Annual Statement of Premier Insurance & Surety Corporation for 2019

COMPANY LOGO
ANNUAL STATEMENT
OF
THE PREMIER INSURANCE & SURETY
CORPORATION
Room 301 Travellers Life Bldg., 490
TM Kalaw St., Ermita Manila
Submitted to the
INSURANCE COMMISSION
Manila, Philippines
For the Year Ended

DECEMBER 31, 2019
NON-LIFE
In Printing
1 Only paper in size 8.5 x 14
2 Content tab should not be included during print
3 When printing in landscape page orientation, the upper portion should be attached on the left side of the book
In Filling-up the Annual Statement

If the company has no particular for the tab, insert "NONE" or "NIL" in the middle of the worksheet.
TABLE OF CONTENTS
EXHIBIT NO./ EXHIBIT NO./

PAGE NO. TITLE
SCHEDULE NO. SCHEDULE NO.
- - Cover Cover
Page 1 - Company Profile P1 - Com Prof
Page 1 - Annex A to Page 1 P1 - Annex
Page 2 Exhibit 1 Statement of Increase of Ledger Assets During the Year P2.a, E1 - Inc LA
Page 2 Exhibit 1 Statement of Decrease of Ledger Assets During the Year P2.b, E1 - Dec LA
Page 3 Exhibit 2 Statement of Financial Position - Assets P3, E2 - SFP - Assets
Page 4 Exhibit 2 Statement of Financial Position - Liabilities & Net Worth P4, E2 - SFP - Liab, NW
Page 5 Exhibit 3 Statement of Comprehensive Income P5, E3 - SCI
Page 6 Exhibit 4 Taxes Paid P6, E4 - Tax
Page 7 Exhibit 5 Statement of Premiums and Losses (ASEAN UFIS) P7, E5 - Prem and Losses
Page 8 Exhibit 6 Reinsurance: Assumed, Ceded And Retroceded P8, E6 - Reinsurance
Page 9 Exhibit 7 Enhanced SEGURO Performance Indicators P9, E7 - Enhanced SEGURO
Page 10 General Interrogatories P10, E8 - Gen'l Interrogaratories
Page 11 Notes To Financial Statements P11, E9 - Notes to FS
Page 12 Recap 1 Premiums Written and Premiums Earned P12, R1 - Premiums
Page 13 Recap 2 Losses Paid and Incurred P13, R2_ - Losses
Page 14 Recap 3 Commissions P14, R3 - Commissions
Page 15 Recap 4 Risks In Force P15, R4 - Risk in Force
Page 16 Recap 5 Losses and Claims Payable P16,R5 - Losses and Claims
Page 17 Recap 6 Premiums and Claims by Market Segment P17,R6 - Prem. and Claims
Page 18 Recap 7 Distribution Method by Line of Business P18, R7 - Line of Business
Page 19 Schedule 1 Cash on Hand and in Banks P19, S1 - Cash
Page 20 Schedule 2 Time Deposits P20, S2 - T Dep
Premiums Receivable - Direct Business , Brokers, General
Page 21 Schedule 3.A P21, S3.A - Prem Rec DB
Agents and Ordinary Agents Within 90 Days
Page 22 Schedule 3.B Premiums Receivable from Government Agencies P22, S3.B - Prem Rec Govt
Page 23 Schedule 3.C Premiums Receivable - Marine Hull P23, S3.C - Prem Rec Marine
Page 24 Schedule 3.D Premiums Receivable - Jumbo Risks P24, S3.D - Prem Rec Jumb Risks
Page 25 Schedule 4 Reinsurance Accounts P25, S4 - Reinsurance
Page 26 Schedule 5 Surety Losses Recoverable P26, S5 - Surety Losses
Financial Assets at Fair Value through Profit or Loss - Debt
Page 27 Schedule 6.A P27, S6.A - FAFVPL - Debt
Securities
Financial Assets at Fair Value through Profit or Loss -
Page 28 Schedule 6.B P28, S6.B - FAFVPL - Equity
Equity Securities
Page 29 Schedule 6.C P29, S6.C -FAFVPL - Funds
Mutual Fund, UITF, REIT and Other Funds
Page 30 Schedule 6.D P30, S6.D - FAFVPL - Deriv
Derivative Assets
Page 31 Schedule 7 Held-To-Maturity Investments P31, S7 - HTM
Page 32 Schedule 8 Loans Receivable - Real Estate Mortgage Loans P32, S8 - RE Mortgage Loan
Page 33 Schedule 9 Loans Receivable - Collateral Loans P33, S9 - Collateral Loan
Page 34 Schedule 10 Loans Receivable - Guaranteed Loans P34, S10 - Guaranteed Loan
Page 35 Schedule 11 Loans Receivable - Chattel Mortgage Loans P35, S11 - Chattel Mortgage
Page 36 Schedule 12 Loans Receivable - Notes Receivable P36, S12 - Notes Rec
Page 37 Schedule 13 Loans Receivable - Housing Loans P37, S13 - Housing Loan
Page 38 Schedule 14 Loans Receivable - Car Loans P38, S14 - Car Loan
Page 39 Schedule 15 Loans Receivable - Purchase Money Mortgages P39, S15 - Money Mortgage
Page 40 Schedule 16 Loans Receivable - Sales Contract Receivables P40, S16 - Sales Contract
Page 41 Schedule 17 Loans Receivable - Unquoted Debt Securities P41, S17 - Unquoted Debt Sec
Page 42 Schedule 18 Loans Receivable - Salary Loans P42, S18 - Salary Loans
Page 43 Schedule 19 Loans Receivable - Others P43, S19 - Other Loans
Page 44 Schedule 20.A Available-For-Sale (AFS) Financial Assets - Debt Securities P44, S20.A - AFS - Debt
Available-For-Sale (AFS) Financial Assets - Equity
Page 45 Schedule 20.B P45, S20.B - AFS - Equity
Securities
Available-For-Sale (AFS) Financial Assets - Mutual Fund ,
Page 46 Schedule 20.C P46, S20.C - AFS - Funds
UITF, REIT and Other Funds
Page 47 Schedule 21 Investment Income Due and Accrued P47, S21 - Due and Accrued
Page 48 Schedule 22 Accounts Receivable P48, S22 - Acc Rec
Page 49 Schedule 23 Investments in Subsidiaries, Associates and Joint Ventures P49, S23 - Inv in Sub,Assoc,JV
Property and Equipment - Land, Building & Building

Page 50 Schedule 24.A P50, S24.A - P and E
Improvements and Leasehold Improvement
Page 51 Schedule 24.B Property and Equipment - IT Equipment P51, S24.B - P and E
TABLE OF CONTENTS
EXHIBIT NO./ EXHIBIT NO./

PAGE NO. TITLE
SCHEDULE NO. SCHEDULE NO.
Property and Equipment - Transportation Equipment/ Office

Page 51 Schedule 24.C P51, S24.C - P and E
Furniture, Fixtures And Equipment
Page 52 Schedule 25 Investment Property P52, S25 - Inv Property
Page 53 Schedule 26 Lease P53, S26 - Lease
Page 54 Schedule 27 Non-Current Asset Held for Sale P54, S27 - NCAHS
Page 55 Schedule 28 Subscription Receivable P55, S28 - Subs Receivable
Page 56 Schedule 29 Derivative Assets P56, S29 - Derivative Asset
Page 57 Schedule 30 Other Assets P57, S30 - Other Asset
Page 58 Schedule 31.A Claims Liabilities (Undiscounted) P58, S31.A-CL-Undiscounted
Page 59 Schedule 31.B Claims Liabilities (Discounted) P59, S31.B - CL - Discounted
Page 60 Schedule 32.A Premium Liabilities (Undiscounted) P60, S32.A - PL - Undiscounted
Page 61 Schedule 32.B Premium Liabilities (Discounted) P61, S32.B - PL - Discounted
Page 62 Schedule 33 Loss Development Triangles P62, S33 - Loss Triangle
Page 63 Schedule 34.A Outstanding Claims Reserve - Direct Business P63, S34.A - LCP - Direct
Page 64 Schedule 34.B Outstanding Claims Reserve - Assumed - Treaty P64, S34.B - LCP - Treaty
Page 65 Schedule 34.C Outstanding Claims Reserve - Assumed - Facultative P65, S34.C - LCP - Facultative
Page 66 Schedule 35 Commission Payable P66, S35 - Comm Pay
Page 67 Schedule 36 Return Premiums Payable P67, S36 - Ret Prem Pay
Page 68 Schedule 37 Taxes Payable P68, S37 - Tax Pay
Page 69 Schedule 38 Accounts Payable P69, S38 - Accts Pay
Page 70 Schedule 39 Dividends Payable P70, S39 - Div Pay
Page 71 Schedule 40 Notes Payable P71, S40 - Notes Pay
Page 72 Schedule 41 Provisions P72, S41 - Prov
Page 73 Schedule 42 Accrued Expenses P73, S42 - Accrd Exp
Page 74 Schedule 43 Other Liabilities P74, S43 - Other Liab
Page 75 Schedule 44 Net Worth Accounts P75, S44 - Net Worth
Page 76 Schedule 45 Commission Paid - Direct Business P76, S45 - Comm Paid
Submitted to the Philippine Insurance Commission Pursuant to the laws of the Republic of the Philippines. Denomination Amount
Rate of USD 50.635
Exchange
ANNUAL STATEMENT FOR THE YEAR ENDED: December 31, 2019 OF THE PREMIER INSURANCE & SURETY CORPORATION
COMPANY PROFILE
Certificate of Authority No… 2019/92-R Adminsitrative Order: No. 131 Tax Account Number: 001-006-578-000
Date of Issue : 22-Feb-19 Date of Issue : August 09, 1965 Date of Issue : January 01, 1996
Date of Original I Dec. 22, 1964
Incorporated on…………………….……………………October 30, 1964 Telephone no.: (8)523-2257

Commenced business on………………………………. February 1965 Fax no.: None
Incorporated in the Philippines as: Domestic: ….................................. SEC Certificate of Registration No.: 26043
(please put a ü in the box) Domestically Incorporated …........
Branch …......................................
Home Office address……………………………….……Room 301 Travellers Life Bldg. 490 T.M. Kalaw St. Mail Room 301 Travellers Life Bldg. 490 T.M. Kalaw St.
Ermita, Manila 1000 address Ermita, Manila
Corporate Residence Certificate No……………………………… 00157067
Issued at City of Manila on January 04, 2019 Website www.thepremier.com.ph
Preparer of Annual Statement: Kristian S. Cruz Designation:Accounting Supervisor Contact No. 09357377354
Reviewer: Eugenio R. Hermosa Jr. Designation:Comptroller Contact No. 09309034651
MEMBERS OF THE BOARD,

OFFICERS AND EMPLOYEES
TERM OF OFFICE AMOUNT

POSITION NAME NATIONALITY # SHARES OWNED
TO FROM
Chairman SAMUEL U. LEE Present 1/2/2019 FILIPINO 4.746155% 61,700,000.00
Vice-Chairman - - - - - -
Directors (Note 1) EVANGELINE P. DE LEON Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Member MAYBELLE L. LIM Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Member EDGARDO P. DAVID Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Member SANDRA L. ANG Present 1/2/2019 FILIPINO 0.007692% 100,000.00
VP - Finance/Treasury FLORINDA R. CALLO Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Member DOLORES G. FERNANDEZ Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Member MARIANITO G. FARAL Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Corporate Secretary ATTY. FLORENCE B. CARANDANG Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Special Assistant to the President NILO P. MISAGAL Present 7/19/2013 FILIPINO 0.000016% 200.00
Assistant Corporate Secretary ARNULFO V. PELAGIO Present 1/11/2001 FILIPINO 0.000024% 300.00
Independent Director - - - - - -
President MAYBELLE L. LIM Present 1/2/2019 FILIPINO 0.007692% 100,000.00

Chief Operating Officer MAYBELLE L. LIM Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Chief Executive Officer SAMUEL U. LEE Present 1/2/2019 FILIPINO 4.746155% 61,700,000.00
Executive Vice President - - - - - -
Secretary ATTY. FLORENCE B. CARANDANG Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Treasurer FLORINDA R. CALLO Present 1/2/2019 FILIPINO 0.007692% 100,000.00
Department Heads:
Fire Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Marine Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Casualty Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Bonding Josephine De Guzman Present 4/15/2019 FILIPINO - -
Miscellanous Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Underwriters:
Fire Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Marine Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Casualty Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Bonding Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Miscellanous Ruben P. Añonuevo Present 1/2/2019 FILIPINO - -
Actuary JPWall Consulting Partners (Phils.) Inc Present 1/2/2019 FILIPINO -
Chief Accountant/Comptroller Eugenio R. Hermosa Jr. Present 1/2/2019 FILIPINO - -
Auditor: Internal Nenita C. Tee Present 1/2/2019 FILIPINO - -
Auditor: External 2014 2015 2016 2017 2018 2019

Auditing Firm I.T. Sabado & Associates, I.T. Sabado & Associates, I.T. Sabado & Associates, I.T. Sabado & Associates, I.T. Sabado & Associates, I.T. Sabado & Associates,
Signing Partner (Managing PartneMaria Nita Esmeralda A. Ba Isagani T. Sabado Isagani T. Sabado Isagani T. Sabado Isagani T. Sabado Isagani T. Sabado
Opinion
Basis for not unqualified opinion
onOfficers
Other current (Note
year Audited
2)
AMLA Compliance Officer MAYBELLE L. LIM Present 1/2/2019 FILIPINO 0.04% 100,000.00
Corp. Governance Complianc ATTY. FLORENCE B. CARANDANG Present 1/2/2019 FILIPINO 0.04% 100,000.00
Number of Salaried Officers 9 Number of Salaried Employees 22

Number of Insurance Agents (O.A.) 3 Number of General Agents None
Names and Address of General Agents & Brokers; Certificate of Authority Number and Date of Issue: (Note 3) Date
Zip code C/A No. Issued/Ren
Name Address City/Mun Province ewed
None None None None None None None None
Number of Branches: (Note 4) Total 1 Domestic/Local Foreign
Domestic/ Foreign Branch Office Address City/Mun Province Zip code Name of Manager
Cebu Branch M-03 Anecita Building Osmena Boulevard Cebu City Cebu 6000 Ruben L. Talaboc
NUMBER OF SHARES
Percentage of
Subsidiaries & Affiliates (Note 5) Capital Stock Company Owned
Ownership
Authorized Paid-Up
1. Subsidiaries - - - -
a. - - - -
b. - - - -
(add rows if necessary) - - - -
2. Affiliates - - - -
a. - - - -
b. - - - -
(add rows if necessary) - - - -
NOTES & INSTRUCTIONS:

