-.._._._. ._............_._......... 15.1 Collectively renewable accident and health(b)........_................._.__............ ..-..-..-................... ..............-.............. -.-_......_........_..-... ............................. ._........_................ ......__.........-___... ..-......................--.- -._...._................_. ......................-..._. ..................--...._... 15.2 Non-canmlable accident and health(b)........................... ............................ ............................. .......................-..... ............................. ..................-.......... ............................. ........-.................... ...................-........- ...............-............. ............................. ............................. .....-.-..................... ............................. 15.3 Guaranteed renewable accident and health(b)_-_-....._.--..... - __._.._.................. .......__..-..-._.....-_. _-....._.............-__. ____._...._.._...... -......._..-............._. .._....._..--..........._ _.____......-_.-....... ......._...__._......_.. ... 15.4 Non-renewable for stated masons only(b)............................................................................... '............................. ............................. ......-...................... ............................. ............................. ............................. ............................. ...............-............. ...........................-. ............................. ............................. fp 1 55 Oth.r accident o Y-.._......................__._..._..-_...................................- ........ ............................ .._................._.__ __.-_..................... _-_....-.___...........- .._......................... ............................. ..__.__........-......... 15.8 Medicare Title Wit exempt from state taxesorfees..............__....................._............_.......... _.......................... ..--........_......_....... ...._....................... ............................. ......................_..... .._........................ ..............._............ ......_..._................ .._.....-......-....__.... ..._................._..... .-__._..._............... D 15.7 All other acdtlent and heath(b).-.t D).......................................:........._._._-................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)._____ _-.._-_--_-. .._. _.... ......-_ ._._...-- ..-...-. ._...... -._...-_-..-.-... ............ ._-___- ..-. ..-...... ....._.-_---_...... 18. Workers'compensaflon.................................................. ............................. ............................. .....--...................... ............................. ........I.................... .................... ...................I......... ............................. ............................. ............................. 17.1 Other Uabil ly-oavrnmce.............._.............._................................._....._........__............... ..--._...................... _.---------.............. ........_ ... ............__........._.. ..--....._.-- . .....--._._............_.. .......... __ ..-.._---------.._......... ....-...._........-......-.. ............_..._.......... ...........--................ 17.2 Other 'ability-tlatms made. -....._..._..... ... ............................ ._-_.-.._............. ._ ....._.....__........_.-. 17.3 Excess workers'conpensaaon................................................................................................ ......................_..... ....._._................... ._._....................... ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. 18. Products liability........................_.........................................._....................._._...._.........-. .._..._._....-............. .._...__.._..........-.. .._..................-...... ............................. 19.1 Private passenger auto no-fault(personal Injury protection).... .......................................... ........._.................. ................--.....-.-... ......-...................... ............................. ............................. ...._..._................... .....-..-............-....... .....-....................... ...........................-. .........-......-..-......... _..-.............--......... 19.2 Other Private passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ...................:......... ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto-fault(personal Injury Prot ection)......._......................... 19.4 Other commercial auto liability .............................................................................................. ............................. ............................. ............................. ............................ ............................. ............................ ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage...............____-.._...........................__.-.--............ ... ..................... ............................. __.....------------------- ............................. ............................. ........ ............................. ........_................... ..._...__..___.._.... .. 21.2 Commercial auto physical damage..................._._..._-__.........................-...-_......_._......... ............................. ........._-..........-....... ............................. ..-......-.._............._ ......-.._.-..-...-...-..... ......_........-.....-...... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ...........I................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity......................................................................................................._.--___-_-_.._.-... ......................_.... .............. . ----....-_-.-__-.._._._ -........................... ..._......_...._.._..._. __.___..____.__-.- ....__._...._-___..- 24. Surety.........................................................................................................................37,137 ...................44,733 ............................. ...................22.128 ....................(5.505)....................(5.505).....................6.000 ............................. ......-...................... .....................3.536 ...................10.905 ....................6,158 26* ...................._.._.-. .--..--._........_....._.. ..................._.__..- ....._-._..--....._...... .....--........_....-....... 27. Boiler and machinery.............................................................................................................. ............................. ............................. ............................. ............................. 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. . ... ............................ ............................. .... ...................... ............................. ............................. ............................. 30. Warranty......._._._._............................_..--.................._............_...-....._..__..___-.--.._.-.__. ..-. .................._..___ _.-._..___--.--..-..._ ----....-..---_--..-.-..-.-- -_..-..___...-_....-_.. .-..-........................ ...__...._..___...... -..._......._..........--.. ............__._...._.... .......-......______. _.-.._..................... 34. Aggregate vMte4ns for other lines of bu Iri......................................................................D ...........................0 ...........................0 ..............-.--.........D .-.........-...............0 ........--..............-..0 .......................--..0 ......-....................0 ...........................0 .............--............0 ...........................0 ... .0 35. TOTALS(: 37,137 44,733 0 22,128 (5,505) (5,505) 8 ODO 0 0 3,536 10,905 6,158 DETAILS OF WRITE-INS 3401, ......................................................................................................................................................................................... 3402. .............................................................. ..........................................................._.....-._.........._.._.-............_._......._.........--_.......-_.............-....-__......-.--..............._._..__._._..._.-._....-..-..-.........._......_._._.-.-.._.- ...__...._-_-.-....._..-..-_.-......_.__._-.._--...................._............._._._._.__.........-......._....._.......................__..-.____..... 3403. ..................... 3498. Summary of remaiMng writo-lns for Une 34 from overflow page..............................................0 ...........................0 ...........................0 ......................-....0 ...........................D ...........-.._...........0 ...........................0 .-.........................0 ...........................0 -............--............0 ...........................D ......-................-...g 3499. Totals Unes 3401 thru 3403 Ius 3498 Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Unes 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ._.._............................... and number of persons Insured under indemnity only products ....................--._..-_.._._ . I�Il�llll�lll�llll�llllllllnlllllllln�llllnIIIIIIllllIIIIII III INl11i11ll 2 s 5 1 2 2 0 1 2 4 0 e 1 2 1 e 4 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Hawaii uNng the Year 2012 NAIC C mpany Code . 29513 Gross Prerriunn,Including 3 4 5 6 7 6 9 10 11 12 Policy and Membership Fees, Less Return Prooduma and Direct Defense Premiums on Policies not Taken DMdends Pad Direct Defense Direct Defense and Cost 1 2 or Crediled to _ and Cost and Cost Containment Con ninlons Direct Pmonl- Direct Prerrdums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Une of Business written Earned on Direct Business Premlum Reuses dedudi salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Un aid n... and Fees 1. Fl ................._..................................................................................................................... .................._......... ............................. ............................. ........................_... ............................. ...._....................... ............................. ............................. .........._................. ..............._........._.. ............................. 21 Allied lines................................................... ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. 22 Mu16Ple Pang sop......................................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. .......................................................................... ............................. ............................. ............................. ............................. 23 Federal flood.......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3. Fsm .multiple peril................ - ............................ ............................. ............................. ............................. ............................. ............................. ................._.......... ............................. ............................. ....................................................................................... ............................. ............................. . 4. Homeowners mlltlpla peril............................ ..........'.................. ............................. ............................. ............................. ............................. ............................. . .............:.............. ............................. ............................. ............................. ............................. .......................................................................... 5.1 Commercial multiple Peril(norklabiliy person)...................................................................:.... ....................._...... ............................. ............................. ............................. ...........I....._.......... ............................. ............................. ............................. ............................. ............................. ............................. 5.2 commercial mutOpla peril(liability portion)............................................................................... ............................. ............................. ............................. ............................. :............................ ............................. ............................. ............................. ............................. ............................. ............................. 8. Mortgage guaranty..............................._._............................................................................. 6. Ocean marine....................................................................................................................._. .............I............... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. and rro......................................................................................... ............................. ........................ ........................ ........................ ........................ ........................ ............................. ............................. ............................. ............................. ............................. ............................. 10. Finandal guaranty......................................................................................._.............:. .......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 11. Mewl professional liability....................................................................... 12 Earthquake............................................................................................................................ ............................. ........._._............... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b)................................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................................................................ ............................. ............................. . 14. Credit accident and health(group and IrM lvidua0..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..................:.......... ............................. ............................. 15.1 C fl ctivey renewable accident and health(b).......................................................................... ............................. ............................. .........:.................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ...........:................ ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)............................................................._"......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.4 Non-renewable for stated masons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.5 Other accident ard1' ..........................._......_........................................................................... ............................. ............................. ............................. ............................. ............................. ........................ ........................ ........................ ............................. ............................. .......................... MedicareTitle%VIII exempt from state taxes or fees................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................... ........................ 15.7 AN other accident and health(b).................................................................. .. ... .. 15.8 Federal emplayees health benefits program premium(b).......................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 1e. Workers'ccmpenaatlon........................................_. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................................... 17.1 Other LleDiily.coourrenu......................................'............_................................................. ............................. ............................. ............................. ............................. ............................. ............................: ............................. ............................. ............................. ............................. ............................. 17.2 Other LiabiOy-daims made................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...:......................... ............................. ............................. ............................. 17.3 Excess workers'compemation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...._....................... ............................. ............................. ............................. 18. Products IlaD01y ........................................................................................: ............................ ............................. ............................. ........_................... ..............._............ ............................. ............................. ............................. .............................. ............................. ............................. ............................. 19.1 Prham passenger auto no-fault(persons]Injury protection)...................................................... ............................. ................n........... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other Private Passenger auto liability....................................................................................... ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commucl2l auto no-fault(personal Injury protection)................................... ............................ ............................. ............................. ............................. ............................. ..._........................ ............................. ............................. 19 w .4 Other cormd.1 auto liability................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ................ ............................. 21.1 Private passenger auto physical damalle........................._...................................................... . 21.2 Commercial auto Physical damage................ ............................. ............................. ............................. ............................. ........................:.... 22 Ahmft(alll perils)................................................................................._................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........._.................. ............................. ............................. ............................. 23. Fidelity................................................................................................................................................................................................ .................................. .................................................. ...................................................... ................................. ........................................................ ................................................ ................................................ ............................................ .......................................... ..................................................... ....................................................... 24. Surety...................... ............................................................................ ............... ............. ...... .... .......... . ...... ... 4.025 26. Burglary and theft 27. Satyr end m ......:....... . ................................................ ............... ........... ......................... ................ ..................... ................... .. 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty............................................................_.................................................................. ............................. ............................. ............................. ............................. ----------------------------- ............................. ............................. ............................. ............................. ............................. ............................. 34. Aggregate writs Ine for other Ones of bu d.......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ................:..........0 ...........................0 ...........................0 ...........................0 35. TOTALS• 01 01 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 4,025 DETAILS OF WRRHIIS 3401. ...................................................................................................................................................................................................................... ......................................................._..................... ......................................................................................................................................................._....._.................... 3402 .................................................................................................................... 3403. .............................................................................................................................................................................................. ........................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................ 3496. Sumrory of renrotMrg vrtite•Im tar Une N from overil"page..............................................0 ...........................0 ............_.............0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ................:..........0 ...........................0 ...........................0 ...........................0 3499. Totals 3401 Nm 3403 lus 3498 rte 34 above 0 01 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Unes 1 to 35$...................................... (b)For health business on Indicated fines report Number of persons Insured under PPO managed aro products ...................................... and number of persons Insured under Indemnity only products ...................................... . • r II���III�I�IIIIIHil1111M11111Hil IQ oil NIII111111111101111II a a ! 1 s t 0 1 t t 3 0 1 s I 1 o ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Idaho udnq the Year 2012 NAIC C mpany Code 29513 Gross Preium%Indudirlg 3 4 5 6 7 a 9 to -11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense P,._hang on Polldes not Taken Dividends Paid Direct Defense Direct Defense and Cost 4.. . - - - - .�.. - -- - .. 1 2 or Credited to -- - amid Cost and Cost Containment Commissions Direct premiums Dked Premiums Policyholders Direct Unearned Direct Losses Paid Direct Los Direct Containment Containment Expense and Brokemge Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves ded-fi sahta a Inarred Losses Unpaid Expense Paid Expense loaned Un aid nxa and Fees 1. Fide................................. -........... ............................. ............................. ............................. ............................. ........................:.... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple psa crop...................:................................................................... 2.3 Federal flood.......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3. FanMwners nultlple peril.............. ............................ ............................. ............................. ............................. ............................. ............................. ............................................................. 4. Homeowner multiple peril........................................................._........................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.1 Commercial rtsdtlPle peril(noMleblllry portion)............................................ ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ . 5.2 Commercial multiple perll Viability portion)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. S. Mortgage guaranty................................................_................................... S. Omen marine............................................. ............................ ............................. ..................:.......... ............................. .......................................... .......................................................... .......................................................... ............................................. ............. ............................. ............................. ..-......................... ............................. ............................................... 9. Inland marine....ty..........................................................: ............................. ............................. ............................. ............................. ..........................._ ............................. ............................. ............................. ............................. ............................. ............................. 10. Financial guaranty...................................................................................... 11. Medical professional liability....................................................................... • 12. Earthquake............................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. :............................ 13. Group accident and health(b)................................................................................................. 14. Credit accident mid health(group and Individual)......................................... 15.1 Collectively renewable accident and health f t...............`......................................................... ............................. ............................. ............................. ............................. - 15.2 Nonaanmlable aoddem and health(b)........................._:........................................................ ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and heafth(b)......................................................................... ............................. ............................. ............................. 15.4 Non-renew ble son for stated reas onty(b)............................................................................... ............................. ............................. ............................. on 15.5 Other accident ............................ ............................. 15.6 Medicare Tile XVIII exempt from state taxes orfees........................_. .. ..................................... ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. O 15.7 All other seddent and health(b).................................................................. . - ............................ ............................. ............................. ............................. ............................. ............................. ............................. .............................. ............................. ............................. ............................. ............................. 15.6 Federal employees health benefits program prerNum(b).......................................................... ............................. ............................. ..:.......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 16. Workers'compensation.......................................................................................................... ............................. ............................. ............................. ............................. ............................. ........................_... ............................. ............................. ............................. ............................. ............................. 17.1 Other Liability-omnm en ......................................................................... 17.2 Other Liability-daims made................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............_............... ............................. ............................. ............................. 17.3 Excess workerV compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 16. products liability_................................................................................................................... ............................. 19.1 Private passenger auto no-fat it(personal injury pmtaction)...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other private passenger auto 9abi9t y....................................................................................... 19.3 Commercial auto no4ault(personal Injury protection)............................................................... s 19.4 Other mnercial auto liability.................................................................... 21.1 Private passenger auto physical damage................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................ ............................ ............................. 21.2 Corm ercial auto physical damage................................................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........I.................... ............................. ............................. ............................. ............. 22. A=ft(all pedls)......................................................................................_........................... ............._...._......... ............................. ............................. ............................. ............................. ............................. _........................... ............................. ............................. ............................. ............................. 23. Fidelity................................._................_.............................................................................. .................._......... ............................. ..................._........ 24. Surety,.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .....................2.719 - 26. Burglary and theft.. ............................ ............................. ............................. ............................. ............................. ............................. ............................. 27. Boiler and maddnery.................................................................................. 28. Credit...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................................................................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. 34. Aggregate write-ins for other goes of busines s......................................................................0 ...........................0 ........................,..0 ...........................D ...........................D ...........................0 ..........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS(2 1 0 0 0 0 0 0 0 0 0 0 0 2,719 DETAILS OF WRITE-INS 3401. ......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 3402. ............_....................................................................._................................................................................................................................................................................................................................................................................................................................................................................................... 3403. ........................................................._................................. ..............................................................................................................................................................._...........................................................................................................................................................................................:.............................. 349& Summary of remaining wrIm4Ns for Line 34 from overftow page..............................................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................D ...........................0 3499. Totals s 3401 thN 3403 plus 3498 ne 34 above 0 0 0 0 0 - 0 0 0 0 0 0 0 (a)Finance and servtm Mapes not Included in taros 1 to 35$...................................... (b)For health business on Indicated Ones report Number of person Insured under PPO managed are products ...................................... and number of persons Insured under Indemnity only Product s ...................................... . I�IIII�IIIIIIIIIIIII�IIIIIIII�I�IIIII�I�III��III�I�IIIIIIII�IIIII�I�III�I�III� a 4 s 1 s x o 1 a 4 a o 1 4 1 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Illinois uring the Year 2012 NAIC C nipany Code 29513 Gross Premiums,Indudirp 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Leas Return Preniurm and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Dired Defense ' and Cost 1 2 or Credited to and Cost and Cost ConWn-nt Commiasions red Pre Dimiums Direct P erdums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Contafnment Containment Expense and Brokerage Taxes,Uce-s Line of auslness Written Earned on Direct Business Premlum Reserver deduct) salty a Incurred -Losses Unpaid- Expense Paid Expanse Incurred Unpaid Expenses and Fees ............................. ............................. .............:............... ............................. ............................. ............................. _ 21 Allied lines.........._................................................................................................................. ..........................`... ............................. ...........:................. ............................. ......-...................... ..........................-.. ............................. ............................. .............................. ............................. ............:................ 2.2 Multiple Para crop................................................................................................................... .........:................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. . 23 Federal flood........................._..................................................................-............................ ............................. ............................. ..................._........ ............................. ............................. ............................- ............................. ............................. ................:............ ............................. 3. Famtowners hxAple perli....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ' ............................ ............................. ............................. ............................. ............................. 4. lWrrmownen multiple peril............................._. ............................. ............................. .........-................... ...-......................... ......_...................... ............................. . ...................................................................... 5.1 Commercial mutilate pert:(non4labnity pordon)..................................-.................................... ............................. ............................. ............................. ............................. ............................. .....,....................... ............................. ............................. ...............-............. ............................. ............................. 5.2 Corrxrwrdel muldp:e pad:(9ab0ily portion)................................................... ............................ ............................. ............................. ............................. ............................. ............................. 8. Mortgage guarany................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...........j............... ............................. ............................. 8. Ocean rtmrtm......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland martne......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 10. Financial guaranty.................................................................................................................. .......:..................... ............................. ..................._........ ............................. ............................. 11. Medical Woleaslonal liability.....................................:............................................................. ............................. ............................. ............................. ............................. ............................. ............................. .............................. ............................. ............................. ............................. ............................. 12 Earthquake............................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 13. Group acddenl and health(b)................................................................................................. ............................. ............................. ' - . 14. Credit accident and health(group and Individual)..................................................................... ............................. ..........._................ .._......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.1 CoOedivey renewable accident and heats(b).......................................................................... ............................. ...:......................... ............................. ...:......................... .:.......................... ............................. ............................. ............................. ............................. 15.2 Non•-ncelahle accident and healN(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........_................... ............................. ............................. 15.3 Cuarenteed renewable accident and healthry)..........._............................................................ ........._.........._..._. ............................. ......._.................... ............................. ............................. .._......................... ............................. ............................. ............................. ............................. ............................. 15.4 N-rawabie for stated reasons only,(b)............................................................................... . ............................. ............................. ............................. ............................. ............................. ............................. ......................... ........................ ........................ ........................ ... ... 15.5 Other accident only................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.6 Medicare Titre 1M11 exempt from State taxes a f ees................................................................. ............................. ............................. ........_.................... ............................. .............:............... ............................. ............................. ............................. ............................. ............................. ............................. f15.7 An other acddent and health(b).........................: - ............................. ............................. ............................. ............................. .........._................. ............................. ............................. ' 15.8 Federal employees health benefits program prerriurn(b).......................................................... .................._......._ ................._.......... ....................... .......... 18. Worker'Cnmpensation.........................................................................................................: ............................. ............................. ............................. ............................. ............................. ............................. ............................. ._......................... ............................. ............................. ............................. 17.1 Other Liability,-occurrena..................................................................................................... ............................. ............................. ............................. ............................. ................:............ ............................. ............................. ............................. ............................. ............................. ............................. 17.2 Other Liability-claim made..................................................:................................................ ............................. ............................. .........................._.. ............................. ............................. ............................. ............................. ............................. ............................. .............:............... ............................. 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ta. Products liability..................................................................................................................... ............................. ............................. 19.1 Povale passenger auto no-fault(personal injury protection).................._.................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other prtvate tasaen9ef auto liability........................................................... ............................ ......................_:.... .....................-....... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ . 19.3 Commercial auto nO42dt(Personal Injury prot ecilon)............................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.4 Other commercial auto liabiliy........................................................_............I......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Pdvate passenger auto physical darroge................................................................................. ............................. ............_............... ............................. ............................. ............................. ............................. ...................._....... ............................. ............................. ............................. 21.2 Commercial auto Physical damage.......................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 22 Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. . ............................ ............................. ............................. ............................. ............................. ............................. 23, Fidelity..................._.............................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. -----............_...------ ............................. ............................ 24. Surety............................................................................................................................2,153 .....................2,152 ............................. .....................1.572 ............................. ............................. ............................. ..................._........ ............................. ............................. ........................6(6 .....................4.169 26. Burglary and theft................................................................................................................... .........__......-.......-. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .....................:....... ............................. ...........................- 27. Boilerandma chinery.............................................................................................................. :.........................-.. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ......... ............................. ............................. ............................. ............................. ............................. ............................. ...................._....... ............................. 30. Warranty................................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3•. Aggregate wAteans fa other lines of business......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35, TOTALS a 2,153 -2152 0 1,522 0 0 0 0 0 0 615 4,169 DETAILS OF WRITE4N3 • •....................................... 3401, .................................................................................................................................................................................................................................................................................................................................................. 3402 ......................................................................................................................................... ........................................................................................................................................................................................................................................_............. .......................................................................................... 3403. ........................................................................................................................................................................................ ................................................................................................................................................_...................0 ..........................0 ...........................0 ..........................D ...........................0 3498. Summary,of remaining write-Ins for Line 34 from overllaw page..............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499, Totals nett 3401 thru 3403 3498 rte 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and seMa charges not Included In Lines 1 to 3S It...................................... . (b)Fa health business on Indicated lines report Number of persons Insured under PPO managed are products -•.......•.....•.......•.............. arts number of persons Insured under Imlenniy,only products ....................................... I�I II III II III II III'I III II III II III II I I II III II III II3III II III II I I�I III II1 II III II 0 IIII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Indiana uring the Year 2012 NAIC C mpany Code 29513 Gross Premium,Including 3 4 5 6 7 8 9 10 11 12 Poncy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cast Containment Commissions Direct Premiums Direct Premiums Policyholders Dired Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Fx enses and Fees 1. Fire......._....._._...._..............•- _._..._._____....... ..................._..___ ___._...____......_. ...._....._....___..... .....__..__...._...... ........... ...... 2.1 Allied lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop........................_.._........................._.._..............._..._.... 2.3 Federal flood......................................................................:................................................... ............................. ............................. ............................. 3. Famawnere multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. omeownero mu ePen....._._..... ..............._........... .......__._....._...._... ...._..........._...:...... ......___...........__. __._......_____..... ._....__...........__.. ........_..._...._.._.... 5.1 Commercial muflip Peril(noMiabiliy portlon)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commerciei multiplePedl 01ab11iry potion)................._........................................._....._.......... ........................_... ......._........_....._... ........_.._........._.... ............................. ............__....._..... .........._........._...... ......._........_.......... . e. Mortgage guaranh .........._._............_....._.._.._...................... 8. cean marine......................................................................._............................................... ................._....._.... ............................. ....................,........ ...._....................... ......................_..... ............................. .................__........ 9. Inland marine......._..._...........-_._......_...................................._..............._....._........_.......... _...._.._................. ......._...__.._....__. ..__._........._........_ ._........._......._...... ........_._..._...._.__ _..._._......._.......... ...._....................... 10. Financial guaranty.................................................................................................................. 11. Medlcal Professional liability.........._......._......................................_......... ........ ........................_... ...._..........._.......... ................_........... .............._...._....... ......_.__._......_._-. ......................._.... ...._._._................. _........................... .._..._.._.._........... ....._.............._.._.. ...._.._.._._.._........ 12. EaRhquake..............................._.............._._....................._...............__..._...__.................. ........_..........._.... ................._.......... ...............-"'-'.__.. ._............__._....... ............................. .._....._....-._.__.._.. ................_............ _._........_._._._._.. .......______ .._...._ .....................___.. ........_....._.._........ 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group antl individual)...__..................___.........__..._..._._._.......... ._............__........... ...._._..........._....... ........_...._............. ....................._..._. _..............._......_.. .._....._.................. ......._........._._._.. ..__.__....._.......... ..._........................ ......_....._..........__ ......_._............_._. 15.1 Collectively renewable accident and health(b1..........................._.................._......_................. ............................. ............__............. ....._...................... .........._................. ..._....................._. ................_........... ..._....._.........._..... 15.2 Non-ancelabie accident and health(b)......................._........................................................... ............................. ............................. .........__................ ............................. ............................. .............._....._...... ........._.................. ..............._._._...... ..............._...._...... ........___............... ................._..._..... 15.3 Guaranteed renewable accident and health(b)._....................._.........................................._... ._.....___.........._... ......................_..... ..........._.____....... 15.4 Non-renewable for stated reasons 0*(b)............................................................................... 15.5 Other accident onl 15.6 Medicare Tltie)Mll exemptf rom state taxes or fees...._..........._...__.......... ............._.............. ..._..........._._.._.._. ...___..................... .........._......_...._... ........_..._.............. .._........._....._...._. ............._......._..... ._.......................... ........_._.__......._. _._..____........._. __.__....._........_. ......._._................. Z15.7 All other accident and health(b)................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b) ......._ 18. Workers'oompensation.......................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ....__..................... ............................. .................. 17.2 Other Liability•claims made..................... _....._....2.881,202 ..............2,850,411 __..._._...1.390,019 ..__..._...2,137,183 ............_.2,122,565 ........_....2,159,168 ...__._.2.116.987 ._...._....2,767,502 _.___. 2,584,629 ._.._..428,697 ..............._..59,735 17.3 Excess workera'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liabiliy......................_....__............_._......................._........................._._........._. 19.1 Private passenger auto no-fault(personal Injury protection)....................................... ............... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other private passenger auto liabiliy................_........................_..................._...._................ 19.3 Commercial auto no-fault(personal injury protection)__._...._.....__...._.......__......_..._.......... 19.4 Other commercial auto liabiliy.................................................................... 21.1 Private passenger auto Physical damage........__........._.................................._.............._._... .............__......_.... ............__...__..._. ......._._.__...._...... ._.......................... ................_...._..... .._........_.___.._.... ........__..._........_... _..__._................_ _........._........__._ __....__.__..._...... __......................... 21.2 Commercial auto physical damage............_......._.............._..._.................._....._..........__..... __.........._..........._ ............................. .......__........._...... .............._............. __._........._...._._.. ....._....__......_._... ..._.._............._..... .....__......._.......__ ....._._................._ ............_._........_.. ........_........_..._..... 22. Aircraft(all Dent$)................................................................................................................... .......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fideliy..............._..._..........._...__.............................._.........._......_....................__.............. ......_..._..__........_. ............ .........__ _._......................_ ......_......__._......_ ..._......_................ ..___.._...._........._ _-__..................... 24. Surety....................................................................................................... ...............4,809 .....................3.533 ............................. .....................2,791 ............................. ............................. ............................. ............................. ...--.--................................................... .....-.---...........1.338 ........................100 26. Burglary and thefl................................................................................................................. ............................. 27. Boilerandmachinery................................................................................. 28. Credit............................................................................................................I....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty......._..__.................._......_._....._.._._..........____......................._------.------..._....... _........_.........__.... ...-----------.......---- ................_........... 34. Aggregate write-Ins for other lines of business......................................................................0 ...........................0 ...........................9 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS a 2,886 011 2,853,944 0 1,392,810 2,137,183 2,122,565 2,759,168 2,116,987 2,767,502 2,584,629 430,035 59,835 DETAILS OF WRITE-INS 3401. .......................................................................................................................................................................................................................................... 3402. ..........__..........._...__.._...... ...._..........._.___.................. ..._ _.__'__......... ..._..............._.. .._......._........... ..._._.............._ ........................ ........................ ........................ ............._.......... .................._.... ......................_ ....._........__... .-----. ........ ....... ..._. ...... ...._ ...... ...... ..._...._..._...._._......._...__._..._.........._......................_........................................_._.__..._........................._............_....._.__ .. ... 3403. .......................................................................................................................................................................................................................................................................................................................................................................................................................................................... .............................. 3498. Summary of remaining write-Ins tor Llne 34trom overflow page..............................................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ................._........0 ...........................0 ...........................0 ...........................0 ...........................0 3499..Totals 'nee 3401 Mru 3403 us 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance antl service charges not Included in Lines 1 to 35 3..................................25 (b)For health business on Indiated lines report Number of persons Insured under PPO managed care products .._......._.._..._........._... and number of persons insured under indemnity only Products ....._..___..._._._..._._._ . I�I II2 I'III II�II III Ili ll 2I II 0II II III II III II III I�3 III II III II III II III II 0 II III I I II ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Iowa uring the Year 2012 NAIC C mpany Cade 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fees, Less Retum Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business PrertYum Reserves (deducting salvo a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ex Expenses and Fees 1. Fire.._.._._.........._............_........................._...................._........................_..__.................. __................_....... ........................_... .._......................... ..__......._.._._...._. _._._._...._............ _........_.._..._____.. _._......._..._...........Allied lines .......................................................... 2.2 Multiple Peril crop-._.__.:.__........................................................._........._....................___--- ------------.._------------- .................._........ ......................._.._ ......_._.................. ..._._._.................. ............................. .._........_............... .............._............. ........_................... ............................. 2.3 Federal flood.................................................................................................__.._..........._.... ................_........... _....__........._........ ._.__.._...........___ ..._.............._._..... ........_................... .._......._.._._......... ..._._.._....._..___.. _.._.__....._........... ._......_....._........... .._....__._._............ _.. ...... 3. Femromere multiple pedl....................................................................................................... ............................. ............................. ............................. ............................. ............................. .......:..................... ............................. ............................. ............................. ............................. ............................. 4. Homeowner multiple peril.._..........................._....._._.....:__._..___.__...- ......_................_... ._...................._.... ............_............_. ......._..._............... ....._ ... _..._..........._........ ...__._.............._... ...._....................... .................._......... .__....._...___....... _........................... 5.1 Commercial multiple peril(non4iability ponio n)................................................:....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............:............... ............................. .......... ............................. 5.2 Commerdal multiple peril Oiability portion)............................................................................... ............................. e. Mortgage guaranry........_..._.................................._......._._....,._......_._..._.............._..._..... .__.._....__.._....... ........._.................. ...._._.................... ..................._._..... ................._._....... .................._.....__ ........._........._..._.. ..___....._.._......... ..........__.__......._. ......_.........._......... ._..__............__.._.. 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Intend marine.........._.............._......._........._._......__.......__._..._._..,_.-...._.._....__.............. ._..........._._...._..... ..._._..................... ._._....................... ....._...................... ......_..................... .._.__.._._.._._._.. __........._._....._.... .._____.___...._. .........._....._......_.. ....____........._._. 10. Financial guaranty.................................................................................................................. ............................ ............................. .............:............... ............................. ._.._...................... ............................. ............................. ............................. ............................. ............................. ............................. 11. Medical professional liabilit y................................................................................................... ............................. ............................. ............................. 12. Earthquake....____..............._.........._......_.....__.......__.....__......_....................__...__.._ ..._......._............_. ._...................._.... ......_.._............_... .............._......._.._ _..................._..... .....__._.___.._.._.. ...____...___.___. _.._...._........._...... ....________------- ._..._.-.__.._...__. 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health and individual).._........_._....._......................._..._....._........ ...............__.._...... ..........._._._.....:.... ................_......_._ ..............____....... ......................_._.. ....__.___._.__._. ..................__...__ '.___._._...._.._.... ........_..._...._.._.... ..._........................ .....:.._..._.___..._.. 15.1 Collectively renewable accident and health(b)......._......................_._......................._............. ............_._...._._._ ........._.................. ........................_... ............................ ......._...._.._......_.. ..._..__.__....._....... ............ ----------- ...__.._......__........ ._....._................... _._...._..............__ ........._..............__ 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. 15.3 Guaranteed nmemble accident and health(b)........................ ._.........._...._...._.................... ._.._......._..____.. ..........................._ ._.........._..._____ ...._._..._........._.... ._._..._____._._.. .__....._._...._........ ....._._....____.._.. ._....................._... ....._..__._.._........ .........._....._......._. ........._._............... 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. . ............................. ............................. ............................. ............................. ............................. ............................. 15.5 Omer accident oni 15.8 Medicare Title XVlll exempt from state taxes orf ees......._........._..__._._... .._....___.........._... ..._..._..------..._._... ...._........._.._....._. .___..._. .._...._................... ..__.........._.___..... ........._..........._..... .__........................ _------------............... ._.------------..._........ _._____._............. ..___._..........._._ D 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .......... ............................. ................... 15.8 Federal employees health benefits program prerdum(b).._.., __........_._...__..... ............................. .........._..._.__....... ..........._........_..._.. _.__._____.__..... ...........__.............. .........._..............._ .... --- --------------- ................_..__._.. __..._____......_.... ___...........__._._. 18. Workers'cempensatlo n..................................................I........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Oth er Llablllry--man ce..................................................................................................... ............................. ............................. ............................. ............................. ..............:.............. ............................. ............................. ............................. ............................. ............................. ............................. 17.2 Other Liabi llry•daimemade............._...._..._._._..........._........._......................_..............._.. _____........._....... ...._........_.........__ .....__..............._... ._....__-___._...... ._____...._............. _.__._.__..___...... ..............._._........ ...................._....... 17.3 Excess workers'cempensatlon................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ta. Products liability ._........._..._._.__.. ....._...................... ._.....__..........._... ...............__..__.... _......_.._._............ 19.1 Private passenger auto no-fault(personal Injury protection).................... ........._....................... ......_............_....... ......................_..... ...._....................... .............._............. .._._._............._.... ............................. ._.......................... ....... ...................._.._... ....._......_._........... ..._._ 19.2 Other Private passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no-foult(personal injury protection)..._................. ................. _......... ...... ............................. ..................._._...._. .................. ____...__..._.......... ....................... ....._.__._......._...... _._............_._._..__ .............. ................... 19.4 Other canvnerolal auto liability................................................................................................ ............................. ............................. ............................. ......................I...... ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage......._....__.........................._......._........................... ..........._.. .. ..._........................ ...._...._...__....._._. ................._.......... ............................. ._...................... ..._..................._- ._.......................... ...._ ........... _........................... 21.2 Commercial auto Physical damage............................................................. _--- .................. ......... _..._.. ... ......... ..._.._ __._ ................................. _.._.__.. ....._. ._.._____.. ........._.__ ....._.. ...._..__ ._. .._....... _ ..._........_.._. 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity........_..........................................................................._... ._......._.___...... ..................._.__... ...___.______..... ..._........................ .._.................._..... ......._.__.__..._.. ..._................._.._. _.__._................... .___......__........... ................_........... ..................._�...... 24. Surety............................................................._.........................-----..._.....................:.3.292 .....................3,090 ............................. ................... 1,578 ................---......... ..............._............ ............._...._...._.. ...................----.... ...__..._................. ._..._................988 .....................1,725 28. Burglary and theft................................................................................................................... ............................. ............................. ............................. ---------................... ............................. ---------------------------- ............................. .------............_........ ............................. ............................. ............................. 27. Boiler and machinery..........................................................._................................................ ------- _.._.-----------...__-- ..__._._................. ......._.................... .._._...................... ._._...__._.__.... ._........_..___....... .._..._..._...._......._ ........................_.. _ .... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty....-------_............._____..__....__._...._._............_...._._..__..._......................._....... _._........................ ..................._........ ........---........----.... ._........--------_....._ ....._.........__._..__ ................_........_. ._._................_..... .._......__.............. .....__._____...._._... ..........._................ _.........................9 34. Aggregate writo-ina for other Ones of businees......................................................................0 ...........................0 ........--..--.............0 ...........................0 --.--......................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ........................... 35. TOTALS a 3,292 1 3,090 0 1 1,578 1 0 1 0 1 0 1 0 1 0 1 0 1 988 1,725 DETAILS OF WRfTEINS 3401. ......................................................................................................................................................................................................................................... .......................................................................................................................................... 3402. ....__._.._.._..... .._...__..............__................._.._______...._.......__.__..........._..........__................._....._...._._.___..__._.. 3403. ..................................................................................................................................................................................................................................................................... 3498. Sum yofmmaiMngwrlte�insfor UJne3 4fromover8o wpage..............................................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 0 ...........................D ...........................0 ...........................0 ...........................0 3499. Totals Una$3401 thru 3403 lus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and aervim Merges not included In Lines 1 to 35 It...................................... (b)For health business on indicated lines report Number of persons insured under PPO managed care products ...................................... and number of persons insured under Indemnity only products ...................................... . 1111101111111111101111 1 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Kansas uring the Year 2012 NAIC C rnpany Code 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premium on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Une of Business Wrihen Earned on Direct Business Prerr4um Reserves deductin salve a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire...................._.._..._..._..............._..._................__._....._...._..._..._....._---- .............._. __.. ................ ............................. ...._.._..._........_.... ---------._......._........ ....__..................... ..........._................ ...... .......................:..... ....._..._...._...._._._ ..._....._......_..._.... ........................._.. 2.1 Allied lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 MultlpIs peril crop................................_._............. ._....................._... .................__.._.... ...__....__.............. .._...........____.._. _.._....._..._........... ............_._....._._.. _._._.._._...__....__ .____.................. _._..........__.._..._.. ...............__._...__ _....:.._.._........._.. 2.3 Federal flood.......................................................................................................................... ............................. ..........................._ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3. Farmowners multiple peril........................................................................ :..... ............................. ............................_ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril..................."__............._._......_........................._.._..........._...... ............................. ........_....._.._....._. ..........._..._.....__. ..................._._..... ............................. .........._....._.......... ...___........_......_... ...._.......__....._.... ....._......._......._.... .........................._. 5.1 Commercial multiple peril(non4lablliy pordon)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple peril(liability portion)................................._....................................._..... ._............_......._... ............_........._.._ e. Mortgageguaranry......._....................._._..........................................................._._......_...... ............................. ............._.............. ................_....._.... ._.._...._._........_... ............................. .._...__..............._. ......................_..... ................._.......... .._..._.._................ .._......._..._..:....... _._.............._.._.... 8. Ocean marine..........................................................................I................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine.........._............_....._........_.:......... _...._...__...._..._. _....................._._ .............._............. .._.__..._..._..._... ................_........... ......._._..._..._.__. _...._.............._..... _......._._..._.....__ _-___._............ ........__-_......._... .___._.___........._. 10. Financial guaranty.................................................................................................................. ..........:.................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 11. Medical professional liability................................................................................................... ............................. ............................. 12. Earthquake................_............_..........................................._.....................................__..... ............................ ................._.......... ........_.. - _----.................... ..._.........._._.._..... ._.............._......... .......................___ ._....._..__....__._.. ....._._......._.......... ..._.._................. ......._. 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and has"(group and individual) .__...._............__._._..._------_------_..._... _.....____.____.._ ....._.........._.__._.. ..................._......_ ____.._...._........ ............................. .............._..__._._. ...__............._....... ..........._.._............ .........__..__.._.._. ........................_... ............._._._........ 15.1 Collectively renewable accident and health(b) .......................................................... ..._........................ ............._.............. _........................... ................_.__...... .........._._.............. ............................. ....._...._._........._.. ........................._.. ............................. ._...._.................... ..................._........ 15.2 Non-cancelable accident and he .................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......................_..... ............................. ............................. 15.3 Guaranteed renewable acddem and hea8h(b)................._...._......_......_._ ..... .............. _._...._._..._.__..... .............. ____._._......_------. ................ .._.........._.._..._.... ............................. ...._.__.__._.......... ......._.._....._._...... ........__.___._..... ..... ............. 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ...........................:. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.5 Other accident only X15.6 Medicare Title XVlll exempt from state taxes or fee s.........................._...................................... ............................. ............_........._.... .................._......._ ......................_..... ....._...................... ..........._._..__....... _......._._ .:_........_............_ (n 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health.benefits program premium(b) --------------------- 18. Workers'compens atkm.......................................................................................................... ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Liability-.-m ance............................................ ..... ....................._...... .._......................... ............................. ....._...................... ......_...._............... ....._...._...._...._._. ..............._............ ........._........_........ ..........__...._......._ .._......_....._.......... .__._.............._.._. ........._..........._.._. 17.2 Other LiabiBy-claims made....................................................................................3,061,857 ..............3,033,003 ...._........._............ ..............1,326,578 ..__.........1,461,658 ..............1,818,277 ...............4.058,473 ...............1,130,384 ........._...1.334,525 ..._._.......1,866,258 _._..._......_170.996 _.._._........._fi4,347 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 1a. Products liability..............................---.---..----_____._.._.._............_....__......_.......... 19.1 Private passenger auto no-fault(personal Injury protection)...................................................... ............................. ............................. ..................... 19.2 Other private passenger auto liability................_......................._..._.---............................. ............................. ............................ ............................. ............................. _......_.. ....................... .............. ......................... ............................ ................. 19.3 Commercial auto no-fault(personal injury pmteceon)._...._....._._...._...._................. ---------------------------- 19.4 Other commercial auto liability..................................:............................................................. ............................. 21.1 Private passenger auto physical damage........_._...._.__........................... -------- -------------------------- .........._...._......._. _._...._.................. ..._...._.....______. ....._...._.._........._.. ............._....._....... .._..___..._.........._ ..........._........_...... ................_._........ ........_.....__..____ ...__.. 21.2 Commercial auto physical damage........................................................................__.............. _..............._.._- ........._.................. ..........._.........._..._ ...._....................... ..................._......I. .........._..........._.... .._._...................... .._......_......._........ .._.._.._................. ........._._......_....... ........_.........___... 22 Aircraft(all perils)................................................................................................................... ............................. ............................ ....................._...... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity..................................._._................_....._.......................... - ..................._. ._._._.._...._.......--- ...................._....... .._...._.._._._......... ............_._..._........ ........................__. ..._.............._......_ . 24. Surely............................................................................................................................3,666 .....................4.134 ............................. .....................1,871 ............................. ............................. ............................. ............................. ............................. ..............I.............. ............................. .........................77 28. Burglary and theft.-..........................................._..._...__._......................................._............ .........._................ ............................. ................_..._...... ...._....................... ............._.............. ._..._...._............... ................._....._.. ............................. _._....._..__........... ........_._..._.._...... ._........__ .......... 27. Boiler and machinery.............................................................................................................. ............................. ............................. 28. Credit.................................................................__....................................._........................ ............................. ............................. ............................. ............................. ......._...._.............. ..._._._........._....... ............................ ..........................._ ..........................._ ........................_... 30. Wanany_....----.----_.._-....,_..._._....._............_........._........._....._......__......................... ..._ __...__.................. ..._......._............._ ....._....._...._......... ......._...._._......._.. . 34. Aggregate write-ins for other lines of business......................................................................D ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ........--.--..............0 35. TOTALS a 3,065,523 3,037 137 0 1,328,449 1,461,658 1,818,277 4,058,473 1,130,384 1,334,525 1,866,258 170,996 64,424 DETAILS OF WRITEINS 3401. ..........................._..........................................................:............................................................................................................-----........................................................._. 3402. ......_............................_..........................................._..............._..._.............._......_...._..................._.............................._._._..........._..._.................._. 3403. ......................................................................................................................................................................................................................................... .......................:.................................. ............................. ................................................................................................................................................... 3498. Summary of remaining write•Ins for Une 34 from overflow page............_..................._........_.0 _._..._.................0 _.........................0 ....................._....0 ...................__....D ...........................0 ....................._....0 ..................._......0 .................0 ...........................0 .........._...............0 .........._...............D 3499. Totals Unes 34D1 thre 3403 lus 3498 Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35 5............................58,658 (D)For health business on Indicated lines report Number of persons Insured under PPO managed care product s ..........................._......... and number of persons Insured under Indemnity only products _.....................___......... . i 2 a s 1 s t 2 o 1 1 s 4 1 4 1 1 s 1 10ii�0�iii�� a 4 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Kentuc During the Year 2012 NAIL C mpany Code 29513 Gross Premiums,Including 3 4 5 8 7 :..n,. 10 11 Policy and Membership Fees,Less Return Prerrcurm and Direct Defense Premiums on P.ides not Taken Dividends Paid Direct Dire.Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Dire.Premiums Direct Premiums Policyholder Direct Uneametl Direct Losses Paid Direct Losses Direct Containment Containment Evens. and Brokerage Taxes,Licenses Line of Business Written Earned on Dire.Business PreMum Reserves (deducting salvage) Incurred Losses Un aid Expense Paid Expense Incurred Unpaid and Fees 2.1 Allied lines............................................................................................................................. ........................... ............................. ............................. ........................................... ............_............... ................._.......... ............................. ........._...__...__... _..._...................... ......................._.... _........................... 2.3 Federal flood...._........._........._..........................................__._.._.............................._......... .........._........_....... .................._..__... .........................._. -............._............. .__..._............._.... .._......._.._._..._.... ........_....-..-......... 3. Famwvmere muf6Pie perif....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowner multiple peril................................--......................................... _ .......................... ..._...__._._._._.... ...................... ................_._.___ 5.1 Commercial multiple peril(non-liability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial mulUPle Peril Olab9ity poNOn)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. 8. Mortgage guaranty..........................._........................._............._._.._......_............__........... ........__------------__. ..__........._......._.. _.._............___..... ......_....__..........._ .........._......._....... ........_...._.._..._`- .___...__.._._....... _..........._........_.-_ .........._.......__._... ...__...._..__...._._. _____........_......_. 8. Ocean marina........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine...._........................................._............_.._...._._-__...._.._............._......_._... ............................. .._...._._.......__..... ._........._.........._... .._...__.........._..... _........................... ...___.._._.____.... _-_..............._...._ __..._............._..... ....._......._...._._... .........___...__....... 10. Financial guaranty.................................................................................................................. ............................. ............................. ............................. ............................. ...........: 11. Medical professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12. Earthquake ........................._..................._.................._..._......._......:...._..._.................... ............................. ........_....._..._..._.. ..._.......__..-.......__ ._....._._.__..____. .__._._...__...._.... ..........................._ __________....._. ........._..._......__-_ ___._..__..._........ ........_......._........_ ....._.____-_.......... 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)........................__-----------..._............_........_ ......_...._.._........... ........._............_.... ..__._____......_.... .._......................_. ............................. ........_.___..__.... ....._..........._._..._. _._...._._..._....._... .............._......_.._. .....__._._._._..__ ..._._......._............ 15.1 Collecdvehy renewable accident and health(b)-.................................................. ....................... ... ._.... ............................. ........._....__.._..__ ........._.................. ............................. ............._............_ __._...................... ..........._....._......... ..._.._._....._.......... ........_...._...._....... ......_..................... 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)..__.__._...................._.... -...................._....... ....... ..............._......_.... ......................_..... ...._....._..._........... ........-...__-_-.__-_. _._.__.................. ............_...._......... ....._._................... 15.4 Non-renewable for stated reasons only(b)..............................................:.......................-------- ............................. ............................. ............................. ............................. ............................. cD15.5 Other accident only..._........._.........__........................_..._........_..._................................_. ......................___. .....................-._.... ............................. ........................_... ........................._.. 15.8 Medicare Title Wit exemptfrom state taxes or fees._.._.........._............. _.. .._..._..._.........._... ......_.........._..._.._ ........................_... ................._........_ _._......._............... .................._.___.. ._.................._._... ....................._...... ......_..............___ _...__......._._._..... _._._..................... .....................___.. 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal ernployem health benefits program premium(b)._._...........__........._.___._._............. ....._._------------------- ........................._.. ......._...._......__.... ...____._..- 16. Workers!compensation-........................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Liability•occurrence..................................................I.....................---:......................... ............................. 17.2 Other Liability-claims mad...................._...................._............................_...._........_......... 17.3 Excess worker'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............I............... ............................. ............................. ............................. 18. Products liability..................................................................................................................... ............................. 19.1 Private passenger auto no-sult(personal Injury Protection)...................................................... 19.2 Other private Passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no-fault(Personal injury protection)......_.._.........._.__._ ............. - ----_.__._......... ----------------------------- ----------------------- .... ..........._._...._..__. ....._.._._.............. ......_..__....__....... .._.__._._.............. ....._........_.__.._... ............._...._........ ....__...._...._...._. 19.4 Other commercial auto liability................................................................................................ ............................. ............................. 21.1 Private passenger auto physical damage...................,....._..._._............ ........_............._.... ............__.._..._.. .__._--------------------- ......................._.... .............__._......._ .___.__...._._.._... ....................._...... .._.........__............ ......................._._. __...._.................. ..........._._.._......... 21.2 Commercial auto physical damage............................._..._.............._.............._........_............ .__........................ ......_.................__ ................_.._._._ ._._......_...._.......... .._......._...._.__..... ._._..............____ _..._.._................. ._....................__.. _.._...._....._....__. ............_._.._.._.... ...._..._._._.___._. 22. Aircraft(all pedls)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity_..._......_......................... .............._............................................. ..._..........._........... ........_..._.........._.. ._................._....... ..........__...._...__.. .._.....___.............. ....._...._................ .................._....._.. ...._.__..__.___-_ _.............._........._ ......_................_... ......._.__.._...... 24. Surety..........................................................................................................................20,289 ...................]4,972 ............................. ....................12,052 ............................. ............................. ............................. ............................. ............................. ............................. .....................5,214 .....................3.851 26. Burglary and theft................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ................-------:.... ...................-......... ............................. ............................. ............................. 27. Boiler and machinery._........................................................................................................... ..._...------------ ...................._...... - 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty....._...._......................._.........__......................._......___.._.------._._....._-----------_.. ............._..._ ..__.............. 34. Aggregate write4m;for other lines of business......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 35. TOTALS a 20,288 14,972 0 12,052 1 0 0 0 0 0 0 5,214 3,851 DETAILS OF WRITE-INS 3401. .......................................................................................................................................................................................................................I........................... ............................................................................................................. ............................................................ ............................................................ 2 .........._.._.......__.._........._............................_...................___...__........_............_........._.............................__.._.._..................._......................_........ .................._......_..__.___.._..__._._-...__............................_..........._.......... __................_._.._._._._..._.__.__......_._..............................._........_..__...... 3403. ......................................................0 . 3488. Summary of remaining wrile-Ins for Line 34 fran overflow Pa9e..............................................D ...........................D ...........................0 ...........................0 .:.........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499. Totals Lines 3401 thr 3403 Plus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products -------------------------------------- and number of persons Insured under Indemnity only products ...................................... . 2 0 5 1 s 3 0 1 2 4 9 0 1 3 1 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Louisiana uring the Year 2012 NAIC C rnpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Coat 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Lasaee Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves deducOn salvo a Incurred Loans Unpaid Ex ense Paid Expense Incurred Unpaid Expenses and Fees 21 Allied fines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril cr op-..................................._...._..................._....._...-..................................... ....._..._..........------ ............................. ._.......................... ....._._...__............ ................_.._....... ...._......._......._..... ....._._.__....._._._.. .............__.._.__... ........_.............._... ..._......._..__........ _........_........_....... 23 Federal Bond...._............................_......................................_............................................. ............................. ._.......................... ._._....................... ...._......._......._..... ............................. ...._._........._......... ..........._...__......... ._..........___......_._ _..........._............_ .. ........... ..._............._..._.... 3. 2rimovmers multiple Peri-.................................................................................................... ............................. ............................. .......................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homaowdersmult leperil......................._........._._..................................__..__.............._..._ ......_.__................ ......__................... ..._....... -----._......._..._._... ..._._._.........._...... ....._.___._........_.._. ....._..._..._..........._ 5.1 Commercial multiple pert(noMiability portion)........................................................................ ............................. ............................. ............................. 5.2 Commercal multiple peril piability,portion)............................................................................... ............................. _.._.._................... _.....__......._...._... ............................. ......._._................. ......._...__.._......... _........_...._.......... 6. Mortgage g uaranry.._...................._._._._.._................._.___....__..._........._..............._...... .._.._......._.._......_ ....._......._............ ..._..___................ ............................. .........._................. ._.............___..... .._....._____._...... ..........._................ ._......_.._._.___.. __..................._.... ._......._......_......... 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine.............._..._._..........................__..._...._..._.......:_.._....................__._... .._.._...___............ ..................__...._ _.__._...__......_.... ..__......._............_ ....................__._.. ..........._..._...._..... .._.._,-___.____... .............._......_..... ..__._.._..__......_.. .__._....._.............. ......._._..........__... 10. Finandai 9uarenty.................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 11. Medical professional liability........................._........................................... ............................. ............................. ............................. 12. Eerthqu ake................................. .._.__......._.._....... .__......__......_...._ ............................. ......_.__.._......_.... ............... . ........................_... .._......._.._...._____ _____.._...._....._... ...._........._.___._... ....._.........___........ 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............I................ ............................. 14. Credit accident and health(group and Individual)__....__......_..._._...__._.........__................. ............................. ........_.........._....... ................_._....- .__._..................... _._......_.._.__.._... ..................__.....- ..._............._......._ _.....__..__..__._. ___........_....._...... ............................. 15.1 Collectively renewable accident and health(b) ............................._........._...............__._....... ---------------............. ...._._......_._...__.. ._...._......_............ ...__.............._...... ----------------------------- ---------............. _......_........._...._.. _.....__........._..._.. ..................._........ .._._......_..__._..... ._.......................... 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ......I...................... ............................. .....I....................... ............................. ............................. ............................. ........I.................... ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b) ...._....................... ........................... ........______._.._.. --------------------------- ------------.._...._.._... ......._.._............._. ....._..............__... r15.1 Non-renewable for stated reasons Dory(b)............................................................................... ............................. ............................. ............................. ............................. .............:............... ............................. ............................. ............................. ............................. ............................. ............................. 15.5 Other accident only................................:............._............_..................._----------------------------- ---------------------------- ...._.._....._._...._... __......................... .........................._. __....__............... .............._............. ............_........_..... ....._.___.._.......... ........................._.. ........_._............... 15.6 Medicare Till:XVIII exempt from state taxes or fees............._.__._..._..................................... ...._................_..... 15.7 Ali other acdtlent and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. .........................I... ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)__._ __.........._.............................. --- _....___.__1._...... ........................._.. _...-,___._............ ..................._.._.._ __........._..._._...... .. .. 16. Work"oomWensatlon.......................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Uabllity-oceumenca..................................................................................................... ............................ ............................. --........................ .......................----- ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.2 Other Uabllly-claim made.............................__...................._.__..........._._............_._... ............................. ..............._.._._..... _.._..................... ........................ .._.................-- ........ ------..-....---........ ..... ..................... _................:_._..... 17.3 Excess workers'comipensatlon................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............I............... ............................. 18. Products liability........................_...._........._..............____.._....................------------._......___.. _.._..................._... ......_._....__.......... ------_....__------.._... ._.._...................._ ..._.__._.._._......... ._...............__....... ............................. ..__............_._.____ ..........................._ ........ 19.1 Prvate passenger auto no-fault(personal Injury protecdon)........................... _.................._._.... ............................. ..............._............ ................_...____ ....._.............._...... _........................... .__._......_._.......... .................._......_. ............_.__......_.. ..__...........__........ .............._....._...._ 19.2 Other Private passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no-fau3(personal inIury protection) ..........__........._.... ..._..._................... ......._...___._....._. ........._._............... ..._..._._._....._..._. ......._._.___.....__ ..........._._....___ ._..........._........ __._.._............. ........____.._...... .._._-_.._......... 19.4 Other commercial auto liability................................................................................................ .......................... ............................. 21.1 Private passenger auto physical damage........._.........._._..............__.............._..__...._.___ ............................. ........................_... ._.......................... _...__...............__.. ..........._......_.._.... _................._........ ..._.........._..._....... ....._...._.........._.._ ..._........................ 21.2 Commercial auto physical damage ......... ............. ... ...... ......... ......... ...... .......... . .......... ........ ... .. . .......... . ........... ...... ._. ....... ............___.. ......._...__.......... 22. At craft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fldeliy....................._......_..................._.......................................__..._.._...._................... ._- .......""'-'-'-.__... .._._..................... ............._...._.......- ..._...................... .__.__...__._._..... ._..........._._.......... .____...._.._......_.... ...........__.._._.___. _._...._.._......_.-..._ 1340 24. Suroy..................................................................................................... ............................. ............................. .............I............... ............................. ............................. ......:...................... ............................. ............................. ............................. ............................. ...................... 26. 8urglary and theft................................. ............................................................... ............................. ............................. ............................. ............................. ............................. ............................. ---......................... ............................. ............................. ............................. ............................. 27. Boiler and machinery............................................................... ...................................... ............................ --------------._._._..... ..._........................ .....___._...._...__.. .....__.................... _..._...................... ............_.........___ ..........._........_...... ....___.._._.__....... ...._...........___...... .............___......... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ...................... ....... ............................. ............................. ............................. ............................. 30. Warrany-------...-..._._.........................................................._............_.__............................. -.._..............._.._.. ..._........._.__.__... ..._.._.................... ............................. ......_._._............... ...__...................... ............_._........-- ...................... ............... ...........__._.._....... ._..._......._....... 34. Aggregate vrtite-Ins for other lines of business......................................................................D ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ......-.---................0 ...........................0 ...........................0 ................_.........0 35. TOTALS a 0 0 0 0 0 0 0 0 0 0 0 1,340 DETAILS OF WRITE-INS 3401. .................................................................................................................................................................................................................... ............................................................................................................................................ ......................................................................................................... 3402. ...................._....__....................._......_..._._......._..._......_......_.............................................._...._._.._.................................................._......... 3403. .................._.._................ ....................................toe3i..............................................90--.................................:..............._........................ 3498. Summary' ummary of romaininq writo-ins for Line 34 from overflow page..............................................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................D ...........................0 ...........................D 0 ...........................0 3499. Totals Unea 3401 d,ry 3403 lus 3498 Une 34 above 0 0 -0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Lines 1 to 35 E...................................... (b)For health business on Indicated lima report Number of persons Insured under PPO managed care products ...................................... and number of persons insured under Indemnity only products ..._.__.___._.._........._... . 11111111I11111111111111IIII11IIIIN11111 11111911 III�IIIIII�� IN IIIIIIIII 2 1 5 1 3 3 e 1 2 1 7 a 2 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Maine uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken DMdends Paid Direct Defense Direct Defense and Cost s + - - - - - - 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Looses Direct Containment Containment Expense and Brokerage Taxes,License. Une of Bualnese Written Earned on Direct Business Premium Reserves (deducting saNa a Incurred Losses Un aid ense Paitl ense Incurred Un aid seo and Fees 1. Fine.. ............................. ............................. ............................. ............................. ............................. ............................. .._._...._......._....... .................... ......... ............................. ............................. ............................. ............................. 21 AOIed Ones............................................................................................................................. ............................. ............................. ............................. ............._.............. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple per0 crop................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.3 Federal 800d..........._......................................_..................................................................... ............................. ..........._................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3. Fans hers multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple Penl...................................................................................................... ............................. ............................. ............................. ...................:......... ............................. ............................. ............................. ............................. ............................. ............................. 5.1 Commercial multiple pod(non4iability portion).................:...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple pad:glabgity portion)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................: ............................. ............................. ............................. ............................. ............................. S. Mortgage guarenty................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 8. Oman marine.................................................................................................:....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 10. Financial guaranty.................................................................................................................. .....................:....... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 11. Medical professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12. Earthquake................................................._......................................................................... ---------------.---------- ............................. ............................. ............................. ......:...................... ............................. ............................. ............................. ............................. ............................. ............................. Group accident a ea ....... ................................. ........................ ........................ ........................ ........................ ........................ ........................ ............................. ............................. ............................. ............................. ............................. ............................. 14. Cwt accident and health(group and individual)..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 1 S.1 Col ecBvely renewable accident and health(b).......................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ..........................I.. ............................. ............................. ....._...................... 15.3 Guaranteed renewable accident and healthl b)......................................................................... ............................. ............................. ............................. .._......................... ............................. ............................. ............................. ............................. ............................. .....................:....... ............................. 15.4 Non+enawable for stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. tD 15.5 Other acddem only...................................................................................-........................... ............................. ............................. ...............I............. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.6 Mediate Titre XVlll exempt from Slate taxes or f ees.................................................................. ............................. ............................. ............................. ................I------------ ............................. ............................. ............................. ............................. ............................. ............................. ............................. m15.7 An other scZerd and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employeeS health benefits,program premium(b).......................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Workers'mmPensatlon.......................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................I.... ............................. ............................. ............................, 17.1 Other Liability-ooaere...................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. r 17.2 Other Liability-dahns made................ 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. _ 19. Products ................_................................................................................................... ............................. ............................. ........................ 19.1 Private passenger auto no-hull(personal Injury protection)...................................................... ............................. ............................. ..................._........ ............................. ............................. ............................. ......................._.... ............................. ............................. ............................. ............................. 