jackson national ltc rate history 2016€¦ · 02/22/98; 1/1/2000. allied life insurance company....

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California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056) Rate Increase History Company Contact: 1-888-304-9200 or 1-888-503-8109 As of 12/2016 Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 1 of 42 Dave Jones, Insurance Commissioner Row # Policy Form *Policy Type **Policy Category Date Policy Sold Date Policy Acquired Acquired From Company Name Acquired From Company NAIC CA Policy Other State Policy Increase Requested Increase Approved Date Increase Requested Date Increase Approved Date Increase Issued Company Explanation 1 A-5000 I A 10/20/98 1/1/2000 Allied Life Insurance Company 60178 WY 30.00% 30.00% 10/16/2008 10/30/2008 11/6/2008 Experience termination rates 2 A-5000 I A 07/01/96 1/1/2000 Allied Life Insurance Company 60178 ID 30.00% 30.00% 10/28/2008 11/7/2008 11/14/2008 for in force policies and policies 3 A-5000 I A 10/17/96 1/1/2000 Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008 in claim status were substantially 4 A-5000 I A 02/21/97 1/1/2000 Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008 lower than expected, resulting 5 A-5000 I A 11/22/96 1/1/2000 Allied Life Insurance Company 60178 WI 30.00% 10.00% 10/17/2008 12/4/2008 12/11/2008 in expected loss ratios which 6 A-5000 I A 09/13/96 1/1/2000 Allied Life Insurance Company 60178 TX 30.00% 13.00% 10/20/2008 12/10/2008 12/17/2008 would not have been sustainable 7 A-5000 I A 06/20/96 1/1/2000 Allied Life Insurance Company 60178 ND 30.00% 20.00% 10/30/2008 12/11/2008 12/18/2008 if not for a rate increase. 8 A-5000 I A 05/28/97 1/1/2000 Allied Life Insurance Company 60178 IN 30.00% 30.00% 11/20/2008 12/12/2008 12/19/2008 9 A-5000 I A 11/27/96 1/1/2000 Allied Life Insurance Company 60178 MI 30.00% 30.00% 11/17/2008 12/12/2008 12/19/2008 10 A-5000 I A 04/28/97 1/1/2000 Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008 11 A-5000 I A 07/08/96 1/1/2000 Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008 12 A-5000 I A 05/22/96 1/1/2000 Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009 13 A-5000 I A 07/18/97 1/1/2000 Allied Life Insurance Company 60178 PA 30.00% 30.00% 11/17/2008 12/30/2008 1/6/2009 14 A-5000 I A 07/28/97 1/1/2000 Allied Life Insurance Company 60178 KY 30.00% 30.00% 11/12/2008 1/9/2009 1/16/2009 15 A-5000 I A 09/01/97 1/1/2000 Allied Life Insurance Company 60178 NC 30.00% 30.00% 12/9/2008 1/9/2009 1/16/2009

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Page 1: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 1 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1 A-5000 I A 10/20/98 1/1/2000

Allied Life Insurance Company 60178 WY 30.00% 30.00% 10/16/2008 10/30/2008 11/6/2008 Experience termination rates

2 A-5000 I A 07/01/96 1/1/2000

Allied Life Insurance Company 60178 ID 30.00% 30.00% 10/28/2008 11/7/2008 11/14/2008 for in force policies and policies

3 A-5000 I A 10/17/96 1/1/2000

Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008 in claim status were substantially

4 A-5000 I A 02/21/97 1/1/2000

Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008 lower than expected, resulting

5 A-5000 I A 11/22/96 1/1/2000

Allied Life Insurance Company 60178 WI 30.00% 10.00% 10/17/2008 12/4/2008 12/11/2008 in expected loss ratios which

6 A-5000 I A 09/13/96 1/1/2000

Allied Life Insurance Company 60178 TX 30.00% 13.00% 10/20/2008 12/10/2008 12/17/2008 would not have been sustainable

7 A-5000 I A 06/20/96 1/1/2000

Allied Life Insurance Company 60178 ND 30.00% 20.00% 10/30/2008 12/11/2008 12/18/2008 if not for a rate increase.

8 A-5000 I A 05/28/97 1/1/2000

Allied Life Insurance Company 60178 IN 30.00% 30.00% 11/20/2008 12/12/2008 12/19/2008

9 A-5000 I A 11/27/96 1/1/2000

Allied Life Insurance Company 60178 MI 30.00% 30.00% 11/17/2008 12/12/2008 12/19/2008

10 A-5000 I A 04/28/97 1/1/2000

Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008

11 A-5000 I A 07/08/96 1/1/2000

Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008

12 A-5000 I A 05/22/96 1/1/2000

Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009

13 A-5000 I A 07/18/97 1/1/2000

Allied Life Insurance Company 60178 PA 30.00% 30.00% 11/17/2008 12/30/2008 1/6/2009

14 A-5000 I A 07/28/97 1/1/2000

Allied Life Insurance Company 60178 KY 30.00% 30.00% 11/12/2008 1/9/2009 1/16/2009

15 A-5000 I A 09/01/97 1/1/2000

Allied Life Insurance Company 60178 NC 30.00% 30.00% 12/9/2008 1/9/2009 1/16/2009

Page 2: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 2 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

16 A-5000 I A 04/12/96 1/1/2000

Allied Life Insurance Company 60178 IA 30.00% 20.00% 11/21/2008 2/4/2009 2/11/2009

17 A-5000 I A 04/15/96 1/1/2000

Allied Life Insurance Company 60178 KS 30.00% 20.00% 11/7/2008 2/9/2009 2/16/2009

18 A-5000 I A 07/01/96 1/1/2000

Allied Life Insurance Company 60178 CO 30.00% 30.00% 11/4/2008 2/13/2009 2/20/2009

19 A-5000 I A 04/20/96 1/1/2000

Allied Life Insurance Company 60178 NE 30.00% 30.00% 10/31/2008 2/17/2009 2/24/2009

20 A-5000 I A 08/22/97 1/1/2000

Allied Life Insurance Company 60178 GA 30.00% 10.00% 11/11/2008 2/19/2009 2/26/2009

21 A-5000 I A 03/03/98 1/1/2000

Allied Life Insurance Company 60178 SC 30.00% 20.00% 11/17/2008 1/9/2009 1/16/2009

22 A-5000 I A 06/08/98 1/1/2000

Allied Life Insurance Company 60178 MT 30.00% 15.00% 11/20/2008 3/3/2009 3/10/2009

23 A-5000 I A 09/08/98 1/1/2000

Allied Life Insurance Company 60178 OR 30.00% 15.00% 1/12/2009 3/30/2009 4/6/2009

24 A-5000 I A 08/07/96 1/1/2000

Allied Life Insurance Company 60178 OK 30.00% 15.00% 4/3/2009 4/20/2009 4/27/2009

25 A-5000 I A 12/02/97 1/1/2000

Allied Life Insurance Company 60178 NV 30.00% 25.00% 11/26/2008 4/24/2009 5/1/2009

26 A-5000 I A 03/13/97 1/1/2000

Allied Life Insurance Company 60178 VA 30.00% 30.00% 10/30/2008 5/31/2009 6/7/2009

27 A-5000 I A 02/22/98 1/1/2000

Allied Life Insurance Company 60178 UT 30.00% 30.00% 2/5/2009 7/17/2009 7/24/2009

28 A-5000 I A 08/23/97 1/1/2000

Allied Life Insurance Company 60178 CA 30.00% 20.00% 10/16/2008 11/12/2009 11/19/2009

29 A-5000 I A 03/11/97 1/1/2000

Allied Life Insurance Company 60178 AZ 30.00% 0.00% 11/3/2008 Not approved

30 A-5000 I A 07/08/99 1/1/2000

Allied Life Insurance Company 60178 NM 30.00% 0.00% 12/5/2008 Not approved

Page 3: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 3 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

31 A-5001 I C 10/20/98 1/1/2000

Allied Life Insurance Company 60178 WY 30.00% 30.00% 10/16/2008 10/30/2008 11/6/2008

32 A-5001 I C 07/01/96 1/1/2000

Allied Life Insurance Company 60178 ID 30.00% 30.00% 10/28/2008 11/7/2008 11/14/2008

33 A-5001 I C 10/17/96 1/1/2000

Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008

34 A-5001 I C 02/21/97 1/1/2000

Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008

35 A-5001 I C 11/22/96 1/1/2000

Allied Life Insurance Company 60178 WI 30.00% 10.00% 10/17/2008 12/4/2008 12/11/2008

36 A-5001 I C 09/13/96 1/1/2000

Allied Life Insurance Company 60178 TX 30.00% 13.00% 10/20/2008 12/10/2008 12/17/2008

37 A-5001 I C 06/20/96 1/1/2000

Allied Life Insurance Company 60178 ND 30.00% 20.00% 10/30/2008 12/11/2008 12/18/2008

38 A-5001 I C 05/28/97 1/1/2000

Allied Life Insurance Company 60178 IN 30.00% 30.00% 11/20/2008 12/12/2008 12/19/2008

39 A-5001 I C 11/27/96 1/1/2000

Allied Life Insurance Company 60178 MI 30.00% 30.00% 11/17/2008 12/12/2008 12/19/2008

40 A-5001 I C 04/28/97 1/1/2000

Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008

41 A-5001 I C 07/08/96 1/1/2000

Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008

42 A-5001 I C 05/22/96 1/1/2000

Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009

43 A-5001 I C 07/18/97 1/1/2000

Allied Life Insurance Company 60178 PA 30.00% 30.00% 11/17/2008 12/30/2008 1/6/2009

44 A-5001 I C 07/28/97 1/1/2000

Allied Life Insurance Company 60178 KY 30.00% 30.00% 11/12/2008 1/9/2009 1/16/2009

45 A-5001 I C 09/01/97 1/1/2000

Allied Life Insurance Company 60178 NC 30.00% 30.00% 12/9/2008 1/9/2009 1/16/2009

Page 4: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 4 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

46 A-5001 I C 04/12/96 1/1/2000

Allied Life Insurance Company 60178 IA 30.00% 20.00% 11/21/2008 2/4/2009 2/11/2009

47 A-5001 I C 04/15/96 1/1/2000

Allied Life Insurance Company 60178 KS 30.00% 20.00% 11/7/2008 2/9/2009 2/16/2009

48 A-5001 I C 07/01/96 1/1/2000

Allied Life Insurance Company 60178 CO 30.00% 30.00% 11/4/2008 2/13/2009 2/20/2009

49 A-5001 I C 04/20/96 1/1/2000

Allied Life Insurance Company 60178 NE 30.00% 30.00% 10/31/2008 2/17/2009 2/24/2009

50 A-5001 I C 08/22/97 1/1/2000

Allied Life Insurance Company 60178 GA 30.00% 10.00% 11/11/2008 2/19/2009 2/26/2009

51 A-5001 I C 03/03/98 1/1/2000

Allied Life Insurance Company 60178 SC 30.00% 20.00% 11/17/2008 1/9/2009 1/16/2009

52 A-5001 I C 06/08/98 1/1/2000

Allied Life Insurance Company 60178 MT 30.00% 15.00% 11/20/2008 3/3/2009 3/10/2009

53 A-5001 I C 09/08/98 1/1/2000

Allied Life Insurance Company 60178 OR 30.00% 15.00% 1/12/2009 3/30/2009 4/6/2009

54 A-5001 I C 08/07/96 1/1/2000

Allied Life Insurance Company 60178 OK 30.00% 15.00% 4/3/2009 4/20/2009 4/27/2009

55 A-5001 I C 12/02/97 1/1/2000

Allied Life Insurance Company 60178 NV 30.00% 25.00% 11/26/2008 4/24/2009 5/1/2009

56 A-5001 I C 03/13/97 1/1/2000

Allied Life Insurance Company 60178 VA 30.00% 30.00% 10/30/2008 5/31/2009 6/7/2009

57 A-5001 I C 02/22/98 1/1/2000

Allied Life Insurance Company 60178 UT 30.00% 30.00% 2/5/2009 7/17/2009 7/24/2009

58 A-5001 I C 08/23/97 1/1/2000

Allied Life Insurance Company 60178 CA 30.00% 20.00% 10/16/2008 11/12/2009 11/19/2009