1. Please add rows if necessary
2. Please add rows if necessary: specifiy position in Column 1
3. If presented in separate sheet, please follow the information required
Page 1
ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORP. FOR THE YEAR ENDED DECEMBER 31, 2019
Annex A to Page 1
Number Of
Provinces by Region Branches Extension Service Satellite Salaried Salaried Insurance General
Domestic Foreign Total Office Office Office Officers Employees Agents Agents
NCR - - - - - - 8 19 2 -
1. Manila - 8 19 2
2. Mandaluyong -
3. Marikina -
4. Pasig -
5. San Juan -
6. Quezon City -
7. Caloocan City -
8. Malabon -
9. Navotas -
10. Valenzuela -
11. Las Pinas -
12. Makati -
13. Muntinlupa -
14. Pasay City -
15. Taguig City -
16. Pateros -
17. Parañaque -
CAR - - - - - - - - - -
1. Abra -
2. Apayao -
3. Benguet -
4. Baguio City -
5. Ifugao -
6. Kalinga -
7. Mountain Province -
Region I - - - - - - - - - -
1. Ilocos Norte
2. Ilocos Sur -
3. La Union -
4. Pangasinan -
5. Dagupan City -
Region II - - - - - - - - 1 -
1. Batanes -
2. Cagayan - 1
3. Isabela -
4. Nueva Vizcaya -
5. Quirino -
6. Santiago -
Region III - - - - - - - - - -
1. Aurora -
2. Bataan -
3. Bulacan -
4. Nueva Ecija -
5. Pampanga -
6. Angeles City -
7. Tarlac -
8. Zambales -
9. Olongapo City -
Region IV - A - - - - - - - - - -
1. Batangas -
2. Cavite -
3. Laguna -
4. Quezon -
5. Lucena City -
6. Rizal -
MIMAROPA - - - - - - - - - -
1. Marinduque -
2. Occidental Mindoro -
3. Oriental Mindoro -
4. Palawan -
5. Puerto Princesa City -
6. Romblon -
Region V - - - - - - - - - -
1. Albay -
2. Camarines Norte -
3. Camarines Sur -
4. Catanduanes -
5. Masbate -
6. Naga City
7. Sorsogon -
Page 1
ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORP. FOR THE YEAR ENDED DECEMBER 31, 2019
Annex A to Page 1
Number Of
Provinces by Region Branches Extension Service Satellite Salaried Salaried Insurance General
Domestic Foreign Total Office Office Office Officers Employees Agents Agents
Region VI - - - - - - - - - -
1. Aklan -
2. Antique -
3. Capiz -
4. Negros Occidental -
5. Bacolod City -
6. Guimaras -
7. Iloilo -
8. Iloilo City -
Region VII 1 - 1 - - - 1 3 - -
1. Bohol -
2. Cebu 1 1 1 3
3. Cebu City -
4. Lapu-Lapu -
5. Mandaue City -
6. Negros Oriental -
7. Siquijor -
Region VIII - - - - - - - - - -
1. Biliran -
2. Eastern Samar -
3. Leyte -
4. Tacloban City -
5. Northern Samar -
6. Southern Leyte -
7. Samar (Western Samar)
8. Ormoc City -
Region IX - - - - - - - - - -
1. Zamboanga del Norte -
2. Zamboanga del Sur -
3. Zamboanga City -
4. Zamboanga Sibugay -
5. City of Isabela -
Region X - - - - - - - - - -
1. Bukidnon -
2. Camiguin -
3. Lanao del Norte -
4. Iligan City -
5. Misamis Occidental -
6. Misamis Oriental -
7. Cagayan de Oro City -
Region XI - - - - - - - - - -
1. Davao del Norte -
2. Davao del Sur -
3. Davao City -
4. Davao Oriental -
5. Davao de Oro (former Compostela Valley) -
6. Davao Occidental -
Region XII - - - - - - - - - -
1. North Cotabato -
2. Sarangani -
3. South Cotabato -
4. General Santos City -
5. Sultan Kudarat -
Region XIII - - - - - - - - - -
1. Agusan del Norte -
2. Butuan City -
3. Agusan del Sur -
4. Surigao del Norte -
5. Surigao del Sur -
6. Dinagat Islands -
BARMM - - - - - - - - - -
1. Basilan -
2. Lanao del Sur -
3. Maguindanao -
4. Sulu -
5. Tawi-tawi -
6. Cotabato City -
GRAND TOTAL 1 - 1 - - - 9 22 3 -
Page 1
THE PREMIER INSURANCE & SURETY CORPORATION
FOR THE YEAR ENDED DECEMBER 31, 2019
ANALYSIS OF INCREASE / (DECREASE) IN LEDGER ASSETS
Y - 2018 Y - 2019 Increase/ (Decrease)
ASSETS 514,199,817.77 1,915,627,664.70 1,401,427,846.93
LIABILITIES 156,922,800.72 164,229,924.50 7,307,123.78
EQUITY 357,277,017.05 1,751,397,740.20 1,394,120,723.15

ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2019
EXHIBIT I. STATEMENT OF INCREASE OF LEDGER ASSETS DURING THE YEAR
Current Year
A. Increase in Ledger Assets:
1. Increase in Paid-Up Capital Stock during the year 916,450,000.00

1. Increase in Capital Stock Subscription Receivable 133,550,000.00
2. Increase in Contributed Surplus during the year (Deposit for Future Subscription) 341,235,773.44
3. Deposit Premiums received, if any
4a. Gross Interests/Dividends/Other Income 10,495,822.48

Earned during the year: per schedule 21, Page 47, Column 5
4b. Other Income Earned during the year 1,140,432.51
5. Underwriting income: 36,219,211.37
5.1 Net Premiums Earned, per Recapitulation I

pages 12, col. 19 (disclosed prems collected for MI during the year _______) 34,646,329.82
5.2 Commission Income-Treaty
5.3 Commission Income-Facultative 206,781.02
5.4 Other Underwriting Income 1,366,100.53
6. Total underwriting Income 47,855,466.36
7. Remittances Received From Home or Branch Office
8. Borrowed Money P____________, less Amount repaid P__________
9. Amount Collected from Receivables previously written off.
10. Other Receipts not included elsewhere:
10.1 Receipts arising from Microinsurance

10.2
11. Gross Profit on Sales or Maturity of Investments:
11.1 Financial Assets and Liabilities Held for Trading

Designated at
11.2 Fair Value Through Profit or Loss
11.3 Available-for-Sale Financial Assets
11.4 Investment Property
11.5 Property and Equipment
11.6 Others
12. Gross increase by Adjustment in Book Value of Ledger Assets

Designated at
12.3 Available-for-Sale Financial Assets
12.5 Property & Equipment
12.6 Foreign Deposits
12.7 Others
13. Increase in Liabilities Tending to Increase in Ledger Assets (Attach Computation or Analysis) 7,307,123.78
14. Total increase in Ledger Assets Brought Forward to line 1, page 2.b 1,446,398,363.58
Page 2
EXHIBIT I. STATEMENT OF DECREASE OF LEDGER ASSETS DURING THE YEAR
Current Year
1. Amount carried forward from line 14, page 2.a 1,446,398,363.58
B. Decrease in Ledger Assets:
2. Decrease in Paid-up Capital (Treasury Stock)
3. Decrease in Contributed Surplus
4. Investment Expenses: Incurred
4.1 Taxes on Property & Equipment

4.2 Repairs on Building and other Improvements
4.3 Maintenance on Property & Equipment
4.4 Brokerage Fee on Purchase/Sale of Investment
4.5 Other Investment Expenses
5. Underwriting Deductions: As incurred 28,071,516.03
5.1 Net Losses Incurred, per Recapitulation II, page 13, Column 17 (refer to Recap II for MI) 13,385,469.76
5.2 Loss Adjustment Expenses Incurred 612.85
5.3 Commission Expenses, Recapitulation III, page.14 (refer to Recap III for MI) 6,237,508.71
5.4 Premium Tax
5.5 Fire Service Tax
5.6 Other Underwriting Expenses 8,447,924.71
6 Operating, General and Administrative Expenses Incurred 14,055,820.09
6.1 Salaries and Wages 6,185,255.31

6.2 Alowances and Bonuses
6.3 SSS Contributions 361,958.60
6.4 PAG-IBIG Fund Contributions 25,900.00
6.5 Other Employees Benefits 416,600.20
6.6 Christmas & Anniv. Expenses
6.7 Freight Charges
6.8 Rental Expense 965,717.48
6.9 Light and Water 194,149.25
6.10 Advertising and Promotions 241,898.86
6.11 Representation and Entertainment 93,549.17
6.12 Professional and Technical Development 56,000.00
6.13 Professional Fees 867,952.00
6.14 Periodicals & Magazines 1,500.00
6.15 Printing, Stationery and Office Supplies 765,208.92
6.16 Communications and Postages 399,899.77
6.17 Lease Charges
6.18 Bank Charges 64,860.84
6.19 Depreciations and Amortization 417,019.16
6.20 Transportation and Travel Expenses 945,755.82
6.21 Registration Fee
6.22 General Office Maintenance and Related Expenses 115,932.03
6.23 Furniture and Equipment including rent,
depreciation and Repairs of Same
6.24 Other Operating Expenses 921,394.34
6.24.1 Microinsurance
6.24.2 Non-microinsurance 921,394.34
6.25 Taxes, Licenses and Fees 1,015,268.34

6.25.1 Licenses and Fees 849,423.64
6.25.2 Corporate Residence Certificate 10,500.00
6.25.3 Documentary Stamp Tax
6.25.4 Deferred Income Tax Charge
6.25.5 Others 155,344.70
7. Deposit Premiums Returned
8. Premiums Balances Charged Off
9. Income Taxes Paid During the year (137,284.99)
10. Remittances paid to Home/Branch Office
11. Borrowed Money Paid P______________ less Amount Borrowed P____________
12. Interest Paid on Borrowed Money
13. Dividends paid to Stockholders
14 Gross Loss on Sale/Maturity of Ledger Assets: 2,685,898.32

Designated at
14.3 Available-for-Sale Financial Assets 113,000.00
14.5 Property and Equipment 2,570,543.42
14.6 Others 2,354.90
15. Gross Decrease by Adjustment in Book Value of Ledger Assets: 294,567.20
Page 2
EXHIBIT I. STATEMENT OF DECREASE OF LEDGER ASSETS DURING THE YEAR
Current Year

Designated at
15.3 Available-for-Sale Financial Assets 294,567.20
15.6 Others
16. Decrease in Liabilities Tending to Decrease Ledger Assets (Attach Computations or Analysis)
17. Total Decrease in Ledger Assets 44,970,516.65

18. Net Increase (Decrease) in Ledger Assets During the Year (Line 1 Less Line 17) 1,401,427,846.93
19. Add: Amount of Ledger Assets December 31, Previous Year 514,199,817.77
20. Total Ledger Assets, December 31, Current Year, Exhibit II Page 3 Column 1 1,915,627,664.70
Page 2
ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORPORATION FOR THE YEAR ENDED DECEMBER 31,2019
EXHIBIT II. STATEMENT OF FINANCIAL POSITION

ASSETS
Amounts for Net Worth

Non-admitted Ledger Balances
Account Reference Ledger Balances Requirements
Assets (Previous Year)
(December 31, 2019)
ASSETS
1. Cash on Hand Schedule 1 2,364,891.94 - 2,364,891.94 14,302,251.18