19.2 Other private passenger auto liability.. -_........................................................................... ............................. 19.3 Commercial auto noJau:t(personal Irfxy protection)............................................................... ............................. ...:......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................----- 19.4 Other commercial auto liability................................................................................................ ............................. ............................. ............................. ............................. ............................. ............:................ ............................. ............................. ...........................- ............................. 21.1 Private posseNer auto physical damage................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.2 Commercial auto phydal damage.......................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 22. Ah nit(all pedls)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity................................................................................................................................... ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. 24. surety..............................................._...........................................................................2.084 ....................2.073 ............................. ..........................75 ............................. ............................. ............................. ............................. ............................ ............................. .....................1.602 28. Burglary and thefl................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Boiler and machinery.............................................................................................................. ............................. ...._....................... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Wartanty................................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................ 3/. Aggregate writedna for other fines of business......................................................................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ....................... ...0 35. TOTALS e 2.084 2.073 1 0 1 75 1 01 01 0 1 0 1 0 1 01 0 1 1,642 DETAILS OF WRrTE:NS 3401. ........................................................_.............................................................................................................................................................................................................................................................................................................................................................................................................................. 3402. ............................................................................................................................................................................................................................................. ........................................................................................................................................................................................................................................ 3403. ........................_.................._................................................................................................. . ........................................................................................................................................................................................................................................................................................................................................ 3498. Summary of remaining write-ins for Una 34 from overflow pogo..............................................D ...........................D ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3199. Totela es 34010-3403 An 3498 Une 3<above 0 0 0 0 0 0 0 0 0 -0 0 0 (a)Flnarrce and seMm charges net Included In Lines 1 to 35 8..................................._. (b)For health business on Indicated Ilnea report Number of persons Insured under PPO managed are products ...................................... and number of persons Insured under Indemnity,only products ...................................... . r - - � � I�II�IIIII III III�uI'I IIIII III�III�III�III�III II u111I�11111�111II�III��IIII IIII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIL Group Code 1228 Direct Business in the state of Maryland uring the Year 2012 NAIC C rnpany Code 29513 Gross Premhsm,Including 3 4 5 B -,7 a 9 t0 11 12 Policy and MembersNp Fees, Less Return Peniums and Dlrcct Date.. Premiums on Pollein not Taken Ohidends Paid Direct Defense Direct Defense and Cost -- -- --- - -� -+-- - - 1 - 2 of Credited to - - and Cost. and Cost Containment Commissions Direct Premiums Direct PrcMums Policyholders Direct Unearned Direct Losses Paid Direct Losses+ _Direct Containment Containment Expense and Brokerage Taxes,Lkensea Line of Business Written Earned on Direct Business PremWm Reserves (deducting salver a Incurred Losses Unpaid Expense Paid Expense Irtcuned Unpaid Expenses and Fees ........... ............................. ............................. ............................. ............................. ............................. ............................. 2.1 Ailed lines....................................._...................................................................................... ............................. ............................. ............................. ............:................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peA crop................................................................................................................... ...................._....... ............................. ............................. ............................. ............................. ............................. ........................._.. ............................. ............................. ............................. ............................. 23 Federal flood- ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .......................,..... ............................. .:....................._.... ............................. 3. Fsm ent rauMpla parg....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeovmero mdtlple peril..........._......................................................................................... ............................. ............................. ......................_..... ............................. ........................._. ............................. ............................. ............................. ............................. .............:............... .. 5.1 Commard21 multiple pert)(nen4labilily,Wan)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. 3.2 Car..an at muNple peril Diablllty,Wan)...................................................................:.......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 8. Mortgage guaranty................................................................................................................. ............................. ............................. ...........................- ................:............ ............................. ............................. ............................. ............................. ............................. ............................. a. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 10. ............................ ............................. ............................. ............................. ............................. 11. MedMal profn -a]liability...................................._............................................................. ............................. ............................. ............................. ............................. ............................. 13. Group acddent and health(b)......._.................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group,and lndiv4dua 0......................_............................................. ............................. ------------_.._....-----. ............................. ............................. ............................. ............................. ................_-.......... ............................. ............................. ......._.................... ............................. 15.1 C."ectively renewable accident and health(b)....................................................._._................ ............................. ............................. ............................. ............................. ............................. ....................._...... ............................. ............................. ............................. ............................. 15.2 Non-cancelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed rcn=ble accident and heaim(b)......................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..s 14.4 Nonrenewable for staled reasons ony(b)............................................................................_. ............................. 00 15.5 Other accident only................................................................................................................ ............................. ............................. ........... ..... ........................ 15.0 Medicare Title)MII exempt horn state taxes or fees .........................................................._..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................... ............................. ............................. 15.7 All other accident and health(b)............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14.8 Federal employees health benefits program premlum(b).......................................................... ............................. . 18. Workers'c ompematlon.......................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other ad ry-occurrerxe......................... ............................ ............................. ............................. ............................. ............................. .............................. ............................. ............................. ............................. ............................. ............................. ............................. ................................................ 17.2 Other Uabiltry-clean made................................................................................................... ............................. ............................. ..._....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.3 Excess-1;ers'compansation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................................................... ............................. ta. Products lla b8lry.........................................._......................................................................... ............................. ..._........................ ............................. ............................. ............................. ............................. ............................. ............................. ...I...........I............. ............................. ............................. 19.1 Private passenger auto no-fault(personal injury protection)...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other private Passenger aura liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ...... ............................ 19.3 Cam 21 auto no-fault(personal Injury protection). ............................. ..:.......................... ............................. ............................. ........._.................. ............................. ........._:................. ............................. ............................. ............................. ............................. 19.4 other commercial-'a liability................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage......................_......................................................... ......._.................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.2 Cammerdel auto Physical damage.......................................................................................... ............................. ............................. ............................. ........_................... ............................. ............................. ............................. ............................. ............................. .................-.......... ............................. 22 Aircraft(aBPerils)................................................................................................................_. ......._.................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity................................................................................................................................... ............................. ............................. ............................. ............................. .....................:....... ............................. ............................. ............................. ............................. ............................. ........................484 24. Surety.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .....................2.484 Z8. Burglary and theft,,................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Boller and r rod'I'M.............................................................................................................. ......................_..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ....I........................ ......I...................... 30. Wananty................................................................................................................................ ............................. .............:.............. ............................. ............................ ............................. ............................. ............................. ............................ ............................ ............................ ............................. 34. Aggregate vaite4ns for other linen of business......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 35. TOTALS e 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 2,484 DETAILS OF WRfTE4NS 3401. ................................................................_......................................:................................................................................................................................................................................................................................................................................................................................................................................ ......................................................................................................................................_................................................................................................... .... 3403. ........................................................................................................... ..................... ..................... ..................... ..................... .................... ..................... ..................... ..................... ..................... .ur ..........remaining..................................fro overflow ....... ...0 ... ...0 ... ....0 ... ....0 ... ...0 ... ...0 ... ..................... ..................... .................... ........................ � 3498. Summa?of rcnWNrg wrlto-ins for Whe 34from overaow page...._........................................0 ....................._....0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...D ... ...D ... ....0 ... D 3499. Tomis es 3401 tau 3403 349a Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (s)Finanwa and aerNca dnrges not inctuded In Urea 1 to 35$...................................... (b)For health business on indicated Ines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under indemnity,only products ...................................... . . J r + III�u�IIIIIIIIIIIII�IIIII��I�I�II�IIIIIIII�III�I�I�II�II�I��llllll�l�lll� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company: EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Massachusetts uring the Year 2012 NAIC C mpany Code 29513 Gross Pmmlurns,including 3 4 5 7 8 9 10 11 12 Policy and Membership Fees, Less Rehm Pren4ums and Direct Defense Premium on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost ,• .�.._.i _ _.._ 1 2 or Credited to _ and Cast and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Ta:es,Ucenus Una of Business Written Eased on Chad Business Prendum Reserves (deducting salvage) Incurred Losses LM aid Expense Paid ense Incurred Unpaid Expenses and Fees 1. Fka................................................._..................................................................................... ............................. ............................. ............................. ............. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21 Allied 11-9............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................ ......................... ............................. ............................. 22 MWBDIa Pent crop................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23 Federal flood.......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3. Famxwmere rtsADple peril....................................................::................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril...................................................................................................... :............................ ..........................._ ............................. .....................::...... ............................. ............................. ............................. ............................. ........_................... ............................. ............................. 5.1 Commercial multiple peril(noMiabfiil y portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple pent(11aD8ity portion)............................................................................... ............................. ........................:.... ............................. .._......................... ............................. ............................. ............................. ............................. ............................. 8. Mortgage guarl ........................._...._................................................................................ ........:.................... ............................. ............................. ............................. ............................. .................................... ............................. ...:......................... ............................. ............................. 8. .Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ..............._............ ............................. ............................. ............................. ............................. ............................. ............................. 9. ............................. ............................. ............................. ............................. ............................. ............................. Financial guarenty...........................: ............................ ............................. ............................. ............................. ............................. ............................. 10. Flna ...................................................................................... . 11. Medical professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12 Earthquake............................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ........._.................. ............................. ............................. ............................. ............................:............................. ............................. 14. Credit accident and health(group and Individual)..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.1 Collectively renewable accident and health(b}......................................................................... ......:...................... ............................. ............................. ............................. ......:...................... ............................. ............................. ............................. ............................. 15.2 Nonssncelable accident and health(b)...............................................................................:.... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and Ixalth(b)................................._...................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.4 Nonrenevrable for stated reason.ony,(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. tO14.5 Other accident only.........................................`..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.6 Medicare Title X All exempt from state teen or f eet................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............................. D15.7 An other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b).......................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Workers'compensa0on.......................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .........I................... ............................. 17.1 Other Liability-occurrence..................................................................................................... ............................. ............................. 17.2 Other Liability•claim!made................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. :............................ ............................. 18. Products liability......................................................................................................._............ ............................. ......................._.... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................."".""....... ............................. 19.1 Private Passenger auto fro-fault(Perwnal Injury Protecdon)...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other prtvate passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Con.nerdat auto no-fadl(personal Injury protection)............................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.4 Other cemrardal auto(lability.............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. -21.1 Private passenger auto physical damage................................................................................. ............................. ............................. ............................. ............................. ............._.............. ............................. ............................. ............................. ............................. ............................. ............................. 21.2 Commercial auto physical damage.......................................................................................... ............................: ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 22. Aircraft(20 PerOf)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity................................................................................................................................... ............................. ............................. ............................. ..............-------....- ............................. ............................. ............................. ............................ ............................. ...... ............................ 24. Surel y............................................................................................................................7.2R .....................6.5% ............................. ......_.............5,436 ............................. ..................(21,000)............................. ............................. ....................(1,500)............................. .....................2.003 ...................12.875 28. Burglary and th n................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27' and maciunery.............................................................................................................. ............................. ............................. . ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...._....................... 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty................................................................................................................................ ............................. .......................... ............................. ..........:................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 34. Aggregate wsitedm for other lines business.......................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS W 7,2651 6.5521 111 5,436 1 Or (21.000) or 0 (1 500) or 2,043 12,975 DETAILS OF VVRrTE-INS 3401. ......................................................................................................................................................................................................................................... ' ........................................................................................................................................................................................................ ........................................................................................................................ 3402 ............_.......................................................................................................................................... 3403. .............................................................................................._................_....................................................................................................................... ........................................................................................................................................................................................................................................... 3498. Summary of remaining write-ins for Una 34 from overflow page..............................................0 .............:.............0 ..._............ ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 0 ...........................0 3499. Totals 3401 0vu 3403 3498 Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance a�fervice charge.not Inducted In Unes 1 ro 35 S...................................... (b)For health business on indicated Ones report Number of person Insured under PPO managed cam products ...................................... and number of persons insured under Indemnity only,products ....................................... 1 II III II III II III II III II I II II2 II I�I)1 I I I21I II III I I III II I II II III Iltlll II I II III II III I I�� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Michi an Durino the Year 2012 NAIC C mpany Code 29513 Gross Premium..Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fees, Les.Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commission. Direct Premiums Direct Premiums Policyholder. Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes.Licenses Line of Business Written Earned on Direct Business Premium Reserves deductl salve a Incurred Losses Unpaid Expense Paid E ense incurred Unpaid Expenses and Fees 1. Fire.................................................................................. ..._..____....__..... ......_....__.___...... ........_......__....._... .._...___..._.......... ........__._._.._..... _._..................__.. 2.1 Allied lines........................................................................................................................ ............................. ..............:.............. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..... 2.2 Multiple peril crop................................................................................................................... 2.3 Federalflood.._......._.................__........_........................._....._................_.__........_.._....._ ._.....__....._.......... ...._............_......... .__....._...:............. ....._.........__......... ........._.................. ____................_.. ....._._____......... .............___....._... ..._..__..........._.... .._......................... ............. ................ 3. o-ovi er multipl peril_................... ...................._...._. ............................. ............................. ............................. ................_........... ........................_... ............................. ..._........................ ..............._........_.. 4. Homeowners multiple peril............._............._.........._.............._._..._..................._............... 5.1 Commercial multiple peril(non-liability,por8on)........................._........_........_.............. --.. ........... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............... 5.2 Commercial muhiple peril(Ilabillry portion)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 8. Mortgage guaranty._............................__..........................._........_......_..--.-"___.._._...._... 8. Ocean marine.......................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine.........._.......................... .................._......._ _........................... ........._............_.... ...__..._........__._.. ._..___................. ....._.__...._.._....... ..............._..___.. .............._._.__._.. ._...._..._....._..._... ................................................................................... ............................. ............................. 10. Financial guaranry.................................................................................................................. 11. Medical rolesaional liability ....._...................... ............................. ...._................._.... 12. Earthquake.._..................__..._................................ .........__..._._...._.. ................._........_ ..____...._........_._ ._....._....._......_.... ......_..._._.__........ ................._..___.. ...._.................._._. _._...._.._....._..._.. 13. Group accident and health(b)..................... __ _ _ 14. Credit accident and health(group and indiddua 15.1 Collectively renewable accident and health(b) ....._........ ..........._. ...........__....._....... ......................._.._ .._._...................... - __..._..... 15.2 Nor cancelable accident and health(b)................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ......... ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)...................._............._.. ........................_... ....__..................... .........._......._........ ...._._.........._..._... ............_............... ........_.__......_.._.. ........_..._...-.___._ ........_........_._...._ ._--_-.-_.._._.......... ...._._._.--..-_......... ............................. ................--.-......... 15.4 Non-renewable for stated reasons only(b).........................................................................._.. ......__._.........._.... ....._...................... _......._............._... ...................._.._... ............................. ..._...................... ...................__...... .............._._.......... ............................. ................_...._..... ............................. 15.5 Other accident on fp ly................................................................................................................ ............................. ............................. .................._......... ..................._........ .....__.._................ ...................__...... ..__....................... .........._.__............ ._................._....... ................._........ 15.6 Medicare Title XVlll exempt from state fazes or fees_...__....................... -._.. ..........._............... ............................. ............. ....._...._._...__...... ............................. ___..........._........_ ._._...._................. ...... __........... ......._._...._._... ........._._....___. ........._....._.._.. 15.7 All other accident and health(b).................................................................. ...... .. ... 15.8 Federal employees health benefits program premium(b)..............._.............. 16. Workers'compensation..................................... ........................... ............................. ............................. .. ... ......_......._............ ................_.._._.... ......................_..... ......_..................... ............................. 17.1 Other Llebili ����--�-�������-��-�--����-�- ry-occurtence..................................................................................................... ............................. 17.2 Other Liability-daims made... .._____..._...._................._.._.... ...-_-__.._...._........... _......._...._._...._.... ...................... .._..._.................... _....__.__._.__... ---------------- ............._._......._.. ........_._................ ._._....._......._....... ........_...-____--..._ ..................._....._ ........._.._.............. 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability..................................................................................................................... 19.1 Private passenger auto no-fault(personal injury protection)...................... - 19.2 Other private passenger auto liability........................................................... ............................ ............................. ........................ ............................. ............................. ............................. ............................. ................. ............................. ............................. ............................. ............................. .. .......... 19.3 Commercial auto no-fault(personal injury Protection) ........._ ..............._... .... 19.4 Other commercial auto liabili ............................. ........_. .. ... ......-. 21.1 Private Passenger auto physical damage................................................................................. ............................. ............................ ............................. ......_..................... ............................. ......_...___...._..... ........._.................. ..............._............ ......................_..... .._..._.........._........ _.._....__......_....... 21.2 Commercial auto physical damage.... ......... ................ . ........ ... ....... . ............ ._..... ...._..... -...--... ....... ... ._.-.-..--....... ..........-.---... ....... ....... ....-..-.-_........ ........--...-. 22. Aircraft(all perils)..................................... ............................. ....................._...... ............................. ........_................... ............................. ............................. ............................. .........._.._............. .............................................................................. ............................. ............................. 23. Fidelity ............................. 24. Surety.......................... .................................................................................833 ...................1.154 .......................484 ............................. ............................. ........................ ............................. ....... ............................. ........................ .... 28. Burglary and theft................................................................................................................... ............................. ............................. ............................. ............................. ............................. ......................... ............................. ............................. .._..............._........ ............................. ............................. 27. Boiler and mac hinary......................._........................................................ .... ............................ ............................. .............. 30. Wamardy.................................................................................................................._............ 34. Aggregate write-Ins for other lines of business..................................................................._.0 ...........................0 ...........................D ...........................0 ........................._0 ...........................0 ._...._......._._..._.0 ....................._....0 ...........................D ............._............0 ..........._..............0 ...........................D 35. TOTALS fal 833 1 1.154 1 0 1 484 1 0 1 0 0 1 0 0 0 0 285 DETAILS OF VME-INS 3401. ........................................................._....._..................................._..............................................................................................._.......... ...................................................................................................................................................................................................................................................................... 3402. ......................................................................................................................................................................................................................................... 3403. ............................... 3498. Summary of rema(n(ng write-ins for Line 34 from overflow page..............................................D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499. Totals Linea 3401 thm 3403 Plus 3498 Line 34 above 0 - 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included In Unes 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ...._................................ and number of persons Insured under Indemnity only products ..._............._._............... . f�11�2IIIf�IIIIIf1111111�2III�IIQI�2II4IIII�II��NIf 11f�1lfl1i11�1�� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business In the state of Minnesota urinn the Year 2012 NAIC C mpany Code 29513 Gross Premiums.Including 3 4 5 a 7 8 9 10 11 12 Policy and Membership Fees' Less Rehm Premiums and Direct Defense Premiums on PdIdes not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Promiunn Direct Premiums Poliryholdero Direct Unearned Dimd Losses Paid Direct losses Direct Containment Containment Expense and Brokerage Taxes.Licenses Une of Business When Eamed on Direct Busily, Premium Reserves (deducting saN a Incurred Losses Unpaid Expense Paid Expense marred Unpaid Expenses and Fees 1. Fire......................................................................................................................................_. ............................. ............................. ............................. ............................. . ............................. ............................. ...................._....... ............................. .2.1 Allied lines....................................._...................................................._............._....._.......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .....................:...... ............................. 22 Multiple peril pop........................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. 2.3 Federal flood............................................... ..... ............................ ............................ ............................. ............................. ............................. ....................._..... ............................. ............................. ............................. ............................. ............................. .................._......................................._. ........ . 3. Farmownero multiple peril................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. hlomeewnero multiple peril............... ............................. ............................. ............................. ............................. ......................_..... ............................. ............................. ............................. .........................._. ............................. ...portion)......................................................................... ............................. 5.1 Commercal mdtiple peril(non-IIeMOy,Doraon)........................................................................ ............................. ............................. ............................. ............................. ............................. ........................._.. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple per[(OabOity portion).................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. oR9a9e WaramY................................................................................................................. ............................. ............................. ....._...................... ....._.............._...... ....._...................... ............................. ............................ ............................. ............................. ............................. ............................. B. Ocean nvsrine........................................................................................................................ ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Intend madne...................................................................................................._................... ............................. ............................. ............................. ............................. ............................. ............................. ....................._...... ............................. ............................ ............................. ............................. 10. Financial guaranty...................................................................................... 11. Medical Professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12. Earthquake............................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................ ....................._...... .......... ............................. ............................. ....._...................... ............................. ............................. 13. Group accident and health N).................. ............................ ...._....................... ...__...................... ............................. �............................ .............._.... ................................................... 14. Credit accident and health(grow and Individual)......................................... '- 15.1 Collectively renewable aeddent end health f t................................._...................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. c 15.2 Non-ancelable accident and health(b).................................................................:.................. ............................. ............................. ............................. ............................. ............................. ............................. ...I......................... ............................. ............................. ............................. ............................. 15.3 Guaranteed renavrabte accident and heeih(E)......................................................................... ............................. ............................. ............................. ............................. ......................_..... ............................ ............................. ............................. ......_............._...... ......... 15.7 Non•ronevrable for slated masons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ................... ............................. ............................. ............................. ............................. t014.5 Other accident any................................................................................................................ ............................. 15.8 Mediaro Title XVIII exempt from state fazes or f ee&................................................................ Z15.7 M other accident and health(b).............................................................................................. ......................._.... ............................. .................._......... ..............:.............. ..................... ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees heath benefits W g1 premium(D).......................................................... ............................. ............................. ............................. ............................. ......................_..... ............................. ..........I.................. ............................. ............................. 18. Workero'oath ensatim.......................................................................................................... ............................. ............................. ............................. ............................. ...................._...... ............................. ............................. ............................. ............................. ............................. 17.1 Other Liability-occurrence..................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................ 17.2 Other liability.dalms nude.................................................................................................. ............................. ............................. ............................ ............................. ............................ ......_..................... ............................. ............................. ............................ ............................. ............................. 17.3 Excess workers'comp easation...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. y ry ............................. ............................. ............................. . ............................ ........................._.. ............................. ............................. ............................. ....... ......................'............................. ............................. 19.1 Private passenger auto no-rank(penoMl infuly Drotedlon).......................... 19.2 Other private passenger auto liability.............................................._......... 19.3 Commercial auto no-fault(personal k7oY Protadion)............................................................... ............................I ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. 19.4 Other comnerdal auto lia bltity,.............................................................:...... 21.1 Private passenger auto physical damage................................................................................. ............................. ............................. 21.2 Comerdal auto physical damage.......................................................................................... _........................... ......................_..... ............................ ............................ ......................_..... ................._......... ......................_..... ............................. ............................. 22 Aircraft(all periis)................................................................................................................... ............................. ............................. ............................. ............................. .......1..................... ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity.................................................................................................................................. 24. Surety................................................................................................................................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .....................1,845 28. Bu glory and then................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ......_.................... ............................. .....I....................... ............................. ............................. 27. Boller and machinery.............................................................................................................. ............................. ....................... 28. Credit.................................................................................................................................... ...................:......... ............................. .......................:..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Wamnty................................................................................................................................ ............................. ............................. 34. Aggregate wllteana for other Ones of business.....................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........................0 35. TOTALS a Or 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 - 0 1 1,8451 DETAILS OF WRrrE4NS 3401. ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... 3402. ..................................................................................................................................................................................._................................................................................................................................................................................................................................................................................................... 3403. ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ 3498. Summary of rcmalydrp write4ns for Une 34 from overflow page..............................................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3199._ Tolals es 3401 thru 340J 3498 m 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Linn 1 to 35 8...................................... (b)For health business on Indicated[inn repot Number of persons Insured under PPO managed are products ...................................... and number of persons Insured under Indemnity only products ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Mississi i uring the Year 2012 NAIC C tripany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, - Less Return Prernums and Direct Defense Premiums on Policies not Taken Ohrldends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Loeser Direct Containment Containment Expense and Brokerage Taxes,Ucenses Line of Business Written Earned on Direct Business Premium Reserves deductin salve a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ex doses and Fees - I Flre......_._......._.........................._......................................._...... ...... ... .............................. ......._.._....._._..._. ._...._...____......... 2.1 All. llnee......._..:_._......................_....__.._.........................._....._........_......_.._......__.... ...._._..........._....... ..............._......._... ............................. ..............._............ ..........._................ .._......................... ......_.................... 2.2 Multiple peril crop........................._........................................................................................ 2.3 Federal food......_......._..........................._........_.........................._........._................._....._. ........._._............... .. ....._........._._....... ...._.._........_......_ .........................._. ...........:......_.__..... .................._._...... 3. F.m ens multiple pedt............._........................................................................... ............................. ............................. ..................._........ ............................. ............................. ............................. .................._......... ............................. ............................. ............................. 4. Homeowners muifiPle pedl.._........_................................................._......_....._....................... ......................__.... ................____..... ......................__... ..........._....__._. .._.._.._._............. ._..._---.............. __.._........._......... 5.1 Commercial multiple peril(non-liabiilty portion)..__._........._......_........._..........._._.._........_... ._..._................_... ............_..__._..._. ............._.__.__.._ ._..................._..... ..........._...._.......... _._...._........_....... ._..........._......_..... ..........._................ ............................. ............................. 5.2 Comrrierciai multi peril 0labllity portion)............................................................................... ............................. ............................. ............................. ............._.............. ............................. ............................. ..........._................ ............................. ............................. 0. Mortgage guaramy.............._......._.............__._.........__._..__......._..................._............_.. 8. Ocean marine........................................................................................... .............._............. ......._.................... ............................. ............................. ............................. ............................. ............................. ............................. S. Inland marine..................--------.............................................................................._............. ............................. ............................. ...................._....... ............................. ............................. ............................. ......_.._.................. 10. Financial guaranty.._...................._..._..........._........._._._.................._._..............._....._..__ ._._.......__............ ....._._................... ............._.__._...... ........_..._.._....._._ ................._._._.. ............................. 11. Medical professional liability....................................................................... 12. Earthquake.........._..........._........__..___........._..........__.._..._................_...._................_._ _...._.__............... ____.............__...... ._...._..........._....... _....._._._........._._ ._.._............_._.... __._........__._.._... ._._..___...._....._.. ............_._.._._..... ....._..........._.___.. ....._.._.._......._..... 13. Group accident and health(b)................................................................................................. ............................. ............................. ...................._....... ............................. ............................. ........................._.. ............................ 14. Credit accident and health(group and inelvldual)..................................................................... ............................. ............................. ...................._....... ............_............... ......_..................... ............................. ...._............._......... ............._.._............ 15.1 Collectivey,renewable accident and health(b)........................................ ._---__..._............... ......._..............._... ._.._...................... ................--'--- --..........._....._._.._. _...._.._................. ..._.__..............._.. ............................. .------...._............ 15.2 Non-cancelable accident and health(b)................................................................................... ............................. ._.......................... ............................. ............................. ............................ ............................. ............................. 15.3 Guaranteed renewable accident and health(b)............................._...-------. ............................. ............................. ............................ .._._......_...._...._. _...._._.._....._....... ........................... ......---............. ................___..... 15.4 Non-renewable for stated reasons only(b).............. .._..._.................... .._...._..._........_.._. .:._...._................. ............_....__._.... ............._........._... ............................. ..........._................ _..................... .._......................... 10 15.5 Otheraccident only.............................._................................................................................ ........_........_.......... ._........................_ ............................ ............................ ............................. ........................._.. ........._.................. ............................. .........__..........._.... 15.8 Medicare Title Will exempt from state taxes orf ees_....__._...._......_..................................... ........._..._..._.._-. .._................_..__ ......_....._.....-------- .........._._.._....._... _..._....._......------- ......._..__..._.__.. ._.._____........._._. ....._...._........_._... ._.__.._._........__.. .._............_.._....... N15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................ ......I...................... ............................. .........I................... ............................. ................ ............................. 15.8 Federal employees health benefits program premium(b).......................................................... .....__................... .................._......._ _._ ............ ............._.._._....- ............................. _......._............._.. ............._._........... ..........._._...........8. W.rkaW compensa on._............................................. ------..................... .................... ............................. ............................ ......._................... ............................. ---..................... ............................. ............................ .......................... ......__........_..._.... ............................. 17.1 Other Uability-occurrence..................................................................................................... . 17.2 Other Uabllity-claims made..........................................................._...._......_..__.............._. ... ----------- ............................ ........................._.. ._._...................._. .__........................ .... ........... ....._._.-----------__.-. ..__..._._._-_-_---. 17.3 Excess vorken'compensation-.............................................................................................. ..-......................... ............................. ............................. ............................. ............................. ........ .............. ............................. ............................. ............................. ............................. ............................. 18. Products liability....................................................... .. .............._............. 19.1 Private passenger auto no-fcult(pemonal injury protection).................... .............. ...................._...._ _-.__.....-........... __.................._.... ............... .......... _..._...._......_.._..._ ............................. ............ ................... ......_.......... ........... 19.2 Other Private passenger auto liability...............:....._.............................................................. ........_................... ............................ ............................. ............._.............. ......._.................... ............................. 19.3 Commercial auto no-fault(personal injury protection)....._....._......._....._.... 1g.4 Omer certmertlal auto liabiliy................................_..................................._._..................... ..................._........ ............._.............. ........._.._.............. _.......................... ............................ ... ............. ............................. 21.1 Private passenger auto physical damage................................................................................. ............................. ............................ ...................._....... ............._.............. 21.2 Commercial auto Physical damage .. .- - 22. Aircraft(all perils).......... .............. .......... ............ ... ....... ............ ................ .. ............ ... ............. ........ ... ................ ........... ....... .... ......... ....... ... .............. ........... 23. Fidelity...................................................................................................................._............. .. .. .. .. ... .. 24. Surety ........................__......_957 ._........_...._.....887 ........_.........__...... ._......................59 .._........._.._....__. ..217 .....................2.291 29. Burglary and theft_......................._......................._............................................................... ............................. ............................. ............................. ............................. ............................. ............................. ..................._........ ............................. ............................. ............. ............................. 27. Boiler and machinery--..................-.--_.._..._._......_..__._.....__.._._.......__..__..._...._._.... 28. Credit.................._............................................................................ ............................ ............................. ............................. ............................. ............................. ........................_... ............................. ............................. ............................. .............. ........... ............................. ........................_.............................................................. . 30. Warremy............................................................................................................................... ......_......._............ ............................ ....................._...... ........__................ ......_............__..... ......._..._._._......._ ......._.__....._...._._ .................._...._.. ............._........_.... ._._......__..._....... 34. Aggregate write-ins for other fines of business..._..._......_..._......__._....:................._..........D ........_.._.............0 .._.__............_.._0 ...__._..........._....D ....__._..._..........0 ......._......._.__.._0 ......._............_._0 ......_...................D ......__.................0 ..._.........._......._.D ......................._..0 ._........................D 35. TOTALS a 867 867 0 59 0 0 0 g 0 0 - 217 2,291 DETAILS OF WRfTE4NS 3401. .............................................................................................................................................................................................................................................................. ._......................._................................................._..............................................................................................._.......................................... 3402. ..................................................._........................................................................................................................._......................................................... ......................_....'__-_....................._...............__....................._.._..._.........__........._........_.___.__........_................._............_. ....__._.__....._. 3498. Summary of remaining write-Ina for Line 34 from over9ow page................. ........._...:.............................0 ...........................0 ..................:........0 ..........................0 ...........................D ...........................0 ........................._D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 3499. Totals Linea 3401 Mru 3403 lu!3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and servicecharges not included in Unes Ito 35S---- --._..........__... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ................. and number of parsons insured under indemnity only products ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company III{IIIf IIIIIIIIIIIInI1111111�INIIIII�IIIIIINIIIIfNINII{1I2 IIIINII1IIIIINIIIIIIfI EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Missouri uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 B 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Uns of Bueiness Written Earned on Direct Business Premium Reserves Id educbn salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Ire.............................................. ............................. ............................. .................._......... .._........................ ............................. ..._.............._........ ..... . ..._..._.__.......__... __.._......._........... ...__......_...._.._.... le:2 Multipe peril crop............................................ 2.3 Federal flood............._. .._.............__........ -..._.........._.__....._ ..._.............._........ _......._.__..____... 3. Famawnere multiple peril...............__--.._..._.-_............_........__............_......__..............._ .._..................._..... ..._._..................... .......... .............. .._............... ........................ ............................. ............................. 4. Homeowners multiple peril........................_...............................................-............................ ............................. ......................_..... ....._...................... ..._................_._... ............................. ......_....._..._......... ..............._....._..._ .._._.._.__..._........ __...._._.....___..... ..._....._.........__... 5.1 Commercial multiple peril(non-liability portion)...._......._....___....._........... 5.2 Commercial multiple peril Oiability portion)...._................................................................_:...... .................._......... ............................. .._......................... ............................. ............................. ............................. .._........................ ............................. ............................. ..._....................... ..._........................ S. Mortgage guaranty.............................. ........................................._........................................ 8. Ocean marine..._......._......................_......._...._........__..._......_._.._......._.........._._.'..._. ............................. 9. Inland marine......................................................................................................................... ............................. ............................. 10. Financial guaranty......................................................._........._........._......__._._..............--- 11. Medical professional liability.......................... 12. Earthquake._................................... ........... .._............. .__......._...._._._.. ..._.......__......__... ..........._......._...__ ........._....__.__..... ...__.........___....... _.._...___........_.... ....__._...._..___.... 13. Group accident and health(b)................_..._.............__.._..........._............_..__.._....._.------ 14. Credit accident and health(group and Individual).........._........................................................ ............................. ............................. ..._........................ ............................. ............................. ...................._....... ...._....................... ............................. ..................._....... ...._....................... ............................. 15.1 Collectively renemble accident and health(b)......................... ......._............ ._................_.... ........_..._.___._.... .___.............._....... ........__........__._.. ..._.___........_...... ...._....._......._....... ..._.............._._..... 15.2 Non-canoelable accident and health(b).........................._.......................... ............................. ..................._........ ............................. ............................. ............................. ...._.............._....... ...._....................... ............................. ....................:........ ............................. ............................. 15.3 Guaranteed renewable accident and health(b)......................_................................................. ..................._........ ............................ ............................. ............................ ........_._................ ...._.............._.- ....___......._ ...... ...._...._.__........_.. .._._..__........_.__ ._....._.._._._._....... .......... 15.4 Non-renewable for stated reasons only(h)......_....._._.__.....:..___._....._._.......__....._._._.__... .._......................... ..._._........._.._.... ..._....._._..._....._. ..._..._.__.............. (O 15.5 Other accident only................................................................................... 15.6 Medicare Title l(VIII exempt from state taxes or fees........................_.......... .._........._.............. .............._.__...._.. ..........._------._.-,-.. ........_........_........ ...._.............._.._... _.__......_.__........ _.._......_..._........_ ..__..____....____ ..._._....._............. ...._.......__.._........ 15.7 All other accident and health(b)...._........._.._........._....__..........._......._...._._............._...... .....__...._...._........ .._...._........_...._.. _._.._....._..._......_ ..._............_...._.... ......__..._..._......... ..._..._.........._.._... .......................__.. ...._....._................ ............................. .................._......... ............................. 15.8 Federal employees health benefits program premium(b).......................................................... 16. Workers'compensation..................._..............._......................................__........................... .........__.......---...... ..._..............___.... .__..........- -- .......... ...._. _.._.......____........ ...._._.-.....__._.. ...._._ _.._.__...... ..._.__..__.........._ ...._............_......... ._._...___.............. ................__....._.. 17.1 Other Uability-occumence..........................................._..............._............_........................ ............................. ............................. ............................. ............................. ...._.............._....... ............................. ............................. ............................. ............................. ............................. ............................. 17.2 Other Uablllty-claims mad e........................................................._..........._...........10,281,642 ...._......10,131.802 ............................. ..._......._.4.863,363 ...............5,084,769 ........_...4,338.526 ..__...._16.626,206 ......_......5,120,109 .._._........6,562.624 .......8,878,305 .._.....__.__535,635 ....__....._...232.262 17.3 Excess vrorkers'compensation..._......_......._........._............._....._.._._._.._..._.........__....._ ............................. 18. Products nabllity.........................................._.............._............................ 19.1 Private passenger auto no-fault(personal Injury protection)..........................._..................._..... 19.2 Other private passenger auto liability....................................._.._.......................................... ............................. ...................._....... ........................... ............................. 19.3 Commercial auto no-fault(personal injury protection)................................... 19.4 Other commercial auto liability.........._.................._......._......__..._.._...._.. 21.1 Private passenger auto physical damage................................................................................ ........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ....................... ............................. 21.2 Commercialauto physical damage..................................... ......_.. _.........._ _...____..... __ __... .....____ ._.__..... ...__........_..._. 22. Aircraft(all partial--------_..............._.--------......_.............._................-....._..-.._....................... ....... ------------ ...................... ............................. ............................ .....I....................... ......_..................... ... ........... ..................._....... ............................. 23. Fidelity....................................................................................................... 24. Surety............................................_...`......_..............._.............._._........ - 26. Burglary and theft................................................................................................................. ............................. ............................ ............................. ............................. ............................. ....._.............._...... ............................. ....._...................... ............................. ....._...... .......... 27. Boiler and machinery............................................................................................................. ............................. ............................. _ ............................. ............................. .......................------ ............................. ............................. 30. Warranty............................................................................................... ............................ _ .. . . . _ _ . _ _ . _ .. .. .34 0e"wns for other lines of business............................................... .D ...........................0 ...........................0 .........._............0 ..._........._ D .._ ...--....D 9 _. ._.. ._ ...... 0 35 10,281,642 10,131,802 0 4,8M,363 5,064,769 4,338,526 16,626,206 5,120,704 6,562 624 8,878 305 535,635 233,503 DETAILS OF WRITE-INS 3401. ...................._.................................._............_..._.__...._.._......_.........._._..........._......._........_--.._......_..-.........__.._....._..._......._.._........................ 3402. ................................................................................................................................................................................................... ......................................................................._............................................._........................................................................................................................_............._...................... 3403. .................._..............._.............................._.............................._.................:............................................ ................. 3403 ..................._......_...._._..___.........__._....._._.._..............._.........._..............._....._._._......_..__........_._........__..._........_._.._......_.._..........._..__........._.._......._...................... 3498. Summary of remaining write-ina for Line 341rom overflow page..............................................0 ...................._.....D ...........................0 ..............0' ...........................D ...........................0 ...........................D ......................_...0 ...........................0 .......................-..0 ...........................0 ......_...................0 3499. Totals(Una thru 3403 lua 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Lines 1 to 35 It............ (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ................................. and number of persons insured under indemnity only products ...................................... . 2 9 532 2 4 1i�iiiiiiii� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business In the state of Montana uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,mduding 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premium and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cast 1 2 or Credited to and Cost and Cost Containment Commissions Direct Prariums Direct PreMums Policyholders Direct Unearned Direct Losasa Paid Direct Losses Direct Containment Containment Epense and Brokerege Texas,Licenses Line of Business Written Earned on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid E eons.'Incurred Unpaid Ex arises and Fees 1. Fire............_.........._.............................................................................................................. ....._...................... .1 Allied ........ ..._................ ............................. ............................. ............................. 2 Allie s........................................._...................................................._..............._.._...... ............_........._..._ ......_................_... ....._....__....._._... .._.._...............__.. .._....._........__...... ..._._._................. _.......__........_...... ._.._......_.._._...... 2.2 Multiple pen]crop. ....................... 2.3 Federel800d........................_......... __......................... _..................._._._ ....._._._........_...... ..__.__...__.__.._. _..._........._........... ...........__........__ _....._._......_.._.... 3. Farmownere multiple pedl......_........._..__....._............_......_.....__._.___........._.........._.....__ ....._..._................. ...._........_..........._ ...._._.................._ _...._........_........._ ........._.........._.._. 4. Homeowners multiple peril.............................._.........._.................................._.........._.......... ............................. ............................. ............................. ............................. ........._................._ ............................. .._..........._............ ............................. ............................. .........................._. 5.1 Commercial multiple peril(noMiability portlan)............_.........._................. 52 Conmarcial multlple peril QiabNity portion)..................................__---- 6. Mortgage guarant y................................................................................................................. ........................._.. ............................. ..........._................ S. Ocean madne.............................__.._................................._._.................__._..........._........ ........_.._...........__ ..... 9. IMand madne......................................................................................................................... ............................. ............................. ............................. ............................. ............................. 10. Financial guaranty..._...................................._..........._.................................................. ......- 11. Medical professional liability.......................... .................................................................... _ ....................... 12. Earthquake........................._................................................................................................. ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b)...._....._............_.........._.----......_......................_..___.......------ .__......._._.....__.. ...._........_.._..__._ _.__....._..._.------... ..__.._.._------........- ....____........_..._.. ...._..............___... - ____................_... 14. Credit accident and health(group and Individual)........._..........._......................_.........._......... _.........._..........._.. ..................._........ ............................ ............................. ............................. ...._..........._.......... ............................. ............................. ........_.................. 15.1 C.0ect"aly renewable accident and health(b)..........................._............................................. ............__........._.. ......_..........._........ ...__....._.........._... ._.._.........._......... .._.......__.__.._.... ....__.__....__........ ._......__._.....__... ..__........._._......... ....._._......_._....__ _....._._._......_..... ......_...__.._.......... 15.2 Non-cancelable accident and health(b)..............___._..................................._....._._......__. __.......___..._..._.. .._.................._..... ......._._......_....._. ............................. ........_................_. ......._.........._........ ............................. ..._..._...__............ ...._....................... ............................. ............................. 15.3 Guaranteed renewable accident and health(b)._..............................................._ 15.4 Non-renewable for stated reasons on D fp 15.5 Other accident only.._._........_........_._..............------.__.............----_........__......._.......... _.....__.._..........._. ..................._........ ...._..._.................. .................._...... ............................. ............................. ............................. ............................. ............................. .............._............. ......._..........._....... 15.6 Medicare This XVIII exempt from state taxes or fees.............._..._............................................ ............._.............. ............................. ....................._...... ............................ ..............._............ ....__._.........._...... _.._....._........____ ..__........._............ ..._.........._...._._. .__.____...___ ._..................... 15.7 All other accident and health(b)......................_..._...................................-----------__............-. .........----------.......... _-----._..._........._.. _._....__.............. ......-_.._....._......... ............._............. ........._........._._.... .......................... ..._._...._.._.__....... .........._................. ............................ ............................. 15.8 Federal employees health benefits program premium(b)................................... ._.................... 18. Workers'compamatlon....................................................................................................._... ............................. ........................._.. _......._.......____.. ..._............._......... .__...._..__.._...._.. ........._.........._....... __......___....___.. ..__._........_.._.... ....._...................... 17.1 Other Liability-occurrence._._......._.._.........._..._..........._..._.........................._....._......... .............. ----- ......._.........._........ _.._.... .... ............................. _............_............. ............................. ......................._.... ..........................._ ........._.........._...... ..........................._ ............................. 17.2 Other LlaDiNty-Uaims made......................................................................_.......................... ............................. ............................. .........._......_......... ......................._.... ................_.......... _- ___.....__._......_._ ....._......._._..:..._.. ........._._........___ ............__._......._ 17.3 Exmss workers'compensation.............................._ .......... ......._.....__.._....... _..............._......._. .._........_...._....._. _._...__.........._..... ..._......_._._...._._ ......___................. ..........__......._...._ ......_......._.__...... _......._............._... _................_......... ..........................._ ........_................... 18. Products liability-_._..........._..................................._..._._.._............_............_..........._.... 19.1 Private passenger auto no-fault(personal Injury protection)................_..._............................... ............................. ..............._..... .... ..._.............. .................. ...._...._....._...._... ............_....._........ ......_.........._._....... ........ __._....._...... ..._........_._......__. ......__._.......__..._ ......_........___.._... 19.2 Other private passenger auto liabilit y............................... ...................................-............_ .....__..............._... 19.3 Commercial auto no-fault(personal injury protection).........................._._... 19.4 Other Commercial auto llabllity_.............------------..-----.................._.-......._..........._....... 21.1 Private passenger auto physical damage.-............................................._._......._................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. 21.2 Commercial auto physical damage............ ..... ............... .... ........ ... ..... ._._........ ... _..... .._..__ _.. .._._... .. ........___. .....___ .. ...._._....... _..___.. _..... .._ .__..._...... ....___..._._... 22. Aircraft(all perila)......------....__...._..............---.---..--------._._...__.-----------_.............................. ._------.....__.......... ............................. ......_..................... ................. .. .. _. .. 23. Fidelity........._..........._......................._......................._..........._................----.._..............----. ......._.................... ..................._........ ............_..........._.. ................._......... ..........._..........._... ............................. ............................. ..._.........._..._.._..... ........_.............._.... 24. suret y.................................._..........._..........._.........._--...._..__......._..... 26. Burglary and theft............................................................................................._.........._------- ._..........._............. ........ ................ ............._I............. ......_..................... _......................._.. ............................. ............................. ...._...................... ............................. ............................. ............................. 27. Boiler and machinery...................................................._........................................................ __.._....__......_.... ............................. ............._............. ...._.. ....-_--- ........................----- ........ ............................. 30. Warranty....._........._._........._......._...__........._......._.............._......._.._........._.................... ............................ ............................. ............................. ........_................... 34. Aggregarowrlte-Ins Mr other lines of business................................._...................................0 ....._......_._......_0 .....................0 ._......._._.........._D _..................._....g ..........._._...._.._0 0 ........0 ........._-........__..0 ....................._0 0 35. 70TAL6 a 0 0 0 0 0 0 0 0 0 0 0 2,010 DETAILS OF WRITE-INS 3401. .......................................................................-.......................:.... 3402. ................................._...................................................._..................................................................................................................................................._.............................................. ................................................ ........._.........._....... ..............................................................................................._........... 3403. ....._..._......._.__................_..................._........_.__.._...__....... 3498. Summary of remaining writeana for Line 34 from overflow page..._......................_..........._....0 .._.............. ...........................D _.........................D ......._..........._.....D ...........................0 ...........................0 .......... .... ...........................0 ...........................D ..._..........._.........0 ........................... 3499. Totals Lines 3401 thm 3403 plus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Lines Ito 35 S...................................... (b)For health business on Indicated lines report:Number of persons Insured under PPO managed rare products ...................................... and number of persons Insured under Indemnity only products ...................................... . i iii ii III III ii 1 iii ii iii ii o oil ii ii iii ii ii ii till 11111111111111111111111111111119 ii i ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Nebraska uring the Year 2012 NAIC C imparly Code 29513 Gress Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct PrerNUms DIreG Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves dedudln salve a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees ...._....................... ......_.....__........._. .............. ...__......._._......._. 2.1 Allied lines._.......................... ...........__._........... ...._........._......_.... ......_..................... ......... .............._......._.... .................._......... ............._...._....._. 2.2 Multiple peril crop..........................._..........................................-........................................... ............................. .............. 2.3 Federal flood...................................._.....-_............._......_..............._...._..__........._............. ._.......................... ............................ -...............-._...... .......................... _.._... ......................._.._. ....................._...... 3. Farmoveters mulliple peril..............._........................_......................._... ............................. .......................------ ............................. ......-----------.......... ........_................... ._......................._. ............................. ............................. ............................. ............................. ............................. 4. Homeoeaers multiple peril................................................................................_.................... .........._................. ......_.................... ..............._......_.... ............................. ------------...._--------- .............._............ ..............._........... ......_...............__.. ....._...._..........__. .............----------- .... .._._....._..._.......... 5.1 Commercial multiple peril(non-Ilabiiity portion).................._..................._..._............._........_. .._......_.........._..... _...__................._. _............_........._.. ............___.......... ..._........._............. ._._._................... .....__....._...._....... ....._....._.............. .....................__._. ..............._....._..._ ........._.............._.. 5.2 Commercial multiple peril(liability portion)............................................................................... ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 8. Mortgage guaranty..................................................._......................... .................................. 8. Ocean marine..._--_...._..----._.......-_................ -.._._....---.............. ....-----'---_._...... ...........----..._........ ....._............_........ ............................. _.__.._....._.._....... ...._....................... .._._.............._...... __....._.................. ....._..................--- -......................._... ................._.......... 9. Inland marine............................................................................................................_........... ----------. ............................. ............................. ............................. ............................. ...................._....... ............._.............. ............................. ............................. 10. Financial guaranty._...__......._......._........._............._.........._....._...._....................__...._..._ .......-----......--------- -----.............__.._.. ..........._........._..... ......__._._............ ....... ...._.............._ ._ ....._ ._.._......_..._....... ..__......._......_...._ ..................__...._. ....._..._................. ....._...................... 11. Medical professional liability......................................................................................_ 12. Earthquake........................_......................................................._...........................__.__..... ............................. ..........................._ .........._....._.......... .._.........._.._......... ......._............___.. _........... 12. ............._............ ._..................... ..... ..........___._._....... .............. 13. Group accident and health(b)..........................................._........................................._...._. 14. Credit accident and health(group and individual)........................................................._.......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................_... ............................. 15.1 Colleclivey renewable accident and health(b)............................... .._._....._....................._...... ..__._._................. ...._....................... ......._....._.__._..... ..._.........._.........._ ...___._............... ....._...-__...._....... ...__.................__. ._..................._..... 152 cenceiabl accident and he 1 _.. ......................._. ...... ._...._........ ............... .............. ... ............. ._._._._.... ... ..--...... ........... ..............-.._.... Non• a rx, ath(b)................................................... ... ..... .. ...... ......... ............. ....... .. ........................ ........................ .........._............ ..... ................ ....................... ........................... 15.3 Guaranteed renewable accident and health(b)...................................._................................... ............................. ............................. ............................ ............................. ............................. ...._---................... ......................__... ....... ........... _...-_...------------- .................-._........ r 16.4 Non-renexa le for stated reasons only(b)............_.._ ...................................---.............. ......--..................... ............................ ..............._....._..... ..............._........... ...._....................... ......_..........._.--- .........____-._...... ........... ......... ....... .............. ...._............_..._.... t015.5 Other accident only.................................................................................... Z15.6 Medicare Till Wilexemptfromstatetaxesor tee s..................._..._.......... m - 15.7 All other accident and health(b)...............................I.................... ............................ ............................. ............................ ----....................... ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)........_...... ............................. ..._._..................... ............................. ........._.................. .......__......._........ .........._ ....... ..................._...._.. --........................ ...............__.......... .......................................... ............................. ............................. 18. Workers'compensation..................._.........._..._..........._.__........___........ ..__..................... ...._.................--. ..................----. ........................... ..._....._..............__ _..._._................... ............__......._... .........................._. 17.1 Other Liability-occurrence........................................................................ 17.2 Other Liability claims made................................................................................................. .._........................ .................. -- ......._...____......_. ............._............. ............................. ............... ..........._.____.__.. ..........___......_._.. ._...___................ .__.._............. .__. 17.3 Excess workers'conpensatlon...........................................__.----_._..........._.........._....._... .._._........'..--._ .......................... ............_..._._..... .......................... "......................-._..............._......_ ........................... .............. .............._------...._. ------------ .. ............... sliability......................................................................................... 19.1 Private passenger auto no-fault(personal Injury protection)...................._-_.......................... ........._._._..._..... .._........................ ........... ............. __._............._..._.. ................_--..... ......_.._._._........... ............... .. ------------ ---------------__......... 19.2 Other private passenger auto liability..........._...._........................................._..._... 19.3 Commercial auto no-fault(personal injury protection)...._..__._....:........................................... ...........................-. ......................... ......._.__. ... ............................. ___......._....._.....- ....._._........._- ......._..._.__....._.. .............._.._......... _..___..._._...._.... 19.4 Other commercial auto liability._....:.._..................__.__..__._._._._...._...._..............._.......... ............_.....__...._ ..............._............ ._._................._.... .__.._.....__........_. ___..._..........._..... .......___......._..._ ................._._...... ...._.._..._.............. ............................. .........__._.._.___.. _.........___......_.... 21.1 Private passenger auto Physical danage................................................................................ ............................. ............................. ............................. ............................. ........._................. ............................. ............................. ............................. ......._.................... ............................. ............................. 21.2 Commercial auto physical damage..... ._........... ..... .... ...._..... .._.._.. __...__ ......... ..... _....... -_......._. _-_.. _.... .._____._. ........._.._...._.._ _.___- ..._._.. -- ......___._.. .. _ ... _ _._._.__......... .22. Aircraft(all periie)..........................._...................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. 23. Fidelity....................................................................._............................................................ ............................. ............-................ ............................. ............................. 24. Sumly..._...............__....._._---........__-........_.__....._.._--.__......_.._........._--........._._.......... ......-----..........9 ...-_-----------_- _.. ..............._.._.....16 ...._._....__--......... ........._._............... ..... ... ......... .......__..._...._.._... ..........._................ ...._... - .........._....._..1.859 28. Burglary and theft..................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................................................................. ............................ ............................. 27. Boiler and machlnery.......................:........................._............................................................. 28. Credit....................._......................._........................ ........._.................. ............................. ....................._...... ............................. ............................. ............................. ............................. 30. Warranty........................................................................................ .. .. 34. Aggregate wrte4n3 for other lines of business........... ...................._.............._..............0 ................0 .......................0 ................... _0 ...........................D ...........................0 ............0 ------------- ...-0 .................. -.0 ..............-............0 ..._`._...._........._0 ..................-...-._.0 35. TOTALS a 0 9 0 16 0 0 0 0 0 0 D 1,859 DE..................__.........................._........._....---......................................_..............._....................__.............................._...............................__..._............_._......_._.__..._.._._......................_..._........................................._................__. 3402. ..... _....................................................................._................................. ............................................................................................. ..............................................................................._.............................................._............................................_....................._........................_....................._....................._.................................._............................._...... ..�.................. 3403. .._........._......_....._.____..................__.........._._..........._........_......_ ...._....___..........._......_..._._..._........_._....._._._....._.._._..._..._._.._._... ........................................................................_...... .......... 3498. Summary of remainin9write-Ins for Una 34 from overflow Page.............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 .................._.......0 3499. Totals Ines 3401 thru 3403 plus 349(1 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Prance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report:Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ...................................... . �III 1111111111111111111l p1111111111111111111111111111111111111 1111111111111111 1 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Nevada uring the Year 2012 NAIC C rripany Code 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 w Credited to and Cost and Cost Containment Commissions Direct Prcrrtiums Direct Prcrmums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Walden Earned on Direct Business Premium Reserves dedudi sal- a Incurred Losses Unpaid Expense Paid Expense Incurred tense Expenses and Fees 1. Fire........................................................................................................................................ ............................. ............._.............. ............................. ..............._......._. ............................. - 2. Allied lines....._..............._..._..---`-.__.._..................---...----....._.....----..__ ----........................ .................._--------- ...._....._..........._... -_---...._.......-_-..... ..._....._...._........... ......._..------_._. ..................__..._.. 2.2 Multiple Pert rmP............:..................................................................................................... . 2.3 Federal800d....................._.........................................................................._........................ 3. Famawners multiple Peril..............._.._.............._................................... ............................. .............._............. ....................._...... ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeownerc multiple peril.......................... ....................._...... ............................. ......_.........._......... ......___................ ..............._._......... ....._....__............. ............_...__........ .._..............._........ ............................................................................ ............................. ............................. ............................. 5.1 Commercial multiple pe61(non4lablity portion)................`-..... _-......._--`.--............_........_ --__----...._....._. .._.........._. . ._.._................ .. ............................. .__...._.............._. ...._. ................. ..__..............._....... ...........__._..._...._.. ............................. ............................. 5.2 Commercial multiple pa dl 0iabiliy,portion).............................................................................. ............................. ............................. ............................. ............................ ............................. 8. Mortgage guaranty................................................................................................................. ............................ ............._....._........ .........._........_....... ..................._........ ....._..................._. ...__.............._...._ ..._...__.......__..... ......__._._........__. .._.__-__..___....... ...._.._.._.._._........ ...._..........__........ 8. Ocean marf..........................`.............._....._...._..............-_-"-----------......------.._----........ -----........._.......-`_- ..........._._............. ...................----.... ............................ .._._......_._........... ....__.................... ._...._.............._.... - 9. Inland marine......................................................................................................................... ............................. ............................. ............................. ............................. ......................._.... ............................ 10. Financial guaranty................................................................._.__..._._.......___.........._...._.. ..........__.__......._. 11. Medical professional liability..............................._.................................:... 12. Earthquake........................... _ 13. Group accident and health(b)_.......---..............................--........... ..............- ...... 14. Credit accident and health -- - .......... .... .... (group and lntllNdual)....................._.............................................. ..........................._ ............................. .._................._...... ............................ .. .. 15.1 Collectivety renewable accident and health(b)................._........._.........._............._.._....._...... .............._....._...._ .......... ......... ................._..__... ._.._............_....... .._.._........_..._...... ._._..__---.........__ ........ . ......._.............._. .......... .___.............___.. _._._...................... 15.2 Non- noslable accident and health(b).................................................................................... ..........................._ .............._............. ......................_..... ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b).......................................... ............................ ..........................._ .............._............. .._.................._..... ............................. ............................. 15.4 Non-enewable for stated reasons on thertO 15.5 Oaccident only................................................................................................................ Z15.8 Mach Till RVlll exempt from state taxes or fees...................................................__....._... ........................... ............................. _................_ . ........ ............. ......_.........:....___. ...._.._.._..........__. __....._...._............ ___....._......_..._... .....____.__......._. .._................__.... 15.7 All other accident and health(b)......................................._............._............................_....._. ......._.._.........._.._ ............................. .._......................... ................:............ ....._._................... ............................. ................_._........ .................._......... ........................_... ............................. ............................. 15.8 Federal employees health benefits program premium(b).......................................................... ............................. ............................. .............................. ............................. ............................. 18. Workers'compensation......................_.....................I--................_._.....-.....................-.... ......._.._..............- ._....._....._... . .._...... __.._.._................ ......._.___........... ......._...._..___._.. ......__...__........._ ..........._..._..._...:.. ....._.................._.. ........_.._..__......... ......_._.................. 17.1 Omer Liability--man-................................._.................................................................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...................._....... 17.2 Other Liability-claims made........................................._..........-............................._.._._..... ......._...._............_ ..._._.....__............ .._.._.................._. --......._.._.__._.. ......_.................-.._ ___.................._... ___.._.__......_...- ...... .........._.____._..... ...._....._...._...___. 17.3 Excess workers'oompensaflort ....._._............ .___........__......._.. 18. Products liability..................................................................................................................... 19.1 Private passenger auto no-fault(Personal Injury protection)................_._.-_..._....._......_......... 19.2 Other private passenger auto liability....................................................................................... 19.3 Commercial auto no-fault(personal Injury protection)....._........................................................ ......................... .............. _............._........._. ........ ...... ............ ............._.............. -..................___.. .........._................. ___.._._........___.. .....___.._.............. ..._.........._____... 19.4 Other commercial auto liability................................................._.................................... 21.1 Private passengerauto physical damage................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. -........................... -----.................................................... ............................. ._.......................... 21.2 Commercial auto physical do-go......................................................... ..... __ ...._.. ......... ......... __._..... _ .._....... __ ___ ..._...._ .___... _._......_.__ ......._..__......... 22. Aircrafl(ail Partial............................_.._.......... ............................. _.......................... ............................. ..........................I.. ............................. _............... ...... ............................. ....._..................... ....._..................... ............................. 23. Fidelity........................_........................................................................................................ ............................. ............................. ..._........................ ...._.................._... 24. Surety....................__............_.._..._.._..._......_...........__.__._.........._....._...__....._............. .__...._....._....._.__ ......._..__.........._._ ..__.....__............. ........___........_.... ..........._...._........_ ._................_........ ..................._.._.... _..__...._....._........ .4.779 28. Burglary and theft................................................_................................................................. ............................. ............................. ............................. 27. Boiler and machinery..._.................._.._..............._................_............................................... 28. Credit** ............................. ........................._. ............................. ._.......................... 30. Warranty ............................................................................................................................. 34. Aggregate wnta4ns for other tines of business.......................___.............................._.._....0 ..................0 ......................__D ..._._._............__0 ...........................0 ......._._._...........0 ................_._.....0 _._.................__.0 _...............__...._0 ...........9 ..........0 ..................._......0 35. TOTALS(a) - - 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 4,T79 DETAILS OF WRITE-INS 3401. .._..................................._.................................... 3402. ..........................................................................................................................................................................................._...................................................... ....................................................._..................................................... ..............................................................................................................._....... 3498. Summary of remaining write-Ins for Line 341rom overflow page..............................................D ........_.................0 ...........................D ..._......................0 ...........................0 ...........................0 ...........................D ............................0 ...........................0 ..........................D ...........................0 ...........................0 3499. Totals Lines 3401 thru 340J plus 3498 ne 3+above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report:Number of persons Insured under PPO managed care products ...................................... and number of persons insured under Indemnity only products ............--...................... 