59 A-5001 I C 03/11/97 1/1/2000

Allied Life Insurance Company 60178 AZ 30.00% 0.00% 11/3/2008 Not approved

60 A-5001 I C 07/08/99 1/1/2000

Allied Life Insurance Company 60178 NM 30.00% 0.00% 12/5/2008 Not approved

Page 5: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 5 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

61 A-5000 I D 12/02/97 1/1/2000

Allied Life Insurance Company 60178 WY 30.00% 30.00% 10/16/2008 10/30/2008 11/6/2008

62 A-5000 I D 04/08/97 1/1/2000

Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008

63 A-5000 I D 06/18/97 1/1/2000

Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008

64 A-5000 I D 05/01/97 1/1/2000

Allied Life Insurance Company 60178 WI 30.00% 10.00% 10/17/2008 12/4/2008 12/11/2008

65 A-5000 I D 06/07/97 1/1/2000

Allied Life Insurance Company 60178 TX 30.00% 13.00% 10/20/2008 12/10/2008 12/17/2008

66 A-5000 I D 01/10/97 1/1/2000

Allied Life Insurance Company 60178 ND 30.00% 20.00% 10/30/2008 12/11/2008 12/18/2008

67 A-5000 I D 03/11/97 1/1/2000

Allied Life Insurance Company 60178 MI 30.00% 30.00% 11/17/2008 12/12/2008 12/19/2008

68 A-5000 I D 02/01/98 1/1/2000

Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008

69 A-5000 I D 08/07/97 1/1/2000

Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008

70 A-5000 I D 11/18/96 1/1/2000

Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009

71 A-5000 I D 07/11/97 1/1/2000

Allied Life Insurance Company 60178 PA 30.00% 30.00% 11/17/2008 12/30/2008 1/6/2009

72 A-5000 I D 07/25/97 1/1/2000

Allied Life Insurance Company 60178 KY 30.00% 30.00% 11/12/2008 1/9/2009 1/16/2009

73 A-5000 I D 09/16/97 1/1/2000

Allied Life Insurance Company 60178 NC 30.00% 30.00% 12/9/2008 1/9/2009 1/16/2009

74 A-5000 I D 02/20/97 1/1/2000

Allied Life Insurance Company 60178 IA 30.00% 20.00% 11/21/2008 2/4/2009 2/11/2009

75 A-5000 I D 01/01/97 1/1/2000

Allied Life Insurance Company 60178 KS 30.00% 20.00% 11/7/2008 2/9/2009 2/16/2009

Page 6: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 6 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

76 A-5000 I D 02/21/97 1/1/2000

Allied Life Insurance Company 60178 CO 30.00% 30.00% 11/4/2008 2/13/2009 2/20/2009

77 A-5000 I D 02/27/97 1/1/2000

Allied Life Insurance Company 60178 NE 30.00% 30.00% 10/31/2008 2/17/2009 2/24/2009

78 A-5000 I D 04/15/97 1/1/2000

Allied Life Insurance Company 60178 GA 30.00% 10.00% 11/11/2008 2/19/2009 2/26/2009

79 A-5000 I D 04/01/99 1/1/2000

Allied Life Insurance Company 60178 SC 30.00% 20.00% 11/17/2008 1/9/2009 1/16/2009

80 A-5000 I D 09/01/99 1/1/2000

Allied Life Insurance Company 60178 MT 30.00% 15.00% 11/20/2008 3/3/2009 3/10/2009

81 A-5000 I D 01/01/99 1/1/2000

Allied Life Insurance Company 60178 OR 30.00% 15.00% 1/12/2009 3/30/2009 4/6/2009

82 A-5000 I D 05/06/99 1/1/2000

Allied Life Insurance Company 60178 OK 30.00% 15.00% 4/3/2009 4/20/2009 4/27/2009

83 A-5000 I D 07/03/97 1/1/2000

Allied Life Insurance Company 60178 NV 30.00% 25.00% 11/26/2008 4/24/2009 5/1/2009

84 A-5000 I D 04/21/97 1/1/2000

Allied Life Insurance Company 60178 VA 30.00% 30.00% 10/30/2008 5/31/2009 6/7/2009

85 A-5000 I D 09/14/97 1/1/2000

Allied Life Insurance Company 60178 CA 30.00% 20.00% 10/16/2008 11/12/2009 11/19/2009

86 A-5000 I D 08/04/97 1/1/2000

Allied Life Insurance Company 60178 AZ 30.00% 0.00% 11/3/2008 Not approved

87 A-5000 I D 09/10/98 1/1/2000

Allied Life Insurance Company 60178 NM 30.00% 0.00% 12/5/2008 Not approved

88 A-5001 I F 12/02/97 1/1/2000

Allied Life Insurance Company 60178 WY 30.00% 30.00% 10/16/2008 10/30/2008 11/6/2008

89 A-5001 I F 04/08/97 1/1/2000

Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008

90 A-5001 I F 06/18/97 1/1/2000

Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008

Page 7: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 7 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

91 A-5001 I F 05/01/97 1/1/2000

Allied Life Insurance Company 60178 WI 30.00% 10.00% 10/17/2008 12/4/2008 12/11/2008

92 A-5001 I F 06/07/97 1/1/2000

Allied Life Insurance Company 60178 TX 30.00% 13.00% 10/20/2008 12/10/2008 12/17/2008

93 A-5001 I F 01/10/97 1/1/2000

Allied Life Insurance Company 60178 ND 30.00% 20.00% 10/30/2008 12/11/2008 12/18/2008

94 A-5001 I F 03/11/97 1/1/2000

Allied Life Insurance Company 60178 MI 30.00% 30.00% 11/17/2008 12/12/2008 12/19/2008

95 A-5001 I F 02/01/98 1/1/2000

Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008

96 A-5001 I F 08/07/97 1/1/2000

Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008

97 A-5001 I F 11/18/96 1/1/2000

Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009

98 A-5001 I F 07/11/97 1/1/2000

Allied Life Insurance Company 60178 PA 30.00% 30.00% 11/17/2008 12/30/2008 1/6/2009

99 A-5001 I F 07/25/97 1/1/2000

Allied Life Insurance Company 60178 KY 30.00% 30.00% 11/12/2008 1/9/2009 1/16/2009

100 A-5001 I F 09/16/97 1/1/2000

Allied Life Insurance Company 60178 NC 30.00% 30.00% 12/9/2008 1/9/2009 1/16/2009

101 A-5001 I F 02/20/97 1/1/2000

Allied Life Insurance Company 60178 IA 30.00% 20.00% 11/21/2008 2/4/2009 2/11/2009

102 A-5001 I F 01/01/97 1/1/2000

Allied Life Insurance Company 60178 KS 30.00% 20.00% 11/7/2008 2/9/2009 2/16/2009

103 A-5001 I F 02/21/97 1/1/2000

Allied Life Insurance Company 60178 CO 30.00% 30.00% 11/4/2008 2/13/2009 2/20/2009

104 A-5001 I F 02/27/97 1/1/2000

Allied Life Insurance Company 60178 NE 30.00% 30.00% 10/31/2008 2/17/2009 2/24/2009

105 A-5001 I F 04/15/97 1/1/2000

Allied Life Insurance Company 60178 GA 30.00% 10.00% 11/11/2008 2/19/2009 2/26/2009

Page 8: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 8 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

106 A-5001 I F 04/01/99 1/1/2000

Allied Life Insurance Company 60178 SC 30.00% 20.00% 11/17/2008 1/9/2009 1/16/2009

107 A-5001 I F 09/01/99 1/1/2000

Allied Life Insurance Company 60178 MT 30.00% 15.00% 11/20/2008 3/3/2009 3/10/2009

108 A-5001 I F 01/01/99 1/1/2000

Allied Life Insurance Company 60178 OR 30.00% 15.00% 1/12/2009 3/30/2009 4/6/2009

109 A-5001 I F 05/06/99 1/1/2000

Allied Life Insurance Company 60178 OK 30.00% 15.00% 4/3/2009 4/20/2009 4/27/2009

110 A-5001 I F 07/03/97 1/1/2000

Allied Life Insurance Company 60178 NV 30.00% 25.00% 11/26/2008 4/24/2009 5/1/2009

111 A-5001 I F 04/21/97 1/1/2000

Allied Life Insurance Company 60178 VA 30.00% 30.00% 10/30/2008 5/31/2009 6/7/2009

112 A-5001 I F 09/14/97 1/1/2000

Allied Life Insurance Company 60178 CA 30.00% 20.00% 10/16/2008 11/12/2009 11/19/2009

113 A-5001 I F 08/04/97 1/1/2000

Allied Life Insurance Company 60178 AZ 30.00% 0.00% 11/3/2008 Not approved

114 A-5001 I F 09/10/98 1/1/2000

Allied Life Insurance Company 60178 NM 30.00% 0.00% 12/5/2008 Not approved

115 A-4901 I A 02/18/94 1/1/2000

Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008

116 A-4901 I A 06/12/96 1/1/2000

Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008

117 A-4901 I A 11/11/93 1/1/2000

Allied Life Insurance Company 60178 ND 30.00% 20.00% 10/30/2008 12/11/2008 12/18/2008

118 A-4901 I A 10/05/94 1/1/2000

Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008

119 A-4901 I A 01/09/95 1/1/2000

Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008

120 A-4901 I A 08/27/93 1/1/2000

Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009

Page 9: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 9 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

121 A-4901 I A 09/15/94 1/1/2000

Allied Life Insurance Company 60178 KY 30.00% 30.00% 11/12/2008 1/9/2009 1/16/2009

122 A-4901 I A 01/05/94 1/1/2000

Allied Life Insurance Company 60178 KS 30.00% 20.00% 11/7/2008 2/9/2009 2/16/2009

123 A-4901 I A 11/01/93 1/1/2000

Allied Life Insurance Company 60178 NE 30.00% 30.00% 10/31/2008 2/17/2009 2/24/2009

124 A-4901 I A 06/22/94 1/1/2000

Allied Life Insurance Company 60178 MT 30.00% 15.00% 11/20/2008 3/3/2009 3/10/2009

125 A-4901 I A 02/15/96 1/1/2000

Allied Life Insurance Company 60178 OK 30.00% 15.00% 4/3/2009 4/20/2009 4/27/2009

126 A-4901 I A 07/10/95 1/1/2000

Allied Life Insurance Company 60178 VA 30.00% 30.00% 10/30/2008 5/31/2009 6/7/2009

127 A-4901 I A 11/08/95 1/1/2000

Allied Life Insurance Company 60178 UT 30.00% 30.00% 2/5/2009 7/17/2009 7/24/2009

128 A-4901 I A 08/04/95 1/1/2000

Allied Life Insurance Company 60178 CA 30.00% 20.00% 10/16/2008 11/12/2009 11/19/2009

129 A-4901 I A 08/03/95 1/1/2000

Allied Life Insurance Company 60178 NM 30.00% 0.00% 12/5/2008 Not approved

130 A-4901 I C 04/05/95 1/1/2000

Allied Life Insurance Company 60178 ID 30.00% 30.00% 10/28/2008 11/7/2008 11/14/2008

131 A-4901 I C 12/21/93 1/1/2000

Allied Life Insurance Company 60178 SD 30.00% 30.00% 11/17/2008 11/18/2008 11/25/2008

132 A-4901 I C 12/28/95 1/1/2000

Allied Life Insurance Company 60178 WA 30.00% 30.00% 11/17/2008 12/3/2008 12/10/2008

133 A-4901 I C 11/01/95 1/1/2000

Allied Life Insurance Company 60178 WI 30.00% 10.00% 10/17/2008 12/4/2008 12/11/2008

134 A-4901 I C 11/17/94 1/1/2000

Allied Life Insurance Company 60178 TN 30.00% 30.00% 11/20/2008 12/22/2008 12/29/2008

135 A-4901 I C 01/05/96 1/1/2000

Allied Life Insurance Company 60178 OH 30.00% 30.00% 11/25/2008 12/24/2008 12/31/2008

Page 10: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 10 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

