Exhibit A: SCOPE Column l Loss Reserves Amoun t 1. Reserve for Unpaid Losses (Liabilities, Surplus and Other Funds 1. page, Col. 1 , Line 1) 759,159 2. Reserve for Unpaid Loss Adjustment Expenses (Liabilities, Surplus and 2. 1 60,571 Other Funds page,Col.1 ,Line 3) 3. Reserve for Unpaid Losses - Direct and Assumed {Schedule P, 3. Part 1 ,Summary Totals from Cols. 1 3 and 1 5, line 12 1000) Reserve for 4, 299,000 • 4. 4. Unpaid Loss Adjustment Expenses - Direct and Assumed (should equal Schedule P, Part 1 ,Summary Totals from Cols. 17, 19 and 21 ,Line 12 1000) • 5. The Page 3 write-in item reserve, "Retroactive Reinsurance 5. Reserve Assumed" 0 6. Other Loss Reserve items on which the Appointed Actuary is 6. expressing an Opinion (list separately) 0 Premium Reserves Column 1 Amount 7. Reserve for Direct and Assumed Unearned Premiums for Long $ 0 Duration Contracts 8. Reserve for Net Unearned Premiums for Long Duration $ 0 Contracts 9. Premium Reserve items on which the Appointed Actuary $ 0 is expressing an Opinion {list separately)
Exhibit A: SCOPE Loss Reserves Column l Amoun t 1. Reserve for Unpaid Losses (Liabilities, Surplus and Other Funds 1. page, Col. 1 , Line 1) 759,159 2. Reserve for Unpaid Loss Adjustment Expenses (Liabilities, Surplus and Other Funds page,Col.1 ,Line 3) 2. 1 60,571 3. Reserve for Unpaid Losses - Direct and Assumed {Schedule P, 3. 4. Part 1 ,Summary Totals from Cols. 1 3 and 1 5, line 12 • 1000) Reserve for Unpaid Loss Adjustment Expenses - Direct and 4. 4, 299,000 Assumed (should equal Schedule P, Part 1 ,Summary Totals from Cols. 17, 19 and 21 ,Line 12 • 1000) 5. The Page 3 write-in item reserve, "Retroactive Reinsurance 5. Reserve Assumed" 0 6. Other Loss Reserve items on which the Appointed Actuary is 6. expressing an Opinion (list separately) 0 Premium Reserves Column 1 Amount 7. Reserve for Direct and Assumed Unearned Premiums for Long Duration Contracts $ 0 8. Reserve for Net Unearned Premiums for Long Duration Contracts $ 0 9. Premium Reserve items on which the Appointed Actuary is expressing an Opinion {list separately) $ 0
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