2 9 5 3 212 4ii3 3 11i�0ii�0�iii�i� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of New Je say urin the Year 2012 NAIC C rinpany Code 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fee$, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Coat 1 2 or Credited to and Cost and Cost Containment Commissions - Direct Premiums Direct Premiums poliryhddere Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Lne of Bu.in... Written Earned on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Paid Expense Incurred Un aitl Ex nses and Fee. 1. Fire..............................................._....................................................................................... ..............._.......... .._._._.............._.. ..._....._...._._........ _........._................ ............ ..................._......_ ........_.................. 2. Aided lines - -__._.._........_...... .. _. 2.2 Multiple panl crop.........................................................._....................................................... ............................. ........................_... 2.3 Federal flood..............................._._............................_............................................._........ ..................._........ ......................._._. ...__........._............ _...______._.._.... ......_..................... ............................. ....._....._._......__.. - 3. Fannovmera multiple peril..................................... ........._............................_......................... ............................. .........................._. ......................._.... ............................. ............................. ............................. ............................. .........._................. ............................. ............................. 4. Homeowners multiple peril............................................_........................................................ ............................. ..........................._ ............................. ....................._...... ............................. ............................. ............._...._........ _........._................. ...._....................... ... 5.1 Commercial multiple peril(non4iability portion)............._._.......___......_...._.......................... _..........._.............. ................_.__..... .._........._......_...._ __.....___.._._..._. ._....._..__...._._.... ....._..........._......... ....._._.........._....... 5.2 Commercial multiple peril(liability portion).................................................._........................... ............................. ............................. ............................. ....................._...... ............................. ............................. 8. Mortgage guaranty.................._......._.............._............___..._...._......_..._..___..._.... ...... 8. Ocean marine................................................................_............................ ............................. .........................._. ......................._.... ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. 9. Inland marine................................................................._...................................................... ............................. ............................. ............................. ............................. ............................. ...........................-- --------------..._-----...... ............................. 10. Financial guaranty.-.._......._............_...._............_..._.-----...._......................................_.. __................_....... ......_...._....._....._. _.._......_........._.... ...-.__............._..... ...._........._............ ................_.__...... .._......__....__._.... ..............._.._._.__. ..._._........._.._..._. .._.................._..... ._......._......_.......... 11. Medical profesalonal liability..........................................._...................................................... ........ 12. Earthq uake..........................._............................. ...........:............._.. ........................_._ ........_......_........... ............................. .................._......... ....._......_...._._._.. ._._...._................. .__......_............... ..................:.._...... ........_...__._____-_. 13. Group accident and health(b)........................................................._.........._........_.__..._...... ....................... ....__..................... ._...._.................... ._.................._._._ ............_...._......... ........_........_..._.... ............._....._....... _._........................ .....__................... ........._...........__... ....._......._.....__.... 14. Credit accident and health(group and Individual)..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............._.............. .........._................. ............................. 15.1 Collectively renewable accident and health(b)............................................. --......................... ............................. ...................:......... ...... ..._....._ .. ........ __.........._.......__.... ....._....................- .................._....__.. .........._.____....._.... ._....._.____._.___.... 15.2 Non-cancelable accident and health(b)..........................._.........._........................................... ............................. ............................. ............................. ............................. ............................. ............................. ..................... ... .................. ................I............ ............................. ............................. 15.3 Guaranteed renewable aodtlent and health(b)....................................................................... ............................. ............................. ............................. ............... .................... ...................... .... ................. ....__. ............. ...._._.................-_ ........................__. ........................ 15.4 Non-renewable for stated roaaons only(b)_........................._......._..__.__.._ .._.. ...._.._.........._..._.. .__....................._. ......__.............._.. .............___.......... .._........._...._..._... _................._....__ ........._.........._._... ..__._._.._............. ..__...._............._.. _.... t5.5 Other accident only........................................................_...................................................... ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. Z15.8 Medicare TIU XVill exempt from state taxes or fees..........._._.................. ..._........................ ........... .......... .....__._............._.. ..__._._..._._.__..... ..------------...._......_. ___..._._........._..... ._.__._.........._....... _....._............._..... ........_........_......... ............._.............. _.___.................... L 15.7 All other acddent and health(b).................................................__............._.......................... 15.8 Federal employees health benefits program prernium(b). .............w................................. ............................. 18. Workers!compensation....._...._......... .._.._.. .._....__.._...._._.. ..........._................ .._.__........--- ._.......................... _..-- .......- -.----------- ........._.._--____... .................___.._.-. ...................._....._ .._............__.._.._. .._..._..............._._ 17.1 Other Liability,-ocourrenco................ ............................. ............................. ........................_... ............................. ............................. ............................. ............._.............. ............................. ............................. ....._.................. .... ............................. ........................................................_........................... 17.2 Other Lability-daime made......................................................._._....................................... --------------- ............................. ............................. ................... .............. ................ . .._...__-......_._...... ..._._._.___......... .......... _.................._._.... 17.3 Excess workers'mnipansatlon....__..............................._.................._......_......._..........___ __..........__.......... ........................._.. ............__............. .._._..._............._.. ............................. _.............._..__..... .................._......... ..........._._............. ..._........_._......._.. ........_._._......._.... .._......................... 18. Products liability................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ...------.._----------..... ............................. 19.1 Private passenger auto no-fault(personal injury protection)......................_.............__...._... ................_._.._._. 18.2 Other private passenger auto liability....................................................................................... ............................. ............................. ............................. ....................._...... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto no-fault(personal Injury protection).....................__..................................... ............................. 19AOmer commercial auto liability ................................_............_.._....._..................._I........ ......_. _.........._........_..... ......................__... ......_......__..._...... ........................_... ......................_.._. .........._._._..._.... 21.1 Private passenger auto physical damage................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.2 Commercial auto physical damage.... .... ._._.. .. ._....... _ .._._.. ...._._ _. ........ _.._._._..._ . ... _..... _ _..__. ........._____ ......... ____. __ ...._.... __....... ......._. .....__._. .......... ........._._..___.... 22. Aircraft(all perils)--------------- ......................... ... ....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. 23. Fidelity............................................_.......................... ....................... ............................. ............................. 24. Surery.__._..._...._..............__..._.._`.................._..._......................._.................----._.................6.312 .....................5,069 ......................_..._ ..........._.......4.283 ....._._... ....... ....._._....._....-.... .........-..-_....._..668 ........................786 26. Burglary and theft_................................................................................................................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Boiler and machinery................._.....__..........._............_............. .....------------------.......... ----------------------------- ._......................... ..._._.__._..__.._... .._......._..._.___.._ ........_._.............._ ._._....._........._...... ._____._._...._..... ...._........_.._....._. ._....._.__._.......... .....__._................. ..................._........ 28. Credh......._...................__....._........._.........._..._........._................__...... .. ............................. ......._._...........__.. ............_........... ............................. ........... .....__..........._..._.. ...... ...... ..................... ...._.. ....._...................... ...._._.................... 30. Warrany................................................................................................................................ ............................. ..........................._ 34. Aggregate write-Ina for other lines of business........._...... ..._._ ....0 ...................0 ................_.........0 ..__........ .................._._....D ................D ..............D ........_.._.............0 ............_._..__0 __......._......_._._0 ..................____0 .... D 35. TOTALS a 6,312 5,059 1 0 1 4,283 1 0 1 0 1 0 1 0 0 1 0 1 668 1 786 DETAILS OF WRITE-INS .............................................................. 3402. ..........................................:.........................................._.................................................................................................................................... ..................................................................................................................................... ..........._........................................................................................................... 3403. ......................................_....._....._......_........._...........___..._..___........._..........._........................................... 3498. Summary of romaining write-ins for Lne 34 firm overflow Page..............................................0 ..........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 3499. Totals unes 3401 thru 3403 lus 3498 Lne 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report:Number of person.Insured under PPO managed mm products ...................................... and number of persons insured under Indemnity only products ................................ . - IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIII"lllllillllllllllllll�IIIIII�IIIIIIII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of New Mexico ufin the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Preniums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Los"s Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business - Written Earned on Direct Business Premium Reserves deductin salve a Incurred Losses Un aitl Expense Paid Expense Incurred Un aid Ex enses and Fees 1. Fire........................................................_............................................ ..._..............._._.... _._..........__........_ ......................_._.. .......__.._........__... .._......-..._........._. ....... _....--- ...._._ .........._........_..... .._..............._..._... ..........._....____.. 2.1 Allied line......................_.....................----._....._.------........_............__..__.__.__.............. ............-----._._.._ _....................----- ..........._.._...---..-. ..._...._........._...--- ---........................ ......__.....__._...... .._................._...... ... ............................. 2.2 Multiple peril crop....................................................................................... ............................ ............................. ..................._........ ............................. ..............._............ ............._.............. ............................. ............................. ............................. ............................. .............._.............. ederal flood..._............._........._.................. .............................................__.............. 3. Famaxners multiple peril..................................................................................................._.. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowner"multiple peril.........._......................................................................................_.. ............................. ...................._....... .................._......... ..............._............ ............._.............. ............................. . 5.1 Conmercial multple peril(non-liabiliy potion).......... ..__.........._......_........_......................... .....__.............._..._ ........._......_......:... _._.............__._.... ._._...__.._............ ............._..........__ ._........_................ ._..................._._.. ....._.................._.. ..._......._......_.._... ................._._....... ......_...................,. 5.2 Cammen9al muldple pert:0iablllty,portion).............................................._. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................ ...................._....... ............................. . 6. Mortgage guaranty............................................................................................................... ............................. -------.................... e. Ocean marine........................................................................................................................ ............................. ...__...................... ............................. ........_................... ............................. ------------ ......................._.... ........._..._............. .........._................. ............................. ............................. 9. Inland marine......................................................................_............................................... ............................ ............................. ..............._............ ............................ ...................... ............__...... . ............. ._.......................... _.................__._... ............ 10. Financial guaranty.....__........................_..._.........___......_....._........._.. 11. Medical professional liability.... .- pro ty................................................................................................... ... .. .. .. 12. Earthquake......................_........._.. ............._..__..._..__.. ........................._.. ............................ ........................... ..........._...............- __..........._..._....... _......._.._.__......... 13. Group crid and health b ...... ... _................... ..._.. _......_...__.._.... p ant O.._.. .........._._...._........................._.....___............_............. ..._............_..._.._ ................._.......... .. 14. Credit accident and health(group and individual)..................................................................... ............................. ............................. .............._............. ............................. ............................. ............................. ...._....................... 15.1 Collecti vely ren-ble accident and health(b)...................................___.. 15.2 Noncancelable accident and health(b)...................._.............................._._........._........._._.. _ ... .. .. ... 15.3 Guaranteed renewable accident and health(b)...........__.........................._........................__.. .................._......... ._........_................ ................__..._.... ........_..___........... .._._......_..........__ ._.__.._.............__ ............................. ....._......_._........... .._.___..._............ ................._.___ 15.4 Nonrenewable for stated reasons only(b)_......_....................___...................___._............... f015.5 0 eraccidentonty...................................................._.............................. ............................. Z 75.6 Medicare Tills XVlll exempt from state taxes orf eea.........._..._..............._.........................._.._ _.........._ .... ......_._.................. ...._....__.__.......... -15.7 All other accident and health(b)....:............................................................ ............... ......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal emp loyees health benefits program premium(b).......................................................... ............................. ...._...................... ............. ._........................-- ............._............. ..................----. ............... ......_......_.........__ ..._.._..............__ _._.._._..........__.... ........._......____... 18. Workers!compensation..............._..........._____._...................._.........._.............._..._.._.. __............._..._.... ......._............_._... .._..............__._._. .........__........_._... _....................._.... .__......._._.._.__... ..............._............ ........_..._._._....... _. ....... _.._......._.............. ............. 17.1 Other.abiliry.occumence.................. ..... ............................. ............................. ............................. ..._........................ ............................. ............................. 17.2 Other.ability•dalnu made......__.................._...................___._...__.._....__..._...._919,207 .................902.710 ....._........_399,958 .___........._..75,000 __........_....357.895 .__.........._.544,587 ........_..__.334,592 .................530,817 __._.........486,626 136,330 ............_........._._30,476 17.3 Excess workers'compensation................................._............_..._........._.. _..............._.......... ............................. ...................._..._.. ..................._........ ............................. ._..._............ ...... ... ............................. ..........................._ 18. Products liability.........................._......................................................................................... ............................. ....................._...... ............................. ............................ ............._.............. ............................. ............................. ._........................... ..._........................ ................._........... 19.1 Private passenger auto no-fault(personal injury protection)_...._........._..._.- 19.2 Other private passenger auto liability....................................................................................... 19,3 Commercial auto no-fault(personal injury protection)_. _.........._.............................. .................. _....................1 9.4 Othe r commercial aut o liability....ty............................_ . . ..........._ _. ........................ ............. .............. ........... ....... ....... ........... ........... ...... ... .......... ..................... ...., .._....._......._.... 21.1 Private passenger auto physical damage................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................ ............................. ............................. 21.2 Commercial auto physical damage............................................... . _ ._..___.. ...... _.____ ..__... _ __ _ ._...._........ ......... .._......___._... 22. Alrons,(all perits)................................................................................................................... ............................. ............................. ..................._........ ............................. ............................. ..........._................ ............................. ......_..................... ............................. ............................ ............................. 23. Fidelity......................................_.................................................................._.................._.. ............_.........._... ............_.. ..... ......_..................... ........_..._............. ...... ................. __..._........._......... ............................. .._.._......__.____.. 24. Surety.............--...._.........._.................................-.....---__..............._..._......_.........385 ...............328 ._..................-- .......................711 ..._._..._............... ........._......._._..91 ....__........._.......13 28. Burglary and theft................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...........I................. ............................. ............................. 27. Boiler and machinery............................................................................_......................._._.. ............................ -----------._............... ....---.._...__........ ............................ ......._._.._.__ - ............................ 28. Credit..... ..._...._..._...__.._. .._......_.__._.__..... ...........__.._.. 30. Warranty..................................._.......................................................................................... ............................. ............................ . 34. Aggregate write4ns for other lines of business........__ __ ................_-0 ...._---_._------.__.-D ..................._......9 ......_.........._......D ..__.........._........0 ...........................0 ..........._...._...__9 ................_.........0 ..................---.0 ..........0 ._._._._.__..........D ...__..._..._.........9 35. TOTALS a 919,592 903,038 0 400,669 75,000 357,895 544,597 334,592 530,817 486,626 136,421 30,489 DETAILS OF WRITE-INS 3401. .............................................................................._...................................................................................._..................-----._.........................-_...------ . 3402. ..... ....... ........ ....................... ......................................................................................................................................................................_........................._.........................._................................................................................................................................................................._........................._......................................................... 3403. ..............................................._......................................................:..._..................._......: 3498. Summary of remaining writo-inaforLim 34 fran overflow Page................._...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 0 ...........................0 .........D 0 0 ............0 3489. Totala inea 3401 thru 3403 Plus 3498 Line 34 above 0 0 0 0 0 0 ...........................0 0 ................. 0 ...........................0 ...........................0 ............... 0 (a)Finance and service charges not included in Lines 1 to 35 E.. ......._9,439 (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ...................................... . 11111111111111111111111111112III11111111111111111111111111111111111111111111111111111 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of New York uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premium on Policies not Taken D'Mdends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Lasses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licensee Line of Business Written Earned on Direct Business Premium Reserves (deducting salve a incurred Losses Unpaid Ex ense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire...............................__.........._.. ...._....................... ......................._.... ........ . ....._ ................. .._..................... ._._......._......_..._ ..__......__............. .._.......__......._._.. 2.1 Allied lines........................................................................_..._................._........................... ..._-...._....._... . ..........`..-_`....._._ ............._......_..._. _............__......_... _._....-._._..._....._ ... ......_.._...._.. ......................_..... 2.2 Multiple peril crop......._..............................._......_......................_..._..............._.........._..... 2.3 Federal flood............................................ ........_..........._...... _......................_... ....__................._ ......._...._...._.._._. ......_.._._..._...__... __........_..__.._.... _..........._....._._.. ..._.._...._.............. ..........__..._.......... ..................................._........................................ .._......................... ................._.......... 3. Farmomers multiple*edl..._........._.........._.........._............................................................... .........................._. ......_..................... ............................. ............................. ............................. .._....................._.. ............................. ............................. ......................_..... 4. omeavners mu 6 e Pe ...................................................................................................... ............................. ................._.......... 5.1 Commercial multiple peril(mcn-Ilabllly portion)............................_..............................._...:.. ......................... .. ......_......_............. ......._.........._._...... ._......_._.......__... ...._.........._......__ ......___....._.......... .._...._......_........... 5.2 Commercial multiple peril 0iability portion).._...................................................................._..... ........................._.. 8. Mortgage guaranty........................._........._............................................................................ ............................. .................._........ ....................._...... ._........._.........._... B. Ocean marine ... ..... ...._..._......_.._..... _._..._.___._...--._. ......_...._...._......... ..........._........_._... ........._............._... _.._..._.................. 10. Financial guarant y............................................................................................................ 11. Medcal professional liability.-.-,................. 13. Group accident and health(b)........................_.............._............... ............._..._.........__-... ..._......__.........__ .............__._..__._ ................_..._...... ............._..........._. ............___...._.._. ........_....._.._...._.. ..._........................ ................_........... ............................. ........._.........._...... .............._............. 14. Credit accident and health(group and individual)....._._.................._.....................__.............. ............................. ......_..................... ............................. ............................. ............................. .........................._. ............................. ......._._........_.._... ............_._............ 15.1 Collectively renewable accident and health(b).................................__.............:....._............._. ..................._........ ..............___......... ........_......_...._..._ ._._......__......_._.. .....___..__'__...... _......._........___.... .._.._.._......_.__.... ..._.___.._....._...... _._._..._........._..... _....._.__...._...._... 15.2 Non-cancelable accident and health(b)............................._..............._................._...___._.... ..._..........._....._.... ......._._................. .....................__.... _........................... _......._._............... .................._..._.... ......................._.... .........................._. 15.3 Guaranteed renewable accident and health(b)........................................................._............. ............................. ................._.......... ............................. ............ _.............. ....._........__.......... ....._._.........._....... _......._......_.......... .__._..___._.._._... ......._._.......__..... _...__..........__._.. 15.4 Non-renewable for statetlreasons only ........................... ._........ -------- ..._._..._._...._..... ...__._...._....._.. ....._..._...__._._.... .._...__._....._._.... .........._.__........... ............._..........._. ........_............_..... ............................. tO15.5 Other accident ony._.._......_._...._......_..._......._................................__.............._._._......_ .............._._.......... Z 15.8 Medicare Title XVlll exempt hometate taxes or fees...................................... _.........._......._...... ......_-.__...__....... _...._.........._....... .. ..................._._..... _._.....___._.._...._ .__.._._......__..... ...._................__.. ............................ ............................. ............................. ......................_..... .._......................... .( 15.7 All other accident and health(b)................ ................._.......... ........_.........._....... .....................:....... ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits programpremium(b).......................................................... ............................. ........_................... ............................. .............._............. ............................. ........_................... _........._...._......._. ..._.........._.._....._. ..._._..................... ........___........_.._ ...._.........._.....__. 18. Workers'compensation......._.........._.........._........._...._.............._.......... ....._..................._ ....._.._.....:......... ....... ..._.._..._... ....................._...._ _.._......_......____. ............_......._...... ................._._....... _...._................_..- _----- .................. -------..................... .._.__...._....._..... ......._____..._..._... 17.1 Other Liability-occurrence.._...................... ...... ........................I.... ............................. ............................. ............................. ..............._............ ............................ ....................._...... ............_............... - 17.2 Other ability-claims made........................ .........._.........._.... ............. ................ ..................._........ ............................. ............................. ................._.......... ......................._...................... 17.3 Excess workers'compen ealion...._..._..._L....... ............ ........... ......_........_...._.... .........._........__._.. ...... ... ......... ..... ........................... ................_........... 18. Products liability...................... ..............................._........._.........._........._........................... 19.7 Private passenger out.nafauit(personal Injury protection)........................._.........._..._ .... 19.2 Other private passenger auto liabilit y----------....._.. 19.3 Commercial auto no-fault(personal injury protection)_........................._.................................. ............................. ............................. ............................. ............................. _......_ ....... ............................. .............. ...._.......____...._. ........... ..... _......___...._........ ._.........__._...._... 19.4 Other comnerclat auto liability........................._..........._.__......................_........._..._._..._.. ...._....._....... ------- ........_..._...._..__.. ..........._......._._.... ..___....._...__...... ..._............__.._.... .._....._........_........ ............_._......__.. 21.1 Private passenger auto physical damage................................................... .._.........._.........._. ............................. ............................. ............................. ............................. ............................. ............................. ............................ 21.2 Commercial auto physical damage............................... .... ......... ..... .___...__ .........__......._.. -._........._- ..___.............-. 22. Aircraft(all perils)....._.....................__..........._...._....................._.._.......__------.................. ..............._........... ............................ 23. Fidelity................................................................................................................................... ............................. ............................. ............................. 24. surety..........................:.........................................................._......_......_........................(388)..__.....__........_41 ........._....._._....... ..........._....__.._.... ......__.___.._....... ............................. ...._.._........_........ _....___...._......... ...._.........._..__.__ __...... ...................1.379 .................. .........._................. . 28. Burglary and theft......................................_........... ............................. ............................. ............................. ......I................._... ...._.........._........_. ......._.................... ............................. ............................. 27. Boller and machinery................................................................................._.........._............... ..._....................... ........_................... 28. Credit......................_........._............_............._._..........._...._....__....................._..........._. ............._............._ .......__..._...._...__ _------._.,......._....... ...........................- ......__...........,..._. 30. Warranty,............._..............................................._.........._._........._...................................... ............................. 34. Aggregate write-ins for other lines of business..........................................................._.........D .........................-.0 ...........................D ...........-............._D _._.......__...._._0 ....._........__.......D .......__....._......0 _....._._.__.._.....0 ._...._......_.........0 ....__........-.__...0 ...........................0 ......._........-_.......0 35. TOTALS a (385) 41 0 0 0 0 0 0 0 0 0 1,379 DETAILS OF WRITE-INS 3401. ......................................................................... ................... ..................... .......................................... .._......_......_....._._...._..._..._.._.........................._........_._.__.._........_......_............_...._._...._..._............................_.._......_..._._..............._.._.._................................__.....__........_......._........... ......... .............._....................................... ......... 3403. .__...._.._............................._..._..._..._._..._......._._.._.._......._._..___........_._......__.........._....__._......._......._......................._.............................._... ................................................................................................................_......................................................................................._..................... .. 3498. Summary of remaining write-InaforLine 34 ham Overflow page..............................................D ................._........D ........._................D ............_.............D ...........................D ...........................D ..........................D ...........................0 ................. ...........................0 ..........._........._...0 ...........................0 3499. Totals Lines 3401 thro 3403 us 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Lines 1 to 35$..........._................. (b)For health business on Indicated lines report:Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ...................................... . ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Com I Iany2IIIIiIIIIIIIII;IIIIIIIIIIIIIII�IIIIIIIIIII�IIIII�IIIIIIIIIII�III'I;IIIIIII�IIIIIIII EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of North Carolina uring the Year 2012 NAIC C fripany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Prendums on Policies not Taken Dividends Paid Direct Defense Dired Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Dired Prerdums Policyholders Direct Unearned Direct Losaea Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves (deducting a Incurred Losses Unpaid Expense Paid Expense Incurred Un aid Expenses and Fees 1. Fine__............................_.__.. ...._. ._......__........._.._. ............................. ................._.......... ......__.._____...... ..................._........ ......._.._._.................. ...._........_.......... ._..........._........._.. ._..._______..._ ._.......___..._..._... 2.1 Allied llnes..................................... ..... ............................. ............................. ............................. ............................. ----- ............................. ............................. ............................. ............................. ............................. 2.2 Multiple Peril crop................................................................................................................... 2.3 Federal flood............................................................................................. ........_._.__._._._.. _........................... .............._....__.._. ..._........................ __..........._............ ....._..._........_._.... ....._........._...___ __...._......._.......... ....._.............._...... ............................. ............................. 3. Fem awn enmultipleperil....................................................................................................... .............................. ............................. ............................. ............................. ............................. ............................. ............................. ...........................:. ............................. ............................. ............................. 4. Homeovmers multiple Peril........................................................._........................................... ............................. ............................. ........._.... _............._........._. ..._..__..._._.__.._. ........_................... _........................... .._................_._.... ...........__....._.._._ ..._.._._................. ...._._.....___......... 5.1 Commercial multiple peril(non-liability portion)........................................... 5.2 Commercial multiple peril abill ........._.................. ......................_..... ................._....._._ _....._._._..._.... ........................ PP Di rypartlon)............................................................................... ... .. ... .. 8. Mortgage guaranty.................................................................................... 9. Ocean marine..........................:. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................................................................................ ............................. ............................. ............................. 9. Inland marine........................................................._.............................................................. ............._.........__. ............................. ....._..................__ ..._.........._._......... ............................. ...................._.__.. ................__......... ..........._.....__..._. _........................... .._._._'-...___...... ............................. 10. Financial guaranty.._........................._._............_.._..........._....._......_......._._......._.............. 11. Medical professional liability...................................................................... ............................. ............................. 12. Earthquake.... ._......................__ ._..............._......... ........_......_._._... ............................. _____.._._........_... ..............._._._...._ .................._.._..._. _....................._.... 13. Group accident and health(b)....................... .......................................................................... ............................. ............................. ......................... ......................._..... ............................. ............................. ............................. ............................. ............................. ............................. ..._......................... 14. Credit accident and health(group and lndividuary........................................_................._........ ............................. ............................. ...._....................... ..............._....._..._ ............................. ........... ... .........................._. ..._......_._._._....... ..................:...__... ..._..._......_...._..... ._....................__.. 15.1 Collectively renewable accident and health(b)._..........................__........_..._..............._......... ......_..............._.... .........__..._....... ..__....__............... ............................. ....._._.............. ._....__.._...._........ ......................._... __......_....._...._.... ._....__.___._.__._.._. ...................__...... ............................. 15.2 Non•eanceleble aaideM and healM@).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accidentand health(b).._..........._._...._....................____...._..........._ _..._...................... ............................. ......................_.... ....... ................._._...... ..........._............... ...__.................... -------------.............. ...................._._.._ ..._..._..._.........._.. ..� 15.4 Non-renewa6fefor stated reasons only(b)..:....._.... - �- .............._._..._._.._._.......................-..... ........_..........._...._ ..._.._..........._....... .....__.................... ............................. ............................. ..................._........ ..._..._........_.......... ............_..__.......... ..._..............._...._. _._._............_....... ............................. tD15.5 Other accident only................................................................................................................ 15.6 Medicare Title)0AII exempt from state taxes or teen .. ... ............... ...... ............ ........................ ........................ ........................ n15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees healthbene8ts program premium @).......................................................... ............_ ....... ..._........................ ............................. ................._.......... ......................_..... ........................_... ..................._........ ......_._._._..__.._.. ____......_._.__..... ..............___._...... 18. Workers'comPensatlon.....__....._................_........__._...._............._......._..._........._........... ...._._.................... ....._...............:_.... ..._..._............_...... ._.._...................... .....__............._..... ................_...__.._ _........._....._._...... ....._._.._._...____ ... ...... ._.......__....._........ ..._........................ 17.1 Other Llabiliry-oaumence..................................................................................................... 17.2 OMesLlab ker"alma made__...........__.__._........................................_. ..... ..............._._......... ................__.._..... ...................._....... ...__.._..._............. __._...._............... ....._.__.._____. ......._............_...._ .______...._...... ...._...._.._'_.__.. ___........._........... ..._........_...._._..... 17.3 Excess workers'cempenaatlon.........................._........_........._.._.... 18. Products liability.................................................................................................................... . 19.1 Private passenger auto no-fault(personal injury protection)....................................._....._........ 19.2 Other private Passenger auto liability....................................................................................... 19.3 Commercial auto no-fault(personal Injury protection)....._.___._..._.....__........................... ....................._....._ ............................ _......_......_........... __.._........_._....... .._.........__........_. ....._._._.............. ._._._...__._____. ......_.__............_.. ...__.___.....__...... .........._.._.._..._._ ___..............._...... 19.4 Other commercial auto liability............_......_.................._........_........._..... 21.1 Private passenger auto physical damage................................................................................. ............................. ............................. ............................. .......I..................... ............................. ............................. I............................ ............................. ............................. ............................. ............................. 21.2 Commercial auto physical damage ......... ......... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................I ............................. ............................. ............................. ............................. 23. Fidelity............ .........._......................................._........................._....................................... ........................................._. ._......_................_ ......._...__...._.__.. ._......_........_...__. .............._._.......... .___....__._........_. ..._...._.._.._..__._ _..____................. ..__.__......_..._..... ............____.__.... .._................._..._. 24. Surety............. ......................................_......_....._......................._._.106,552 W,127 .__..........._._._..... ...._.............b5,521 ..._......._..747,881 _.__...........147.881 ....._..._._._...6,000 ..................12,116 ...._.............14,500 ._......._._......3,884 ...........__....31.722 ................_._6,383 26. Burglary end thee................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................._.......... 27. Boiler and machinery.................... ................................................. ......................__... ...._...._____........ 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ...............:............. ............................. ............................. ............................. ............................. ............................. 30. Warranty- ........................................ 34. Aggregate wdte4ns for other lines of business........................................... ...D ..............._.0 ..................___._0 .........................D .........._._...__.....D ......_......_.._..._..0 .....................___0 ........._.._._...__..0 ......__._._......_...D ..........._........_._.0 ...._......._........_.0 ._._......_.............D 35. TOTALS a 106,552 1 104.121 1 0 1 69,521 1 147,881 1 147,881 1 6,000 1 12,116 1 14,500 I 3,864 1 31,722 6,383 DETAILS OF WRITE-INS 3401. ........_..................................................._................................................................................................................................................... ....................................................................................................................................................................................................................................................................... 3402. ....................................................................._..................... ....................................................................................... 3403. ................................................................................................................................................................................................................................................. 3498. Summary of mmaiMngwnte-Instor Line 34 hnmoverflow page..............................................D ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................D ...........................0 ...........................0 ...........................0 3499. Totals Linea 3401 thru 3403 lus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines i to 35$....................................- (b)For health business on indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ...................................... ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) . NAIC Group Code 1228 Direct Business in the state of North Dakota uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membershfp Fees, Less Retum Prendums and Direct Oaten Premiums on Policies not Taken r Dividends Paid - Direct Deknse Direct Defense and Cost 1 2 or Credited to and Con and Cost Containment Commissions ___ Direct Promiunm Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losaea Direct -Containment Containment Expense and Brokerage Taxes,Licenses Um of Busim" - Written Earned on Direct Business Prcnium Reserves deducts wNa a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fine......._........................................................................................................................_..... ......................_..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21 Allied Ones..................................._....................................................................................... ............................. ............................. ............................. ..................._....... . ............................. ............................. ............................. ............................. ............................. 22 Multiple perg crop................................................................................................................... ............................. . 23 Federal BOOd.......................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. .._....------.............. ................._.......... .......................... ............................. 3. Famaesers multiple F"......................................................_............................................. • 4. Homeaovlars rtultlple PerO................................. ....................................................... ............................. ............................. ............................. _........................... ............................. ............................. ............................. ............................. ..._....................... ............................. ..._........................ 5.1 Commerclal multiple peril(nor4ab011y Fortion)........................................................................ ............................. ............................. ........................:.... ............................. ............................. ............................. ............................. ............................ ............................. . 5.2 Commercial multiple peril(liability potion)........................:......................... ............................ ............................. ............................. ............................. ............................. 0. Mortgage guaraMY................................................................................................................. ............................. ........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 8. Ocean marine.................._................................................................................................... ............................. ......................: r9. Intend marine......................................................................................................._................ ............................. ........I.................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..........................._ 10. FlnamMal guar ant y..................................._............................................................................. ............................. ......................--..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. If. Medial professIona1 liability........................................._.........................................._.........:. ......................... .... ............................. ............................. ............................. ............................. ............................. ............................. ......_..................... ............................. ............................. ............................. 12 Earthquake............................................................................................................................ .......:..................... ............................. ............................. ............................. ............................. ....._...................... ............................. ............_.............. ............................. . 13. Group accident and health(b)................................................................... ............................. ............................. ............................. ....._...................... ..._........................ ............................. ............................. ............................. 14. Credit accident and health(group and IndiNduan..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............... 15.1 Collectively removable accident and health(bl......................................................................... ............................. ............................. ............................ ............................. ............................. .........................._. ............................ ._.......................... ............................. ............................ 15.2 No-cancelable accident and health(b).................................................................................... .......................:..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. d heal ............................. ........................ 15.J Guaranteed renewable accident an health(b)......................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ........._................. ............................. .. .. 15.4 Non-renewable for stated reasons ............................ ... .. ... .. «ply ro)..............................................:................................ ............................. ........ ................. ............................. ............................. ............................. ............................. ............................. . ...................._...... ............................. ............................. ............................. rD15.5 Other accident onty................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. Z15.8 Medicare Tile%VIII exempt from state taxes or f eet................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. .........y............... ............................. ............................. ............................. I715.7 Mother accident and health ro)............................................................................................. ............................. ._......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)............................... ............................. ............................. ............................. ............................. .........I................... ............................. ............................. ............................. ............................. ............................. ............................. 18. Worker'a ns npeatlon......................................................................................................... ............................. ..... 17.1 Other Uabljlty-occu erwe..................................................................................................... ............................. ............................. ..._........................ ............................. ............................. ............................. ..................„......... ..........._................ ............................. ............................. 17.2 Other Liability•dd-made................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.3 Excuse workers'tompenaatbn .............................................................:.................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 10. Products liability......................:............................................................................_................ .....................:....... ............................. 19.1 Private passenger auk m4a ll(personal in)ury protectlon)..................................................._. ............................. ......._.................... ............................. ............................. ............................. .................I........... ........................_... ............................. ............................. ............................. ............................. 19.2 Other private passenger auto liability............................................__....................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......_..................... ............................. 19.3 Comrardd auto nofar4f(persond Iryury protection)............................................................... ............................. ...................... ....... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.4 Otherammerdd auto Oabliiry..................................................._........................................... ............._.............. ....................---..... ............................. ............................. _........................... ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Privars Passenger auk physical damage................................................................................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.2 Commercial auto phydal damage........................................................................................_. ............................. ............................. ............................. ............................. ......._..._............... ............................. ............................. ............................. 22. AkrrzR(af perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity,.................................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ........................442 24. Surely..........................................._....................................................................................... ........._.................. ..._........................ .................."._....... ............................. ............................. ..........................._ ............................: ............................. ............................. ........................442 28. Burglary and thef................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Soifer a ndmachinery.............................................................................................................. ..................._........ .............................. ............................. ............................. ............................. ............................. ............................. ..........................._ ............................. 28. Credit.................................................................................................................................... ...................._....... ............................. ............................. .._......................... ...................:......... ............................. .............:............... ............................. ............................. ............................. 30. wartany...........................................".................................................................................... ............................. ............................. ............................i ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ 34. Aggregate writs4m for other Ones of business......................................................_..............0 ...........................0 ...........................0 0 ........0 D 0 0 0 o ........................... ..........................o 35. TOTALS a - 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 442 DETAILS OF WRITE-INS 3401. ...............................................................................................................................................................................................................................:....................................................................................................................................................................................................................................................... 3402. ......................................................_............................................................................................................................................................................................................................................................................................................................................................................................................................... 3403. ..................................................................................................................................................................................._.................................................... 3498. Sumurry of renalydng v4iteans far Um 34 from overilow Page..............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ........................ 0 ...:.......................0 0 3499. Totals es 1401 thru 3403 3188(Una 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and seMa charges not Included in Lines 1 to 35 S...................................... (b)For health business on Indicated llrra report Number of persons Insured under PPO managed are products ...................................... and number of persons insured under Indemnity only products ..................................... ' I11111111 lilt 11111go1111111111111111111111IIII11I11 IN1111111111I11II111111111 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Ohio uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Dire.Losses Direct Containment Containment Expense and Brokerage Taxes,Licensee Una of Business Written Earned on Dire.Business Premium Reserves (deducting salvage) Incurred Losses Un aid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire............................_...................._... ........_.................. ............._.._....-..... ........._._......-_..._. .._....................._.. ....__..................... ...._.................__. 2.1 Allied lines........................................_........................................._----------............................. ...:......................... .._...................._... ............................. ............................. ............................. ............................. ............................. .........._................. 2.2 Multiple Peril crop................................................................................................................... ............................. 2.3 Federalgood............................................ ....._....._....._.._..........._..._........................ . ....-......... ........ .._........_..........._.. .._....-_.-..._......__. _............_.....__.... ......_......__........... 3. Famnwnere multlPle pen._........... .................. .. .................. ............................. ............................. ............................. ...._...................... ................_.......... ............................. ............................. ............................. ............................. .........._................. ..................................................................... 4. Homeowner multiple Peril......................_..............._...................__............__.............._...... ............................. .........................._. ... ..... ...................._....... ...._...._................. __._......._.......-... ........._.._.__........ .................._.._..._ .._..___...__........ -...._............____ ..._....._...........__. 5.1 Commercialmiltiple peril(non-Iiabdlryportion)--........__........_......_................._..__._......_... ............__............. .............._..._........ ......................_.._. ................_........... ......_..._...._.......... _........................... ............................. ......_.._................. 5.2 Commercial multiple perit(liability portion)............................................................................... 6. Mortgage guaranty._.._...................._....__........._..........._............._....................._.._._....... ...........................-. ............................. ....... ....._..._.._.....___.. ..............._......_... ..-.. ............................ ............................. ............................. ..........I.................. ............................. ............................. Inland ma ne................................... ............................ ............................. ............................. .......... ............ ............................. .._............ ..... ........ ................._....._... __..__......_........... -..___........__.___ .......-'- 10. Financial guaranty._....._......._....._........_.........-_....._............__.._._....._.......... 11. Medical professional liability-..................................................................... 13. Group accident and health(b)...........................................................................................:..... ............................. ............................. .._...................._... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and Individual)..................................................................... ............................. ............_............... ........................_... ...................--------- ............................ ................_........... ......................-...... .........._...........__.. ..........._......_........ ..___........_........ ..._._._..____.. 15.1 Collective renewable accident and health(b).._.__.-......_..............__..._......._..._._............... ......_..___._..._..... ........_.._..__..._.... __...._.._..._.-_..._. ..............____:..._. ..__...................._. _-__...._._........__. ......._.....__........... - ..........._.__...._..... .. 15.2 Non-cancelable accident and health(b).........._..........................................._......_.................. 15.3 Guaranteed renewable accident and health(b)............._..........._.........................._._............. .......... 15.4 Non-renewable for stated reason.only(b)..........................................................._.................. f015.5 Other accident only................................................................................................................. _.......................... 0 15.6 Medicare Title LlI exempt from state taxes or fees.................__...._____.._------_..------........ _-----------. ............__....._..__ .........._........___... ........_.____....._.. ....._......_............_ ._...._._....._....._._ ._....___....__..._... = 15.7 All other accident end health(b)..................................................__...................._.................. _.................. ............................. .._..................._.... ..............._............ ............................. ............................. ............................. ............................. ............................ ............................ .........._................. 15.8 Federelemployeea health benefits programpremium(b)..._...................._.............................. ............................. ............_..... .... .........................._. ... ...................... ........................... ........_. .... ._..............._._..._. .___....._...._.__. 16. Workers'compenaation..........__...........-------- ....--- ...._.._.._.._..._.._..._.............................._. .._...._....._.._.._..... ._......... _........._._. ._......._....._.......... ..__.........__.......... ....._.._...._..._.._._ .._...... ..... .............. ._....._._._...._....... ...................-..._._. ................_........... ......._.............._.... ............................. ............................. ............................. ............................. ............................. ............_............... .........._......-.......... 17.1 Other Liao ty-occurrence................. ............................ ............................ ............................. ............................. ............................. ..............--�--.......... - ........................................................ 17.2 Other Liability-.aims mada.............................___............._................._.......__..__......._... ----................_._.. ...._..._._--........... ...._....-___._._...... ...................._...... ...___.................... ...__..................__ ......._...-------.... .........__...._.......... 17.3 Excess wa rke rWc onpensation................................................................................................ _.......................... ............................ ............................. ....... .................. ............................. ............................. ............................. .......... 18. Products llability..................................................................................................................... .................. 19.1 Private Passenger auto no-fault(personal injury protection)_..._....................._._..__..._--------- ...... ................. ----------------_........ ....._.................._.. ..__.___._............ --__...................... ............._._.._....... ....._.._..........._..... 19.2 Omer private passenger auto liability...................................................................................... ............................. 19.3 Commercial auto no4ault(personal injury protection)......_.._..................._...................-.__.... .....__.................... ......................_.._. .........._..._....._..... ._._._...___..._.._ ._............_........_.. .............._..._..._._ ..._.........._...__..... ....._..___._........... _.__..._.............__ .._......._........__... 19.4 Other commercial auto liabiliry....................._........_._......................._..........................._...... _._......._........._._. 21.1 Private passenger auto physical damage..........................................................I...................... ............................. ............................. ............................. ............................. ............................. ............................. .....I....................... ............................. ............................. 21.2 Commercial auto physical damage... ......_........................ ........ -_._.._..... _.-..._.... ......... ._.__.. ..__...._ ._._..___ _._..._. _......__ ...._....__. ....._..._-. _...._. ._ _.. . .......... ............ _._ .. _. .__-.._._. ....._......._.... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..........._............... . 23. Fidelity...................................................................._...................._....... 24. Surety................._......._.............._.._....._............_-_..........__..................__..........]1,157 ....................11.229 ........................._.. ................_.8,770 ............................. ............................ ._.............._.......... ...._._. ........... _...._ ................ ........._............_.... .....................3275 ............._.._..2.772 28. Burglary and theft................................................................................................................... ............................. ............................. ..._........I..........._.. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Boiler and machinery..._.._._..._..__.._._..........._...........................___..............._......._._.._. _...._.._............... ............................ ..................... ..............._........ .._._...... .. ......_....._._........... .......... . ....._____..._........ _............_..._._.._ ._......__.._.-___.... 28. Cre dit................................................................................................................................. - . 30. Wamanty................................................................._.........................................._..............:.. _....................._.... ............................. 34. Aggregate veite-Ins for other lines of business..............._............_._....__...__............_..."'.D _.-_............._.._..0 .._........._._.........9 ........................_D ._......_...._......_..D ...........0' ._...__...._._..___0 ..-..........-_.__.._._D ..........0 ............0 ._.._....._.............0 ............ --D 35. TOTALS a 11,157 11,229 0 1 8,770 0 0 0 0 0 0 3,275 2,772 DETAILS OF WRITE-INS - 3401. ..._..._...._.._............__............__......._...__.._....................................__................._._............_........._....__..................................._..._._............_._.........._.........................._.......... .........._............................... ...................................................................................................................................................... 3402. ....................................................................................................._................................................. ................................._................................................................................_..................................................... 3498. Summery of romaining writo-ins for Llne 34 from overflow Page............................._...............D _.........................D ............._............0 ..._......................0 ...........................D ...........................0 ...........................D 0 ...........................0 0 0 0 3499. Totals Lines 3401 thru 3403 lua 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$......................._..........._ (b)For health business on Indicated lines report Number of persons Insured under PPO managed cats products ...................................... and number of persons Insured under Indemnity only products ..........._... ............... - (��IIIIIiltilil�I�II,II�III�IIIIAIIIIIIII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company I IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII�II EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Oklahoma uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Une of Business Written Earned on Direct Business Pmmlum Reserves (deducting salvage) Incurred Losses Unpaid_ Expense Paid ense loaned unpaid Expenses and Fees ............................. ............................ ... ........................... ............................ 2.1 Allied lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop.................................. __......._............_ ._......._..........._.... ...................._..._.. .._..__._._............. ......_._.__............. 3. Famnownem multiple peril.......................... ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril.._.___._..........._.____.._..._........._..__..___- 5.1 Commercial multiple Pert[(non4lability portion)........................................... ............_.........._.. _......_...._............. ...................._....... ............................. 5.2 Comrre :multiple peril Viability portion)..._................._...................._................................. ................_........... ..........._..._......_... ........__......_......... ..........._..._........... ....................._.._.. .._....._................_ ._._..._.................. ....._............._....... ........_._...._..__... ..........__._._......... ............_............... 8. Mortgage guaranty....................................................................................---------------------------- ............................. ....._...................... 8. Oceanmerine......................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland marine._.......__..........................._.... .__..._.... ....._...._...-----.... ......._.................... ....._............__...._ ._........_.._.._...._.._ .............._..____. ._.._............_..._._ ..__.__.........._...._ ___.__.._.._.......... _._....___._........_.. . . t0. Financial guaranty....... ..................................................................................... ............. 11. Medical professional liability...................................................................... . .. ... .. 12. Earthquake ................. .._._.._._.__......._.. .___...__..._......._ 13. Group accident and health(b)..................._............................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)..........................._.......... . .._...................._... ........._.............._.. ......._._..........._.... ..._............_.......... ..._.................._.... _....._........._......_. ...._._......._.____. ......___._.__.___.. ......._............_.__ .__._.........._....__ ............................ ............................. 15.1 Collectively renewable accident and health(b).__....................._...__.,....... - _....._..............._... _.....:.........._._...... .........._._._........... ............................. ............................. ................___....... 15.2 Non-canoolable accident and health(b).................................................................................... ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)..........__.._...._..._........._.... ..... .......... ............__............. ------....................... .._................._...... 15.4 Non-renewable for stated masons onty(b)............................................................................... ............................. ..._._..................... ............................. .........................._. ............................. ............................. ............................. t015.5 Other accident only................................................................................................................ ..............:.............. ............................. O 15.8 Medicare Title Wit exempt from state taxes or fees,.............................. .......__._..._..._........... .............__._..._._. ......_..............._.... ......_..._................ ._....._.._..._....._... ......_...._............._ ..............._........._. ..._..._.._............... ......___.._..._...._. 15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 158 Federelemloyees health benefits programpremium(b)_..........._........ ------------_------------_- ............................ ._ ...._....... . o em ompensation _....__._...._._.__ ..._........._._._....... _.___.__.._......... ._..._.___....___.... ._.____.___..__.. ........_................... ......_........_._........ .........._..._....._..... .................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Uabi:try-occumence_........................................................_.................._..................... ----------------------------- ------------------....._---- ............................. ._............__......._. ................_......... ...._................. ...................._....... ------..._.._-------------- ----------------------------- .........._...._._........ ._.......................... 17.2 Other Liability-dalms mad.._._...._........... .................._...._... .......__..._.........._. ______._.___.._.__.... ._._....._................ 17.3 Excess workeWcompensa0on.............. ............................. ............................. ..... ............................. ............................. ............................. ............................. 18. Products liability........................................................_......___...........__......................._.-. ...._......... ........_.... 19.1 Private passenger auto rwrault(personal Injury protection). ............................. 19.2 Other Private Passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ..................._........ ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto en 19.3 injury protection)................_..._...._.................._............_ ............................. ------------------ ..... ...._.._------_._.._. ..._.......__.........._. ___._____......_. ...._._._.____.___ .._................._...... ._......................_.. .............._............. ._........._....._._.__ _.._......__._._._._ 19.4 Other commercial auto liability................................................................................................ ............................. ............................. ............................. 21.1 Private passenger auto physical damage............ 21.2 Commercial auto physical damage......................................... .. _. .. ... _... .... ___.__ _ ...._ .. ._._. _..._._. .. ... .... ..... ... 22. Aircraft(all perils)..................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity..............._....__.................................................................._...._..........._._.......__._.. .............._............. ................._..._..... ............._._........... 24. Surety ............................ ............................. ............................. ............................. ............................. ............................. .....................2.613 26. Burglary and theft................................................................................................................... ............................. ............................. ............................. ............................. ..... ............................. ............................. ............................. ............................. ............................. ............................. 27. Boiler and machinery.............__........._..._................__..__....._....._....._.. 28. Credit...................................................... ............................. ............................. ...._.........._........... ............................. ............................. ............................. ............................. 30. Warranty_......._............................................................_.................__............._.__.............. ...._....................... _.........._..._......_.. ............. ............................. ................ ............................. ............ ...._.______._... ........._.._..........__ .......... 34. Aggregate writetina for other lines of business......................................................................D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS(a 0 0 0 0 0 0 0 0 0 0 0 2,613 DETAILS OF WRITE-INS 3401. .......................................................................................................................................................................................................................................... 3402. ................................................................................................................................................................................................................. ............................. ...._._..........................._.._-----_......_....._...._..........._..__................................-----......._._......__.. .................................................................................................................._.. -____.._...._...._........_........_._._......... ._..........._.'__...._.. 3498. Summary of romalning write tins for Line 34from overtlow pegs..............................................0 ...........................g ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 . ...D 3499. Totals Unes 3401 Nry 3403 Plus 3496 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Lines 1 to 35$...................................... (b)For health business on indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons insured under Indemnity only products .._._....................._._.... . III IIVIII III IIVIII III'3 111ll2 ll lll,l l 111 2II III�I VIII I�II III III�II III II III II IIII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Oregon During the Year 2012 NAIC C nipany Code 29513 Gross Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membenhip Fees, Less Return Premiums and Direct Defense - Prendums on Policies not Taken Dividends Paid Direct Defense Direq Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direq Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Bu.inesa Written Earned on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ez erases and Fee. 1. Fire.................. ........................_.._......... ................. .........._.........._.....-.........._.........:...._ _-__...................._ _.._....................... _......_.....__.......... ..............._.___._. 2.1 Allied lines........................................................................................................................_... ............................. ............................. .............._............. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop......................................__............................................................_......_... ............................. ................._........_ _............_....._._... ......................_..... ...._......_......_....... ....................__..... ....._..._................. ......._................._. ...._.,......_..._...._.. 2.3 Federal flood._................................................._........_......._.__..._..___................._......_... .............._............ __._......_._......._... .............._.._._...... ...._......_.......__.... ._..._._._........_..... _........_._.............. ._._...._._.._.._.__. ............................. ..........._....._.._..... 3. Farm-nen multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................ ............................. ...._....................... .._......................... ............................. 4. Homeowner multiple paril__........................_....................._..........................._......_......._... ............_.....___... ............__...._....._ _.._...._....._......__ ......_......_............. ...__...._......._...... ...__._._..__.......... ._._....._._.........._ ____.........._......._ ..__..........._.____. ........_....._-___._.. ..._._...__..._....__. 5.1 Commercial multiple peril(non-liability portion)..._._.. ............_....................._.... .......___................ - 5.2 Commercial multiple peril Qlability portion)_....................................._...................................... ..._......._............... ............................. ............................. ............................. ......................_._.. ........................ ............ . .....__... ................ _.........._............... ...._........................._. ........... ..._ ............. ..._.............._........ _..._....._..._..._.... ._....__..........._._.. 8. Ocean marine.............................. ............................. .................._......... ............................. ............................. ............................. ............................. ......._.................... ............................. .._................... .. .........................._. ............................................................. ............................. .9. Inland marine......................................_........................................__................_.._..........._... ..........._......_._..... ........_......_.__...... ._........... ..._...... ..............___....... ..._........................ ..........__._.._........ ............_.... 10. Financial guaranty._.........................._....._...__............_......_........._. ...............___...._... .._...__...._....._..... 11. Medical professional liability.............................................................................................._... ......................_..... 12. Earthquake....................................... ........._.........................._....__.....__......................_..... ._...._._...._...._..... ._......_._............._ .__............_.......... ._..........____.__... _......._.__._..._..... ..........._.._._......... .. 13. Group accident and health(b).............................................._._..........._......................._..._... ................._.......... ................_........... ...............__.......... ............................. ........................_.. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and Individual).................._............._..........................._.... ...__..............._..... ._................_........ ......._._...__........_ ..............._........_.. ......._....._...._.....` .___..._......_..._.... ....._..._.._..........._ 15.1 Collectively renewable accident and health(b)._........_.....___....._..._..__.........................__... ..............._....._._.. ..._........................ ....__........._.......... ..............._.__._.... ...... .............. ..... ............ 15.2 Non-ranoeiable accident and health 15.3 Guaranteed renewable accident and he aith(b)..................................................... _. .................... ................... .. ................. ............................ ..____.................... ......................__.. 15.4 Non-re newableforstatedreasonsonty(b)................_.................- ............................. ....... ............................. ..............._............ ............_............... ............................. ............................. ............................. ............................. ............................. (D 15.5 Otheraccldwt only..................................._............._..........................._............_................ ......................_..... ............................. ........._.................. ............................. ..........._................ ..........................._ ..._...._._ ......... ....._... ............. .._...___................ ......._.........__...._ .............._..........._ O15.6 Medicare TM:l(VIII exempt from state taxes or fees..._..................._................_................_... ___...__......__..._ __......_......._....... ..........------------------ .------_._._............. ............._......._.... ....................._.._.. A15.7 All other accident and health(b).............................................................................................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ... ........................ 15.8 Federal employees health benefits program premium(b)....__......................_.......................... .._......................... _........................... ._.............._._..._... _............_._--------- ....__...._.............. -------__...._.......... ----........._............ ....._____.._...._... .._......_..._.........._ .. .._..._.._.........._... 16. Warkere compensation.......................................................... ................................ .................... ........................ ........................ ...... ............................. ............................. ............................ ....... ......._ ................ .............I............... .......... 17.1 Other Uability-occunence..................................................................._.-----------------_--........ ............................ ............................ ............................. ............................. ............................. ............................. .............._............. ............................. ............................. ............................. ............................. 17.2 Other Liability claims made......._._......._-..._._._........_.........-_.........._.........................._... ._____..........._..... ._...__._......_....... _.__....:____......._ ....._....._...._....._.. 17.3 Excess workers'compensation..._........................................................................................... ............................. ............................. ............................. ..............._............ ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability, ..........................._..........___.............._.........._.._...------...._..._..... 19.1 Private passenger auto no-fault(personal Injury protection)_................._.......__........._......_... .__.__---_-._..__--- ---------_----------------- ............................. ------..._........_..._... --------------- ... ...._..... ------- --------........_......._. 1 9.2 Other private passenger auto liability...................................................................................... ............................. ............................. ..................�.......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Comnercial a;no-fault personalinjury protection).._._._..........____..._....__..._.__......_.. ....__...:........_...... ........_...__._......... ...................._....... _........_...__.....__. _._..............._...._. ......._......._...._..... 19.4 Other commercial auto liability..............................._._....._....__..........._.. ........ ............................. ............................. ............................. ............................. ............................ ............................. ............................. ................ ............................. ............................. ................_........... 21.1 Private passenger auto physical damage..........................................._.................................... ............................. .....__................... .........._ ........... ..............._............ ......................... __...._........_._...... _...... 21.2 Commercial auto physical damage ....._ ._.. ...__.. ...._._.._ .. ------__ __._.... _.___.___. ..._.... ....._. _. _ 22. Aircraft(all perils)................................................................................................................_. ............................. ............................. ............................. ............................. ............................. -----------................. ....._...................... ..._........................ ............................. ............................. 23. Fidelity........._._........................_......_.._....__-----._ ....................................... ........................._.. ......_._..............._. ..............._._......... .._................_....... .................._......... _______....._.._. __...._._........___ ._.._........_....._.._. ...................._._._. 24. Surety.........._._..............------............_..............._........_................__..............._.......3.034 ..................._2.754 _........................... .....................1.301 _....._.................... ............._.............. ............_...._......... .....__._.__............ ....................1.845 ............................. ............................. . 26. Burglary and theft......................._....................................................................................._... ............................. ............................. ............................. ............................. ............................. ............................ .....:....................... ............................. 27. Boiler and machinery_.............................._...._..._..._............-....____._...___................... ....................._..... _........_................ ..._.._.._____..._.. ...._.......:._............ ........ ................_-_ ...._...._....._.......... __.-_.___........_.. ........_..._...._._._.. ...._..........__._._..- 28. Credit......_............................................................................_..__...................................._... ............................. ....._...................... ..........................._ ............................. ........._.................. ............................. ............_............... ............................. ........._.................. ................_........... 30. Warranty._.._................................................................................__..._........................._.... ...................._....... .........._.. ___.__.._...... _.._............... .............__.... 34. Aggregate vmts4ns for other lines or business...................._..._......__.................................D ...........................0 ._........................0 ........................0 .................D ..............._...._.0 0 0 35. TOTALS a 3,034 2.754 0 1,301 0 0 0 0 0 0 0 1,845 DETAILS OF WRITE-INS 3401. ..................._................................................................................................................._..................................................................................,............ ....................................................................._...................................................................................................................................................................._. 3402. ................................................._................................................................................................_.._............_................................................................... 3403. _____....._........__........_......._...._ _ __........_.__.............._.._._......._....______................._.................._.._.........................._._....___..__.__.._......_...__.........._......_.....__..._.....___..._............._.__..._............._....._._....................._................_......._._.........._._.........._._............_.._._..-.__....._......._..._._...._..._..........__ ...._.............._.._.... 3496. Summery ofremaiNng vwila-ins for Line 34 from overflow Page..............................................D ...........................0 ................:..........D g ...........................0 ...........................0 ...........................D ........_............... .................._....... ..0 ...........................0 ......---..................D ...........................D ......:.................... 3499. Totals LNes 3401 thru 3403 lus 3498,.,==page above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Lines 1 to 35 8_............................_...... (b)For health business on indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under indemnity only products ----------------................... . 9 5 1i�3 22 4ii3 3�iiii1i�i�1�iii0�iii0ii�iiii ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Pennsylvania uring the Year 2012 NAIC C mpanv Code 29513 Gms3 Premiums,Including 3 4 5 8 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cast 1 2 , or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Prenduma Policyholders - Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Ucensee line of Business Written Eamed on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire......................................................................................... ............................. ............_......:....... ........._.................. ......._.................... _..._......._._............ ..........._..__....._.. ._._.....____._...... ...._........._.._.__... ..___..I..._._........ ..._........_.............. .._.......___.._....... IAllied lines........_............................_..._........_...................................................................._.. ............_............._ .........._................. ......._.................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. _............._............ 2.2 Multiple pail crop.........................................._....................................................................... ........................_... ......._.................... ..................._........ .._......................... ............................. ........._._................. ........._.................. ......_....._.............. .................._......... _........._..._............ 2.3 Federal flood...................................................................._............................ ..._...._._...._.___.. ............._..._.._... _......._..........._.._. ._...._..___.._...._.. ..............._............ ......._...._...........__ ..._.._ ........... .......... ._........... ..._........_.............. .._._...................... 3. Famiownere multiple peril.............................._............._........................................._............. ............................. ............................. ............................. ............................. ............................. .............._............. ............................. ............................. ............................. ............................. ..............._............ 4. Homeowners multiple Peril..........................................._.................................._....._.............. ........._.................. ....._...._......__..... ...___................._ .._..._....._._.____. ...__._.....__........ ..._..__.._............. ..._..._........_...._... 5.1 Commercial mul8ple peril(non-I lability portion)............._.........................._.......__..._.._....... ......__.._......._...._ .........._....__._.._.. ._._._............._..... ............_....._..._... ............................. ............................. ............._.........._.. .........._..._............ ......._.................... 5.2 Commercial multiple pad:Qlability portion)............................................................................... ............................. ....................._..... ....._............_........ .._............._.......... ............................. ............_............... ............................. .................._.......... ..._............._......._. ........._................... 8. Mortgage guaranty..........................._.............._....._....__._.....__........-................._............. 8. Ocean marine.......................................----..._...................................................................... .........._............._.. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Inland madne..............................................................._..........................._...... .............. ............................. ............................. ....._..................... .............__........... ..--------------........... ............................ ... ..........._............... ..._.._......._.__..... .____._......_.._..... ............................. 10. Financial guarany......_.....__....._._.............__....__..__._.........._....._......_............._._......... ...._......._............._ ............................. ........_........_..._..... ....._.-----............... ........................... _........................... ............................. ........._............._... ............................. ............................. ............................ 11. Medical Professional liability...................................................................... ..............._............ ............................. 12. Earthquake....................................... .._........._..............................._..................................._ ....._..____.._.......... _......_..........._..._ ....._......_....._...__. _.._._._................. _.....___.........___.. ....._.._.........._...... _......._....._...._..... __.........____........_. ...._..................._.. ....._.._.........._...... 13. Group accident and health(b)........................................._....................._.. 14. Credit accident and health(group and Individual)........................................... ..... .. ... ....... ...._. ........ ....... ... .. .. .... .. ... .. _. .. ... .. _.. _ 15.1 Collectively renewable acddent and health(b)......................................... _......_................_ ..........___............. ........................_... ......_.___._._..._. ..........__._............. _..................._.._.. ......_............_....... ......._._...........___ .._...........__.......... ........................_... 15.2 Non-cancelable accident and health(b).........................._....................................................... ............................. ............................ ............................. ............................ ........................... ............................ ........._.................. 15.3 Guaranteed renewable accident and health(b)................................................. ..........__.._...... ......_........_......_... ..._........._........._.. ......._............._.... .............._..._....... ..._._._..._.__.._..._ _.._._.__._...__.__ ........___.._..._.._ ... .....___._... .__.._..._..__._...... ...._.____._._..._._ ._............._......_. 15.4 Non-renewable for stated reasons only(b)...................___..__................._.........._.............. ........_...._._......_.. ...._....................... <p 15.5 Other accident only................................................................................... ............................. ............................. ............................. ............................. ............................ 15.8 Medicare Title Will exempt from state taxes or feet_..................................__._....__.._...._.. ............__........_.. .........._.........._._.. ....._._..._.....__._. ....._.........__......_. ..._........_.............. _......_.__..._..___ ........._.........._.__. ..._._.._.........__.-. ....._._..............._.. ........................_... ......................._.... D 15.7 All other Accident and health(b)................................................................ 15.8 Federal employees health benefits program premium(b)._.............._....................................... ....................._...... ...................._...... .......___................. ._................._....... ......................_..... ......__._.._....._..... ..._._............_._.... ...__.._.....___:.._. ..___...._.._..._........__..........._.......... __....._......._._...... 18. Workerecompensation..........................__.._._._........................__.........__...._............_...... -..........._........._.. _....._........._.._._. ................_.._._... ............._._...__.._...._... ._._...__................ ._......_._............... ............__............. ..._.. ........... ............................. 17.1 Other Liability-ogcunence..............._.................................................................................... ............................. ............................. ........_............._.... ............................. ............................. _.......................... ............................. ._... ............................. ..................._........ .._........................ 17.2 Other Liability-claims mad e............_....__......_......................._..............................._......_.... .._......................... .._._..._.. ........... ...._._.........._....... _... --.......... __.............---------- .._....------_............ _....._._..__.__..._ _._....___------...__. ............._............_ ..__......_...._......... .._.........._....._...... 17.3 Excess workers'compensation.................................................................._.... ....... 18. Products liability..................................................................................................................... 19.1 Private passenger auto no-fault(personal injury protectlon)...........__.............__......._.__-.... ............._.__......... ..........._............._. ..--......_.._......... __.._..__.._......._. ..............__...._..... ................-......_.... ._._......._.............. ..._....._................ _........................... ...._....................... ............................. 19.2 Other private passenger auto liability_.................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. --------.................... ............................. .......... ............. ............................. 19.3 Commercial auto no-fault(personal injury protection)...._..._...-.._............_._..................._...... ..._....._..............._ ._....................__.. .....___.._......__._. ._......__..._........... ..._..__......._....._.. _....._.__..._..__._ _...._..._.._......___ ......_.._._......._.._. ..........._......_.._.... ..__..._........_........ 19.4 Other commercial auto liability.........._......_....._...__.................................._.......................... 21.1 Private passenger auto Physical damage.................................................... ....... ............................. ............................. ------- m ................. ...... .................._......... ._............___....... ..._.____._...._..... _.._...._.................. ..._...........__......... ....__._.._....._...._ .._..._._.........._..... 21.2 Commercial auto phyalcaldaage. . ........ ... _..._._ ..._..._ ..._.._... _ ...__..__.......__ .. __....... . ....._.__. ..__ _._. __ ....._._ ._.._.._.. __ ._.._...... ......_._. -. ......_....... .._..._._.. ..... ..._... ......._. ....... 22. Aircraft - ... .. all Perils)............................................................................................................... ............................. ............................. ............................. ---........................ 23. Fidelity..............................._........................................................_..._...................._........._.: .._......................... .:.........._.........__. ......._..........._...... ..._........_..._...__. ._.._.__........___.. ........__........_.__.. ....____.._.____.. .___......_..___..... ...___....._............ .._._..._.....___...... 24. Surey._...._......................._...__...._............_..._........_..._.................:.....__._._._...4.192 ........._.........3.132 .......... ............. ........... 11.033 ....___................... ...._......_._.._........ ._......._................ ............._.............. .... ..... ..................._........ ........................767 .....................1.814 26. Burglary and thefl........................................................................._........................................ ............................. ............................. ............................. 27. Boiler and machinery.................................._..._................._......_......._.....__._......._......__. ..._....................... .. 28. Credit.._............................_............._..._........_........................................ ..... .................. ............................. .................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ...................._....... ............................. 30. Warranty......................................................................._....................................................... ............................. ..........._............... ............................. ............................. 34. Aggregateveite-Ins for other lines of business.........._...._......._...._..........._.....__..............D ...........................0 ..............0 ...........................0 ......................._..g ...._...._.......__....0 ._......._...._...._...D ...........................0 ...................._.....0 ._........................g .............0 0 ........................... J5. TOTALS a 4,192 3,132 0 1,033 0 0 0 0 0 0 767 1,814 DETAILS OF WRITE-INS 3401. ................................................._.............._........................................_....................................................................._............._................................ . .........................................................................._....................................................._........................................................................................................... 340 2. ....................................................................._..................................................................._......................_.........................................................__......._...._........._..._........._....................................._._............._........_...._..._........__._... 3403. ... ....................................................._...................................................._........ ... 3498. Summary of remaining write-ins for Line 341rom overflow Page..............................................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........................0 ...........................0 ..........................D 3499. Totals Unes 3401 tMu 3403 Plus 3488 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Lines 1 to 35 8...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ...................................... . _ 2 9 51 3 2 �0 1 2�n4 304 0 1 0 0����� ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Rhode Island uring the Year 2012 NAIC C rripany Code 29513 Gross Premiums,Including 3 4 5 8 7 9 9 10 11 12 Policy and Membership Fees, Less Rehm Premiums and Direct Date se Premiums on Policies not Taken DMdends Paid Direct Defense Direct Defense and Cost _ 1 2 or Credited to _ and Cost and Cost Containment Commissions Direct Premiums .Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Lasses Direct Containment Containment Expense and Brokerage Texas,Licenses Line of Business Written Earned on Direct Business Premium Reserves deduc0 a e Inwmed Lasses Unpaid Expense Paid se Inarced Unpaid Expenses and Fees t. Fire..............................:. ............................ ............................. ............................. ............................. ............................. ............................. .......................................................................... . 2.1 Allied lines............................................................................................................................. ............................. ....:........................ ............................. ............................. ............................. ............................. ..................._........ ............................. ............................. ............................. ............................. 2.2 Multiple peril crop................................................................................................................... ............................. ............................. 2.3 Federal flood........................................ ............................ ............................. ............................. ........................._.. ............................. ............................. ...........................:. ............................. .............._............. ............................. .................................................................................. ............................. . 3. Farm nt multiple peril................................_....._.............................................................. ............................. ..................._........ 4. Nomeownero multiple WI.................................... ............................ ............................. ............................. ............_.........I..... ............................. ............................. ............................. .............._............. ............................. ............................. ............................. ............................. ...................................... �.. 5.1 Can.'.' mltiple peril(rronOablliy portlon)..................................................................._... .............._............. ............................. ............................. ............................. ............................. ............................. .........................I... ............................. ............................. ............................. ............................. 5.2 Comrneralal miltlpie peril(liability portion)..................................:..........:: ............................ ............................. ..._....................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. S. Mortgage guaranty............................_................................................................................... ............................. ............................. . S. Ocean madne.............................................................................................................._........ ............................. ............................. ............................. ............................. ............................. . 9. Inland nW..............................._................................ - ................__......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 10. Financial guaranty.......................................................................................................:.......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 11. Medical professional liability................................................................................................... .... ............................. ............................. .._......_................. ..._._..................... ............................. ............................. :............................ ............................. ............................. ............................. 12 Earthquake..................................... ...-......................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ....................................................................................... ............................. 13. Group accident aild health(b).........................._. ........... ...................._....... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. :............................ 14. Credit accident and health(group and IndMduaO.................................................... - 15.1 CofledNey renewable acddeM and health(b).........:................................................................ ............................. ....:........................ ............................. ............................. ............................. ............................. ............................. .................:........... ............................. ............................. ............................. 153 Nonuncelable accident and health(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. 15.3 Quaronteed renewable accident end Aeelth(b)................................................... ...................... .................._......... ............................. ............................. ............................. ............................. ...--------............... ............................. ............................. ............................. ............................. ............................. 15.4 Nonr cable for stated reasons only(b)................................................... - 15.5 Other accident .... .................... ........................... ............................ .. 15.8 Medare Tide XVIII exempt from state taxes or f ees................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .........:................... ............................. 15.7 An other aaddent and health(b).................................................................. 15.5 Federal employees health benefits program premium(b).......................................................... ............................. ............................. ............................. ............................. .............. ..._........................ ............................. ............................. ............................. ............................. ............................. 19. Workers!compensatlon.....__................................................................................................ ......._................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............................. .............................. ............................. 17.1 Other Uablilty-ocwrrence.................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.2 Other Liability-claims made................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.3 Excess workers'compensation............................ ............................ ............................. ............................. ............................. ............................. ............................. ............................. 19. Products liability..................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.1 Private pauenger auto no-fault(personal Injury protection)...................................................... 19.2 Other private passenger auto llab0ity,....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.3 Commercial auto nodault(personal tnNry protecdon)............................................................... .................._--------- ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.4 Other commercial auto 0abiny................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ( 21.1 Prtwte passenger auto physical damge.........._..................................................................... ............................. ............................. - - 21.2 Convnadsl auto physical damage.....................................................:.................................... ............................. ............................. ............................. ............................. ............................. ..................._!....... ............................. ............................. r22 Aircroft(all Peru$)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............:................ ............................. 23. Fidelity............................................_..................................................................................... 24. Stesty,. ............................................................................................................................847 ........................682 .......................351 ............................. ............................. ............................. ..................:.......... ............................. ............................. ........................224 .....................2,09 26 Burglary and then................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .................................................................................. ............................. 20' and machinery.............................................................................................................. ............................. _........................... ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. 2& Credit.................................................:. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ................................................................................. ............................. 30. Warranty................................................................................................................................ ............................. ............................. ............................. - 34. Aggregate wdteans for other lines of trustneas.....................................................................0 ...........................0 ...........................0 ...........................0 ......................._:.0 ...........................0 0 0 0 0 .........:.................0 _ 35. TOTALS o 847 1 682 1 0 1 381 1 0 - 0 1 0 1 0 1 0 1 0 1 224 1 2.067 DETAILS OF WRRE4NS 3401. ............................................................................................................................................................................................................................................................................................................................:....................................................................................................................................................I 3402 ......................................:............................:.............................................................................................................................................................................................................................................................................................................................................................................................................. 3401. .............................................................................................................................:. 3498. Summary al remaining wrttedm(or Une 34 from overflow page..............................................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ....................:......0 ....................... 3499. Totals nes 3401 thru 3403 lus 34"'(Una 34 above 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and seM.charges not Included In Une,t to 35 S...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ....................................... - r - ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of South Carolina uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Polioy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken DNidends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Looses Paid Direct Losses Direct Containment Containment Expense' and Brokerage Taxes,U nses Line of Business Written Earned on Direct Business Premium Reserves (deducting a Incurred Losses Unpaid Expense Paid ense Incumed Unpaid Ex enses and Fees 1. Fire.............._._......._----- ..........._........_...... .. ..... ..._....____._........ ......_....___....__.... _.__..._......._....._._ ..___._____..._.... ..._...._.................. .__...____............. ......._.................._ .._.........._......._.- 21 lie ins .......................................................... ........................ .... ............................ ............................ ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril cop..................:................................................................... ... ............................. ............................. 2.3 Federal flood ............................. ............................. 3. Farmowners multiple peril....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .............................. ............................. ............................. ............................. 4. Homeovmem multiple peril._._..............__.............._._-.._.....:................_.................._.......... ._._...................._. ....._._....._.._........ ....._...___..__...... ._..._...__.._........... _..._............_._..... ._.._.___._._......._.. ............._._........... .._......................... ..........__-.............. ......................_..... ........_.._............... 5.1 Commercial multiple peril(non-liability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commercial multiple perdglabiliry portion).................................................. ............._.........._. .........................._. ...................._._.... ...__.......__._....__ ..........................._ ..................._........ ..................._....... ............................. ............................. ............................. ............................. ............................. S. Mortgage guaranty............._.._....................__.......................................... ._......_....._.......... ...._.........._............ ....._..............._..... ._.......................... ......................._.... ........____._.......... .........................._. ..................__....__ .. __...__ ........_._............ ............_._..__ _.... 8. Ocean marine.. ............................. ............................. ............................. ............................. ............................. ...............:............. ............................. ............................. ............................. ................_............. ............................. 9. Inland ma rim............................ ..................... .............._..._.._.._ .......... ....._.__.......__...... ----- ........_._............... ..----.__._,_........... ..._..._........................... ............................. ........... _........... .._......................... ............................. 10. Financial guaranty.................................................................................................................. ............................. ............................. 11. Medical professional liability................................................................................................... ............................. ............................. . ....... ............................. ............................. .........................:... 12. EarlhWake........___..................._._..................___..._._........._......__._.._....._..........__---- .........__..___...... ........._.................. _.__._.._.........._._. ---................... ._.._..__................._ ._.___._......._._... ____.__...___...._. _..._......._.._...._._ -___._........_.._.. 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and indhAdual)..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.1 Collecu"ly renewable accident and health(b).......................................... ................._..._._...... ......._..._............... ......................._.... ..............._...._..._. .........................._. .___..............._._.. __....._................_. .._...._........._........ ._._.........._........... .._._...................... ............................. 15.2 Non�canmlable accident and healt h(b).................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)......_-------------------------------._.........................._... ......_...._........._.... ....._....._..._.__..... ._...........__......_... ..._............__._..._ _......................_... ....._.._........._....... .._._.._...._._......... ._._________... ._.___._.._......_.. ...____.___........ 15.4 Non-renewable for stated reasons only(b)....................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. tp .15.5 Other accident only................................................................................................................ ............................. ............................. ............................. ............................. ...:......................... ............................. ............................. ............................. ............................. ............................. ............................. 0) 15.8 Medicare riide7Mll exempt from state taxes or fees......_...........__......................._.........__.... _..........._....._._.... _._..___......_....._. ..__............_......... ......._.......__._...... _......_......_...._..... ...._.._................... ._........__._...._..... ..._........._....._._._ ..._._._.................. .._........._.........._.. ............................. 0 15.7 All other acddent and health(1).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)_..._..........._..__................___.......... _.........._.... ....._..__............... ...._._._.._......_..... .____.._._....___... ..._._..._..-............. .._........__...__....... _......._..._..._-....._. __._.___............-.- ___.___....._._. ____._._......_..__ 18. Workers'compensation..._...................................................._.............................................. .............. ................._......... ..............._........... __........................ ........_... .... ..._. ............ ................_....._.._. ....._......._.._......... ._._.........__......_.. ..__.._...._............. ..................... 17.1 Other UabilI -ocanence..................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.2 that Llabiliry-deirtu made..._..__......................_.........................._.... ............................. ............................. ................. ............................. ............................. ............................. --------- ..... ._..... ------ .......... ------------ ---------................... 17.3 Excessworkere'compensation..:............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability..............................: - 19.1 Private passenger auto no-fault(personal injury protection).._....._.................._...................._. 19.2 Other private passenger auto liability....................................................................................... _ 19.3 Commercial auto no-fault(personal injury protection)........._....._............................................. 19.4 Other commercial auto liability................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.1 Private passenger auto physical damage.................-..__.._....._................._......._................. ............... .._....__.__._......... .__.._......_..._....._ ......__....__._........ ......._.__............... ................._._._.... .... ............ ......_...__..._......... ._.......................... .._......._.._............ _.....__.___..._.... 21.2 Commercial auto physical damage..............._.. .....................................-................ ......................._.... ....._......__._......... ._................._....... .._......................... .........__................ ......_............_........ ....._....................... _._........................ ............................. ..............._. 22. Aircraft(all perils)...................... ............................ ............................. ............................. ............................. ............................. ............................. ............I................ ............................. ............................. ............................. ............................. ............................................................................................. . 23. Fidelity .......... ....... ........ . ....... ..... 24. Surety..............................................................................................................................1422)..........................67 ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .......................1146)....................1,631 26. Burglary and thell............................................_............._......_..............._...._..._................... .._............... ..._._.. ......................_._.. .._............. _..._..... .......................... ... _................ ...__. .._._.... ...... ..... ...... ._................_........ 27. Boiler and machinery..................................................................__.._..............._.........._._.._ 28. Credit.................................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warra my.............................................................._...._...__._.._.. .._...__.............. ._...._....... ........_....__..._.. _._._...._........._.... .........._................. ................_........... ............................. ......_._............_.... .......__.................. ..........._...._...._.... .._....._.______.... 34. Aggregate write-ins for other lines of bus lness....................................................._...............0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................D .........................-0 ...........................0 35. TOTALS a (422) 67 0 _ 0 0 0 0 0 0 0 (146) 1,631 DETAILS OF WRr7E-INS 3401. ................................................................................................................. .-.................................................................................................................................................................................................................................................................................................................................................................... 3402. .._.._.._._..._................._....._................_............._.... ..........._............_................._..._........_...._.........._....._._._.._...._.__... 3403. ............. ........ ................................................................................................................................................................................. .........._.............._................._..........................._......__............_...._..............._..........._........_............_....._.................._.....__.........................._....__........._......_._...._........................._............................_._...._........... ......_.................................................._................................._......................... 3498. Summary of remaining write-Ins rot Llne 341rom overflow pe9e..............................................D ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ..............,............0 ...........................➢ ...........................➢ ...........................0 ...........................➢ 3499. Totals Linea 3401 em 3403 plus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Lanes 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ..._....................._._....... and number of persons Insured under indemnity only products .................. . III�II�IIIIII�IIIIINIIIIIIII�IIII�II�III�IIIIIIIIIIIIIIIII�IIIIIII�IIIIIII�IIiII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of South Dakota uring the Year 2012 NAIC C mpanv Code 29513 Gross Premium.Including 3 4 5 6 7 8 9 10 11 12 Poliq and Membershlp Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost .1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Dired Prendums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment _ Containment Expense and Brokerage Taxes,License, Line of Business Written Earned on Direct Business PreMUm Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ex enses and Fee, 1. Fire................................................_....................._.....................:...................._................... .......-_................... 2.1 Allied lines.....................................-`---................_........................._......._........_.......------ ......_........_.....----.. .........._......._........ _......_....._.----..... ......._...................- --......_................... _............_._.......... ....._.............._...... ............_............... ............................. ...................I......... ............................. 2.2 Multiple peril croP......................................................................._.............. ._ .. .-"...... ...__.___ .._._....._.._.......... ...._....................... ............................. ....._._..............._. 3. Famcwnero multiple Peril................ ............................. ............................. ......:...................... ................._.......... ............................. ............................. ........_................... ....................................................................................... ............................. ............................. ............................. ............................. 4. Homeowners multiple peril..............................._...._............................................................_. ....._ ......_.-_................. ..._..........._._...._.. ............................. ............................. ............................. ....._....._.....-.__.... ._._.._._........_.._ .._....._..____...._.. _._.._..._...._......... .................._..___.. 5.1 Commercial multiple peril(non-IIabIfly portion)...._........._..................._......._..._.................... ......._..__....._._.... ._..._.._................. _.._.......:_.........._. ..._......._.._........... ..-"-__-_.........._.. ...._..._............_.... ....._....._............... .................._......... ... ...................... .................._......... ............._.............. 5.2 Commercial multiple peril(liability portion)............................................................................... ............................. ............................. ............................. ............................. 6. Mortgage guaranty.:_....._.....__....................................................__._......._..._._------..__..... ..__._._............._.. ...._._---------------- 8. Ocean marine......................................................................................................................... ............................. ............................. 9. Inland marine................................................................................................._.................... ............................. ............................. 10. Finendal guarany....._........................._.............___.._......_.....................-.-._...._.........._.. ....._.._...........__... - 11. Medical professional liability..................................._.............................................................. ............................. ............................. ............................. ............................. ............................. 12. EaMquake......................_....................._.............................._......._........ _.............._.....---- _........._........__.... .........._._............_- ___........._.._..__. .__............_.___. ......__................_. .._..._..._....._........ ..._..............._._.... 13. Group accident and health(b)................................................................................................. 14. Credit accident and health(group and Individual)........................................... _ __..... ..............._._._._.. _._.._............_...... ........._._...__........ 15.1 Collectively renewable accident and health(b)................................................_.......__.._.._.... ._...............__....... ._.._............___..... ...._....................... _.__.......__......_.. ....__..._......_.__._. ....._.._._......._..._. .._-_.___..._...._._. _.._._.................... ....._......_...._........ ._........_._._....._.. 15.2 Non-cancelable accident and health(b)........................................................ 15.3 Guaranteed renewable accident and health(b)................. ...................................................._.. _........................... ._.._..._.._............ ........_......_........... ............................. .._..........._.._._.... ........._.._...._..._._ _..._....._.___...... .__......._..._..._..... .._.._..............._.._ ........_.._._._..._.... .._._....._........_... 15.4 Non-renewable for stated reasons only(b).............._........._.........._..................._......___....... ...___......._..._...... ........_................... ._._....................._ ...........__........._... ................_._.:.._.. .._.........._............ ............................. ...........I................. ...................... ................_ ....... ............................. tp15.5 Other accident only.............:................................................................................................... ............................. N15.6 Medicare Title XVlli exempt from state taxes or fees_................._._......._....._._.._._._.......... ............................. ............__............ ........ :....._....._._......._.. ............................. ......................_..... ...... .......____......._.._. .___..._..........___. ........___..._........ ...._....._........_...... 15.7 All other accident and health(b).............................................................................................. ....................._...... ............................ ............._.............. ..._........................ ............................. ............................. ............................. ............................. ............................. ........._.................. 15.8 Federal employees health benefits program prorrdum(b).......................................................... ........................... ....._...._.__.......... ............................. .._. ........... .__......_............... ......... _. ..__......._............. _..__................__ .._..._......__.......... ..._..._................._ .............. 16. Workers'a mpensation._...._....................................................._........._........._................_.. ......_..................... .................._......... ......................_._.. ............................. _._..__................. ............................ ............................. ............................. ....... ......_._.................. ..................._._..... 17.1 Other Liability•occurrence..............._........................................._............ ............................. ............................. ............................. ............................. ............................. ............................. ........_.................... 17.2 Other Uability-deime mad e...................................................................... ............................ ._..._....._._..__..... _...._..---__..._---. ..----.................-- --_..........-----....... ..._._._..............._ ..__........._............ 17.3 Excessworke ro'compensatlan.................................................................._................_......... .........................._. ............................. ............................ ............................ ............................. ............................. ..._.................... ........... ................. ..........._......_........ ............................. 18. Products liability..................................................................................................................... ............................. ..................... 19.1 Private passenger auto no-fault(personal Injury protection)...._._.._........... 19.2 Other private passenger auto liability.......................................................... 19.3 Commerdal auto no-fault(personal injury protection)......_..........._............. _....................._._. .......__.._....._...._. ..._._._...._.._..._... .........__.._....._..... .._._............_....._ ............._._._........ ........____.........._. 19.4 Other commercial auto liabi0ty......................................................._........... 21.1 Private passenger auto physical damage.-............................................................................. ............................. .........._..........._... ._....... .............. ............................. ...._......... ........ ....._._..........__.... ....._..-_..._........... ._.........._.._.._..... ._........_.........__... ....__.._................. ...._..._........._....... 21.2 Commercial auto Physical damage.. __........ .. .._._..... ......._. ... _.______ ...._._..._. ..... _.._.. ......__._ _ ..........._. ...._. ....._..._.. ......__._.. ._.__... .._.._ ........._. _.........._....._.. ....... .. ..... .... ... .._... _._........ _. ._ -. ... _. .. 22. Aircraft(all perils).................................................................................................................. ............................. ............................. .........I................... ........I.................... ............................. ........................I.... ............................. ............................. ............................. 23. Fidelity..... ............... . ............ ........... ....... ... ........ __- ... __.. ..____. _.__._... __._.... ..___ __.._...... _._...... 24. Surely ........................__..........._.__..._......._.....___....__.__..._......__........................._... ........_.................. ........................... .._...._........_._...... .._........................ .._........................ .......................'_.. .........I..........._..._. .........._.........___. ..............._....2.084 28. Burglary and theft.........................................................................._.................._................... ............................. ..........._................ ............. ............. ............................. ............................. ............................. ....I........................ ............................. -----....................... ............._............... ....._....................... 27. Boilerand machinery.................._._.................__.._.._.._............._.................._......_........... 28. Credit..............................................._...................._..................__.........._....._..._.........._.. ............................ ..........._................ .........._..........._.... ............................. ..........._................ ............................. ............................. ............................. ................_........... ............................. ............................. 30. Wane nty......................................................................................_........................................ 34. Aggregate writo-ins for other Ines of business..._...._....._._.._......_..........................._........0 ..................0 ...........................D....................____0 ...................._....0 .................D ...................0 ..........................0 ...........................0 ......................,0 .........._.a ................__0 35. TOTALS a 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 2,084 DETAILS OF WRITEINS 3401. ................................._......................................................................................_............................................................................................................. 3402. .........................................................................._.......................................... .............................. 3403. � ___......._...__.............._....___.............._..__.._........_.._..............___._........ ..........._. ...__._._............_......_.................................__.._..........._........................__.._....................._._......._.._....._..._...._......._.._._....._...._...._._.__..............._..........._._......._..............._.__.._._..........___..........._..._...._...._._.___._...._........_.__....._........._......_._............. 3498. Summary of remainlng writo-inafor Line 34from overflow page..............................................0 ...........................0 ............_.............0 .._...................._.0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 .........._...............0 3499. Totals Lines 3401 thro 3403 us r3 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included in Unes 1 to 35$..................................... (b)For health business on Indicated lines report:Number of persons Insured under PPO managed are products ...................................... and number of persons Insured under indemnity only products ...................................... . 2 9 1ii3 22 3 4 3 1 ii�0ii�0iiiiiii ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Tennessee Durinct the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 It 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Pollcles not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premium Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves (deducting salve a trimmed Losses Un aid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire........._......_..................................._..............._..._......................._....._.._...................._ ._............._._._.._ ...__._._......._.....- .____........_._....._ ._.......___..._....._. ........._...._........._. ._._........._.._........ 2.1 Allied linen........................................................................................................................... ............................ 2.2 Multiple peril trop........................... ............................................. ............................. ............................. ............................. 2.3 Federal flood..........................................................................__.................._.__................_ ...._..._....-............. ........_.._._.........._ ._.__._....._._------- ........................._.. .3. Famrowmners multiple peril...................................................................................................... ...................._....... ............................. ............................. ............................. ........._.................. ............................. ............................. ............................. ............................. 4. Horneovmere multiple peril......._........._......................_..................... .._......__. _........_.__........._. ...................._._.... .__._..._..__._....... ._._....._.._............ ...._..............._...... 5.1 Commercial muhiPle pad(non4labillty portion)....._..--'-_.........._................._........_......_....... ..........._._..._....... ........_._......._....... ......._._....._.......... 5.2 Commardal multiple ped101abiliy portion)............................................................................... ............_............... ................___....... ........._.................. ........................._. ............_......._.._.. ........._.................. ...._............._....._ ....._..__......._._.... .........................._. S. Mortgage guarenty....__..._.........__.._....._._......:............................_....__......_..._._............. ..._._._..._...._..... ......_...:........_..__. ..................__....... ............................. ..__......_....._......_ ._..............___._... ........__................. ................_........._ ._..................__.._ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......._.................... ............................. ...............:............. ............................. 9. Inland mad..._............................_....._._....._..................................................................._ ............_._............ ..._._............._...... ..._........................ ............_............... ...._._.................... __................_....... ---- ......_.............. _..............._.._...... . 10. Flnancial guaranty...._.......---......._............._............_........._..........._..._ ...._._ 11. Medical professional liability..- - - - .............. ......... pro ry.................................................................................................. ........................_... ............................. .................--�-�--.... .............-�---........... ............................. .......---................... ............................. ............................. ..... .......... ... ................. ............................. 12. Earth9uake....................._....._...._._--------------- _........_....................................._.................. .._.................-...__ ......_........_._-___ _.................._....... ..........__..........._.. ......._.........._....._. ._........._...._...._._ ...__......_.........__. 13. Group"accident and health(b)................................................................................................. _ 14. Credit accident and health(group and lndlvldua 15.1 Collectively renewable accident and health(b)........................._.............. ......._._..............._ _..._...__......_..._.. ..........__.........__.. _.................._..__ _ 15.2 Non-cancelable accident and healN 15.3 Guaranteed renewable accident and health(b)...........................__._..........--------..._...._.......... -----_.......-------------- ---------------------..... ............................ ------------------- 15.4 Non-renewable for stated reasons only(b)...._...._........................................... c015.5 Other accident only................................................................................................................ ............................. ...................._....... .............----_......... ............................. ............................. . 15.8 Medicare Ti de XVlli exempt from state taxes or fees,_........__.......__._.___. --------------------__... ..........__...._......... ............................. ......._._.__._.....__ ...._......_...._...._... ._............_........._. .._...............___..._ _............_.__....._. ......_. Z 15.7 All other accident and health(b).........................................................................I.................... ................... 15.8 Federal employees health benefits program premium(b).......................................................... ............................. ............................ ....................._...... ............................. 16. Workers'mmpen eabon......._.......__......... ....._..................... .............. .. ........_................... ...... ............. ..................._._.... ._.......................... 17.1 Other Liability-occurrence..................................................................................................... 17.2 Other Llability•claim made......._...................................................................._..._243,8 _...___......183,156 ............................. ..................116,290 ...........205,6013 .................515,614 ..._.._...__.440,89 ....._........__97,567 __._...._._.273,081 ____ 237,703 _._.............24,747 ....................9.143 17.3 ExmsswerkmWco mpensation................................................................... ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 1S. Products liability..................................................................................................................... .........................._. ............................. ............................ ............................. 19.1 Private passenger auto no-f auR(Pereonal injury protection)._.___.._........._.................. .... ........_................. .____ ............ ........__._......_...... ......_......__.._....._ ..__.._.........__._... ......._...._.._._..__. ._.........._._..__.._. ... ......................._.............. ............................. ............................. 19.2 Other private Passenger auto liability....................................................................................... 19.3 Commercial auto no-fault(personal Injury protection)_..._............_....._.._ 19.4 Other commercial auto l'ubility............._..........................___.__._..............._........................ 21.1 Private passenger auto physical damage......................_........................... ............................. ............................ ............................. ....................._...... .................._......... ................_........... 21.2 Commercial auto physical damage .......... ....................._ __.. .......- ........___ _._._. _ _. _ _ ..... .... _.._. 22. AlrcreR(all perils)........................................................_......................................................... ............................. ............................. ............................ ............................. ............................. ............................. .........._................. ............................. ............................. ............................. .............................. 23. Fidelity ....................__........_......_................._.......... ......._.._........................ .............._............. .._.............. 24 ...._..... .......__..__...._...... ............ .._.._..........._... ..._................._ ....................... 26. Burglary and theft.........................._............................_......................................................... ............................. ............................ ................ ............................. ............................. 27. Boiler and machinery _..._..........._....__...._............................................_......... 28. Credit.............._... _ . ............................. ............................................................................................................... ............................. ............................. ............................. ........................... ............................. ............................. ............................. ............................. ............................. ............................. 30. We rrenty................................................................................................ 34. Aggregate write-ins for other lines of business............................____..........__.._._............0 ............ ...........................0 ..............._....0 ____.................0 .__................ 0 ...................._.....0 .............._......._.0 ......__.........._.....0 ...........D ................._0 ................. _0 35. TOTALS a 243,904 1 183,301 1 0 1 116,337 1 205,603 1 515,614 1 440,857 1 97,567 1 273,081 1 237,703 1 24,747 1 9,143 DETAILS OF WRITE-INS 3401. .............................................................................I.-....................................................................................................................................................................................................................................................................................................................................................................................................... ._._...._..................._.._....._............._............._......._...._................................ ............................ 3498. SummaryofremaiMngwdtetins for Line 34finm overflow Page..............................................0 ...........................0 ..........................D ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ........................_0 ...........................0 ...........................0 3499. Totals Lines 3401 Nru 3403 lus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Linea 1 to 35$.............................3,888 (b)For health business on Indicated lines report:Number of persona Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ..... .............. . IIII I III I'lII l)Ill ll III II3III II2 ll III II III 2�� III II III II III 4 II III II III II VIII III I II I ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Texas uring the Year 2012 NAIC C inpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Prerums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Written Earned on Direct Business Premium Reserves deductin salva a Incurred Losses Unpaid Ex ense Paid Ex ense Incurred Unpaid Expenses and Fees 1. F] ................................... ......................_.._.............._...__...........--------..._......_..__._ ................_............ ..__.....____..._.. ............._.............. ...........__............_ ..._._._......_......__ ._........_..............._ _._..._.. ........__.._............_ .._....._............._._ ..._.._............._._.. 21 Allietl lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 22 Multlple peril crop................................................................................................................... ............................. ............._.............. _..............._._._.... .._......._..........._._ ._......_.................. ..................._........ _._..__................ ........_....._..... ._ ._..._...__._._._...... .._...._...."-.__._... ._...................._.... 3 Fedeml flood................:........................................................................... ..._.__.............. ..._................... ........................ ..............._....... .........__............ .._....._............. 3. Famlovrtlers multiple pedl....................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeownere multiple peril....._.................... .._._....._......._._... .._...._.._.._..._....... _......_.._.__.__..__. ........._.._........_.... ....._._...._.___..... _.._....................... 5.1 Commercial multiple peril(non•liability portion)........................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .:........................... ............................. ............................. 5.2 Co.rcl multiple pedl Oiability,portion)................................................... 8. Mortgage guaranty................................................................................................................. ............................. ............................. ............................. 8. Ocean marine........................................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 9. Intend marine..................................................................................................................._..... ...._.._...._............. .___._......._......_.. _._...._.................. ......_._._...._...___ _..._..__._...__._.. ...._............._._._.. ........._.._....._...._. .._......._._._........_ _........................... ................._._._.... 10. Financial guaranty.................................................................................................................. 11. Medial professional liability....................................................................... 12 Earthquake..........._......_._..............................._......_......_..._.................._.....__._._._...._... ................_....._.... _......._.................. ._.._..............__._. --- -- _..._........._.....__.. ....._........___.__.- _____..._.__....._.. ......._...........-- ...._-_-___-_..._.. ..................__..___. ......._.........._........ 13. Group accident and health(b)................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and individual)......_................_....._..............._................... ............................. ..._...._.......__....... .................._._...... ..__.__................. ..__.........__......_... .._...---._._...._.--- .___...__............... ......._............_.._.. ..._._.___.........._ ..........._......_..__.. _....._.........._....... 15.1 Collectively renewable accident and health(b)...... 15.2 Non-cancelable accident and health(b)..................:................................................................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)......._.._.........__._.___.................................... .................._._.__. ....................._._.. ._..._..... . 15A Non-renewable for stated masons only(b)............................................................................... ............................. ............................. ............................. cO15.5 Other accident only......_....................................................._................_......_._._.__.__._._.__.____._ ..........__............... ........._........_........ .._.....__................ ............................. 15.6 Medlars Title XVlll exempt from state taxes or fees. ....................__..._..._............... ....._._.._............... ................... ..... ..........._........._..... ..._____.............. ......_........._._.._... ............................. ..._......._............... .._................__..... ..__.____._......._. ..................._._..... ___._........._........ X 15.7 All other accident and health(b).............................................................................................. ............................. 15.8 Federal employees health benefits program premium(b)................................._..: 16. Workers'compensation.......................................................................................................... 17.1 Other Lisbillty-oc mina................................................ ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......................... 17.2 Other Liability-claims made..............._..............._.._____._._.._.._.._......._...._..............._... ............................. ............................. _ ........... ....................._...... ............. ......................._... ...........- ..__..................._.. ............. ----..........._..-- ............... ............ 17.3 Excess workers'compensation..................... ......... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 18. Products liability_.............................................. .. ........ ...... .......... _ ..._._. __.__._ ........ ._._ 19.1 Private passenger auto no-fault(personal Injury protection)......._................. 19.2 Other private passenger auto liability....................................................................... 19.3 Commercial auto no-fault(personal injury protection)._._..................._---.---------..___.._..__. ..___.................... ............................. _......_..........--- ........._-............... ...........__.............. ....._.._...__.._.._... 19.4 Other commercial auto liability................................................................................................ ............................ ............................. ............................. 21.1 Private passenger auto physical damage......................... ........_... .. ..._..._.........._....... .................__...._.. _....___....._..._..... ..._.........._............ ......._.................... ..._........................ ........._................... ........_..__........_... ...........__........_.... .__..........___........ 21.2 Commercial auto physical damage ...__.... .. ...._ .......... ..__.... .......... .. . ........ ...... __......_.._.... ....._... _...... 22. Aircraft(all perils)................................................................................................................... ............................. ............................. ..:.......................... ............................. ............................. ............................. ............................. ............................. . ............................ ............................. ............................. 23. Fidelity..............................................................................................................................:. 24. Surety........................................................................................................ ....................1.015 ............................. ........................(89)......................I........ ............................. ............................. ............................. ............................. ................._........... ............................. .....................1.622 ............................ . 26. Burglary and theft...................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 27. Boiler end machinery.............................................................................................................. ............................. ............................ ........_..._.............. ...._........._........._. ....._...._......._....... .._..._._._._...__... ._._._..._............... .....__._..___..___ _._..........._.......... .........._...._._._._. ......__._................ 28. Credit.................................................................................................................................... ............................. ............................. ........ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Wamanty........._................__......._.............._......_................................_.............................. .........._................. ........_._..._........... ......._.................... ....._._._................ ...................._....... ..__..__.............._. ........_...__.__._.. 34. Aggregate write-ins for other lines of business..._..._._............._......................__....._......_0 ...........................D ................D ............................0 ............_..._........0 ...........................0 ...........................0 ..........................9 ........................_.0 ._..._...................0 ._.._...._..........._.0 .........................:.0 35. TOTALS a 0 1,015 0 (89) 0 0 0 0 0 0 0 1,622 DETAILS OF WRITE-INS 3401. ................................................................................................................................................................................................................................................................................................................................................................................................................. 3402. .........................------------------............_...................................._._........................_..............._................................_._._......'___........_.. ................. ......................................... ..._......................... 3403. ....._..............._...............................__...._......._............._.___.__........_._..._..._...................................._...._____.__:. 98 S............._re....inin.. ........f..... ..._. ....__............_... ......_....._..... ..................... ..................... ..........._....... _................... ..__.___....__ .._.................. ..................... ..................... _._...._._..._.. ......_............ ..._........._..... ............. ......... ....... ..... ..... ......... 34 Summery of na g leans or Line 34 from overflow page..............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499. Totals Lmea 3401 thm 3403 lus 3498 Lin.34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$...................................... (b)For health business on Indicated lines report Number of persons insured under PPO managed are products ........._._._.......... and number of persons Insured under Indemnity only products ...................................... . ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company,ii EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Utah uring the Year 2012 NAIC C mpany Code 29513 - Gross Premiums,including 3 4 5 5 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums an Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Uneamed Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,U nsas Line of Business Written Eamed on Direct Business Premium Reserves (deducting salvo a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fee, 1. Fire ........................................................... _..............._..._..... .__........................ ..._.._................._. _.._........_...___... .............._...__._... ...._..._._............... ...____.___.._..__ ..........__..__.._.... .....___.........._.__ ............................. 2.1 Allied lines........................_......._._...."........._._............._..........................__............-..... ..._........................ .----....................... ...._......_....._........ 22 Multiple peril crop....................................................................................... ............................ ._......._................ ............................. ............................. ........_.._............... ......_................----- -------- ............. ......................_._. ........... .._.............. ._.._..._..............._ .... ............... 2.3 Federeltl Dort......_....._..............._.....___..........._.. ....._ .......__............._._ _._..............__...... ...._......._._........_. _..................._...... ..._....................._. ..._..........__......... .._................ 1 Famiowners multiple peril....................................................................................................... ....................:........ ._.......................... ............................. ............................. ......_..................... ............................. ............................. ............................. ............................. 4. Homeowners multiple peril.............................................._............................._...................._ ....._.................._.. ......-_................... ......_..........._........ ........._..._._......__ ._:.........._........._.. ........................_... ...............__..._.._. ._......._....__......_ ......._.. 5.1 Commercial multiple pert[(non-llabilRy portion)........................................................................ ............................. ............................. ..................._........ ............_............... ............................. ............................. ................._.......... ............................ ............................. .......................:..... ............................. 5.2 Commercial multiple peril(liability portion)............................................................................... ............................. ............................. ............................. .....................I....... ............................. ............................. ............................. ............................. ......................_..... ............................. 8. Mortgage guarantY..........._......_.._...._........................_......._......................._................_.._ ......._.._...._........_ .........._..............._ .................-__..... ------------------......... ........_......._.......... ........._.................. 8. Oman marina........................................................................................................................ ............................ ....-........................ ............................. .................:........... ............................. ............................. ............................. ............................. ............................. ...............:............. 9. Inland marine............................................................................................. ....._.._._..............- ....._....._..._.......... ........_..._......_...... ......._....._......_...._ ..._.............- ............... ............................. ............................. ............................. ............._.............. 10. Financial guarany........................_.................._............_.................._.__...._........_._......_.. _.........__.._......... ..........._.........._.... ............_......__..... ........... ....... .........................._. ....__........._._....... ......................._.... .__._..._..........._._ ............._.........__. .............._....._...... 11. Medical professional liability....................................................................... 12. Earth9uak.......................................__.................._.............._.......__...._....._..._..._........._. ...._.......__........_.. ._........._............_. ............._.............. .....__..._..... . ........__...___.._... ..._..__..._............. .__......_....._._.__ .._.............._.._.._. .. .. 13. Group accident and health(b)......................................._...................................................._. 14. Credit accident and health(group and Individual)..................................................................... ............................. ..............._._......... ...................._....... ............._.............. ........._.._..._....._. .._.__.._...._......._ ........_._...__........ ..__.._................... .._..._............_...... ........................_... 15.1 Collectivey renewable accident and health(b).__...._.............._.._...._......._...._.___.._........._.. .......__........._...... .__.........._............ ....................._...... ............................. ....._..............._:_... ._........_....._......... ......._..._.._.........._ ...._........_...__...._ .......__.._..._....._.._. ..__............._........ 15.2 Non-cancelable accident and health(b).....:............._............................................................... 15.3 Guaranteed renewable accident and health(b)............................................'"._........_......._.... ................._........ ._..__--'................ '_..._._................ _.........__.........__ ..........__.___.._.. _....__.__._._......... _.._....._.......____ ........_____._._..... ._.___........_....._.. ........._....__.......... 15.4 Non-renewable for stated reasons only(b).............................................................................. ............................. ............................. ............................. ............................ ............................. .................._......... ............................ ............................. ............................. ............................. <O 15.5 Other accident only................................................................................................._............. C15.8 Medicare TiUe XVlil exempt from state taxes or fees_...__................_...__ .._........._........._.. ........_....._........... ._...__.._.. ----- .___.. .............. ._................ ...._.........._._.__. ..( 13.7 All other accident and health(b).................................................................. ............................ ............................. ............................. ............................ ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)...................................................._.... ............................. ..... ............................. .........................._ .._..._._.._............. __.__......_......._.. ___.__.._............_ _._._...._..__......... _.....__._..._..._..... ..._................__... _._......_......_........ 16. Workers'mmpensation......._.._.._.............._..._..._......._._.._..._.........................___.._..... ........__......._........ ...._...........___..... _.....__.._.._.......... ...:._. ......_............_....... ............._.............. .................._._...... ............................. ................._._....... 17.1 Other U.blllty-occurrence........................................................._.........................._............: 17.2 Other Uabiliry-daims made._....................................................__.__. . _.__. ........... ............................. .................... ..................__.... ..........._..__._....... ......_..__.............. .._............._._...... __....__........._..._ ...................._._.... ..... ........ ......... 17.3 Excess workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. .......... ............ ............................ ............................. ............................. ............................ ............................. 18. Products liabiliry.:_...................................................._........................_................................. .........................._. ...._..._.................. ............................. .._....._...._....._..... ....._._........_......... ....._._._._........_._ .____......__....._.. ..........._................ ..............._..._....... ._.._.._................-. ......._.............__.. 19.1 Private passenger auto no-fault(personal Injury protect ion)..._............................... 192 Other private passenger auto liability......................................................... ...............__.......... 19.3 Commercial auto no-fault(personal injury protection)..___.._.__..__._...................19.4 Other commercial auto liability.._............._.............................._.._...................................... 21.1 Private passenger auto physical damage....................................................._.......................... ........................._.. __......................._ .........._................. ............._.............. ............................. ........................_.. .......... ...__._.................... ..........._._...._._.... .........___.._.._..... .__...............__..... 21.2 Commercial auto physical damage .. ...._. ......... ._....____............... __......... __ ...:... ._._..._.. - ...____.. ......_.. .......... ........... ....... 22. Aircraft(all perils).........................._..............................................._..................................... ............................. ............................. ............................. ............................. ......._................... ............................. ............................. 23. Fidelity................_................................................._.............................................................. . ............................ .__......_........_._... .._...........__..._..... ._.....__........._...... ......._._.._...._.._... ....._..__............... _ __........._..__._ _........._......____. ......_.____._........ ._.__........."'-'.._ ..................__.32 24. Surey.._......._...._................................................._..............__....._.._........._.................._.. ........_..._.__......... ..._........................ ................_........... ...__...................... _.__..........._......... ............._...._...._.. .......................732 28. Burglary and theft.........................._......................._.............................................................. ............................. ............................. ............................. ............................. ............................. ............................. Boilera machinery - ............................. ................... ___........:....:...__.. --------------.._._..._.. 28. Credit.._..............._......................__............................................................................._...... ............................. ............................. ............................. ............................. 30. Warranty.............__....................._........................_................._.........._-.---_...........---------- ..............._............. ........................... ............................. ....._........_............ ._...._... ........ ................_......._.. ....._...................... _.........._.._.....__-- .._._.....---_......_.. ...._.._........_-___ ._............._.---...... 34. Aggregate wrlte4ns for other Ones of business..............................._.._.................................0 ...........................0 ..............__0 ...................._._..0 ..................._0 ...........................0 .................0 ............_0 ................... ....0 ....._.._._....._......0 .....................D ......_...._.............0 35. TOTALS a 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 732 DETAILS OF WRITE-INS 3401. ............................................................................._.................:...................................................... ..............................................._....................._......................_........................................................................................................................................................................................................................... ...... 3402. .........................................................................................................................----.._............................................_......................... 3403. ._.....__._.........._...............__...... .__...._................................................_..__....__-__..............................._...................__.........................._................_._..._...._........_._...........__..._...._......................................._........_.._......._........._._...................__ ......................._............._.._...._.......... 3498. Summary of remaining write4ns for Line 34 from ovarfiowpage..............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..................._......0 ...........................0 ..............0 ...........................0 0 3499. To.,Lines 3401 thru 3403 Iva 3495 Lina 34 above) 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges notincluded in Lines 1 to35E . ........................ (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products _........................_.......... antl number of persons insured under indemnity only products ...................................... y • VIIIII�IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIOIIIIIIIIIIII�IIII11111111'IIII�IIIII 2 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) - NAIC Group Code 1228' Direct Business in the state of Vermont D.M.the Year 2012 NAIC Com an Code 29513 Gross Premlurm,Indutling 3 4 5 8 7 8 9 10 11 12 P_Z and Membersh p Fee" Leas Return Premiurm and oued Date- P-e t-on Polides not Taken Dividends Paid Direct Defense Dired Defense and Cost •-- - - -- - _ 1 2 or Credited to and Cost and Cost Containment Cortniastona Direct Pentiums Direct Preniunn Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Mae". Taxes,Ucenses Une of Business Written Famed on Direct Business Aw-Reserves deductln Wraps) Incurred Losses Un ald nee Paid Expense Incurred Unpaid Er ensm and Fees i. Ft......._............................................................. ..._.............................................................. ......................_..... ............................. ......_..................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.1 Allled lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 22 Muldple P.0 cr op ................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 3. Famgwners m88ple pad]..._.................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril...................................................................................................................................................................... .......................................................... .......................................................... .......................................................... ......................................................... .......................................................... .......................................................... ....................................._................... .......................................................... ................:......................................... .......................................................... .........................................................51 Commed21 multiple pad)(mMlabiliy,portion) . 5.2 Commerdel muttiple peril Viability portion)............................................................................... ............................. ............................. ............................. _........................_. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 8. Ocean aradne........................._........._............................._.................................................. ............................. ............................. ...._....................... ............................. ............................. ..........................:.. ............................. ............................. ............................. ............................. ............................. ....................:........ ............................. ............................. ............................. ............................. 10. Financial guaranty.......:.......................................................................................................... ................._.......... ............................. . 11. Medial professional Oabiltty_...................................................................._........................_. ........................._.. ............................. ..................._........ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 13. Group accident and health(b)................................................................................................. .............._............ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 14. Credit accident and health(group and Inmvldua0..................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 151 Collecth'ay rerrovnble accident and health(b}....._.................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.2 Non-cancelable accident and health(b).......................n...................._:................................_. ............................. ............................. ............................. ..........:.................. ............................. ........_................... ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewable accident and health(b)......................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.4 Nonr -blefor stated reasons only(b)............................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. rD15.5 Other accident oM'..........._................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Medlare Tide XVIII exempt from state taxes or f eet................................ ....................... ........................ ........................ ........................ ........................ ........................ ............................. ............................. ........................ ........................ ........................ ........................ .. ... .. ... .. 15.7 M other accident and Aea1M(b).............................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal enpleyees health benefits program premium(b)...........................:.............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..........................:.. ............................. ............................. ' Is. workers'wrrpenaa0an.........................................................:................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 17.1 Other Liability-occumena........................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .......................................................................... ............................. ............................. ............................. ............................. Other Liability aura male..............._.................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ....................... w ...... 17.3 Excess orkers'conpensation................................................................................................ ...................._....... ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. ....................._...... 18. Products liability..................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.1 Private passenger auto no-fault(personal Injury protedlon)...................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.2 Other private passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. .................._......... 19.3 Cortmercial auto no-fault(personal injury protection)............................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 19.4 Other commercial auto liability................................................................................................ 21.1 Private passenger,auto physical damage................................................................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 21.2 Commsrdsl auto physical damage............................................................ ............................. .............................. ............................. ............................. ............................ ..............._............ ............................. ............................. ............................. ............................. .............................. ............................. Aircraft a peril,)............._.................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 23. Fidelity.................................................................................................................._............... ............................. ............................. ....................._...... ............................. ............................. ............................. ............................. ............................. ............................. .............................. ......................-..... 24. Surety...........................................................................................................................4,294 ................._..4,189 ............................. ................._..2,129 ............................. ............................. ............................. ............................. ............................. ............................. .....................1.135 .....................1,725 28. Burglary and theft.................................E................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ...._....................... ............._.............. ............................. ............................. ............................. 27. Biller and machinery.............................................................................................................. ......................_..... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ..................�......... 28. credit..........................................._...................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ....-....................... ............................. ............................. ............................. ............................. 30. Warranty................................................................................................................................ ............................. ............................. ............................. ............................. :............................ ............................. ............................. ............................. ............................. ............................. ............................. 34. Aggregate wdte4ns for other Ones of business................................................:.....................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 35. TOTALS a /294 4 189 0 2 129 0 0 0 0 0 0 1.135 1 7� DETAILS OF WRRE-INS 3401. .........................................................................................................................................................................................................................................................................................................................................................v. ............................................................................................................................ 3402 .........................................................................................................................................................._............................................................................. ............................................................................................................................................................................................................................................... 3403. ............................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................:..... 3498. Summary of remaining write-Ins for Line 34 tran overflow page..............................................0 ...........................D ...........................D ....................._....0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499. Tothls 3401 hro 3403 us 3498 Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service dterges not included In Line 1 to 35 8...................................... (b)For health budrross on Indlated lines report Number of persons Insured under PPO managed are products ...................................... and number of persons Insured under Indemnity,only products ...................................... . IIIIIIIIIII9�II(IIIIIIIIIIIII(IIIIIIIII1 (IIIIIIIIl3 lllllIIIII 4IIII(IIII1IIII0 IIIIIIIIIII ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES (Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Virginia uring the Year 2012 NAIC C mpanV Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Prerums and Direct Defense PreMums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business Witten Earned on Direct Business Premlum Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ex enses and Fees I Fire ....................................._................................_. ..__....._...._.......... ........._........._..._.. ................._____.. .._._........._.._.__. ...__......_._......_._ ....._._........_......... ........___............_. Allied nee...................................... ........._................. .........:-_..._. ........ ............................ ............................. ............................. ............................. ............................. ............................. .._......................... ....._...................... ............................. ............................. 2.2 Multiple Peril crop................................................................................................................... ............_....._....._.. ......._......._........... ............._..._......._ ..._...................._. ............._.........._.. ......__................... ._...._......._._....... ............_......._..... ......._ 2.3 Federal flood................................._................................. ............_.._....._.... ....................._...... .._......................... _......__................. ._......__......_........ .................._......... .................._..._.... ._....._.................... ............................. 3. Fampvmers mutiple pail.................................................................................._................... ............._.............. ............................ ...................._....... ......................._.... ............................. ............................. ............................. .._......................... ............................. ............................. ............................. 4. Homeownero multiple peril............................................._._..__................................_.......__ _.........__......_...... ....._.._....._........... ...._.___................ .._.._..____.._...... ........._.__.........__ __...................._._ ._ ....... ._._ .............._...._..._.. 5.1 Commercial multiple peril(non4iability Dorton)...................................................._.................. ............._.............. ................_........... ..................._........ ............................. ............................. ............................. ............................. ............................. ............................. ............................. 5.2 Commerdal multiple peril 0lability portion)..........................................................._.................. ............................ ............................ ...........------............ ......................._.... .........................._. ............................. ...... .... ........_.................. ............................. 6. Mortgage guansnty,..........................................................._.......................- 8. Ocean min".............................................................._.................................................... ............................. ............................. ............................. ............................. ..........................._ ............................. ............................. ....._...................... ............................. ............................. 9. Inland rnad ....._................__.. ......._..............___ ._......................... 10. Financial guarerdy,.................................................................................................................. 11. Medical professional liability................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 12. Earthquake.e..n...a....d_..e..._th........:........_._.-.----..._.................................-....................................._.._.............. ......_....._........... ...... ...........13. Group accident n hal@).................. . ..._.............. .................... .._.._...._._............_.............. .............._...... 14. Creditaccident a rd health(group and individual). 15.1 .....................................__ .._..... ..._._......._._.__.._....................................._......... ....._......__..._......._....................._........................... ._.__..............__....._........._...._..........._.................... ..._......._.........._....._.....__....._.._............._..........._. ......................._....._.........._...._......._......_....._.._.. .............._...._..................._............._._..........._.... .... Colleoll"ly renewable accident and health(bj........._.._..__.._............................._.................. .........._............_... .._................_..._.. ._......._..._..._....... ......_.........._...._... ......._......_........._ ..._._._._......_..._.. .........._................. ._.........._......__... _...._._................. .............._._...._.... 15.2 Non-cancelable accdent and health(b)......................... ............................. ..........................1. ............................ ..........................._ ............................. ............................. ........_................... ............................. ........................................................... ............................. 15.3 Guaranteed renewable accident and health(b)..............................._.__.............._................... ---...._................... .._........................ .._.__..... ......... -----....................... ..........._...._.......... .._.__._..............._ ..........__..__.__... _........_......._...__. __._....._.............. _._._. ..._......._............... 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. ............................. ...................._....... tD15.5 Other accident only....................................._......................................................................... 15.6 Medicare Title XVlll exempt from state taxes or fees........................-......... ......._.................... ............................. ........................... ............................ ......... .......... .......... .... ....... ...__.........- _............_...- .................. .............. D 15.7 All other accident and health ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.8 Federal employees health benefits program premium(b)...._..............................._....___........ _._........___....._... ..................._......_ ....._.........__......... __..........____._. .............._..........._ .___._................... ...._._......_........_.. .._...._..._.............. ........__._..._._...... ........._..........____ _..._..............._._. 16. Workers'mmpensation........................._...................._................... ............................. ............................. ..._......._.............. ...._...__....__........ ..........................._ ......._.._................ ._..............._._...... .........................._. ....._...................... ..._.._.............._.... ............................. 17.1 Other Llabi liy•occume nce..................................................................................................... ............._............. ................._.......... ............................. ............................. ............................. ..................---------- ............................. .._..................... .. ............................. ............................. 17.2 Omer Uabillty-claims made............ ........_............................................._......._. ..-........................ -------.............. -------.------.._ _......--------------.._ ----------------- -...---._._._.__._ ......_..-----.......__ ....._......---------- _..................._...... _................._._..... .................._......... 17.3 Excess workers'mmpersation............................................................................_.................. 18. Products liability................................................................................................._......_........... 19.1 Private passenger auto no-fault(personal injury protection)...___.__..........._._..._.................. -- 19.2 Omer private Passenger auto liability....................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. .._......................... ............................. ............................. 19.3 Commercial auto no-fault(personal Injury protection). .................._.......................... 19.4 Omauto Other commercial a liabiliy . ................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................... ............................. ............................. ............................ 21.1 Private passenger auto Physical damage............................................................_.................. ............_.............. 21.2 Commercial auto physical damage.. .. ..... ._....._ ... ...... ....._._ _.___.._... ......... ..........: ......... ._ .__........ ...... .... __.____...._ ......___. ........ .._......... _ ......... . _.....___.......... ___........... ......._.__.._.. 22. Aircraft(all Pails)......................:................... ............................. ............................. ........................_... ........................... ............................. .......... ............................. ............................. ............................. ............................. ......................................................................... ............................. 23. Fidelity......................._................................................................................._.._....._.......__. ..._.............._........ .................._......... 24. Surey._._._.........................._..._......._._.....__.__.__........_.........._............................255 ..._._....._........256 ..._._.........._........ .._............_.__._52 ....._...................... ........_...._........._.. ............................. ..................__....... ._... ... ..........................76 .....................1.343 26. Burglary and theft................................................................................................................... ............................. ............................. ............................. ----........................ .. 27. Boiler and machinery......................................._.....__..._........................ -.......................... ......._................---- --------------............... ....------------------.. 28. Credit..................................................................................................................................... ............................. ............................. ............................. ------...................... ............................. ............................. ............................. ............._......_...... ............................. ............................. 30. Warranty-..................................._............._.................-......_...... ._.__..................... ......................._.._ .._..............._........ ...._._..._..........._.. ....._................._... _. ..__. ........_.._..........._.. ..__..._.................. 34. Aggregate writsins for other lines of business.....................................................................D ...................__._..0 ...........................0 ...........................0 .................D ...........................0 .........................D ....................D ................_......_D .......................0 ..........................D ....._....................D 35. TOTALS a 255 1 256 0 1 52 0 1 0 D 0 1 0 0 1 76 1 1,343 DETAILS OF WRITE-INS 3401. ........................................................................................................................................................._..................................................................................................... 3402. ................_..................................................:.................._..................................................................................................... 3403. ____....................... _.__.......... __._...._. 110..................... _..._......_..........._...__..........._..................__..........................._...............__....._.._....._...........-- "".___.__.__................._..._._...__....._._._............_..... ....._..........._......._............................_..........._.._.........._.. _..__._........._........ 3498. Summary of remaining writo-ins for Line 341rom over6ow page............................................_0 ...........................➢ ...........................0 ...........................➢ ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 3499. Totals Lines 3401 thro 3403 lua 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35 8...................................... (b)For health business on Indicated lines repot:Number of persons Insured under PPO managed care products ......_.............................. and number of persons Insured under indemnity only products ..........._......................... . IIIIIIIIIIII'III�IIIIIIIIIIIIII�IIIIIIIIIIIIII IIIIIIIIaII�IIII)III11IIllllll�llllll�lllll ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company, EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIL Group Code 1228 Direct Business in the state of Washin ton uring the Year 2012 NAIC C mpany Code 29513 Gross Prer iums,Including 3 4 5 6 7 8 9 70 11 12 Policy and Membership Return Retu Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost and Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Une of Business Written Earned on Direct Business Premium Reserves (deducting salvage) Incurred Losses Unpaid Expense Paid Expens e Incurred Unpaid Expenses and Fees 1. Fire........................................ ................._....._.. .-..-................. __.._......... ...-.-.---.-._.....--_.-... -_..-.........-..-.__..-.. ....-_-..._---..-._..__. ..-.._.._..._._._.-..... 2.1 Allied lines............................................................................................................................. ............................. ............................. ............................. ............................. ............................. ............................ ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop........................ ......................................................:.................................... ............................. 2.3 Federal flootl-......_.................... .-...-....--..-..--_..-._.. -...-.-...._.-.._......._. .............._._...__-_ ._....._.._..._........_ ..--_.._._..__.......-.. ..._..___.____-..._ ....-.----__._......--.... 3. Famawnere multiple peril............... ............................ ........-.................... ......................-...... .--....--.--................. .-...-..-....--.-....-....... ............................. ............................. ............................. ............................. ............................. .........................-- ............................. ............................................................ 4. Homeowners multiple peril..-_-...._.................._._........_....................................................._.- -..-......-..-.-.--.....-...- ............................. _......._.................. .-.------------.--------_.-- .._....--.-_--............. ........ .............. ...._..........._..-..--... ..-........_._.__......- 5.1 Commercial multiple peril(noMiability portion)........................................... . 5.2 Commerctal multiple peril(Ilabikity portion)------------------------------------------------------------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ............................. ............................. ............................. 8. Mortgage guaranty._........_...._......................_...-.--.-.._-._--.._-.._-.--....................._.--......-"-.. ..........--._.............. .._._-._--..__----.-- .........--.............--... ....--............--._...... ....--....--....._......._. __....__.____.-_.. ..._-..__-....-....._.... ........_..--___.__ .-........._......_...._. ...............-........__. __._..-..........--._-. B. Ocean marine....................................... ............................. ............................. ............................. ............................. ..........................-.- ..-............-...-.-..---.. .-...-......-.......-..-..... .................-........... .-........-......-........... .......................-..... .-.....................--.... ................................................................................. 9. Ird nd marine----------------------------- ............_..-............ ..........................-.. -....-...-..._.......-.._.- ......_..........-......._. ._.-...__.--........-..... ............__....:_...... ..........-.._....._.--..-. ....... 10. Financial guaranty...................._.....-.--...-.......-..-...............__....................._.........._....._.._.._ 11. Medical professional liability.................................................................................................... ............................. ............................. ............................. ............................. ............................. ........................ ..... ............................. ............................. ............................. ............................. ............................. 12. Earthquake.-.......__._.-.-......_.__......................_..-....._..........._-....--.........-..._.-.-..-...--.-..-.-..- --...-.......-.-.--___.... ........_.......:......._.- .-.-..--.......-.__----._. -..-_....-..-..-..-..._..-. ..........--.--.............- .....-.._..__.........._. ...._..._._....._.__. ...-...._.__. 13. Group accident and health(b)------------------------------------------------------------------------------------------------ ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- ----------------------------- 14. Credit accident and health(group and Individual)..................................................................... ............_............... .....-....--...............-- ............................. ...--..........--..-.......-. ............................. ...........................-. 15.1 Collectively renewable acdd.nt and health(b)......................._.........-...........-...._-..---.--.-......---- --....._.-...._......-..... ..........--............__- _......_............._.... ...-............-.-..-.....-. .-...-..-.-..-....._._..... .._..................._.... _._....--._....--._..... ............................. ......_......._....-........ ........._............-._... ....._..-.._..--..-..-..... 15.2 Noncanxlable acddant and health(b)...................................... .............................................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 15.3 Guaranteed renewble accident and health(b)-............................................._.-....-..-_......._._ ....._...................... ............................. ............ .......................... ............................. _._................._..-. 15.4 Non-renewable for stated reasons only(b)............................................................................... ............................. <O 15.5 Otheraccident only................................................................................................................ ............................. 15.6 Medicare Tifla XVlB exemptfrom statetaxas orfees............._......-_..-.-..._. __.-.._._-.-............. ..._....................... ........................... _..._.-.._...__.._... ........_.....-._..-._.._. -......_-....._.-...._._. __......................... ......._......_........_.. .._.-._._......_......... .........._............. _.. ._.__._...__..._-._... ._._..-...__.._....._.. D 15.7 All other accident and health(b)............. ...................-..-...... ............................. ............................. ............................. ................................................................................. 15.8 Federal employees health benefits Program premium(b).-........................................................ .............__...._...... .........-....._.........._ _...._..............._.... _-___.._.._.___.._. -.._.-._.._........._.... ..._..-._......-........... .................._......... ....._....._____...__ _.__........_....-..... ..............._.._._.__ ___.._._......._....... 16. Workers'compensation.........................................._......__.._..............................._....:_........ -...-.........-.-........-.-. ....--....-.......-._....._ _....-._.__........__. __......................... ............-..-...........-. .......-.-.._._-........... ............................. ..........._....._..._...._ ...._....................._. .............._......-.....- ......... 17.1 Other Uability-occurrence..................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......._..................... 17.2 Other Liability-claims made..................._.-.._._..-..._.-.......-._.-._.-.-..-.--...--....._....-..._..-......_ ....-.......__-........_.- ......-..._-... __:-. .....----.....__._..-._.. -_.._._..._.....- --.. .........-..-................ .......-_........._.__._ .__ _ -_-_- 17.3 ..as workers'compensation................................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. III. liabilit y.........................................:........................................................................... ............................. ............................. ............................. 19.1 Private Passenger auto no-fault(personal injury protection).........................._.._........-......... 19.2 Other Private passenger auto liability........................................................... 19.3 Commercial auto no-fault(personal injury protection)..__.._...__._ _........................_.-......__ ._........__.............. -----.._..............._.. 19.4 Other commercial auto llablllty...................._--..-..-.........-..-.-..-.......-.-.-..-................................. ............................ .._._..._..-..-_.._.-... ............................. 21.1 Private Passenger auto physical damage-..._.............................................. ..... ............................. ...._... ................ .......--.................... ........................ ..-........-.....-........... ......._._.._........-._. ...._._......._........... ............................. ..................._........ ............_............... ........... 21.2 Commercial auto Physical damage .... -__.... __ ._ __...___. .__-._._. _..... 22. Aircraft(all perils)........................... ............................. .......-........-..----.-... .--.....-.......-............ ............................. ...........................-. ...........-...........-..... .-..-........-.....-........- ......-...................... ............................. ......-----................. ........................................................................................ ............................. 23. Fidelity---------------------------------------------------------------..................................._..........-......... ........__.._._._....... ...........-..-.......-..-._ .__-.--.......-......._... 24. surety.._............---------..:...............................................................................I................... ............................ ............................ ............................. ............................. ............................. ............................. ...-._2.823 ............................. ............................. ............................. ............................. .............. 28. Burglary and theft................