136 A-4901 I C 03/06/95 1/1/2000

Allied Life Insurance Company 60178 IL 30.00% 30.00% 11/11/2008 12/30/2008 1/6/2009

137 A-4901 I C 08/03/93 1/1/2000

Allied Life Insurance Company 60178 IA 30.00% 20.00% 11/21/2008 2/4/2009 2/11/2009

138 A-4901 I C 05/01/94 1/1/2000

Allied Life Insurance Company 60178 KS 30.00% 20.00% 11/7/2008 2/9/2009 2/16/2009

139 A-4901 I C 02/27/94 1/1/2000

Allied Life Insurance Company 60178 NE 30.00% 30.00% 10/31/2008 2/17/2009 2/24/2009

140 A-4901 I C 01/09/96 1/1/2000

Allied Life Insurance Company 60178 UT 30.00% 30.00% 2/5/2009 7/17/2009 7/24/2009

141 A-4901 I C 02/01/96 1/1/2000

Allied Life Insurance Company 60178 CA 30.00% 20.00% 10/16/2008 11/12/2009 11/19/2009

142 A-4901 I C 08/03/95 1/1/2000

Allied Life Insurance Company 60178 NM 30.00% 0.00% 12/5/2008 Not approved

143 A-5000 I A 10/20/98 1/1/2000

Allied Life Insurance Company 60178 WY 20.00% 20.00% 5/18/2012 7/2/2012 10/20/2012 Experience termination rates

144 A-5000 I A 07/01/96 1/1/2000

Allied Life Insurance Company 60178 ID 20.00% 20.00% 5/3/2012 6/20/2012 10/9/2012 for in force policies and policies

145 A-5000 I A 10/17/96 1/1/2000

Allied Life Insurance Company 60178 SD 20.00% 20.00% 3/13/2012 3/29/2012 7/3/2012 in claim status were substantially

146 A-5000 I A 02/21/97 1/1/2000

Allied Life Insurance Company 60178 WA 20.00% 20.00% 4/5/2012 7/6/2012 10/28/2012 lower than expected, resulting

147 A-5000 I A 11/22/96 1/1/2000

Allied Life Insurance Company 60178 WI 10.00% 10.00% 3/9/2012 3/14/2012 6/25/2012 in expected loss ratios which

148 A-5000 I A 09/13/96 1/1/2000

Allied Life Insurance Company 60178 TX 20.00% 15.00% 5/17/2012 6/27/2012 10/9/2012 would not have been sustainable

149 A-5000 I A 06/20/96 1/1/2000

Allied Life Insurance Company 60178 ND 20.00% 20.00% 2/27/2012 4/19/2012 8/5/2012 if not for a rate increase.

150 A-5000 I A 05/28/97 1/1/2000

Allied Life Insurance Company 60178 IN 20.00% 12.00% 5/22/2012 10/12/2012 1/21/2013

Page 11: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 11 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

151 A-5000 I A 11/27/96 1/1/2000

Allied Life Insurance Company 60178 MI 20.00% 20.00% 2/28/2012 2/29/2012 6/25/2012

152 A-5000 I A 04/28/97 1/1/2000

Allied Life Insurance Company 60178 TN 20.00% 20.00% 4/10/2012 4/19/2012 8/5/2012

153 A-5000 I A 07/08/96 1/1/2000

Allied Life Insurance Company 60178 OH 20.00% 20.00% 3/12/2012 7/30/2012 12/1/2012

154 A-5000 I A 05/22/96 1/1/2000

Allied Life Insurance Company 60178 IL 20.00% 20.00% 3/2/2012 4/10/2012 7/12/2012

155 A-5000 I A 07/18/97 1/1/2000

Allied Life Insurance Company 60178 PA 20.00% 10.00% 4/10/2012 5/24/2012 10/24/2012

156 A-5000 I A 07/28/97 1/1/2000

Allied Life Insurance Company 60178 KY 20.00% 8.00% 4/6/2012 6/27/2012 11/8/2012

157 A-5000 I A 09/01/97 1/1/2000

Allied Life Insurance Company 60178 NC 20.00% 20.00% 6/1/2012 11/20/2012 4/15/2013

158 A-5000 I A 04/12/96 1/1/2000

Allied Life Insurance Company 60178 IA 20.00% 20.00% 2/21/2012 4/19/2012 7/21/2012

159 A-5000 I A 04/15/96 1/1/2000

Allied Life Insurance Company 60178 KS 20.00% 10.00% 2/27/2012 10/4/2012 1/5/2013

160 A-5000 I A 07/01/96 1/1/2000

Allied Life Insurance Company 60178 CO 20.00% 0.00% 5/17/2012 Not approved

161 A-5000 I A 04/20/96 1/1/2000

Allied Life Insurance Company 60178 NE 20.00% 20.00% 2/24/2012 3/26/2012 7/1/2012

162 A-5000 I A 03/03/98 1/1/2000

Allied Life Insurance Company 60178 SC 20.00% 20.00% 5/30/2012 11/7/2012 3/3/2013

163 A-5000 I A 06/08/98 1/1/2000

Allied Life Insurance Company 60178 MT 20.00% 10.00% 5/11/2012 5/29/2012 2/10/2013

164 A-5000 I A 09/08/98 1/1/2000

Allied Life Insurance Company 60178 OR 20.00% 15.00% 7/19/2012 2/19/2014 5/16/2014

165 A-5000 I A 08/07/96 1/1/2000

Allied Life Insurance Company 60178 OK 20.00% 20.00% 7/24/2012 9/6/2012 1/1/2013

Page 12: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 12 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

166 A-5000 I A 12/02/97 1/1/2000

Allied Life Insurance Company 60178 NV 20.00% 20.00% 7/24/2012 11/7/2012 3/9/2013

167 A-5000 I A 08/23/97 1/1/2000

Allied Life Insurance Company 60178 CA 20.00% 20.00% 5/16/2012 4/16/2014 9/26/2014

168 A-5000 I A 03/11/97 1/1/2000

Allied Life Insurance Company 60178 AZ 20.00% 0.00% 8/31/2012 Not approved

169 A-5000 I A 12/28/96 1/1/2000

Allied Life Insurance Company 60178 MN 20.00% 20.00% 8/15/2012 11/7/2012 3/1/2013

170 A-5000 I A 4/20/96 1/1/2000

Allied Life Insurance Company 60178 MO 20.00% 20.00% 2/27/2012 1/10/2013 5/24/2013

171 A-5001 I C 10/20/98 1/1/2000

Allied Life Insurance Company 60178 WY 20.00% 20.00% 5/18/2012 7/2/2012 10/20/2012

172 A-5001 I C 07/01/96 1/1/2000

Allied Life Insurance Company 60178 ID 20.00% 20.00% 5/3/2012 6/20/2012 10/9/2012

173 A-5001 I C 10/17/96 1/1/2000

Allied Life Insurance Company 60178 SD 20.00% 20.00% 3/13/2012 3/29/2012 7/3/2012

174 A-5001 I C 02/21/97 1/1/2000

Allied Life Insurance Company 60178 WA 20.00% 20.00% 4/5/2012 7/6/2012 10/28/2012

175 A-5001 I C 11/22/96 1/1/2000

Allied Life Insurance Company 60178 WI 10.00% 10.00% 3/9/2012 3/14/2012 6/25/2012

176 A-5001 I C 09/13/96 1/1/2000

Allied Life Insurance Company 60178 TX 20.00% 15.00% 5/17/2012 6/27/2012 10/9/2012

177 A-5001 I C 06/20/96 1/1/2000

Allied Life Insurance Company 60178 ND 20.00% 20.00% 2/27/2012 4/19/2012 8/5/2012

178 A-5001 I C 05/28/97 1/1/2000

Allied Life Insurance Company 60178 IN 20.00% 12.00% 5/22/2012 10/12/2012 1/21/2013

179 A-5001 I C 11/27/96 1/1/2000

Allied Life Insurance Company 60178 MI 20.00% 20.00% 2/28/2012 2/29/2012 6/25/2012

180 A-5001 I C 04/28/97 1/1/2000

Allied Life Insurance Company 60178 TN 20.00% 20.00% 4/10/2012 4/19/2012 8/5/2012

Page 13: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 13 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

181 A-5001 I C 07/08/96 1/1/2000

Allied Life Insurance Company 60178 OH 20.00% 20.00% 3/12/2012 7/30/2012 12/1/2012

182 A-5001 I C 05/22/96 1/1/2000

Allied Life Insurance Company 60178 IL 20.00% 20.00% 3/2/2012 4/10/2012 7/12/2012

183 A-5001 I C 07/18/97 1/1/2000

Allied Life Insurance Company 60178 PA 20.00% 10.00% 4/10/2012 5/24/2012 10/24/2012

184 A-5001 I C 07/28/97 1/1/2000

Allied Life Insurance Company 60178 KY 20.00% 8.00% 4/6/2012 6/27/2012 11/8/2012

185 A-5001 I C 09/01/97 1/1/2000

Allied Life Insurance Company 60178 NC 20.00% 20.00% 6/1/2012 11/20/2012 4/15/2013

186 A-5001 I C 04/12/96 1/1/2000

Allied Life Insurance Company 60178 IA 20.00% 20.00% 2/21/2012 4/19/2012 7/21/2012

187 A-5001 I C 04/15/96 1/1/2000

Allied Life Insurance Company 60178 KS 20.00% 10.00% 2/27/2012 10/4/2012 1/5/2013

188 A-5001 I C 07/01/96 1/1/2000

Allied Life Insurance Company 60178 CO 20.00% 0.00% 5/17/2012 Not approved

189 A-5001 I C 04/20/96 1/1/2000

Allied Life Insurance Company 60178 NE 20.00% 20.00% 2/24/2012 3/26/2012 7/1/2012

190 A-5001 I C 03/03/98 1/1/2000

Allied Life Insurance Company 60178 SC 20.00% 20.00% 5/30/2012 11/7/2012 3/3/2013

191 A-5001 I C 06/08/98 1/1/2000

Allied Life Insurance Company 60178 MT 20.00% 10.00% 5/11/2012 5/29/2012 2/10/2013

192 A-5001 I C 09/08/98 1/1/2000

Allied Life Insurance Company 60178 OR 20.00% 15.00% 7/19/2012 2/19/2014 5/16/2014

193 A-5001 I C 08/07/96 1/1/2000

Allied Life Insurance Company 60178 OK 20.00% 20.00% 7/24/2012 9/6/2012 1/1/2013

194 A-5001 I C 12/02/97 1/1/2000

Allied Life Insurance Company 60178 NV 20.00% 20.00% 7/24/2012 11/7/2012 3/9/2013

195 A-5001 I C 08/23/97 1/1/2000

Allied Life Insurance Company 60178 CA 20.00% 20.00% 5/16/2012 4/16/2014 9/26/2014

Page 14: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 14 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

196 A-5001 I C 03/11/97 1/1/2000

Allied Life Insurance Company 60178 AZ 20.00% 0.00% 8/31/2012 Not approved

197 A-5001 I C 12/28/96 1/1/2000

Allied Life Insurance Company 60178 MN 20.00% 20.00% 8/15/2012 11/7/2012 3/1/2013

198 A-5001 I C 4/20/96 1/1/2000

Allied Life Insurance Company 60178 MO 20.00% 20.00% 2/27/2012 1/10/2013 5/24/2013

199 A-5000 I D 12/02/97 1/1/2000

Allied Life Insurance Company 60178 WY 20.00% 20.00% 5/18/2012 7/2/2012 10/20/2012

200 A-5000 I D 04/08/97 1/1/2000

Allied Life Insurance Company 60178 SD 20.00% 20.00% 3/13/2012 3/29/2012 7/3/2012

201 A-5000 I D 06/18/97 1/1/2000

Allied Life Insurance Company 60178 WA 20.00% 20.00% 4/5/2012 7/6/2012 10/28/2012

202 A-5000 I D 05/01/97 1/1/2000

Allied Life Insurance Company 60178 WI 10.00% 10.00% 3/9/2012 3/14/2012 6/25/2012

203 A-5000 I D 06/07/97 1/1/2000

Allied Life Insurance Company 60178 TX 20.00% 15.00% 5/17/2012 6/27/2012 10/9/2012