1.1. Undeposited Collections - -
1.2. Petty Cash Fund - -
1.3. Commission Fund 30,000.00 30,000.00 30,000.00
1.4. Documentary Stamps Fund - -
1.5. Claims Fund 40,568.74 40,568.74 40,568.74
1.6. Revolving Fund 291,682.44 291,682.44 231,682.44
1.7. Other Funds (Specify) 2,002,640.76 2,002,640.76 14,000,000.00
2. Cash in Banks Schedule 1 202,942,182.71 - 202,942,182.71 12,639,322.45
2.1. Current - Peso 16,481,469.02 16,481,469.02 9,273,867.08
2.2. Current - Foreign -
2.3. Savings - Peso 186,402,025.71 186,402,025.71 3,330,882.44
2.4. Savings - Foreign 58,687.98 58,687.98 34,572.93
3. Time Deposits Schedule 2 - - - -
3.1. Peso Currency -
3.2. Foreign Currency -
4. Premiums Receivable, net Schedule 3 99,232,979.48 - 99,232,979.48 238,168,992.92
Premium Receivable 103,636,032.48 103,636,032.48 242,572,045.92
4.1. Allowance for Impairment Losses (4,403,053.00) (4,403,053.00) (4,403,053.00)
5. Due from Ceding Companies, net Schedule 4 31,492,162.11 (8,094,030.44) 23,398,131.67 28,408,278.88
5.1. Premiums Due from Ceding Companies - Treaty 932,032.20 - 932,032.20 391,093.28
5.2. Premiums Due from Ceding Companies - Facultative 30,560,129.91 (8,094,030.44) 22,466,099.47 28,017,185.60
5.3. Allowance for Impairment Losses -
6. Funds Held by Ceding Companies, net Schedule 4 - - - -
Funds Held by Ceding Companies -
7. Loss Reserve Withheld by Ceding Companies, net Schedule 4 - - - -
7.1. Loss Reserve Withheld by Ceding Companies - Treaty -
7.2. Loss Reserve Withheld by Ceding Companies - Facultative -
8. Amounts Recoverable from Reinsurers, net Schedule 4 100,673,142.30 (26,265,422.41) 74,407,719.89 111,764,378.57
8.1. Reinsurance Recoverable on Paid Losses - Treaty 12,059,740.36 (3,059,727.40) 9,000,012.96 8,749,510.78
8.2. Reinsurance Recoverable on Paid Losses - Facultative 84,914,840.02 (23,205,695.01) 61,709,145.01 66,687,541.12
8.3. Reinsurance Recoverable on Unpaid Losses - Treaty 1,431,449.92 1,431,449.92 6,030,719.22
8.4. Reinsurance Recoverable on Unpaid Losses - Facultative - 23,047,421.45
8.5. RI Share on IBNR 2,267,112.00 2,267,112.00 7,249,186.00
9. Other Reinsurance Accounts Receivable, net Schedule 4 13,200,049.24 - 13,200,049.24 13,200,049.24
9.1 Other Reinsurance Accounts Receivable 13,200,049.24 13,200,049.24 13,200,049.24
10. Surety Losses Recoverable Schedule 5 - - - -
Surety Losses Recoverable -
11. Financial Assets at Fair Value Through Profit or Loss - - - -
11.1. Securities Held for Trading - - - -
11.1.1. Trading Debt Securities - Government Schedule 6.A -
11.1.2. Trading Debt Securities - Private Schedule 6.A -
11.1.3. Trading Equity Securities Schedule 6.B -
11.1.4. Mutual Funds and Unit Investment Trusts Schedule 6.C -
11.1.5. Real Estate Investment Trusts Schedule 6.C -
11.1.6. Other Funds Schedule 6.C -
11.2. Financial Assets Designated at Fair Value
- - - -
Through Profit or Loss (FVPL)
11.2.1. Debt Securities - Government Schedule 6.A -
11.2.2. Debt Securities - Private Schedule 6.A -
11.2.3. Equity Securities Schedule 6.B -
11.2.4. Mutual Funds and Unit Investment Trusts Schedule 6.C -
11.2.5. Real Estate Investment Trusts Schedule 6.C -
11.2.6. Other Funds Schedule 6.C -
11.3. Derivative Assets Schedule 6.D -
12. Held-to-Maturity (HTM) Investments Schedule 7 155,097,747.06 - 155,097,747.06 59,928,671.81
12.1. HTM Debt Securities - Government 153,420,000.00 153,420,000.00 57,900,000.00
12.1.a. Unamortized (Discount)/Premium (3,322,252.94) (3,322,252.94) (2,971,328.19)
12.2. HTM Debt Securities - Private 5,000,000.00 5,000,000.00 5,000,000.00
12.2.a. Unamortized (Discount)/Premium -
13. Loans and Receivables 150,032,435.52 - 150,032,435.52 8,103,454.33
13.1. Real Estate Mortgage Loans Schedule 8 - 8,103,454.33
13.2. Collateral Loans Schedule 9 -
13.3. Guaranteed Loans Schedule 10 -
13.4. Chattel Mortgage Loans Schedule 11 -
13.5. Notes Receivable Schedule 12 -
13.6. Housing Loans Schedule 13 -
13.7. Car Loans Schedule 14 -
13.8. Purchase Money Mortgages Schedule 15 -
13.9. Sales Contract Receivables Schedule 16 -
13.10. Unquoted Debt Securities Schedule 17 -
13.11. Salary Loans Schedule 18 32,435.52 32,435.52
13.12. Other Loans Receivables Schedule 19 150,000,000.00 150,000,000.00
14. Available-for-Sale (AFS) Financial Assets 3,157,804.80 - 3,157,804.80 3,565,372.00
14.1. AFS Debt Securities - Government Schedule 20.A -
14.2. AFS Debt Securities - Private Schedule 20.A -
14.3. AFS Equity Securities Schedule 20.B 3,157,804.80 3,157,804.80 3,565,372.00
14.4. Mutual Funds and Unit Investment Trusts Schedule 20.C -
14.5. Real Estate Investment Trusts Schedule 20.C -
14.6. Other Funds Schedule 20.C -
15. Investments Income Due and Accrued Schedule 21 52,219.20 - 52,219.20 -
15.1. Accrued Interest Income - Cash In Banks -
15.2. Accrued Interest Income - Time Deposits -
15.3. Accrued Interest Income - Financial Assets at FVPL - - - -
15.3.1. Securities Held for Trading - - - -
15.3.1.a. Debt Securities - Government -
15.3.1.b. Debt Securities - Private -
15.3.2. Financial Assets Designated at FVPL - - - -
15.2.2.a. Debt Securities - Government -
Page 3
ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORPORATION FOR THE YEAR ENDED DECEMBER 31,2019

ASSETS
Amounts for Net Worth

Non-admitted Ledger Balances
Account Reference Ledger Balances Requirements
Assets (Previous Year)
(December 31, 2019)
15.2.2.b. Debt Securities - Private -
15.4. Accrued Interest Income - AFS Financial Assets - - - -
15.4.1. AFS Debt Securities - Government -
15.4.2. AFS Debt Securities - Private -
15.5. Accrued Interest Income - HTM Investments 52,219.20 - 52,219.20 -
15.5.1. HTM Debt Securities - Government 14,548.00 14,548.00
15.5.2. HTM Debt Securities - Private 37,671.20 37,671.20
15.6. Accrued Interest Income - Loans and Receivables - - - -
15.6.1. Real Estate Mortgage Loans -
15.6.2. Collateral Loans -
15.6.3. Guaranteed Loans -
15.6.4. Chattel Mortgage Loans -
15.6.5. Notes Receivable -
15.6.6. Housing Loans -
15.6.7. Car Loans -
15.6.8. Purchase Money Mortgages -
15.6.9. Sales Contract Receivable -
15.6.10. Unquoted Debt Securities -
15.6.11. Salary Loans -
15.6.12. Others -
15.7. Accrued Dividends Receivable - - - -
15.7.1. FVPL Equity Securities -
15.7.2. DVPL Equity Securities -
15.7.3. AFS Equity Securities -
15.8. Accrued Interest Income - Security Fund -
15.9. Accrued Investment Income - Investment Properties -
15.10. Accrued Investment Income - Others -
16. Accounts Receivable Schedule 22 60,931,068.45 (60,931,068.45) - 144,639.15
16.1. Advances to Agents (Agents Accounts) / Employees 60,931,068.45 (60,931,068.45) - 144,639.15
16.2. Lease Receivables -
17. Investments in Subsidiaries, Associates and Joint Ventures Schedule 23 - - - -
17.1. Investment in Subsidiaries -
17.2. Investment in Associates -
17.3. Investment in Joint Ventures -
18. Property and Equipment 141,620,390.06 (1,486,321.04) 140,134,069.02 19,351,705.32
18.1. Land - At Cost Schedule 24.A 140,000,000.00 140,000,000.00 15,809,300.00
18.2. Building and Building Improvements - At Cost Schedule 24.A - 3,990,700.00
18.2.a. Accumulate Depreciation - Building and Building
- (1,064,428.01)
Improvements
18.3. Leasehold Improvements - At Cost Schedule 24.A 1,313,551.50 (1,313,551.50) -
18.3.a. Accumulated Depreciation - Leasehold
(127,258.57) 127,258.57 -
Improvements
18.4. IT Equipment - At Cost Schedule 24.B 375,941.34 375,941.34 231,000.00
18.4.a. Accumulated Depreciation - IT Equipment (241,872.32) (241,872.32) (173,250.00)
18.5. Transportation Equipment - At Cost Schedule 24.C - - 1,138,000.00
18.5.a. Accumulated Depreciation - Transportation
- - (644,866.67)
Equipment
18.6. Office Furniture, Fixtures and Equipment - At Cost Schedule 24.C 525,484.36 (525,484.36) - 205,700.00
18.6.a. Accumulated Depreciation – Office Furniture,
(225,456.25) 225,456.25 - (140,450.00)
Fixtures and Equipment
18.7. Revaluation Increment -
18.8.a. Accumulated Depreciation - Revaluation Increment -
18.8. Accumulated Impairment Losses -
19. Investment Property Schedule 25 800,005,052.30 800,005,052.30
20. Right of Use Asset Schedule 26 -
21. Non-current Assets Held for Sale Schedule 27 -
22. Subscription Receivable Schedule 28 133,550,000.00 133,550,000.00
23. Security Fund Contribution 27,166.00 27,166.00 27,166.00
24. Pension Asset -
25. Derivative Assets Held for Hedging Schedule 29 -
25.1. Fair Value Hedge
25.2. Cash Flow Hedge
25.3. Hedges of a Net Investment in Foreign Operation
26. Deferred Acquisition Costs 7,298,109.49 7,298,109.49 1,523,434.26
27. Deferred Reinsurance Premiums 697,147.11 697,147.11 5,091.14
28. Deferred Tax Asset 2,368,121.76 2,368,121.76
29. Other Assets Schedule 30 10,884,995.17 (10,884,995.17) - 3,067,010.52
TOTAL ASSETS 1,915,627,664.70 ### 1,807,965,827.19 514,199,817.77
Page 3

LIABILITIES & NET WORTH
Amounts for Net Worth Ledger Balances

Account Reference Ledger Balances Non-ledger Liabilities Requirements (Balances as of 31 December
( __December 20XX) 20XX)
LIABILITIES
30. Claims Liabilities Schedule 31 52,727,584.74 - 52,727,584.74 111,710,946.88

30.1. Oustanding Claims Reserves 20,366,130.74 20,366,130.74 69,735,921.88
30.2. Claims Handling Expenses 3,947,116.00 3,947,116.00 2,734,242.00
30.3. IBNR Reserves 28,414,338.00 28,414,338.00 39,240,783.00
31. Premium Liabilities Schedule 32 22,988,543.75 22,988,543.75 1,756,718.18
32. Due to Reinsurers Schedule 4 23,396,436.64 - 23,396,436.64 23,502,290.82
32.1. Premiums Due to Reinsurers - Treaty 10,594,551.86 10,594,551.86 11,376,778.94
32.2. Premiums Due to Reinsurers - Facultative 12,801,884.78 12,801,884.78 12,125,511.88
33. Funds Held for Reinsurers Schedule 4 - - - -
33.1. Premiums Reserve Withheld for Reinsurers - Treaty -
33.2. Premiums Reserve Withheld for Reinsurers - Facultative -
34. Other RI Accounts Payable
35. Commissions Payable Schedule 35 1,679,265.79 1,679,265.79 2,517,574.31
36. Deferred Reinsurance Commissions 226,061.76 226,061.76 1,349.76
37. Return Premiums Payable Schedule 36 -
38. Taxes Payable Schedule 37 6,339,939.67 - 6,339,939.67 8,005,685.22
38.1. Premiums Tax Payable 122.00 122.00 43,135.92
38.2. Documentary Stamps Tax Payable 1,591,602.01 1,591,602.01 3,736,978.61
38.3. Value-Added Tax (VAT) Payable 4,319,094.49 4,319,094.49
38.4. Deferred Output VAT -
38.5. Income Tax Payable 113,303.22 113,303.22 1,985,531.19
38.6. Withholding Tax Payable 9,224.07 9,224.07 11,300.12
38.7. Fire Service Tax Payable 3,680.72 3,680.72 (17,149.11)
38.8. Other Taxes and Licenses Payable 302,913.16 302,913.16 2,245,888.49
39. Deposit for Real Estate Under Contract to Sell -
40. Cash Collaterals -
41. Accounts Payable Schedule 38 56,525,121.22 - 56,525,121.22 9,291,691.95
41.1. SSS Premiums Payable 18,560.00 18,560.00
41.2. SSS Loans Payable 8,490.70 8,490.70
41.3. Pag-ibig Premiums Payable 4,900.00 4,900.00
41.4. Pag-ibig Loans Payable 2,549.28 2,549.28
41.5. Rent Payable -
41.6 Others (Specify on another sheet) 56,490,621.24 56,490,621.24 9,291,691.95
42. Dividends Payable Schedule 39 -
43. Financial Liabilities at Fair Value Through Profit or Loss - - - -
43.1. Financial Liabilities Held for Trading -
43.2. Financial Liabilities Designated at Fair Value Through
-
Profit or Loss
43.3. Derivative Liabilities -
44. Notes Payable Schedule 40 - 57,205.55
45. Lease Liability Schedule 26 -
46. Pension Obligation -
47. Accrual for Long-Term Employee Benefits -
48. Deferred Tax Liability -
49. Provisions Schedule 41 -
50. Cash-Settled Share-Based Payment -
51. Accrued Expenses Schedule 42 346,970.93 - 346,970.93 79,338.05
51.1. Accrued Utilities 62,417.40 62,417.40 27,651.80
51.2. Accrued Services 284,553.53 284,553.53 51,686.25
51.3. Accrual for Unused Compensated Absences -
52. Other Liabilities Schedule 43 - - - -
52.1. Deferred Income -
52.2. Others -
53. Derivative Liabilities Held for Hedging - - - -
53.1. Fair Value Hedge -
53.2. Cash Flow Hedge -
53.3. Hedges of a Net Investment in Foreign Operation -
TOTAL LIABILITIES 164,229,924.50 - 164,229,924.50 156,922,800.72
NET WORTH
54. Capital Stock Schedule 44 1,300,000,000.00 - 1,300,000,000.00 250,000,000.00

54.1. Preferred Stock -
54.2. Common Stock 1,300,000,000.00 1,300,000,000.00 250,000,000.00
55. Statutory Deposit -
56. Capital Stock Subscribed -
57. Deposit for Future Subscription 341,235,773.44 341,235,773.44
58. Contributed Surplus 26,067,795.37 26,067,795.37 26,067,795.37
59. Contingency Surplus/ Home Office Inward
-
Remittances
60. Capital Paid In Excess of Par -
61. Retained Earnings / Home Office Account 82,263,933.58 (107,661,837.51) (25,397,903.94) 79,084,416.67
62. Cost of Share-Based Payment -
63. Reserve Accounts 1,830,237.81 - 1,830,237.81 2,124,805.01
63.1. Reserve for AFS Securities 1,830,237.81 1,830,237.81 2,124,805.01
63.2. Reserve for Cash Flow Hedge -
63.3. Reserve for Hedge of a Net Investment in Foreign
-
Operation
63.4. Cumulative Foreign Currency Translation -
64. Reserve for Appraisal Increment
- - - -
- Property and Equipment
64.1. Reserve for Appraisal Increment - Property and Equipment -
64.2. Reserve for Appraisal Increment - Investment Property -
65. Remeasurement Gains (Losses) on Retirement
-
Pension Asset (Obligation)
66. Treasury Stock -
TOTAL NET WORTH 1,751,397,740.20 (107,661,837.51) 1,643,735,902.68 357,277,017.05
TOTAL LIABILITIES AND NET WORTH 1,915,627,664.70 (107,661,837.51) 1,807,965,827.18 514,199,817.77
Page 4
EXHIBIT III. STATEMENT OF COMPREHENSIVE INCOME
Account Current Year Prior Year

(December 31, 20XX) (December 31, 20XX)
INCOME
67 Gross Premiums - Direct Business 35,220,373.52 17,274,751.86