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ........................... ... ............................. 27. Boiler and machinery.-........_.__....._........................_.......................__'-_-..._......._._.....-.. ---------------.......... ............................. ............................. ............. .__....._...___...... -.-.._.-...-_.._.......... 28. Credit........................................................ ....-...-........-.-......... ............................. ............................. ............................. ...............-............. -......-..-...-.............. ............................. ..................-.......... ..-.....-.............-...... ............................. ............................. 30. Warranty ............................................................................ 34. Aggregate vrite-ins for other lines of business.... ...................................D ................0 ..................._..-.--.0 ...........................D ...........................0 ...........................0 ........................._D ................O .................._........0 .........................::0 -...--..-....._D ....-..-......-............0 35. TOTALS a - 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 2,823 DETAILS OF WRITE-INS 3401. .................................................................................................................................................................................................................... .........._........._....._.........._........................_.__..._...._...._.....-._-..__...._..... .......... 3498. Summary ofremaining""'Ins for Une 34from overflow page..............................................0 ...........................D ...........................0 ...........................g ...........................0 ...........................0 ........................--.D .............--............0 ........................-..g 0 0 0 3499. Totals Unes 3401 thru 3403 pus 3498 Une 34 above 0 0 0 0 0 0 0 0 0 .....................0 -..............0 -- -.............0 (a)Finance and service,charges not Included In Unes 1 to 35$...................................... (b)For health business on Indicated lines report:Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under indemnity only products ...................................... . II IIIIIIIIIIIIIII�II ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII2 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII IIII EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of West Viii inia uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, _ Les.Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Texas,Licenses Une of Business Written Earned on Direct Business Premium Reserves deductin salva a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ex enses and Fees 1. Firo..................__............................._.........._..._.......... ................_............................._....... ............ ....._.........__ ..................._...._.. ......_...._._..__..._. ..__..___..._....._ ........___._............. ..__._......__.......... ........_._._.........__ ._._..........._..__.... ..._.................._... - 2.1 Allied lines..................................._........................................................................................ ............................ ............................. ............................. ............................. ...............:............. ............................ 2.2 Multiple peril crop....................................................................................... 2.3 Fedeal flood..........__.........._...____................ ._......................._...._.. _ ............................. ._......._...____..-... ............_._._.._.._. ........_.._............._ _..__..._.........__... ......_..................... ......_._.....__......... ....._._.._._._.._.._. ............................. 3. Fannowners multiple peril......................... ............................. ............................. ......._._................. .._......................... ............................. ............................. ..... 4. Homeowners multiple peril............................... ................._..... ..............._............ ........._..............._........................................... _......__.....__........ ._.._.._......._........ __..............._-___. ......_...._............._ ..........._................ ......_.._....._.__.... .._........___._...._. ..___._.._.._.._..._. ...._....._.___._..... ...._.___.-.__..__... _............._........._. 5.1 Commercial multiple peril(non-Liability portion)....................__........._........_......._._........._.... -----_-_---._._._..__. -----------................. _.......................... .............._......._.... ......_..................... ... ................. ........_._....... ...... _.......................... ............................. ..............._............ 5.2 Commercial multlPle peril(liability,portion)........................................................ ............................. ............................. ............................. ............._.............. ............................. ........................_... ............................. ............................. ............................. ............................. ............................. 8. Mortgage guarany.._..............._....._...._........................................_...............__...___.___... ......._..........._......- ..__........___...._... ......._..._.._.......... ......._.................... .._..__..__...._._... ._._...__._..._....._.. 8. Ocean marine.......................................................................................... ............................. ............................ ............................. ............................. ........................... ............................. ............................ ............................. ........................................................... ............................. 9. Inland marine..............................._............._.._.............................._........... ............................ ............................. ............................. ..........._.. ...... ........................... ........_._... ... ......_.................. ..........._____..._... 10. Financial guaramY....__..........._.........._........__._._.................._._..........._.___...__......._.. 11. Medical professional liability...................................................I................... 12. Earthquake..........................................._....._.................___..._............_...._....:._.._........__. .................._......._ _....._.................... ....._..........._......... ............._...___..... _..._.._...._....:..... _._..__......_.._._.. ....._..._.._...._._... ...._...._..............__ 13. Group accident and health(b)..........................................................................._.................... _ ........................... ............................. ............................ ........................ ........................ ..................._... ........................ 14. Credit accident and health(group and!Individuaq...._...._......._................................._............. ......._............_.._.. ............................. ......._.....__........_. ............_.............. ......_...._......__._.. ....___...._............. ...........:......_......... ---_....................... .._........... ........._... ..._._..._............._. ........................_... 15.1 Collecliwty ren-ble accident and health(b)_......._.._............_......_.............._....._.........__ ......._................_.. ..................._._..._ .........._..._...._..._. ...__......_._....___ ......_....._.__......... ..._........_.........._.. ....._.._..._...___._. .........__.._._.._... 15.2 Non-cancelablee dent and heah ..... ........._............__.. .._.......__..._....... _..........._._...... m n ro). 15.3 Guaranteed renewable,accident and health(b)....................................................._.._...._....._ .........................._. ..._..............__..... .._....._._.__._.... ....._.____........_.... .................__.__.. ....._...._____........ ..__._....._..._.._.... _.........._.._._..._... ......__._._............ ._......_._..._.......... 15.4 Non-renewable for stated reasons only(b).......__....._.__._._..........._............__......._........._. ....................._._... ......................__._ ..................._._..... ............._.............. tD15.5 Other accident only................................................................................... ............................. ............................. S515.8 Medicare Title XVlll exempt from state taxes or fees_..........._._................. ..........._............... .._...__._..........._.. ..............._............ _..._.___.............. ._._....._....._...._... ..._......._............... ....._____..._...... _..._..._.............. ................_...... _._........_._.._.. .........._....._..... G - .. __ .. ... .. - ............._......... 15.7 All other accident and health(b)...._........................................................................................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ....._....................- ............................. 15.8 Federal employees health benefits program premium(b)............._......._............_.............._.... .........._............_... ._......................... ............................. .._........................ ___................ ............ ._......._._._._......... ____........._....__ ....._._....._......_.... ... .. 16. Workers'wmpenewlon................................._........................._.__................_.__..----------- 17.1 Other Uabllity-occurrence..........._........................................................................................ ............................. ............................. ...................._....... ............................. ......_..................... .................._......... ............................. ....._....._................ ......_._............._.... ............................. 17.2 Other Uabllity-claims made.......__......._..............._..._.................._........._._...................._. .._..._................_.. ................___....._ ....._.....___._..._... ....._.__._._........... .__._._..........__._ ._........._._____.. ........._.._.._......._. _.._..........._.....__. .........._______..... _......___.._...__.... ._......_........._....... 17.3 Excuse workers'compensatlon................................................................................_............. ............................. ............................. ...................._....... ............._.............. ............................. _......................._.. ............................. ............................. ............................. ............................. .............I............... 18. Products llebility.............................................................................._......... 19.1 Private passenger auto no-fault(personal Injury Protection)._.................... ...._..----_------------- ..._..._.........._...._. _........._......__.__ ..__....... ........ .._...... ..___.................... ............................. .................._......... ............................. ....._...................... ......................._.... ............................. 19.2 Other private passenger auto liability......................................................... ............................ 19.3 Commercial auto no-fault(personal injury protection)__..........................._.._.._......._............. 18.4 Other commercial auto liability. ............._........_...._..........__...._.........._........................ .._......._............... ..........__._.....__... ............._..__........ ................_.. ... ............................. ........_................... 21.1 Private passenger auto physical damage................................................................................. ...__._................... .._........................ ............................ ...........__...... ... ...._.... ............ ................._._....... ....._........__._....... ......___............_.. _.._........_._._ ............._._...._..... 21.2 Commerdal auto physics[damage ...._ ... ......... ._.....__ ___..._ ....._.. .. ..._.... _.......... ._ _ - _. _._......... ....................... 22_ Aircraft perla)................................................................................................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ......... ................ ............................. 23. Fidelity.................................................._......._....._....................... ........._.............._............. - 24. Surey__............._.__..___...........__.........__._..........__........._.__..._....._.__...--_-._......... ........_.................. .._......................... .............._............ ----- .......... ............_............... ..... ................. ............... ........... ..4,222 26. Burglary and then................................................................................................................... ............................. ............................. ............................. ............................. ............................. 27. Boiler and machinery._.....................__..........._....................._...................._.__._. 28. Credit.................................................................................................................................... ............................ ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 30. Warranty....................................._..........._..........._._..............................................._.......... ..........._..........._... ._......_.................. .._......................... ..........._..._._.._.... ......._._...._.......... _.................__._... ._................_..__. 34. A99regate write-ins for other lines of business_....... ._...._..._....___-._..__....0 ........._...._..........0 ...__._..._............0 ......................_...D .........._.._........_0 ......._......._.........0 ..........._......_......0'......_.........._.._...0 ..._......................0 ............D ........._................0 ...........................0 H. TOTALS a 0 0 0 0 0 0 0 0 0 0 0 4,222 DETAILS OF WRITE-INS 3401. ............................................................................................._...... .............................................................................................................. .._........... 3402. ......................................................................._.................................. ............. ... ................_.... ........................ ........................ -----I..........._.... ...._-..__------..... ......_- ._............_._... ........._. ....... .._...._.............. .._.................._ __...._....._....._. 3403. .........._............._....._......_............_........................_................._.............__....._._........._.....__._............_........_....._-___-.____...__--__._.-___........_............._...........__... 3498. Summery of remaining vrtne for line 341rom overflow page.................................._..........0 ...........................D ._........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ...........................g ...........................0 ...........................g ................._........0 3499. Totals Unea 3401 thN 3403 lus 3498 Une 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Unes t to 35$ .............................. (b)For health business on Indicated lines report Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under indemnity only products ...................................... . i III II III II III II III�)I�II IIIIIt1lIl VI IIVI II�I III II I I II VI IIVIII VI II�I II I��ill l llu ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Wisconsin uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense ' Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Tans,Licenses Line of Business Written Earned on Direct Business Premlum Reserves (deducting salve a Incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Ex enses and Fees .._.......__.............. ................._..._.._ ......._...._.__._._... .._....__....._._._.._ _.__._.............._.. ....._.....__......_..... ..........._._...._....... 2.1 Allied lines........._................................................................................................._............... ............................. ............................. ..................._........ ............_............... ............................. ............................. ............................. ............................. ............................. ............................. ............................. 2.2 Multiple peril crop..................................................._.............................................................. ......._..................- ............................. ............_............... ............................. ................. 2.3 Federal flood......_......._._._...._.._......................._........_-__..___..._............_.............._...._. __.__.................._ ........_................... .._........._...._........ ....____..__.......... .._.._.....__...._...... ._........._._......._... .___..............__..._ _........._._........._. .........__......__..... ..__...................._. ..._..........__......... 3. Famrxw.nere multiple peril..............................................................._...................................... ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. ............................. 4. Homeowners multiple peril...................................................................................................... ............................. ........._.................. ..................._...._.. ............................. ......_...._....._..._... .__............_.......... ........._...._.._......... ......._._..._.___..__ ..._..._......._..._..._ ....._._._____.._...... 5.1 Commercial multiple peril(noMiability portion)................................_....................._.............. 5.2 Commercial multiple peril Olability,portion)............................................................._............... ............................. ..................._........ ............................ ............................. ............................. ...........I....._.......... ............................. . 8. Mortgage guaranty.............................................._...._._._.........._........................_.............. __....__............... 8. Ocean marine. ......._.................... ............................. ............_............... ............................. ............................. ............................. ..........._................ ............................. ............................. ............................ 9. INand marine......................................................................................................................... ............................. ...._............._........ ...................__...... ._.......................... ..._.__..._._........... ............... __._...._.............- .............. _................___.._ ..................__._.... 10. Financial guaranty...................................................................--....._.....-_.____.._.._......... ............ ......._..._......_..._. ._....._................... ...........__._......:.... ......_.__..._..__..... _.._._..........._....... .............................. ............................. ............................. ......................._.... ............................. 11. Medical professional liability............................................................._.................................... 12. EaMquake.................................._.....................__._..__..._.........._..._._._.....__._............... ............_..........._.. ...._....................... ....._.._.._............ ....._.._.............._.. .................._......._ _._____........_._. .._..........._....__.._ ..____.........._.... _..._._......_........_. 13. Group accident and health(b)..................................................................._........._.... ----- 14. Credit accident and health(group and Individual).................................................................... ............................. ............................. ............................ ............................. ......_.................... ............................. ......._..........----------- 15.1 Collectively renewable accident and health(b)...........................................__........................... ........................ ...................... ..............__.._.._..... ....... ------ .............. .----------__....._------ ... .............. ........ _........................... ...... ......... ............._.._.......... 15.2 Non-cancelable accident and health(b)................................................................................... ............................. ............................. ............................. ......_..................... ........................._.. .................._......... .... 15.3 Guaranteed renewable accident and health(b). ..........................__................._..._.__... ._..........._............. ......._........__....... ...._...__...._..._.... ......__.............._... ...__.__.._......_..... ....__.........._._...._ ...._..._..._....__.__ .._._........_..._....... .__.__............_._. __.__...._._...._... 15.4 Non-renewable for stated reasons only(b).............................................................................. ..................... ......._........._...----- (p 15.5 Other accident only................................................................................................................ ............................. ............................ ............................. ............................. _........................... ............................. ............................. ............................. ............................. .._.......................... 15.6 Medicare Titie XVlll exempt from state taxes or fees._................_...._...-- .......__.................. ...._..._.............. .............._.__...... ...._.._------....._...... ......_..._....__-........ _..............._._._.... _.__...........__....... ..__..__............... ..................._... ..........._._........ 15.7 All other accident and health(b)...................... ............................. ............................ ............................ ............................. ...............:............. ............................. 15.8 Federal employees health benefits program premium(b)..........................._.............._.........._. ......._.................... ..._._.................... ._.........._........_.... ------------._------.._... _...._.................__ ------------..._---- .._..._..._..___...... -----......._...._._.... ._____....._..._.._.. __..._..........._..._.. ..............._....___ 16. Workers'cempen sabon............................._................_..............................------------------------- 17.1 Other Uablllly-occurrence..................................................................................................... ............................. ............................. ............................ ............._.............. ............................. ............................. ............................. 11.2 Other Liability-claims made..........................................................._..... ............................. ........._..._._........ .__......_................ ....._-..................... ...__.__...... ... .............. .......... . _ ........._._._.___.... ......__._........_...... 17.3 Excess workers'compensation......_........................................................................................ ........_.................. ............................. ----------------------------- ............................. .................------------ ............................. ............................. ............................. ............................. 16. Products liability...........................__............................................................._....................... ........__................ ............................. ._.......................... .------ ................. ---------- ........... ..._.._.._.... .___..._......__....._ .__._._._.........._... .._....__...___........ .......__..__............ 19.1 Private passenger auto rx•fault(personal injury protection)..._.....__._...._......_....._............_.. ............................. .. .._... .__..............._....... ........_..._.._......_.. ......_.............__.... ............_...._...._.. ....___..__..__........ ......................_..... ...._..._.._............ _.._._.........___..... .._........__............. 19.2 Other private passenger auto liability...........................................-----_......................_............. ............................. ............................. ............................. 19.3 Commercial auto no-fault(personal injury protection)........_......__.__..._.... 19.4 Other commercial auto liability.................................. ....................................... 21.1 Private passenger auto physical damage.................................................... ............._.............. ............................. ............................ .:..------....__._.._.... .........._............._.. .................._.._..... ..........._.._._..._.._ ._...................._._. 21.2 Commercial auto physical damage ...._..- ... ... - .. -- - - ____ _- ....._.._._......... 22. Alrcratt(all perils)................................................................................................................... 23. Fidelity...................................................................................................... 24. Surery----.._......................__..._......----............__._......................_....................---...]5.611 .....:---...---....]2.270 ....................9,002 ............................. ......._...----___._. _...__..............._.. ........... ......... ..............---.._...... ............................. ......................4.652 .....................1,972 26. Burglary and theft........................._....................................................................................... ............................. ............................ ............................. .......__................... _......................._.. .............. ............................. ............................. ............................ .-----..................... 27. Boller and machinery.............................._.............................................................................. ............................. ------..._._............. ..........__.............. ...._.__................. .................... _.__.....__.........._. ............................. ........... ._....__`.__._..:.... 28. Credit............................................................................................_......................_............. ............................. ....-----................... ............................. ............................. ......._.................... ............................. ............................. 30. Womanly...._................................_....-........................-----.......------_......................__........_. ............................ ............................. ._..........__.._._..... .._..._.................._ .........._.............._. .._.__._.._.._........ ....._...................... . 34. Aggregate write-ins for other lines or business......._...__.................._....................._.._.._._0 ...........................0 ..._------.__-----_.....D ...........................D ...........................0 ......._..._..........._0 ...........................D ....._..._......._..._.0 ..............__........0 ............._...........0 .....................0 ..................._......0 35. TOTALS a 15,611 12,270 0 9,002 0 0 0 0 0 0 4,652 1,912 DETAILS OF WRITE-INS 3401. ............_............_..__._....._..._......_.......................................__...................._..........._...... ..............................._....................:.._.................................................................... ............................................................................................._......................................................................_.................................. 3402. ..................................................._.........................................................................................................................:. 3403. .........................._._......................................................................._....................... 3498. Summary of remaining""In,for Line 34 from overflow Page..............................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D 3499. Totals Lines 3401 thro 3403 Plus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Lines 1 to 35$.................I.................... (b)For health business an Indicated lines report Number of persons Insured under PPO managed care products ..................................... and number of persons Insured under Indemnity only products -..................................... . ilk ll lli ll 111ll ll!II III II III II2 I I II Ii 11111 lli l 111 litlll ll 111 ll ll i!111 ll 111 ll 0 ll 0 l 1111 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of W omi uring the Year 2012 NAIC C mpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid - Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses _ Line of Business Wdhen Earned on Direct Business Premium Reserves (deducting salvage) incurred Losses Unpaid Expense Paid Expense Incurred Unpaid Expenses and Fees 1. Fire............................................................ ............................ ............................. ............................. ..................._........ .............._............. ........._.........._......................... 77 7 2.1 Allied Ilnes..............._.................._...................._......._...........__.._...........__._............._... .._...._._.....__.__. _............._....__... ._............_._.._.... 2.2 Multiple peril crop....................................._............................................... 2.3 Federalflood.................................................._..........................._......................................... ............_............_. ........_................... .__.._.._.._.._......_ ..._".__............._.. 3. Famrowners multiple peril................. - - _................_........ ..._........................ ........._..._........._.. ..._........................ ......._.................... ............__............. ............................ ............................. ............................. 4. Vlameonriars mu tiple peril..........:.............. ........................................ ............................. ............................. ............................. ............................ ............ ............. ......._..........._.._.. ..........__._...._...... ._..... ...... .._...__......._......._ ......._......_.._.._... ..........._.._.__...... ......................_............ 5.1 Commercial multiple peril(noMiability,portlon)................_............_._..............__............ 5.2 Commercial multiple peril Viability portion)........... ..................__. 8. Mortgage guaranty-........................................................................................._. 8. Ocean marine.._...............__...................._.........._._...._...__......._........ ............._.......----- .__........_.............. _._....................... ......._...._............ ......._.._..._--.__---- ..._.........._............ .._.._......_......._.... ._.........._.............. ............................. ............................. ...................._....... 9. Inland marine........_.........._..................".._........................_.........._.........- ...................._....... ..................._.._.... ............................. ............._........._... ............................ ._...._...._.........__. ..__..............._.__. ....._........_._....__. ..._.._............_.._.. ............................ ._.......................... ............................. 10. Financial guaranty........................_.....__........................_.........................._.......................... ...._....._............... ........_..._...._....... 11. Medical professional liability - -- 12. Earthquake_........................................... .. ... .. ... .. _. 13. Group accident and health(b)........................................_....._.._.._..........._..................._------ 14. Credit accident and health(group and individual)............................_..:................................... ..............._............. ....................._...... ............................. ............................. ..............._............ ............................. ............_............... 15.1 Collectively renewable accident and health(b).................................................................._...... ....................._...... ....._..._....._...._.... .._....._........._....... _........___.....__... ._.......__...._..._... ......._.._._.._...._... ......._...._........__. 15.2 Wn-cancelable accident and health(b)...............................................__.... .................. ............................ ............................. ............................. ............................. ............................. ......_................._.. ............................. ._............................ .. 15.3 Guaranteed renewable accident and health(b)......................................................................... ............................. .........................I... ......_.................... ............................. ........... .............._..___..... ........._..___........ 15.4 Non-reninable for etated reasons only(b).............................__................_.........._................. .._........................ CO 15.5 Other accident only ... " G15.6 Medicare Title Xvlll exempt from state taxes or feet................................................................. ............................. ............................. ............................. ......._.................... .._.............. ......___._........._.. ......___.....__._..... .._..._...._.__....__ ....._..........__....._.. _._..__.....__....._ ..........._............... <-� 15.7 All other accident and health(D)......._....__.......__......._.........._._............._........___.._._..... __........................ ......_.......I......_..... ........_.........._.__. _.......:.._..._....._... ..._..._.._............._ _........................... ........._................. ......._.:....._........... ..........._................ ........................... ........_.............. 15.8 Federal employees health benefits program premium(b)................................................... - 16. Workers'compensation.........................................................._._._........... ............_............... .._........._._..._...... ._..._...._....__.._... _.._------..__"......_.. ................"__._.... ......_............__..... ._.............._._...... ........._.................. ............_........_..... .............. 17.1 Other Liability-occurren ce........................................................................ .._........................ ............................. ............................ ............................. -..............I............ ............................. ............................. 17.2 Other Liability-claims mad e.................................................................................................. ............................ ............................ ............................. ............................ ........................._.. 17.3 Excess Workers'compensation............. ._....._ ............... .........._.-.._........_. ..................._........ ........._............._... ........._........_....._. _........................... ........._..........._..... ........... sliability....._...................................."....................................................................... 19.1 Private passenger auto no-fault(personal Injury protection)..................... 19.2 Other private passenger auto liability......................_.......................... ........................_. ............................. ............................ ............................. ............._..._......... 19.3 Commercial auto no-fault(personat Injury protection)............................._.... 19.4 Other commercial auto liability..........._.._............_.__........._.._....__........._............ ..... .._......_....__...._. ..._............._.__.... .........._........._--. ............_..-....... 21.1 Private passenger auto physical damage....._.......................................................................... ..._.........._............ ............................. ............................. ............................. ............................ ........_.................. ............................. ............................ ............................. 21.2 Commerdal auto physical damage...... ... .............. ..... ..... .. ..... ...._._......... ...................._...... _......_ __... __ _ _._..__ .. .. ._ _....... _.. ...... _ ......_.... .__......._..._.... 22. Aircraft(all perils)--..................................................................._._......._...........-._............ .......................... ......._.................... .........._..._........... ............................. ......_..................... 23. Fidelity ............................. .........................._. ............................. 24. Surety........_..................................................................._......................._............................. ... .................. ._...._------..._._..... .._._._._................. .......2.812 28. urglery and eft....................................................................................... ..._.........._.........._ .................._......... ............................. ............................ ............................. ............................. ............................ ............................ ...._.._................_. "-"._.._................ ....................._..... 27. Boiler and machinery......................_......................_.........._...............,.........................._...... ............................. _........................... ....................."...... ............................ 28. Credit....._.._.._.._................................................_._....__...._................_.:...._"_............. ........................... ............................ -------_.................... ......... -........................... .... .............. ............................. ............................ ........_........_........ ............................. ............................. 30. Warranty..............._.......................................... ...................:........ 34. Aggregate Write-Ina for other lines of business.....................................................................0 ........................._0 ........................_D ....................D ...........................D ........._...__".__.9 ....................__...0 ............ .O .._-.........._..._.....D ...........0 .._0 ...........................0 _ 35. TOTALS a 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 0 1 2,812 DETAILS OF WRITE-INS 3401. .............. .........................................................................................._........................... 3402. � ....................................._........_........................................................................................................................................................_............ .... 3403. ......_.........._.........._.........._.................................:..................................................... _...._.__............... ..................____.._..................._......... 3498. Summary of remaining"nto-inaforLine341romover flowpage..................._.........._.........._.0 ...._.....................0 ...........................0 ...........................D ...........................D ...........................0 ........._................0 ._........................0 ..............._..........0 ...........................0 ...........................0 ...........................D 3499. Totals Unes 3401 thro 3403 lus 3498 Llne 34 shove 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not Included In Lines i to 35 E_-......._..___..._.......___ (b)For health business on Indicated lines report:Number of persons Insured under PPO managed care products ...................................... and number of persons Insured under Indemnity only products ............_....................... ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Ins I��II2II�IIIIIIIIII;IIIIIIIII211III�II;IIIIIII�IIIIIIIIIIIIIIIIIIII1IIIIIII�0 III Insurance Company EXHIBIT OF PREMIUMS AND LOSSES(Statutory Page 14) NAIC Group Code 1228 Direct Business in the state of Grand Total During the Year 2012 NAIC C rnpany Code 29513 Gross Premiums,Including 3 4 5 6 7 8 9 10 11 12 Policy and Membership Fees, Less Return Premiums and Direct Defense Premiums on Policies not Taken Dividends Paid Direct Defense Direct Defense and Cost 1 2 or Credited to and Cost and Cost Containment Commissions Direct Premiums Direct Premiums Policyholders Direct Unearned Direct Losses Paid Direct Losses Direct Containment Containment Expense and Brokerage Taxes,Licenses Line of Business ..... Unpaid Expense Expense Unpaid Expenses Fire ......__.............- ._..........._.._.......D D .__..........._...._._D ........._..._.___._.➢ ......_.._.__._....0 .._....__..._....__-D ....._...........__..._D __._._.___..___..D 21 Allied lines....................... _0 ........_.................0 ..................._......0 ......_......._......_..D ........_............_...0 ......---..................D ..........._....._.......0 ...........................D ..........._..._......._0 ......_.._....._........D ...........................0 ...........................D 2.2 Multiple peril crop.................................................................................................................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 2.3 Federal flood................:. ...._.........D ._................_._._0 ...._.........._._.._..D ._._......:..........._➢ .................___....➢ .__......................0 _...-.-._.._._.........0 _....._..................0 ......._-. D _......_.................0 _.._._..._`.-.___..0 ......_........__.......0 3. F:rm-ars multiple Peril.....................................................................................................D ...........................D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................9 ...........................0 ...........................0 ...........................0 4. Homeowners multiple peril.._............................................................ ...........................0 .....__.""-____...D ........_.-._............0 ..._._._......_........0 ..................._......0 ..................._......0 .........._........._._.0 ............_......_.....0 ......._.__.............D .._......._........_.-.D ---_._............D'..................__.....0 5.1 Commercial mui➢Pie penl(nonliaWllty portion)............_....._......_.........................................D ._................__....0 ............._............D ......._.........._..._.0 ......__._....._......D ............_......_.__0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 5.2 CommerdalmulSPle peril(liability potion).............................................................................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 -.--.-.....................D ...........................0 ...........................0 ...........................0 ...........................0 8. Mortgage guaranty............................_..._................._............................ ........_................0 .........................-0 ...........................0 ..................__..D .................. S. Ocean marine.................. ..........................0 ...........................D ...........................0 ...........................0 ...........................D ...-'--'--'--..............D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 9. Inland marine..........:......:......_........ ..........................0 _.........................0 ......._..................0 ...__....................D ........_---_..........0 ............_....._._...D ........---_......_.__.0 ..._._............_....0 ._...................__.D ......__.........__._.D ........._..._...........D ....--_._..........._.0 10. Financial guarant y._.....'..............._........................ ........__............_9 .__._........._........0 ..............._..........0 .........._..._..........D ..............__......._0 _............._.._.._..D 11. Medical Professional liability........................ ...........................0 ...........................0 ...........................0 ..........................0 ...........................0 ...........................0 ...........................0 ...........................0 12. Earthquake..........._....:. _.........................0 ........................._D ...........................D ...._._.._......._.....0 ........_..._._........0 ......................_....0 ...._._-----.__._.0 ..._....._...__........0 __.._............._.-0 _-_-__...._._.....0 ._...._..--..__......0 ............._..._.......0 13. Group accident and health(b)...............................................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................g ...........................9 ...........................0 ...........................0 ....-......................0 14. Credit accident and health(group and Individual)...................................................................0 ...........................D ...........................O ...........................0 ........................_.0 ...........................0 ..........................D ........................_..0 ................__.......0 .__..._._..........._.0 .._................._....0 ..................._.._..0 15.1 Collectively renewable accident and health(b} .._....._........_...........__........D ...........................D ...........................D ._.___......_.........0 ._..._.._......._......D ..........._._...........0 ........................-0 .........._._........_..0 .._.._..._._...._.....0 ._._._.____.___...0 ..............._..... .0 ...........................D 15.2 NonKancelable accident and health(b)..................................................................................D ...........................0 ...........................D ...........................0 ...........................0 ...........................D ...........................D ...........................0 ...........................0 ...........................D ...........................0 ...........................0 15.3 Guaranteed renewable accident and health(b) .............. .....__.._._..`___D ...........................0 ......._...._......._...0 ............. -0 ...__.._.__.......... ..........._..............D ......._..............._.0 ........_._..._.........0 ...__._...._.__.__0 .._...._....._.......-.0 -_.--___..............D ........__..____.._..0 15.4 Nonrenewable for stated reason,ony(b)........................._...__.......-------....._..........._....0 ...........................0 ................0 ..................__.....D ...........................0 ...........................0 _........_._....._.....D ...._............_._....0 ....._..._....... .._............. ....._..._...............D .......__..._...._._..0 40 15.5 Other accident only..............................................................................................................D ...........................0 .........-'--'-'--.........D ...........................D ...........---'--..........D ...........................D ......D ...........................0 ...........................D ...........................0 .D .................... .......................... ...........................0 15.6 Medinre Titie}Mll exempt from state taxes ort ees...._._........._..._............. 0 _-----0 ...........................D ..._.._............__..D ...........................A .._._.._.........._....9 ....._..........___.__0 _......._._.......__..D __..........__........D .................._.......0 ._._._._......._......0 ._....._.................0 ...I 15.7 All other accident and health(b)............................................................................................0 ...........................0 ...........................0 0 15.8 Federal employees health benefits program premium(b)...-...._..._.........................................0 ...........-...............D .............D ................._........0 ...........................D ...........................0 ...........................0 .............0 ...._._..___.- 0 ......._..........._..._U ___.__.__.__....._.0 ......_....._...._.....D 18. Workers'compens a8 on..........................._. ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ........................_.0 .........................D _......._.......__.....0 ...._..._......._._._.0 ......................_.._0 ....._....................0 ...._.....................D 17.1 Omer Uabillty•ocwmence....................... - ........---...............0 ......D ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................➢ ...........................0 ...........................D 17.2 Omer Llability-dolvw made...................--....-_...._......_..........................._--------17,387,777 _.....__..17,101,082 -------------------------0 ..............8,096,208 ..............2,964,213 __-...__.9,152,877 .......... 24,429,291 ._............,808,234 __-........11,468.549 ...__._._14,053,521 ...........1,296.405 ......_.._._..395,963 17.3 Excess workers'compensation................. ....0 ...........................D ...........................A 18. Products liability.....................................__........................_..._........................_............._..0 ..........................0 ...........................0 ..............0 .__....._._............D ...........................0 ...........................D ...........................D ............._.....__...D ......_....._.........._0 ......._.........._._...0 _.... 0 19.1 Private passenger auto no-fault(personal Injury protection)._......................................_._......D .......0 ...........................0 .......... .O ...........................D 19.2 Omer private Passenger auto liability.....................................................................................0 ...........................D ...........................0 ...........................0 ...........................A ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 19.3 Commercial auto no-fault(personal injury protection)_.............._-._.__.._...._.....................D ...........................0 ..._---................0 ---------------___A ...........................0 .............'.___.....D ..........................0 ._.__._..._..........0 ..................---o ......._........._.._...0 _.._.._.................0 ...................__.._0 19.4 Omermrmierdal a utollability.................._...............................__............_......._................0 ...........................0 ._...._..........._.....0 ....................._....0 ._........................0 ...........................0 ...._.._.._.............0 . .....0 . 21.1 Private passenger auto Physical damage..........................._............._................................_.0 ......_..._........_....0 ...........................0 ...........................0 ..............._..........0 ...........................0 ...........................0 ..._.............._._...0 ...........................O ...._.._.._..._........0 .............._....._....0 ...........................0 212 Commercial auto physical damage.................._..................................._..... .._.____D ..0 .........0 ..._... 0 __..._.-___......0 _.......0 .. ..._...............0 ......._..._.__.....0 .. .........._..0. ..._._. ._.._..0 22. Aircraft(all Denla)...............: ..........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................D ...........................0 ...........................D............................0 ...........................0 23. Fidelity.......................................................................................................................__.....0 ......................._D ...........................0 ........._.__. ......0 .....................0 ........................_.0 .................0 ...__........._._..._.D ..............._.....__.D _...------._..._0 ........._.__..._......D ........................._0 24. Surety-.-.................................._...----..................................__............_......................304,463 .................296.968 ........_.................D ..................183.004 ..................142.376 ..................121.376 ....................12.000 ........_......_.12,116 ...................13.000 _...._......._...7.420 ...................80.792 ..................128,111 28. Burglary and theft.................................................................................................................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 27. BoZr and machinery........................_...__.................__._. ._..._.:._..._..................__..0 ......_................. D 0 D ➢ .................____D _........_._............0 ..._...._................D 28. Credit....................................... ...............................0 ...........................D ...........................0 ...........................0 ...........................D ...........................D ...........................D ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ............................................................ 30. Womanly........................................................................................................................... 34. Aggregate write-Ins for other lines of business__......................_.__................................__.0 ...........................0 ......................._...0 ..........._..............0 ............__._........D ...........................0 _...._._....._._....0 .__....._..._..._.....0 _......._...._..........0 .............--_.........D ........................_.0 _.................__....0 35. TOTALS(.I s, 17,692 179 17 398,050 0 8,279,212 9,106,589 9.274.253 24,441,291 8,812,350 11,481,549 14,DIM Q41 1,377,197 524,014 DETAILS OF WRITE-INS 3401. ................................................................................................................................................................................................................................ 3402. ................................................................ -----------------_.................................................................. ..................._...._........................_........._..............._......._._......................._....._......_..""'_...._........._..._..................._......._...._......_._..... .........._...... 3403. .................._.....__.._......................._.... ........._........_..__.._._........_..............._ .........._......................_.._..............................._................. 3498. Summary of re I ingwnte-insfor Ug,34 Dom overflow Page..............................................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................D ...........................0 ...........................0 ...........................0 ...........................0 3499. Totals Linea Z. I, 3403 lus 3498 Line 34 above 0 0 0 0 0 0 0 0 0 0 0 0 (a)Finance and service charges not included in Linea 1 to 35 E..........................253,076 (D)For health business on Indicated lines report Number of persons Insured under PPO managed care products ...........0 and number of persons Insured under indemnity only products .................... ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule F-Part 1 NONE Schedule F-Part 2 NONE 20,21 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 3 Ceded Reinsurance as of December 31 Current Year 000 OMITTED 1 2 3 4 5 6 Reinsurance Recoverable On Reinsurance Payable 18 19 7 8 9 10 11 12 13 14 15 16 17 Reinsurance Contracts Net Amount Ceding 75% Recoverable Funds Held NAIC or More of Other From By Company Com- Direct Reinsurance Known Case Known Case Contingent Columns Ceded Amounts Reinsurers Under Federal ID pany Domiciliary Premiums Premiums Paid Loss LAE IBNR Loss IBNR LAE Unearned Commis- 7 thru 14 Balances Due to Cols.15- Reinsurance Number Code Name of Reinsures I Jurisdiction Written Ceded Losses Paid LAE Reserves Reserves Reserves Reserves Premiums sions Totals Payable Reinsurers 16+171 Treaties 0499999.Total Authorized-Affiliates 1 0 01 0 0 0 0 0 0 0 0 0 0 0 0 .13-1675535....25361..SWISS REINS MICA CORP.....................................................NY................. ...............................__1.775 ..................(4)....._..........27 ...........940 ................981 ...... _1.593 ........_.....597 ._.........__738 .__..........(219).._.......4,653 _.............143 ..............__.. ......_....4,510 ..............._.... .13-5616275.....19453..TRANSATLANTIC REINS 00.._....................................................NY................. .....................................462 ..................55 .................21 ................647 ..... ........... .................5l)3 ..........35 .............2,639................ . 185 ..................... .._....._.....573 ....._......._214 ._._..........221 .......-__.1.277 ......_.........46 ..._._............. .............1,231 ................. . .13-4924125.....10227..N.NICH MICA REINS 07...................................................... DE................ ......................................587 ..................51 ...................4 .................51 ..................34 ................258 .._............_96 ..._........._232 _.__....._._.... ...............726 ..---_.-____45 ._.._.............- _......__..681 ....._.._._.._... .13-2918573....42439..TOA FEINSMAMP 00 OF MICA..-......_.........._......._........__ DE-__ __..................._.............648 ......_...........1 ....-............J .................33 .............17 ................179 ..................67 ................291 ..................... ................589 ........._.......58 ...._............_. ...............531 .......... 13-3031176....38636..PARTNER REINS CO OF TFE L6......_.....................-..................NY,.......... -........................._............. ......_.._......._ .................27 .........._...._73 .......... 58 .__......_...27 10 ..........._......._.._..... ._-.........._(26).__.....__..169 .......... ........... 169 ...............169 ._._....._....._. .06-1022232....24899..ALEA N"AAERICA INS CO.._..................._.._..._................. NY.._.........._. ..............................._.......... ..................... ..,............_..2 ...._..............5 .___..........2 ...................3 ........... ........_........... ....... _......... .................13 ......_ ....__ ..........__.__.. .._.._.........13 _.......__......-. .23-2153760....39675..EXCALISLIR REINS CORP........ ................ PA_----------_. ._..__......62 ..........__...97 ................134 ............._...9 ._....4 ......_-.........._.........._......... ..........._........ ........... ...............306 . 13-1290712.....20563..XL REINS AI,�AICA IND........................................................... NY................. ........8 ................_42 .................23 15 6 6 3 95 3 .35-2293075.....11551..ENXRMLE REINS CORP OF AM..............- DE................ .....................................101 .._....._....._... .................._. .................6 ...................2 .._................. ............_....... ....._..........61 ...................5 .................34 .............._...5 ............_....... .................69 ........_...._..... .48-0921045.....39845..WESTPORT IMANCB OAOLP..........._.............._.._...._..............MD..................._.........._..................._....fi ...._...__._.._. ....._......._....- .......... ............._.._.. ...----......_.... .__....._..__.. .._.__....---3 ....---........_... _._-__..._..-3 _...__....----.. ......._............ ........_......_.3 ......__...__._. 47-0698507.....23680..ODYSSEY REINSIMlkE 00........................................................CT................. .........................................7 ........_........... ..................... ......._............ ..................... ......._............ .........._......... ................4 .........._........ ._......._.._..4 .........._......... ___............_. .._.._......_..9 ..._........._..... .22-2005057_..26921]ODYSSEY REINSSAANCE 00_.-...._.........................._...-----...DE................ ....................................._10 .......... ..._..----...- ___-----------.... ................ ..................... ................. ...................7 ................ ............7 .......... ............... .................1 1..................... 0599998.Total Authorized-Other U.S.Unaffiliated Insurers Under$100,000) 0 0 0599999.Total Authorized-Other U.S.Unaffiliated insurers 4,128 103 144 1,978 2,029 3,662 1.371 1,743 (440) 10,590 335 0 10,255 0 0699999.Total Authorized-Pools-Mande Pools 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AA-1340125.....00000..NAN40VER RXI(VERSICFEPIXDS AS.............................................DEL.....................................................395 ....................1 ..................10 ................237 ................210 ................141 ........-.-.....52 ................171 ._.............(66)_.............756 _._........__25 .............. ._... ........_.__.731 _....__...__._. N AA-1120337....D000D..ASPEN INSIAANCE LK LIMITED.--_..................................._... DER...................................................14 ------------ .... _3 ....._......._-. ................... ..................... _................_. ..................3 ..................... ...................6 ................ ..................... ...................6 N . _ ... ..... _ ........._..._............... M-1120 ....00000..LLOYD'S SYNDICATE NO 2003.._-............................................. O R.....................................................395 ..................13 ............15 ................136 ................146 341 .. ..128 . 163 . . _(39) _ .903 .- 92 .__. .............871 .. ... .M-1128623_...00000..LLOYD'S SYNDICATE NO 2623._.........._................_.............. W..................... ................813 ................16 ....._........._54 ...............332 ...............345 ................750 ...............281 ............_.338 ...............(103)..._........2,023 ..................67 .............. .............1,956 .......... 0 00000 SYNDICATE NO 623...............................................__(SL......._._..................._..................191 ....._._......_6 ..._...........14 __ 82 ....___..___84 ..._.___....111 ....._.........67 .._..__.......79 ......_........(25)........_....484 ...__.._._._16 ................... ...._..........468 ................. .AA-1126435.....00000..LLOYD'S SYNDICATE NO 435 .. .............................. ........0311 .. ....... ........... ..155 ..................... ..... .... ... ... __ ............. . .........23 .. _.......8 .._....__.._60 ._-._..__.. ............_91 ..._...._.-.10 .. ._........"81 ._......._...._. .M-1126006.....000OD..LLOYD'S SYNDICATE NO 4472............._..............._._..........._. GBIL................................--------.............9 .................... ....--.......... ..................... ...._-------------- -_--------.._._ ................... ...._..._........2 ...................2 ..................... ......_............. ...................2 ..................... .M-1128791.....00000..LLOYD'S SYNDICATE NO 2791..............._........................._....... GEL.................................................---.11 ..._................ ........_...._..... -..-_......_.... .._........__..... ................_.. ..__...........-_ ....._....._.---2 __......___... ..__....._---.2 .__...._...._.... __ ..__.......-.2 -.......... ....... AM 1126609.....00000..LLOYD'S SYNDICATE NO 609.....................................................G8R........................................................4 ..................... ..................... ..................... ..................... ..................... ..................... ....................1 ..................... ...................1 ..................... ..................... ....................1 ..................... .AA-1127 084.....00000..LLOYD'S SYNDICATE NO 1084.................................................. GBR.............................._........_............5 ............._._.. .._._............ .__................ ..................... ....._.......__.. ...___--------... ...__....... .............___t ............. ............... .............._...1 ............... .M-1120075_...00000..LLOYD'S SYNDICATE ND 4020................................................... OR.................:......................................8 ..................... ._......-.......... -........._...._. ............_....... ................_.. .................... ........._-._._2 _........_..- -_-_....._....2 ._......_._....._ ._......__........ .._-.......__._2 .._._.__......_. AA-1126079.....00000..LLOYD'S SYNDICATE NO 79..............__......_--......_........_..... CEL_......._......._..._................................ .................... ..............._.... ..............._.3 ...........__....2 ...._._._......... ......._............ ..................... ...................5 ................._.. ._....._.......... .........._........5 .._................. .AM1126221.....000W..LLOYD'S SYNDICATE NO 221................................................. G9A........................................................ ..................... ..........-...._.._ ............_....3 .._..............1 ........_........._ _......._._...... ._........_...._.. .........___..... -_..............9 _..._........_._. ..................... .._.....__._...4 ................. 7.....00000..LLOYD'S SYNDICATE NO 597......................._..........I................GEL.......................................................... ..................... ..................... ...................2 ...................1 ..................... ..................... ............... ............... ....... _3 .............._._.. ........._.......... ..._..........._3 ._._...__..... AA-1126529.....000OD..LLOYD'S SYNDICATE NO 529_..................................._..........C8R.............................__.... ......... ..._------------- __...............1 ..................5 ...................2 ................. .._................ ................... .......... ........_.........8 -................... ..... ...................8 ..................... AA-1127236.....00000..LLOYD'S SYNDICATE NO 1236........._........................................ GEL.......................................................... .................... ..................... ...................2 .._._........_.1 ........___ __ _............ ...___......__- ___...........3 ...__...__.._... ..—..---_-_. ...._._._.._..3 .._................. AA-1127688.....00000..LLOYD'S SYNDICATE NO 1688..............__.........__.....__._._.... GEL..._............._.........._.......................... .........._....._.. ..................1 ...................5 ...................2 .....................I..................... ..... ........... ..................... .............. .............. ..................... ...................8 ............. 0899998.Total Authorized-Other Non-U.S.Insurers Under$100,000) 0 0 0899999.Total Authorized-Other Non-U.S.Insurers 2,000 46 98 807 794 1,432 536 822 (233) 4,302 150 0 4,152 0 0999999.Total Authorized 6,128 149 242 2,785 2,823 5,094 1,907 2,565 (673) 14,892 485 0 14,407 0 1099999.Total Unauthorized-Affiliates-U.S.Intercompany Pooling 0 0 0 0 0 0 0 0 0 - 0 0 0 0 1 0 1399999.Total Unauthorized-Affiliates 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1499998.Total Unauthorized-Other U.S.Unaffiliated Insurers Under 100000 0 12,297 1499999.Total Unauthorized-Other U.S.Unaffiliated Insurers 0 0 0 0 0 0 0 0 0 0 0 0 0 AA-3194161.....00000..CABIN INS CO LTD..............................................__.............EN..__..._.........._........._.._................930 ......._......_.3 ....._..........12 ...............396 _.____....407 ........_....970 ............_..326 ................391 ..._..........1122)_......._..2,263 ..-...............76 .__............._. .........._....._.. 1799998,Total Unauthorized-Ofher Non-U.S.Insurers Under$100,0001 0 1799999.Total Unauthorized-Other Non-U.S.Insurers 930 3 12 396 407 870 326 391 (122) 2,283 76 0 0 1899999.Total Unauthorized 930 3 12 396 407 870 326 391 (122) 2,283 76 0 0 1999999 Total Certified-Affiliates-U.S.Intercom a Pooli -s 0 0 0 0 0 0 0 0 0 0 0 0 0 2299999.Total Certified-Affiliates 0 0 0 0 0 0 0 0 0 0 0 0 2399998.Total Certified-Other U.S.Unaffiliated Insurers Under 100 000 0 2399999.Total Certified-Other U.S.Unaffiliated Insurers 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2699998.Total Certified-Other Non-U.S.Insurers Under$100,000) 0 0 2699999.Total Certified-Other Non-U.S.Insurers 0 - 0 0 0 0 0 0 0 0 0 0 0 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 3 Ceded Reinsurance as of December 31 Current Year 000 OMITTED 1 2 3 4 5 6 Reinsurance Recoverable On Reinsurance Pa able 18 19 7 8 9 10 11 12 13 14 15 16 17 Reinsurance Contracts Net Amount Ceding 75% Recoverable Funds Held NAIC or More of - Other From By Company Com- Direct Reinsurance Known Case Known Case Contingent Columns Ceded Amounts Reinsurers Under Federal ID parry Domiciliary Premiums Premiums Paid Loss LAE IBNR Loss IBNR LAE Unearned Commis- 7 thru 14 Balances Due to Cols.15- Reinsurance Number Code Name of Reinsurer Jurisdiction Written Ceded Losses Paid LAE Reserves Reserves Reserves Reserves Premiums sions Totals Pa able Reinsurers 16+171 Treaties 2799999.Total Certified 0 0 0 0 0 0 0 0 0 0 0 0 0 160 2899999.Total Authorized Unauthorized and Certified I.F. 152 254 3,161 3,230 5 964 2,233 2.956 (795) 17,175 561 0 16,614 2999999.Total Protected Cella 0 0 9999999 Totals 7,056 152 254 3,181 3,230 5,964 2,233 2,956 (795) 17 175 561 0 16,614 NOTE:A. Report the five largest provisional commission rates included in the cedanrs reinsurance treaties. The commission rate to be reported is by contract with ceded premium in excess of$50,000: 1 2 3 Name of Reinsurer Commission Rate Ceded Premium 1. ....._.........................._...................................._....__......._......_......................_......_.._..........._......................_....................... 2. .........................................................................................................:........................................................................................ 3. ----.....---........................_._'--------......................._---...._..__................--............_............._...-....._...._...._..... ......... 4. ......................................................................................................................................... ............................... 5. .................................................................................................................................................................................................. B.Report the five largest reinsurance recoverables reported in Column 15,due from anyone reinsurer(based on the total recoverables, - Line 9999999,Column 15),the amount of ceded premium,and indicate whether the recoverables are due from an affiliated insurer. 1 2 3 4 Name of Reinsurer Total Recoverably Ceded Premiums Affiliated N 1. SWISS fiEINS M910A CR..............................................................................................................4.653..............................1,775 Yes I 1 No I X I N 2. TRANSATLANTIC REINS CO_......................................................_...........__.............................._._.._2,674................................462 Yes I I No I X 1 .a 3. CATLIN INS 00 LTD.........................................................................................................................2,283.................................930 Yes I I No I X 1 4. ULOYO'S SYNDICATE 2623..............................................................__._._......._...._............._......2.023 ............................813 Yes I I No I X 1 5. BUKLEY IMANCE WFANY.............................................................................................................1,277.................................524 Yes l 1 No(X I ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 4 Aging of Ceded Reinsurance as of December 31 Current Year 000 OMITTED 1 2 3 4 Reinsurance Recoverable on Paid Losses and Paid Loss Adjustment Expenses 12 13 5 Overdue 11 NAIC 6 7 8 9 10 Percentage More Com- Percentage Than 120 Days Federal ID pany Domiciliary Total Overdue Total Due Overdue Overdue Number Code Name of Reinsurer Jurisdiction Current 1 to 29 Days 30 to 90 Da s 91 to 120 Days Over 120 Da vs Cols.6 17+8+9 Cols.5+10 Col.10/Col.11 Col.9/Col.11 0499999.Total Authorized-Affiliates 0 0 0 0 0 0 0 0.0 0.0 .13-1675535.....25364..SWISS REINS AAERICA ON.................._........_.............._..............._....................._...........................NY........... ..__......._....._...23 .._..........__....... _......_................... ......_._....._._._.... ..._._.0 ......__..............23 ..._.................. 0.0 ........................ .13-5616275.....19453..TRANSAILANTIC REINS CO..........................._..........__................._.....................................................NY.................. ...........................76 ........................_.... ......_..................... ..__........._...._...._. .............._........._.0 _._.__........_._...76 ...._......._--...._0.0 ....._........--...._0.0 .13-2918573.....42439..TOA REINSLFANCE 00 OF AMICA_......_..__................._....._.__...__...._._............__...._......_.........DE._....._....... ............... 2 ............................ ........... .._....._...._._.......... ........................... ............................2 .........................0.0 ......... .............. 13-4924125.....10227..IANICN ANBICA REINS CO.................................................................................................................OE................. .__............_._.....55 ............_....._._...... ................._......._. .__...........__....._.. --_.__........._......._ _._.._._.__...__..0 _...._.........._.....55 ..................0.0 ._._..._............0.0 23-2153760.....39675..E%CALIM REINS CORP...._.._...................._........_......._.___.................._............._..._......_-_.___...PA................. ............................1 ............................2 ............................2 ............................7 ............. _50 ..........................81 .............._62 .......................98.4 ......._............_80.6 o6-1022282..._24699..ALFA NORTH AAERICA INS C)............ ......................................................_..........---...-...................NY._._...._..... .. _...--_.....__....__2 ...._._..................._ ........__................_ ......_............_...._2 .........................._2 ...............100.0 ..........................0 .13-3031176.....38636..PARTNER REINS OD OF THE LIS.............................................................................................._........._...NY.................. ..........................27 ...._..._.._.___._0 ....__...._......_..-27 ___.....__....._..0.0 ._......... ....._.0.0 0599999.Total Authorized-Other U.S.Unaffiliated Insurers 184 2 4 7 50 63 247 25.5 20.2 .AA-1340125.....00000..HANNOVER Rl VEASIOERLNGS AG.... ..................................................................................................DEU........................................_71 ....._...._..._.._......_ ............'----__.. ........._...__ - .__...._-_.._._........ ......-...._...__......0 ....._.._...._........11 ...__....._..........0.0 ......... 0.0 AA-1120337..._00000..APB ISMANCE LN LIMITED............................................_.............----..........._.....__..............GBR......................._...................3 ............................. ............................ .............................. .............................. ............................0 ..................9 ...._......-__...._0.0 ................. 0.0 AA-1126003_...00000..LLOYD'S SYNDICATE NO 2003....__...._................................... ......GBR_.............. ...................._.28 ....................... -......_......._........... .._.......................... ......._-.-..__...._.._0 ......_........_........28 .........................0 .........................0.0 M-1128623.....90000..LLOYD'S SYNDICATE No 2623.........._..............................................................................................._..GNR................._........................80 ..............._....._...... .............................. ...._............._.__... ............__-._.._..... ......_......_....---.....0 _......---......__...80 ...._.......---.._0.0 .._......_......_....0.0 AA-1126623....A000D..LLOYD'S SYNDICATE NO 623-......_..............................'- G8R........---........._._..._-----------20 ....._..........------_----. .........................._.. .............. .......... .............................. ._........................0 ....._._......._.....,.20 ............... 0.0 .........................0.0 AA-1127688.....00000..LLOYD'S SYNDICATE NO 1688........................................................_....._.......................... .................MR....._.__................................_ _......._................1 ................. _1 '------...._..-....... ...__...__......_....... ....____._........_._2 _.._._-.........-.......2 ...._...._......_..100.0 ._.._..................0.0 0899999.Total Authorized-Other Non-U.S.Insurers 142 1 1 0 0 2 144 1.4 0.0 0999999.Total Authorized 326 3 5 7 50 65 391 16.6 12.8 1399999.Total Unauthorized-Affiliates 0 0 0 0 0 0 0 0.0 0.0 .AA-3194161.....00000..CATLIN INS 00 LTD...._........................................._._.._._......_......_....._......._.-......_.....__......._._aw..........._......._.._.....__...._..15 ..._......_..._............ ..._......................_. ........_........_.._...... .............................. ............................0 ...........................15 ....................0.0 ......................... 1799999.Total Unauthorized-Other Non-U.S.Insurers 15 0 0 0 0 0 15 0.0 0.0 1899999.Total Unauthorized 15 0 0 0 0 0 15 0.0 0.0 N 2299999.Total Certified-Affiliates 0 0 0 0 0 0 0 0.0 0.0 w 2799999.Total Certified 0 0 0 0 0 0 0 0.0 0.0 2899999.Total Authorized Unauthorized and Certified 341 3 5 7 50 65 406 16.0 12.3 2999999.Total Protected Cells 0 0 0.0 0.0 9999999 Totals 341 3 5 7 50 65 1 406 1 16.0 1 12.3 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 5 Provision for Unauthorized Reinsurance as of December 31 Current Year 000 OMITTED 1 2 3 4 5 6 7 Letter of Cre dit Issuino or Confirming Bank a 11 12 13 14 15 16 17 18 19 20 a 9 10 Total Recoverable Smaller of Provision for Reinsurance American Paid Losses Col.14 or unauthorized Recoverable Funds Held Bankers Cols.6+7 &LAE 20%of Reinsurance NAIC Domi- all Items By Company Association Letter - Other +11+12+13 Expenses Amount Smaller of Federal Com- ciliary Schedule F Under (ABA) of Ceded Miscellan• Allowed but not In Subtotal Over 90 Days 20%of Smaller of in Dispute Col.5 or ID pany Juris- Part 3, Reinsurance Letters of Routing Credit Balances eous Offset excess of Col.5 minus past Due not Amount in Col.14 or Included in Cols.15+ Number Code Name of Rein-surer diction Col.15 Treaties Credit Number Code Bank Name Payable Balances Items Col.5 Col.14 in Dispute Col.16 Col.17 Col.5 18+19 0499999.Total Affiliates 0 0 0 XXX XXX XXX 0 0 0 0 0 0 0 0 0 0 AA-3194161...00000....N INC CO LTD....................................BAA......... .........._..2.283 .._.._...........................2,238 028000082.._... 1..._....... CITIB",N.A....................._._......._78 .............2.283 ......_._......._D .._-____.__... ....._...._.__0 .._........._...0 .._......_- 0 _._............_.0 0899999.Total Other Non-U.S.Insurers 2,283 0 2,238 XXX XXX XXX 76 0 0 2,283 0 0 0 0 0 0 0999999.Total Affiliates and Others 2,283 0 2,238 XXX XXX XXX 76 0 0 2,283 0 0 0 0 0 0 1099999.Total Protected Cells XXX XXX XXX 0 0 0 0 0 0 ....... . ........_._..........._...__.._................_...._.........._........_......._..........----._.......-...........__....................._._._......._........ .__........._..__.....__._......----_._.__.........._..._._.........._..................._._..._............................._...__.__................._..........._._............................................................._............. ................... ...... ....................... ........... ........ .. ..... ........... ............................_......__..........._...._.. _............._-'-...._.__....................._-...........__........------...._......._............ _.....................-------......----- ._................---..........__..._..._.._..............__.........___...._.._....._......._........._.......__..............._....._............ ................ .. ........-..........__.............._..._...................._.......... _.._..._.............._...._... _._............_............_.__................._.. ..........._.._........_.............._............__....................._..........._......._......................................_....._......................................................................,.._........................................ ............... .. .................. ........................................................................................ ....................................................................... ..................................... ..........................................................................................................................--............................................................................................................................................ ....... ........................................................_......... ......._............................................................................................................... ..........................--.._........._......._..._.........-.............................-....._._................_..---._._.--._..... _-----__...........___._..._.._.......__........._._..._.___..............__...._.__.. .................. .... ................ ..... ................................................................................................ ....................................................................................................................... ............................................................... ......................................................................................................................................................................................................... N ........................................_._.........._.._.........._..................._.. .._...................._..._.......—.....__`..._....___._.......-........._.._........._....._..._:.. ....:..___..._..._......._..............._......_......_......__.....................__............_..._._.__............................_..............................._.............._......................................................._- A ......................................................................_........................ ..........._........................_.............._............_........................._............_._...... .........._....._................................__...................................._............._......................__.._.__........_._......._........._..._....__...........-._.._....___....__...._.._........_....__........_... ................................................................................................ ..........._.......................................................................................................... ......................................................................................................................................................................................................................................................... ................. 9999999 Totals 2,283 0 2,238 XXX XXX XXX 76 0 0 2,283 0 0 0 0 0 0 1. Amounts in dispute totaling$ ........................:............. are included in Column 5. 2. Amounts in dispute totaling$ ....._..........__...._.......... are excluded from Column 16. - - (a) American Bankers Assoc at on Code ABA Routin Number - Bank........ ............ ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule F-Part 6-Section I -Provision for Reinsurance Ceded to Certified Reinsurers NONE Schedule F-Part 6-Section 1 -Bank Footnote NONE Schedule F-Pad 6-Section 2-Provision for Overdue Reinsurance Ceded to Certified Reinsurers NONE 25,26,27 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 7 Provision for Overdue Authorized Reinsurance as of December 31,Current Year 1 2 3 4 5 6 7 8 9 10 11 Reinsurance Amounts in Dispute Recoverable on Paid Excluded from Col.4 NAIC Losses and Total Reinsurance Amounts in Col.4 for for Companies Federal Co m- LAE More Than Recoverable on Paid Companies Reporting Reporting ID party 90 Days Overdue Losses and LAE Amounts Received Col.4 divided by less than 20%in less than 20%in 20%of Amount Amount Reported In Number Code Name of Reinsurer a b Prior 90 Days Cols.5+6 Col.7 Col.7 in Col.9 Col.8 x 20%+Col.10 23-2153760...39675_E%CALIU REINS CORP...................................-..................._.............._._............................. —..................._.----------------57.000...........................62,000 ...........................28,ODD ..........................63.333 .................................D .................................... ...................................D ...................................0 ........ .............................................................--............................................................................................................................................................................................................................................................................................................................................................................................ ...................9999.._. .............. .._.._........ .._....._................................................................................................---_.....:........................................._...................._._..............._....................__....................................__........._..__.._..................._...........----................._......................._..............._.................................................. .......... .......................................................__.......__......................................................................._......_.........................--..............._............_................_._..._.........................__........._........................_..............._...................._.............................. .... .. _ .._......... .__....._..._........__._._.......__._..._..._......._..--.........._........__......................_.............._..........._....................................._._.....................__._.._..--,._.......................-..................._..................................................._.......................................................__._...._................................9999................. .................... 9999 ....................................................................................... .. ..............................................................................................................................................................................................................................................................................................................................................................................................-...................... . .. ......... .............................................................._....._._.........................._............................................_..........................._..............._..............................................................................___....................._.............._.....................__.........._....-............................ .___._.. ..... ........................ .........................................................................._................................................................................................................................................................................................................................................................................................... .................................................................. ............... ................... ... ........_....._.. ......._....._..._.............._........._............_....._._._.........._...................._...._................_.._.__.._................_..................................._..-------------._...... _................_......_......_.............._....._._........____..._........_9999_..___.........._..._...................'-_._............_..................._.............._..._.............. .. .... ...........................................................................................................................................................................................................................................................................................................................................................................................................................9....................999... ........................._... ................... 9999 ._......... ...._........._........_...._....._....._...__-------------.._......__........_._........................_......._......._......._....................._............_.__......................................_.._..........._........__...........__............._.._....._-..........._.__............_..........................-................................................................................. ............ ........................ 9999. ................ ................................................................................................................................._...............................................................................................................................................................................................................................................................-............................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................................................................-6.1....................................0 9999. p 9999999 Totals 57 000 62.000 28.000 )CXX 0 0 (a)From Schedule F-Part 4 Columns 8+9,total authorized,less$ 9999.................................. in dispute. (b)From Schedule F-Part 3 Columns 7+8,total authorized,less$ --------------..................... in dispute. ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 8 Provision for Overdue Reinsurance as of December 31,Current Year 1 2 3 4 5 6 7 8 9 10 11 12 NAIC Funds Held By Sum of Cots.5 Com- Reinsurance Company Under Other Other through 9 but Greater of Col.11 or Federal ID pany Recoverable Reinsurance Ceded Balances Miscellaneous Allowed Offset not in excess Col.4 minus Schedule F-Part 4 Number Code Name of Reinsurer All Items Treaties Letters of Credit Payable Balances Items of Col.4 Col.10 Cols.8+9 ....23-2153760.......39675..EXXIM PEWS CORP..........................................................................................................................306,000.................................. ......................_......... ....................__........ .._._...._.......__......._.. ....._....._..__.._.__...... ........_........._...........0 .._._._...___.._..306,000 ...._._._......_......306.000 .. ....... ......................................_.__..--....._................................................_..............................................................._..._...........-.._..................................................................................................................................................................................._............................._._............_......_........................_. ........................ ... ... ... ...... ............................................................................................................ .........................................................._......._..........................._._................_........__.......................__......._....__....__..........._._....__...__.....__._....__.......__.............._...........__...._..................__...___...__... .. ... ........_.._.____.............................._................................._......................................................................................_........................._..._..._............._..............._......................................................................................................................_................................._...................... .... .__...._..............................................._..--..._................................ _................-...._.._......._......__......._._....__.....__.....__...._..........................._......__....__ _._.._........_............................_...._.__...__...._._.........................................._...._......._........ ...................................................................................................... .............................................._........................................._...................................................................._.........._.._....__................ ..........................._..-..-..................._...._.-.................................................._................................._.....................................................................................................I.......................... ............................................................................................................................................................................................................................................................................................................._........_......_.....__........._.........._......._......_........_......_.....__._.._.__...._.._......_......_........._....._............. ...._.___._........ -----------.......----------................................-...................._._..................................................................................................................................................._.................................................................... ..........................................._............................_......_........._.........................._............_...........__...._............._......_.. ..............................................................._....................................._..............._._..................._... ......__.._....._....._...._._........__._.....__..._....._.- .....__........__._........_.._...__....._._.....__......__...............___......_._...___._._.._.._......__......_.................._................_...._................._..... 9999999 Totals 306,000 0 0 0 0 0 0 306,000 306.000 1. Total................_....................................................................._................................................................................................ 306,000 2. Une 1 x.20. _ ..._..... ..._.._. _............._. ...-. ..... . .._._....... ....... . 61.200 3. Schedule F-Part 7 Col.11................................................................................................................................................... 0 4. Provision for Overdue Authorized Reinsurance(Lines 2+3)_.._........_.............____....._---.._.._..._.......... ._........_..... 61,200 5. Provision for Unauthorized Reinsurance(Schedule F-Part 5 Cot.20 x1000)..................--......_.................-............. . 0 6. Provision for Reinsurance Ceded to Certified Reinsurers(Schedule F-Parts,Section 1,Col.23x 1000)................. 0 7. Provision for Overdue Reinsurance Ceded to Certified Reinsurers(Schedule F-Part 6,Section 2,Col 15 x 1000), 0 8. Provision for Reinsurance(sum Lines 4+5+6+7)(Enter this amount on Page 3,Line 16)...................................... 61.200 N Co ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE F - PART 9 Restatement of Balance Sheet to Identify Net Credit for Reinsurance 1 2 3 As Reported Restatement Restated Net of Ceded Adiustments Gross of Ceded ASSETS(Page 2,Col.3) 1. Cash and invested assets(Line 12).............................................................................................................................44.197.382 ..................................... ......---.........44,197,382 2. Premiums and considerations(Line 15)._............__..............._......_.......... ........... ...................3,153,598 ............._.3,153.598 3. Reinsurance recoverable on loss and loss adjustment expense payments(Line 16.1) .._. - 405,883 ........_____....(405,883)...._...._ ..0 4. Funds held by or deposited with reinsured companies(Line 16.2) ...................................:.........A ..................................... .................................A S. Other assets...............---................................................................................................................................................1,719.309 ..................................... ....................1.719.309 6. Net amount recoverable from reinsurers........................................................................................................................................ ..................16,553.343 ..................16,553.343 7. Protected cell assets(Line 27)......................................................................................__.........._.__..._ 0 0 8. Totals(Line 28)....................................................... 49,476,172 16,147.460 65,623,632 LIABILITIES(Page 3) S. Losses and loss adjustment expenses(Lines 1 through 3)-------------._..................._..............._..........................._....25,393,765 ............._...14,608.324 ..................0,002,089 10. Taxes,expenses,and other obligations(Lines 4 through 8).......................................................................................1,277,030 ......................(601,278).......................675,752 11. Unearned premiums(Une 9)........................... ....................._.._................... _...................._........... ...--............5,323.231 ....................2,955,980 .....----....._.8,279.211 12. Advance premiums(Line 10)-........................:..........................................................................................-------.........._._..591,754 ... ..........- .. _.591.754 13. Dividends declared and unpaid(Line 11.1 and 11.2) ._................__----..__..._....._--_...........0 .._..... ----- ------------------------.-_._..0 14. Ceded reinsurance premiums payable(net of ceding commissions(Line 12)_.----------------..__............ .._.__.............560.665 .................(560,665)............._...._..............0 15. Funds held by company under reinsurance treaties(Une 13)....................................................................................................0 ..................................... ...--..............................0 16. Amounts withheld or retained by company for account of others(Line 14)....................................................................408,570 ............................... .......................408,570 17. Provision for reinsurance(Line 16).........................................................................................r....--.-----.._..........................61.200 ........................(61,200)...................................0 18. Other liabilities............ ...........-...-....... ..................._..... .. ._..........--.. ............._.._....----- 253.300 (193,701)---------------------:59,599 19. Total liabilities excluding protected cell business(Line 26)-------------------------------------------------------------------- 33,869,515 16,147,460 50,016,975 20. Protected cell liabilities(Line 27)......................................................------....._... .------------- 0 21. Surplus as regards policyholders(Line 37) 15,606,657 XXX 15.606,657 22. Totals Line 38 49,476.172 16,147,460 1 65,623,632 NOTE: Is the restatement of this exhibit the result of grossing up balances ceded to affiliates under 100 percent reinsurance or pooling arrangements?........................._.........--------_.........-----............-------.........---....---.............----...........----.........°------'-......-------....................------- Yes[ 1 Na[ X ] Ifyes,give full explanation: ..............._..........................------....................................................................................................................................... 30 ANNUAL STATEMENT FOR THE YEAR 2012 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 31,32,33 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P -ANALYSIS OF LOSSES AND LOSS EXPENSES SCHEDULE P - PART 1 - SUMMARY $000 OMITTED Premiums Earned Loss and Loss Expense Pa ments 12 Years in 1 2 3 Defense and Cost Adjusting and Other 10 11 Which Loss Payments Containment Payments Pa ments Number of Premiums Were 4 5 6 7 8 9 Total Net Claims Eamed and Salvage and Paid Cols Reported Losses Were Direct and Direct and Direct and Direct and Subrogation(4-5-6-7 Direct and Incurred Assumed Ceded Net 1-2 Assumed Ceded Assumed Ceded Assumed Ceded Received -8-9) Assumed 1. Prior..........._XXX-...........XXX_..... XXX-.._....._......225 ..............116 ..............219 ._..._.....263 _.__.._.......0 .......... 59 ......_.-_....65 XXX...... 2. 2003...............14,809 ..........6.011 ..........B398 ...........5.729 .........1,768 ..........3,263 ..............567 ..............555 ............... ................25 ...........7,212 .......XXX...... 3. 2004...... .........17.967 _........7,240 .........10,727 ....._...9,423 ...........5,057 ..........4,207 __.....__.476 ......_..._577 ........_-_-_0 ........_.-....17 ...........8,674 ...._xxx.._-- 4. 2005...............19.983 ..........8,260 .........11.723 .........10,146 ...........5,255 ...........7,278 ...........1,232 ..............605 ..................0 ..................4 .........11,542 XXX...... s. 2006...............22.583 ...........9,332 .. ..13,251 ...........4,366 ..............598 ...........5,939 ..............529 ..............679 ..................0 .........:......28 ..........9,857 .......1aX...... 6. 2007......---------23,710 ..........9,611 .._....14,099 .__._..6,554 ..........2,012 ...........8,414 _.._.....1,378 ..._._.....730 ..............0 __._.__....63 ........12,308 ....-XXX...... 7. 2008...............22,205 ..........8,857 .........13,348 ...........3,895 ..............539 ...........5,121 ..............489 ..............922 .............:...0 ................66 ...........8,910 .. xxX...... 8. 2009_-------------19,470 ............7,523 _....... __......3,109 - 801 .._.._..5,544 ..........1.618 ............986 ............_0 -_-..._.......12 ..........7.220 _..._XXX_.... 9. 2010................17,789 ...........6,825 .........10,964 ...........3,601 ..............664 ...........3,580 ..............159 ..............914 ..................0 ..................5 --------7,272 .......xxX...... 10. 2011......._......16,806 ..__._.6,576 ._......10,228 ...........1,103 ....__......110 ---......_1,871 ......._..__48 _............879 -.............._0 _____--_.._0 ........_3,695 _.._XXx.._.. 11. 2012 17,398 6,944 10,454 359 102 319 8 815 0 0 1,383 Xxx 12. Totals XXX XXX XXX 48,510 17,022 45,755 6,767 7,662 0 279 1 78,138 XXX 23 24 25 Losses Un aid Defense and Cost Containment Unpaid Adjusting and Other Case Basis Bulk+IBNR Case Basis I Bulk+IBNR Un aid 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 Ceded Assumed Ceded Anticipated Unpaid Assumed 1. Prior........ 200 ...........200 ...... .....13 ..............13 -------_.479 ............479 ...............6 ............6 .._.._._..11 ...--....0 ....... ...._0 -- _.11 ..._xXX 2. 2003--... 40 ............_..0 ..............18 ..............13 ..............22 0 ................8 ...............6 ...............7 ................ ................0 ..............76 ......XXX..... 3. 2004...... ...._..._.237 ----------225 ..............37 ._...........26 ..............19 ..............13 ------------..17 ..............11 ................7 ...........0 --.........0 .............42 -- X 4. 2005...................866 ............282 ..----._105 ............_47 ............218 _---------W -.-----._.47 ........_....17 ..............33 ................0 ......--.......0 ......._...777 --...XXX 5. 2006...... ............319 ..............43 ..............34 ........ ..23 ......-----.353 ............101 ..............15 ..............10 ............_45 ................0 ................0 ............589 ...-_xxX..... 6. 2007 _...__1,082 ............295 ---------...223 ............_75 ............413 ._.__..247 --------....100 ...._....__24 .............81 .____.._..0 ._..._..._..0 ........1,258 ......XXx..... 7. 2008................1,678 ............865 ....-----...536 ............278 ............775 ............328 .........241 ............109 ..............89 ...............0 ................0 -1.739 ......xxX..... 8. 2009------ ---------1,246 _......._.478 -.-......1,904 ......_1,082 .-.-.----704 ............3W --.--.._855 -__.....435 ..-.-.-_.133 ----__--_0 ............... ------2,509 _...XXX._.. 9. 2010.--------------1,961 ............466 ...._-2,489 ........1,330 ---.-2,078 ............777 .........1,117 ............525 ..............170 ................0 _..............0 ........4,717 ......XxX..... 10. 2011----__-..1,611 ..._.......231 ------.3,607 ........1,623 ...._1,945 ..._...._.753 ..__..1.620 .---_.._.605 ...........270 ..........--0 __--..._.0 .---.__5,841 .....xXX..... 11. 2012 2,076 96 1 4,159 1,454 1,162 48 1,867 485 654 0 0 7,835 XXX 12. Totals 11,316 3,181 13,125 5,964 8,168 3,230 5,893 2,233 1,500 0 0 25,394 XXX Total Loss and Loss Expense Percentage 34 Net Balance Sheet Losses and Loss Expen ses Incurred Incurred/Premiums Eamed Nontabular Discount Reserves After Discount 26 27 28 29 30 31 32 33 Inter- 35 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Net Loss Expense Percents a Un aid Un aid 1. Prior..............XxX....------.....XXX...............XXX...............XXX.......--------XX X...............XXX...........................0 ....................0 ........xxx...........................0 ..................11 2. 2003.. ...........9,642 ------------2,354 ---------7 286 65.1 -------------- 9.2 ---B2.8 -----------.._.0 -----------------0 --- -- -- -----------45 ------------.31 3. 2004..---....---....14,524 ............5,808 .............8,716 ----...._...80.8 ..............80.2 ..............21.3 ....................0 ....................0 .._............... ..................23 ._...._.........19 4. 2005----- ----------19.298 .........._6,979 ..----....12,319 --------._.96.6 ..............84.5 ------------ ._......--.....0 ----._.....0 _.........._.......: ...-_ - �2 --------------135 S. 2006......-----------11,750 ._...-----1,304 ...........10,446 ...---........52.0 -------......14.0 ..............78.8 ....................0 ....................0 ..............._.. ...............267 ................302 6. 2007 ..............17,597 ...... ...4,031 ....._._13,566 .....---.......74.2 ..............41.9 ...__.......96.2 ..._......... ....._...- ._0 ...................... ... ..935 ------------323 7. 2008..................13,257 ............2,608 ..........10.649 59.7 ----.......29,4 ..............79.8 .................... ..------------------0 ...................... .... 1,071 --------------668 8. 2009......-------..14,481 ........ -4.752 .............9,729 ......----....74.4 ---------------63.2 ....---.......81.4 ....................0 ....................0 ....................................1,590 ................919 9. 2010...-..------.15,910 _..-.---.3,921 -----------11,989 _-------...B9.4 -------.-...57.5 ---.......109.3 ............_.._..0 ........__........0 ............. ._..--°..-2,654 ..........-2,063 10. 2011.................12,906 .............3,370 .............9,536 ......---.....16.8 ---------.._51.2 .............M.2 .-- .......0 ....................0 ...................... _...........3.364 .----.......2,477 11. 2012 11,411 2,193 9,218 65.6 31.6 $8.2 0 0 4,685 3,150 12. Totals 1 XXX XXx XXX XXX Xxx I Xxx I 0 0 xxx 15.296 10,098 Note:Parts 2 and 4 are gross of all discounting,including tabular discounting.Part 1 is gross of only nontabular discounting,which is reported in Columns 32 and 33 of Part 1.The tabular discount,if any,Is reported in the Notes to Financial Statements which will reconcile Part 1 with Parts 2 and 4. 34 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P - PART 2 - SUMMARY Years in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END $000 OMITTED DEVELOPMENT Which Losses 1 2 3 4 5 6 7 8 9 10 11 12 Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 One Year Two Year 1. Prior.................7,678 ..........7,275 ...........8,271 ...........8,433 ..........8,062 ..........7,961 ...........7,978 .........-8,026 ...........7,981 ..........8,036 ................55 ................10 2. 2003.................6,571 .........-6.167 ...........6,859 ..-......3,214 ..........6,816 ...........6,618 ...........6,708 ... ....6,766 ...........6.724 ..........6,726 ......... ..-2 ...............(40) 3. 2004__.....__XXX._.............8,271 ...........8.040 .........-8,272 ..........8,423 ...._...8,296 ...........8,191 ..........8,268 .---.......8,089 ...........8,132 ----.43 ....__._..(136) 4. 2005.............XXX.............xxX...............11,374 ........12,635 .........11,582 .........11,288 .-.......11,282 .---.....11,366 .........11,486 -......-11,681 ..............195 ..............315 5. 2006---_ XXX_..........XXX__..--__xXX-_---____12.010 ._._.11.157 __....10,666 ...._.._.9,627 ..--.....-9,863 9.754 ......................9,722 .-.-._.......132)..__..----(141) 6. 2007.............XXX..............XXX.............xxx..........-..xxx...............11,300 10,593 11.705 11,648 .........12.042 12,755 ..............713 A,107 7. 2008..............xxx.._.........XXX_..........XxX..._......_XxX.............XxX..._............9,745 ..........8,359 ------_8,781 ..........9,000 ...........9,638 .._._- 638 ..._.........857 8. 2009......._._XXX.__........XXx............XXx_....._.._XXX..........._XXX.._.._.__XXx...............-8,725 ..........8,495 ..._._.8,053 ..........8,610 ..............557 ....._......115 9. 2010...... ....._XXX.............XXX.............XXX.............XXX.............XXX-...........XXX------- ......XXX.................8,741 ..........8,758 ..--.10,905 ..........2,147 ..........2,164 10. 2011............XXX_.....__..xxX XXX__.....XxX ._..xxX---.__._..XXX............xxx..........._xXX......._....._7,171 --- 8.387 .____1,216 --..XXX...... 11. 2012 1 XXX I Xxx XXX XXX xxx xxx XXX XXX XXX 7,749 XXX XXX 12.Totals 5,534 4,251 SCHEDULE P - PART 3 - SUMMARY CUMULATIVE PAID NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END 11 12 $000 OMITTED Number of 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 Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Pa Payment Payment 1. Prior...............000.................2,606 .-------4.687 ...........6,218 -------..7,086 ........... ...........7,T73 ....._...7,847 ..........7,971 ........_8,036 .......XXX.-.----..xxX...... 2. 2003...... ............_661 ..........2,583 ..........3,976 ...........5,239 ...........6.019 ...........6.345 ...........6.450 ...........6,632 ......---6.673 ...........6.657 .-.xxx-------------XXX. .. 3. 2004..............XXX....................545 ---------- --------4,020 -------.5,704 ........... .._._._7,465 ------._7,878 ...----_8,014 ---.-_..8,097 ..--..)OOC--_.-.XxX..--- 4. 2005.............xxx.............XXX....................925 ...........4,055 ...........6,764 ...........8.659 ...........9,727 .........10.202 .........10,734 ..-...10,937 XXX.............XXX ....-. 5. 2006...... .......XXX.............xxX......-----XXx......--------------636 ..........3,266 ...._-..5,645 -........7,171 .._.......8.168 ____..B.585 ...........9,178 _--._xxx.............XXX...... 6. 2007.............XXX.............XXX.............XxX-------------xxx....................884 ...........3,774 -----....6,992 .---.......8,711 ......_10,264 ---.....11,578 ._._-XXX.............XXX ..-... 7. 2008.............XxX...............XXX......-------xxx.............xxx.............XXX....................636 ..........2,630 ...........4.306 ...........5.708 ..........7,988 ..._..xxx...........-XXX ...... 8. 2009_.------XXX_...........XXx_-----------XXX-----------XXX-----------XXX----------_XXX......