204 A-5000 I D 01/10/97 1/1/2000

Allied Life Insurance Company 60178 ND 20.00% 20.00% 2/27/2012 4/19/2012 8/5/2012

205 A-5000 I D 03/11/97 1/1/2000

Allied Life Insurance Company 60178 MI 20.00% 20.00% 2/28/2012 2/29/2012 6/25/2012

206 A-5000 I D 02/01/98 1/1/2000

Allied Life Insurance Company 60178 TN 20.00% 20.00% 4/10/2012 4/19/2012 8/5/2012

207 A-5000 I D 08/07/97 1/1/2000

Allied Life Insurance Company 60178 OH 20.00% 20.00% 3/12/2012 7/30/2012 12/1/2012

208 A-5000 I D 11/18/96 1/1/2000

Allied Life Insurance Company 60178 IL 20.00% 20.00% 3/2/2012 4/10/2012 7/12/2012

209 A-5000 I D 07/11/97 1/1/2000

Allied Life Insurance Company 60178 PA 20.00% 10.00% 4/10/2012 5/24/2012 10/24/2012

210 A-5000 I D 07/25/97 1/1/2000

Allied Life Insurance Company 60178 KY 20.00% 8.00% 4/6/2012 6/27/2012 11/8/2012

Page 15: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 15 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

211 A-5000 I D 09/16/97 1/1/2000

Allied Life Insurance Company 60178 NC 20.00% 20.00% 6/1/2012 11/20/2012 4/15/2013

212 A-5000 I D 02/20/97 1/1/2000

Allied Life Insurance Company 60178 IA 20.00% 20.00% 2/21/2012 4/19/2012 7/21/2012

213 A-5000 I D 01/01/97 1/1/2000

Allied Life Insurance Company 60178 KS 20.00% 10.00% 2/27/2012 10/4/2012 1/5/2013

214 A-5000 I D 02/21/97 1/1/2000

Allied Life Insurance Company 60178 CO 20.00% 0.00% 5/17/2012 Not approved

215 A-5000 I D 02/27/97 1/1/2000

Allied Life Insurance Company 60178 NE 20.00% 20.00% 2/24/2012 3/26/2012 7/1/2012

216 A-5000 I D 04/01/99 1/1/2000

Allied Life Insurance Company 60178 SC 20.00% 20.00% 5/30/2012 11/7/2012 3/3/2013

217 A-5000 I D 09/01/99 1/1/2000

Allied Life Insurance Company 60178 MT 20.00% 10.00% 5/11/2012 5/29/2012 2/10/2013

218 A-5000 I D 01/01/99 1/1/2000

Allied Life Insurance Company 60178 OR 20.00% 15.00% 7/19/2012 2/19/2014 5/16/2014

219 A-5000 I D 05/06/99 1/1/2000

Allied Life Insurance Company 60178 OK 20.00% 20.00% 7/24/2012 9/6/2012 1/1/2013

220 A-5000 I D 07/03/97 1/1/2000

Allied Life Insurance Company 60178 NV 20.00% 20.00% 7/24/2012 11/7/2012 3/9/2013

221 A-5000 I D 09/14/97 1/1/2000

Allied Life Insurance Company 60178 CA 20.00% 20.00% 5/16/2012 4/16/2014 9/26/2014

222 A-5000 I D 08/04/97 1/1/2000

Allied Life Insurance Company 60178 AZ 20.00% 0.00% 8/31/2012 Not approved

223 A-5000 I D 4/8/97 1/1/2000

Allied Life Insurance Company 60178 MN 20.00% 20.00% 8/15/2012 11/7/2012 3/1/2013

224 A-5000 I D 1/27/97 1/1/2000

Allied Life Insurance Company 60178 MO 20.00% 20.00% 2/27/2012 1/10/2013 5/24/2013

225 A-5001 I F 12/02/97 1/1/2000

Allied Life Insurance Company 60178 WY 20.00% 20.00% 5/18/2012 7/2/2012 10/20/2012

Page 16: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 16 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

226 A-5001 I F 04/08/97 1/1/2000

Allied Life Insurance Company 60178 SD 20.00% 20.00% 3/13/2012 3/29/2012 7/3/2012

227 A-5001 I F 06/18/97 1/1/2000

Allied Life Insurance Company 60178 WA 20.00% 20.00% 4/5/2012 7/6/2012 10/28/2012

228 A-5001 I F 05/01/97 1/1/2000

Allied Life Insurance Company 60178 WI 10.00% 10.00% 3/9/2012 3/14/2012 6/25/2012

229 A-5001 I F 06/07/97 1/1/2000

Allied Life Insurance Company 60178 TX 20.00% 15.00% 5/17/2012 6/27/2012 10/9/2012

230 A-5001 I F 01/10/97 1/1/2000

Allied Life Insurance Company 60178 ND 20.00% 20.00% 2/27/2012 4/19/2012 8/5/2012

231 A-5001 I F 03/11/97 1/1/2000

Allied Life Insurance Company 60178 MI 20.00% 20.00% 2/28/2012 2/29/2012 6/25/2012

232 A-5001 I F 02/01/98 1/1/2000

Allied Life Insurance Company 60178 TN 20.00% 20.00% 4/10/2012 4/19/2012 8/5/2012

233 A-5001 I F 08/07/97 1/1/2000

Allied Life Insurance Company 60178 OH 20.00% 20.00% 3/12/2012 7/30/2012 12/1/2012

234 A-5001 I F 11/18/96 1/1/2000

Allied Life Insurance Company 60178 IL 20.00% 20.00% 3/2/2012 4/10/2012 7/12/2012

235 A-5001 I F 07/11/97 1/1/2000

Allied Life Insurance Company 60178 PA 20.00% 10.00% 4/10/2012 5/24/2012 10/24/2012

236 A-5001 I F 07/25/97 1/1/2000

Allied Life Insurance Company 60178 KY 20.00% 8.00% 4/6/2012 6/27/2012 11/8/2012

237 A-5001 I F 09/16/97 1/1/2000

Allied Life Insurance Company 60178 NC 20.00% 20.00% 6/1/2012 11/20/2012 4/15/2013

238 A-5001 I F 02/20/97 1/1/2000

Allied Life Insurance Company 60178 IA 20.00% 20.00% 2/21/2012 4/19/2012 7/21/2012

239 A-5001 I F 01/01/97 1/1/2000

Allied Life Insurance Company 60178 KS 20.00% 10.00% 2/27/2012 10/4/2012 1/5/2013

240 A-5001 I F 02/21/97 1/1/2000

Allied Life Insurance Company 60178 CO 20.00% 0.00% 5/17/2012 Not approved

Page 17: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 17 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

241 A-5001 I F 02/27/97 1/1/2000

Allied Life Insurance Company 60178 NE 20.00% 20.00% 2/24/2012 3/26/2012 7/1/2012

242 A-5001 I F 04/01/99 1/1/2000

Allied Life Insurance Company 60178 SC 20.00% 20.00% 5/30/2012 11/7/2012 3/3/2013

243 A-5001 I F 09/01/99 1/1/2000

Allied Life Insurance Company 60178 MT 20.00% 10.00% 5/11/2012 5/29/2012 2/10/2013

244 A-5001 I F 01/01/99 1/1/2000

Allied Life Insurance Company 60178 OR 20.00% 15.00% 7/19/2012 2/19/2014 5/16/2014

245 A-5001 I F 05/06/99 1/1/2000

Allied Life Insurance Company 60178 OK 20.00% 20.00% 7/24/2012 9/6/2012 1/1/2013

246 A-5001 I F 07/03/97 1/1/2000

Allied Life Insurance Company 60178 NV 20.00% 20.00% 7/24/2012 11/7/2012 3/9/2013

247 A-5001 I F 09/14/97 1/1/2000

Allied Life Insurance Company 60178 CA 20.00% 20.00% 5/16/2012 4/16/2014 9/26/2014

248 A-5001 I F 08/04/97 1/1/2000

Allied Life Insurance Company 60178 AZ 20.00% 0.00% 8/31/2012 Not approved

249 A-5001 I F 4/8/97 1/1/2000

Allied Life Insurance Company 60178 MN 20.00% 20.00% 8/15/2012 11/7/2012 3/1/2013

250 A-5001 I F 1/27/97 1/1/2000

Allied Life Insurance Company 60178 MO 20.00% 20.00% 2/27/2012 1/10/2013 5/24/2013

251 A-4901 I A 02/18/94 1/1/2000

Allied Life Insurance Company 60178 SD 20.00% 20.00% 3/13/2012 3/29/2012 7/3/2012

252 A-4901 I A 06/12/96 1/1/2000

Allied Life Insurance Company 60178 WA 20.00% 20.00% 4/5/2012 7/6/2012 10/28/2012

253 A-4901 I A 11/11/93 1/1/2000

Allied Life Insurance Company 60178 ND 20.00% 20.00% 2/27/2012 4/19/2012 8/5/2012

254 A-4901 I A 10/05/94 1/1/2000

Allied Life Insurance Company 60178 TN 20.00% 20.00% 4/10/2012 4/19/2012 8/5/2012

255 A-4901 I A 01/09/95 1/1/2000

Allied Life Insurance Company 60178 OH 20.00% 20.00% 3/12/2012 7/30/2012 12/1/2012

Page 18: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 18 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

256 A-4901 I A 08/27/93 1/1/2000

Allied Life Insurance Company 60178 IL 20.00% 20.00% 3/2/2012 4/10/2012 7/12/2012

257 A-4901 I A 09/15/94 1/1/2000

Allied Life Insurance Company 60178 KY 20.00% 8.00% 4/6/2012 6/27/2012 11/8/2012

258 A-4901 I A 01/05/94 1/1/2000

Allied Life Insurance Company 60178 KS 20.00% 10.00% 2/27/2012 10/4/2012 1/5/2013

259 A-4901 I A 11/01/93 1/1/2000

Allied Life Insurance Company 60178 NE 20.00% 20.00% 2/24/2012 3/26/2012 7/1/2012

260 A-4901 I A 06/22/94 1/1/2000

Allied Life Insurance Company 60178 MT 20.00% 10.00% 5/11/2012 5/29/2012 2/10/2013

261 A-4901 I A 02/15/96 1/1/2000

Allied Life Insurance Company 60178 OK 20.00% 20.00% 7/24/2012 9/6/2012 1/1/2013

262 A-4901 I A 08/04/95 1/1/2000

Allied Life Insurance Company 60178 CA 20.00% 20.00% 5/16/2012 4/16/2014 9/26/2014

263 A-4901 I A 4/13/94 1/1/2000

Allied Life Insurance Company 60178 MO 20.00% 20.00% 2/27/2012 1/10/2013 5/24/2013

264 A-4901 I C 12/21/93 1/1/2000

Allied Life Insurance Company 60178 SD 20.00% 20.00% 3/13/2012 3/29/2012 7/3/2012

265 A-4901 I C 12/28/95 1/1/2000

Allied Life Insurance Company 60178 WA 20.00% 20.00% 4/5/2012 7/6/2012 10/28/2012

266 A-4901 I C 11/01/95 1/1/2000

Allied Life Insurance Company 60178 WI 10.00% 10.00% 3/9/2012 3/14/2012 6/25/2012

267 A-4901 I C 11/17/94 1/1/2000

Allied Life Insurance Company 60178 TN 20.00% 20.00% 4/10/2012 4/19/2012 8/5/2012

268 A-4901 I C 01/05/96 1/1/2000

Allied Life Insurance Company 60178 OH 20.00% 20.00% 3/12/2012 7/30/2012 12/1/2012

269 A-4901 I C 03/06/95 1/1/2000

Allied Life Insurance Company 60178 IL 20.00% 20.00% 3/2/2012 4/10/2012 7/12/2012

270 A-4901 I C 08/03/93 1/1/2000

Allied Life Insurance Company 60178 IA 20.00% 20.00% 2/21/2012 4/19/2012 7/21/2012

Page 19: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 19 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

271 A-4901 I C 05/01/94 1/1/2000

Allied Life Insurance Company 60178 KS 20.00% 10.00% 2/27/2012 10/4/2012 1/5/2013