68 Reinsurance Premiums Assumed - Treaty
69 Reinsurance Premiums Assumed - Facultative 21,297,957.54 (110,084.63)
70 Returns and Cancellations
Gross Premiums Written 56,518,331.06 17,164,667.23
71 Reinsurance Premiums Ceded - Treaty
72 Reinsurance Premiums Ceded - Facultative (640,175.67) (122,187.66)
73 Reinstatement Premiums
Reinsurers' share on Gross Premiums Written (640,175.67) (122,187.66)
74 Increase/Decrease in Premium Liabilities (21,231,825.57) 111,072,729.65
Net 34,646,329.82 128,115,209.22
Pre
75 Commission Income - Treaty 1,547,581.96
miu
76 Commission Income - Facultative 206,781.02 775,969.53
ms
77 Other Underwriting Income 1,366,100.53 288,208.79
Ear
Total Underwriting Income 36,219,211.37 130,726,969.50
ned
,
78
Rec Interest Income, Schedule 21, Column 5, page 47 10,495,822.48 1,958,706.33
apt 78.1 Interest Income - Cash in Banks 4,107,897.37 33,280.11
ulat 78.2 Interest Income - Financial Assets at FVPL - -
ion 78.2.1 Securities Held for Trading - -
I, 78.2.1.1 Debt Securities - Government
Col
78.2.1.2 Debt Securities - Private
um
n 78.2.2 Financial Assets Designated at FVPL - -
19, 78.2.2.1 Debt Securities - Government
pag 78.2.2.2 Debt Securities - Private
e 78.3 Interest Income - Available for Sale Financial Assets - -
13 78.3.1 AFS Debt Securities - Government
(Mi 78.3.2 AFS Debt Securities - Private
croi
78.4 Interest Income - Held-to-Maturity Investments 6,386,074.89 1,925,426.22
nsu
ran 78.4.1 HTM Debt Securities - Government 5,995,235.89 1,555,949.74
ce: 78.4.2 HTM Debt Securities - Private 390,839.00 369,476.48
P__ 78.5 Interest Income - Loans and Receivables 1,850.22 -
___ 78.5.1 Real Estate Mortage Loans
___ 78.5.2 Collateral Loans
_) 78.5.3 Guaranteed Loans
78.5.4 Chattel Mortgage Loans
78.5.5 Notes Receivables
78.5.6 Housing Loans
78.5.7 Car Loans
78.5.8 Sales Contracts Receivables
78.5.9 Salary Loans 1,850.22
78.5.10 Unquoted Debt Securities
78.5.11 Others
79 Dividend Income
80 Gain/Loss on Sale of Investments (113,000.00) -
80.2 Financial Assets and Liabilities Designated at
80.3 Fair Value ThroughFinancial
Available-for-Sale Profit or Assets
Loss (113,000.00)
80.5 Others
81 Gain on Sale of Property and Equipment (2,570,543.42) -
82 Unrealized Gain on Investments (2,354.90) 99,701.09
82.2 Financial Assets and Liabilities Designated at
82.3 Fair Value ThroughFinancial
Available-for-Sale Profit or Assets
Loss 99,701.09
82.4 Derivative Assets/Liabilities (2,354.90)
83 Rental Income
84 Miscellaneous Income 1,140,432.51 1,200,050.86
Total Investment Income 8,950,356.67 3,258,458.28
TOTAL INCOME 45,169,568.04 133,985,427.78
EXPENSE
85 Losses - Direct Business 4,242,750.70 49,064,916.59

86 Losses on Reinsurance Assumed - Treaty
87 Losses on Reinsurance Assumed - Facultative 83,819.28 (1,845,109.31)
88 Salvage Recoveries / Loss Recoveries on Direct Business
89 Loss Adjustment Expenses - Direct 17,159.83 16,945.25
90 Loss Adjustment Expenses on Reinsurance Assumed - Treaty
91 Loss Adjustment Expenses on Reinsurance Assumed - Facultative (67,827.95)
Gross Insurance Contract Benefits and Claims Paid 4,343,729.81 47,168,924.58
92 Loss Recoveries on Reinsurance Ceded - Treaty 83,517.91
93 Loss Recoveries on Reinsurance Ceded - Facultative 9,042,352.80 (4,855,856.70)
Reinsurers' Share of Insurance Contract Benefits and Claims Paid 9,042,352.80 (4,772,338.79)
Net Insurance Contract Benefits and Claims Paid 13,386,082.61 42,396,585.79
(Microinsurance:
94 P_________)
Retrocession Commission
95 Commission Expense - Direct (Microinsurance: P_________) 3,467,124.47 45,720,662.15
96 Commission Expense on Reinsurance Assumed - Treaty
97 Commission Expense on Reinsurance Assumed - Facultative 2,770,384.24 214,029.42
98 Other Underwriting Expenses 8,447,924.71 5,703,377.83
99 Other Tax Expense 155,344.70
100 Agency Expense
Total Underwriting Expense 28,226,860.73 94,034,655.19
101 Salaries and Wages 6,185,255.31 5,083,995.24

102 SSS Contributions 361,958.60 188,408.00
103 Philhealth Contributions 73,707.41 41,047.16
104 Pag-Ibig Contributions 25,900.00 17,200.00
105 Employees Compensation and Maternity Contributions
106 Hospitalization Contributions
107 Medical Supplies
108 Employees' Welfare
109 Employee Benefits 342,892.79 639,329.08
110 Post-Employment Benefit Cost
111 Professional and Technical Development 56,000.00
112 Representation and Entertainment 93,549.17 186,842.69
Page 5
EXHIBIT III. STATEMENT OF COMPREHENSIVE INCOME
Account Current Year Prior Year

113 Transporation and Travel Expenses (December 31, 20XX)945,755.82 (December 31, 20XX)
709,980.98
114 Investment Management Fees 97,159.00
115 Directors' Fees and Allowances 118,000.00
116 Corporate Secretary's Fees
117 Auditors' Fees 340,000.00 144,171.43
118 Acturial Fees 405,000.00 137,500.00
119 Service Fees 45,000.00 7,961,538.80
120 Legal Fees 77,952.00 17,535.00
121 Association Dues 91,859.34 75,315.27
122 Light and Water 194,149.25 347,305.34
123 Communication and Postage 399,899.77 766,196.44
124 Printing, Stationery and Supplies 765,208.92 1,292,975.16
125 Books and Periodicals 1,500.00 3,168.00
126 Advertising and Promotions 241,898.86 19,912.49
127 Contributions and Donations
128 Rental Expense 965,717.48 1,348,445.96
129 Insurance Expenses 1,733.40 35,864.03
130 Taxes and Licences 859,923.64 728,821.65
131 Bank Charges 64,860.84
132 Interest Expenses 639.71 43,434.45
133 Repairs and Maintenance - Materials 22,339.29
134 Repairs and Maintenance - Labor 532,219.86
135 Depreciation and Amortization 417,019.16 1,055,574.50
136 Share in Profit/Loss of Associatees and Joint Ventures
137 Provision for Impairment Losses - 9,243,513.35
137.1 Due from Ceding Companies
137.2 Amounts Recoverable from Ceding Companies
137.3 AFS Financial Assets
137.4 HTM Investments
137.5 Loans and Receivables
137.6 Accounts Receivables
137.9 Intangible Assets
137.10 Others 9,243,513.35
138 Miscellaneous Expense 920,754.63 737,875.59
139 Suspense - -
Total Administrative Expense 13,900,475.39 31,573,329.47
TOTAL EXPENSE 42,127,336.12 125,607,984.66
INCOME BEFORE INCOME TAX 3,042,231.92 8,377,443.12

140 Provision for Income Tax 137,284.99 (2,888,545.46)
140.1 Provision for Income Tax - Final (2,098,792.19) (391,741.27)
140.2 Provision for Income Tax - Current (132,044.59) (2,496,804.19)
140.3 Provision for Income Tax - Deferred 2,368,121.77
NET INCOME 3,179,516.91 5,488,897.66
Page 5
EXHIBIT IV: TAXES PAID - CURRENT YEAR
Premium Fire Service

Documentary Stamp Tax Output VAT
Tax Tax Other
MONTH
Date Paid Tax Base Amount Paid Date Paid Tax Base Amount Paid Date Paid Tax Base Amount Paid Date Paid Tax Base Amount Paid Taxes
1. January
Regular - - - - - - 02/23/2019 418,283 50,194 - - - 280,299
Microinsurance - - - - - - - - - - - - -
2. February
Regular - - - - - - 03/23/2019 70,222 8,427 - - - 3,843
Microinsurance - - - - - - - - - - - -
3. March
Regular - - - - - - 4/24/2019 100,293 12,035 4/8/2019 5,900 118 26,813
Microinsurance - - - - - - - - - - - -
4. April
Regular - - - - - - 05/25/2019 257,759 30,931 07/18/2019 25,417 508 35,966
Microinsurance - - - - - -
5. May
Regular - - - 06/06/2019 176,848.00 22,106.00 06/28/2019 351,620 42,194 07/18/2019 5,670 113 21,156
Microinsurance - - - - - - - - - - - -
6. June
Regular - - - 7/5/2019 839,980 90,431 07/25/2019 1,237,397 148,488 07/18/2019 16,850 337 67,257
Microinsurance - - - - - - - - - - - -
7. July
Regular - - - 08/01/2019 3,212,511 307,420 8/25/2019 1,672,924 200,751 10/07/2019 1,920 38 54,154
Microinsurance - - - - - - - - - - - -
8. August
Regular - - - 09/01/2019 3,281,131 364,432 09/25/2019 3,215,015 385,802 10/07/2019 47,690 954 63,785
Microinsurance - - - - - - - - - - - -
9. September
Regular 10/25/2019 5,320 266 10/01/2019 2,793,936 349,242 10/25/2019 3,932,221 471,867 10/07/2019 12,230 245 85,426
Microinsurance - - - - - - - - - - - -
10. October
Regular 11/04/2019 6,275,225 615,597 11/25/2019 4,089,107 490,693 01/16/2020 24,200 484 89,512
Microinsurance - - - - - - - - - - - -
11. November
Regular - - - 12/03/2019 1,125,240 140,655 12/25/2019 1,250,695 150,083 01/16/2020 49,204 984 68,439
Microinsurance - - - - - - - - - - - -
12. December
Regular 01/13/2020 2,440 122 01/02/2020 1,007,600 125,950 01/16/2020 2,106,036 252,724 01/16/2020 110,632 2,213 42,379
Microinsurance - - - - - - - - - - - -
GRAND TOTAL 7,760 388 18,712,471 2,015,832 18,701,572 2,244,189 299,713 5,994 839,028
Page 6
EXHIBIT V : STATEMENT OF PREMIUMS AND LOSSES (ASEAN UFIS)
Regular Insurance
Classification Marine, Aviation Fire Motor (Pesos) Others OFW Microinsurance Total
& Transit (Pesos) (Pesos) PPAI CTPL Others (Pesos) (Pesos) (Pesos)
Premiums
1. Direct Business 26,785 50,238 - 9,703,444 256,318 25,183,589 35,220,374

2. Reinsurance accepted - 12,100 16,432,733 - 1,164,769 3,688,356 - - 21,297,958
a. domestically - 12,100 16,432,733 1,164,769 3,688,356 21,297,958
b. from ASEAN -
c. from other coutries -
3. Total acceptances (1 + 2) 26,785 62,338 16,432,733 9,703,444 1,421,087 28,871,945 - - 56,518,331
4. Reinsurance ceded - -
a. domestically 872 23,035 - 2,022 614,247 640,176
b. from ASEAN -
c. to other countries -
d. total ( a+b+c) 872 23,035 - - 2,022 614,247 - - 640,176
5. Net Premiums Written (3-4d) 25,913 39,303 16,432,733 9,703,444 1,419,065 28,257,698 - - 55,878,155
6. Reserves for unexpired risks -
a. previous year 7,648 12,584 - 1,566 (6,276) 1,741,196 1,756,718
b. current year 11,479 23,778 3,068,538 4,877,289 617,870 14,389,589 22,988,544
7. Premiums earned (5+6a-6b) 22,082 28,110 13,364,195 4,827,720 794,918 15,609,305 - - 34,646,330
CLAIMS
1. Direct Business - 23,885,000 - 5,027,338 463,832 33,799,944 63,176,113