----------..819 ..........2,922 ----___.4,601 -._-'---6.234 .---..xxx.............XXX 9. 2010...... .......xxX.............XXX........._...X XX.............XXX..........._XXX-------------XXX-------------XXX......-----........802 ----.-._..3,644 .........-6,358 .......M.............XXX ..-... 10. 201 ..............XXX............_XXX__...._..XxX-------------xxx-------------xxx.-....._.-.XXX-------------XX X-------------XXX....................407 ....__.2,816 _..._XXX.............XXX .-.... 11. 2012 XXX xxx XXX XXX xxx xxx xxx XXX XXX 568 XXX XXX SCHEDULE P - PART 4 - SUMMARY BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END$000 OMITTED Years in 1 2 3 4 5 6 7 8 9 10 Which Losses Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 1. Prior ---..---------.3,426 _..------_.1,481 ...- .....1,122 -------------..619 ------------------113 .... ...- '44 --------- .9 -----------------6 ........- ........0 -- ....._..__.D 2. 2003.....................3,302 ...............2,189 -----------.1,365 ............933 ...................373 ...................157 ....................91 -.71 ......................0 ................. 7 3. 2004........ XXX---- -4.211 ------------2,866 ----974 ........_......_732 ..............-A26 --------------222 ---------------170 ._..._.....' -9 -_17 4. 2005------.........XXX..................XXX-------- -.5,379 .........--....3,363 ------------2,010 ...............1,185 ...................503 ------------------- ........ .......139 _.._......._..._88 5. 2006.....--------XXX..................XXX..................XXX-------- --------..5,411 ...............3,279 ...............2,015 ...............1.020 ---------------.558 -----------------336 .__...............16 6. 2007-----.........XXX........ .........XXX.. ... --------XXX------ --------XXX.......................5,313 ---.-..-----.3,206 ..............2,330 ------------1.173 -._... --_...551 ---............224 7. 2008.-------------XXX........ .........XXX..................XXX----- ---------XXx..................XXX........................5,038 ...............2.993 ... .........1.737 ...............1,268 ...................390 8. 2009.---.---__XXX-.-'---'---XXX........ ---------XXX------------------xxX--------XXX-----------_.XXX.........----------4,403 .._.--..----.3,413 ------------1,755 --------1,242 9. 2010.-_..-.. XXX-'............XXX..................XXX.........---------XXX..................XXX..................XXX..................XXX........................4,070 ........------.2,817 ...............1.751 10. 2011...... .........XXx......-. ... -XXX__._...._...XXX_--._...____XXX_.........----_XXX......_.......-XXX......_..-._-XXX____.._.__.XXX...........----------3.696 ........... 2,999 11. 2012 XXX XXX XXX XXX XXX XXX XXX I XXX I XXX 1 4,087 35 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule P-Part 1A-Homeowners/Farmowners NONE Schedule P-Part 1 B-Private Passenger Auto Liability/Medical NONE Schedule P-Part 1C-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 1G-Special Liability(Ocean Marine,Aircraft(all perils), Boiler and Machinery) NONE Schedule P-Part 1 H-Section 1 -Other Liability-Occurrence NONE 36,37,38,39,40,41,42,43,44 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART 1 H-SECTION 2-OTHER LIABILITY-CLAIMS-MADE $000 OMITTED Premiums Earned Loss and Loss Expense Payments 12 Years in 1 2 3 Defense and Cost Adjusting and Other 10 11 Which Loss Payments I Containment Payments Pa mants Number of Premiums Were 4 5 6 7 8 9 Total Net Claims Earned and Salvage and Paid Cols Reported Losses Were Direct and Direct and Direct and Direct and Subrogation(4-5-6-7 Direct and Incurred Assumed Ceded Net 1-2 Assumed Ceded Assumed Ceded Assumed Ceded Received -8-9) Assumed 1. Prior.............XXX......__.XXX XXX.-.---....._._225 .-----._-116 ...._._.._219 -_---.263 _...............0 ..................0 ................59 ................65 ..---.XXX.._.. 2. 2003...............14,736 ..........5,962 ..........8,774 ...........5.729 ..........1.768 ..........3.263 ..............567 ..............555 ..................0 ................25 ..........7,212 ..............249 3. 2004......___..17,843 .........:7,166 ......_.10,677 ...........9,411 ..........5.051 ...._....4,190 ......_......468 .......__._577 ............_..0 ................17 -.........8.659 -_........._275 4. 2005.......__....19,803 ...........8,162 .._....11,641 .........10,139 ........_5,251 ..........7,266 ....__..1,226 ..............605 ..................0 ........_.__..4 .........11,533 ..............358 5. 2006...............22,374 ........_9,216 ........13,158 ...........4,348 ..._.........589 ...........5.903 ..............511 ..._.........679 ...._......__.0 .........-......19 ...........9A0 ..............336 6. 200x_.....__._23,427 ..........9,448 ...._..13.979 ...........6,551 ..........2,010 ......._.8,398 _ 1,369 ........... 0 ................63 12.300 ..............350 7. 2008..............21,869 ...........8,647 .........13.222 ...........3.861 ..............523 ..........5.099 ..............479 ..............922 ..................0 ................45 ...........8,880 ..............326 8. 2009......__.....19,092 ...........7,270 ---......11,822 ..........3,109 ...__....._801 ____ 5.544 ..........1.618 ..............986 _.........._._0 .____.......12 ---..._7.220 --_-_-....268 9. 2010...............17.482 ...........6,643 .........10,839 ..........3.601 ..............664 ...........3.580 ...............159 ..............914 ..................0 ..................5 ...........7.272 ..............262 10. 2011--_-----..16.508 ......__6,407 .......10.101 -__-........955 _._........._2 _._......1,859 39 _..____.879 ____.__--._0 .-_-----_-_.0 .........3.652 ..._..___243 11. 2012 17,101 6,777 10,324 359 102 319 8 815 0 0 1,383 250 12. Totals XXX XXX XXX 48,288 16,877 45,640 6,707 7,662 0 249 78,006 . 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Case Basis Bulk+IBNR Case Basis Bulk+IBNR Other Un aid 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 Ceded Assumed Ceded Anticipated Unpaid Assumed 1. Prior..................200 ............200 ---....13 .......... .13 ............479 ..._......479 ._...._......6 ................6 ..............11 ...._.. -..0 ................0 ..............11 ................3 2. 2003...... ------------40 ......_._..._0 ............-18 ..............13 ..............22 ................0 ................8 ................6 ............._7 ............... .. -------0 ..............76 ...............2 3. 2004.... 237 -----------225 ----------..37 ..............26 ......... ..19 ..............13 ..............17 ............11 ................ ................0 ... -------0 ...........42 ---------..2 4. 2005...... . ........866 ............282 ............105 ..............47 ............218 .............146 ..............47 ..............17 ..............33 ................0 ................0 ............777 ................9 5. 2006.-------......319 ..............43 ............_34 .._._.....23 _........_352 ..........._100 ---_____15 ..........._.10 ------------45 ___.......... ...._.........0 ._.........589 ...._..---..12 6. 2007...... .........1.076 ............292 ..--.---....223 ..............75 ............413 ............247 .............100 ..............24 ..............81 ................ ................ 1,255 .......-.----.22 7. 2008--------...1.678 .....--_...865 .__----.536 278 ------773 ............327 ........... ...._._--.109 _.-.__-89 -____.-..._0 _____._-.0 _.... _ 24 8. 2009...... ........1,246 ............478 .........1,904 1,082 ............704 ............338 ............855 ............435 .............133 ................0 ................0 2,509 ..............36 9. 2010......---------1,961 ........__466 .-.---2,489 ........1,330 ._.....2,078 ............777 .........1,117 ............525 .............170 ......__.__.0 0 .........4,717 ..............46 ................ 10. 2011...... .........1,605 ............228 3,607 1,623 1,941 ............751 ... 1,60 ............605 ....-----...270 ...... .......0 .......... ..0 ........5,836 ..............73 11. 2012 2,076 96 4,159 1,454 1,162 48 1,867 485 654 0 0 7,835 177 12. Totals 1 11,304 1 31175 1 13,125 5,964 8,161 r 3,226 5,893 F 2,233 1,500 0 0 25,385 406 Total Loss and Loss Expense Percentage 34 Net Balance Sheet Losses and Loss Expens ea Incurred Incurred[Premiums Earned) Nontabular Discount Reserves After Discount 26 27 28 29 30 31 32 33 Inter- 35 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Net Loss E ense Percentage Unpaid Unpaid 1. Prior......-.._XXX...............XXX-------........XXX... .........XXX...............XXX...............XXX...........................0 ....................0 ........XXX...........................0 -------------..11 2. 2003...- -----...9,642 ---------2.354 ------------- 65.4 ___._..39.5 __._.....63.1 ---------.....0 ....----------...0 _..............0.0 ..----------45 --------------...31 3. 2004.................14.495 .............5,794 ..__......8,701 ---------..61.2 ..............80.9 ..............111.5 ....................0 ....................0 ..........0.0 ..._......-..23 - ......_..19 4. 2005------ -----------19.279 .__._....6,969 ...........12.310 ---------.97.4 ....----------85.4 ...........105.7 -._..........._._0 ._..--.._._.....0 ...........0.0 .------------642 .-------.._...135 5. 2006------ ...........11,695 .............1,276 ---.......10.419 ............... ...............13.8 ...............79.2 - ...............0 ....................0 -------------0.0 .....----...287 --------...__.302 6. 2007.................17.572 .............4,017 ..........13,555 ...............75.0 ..............42.5 .----.........97.0 ....................0 ..---......0 ................0.0 ---------......932 ...............323 7. 2008------ ...........13.199 ............2,581 ---...__10,618 ..._......._60.4 _............29.8 ..............80.3 ....................0 --------------------0 ......------.._0.0 .............1.071 ................667 8. 2009...... ...........14,481 .............4,752 ............9,729 ...............75.8 ..............65.4 ..............82.3 ....................0 ....................0 ................0.0 ..----......1.590 ... ......:.919 9. 2010._-.-----------15,910 ...._._..3,921 _11,989 ___-.---.....91.0 ..............59.0 ............110.6 ............_.__0 .................._0 -.._..-........0.0 ..-.._-...2,654 ............2,063 10. 2011..................12,736 ...........3,248 ............9,488 ..............77.2 ...... 50.7 ............... ....................0 ....................0 ................0.0 ..---........3,361 -------.....2,475 11. 2012 11,411 2,193 9,218 66.7 32.4 89.3 0 0 0.0 4,685 3,150 12. Totals xxx xxx XXX xxx XXX xxx 0 0 XXX 15,290 10,095 45 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule P-Part 11-Special Property(Fire,Allied Lines...) NONE Schedule P-Part U-Auto Physical Damage NONE 46,47 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART 1 K-FIDELITY/SURETY $000 OMITTED Premiums Earned Loss and Loss Expense Pa meats 12 Years in 1 2 3 Defense and Cost Adjusting and Other 10 11 Which Loss Payments Containment Pa ments Pa ents Number of Premiums Were 4 5 6 7 8 9 Total Net Claims Earned and Salvage and Paid Cols Reported Losses Were Direct and Direct and Direct and Direct and Subrogation(4-5+6-7 Direct and Incurred Assumed Ceded Net 1-2 Assumed Ceded Assumed Ceded Assumed Ceded Received +8-9) Assumed 1. Prior -__...XXX...........-XXX.............XXX......----------------(6) ............(3)_._._..____0 .O —_-__..._._.0 ..__.._.___.0 ._._.._--...6 ---__.--.._13)._._XXX.._.. 2. 2011....................298 ............._171 ..............127 .---...........148 ...............108 ................12 .................9 ........... .................. ..................0 ................43 .......XXX...... 3. 2012 297 167 130 0 0 0 0 0 0 0 0 XXx 4. Totals xxx xxx xxx 142 105 12 9 0 0 6 40 xxx 23 24 25 Losses Unpaid Defense and Cost Containment Unpaid Adjusting and Case Basis Bulk+IBNR Case Basis Bulk+IBNR Other Un aid 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 Ceded Assumed Ceded Anticipated Unpaid Assumed 1. Prior.....................6 ..............3 ................0 ................0 ...... .......3 ................2 ................0 .............._0 ................0 ................0 ................0 ................4 ................7 2. 2011.._.................6 ..._........3 -_--._...._0 ._.... __0 ----------- 4 ............ ......-.....0 ................0 ....._._..._0 ...._....... 0 0 ........._.....5 ......._....._2 3. 2012 0 0 0 0 0 0 0 0 0 0 0 0 0 4. Totals 12 6 0 0 7 4 0 1 0 1 0 0 0 9 9 Total Loss and Loss Expense Percentage 34 Net Balance Sheet Losses and Loss Ex enses Incurred Incurred[Premiums Earned) Nontabular Discount Reserves After Discount 26 27 28 29 30 31 32 33 Inter- 35 36 Company Direct Direct Pooling Loss and and Loss Participation Losses Expenses Assumed Ceded Net Assumed Ceded Net Loss Expense Percentage Unpaid Unpaid 1. Prior.........---XX X........_.....XXX...............X xX..---..........XXX...............XXX----_._..._XXX....... 0 0 ........XXX...._.__..............3 ..._.........._...I 2. 2011......................170 .................122 ..................48 ...............57.0 ...............71.3 ...............37.8 ....................0 ....................0 ...............0.0 ....................3 ....................2 3. 2012 0 0 0 0.0 0.0 0.0 1 0 0 0.0 0 0 4. Totals XXX XXx Xxx XXX XXX XXX 0 1 0 XXX 6 3 48 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule P-Part 1 L-Other(Including Credit,Accident and Health) NONE Schedule P-Part 1M-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 1S-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 49,50,51,'52,53,54,55,56,57,58 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART 2F-SECTION 1 -MEDICAL PROFESSIONAL LIABILITY-OCCURRENCE Years in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END $000 OMITTED DEVELOPMENT Which Losses 1 2 3 4 5 6 7 8 9 10 it 12 Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 One Year Two Year 1. Prior.._.............................._.....---..........................-.........................__..._. .. .......__....................-_....................__......._....._..-.............................----- .......... 2. 2003.......-.-_..._..._................._-._._.... _...................................________.............._...-____.__................ ----..-..--..- 3. 2004.............XXX.................................................-...................................................................................... ................................................................................................... 4. 2005..-............ XX.-_--.XxX_...._.................. ............. C5. 2006..............XXX............-XXX.....--...-_XXX...... .-.-... ..................................--......-........................................ 6. 2007_...__._XXX.........._XXX-.._.--__XXX..._ _.. ... _.. .-..7. 2008.............XXX.............XXX-........-...XXX...... .-. ..... ....... ...... .............-.... _.-..........................................-..-.._.-.............................. 8. 2009..........__XXX..........._XXX_....._...XXX...... .... ..-. ... ........... ...... ...........__............._.._..._...._..--......._._........................... 9. 2010.-....__.-.XXX.............XXX_..-..-.._XXX__....-....xxx..........._XXX._.-.___XXX_......--._XXX--.--._.._............... __.-_.._........................ .....-_.._.-...__..-._.................. 10. 2011.............XXX.............XXX------.......XXX......-.....XXX.............XXX.............XXX-..-......:_XXX.............XXX............................................................................XXX...... _ 11. 2012 XXX XXX XXX XXX XXX xxx XXX xxx xxx XXX xxX 12.Totals SCHEDULE P-PART 2F-SECTION 2-MEDICAL PROFESSIONAL LIABILITY-CLAIMS-MADE 1. Prior .... ................_... .......-.._-.___---......._..............................--....-------..- 2. 2003............................:......................__................ ................... 3. 2004_... __.........................................-.._._.-...__. 4. 2005.............XXX..............XXX..-.-.........................-........-...-...............................................................................................................-.-............-......-........................................-. 5. 2006..-_.......XXX__....__XXX.._....---_XXX...-.. ._...._.... _........ ........... ............ ...... .._..................................._..............'.`__...................... 6. 2007._..._.....XXX.............XXX......-.-----XXX----.. -.. _.. -..-___.-. ..... ......... .-.... ....--..-..__..-.__....._._.........--........--.....-.....--....-.--..-.._-._.__.___.... 7. 2008......-------XXX.............XXX.............XXX-...-. .... ... .... .......... .... .... ..... ...... .......-...................................................................... ... ......... 8. 2009.........-_XXX___-_-_.XXX..._..-_._XXX...... .... __ ..._._ __.. . ...... ..................... ......._._-_..._-__..--_....._.......................-._-__---.._.-.. 9. 2010.............XXX.............XXX.............XXX..-..- ..-- .--.... ... ........... .-- ... .......................................................... -.....-................... 10. 2011._..........XXX.__._._XXX_____.XXX.._........-XXX....--..-.._xXX..._-__-XXX......----- ------------XXX..__._......................... _.__-__...._.---.--.XXX..-._ 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX I XXX I XXX XXX 12.Totals SCHEDULE P-PART 2G-SPECIAL LIABILITY(OCEAN MARINE,AIRCRAFT(ALL PERILS), BOILER AND MACHINER 1. Prior-...._........................................__.. _........................................---_...--__._._- 2. 2003--.-.........................................................................................................................................................----------..- - 3. 2004------------XXX__--------------------' -..-..___.............._............................................-..-........... --------------.......................- 4. 2005......-------XXX.............XXX............................-.........-...-._.._----------------------------------------- .-.----..._..-------.......................------------------__-..__._....-----......--.----............................ 5. 2006.............XXX.............XXX---.-...--.-.xxx---..- .------------- ..-C ....-...... .-. .--.-.-.- ...... ...................................................................I..................... 6. 2002...-.....-..XXX XXX _- __ .. ..--- .._...__7. 2008.............XXx.............XXX.............XXX.-... .--- --- ... .... ...- ....- -..-.. ..... .........--......................................................................... 8. 2009......_...XXX...---.....XXX-----..-_..XXX--.... ---- ..- ._ _..-. _... _.._....................._.-----_-____.........._......._.._......-._.__......--9. 2010.............XXX......-......XXX..--..-------XXX-..... .... .-. ... ........-. ... ... ..........--...............................--....--.--...--......................... 10. 2011-.-...-..--XXX----..-..XXX.--_._.-.XXX__ ---XXX.----------XXX......._.._---------..............................°--...._.--------XXX..--- 11. 2012 xxx XXX XXX XXX XXX XXX XXX XXX I XXX I XXX xxx 12.Totals SCHEDULE P-PART 2H-SECTION 1 -OTHER LIABILITY-OCCURRENCE 1. Prior.--------------------------------------------------------------_.--_.............................................................._.........---....----------_...- 2. 2003................................................................................................................._............................_.................................................................................................................... 3. 2004 _.....XXX....-.__..------------------------------------- ---- .___._._-------------------------------._---._----__. 4. 2005-------------XXX-------------XXX--.....-.-...................................... .......................................................................................................................................................................... 5. 2006_--..-_-_XXX_-- __XXX.- ----------- ----___ -------- ---------- ----. ._---------- ------ .................... ................... .................................. ...... XXX XXX...... ..................... .... ....... ---------------------------------- ----------------------- 9. 2010-.........._XXX......----..XXX......----..XXX-..... ._. ..---- ----------- --- .-........-..........._.._---...---'---................... 10. 2011...... .......XXX__.---._XXX_..........XXX..---._---_XXX____._..XXX......--._.-XXX----.-_._Xxx--------..-_XXX....-. ...__.....-....--.__--_-..-_--__.__...--.-XXX 11. 2012 XXX XXX xxx XXX XXX XXX XXX XXX XXX XXX XXX 12.Totals SCHEDULE P-PART 2H-SECTION 2-OTHER LIABILITY-CLAIMS-MADE 1. Prior------.-----_7,678 ...--......7.275 .....:....-8,271 -:----..-..8.433 ..........2.062 .------7,961 ...........7.978 ----.......8.026 ...........7,981 -_.-.--..8,036 ................55 --..............10 2. 2003................6,571 -.....-...6.167 ....-..-..6,859 .--.._..7,214 ...........6,816 _.___6.618 _.-......6.708 -......_6.766 ...--...._6,724 ____-6,726 .............__2 _.___.._.(40) 3. 2004.---"-------XXX................8.249 ..........8,025 -------.8.257 ..........B.408 ..........8.281 -.......-.8.176 ...--......8.253 ..........8.074 ...........8.117 -------------.43 .............(136) 4. 2005..---------XXX.._..._....XXX-------------11.374 .--..-..12,635 _......11.575 ----.-_11.278 .-----.11.273 -----_11,357 ---......11.477 ..-.....11,672 .---------195 ..............315 5. 2006..--..------XXX.--..-____XXX .Xxy-------..---...11.990 ..----.11.129 .........10,640 ..--......9,598 ..........9,830 ...........9.726 ..........9.695 _.............(31)............11M) 6. 2007.............XXX.............XXX.............XXX.............XXX...............11.265 -.-...-.10,561 .........11.691 .--.-...11,631 .-.......12,031 -.-.....12.744 .--...........713 ...........1,113 7. 2008...-.. .-_-.-XXX---.------xxX_....---._xxx...-...----XXX--_-...---XXX-----------9.730 -.-._....B.318 .------..8,744 -_-------B.966 --------9,607 ---------...641 -._..-..-....863 S. 2009.............XXX.............xxx------------XXX.............XXX... ...--.M.............XxX......-------8.720 ..........8.495 .------B.053 ..........B.610 -.-----..-----557 ...............115 9. 2010_.._.-----XXX.---.......XXX----.-_---_XXX-...--'.....xxx...--.---._.xxx-._. xxx.----...-._._8.741 -_........8.758 -.-_..10.905 ._.._..2.147 __.._..2.164 10. 2011 .........XXX.............xxx........ ..xxx-............xxx.......--..-.xxx-............xxx.-.....-..-.XXX.-..-........XXX......----------7.156 --..-......8.339 .......--.1.183 .......XXx.-.. 11. 2012 XXX XXX xxx XXX xxx XXX XXX XXX xxx 7,749 XXX X)DC 12.Totals 5,505 4,269 59 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART 21-SPECIAL PROPERTY(FIRE,ALLIED LINES,INLAND MARINE, EARTHQUAKE, BURGLARY,AND THEFT Years in INCURRED NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END $000 OMITTED DEVELOPMENT Which Losses 1 2 3 4 5 6 9 10 11 12 Were Incurred 2003 2004 2005 006 200 2 2011 2012 One Year Two Year 1. Prior....._..XXX.......__.XXX........__XXX._.- --- -- -- ----- -- -- -- �--. _.-------._._.............._...................._._.--.................. 2. 2011.............XXX.............XXX.............XXX...... .... ..... ........ ........ ... .......XXX...................... .............................XXX ...... 3. 2012 XXX XXX XXX XXX XXX XXX XXX 4.Totals SCHEDULE P-PART 2J-AUTO PHYSICAL DAMAGE 1. Prior.............XXX.............XXX.............XXX...... XXX... ...... ...... ... ............................................................................................................ X. _ 2. 2011_......__.XXX.............XX .........._XXX.... .... ... .... .......... .... .... --- .....................__.._._...._..__...._..............._............... . 3. 2012 XXX XXX XXX XXX XXX XXX XXX 4.Totals SCHEDULE P-PART 2K-FIDELITY/SURETY 1. Prior.............XXX........._..XXX-........_XXX.._......-XXX..........-XXX.............XXX.............XXX_.....---.___11 .....-.--.....(3)...._...... ................(4).......__.._(18) 2. 2011...... -------XXX-...........XXX ---.XXY XXX.............M _Xxx-..........XXX.............XXX......................15 ................48 .._..._._...33 .......xxx...... 3. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX 0 XXX XXX 4.Totals 29 (18) SCHEDULE P-PART 2L-OTHER INCLUDING CREDIT,ACCIDENT AND HEALTH 1. Prior.............XXX----_.-XXX.............XXX...... XXX... ...... ..._. ._.... _.E.........................-......----............_............---................. 2. 2011.............XXX.............XXX-----....._XXX---.. .._ --. ..- --...... .... .... --- .........._....._......_.........................................._..XXX .._.. 3. 2012 XXX XXX XXX XXX XXX XXX 4.Totals SCHEDULE P-PART 2M-INTERNATIONAL 1. Prior---------------................................_......................_._........._....._.._..._...._....._..........._.... . 2. 2003......----------... -------------------------------------------------------------------- 3. 2004.............XXX........................... .................................................................................................................................................................................................................... 4. 2005.............XXX.............XXX......--------------------------------------------------------------------------------------------------------------------------------. 5. 2006..............XXX.............XXX......-------XXX_... ............. ....--.. ...._--.. .----.... ----- ......------------.......................------------------- ................... 6. 2007----------XXX----------XXX-------XXX...... - -- --- ------...- --- - ----.... ---- ---------- --- ------------....--_._.._.__.----..__..................... 7. 2008----- ---XXX.............XXX......------XXX...... .... .. ... --.._.-- --. ...... .. ...... --.......--....... .------....................._._........_...........__.............._------ 8. 2009......-.--XXX.........._XXX.............XXX...... ....XXX. ..._.. 9. 2010......._-..XXX--------------XXX......-----XXX_........_XXX_._.._._XXX.............XXX_..---_XXX........................... ......_..____......._....._-.---....... 10. 2011.............XXX.............XXX.............XXX.............XXX.............XXX...... .......XXX.............XXX.............XXX.....................................----...................................XXX...... 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX 12.Totals 60 ANNUAL STATEMENT FOR THE YEAR 2012 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 61,62,63 ANNUAL STATEMENT FOR THE YEAR 2012 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 COST CONTAINMENT EXPENSES REPORTED AT YEAR END 11 12 $000 OMITTED Number of 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 Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 PaVment Payment 1. Prior..............000...........-.........................._-__...._.__........__... .......................................................................................................................................................................... 2. 2003......._............ _......-._........................................................................ 3. 2004.............XXX................................................. .............. .......... .......-... ............. ..... -...................................................................................... 4. 2005.-_..---XXX_._..-.._XXX......-------_-._.. ......_. _.. S. 2006..-... ..___XXX__......_XXX..........._XXX.-_ ..... ..... ... ................. .... .... ..... ..... -----..................................................................................... • 6. 2007.............XXX.............XXX.............XXX...... .... .._ ........_.._. ..... __- _._. _..-....-......... ........................--.....................--.--..................... ........ 7. 2008..............XXX.............XXX.......-------XXX...... .... ....... .....-..- .....-.--.. ..... ........................................................................................ 8. 2009.._.........XXX..._.._.._XXX.-..-._.__XXX_......_...XXX__..._..,.XXX..__.-.....XXX--......._...................................-............_........-._.._...._...................-...-.......-..._............ 9. 2010........-.-XXX..._..-..-XXX._..........XXX....-�----..XXX.............XXX.............XXX.............XXX......................................................-_._..-.._.....-....-............................... . 10. 2011------.......XXX..-.....-....XXX.-..-..-.--..XXX.............XXX-...-........XXX.............XXX.............XXX.............XXX.............................................................. ...........---.............. 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P-PART 3F-SECTION 2-MEDICAL PROFESSIONAL LIABILITY-CLAIMS-MADE 1. Prior,..............000....................................................-.............................................................. 2. 2003............................................................................................ 3. 2004...... .......XXX................................................................................................................. ............................................................................................................................... 4. 2005--..-___XXX.--___XXX_._ ..-.--....._..._._..--.--------------------------.. ..-..-.--..--..__.-_..........--.._.. ..__.-..-._..-....--......_.._..-.---.._.-.--....__.......--..-......_.. ............................ 5. 2006.............XXX..........._XXX.............XXX...... .....-.--.... ...C)t......... ..._. .._ ........._...............................--.......--........- ..........._....... 6. 2007.............XXX...-..___XXX...._.......XXX__.. ...... ................-... ................_...._...................................................... ...- 7. 2008-......_._XXX.---....-.._XXX_.-..-..-_XXX...... _.. ... ... . ..... ...... ._.. .__.....--.--._._.-._.........---......--....................................- 8. 2009..----....XXX.............XXX_...........XXX..... .... ... -.. _-- --_......-........ ..............-...............--..............................---..........---- 9. 2010--...-.-..._XXX_._..._..XXX-__..-_XXX.._.. ...XXX. ._ .-. 10. 2011.............XXX...-.........XXX.............XXX.............XXX.............XXX..............XXX.............XXX.............XXX.......................................................................................... 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P-PART 3G-SPECIAL LIABILITY(OCEAN MARINE,AIRCRAFT(ALL PERILS), BOILER AND MACHINER 1. Prior--------------000....-......................................................................... .-...XXX......- 2. 2003................................................................................................................................................................................................................................-------xxx.............XXX 3. 2004------...XXX......_..------__..-.........-........_....-............. ................................................XXX-....-------XXX_ 2005.-----------XXX......----.XXX...........................------....-.....-.-......---..-......-------------- ----------------------------------- ----------------.......XXX.-........._XXX_ .... 5. 2006----------..XXX.............XXX-.....---..XXX....-. .--------.. ._........ _.......... ... ......... ...... . ......................--......------...........--XXX.------.-XXX_.... 6. 2007.....------XXX-.._. _XXX XXX. .....................--......---.....-.--.....-....-.------.......XXX.....-.._._XXX _.... 7. 2008------ -------XXX-------------XXX.............XXX.-..-. .... ..- .... ..-....... .... .-.- ..-..- ...... ....-..........--.--..--...............................XXX-----........XXX...... 8. 2009.............XXX..-..._..._XXX-------------xxx-.... ...... -..... .................-... .-...._.__._-...__.._..-..-.....-....._.XXX..._........XXX...... 9. 2010...... .......XXX.............XXX.............XXX...... .... ....... .. .......... ... .....................................................XXX.............XXX-...-- 10. 2011.............XXX.............XXX........-...XXX..........-.XXX.-..-........ ..-...-.....-XXX.-........... ............. ......--------- .......XXX.............XXX.-..-- 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX I XXX SCHEDULE P-PART 3H-SECTION 1 -OTHER LIABILITY-OCCURRENCE 1. Prior,..............000.._..._.__............ ...__...__..._-._....._._...__.-_.........._......._-----------------------�-- 2. 2003........................................................................._.--......--....- 3. 2004......-------XXX...................................................-.................. .....................................................................................-----_-------------....................................--------------------------- 4. 2005......-------XXX-----------XXX----------.---_------....---------_------- 5. 2006........---_XXX.-..........XXX.............XXX...... -...._...... ....C94..... ...... .........................-----------------------------------------------------------.`6. 2007_._-- XXX--...-.___XXX__..._..XXX.._..7. 2008.............XXX_........._XXX...--------XXX...... ---- - .... ..-.. .--- 8. 2009..--......--XXX-------------XXX..--...---..-XXX---._ ...... ..._................-........_------.._.............................--..--........9. 2010_._----_xxx........_._XXX..._........XXX....-. __ .... -- --. .............'.......--..-----..__..................._.......................-..-- 10. 2011.............XXX...-.........XXX-.....--..--.XXX.-.......-..XXX........-....XXX...-.........XXX.............XXX.............XXX....-.....................................-..-....--..-.-.....-..-........................ 11. 2012 XXX XXX X. XXX XXX XXX XXX XXX I XXX SCHEDULE P-PART 3H-SECTION 2-OTHER LIABILITY-CLAIMS-MADE 1. Prior..............000..................2.606 ...........4,687 ...........6,218 ..------7,086 ........... ...........7.773 ...........7,847 ...........7.971 ...........8.036 ..........4,551 2. 2003------.------.--.661 ----.-.2.583 -.._..-..3.976 5.239 __..-.----..6.019 _----._.6.345 -..-...--.6.450 ------....6.632 ...........6,673 .....---6,657 ................91 ------------156 3. 2004.............XXX....................541 ..........2,561 ...........4.005 ..........5.689 ...........6.716 ----.-.-.7.450 -----.-...7.863 ...........7.999 ..........6.082 ...............99 ...............174 4. 2005.............XXX-----------XXX------------.....925 ---------.4.055 .....--....6.762 .......--.6.653 ---------.9,718 10,193 __--.--..-.10,725 ----.._.10,928 ---------------93 ----.-......256 5. 2006.............XXX.............XXX.............XXX------..............631 ...........3,243 ..........5.620 ------.-.7.144 ..--......8.136 ..........6.558 ...........9.151 ................94 ..............230 6. 2007. --------XXX-.........._XXX_...........XXX.............XXX....................881 ...........3.769 ---------6.987 ..-----...8.703 -..--.-..10,256 -_......11,570 ................87 ..............241 7. 2008.....-------XXX......-------XXX......-------XXX......------XXX---------XXX......--------------627 .-----..2.598 --------4.270 ..........5.675 ........_7.958 ................63 -----------.239 8. 2009....... ...XXX......-------XXX.............XXX......-------XXX..............XXX.............XXX....................819 ..........2.922 ...........4.601 -..-.......6.234 ......... 56 176 9. 2010 ------XXX.............XXX-- xxx_..... ..XXX.............XX)( xxx----------XXX----------------.B02 ........--.3.644 -----------6,358 ----------------56 .. -_-.160 10. 2011.............XXX.............XXX.............XXX.............XXX.............XXX......-------XXX---- XXX.-..-........xxX.....................407 ..........1.773 ................32 ..............138 11. 2012 1 XXX I XXX XXX I XXX XXX xxx xxx XXX XXX 568 11 62 64 ANNUAL STATEMENT FOR THE YEAR 2012 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 11 12 $000 OMITTED Numberof Numberof Years in 1 2 3 4 5 9 10 Claims Claims Which Closed Closed Losses With Without Were Loss Loss Incurred 2003 2004 2005 2 007 2010 2011 2012 Payment Payment 1. Prior.............XXX.............XXX.............xxx...... ....XXX.. .....................................................XXX.............XXX ...... 2. 2011___ _..._XXX.._..._._.XXX._......._.XXX..........._XXX.._..._.._XXX.._.._.....XxX.._.-..__..XXX............Xxx__.._... ._._.XXX........__........ 3. 2012 XXX XXX XXX XXX XXX XXX XXX XxX I XXX XXX XXX SCHEDULE P-PART 3J -AUTO PHYSICAL DAMAGE 1. Prior.............XXX.........__XXX......_—XXX._.. ._ ._.. ..._... .......I... _.._.. ._...__..2. 2011...... .......XXX.............XXX.............XXX...... ...- --- .... .......... .... ... --- ......................................................................................... 3. 2012 XXX XXX XXX XXX XXX SCHEDULE P-PART 3K-FIDELITY/SURETY 1. Prior.............XXX.............XXX.............XxX.............XXX.............XXX.............xxX.............xxx..............000........................(8)...............l11).......xxx.............XXX ...... 2. 2011._._. -------XXX......._.—XXX.._......._XXX-------------XXX.............XXX......------xxx......---._.xxx......__._xxx_.....--......___..0 ..._.._.......43 .......xxX....--...._Xxx...... 3. 2012 XXX XXX XXX xxx XXX XXX XXX XXX XXX 0 XXX XXX SCHEDULE P-PART 3 -OT R QbQUDWG CIREDIT.A CIDENT AND HEALTH 1. Prior.............XXX.............XXX.............XXX...... .. ... .... ......... ...... ... .......000.........................................................Xxx......-------xxx ...... 2. 2011.......------XXX..._._.....XXX.._.. _.....XXX----- --- -.- —.-—. .-.. -. -.— .---- ......_Xxx------_.....Xxx. 3. 2012 xxx XXX XXX XXX XXX XXX SCHEDULE P-PART 3M-INTERNATIONAL 1. Prior ..................._......._.....----------__............. .....................----------------- ............... ..XXX.........-..XXX ...... 2. 2003........................... ................................................................._.................. ---_..---.---_.... ..............................------...... ------......._.................................xxx.............xxx ...... 3. 2004...... .—_XXk—-----------------...........---_---_._._.------------------------------------------..._ -------XXX-----------XXX ...... 4. 2005...... ......XXX.............XXX......---------------------.......................................... ---------------------............................XXX.............XXX ...... 5. 2006...._._....XXx.............XXX.............XXX------ .............. ... ........... ... ...---- ----.. ._.....-----------..._----_........._._.....XXX.----...---_XXX...... 6. 2007 XXX.............xXX......_..._XXX._... .-. ..-. ............... _... .. ._..... _---- ------------------- ----------------- -------xxx------.....XXX_.... 7. 2008...... ......XXX.............XXX.............XXX...... .... ... ...- ...........................XXX.------------xxx 8. 2009.......--XXX._........_XXX.......--_XXX..... -------......_............................_..XXX.............XXX...... 9. 2010.............XXX.............XXX.............xxx.............XXX.............xxx.............xxx..............xxx.............................................................................xxx.............XXX ...... 10. 2011..........._XXX.............XxX._...__—_xxx.............XXX......._...XXX..............xxx.......-------XXX-------------XXX--------` - ----------------------------xxx......_._.XXX_.... 11. 2012 XXX XXX xxx XXX XXX XXX XXX XXX XXX XXX XXX 65 ANNUAL STATEMENT FOR THE YEAR 2012 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 NONE Schedule P-Part 4A-Homeowners/Farmowners NONE Schedule P-Part 4B-Private Passenger Auto Liability/Medical NONE Schedule P-Part 4C-Commercial Auto/Truck Liability/Medical NONE Schedule P-Part 4D-Workers'Compensation (Excluding Excess Workers'Compensation) NONE Schedule P-Part 4E-Commercial Multiple Peril NONE 66,67,68 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART 4F-SECTION 1 -MEDICAL PROFESSIONAL LIABILITY-OCCURRENCE BULK AND IBNR RESERVES ON NET LOSSES AND DEFENSE AND COST CONTAINMENT EXPENSES REPORTED AT YEAR END $000 OMITTED Years in 1 2 3 4 5 6 7 8 9 10 Which Losses Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 1 2011 2012 1. Prior.............................................................................................................. 2. 2003........-._............................................................_........-.................................................... 3. 2004................XXX................................................ .......j *q ............... ..................----------- 4. 2005.........._....XXX..................XXX..........._...._... ... ._.. .._......... 5. 2006.............._XXX_- ---_.XXX-__--_____. -_.- ....6. 2007................XXX..................XXX.................. .........7. 2008_____XXX..................XXX........._...... 8. 2009................XXX..................XXX..................XXX..................XXX................._XXX..................xxX.......... ...................................................................:...........:....................... 9. 2010................XXX.......__.__XXX................_XXX.._._--..._XXX-_--.._.___.XXX___ ___XXX.._ .XXX ----.---_.--_-......._............................................ 10. 2011.............._XXX...._.......__.XXX..._............XXX.............._.XXX............_._.XXX.......__...._.XXX..................XXX.._........__..XXX............._..............._...................._..._. 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P-PART 4F-SECTION 2-MEDICAL PROFESSIONAL LIABILITY-CLAIMS-MADE 1. Prior...... .......................................................................................................................................................... . ...........................................................................................:............. 2. 2003.._......._.............._ ............................................................................................................................................................ .................... ................................. 3. 2004...............XXX............................................ _..._...... 4. 2005......---------XXX..................XXX.............................................................................................................................. ........................................................................................... 5. 2006------ .........XXX..................XXX..................tJ........... _._.--- 6. 2007_......_......XXX_................XXX_..._....._.... ....._........ ..... 7. 2008.____....XXX_..._.__.._XXX......._.._.....8. 2009...............XXX..................xxx.................. -9. 2010................xxx..................Xxx .........._.. ........... .. ..........__..._............... ......................_.. 10. 2011_._. ._--XXX._....--__'._XXX._--.... _XXX------------------XXX._.._..........XXX. XXX.._.._.._.....XXX_ ..._---------...__............_....._.__._... 11. 2012 XXX XXX XXX XXX XXX XXX XXX I XXX XXX SCHEDULE P-PART 4G-SPECIAL LIABILITY(OCEAN MARINE,AIRCRAFT(ALL PERILS), BOILER AND MACHINERY 1. Prior...................................................................................................................................................................................................._.................................................................... 2. 2003_........__.............. .................. ......__............ ................... ................... .......................... ............................................ ._......._..--- --------_.. 3. 2004................XXX....................................................................................... 4. 2005 ..................XXX.._.....__.......--------_..---------.._.._.. S. 2006................XXX..................XXX.........------- ---..-.. ........... 6. 2002..-.---...XXX._............_XXX....--.------ 7. 2008...............XXX...................XXX-._.............. .... .... 8. 2009..._...........XXX..................XXX........ ..._.... ......... ......._--.... ....... .. .....__..-------..__...........................-----------------------.................... 9. 2010..............XXX..................XXX.................. ----------- .._..----- .. .........._._..........._._..__.._____.._...._.._...................... 10. 2011................XXX..................XXX..................XXX..................XXX..................XXX..................XXX..................XXX..................XXX................................... ...... 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX SCHEDULE P-PART 4H-SECTION 1 -OTHER LIABILITY-OCCURRENCE 1. Prior......._.._........................................................................._.._....---...----...................... 2. 2003-----------------------------.........---_.....---...--------------------...-------.._.... 3. 2004...... .........XXX.................................................................................................................................................................... ............................................................................ 4. 2005...._.........XXX._..._. XXX.......... .........._..._....._......_........._...._..................._----------_._--------------------------- S. 2006......---------XXX.........----------XXX.................. ........... ........... ............ ..... 6. 2007........._.....XXX__..........._xXX.._._....._.... 7. 2008......_...._.XXX......_..........XXX....------.... .... .... 8. 2009................XXX..................XXX................... ......... .........:..... ....... . .. ............................................................I.............................................. 9. 2010._.... XXX__ _...---- ..._------ . ........... .. ..._.... -. 10. 2011...............XXX........._.......XXX..._._...-......XXX_._....._.._..XXX._...............XXX...._............XXX._...............XXX..................XXX........................_....._..-----------.............. 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX Xxx SCHEDULE P-PART 4H-SECTION 2-OTHER LIABILITY-CLAIMS-MADE 1. Prior....................3.426 ...............1,481 -----------1.122 ..................619 ..........-----..113 -----...._......._44 .......-----.........9 ......................6 ----------------..D . ..................... 2. 2003_....................3,302 ..............2,189 1,365 ...................933 ..................373 .............---...157 ....................91 ....................71 .....................D --------------...7 3. 2004...............XXX........................4.211 .............1.866 .-.................974 ..................732 ................._426 ..................222 ......170 ......................9 .....................17• 4. 2005................XXX.-------- ---------XXX--------................5,379 ...............3,383 ............---2,010 ------.......1,185 ...................503 ...................373 ..-----------------139 ....................B8 5. 2006...............XXX........ .........XXX..................XXX.---....-------------5,411 ---------------3,279 ----------2,015 ......._......1.020 --_--.558 ...-----........336 ------------........16 6. 2007................XXX..................xxx-----------------XxX..................XXX........................5,313 ...............3,206 ...............2,330 ...............1,173 ..................551 ..................224 7. 2008___.-----XXX---------___XXX__.-___XXX..---------------.XxX..................XXX----------_____-5,038 --------2.993 .-----.......1,737 ----..._.._..1,268 --------..390 8. 2009--------------XXX..................XXX... ............XXX..................XXX..................xxX..................xxx........................4.403 ...............3,413 ...............1,755 ...............1.242 S. 2010..............XXX..-------......XXX..................XXX.........._..._.xxx------------------xxx------------------xxx------------------xxx----------------------.4,070 -------....1,817 .----------1.751 10. 201.._........_XXX...._...........xxlc..............__lcx7c................_xxx---------------xxx -..XXX_...........-xXX'-- .........m......... -'----...3,696 ...............2,9M 11. 2012 XXX XXX XXX XXX XXX XXX XXX XXX XXX 4,087 69 ANNUAL STATEMENT FOR THE YEAR 2012 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 NONE 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 NONE 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 NONE Schedule P-Part 4T-Warranty NONE Schedule P-Part 5A-Homeowners/Farmowners-Section 1 NONE Schedule P-Part 5A-Homeowners/Farmowners-Section 2 NONE 70,71,72,73 ANNUAL STATEMENT FOR THE YEAR 2012 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 5D-Workers'Compensation(Excluding Excess Workers'Compensation)-Section 2 NONE Schedule P-Part 5D-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 1A NONE 73,74,75,76,77,78 ANNUAL STATEMENT FOR THE YEAR 2012 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 18 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 1A NONE Schedule P-Part 5H-Other Liability-Occurrence -Section 2A NONE Schedule P-Part 5H-Other Liability-Occurrence -Section 3A NONE 78,79,80 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART SH-OTHER LIABILITY-CLAIMS-MADE SECTION 1 B Years in CUMULATIVE NUMBER OF CLAIMS CLOSED WITH LOSS PAYMENT DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Were Earned and Losses Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 1. Prior, ..............658 _..._.__.....655 ------_...._.649 ._...._---......651 .................-648 ..........__.649 .................650 ..._......__647 . .....1 ......._._._....._1 2. 2003.........................._17 .....................53 ............ ..70 .....................78 ....................86 ....................B8 .....................89 ....................91 ....................91 .....................91 3. 2004._............XXX..............................17 ......._....__...50 ..... -.....61 ..........__._..77 -........-........B5 .... ......._.91 ....................94 -------------.96 ....................99 4. 2005_..............XXX............_XXX._-........._.........__.20 .._.... __..43 .._....__.........68 ..................... ._....._..--__84 ....................89 ..._.....--..._..92 .....................93 5. 2006................XXX..................XXX..................xxx........ ....................21 ....................45 .....................69 ....................82 .....................90 ....................92 ....................94 6. 200Z..._......_XXX-- ___ XXX....._.....-....xxx..................XXX_...._............-....._..9 _____._43 ....................65 ___ -71 ...................79 ...................-87 7. 2008................XXX..................xxx..................XXX..................xxx..................XXX..............................10 ....................28 ....................45 .....................52 .....................63 8. 2009 ..........._XXX....-._.._.....XXX.................XXX............_.._xxx_............_.xxx__.............XXX......._...............-.....B ... --.._..29 .....................48 .................-.56 9. 2010...... -----_.XXX_................XxX..................XXX..................XXX_...............XXX..................xxx_._._......._XXX-...........................12 ................ A0 .............. __56 10. 2011............__XXX.................XXX..................xxx.__......_....xxx................_XxX..................xxx..----........_.XXX..................XXX...............................4 .............. 11. 2012 xxx xxx xxx xxx xxx xxx xxx xxx xxx 11 SECTION 2B Years in NUMBER OF CLAIMS OUTSTANDING DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 - 10 Premiums Were Earned and Losses Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 1. Prior........- -----142 -.104 ........_._......73 47 ___------------26 -........... .14 .- 11 -------..6 -----------...........4 .. 3 2. 2003-.......................136 ....................54 .--..............z ............19 ... ................9 ...-..............6 ._..._........._.4 .......-....3 ......................3 ......................2 3. 2004................XXX............................166 ....................B6 ----_--..........56 ............ --.33 ------......._...20 _-_ .........12 -------------------6 -----------------3 .........-..._......2 4. 2005..........__XXX_ _M___ .----------------106 .... .............49 - ...........31 ......-..........25 ................._15 .....................13 ................ 9 5. 2006...............XXX..................xxx-------- ---------XXX.._.......................224 .................-111 .....................1 ....................33 .............24 .....................19 ....-..........12 6. 2007..... ----..._XXX-._._.__._XXX_-----.__.._XXX..................XXX-----------------____--215 -----_.__---..91 ---................54 -._.__..._....40 ....................27 .-12 7. 2008...... .........XXX..................XXX..................xxx..................XXX..................XXX.........................:.203 ....... .......95 ................51 ......... ........39 ....................24 8. 2009_......._....xxx..................XXX...-- --------xxX.....____ XxX... - ....._..xxx.._...... -..xxx........-.................157 ---------------------66 ............. 48 ............. 6 9. 2010 ...........X*C.............._XXX------------------XXX..................xO(C.......... .._XXX..................xxx..................xxx...- ...................171 ............_.......72 ----..._...........46 10. 2011..-..._......XXX..................xxx..................XXX..................XXX...............-_XXX------------------XxX...................xxx------------------XX)(............................156 .....................73 11. 2012 xxx xxx xxx xxx xxx xxx xxx xxx XXX 177 SECTION 3B Years in CUMULATIVE NUMBER OF CLAIMS REPORTED DIRECT AND ASSUMED AT YEAR END Years in Which 1 2 3 4 5 6 7 8 9 10 Premiums Were Earned Eaed and Losses Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 1. Prior 2.562 -----------2,549 --------.....2,547 -----------2,542 ....----...2,542 ---....__2.543 .---------2.544 --------2.538 ----------------2 -------------.0 2. 2003...... ..................226 ..........---.....245 ............248 .............. 248 .---..............249 ...............---249 ..................249 ............. 250 ...............250 ..................249 3. 2004..... . ...XXX------------------ ------240 ---.-----.....----268 ........-..........271 ------------.275 ..-.........._...275 -----------.276 -......... 274 ------------.273 ..----------..275 4. 2005------ ---------XXX..............._XXX............................314 ...........---.344 ........._........353 ...................354 ..........362 ...................357 ..................,358 .. -......._...358 5. 2006................XXX--------..........XXX-------- ........xxx............................302 . 324 ...................331 .......... M6 ..................335 ...................335 .................-336 6. 2007.__ -XXX........ .........XXX-------- ----.._XXX.-------..........XXX.. .......... .310 334 351 ...346 ........... .....347 350 7. 2008................XXX............... XXX................_XXX..................xxx..................XXX............................302 ...................323 ...................321 ..............324 ..-----------------326 8. 2009_._....-_._.XXX........----------xxx.........__.._Xxx..................xxx---------_-_.._xxx....-.............xxx-----------------------...229 ------------------ .._.._._..._..264 268 9. 2010............._XXX...................xxx..................xxx..................xxx..---------------xxx..................xxx..................xxx...........................236 ..................254 ..................262 10. 2011.................XXX..................XXX.................xxx..................xxk.................XXX-------...._...XXX..................xxx_...............XXX---------------------225 -°--........---.243 11. 2012 xxx xxx xxx XXX xxx xxx xxx xxx XXX 250 81 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule P-Part 5R-Products Liability-Occurrence Section 1A NONE Schedule P-Part 5R-Products Liability-Occurrence Section 2A NONE Schedule P-Part 5R-Products Liability-Occurrence Section 3A NONE Schedule P-Part 5R-Products Liability-Ciaims-Made -Section 1 B NONE Schedule P-Part 5R-Products Liability-Claims-Made -Section 2B NONE Schedule P-Part 5R-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 NONE Schedule P-Part 6C_Commercial Auto/Truck Liability/Medical-Section I 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 I NONE 82,83,84,85,86 ANNUAL STATEMENT FOR THE YEAR 2012 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 86 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P-PART 6H-OTHER LIABILITY-CLAIMS-MADE SECTION 1 B Years in Which CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END$000 OMITTED)11 Premiums 1 2 3 4 5 6 7 8 9 10 Current Were Earned Yea and Losses Premiums Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Earned 1. Pror...._........_. _18,306 ...............100 __......_.......0 ..................0 ...................0 ...................0 ...................0 ............. .... .._.....0 _........._......0 _............._.... 2. 2003........._.................8,158 .........16,473 ....__16,473 .........16,473 _......16,473 .........16,473 .........16,473 _._....16,473 ...-._..16,473 ......__16,473 ......__.___... 3. 2004.........................X X X..................9,428 ..........18,547 ........_t 8,547 ..........18.547 ..........18,547 ......._18,547 .........18,547 ..........18.547 18,547 ..................... 4. 2005.............._..._...xxx..............xxx..........._...10,684 .........20,632 --_-_2l,632 ......_.20,632 ........20,632 ........20,632 .........20.632 ......_.20.632 .................... 5. 2006.__....................XXX..............XXX..............XXX.........._.....12,426 .........25,003 .........25,003 ..._..25,003 ...._.25,003 ........25,003 _.......25,003 - 6. 2007...................... XXX..............xxx..............xxX..............xxX.................10,850 .........21,876 .........21,876 .........21.876 ........21,876 .........21,876 ..................... 7.. 2008................ ...._.XXx_.._........Xxx.__.-.__.XxX.............Xxx.._..........xxx......._.._...10,843 ....-_..20,462 ...._...20,462 __.....20,462 _......20,462 ..___............. 8. 2009...................._..XXX.............XXX..............XxX........_....XXX.._...._.._XXX_............xxx_.........._....9,473 ..........18,297 .........18,297 .........18,297 9. 2010......................._XXX.___.......XXX.........._..XXX.......-------XXX..............XXX..............xxx..._.........XXX_................8,658 ..._.....16.783 .........16,783 ..................... 10. 2011......_..___...._..XXX_...._.....xxX___..._..XXX............_xxx__..........xxX._........._xxx...._......_XXX..._.........XXX.____......._8.383 ..-_..16.331 ...........7,98 11. 2012........................XXX..............xxx..............XXX..............xxx..............XXX..............XxX..............XXX..............Xxx..............XXX..................1,153 ...........9,153 12. Totals...................._XXX..............XxX..._..-------XXX..............XXX..............XXX....._.......XXX..............xXX..............xxX..............XXX............_xxX.................17,101 13. Earned Premiums Sch P-Pt.1 14,736 17,843 19,803 22,374 23,427 21,869 19,092 17,482 16,508 17,101 XXX SECTION 2B Years in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END $000 OMITTED 11 Premiums 1 2 3 4 5 6 7 8 9 10 Current Were Earned Year and Losses Premiums Were Incurred 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Earned 1. prior ..........82 ...................0 ...................0 .................. ...................0 ...................0 ...................0 ...................0 ............_.....0 ...................... 2. 2003 3,590 .._......6,523 _6,523 ...........6,523 _._.......6,523 ___-_-6,523 ----------6,523 .._.......6,523 ___..6,523 ..._......6,523 ............____ 3. 2004............ ..........XXX..................4,151 ...........7,462 ...........7.462 ...........7.462 ...........7,462 ...........7,462 ...........7,462 ............7,462 .......7.462 ..................... 4. 2005......................XXX_._........xxx......---.........4.851 ____...8.636 ..........6.636 ...........B,636 ...........B.636 ...........8,636 -----------S.&16 ..........B.636 ..................... 5. 2006.........................XXX------.-------XXX.......-------XxX._...............5,431 __......10,951 .........10,951 .........10,951 .. ....10,951 .........10,951 .........10,951 . 6. 2007.........................XXX..............XXX..............XXX..............XXX..................3,928 ...........7,965 ---------7,965 ...........7,965 ---........7,965 ..----.....7,965 ..................... 7. 2008_...... ....... XXX - ---X XYI------........XXX..............xxx.._ .......XxX.....__....._..4,610 .........3.917 ......._..7,917 ............7,917 7,917 ..................... 8. 2009..............._.... XXX_............XXX------.-----.XXX..............XXX..............XXX..............XXX..._......._....3,963 ._......... ..............._.......7.703 ....._...7,703 ....__...._.._... 9. 2010.........................XXX...:..........XXX------........xxx..............xxx..............XXX..............xxx..............XXX..................2.903 ... ....5,684 ...........5.684 ..................... 10. 2011..................--.-XXX-------------xxx__......._XXX.__--._...XXX . _.....XXX------........XXX..._.........XXX..__._.....xxx------------------3,626 _.........6,412 ----.....2,786 11. 2012........................XXX..............xxx..............xxx..............xxx_..._.......XXX...._........XXX..............XXX..............XXX.._._.._...XXX-------_..__...3,991 ...........3.991 12. Totals......................xxx.........-----xxx.......-------XXX..............XXX..............XXX..............xxx------.-------xxx..............XXX..............XXX..............XXX...................6,777 13. Earned Premiums Sch P Pt.t 5,962 7,166 8,162 9,216 9,448 8,647 7,270 6,643 6,407 6,777 XXX SCHEDULE P-PART 6M-INTERNATIONAL SECTION 1 Years in Which CUMULATIVE PREMIUMS EARNED DIRECT AND ASSUMED AT YEAR END $000 OMITTED 11 Premiums 1 2 3 4 5 6 7 8 9 10 Current Were Eamed Year and Losses Premiums Were Incurred 2003 1 2004 2005 2006 2007 1 2008 2009 1 2010 2011 2012 Earned - 1. Prior----------------------------------------------------------------............._.......----- ............---------..................................--------------- -----------------......................._. 2. 2003...................................................................................................................................................................................................................................................................-- 3. 2004 ....._�-----------------....................._..----......... ------------.....---------------------- ---------------__ _-----------..._--°----------`- 4. 2005-------------------------XXX..............XXX............... -------- ..._----. .......... ---------- ..: ......._.....---....--_...__..........._........_..--------................ S. 2006---------....._---..XXX........_....XXX.............. ..._... ...... ._..._.... ...... .......... --- _..........................................................................................------.... 6. 2007---------------------XXX------------ ---- -- '---.......-- --- -' --- ... ...... ..----------._.--'-----------------........_...__ 7. 2008..........----------XXX..............XXX----- ....... -- -- -- ---._ .... ...... _. ... ..................._........................_................._...................................... 8. 2009.........................XXX..............XXX.............. ........... ..... ...... .... ........................................................................................................ 9. 2010_..._....-___-----_XXX..........._XXX_.._.._... .._..... .. __. ...... _. ---- ....__.._.._.........-....-_............ 10. 2011.........................XXX..............XXX..............XXX.........-....XXX..............XXX..............XXX..............XXX..............XXX......................................................................... 11. 2012............_...-......XXX..............XXX..............XXX-.._......._xXX..............xXX..............XXX--------------xxX..............xXX..............xxx.............................................. 12. Totals.------.-..------XXX..............XXX---- -------XXX..........._XXX..........._.XXX...............xxx_..........XXX------- -----xxx...... -----.XXX.........._..XXX....... 13. Earned Premiums Sch P-Pt.1 XXX SECTION 2 Years in Which CUMULATIVE PREMIUMS EARNED CEDED AT YEAR END $000 OMITTED 11 Premiums 1 2 3 4 5 6 7 8 9 10 Current Were Earned Year and Losses Premiums Were Incurred 2003 2004 2005 2006 2007 2008 1 2009 2010 2011 2012 Earned 1. Prior.......-- ----------------- ....................._.......................------ ..........-------.._------ _.------------_----......---------- 2. 2003............................................................................................................................... ...................... .............................................................................................................. 3. 2004 _.._........._..... ..........................................................._......._...._... 4. 2005-----_----------------XXX......-_._..XXX.............. ........... .._....... .......... ....._...... ... .-------._----------- ------------------__._..._.._....___..... ............ 5. 2006..................-._..XXX..............XXX.............. ........ ...... _.......... ..... .......... ... ...._.................-----...............------...._............................. 6. 2007......-----------------XXX------_._XXX------'--. ...-- -.........._.... ...- -- ---.. ..._--...... 7. 2008------------`- ----..XXX_._--------.XXX.............. _. ... ._._....._ .... ...... -- -I.E- ---'....-------- --...._..'__--- ---.._._-_'.---------`--_8. 2009....................._..XXX............_XXX.............. ....... ........... ..... ...... .. -_...................................................I.....-----'--........------ 9. 2010-------..._-------_._.XXX._...........xxx_............ ......... .. .... ...... .. . ............................................._............_....................._.... 10. 2011..................._.-..XXX._._.......XXX..............XXX..........._.XXX ._....XXX...... .._...XXX...-.. ._....XXX.........._.......-.... 11. 2012------------------------XXX..............XXX..............xxX..............xxX. ..............XXX..............XXX..............XXX..............XXX...... -------XXX................................................... 12. Totals_.___............XXX..----.._XXX......._--.XXX..--..._._XXX.........._XXY ---------X --------_-------------XXX----- -----XXX.--....._.XXX.-._. ...................... 13. Earned Premiums Sch P-Pt.1 XXX 87 ANNUAL STATEMENT FOR THE YEAR 2012 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 6R-Products Liability-Occurrence-Section 1A 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 6R-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 88,89,90,91,92 ANNUAL STATEMENT FOR THE YEAR 2012 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 NONE 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 92,93 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE P INTERROGATORIES 1. The following questions relate to yet-to-be4ssued 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 not 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'ERE")benefits in the event of Death,Disability,or Retirement(ODR)at a reduced charge or at no additional cost?................ Yes[ I No I X I If the answer to question 1.1 is'no",leave the following questions blank. If the answer to question 1.1 is"yes",please answer the following questions: 1.2 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#657................................_..._.........-..............-------------------- Yes[ ] No[ X 1 1.4 Does the company report any DDR reserve as loss or loss adjustment expense reserve?.......................................................................................... Yes[ ] No[ 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 to—Recapitulation of all Premiums(Page 7)Column 2,Lines 11.1 plus 11.2?........................................... Yes[ ] No I ] N/A[X] 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: DDR Reserve Included in Schedule P,Part 1F,Medical Professional Liability Column 24:Total Net Losses and Expenses Unpaid 1 2 Years in Which Premiums Were Earned and Losses Were Incurred Section 1:Occurrence Section 2:Claims-Made 1.601 Prior........ ................................................._.........___...................................................:......................._.. .................................................. .................................................. 1.602 2003..............................._.__......._...._............................................................_.......................................................... 1.603 2004................................__..._.._...................................................................... .._._........---._....._`--._..--------- ............................................... .................................................. 1.604 2005....................._....._...---........._.........._._--_...._......._.....................................................__..........._------------- ......_.......................................... .....----.............._...---................ 1.605 2006 1.606 2007............................................................................................................................ .............................................. .................................................. ................................................... 1.607 2008 ..........................__.......-......... --.-----------......----.._--------------- ...... 1.608 2009............................................................................................................................................ .........--'---.............. .................................................. ...........................---------------. 1.609 2010.......................__...-------------.................................................._................................... .'---......-----------------........._............._._....._.....--_.... -------------------------_.._------......----........................ 1.610 2011........................................... ......_.._...................................................................... ...........................-.................... .................................................. 1.611 2012...................................----------................._-------................_..._......._........:._.._......_'---------.............---------................................._............... ...--..---------._...._---..._..... 1.612 Totals 0 0 2. . The definition of allocated loss adjustment expenses(ALAE)and,therefore,unallocated loss adjustment expenses(ULAE)was changed effective January 1,1998.This change in definition applies to both paid and unpaid expenses.Are these expenses(now reported as' Defense and Cost Containment"and'Adjusting and Other')reported in compliance with these definitions in this statement?............................ Yes[X I No[ I 3. The Adjusting and Other expense payments and reserves should be allocated to the years in which the losses were incurred based on the number of claims reported,closed and outstanding in those years.When allocating Adjusting and Other expense between companies In a group or a pool,the Adjusting and Other expense should be allocated in the same percentage used for the loss amounts and the claim counts.For reinsurers,Adjusting and Other expense assumed should be reported according to the reinsurance contract For Adjusting and Other expense incurred by reinsurers,or in those situations where suitable claim count information is not available,Adjusting and Other expense should be allocated by a reasonable method determined by the company and described in Interrogatory 7,below.Are they so reportedin this Statement?.............................----------................................................................................----------..........._...._------------.---................. Yes[X I No[ 1 4. Do any lines in Schedule P include reserves that are reported gross of any discount to present value of future payments,and that are reported netof such discounts on Page 10?....-.......................................................................................°°._.................-...--............_........................................ Yes I I No[X I If 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 must be completed gross of non-tabular discounting.Work papers relating 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 end of the year for. On thousands of dollars) 5.1 Fidelity-------------------------------------------------------------------------------------------------- 5.2 Surety............. ......................--.... ----------.._.. --------------------- 6. Claim count information is reported per claim or per claimant(Indicate which). ..............................................per claim-,............... .............. If not the same in all years,explain in Interrogatory 7. 7.1 The Information provided in Schedule P will be used by many persons to estimate the adequacy of the current loss and expense reserves, among other things.Are there any especially significant events,coverage,retention or accounting changes that have occurred that must be considered when making such analyses?......................................................................................................................................................................... Yes[ .I No[X I 7.2 (An extended statement may be attached.) .._...----.....................--------............................_......-.....__............................_....._...-'------------......_------..........................._-----..-............................ 94 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE T - EXHIBIT OF PREMIUMS WRITTEN Allocated b States and Territories 1 Gross Premiums,Including 4 5 6 7 8 9 Policy and Membership Fees, Direct Less Return Premiums and Premiums Premiums on Policies Not Dividends Written for Taken Paid or Direct Finance and Federal 2 3 Credited to Losses Service Purchasing Direct Direct Policyholders Paid Direct Direct Charges Not Groups Active Premiums Premiums on Direct (Deducting Losses Losses Included in (Included in States Etc. Status Written Earned Business Salvaciel Incurred Unpaid Premiums Column 2 1. Alabama AL .....__.L....................._......._0 ............ Al .._.._....__..._0 ..._......._...._.0 ..---_-------------0 .._._..____...._.0 ........................ ........................ 2. Alaska.......................:....AK ..........L................................0 ......................0 ......................0 ......................0 ......................0 ......................0 ........................ ........................ 3. Arizona...........................AZ ..........L............................200 ..................178 ......................0 ......................0 ......................0 ......................0 ........................ .................... 4. Arkansas AR ..........L.._._. -----...._.__-.0 ...._.__ ..._3 ..........._0 __.........._...._0 .....................0 ......................0 ........................ ............._......... .............. 5. Califomia.......................CA ..........L........................7,665 7.658 ......................0 ......................0 ......................0 ........................ ........................ 6. Colorado CO ._...._.L._............................0 ............ 376 ..._...._..........0 .__................0 ._..._.__..._.._0 ......................0 ........................ ...._.................. 7. Connecticut___-, CT ..........R............._...._._.-_.... ....................... ........................ _..................... . 8. Delaware........................DE ..........L................................0 ......................0 ......................0 ...................... ...................... ...................... ........................ ........................ 9. District of Columbia._...DC ........_L--------.......................0 ..............0 -___0 ___....._...._0 - _.._--__0 _...__............... ......................- 10. Florida............................FL ._._....L.......................62,277 ............60,155 ....................0 .._.......------.._0 ..................___0 ---------------.0 . ....._.._....-... ........................ 11. Georgia... ..................GA ..........L......._......._..._37.137 ............. ......................0 .............(5.505).............(5.505)...............6.000 .................._... ....................... 12. Hawaii............. HI L. -....._.._....__....._0 ......................0 _.__........ -0 0 0 ..... 0 .. - --- _.._..... 13. Idaho.............................ID ..........L................................0 ......................0 .....0 .................. ......................0 ...............---....0 ........................ ........................ 14. Illinois IL -._L.........._.._.......2,153 ............. ..._.................0 ......................0 ...... . ....._.0 ......................0 .....--........... .- 15. Indiana IN ......_..L..._._. _.....2,886,011 ---....2,653,944 .........._...-._..0 ..._..2,137,183 .__2,122,565 ._....2,759,166 ..........-----.._25 ___.._........_.- 16. Iowa................................IA ..........L......... ...............3,292 ...............3,090 ......................0 .............. .....0 .....................0 .. .......... _0 ..................... ........................ 17. Kansas KS .._...._L._.:........_3,065,523 .......3,037,137 ............._0 .._...1,461,658 ._....1,818,277 .......4,058,473 --......---.58,658 . 18. Kentucky........................KY ..........L.......................0,288 ............14.972 ......................0 ......................0 ......................0 ................0 ........................ ........................ 19. Louisiana.......................LA ...........L................................0 ......................0 ......................0 .....................0 ......................0 ......................0 ........................ ........................ 20. Maine ME ...___L.__...____.2,084 __._...._2,073 ...................... ..................... ....................0 _...._.._.......... ........................ ........._............. 21. Maryland........................MD .......-.L................-.............0 .......... ......................0 ..................._0 .......................0 ..........----......0 ........................ ........................ 22. Massachusetts..._.........MA ..........L......... ...............7,265 ...............6.552 ................._...0 ._.._._.._.......0 ........_.(21,000)___..._......_..0 .............._....._. ....................... 23. Michigan... ..................A41 ..........L..........._......-.....B33 .............1,154 .....................0 _.........._.......0 ........_........._0 ----------------------0 ............-- --------............... 24. Minnesota .MN ..........L................................0 .....................0 ......................0 ......................0 ......-.---.--........0 ...................... 25. Mississippi MS ..... __.......-..-.867 ...................867 ......................0 ......................0 . 26. Missouri.........................MO ..........L......__._..10,281,642 _...10,131,802 --------------------_0 .._...5,084,769 ._...4,338,526 .....16,626,206 ........._181,066 ........................ 27. Montana.........................MT ..........L................................0 ......................0 ......................0 ......................0 ......................0 ......................0 ........................ ........................ 28. Nebraska NE ..........L....__.......................0 ......_.-----9 ------.-..__0 ____....----------0 _..._-____.._0 ._.......__.__.0 - 29. Nevada..........................NV ..........L......... ......................0 ......................0 ......................0 ......................0 ......................0 ......................0 ........................ ........................ 30. New Hampshire..---....NH ..........N......... ........ ........................ ------------------ ........................ ........................ 31. New Jersey.._......_.___NJ ..........L. ....._...........6.312 --.........5,059 0 ..._.._.............0 ....................0 - ..............0 ........................ .....-................. . 32. New Mexico...................NM ..........L.....................919.592 ...........903.038 ......................0 .............75.000 ...........357.895 ...........544,587 ...............9.439 ........................ 33. New York. NY ....___L.__. ______-13861_._............_41 ............ ........._._......_0 ---------------------- ----------------0 ..._....._............ ..._....._._-----_ 34. North Carolina.........._...NC ..........L............_......106,552 ...........104.121 .----------------A ----..._.147.881 ----._....147.881 -----------6.000 ........................ ........................ 35. North Dakota....---..-----..-No ..........L---------................---._0 .........---........0 ......................0 ......................0 ......................0 ......................0 ........................ ........................ 36. Ohio------------ -.OH -----------L......... ............11.157 .............11,229 ----------------------0 -------------------0 --------------0 ---------------..0 ---------- --------------------- 37. Oklahoma......................OK ..........L--------- ..........--.--.......0 ......................0 ......................0 ......................0 ......................0 .....--.--............0 ........................ ........................ 38. Oregon OR -----------L......... ...............3.034 -------------2.754 ......................0 ...................... ......................0 .....................0 ..__.... ........._ ........................ 39. Pennsylvania-..._...----..PA _.._.._L--__.. ........._.-.4,192 ...............3,132 ---------------..0 . 0 ...................... --------------------0 ........................ --------------------- 40. Rhode Island ...............Ri ..........L---------...................847 ..---..........682 ....................-0 ---.......-.........0 ...........----.....0 ......................0 --------------------- ----------------- 41. South Carolina...-- .....SC ....._...L...........................(422)----------------.67 --_.._..._-0 __ -..0 ...._...........-0 ----- ---------.._--- ---------....... .. 42. South Dakota-_--..._-----SD ..........L...._.........................0 ......_._.._.......0 ............._.......0 .....................0 ........-......_.....0 .................0 ._.._.-......_....... ........................ 43. Tennessee.....................TN ..L.. ...............243.904 ....:......183.301 ......................0 ...........205,603 ..........515.614 ...........440,857 ...............3.888 ........................ 44. Texas...... _..- ...TX ._.......L--------- --- -0 1.015 ..._.._.. ....__0 ...................... -----------------0 .. --- .._0 ------------------ . ................. 45. Utah-.............................LT ..........L................................0 ......................0 ......................0 ......................0 ......................0 ......................0 ........................ ........................ 46. Vermont. .................VT ..........L.........--------------.4,294 .---.._.......4,189 -----------.........0 ...... ... -...0 ..........-- .0 ------------------0 -------------------- ------------------- 47. Virginia VA .....--L--------- ----------- --.255 ---._.256 ---------------....0 ------------.......0 ......-----0 -----------------0 48. Washington................._WA .........L------- ...................0 ......................0 ......................0 ......................0 ......................0 ......................0 ........................ ........................ 49. West Virginia.................WV ----------L..........----------------------0 --------------.......0 ...........__.......0 ................ 0 -.__._.....0 --------------------------------------...0 ....._._............. ----------------- 50. Wisconsin WI .... -L--------........ 15,611 -----.......12.270 -----------------0 -----------------0 -------------0 -----------------.0 ------------------- ----------------------- 51. Wyoming........................WY ----------L.........--------------.......0 ......................0 ...-`-......0 ......... -....0 ----------..........0 52. American Samoa_........AS -----K------ -------------- ------------------------ ........................ 53. Guam GU ..........N..................... ........................ ._._................. ........._............. ........................ 54. Puerto Rico-------------PR ..........N.................................. ....................... ........................ ....................... ........................ ------------------ 55. U.S.Virgin Islands VI ..........N...._........ ........................ .._.................... ...----------------... ........................ 66. Northern Mariana Islands..........................MP ..........N................................... ...................... ....................... ........................ ........................ ........................ 57. Canada CAN..._.....N.___-___-.-...:- ------ ------------------_-- ------------------------ ------------------------ 58. Aggregate other alien..OT .......XXX.............................0 ......................0 ......................0 ......................0 ......................0 .........----------...0 .---..................0 ...-----------...0 59. Totals a 49 17,692,179 17,398,050 0 9,106,589 9,274,253 24,441,291 253,076 0 DETAILS OF WRITE-INS 58001. ...............................................------.XXX............. 58002. ------------------------------------------------------XXX-------- 58003- ------------------------------------------------------XXX........ 58998.Summary of remaining write-ins for Line 58 from overflowpage----------------------....--XXX----- ----------............0 ......................0 ......................0 ......................0 -----------------0 ------------------0 ---.....------._..0 ........_.__.......0 58999.Totals(Lines 58001 through 58003 plus 58998)(Line 58 above) xxx 0 0 0 0 0 1 0 0 0 (L)Licensed or Chartered-Licensed Insurance Carder or Domiciled RRG;(R)Registered-Non-domiciled RRGs;(Q)Qualified-Qualified or Accredited Reinsures,(E)Eligible-Reporting Entities eligible or approved to write Surplus Lines In the state;(N)None of the above-Not allowed to write business in the state. Explanation of basis of allocation of premiums by states,etc. Actual Premiums Written in the State (a)Insert the number of L responses except for Canada and Other Alien. 95 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE T- PART 2 INTERSTATE COMPACT-EXHIBIT OF PREMIUMS WRITTEN Allocated by States and Territories Direct Business Only 1 2 3 4 5 6 Disability Long-Term Life Annuities Income Care (Group and (Group and (Group and (Group and Deposit-Type States,Etc. Individual) Individual) Individual Individual Contracts Totals 1. Alabama. ........AL ............................................................................................... ...................................:............................. 2. Alaska..................................................................---- AK .................... __.__...._.......................... .........._.__._._._........................____..........._._........_......_____.__.. 3. Arizona.......................................................................... AZ .................................................................................................................................................................................... 4. Arkansas __._.---_........AR 5. California ............................................. CA 6. Colorado..................................................................... CO ___......................................_._................................ ._... 7. Connecticut................................................................... CT ............................................................---.......................................... ...._...............---..................---........................... 8. Delaware..........................---_................................... DE ------....._....__........__------..._................. 9. District of Columbia......................................................DC .................................................................................................................................................................................... 10. Florida.......................--- _........................ FIL ----..................._.._----... 11. Georgia......................................................................... GA ..................................................................................................................................................................................... 12. Hawaii.............._..._..-----------_._._.......................HI -----_........._.._..........._.._..--- .........................__.._. .._........................................ 13. Idaho..............................................................................ID .................................................................................................................................................................................... 14. Illinois..........._._ .___-----------------------------__...._._.__. IL ._...._...---..................__..______---......................... ._.__..._......_...._........._........._.__-__......._......................... 15. Indiana...........................................................................IN ..................................................................................................................................................................................... 16. Iowa............................................................_.._---__. IA ..._.................... ._... 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 ..................................................................................................................................................................................... 26. Missouri ___ MO 27. Montana..................................................................... MT .... ........... ........... ............ ...... .......................................................................................... 28. Nebraska .............................................. ... 29. Nevada....................................................................... N ---. .... ................. .... ...... .. ...... .:....------.............................................................................. 30. New Hampshire NH ___ _.___.. ...... __._._ ...... ........_........................._.........._................_..........._......................... 31. New Jersey......._.........._......._°--...............-.............. NJ ...__.._......---------...................._-...............................................................---........................................................ 32. New Mexico------------ _.........------------------------------------- NM ..___ __.._...._------------------------___.--__----------------------...._------_._.__.....__.._...._...._._....._..._....................._.... 33. New York ............................................... NY 34. North Carolina ..--_ ------------------- NC 35. North Dakota_..._................_........................................NO ......................................................................................................................................................------------------------ 36. Ohio__........................._..._............------------.._..._.._._.. OH ..---------------------------.------------..................------------------------------...._......._............__._...................__..........._._..._._._.._... 37. Oklahoma..........................--....-----......._................... OK ............................................................_...._...-----.........................................._...............---...................................... 38. Omgon_.--------------------------------------------------- -....__....._ OR 39. Pennsylvania.............................................---------...... PA .............................................................................................................................................................----------------------- 40. Rhode Island .........................................----------- ....- 41. South Carolina..............................................................SC ............................................................ ........................................................................................................................ 42. South Dakota-------------._..__._._...........------------------------SO .._..__...__..___.........------------------------- ......._....._...........---------_-----------------------...............____---_.--- ....._...._._........... 43. Tennessee..............---...._....................._.................... TN ...................................................................................................................................................................................... 44. Texas .....................................................TX ............-----------------------------------------------._.._--------- 45. Utah............................................................................... UT .................................................................................................................................................................................... 46. Vermont...... ___ V7 ---------------------_----------------------------------.............._...--°------._._._._..................---------..... 47. Virginia.......................................................................... VA .................................................................................................................................................................................... 48. Washington ...-----------------------------WA --------------------------- -... ---------------............._..............- 49. West Virginia-.............._................---.._........-----....... WV ............................... ...........................................................------------------------------............................................................ 50. Wisconsin -------------------------------------- WI 51. Wyoming.....................................:................................. WY 52. American Samoa......................................................... AS ------------------------------............................................................ . .........-................................................................................ 53. Guam.............................................................................GU --------.....---------.......--.........................------------------------------..............................------...._.._.--------------------------------- 54. Puerto Rico................................................................... PR .._------._... __........................--.............................----------------------------------------------------------------------------------------- .. 55. U.S.Virgln Islands....................................................... VI .....................................................................................:......................................................----------............................... 56. Northern Mariana Islands._...._......_........................... MP _............................------------------------------..............................------------------------------------------------------------............-"-___._... 57. Canada................................................... ..CAN............................................................ 58. Aggregate Other Alien.............................-------------------- OT ....._...................-----------------------..............................----------------------..........................---- 59. Total 96 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE Y - INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP PART 1 - ORGANIZATIONAL CHART The Bar Plan Mutual Insurance Company Federal ID#43-1393691 NAIC Company Code-29513 I Parent Co. (MO) The Bar Plan Foundation Federal ID#43-1679870 A 501(C) (3) Organization (MO) V TBP Holding Company,Inc. Federal ID#43-1724523 NAIC Company Code-NONE (MO) The Bar Plan Insurance Agency,Inc. The Bar Plan Surety&Fidelity Company Federal ID#43-1702852 Federal ID#43-1826922 NAIC Company Code-NONE NAIC Company Code- 10966 (MO) (MO) ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE Y PART 1A- DETAIL OF INSURANCE HOLDING COMPANY SYSTEM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Type If of Control Control (Ownership, is Name of Securities Relation- Board, Owner- Exchange Domi- ship Management, ship NAIC Federal 0 Publicly Traded Names of ciliary to Attorney-in-Fact, Provide Group Company ID Federal (U.S,or Parent,Subsidiaries Loca- Reporting Directly Controlled by Influence, Percen- Ultimate Controlling Code Group Name Code Number RSSD CIK International) Or Affiliates tion Entity Name of Entity/Person) Other tae Enti ies/Person s The Bar Plan IArtual Insurance Company ....1228...The Bar Plan..................................... ......29513.....43-1393691. .................. ................ ................................... The Bar Plan 1Wtual Insurance Commy...........MD............LOP........Pol icyholders...........................................Ownership...................................... ..100.000............................................................. ............. The Bar Plan Mitual Insurance Company ....1228...Th.Bar Plan...........................................00000.....43-1724523. ...... ................ .............._.................. TBP Molding Company, Inc.............__......._...Y10 OS........The Bar Plan IWtual Insurance Company.__Ownership- ................ -100.000..._.__._.. --.................. __......_. The Bar Plan LWtual Insurance Company ...1228...The Bar Plan...._..............._.__........._..._00000__.43-1702852. ............... ............. . The Bar Plan Insurance Agency,Inc.._.._--...MO..........._NIA.......TBP Bolding Company, Inc........... Ownership.......__..__.._...........:....- _100.000..._.__......._.......__ -....................__..._......... The Bar Plan IWtual Insurance Company .._1228...The Bar Plan.......__..........................._._10966.....43-1826922. .................. ................ ................................- The Bar Plan Surety and Fidelity Company--...MD._..........I A........TBP Folding Company, Inc................_.......Ownership....... ....... 100.000...ilhe.........lan-...tual............................. ............. The Bar Plan tWtual Insurance Company ....1228...The Bar Pin............................_...._. ......00000.....43-1679870. .. The Bar Plan Foundation................................MO.............NIA._....The Bar Plan 6Wlual Insurance Company.....Ownership...................................... ..100.000...................._..............._..__....._.......... ............. .. ............. ... _...__.. ....._._--._ ....._._._ ......._. _ ..._..... _ ......... .._...... ........._._ ....__.__. _...........__. ._..._... __-__..._. ..___.._.. ....__..----.. ............ ........._.._ ....._... _........_. ...._._..... _ ...._........ ..__.__.. ......................................................................................................................_...._.._.............._....................................-°—...................._...._...._.._..............._._.............._...................._._............_..................................................................................................................................._._...........................--.............. .........................................._...._................------._..._......................._............................................................—..........................................................._-- ........................................_-----....................-I -................._....._........................__..............._-------..........____....................._..._......._._ ............................................:........................................................................................................................................................................................................................................................................................................................................................................................................................... ...... .............. ..................-..............................................................................................................................................................................................................................................................................................................................................................................-....................................................................... -........... cp ....._-__.__........._........_.__........._....__.._...................---__.._........__...-----......._......_._......._....._...___..............._........._._..._. CID ............. .__._............._....._....._...................-----------...__......._.........-....................................__........._......-....................._.__.._._..........._....._..._.._........_....._._........._...__.........._......._.._............................................._...._..................._....__-.............._....................._............................_........_.......... ......_....... .........................................................................................................................................................................:.................................................................................................................................................................................................................................................................................................................. ............. Asterisk Explanation ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE Y PART 2 - SUMMARY OF INSURER'S TRANSACTIONS WITH ANY AFFILIATES 1 2 3 4 5 6 7 8 9 10 11 12 13 Income/ (Disbursements) Purchases,Sales Incurred in Reinsurance or Exchanges of Connection with Income/ Any Other Material Recoverable/ Loans,Securities, Guarantees or (Disbursements) Activity Not in the (Payable)on NAIC Real Estate, Undertakings for Management Incurred Under Ordinary Course of Losses and/or Company Federal ID Names of Insurers and Parent, Shareholder Capital Mortgage Loans or the Benefit of any Agreements and Reinsurance the Insurer's Reserve Credit Code Number Subsidiaries or Affiliates Dividends Contributions Other Investments Affiliate(s) Service Contracts Agreements Business Totals Takenl Liabili 29513......43-1393691..._.The Bar Plan Mutual Insurance Company................ .... ......... .. ............. .........................-. _96,166 .......... ._._ ..... .._. ..... _ ......----........ (175,000) _ ......._._._(78,834). --_ ....._........ _._... 10966......43-1826922......The Bar Plan Surety and Fidelity Company....................................... ..................................... ..................................... ...................................... ......................(305,819)..................................... ........................................................... ......................(305,819)..................................... 00000......43-1702852......The Bar Insurance Agency, Inc......................................................... _............_.................... ...._.................._.......... _._............209.683 _........_.......... ..........__... ...._................209,683 ....._........__........_...... 00000......43-1724523......TBP Holding Company, Inc...._..................._.............................._........ ..................................... ..................................... ............._...................... ...............................(30)................._.................. .._.................. ....................._._ ....._. .........._.._............._(30).. ......__.............._.... 00000......43-1679870......The Bar Plan Foundation ........................................................._. ._...__...._.. ----.... ..................._........ _ ..........---.........._._.... ................_._..._......__ ._........_......._._........... .._._..........__...._.._..............175,000 ........................175,ON ................................... ........ ......... _............_............................................................................................_........................................................................ ......................I............... ............_................._..........._......._......................_..............__........_................_............._......._............_._._._. .... . --..... _......... __..... . . ..........._. ._......_ ........... ......... ........ . ... ....... .......... ... .......... .......... .........._............_......._............................................_............._..........._............._.......................... .............._.................__._......_................. ...._...__.._... .........._................__...........-_........_......_..._..._.._........ .. .... ....._.................................._._........_._...._..........._.........._ ..._.........._......._......_.................. -....................................................................... ....................... .................................................................................................................................................................. . ........ ........ ..... .... ...... ..... ........ ...... .... ............ ..... ...... ........ .......... —-... _.._... .............................................................................. .......................................................................................................................................................................................................................................................... .................................................................................................................. . ....................................................................................................................................................................................—_-------------.._...__.............. .._....-----.._............._.._... __....... __............ ._......._._......... _....... .. ........................._............._.......... _......................................................................... ................................................................................................_..........._. ..........._..._..........................__........._. ..................................... ......._......._............................_.................... _._. .... ......... ..._....._........................_..........._....._........__. ........................._...._........ .......__.........._.......------------------..............................-- ----- ...._... ........_..._...._...._............................ ........._...................__.... ............ ...........------ . ... _..... ................._............................. ................................................................................._.........................................._.............................._............................._................................................................................... .._..-......................_....._........_.._.....__......_.._.....__........ _. ...__ _._.. - --------- _.._..._. ........ ._.._. - --...I.. . tD .._ .......... ............................................................................................ ....................................................................................._................................................................. .........................................................._............._............._............---......_....._........__..._._..: .._...._....._..._-- ......._......:........._._........._.......-.___....._............ .---........_......_......_....... -........._.._......_._............................._..................._......._._..... ..._......_.._......................................_....___................._.............._.............__........._........................_................................................................................._........... _.._......_......._......__.........._..........__.._...... ................_._...._.._....... .........__._.......__......... .... .................... _._..._.. 9999999 Control Totals 0 0 0 0 0 0 Xxx 0 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state.However,in the event that your domiciliary state waives the filing requirement your response of WAIVED to the specific interrogatory will be accepted in Neu of filing a`NONE"report and a bar cede will be printed below.If the supplement is required of your company but is not being filed 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 17..-----------....................................__.._._........_....,...,....__.,......._........__........__._....,.........._......._................. YES 2. Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1? --------=----- ------ YES 3. Will the confidential Risk-based Capital Report be filed with the NAIC by March 1?..__._............_..........................................................._.._...._.....__._.... YES 4. Will the confidential Risk-based Capital Report be filed with the state of domicile,if required by March 17.........................................................._,.............. YES APRIL FILING 5, Wilk the Insurance Expense Exhibit be filed with the state of domicile and the NAIC by April t?.........._._---...____.....___..._.._........_....___..._._.._.._.__ YES 6. Will Management's Discussion and Analysis be filed by April I? -........................................_.................-...................................__........................_...__. YES 7. Will the Supplemental Investment Risk Interrogatories be filed by April 17_....................._...... -........--._..._._-.........._._.__........._.._..._.............._... YES MAY FILING IL WIN this company be included in a combined annual statement which is filed with the NAIC by May 17....._......................... ------------ YES JUNE FILING 9. Will an audited financial report be filed by June l?............_..........................__..................._............_............._._......................__......_....__....._..__......._ YES 10. Will Accountant's Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1?.................................. YES AUGUST FILING 11. Will Communication of Intemal Control Related Matters Noted in Audit be filed with the state of domicile by August 1? .................... YES The following supplemental reports are required to be filed as part of your annual statement filing.However,in the event that your company does not transact the type of business for which the special report must be filed,your response of NO to the specific interrogatory will be accepted in lieu of filing a"NONE'report and a bar code will be printed below.If the supplemental is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions. MARCH FILING 12. WIII Schedule SIS(Stockholder Information Supplement)be filed with the state of domicile by March t?.........._.....................__.....__........................_._. tq 13. Will the Financial Guaranty Insurance Exhibit be filed by March 1?....._-----------........_..........................._.....___.___............._.................._....._........__.-. NO 14. Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1.............................._......._........ NO 15, Will Supplement A to Schedule T(Medical Professional Liability Supplement)be filed by March t?........._..............................................._....._................. NO 16. Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC by March l?.._._..----------------__........_...__.........____....._----.._._ NO 17. Will the Premiums Attributed to Protected Cells Exhibit be filed by March fl.............._..............._..............._...._...... ............................._.._........... Na 18. Will the Reinsurance Summary Supplemental Filing for General Interrogatory 9 be filed with the state of domicile and the NAIC by March 1?................... NO 19. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1?.__.............-........_..............._.......... NO 26, Will the confedenbat Actuarial Opinion Summary be filed with the state of domicile,if required,by March 15(or the date otherwise specified)?..._.------------ YES 21. Will the Reinsurance Attestation Supplement be filed with the state of domicile and the NAIC by March 17...___._.......-----------------................_------_--_.----- YES 22. Will the Exceptions to the Reinsurance Attestation Supplement be filed with the state of domicile by March 17....._..,_................................................._.... NO 23. Will the Bail Bond Supplement be filed with the state of domicile and the NAIC by March 1?...---------------.....___.__...._...............----..._........................ NO 24. Will the Director and Officer Inwrance Coverage Supplement be filed with the state of domicile and the NAIC by March 1?.........................._........._........ NO 25. Wilt an approval from the reporting entity's state of domicile for relief related to the five-year rotation requirement for lead audit partner be filed electronically with the NAIC by March i2..__..._..---...................----------._...._............_..........._.....---._...____.............._...___...