272 A-4901 I C 02/27/94 1/1/2000

Allied Life Insurance Company 60178 NE 20.00% 20.00% 2/24/2012 3/26/2012 7/1/2012

273 A-4901 I C 02/01/96 1/1/2000

Allied Life Insurance Company 60178 CA 20.00% 20.00% 5/16/2012 4/16/2014 9/26/2014

274 A-4901 I C 2/21/96 1/1/2000

Allied Life Insurance Company 60178 MN 20.00% 20.00% 8/15/2012 11/7/2012 3/1/2013

275 A-4901 I C 9/6/94 1/1/2000

Allied Life Insurance Company 60178 MO 20.00% 20.00% 2/27/2012 1/10/2013 5/24/2013

276 LTC 1/98 AR I F 8/15/2000 1/1/2013

Southwestern Life Insurance Company 91391 AR 30.00% 0.00% 10/17/2014 Denied

277 QLTC 1/98 CO I C 5/11/2000 1/1/2013

Southwestern Life Insurance Company 91391 CO 30.00% 0.00% 6/16/2015 Denied

278 QHHC 1/98 ID I B 7/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 ID 30.00% 0.00% 10/20/2014 Denied

279 LTC 1/98 IN I F 7/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 30.00% 0.00% 1/29/2015 Denied

280 HHC 1/98 IN I E 11/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 30.00% 0.00% 1/29/2015 Denied

281 LTC 1/98 KS I F 7/13/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 30.00% 0.00% 6/9/2015 Withdrawn

282 QLTC 1/98 KS I C 6/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 30.00% 0.00% 6/9/2015 Withdrawn

283 LTC 1/98 LA I F 11/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 10/20/2014 Denied

284 QLTC 1/98 LA I C 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 10/20/2014 Denied

285 LTC 1/98 OH I F 8/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 30.00% 17.80% 1/27/2015 5/10/2016 8/1/2016

Page 20: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 20 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

286 LTC 1/98 AZ I F 5/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 30.00% 1/23/2015 3/3/2015 6/1/2015

287 QHHC 1/98 AZ I B 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 30.00% 1/23/2015 3/3/2015 6/1/2015

288 LTC 1/98 I F 8/6/2000 1/1/2013

Southwestern Life Insurance Company 91391 DC 10.00% 10.00% 1/8/2015 3/10/2015 6/1/2015

289 HHC 1/98 FL I E 6/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 5.50% 0.00% 4/17/2015 4/20/2015 Denied

290 QHHC 1/98 FL I B 6/25/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 5.50% 0.00% 4/17/2015 4/20/2015 Denied

291 LTC 1/98 GA I F 2/5/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 30.00% 12.00% 10/20/2014 2/20/2015 6/1/2015

292 QLTC 1/98 GA I C 7/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 30.00% 12.00% 10/20/2014 2/20/2015 6/1/2015

293 HHC 1/98 GA I E 1/4/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 30.00% 12.00% 10/20/2014 2/20/2015 6/1/2015

294 QLTC 1/98 KY I C 7/20/1998 1/1/2013

Southwestern Life Insurance Company 91391 KY 30.00% 0.00% 10/20/2014 Withdrawn

295 HHC 1/98 MD I E 10/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 MD 15.00% 0.00% 1/8/2015 Withdrawn

296 QLTC 1/98 MS I C 5/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 10/20/2014 12/9/2014 3/1/2015

297 LTC 1/98 MO I F 6/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 30.00% 15.00% 12/31/2014 1/21/2015 5/1/2015

298 QLTC 1/98 MO I C 7/17/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 30.00% 15.00% 12/31/2014 1/21/2015 5/1/2015

299 LTC 1/98 I F 7/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 30.00% 15.00% 10/20/2014 2/25/2015 6/1/2015

300 QLTC 1/98 I C 8/3/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 30.00% 15.00% 10/20/2014 2/25/2015 6/1/2015

Page 21: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 21 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

301 LTC 1/98 NM I F 1/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 30.00% 15.00% 10/23/2014 1/8/2015 4/1/2015

302 QLTC 1/98 NM I C 1/14/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 30.00% 15.00% 10/23/2014 1/8/2015 4/1/2015

303 HHC 1/98 NM I E 5/7/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 30.00% 15.00% 10/23/2014 1/8/2015 4/1/2015

304 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 20.00% 7.70% 4/8/2014 5/13/2014 8/1/2014

305 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 20.00% 7.70% 4/8/2014 5/13/2014 8/1/2014

306 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 0.00% 0.00% 6/3/2015 6/9/2015 Annual filing, no increase

307 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 0.00% 0.00% 6/3/2015 6/9/2015 Annual filing, no increase

308 LTC 1/98 OK I F 1/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 10/23/2014 2/20/2015 6/1/2015

309 QLTC 1/98 OK I C 3/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 10/23/2014 2/20/2015 6/1/2015

310 LTC 1/98 OR I F 1/6/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 30.00% 30.00% 2/4/2015 5/5/2015 8/1/2015

311 QLTC 1/98 OR I C 1/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 30.00% 30.00% 2/4/2015 5/5/2015 8/1/2015

312 HHC 1/98 OR I E 1/9/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 30.00% 30.00% 2/4/2015 5/5/2015 8/1/2015

313 LTC 1/98 PA I F 12/3/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 30.00% 20.00% 10/23/2014 1/14/2015 4/1/2015

314 QLTC 1/98 PA I C 2/7/2000 1/1/2013

Southwestern Life Insurance Company 91391 PA 30.00% 20.00% 10/23/2014 1/14/2015 4/1/2015

315 HHC 1/98 PA I E 11/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 30.00% 20.00% 10/23/2014 1/14/2015 4/1/2015

Page 22: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 22 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

316 LTC 1/98 SC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 30.00% 20.00% 10/23/2014 3/3/2015 6/1/2015

317 QLTC 1/98 SC I C 8/19/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 30.00% 20.00% 10/23/2014 3/3/2015 6/1/2015

318 LTC 1/98 SD I F 5/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 30.00% 30.00% 10/23/2014 11/4/2014 2/1/2015

319 QLTC 1/98 SD I C 7/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 30.00% 30.00% 10/23/2014 11/4/2014 2/1/2015

320 LTC 1/98 TN I F 10/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 30.00% 30.00% 10/23/2014 4/24/2015 8/1/2015

321 QLTC 1/98 TN I C 3/16/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 30.00% 30.00% 10/23/2014 4/24/2015 8/1/2015

322 LTC 1/98 TX I F 6/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 30.00% 10.00% 2/3/2015 3/23/2015 7/1/2015

323 QLTC 1/98 TX I C 6/9/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 30.00% 10.00% 2/3/2015 3/23/2015 7/1/2015

324 QHHC 1/98 TX I B 7/19/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 30.00% 10.00% 2/3/2015 3/23/2015 7/1/2015

325 LTC 1/98 I F 11/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 WV 30.00% 30.00% 12/2/2014 3/27/2015 7/1/2015

326 QLTC 1/98 I C 3/24/1999 1/1/2013

Southwestern Life Insurance Company 91391 WV 30.00% 30.00% 12/2/2014 3/27/2015 7/1/2015

327 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 20.00% 7.70% 4/8/2014 5/13/2014 8/1/2014

328 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 20.00% 7.70% 4/8/2014 5/13/2014 8/1/2014

329 LTC 1/98 AZ I F 5/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 30.00% 11/15/2012 12/18/2012 4/1/2013

330 QHHC 1/98 AZ I B 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 30.00% 11/15/2012 12/18/2012 4/1/2013

Page 23: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 23 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

331 LTC 1/98 AR I F 8/15/2000 1/1/2013

Southwestern Life Insurance Company 91391 AR 30.00% 0.00% 11/9/2012 Denied

332 QLTC 1/98 CO I C 5/11/2000 1/1/2013

Southwestern Life Insurance Company 91391 CO 30.00% 23.00% 11/14/2012 6/11/2013 9/1/2013

333 HHC 1/98 FL I E 6/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 19.00% 0.00% 11/9/2012 Denied

334 QHHC 1/98 FL I B 6/25/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 19.00% 0.00% 11/9/2012 Denied

335 LTC 1/98 GA I F 2/5/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 30.00% 15.00% 11/15/2012 2/12/2013 5/1/2013

336 QLTC 1/98 GA I C 7/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 30.00% 15.00% 11/15/2012 2/12/2013 5/1/2013

337 HHC 1/98 GA I E 1/4/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 30.00% 15.00% 11/15/2012 2/12/2013 5/1/2013

338 QHHC 1/98 ID I B 7/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 ID 30.00% 0.00% 11/15/2012 Denied

339 LTC 1/98 IL I F 8/18/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 30.00% 30.00% 11/12/2012 2/28/2014 6/1/2014

340 QLTC 1/98 IL I C 9/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 30.00% 30.00% 11/12/2012 2/28/2014 6/1/2014

341 HHC 1/98 IL I B 11/24/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 30.00% 30.00% 11/12/2012 2/28/2014 6/1/2014

342 LTC 1/98 IN I F 7/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 23.00% 0.00% 8/29/2013 Denied

343 HHC 1/98 IN I E 11/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 23.00% 0.00% 8/29/2013 Denied

344 LTC 1/98 KS I F 7/13/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 30.00% 10.00% 11/15/2012 1/24/2013 5/1/2013

345 QLTC 1/98 KS I C 6/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 30.00% 10.00% 11/15/2012 1/24/2013 5/1/2013

Page 24: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 24 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

346 QLTC 1/98 KY I C 7/20/1998 1/1/2013

Southwestern Life Insurance Company 91391 KY 30.00% 0.00% 11/12/2012 Withdrawn

347 LTC 1/98 LA I F 11/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 11/13/2012 Denied

348 QLTC 1/98 LA I C 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 11/13/2012 Denied

349 HHC 1/98 LA I E 1/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 11/13/2012 Denied

350 HHC 1/98 MD I E 10/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 MD 15.00% 15.00% 11/15/2012 1/15/2013 4/1/2013

351 QLTC 1/98 MS I C 5/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 11/16/2012 2/4/2013 5/1/2013

352 LTC 1/98 MO I F 6/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 14.00% 14.00% 5/16/2013 6/18/2013 12/1/2013

353 QLTC 1/98 MO I C 7/17/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 14.00% 14.00% 5/16/2013 6/18/2013 12/1/2013

354 LTC 1/98 NE I F 7/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 30.00% 14.00% 11/13/2012 5/14/2013 8/1/2013

355 QLTC 1/98 NE I C 8/3/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 30.00% 14.00% 11/13/2012 5/14/2013 8/1/2013

356 HHC 1/98 NV I E 11/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 NV 30.00% 10.00% 11/16/2012 4/22/2013 8/1/2013

357 LTC 1/98 NM I F 1/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 30.00% 10.00% 11/16/2012 2/27/2013 6/1/2013

358 QLTC 1/98 NM I C 1/14/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 30.00% 10.00% 11/16/2012 2/27/2013 6/1/2013

359 HHC 1/98 NM I E 5/7/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 30.00% 10.00% 11/16/2012 2/27/2013 6/1/2013

360 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 30.00% 4.60% 11/13/2012 4/18/2013 7/1/2013

Page 25: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 25 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

361 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 30.00% 4.60% 11/13/2012 4/18/2013 7/1/2013

362 LTC 1/98 OH I F 8/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 30.00% 0.00% 11/15/2012 Withdrawn

363 LTC 1/98 OK I F 1/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 11/13/2012 12/28/2012 4/1/2013

364 QLTC 1/98 OK I C 3/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 11/13/2012 12/28/2012 4/1/2013

365 LTC 1/98 PA I F 12/3/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 30.00% 10.00% 11/13/2012 1/22/2013 4/1/2013

366 QLTC 1/98 PA I C 2/7/2000 1/1/2013

Southwestern Life Insurance Company 91391 PA 30.00% 10.00% 11/13/2012 1/22/2013 4/1/2013