2. Reinsurance accepted - - 83,819 - 50,000 - - - 133,819
a. domestically - - 83,819 - 50,000 - 133,819
b. from ASEAN -
3. Total (1 + 2) - 23,885,000 83,819 5,027,338 513,832 33,799,944 - - 63,309,932
4. Recoveries from Reinsurance -
ceded -
a. domestically - 23,446,449 - - 123,416 - 23,569,865
b. from ASEAN -
d. total ( a+b+c) - 23,446,449 - - 123,416 - - - 23,569,865
5. Net Claims Paid (3-4d) - 438,551 83,819 5,027,338 390,416 33,799,944 - - 39,740,067
6. Outstanding claims -
a. previous year 878,488 2,594,039 - 6,284,477 3,071,115 27,829,662 40,657,781
b. current year 878,488 2,018,432 - 1,469,412 5,215,891 9,352,458 18,934,681
7. Loss reserves (actuarial claims valuation reserves ) -
a. previous year 426,339 423,699 29,270,908 4,604,894 34,725,840
b. current year 358,427 418,277 26,064,879 3,252,760 30,094,343
8. Claims incurred (5-6a+6b-7a+7b) (67,912) (142,479) 83,819 212,273 (670,837) 13,970,605 - - 13,385,470
9. Loss adjustment expenses - 613 - - - 613
The following lines of business shall be grouped together and presented under the following classifications :
Marine, Aviation & Transit - Ocean Marine, Inland Marine, Marine Hull and Aviation
Fire - Fire, Earthquake /Fire Shock, Typhoon/Flood/Tidal Wave
Motor - CMVL-LTO, CMVL-Non-LTO, Other than CMVL-LTO, Other than CMVL-Non-LTO
Others - Health and Accident, Burglary/Larceny/Theft, Miscellaneous, Judicial Criminal Bonds, Customs Bonds, Other Bonds and Life for Professional Reinsurers
(Loss Reserves shall consist of provisions set up by the company for claims reported but not yet settled, claims incurred but not yet reported, and all expenses associated with the settlement of such claims,
except loss adjustment expenses)
Page 7
ANNUAL STATEMENT OF THE PREMIER INSURANCE AND SURETY CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2019
EXHIBIT VI. REINSURANCE: ASSUMED, CEDED AND RETROCEDED - CURRENT YEAR
Assumed Business
Ceded Business Retroceded Business
Nationality in (Current Year)
Treaty Facultative Treaty Facultative Treaty Facultative
Case of
Name of Company
Unauthorize Amount of Commissio Amount of Amount of Amount of Amount of Amount of
d Companies Premiums Commissions Commissions Commissions Commissions Commission
ns Premiums Premiums Premiums Premiums Premiums
s
I. AUTHORIZED
A. Domestic
1 AFP Gen. (146)
2 Alpha Insurance & Surety Corp. 22,000 1,833
3 Country Bankers Insurance Corp. (390)
4 Commonwealth Insurance Company 23
5 Fortune General Insurance Corp. 6
6 Investors Assurance Corp. (148)
7 Liberty Insurance (8,678)
8 Mega Re 695,184 96,896
9 Meridian Assurance Corp. (4,253) (1,324)
10 Oriental Assurance Corp. 378
11 Paramount Insurance (63) 16
12 Phil. Accident Managers Inc. 16,432,733 1,801,740
13 National Reinsurance 1,883
14 Travellers Insurance 4,847,477 976,871 637,048 108,269
Sub-total 21,297,958 2,770,384 - - 1,332,232 206,781
A.1 Microninsurance
1
2
3
Sub-total
A.2 OFW
1
2
3
Sub-total
B Foreign
1
2
3
Sub-total
B.1 Microninsurance
1
2
3
Sub-total
B.2 OFW
1
2
3
Sub-total
Page 8
ANNUAL STATEMENT OF THE PREMIER INSURANCE AND SURETY CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2019
EXHIBIT VI. REINSURANCE: ASSUMED, CEDED AND RETROCEDED - CURRENT YEAR
Assumed Business
Ceded Business Retroceded Business
Nationality in (Current Year)
Treaty Facultative Treaty Facultative Treaty Facultative
Case of
Name of Company
Unauthorize Amount of Commissio Amount of Amount of Amount of Amount of Amount of
d Companies Premiums Commissions Commissions Commissions Commissions Commission
ns Premiums Premiums Premiums Premiums Premiums
s
TOTAL AUTHORIZED - - 21,297,958 2,770,384 - - 1,332,232 206,781 - - - -
II. UNAUTHORIZED
A. ASEAN
1
2
B. Other
1
2
TOTAL AUTHORIZED
GRAND TOTAL - - 21,297,958 2,770,384 - - 1,332,232 206,781 - - - -
Page 8
ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORPORATION
FOR THE YEAR ENDED DECEMBER 31, 2019
Page 9
ANNUAL STATEMENT OF THE PREMIER INSURANCE & SURETY CORPORATION FOR THE YEAR ENDED DECEMBER 31, 2019*
EXHIBIT VIII : GENERAL INTERROGATORIES
1 Have all the transactions of the company of which documents were received at the home office on or before the close of business December 31, been
truthfully and accurately on its books?
Answer: YES
2 Except as shown in the next succeeding question, does this statement show the condition of the company as shown by the books, records and data at the
home office at the close business December 31?
Answer: YES
3 Have there been included in this statement proper reserves to cover liabilities which may have been actually incurred on or before December 31, but of
which
Answer: no YES
notice was received by the company until subsequently?
4 In all cases where the company has assumed risks from another company, there should be in this statement on account of such reinsurances a reserve
equal
Answer: to that
YESwhich the original company has been required to set up had it retained the risks. Has this been done?
5 Largest gross aggregate amount insured in any one hazard, without any deduction whatever for reinsurance, whether the same be in authorized or
unauthorized companies.
Answer: 308,273,675.70
6 Largest net aggregate amount insured in any one hazard.
Answer: 110,000,000.00
7 Total amount of the company's stock owned by the directors at par value.
Answer: 62,500,500.00
8 Total amount loaned during the year to directors or other officers, P NONE ; to stockholders not officers P NONE. Total amount of loans outstanding at end
of year to directors or other officers, P NONE to stockholders not officers, P NONE.
9 Did any person while an officer, director or trustee of the company receive directly or indirectly, during the period covered by this statement, any commission
on the business
Answer: NONE transactions of the company.
10 What interest, direct or indirect, has this company in the capital stock of any other insurance company?
Answer: NONE
11 Is the company directly or indirectly owned or controlled by any other company, corporation, group of companies, partnership or individuals?
Answer: YES If so, give full particulars - Travellers Insurance & Surety Corporation, Conpac Warehousing Inc.
' Toptraders Import Export
Corporation
12 If company has outstanding bonds, debentures, quaranty capital notes, etc., furnish pertinent information concerning redemption price, interest features, etc.
Answer: see A/S page 31 Schedule 7
13 Does the company own any securities of a real estate holding or otherwise hold real estate indirectly?
Answer: NO If so, explain Name of real estate holding company________ No. of parcels involved ________Total book value,________
14 Has this company guaranteed policies issued by any other company and now in force?
Answer: NO If so, give full information ________________
15 Has this company guaranteed any financed premium account?
Answer: NO If so, give full information _______________________
16 Are all the stocks, bonds and other securities owned December 31 of the year of this statement, in the actual possession of the company on said date,
except
Answer: as shown
YESby the schedules
If not, of Special
give full and other
and complete Deposit? relating thereto ___________
information
17 Are all of the stocks, bonds or other assets of the company loaned during the year covered by this statement?
Answer: N/A If so, give full and complete information relating thereto _____________________
18 When was the last examination into the company's affairs, financial condition and methods of doing business conducted by the Insurance Commission?
Answer: YEAR 2018
19 Has any change been made during the year of this statement in the charter, articles of incorporation or by-laws of the corporation ?
Answer: YES If not previously filed, furnish herewith a certified copy of the instrument as amended.
20 What officials and heads of departments of the company supervised the making of this report? Answer:
Answer: President, Corporate Secreatary, Treasury, Accounting, Claims, Underwriting
21 In what states, territories, or foreign countries is the company authorized to transact business? Answer:
Answer: NONE
22 Is the purchase or sale of all Investments of the company passed upon either by the Board of Directors or a subordinate committee thereof?
Answer: YES
23 Does the company keep a complete permanent record of the proceeding of its Board of Directors and all subordinate committee thereof?
Answer: YES
24 Name and location of the company with which reinsurance of risks located in the Philippines are being affected ?
Answer: National Reinsurance Corporation of the Philippines - Makati, Philippines
25 Have the instructions printed on the inside front cover of the blank furnished by the Insurance Commission been followed in every detail? Answer:
Answer: YES
(Only Branches of foreign companies need answer interrogaties 27 and 28)
26 What changes have been made during the year in the Manager or Trustees of the company?
Answer: Amendment of Article of Incorporation
27 Does this statement contain all business transacted for the company through its Branch, on risks wherever located?
Answer: YES
28 Is the company issuing microinsurance products? If yes, what insurance products in particular is it selling?
Answer: NO
29 What portion (%) of the company's premium income is derived from microinsurance?
Answer: NONE
30 Has the company assumed business from Mutual Benefit Associations(MBAs)/Microinsurance MBAs (MI-MBAs)? If yes, since when?
Under what form of reinsurance agreement?
Page 10
Last Page; to be notarized (white font)
(Write or stamp name of company)
EXHIBIT IX : NOTES TO FINANCIAL STATEMENTS
1 Has any of the company asset been pledged as security of loan? If yes, give details: NONE
2 Does the company hold deposits of reinsurers not recorded in the statement of assets and Liabilities? NO
If yes, amount of cash or securities
3 If
Were there accounts
so, attach written
copy of board off duringauthorizing
resolution the period?such action, together with the list of accounts written off, NONE
indicating the name of borrower, date of loan/account, original amount, balance as written off.
Does the company have any contingent assets/liabilities or contractual obligations that are material and that
4 have not otherwise been disclosed? NONE
If so, enumerate.
5 Have there been any events subsequent to the statement date which:
a) will cause significant changes to reported assets and liabilities in the subsequent period? YES
or
b) will have a significant effect on the operations of the company? YES
If answers to either (a) or (b) is yes, give details. Implementation of Enhanced Community Quarantine on March 17, 2020
which caused the stop of company operation for three months.
6 Itemize below extraordinary items of income/expense included in page 2 and 3 and any notes to the
financial statements that management believes are required for a fair presentation but which are not covered
by the above questions.
Republic of the Philippines S.S.

City of Manila S.S.
Maybelle L. Lim , President; Florence B. Carandang ,Secretay

and Florinda R. Callo , Treasurer, of the THE PREMIER INSURANCE & SURETY CORPORATION
being duly sworn, each for himself deposes and says that they are the above-described officers of the said company, and that on
the 31st day of December 2019 :,
1. All the above-described assets were the absolute property of the said company;
2. Foregoing statement, with the schedules and explanations therein contained, annexed or referred to are full and
correct, and
3. Exhibits of all the Assets, Liabilities, Income and Expenses and of the condition and affairs of the said
company of the said thirty-first day of December 2006, and for the year ended on that date, according to the best
of their information, knowledge and belief.
Further, I, Eugenio R. Hermosa Jr. , Comptroller and Preparer of the Annual Statement certify that I have pepared and fairly
presented the financial report, correponding exhibits, recaps, and schedules of THE PREMIER INSURANCE & SURETY
CORPORATION in accordance with the prudential standards on reporting imposed by the Insurance Commission and, noted and
reviewed by the company's Pesident, Secretary and Treasurer for submission to the Insurance Commisson.
Maybelle L. lim , President
Florence B. Carandang , Secretary
Florinda R. Callo , Treasurer
Eugenio R. Hermosa Jr. , Preparer
Subscribed and sworn to before me this day of , 2020
Affiant Maybelle L. Lim Exhibiting his/her Valid Government-issued ID No. CRN - 0003-4234196-4
Issued at on __________________
Affiant Florence B. Carandang Exhibiting his/her Valid Government-issued ID No. IBP No. 55323
Issued at on __________________
Affiant Florinda R. Callo Exhibiting his/her Valid Government-issued ID No. SSS 03-8327503-1
Issued at on __________________
Affiant Eugenio R. Hermosa Jr. Exhibiting his/her Valid Government-issued ID No. SSS 03-8242969-7
Issued at on __________________ , respectively.
Doc. No. _______________

Page No. _______________
Book No. _______________
Series of 2020.
Page 11
RECAPITULATION I. Premiums Written and Premiums Earned
Certificat Premiums Ceded Premiums Premiums Assumed Premiums Retroceded Net Premiums Unearned Unearned
No. No.
e of Premiums on Retained on Direct Written Premiums Premiums Premiums Earned
Line of Business of of Authorized Unauthorized Companies Authorized
Unauthorized Companies
Authorized
Coverage Direct Business Business (9+10+11+12-13- (16+17-18)
Policies Insured Companies ASEAN Others Companies ASEAN Others CompaniesASEAN Others Previous Year Current Year
s (COCs) (5-6-7-8) 14-15)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
1 Fire 17 x x 50,237.50 23,034.78 - - 27,202.72 12,100.00 - - - - - 39,302.72 12,584.46 23,777.61 28,109.57

a. Residential 16 x x 47,387.50 23,034.78 24,352.72 24,352.72 10,042.85 17,163.02 17,232.55
b. Warehouse 1 x x 2,850.00 - 2,850.00 12,100.00 14,950.00 2,541.61 6,614.58 10,877.03
c. Industrial x x - - -
d. General x x - - -
2 Earthquake Fire/Shock x x - - -
3 Typhoon x x - - -
4 Flood x x - - -
5 Extended Coverage x x - - -
Total Fire 17 x x 50,237.50 23,034.78 - - 27,202.72 12,100.00 - - - - - 39,302.72 12,584.46 23,777.61 28,109.57
6 Marine Cargo 4 x x 26,784.68 871.99 25,912.69 25,912.69 7,647.81 11,478.87 22,081.63

7 Marine Hull x x - - -
8 Aviation x x - - -
Total Marine 4 x x 26,784.68 871.99 - - 25,912.69 - - - - - - 25,912.69 7,647.81 11,478.87 22,081.63
9 Personal Passenger Accident Insurance - - - - - - - - 16,432,732.90 - - - - - 16,432,732.90 - 3,068,538.06 13,364,194.84