--------------........._.._.._ N7 26. Will an approval from the reporting entity's state of domicile for relief related to the one-year cooling off period for independent CPA be filed electronicallywith the NAIC by March I?.........................................................---............................................................................................................... NO 27. Will an approval from the reporting entity's state of domicile for relief related to the Requirements for Audit Committees be filed electronically with the NAICby March 12-----------------------...__..........._.__-_.______.____._..._..._..__......_._._.._._......._......__._.,.___._._._.__.._____-.-_ to APRIL FILING 28. Will the Credit Insurance Experience Exhibit be filed with the stale of domicile and the NAIC by April 17.........._................................................._............. NO 29. Will the Long-term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1?......................_..._.-----_------............-_ hit 30. Will the Accident and Health Policy Experience Exhibit be flied by April l?..........------------------._._._....._...._.__.._........_.....__......._._.........._........._....._...._. NO 31. Wilt the Supplemental Health Care Exhibit(Parts 1,2 and 3)be filed with the state of domicile and the NAIC by April 1?...................................------------. to 32. Will the regulator only(non-public)Supptementai Health Care Exhibits Expense Allocation Report be filed with the state of domicile and the NAIC by April17....._..................................................................__................._...........................---......................----------............_._...._......................................... to AUGUST FILING 33. Will Management's Report of internal Control Over Financial Reporting be filed with the state of domicile by August t?_..................----------------_.............. YES Explanations: _ 12. Not Applicable 13. Not Applicable 14. Not Applicable 15..Not Applicable 16. Not Applicable 17. Not Applicable _ 18. Not Applicable - 19. Not Applicable 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 Applicable 31. Not Applicable . 32. Not Applicable Bar Codes: 12. SIS Stockholder Information Supplement[Document Identifier 420] - 13. Financial Guaranty Insurance Exhibit(Document Identifier 2401 x + s r s x e t t x � tt opptttt c o e i e 14. Medicare Supplement insurance Experience Exhibit[Document Identifier 360] 15. Supplement Ato Schedule T[Documerd Identifier 455] �l1u�� � �� ��II��� � Il� ii11ji11pillI 16. Trusteed sur{fius Statement[DocumenttderltiFier490] �II�i�I�NI�I11�IA1,�I1ItI�UpIIY�11�16�III �II��Uill�IIiIi11iWWWI 17. Premiums Attributed to Protected Cells[Document Identifier 385J 18. Reinsurence Summary Supplemental Piling[Document Identifier 4011 11111 a 1EIpi/lINl11111giIl�Ilpi1W1 gill 1111II1I11 111 t uIn 5 pill t i n8 t s tmn a1tlH ttl i e i i a 19. Medicare Part DCoverage Supplement[Document Identifier 3851 ill lll��ll�u}Y�Itlll��illq�N=U�EIiI�I�(�i11I�1N1mQ�llj pill 22. Exceptions to the Reinsurence Attestation Suppiamem i�� �;11�11�IIII�Al11'�d A��,'�tlW111=11�A�p111i1111l1111II1111illl1 [Document Identifier 400] - 23. Bail SOnd Supplement(Documerdldentifier500] 24. Director and Officer insurance Coverage Supplement[Document Identifier 5051 100 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company 'SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES 25. Relief from the five-year rotation requirement for lead audit partner[Dowment Identifier 224) I�III IIII��a��h�mrlIu�'��re�pp�l l��:IIll�l�I'A��Ie m�Q�t��I[�n�n:lI1rtI�IIl1''�lll�t?lIII�{l'IlIIIl�1I:liIII�Il'1l�'lI�III11�m llIlIm1�'1II 1 l 2 IN 26. R reolingolpedodforindependemCPA Dmemldentifie225) 1 11110P 1lIe��'1nII 1 l 1('�1eI'lII 11l1e�11l1e a 11l1�'m�'I 27. Relief from the Requirements for Audit Committees[Document Identifier 2261 II�1I�I II��II�II;II�r�II;iII�111�tl1i171II11nIII II;IIIle111I111I�I1111 0 1� 28. Credit Insurance Experience Exhibit[Document Identifier 2301 I�11�II������II��[IQII;II�i1111=1111��10 1 0111 0111;1111110111;1111111 29. Long-Tenn Care Experience Reporting Fortes(Dowment Identifier 3061 111mm11ttlllllli�Illnllll;ll�ll�;ll�olllll 1111111 ll'��'InII��I�I III�ll;11111111111111I� 30. Accident and Health Policy Experience Exhibit[Document Identifier 210] I�I1111111n ;110111111111"I�m11=1111i1111;111111111111111�11 - 31. Supplemental Health Care Exhibit(Parts 1.2 and 3)[Document Identifier 2161 111111�IlOm�ll l 1101ti 111111111;1111illllillll;llll'�I11111111111III 32. Supplemental ment Identifier 217J Exhibits Expense Allocation Report I�IIIIIII;1111I111illll�ll;lll 01111 AI�i1111i11111III0;III1111111I111111111 100.1 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company OVERFLOW PAGE FOR WRITE-INS Additional Write-ins for Assets Line 25 Current Year Prior Year 1 2 3 4 Net Admitted Assets Net Admitted Assets Nonadmitted Assets Cols.1-2 Assets 2504. Automobile._...__......_._......_......_........ _.............................................. .........................12,088 .._..............._....12,088 .................................0 .0 2505. Miscellaneous Receivable................................................................................. ........... __21,278 ...._..._..............._......... _....._..... .......21,278 ........................174,103 2597. Summary of remaining write-ins for Line 25 from overflow page 33,366 12,088 21,278 174,103 Additional Write-ins for Liabilities Line 25 1 2 Current Year Prior Year 2504. ........................................................................................................................................ ...................................0 2597. Summary of remaining write-ins for Line 25 from overflow page 0 0 101 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SUMMARY INVESTMENT SCHEDULE Admitted Assets as Reported Gross Investment Holdings in the Annual Statement 1 2 3 4 5 6 Securities Lending Reinvested Total Collateral (Col.3+4) Investment Categories Amount Percentage Amount Amount Amount Percentage 1. Bonds: 1.1 U.S.treasury securities..._........_......._ .................................................5,383,988 ...........12.182 ..........5,383,988 ............_.....................5,383,988 ._...----..12.182 1.2 U.S.government agency obligations(excluding mortgage-backed securities): 1.21 Issued by U.S.government agencies..'_-_.._............................................................._.___._.0.000 .................... __..... ......................0 ..._..__..0.000 1.22 Issued by U.S.government sponsored agencies......................................................................0.000 ..............................................................................0 ..............0.000 1.3 Non-U.S.government(including Canada,excluding mortgaged-backed securities)...................................._.._._..................................................... 0.000 ..._..............._......_....._.......................................0 0.000 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 ..............................................................................D ..............0.000 1.42 Political subdivisions of states,territories and possessions and political subdivisions general obligations.......................................................774,755 ..............1.753 .............774,755 ........................................774,755 ..............1.753 1.43 Revenue and assessment obligations___..._............................................14,531,790 ........_.32.879 .._.._14,531.790 ...................................14,531,790 ....__..32.879 1.44 Industrial development and similar obligations........................................................................._0.000 ..............................................................................D .............0.000 1.5 Mortgage-backed securities(includes residential and commercial MBS): 1.51 Pass-through securities: 1.511 Issued or guaranteed by GNMA .......................______.._0.000 __........................................._._.--------._...._...._D ._.__.__0.000 1.512 Issued or guaranteed by FNMA and FHLMC..................................1,090,465 ...........,..2.467 ..........1,090,465 ....................................1,090,465 ..............2.467 1.513 All other..--,.,,-___ _65,677 ..............0.149 ...............65,6T7 ...................... 65,677 .....----...0.149 1.52 CMOs and REMICs: 1.521 Issued or guaranteed by GNMA,FNMA,FHLMC or VA......._...._....................._.--..._0.000 ....------------___....._..._-.........-.-.. ......................D ..............0.000 1.522 Issued by non-U.S.Government issuers and collateralized by mortgage-backed securities Issued or guaranteed by agencies shown in Line 1.521...................... _.._.............._----- --......_._0.000 ----- ----------------------------------.0 ..............0.000 1.523 All other............................................................................................... ..........................0.000 ............................................. -----.....-------.......D ..............0.000 2. Other debt and other fixed income securities(excluding short-term): 2.1 Unaffiliated domestic securities(includes credit tenant loans and hybrid securities)..._.._..................._._........................ ......_....._..........._'- 5,575,981 ............12.616 ..........5,575,981 -----------------_...._.5,575,981 ............12.616 2.2 Unaffiliated non-U.S.securities(including Canada) ............705,898 ..............1.597 .............705,898 ........................................705,898 .............1.597 - 2.3 Affiliated securities..................................................................................................................................0.000 ..............................................................................D .............0.000 3. Equity interests: 3.1 Investments in mutual funds..................................................................................................................0.000 ..............................................................................D .............0.000 3.2 Preferred stocks: 3.21 Affiliated.................................................... ..............................................................................0.000 ................................................................... ........D ....---'--....0.000 3.22 Unaffiliated._._-_'__-__............................................._.____.._.-----_........._...----------------.............0.000 ............... ...........................---------------------._0 ..............0.000 3.3 Publicly traded equity securities(excluding preferred stocks): 3.31 Affiliated._..__------------------------------------._..._....._......_..............................__.4.790.671 .....___.10.839 .___4,790,671 .------....___._...._........._4,790,671 _._.......10.839 3.32 Unaffiliated......................................................................................................5.100,237 ............11.540 ..........5.100,237 .....................................5,100,237 ............11.540 ... 3.4 Other equity securities: 3.41 Affiliated---................._........................ ---...._.....-_......................................................0.000 ------------------------............................. D ..............0.000 3.42 Unaffiliated .-- .....__..--°'-_..... -'-.._.............._..._..._........._....................-_...........0.000 ._-----------_-----...........................-- --...........D .......--..0.000 3.5 Other equity interests including tangible personal property under lease: 3.51 Affiliated_....._.............---------..._------------------.._._...._.-'--- ......_............................0.000 _.........................------------------........................0 ..............0.000 3.52 Unaffiliated................................. .......__..._..............................................-.._......._....................O.ODO .........................................................._..._-----..._0 ..............0.000 4. Mortgage loans: 4.1 Construction and land development.................................__-____......-..... ._...................................0.000 ---------------------------------------------.----------.......D ..............0.000 4.2 Agricultural................................. ................................................... ..............................................0.000 .. ................................................. ' .........D ..............0.000 4.3 Single family residential properties.................................................. _.__......................._......_0.000 _____.....-._.-----------------------.------------........._.0 ..............0.000 4.4 Multifamily residential Properties..........................................................................................................0.000 ..............................................................................0 ..............0.000 4.5 Commensal loans------------------------.._.._._.._..-------------------------------------------------------------------------..............0.000 _......._-_____--------------------------------------------........D ._...........0.000 4.6 Mezzanine real estate loans................._.................................................................................-------.._0.000 ...................--°---...................................................0 ......-------.0.000 5. Real estate investments: 5.1 Property occupied by company...............................................................................1,731,825 ..............3.918 ..........1,731,825 ...........................-'.---.._1,731,825 ..............3.918 5.2 Property held for production of income(including $ ...................................... of property acquired in satisfaction of debt)........... -------------------------------------- _-----------.---------------------------------....__----_...........................0.000 .....................D ---------------------------........................D .....-----..0.000 5.3 Property held for sale(including$ ... property acquired in satisfaction of debt)............................................................................................0.000 ........................D ...................................................0 .....--'--...0.000 6. Contract loans .. .._.................. ..._...-.. .......... ...................--- .........------........................0.000 ------------------.D ...........................---------------.....D ... --.0.000 7. Derivatives............._................. ....`.........................._.................-'.................................................0.000 -------------------..D ................- .. ------------------------ .............0.000 8. Receivables for securities------------------------------_---------.._.__-------------------------------- -----------------------_.........-._..0.000 ..........._...........0 ...........................------..................D .............0.000 9. Securities Lending(Une 10,Asset Page reinvested collateral)._..........................................._.................0.000 ........................D .........XXX------------------XXX..................XXX......-. 10. Cash.cash equivalents and short-term investments........................................ ...__.4,446.095 ..-........10.060 ------.4.446,095 ----------------------_--.---..4,446,095 ------..--10.060 11. Other invested assets.......................................................................................... O.OIH) 0 0.000 12. Total invested assets 44,197,382 100.000 44,197,382 0 44.197 3821 100.000 S101 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE A -VERIFICATION BETWEEN YEARS Real Estate 1. Book/adjusted carrying value,December 31of prior year.............................................................................................................................................................................1,826,604 2. Cost of acquired: 2.1 Actual cost at time of acquisition(Part 2.Column 6)........................................................................................................................................................ 2.2 Additional investment made after acquisition(Part 2,Column 9)............_._.... ....................... .... - -- --------------.0 3. Current year change In encumbrances: - 3.1 Totals,Part 1,Column 13---------------............._._.___...... 0 3.2 Totals.Part 3.Column 11...__._........._.........--....................._........_........................°.....____......._................._..........................__...................................................................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 bookfadjusted carrying value: 6.1 Totals,Part 1,Column 15................................. ....................................................................... 0 6.2 Totals,Part 3,Column 13 ..........................................................................................._._............................................................__...___..........._._.......................................0 7. Deduct current years other than temporary impairment recognized: 7.1 Totals,Part 1.Column 12......................................................................................._............__...._.._........_.................................. 0 7.2 Totals,Part 3,Column 10.......................:.................._...._........._.............__ ..._......._...__ ............ ........................____._....................................................... 6. Deduct current year's depreciation: 8.1 Totals,Part 1,Column 11 ... ----------_.94,779 8.2 Totals,Part 3,Column 9.................................................................................................................................................................................................................................94,779 S. Bookladjusted carrying value at the end of current period(Lines 1+2+3+4-5+6-7-8)_.._._._...........................................................-........_......---_------..._._....._..._...-...1,731,825 10. Deduct total nonadmitted amounts..............................................................................................................................................................................................................................._0 11. Statement value at end of current period(Une 9 minus Line 10)........................................................ _ - ....................................................._._._....._1,731,825 SCHEDULE B -VERIFICATION BETWEEN YEARS Mortgage Loans 1. Book value/recorded Investment excluding accrued interest,December 31 of prior year......................_........._.___.____.. 2. Cost of acquired:- 2.1 Actual cost at time of acquisition(Part 2,Column 7) .._.... ------------------- 2.2 Additional investment made after acquisition(Part 2,Column 8).............................................................................................................................................................................. 3. Capitalized deferred interest and other. 3.1 Totals,Part 1,Column 12................_................................------`........_............................._...._..........................°°-........................................................ 3.2 Totals,Part 3,Column 11---------------------------.._---------------------------------._...____.-------_..--------------------------------------------------------------------_..---------------......-----------------------..._... 4. Accrual of discount.......................................................................................................................................................................................................................,.....--................................ 5. Unrealized valuation increase(decrease): - 5.1 Totals,Part 1,Column 9................................Nest ...0mmenl....... .........--- ---. ....._.................................... .5.2 Totals,Part 3,Column 8_----------------.- -- --- --- -------------------------...... 6. Total gain(loss)on disposals,Part 3,Column 1 --- --- --- ... ..... _...............................----...-----............................-----........................ 7. Deduct amounts received on disposals,Part 3, ._- ___ ...___.. .._.. ..................._._...._._------------..__ ......-----------...._....._-.._---- 6. Deduct amortization of premium and mortgage nd ees.............................._.-..-......_.--.-...-........._...................-.........---_...--.'-.--.._................... 9. Total foreign exchange change in book value/recorded investment excluding accrued interest: 9.1 Totals,Part 1,Column 13...................._._..............................-------------._.._....._........................._......................--........----................................................ 9.2 Totals.Part 3,Column 13.....................................................................__.._.._-_. ..... --------------------- 10. Deduct current year's other than temporary impairment recognized: 10.1 Totals,Part 1.Column 11----------_----- _------ 10.2 Totals,Part 3,Column 10........................................................................................................................................................................................................................................... 11. Book value/recorded investment excluding accrued interest at end of current period(Lines 1+2+3+4+5+6-7-8+9-10)............._.._..._.__.._______................._._------------------------- 12. Total valuation allowance..................................................................................................................................................................................................................................................... 13. Subtotal(Line 11 plus 12)......................................................................................................_.-.........._..__._................_....._------_------_.....___.. _.._._.._.__. 14. Deduct total nonadmitted amounts................................................................._............................................................................_.................................................................................... 15. Statement value of mortgages owned at end of current period(Line 13 minus Line 14)...........................__._..._...........-----------------------------------------------------------_... 5102 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE BA -VERIFICATION BETWEEN YEARS Other Long-Term Invested Assets 1. Book/adjusted carrying 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 investment 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,Part 1,Column 13..._...................._..... ........ .._.. __...._._.... ..... ........ ._... ...._.. 5.2 Totals,Part 3,Column 9_....._..................__... ...... ... _... ......_.......... .... ..... ... ..._ _.._................____............._............._...................---_........................... 6. Total gain poss)on disposals,Part 3,Column 19 ........... ._.... ....___.. ...... ...._._.. ..._. .................................__._._.._..... ......._..--.............._........ 7. Deduct amounts received on disposals,Part 3. mn 16_._..................._._._.............__...._..._......._......_.........................._...._............__... ..................._................... 8. Deduct amortization of premium and depreciation.._......._.............................._.............................................................................................................:------------------------------- ._.....__..... 9. Total foreign exchange change in book/adjusted carrying value: 9.1 Totals,Part 1,Column 17..................................................................----.._...........__............................__...................,............................................... .... 9.2 Totals,Part 3,Column 14........................---._...._................................._..........___..._............................._.._......................................._._............................................. ..........__.. 10. Deduct current year's other than temporary impairment recognized: 10.1 Totals,Part 1,Column 15...................................................................__......................_......._..............._........--..........______......--....._........._--.....--- 10.2 Totals,Part 3,Column 11._...._................................._.........__..........................................._........_..........................................._._---......._..._..-_......._........---................-------... 11. Book/adjusted carrying value at end of current period(Lines 1+2+3+4+5+6-7-8+9-10)_._._....._.._._.......................................__....-.................................................__............_.... 12. Deduct total nonadmitted amounts..................... ............................................................................................................................................................................ 13. Statement value at end of current period(Line 11 minus Line 12).......__............_...................................................___.._...._.....................................__...... SCHEDULE D -VERIFICATION BETWEEN YEARS Bonds and Stocks 1. Book/adjusted carrying value,December 31 of prior year...........................................................................................................................................................................40.163.695 2. Cost of bonds and stocks acquired,Part 3,Column Z_----.___...................._..........._-....__._........._............._........_...._._.__.__........._...-...-...........__..........-......_6,884,314 3. Accrual of discount..................................................................................................................................................................................................................................................29.173 4. Unrealized valuation increase(decrease): 4.1.Part 1,Column 12................... ......(180,998) 4.2.Part 2,Section 1,Column 15................................ ......-----------------------------------------------------------------------....._ 4.3.Part 2,Section 2,Column 13................................................................................................................................................................................544,512 4.4.Part 4,Column 11---_---------------------------------------....._..........._...._......_..........._....._.._....______..._....._............_._....._......__.._ (57,017)...... 306,498 5. Total gain(loss)on disposals,Part 4,Column 19..............................................................................................................................................................................................88,104 6. Deduction consideration for bonds and stocks disposed of,Part 4,Column 7--------------..___......_.......-..---....-...._........_.__.......--.-........-.-......._..._ 9,198,947 7. Deduct amorrmalion of premium............................................................................................................................................................................................ ........................253,374 8. Total foreign exchange change in book/adjusted carrying value: 8.1.Part 1,Column 15----......-----.......... -----......0 8.2.Part 2,Section 1,Column 19_...--------------------------------------------_... ..._..---------------------------------_...------------------------------------------ 8.3.Part 2,Section 2,Column 16...........................................................................................................................................................................................0 8.4.Part 4,Column 15 ..... . ----------------------._----....0 -------------------------.----------0 9. Deduct current year's other than temporary impairment recognized: 9.1.Part 1,Column 14---------------------------------------------------------------------___.........._............_...__._._.____._._............._._.._......._._....._................_...__.._..__.0 9.2.Part 2,Section 1,Column 17................................-........_.------...._..................................................................°-.....---.---..._.._.._..............................-- 9.3.Part 2.Section 2,Column 14..................__..-----------------------.....__.:..:_._. _...............___................._......_....__0 9.4.Part 4,Column 13............................................................................................................... .---............................0 ...................................0 10. Book/adjusted carrying value at end of current period(Lines 1+2+3+4+5-6-7+8-9)......._......._.--------------------------...._.---------------------------------------------.-.------ 38,019,463 11. Deduct total nonadmitted amounts..............-............................................._._.........-.._................................................_............_................_............-............._...................................0 12. Statement value at and of current period(Line 10 minus Une 11) _................._..............._-...._............_............................__........................_._....38,019.463 S103 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - SUMMARY BY COUNTRY Long-Term Bonds and Stocks OWNED December 31 of Current Year 1 2 3 4 Book/Adjusted Description - carrying Value Fair Value Actual Cost Par Value of Bonds BONDS 1. United States......_.._.............................____......_..5,383,988 ___._...._._5,420,788 .........._._._..5,506,857 .. 5,250,000 Governments2. Canada...................................................................................... ..................................... ..................................... ..................................... (Including all obligations guaranteed 3. Other Countries by governments) 4. Totals 5,383,988 5,420,788 5,506,857 5,250,000 U.S.States,Territories and . Possessions (Direct and guaranteed) 5. Totals U.S.Political Subdivisions of States. Territories and Possessions(Direct and guaranteed) 6. Totals 774,755 756,053 813,993 750,000 U.S.Special revenue and special assessment obligations and all non- guaranteed obligations of agencies and authorities of governments and their political subdivisions 7. Totals 15,687,931 16,404,814 15,775,581 15,386,651 8. United States.............._....._____.......................5.575,981 ...................5,761,019 ....................7,361,628 ............ 7,970,537 Industrialand Miscellaneous and 9. Canada.......__..........._..........__..........._......._....._....._............ .............._................_... .._......_. ................. >......._..._... Hybrid Securities(unaffiliated) 10. Other Countries 705,898 745,160 712,489 650,000 11. Totals 6,281,879 6,506,179 8,074,117 8,620,537 Parent Subsidiaries and Affiliates 12. Totals 13. Total Bonds 28,128,553 29,087,833 30,170,548 30,007,188 PREFERREDSTOCKS 14. United States..._._..................................................................... .._._......_ ............... -------------....................._. Industrialand 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....__._............................_..............--5,077,214 ....................5,07.214 ....................4,786,134 Industrialand Miscellaneous 21. Canada--------------------------------------- -----------------------............ ---------------------------- -------......._.-------------------- (unaffiliated) 22. Other Countries 23,024 23,024 23,178 23. Totals 5,100,238 5,100,238 4,809,312 Parent Subsidiaries and Affiliates 24. Totals 4,790,671 4,790,671 1 6,366,518 25. Total Common Stocks 9,890,909 9,890,909 11,175,830 26. Total Stocks 9,890,909 9,890,909 11,175,830 27. Total Bonds and Stocks 38,019,462 38,978,742 41,346,376 S104 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D-PART 1A-SECTION 1 Quality and Maturity Distribution of All Bonds Owned December 31,at Book/Adjusted Carwing Values by Ma'or Types of Issues and NAIC Desi nations 1 2 3 4 5 6 7 8 9 10 11 Over 1 Year Over 5 Years Over 10 Years Col.6 as a%of Total from Col.6 %From Col.7 Total Publicly Total Privately Quality Rating Per the NAIC Designation 1 Year o Less Throu 5 ears rou h 10 ars Through 20 Years Over 20 Years Total Current Year Line 9.7 Prior Year Prior Year Traded Placed a 1.U.S.Governments 1.1 Class 1............................................... ........................1.566,787 ..................3,817,201 ................................... ................................... ................................... ..................5,383,988 .................... ._17.9 ................10,630,410 ...........................30.3 ..................5,383,988 ................................0 1.2 Class .............................................................................................. ................................... ---------------------..--.. ................................... ................................... ---...--........_......_0 .........0.0 .._........_.._..............0 ......0.0 ................. 1.3 Class 3.............................................................................................. ................................... ................................... ................................... ................................... .... ............._0 .............................0.0 ................................. 0.0 ................................0 1.4 Class 4.............................................................................................. ..... .... ................................... .................................. ................................0 ..................... -0.0 .................................0 ....._._.... ._.....0.0 .._._.........._._............. ......._........................0 1.5 Class 6.............................................................................................. ................... ................................... ................................... ---..._....._................... ._......................._.....0 .._._.....................0.0 ..........................._....0 ........_............._...0.0 .................. ..............__..0 1.6 Class 6........................................................... 0 0.01 0 0.0 0 1.7 Totals 1,566,7871 3,817,201 0 0 0 5,383,988 - 17.9 10,630,410 30.3 5,383,988 0 2.All Other Governments 2.1 Class .............................................................................................. ................................... ................................... ................................... ... --------------- ------------- .............0 ......... .............._0.0 -- ---0 ............ .. ---._............ ... -....._.0 2.2 Class 2................................ ' ..................................................... ................................... ................................... ................................... ................................... .................................0 .............................0.0 ................................0 ...........0.0 ................................0 2.3 Class 3...................................----............._....:.................._.._........ .................................. ................................... -----------------------------..... ---------------.................. _.._......._..._._......-...0 ....--......................0.0 ......................_-----D _..._.....................0.0 __-.. ... ..............._._..0 2.4 Class 4............................................. ................................... ................................... ................................... . ...............................0 ...........................0.0 .................................0 .............................0.0 ................................... ................................0 2.5 Class 5.............................................................................................. _................................. -............._................. ................................... ................................... . _............._._........_.0 ............................. ............_............_.._0 ............... 0.0 ........._._......_............. ......... ._........._....0 2.6 Class 6.........................................-............... 0 0.0 0 1 0.0 0 2.7 Totals 0 0 0 0 0 0 0.0 0 0.0 0 0 3.U.S.States,Territories and Possessions etc., Guaranteed 3.1 Class 1_........_......_...................._...........--_.._.._..._._._...._.......... -- ....................... .............. __.-..... ........ ..........................._.._0 ---------0.0 __...... ...........0 _...0.0 ....0 3.2 Class 2.............................................................................................. ................................... ................................... ................................... ................................... .................................0 ............................0.0 .................................0 .............................0.0 ................................... ................................0 3.3 Class 3...................:..........................................._......_.........._......... ........._.........._.__....... ...................0 0.0 ...........____._.._._.0 0.0 3.4 Class 4.............................................................................................. ................................... ................................... ................................... ................................... .................................0 ............................0.0 .................................0 ............................0.0 ................................... ................................0 U) 3.5 Class 5........................................................................................_.... ..........._.........--___ ......._.......................... ......._......................... ._.........- --._..........................0 ...................---.....0.0 .........-_......._.._.._...0 --0.0 .................................. _............. ............ 0 3.6 Class 6......... ............................................. 1 0 0.0 0 0.0 0 Cn 3.7 Totals 0 0 0 0 0 0 0.0 0 0.0 0 0 4.U.S.Political Subdivisions of States,Territories and Possessions,Guaranteed 4.1 Class 1..........................................................._... .:...........500,554 ................................... ..:---......_._274,201 .....__..:.... -.......... ........................ ....................774,755 ..............-_.-..-.._..2.6 .................1,271.033 ..._...._._.... 3.6 _.............__..774.755 .......__..._...........__.0 4.2 Class 2.............................................................................................. ................................... ................................... ................................... ................................... .................................0 .............................0.0 ................................0 .............................0.0 ................................... ................................0 4.3 Class 3........................................................... ..._.............. ................................... ..............................._.. .._._...._. --------- ......_................._.....0 4.4 Class 4.............................................................................................. ................................... ................................... ................................... ................................... ................................. .............................0.0 ................................0 ............................0.0 ............................. -...... ...............................0 4.5 Class 5......................................................._.---_........................ ..._._............_ . ..................................... .................................. ................................... .._.............................0 ............................. .._...__......................0 ................0.0 ............... .............. .0 4.6 Class 6........................................................... 0 0.0 1 0 0.0 0 4.7 Totals 500,554 1 0 274,201 0 0 774,755 2.6 1,271,033 3.6 774,755 0 5.U.S.Special Revenue&Special Assessment Obligations,etc.,Non-Guaranteed 5.1 Class l............................................................................2,299,245 .................5,545,739 .....-----....7.758.113 .......................E4,835 .__.........._._.._..--- ...............15,687,932 ............. -52.2 ..........13,900,607 ..._ ............39.7 _._.........._15,687,932 _............__........._..0 5.2 Class 2.............................................................................................. ................................... ................................... ................................... ................................... ................................0 .............................0.0 ................................. .............................0.0 ................................... ................................0 5.3 Class 3.......................................--._........................................... ................................. -------------------------- ..........__................ ...........--_--............... .............................0 ........._._...._..- 0.0 .......... .......__......_0 ---.................._0.0 .. ..............._.............0 5.4 Class .............................................................................................. ................................... ................................... ................................... ................................... ........................... -0 .............................0.0 ......................... ....0 ............................0.0 ................................... ................................0 5.5 Class 5................................................._'--------. .......................... ..........._..._....._.....- ............_........_...__... .................................... ............._...... ......... .................................0 ............._......_.....0.0 -........ ................0 .............0.0 ......- .................. .._............................0 5.6 Class 6........................................................... 0 0.0 0 0.0 0 5.7 Totals 2,299,245 5,545,739 7,758,113 84,835 0 15,687,932 52.2 13,900,607 39.7 15,687,932 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D-PART 1A-SECTION 1 (Continued) Quality and Maturity Distribution of All Bonds Owned December 31 at Book/Adjusted Carming Values by Mai or Types of Issues and NAIC Designations 1 2 3 4 5 6 7 8 9 10 11 Over 1 Year Over 5 Years Over 10 Years Col.6 as a%of Total from Col.6 %From Col.7 Total Publicly Total Privately Quality Rating r the NAIC Designation 1 Year or Less Through 5 Years Through 10 Years Throu h 20 Years Over 20 Years Total Current Year Line 9.7 Prior Year Prior Year Traded Placed a 6.Industrial 8 Miscellaneous(Unaffiliated) 6.1 Class 1........:..........................:.........................................3,451,287 ..................3.590,477 ......................585,431 ................................... ............................ .... .................. ...........................25.4 .................8,683,999 .... 24.8 .................7,627,195 ............................0 6.2 Class 2............................................................_-------------------.... ............................_'. ..__---- ..272,100 _.................._............. ........ .............. .................. 272.100 ._....................._._0.9 ..........N4,823 ._ 0.8 _..................272,100 ............- ......_.._0 ................................0 0.0 .................................0 .................... ....0.0 ................................... .................................0 6.3 less 3.............................................................................................. ................................... ................................... ...0 6.4 Class 4....' ...........--........._._...................._.............__....._._..._ _........_._............ -----. ....................... ............_.....-_......... .................................... .._....._..............__..0 ._............_....__..0.0 .................................0 -...._.....................0.0 ................._... .... ...................._....... 6.5 Class 5.............................................................................................. ................................... ................................... ................................... ................................... .................................0 .............................0.0 .................................0 .............................0.0 ................................... ..............................._0 6.6 Class ........................................................... 315,020 315,020 1.0 287,606 0.8 315,020 0 6.7 Totals 3,451,287 3,590,477 857,531 0 315,020 8,214,315 27.3 1 9,246,428 26.4 8,214,315 0 7,Hybrid Secud6es ............_.............D 7.1 Class 1................................................................__--_...._.............. _......................--- ................................0 ........................ 0.0 ....................._._...._0 ....._-._.........._....0.0 .. - 7.2 Class 2.............................................................................................. ............................... .................................. ................................... ................................... .................................0 .............................0.0 .................................0 ............................0.0 ................................... .................................0 7.3 Class 3...................... ........................... .............. .. ........... ................................... ................................. ..............................-0 0.0 0 0.0 ...........0 7.4 Class 4.............................................................................................. ................................... ................................... ................................... ............0 .........0.0 0 0.0 .................................0 7.5 Class 5...._...................._............................._...... ..................... _._............................. ................................... .................. ......... ................................... ...._.......................0 ........_._._._.._...._0.0 ...........0 .... ..._........0.0 __.... ........._ -- .......... 7.6 Class 6........................................................... 0 0.0 0 0.0 0 7.7 Totals 0 1 0 0 0 0 1 0 0.0 0 0.0 0 0 8.Parent,Subsidiaries and Affiliates 8.1 Class 1..........................................._........_.._ .............................. ....... .................................. .....................0 ....................... 0.0 .............................._0 .......... 0.0 ................... ..............0 8.2 Class 2..................................... ...................._...__..... .___....._................._.. ...................___.......... .................................0 ............._........_.._0.0 ...._._.._....._.........-...0 .............._ ----0.0 ............._..._.....__...... ._......_.._.._.........._0 ......................................................... ................................... . 8.3 Class 3.................................................._.................__._.............._. ..... .._............................... ..................... ........................... .................................0 ....................... 0.0 0 ...........................0.0 ............._..............._.. .............._.-_.....0 8.4 Class ............................................................................................. ..... .................... ........._......._._._._-- ...........................0 ................._.____0.0 .._..............._..._..__0 0.0 __ - 0 8.5 Class 5.............................................................................................. ................................... ................................... ................................... .................................0 0.0 ........0 ...........0.0 .................................0 8.6 Class 6__......................................_...._......... 0 0.0 0 0.0 0 rn 8.7 Totals 0 0 0 0 0 0 0.0 0 0.0 0 1 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D-PART 1A-SECTION 1 (Continued) Quality and Maturity Distribution of All Bonds Owned December 31 at Book/Adjusted Carr,ing Values by Mai r Types of Issues and NAIC Designation 1 2 3 4 5 6 7 6 9 10 11 Over 1 Year Over 5 Years Over 10 Years Col.6 as a%of Total from Col.6 %From Col.7 Total Publicly Total Privately Quality Rating per the NAIC Designation 1 Year or Less Throu h 5 Years Throu h 10 Years Through 20 Years Over 20 Years Total Current Year Line 9.7 Prior Year Prior Year Traded Placed a 9.Total Bonds Current Year 9.1 Class 1...........................................................(d)----.......7,817,873 .................2,953,417 ..... .......8,617,745 .......................84,835 .................................0 ................29,473,870 ...........................98.0 ..............xxx............................xxx..............................29,473,870 .................................0 9.2 Class ................... .........................(d).._...._................0 .................................0 --------------272,100 ..........---o --- -0 .....................272,100 ..........._.__..........0.9 ..............Xxx--. ....._......_....XXX._.... - ............272,100 ._......_...........-__.._0 9.3 Class 3...........................................................(d) ..........................0 .................................0 .................................0 ................................0 .................................0 .................................0 .................... 0.0 ..............XXX.............................XXX................................................0 .................................0 9.4 Class 4._...__.-............._._........_..._.........._.(d) ..........................0 .__..... 0 ...............................0 ..._.:.......................... ................--....._....0 ...._:...........................0 .............:_.............0.0 _...........xxX..-.._.............._.....xxx-............... --...._........._...0 ........._.....................0 9.5 Class 5...........................................................(d) .........................0 ........................0 .................................0 .................................0 .................................0 (c) .......................... .............................0.0 ..............xxx................._.......-XxX............................................._0 ................................0 9.6 Class ........................................................... d 0 0 0 0 315,020 a 315,020 1.0 xxx xxx 315,020 0 9.7 Totals...............................................................................7,817,673 ................12.953,417 ..................8.889.845 ........................84,M ................ .315,020 (b) ..._....30,060,990 100.0 ........_...xxx........................_.xxx......._......._._.........30,060,990 .............._..........0 9.8 Line 9.7 as a.%of Col.6 26.0 43.1 29.6 0.3 1.0 100.0 xxx xxx xxx 100.0 0.0 10.Total Bonds Prior Year 10.1 Class 1...........................................................................9,759,781 ................18,490,898 ..................5,805,107 ......................430,263 .................................0 ..............xxx............................xxx..............................34.486,049 ...........................98.4 ................34.486.049 ................................0 10.2 Class 2..........................._.._...........................---------------------------0 .................................0 . ---............274,823 ................................0 - .................. -0 ..............xxX.......................__.XXX_.._.__....__--...........274.823 ....................__._0.8 274.823 ......._........_.........__0 10.3 Class 3..........................................................................................0 ................................ .................................0 .................................0 .................................0 ..............XXX............................XXX..............................................0 .............................0.0 .................................0 ................................0 10.4 Class 4....................-_._-......_... ................._..............0 ................................. 0 -0 0 ....-_.._...xxx...........................xxX....._-- ..............0 ........_..._..-_._._.0.0 ........................_.__. 10.5 Class 5..........................................................................................0 .................................0 .................................0 .................................0 ............. 0 ..............XXX..........................-xxx..............(c) .........................0 ............................0.0 .................................0 -..............................0 10.6 Class 6..................................................__.. 0 0 0 0 287,606 xxx XXX c 287,606 0.8 1 287,606 0 10.7 Totals.............................................................................9,759,781 ................18,490.898 ..................6.079,930 .....................430,263 ....................287.606 ..............xxx............................XXX.........--(b) .........35,048.478 .........................100.0 ................35,048,478 ...........................-....0 10.8 Line 10.7 as a%of Col.8 27.8 52.8 17.3 1.2 0.8 xxx xxx 100.0 XXX 100.0 0.0 11.Total Publicly Traded Bonds - 11.1 Class 1.......-................._...._.............-.......................7,817,873 ......._.......12,953,417 .................8,617,745 .._...... --.--.84,835 ................... ...........-_.29.473.870 ...........................98.0 .._............34,486,049 ...........................98.4 ......_........29,473,870 ....._.._...XXX.....__..... 11.2 Class 2.................................................................................... .............._...272,100 _......__272.100 .............................0.9 .................-.274.823 _..................._......0.8 -..........272,100 . � ass ................................................... .............. ................................... ................................... ................................... ................................... .......0 0.0 0 .............................0.0 ................................0 ..............XXX............- __..0 0.0 ... -0 _._......._...:........... .0 _--_.................---0 -._...xxx.___-...... O 11.4 Class 4--------_.........___.._...._-._............_........._.._-----...._.__ ................................_ -----------...._........._ -----------------......... __........................_..... ........._.......... ........_._._........--- 4 11.5 Class 5............................................................................................ ................................... ............0 ..0.0 .................................0 ..............XXX.............. 11.6 Class 6........_............................................... 315,020 315,020 1.0 1 287,606 0.8 315,020 xxx 11.7 Totals.............................................................................7,817,873 ................12,953,417 ..................8.889,845 .......................84,835 ......................315,020 ................30,060,990 ..........................100.0 ................35,048,478 .........................100.0 ................30,060,990 ..............M........... ... 11.8 Line 11.7 as a%of Col.6_.._..............._.-.........._................26.0 _..._....................43.1 ..................... 29.6 ._.._.....................0.3 .............................1.0 .........................100.0 ............ ............xxx __......-_.XXX_....---_ .......... 100.0 ..._.._..._XXX.............. 11.9 Line 11.7 as a%of Line 9.7,Col.6, Section 9 26.0 43.1 29.6 0.3 1.0 100.0 XXX xxx XXX 100.0 XXX 12.Total Privates Placed Bonds ........0 ...... 0.0 ..............XXX...............................................0 12.1 Class 1..........................................................................................0 .................................0 ................................0 .................................0 ........................---.....0 ................................0 .............................0.0 ......................... ...................... 12.2 Class 2 ......... .............. .... ---_.._._--_--_._0 ........... 0 ........0 - A . ......... 0 ------_.__.0 _ ....0.0 __._.__----0 ....__..-..0.0 .._.---XXX .... - .............----_...0 12.3 Class 3..........................................................................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .............................0.0 .................................0 .............................0.0 ..............XXX..............................................0 12AClass 4..........:.....................................__...........__............._....._0 ..............................0 ._......................_._.0 ...................0 .........................---_0 ...__... ---..............0 ...................... 0.0 ----............... ............... 0.0 ..............M-......................___.............._0 12.5 Class ..........................................................................._..._._.._0 ..................0 ..........................---o ........... .................... .............................0.0 .......... ----o ....---............._..0.0 ..............xxx-.- _..._..._......_.-...___.0 12.6 Class 6...................................................... 0 0 0 0 0 0 0.0 0 0.0 XXX 0 12.7 Totals................................................................ 0 .................................0 ................................0 ...................._...........0 ..............................._0 ................................0 ............................0.0 .................................0 .............................0.0 ..............XxX...............................................0 12.8 Line 12.7 as a%of Col.8............................................... .....0.0 ..........................._0.0 .............................0.0 ....... ............._0.0 .............................0.0 ..... ---------.......0.0 ..............XXX............................XXX............................XXX............................XXX........................................._0.0 12.9 Line 12.7 as a%of Line 9.7,Col.6, Section 9 0.0 0.0. 0.0 0.0 0.0 0.0 XXX XXX xxx xxx 0.0 (a)Includes $ ...... frees tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A. (b)Includes $ ...................................... current year,$ ...................................... prior year of bonds with Z designations and$ ................................... ,current year$ ...................................... prior year of bonds with Z'designations.The letter"Z"means the NAIC designation was not assigned by the Securilles Valuation Office(SVO)at the date of the statement.7""means the SVO could not evaluate the obligation because valuation procedures for the security class are under regulatory review. (c)Includes $ ...................................... current year,$ ...................................... prior year of bonds with 5•designations and$ ...........:.......................... ,current year s ...................................... prior year of bonds with 6"designations."5"means the NAIC designation was assigned by the (SVO)in reliance on the insurer's certification that the Issuer is current in all principal and interest payments."6""means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments. (d)Includes the following amount of non-rated short-term and cash equivalent bonds by NAIC designation:NAIC 1$ ..............................:NAIC 2$ ..............................;NAIC 3$..............................; NAIC 4$..............................; NAIC 5$.......... NAIC 6$...................._......... ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D-PART 1A-SECTION 2 Mat rity Distribution of All Bonds Owned December 31 at Book/Adiusted Carrvino Values by Wor Type and Subtype of Issues 1 1 2 3 4 5 6 7 8 9 10 11 Over 1 Year Over 5 Years Over 10 Years Col.6 as a%of Total from Col.6 %From Col.7 Total Publicly Total Privately Distribution b Type 1 Year or Less Throw h 5 Years Through 10 Years Throw h 20 Years Over 20 Years Total Current Year Line 9.5 Prior Year Prior Year Traded Placed 1.U.S.Governments - 1.1 Issuer Obligations....................................................................................................1,566,787 ...............3,817,201 ............................... ............................... ............................... ........:......5,383,988 ........................17.9 .............10,630,410 .........................30.3 ...............5,383,988 .............................0 1.2 Residential Mortgage-Backed Securifies.................................................................._.......... ..._._....................... ----._.__....._.._._.. .._........................... _........._..._......_--. .........................._0 ......_........._......0.0 _..___.._..............0 .._.........___......D.O .._..-. .-......---._..__....0 1.3 Commercial Mortgage-Backed Securities............................................................................. - ............................... ............................... ........... ............ ................... 0.0 .............................0 .........................0.0 ............................... ..........................._0 1.4 Other Loan-Backed and Structured Securities...................................... 0 0.0 0 0.0 0 1.5 Totals 1,566,787 3,817,201 0 0 0 5,383,988 17.9 10,630,410 30.3 5,363,988 0 2.All Other Governments 2.1 Issuer Obligations ...................__.-.0 0.0 0 0.0 . ......................... 2.2 Residential Mortgage-Backed Securities............................................................................... ............................... ............................... ............................... ............................... .............................0 .........................0.0 .............................0 .........................0.0 ............................... ............................0 2.3 Commercial Mortgage-Backed Securities._.................._._......._.----...................... ..... ------------. ..... ..........._._.....---...... ....-----._._.___...._ ......_.-------_...._... .._.........................0 ..._...._..-.___...0.0 ..........-_.._.......-U .-----...._...._......0.0 .._....._....._........._0 - 2.4 Other Loan-Backed and Structured Securities...................................... 0 0.0 0 0.0 0 2.5 Totals 0 0 0 0 0 0 0.0 0 0.0 0 0 3.U.S.States,Territories and Possessions,Guaranteed - 3.1 Issuer Obligations.................. ............................0 .........................0.0 .............................0 .........................0.0 ............................... ............................0 3.2 Residential Mortgage-Backed Securities.____......._.._.......__..._...._......._.__............_..... - ._..................._._.... ....._...._.................. ......__........__._..._. _..........._._._._....0 ........_....._.._.. D.O ...._..................__.0 .._..........--__...0.0 ............._.._.... 0 3.3 Commercial Mortgage-Backed Securities............................................................................. ............................... ............................... ............................... ............................... .............................0 ..........................0.0 .............................0 .........................0.0 ............................... .............................0 3.4 Other Loan-Backed and Structured Securities. ............. 0 0.0 0 0.0 - 0 3.5 Totals 0 0 0 0 0 1 0 0.0 0 0.0 0 0 4.U.S.Political Subdivisions of States,Territories and Possessions.Guaranteed 4.1 Issuer Obligations................................_...................................................................50,554 ............................... ..................274,201 ............................... ................_............. ........ 174,756 .........................2.6 ...............1.271,= ........... 3.6 ...._.............774,755 .............................0 4.2 Residential Mortgage-Backed Securities.................................._............................-----------_. ..........._....._........... _........_.........-......... ......._..__................ _................_.._.._0 ............_...........D.O ......--..-.....__........0 ..................._....0.0 ....._._..................... ....._..._....._.........0 4.3 Commercial Mortgage-Backed Securities........._............:_..._.................__.__.___._...__... ...--------..._.._........ ............._.....-...__. .....__._.........._..... ..........._....._........... ..................__ :............_._..._..11.0 ..___._.................0 ._..................._.0.0 ..-.-.........._............_ ..................__._.0 Cl) 4.4 Other Loan-Backed and Structured Securities...................................... 0 0.0 0 0.0 0 p 4.5 Totals 500,554 1 0 274,201 0 0 774,755 2.6 1,271,033 3.6 774,755 0 00 5.U.S.Special Revenue 8 Special Assessment Obligations etc.,Non- Guaranteed 5.1-Issuer Obligatons .........................................................................2,271,491 ...............5,518,820 ...............7,758,113 ............................... ............................... .............15,548,424 ........................513 .............13.664,405 ........................39.0 .............15,548,424 .............................0 5.2 Residential Mortgage-Backed Securities....................................................................27,754 ............---...26,919 ..__..................._.... ....................84,835 ...... . ..................139,508 .........................0.5 ........__.._..236,202 .................Securities ............................. ..............._,.......D.O ._-_____._.........._. ..............._......__...............0 5.4 Other Loan-Backed and Structured Securities...................................... 0 0.0 0 0.0 0 5.5 Totals 2,299,245 5,545,739 7,758,113 84,835 0 15,687,932 52.2 13,900,607 39.7 15,687,932 0 6.Industrial and Miscellaneous 6.I Issuer Obligations......_................:.......................................................-..........._...:3,451,288 .-------.--3,590,476 ............. 257,531 ....................... ...................315,020 ._.__...__8,214,315 .......................27.3 ...._._._...9,246.428 .......................26.4 ..............8,214,315 ..._..__.._...... ._.0 6.2 Residential Mortgage-Backed Securities....__................................_......................_........._.. ......... __ .......................------- ....._........................ .._.......-------......__ ............_..............0 .........................0.0 ................_..._..._0 .._._._....._........0.0 ._.._..............._....... ............ 0 6.3 Commercial Mortgage-Backed Securities............_.................................__..........._............. .......__................... ...................... . ......._......._............. _._..................._..0 _....._......._.......D.0 .............................0 .__........._.......... ........--_................. .............................0 6.4 Other Loan-Backed and Structured Securities ......... 0 0.0 0 0.0 0 8.5 Totals 3,451,288 3,590,476 857,531 0 315,020 8,214,315 27.3 9,246,428 26.4 8,214,315 0 7.Hybrid Securities 7.1 Issuer Obligations.......................... ............................... ............................... ............................... . .........................0.0 .......---...................0 .........................0.0 ............................... .............................0 .......................................................................................... 7.2 Residential Mortgage-Backed Securities._.........._....__..................._.................................. ------....._._._._._...... ........__......_........... .......................__-- --------------....-..._ ......---..._.......... .............__..._...0.0 .__-----_.........0 .................__.._0.0 _...._....................... ..........._....._........0 7.3 Commercial Mortgage-Backed Securities......................................._._................................. ............................._ _.........._.........._.... ....._._........._........... ........_._................0 ..._....................0.0 ..._.._..........:_._...0 ........................0.0 ............................... .........._.................0 ............................... . 7.4 Other Loan-Backed and Structured Securities...................................... 0 0.0 0 0.0 0 7.5 Totals 0 0 0 0 0 0 0.0 0 0.0 0 0 8.Parent,Subsidiaries and Affiliates - 8.1 Issuer Obligations................................_----.__...................................... ............................... .............................. --..................-------- --...-----.........---....D .-----'--_....0.0 ...........0 ........................D.0 ............_.__......__.. __.....--._.............0 8.2 Residential Mortgage-Backed Securities............................................................................... ............................... ............................... ............................... ............................... .............................0 ..........................0.0 ............................. .........................0.0 ............................... .............................0 8.3 Commercial Mortgage-Backed Securities........___........................_..........._....................... ..........----_-.___.... ......__._..._............. .....---..........___...__ ..._._._._._._.__.... ..............D ._------...._.._.__0.0 __....._._._.__..__0 ..............0.0 .----------....._:._.- .._..................----0 8.4 Other Loan-Backed and Structured Securities...................................... 0 0.0 0 0.0 0 8.5 Totals 0 0 0 0 0 0 0.0 0 0.0 0 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D-PART 1A-SECTION 2(Continued) Mat u rity Distribution of All Bonds Owned December 31 at Book/Adjusted Carrying Values by Ma'or Type and Subtype of Issues 1 2 3 4 5 6 7 8 9 10 11 Over 1 Year Over 5 Years Over 10 Years Col.6 as a%of Total from Col.6 %From Col.7 Total Publicly Total Privately Distribution b Type 1 Year or Less Throu h 5 Years Through 10 Years Through 20 Years Over 20 Years Total Current Year Line 9.5 Prior Year Prior Year Traded Placed 9.Total Bonds Current Year 9.1 Issuer Obligations....................................................................................................7,790,120 ..........----12,926,497 ...............8,889,845 .............................0 ......,............315,020 .............29,921,482 ........................99.5 ............XXX........................XXX.........................29,921,482 .......---...................0 9.2 Residential Mortgage-Backed Securities._.._.._...__.-_ ........... ....................27,754 __._..._...._..26,919 ._.............-----------0 .----.--........84,835 ......._................0 ._.---._._._.139,508 ............. 0.5 -.._._....XXX...................__.XXX...._......_._..............139,508 _..__.................._0 9.3 Commercial Mortgage-Backed Securities..................................:........................................0 .............................0 .............................0 ..........................._0 ......0 0 0.0 ............XXX........................XXX......................................._0 ...................... _O 9.4 Other Loan-Backed and Structured Securities...................................... 0 0 0 0 0 0 0.0 XXX XXX 0 0 9.5 Totals...........................................................................................-..........................7,817,874 ..............12,953,416 ...............8,889,845 ....................84.835 315,020 ...........301060,990 ... 100.0 ............XXX._._._...............XXX........................30,060.990 ... ..0 9.6 Line 9.5 as a%of Col.6 26.0 43.1 29.6 0.3 1.0 100.0 XXX XXX XXX 100.0 0.0 10.Total Bonds Prior Year - 10.1 Issuer Obligations..................................................................................................9,738,177 ..............18,406,563 ...............6,079,930 ..................700,000 ..................287,606 ............XXX.......................XXX.........................34.812.276 ........................99.3 .............34,812,276 ............................0 10.2 Residential Mortgage-Backed Securities................................................._.........._..21,604 ....................84,335 .............................0 ...___..........130,263 ...........0 .............XX........... _..........XXX........... -n6.202 .........................0.7 .._..._.-__-.236,202 ..........--__.._.._...0 10.3 Commercial Mortgage-Backed Securities.........................................................................0 .............................0 .............................0 ............................. .............................0 ............XXX........................XXX........................................0 0.0 0 0 10.4 Other Loan-Backed and Structured Securities.................................... 0 0 0 0 0 XXX XXX 0 0.0 0 0 10.5 Totals.......................................................__..._...._....... . ....... 9,759.781 ..............18,490,898 ...............6,079.930 ...................430,263 .287,606 ._...._...XXX........... .............XX......._................35,048,478 .....................100.0 ..._........35,048,478 ... 0 10.6 Line 10.5 as a%of Col.8 27.8 52.8 17.3 1.2 0.8 XXX XXX 100.0 XXX 100.0 0.0 11.Total Publicly Traded Bonds 11.1 Issuer Obligations..................................................................................................7,790,120 .............12,926,497 ...............8,889,845 ............................... ...................315.020 .............29,921,482 .......................99.5 .............34.812,276 .99.3 ..:..........29,921,482 ............m........... 11.2 Residential Mortgage-Backed Securities - ...._........ -- _.... -27.754 ................_26,919 ...._... ..... __-_...... - --__........139,508 ...._........_._0.5 _..., ..-_-.--236,202 -.-...__......._..0.7 .._.---_-._..139,508 -_._-.._.XXX........... 11.3 Commercial Mortgage-Backed Secudtles........................................................................... ...I.......................... .............................0 .........................0.0 .............................0 .........................0.0 ............................0 ............XXX........... ............................... ............................... ............................... . 11.4 Other Loan-Backed and Structured Securities ..............._. 0 0.0 0 0.0 0 XXX 11.5 Totals-.........................................................................._...._................._...............7,817,874 ..............12,953,416 ...............8,889,845 __...............84,835 ...................315.020 .............30,060,990 .._......__..._...100.0 ......._.._35,048,478......................100.0 ._..._.....70,060,990 ._.........XXX....._._. 11.6 Line 11.5 as a%of Col.6...........---.............................................................................26.0 ..........._..........43.1 ...................29.6 .........................0.3 ......_................_1.0 ......._......... .100.0 ......_....XXX..................._...XXX........................XXX...................._............100.0 ........_..XXX........... 11.7 Line 11.5 as a%of Line 9.5,Col.6,Section 9 26.0 43.1 29.6 0.3 1.0 100.0 XXX XXX XXX 100.0 XXX 12.Total Privately Placed Bonds 25 O12.1 Issuer Obligations------------------------...............--------........._............_._..................----..........0 ........._.__..._....._0 _.......................0 __.......---.............0 .............................0 ..........._._._....._..0 ...__.------._...9.0 _....................._...0 ........._------_.0.0 _...._...XXX............ 0 12.2 Residential Mortgage-Backed Securities..........................................................................0 .............................0 ............................. ..............:..............0 .............................0 .............................0 .........................0.0 ..........................._0 ........................_0.0 ............XX X........................................0 12.3 Commercial Mortgage-Backed Securities......................................._.............---------_.0 .............................0 -----------------------------0 .............................0 ..................._...-.._0 ..............--............0 .........................0.0 .................0 ....._................-0.0 ............XXX_....................................... 12.4 Other Loan-Backed and Structured Securities.................................... 0 0 0 .0 0 0 0.0 0 0.0 XXX 0 12.5 Totals.................................................................................................................................._0 ............................0 .............................0 ................ ...0 .............................0 ............................0 .........................0.0 .............................0 ..........................0.0 ............XXX........................................0 12.6 Line 12.5 as a%of Col.6...............................................................................--........._0.0 ......---...............0.0 .........................0.0 ......................0.0 .........................0.0 ........................_0.0 ............XXX...__.__ .._.....XXX....... --_._._XXX........... .._._.....XXX.__......._._..._...............0.0 12.7 Line 12.5 as a%of Line 9.5,Col.6,Section 9 0.0 0.0 0.0 0.0 0.0 0.0 XXX XXX XXX XXX 0.0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE DA- VERIFICATION BETWEEN YEARS Short-Term Investments 1 2 3 4 5 Other Short-term Investments in Parent, Total Bonds Mort a e Loans Investment Assets a Subsidiaries and Affiliates 1. Book%adjusted carrying value,December 31 of prior year....................................................._........-. —6,077,484 .............1,334.455 ...................0 ------------- 4.743,029 ........................0 2. Cost of short-term Investments acquired................................--..........__._._............-............................_.........................................._._...............--...-..................._.__-----...11.909.061 .........__................776.777 ............ ...................... A1,1132,284 .--...._........... 3. Accrual of discount....._:........................................................................ ---..-...._------.._............._0 ...........__._......._.-........_.._.. .._---................................._.. _....-_....._._.._._......._.......... .........._................_............... ' 4. Unrealized valuation increase(decrease).....................................................................................................................................................................................................................................0 ......................--................... ............................................. ............................................. ..................... 5. Total gain(loss)on disposals........................................................................................................................ ..............................................................0 ...........-----............................. -........................................... .....-.-................................... ............................................. 6. Deduct consldera0on received on disposals...........................................................................................................................................................:....................................................14.519,678 ............................2.075,000 ............................................. ..........................12.444.678 ............................................. 7. Deduct amortization of premium................................................................................................................................................................................................................:...........................36,232 ..................................36.232 ............................................. ............................................. ............................................. 8. Total foreign exchange change in bookladjusted carrying value.................................................................................................................................................................................................0 ............................................. ...............--.......................... ............................................. ............................................. 9. Deduct current year's other than temporary Impairment recognized............................................................................................................................................... .................0 .............................................. ............................................. ............................................. ............................................. 10. Book adjusted carrying value at end of current period(Lines 1+2+3+4+5-6.7+8-9)........__............................_.._..._..........._................._................._..................._.__..__............3,430,635 ................... ---o ....................._........0 _..._..........._....._.3,430,635 .....................................---0 N 11. Deduct total nonadmitted amounts...................................................................................................................................................... ..__.....-----............_....._.............0 ..__..-.._..-....._._.........._-...... .._...................._._..._........... __............___._._............._- ............__........_...-..----........ O 12. Statement value at end of current period Line 10 minus Line 11 3,430,635 01 3,430,635 1 0 (a)Indicate the category of such assets,for example,joint ventures,transportation equipment: ANNUAL STATEMENT FOR THE YEAR 2012 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 S111,S112,S113,S114,S115 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE A- PART 1 ShovAng All Real Estate OWNED December 31 of Current Year 1 2 Location 5 6 7 8 9 10 Chan ie in Book/Ad'ustad Carrvino Value Less Encumbrances 16 17 3 4 11 12 13 14 15 Total Foreign Exchange Gross Income Current Years Total Change in Change in Earned Less Book/Adjusted Other Than Current Years Book/ Book/ Interest Taxes, Date of Amount of Carrying Value Fair Value Current Years Temporary Change in Adjusted Adjusted Incurred on Repairs and Date Last Encum- Less Encum- Less Encum- Depre• Impairment Encum- Carrying Value Carrying Encum, Expenses Description of Pro Code city State Acquired Appraisal Actual Cost brances brances brances cialion Recognized brances 13-11-12 Value brances Incurred Home Office-1717 Hidden Creak Cwrt..................................Bt.Loris. Nlsswri..................W02/1994....05/04/1994.................1,731.825 ............... ............_1 731.825 ..............1.731.925 ..................94,779 ......................._ ...........................................94,779) ................. ................150,OW ..._._......_.155,253 0299999.Property occupied by the reporting entity-Administrative 1,731,825 0 1,731,825 1,731,825 94,779 0 0 (94,779) 0 750.000 156,253 I.0399999.Total Pro a occu ied b the ro onin enti 1,731 925 0 1,731,825 t 731 825 94 779 0 0 94,779 0 150,000 156,253 —...............__.------................................_.... ...........---.................--................................................... ........................_............-.............___..........__....__......................_.-----..._.. ..----------._....._...._........ .._... ... _ .. . .. ...... .. .. ..................................................................................................................... ..........................................................................................................................................................._.................._............................................................................................................................................_.................................................................................................................................................................... ......_....._........._............................................-............_............_..--................_...__......_............_..........._.._.._.._..._._........................................................._"°--.._.._..............................................................._._......_............-......__.-..._............._......----- - ....--- ... ........ ....... ......_... ......... ................................................................................................................................................................................................................-................................................................................... ............................................................................................................................................................................................ ....................._...._..........................._._................_............. ..........................__....__..._........---..._.......__._........_.-......._...............__._._..........._.........._-..........._........_._............._......._..........__................__.......___...._......... ........._.__._.._...._..........._..__.........._.........._....._. .............................................................................................................................................................................._............................................................................................... ........................................................................................................................................... .................................. ............................................................................................................................................................................._.................................................................................................................................................................................................................................................................................................................. ........................................ ------......__._.__........_..._..........._................................................._...__..._.._........._...._.................._..........._...........................----...._._.._..........---.......__.._._.............._._.._.__.__................._..............................................._......................................._.._. .............................................................................................................................................................................._............................................................................................-----............................................................................................................................................................................................................... rn 0699999-TotalS 1.731.825 0 1,731,925 1,731,925 94.779 0 0 (94.779)1 0 150,000 156,253 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company Schedule A-Part 2-Real Estate Acquired and Additions Made NONE 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 E02,E03,E04,E05,E06,E07,E08,E09 N ���ERR�SLRRRRRRR �$R� R�R�RRRFZRRRRtZR SZ�R���£3�fZ82RRRRRRlZRR�R e e 09 e e a a--e------- gg :gg :gggg gggggggg. .gg .gggg .gggg .gg .gg .Q .gg m__-----__-� R x Rs-- •^eRRlZR2SZRRRRtZRRRRiZRR£ZRRRgR .-RRR�RRid FZRR xXu�\RRRRRiLRR �"���a�N�� ma = m°:7n 7 pp:nn od} � E D °m••aaq - - _ - m- - m O1 E°mu aQ� `w . . . . . . . . . . �°-3R 33939 LL 333 911 99§93g 331 � '-!9 3K 33 R3333932=9:; w ji^.�i.ua.vi.e>.�v. .,�,aV ui ui,n<, v.vaV ei, C � »JCCC f0 e E N O A€C y Up E°' �mtzmo o.0 Et �o -m 02 - aai - - - - - m 0 m Q.� — - m U}�H f6 r U y N �U� ami N LL 3 ¢o p W o AWE° o.� LLJ QQ m W c ?W LL LL o> z t co 'm UJ =v m ogg:QOgg:gggg }}33 g :� effiNeO�Q:$ �� g 8$ _ }oeffiS1ES2S �S Yee, s "^ og73.o_"g6e d�oo�- W x,819 sseaesssea ss gs saes�z ss�ss�eam-asso�m�s�aaa�o�s J r QU i Q Z ZO i N m°U m d a c 5. . . . . v°— m m o � >a o °gym :N m E° a e -- iui E N � o°- ��� ; 222222 m �gmos � 1:21t 3t�� � so3= a =);zD �sssa-R o A�m��6��aa q-2-112 to II IgAqAy ?p y "mmmm H it']mOOe-r�i �N --EEEE�b6 lY'n wBnn Aa-o$$� E10 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 1 Showing All Long-Term BONDS Owned December 31 of Current Year 1 2 Codes 6 7 Fair Value 1 10- 11 Change in Book/Adiusted Ca in I Value Interest Dates 3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22 Total Foreign F Current Exchange D Year's Change r Rate Current Other in _ C e Used to Book/ Unrealized Year's Than Book/ Admitted Stated o i Obtain Adjusted Valuation (Amor- Temporary Adjusted Effective Amount Amount Contractual CUSIP d g Bond NAIC Actual Fair Fair Par Carrying Increase/ tization) Impairment Carrying Rate Rate When Due and Received Maturity Identification Description e n Char 1 Des. Cost Value Value Value Value Decrease Accretion Recognized Value of of Paid Accrued During Year Acquired Date 791526-AG-1.......81.Laule Cn:Y Ica Bev.........................................SD........... .. ......iFE.............._..._..107,200 .107.3920 ................107,392 ................100,000 ..................105,882 ................D ..........(1,318).................D ................D .....3.000 .....-1.210 W------- .................383 ................3.000 ...03119/2012.......05/15/2016.... 7913194-0.......81.Loris.,Mo pir"Sch Dist......----_...............00......__ .._-...........IFE..............._.._.111,..112.4280 ................_112.428 ................100,000 ..................111,046 .._....._.._..D ..............(398).................0 ____0 .....3.380 ......1.730 MS...._- _...............1.125 .................1.688 ...04/26/2012.._...03/01/2020.... BL>2B08-d1-3.......Texas Sr Teah Lhir..............................................._...._... .................1FE__..............._500,000.103.4770 .................517.365.._..............500600 ._..............500.000 ........_...._.D _._.._.........0 ..._.._._._..D ..............0 .....2.900 .____2.940 FA........ _._..___......5.551 ._..............7.391 ...01/06/2012......-08/15/2020_-- 98709i-BO.3.......Lhim Ma Ttrxka/Sar......................................................... ...................1FE.......:..............505,000 .101.6410 ..................524,205 .................500,000 ............. 504.031 .................0 ......._.....11271.................D .................D .....1.700 ...._1.620 AO........ ............._..5.937 ................27,750 ...09/23/2010......10/01/2020.... 9397/C-OV-6_._..Bashi tan 8t War Vehicle Fuel....._............................_.. ._...._..._-AFF......................162.713 .110.091D __..............165,137 ..............._150,000 ..................160,452 ...........__0 ...._....12.160) ............D .................D ......3.550 _..._1.950 FA_...... .................2,277 ....._.........5.321 .._12/09/2011......_08/01/2017.... 2599999.Subtotal-Bonds-U.S.Special Revenues-Issuer Obligations is,636 209 XXX 16.254,001 15,246,670 15,548,423 0 60,861) 0 0 XXX XXX XXX 152,403 515,929 XXX XXX 312BaFNF3.......F)LNC QW C01292...................................-a-.-............... ...................1 ............... .171.2000 ...................12,071 .._.__.........10,855 ...................10,849 ........._......➢ ....__..__...A ......._........D ..__.._......D .....6.ODO .....6.110 YON....... ..._...._......_..54 ....................651 ....02/15/2DD2.......01/01/2032.... 313BOD-YZ3.......FN 6021Y1 B........_.........._.........................................._..... ...................1....................__...9.866 .110.4810 .......... 11.052 ...................10.001 ....................9.896 .................0 .................3 .................D ..._......._...0 .....6.000 .....6.100 WN.. . ........ 50 50 ......_...........755....08/29/601_.....08/01/2031.._. 313SIIL-68-4.......FW AB,t POOL t 187511..................................................... ...................1..........................17,061 .105.0440 ...................17.603 ...................16,758 ...................16,899 .................D ................191.................D .................0 .....7.030 ...._6.910 Md4....... .....................98 ....................302 ...02/22/1993.......02/25/2023.... 3WIL-VY-2......RNA GM PAS TFM POOL 1255431.................................._...._ ............._...1..........................23.581 .107.5970 ................_.25,067 _.........._._.23,297 ............ 23,306 ...._._........➢ ...............118).._._....__._D .................D .....4.670 ._._4.650 MON....._ _._._............91 ...._._..._.....1.048 ...12/21/2004.......68/07/2014.... 31373FW-8.......FIAU POOL E 29980;i...................._.............._.........._........ .._.........__.1.........................31,874.101.0600 ...................32.700 .........__......32.13 ....._._...._...32,144 .......__.._..D ..._......._..10 ....._..........D .................0 ......8.500 ...._8.590 MDN..._.. ....................229 ......_...._...2,752 ...12/23/7994...._.12/25/2021.... 31371E-BNB.......FINA P00.1254845......................................_.................... ...................1..._......................4.110 .105.2600 ...................4,682 ....................4.448 ....................4,448 .................D .........._......D ..................D .................0 ...._1200 ......4.210 MON....... ....._..............16....._._...........178....04/141/004........07/01/2013.... 31381&2+-1....._FMU PoOL 456216......._..._...._...__..___...._.....__...__... _.................1...__...................25.750 .111.7370 ...................29.260 .._....__._..18 188 .........._......$,896 ._.._......_...D ................11 .........._.....➢ _.._.....--_--D .....6.000 .....8.110 MON___.. ................._._131 ...._...........1.643 _._01/11/1999.......12/01/2028.... 2699999.Subtotal-Bonds-U.S.Special Revenues-Residential Mortgage- Backed Securities 139.372 XXX 153.313 139,981 139,508 0 4 0 0 XXX XXX XXX 749 8,294 XXX XXX 3199999.Total-U.S.Special Revenues Bonds 15 775.561 XXX 16,404,814 15,386,651 15,687,931 0 (60,857) 0 0 XXX XXX XXX 153.152 1 524.223 XXX XXX 011481-AF-1......ALE PFD F00 V LTD........................................I............................ .................6FE........_._......._718.358 ..21.8540 .................218,540 ..............1,000,000 .................218.570 ..........5D,100 ................-D .................0 .................0 ._._6.310 ......7.030 M.Fd._.. .................6,208 ................80,703 ...07/10/2008.......12/27/2034.... m 011481-AF7.__.ALESCO PFD FDG V LTD...._.._........... ------------ ....&E......_..._..........19,049 ..21.8540 .....................4.163 ...................19,049 ....__(14,806) ......._.__..D ........_..._..0 .....6.310 ......6.310 419..... ._..................19 ._.................305 .._09/2Y.12........12/23/2034.... ------_._....... ........ _....._.... .................._/,163 ................D p 014481-AF-t......ALESCO PFD FDG V LM................................................_..._. ....._..........WE....._._.......-._..36,636 ..21.8540 ..................8.006 ........_._...._36.636 ...................8.006 .........128.629) ............._0 ..._............D ....._..........D .....6.370 .....6.310 4100_... ....._......_._..1219)................1.761 ...D5/01/2012.._-.12/23/2034.... 014487-AF-7......ALESCO PFD FDG V LTD........................................................ .................6FE.......................18.751 ..2[.8540 ....................4.098 ..................18.753 ....................4,096 .........414,655).................D .................D .................D .....6.310 6.310 MJ9..... ....................125)....................601 ....04/24/2012........12/23/2034.... 01448T-AF .._..A3ESC0 PFD F00 Y LTD _.fFE----------- --_.133,481 _21.8500 .. _..29,171 .................133.481 ..._........_.19,771 ............6.687 .._.__.......D .........._....D __.........._0 .....6.310 ......6.310 4100_... ..._........._6.132 ................6,416 ...07/01/2011...._.12/23/2034.... 01448T-0-1......A1EaA PFD F00 V LID..................................._................... .................6FE.................._...19.349..21.6510 ....................4.229'...................19,349 ....._.............4,719 .........(15,121) ..D ...D ...........__..D ......6.310 .__6.310 4FD..... ._._..............17 ........._..____.0 ...12/23/2012........12/23/2034.... 064149-CM.......Bat Nwa Scat la.....................................................It...... .................1FE......................437,544 .116.3800 ..................465.520 .................400.000 ..................433.796 .................D ...........(3.640).................D .................0 ......4.380 ......3.180 Al........ .................8.167 ................17.500 ...12/15/2011.......01/13/2021.... 06849LL........Brrrrick Au.tr eli.Fi.........................................R...... .............._7FE......................274.945.111.8560 .................279'M .._._..........250,000 ._...._...._.272.100 ._......_......D .._._._.(2.723).................D ._..............D ......4.950 ._..3.520 JJ........ .....__-__....5.700 ......._.......12.375 ...12/09/2011.......01/15/2020.... 075887-AS-8......Bectm Oickinacn 6 Co Nt.........................................._...... .................1FE...................._477.255.101.2720 .................506,350 .................500,000 .................498,778 .................0 ._3.9% ....._..........D .__.._........0 .....4.550 ......5.390 AO........ ......_.._..._4.803 ......._...._72.750 ...10/10/2006.......D4/15/2013_.- 084870-AV-0......8erkahire Hthy&....................................... ....1FE....... ..._528.195 .105.2900 .................526.450 ................500,000 .. ....517.451 .....0 .........(8.077)................D ...............D ......3.200 ......1.510 FA........ ................6.222 ...............16,000 ...08/29/2017.......02/11/2015.... ..................... ............. .......... ........... ........... .. 191216-61-1.......Coca Cole Co..........................................._..._.............._. _.........._..1fE...._...............198.635 .103.9000 ....._.._._...311.817 ._......._._-.300,000 .................299.638 .................D ......_......179 .................D _............_.D .....3.630 .._.3.730 MS__..... ......_.........3.202 ................10,815 ...03/03/2009........03/15/2014._. 369601-AY-9.......G—al Electric CD.......................... ......1FE.......... ......526,185 ADD= .. ..._500,165 .................500,000 ..........._...501.572 ................D _...._(18.8081......_.__....D ........._.....0 .....5.000 ._._1.270 FA_...... .._........_..10,417 .._.._........25,000 .._09/06/2011...._-02/01/2013.... ............_......._...._.. ............ ...... _........ N266B-AA-S....:..M.ard lea..............................................-............... .................1FE.._..................506.725 .105.1110 .................525.560 .................500.000 .................525,906 .................D ...........(1.133).................0 .................D .A.450 ......0.330 NS........ ...........5.750 ......................625 ....09/20/2012.......69/07/2014.... 4662,94 ..__.JNT"CPASE S CO(V.OBAI 991100..._......_..............._..... ._..............7FE............._....._506,725 .106.6950 ..._............533.475 .................500.000 ..._........___501,376 ............._..D .............1776)._............_➢ .................D .._.4.130 ......4.950 W........ .._...._......7.545 ...............15.625 ...11/00/20(14.......09/15/2014- 585055-M-9.......Medtrmic 1.8,Nl_..........._........ _._IFE....._ ...-.471,795 .111.0310 .. .._555,155 ... ......500,000 ..._......_...489,304 ........_......D ..........3,552 ................D ....__..._....➢ .....6.750 ....5.610 IAS._..... .............._8.900 ............13,750 ...06/01/2007_____09/15/2015_-- ......._......................... ............ .......... ._........ ........ 591918-AC-8.......Micronoll Core Mt............................................................ ..................1FE..........._.........151.140 .115.3720 ..................155,752 .................135.000 ..................151,633 .................D ...........12,3941.................D ........_.......D .....4.200 ......2.140.A........ ....................973 .................5.670 1109/2071__...66/07/2019.... 637432152.......%tlanal aural Utilitln............_.___........................_... .._.___.__.1FE.--- .108.3000 ........._..._232,845 ........_._.._215.000 .._.............227,352 ..........._._.D ...........(4,422)._..............D ..._._._._._D .....3.880 ...._1.700 As_._... ._........_....2.430 .._._...._....B,331 ...08/29/2011.......09/16/2015.... 740420-54".......Preferred Term Sec X01,Ltd............................................. ......._........6PE......._..............894.CW ....1.2560 ._..._........_41,930 ......._........985,191 ._...._.__.._41,933 ......_.154.747) .................0 .................D .................D ......6.180 ...._6.490 MS_...... ..._....._._145.220 ..........._.111.788 ...06/13/2000.......09/22/2031.... 74012D•AJ-6.......Preferred Term Sec XXVI,Ltd.................................... .....6FE....... .....37,797 ....4.1560 .. .....1,609 .................37.797 ...................1.609 ........136.1881.................D ............. ...............0 ...._6.480 ......6.480 MS........ ...............(1,4301.................2.839 ....04/22/20f2.......09/22/2037.... 740120-AJfi_.....Prelerred Term Sec XXVI.Ltd........._................................. .................SR.........._...........76,829 .._4.2560 ....._...._......3,270 ............_....78.828 ........... 3,270 .........173,559)._..._._......D ........._......D ._..............0 .....6.480 .....6.480 YS_._.... ......,.........2.421 ......................0 ....04/22/2012.......09/2Y2037.... 74043D-AJ-6_.....Preferred Term Sac.XxiV LTD .._................... ....._._.......6E................._...107:039 ....0.0010 ...._...._......_.....5 .................4 93,451 .........................5 _...............➢ .................D __.._.._.....D ........_..._.➢ .....5.860 .__.5.850 X.:...... .._._-__107.380 .........___......0 ...12/06/2006...._.03/22/2037.... 742710-00.9.......Prator 6 G.i81e............................................................. ..................7FE......................539.995 .106.4810 .................532.405 .................500.000 .................535.906 .................D ...........(4.089).................D .................D ......3.150 ......0.440 VS........ .................5.250 ......................0 ....09/06/2012.......09/01/2015.... 806605-AE-1..._.Schering Plough Corp......._..................._...... .. _.... __...1FE...................._556,59 .104.5630 ............._.522.815 ._.._..._.....500,000 .........._....518,501 _......._._...D ..._._119.954) _....__.......0 ...._..........0 .....5.300 _....1.230.9._..... ................2.208 _.............76.500 ...01/26/2011.._...12/01/2013.... ._.............. ... ... 906518-K-4.......WION ELECTRIC CO SR SECD r8........_................_..............._ _...............1FE.........._....._..477,610 .108.0400 .................540.200 ._.....__.....500 000 ._.......___._493 544 ..._..._...._.D ......._...2.616 ..._...........➢ ._.D .__4.700 ......5.360 AO_...... _............_.5.938 ............._77.7`50 ...11/09/2005 3299999.Subtotal-Bonds-Industrial and Miscellaneous(Unaffiliated)-Issuer. Obli ations 8,074,117 XXX 6,506,179 8,620,537 6,281,879 (190 998) 58,6031 0 0 XXx XXX XXX 338.827 426.539 XXX XXX 3899999.Total-Industrial and Miscellaneous Unaffiliated Bonds 8,074,117 XXX 6.506 179 8,620,537 6,281 679 160,998 (58,603) 0 0 XXX XXX XXX 338.827 426,539 XXX XXX 4899999.Total-Hybrid Securities 0 XXX D D o 0 0 0 0 XXX XXX XXX 0 0 XXX XXX 5599999.Total-Parent Subsidiaries and Affiliates Bonds 0 XXX 0 0 0 0 0 0 0 XXX XXX XXX 0 D XXx XXX 7799999.Total-Issuer Obligations 30 031 175 XXX 28,937 521 29,867 207 27,909 046 180,998 (222,103) 0 0 XXX XXX XXX 525.187 1,107 546 XXX XXX 7899999.Total-Residential Mortgage-Backed Securities 139.372 XXX 15D,313 139,901 139,508 0 4 0 D XXX XXX XXX 749 8,294 XXX XXX 7999999.Total-Commerclal Mortgage-Backed Securities D XXX D o 0 0 0 0 0 XXX XXX XXX 0 0 XXX XXX 8099999.Total-Other Loara-Backed and Structured Securities 0 YM 0 0 o D D D 0 XXX XXX XXX 0 0 XXX XXX 8389999-Total Bonds 9 no 547 XXX 29,087.8m 1 3D,007,188 I 28 128,553 100 996 121.099) 0 0 XXX XXX XXX 525,936 1,115.940 XXX XXX ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 2 - SECTION 1 Showing All PREFERRED STOCKS Owned December 31 of Current Year 1 2 Codes 5 6 7 8 Fair Value 11 Dividends Change in BooklAd'usted Carrying Value 20 21 3 4 9 10 12 13 14 15 16 17 18 19 Total Rate Foreign Per Current Exchange Share Current Year's Other Total Change Change in Par Book/ Used to Unrealized Years Than in Book/ CUSIP Number Value Rate Adjusted Obtain Amount Nonadmitted Valuation (Amor. Temporary Book/Adjusted Adjusted NAIC Identl- For- of Per Per Carrying Fair Declared Received Declared But Increase/ tization), Impairment Carrying Value Carrying Desig- Date "cation Descd tion Code leiqn. Shares Share Share Value Value Fair Value Actual Cost but Unpaid During Year Unpaid Decrease Accretion Recognized 15+16-17 Value nation Acquired ........---.....--------------.................-------..._..-_......------..........-------------.-..__......_..................—._...__.........'---.......-.___...._......__......_......................---._........_...._.........__-°------............_...._.._ _...__.----__.__._-....____......_.__..___......._.........._._.._._---- ---...'-'-------- .............................................. .. ...... _.............. .._.-------------------------------._..__...-.........._._:..-------....---..............._...---.........................._----------_.._------.....................--............. ............._..._----------_...._....._.........__._------_...-—...._.._..._..__.._._------_.................. .......__...... .................... ............................. ............. .... -----'---....... ........_.......--..................................................---------.........-------.........-_..........-....................._......... -......... ....-. ...._.... ...... ........... ..... ----.....__--.....................--...........-.._.-..._---..................................._...—._...._..__............_.........__.....__........................._... ....._..-......... ............ .1................................................................................. ......................... ............... ............. ................................................................ .................... ..................... ......................... ................... .. ............ _.... ..............I------------------........................................--......._..._...--------............._.........._..._...._..---......_....................................................................._._._......—-_.___.......... ........_..-----------__._.__--._..__.._.___.._........_.. ........._......................................................................................................_ __......--......----........---'---....._.........__................ .............. .............. ................... .........---.................................._.......................__.._........................__......._.........---..........._--.........--....-.............-......._.............._.__.._......_....................._._.............--.........._......................................_......_.................._.................................._.. ..._........._........................................................................................ ......................................................... .............................................................................. ....................................... .......................................................................................................................................................................................................................................................................................................................................................................................................................................................... ................... m ._.........................._.............. ............_._..................................................--- ......................._.............._............ .__.._.........._..............._....._.._._.............___..........................._._......._..................._......_........_._........._................................. ...._-._....... 8999999-TotalPreferted Stocks XXX XXX XXX g. �iz i� o I w d 1 i 4 . . . . . . . . . . > . . . . . . . . . . . . . . . . > 5i El E R�i 5 m s 5 R A g i�Z m 2 0 CN N9> ll :7 e L) me ten€ t a d i I p . . . . . . . . . . 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L) R E2 ii Is 52 9 v 9 iF 9 v f4 �i!R n Et q%,R�i N A S i�j f-z E;l EE 9 R R R 9 9 99 9 9 9 9 C!Cit C�9 99 9 9 4� C N E 09 u) zo .S N E i�3 r� 9 R A, 9 A 9 R. zi :14 > :5 0 i m - M C St <m aUo IO . . . . . . . . . . . . . . . . . . . . uj - m (D 1 o . . . . . . . . . . C4 = F— ° LL 0 o 0 L 04 < z E ww 0 - - - - - - - I -- . . . . . . . . . - - - - - - .2 LU 0 LU LL ti pi�i o �i zi 4 k�K 4 t�t�4 ti-R:i:i:i:i A F1�i R ER�l pi pi R si.fj.z�.�,;i-R.q- . . . . . . . . . I . . . . . . . . . . z uo w H U) z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . z e2 6i Ee . . . . . . . . . . . . . . . . . . . . . . . I . I . — . . . . . . . . . . . . . . . . . . . . . . . . . izs .9 j VE 9 A :1 1!�1 g Aa 6 P P E12.2 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 2 - SECTION 2 Showing All COMMON STOCKS Owned December 31 of Current Year 1 2 Codes 5 - 6 Fair Value 9 Dividends Chan a in Book/Adiusted Carrvino Value 17 18 3 4 7 8 10 11 12 13 14 15 16 Rate Per Total Foreign Share Current Year's Exchange Book/ Used to Unrealized Other Than Total Change in Change in NAIC CUSIP Number Adjusted Obtain Amount Nonadmitted Valuation Temporary Book/Adjusted Book/Adjusted Market Identi- For- of Carrying Fair Declared Received Declared But Increase/ Impairment Carrying Value Carrying Indicator Date fication Description Code ei n Shares Value Value Fair Value Actual Cost but Unpaid During Year Unpaid Decrease Recognized (13-14) Value a Acquired 949746-10-1....Aells Fargo Co............................................................................................245.000 ........................0.374 .......34.100.....................0.374 .......................6.539 ........................_0 .......................216 .........................0 ................._1.622 ........................0 ....................1.671 ------------...........0 L.-.............12/06/2011.... 949718-10-1....Aeile Fargo Co............._..._.....__...._._......_..._............................._........_235.000 ........................8.032.......34.180 .................8,032 ........................8,016 ..........................0 ....._...._..........103 _...._......__.._.._0 ........_...........17 ........................0 .._....._........_._17 __....__._........0 ............ _.. 950358-10.3....Aeatern Ges Equity P4rinms LP....................I................................._............_255.000........................7.637 ...._.29.950.....................7.637 _.........._.........6.468 ..........................0 ..........................0 .........................0 ...................1,169........................0 ....................1.169 ........................0 L.............._12/07/2012.... 95825IM0.3....Aeatern gee EOuitr Partner:LP..................................................._..._............25.000........................7,038._.._29.950.....................7.038 ._...._.._............6,451 ..........................0 ........._......._.....D .........................0 .....................501 ........................0 ......_...... . 581 ........._....._.....0 L...._..........12117/2012.... 95854-10-4.....Western Gee Partners LP------------------------------------ ........_....._........70.000....._.................3.334.......17.630._._...............3.334 ..................._...3,072 - ...._.............. .........................0 .......................69 .............._._...._0 ............263........_..............0.......................63 _.._...._._........0 L........... .... 958254-10-4 Western rye Port—Lp.................................................................................890.000 ..42.391 ........47.630 ....................42.391 ............34.163 ..........................0 1.............:......1.673 ................_...._-0 ..................5.886 .............._........0....................5.888 ........................0 L.................12/13/2011_.. 969461-10-0....William Coe Inc................._......._..._............_............._.................._..._...35.000..................._.10.641 .......32.740..__.............10.641 .._........._........10,185 ........................_0 .......................-.0 .....__.._....__._0 ...._.._...........455.......................0 ._.._455 _.._....._.._.....0 L........_.....12113/2012.... ................ 9695LF-10-4....William hr.11 Lp..........:............................ .............._........................_1,090.990......................53.040 ..._._48.660...................53,039 .......--...........&.961 ..........................0 ....................3.423 .........................0 ....._......._(14.347 ....._............_..D..............._.114,347) .._...................0 L........._.._12/13/2011.... 