367 HHC 1/98 PA I E 11/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 30.00% 10.00% 11/13/2012 1/22/2013 4/1/2013

368 LTC 1/98 SC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 30.00% 20.00% 11/15/2012 3/1/2013 6/1/2013

369 QLTC 1/98 SC I C 8/19/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 30.00% 20.00% 11/15/2012 3/1/2013 6/1/2013

370 LTC 1/98 SD I F 5/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 30.00% 30.00% 11/13/2012 11/13/2012 3/1/2013

371 QLTC 1/98 SD I C 7/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 30.00% 30.00% 11/13/2012 11/13/2012 3/1/2013

372 LTC 1/98 TN I F 10/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 30.00% 30.00% 11/13/2012 2/28/2013 6/1/2013

373 QLTC 1/98 TN I C 3/16/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 30.00% 30.00% 11/13/2012 2/28/2013 6/1/2013

374 LTC 1/98 TX I F 6/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 30.00% 0.00% 9/11/2013 Denied

375 QLTC 1/98 TX I C 6/9/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 30.00% 0.00% 9/11/2013 Denied

Page 26: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 26 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

376 QHHC 1/98 TX I B 7/19/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 30.00% 0.00% 9/11/2013 Denied

377 LTC 1/98 VA I F 7/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 30.00% 11.00% 11/20/2012 12/4/2013 3/1/2014

378 QLTC 1/98 VA I C 8/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 30.00% 11.00% 11/20/2012 12/4/2013 3/1/2014

379 HHC 1/98 VA I E 11/2/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 30.00% 11.00% 11/20/2012 12/4/2013 3/1/2014

380 QHHC 1/98 VA I B 2/25/2000 1/1/2013

Southwestern Life Insurance Company 91391 VA 30.00% 11.00% 11/20/2012 12/4/2013 3/1/2014

381 LTC 1/98 WA I F 5/1/2001 1/1/2013

Southwestern Life Insurance Company 91391 WA 30.00% 30.00% 11/13/2012 4/12/2013 7/1/2013

382 LTC 1/98 I F 11/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 WV 30.00% 30.00% 11/16/2012 3/13/2013 6/1/2013

383 QLTC 1/98 I C 3/24/1999 1/1/2013

Southwestern Life Insurance Company 91391 WV 30.00% 30.00% 11/16/2012 3/13/2013 6/1/2013

384 LTC 1/98 IL I F 8/18/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 28.00% 28.00% 6/6/2011 10/31/2011 2/1/2012

385 QLTC 1/98 IL I C 9/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 28.00% 28.00% 6/6/2011 10/31/2011 2/1/2012

386 HHC 1/98 IL I B 11/24/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 28.00% 28.00% 6/6/2011 10/31/2011 2/1/2012

387 LTC 1/98 MO I F 6/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 28.00% 14.00% 6/3/2011 9/10/2012 12/1/2012

388 QLTC 1/98 MO I C 7/17/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 28.00% 14.00% 6/3/2011 9/10/2012 12/1/2012

389 LTC 1/98 NE I F 7/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 28.00% 10.00% 6/6/2011 1/23/2012 5/1/2012

390 QLTC 1/98 NE I C 8/3/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 28.00% 10.00% 6/6/2011 1/23/2012 5/1/2012

Page 27: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 27 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

391 HHC 1/98 NV I E 11/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 NV 28.00% 0.00% 6/6/2011 Withdrawn

392 LTC 1/98 OR I F 1/6/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 28.00% 13.10% 6/16/2011 12/9/2011 3/1/2012

393 QLTC 1/98 OR I C 1/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 28.00% 13.10% 6/16/2011 12/9/2011 3/1/2012

394 HHC 1/98 OR I E 1/9/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 28.00% 13.10% 6/16/2011 12/9/2011 3/1/2012

395 LTC 1/98 TX I F 6/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 28.00% 15.00% 6/13/2011 3/6/2012 6/1/2012

396 QLTC 1/98 TX I C 6/9/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 28.00% 15.00% 6/13/2011 3/6/2012 6/1/2012

397 QHHC 1/98 TX I B 7/19/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 28.00% 15.00% 6/13/2011 3/6/2012 6/1/2012

398 LTC 1/98 AZ I F 5/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 28.00% 28.00% 6/3/2011 8/2/2011 11/1/2011

399 QHHC 1/98 AZ I B 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 28.00% 28.00% 6/3/2011 8/2/2011 11/1/2011

400 LTC 1/98 AR I F 8/15/2000 1/1/2013

Southwestern Life Insurance Company 91391 AR 28.00% 0.00% 6/3/2011 Denied

401 LTC 1/98 CA I F 3/28/2000 1/1/2013

Southwestern Life Insurance Company 91391 CA 28.00% 0.00% 6/6/2011 Denied

402 QLTC 1/98 CA I C 4/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 CA 28.00% 0.00% 6/6/2011 Denied

403 QLTC 1/98 CO I C 5/11/2000 1/1/2013

Southwestern Life Insurance Company 91391 CO 28.00% 0.00% 6/3/2011 Denied

404 LTC 1/98 DC I F 8/6/2000 1/1/2013

Southwestern Life Insurance Company 91391 DC 28.00% 0.00% 6/6/2011 Denied

405 HHC 1/98 FL I E 6/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 20.00% 15.20% 6/7/2011 10/13/2011 1/1/2012

Page 28: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 28 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

406 QHHC 1/98 FL I B 6/25/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 20.00% 15.20% 6/7/2011 10/13/2011 1/1/2012

407 LTC 1/98 GA I F 2/5/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 28.00% 15.00% 6/3/2011 7/20/2011 11/1/2011

408 QLTC 1/98 GA I C 7/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 28.00% 15.00% 6/3/2011 7/20/2011 11/1/2011

409 HHC 1/98 GA I E 1/4/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 28.00% 15.00% 6/3/2011 7/20/2011 11/1/2011

410 QHHC 1/98 ID I B 7/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 ID 28.00% 10.00% 6/3/2011 8/8/2011 11/1/2011

411 LTC 1/98 IL I F 8/18/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 28.00% 28.00% 6/6/2011 10/31/2011 2/1/2012

412 QLTC 1/98 IL I C 9/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 28.00% 28.00% 6/6/2011 10/31/2011 2/1/2012

413 QHHC 1/98 IL I B 11/24/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 28.00% 28.00% 6/6/2011 10/31/2011 2/1/2012

414 LTC 1/98 IN I F 7/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 28.00% 0.00% 6/3/2011 Denied

415 HHC 1/98 IN I E 11/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 28.00% 0.00% 6/3/2011 Denied

416 LTC 1/98 KS I F 7/13/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 28.00% 10.00% 6/3/2011 8/3/2011 11/1/2011

417 QLTC 1/98 KS I C 6/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 28.00% 10.00% 6/3/2011 8/3/2011 11/1/2011

418 QLTC 1/98 KY I C 7/20/1998 1/1/2013

Southwestern Life Insurance Company 91391 KY 28.00% 15.00% 6/3/2011 8/24/2011 12/1/2011

419 LTC 1/98 LA I F 11/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 LA 28.00% 0.00% 6/6/2011 Denied

420 QLTC 1/98 LA I C 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 28.00% 0.00% 6/6/2011 Denied

Page 29: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 29 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

421 HHC 1/98 MD I E 10/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 MD 20.00% 15.00% 6/8/2011 6/27/2011 10/1/2011

422 QLTC 1/98 MS I C 5/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 6/8/2011 7/28/2011 11/1/2011

423 LTC 1/98 MO I F 6/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 28.00% 14.00% 6/3/2011 9/10/2012 12/1/2012

424 QLTC 1/98 MO I C 7/17/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 28.00% 14.00% 6/3/2011 9/10/2012 12/1/2012

425 LTC 1/98 NE I F 7/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 28.00% 10.00% 6/6/2011 1/23/2012 5/1/2012

426 QLTC 1/98 NE I C 8/3/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 28.00% 10.00% 6/6/2011 1/23/2012 5/1/2012

427 HHC 1/98 NV I E 11/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 NV 28.00% 0.00% 6/6/2011 Withdrawn

428 LTC 1/98 NM I F 1/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 28.00% 14.00% 6/6/2011 9/13/2011 12/1/2011

429 QLTC 1/98 NM I C 1/14/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 28.00% 0.00% 6/6/2011 Denied

430 HHC 1/98 NM I E 5/7/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 28.00% 14.00% 6/6/2011 9/13/2011 12/1/2011

431 QHHC 1/98 NM I B 8/6/2000 1/1/2013

Southwestern Life Insurance Company 91391 NM 28.00% 14.00% 6/6/2011 9/13/2011 12/1/2011

432 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 28.00% 15.00% 6/8/2011 8/1/2011 11/1/2011

433 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 28.00% 15.00% 6/8/2011 8/1/2011 11/1/2011

434 LTC 1/98 OH I F 8/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 20.00% 20.00% 6/9/2011 8/30/2011 12/1/2011

435 QLTC 1/98 OH I C 8/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 20.00% 20.00% 6/9/2011 8/30/2011 12/1/2011

Page 30: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 30 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

436 HHC 1/98 OH I E 9/4/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 20.00% 20.00% 6/9/2011 8/30/2011 12/1/2011

437 LTC 1/98 OK I F 1/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 6/13/2011 9/23/2011 2/1/2012

438 QLTC 1/98 OK I C 3/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 6/13/2011 9/23/2011 2/1/2012

439 LTC 1/98 OR I F 1/6/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 28.00% 13.10% 6/16/2011 12/9/2011 3/1/2012

440 QLTC 1/98 OR I C 1/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 28.00% 13.10% 6/16/2011 12/9/2011 3/1/2012

441 HHC 1/98 OR I E 1/9/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 28.00% 13.10% 6/16/2011 12/9/2011 3/1/2012

442 LTC 1/98 PA I F 12/3/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 28.00% 15.00% 6/13/2011 7/21/2011 11/1/2011

443 QLTC 1/98 PA I C 2/7/2000 1/1/2013

Southwestern Life Insurance Company 91391 PA 28.00% 15.00% 6/13/2011 7/21/2011 11/1/2011

444 HHC 1/98 PA I E 11/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 28.00% 15.00% 6/13/2011 7/21/2011 11/1/2011

445 LTC 1/98 SC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 28.00% 20.00% 6/9/2011 10/17/2011 1/1/2012

446 QLTC 1/98 SC I C 8/19/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 28.00% 20.00% 6/9/2011 10/17/2011 1/1/2012

447 LTC 1/98 SD I F 5/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 28.00% 28.00% 6/6/2011 6/10/2011 10/1/2011

448 QLTC 1/98 SD I C 7/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 28.00% 28.00% 6/6/2011 6/10/2011 10/1/2011

449 LTC 1/98 TN I F 10/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 28.00% 0.00% 6/6/2011 Denied

450 QLTC 1/98 TN I C 3/16/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 28.00% 0.00% 6/6/2011 Denied

Page 31: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 31 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

451 LTC 1/98 TX I F 6/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 28.00% 15.00% 6/13/2011 3/6/2012 6/1/2012

452 QLTC 1/98 TX I C 6/9/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 28.00% 15.00% 6/13/2011 3/6/2012 6/1/2012

453 QHHC 1/98 TX I B 7/19/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 28.00% 15.00% 6/13/2011 3/6/2012 6/1/2012

454 LTC 1/98 WA I F 5/1/2001 1/1/2013

Southwestern Life Insurance Company 91391 WA 28.00% 10.00% 6/6/2011 6/13/2011 10/1/2011

455 LTC 1/98 I F 11/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 WV 28.00% 10.00% 7/6/2011 9/8/2011 12/1/2011

456 QLTC 1/98 I C 3/24/1999 1/1/2013

Southwestern Life Insurance Company 91391 WV 28.00% 10.00% 7/6/2011 9/8/2011 12/1/2011

457 LTC 1/98 AZ I F 5/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 29.00% 0.00% 12/2/2009 Denied

458 QLTC 1/98 AZ I C 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 29.00% 0.00% 12/2/2009 Denied

459 QHHC 1/98 AZ I B 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 29.00% 0.00% 12/2/2009 Denied

460 LTC 1/98 AR I F 8/15/2000 1/1/2013

Southwestern Life Insurance Company 91391 AR 29.00% 0.00% 11/6/2009 Denied

461 QLTC 1/98 CO I C 5/11/2000 1/1/2013

Southwestern Life Insurance Company 91391 CO 29.00% 12.00% 11/10/2009 1/5/2010 4/1/2010