a. AC/UV - - -
b. PUJ - 16,432,732.90 16,432,732.90 3,068,538.06 13,364,194.84
c. Taxis - - -
d. Trucks - - -
e. Buses - - - - - - - - - - - - - - - - - -
e.1 Metro Manila - - -
e.2 Provincial - - -
10 CMVL-LTO 1,776 x 1,776 354,400.80 - - - 354,400.80 - - - - - - 354,400.80 94.72 178,022.22 176,473.30
a. AC/PUJ/UV x - - 13.32 13.32
b. Buses x - - - -
c. Taxis x - - 13.32 13.32
d. Tricycles 1,776 x 1,776 354,400.80 354,400.80 354,400.80 68.08 178,022.22 176,446.66
11 CMVL-NON-LTO 31,631 x 31,631 9,349,043 - - - 9,349,043.31 - - - - - - 9,349,043.31 1,471 4,699,267 4,651,247.17
a. Private 9,061 x 9,061 4,060,679.08 4,060,679.08 4,060,679.08 575.92 2,039,909.05 2,021,345.95
Page 12
No. No.
Authorized
Policies Insured Companies ASEAN Others Companies ASEAN OthersCompaniesASEAN Others Previous Year Current Year
s (COCs) (5-6-7-8) 14-15)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
b. Commercial 1,033 x 1,033 990,655.88 990,655.88 990,655.88 577.45 500,004.53 491,228.80
c. Motorcycle 21,537 x 21,537 4,297,708.35 4,297,708.35 4,297,708.35 317.71 2,159,353.63 2,138,672.43
12 OT-CMVL-LTO - x x - - - - - - - - - - - - - - -
a. AC/PUJ/UV - x x - - - - - - - - - - - - - - -
a.1 Third Party Bodily Injury x x - - -
a.2 Third Party Property Damage x x - - -
a.3 Loss and Damage x x - - -
a.4 Acts of Nature x x - - -
a.5 Auto Personal Accident x x - - -
a.6 Others x x - - -
b. Buses/Tourist Buses - x x - - - - - - - - - - - - - - -
b.1 Third Party Bodily Injury x x - - -
b.2 Third Party Property Damage x x - - -
b.3 Loss and Damage x x - - -
b.4 Acts of Nature x x - - -
b.5 Auto Personal Accident x x - - -
b.6 Others x x - - -
c. Taxis/Tourist Cars - x x - - - - - - - - - - - - - - -
c.1 Third Party Bodily Injury x x - - -
c.2 Third Party Property Damage x x - - -
c.3 Loss and Damage x x - - -
c.4 Acts of Nature x x - - -
c.5 Auto Personal Accident x x - - -
c.6 Others x x - - -
d. Tricycles - x x - - - - - - - - - - - - - - -
d.1 Third Party Bodily Injury x x - - - -
d.2 Third Party Property Damage x x - - -
d.3 Loss and Damage x x - - - -
d.4 Acts of Nature x x - - - -
d.5 Auto Personal Accident x x - - -
d.6 Others x x - - - -
13 OT-CMVL-NON-LTO 78 x x 256,318.10 2,022.25 - - 254,295.85 1,164,769.02 - - - - - 1,419,064.87 (6,276.11) 617,870.32 794,918.44
a. Private 62 x x 191,599.20 2,022.25 - - 189,576.95 578,180.02 - - - - - 767,756.97 (3,534.24) 379,159.43 385,063.30
a.1 Third Party Bodily Injury 13 x x 4,515.00 2,022.25 2,492.75 11,838.55 14,331.30 (262.46) 7,976.87 6,091.97
a.2 Third Party Property Damage 13 x x 15,615.00 15,615.00 30,783.94 46,398.94 (511.06) 22,863.54 23,024.34
a.3 Loss and Damage 13 x x 134,988.15 134,988.15 436,352.96 571,341.11 (2,804.37) 284,147.66 284,389.08
a.4 Acts of Nature 9 x x 29,206.05 29,206.05 89,688.61 118,894.66 8.86 55,390.36 63,513.16
a.5 Auto Personal Accident 14 x x 7,275.00 7,275.00 9,515.96 16,790.96 34.79 8,781.00 8,044.75
a.6 Others x x - - - -
b. Commercial 11 x x 54,364.50 - - - 54,364.50 582,326.94 - - - - - 636,691.44 (2,686.77) 232,722.03 401,282.65
b.1 Third Party Bodily Injury 2 x x 1,116.00 1,116.00 13,953.84 15,069.84 (285.76) 5,512.61 9,271.47
b.2 Third Party Property Damage 5 x x 7,146.00 7,146.00 28,594.55 35,740.55 (415.13) 14,876.52 20,448.90
b.3 Loss and Damage 2 x x 45,562.50 45,562.50 491,360.16 536,922.66 (1,941.44) 195,011.47 339,969.75
b.4 Acts of Nature x x - 40,129.58 40,129.58 (99.07) 13,648.09 26,382.42
b.5 Auto Personal Accident 2 x x 540.00 540.00 8,288.81 8,828.81 54.63 3,673.33 5,210.11
b.6 Others x x - - - -
c. Motorcycles 5 x x 10,354.40 - - - 10,354.40 4,262.06 - - - - - 14,616.46 (55.10) 5,988.87 8,572.49
Page 12
No. No.
Line of Business of of Authorized Unauthorized Companies AuthorizedUnauthorized Companies
Authorized
Policies Insured Companies ASEAN Others Companies ASEAN OthersCompaniesASEAN Others Previous Year Current Year
s (COCs) (5-6-7-8) 14-15)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
c.1 Third Party Bodily Injury 1 x x 105.00 105.00 94.50 199.50 (9.06) 75.69 114.75
c.2 Third Party Property Damage 1 x x 555.00 555.00 383.25 938.25 (54.64) 366.16 517.45
c.3 Loss and Damage 1 x x 8,114.40 8,114.40 3,750.71 11,865.11 (53.60) 4,813.06 6,998.45
c.4 Acts of Nature 1 x x 1,380.00 1,380.00 1,380.00 632.50 747.50
c.5 Auto Personal Accident 1 x x 200.00 200.00 33.60 233.60 62.20 101.47 194.33
c.6 Others x x - - - -
Total Motor 33,485 - 33,407 9,959,762.21 2,022.25 - - 9,957,739.96 17,597,501.92 - - - - - 27,555,241.88 (4,710.31) 8,563,697.82 18,986,833.75
14 Health x - - -
15 Accident 17 17 x 11,679.00 11,679.00 11,679.00 (23.50) 8,049.21 3,606.29
16 Engineering 340 x x 4,798,696.25 351,830.98 4,446,865.27 805,732.71 5,252,597.98 43,412.37 2,956,970.77 2,339,039.58
17 Insurance for Migrant Workers - - - - - - - - - -
a. Sea-based - - - - - - - - -
b. Land-based - - -
18 Micro Insurance - - x - - - - - - -
a. Personal Accident x - - - - - - - -
b. Fire x x - - -
c. Flood x x - - -
d. Typhoon x x - - -
e. Others x x - - -
19 Bonds 934 x x 20,361,463.88 262,294.32 - - 20,099,169.56 2,780,822.90 - - - - - 22,879,992.46 1,695,138.23 11,369,192.41 13,205,938.28
a. Class 1 47 x x 91,189.28 91,189.28 - - - - - 91,189.28 1,695,138.23 71,957.89 1,714,369.62
b. Class 2 x x - - - -
c. Class 3 551 x x 13,764,316.93 13,764,316.93 2,413,035.69 16,177,352.62 7,696,573.23 8,480,779.39
d. Class 4 205 x x 3,227,004.57 262,294.32 2,964,710.25 2,964,710.25 1,635,256.87 1,329,453.37
e. Class 5 131 x x 3,278,953.10 3,278,953.10 367,787.21 3,646,740.31 1,965,404.41 1,681,335.90
20 General Liability 5 x x 11,750.00 121.35 11,628.65 101,800.01 113,428.66 2,669.12 55,377.07 60,720.71
21 Prof. Indemnity Insurance x x - - -
22 Crime Insurance x x - - -
23 Special Risks x x - - -
24 Miscellaneous * x x - - -
Total Others 1,296 17 - 25,183,589.13 614,246.65 - - 24,569,342.48 3,688,355.62 - - - - - 28,257,698.10 1,741,196.22 14,389,589.46 15,609,304.86
GRAND TOTAL 34,802 17 33,407 35,220,373.52 640,175.67 - - 34,580,197.85 21,297,957.54 - - - - - 55,878,155.39 1,756,718.18 22,988,543.75 34,646,329.82
Instruction: If applicable, please provide information/data for rows in Columns 3 and 4 that are not grayed out/marked with X.
* Enumerate Breakdown of Miscellaneous
1 x x - - -
2 x x - - -
3 x x - - -
Page 12
No. No.
Authorized
Policies Insured Companies ASEAN Others Companies ASEAN Others CompaniesASEAN Others Previous Year Current Year
s (COCs) (5-6-7-8) 14-15)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
4 x x - - -
5 x x - - -
6 x x - - -
7 x x - - -
8 x x - - -
9 x x - - -
10 x x - - -
Total Miscellaneous - - - - - - - - - - - - - - - - - -
Instruction: Add rows if necessary; The totals for Miscellaneous should be reflected on item 24 of the Recapitulation
Page 12
- -
RECAPITULATION II: LOSSES PAID AND INCURRED
No. Losses Ceded Loss Retained on Losses Assumed Losses Retroceded

Losses on Direct Net Losses Paid Losses Unpaid Losses Unpaid Losses Incurred Loss Ratio Loss Adjustment
Line of Business of Authorized Unauthorized Companies Direct Business Authorized Unauthorized Companies Authorized Unauthorized Companies Premiums Earned
Business (7+8-9+10-11-12-13) Current Year Previous Year (14+15-16) (17/18*100) Expense
Claims Companies ASEAN Others (3-4-5-6) Companies ASEAN Others Companies ASEAN Others
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1 Fire 2 23,885,000.00 23,446,449.23 - - 438,550.77 - - - - - - 438,550.77 1,755,424.01 2,331,031.67 (137,056.89) 28,109.57 (487.58) 612.85
a. Residential 1 175,000.00 168,750.00 6,250.00 6,250.00 - 6,247.50 2.50 17,232.55 0.01 612.85
b. Warehouse 1 23,710,000.00 23,277,699.23 432,300.77 432,300.77 - 569,360.16 (137,059.39) 10,877.03 (1,260.08)
c. Industrial - - 1,755,424.01 1,755,424.01 - - -
d. General - - - - - - -
2 Earthquake Fire/Shock - - 263,007.81 263,007.81 - - -
3 Typhoon - - - - -
4 Flood - - - - -
5 Extended Coverage - - - - -
Total Fire 2 23,885,000.00 23,446,449.23 - - 438,550.77 - - - - - - 438,550.77 2,018,431.82 2,594,039.48 (137,056.89) 28,109.57 (487.58) 612.85
6 Marine Cargo - - 865,962.72 865,962.72 - 22,081.63 -

7 Marine Hull - - 12,524.93 12,524.93 - - -
8 Aviation - - - - -
Total Marine - - - - - - - - - - - - - 878,487.65 878,487.65 - 22,081.63 - -
9 Personal Passenger Accident Insurance - - - - - - 83,819.28 - - - - - 83,819.28 - - 83,819.28 13,364,194.84 0.63 -

a. AC/UV - - - - - -
b. PUJ - 83,819.28 83,819.28 - 83,819.28 13,364,194.84 0.63
c. Taxis - - - - - -
d. Trucks - - - - - -
e. Buses - - - - - - - - - - - - - - - - - - -
e.1 Metro Manila - - - - - -
e.2 Provincial - - - - - -
10 CMVL-LTO - - - - - - - - - - - - - 157,221.00 4,846.87 152,374.13 176,473.30 86.34 -
a. AC/PUJ/UV - - - - 13.32 -
b. Buses - - - - - -
c. Taxis - - - - 13.32 -
d. Tricycles - - 157,221.00 4,846.87 152,374.13 176,446.66 86.36
11 CMVL-NON-LTO 103 5,027,338 - - - 5,027,337.84 - - - - - - 5,027,337.84 1,312,191 6,279,630 59,899.02 4,651,247 1.29 -
a. Private 61 2,936,705.27 2,936,705.27 2,936,705.27 662,464.74 3,563,204.35 35,965.66 2,021,345.95 1.78
b. Commercial 29 1,528,783.03 1,528,783.03 1,528,783.03 593,322.40 2,103,944.01 18,161.42 491,228.80 3.70
c. Motorcycle 13 561,849.54 561,849.54 561,849.54 56,403.82 612,481.42 5,771.94 2,138,672.43 0.27
12 OT-CMVL-LTO - - - - - - - - - - - - - 2,292.59 2,292.59 - - - -
a. AC/PUJ/UV - - - - - - - - - - - - - - - - - - -
a.1 Third Party Bodily Injury - - - - - -
a.2 Third Party Property Damage - - - - - -
a.3 Loss and Damage - - - - - -
a.4 Acts of Nature - - - - - -
a.5 Auto Personal Accident - - - - - -
a.6 Others - - - - - -
b. Buses/Tourist Buses - - - - - - - - - - - - - - - - - - -
b.1 Third Party Bodily Injury - - - - - -
b.2 Third Party Property Damage - - - - - -
b.3 Loss and Damage - - - - - -
b.4 Acts of Nature - - - - - -
b.5 Auto Personal Accident - - - - - -
b.6 Others - - - - - -
c. Taxis/Tourist Cars - - - - - - - - - - - - - 2,292.59 2,292.59 - - - -
c.1 Third Party Bodily Injury - - - - - -
c.2 Third Party Property Damage - - - - - -
c.3 Loss and Damage - - 2,292.59 2,292.59 - - -
c.4 Acts of Nature - - - - - -
c.5 Auto Personal Accident - - - - - -
c.6 Others - - - - - -
d. Tricycles - - - - - - - - - - - - - - - - - - -
d.1 Third Party Bodily Injury - - - - - -
d.2 Third Party Property Damage - - - - - -
d.3 Loss and Damage - - - - - -
d.4 Acts of Nature - - - - - -
d.5 Auto Personal Accident - - - - - -
Page 13
- -
RECAPITULATION II: LOSSES PAID AND INCURRED
No. Losses Ceded Loss Retained on Losses Assumed Losses Retroceded

Losses on Direct Net Losses Paid Losses Unpaid Losses Unpaid Losses Incurred Loss Ratio Loss Adjustment
Line of Business of Authorized Unauthorized Companies Direct Business Authorized Unauthorized Companies Authorized Unauthorized Companies Premiums Earned
Business (7+8-9+10-11-12-13) Current Year Previous Year (14+15-16) (17/18*100) Expense
Claims Companies ASEAN Others (3-4-5-6) Companies ASEAN Others Companies ASEAN Others
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
d.6 Others - - - - - -
13 OT-CMVL-NON-LTO 6 463,831.50 123,415.75 - - 340,415.75 50,000.00 - - - - - 390,415.75 5,213,598.73 3,068,822.63 2,535,191.85 794,918.44 318.92 -
a. Private 2 150,000.00 - - - 150,000.00 - - - - - - 150,000.00 1,478,731.35 500,480.35 1,128,251.00 385,063.30 293.00 -
a.1 Third Party Bodily Injury - - - - - 6,091.97 -
a.2 Third Party Property Damage 1 20,000.00 20,000.00 20,000.00 12,091.42 10,289.42 21,802.00 23,024.34 94.69
a.3 Loss and Damage 1 130,000.00 130,000.00 130,000.00 1,466,639.93 490,190.93 1,106,449.00 284,389.08 389.06
a.4 Acts of Nature - - - - 63,513.16 -
a.5 Auto Personal Accident - - - - 8,044.75 -
a.6 Others - - - - - -
b. Commercial 4 313,831.50 123,415.75 - - 190,415.75 50,000.00 - - - - - 240,415.75 3,684,790.94 2,518,265.84 1,406,940.85 401,282.65 350.61 -
b.1 Third Party Bodily Injury 1 96,831.50 48,415.75 48,415.75 48,415.75 - 16,831.50 31,584.25 9,271.47 340.66
b.2 Third Party Property Damage 2 67,000.00 67,000.00 50,000.00 117,000.00 297,559.83 333,856.65 80,703.18 20,448.90 394.66
b.3 Loss and Damage 1 150,000.00 75,000.00 75,000.00 75,000.00 3,387,231.11 2,167,577.69 1,294,653.42 339,969.75 380.81
b.4 Acts of Nature - - - - 26,382.42 -
b.5 Auto Personal Accident - - - - 5,210.11 -
b.6 Others - - - - - -
c. Motorcycles - - - - - - - - - - - - - 50,076.44 50,076.44 - 8,572.49 - -
c.1 Third Party Bodily Injury - - - - 114.75 -
c.2 Third Party Property Damage - - - - 517.45 -
c.3 Loss and Damage - - 50,076.44 50,076.44 - 6,998.45 -
c.4 Acts of Nature - - - - 747.50 -
c.5 Auto Personal Accident - - - - 194.33 -
c.6 Others - - - - - -
Total Motor 109 5,491,169.34 123,415.75 - - 5,367,753.59 133,819.28 - - - - - 5,501,572.87 6,685,303.28 9,355,591.87 2,831,284.28 18,986,833.75 14.91 -
14 Health - - - - -
15 Accident - - 8,144.39 8,144.39 - 3,606.29 -
16 Engineering - - 837,254.95 837,254.95 - 2,339,039.58 -
17 Insurance for Migrant Workers - - - - - - - - - - - - - - - - - - -
a. Sea-based - - - - -
b. Land-based - - - - -
18 Micro Insurance - - - - - - - - - - - - - - - - - - -
a. Personal Accident - - - - -
b. Fire - - - - -
c. Flood - - - - -
d. Typhoon - - - - -
e. Others - - - - -
19 Bonds 8 33,799,943.51 - - - 33,799,943.51 - - - - - - 33,799,943.51 6,872,225.81 25,349,429.95 15,322,739.37 13,205,938.28 116.03 -
a. Class 1 1 17,099,935.00 17,099,935.00 17,099,935.00 - 10,000,000.00 7,099,935.00 1,714,369.62 414.14
b. Class 2 - - - - - - -
c. Class 3 1 14,721,686.00 14,721,686.00 14,721,686.00 6,872,225.81 15,349,429.95 6,244,481.86 8,480,779.39 73.63
d. Class 4 6 1,978,322.51 1,978,322.51 1,978,322.51 - - 1,978,322.51 1,329,453.37 148.81
e. Class 5 - - - - 1,681,335.90 -
20 General Liability - - 349,843.60 349,843.60 - 60,720.71 -
21 Prof. Indemnity Insurance - - - - - - -
22 Crime Insurance - - - - - - -
23 Special Risks - - - - - - -
24 Miscellaneous * - - 1,284,989.32 1,284,989.32 - - -
Total Others 8 33,799,944 - - - 33,799,944 - - - - - - 33,799,944 9,352,458 27,829,662 15,322,739 15,609,305 98.16 -
Actuarial claims valuation reserves - 30,094,342 34,725,839 (4,631,497) - -
GRAND TOTAL 119 63,176,112.85 23,569,864.98 - - 39,606,247.87 133,819.28 - - - - - 39,740,067.15 49,029,022.82 75,383,620.21 13,385,469.76 34,646,329.82 38.63 612.85
Note: Number of Claims indicated in Column 2 refers to Coulmn 3 (Losses on Direct Business)
1 Property Floater - - 121,120.12 121,120.12 - -