969W-10-4....Willi-Pertrnre Lp....................................... ..............................................110.000........................5,353......_48.660.....................5.353 ........................6.741 ..........................0 .......................262 .........................0 .................(1.360 ........................0...................(1.308) ......................_0 L...............02/23/2012.... 96950E-10-4....Ail l ism Partners Lp................................_._......_------............_............._.._255.000..................._12.408.......18.660....................12.408 __.._.._...__.....13.811 .........................D ..................._.608 .........................D .._............(1.402 .._................_..0........_......__11,402) ._........._....._._0 L..._.._.....04/04/2012 9695ff-10i....Allliero Prtners Lp....................................... ............._..........................._.155.0W........_.............7.542......_48.660.....................7.542 ..................._...8,462 ..........................0 .....................148 .........................0 ........_..........(9fi ........................0 ...................._1920) ........................0 L..............0511 12012 _.. 96950F10.4....Allllera Pxtrors LIP ......._.....................................230.000 .......................11.192........48.660....................11,192 .........._..._......11,695 ........_._._._...._0 ..._..................186 ._......................0 ...._.._.....__.1503 ........................0 _._........._......(503) ........_..............0 L...............DA/08/2012.... 96950E-10d....Alllim Porlmrs Lp...................._........._....... ................._..............._.._._.... .. .__........_.......1,190 ....._.48.660...._.....___.-_2,180 _._._................2.354 0 .._.........._.........D ............_......_...D ._...._........_.(164 .......................0................__._1764) _._._.._........._0 L................1/07/2012_... .......................... 96950E-tOd.....Ailllero Parimrs ....................................... ..............................................40.000........................I 946 .........48.660.....................1946 ........................1.999 ..........................0 ..........................0 0 .....................53 0 ....53) ........................0 L.............._71/12/2012.... 9088999.Subtotal-Common Stock-Industrial and Miscellaneous Unaffiliated 5,100,238 XXX 5,100.237 4,809,312 0 161.533 0 330,299 0 330.299 o XXX XXX H7220e-10-1_..ieP HXDIMa CO......_......_.............................._.............._.._....__...........20.000.000................_4,790 671 ......239.534...............1.]90.671 _................6 366.518 ..........._.........._0 ............_...........0 ...............,.........0 ._...:._......214.213................_.....0.................211.273 ........ L............-_09/21/7995.... 9199999.Subtotal-Common Stock-Parent Subsidiaries and Affiliates 4794671 XXX 4,790,671 6,366510 0 0 0 211,213 0 214,213 0 XXX XXX 9799999-Total Common Stocks 9,880,909 XXX 9,698,900 11,175.830 0 161.533 0 544,512 0 544,512 o XXX XXX m 9899999-Total Preferred and Common Stocks _ 9,e90 909 XXX 9.698 9o8 n ns e30 0 1 161,533 1 0 544,512 0 544.512 o XXX XXX (a)For all common stock bearing the NAIC market indicator"U"provide:the number of such issues ..._............._....._....___ ,the total$value(Included in Column 8)of all such Issues$ .......----.................... N W ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 3 Sh 'no All Lon -Term Bonds and Stocks ACQUIRED During Current Year 1 2 3 4 5 6 7 8 9 Paid for Accrued CUSIP Date Number of Shares Interest and Identification Description Foreign Ac uired Name of Vendor of Stock Actual Cost Par Value Dividends 912826-TX-6..........U.S.Treasure WB...........................................................................................................................................12/17/2012....FTN Financial Capital Wrkete.......__......................_.____......._............._.........-......._..............._.............................. ..........................250,352 ...........................250,000 ..................... 85 1120-114----------1.S Treasury tble....._._._.__....................................................__............._...................._............_........._.02/01/2012....G X Clarke 8 Conp.h,......._........................................................._......................................_. ._.__._.-.--__._._........_. .........................224.754 ......__...._._....._.225.000 .._....................._.......75 912828-R-3..........Us Tnesur WB.........._..............................._................................._............._.................... ......................12/17/2012....FTN Financial Capitol Markets............................................_.............................._.........._............................._............. ...........................525.287 ........................._.a.ODO .............._..................65 0599999.Subtotal-Bonds-U.S.Governments 1,000,393 1,000.000 226 15052&16-3.._......Cedar Rapid,IA............................................_.........._.._..._..........................._.............__..... ...........05/10/2012....Darawrt S C-upory...................._......................................................................._.............._..__..._.......................... ...........-_.__._....507,255 ....._......__...._....500.000 ........................._........0 1S317A-W-0..........Clay Only MD Rh Sch 01st%5............................................. ....eradoorl Cap Carp.........._..............................._...__.........................__.._.._....................... ._.._._ ......................ally Di, ......._..................720,200 ...._......_._...._....650.000 ...................................JD 60636P-Ib-4..........Missouri St Fmlrannental Not Mir..................................................................................................................04/30/2012....NunlCmler........................................................................................................................... ..................................... ...........................356.794 ...........................320.000 ............................_4.609 619710-02-9........_New York City IN......................................._...__.._......_...................._............................_............_.............02/16/2012....Jet lerise S Co Bonds Direct Div.:.._...................................._................._..........._.._...._..._............................_..._..... _...__._.--.___._.517.870 ...........................500.000 ........._..._......_-.....3.628 718Bthb-6..........Pheania h Various Purpose...................................................................................__......._............................D6/13/2012_..Piper Jsffray......................_......._....._..._._..._._.._._....................._._.._......._....................._._._..._._...._.._..._.. -----------._..._..--...500.735 ...........................500.000 ......_._................. 791526-AG-1..........St.Louis Qny NO 8ev......._.............._...........................................................................................................DY19/2012....Bradcart Cap Corp............................................................._................................................. --................................ ...........................107.200 ............................100,000 ..............................1.0% 791319f£-0..........St.Louis Cnty Mo Key Sch Gist._............_....._....._......._..........._......................................................_.........AI/26/2012_..UmiCmter................_...........------_____-__.-.._..._._... ....._......_.._.......111,644 _......._._....-........100,000 .............._..._...........563 882006-M.........Texas Sr Tech Uil,......................._..............................................................................................................D1/06/2012.._Moron,K n S C an .._.......................__......._....................__......................_................ ..................................... ....................._...500.000 ............_.............500.000.....................-.............0 3199999.Subtotal-Bonds-U.S.Special Revenues 3724,402 3,5x5,000 10,710 o141BT-AF-1..........ALES0)PFD FOG V LM-----........-------...---------------......__..............._..._..-_._................._..._..---__..._...D4/24/2112....Us.Bank......._......_............_"-'..........._......."-"-----------------._._._.............._...._...........------....._........__.................. .............. 16.753 ._._...................... .............._............-'--..0 0144ST-AF-1..........UFSW PFD FDG Y LTD.............................................................................................................................'-'-'---16/01/2012....U.S.Bank................................................................................................................................................................... .............................6.63fi ............................36.636 .................................._0 01410T-AF-1._------.ALES PFD FDG V LTD..._:..............._......._._.................................._.._........................... _._........89/23/2012....U.S.Bank........................_..........................._...........-................_.........................._._._................._........................ .........._.._.............19,049 ......_.....................19.049 _...................._............0 014163-AF-1..........Nf PFD FOG Y LTD._............._........................_.._........_._.............................._...__.................._._.._....._12/23/2112....U.S.BaM..._..........................__...............-._.........._........................................_._._.........................._._..__...-........ ..................._....._.19,349 .._........__.........--19,379 .._....__.._._..............-D 4426WAA-5..........Ibnrd Huno,.—.................................................................................................................... ......................AB/20/2012....FTNFinancia"CaPliel Markets......................................._.. ...........................530.036 500.000 1.150 710x20-AJ$..........Preferred Ten Sec XXVI,Ltd....................................:............._.....__._........_........._.................................._.04/22/2012....U.S.BanX.........._._........_._............................._........._.. __..11d,626 171.626 0 ...._........._..._.......__._...._.__..................._.........._........ ...._.__...__... ._......._.......___... .................................... 742718-00-9.._......Proctor S Garils.. .-.._...... ..........._. -.-.........-. .................D9/0)/2012_..FTN Financial Ca itai Markets- .......539,995 .......... ......._ ................ ........... .........-.. ......._..... ......-.... -.-.-....._ ... .......... ._--.. -.500.000.........-.-................. 3899999.Subtotal-Bonds•Industrial and Miscellaneous Unaffiliated - 1 z7e,4x6 1.208.413 7.588 8399997.Total-Bonds-Part 3 6,003.241 5,753,413 12.5M 8399998.Total-Bonds-Part 5 m 8399999.Total-Bonds 6,003,241 5,753,413 12.523 (.1 8999997.Total-Preferred Stocks-Part 3 0 XXX o 8999998.Total-Preferred Stocks-Part 5 XXX 8999999.Total•Preferred Stocks - 0 XXX 0 0021fiIF10-2..........ATT IM................................................................................_......................................................................05/09/2012....Merrill Lynch........................................................................................_........................................................185.000 ..............................6,097 ..................................... ......................._.._......_0 00134E-1D-9._._._.Awes Midstream Partners LP...................._................._......_..._..................._._......_...................._...__-......132/29/2012._.Credit Suisse Securities.........._................................................ ............... -..__.._..............._.8,679 ...........___-.--.._-___..... ..................___-.__.....0 022099-1D-3..........Alma Group Inc....................................................__..........._............................................W..........................05/09/2012....Merrill Lynch.............._.............................................................. ....._........_....................190.000 ......................---.6,062...........Lyn ............... .....__........._...........-...D 12673P-103..........Ca Inc....................._....................................._...................................:............_.__................_...................06/12/2012....Meal::Lynch...._..........._....._..................................._..._..................................._........._................_..._.......390.000 ................__.._.__AGOG _................_..._._......... ..._........................-...._0 12673P-105-.........Gino.......................................................................................:.................................................................84/02/2012....Mealll LYnch...................................................................................................................................................670.000 .............................I on -................................... -.................................D 165764-10-0..........Chevron Corparatich.._......_............._....__._..._.........__.................._..._.............._.._....._......_................._D7/16/2012....Merrill Lynch............._..._................._......................._._._..._........_..............._._.....-....._....... ......................................... Lynch ....................._.....17.226 .................................................................................... 172791.102..........Cisco Sys Inc................................................................................................................................................10/31/2012....Merrill Lynch...................................................................................................................................................680.000 ......... 11,709 ..................................... ...................................0 20825C-10d..._-----Cs-ophillips.........._..._....._....._............_._...__........................................_...___.............I.............,._.....83/07/2012.._Merrill Lynch..__._.___....-..._.._.__..._.__..........._..............................__._..__..__._____._...___...._..._...80.000 ........__._.__-._—.-4,764 ...._........._....._.........__ _._.._......................._.0 208250.0-4..........ConocaphI l l IDS...:.................................................._........._.._.....—..__................_.......................................05/09/2012....Merrill Lynch......._.................____...._.._.............._......................._............_............................................._.375.000 ................._....._.20,160 ......._._...................._._ .............. D 233311-10-7..........D T E Energy Co..............................-............................................................................................................0/07/2012....Meal II Lynch................................................._:...............................................................................................370.000 ............................20.071 ..................................... ...................................0 237194-10-5.._......Darden Restaurants Inc........_.._.__._.........................................................._......-.""""...--...-.._..._.........10/31/2112....Ilea ill Lynch..._............_........._................_,.._.__.............................._......._................._..._..__..._..._.....-_305.000 ..-...._._._.............15,965 ._......._._._-..--......._..._ .....................__...__...D 253651-10-3..........Dlebold Inc.........................-............................................................................._..._...................................DB/20/2012....Merrill Lynch................._............._..._........................................................._...._......._.................................515.000 .......:.._.................17.006 _..__....._...........---._.. ......................----A 26054010-3..........Doe Chem Co........................................._......................._......_................................ ......... Lynch.................. A/20/2012 Nerri I Lynch............_........_.._................._.._.........._...........:.............._........._.........._..............._.....___.....335.000 .................... .15.444 .......__._....................... ............._........._..........0 2Sr702-10-8..........El Peso Pipeline Part ars..............................................................................................................................11/08/2112....16C Capital Markets Corp....................................................................................................................................70.00) ..............................2.532 ..................................... .................................._0 28x702-10.8..........E Paso PlpsI Ion Par that a..........................._.................................................................................................03/06/2012....Barclays Capital LE............................................................................................................................................95.000 ..............................3.410 ..................................... ...................................0 532457-10-8...._....Eli Lilly Ca.............................................. ..._.... ...... ._.............05/09/2012....Merrill Lynch __--_- .._..... ----- .-.--_-_...._....... . .. _...... .-.____... -_- _-._.-..-__--.--.__-..150.00) ..6,182 282508.106..........Enbridge Energy Partners Lp.......... ..... .... ......... ..._............................._....._....----- __................. .......................03/06/2012....Fidelity Capital Market................._.............................................................................._...................._.............65.000 ......._.....__...........2,062 ............................_....... ............_.._.................a 29273V-10-0..........Energy Trenafer Equity L...............................................................................................................................86/30/2012....CIti�9roW Global Markets Inc......................................--........................................................ .. ..125800 ..............................5.466 ......................._............ ....................................0 292736-109....._...Energy Tremfer Partners Lp--._.................._......_.........................._........_.........._................._.................DV28/2012....Baird,Robert M..S Comany....._._....._.......:_.................___...._..........._.........._.............._... ._....._....._........._0).00) ._........._............._2.8x8 _._.._.........__..........._.. _..................................0 293640-103..........Enlergy Corporal ion........................................................................................................................................05/09/2012....Merrill Lynch....................................................................................................................................................95.000 ..............................6,125 ..................................... ...................................A 283792-107..........Entupr iaa Prods Parhma Ly..................................................._........_................-...._..........__......................Di/03/2012....Barclays Capital LE.................._..........................................................._................_....._..........._.....................50.000 .._........._..._...._.._2.392 ..................................... ....................0 293792-10-7..........Enterprise Prot Partners Lip........................................_..._._.................._........._........._....__.._...._..._...._.119/12/2012._.FISC Capital Markets Corp.................... ____..............._....................................................-_-_90.000 ..__............__-___4.786 _....._...-...................... ......._..-_._..-..............0 208868-10-0..........Eqt Micislress Partners LP...............................................................................................................................06/21/2012....Citigroup Glabat Market,Inq.................................................................................................. ............................164.000 ..............................3.806 ..................................... ....................................0 268858-100..........Eat Midetna P.r(,.I L9..................._..........._........._..._.........._.---._........._._.........__..._.........._...........DS/27/2012....Barclays Capital LE........_._..............._...._._._...--..__...._.-._......__..........._........................_.._..........___105.000 ....._........__.-.—...2.205 ......_... ................ ...................................0 268858-10 0...._....Eqt Mi dslreea Partners LP.............................................................................................................................12/19/2012....Las Sacurltles LLC-...-----_..........._.......................................... ... 70.00) ..............................2,137 0 314211-103..........Federated Inrs Inc.........................................................................................................................................0B/20/2012....Merrill Lynch..................................................................................................................................................775,0)0 .............................15,500 ..................................... ...................................0 314211-10,1..........Federated Inrs Inc................................_.................................................................__.................................12/03/2112....Merrill Lyndi.._.__._.__.......___._....._......................._.._..........................................._............ 300.000 .........._..................6.052 ............_........_..._........ ......._......_...........__._0 364730101..........Gannett Ine......................_...-___...._.-__._.......__..._................_..._.................._.................................09/28/2012....Merrill Lynch......._........__................_..............._.....__................................................._.................._._...--1 285.000 ..._____...-_.......23,221 ..._....................._._._._ ............._....__......_....A ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 3 Sho Arin All Lon -Term Bonds and Stocks ACQUIRED During Current Year T 2 3 4 5 6 7 8 9 Paid for Accrued CUSIP Date Number of Shares Interest and Identification Description Forei n A uired Name of Vendor of Stock Actual Cost Par Value Dividends rMT-10-9 Gamin Lld.. ........ ............ ......._......................._.............. .R....................09/26/2012....Merrill Lynch ........565.000 ...._................23.113 ......... ..... ........ ........0 389604-103.__.....General Electric Co..._......._..............._........................._...................._................_.._.._._......................._04/02/2012....Merri II Lynch.........._.__._...._..................................._.___.._..._.._...................._.............._......_.___...._.310.000 ._.._..___._....._....6.230 ._...._____..______... _.._......__........._._...0 418056-10-7..........%,bro Inc................................................................................................................._.............................._08/20/2012....Merrill Lynch..........................................._._......................................................._.........._....._.._...................530.000 .............................20219 ..................................... ........................_.........0 458110-10-0..........Intel Corp...................................................................................................................................................D1/05/2012....Merrill Lynch..................................................................................................................................................220.000 ..............................5.596 ..................................... .................................._0 46625W.0-0._..._..J P Mergen Ch..Co.........................._...._...................._....................................._...._.._..........._._..............D6/12/2012....Merrill Lynch_..__....._..................._._............_....._........._.................................._..............._....._.........___280.000 ........._..............__9.394 _._....__.._........._._....._ .._......._.._..............._0 4662511,10-0..........J P Merton thus.Co.......................................................................................................................................Ot/05/2012....Merrill Lynch...................................................................................................................................................230.000 ..............................8.259 ..................................... ....................................0 478160-104..........Johnson John.on.................._............_......__........_...._...._..._............................................................._...---07/16/2012....Merrill Lynch.............................._.................._._................_........................._...._........_.........._....._._.........275.000 .............................18,850 ..........................._........ .._.._.............._.._...._..0 494368-101..........timber ly Clark Corp......................__......._..............._..._.....__......................._.....__....................__...........D7/16/2012....Me..ill Lynch......................................................._._..._........_.......................................................................75.000 _...._.............._._.6.408 .........._......................... ....................._..........__0 441461110-9..........Kim Realty Corp..........................................................................................................................................10/31/2012....Merrill Lynch.:......._........................................................................................................................................765.000 .............................14.929 ..................................... .....................................................Inc ...........................210.000 ............................. 0 491550-103..........Kinder Morgan Energy P.nor e LP.......................................................................................................................03/06/2012....&.c lays Capital LE....................................................................................... ............................................................................ ................. --- ..............................5.330 _..................._....._...._. ................._.........._...A 491550-10-6..........Kinder Ma4n Energy Par.,,Lp._..._..._.........................................._._........................._..................._...........09/25/2012....Citigrcup Global Merkel,Inc..............._.__._...._._...........................................___..._.......... ._.. ...45.000 ....................3,736 ..._................._....__...... .........................:.........D 494568.10.1..........Kinder Morgan Inc..........................................................................................................................................05/30/2012....Credit Use.Securitie.....................................................................................................................................195.01)0 ..............................6,481 ..................................... ....................................0 55336V-103----------IPL%Lp........._.........__................__........................._.._..._.._......................_.._..__...............__......._......10/26/2012....Merrill Lynch................_....__.._................._............_....._............_..........._....._..._...........__._...._......_...112.000 ._.___._......._......2.464 ..........._._..__.._...._.._. .......__..._........._......A 553364910-0_........NUI Lp......................................._.._..............................._.__........................._....._.._...._...._..........._......10/26/2012....LES Securities LLC........_....................................._............_._...._..................._....._.._...._..........................._90B.ODO ....................... 7,930 .........................._......... ._.......... 0 5SM-10-0..........I PL%Lp........................................................................................................................................................12/21/2012....Credit Suisse Securities.....................................................................................................................................30.000 .................................909 ..................................... ...................................0 559080.106..........Magellan Midstream Partners Lp..........................._..........._._..........._._-.___._._._....._................_...............05/18/2012....Barclays Capital LE.___._........_...........................__.............._....._....._._........._.__.__._...__._.._._........._.125.000 ..................0,534 .........._........_.._.___..._. _...............Mark ........................................................ Raymond ....................... ...................... ............................3.174 570710-0..........Merksesl Energy Periners Lp...........................................................................................................................141/20/2112....Barclays Capital LE..........................................................................................................................................230.000 .............................12.965 ..................................... ....................................0 SM759.10-0_........Wrk...I Energy Part. LP-----------------------------------------...............___.................__.__._......_.......................05/09/2012....Morgan Stanley................_._.____._..._....__._..........._........................................._._._...._._.___.__.......__....65.000 ..............3. ............... .____...___..____........_.0 570759-10-0..........Merksesl Energy Partners Lp.........................................................................._.__...........................................05/09/2012..:.Barclays Cap!lal LE...................................................._........................_............................_......_.._..................65.000 ....._.......................3.565 ..................................... ............_..................._0 594918-104..........Microsoft Corp..............................................................................................................................................03/07/2012....Me,,III Lynch........................_.........................................................................................................................295.000 ..............................9.393 ..................................... ....................................0 608551-10-1..........Mole.Inc........................_......................_..................._..................._........._............_....._____........._.....03/07/2012....Merrill Lynch........_....__......___....._.._._.._._..._.__........_..........._......................._._._.....................____.._180.000 ........_....._.._...._.._4.777 .............................._..... _..............._....._.._....0 608718.27-9..........Melton Coos 8reaing Co..............._................................................................................................................07/16/2012....Mee l 11 Lynch................................................_................................................................................................410.000 ............................16.717 .............._.._................. ..................._..............D m6826WJ 0-3..........amok Put m:Lp.................._..............._......................................................................................_............02/23/2012....J.P.Morgan Searl lies.Inc..........................................._..............._..............._................._......._.....................100.000 ........_........_._._.._6.025 .............__.................... ................_....._..........0 68268M-10-3.._......Or dr P.;re Lp...._.........................................._................._...._...........___._._............_................_.......W29/2012_..Fidelity Capital Markets......_.____..._......................_......._......._._..........................._....._. '..........35.000 ........_....._._.......... ..........__._._...__.._......... ..................... __0 Ca) _._...._......... 6826&7-10-3..........(fleck Partners lo..........................................................................................................................................05/17/2012....Barclays Capital LE...........................................................................................................................................775.000 ..............................9.849 ..................................... ...................................A r713418-10-8..........PepsiCo Inc......................... ...04/02/2012_..Merrill Lynch............................._...._..............._..__......................_._..............._........................._......._._....505.000 .......................__.33,679 ................................__0 717081-10-3..........PH-Inc..............._.........._................................_.................._.................__...__._..........._._..............._.10/31/2012....Merrill Lynch_._._......_._._......._..._....................._..__._......................._........................_ ______._._..........260.000 _....___._...............6.499 ._....___.__._._..._........... ................._....____._...0 726503-10.5..........Plain,Ali Aaer Pivelina Lp __ ............ ...................................................... Barclays ... ............................................._._........_..._._............................._._.........._.............05/10/2012.._Ciligroup Global Markets Inc....._..........._._.................._._...__........................................... ._......................... ................. ____.......... All Lip............................................ ................... ........... __.......__....._.._.__.3.700 ..._........._...............___. _..._..................._..._..0 744320.10.2..........Prudential Financial Inc................................................................................................................................D1/05/2012....Ili ll Lynch..................................................................................................................................................270.000 .............................14281 ..................................... ...................................0 711600.10.9..........Public Storage Inc............................._......................................._..............._....................._..__.................115/09/2012....Merrill Lynch........._.__._......._._......._......._...............................__............._...._..__...._.._....._._...._...........45.000 .........._.___..._._.......6.297 .............._........_._._.__. A 744600-10-9..........Public Storage Inc..........................._..._.._.............._............._................................_............_..._...............09/26/2012....Merdll Lynch..........:_...._........._......._._......_.............._.._........_._......_...._......._....___...._..........................50.000 ........_..___..........._..6,994 ......_............................. ........_.............- 744573-ID-6 ..:......0 ..........Public Svc Enterprise Group Ino.......................................................................................................................12/03/2012....Merrill Lynch...................................................................................................................................................435.000 .... 12.982 ..................................... ....................................0 75085Y-10.7..........Regency Energy Partners Lp...._.............._._............_._....._...._......_...._......................................._..._..........11/14/2012....Credit Suisse Searitles.............................._........._..._._._.__...__......_............_........................_....._...._._.105.000 _._.__.....................2.291 ........_..........__._........... ...................................0 9413D0.100..........SalhClo,e Eimrgy Pariners..................................................._........._......_...__................_.........__...............11/02/2012....Citigrcup Global Market.Inc......................._........................._._._......"'._......_.............__... ......__...................63.000 ..._._.........._...__._..1.260 .............._..........__._.._ -_......_.........................0 8413DC-10-0..........Salhcrooa Energy Parirmra.......................................................................I......................................................11/02/2012....Wells Fargo Securltle3........................................................................................................................................95.000 ..............................2.11)8 ..................................... ..................................A 87611%-103..........Tarps flesarus Lp.............................._._._._................ .............._....._._........_..._ ....._.....D1/IB/2012....Wells Fargo Securitie..........__.................._.........__......._................................_:...._....___._...___..__.._...._.325.000 ............................12.475 ._._.........._................... ........_._._...._.............0 87671%-10-5..........Urge Resarcea LP..........._............._....................................._.........................._........._..........................._..11/15/2012....Merrill Lynch...._..........._.._..._............__....................................._......_...._......................._._._.............._..150.000 ..............................5.40D ............................_._... ........_.................._.....0 881607-10.7.....:....Tesoro Logistics Lp....................................................................................................................................._09/04/2012....Barclays Capital LE..........................................................................................................................................88160T_10_7.......... ............................................ Inc. ..........._......._...._..4,200 _....................._._......... 0 82343V-10-4..........Yerizm Comanicatiam Inc................................................................ ............_.............................09/26/2012.._Merrill Lynch............................_......._...._.................................._................._.........................._._......._......145.000 ............._................6.630 ..................................... ......... 0 931471-10i..........I ".an Co..................................................................................................................................................D7/16/2012....Me,,I II Lynch...................................................................................................................................................725.000 ..........................._22,159 ..................................... ....................................0 949746-10-1..........1.II,Fargo Co....._.............__.....__._...................._................_..._......_..._..............................................07/16/2012....Merrill Lynch..._......._..............__...._..___..__.._........_....._............._................__.___............_....___.....235.000 ..............................8.076 .._....__._.__.................. _.........._................._..A 9582514-10-3..........Western Gs,Equity Partner,LP.......................................................................................................................12/07/2012....Barclays Capital LE...........................................................................................................................................153.000 ..............................4.224 .........................._......... ...................................0 95112511-10-3..........Western Gas Ecid IY Par in,,.LP........................................................................................................................12/07/2012....Cillgrap Global Markel.Inc.................................................................................................. ............................102.049 ..............................2.244 ..................................... ...................................0 95112511-10-3..........Western Go Equity Partners LP.._........._.............................__......._................................_........_._._.............12/17/2012__Coldnan Sachs W Ca.........._..........._....._........._._._._.__........................_.....__.._...__._..._.........................235.CW ._......_..._.__.____.__6,457 _........_..._......_....._._.. _..........._.._..._............0 958264-104..........Western Gse Parinere Lp..................................._........_..................................._.............................................06/79/2012....Bercleys Capital lE..........._.............................................................................._............................._...............70.000 ..............................3.072 ................................_... ...................................0 969457-103..........Wl l llama Coe Inc.........................................................................................................................................._12/13/2072....Bareleys C.PltAI LE...........................................................................................................................................109.000 ..............................3.379 ..................................... ....................................0 969457-10-0_._.....Williams Cos Inc................._..._................._........._..._............_..............._......_......._.............._..___._...12/13/2012__LlfigraP Global Yarkels Inc........................_._._._._............._..._._.._...._......__.........__... ...........................216.000 ..............._..._......6.806 ....................._....._._..... ._.................................................. .... Inc ............................ __ 96950E-104..........William,Partners Lp...................................................................................................................................._04/04/2012_..Ciligrmp Global Markets Inc....................._..__......._............................................................ ...........................255.000 ............_..............13.811 ..............................._.... ..........._... .......................................8,462 - 96950E-104..........IIIliema Parirrora LD.....................................................................................................................................DB/OB/2012....BarclaYS Cavllal lE...........................................................................................................................................230.000 ............................11.695 ..................................... ...................................................2.354 96950E-104..........st lllama Pa.lrmrs 11/12/2012....�Barcbjl Capital LE............._...._....._.................................................._...__.___...._......................................40.000 .._.____........._......1 999 ........_......__..._.____. .._......__......_..........._9 9099999.Subtotal-Common Stocks-Industrial and Miscellaneous Unafiliated .05.669 )CXX D 9799997.Total-Common Stocks-Part 3 - 805.669 xxx 1) ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 3 Sh *no All Lon -Term Bonds and Stocks ACQUIRED During Current Year 1 - 2 Er,ign 4 5 6 7 8 9 Paid for Accrued CUSIP Date Number of Shares ' Interest and Identi8eation Descri tion A uired Name of Vendor of Stock Actual Cost Par Value Dividends 9799998.Total-Common Stocks-Part 5 75,405 XXX s 9799999.Total-Common Stocks 981 073 XXX o 9899999.Total-Preferred and Common Stocks _ eet,o73 XXX o 9999999-Totals sss4,314 XXX 12523 m w N ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 4 Shovdiric All Lon -Term Bonds and Stocks SOLD REDEEMED or Othenvise DISPOSED OF During Current Year 1 2 3 4 5 6 7 8 9 10 Chan a in Book/Adiusted arrvinq Value 16 17 18 19 20 21 11 12 13 14 15 Total Current Total Foreign Bond Year's Change in Exchange Book/ Interest/ Prior Year Current Other Book/ Changein Adjusted Foreign Stock Stated Book/ Unrealized Year's Than Adjusted Book/ Carrying Exchange Dividends con, CUSP Number of Adjusted Valuation (Amor- Temporary Carrying Adjusted Value at Gain Realized Total Gain Received tractual Identi- For- Disposal Name Shares of Con- Carrying Increase/ tization)/ Impairment Value Carrying Disposal (Loss)on Gain(Loss) (Loss)on During Maturity ca on I scd tion sign Date of Purchaser Stock I slderation Par Value 1 Actual Cost Value Decrease Accretion Recognized 11+12-13 Value Date Disposal on Disposal, Disposal Year Date 912828-a(-0...U.S.Treasury Note_._........._........_......._........ ..Matured............................................ ............250,000 .._.........150,000............251,039 ...........150,000 ..._......_....0 ......._......0 _...............0 ........__.......0 ......._..___0 .._._._250.000 ....._.._.__0 ....._..........0 ._._............0 ......._.....5.781 .02/29/2012. 912828-00-7...U.S.Treasury Note.............................................N/30/2D12..Matured.....................1111.................. ......:.....535,000 ..............535,000............533,110 .............551.831 ..................0 ...............169 ..................0 .................169 .................0 ..........535.000 ................0 ..................0 ..................0 .............12.038..01/JD/2012. 912818-t&2...U.3.treasury Note......_............................._......04/30/2012..Matured............................................ ............535.000 ........_....535,000............537.550 ..._.......535,430 .._...._...._.0 ......_..._.14381......_......_..0 ._............14381........__.....0 ...........535,000 __..............0 ......_......._0 ..................0 ....----2.675 .04/30/2012. 912827-7L-0...U.S.Treasury Wt...................._........................015/2012..Matured.......................... ...........525,000 _......_....525,000............531.132 .............55.150 .................0 ..............1150)..................0 _.........._.(1W1....._...._._0 ..........525.000 ............._.0 ____.._.....:.0 ......._........0 ._....._...12.797 .02/15/2712•. 912828-Cf-1...Le Treasur Not,................................................01/31/2012..Matured............................................ ............225.000 ............125 000............221 367 ............126 979 ..................0 ................21 ..................0 ..................21 0 225 000 ................0 ..................0 ..................0 ...............5,344 .01/31/2012. 0599999.Subtotal-Bonds-U.S.Governments 2,D70,000 2,070,000 2.076 198 2,070.399 1 3991 0 (399) 0 2.070 BOO 0 0 0 3e.631 XXX 58733511-9...Moruec V 0/0 Sch D9t i R•I I MO.......................03/01/2012..Cal led........................................_... ............475,000 ..............475 000............501,201 ._.__..._490,383 ..................0 ........_._.(760 .._..............0 ..........._..(760).................0 ..._._._489.623 ....._._......0 ..........11.6731........_(14.623) ..............9.500 .03/01/2015. 2499999.Subtotal-Bonds-U.S.Political Subdivisions of States Territories and Possessions 475 000 475 000 501 201 491 393 0 760 0 (760) 0 409.623 D 14.6231 14,6231 9,50D XXX 312<�C-MI-2_.FflER1L X%E LN t.A1260 1111_......._.............._...._12/15/2012..Principal Reductim._..................._... ............_67.697 1111..__..1].697 ..47,376 ._._.......47,6N .................0 .....___.....52 _................0 ..........._._..52 ....._._....._0 ..._.......47,697 __._.___....0 __.._1111_...0 .._._..........0 .._......_...1,054 _02/01/2016. 3133M-W-0...FEOEAAL Ip1E LN 81(6 C015 806............................AS/15/2012..Matured............._........................... _.......500,000............500.000...........515,059 ...........501,075 ..................0 ..........(1,023)..................0 ......._..A 1.025)................0 ..........500,000 ......_....._0 ..........._....0 .................0 .............11.375 .05/15/2012. 3139SE-TL-0...FECfW1 HOIE LN SEA 3075......_............................09/15/2012..Principal Redictim......................... .........459,981 ............_459,081 ......._...457,294 .............458.547 ..._........._..0 ...._......1.3:N ......_......._.0 ............_1,331 ................0 ........_.459,881 .............._0 ........._...._.0 ..................0 ..._.........11,593 .07/15/2030. 312921ki _.FAA GROUP C01292..........._._......__._......_..._..12/15/2012..Principal Redn:tia.._.-----................. .._........._5.842....._..._....5,842...............5,816 ._....._._..5,838 .............._..0 ................_I ............_._0 ....._._._._...4 ....._......._0 ____.__.5,842 ................0 ..._....._..._0 ......_.__.....0 ..._.........._186 _.02/01/2032. 31287N-F4-5...FHLC WP C67981.............................................12/15/2012..Principal Redictim.............:............. ...............4,795 .................4.795...............4,760 ...............4,791 ..................0 ..................4 .................0 ......_...........4 ...._........._0 ......._....4.795 .................0 ..........0 .._.............0 ..................158 ..01/01/2032. 31395-257...-FRX SER 2085..._..........._......................_..._...11/15/2011..Pr lncipal P.edktia_.__.......__..._...._ _._.......137.917.........._..137.917............131,237 ............136,653...._......__...0 ............1,264 .___..._._...0...._..._._.1.264 ................0 ...........137.911 ................0 ................_0 ..........1111...0 ........._2.853 ..12/15/2017. 313966-R4-3...FHLMC Ser 3398............_..__._......._._......_....D6/15/2011..Principal Redatian.._..._.................. .........._B7.814_1_111_.....87,814..............87,649 ..............6,748 ................_0 ..._.._..__66 _..--_.....__..0 ..._........_....66 ..............._0 ............87.814 _ ........__._...0 .................0 ..._..........1.400 _09/15/2023. _...__-__..0 31388D-YZ-5 FN 602028........................................................12/01/2012..Principal Redrclim 1111....................... .............18.245 ...............28.245.............27,857 ..............27,935 ..................0 ...............313 ...........---.0 _..._._......313 .................0 ............20.245 ........_....._0 ................_0 ..................0 ..................755 .98/01/2031. 31368L-6Cr4...FNMA APL POOL f 183571__1111_............................12/75/2012..Principal Redrclim_.__.................... ...._...._..1.963._......_.....1.963..............1,998 ........._._.1,980 .._.........__0 .._._..._..118).....__.........0 ..........._....(1B)................0 ....._..._..1,967 ........._._...0 ................_0 ...........--0 ........_.........75..OV25/2023.. 31371L-W-2...FWA GM PAS THFU P00.$73'431............................12/25/2012..Principal R,dat ion.....1111................ _...__.23,145__._._.....23,445..............23,731 ..._.........23.472 .........._._._0 ........_._..427)..........____0 .............-.(27)._.,.._...._..0 ....._._..23.445 ......_......_0 ._.........._...0 ._...............0 ..............._539 .08/01/2014. 31371K-9-0...FlMO,Gid PasatMU i 254748................................12/25/2012..Prin<IDeI ReNclim......................... ..........75.278 ..............75.218..............75,4fi6 ............75.281 ..............._0 ...............IJI..................0 ..................13).................0 ...........75.ZiB ................0 ...,.............0 .................0 ..............1,982 ..04/01/2013. .. .. ... rn 31371,-00-9._HAN'Id PabalhfU 254911._._..........._............._ 12/25/2012..Principal Pedctian......_......._...._.... .............169.342......._.....169.342............167,251 _........._168,555 ..................0 ._...._._...707 .._.........._..0 ................787 .........._....0 ...........119,312 .........._.__0 .................0 ...._._........0 ......_......_1,332 10/01/2023. -a 3141 9_.FW Bid Paulhru 894116..................................12/25/2012..Principal Reduction..............._.......... ....__.._.97.506 ...............97.506.......__...97,978 ........._._97.792 ................_0 ..............(286)....._...........0 _._._.......1286)................0 ............97.506 ................0 .................0 ......._._.....0 ______...._4.541 10/01/2036. 'p 31371M-LY-1...FW POOL 1 256043............................................12/25/2012..Principal Re on...... .............66.977 ...............66.977..............65.532 ..............66,827 ..................0 ...............149 ..................0 ................149 .................0 ..66.977 ..............._0 ..................0 0 ...............1,607 ..11/01/2015. 313730-CH...FW POOL k 29988)........--._._._..............1111.._..12/25/2012..Principal Reduction 1111.__......__...._.. ...............1.450 _...___.._.1.450........._....,420 1111...........1,440 _...............0 ......_.__...10 ..._........A ............_...10 ._..._._.....0 ._....._....1,450 __.___.___._0 .................0 ............._..0 _.................66..12/25/2024. 31371L-04-8...FWA P00.1 251815..............................................12/25/2012..Principal Redo:ti............._._.......... ....___...17,156 ...............17.156....._._...17,126 111_1__..17.156 ........_..._._0 ................-0 ..........._--0 ..._...__.._....D ................0 ...._......17,156 ................0 .................0 ._._...........0 .._...._.....:_33/ .,07/01/2013. 31381&2!-1...FW POOL 456776.............................................. 12/01/2012..Principal Redn:t tan........................... .._..........14,251................14,253..............14,014 ..........._14,088 .............._..0 ................164 ..................0 ........._.....164 .............._0 .............14,255 .................0 ..................0 ..................0 ..................408 ..12 101/2028. 31403D4 ...P41A Pool 1 745151...............__..._._..................12/25/2012_Principal Redctlan 1111.............._..._.. ........_..108,993 ........_..108,993..._.......110,220 _._.._...109.451 ............._._0 _........._.(4571.....__.._...._0 __._.._....(457)._.........__.0 ...........108.993 _1111_.-__--0 ._..............0 ...._._........0 _.._.._.....3.323 ..48/01/2021. BMX-31-5._Missouri ST W Dev...................._..._...............09/01/2012..Called........._..._._.......................... .............30 000 .......... 3D.000.............30.000 ..............0 000 ..................0 ............_....0 ..................0 ...................0 ................0 ._...__..30.000 ................0 ...........__...0 ._._...........0 ...._.......__..244 .A9/0112016. 3199999.Subtotal-Bonds-U.S.S ecial Reve us 1 t 878 553 1,878.553 1,801,802 1,876,22D 0 2,333 0 2.333 0 1,878.553 0 0 0 49,824 XXX 1013811-AB-1...Bottling Or"LLC Sr Nt...............__..__......... 11/15/2012..Matured 1111................:.. ..500.000 .............500.000.........._471,700 1111._.._495,450 _..._...........0 ...._......4,542 ................_0 .............4.542 111_1._____0 ____._5DO.000 ......_...._._0 1111__.-._......0 ............._..0 11_11_____23.125 .11/15/2012. dR236-AGB...IEALETT PAIIIAm CO GLOBAL NT............................17/01/2011..Mat.......................................... .........500.000 .............500,000...........515,030 ............503,801 .................0 ..........13,8011..................0 ...........13.11)................0 ..........500.000 ...............0 .................0 11............110 .............32,500 .17/01/2012. 441812-KA-1_.X01!5010 FIIURF COPP NT.................._.............._11/27/2012.Matured.__............._..................... ........500,000 .__......._500,000............538.820 ............505,603 ................_0 _.........IS,603)........_._.....0 ......_._.15,603)....._..........0 ......_._'500.000 ..._..........0 ....._..........0 ._..............0 .:...........31.875 .11/27/2012. 491.968-AR-4...KlaEer lY Clark Corp NI..............._.....................02/15/2012..Yalured..._.__..._............................ ...._...._500,000 ..........._5W,000.._....._.512,480 ....__....500.304 ......__......_0 _........_..(334)............_._0 ..__.._._...13011...._._._.....0 ........._300.,000 ...____.....0 ..........._....0 .........._.....0 .............14.063.DY15/2012. %1561 1-W-0...IETLIFE INC SR NT..............................................12/15/2012_Matured............................................ ............500.000 .............500.000............508,400 .............50,293 ..................0 ..........11.293)..................0 ..........-(1,293).................0 ...........500.OW ........._.. 0 ..................0 ......._..._...0 .._........16.875.12/15/2012. 595620-AC-9...MIOAIENICAN W.._........................................__06/11/2012_Cal led..._........._....._..................__ _..........513.954 ..._.........500,000............508.445 ............5501,060 ...._.._........0 ..............(464)-.........._....0 ............._(464)................. ........._500,5% ._...._.......0 ....._....13.259 ...........13.359 .............23,205.01/15/2013. 854616-AK-5 Stanley Wks Nt.............._............................_...11/01/2012..Matured...................................._...... _.._......500,000............_500,000......._...486,775 ............. ..._.__._....0 ......._...2,119 ....._...._.....0 ._.....__.1,119 ................. ..._......500.000 ......___....0 .................0 ....._._.._.0 .............24,500.11/07/2012. 9234W-AA-8...VEAIZON VA IFL CEB SER A.....................................12/10/2012..Cal led............................................. ............505 645..............500.OW............488 425 ............497 994 ..................0 ............1,529 ................_0 ..............1,529 .................0 ...........493,521 ................0 ............b.122 .............6.122 ..............28.505 .OY1512013. 3899999.Subtotal-Bonds-Industrial and Miscellaneous Unaffiliated 4.019,599 4,000,000 4,158,11 4,OW,394 0 (3,275) 0 3,275 0 4,000,119 0 19,481 19.481 2D4.727 XXX 8399997.Total-Bonds-Part 4 8443,153 8423,553 8,517,28fi 8,440,396 0 2101) 0 (2,101) 0 8438,295 0 4,850 4858 3D2,686 I XXX 8399998.Total-Bonds-Part 5 1 1 XXX 8399999.Total-Bonds 0443,153 8423,553 8517,286 8,440,396 0 (2,101) 0 (2,101) 0 8,438,295 0 4,858 4,858 302,686 XXX 8999997.Total-Preferred Stocks-Part 4 D XXX 0 0 0 0 0 0 0 0 D 0 0 0 XXX 8999998.Total-Preferred Stocks-Part 5 XXX XXX 8999999.Total-Preferred Stocks o XXX 0 0 0 0 0 0 0 0 0 0 0 0 XXX - 0020fiR-10-2...ATI Inc................................_..........................07/16/2012.Merrill Lynch......................._320.000 .............11.334 .._._.......................__.....9,1P ..............11,411 ._...._...(2234)............._...0 _...............0 ._......_..(2231)......._.._...0 ..............9.177 ...............-0 ............2,157 .........._2,157 ..................282 ................. 002824-10-0...Ab6otl Laho rater ies................ ..........06/12/2012.Merrill Lynch........_...............110.000 ..._...........0.666 ...........6,038 ...............8,651 1111.......(1,812)......_........_0 ............0 _:.___1,812)__.__........0 .......__.6,838 ...._._.._...0 .............1.awn .............1.877 ...._.........._139 ...._._....... Jantradirq 00434,-10-9...Access Midstreu Partners LP......_................___08/13/2012. Imtltutlaul Ser 111_1. ..._........125.000......___....3.512 ........111.._.........................3,325 ..._.._.__.3,625 ......._._.(300)..........._.....0 .................0 ......_._...(300)-...............0 ...._.._...3,325 _......__...0 ..._..........218 ....._._.....218 .__.............152 ....._._....... 07109S-10-3...Altrla Group Inc...............--.................. .02/06/2012.Merri I Lynch...__................._575.000 ........._.16,139 11..............11................. 14,805 __..._.._.16.330 ...........11.525)..................0 ......_._._..0 __..._...(1.525)_..._.........0 .............14,805 .._............0 ......._.'..1,634 ........._..1,634 ..................236 ........._._-_ 910122-104...Bristol Myers Squibb Co......................................01/05/2012..9err 111 Lynch..........................565.000 .............19,300 ......................................15,795 ..............19.911 ...........14,116)..................0 ..................0 ............14.116).................0 ............15,795 .................0 ............3,506 ............31 506 ....................A ................. fell,Fargo Securities 1182 30-1G-1...Buckeye Perimra LP...........................................11/13/2012........_.............._..._.................680.000 .............37.890 ..........._................... 43,067 .___.......40,267 ._.._.....2.800 ...._.........._0 ..._.............0 .............1.800 ..............._0 ........_._43.067 ................0 _.........(5.1691...........(5,169).._....__...1.044 11__11.......... 134429-10-9....CaWNIt Sap Cc...............................................07/16/2012.Merrill Lynch..........................355.000 ..............11.765......................................10,916 ..............11,800 ..............18841..................0 ..................0 ...............(881).................0 .............10.916 ..................0 ...............849 ...............849 ..................309................. 15189T-10-7..Center oinl Ener Inc- .........08/20/2012_Yerrill Lnch...__................._590.000 11_11........12.007 _1__1___11..___1111........_11,185 _._._.._..11.053 ......_.__(6681........._._....0 .................0 .._........._(660)....._._.._...0 ......._...11585 ..._..._......0 ._.._....._.871 ...............822 ....:_.........478 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 4 Shoviting All Long-Term Bonds and Stocks SOLD REDEEMED or Otherwise DISPOSED OF During Current Year 1 2 3 4 5 6 7 8 9 10 Chan a In Book/Ad'usted arryinq Value 16 17 18 19 20 21 11 12 13 14 15 Total Current Total Foreign Bond Year's Change in Exchange Book/ Interest/ Prior Year Current Other Book/ Changein Adjusted Foreign Stock Stated Book/ Unrealized Year's Than Adjusted Book/ Carrying Exchange Dividends Con- CUSIP Number of Adjusted Valuation (Amor- Temporary Carrying Adjusted Value at Gain Realized Total Gain Received tractual Identi- For- Disposal Name Shares of Colt- Carrying Increase/ tization)/ Impairment Value Carrying Disposal (Loss)on Gain(Loss) (Loss)on During Maturity 8cation I Description sign Date I of Purchaser Stock sideration Par Value 1 Actual Cost Value Decrease Accretion Recognized 11+12-13 Value I Date Disposal on Disposall Disposal Disposal Year Date 217202-1D-0...Copan Energy LLC ................... 05/10/2012.Barclays Capital LE-..............._65.0D0 ...............2.030 ........................ 2,206 -_............2,323 ..............(117)..................0 ........... 0 ...............(1171................. .............2.206 ....._.....__0 ..............(176)..............1116)......___..._75 ........... ..... Credit Suisse 716372-10-0...Crestwood Mairntrew Partrera LP........................At/20/2012.Severities........._..................200.000 .............-S.BA _...................... ............ ...............6,348 ............_(191).._......._....0 ....._...._.....0 ...._.........(191).................O .............6,158 .................0 ..............(180)............-(180)...................A ................. 263534-10-9....a Pont E 1 De Naassrs a Co........................_....01/05/2012.Yerrl I Lynch.......................... .............18,314...................................._17,474 ......_...._17.854 ....._.___(380)..................0 _................D .......... (380)_.__._...._0 _ .17,474 ..............._0 .__.____840 ...............840 ................__0 _..._........ 26441C-10.5 Duke Energy Core...............................................95/09/2012..Merrill Lynch.......................1,050.000 .............22,690 ............19.261 ..............23,100 ........_13.839)..................0 .......0 .............(3.839).................D ............19,261 ................0 ............3,429 3,429 ..................263 Clligreup Global 203702-10-8...Et Paso Pipeline Partners......___......................98/06tM12.Markets Inc._........_...............745.00D ........_._14,697 ............_.........._._.._.._-24.239 .............15.291 ....._....11,051).................0 .._....._.......D ...........11.051)..._...........0 ...._...._24,239 .__.____-0 ...............458 .............A58 ._._.......-_.-439................. 532457-10.8...Ell Lilly Cc.....................................................10/31/2012.Merrill Lynch.........................360.000 .............17.559 .......................................12,651 ...........__7.060 ...........14,417)..................0 ..................0 ............14.417).................0 ............12.651 ................0 ............4,908 ............4008 .................529................. Converges Execution 2925011-10-6....Ebridge Energy Partners Lp................................12/17/2012.Solutions...........................__510.0011 ......_.....14,529_......__........................15,619 ..............15,241 ._..__...._377 ................_0 ____-_.0 _.._......._.377 .................0 _15,619 __.._.......0 .......__11,090)-____71.090)..................913 ..._.__....... Citigroup Global 251782-10-7_.Enterprise Prods partners Lp....................._.._..AB/09/2m2.Markets Inc......._............___.29.000 ...__..._..11.519. ............10,203 ._......._..11.284 ._-._..11.0821.__.___._.-.0 '.11.082). ........................ _...............0 . ._..........._0 ....._....10103 ._.............0 369601-10-3...General Electric Cc................................... ..10/31/2012.Merrill Lynch......,_....._....._..820.000 ..............17,246 ......................................12,619 ..............18,622 ......._..16,0041...............-A _.._............0 ............16.004) ..........0 ...-.. ..12,619 ._.............0 ..._...__4,628 _--._._.4,628 .................558............-._. 42307 4-10-3....WHeinz CO....................................................._01/02/2012.Merri I Lynch............ . ..............35.564 .............. .............. ................ ...... .............._0 ...__-....12,434 437876-10-2...Hone Depot Inc.._...._.............._......................_09/28/2012..Merrill Lynch.........................59D.000 .............35,063_............._..__--------.....19,028 .............24,004 ...........15,776)..................d ...._...._._._0 ._........15.776).........._..._0 ............19,020 ............__0 ...........16.035 ...........16,035 .................513 __.......... ... 46629H10-0...J P Mangan Chase Cc.......................................... 12/03/2012..Merrill Lynch..........................515.000 .............21,1D7 ....................................17.408 ..............21.156 ............13,749)..................0 ..................0 .............(3,749)_......._......0 .............17,400 .................0 ............3,699 ............3.699 ..................592 ................. J.P.Morgan Securities, 491560-10-1...Kinder Morgan Inc._...._......__._......................_03/06/2012. In...............__.........__....._..75.000 ...............2,671 ....... ............... 2,643 ..............(4471 _0 ................0 _ (447) ............2,196 ...............975 ............_475 .. m Credit Was. 494591-10-0...Kinder Morgan ihnagesent LLC......_..._. .._._.01/20/2012.Seventies.............................333.000 ..._........25,718 - _..__. _....__._......._......_._._23.973 ..__.......25,912 ...........11,991....__.._...._0 ....._.____0 __........11.938)._.._....._..0 ...____8,973 ................0 ._...__. 5391130-10-9...Lockheed Martin Corp 7/16/2012.Merr ill Lynch.............. ._..._-.3, ...........___- .__........... p........__._.......................... Y ..........195.000 ............16.977 ................_..._...............13.437 ..............18.901 _.........13.544)..............._.0 ......_.__....0 .............(3,5141.................0 _._......_13.937 .................0 .._........3,540 ..._...._.3.510 ......_.......... ..__........... 59 08 0-10-8...Magellan Midst-Partners Lp................... 12/19/2012..Merrill Lynch............. ..............18,485 . ..............9,144 _------------18.795 .......__(2.191..................0 ............_....0 ....._......(2.139).................0 .............16,656 ..............................19,153 ............. -._...--.._6.247 .............6,247 ..........._-X32 ................. 580645-109 McGraw HIII CoTpanles[no,............................._...09/26/2012..Merrill Lynch.._.....................15.000 ..............19,338............................._.......13,354 ..._..._....15.964 ...........12,611)..................0 .................0 ............12,611)................0 _....._...13,351 ................0 ............5,985 ............5,985 .........__._.272................. 65473P-10-5...Niscurce Inc........._.........................._.............D3/07/2012.Merrill Lynch.._.....................800.000 .............18,903 ..........................._.__ 16.200 ..............19,040 ......._..12,848)_................0 .............._.0 .........._12,8401-..........._...0 ............J6,200 ............._.0 ..........-1,703 ............2.103 .._..._.........184 ..._._._....,. 670348-10-5 Wcor Carp.............._........_...._....................-..10/31/2012.Merrill Lynch..........................460.00(1 ._...._....18,466 .._.........14,002 ..............18.202 .._...._.13.221)..__._.____0 ___...._.....0 ........_._(31211........._..-_0 . --_....._..._0 ......__.3,484 _._._.._.3,484 ....._._.___840 ........_.__.._._... ....._....14.982 ................. 68201.1OJ...Oneck Partners Lin............................................_12/21/2012..Barclays capital LE............:.....110.000 ...............5.984 ....._................................5,021 ...............6.408 ..............(486) ...........0 ..................0 ...............(486).................0 .............5.921 ......._........0..................63 .................63 ...........__Z5 I............_.. 701091-10-4...Parker Hemllin Carp...................._..................-M/00/2012.Merrill Lynch............ ............205.000 .....__..._17,740 ................................ ._._........15,631 ...........11.330)..................0 ..................0 ............11,330)..............._0 ............14,302 ................0 ...._......3,430 ............3,49 .............0 ................. 713448-10-8...Pepsico Ina ........................................._.._._08/20/2012.Merrill Lyoch........ ....._125.000 ...._9.150 __...--.--.--... - ...............8,336 ...................0 ......._..-.,-0 _-......_......0 ._..--.-.....0 .._ .....D _.. .--.--_0 ...... _-..8.335 -. ...0 ....-. --...811 ............814 ....-. -....-.._67 ...-.......... 718546-10�...Phi l l 1pe 68......................................................05/09/2012..Merr I I Lynch..........................637.500 ..............19.950 .............18.95 .....................0 ...........18.95 ..................0 ..................0 ............18.95 .................0 .............18,955 ................0 ............_.934 ......_.......994 ....................A ................. ........................ J.P.Morgon Sear I t les, 72653-106_.Plains All Arer Pinellas Lp............._....._........ 12/19/812. Inc.......___._.............._.........70.000 .._........._4.338 .........................._._._....1.388 ....__.......4,379 ......._.._(7971--............._.D .._.._..........0 _._._.......17971..._...._.._..-0 ........_.._3.582 .........._._0 .....-.__....75 ...............756 .........._---_.146 .........----..-. 7446OD-109...Pub]lc Storage Inc.............................................00/20/2012.Merrill Lynch...........................45.000 ...............6,426 ....................._................5,92 ...............6,703 ...........11,400)._...............0 ..................0 ............11.400).................0 .............5.3D2 .................0 .............1.123 _...........1.123 ...................99 ................. 754907-10-3_.Beyonler Inc....................................................08/20/2012.Merrill Lynch._.._.__..............400.000 ......._.._8,704......._._...._........_._._..16,767 .............20,57 ...........13,7401_..___..__.0 .................0 ............13.740).._........__0 .........._16,767 ..........0 ..._..__3,937 __._.....3.937 .......__._341 ................. Cltlgroup Global 75885Y-10-7...Regency Energy Partners Lp..............................._00/17/812.Markel,Inc............................830.000 ...............7,291 ............_7,868 ...............6.309 ..............1441)..................0 ..................0 ...............1441). ........................ .................0 .............7,868 .................D ..............15761..............157fi1. Hew York Stock Exchange 842W-10-5...Scuthrn Copper Corp Del....................................02/8/812................................. ...............0.720 ...................23------------....._......................8 ...................25 .................(31_._.....__...0 _................D ..................131_............._0 _...............22 ..._.....__-.0 ..................2 ......__..___2 .................._0 ..._._.__.... ' rat Capilel Markets 847561✓-10-9._Spectra Energy partners LP.._......................_..DI/19/2012.Carp......_..............................190.000 ..........6.089 ................................____S.825 _._........6,072 ..............(2471.................0 ..................0 ...............(247)......._....__0 ......._....5,825 ............-__0 ...............264 ...._._..._164 .................-A ................. 86764L-10-8...Ucco Logistics Partmrs Lp._._........_........_..99/12/2012.Li9ui Bel too. ................. ............19,870....................._..........._.17,465 .............21,112 ...........13,646)........_.......0 __......_..._0 ......_....13,646)................. ......_..17,465 .........._._.0 _.........1.405 ............2.405 .........._......376 ...._.......-... 871829-10-7...Syecs DorP........................................... ..........07/16/2012.Merrill Lynch.........................045.000 -----------17.175 ............ . ...........................6.612 ___..._..0,265 _.._..._._.6,043 ..............(578)................-.0 ._.______----0 ...............(578)._.........._.0 .........._.6,265 -...___..._.0 ............._387 __...__-97 ................_.99......___._.. 931142-10-3._Ael Marl Blare,Inc...........................................00/20/2012.Mawr ill Lynch_.......................25.000 ..............10.449 ..........._..........._._.........13.084 .............18.980 ...........15,09G1..................0 _....._._..._.0 ............15,896)_.._....._._,0 ............13.081 -_-_......._.0 ._.........5.365 ............5,3fi5 ...............296 ...._...-.--.... 958251-10-4....Aestern Qes Pertiers LD.....................................03/07/2012.BarclaYS WPltal LE......._..........50.000 ...............2237 .......................................].919 ..............1.290 ..............1370)..................0 ..................0 ...............1370).................0 .........._..1,919 ._....__.....0 ...............317 ...............317 _................11 ......._........ 96W-10-4...filtiaoa Partners ...._......................._...-__..12/13/2012.Barclas ital LE.......__......220.000 ___..._.10,207 .............._._._....._._...._13.113 ._____11,200 .......__1,912 ................_0 ...._..__._.-0 ........._1.912 ...._._....._0 _._........13.113 ..........._-.-0 _._...._72,9051...._.._.12.0051..._.............69f ........_._.- 9099999.Subtotal-Common Stocks-Industrial and Miscellaneous Unaffiliated 683,630 XXX 598.438 645.824 (57.017) 0 0 (57,017) 0 597,143 0 96.487 86,487 13,574 XXX 9799997.Total-Common Stocks-Part 4 683,630 XXX 599,439 645,824 (57,017) 0 0 (57,017) 0 597,143 0 96,487 86,487 13,574 XXX 9799998.Total-Common Stocks-Part 5 72,164 XXX 75,405 0 0 0 D D 75,405 0 E]3.240) 13 2401 738 9799999.Total-Common Stocks 75,7% XXX 663,842 64:824 (610171 0 0 (57,017) 0 672 540 0 246 83.246 1/312 9899999.Total-Preferred and Common Stocks 75.794 XXX 661 842 645 824 157 017) 0 O (57,017) 0 672.548 0 246 83,246 14,312 XXX Total9 9190.947 XXX 9181./18 9086220 1570171 (2,101) 0 1591181 0 9110812 0 104 88.104 316,997 XXX ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D - PART 5 S owino All Lon -Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year 1 2 3 4 5 6 7 a 9 10 11 Chancre in Sook/Ad'usted Ca vinci Value 17 18 19 20 21 12 13 14 15 16 Total Current Total Foreign Par Value Year's Change in Exchange Interest (Bonds) Book/ Current Other Book/ Change in Foreign and Paid for or Adjusted Unrealized Year's Than Adjusted Book/ Exchange Realized Dividends Accrued CUSIP Number of Carrying Valuation (Amort- Temporary Carrying Adjusted Gain Gain Total Gain Received Interest Identi- For- Date Disposal Name of Shares Consid- Value at Increase/ ization)/ Impairment Valu(12+ Carrying (Loss)on (Loss)on (Loss)on Dudng and fication I Description J sign I Acquired I Name of Vendor Date Purchaser Stock Actual Cost eration Disposal Decrease Accretion Recognized 13-14) Value Disposal Disposal Disposal I Year Dividends 8399998.Total-Bonds 0 01 0 0 0 6 0 0 ➢ a o 0 0 0 8999998.Total-Preferred Stocks o 0 0 0 0 0 0 0 0 0 0 0 0 IYA29-10-9_.Cenpbell SV4 Co................_........._.. ..-._....01/05/2012_Merrill Lynch.._............___...f17/16/2012.Merrill Lerch_._._..................... ....._...-1.800 ._--.....4,971 ...__....... .................0 ...._...._....-.0 .._..........-..0 .......-...._--..0 __-_...._....0 ...._..........0 .....--- 171 ..-..--.-.......171 ........--_....87 ....._..........0 NIM158-10-2...Won Corporet im. Lynch............... Lynch............... ...............................................➢8/20/1012.Merrill LMCh.............-.._......10/31/2012.Meryl ll Lynch.............................895.000 .......-...17.935 ...........12,386 .............-17.935 ...........-......0 .................0 ..................0 ....-............0 ...-.........._0 ......_........0 ...........15.549)._...._..15.549)...............118 .............-...0 670346-10-6 It-Corn................................................92/06/2012-Merrill Lynch.--.-.-...__-.__....-.10/31/2012.Merrill Lynch__...--.-_-.............130.000 ......_.-_5,859 ............5.219 ...-.....-_--.5,659 ._..........._.0 .--.._......._.-0 ..........__-_.D ...........0 ...........0 .-............-.0 ......_.__.(640)..............(640).......____.190 -...__.._......0 Spur troy Comoc Phillips 05/12 718546-D-4..-Phi l l fps 66...................._......._....... .........03/07/2012.........-_..............._.__............95/09/2012..Meryl I Lyrrch..........................._.40.000 ._...._...1.416 ............1.252 ........-......1.416 .................0 .................0 ............_....0 ........._......0 .......... —0 ........:......0 ......._....11641..............(164)................. ......_.........0 962166-10-4-..Beyerlaeoaer Co.__........................... .........92/08/2012.Merrill Lynch......................._08/20/2012.Merrill Lynch-................._......_695.00D -._......14.373 .--._.....16,631 ..............14,373 __.._.--__0 ..............-..0 ..._._____.0 ............._..0 ............_..0 ._.............➢ _.....-..-..2.259 .......... 2,259 __.__..-.....209 ._.-............0 96915/-10-0...Bill!-Cas lne............................... ..........01/05/2012.Merri l l Lynch....................... ..03/07/2012.Merri I-Lynch......._....................520.000 ...........14,379 ...........15440 ..............14379 ..................0 .._..............0 ......._........0 .................0 ................0 ................D -.....__.1.061 ............1.061 ....---..-...-.135 ..............--o 9099999.Subtotal-Common Stocks-Industrial and Miscellaneous Unaffiliated 75.405 72.164 75,405 0 1 0 0 0 0 0 3,240 3.240 738 0 9799998.Total-Common Stocks 75,405 72,164 751405 0 0 0 0 0 0 (3,240) (3.240) 738 0 9899999.Total-Preferred and Common Stocks 75,405 72,164 75.405 0 0 0 0 0 0 (3,240) (3.240)1 738 0 .................................................. .... . ............ .......... ................................ ........................................................................ ....................................................................................... .............. .............................—......................................................_......_................................................................................................... ............. -.............................................................. .._.------............................ ..................................-.-------.......----...... -.........._.............--............."_..------............_..__.......--............._._.--._----.-._..............._.---------__-..__.-.............._............................_._.._.-......_--.......................--_.-......__--__.-..-... ............................................................... .-......_.........-- ..................................................... .........................................................-- --------------.._......-......-.............._... ..............._._.............._.._....... .............................................................................................................................. ............................................................. ....................................................................................................................................................................Q738 ..................... ......................................................----- ----....._......._.. --___-........_ ..-- ......--.._-..._.-..-................................._... ...._.....-............ .....-..........._.......--.........._.......-......._...................-.................._....... ._._............_._..._.__....._................. ...._........._..- 9999999-Totals 7s 405 n164 75405 01— o ➢ 0 0 13,240 0,140) 0 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE D -PART 6 -SECTION 1 Valuation of Shares of Subsidiary,Controlled or Affiliated Com anies 1 2 3 4 5 6 7 8 Stock of Such Company Owned by Do Insurefs Insurer on Statement Date Assets 9 10 NAIC Include Valuation Intangible NAIC Method Assets Company (See SVO Connected Description, Code or Purposes with Holding Name of Subsidiary, Alien Insurer and of Such Total CUSIP Controlled Identification Procedures Companys Amount of Such Book/Adjusted Number %of Identification or Affiliated Company Fomigni Number Manual) Stock? Intangible Assets Carrying Value of Shares Outstanding 0999999.Total Preferred Stocks 0 0 XXX XXX 67710•-10-1 mmmm=m—1 TBP HDIding QWny,Inc..................._......_._..00000._...............2CI82...............10--.............................................................1.700.671 ...................20.0W.000...._.........._.100.0 1799999.Subtotal-Common Stock-Other Affiliates 0 4.790,671 XXX XXX 1899999.Total Common Stocks 0 4,790 671 XXX XXX ...............................................................................................................................................................--....._._.....°-.._............................._..........._......................._........_..........---....... -................................................................. ........... ........................._............................................................................................................................................. 1999999-Totals 0 4,790.671 XXX XXX 1.Amount of insurer's capital and surplus from the prior period's statutory statement reduced by any admitted EDP,goodwill and net deferred tax assets included therein:$ ...................................... 2.Total amount of intangible assets nonadmitted$ SCHEDULE D - PART 6 -SECTION 2 1 2 _ 3 4 Stock in Lower-Tier Company Owned Total Indirectly by Insurer on Amount of Intangible Statement Date Assets Included in 5 6 CUSIP Name of Company Listed in Section 1 Which Amount Shown in %of Identification Name of Lower-Tier Company Controls Lower-Tier Company Column 7,Section 1 Number of Shares Outstanding 067011-103......__The Bar Pin Insurance A9ennY•Inc..._........._.. . .............................1.Holdi Iro....................._._........................____-_........_....._... ._..-....._.....1,500,000.000 ......................100.0 0299999.Subtotal-Common Stock 0 XXX XXX ............................------_................_......_..............----............_.........._...--.__.._......................_.........................-....__....._..._....--------------------.._......-----------.._...__....--------------.....___--- .._...._......._............................._.---.................................._.._.__--.....-----_........_......------...................---.........----....._._-------_....._.._......_..........----................._.............................. ......................-- ----_..............._....._................----.._....................---.--------..................._-----_._...._......................._..............................._..-----...............--_._...-.._.....--.------------................. ......................_.. ..------.......-........-'---......................._....---------...... .....................------...................----------.......................................................-.............._..................--.._.........°-.......... .............._._..............._...... .......------....._.... .._......_..................._.......................... - ..... 0399999-Total 0 XXX XXX E16 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE DA- PART 1 Showing All SHORT-TERM INVESTMENTS Owned December 31 of Current Year 1 2 Codes 1 5 6 7 8 Chang in Book/Ad'usted Ca 'n I Value 1 13 14 Interest 21 3 4 9 10 11 12 15 16 17 18 19 20 Total Current Foreign Amount Due Year's Exchange and Accrued Current Other Change in Dec.31 of Book/ Unrealized Year's Than Book/ Current Non- Amount CUSIP Adjusted Valuation (Amor- Temporary Adjusted Year on Admitted Effective Received Paid for Identi- For- Date Maturity Carrying Increase/ bzation)/ Impairment Carrying Bonds not Due and Rate Rate When During Accrued fication Description Code ei n Acquired Name of Vendor Date Value Decrease Accretion Recognized Value Par Value Actual Cost in Default Accrued of of Paid Year I Interest 0599999.Total-U.S.Government Bonds 0 0 0 0 0 01 0 0 0 -Xxx XXX XXX 0 0 1099999.Total-All Other Government Bonds _ 0 0 0 0 0 0 0 0 o XXX xxx XXX 0 0 1799999.Total-U.S.States Territories and Possessions Bonds 0 0 0 0 0 o a 0 0 XXX Xxx XXX o 0 2499999.Total-U.S.Political Subdivisions Bonds 0 0 0 0 0 0 0 0 0 XXX XXX Xxx 0 0 3199999.Total-U.S.Special Revenues Bonds 0 0 0 0 0 0 0 0 0 XxX XXX XXX 0 0 3899999.Total-Industrial and Miscellaneous Unaffiliated Bonds 0 0 0 0 0 0 0 0 0 XXX Xxx Xxx 0 0 4899999.Total-Hybrid Securities 0 0 0 0 0 0 0 0 0 XXX XXX XXX 0 0 5599999.Total-Parent Subsidiaries and Affiliates Bonds 0 0 0 0 0 0 0 a o XXX YXX XXX 0 0 7799999.Total-Issuer Obligations 0 0 0 0 0 0 0 0 o XXX xxx XXx 0 0 7899999.Total-Residential Mort a e-Backed Securities 0 a 0 0 0 0 0 0 o XXX XXX XXx o 0 7999999.Total-Commercial Mortgage-Backed Securities 0 0 0 0 0 0 0 0 o XXX XXX XXx o 0 8099999.Total-Other Loan-Backed and Structured Securities 0 0 0 0 0 0 0 0 0 XXX XXX XXX 0 0 8399999.Total Bonds 0 01 0 0 0 0 0 0 0 XXX XXX XXX a o 8699999.Total-Parent Subsidiaries and Affiliates 0 a a o 0 XXX 0 0 o XXX I XXX XXX 0 0 9W91-.29-6...111@�Is Fargo Adr Tr PI IAn Im..........__........�..._.... __.......12/31/2012.63 Benk....._.........._..._........................XXX........_._......5.011 .___........_... ___......._.._ ___._........_.................... _............25.011 ..........__25,011 ..._..__.._. _........... ....0.210 ._._._.0.210 Ararterlr ........_...._..J __..........__- 31846Y-41-9...Fist Isar Treas Cb119 Fd Intl Im CI...:....a1......... .............12/31/2012..l6 Bank................................................XXX.................200,003........................................ ........................................ ............200.003.............200.003........................................... ............. ................. .................................. .................... m3180-ID-4 First Amr Priee 0bll9 Fud CI Y..........................................12/31/2012.116 Bya............................................._XXX.... ..........1,457,422._......._....--................ ................. ._ ............. ..... 1.457.422 _...._...1.457.422.........._............._....._._...... .._......._. ...__._....... .................................. .................... 609068-OF•5_.Federated None Ikl Obli Trs .......__..................................72/31/2012..UT.. .._........._.................._........._XXX......._......._M'000.............._.... .._............_...................._ .............._.._ . _._...._.2W.000 ...._........_................._........ ......0.010 .........0.010 Jlmtnl ..._____._....6 ____............ v 8999999.Subtotal-Class One Mon Market Mutual Funds 1,932,436 0 0 0 a XXX 1.932.436 0 0 XXX XXX XXX 7 0 _......._.......Piper Jaffrey Ca. .........................._........_............_ .Piper Jaffrey Ce...._......................._.01/16/2013.._._....... .................._ ......_ .... _....._..999.120....._..._.993.120 ............_._.._........ ...._0.970 ...........970 9.1.0tY......___.......... .................... ..................PI r Jeffrey Co.C'...........................................................12/28/2012..PI r Jaltr Ca.........._.....:..............01/37@013............_49908_.................. .................... ..__........................_._._.. .._..._...499079.....____499.079...___...................._....._..... .....2.240 ........_2.240 FNturit __........_.._. ............_._... 9099999.Subtotal-Other Short-Term Invested Assets 1,498.199 0 0 0 o XXX 98.1991 XXx XXx XXX o 0 9199999-Totals 3,430635 1 5 fil 0 XXX XXX XXX 7 0 ANNUAL STATEMENT FOR THE YEAR 2012 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 NONE E18,E19,E20,E21,E22,E23,E24 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE E - PART 1 - CASH 1 2 3 4 5 6 7 Amount of Interest Amount of Interest Rate of Received During Accrued December 31 Depository Code Interest Year of Current Year Balance Midwest 8.riKentre. ........._St.Louis,Missouri___ .................__...0.160 ......__........_........1,751 __ ..__......_.__.._...........941,593 .XXX Central Bank...._....................._...___........._ Jelferson Cit Misouri_......_......................................0.050 .......................... 131 .............. ..........................72,775 JCXX 0199998 Deposits in... depositories which do not exceed the allowable limit in any one depository(See instructions)-open depositories XXX XXX XXX 0199999.Totals-Open De ositories XXX XXX 1,862 0 1,014,3681 XXX 0299998 Deposits in... depositories which do not exceed the allowable limit in any one depository(See instructions)-suspended de ositories XXX XXX XXX 0299999.Totals-Suspended Depositories XXX XXX 0 0 0 XXX 0399999.Total Cash on Deposit XXX XXX 1,882 0 1,014,3611 XXX 0499999.Cash in Company's Office XXX XXX XXX XXX 1.092 XXX .................................................................... ............................................................ .................................................................................................................................................... .......... ....................................._........._.................. _..._......................._._.___....._......._.. .._............_-.___.._____._...........___._.......... ....__.._...._...........__....._._....................--__....___. ..............-'_--.....................---................ ..._.._.......--..._. .................. ......................................._......._................................................................................................ -----'- .......... . ..................................................... .....................----..................----.._........_................................................._...................... _....... .................................................................... ............................................................ .....................:......................................................................................................................................... ._.........._------.............. .......... ...............___....................................... .......................................I........................._....................... .......................-_................................... .................................................................... ............................................................ .............................................................................................................................................................. .................................................................... ............................................................ .................................................................................................................................................... .......... ---.................__....__._..._--......__........... ............_........................_................... ...._..._........... _............................................----_..................._...._.........................I... .......... ----..........................._._...._............._........ ............................................................ ..............................I.....................................................................................................................---------- .:....................._........................................._ ......-----------------------.............................. ............ .................__............. .......................-........................................... ............................................................ .................................................................................................................................................... .......... ..................................-----......................... ............................................................ ...................................................................................................................................................---------- .._..._...................---._....................._......... ..----_........._......---..--......... ------------ ......................---..........-----------.......................... .......---"..................................................................................................................... .............................................................................................................................................................. ......................................---...... ............... .............................................I.............. ........................................................................-.......................... ---....._........................ .......... ............._...._.._._._............... .....------....................---_-........... ---..............._.._..._................_--------...._...._------............- ---............---_--.........----`-- .................----......._..........---.....----........... ............................................................ .............................................................................................................................................................. ------._...._.....--......_.........-............---... ..._..................... ---------- ............................................................-----... ............................................................ .............................................................................................................................................................. .._.._....................._...........---....----......-.-° ----.._.._........................---................. ...............................................................................---....................__._............................_.........._---- .................................................................... ............................................................ .................................................................................................................................................... .......... .................................................................... ............................................................ .............................................................................................................................................................. ......_.................-----.....__.....-.--..........._. ........................................................... ............................................................................................................................................................. .....-------.._............_._---........................ ......-_.........-------------.............------.... ............_.............._........----......................---................................._.....—.__.........................._. .._...... 0599999 Total-Cash XXX XXX 1,882 0 1,015,460 XXX TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR 1. January.-__ .._.837.831 4. April............._............1.388,633 7. Juy .....--_----_262.796 10. October........ 2. February.........._...............1,746.040 5. May........................._........22.1107 6. August....................................936.233 it. November.........................(1.061,587) 3* 520.422 6. June 413,448 9. September (491.6191 12. December 1,015,460 E25 ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE E - PART 2 - CASH EQUIVALENTS Show Investments Owned December 31 of Current Year 1 2 3 4 6 6 7 A 8 BooklAdjusted Amount of Interest Amount Received Description Code Date Acquired Rate of Interest Maturity Date Ca 'n Value Due and Accrued During Year ........... .............__.....__........_..__........_............._..._.....___..._.................._................_............_......................_......._..................._....... ................_...._._.........._...._.._. _..........-...._._._._......._._......__---.__......_.._....................__......_..._.._........._........__........_.- ................................................................ ........--........................................................... .............................--......._................................._................._..._._.......__..._.............._........__..._..._._......................._....---..........------....__._-__ ............_................._.........._... ..---'--._............................_......._.----...._................_.._.._._..._._..----_......_.. ......_..._....._.........._......._._........_........-......._......._-......_. ........................................................................................................................................................................................................................................ ................................................ ........................................................................................................................................................ ................................................................ ..............................................--............ .................. . ........................................................ ...................--................. .................................................... .......................................--- ............................................... ................ .......... ............--............................... ........................................... ..................................._..........................-................................_...._.......---------_..................---_........_........._..................... ........_... ......._.. .....--- -........... ...... ..............-.._.....---............-................_...._...._._.._.._.........._.............._......._..............._........................................_....._.....................................................................................................................................................................................-........................... ............................................................................................................................................................................................... .... ....... .... ...... .................................................................................................................... ............................... ........................................... ............................................................................................................................................................................................... .... .... -... ...... ----------------------............ ............................................ .................. ............................. I.-........... ................. .................................................................................................................................... ............................................ .... .... ............ ........................................................................................................................................................................................................................................ ......................................................................................................................................................................................................... ............................................................. ..................---------...................._............................................._........................_............._..............--..___................................-----------............... ....._._...-'----..._........_........--. ......................................_..........--------_....---......._..-_..._...._...................----.. ................__._............__..............-- - ..................................... .........._..._..._...........-----------.......__.................._.._.........................---------._._........__....................._..-----..._......._..-._....__.....------__...........-- .......-.................................-..._. ------...._._.-..-.....-........_........._.................._...._..._...-..-............_._.-.__...._._.__._.-----.-___._._...._...._._._. ._....._.--........__................... m ................................................................-......................................................................................--..........................................-.......-..-.................... .................................-.............. .................................... ..............-...........................................-..............-.......................................................................................-........... N ..............._._..._._...............-..-......._._.................:........_._.........-_..-.._........._............_..................:....................--......._..._....................._.._.._............ ........_............................_........ ....._........_.-.._...._...:......................__......._._._....-_...................._.____......_......_...._...._...._._._..........._._.._._................._......__..._..._-. ..........................................................___._...__.._-..-.-....-....__....._......_....._.._.......__....._................................._....................................--......_......... ...............__......._.-------._..."---- ----_.............._............._. __._...._..............._.........._._.__.____......_................._.........................._.._............._....___.... --.- ........................................................................................................................................................................................................................................ ................................................ .......................................................................................................................................................-...............................................................................- ................................................................. ............................................... .............................._..........._... .........._......._._.__............-...............-....._........_......._..__..._....................__.._...____.............._.................................................................. --.....................................................................--...................................... .......................................................................... ........................................................................................................................................................................................................................................ ................................................ .................................................- ............................................................. .................... ..... ................................................*'*"*'**'**............................. ............................................................................................................ ....................................................... ........... ...... ............. ..... ........ ........... ........................... ..................................................................................................................................................................................................................................... ............. ................................ ....... ...... ......................... ... ....................... 8699999-Total Cash Equivalents ANNUAL STATEMENT FOR THE YEAR 2012 OF THE The Bar Plan Mutual Insurance Company SCHEDULE E - PART 3 -SPECIAL DEPOSITS 1 Deposits For the 2 Benefit of All Poll olders All Other S ecial De osits Type of 3 4 5 6 States,Etc. De osR Book/Adjusted Book/Adjusted Pu ose of Deposit Carrying Value Fair Value Ca "n Value Fair Value 1. Alabama.__.....__.____..._..........-.AL .............. ....._.............................._......._....._.................................................. 2. Alaska............................................AK ............................ 4. Arkansas.......................................AR ............................. ............................. California ___..___....__..._._. ...__.....__..-._...._. .._..._........_....._... 6. Colorado........................................CO ............................. ............................. .............. ............................................................................................................ 7. Connecticut.........._...._......_....._...CT ..........._................ .............. ............................................................................................................ ............................. 9. District of Columbia......................DC ............................. 0. orida._.._._..........._ ............. FL .....8.......Per Regulatory Requirement...._._..._.....---._..................... -----.._ 224,833 ...............225.036 11. Georgia....._...................................GA ....ST......Per Regulatory Requirement........_..................._ .. 25.011 ..............-25.011 12. Hawaii_._._.._._.................. ._HI ....._...._. _.__..._........_......._..........................._........................ ..................... ............................. .............................Idaho ..........................ID 4. Illinois......................................_......1L ....._..........._----.... 75. Indiana.............................................IN ...-'---..................... 16. Iowa..............................................._JA Kentucky........................................KY 19. Louisiana - ...._.........--------- ....----- ......._......_..............._..........................._._.._.._.... .............._..........._............ ............................. Maine.......................... ................ME ............. ...----------- .................................................................................... ............................. ............................. Maryland...-...___......__..__....-_...MD Massachusetts 23. Michigan...............................:........MA .....B.......Per Regulatory Requirement.........---................................................. 525.283 ................25,021 ......_MI Minnesota 25. Mississippi....................................MS ............................. '--- ......._... ----------.... Missouri..._.__....__...._....._....._..MO .....B_.....Per Regulatory Requirement............................................2.682.701 ............2.715.500 ............................. . 27. Montana................: ............................ .................. MT ------------- __..........................................._............................_........ ---...... ......._............_....: Nevada..........................................NV .....B.......Per Regulatory Requirement............................................................. 249,829 ...............259,200 30. New Hampshire..._...................._NH New Jersey-''.............._..._........NJ .. ......................914 ...................---....... 2. New Mexico......................_..........NM .....B.......Per Regulatory Requirement-------------------- .... ._...._....------------ -----.._.....124.914 ...._..._.....129.600 33. New York....................................NY _ 34. North Carolina...............................NC ST Regulatory Requirement......................---..................------ ............................. 35. North Dakota.......------_......_-...-_ND 200.003 ..............200.003 ............................. Ohio...............................................OH .....8.......Per Regulatory Requirement............................................................. ---_.................... .310,326 ............................._.311.181 37. Oklahoma__-..._-__-....._-._._OK ...-8-..-.Per Regulatory Requirement..._ .............._...._.._--------- -_.._... 325,147 326,563 Oregon.... .....----............_..._OR .....8.......Per Regulatory Requirement............... . ........................... ............................. ................277,816 .M,035 39. Pennsylvania.............._............_...PA .........--- hole Island ............... RI 41. South Carolina..............................SC ............................. ............................. South Dakota_._..._....._............_BD 43.. ......"....... ............ _...._.................-------......---°--..................:...........................45. Utah Texas................ -_TX ............................. ............................. ............................. 7. Virginia..__..._......_...................._..VA .....8.......Per Regulatory Requirement.-............................. 48. Washington.................................WA _ ............. .250.346 ................250.235 49. West Virginia WV ........._._......---....._.............._.._....._-...._....------ Wyoming in.......................................WI 51. W omin --------------------------_. ..._..---- - Y 9------------_.------_--".WY ---_8----_Per Regulatory Requirement----._........................ ............._.174,141 .179.281 _...... American Samoa..........................AS ............... ' .............. ............................................................................................................ ............................. ............................. Puerto Rico..__................. .PR -- U.S.Virgin Islands...............:..........VI ............................. ............................. .56. Northern Mariana Islands_._...-...MP ------------------- _. -_._.. ............................. ............................. ............................. Canada!.......................................CAN ._........... ................................._ -._................._---...---...................----_..-0 Aggregate Alien and Other OT XXX ........ 59. 0 0 59. Subtotal XXX XXX 2,682,701 2,715,500 2,667,654 2,716,166 DETAILS OF WRITE-INS 5801. 5802. .................................................................................................. ............................................................ 98. Summary of remaining write-ins for "°.."""."'."."""`..-""--.-'-'.°°'°.--°.---. Line 58 from overflow page._..._.__....X)O(..._-------------------------------X)pK, A .....' ._........_0 ................... ... 5899. Totals(lines 5601 thru 5803 plus 0 "`��--'----��.---...0 5898 Line 58 above XXX XXX 0 0 0 0 E27