462 HHC 1/98 FL I E 6/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 17.00% 13.50% 11/3/2009 12/10/2009 3/1/2010

463 QHHC 1/98 FL I B 6/25/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 17.00% 13.50% 11/3/2009 12/10/2009 3/1/2010

464 LTC 1/98 GA I F 2/5/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 29.00% 5.00% 11/10/2009 12/3/2009 3/1/2010

465 QLTC 1/98 GA I C 7/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 29.00% 5.00% 11/10/2009 12/3/2009 3/1/2010

Page 32: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 32 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

466 HHC 1/98 GA I E 1/4/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 29.00% 5.00% 11/10/2009 12/3/2009 3/1/2010

467 QHHC 1/98 ID I B 7/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 ID 29.00% 5.00% 11/11/2009 1/6/2010 4/1/2010

468 LTC 1/98 IL I F 8/18/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 29.00% 29.00% 11/5/2009 1/19/2010 5/1/2010

469 QLTC 1/98 IL I C 9/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 29.00% 29.00% 11/5/2009 1/19/2010 5/1/2010

470 HHC 1/98 IL I B 11/24/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 29.00% 29.00% 11/5/2009 1/19/2010 5/1/2010

471 LTC 1/98 IN I F 7/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 29.00% 29.00% 11/13/2009 11/19/2009 2/1/2010

472 QLTC 1/98 IN I C 7/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 29.00% 29.00% 11/13/2009 11/19/2009 2/1/2010

473 HHC 1/98 IN I E 11/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 29.00% 29.00% 11/13/2009 11/19/2009 2/1/2010

474 LTC 1/98 KS I F 7/13/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 29.00% 10.00% 11/16/2009 3/12/2010 6/1/2010

475 QLTC 1/98 KS I C 6/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 29.00% 10.00% 11/16/2009 3/12/2010 6/1/2010

476 QLTC 1/98 KY I C 7/20/1998 1/1/2013

Southwestern Life Insurance Company 91391 KY 29.00% 15.00% 11/4/2009 1/19/2010 4/1/2010

477 LTC 1/98 LA I F 11/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 LA 29.00% 0.00% 11/11/2009 Denied

478 QLTC 1/98 LA I C 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 29.00% 0.00% 11/11/2009 Denied

479 HHC 1/98 LA I E 1/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 29.00% 0.00% 11/11/2009 Denied

480 HHC 1/98 MD I E 10/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 MD 20.00% 15.00% 11/16/2009 12/3/2009 3/1/2010

Page 33: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 33 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

481 QLTC 1/98 MS I C 5/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 11/16/2009 1/19/2010 5/1/2010

482 LTC 1/98 MO I F 6/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 29.00% 29.00% 11/17/2009 1/22/2010 5/1/2010

483 QLTC 1/98 MO I C 7/17/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 29.00% 29.00% 11/17/2009 1/22/2010 5/1/2010

484 LTC 1/98 NE I F 7/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 29.00% 29.00% 11/12/2009 1/7/2010 4/1/2010

485 QLTC 1/98 NE I C 8/3/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 29.00% 29.00% 11/12/2009 1/7/2010 4/1/2010

486 LTC 1/98 NV I F 5/2/1999 1/1/2013

Southwestern Life Insurance Company 91391 NV 29.00% 25.00% 11/17/2009 1/29/2010 5/1/2010

487 QLTC 1/98 NV I C 5/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 NV 29.00% 25.00% 11/17/2009 1/29/2010 5/1/2010

488 HHC 1/98 NV I E 11/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 NV 29.00% 25.00% 11/17/2009 1/29/2010 5/1/2010

489 LTC 1/98 NM I F 1/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 17.00% 0.00% 11/17/2009 Denied

490 QLTC 1/98 NM I C 1/14/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 17.00% 0.00% 11/17/2009 Denied

491 HHC 1/98 NM I E 5/7/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 17.00% 0.00% 11/17/2009 Denied

492 QHHC 1/98 NM I B 8/6/2000 1/1/2013

Southwestern Life Insurance Company 91391 NM 17.00% 0.00% 11/17/2009 Denied

493 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 29.00% 29.00% 12/2/2009 12/9/2009 3/1/2010

494 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 29.00% 29.00% 12/2/2009 12/9/2009 3/1/2010

495 LTC 1/98 OH I F 8/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 13.50% 13.50% 11/18/2009 1/7/2010 4/1/2010

Page 34: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 34 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

496 QLTC 1/98 OH I C 8/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 13.50% 13.50% 11/18/2009 1/7/2010 4/1/2010

497 HHC 1/98 OH I E 9/4/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 13.50% 13.50% 11/18/2009 1/7/2010 4/1/2010

498 LTC 1/98 OK I F 1/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 10.00% 11/16/2009 10/20/2010 2/1/2011

499 QLTC 1/98 OK I C 3/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 10.00% 11/16/2009 10/20/2010 2/1/2011

500 LTC 1/98 OR I F 1/6/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 29.00% 10.00% 12/2/2009 1/27/2010 5/1/2010

501 QLTC 1/98 OR I C 1/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 29.00% 10.00% 12/2/2009 1/27/2010 5/1/2010

502 HHC 1/98 OR I E 1/9/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 29.00% 10.00% 12/2/2009 1/27/2010 5/1/2010

503 LTC 1/98 PA I F 12/3/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 29.00% 0.00% 11/25/2009 Denied

504 QLTC 1/98 PA I C 2/7/2000 1/1/2013

Southwestern Life Insurance Company 91391 PA 29.00% 0.00% 11/25/2009 Denied

505 HHC 1/98 PA I E 11/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 29.00% 0.00% 11/25/2009 Denied

506 QHHC 1/98 PA I B 5/16/2001 1/1/2013

Southwestern Life Insurance Company 91391 PA 29.00% 0.00% 11/25/2009 Denied

507 LTC 1/98 SC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 29.00% 20.00% 11/25/2009 2/25/2010 6/1/2010

508 QLTC 1/98 SC I C 8/19/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 29.00% 20.00% 11/25/2009 2/25/2010 6/1/2010

509 LTC 1/98 SD I F 5/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 29.00% 29.00% 11/17/2009 11/18/2009 1/1/2010

510 QLTC 1/98 SD I C 7/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 29.00% 29.00% 11/17/2009 11/18/2009 1/1/2010

Page 35: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 35 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

511 LTC 1/98 TN I F 10/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 29.00% 29.00% 11/17/2009 12/2/2009 3/1/2010

512 QLTC 1/98 TN I C 3/16/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 29.00% 29.00% 11/17/2009 12/2/2009 3/1/2010

513 LTC 1/98 TX I F 6/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 29.00% 16.00% 11/25/2009 3/3/2010 12/1/2010

514 QLTC 1/98 TX I C 6/9/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 29.00% 16.00% 11/25/2009 3/3/2010 12/1/2010

515 QHHC 1/98 TX I B 7/19/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 29.00% 16.00% 11/25/2009 3/3/2010 12/1/2010

516 LTC 1/98 UT I F 1/16/2000 1/1/2013

Southwestern Life Insurance Company 91391 UT 29.00% 0.00% 12/2/2009 Denied

517 LTC 1/98 VA I F 7/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 29.00% 29.00% 11/16/2009 1/31/2012 5/1/2012

518 QLTC 1/98 VA I C 8/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 29.00% 29.00% 11/16/2009 1/31/2012 5/1/2012

519 HHC 1/98 VA I E 11/2/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 29.00% 29.00% 11/16/2009 1/31/2012 5/1/2012

520 QHHC 1/98 VA I B 2/25/2000 1/1/2013

Southwestern Life Insurance Company 91391 VA 29.00% 29.00% 11/16/2009 1/31/2012 5/1/2012

521 LTC 1/98 WA I F 5/1/2001 1/1/2013

Southwestern Life Insurance Company 91391 WA 29.00% 7.00% 11/17/2009 12/2/2009 3/1/2010

522 LTC 1/98 I F 11/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 WV 29.00% 29.00% 12/3/2009 1/19/2010 5/1/2010

523 QLTC 1/98 I C 3/24/1999 1/1/2013

Southwestern Life Insurance Company 91391 WV 29.00% 29.00% 12/3/2009 1/19/2010 5/1/2010

524 LTC 1/98 AZ I F 5/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 27.00% 0.00% 12/6/2007 Denied

525 QLTC 1/98 AZ I C 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 27.00% 0.00% 12/6/2007 Denied

Page 36: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 36 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

526 QHHC 1/98 AZ I B 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 27.00% 0.00% 12/6/2007 Denied

527 LTC 1/98 AR I F 8/15/2000 1/1/2013

Southwestern Life Insurance Company 91391 AR 27.00% 15.00% 12/6/2007 7/3/2008 9/1/2008

528 QLTC 1/98 CO I C 5/11/2000 1/1/2013

Southwestern Life Insurance Company 91391 CO 27.00% 27.00% 12/4/2007 3/12/2008 5/25/2008

529 HHC 1/98 FL I E 6/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 15.00% 15.00% 6/19/2008 7/23/2008 9/25/2008

530 QHHC 1/98 FL I B 6/25/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 15.00% 15.00% 6/19/2008 7/23/2008 9/25/2008

531 LTC 1/98 GA I F 2/5/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 27.00% 10.00% 11/6/2007 2/6/2008 5/10/2008

532 QLTC 1/98 GA I C 7/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 27.00% 10.00% 11/6/2007 2/6/2008 5/10/2008

533 HHC 1/98 GA I E 1/4/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 27.00% 10.00% 11/6/2007 2/6/2008 5/10/2008

534 QHHC 1/98 ID I B 7/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 ID 27.00% 15.00% 12/1/2007 12/27/2007 5/10/2008

535 LTC 1/98 IL I F 8/18/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 27.00% 27.00% 12/6/2007 2/8/2008 4/10/2008

536 QLTC 1/98 IL I C 9/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 27.00% 27.00% 12/6/2007 2/8/2008 4/10/2008

537 HHC 1/98 IL I B 11/24/1998 1/1/2013

Southwestern Life Insurance Company 91391 IL 27.00% 27.00% 12/6/2007 2/8/2008 4/10/2008

538 LTC 1/98 IN I F 7/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 27.00% 27.00% 12/5/2007 12/26/2007 2/22/2008

539 QLTC 1/98 IN I C 7/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 27.00% 27.00% 12/5/2007 12/26/2007 2/22/2008

540 HHC 1/98 IN I E 11/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 IN 27.00% 27.00% 12/5/2007 12/26/2007 2/22/2008

Page 37: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 37 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

541 LTC 1/98 KS I F 7/13/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 27.00% 15.00% 12/5/2007 2/15/2008 7/1/2008

542 QLTC 1/98 KS I C 6/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 27.00% 15.00% 12/5/2007 2/15/2008 7/1/2008

543 QLTC 1/98 KY I C 7/20/1998 1/1/2013

Southwestern Life Insurance Company 91391 KY 27.00% 15.00% 11/6/2007 3/5/2008 5/25/2008

544 LTC 1/98 LA I F 11/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 LA 27.00% 0.00% 12/6/2007 Denied

545 QLTC 1/98 LA I C 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 27.00% 0.00% 12/6/2007 Denied

546 HHC 1/98 LA I E 1/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 27.00% 0.00% 12/6/2007 Denied

547 HHC 1/98 MD I E 10/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 MD 20.00% 20.00% 12/6/2007 1/23/2008 3/15/2008

548 LTC 1/98 MS I F 4/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 12/12/2007 4/10/2008 9/1/2008

549 QLTC 1/98 MS I C 5/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 12/12/2007 4/10/2008 9/1/2008

550 HHC 1/98 MS I E 4/19/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 25.00% 25.00% 12/12/2007 4/10/2008 9/1/2008