2 Fidelity Guarntee Insurance - - 3,318.34 3,318.34 - -
3 Money,Security,Payroll and Robbery - - 1,142,032.04 1,142,032.04 - -
4 Golfers Insurance Package - - 18,518.82 18,518.82 - -
Total Miscellaneous - - - - - - - - - - - - - 1,284,989 1,284,989 - - - -
Page 13
RECAPITULATION III: COMMISSIONS
Net Commission Net Commission

Commission Commission Income Ceded Business Commission Expenses Assumed Business Commission Income from Retroceded Business
Expense on Direct Expenses
Line of Business Expenses on Direct Business
Authorized Unauthorized Companies Authorized Unauthorized Companies Authorized Unauthorized Companies
Business
Companies ASEAN Others (2-3-4-5) Companies ASEAN Others Companies ASEAN Others (6+7+8+9-10-11-12)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
1 Fire 9,525.24 5,519.05 - - 4,006.19 1,353.64 - - - - - 5,359.83

a. Residential 9,258.05 5,519.05 3,739.00 3,739.00
b. Warehouse 267.19 - 267.19 1,353.64 1,620.83
c. Industrial - -
d. General - -
2 Earthquake Fire/Shock - -
3 Typhoon - -
4 Flood - -
5 Extended Coverage - -
Total Fire 9,525.24 5,519.05 - - 4,006.19 1,353.64 - - - - - 5,359.83
6 Marine Cargo 6,577.63 277.68 6,299.95 6,299.95

7 Marine Hull - -
8 Aviation - -
Total Marine 6,577.63 277.68 - - 6,299.95 - - - - - - 6,299.95
9 Personal Passenger Accident Insurance - - - - - 1,801,739.94 - - - - - 1,801,739.94

a. AC/UV - -
b. PUJ - 1,801,739.94 1,801,739.94
c. Taxis - -
d. Trucks - -
e. Buses - - - - - - - - - - - -
e.1 Metro Manila - -
e.2 Provincial - -
10 CMVL-LTO 10,508.09 - - - 10,508.09 - - - - - - 10,508.09
a. AC/PUJ/UV - -
b. Buses - -
c. Taxis - -
d. Tricycles 10,508.09 10,508.09 10,508.09
11 CMVL-NON-LTO 277,548 - - - 277,548.19 - - - - - - 277,548.19
a. Private 120,741.00 120,741.00 120,741.00
b. Commercial 29,367.54 29,367.54 29,367.54
c. Motorcycle 127,439.64 127,439.64 127,439.64
12 OT-CMVL-LTO - - - - - - - - - - - -
a. AC/PUJ/UV - - - - - - - - - - - -
a.1 Third Party Bodily Injury - -
a.2 Third Party Property Damage - -
a.3 Loss and Damage - -
a.4 Acts of Nature - -
a.5 Auto Personal Accident - -
a.6 Others - -
b. Buses/Tourist Buses - - - - - - - - - - - -
b.1 Third Party Bodily Injury - -
b.2 Third Party Property Damage - -
b.3 Loss and Damage - -
b.4 Acts of Nature - -
b.5 Auto Personal Accident - -
b.6 Others - -
Page 14

Business
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
c. Taxis/Tourist Cars - - - - - - - - - - - -
c.1 Third Party Bodily Injury - -
c.2 Third Party Property Damage - -
c.3 Loss and Damage - -
c.4 Acts of Nature - -
c.5 Auto Personal Accident - -
c.6 Others - -
d. Tricycles - - - - - - - - - - - -
d.1 Third Party Bodily Injury - -
d.2 Third Party Property Damage - -
d.3 Loss and Damage - -
d.4 Acts of Nature - -
d.5 Auto Personal Accident - -
d.6 Others - -
13 OT-CMVL-NON-LTO 10,976.49 1,943.91 - - 9,032.58 227,702.18 - - - - - 236,734.76
a. Private 8,202.91 1,943.91 - - 6,259.00 99,779.28 - - - - - 106,038.28
a.1 Third Party Bodily Injury 210.66 17.92 192.74 2,224.20 2,416.94
a.2 Third Party Property Damage 786.44 63.68 722.76 5,810.09 6,532.85
a.3 Loss and Damage 6,381.21 1,720.86 4,660.35 72,980.58 77,640.94
a.4 Acts of Nature 472.89 91.69 381.20 17,061.78 17,442.98
a.5 Auto Personal Accident 351.72 49.77 301.95 1,702.63 2,004.58
a.6 Others - -
b. Commercial 2,007.03 - - - 2,007.03 126,941.74 - - - - - 128,948.77
b.1 Third Party Bodily Injury 41.85 41.85 3,015.43 3,057.28
b.2 Third Party Property Damage 293.29 293.29 6,145.35 6,438.64
b.3 Loss and Damage 1,651.64 1,651.64 107,542.95 109,194.59
b.4 Acts of Nature - 8,606.45 8,606.45
b.5 Auto Personal Accident 20.25 20.25 1,631.56 1,651.81
b.6 Others - -
c. Motorcycles 766.55 - - - 766.55 981.16 - - - - - 1,747.71
c.1 Third Party Bodily Injury 8.53 8.53 21.75 30.29
c.2 Third Party Property Damage 45.09 45.09 88.23 133.32
c.3 Loss and Damage 659.30 659.30 863.45 1,522.74
c.4 Acts of Nature 37.38 37.38 37.38
c.5 Auto Personal Accident 16.25 16.25 7.73 23.98
c.6 Others - -
Total Motor 299,032.77 1,943.91 - - 297,088.86 2,029,442.12 - - - - - 2,326,530.98
14 Health - -
15 Accident 1,002.24 1,002.24 1,002.24
16 Engineering 540,317.34 113,713.06 426,604.28 144,378.40 570,982.68
17 Insurance for Migrant Workers - - - - - - - - - - - -
a. Sea-based - -
b. Land-based - -
18 Micro Insurance - - - - - - - - - - - -
a. Personal Accident - -
b. Fire - -
c. Flood - -
d. Typhoon - -
e. Others - -
Page 14

Business
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
19 Bonds 2,596,263.72 85,245.66 - - 2,511,018.07 579,114.57 - - - - - 3,090,132.64
a. Class 1 16,113.27 16,113.27 16,113.27
b. Class 2 - -
c. Class 3 922,989.83 922,989.83 518,701.49 1,441,691.32
d. Class 4 1,209,002.55 85,245.66 1,123,756.89 1,123,756.89
e. Class 5 448,158.08 448,158.08 60,413.08 508,571.15
20 General Liability 14,405.53 81.66 14,323.87 16,095.51 30,419.38
21 Prof. Indemnity Insurance - -
22 Crime Insurance - -
23 Special Risks - -
24 Miscellaneous * - -
Total Others 3,151,989 199,040 - - 2,952,948 739,588 - - - - - 3,692,537
GRAND TOTAL 3,467,124.47 206,781.02 - - 3,260,343.45 2,770,384.24 - - - - - 6,030,727.69
1 - -
2 - -
3 - -
4 - -
5 - -
6 - -
7 - -
8 - -
9 - -
10 - -
Total Miscellaneous - - - - - - - - - - - -
Page 14
RECAPITULATION IV: RISKS IN FORCE
Risks Ceded Risks Assumed Risks Retroceded

Risk Written on Direct Retained on Direct Business Net Risks Written
Line of Business Authorized Unauthorized Companies Authorized Unauthorized Companies Authorized Unauthorized Companies Risks in Force
Business (6+7+8+9-10-11-12)
Companies ASEAN Others (2-3-4-5) Companies ASEAN Others Companies ASEAN Others
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Fire 35,885,000.00 19,915,000.00 - - 15,970,000.00 5,000,000.00 - - - - - 20,970,000.00 -

a. Residential 35,600,000.00 19,915,000.00 15,685,000.00 15,685,000.00
b. Warehouse 285,000.00 285,000.00 5,000,000.00 5,285,000.00
c. Industrial - -
d. General - -
2 Earthquake Fire/Shock - -
3 Typhoon - -
4 Flood - -
Total Fire 35,885,000.00 19,915,000.00 - - 15,970,000.00 5,000,000.00 - - - - - 20,970,000.00 -
6 Marine Cargo 3,214,717.22 696,169.46 2,518,547.76 2,518,547.76

7 Marine Hull - -
8 Aviation - -
Total Marine 3,214,717.22 696,169.46 - - 2,518,547.76 - - - - - - 2,518,547.76 -
9 Personal Passenger Accident Insurance - - - - - 1,919,343,677.80 - - - - - 1,919,343,677.80 -

a. AC/UV - -
b. PUJ - 1,919,343,677.80 1,919,343,677.80
c. Taxis - -
d. Trucks - -
e. Buses - - - - - - - - - - - - -
e.2 Provincial - -
10 CMVL-LTO 30,319,780.74 - - - 30,319,780.74 - - - - - - 30,319,780.74 -
a. AC/PUJ/UV - -
b. Buses - -
c. Taxis - -
d. Tricycles 30,319,780.74 30,319,780.74 30,319,780.74
11 CMVL-NON-LTO 802,822,853 - - - 802,822,852.50 - - - - - - 802,822,852.50 -
a. Private 348,635,081.99 348,635,081.99 348,635,081.99
b. Commercial 85,265,292.38 85,265,292.38 85,265,292.38
c. Motorcycle 368,922,478.13 368,922,478.13 368,922,478.13
12 OT-CMVL-LTO - - - - - - - - - - - - -
a. AC/PUJ/UV - - - - - - - - - - - - -
a.6 Others - -
b. Buses/Tourist Buses - - - - - - - - - - - - -
b.6 Others - -
c. Taxis/Tourist Cars - - - - - - - - - - - - -
c.3 Loss and Damage - -
c.6 Others - -
d. Tricycles - - - - - - - - - - - - -
d.6 Others - -
13 OT-CMVL-NON-LTO 25,877,420.00 1,818,000.00 - - 24,059,420.00 137,052,667.15 - - - - - 161,112,087.15 -
a. Private 22,372,920.00 1,818,000.00 - - 20,554,920.00 75,024,299.88 - - - - - 95,579,219.88 -
a.1 Third Party Bodily Injury 1,950,000.00 90,000.00 1,860,000.00 5,672,962.79 7,532,962.79
a.2 Third Party Property Damage 1,950,000.00 90,000.00 1,860,000.00 5,692,962.79 7,552,962.79
a.3 Loss and Damage 9,233,790.00 969,000.00 8,264,790.00 36,685,009.14 44,949,799.14
a.4 Acts of Nature 6,564,130.00 489,000.00 6,075,130.00 21,361,206.91 27,436,336.91
Page 15
RECAPITULATION IV: RISKS IN FORCE
Risks Ceded Risks Assumed Risks Retroceded