551 LTC 1/98 MO I F 6/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 27.00% 27.00% 12/5/2007 2/8/2008 4/10/2008

552 QLTC 1/98 MO I C 7/17/1998 1/1/2013

Southwestern Life Insurance Company 91391 MO 27.00% 27.00% 12/5/2007 2/8/2008 4/10/2008

553 LTC 1/98 NE I F 7/21/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 27.00% 15.00% 12/6/2007 5/16/2008 7/1/2008

554 QLTC 1/98 NE I C 8/3/1998 1/1/2013

Southwestern Life Insurance Company 91391 NE 27.00% 15.00% 12/6/2007 5/16/2008 7/1/2008

555 LTC 1/98 NV I F 5/2/1999 1/1/2013

Southwestern Life Insurance Company 91391 NV 27.00% 25.00% 1/3/2008 9/2/2008 1/1/2009

Page 38: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 38 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

556 QLTC 1/98 NV I C 5/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 NV 27.00% 25.00% 1/3/2008 9/2/2008 1/1/2009

557 HHC 1/98 NV I E 11/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 NV 27.00% 25.00% 1/3/2008 9/2/2008 1/1/2009

558 LTC 1/98 NM I F 1/17/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 27.00% 27.00% 1/9/2008 1/23/2008 4/15/2008

559 QLTC 1/98 NM I C 1/14/1999 1/1/2013

Southwestern Life Insurance Company 91391 NM 27.00% 27.00% 1/9/2008 1/23/2008 4/15/2008

560 QHHC 1/98 NM I B 8/6/2000 1/1/2013

Southwestern Life Insurance Company 91391 NM 27.00% 27.00% 1/9/2008 1/23/2008 4/15/2008

561 LTC 1/98 NC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 27.00% 27.00% 12/6/2007 12/21/2007 3/10/2008

562 QLTC 1/98 NC I C 7/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 NC 27.00% 27.00% 12/6/2007 12/21/2007 3/10/2008

563 LTC 1/98 OH I F 8/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 27.00% 15.00% 12/6/2007 1/4/2008 3/10/2008

564 QLTC 1/98 OH I C 8/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 27.00% 15.00% 12/6/2007 1/4/2008 3/10/2008

565 HHC 1/98 OH I E 9/4/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 27.00% 15.00% 12/6/2007 1/4/2008 3/10/2008

566 LTC 1/98 OK I F 1/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 12/6/2007 1/18/2008 4/1/2008

567 QLTC 1/98 OK I C 3/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 12/6/2007 1/18/2008 4/1/2008

568 LTC 1/98 OR I F 1/6/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 25.00% 15.00% 12/7/2007 12/20/2007 5/15/2008

569 QLTC 1/98 OR I C 1/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 25.00% 15.00% 12/7/2007 12/20/2007 5/15/2008

570 HHC 1/98 OR I E 1/9/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 25.00% 15.00% 12/7/2007 12/20/2007 5/15/2008

Page 39: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 39 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

571 LTC 1/98 PA I F 12/3/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 27.00% 10.00% 12/4/2007 1/18/2008 3/15/2008

572 QLTC 1/98 PA I C 2/7/2000 1/1/2013

Southwestern Life Insurance Company 91391 PA 27.00% 10.00% 12/4/2007 1/18/2008 3/15/2008

573 HHC 1/98 PA I E 11/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 PA 27.00% 10.00% 12/4/2007 1/18/2008 3/15/2008

574 QHHC 1/98 PA I B 5/16/2001 1/1/2013

Southwestern Life Insurance Company 91391 PA 27.00% 10.00% 12/4/2007 1/18/2008 3/15/2008

575 LTC 1/98 SC I F 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 27.00% 15.00% 12/12/2007 4/25/2008 6/10/2008

576 QLTC 1/98 SC I C 8/19/2000 1/1/2013

Southwestern Life Insurance Company 91391 SC 27.00% 15.00% 12/12/2007 4/25/2008 6/10/2008

577 LTC 1/98 SD I F 5/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 27.00% 27.00% 12/6/2007 12/13/2007 2/22/2008

578 QLTC 1/98 SD I C 7/28/1998 1/1/2013

Southwestern Life Insurance Company 91391 SD 27.00% 27.00% 12/6/2007 12/13/2007 2/22/2008

579 LTC 1/98 TN I F 10/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 27.00% 27.00% 12/6/2007 1/17/2008 3/1/2008

580 QLTC 1/98 TN I C 3/16/1998 1/1/2013

Southwestern Life Insurance Company 91391 TN 27.00% 27.00% 12/6/2007 1/17/2008 3/1/2008

581 LTC 1/98 TX I F 6/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 20.00% 15.00% 11/12/2007 10/16/2008 12/15/2008

582 QLTC 1/98 TX I C 6/9/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 20.00% 15.00% 11/12/2007 10/16/2008 12/15/2008

583 QHHC 1/98 TX I B 7/19/1998 1/1/2013

Southwestern Life Insurance Company 91391 TX 20.00% 15.00% 11/12/2007 10/16/2008 12/15/2008

584 LTC 1/98 UT I F 1/16/2000 1/1/2013

Southwestern Life Insurance Company 91391 UT 27.00% 27.00% 12/12/2007 12/19/2007 2/22/2008

585 LTC 1/98 VA I F 7/10/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 27.00% 27.00% 12/5/2007 4/11/2008 7/1/2008

Page 40: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 40 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

586 QLTC 1/98 VA I C 8/7/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 27.00% 27.00% 12/5/2007 4/11/2008 7/1/2008

587 HHC 1/98 VA I E 11/2/1998 1/1/2013

Southwestern Life Insurance Company 91391 VA 27.00% 27.00% 12/5/2007 4/11/2008 7/1/2008

588 QHHC 1/98 VA I B 2/25/2000 1/1/2013

Southwestern Life Insurance Company 91391 VA 27.00% 27.00% 12/5/2007 4/11/2008 7/1/2008

589 LTC 1/98 WA I F 5/1/2001 1/1/2013

Southwestern Life Insurance Company 91391 WA 27.00% 0.00% 11/12/2007 Denied

590 QHHC 1/98 WA I B 1/8/2001 1/1/2013

Southwestern Life Insurance Company 91391 WA 27.00% 0.00% 11/12/2007 Denied

591 LTC 1/98 I F 11/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 WV 27.00% 27.00% 12/6/2007 1/23/2008 3/15/2008

592 QLTC 1/98 I C 3/24/1999 1/1/2013

Southwestern Life Insurance Company 91391 WV 27.00% 27.00% 12/6/2007 1/23/2008 3/15/2008

593 LTC 1/98 AZ I F 5/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 0.00% 12/6/2007 Denied

594 QLTC 1/98 AZ I C 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 0.00% 1/5/2007 Denied

595 QHHC 1/98 AZ I B 4/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 AZ 30.00% 0.00% 1/5/2007 Denied

596 LTC 1/98 AR I F 8/15/2000 1/1/2013

Southwestern Life Insurance Company 91391 AR 30.00% 15.00% 1/5/2007 7/16/2007 9/1/2007

597 LTC 1/98 CA I F 3/28/2000 1/1/2013

Southwestern Life Insurance Company 91391 CA 15.00% 13.00% 12/11/2006 1/21/2007 4/1/2007

598 QLTC 1/98 CA I C 4/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 CA 15.00% 13.00% 12/11/2006 1/21/2007 4/1/2007

599 LTC 1/98 DC I F 8/6/2000 1/1/2013

Southwestern Life Insurance Company 91391 DC 30.00% 27.00% 1/26/2007 8/31/2007 12/15/200812/1

State approved tiered increase over 3 years of 10% in 2007/2008 and 7% in 2009

600 HHC 1/98 FL I E 6/15/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 15.00% 0.00% 11/6/2006 Denied

Page 41: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 41 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

601 QHHC 1/98 FL I B 6/25/1998 1/1/2013

Southwestern Life Insurance Company 91391 FL 15.00% 0.00% 11/6/2006 Denied

602 LTC 1/98 GA I F 2/5/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 20.00% 10.00% 12/11/2006 1/22/2007 5/1/2007

603 QLTC 1/98 GA I C 7/16/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 20.00% 10.00% 12/11/2006 1/22/2007 5/1/2007

604 HHC 1/98 GA I E 1/4/1999 1/1/2013

Southwestern Life Insurance Company 91391 GA 20.00% 10.00% 12/11/2006 1/22/2007 5/1/2007

605 LTC 1/98 KS I F 7/13/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 15.00% 13.00% 12/21/2006 4/19/2007 7/1/2007

606 QLTC 1/98 KS I C 6/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 KS 15.00% 13.00% 12/21/2006 4/19/2007 7/1/2007

607 LTC 1/98 LA I F 11/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 12/12/2006 Denied

608 QLTC 1/98 LA I C 7/17/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 12/12/2006 Denied

609 HHC 1/98 LA I E 1/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 LA 30.00% 0.00% 12/12/2006 Denied

610 HHC 1/98 MD I E 10/10/2000 1/1/2013

Southwestern Life Insurance Company 91391 MD 10.00% 10.00% 12/21/2006 1/10/2007 3/1/2007

611 LTC 1/98 MS I F 4/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 5.00% 5.00% 12/27/2006 3/30/2007 9/1/2007

612 QLTC 1/98 MS I C 5/10/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 5.00% 5.00% 12/27/2006 3/30/2007 9/1/2007

613 HHC 1/98 MS I E 4/19/1999 1/1/2013

Southwestern Life Insurance Company 91391 MS 5.00% 5.00% 12/27/2006 3/30/2007 9/1/2007

614 LTC 1/98 NV I F 5/2/1999 1/1/2013

Southwestern Life Insurance Company 91391 NV 11.00% 11.00% 12/26/2006 7/1/2007 1/1/2008

615 QLTC 1/98 NV I C 5/11/1999 1/1/2013

Southwestern Life Insurance Company 91391 NV 11.00% 11.00% 12/26/2006 7/1/2007 1/1/2008

Page 42: Jackson National LTC Rate History 2016€¦ · 02/22/98; 1/1/2000. Allied Life Insurance Company. 60178. UT. 30.00%; 30.00% 2/5/2009; 7/17/2009 7/24/2009; 28. A-5000. I. A. 08/23/97;

California Department of Insurance Long Term Care Insurance - Jackson National Life Ins Co (NAIC 65056)Rate Increase History

Company Contact: 1-888-304-9200 or 1-888-503-8109

As of 12/2016

Source: 2016 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 42 of 42 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

616 HHC 1/98 NV I E 11/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 NV 11.00% 11.00% 12/26/2006 7/1/2007 1/1/2008

617 LTC 1/98 OH I F 8/1/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 15.00% 15.00% 12/21/2006 1/25/2007 5/1/2007

618 QLTC 1/98 OH I C 8/27/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 15.00% 15.00% 12/21/2006 1/25/2007 5/1/2007

619 HHC 1/98 OH I E 9/4/1998 1/1/2013

Southwestern Life Insurance Company 91391 OH 15.00% 15.00% 12/21/2006 1/25/2007 5/1/2007

620 LTC 1/98 OK I F 1/27/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 12/21/2006 1/26/2007 5/1/2007

621 QLTC 1/98 OK I C 3/1/1999 1/1/2013

Southwestern Life Insurance Company 91391 OK 15.00% 15.00% 12/21/2006 1/26/2007 5/1/2007

622 LTC 1/98 OR I F 1/6/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 5.00% 5.00% 12/28/2006 3/23/2007 5/15/2007

623 QLTC 1/98 OR I C 1/28/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 5.00% 5.00% 12/28/2006 3/23/2007 5/15/2007

624 HHC 1/98 OR I E 1/9/1999 1/1/2013

Southwestern Life Insurance Company 91391 OR 5.00% 5.00% 12/28/2006 3/23/2007 5/15/2007

Policy Key Coding:*Policy Type

I IndividualG GroupP Partnership

** Policy CategoryA Nursing and Residential Care Facility/Tax QualifiedB Home Care Only/Tax QualifiedC Comprehensive/Tax QualifiedD Nursing and Residential Care Facility/Non-Tax QualifiedE Home Care Only/Non-Tax QualifiedF Comprehensive/Non-Tax Qualified