Risk Written on Direct Retained on Direct Business Net Risks Written
Line of Business Authorized Unauthorized Companies Authorized Unauthorized Companies Authorized Unauthorized Companies Risks in Force
Business (6+7+8+9-10-11-12)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
a.5 Auto Personal Accident 2,675,000.00 180,000.00 2,495,000.00 5,612,158.25 8,107,158.25
a.6 Others - -
b. Commercial 2,702,500.00 - - - 2,702,500.00 61,566,017.27 - - - - - 64,268,517.27 -
b.1 Third Party Bodily Injury 200,000.00 200,000.00 5,615,834.17 5,815,834.17
b.2 Third Party Property Damage 500,000.00 500,000.00 5,608,334.17 6,108,334.17
b.3 Loss and Damage 1,822,500.00 1,822,500.00 34,506,008.91 36,328,508.91
b.4 Acts of Nature - 11,848,226.40 11,848,226.40
b.5 Auto Personal Accident 180,000.00 180,000.00 3,987,613.62 4,167,613.62
b.6 Others - -
c. Motorcycles 802,000.00 - - - 802,000.00 462,350.00 - - - - - 1,264,350.00 -
c.1 Third Party Bodily Injury 100,000.00 100,000.00 35,000.00 135,000.00
c.2 Third Party Property Damage 100,000.00 100,000.00 35,000.00 135,000.00
c.3 Loss and Damage 276,000.00 276,000.00 374,850.00 650,850.00
c.4 Acts of Nature 276,000.00 276,000.00 276,000.00
c.5 Auto Personal Accident 50,000.00 50,000.00 17,500.00 67,500.00
c.6 Others - -
Total Motor 859,020,053.25 1,818,000.00 - - 857,202,053.25 2,056,396,344.95 - - - - - 2,913,598,398.20 -
14 Health - -
15 Accident 6,550,000.00 6,550,000.00 6,550,000.00
16 Engineering 4,801,836,592.86 714,941,949.75 4,086,894,643.11 711,000,000.00 4,797,894,643.11
17 Insurance for Migrant Workers - - - - - - - - - - - - -
a. Sea-based - -
b. Land-based - -
18 Micro Insurance - - - - - - - - - - - - -
b. Fire - -
c. Flood - -
d. Typhoon - -
e. Others - -
19 Bonds 2,988,798,237.56 198,273,675.97 - - 2,790,524,561.59 970,307,333.86 - - - - - 3,760,831,895.45 -
a. Class 1 18,844,566.32 18,844,566.32 18,844,566.32
b. Class 2 - -
c. Class 3 1,422,204,023.03 1,422,204,023.03 862,307,333.86 2,284,511,356.89
d. Class 4 993,417,516.24 198,273,675.97 795,143,840.27 795,143,840.27
e. Class 5 554,332,131.97 554,332,131.97 108,000,000.00 662,332,131.97
20 General Liability 700,000.00 700,000.00 88,000,000.00 88,700,000.00
24 Miscellaneous * - -
Total Others 7,797,884,830 913,215,626 - - 6,884,669,205 1,769,307,334 - - - - - 8,653,976,539 -
GRAND TOTAL 8,696,004,600.89 935,644,795.18 - - 7,760,359,805.71 3,830,703,678.81 - - - - - 11,591,063,484.52 -
1 - -
2 - -
3 - -
4 - -
5 - -
6 - -
7 - -
8 - -
9 - -
10 - -
Total Miscellaneous - - - - - - - - - - - - -
Page 15
RECAPITULATION V: LOSSES AND CLAIMS PAYABLE
Losses and Claims Recoverable on Ceded Business Net Losses Losses and Assumed Business Losses and Claims Recoverable on Retroceded Business
No. of Losses and Claims Payable Payable on Direct Net Losses Payable
Line of Business
Policies on Direct Business Authorized Unauthorized Companies Bussiness Authorized Unauthorized Companies Authorized Unauthorized Companies (7+8-9+10-11-12-13)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1 Fire 40 - - - - - 2,672,563.45 - - 917,139.44 - - 1,755,424.01

a. Residential - -
b. Warehouse - -
c. Industrial 40 - 2,672,563 917,139 1,755,424.01
d. General - -
2 Earthquake Fire/Shock 2 - 263,008 263,007.81
3 Typhoon - -
4 Flood - -
Total Fire 42 - - - - - 2,935,571.26 - - 917,139.44 - - 2,018,431.82
6 Marine Cargo 20 161,225.60 161,225.60 1,032,743.40 328,006.28 865,962.72

7 Marine Hull 1 - 12,524.93 - 12,524.93
8 Aviation - -
Total Marine 21 161,225.60 - - - 161,225.60 1,045,268.33 - - 328,006.28 - - 878,487.65
9 Personal Passenger Accident Insurance 0 - - - - - - - - - - - -

a. AC/UV - -
b. PUJ - -
c. Taxis - -
d. Trucks - -
e. Buses 0 - - - - - - - - - - - -
e.2 Provincial - -
10 CMVL-LTO 4 157,221.00 - - - 157,221.00 - - - - - - 157,221.00
a. AC/PUJ/UV - -
b. Buses - -
c. Taxis - -
d. Tricycles 4 157,221.00 157,221.00 157,221.00
11 CMVL-NON-LTO 49 1,312,191 - - - 1,312,190.96 - - - - - - 1,312,190.96
a. Private 26 662,464.74 662,464.74 662,464.74
b. Commercial 15 593,322.40 593,322.40 593,322.40
c. Motorcycle 8 56,403.82 56,403.82 56,403.82
12 OT-CMVL-LTO 1 - - - - - 2,292.59 - - - - - 2,292.59
a. AC/PUJ/UV 0 - - - - - - - - - - - -
a.6 Others - -
b. Buses/Tourist Buses 0 - - - - - - - - - - - -
b.6 Others - -
c. Taxis/Tourist Cars 1 - - - - - 2,292.59 - - - - - 2,292.59
c.3 Loss and Damage 1 - 2,292.59 2,292.59
c.6 Others - -
Page 16
Line of Business
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
d. Tricycles 0 - - - - - - - - - - - -
d.6 Others - -
13 OT-CMVL-NON-LTO 3 121,771.95 - - - 121,771.95 5,091,826.78 - - - - - 5,213,598.73
a. Private 0 - - - - - 1,478,731.35 - - - - - 1,478,731.35
a.2 Third Party Property Damage - 12,091 12,091.42
a.3 Loss and Damage - 1,466,640 1,466,639.93
a.6 Others - -
b. Commercial 3 121,771.95 - - - 121,771.95 3,563,018.99 - - - - - 3,684,790.94
b.2 Third Party Property Damage 2 99,121.95 99,121.95 198,438 297,559.83
b.3 Loss and Damage 1 22,650.00 22,650.00 3,364,581 3,387,231.11
b.6 Others - -
c. Motorcycles 0 - - - - - 50,076.44 - - - - - 50,076.44
c.3 Loss and Damage - 50,076 50,076.44
c.6 Others - -
Total Motor 57 1,591,183.91 - - - 1,591,183.91 5,094,119.37 - - - - - 6,685,303.28
14 Health - -
15 Accident 4 - 10,430.72 2,286.33 8,144.39
16 Engineering 32 - 1,007,451.00 170,196.05 837,254.95
17 Insurance for Migrant Workers 0 - - - - - - - - - - - -
a. Sea-based - -
b. Land-based - -
18 Micro Insurance 0 - - - - - - - - - - - -
b. Fire - -
c. Flood - -
d. Typhoon - -
e. Others - -
19 Bonds 2 6,872,225.81 - - - 6,872,225.81 - - - - - - 6,872,225.81
a. Class 1 - -
b. Class 2 - -
c. Class 3 2 6,872,225.81 6,872,225.81 6,872,225.81
d. Class 4 - -
e. Class 5 - -
20 General Liability 28 - 355,166.57 5,322.97 349,843.60
24 Miscellaneous * 52 - 1,293,488.17 8,498.85 1,284,989.32
Total Others 118 6,872,226 - - - 6,872,226 2,666,536 - - 186,304 - - 9,352,458
Page 16
Line of Business
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
OUTSTANDING CLAIMS RESERVE 238 8,624,635.32 - - - 8,624,635.32 11,741,495.42 - - 1,431,449.92 - - 18,934,680.82
Actuarial claims valuation reserves 32,361,454 32,361,454 2,267,112 30,094,342
GRAND TOTAL 238 40,986,089.32 - - - 40,986,089.32 11,741,495.42 - - 3,698,561.92 - - 49,029,022.82
Page 16
RECAPITULATION Vl - PREMIUMS AND CLAIMS BY MARKET SEGMENT
Total Micro-Insurance Non-Financial Financial
Provinces by Region Social Insurance Social Insurance Social Insurance Social Insurance
Direct Premiums Direct Premiums Direct Premiums Direct Premiums
Number of policy Direct Premiums Direct Losses Paid Number of policy Direct Premiums Direct Losses Paid Number of policy Direct Premiums Direct Losses Paid Number of policy Direct Premiums Direct Losses Paid
Written Written Written Written
Written Written Written Written
NCR 2,794 25,715,928.74 - 8,706,279.83 - - - - 2,712 25,438,433 - 7,566,795 - - - -

1. Manila 852 1,102,275.70 - 3,333,277.90 837 1,050,157 3,135,329
2. Mandaluyong 40 2,791,145.20 - 763,033.87 36 2,777,059 619,040
3. Marikina 3 26,676.72 - 78,588.58 1 19,634 -
4. Pasig 47 1,453,362.43 - 463,533.50 42 1,435,051 454,776
5. San Juan 10 429,911.88 - 71,589.89 6 417,234 71,590
6. Quezon City 1,578 8,172,257.46 - 1,374,553.50 1,553 8,089,150 1,053,435
7. Caloocan City 16 204,614.43 - 68,069.07 12 191,937 49,025
8. Malabon 20 308,126.01 - 27,640.09 19 303,900 -
9. Navotas 5 8,912.49 - 8,250.77 4 4,687 -
10. Valenzuela 12 140,635.44 - 73,880.25 8 127,958 11,174
11. Las Pinas 13 377,080.58 - 109,965.25 12 372,855 68,711
12. Makati 77 4,912,689.89 - 462,918.81 75 4,904,238 439,556
13. Muntinlupa 19 1,301,479.28 - 571,857.76 19 1,300,071 571,858
14. Pasay City 34 1,527,615.03 - 274,845.50 32 1,520,572 274,845
15. Taguig City 32 1,775,366.21 - 826,861.63 26 1,754,237 735,278
16. Pateros 0 - - 17,871.77 - -
17. Parañaque 36 1,183,779.99 - 179,541.70 30 1,169,694 82,176
CAR 0 - - 20,626.94 - - - - - - - - - - - -
1. Abra 0 - - -
2. Apayao 0 - - -
3. Benguet 0 - - 20,626.94
4. Baguio City 0 - - -
5. Ifugao 0 - - -
6. Kalinga 0 - - -
7. Mountain Province 0 - - -
Region I 0 - - 214,579.49 - - - - - - - 143,961 - - - -

1. Ilocos Norte 0 - - -
2. Ilocos Sur 0 - - 6,188.08
3. La Union 0 - - 29,694.22
4. Pangasinan 0 - - 178,697.19 143,961
5. Dagupan City 0 - - -
Region II 0 - - 243,347.47 - - - - - - - 137,423 - - - -

1. Batanes 0 - - -
2. Cagayan 0 - - 61,880.81
3. Isabela 0 - - 181,466.66 137,423
4. Nueva Vizcaya 0 - - -
5. Quirino 0 - - -
6. Santiago 0 - - -
Region III 0 - - 2,156,557.40 - - - - - - - 1,615,445 - - - -

1. Aurora 0 - - -
2. Bataan 0 - - 55,140.34
3. Bulacan 0 - - 483,622.61 389,762
4. Nueva Ecija 0 - - 727,756.02 586,476
5. Pampanga 0 - - 484,123.04 379,120
6. Angeles City 0 - - 189,713.70 127,833
7. Tarlac 0 - - 77,759.33 -
8. Zambales 0 - - 138,442.36 132,254
9. Olongapo City 0 - - -
Region IV-A 422 124,282.24 - 49,284,861.99 - - - - - - - 48,665,493 - - - -

1. Batangas 0 - - 110,560.38
2. Cavite 0 - - 690,889.23 588,960
3. Laguna 422 124,282.24 - 47,449,434.49 47,306,278
4. Quezon 0 - - 28,877.71
5. Lucena City 0 - - 162,569.08 82,454
6. Rizal 0 - - 842,531.10 687,801
MIMAROPA 0 - - 25,262.54 - - - - - - - - - - - -
1. Marinduque 0 - - -
2. Occidental Mindoro 0 - - -
3. Oriental Mindoro 0 - - -
4. Palawan 0 - - 25,262.54
5. Puerto Princesa City 0 - - -
6. Romblon 0 - - -
Region V 0 - - 272,115.89 - - - - - - - 253,015 - - - -

1. Albay 0 - - 253,015.35 253,015
2. Camarines Norte 0 - - -
3. Camarines Sur 0 - - -
4. Catanduanes 0 - - -
5. Masbate 0 - - 19,100.54
6. Naga City 0 - - -
7. Sorsogon 0 - - -
Page 17
Page 17
Region VI 0 - - 322,362.80 - - - - - - - 194,904 - - - -

1. Aklan 0 - - -
2. Antique 0 - - -
3. Capiz 0 - - 12,988.13
4. Negros Occidental 0 - - 254,272.66 192,392
5. Bacolod City 0 - - 2,512.09 2,512
6. Guimaras 0 - - -
7. Iloilo 0 - - 52,589.92
8. Iloilo City 0 - - -
Region VII 488 179,161.39 - 562,023.42 - - - - - - - 299,392 - - - -

1. Bohol 0 - - 187,652.73
2. Cebu 0 - - 208,055.08 133,077
3. Cebu City 488 179,161.39 - -
4. Lapu-Lapu 0 - - -
5. Mandaue City 0 - - -
6. Negros Oriental 0 - - 166,315.61 166,316
7. Siquijor 0 - - -
Region VIII 20,294 5,891,272.96 - 155,155.76 - - - - - - - 94,822 - - - -

1. Biliran 0 - - -
2. Eastern Samar 20,294 5,891,272.96 - -
3. Leyte 0 - - 129,165.82 94,822
4. Tacloban City 0 - - 16,501.55
5. Northern Samar 0 - - 9,488.39
6. Southern Leyte 0 - - -
7. Samar (Western Samar) 0 - - -
8. Ormoc City 0 - - -
Region IX 3,456 1,165,294.51 - 61,393.08 - - - - - - - 41,227 - - - -

1. Zamboanga del Norte 0 - - -
2. Zamboanga del Sur 0 - - -
3. Zamboanga City 3,456 1,165,294.51 - 61,393.08 41,227
4. Zamboanga Sibugay 0 - - -
5. City of Isabela 0 - - -
Region X 0 - - 46,577.68 - - - - - - - - - - - -
1. Bukidnon 0 - - 13,688.32
2. Camiguin 0 - - -
3. Lanao del Norte 0 - - -
4. Iligan City 0 - - -
5. Misamis Occidental 0 - - -
6. Misamis Oriental 0 - - -
7. Cagayan de Oro City 0 - - 32,889.37
Region XI 7,348 2,144,433.68 - 814,130.65 - - - - - - - 409,932 - - - -

1. Davao del Norte 0 - - -
2. Davao del Sur 0 - - -
3. Davao City 7,348 2,144,433.68 - 803,714.05 409,932
4. Davao Oriental 0 - - -
5. Compostela Valley 0 - - 10,416.60
6. Davao Occidental 0 - - -
Region XII 0 - - 128,398.81 - - - - - - - - - - - -

1. North Cotabato 0 - - 35,065.79
2. Sarangani 0 - - -
3. South Cotabato 0 - - 21,015.49
4. General Santos City 0 - - 51,690.60
5. Sultan Kudarat 0 - - 20,626.94
Region XIII 0 - - 162,439.10 - - - - - - - 154,188 - - - -

1. Agusan del Norte 0 - - -
2. Butuan City 0 - - -
3. Agusan del Sur 0 - - -
4. Surigao del Norte 0 - - 162,439.10 154,188
5. Surigao del Sur 0 - - -
6. Dinagat Islands 0 - - -
ARMM 0 - - - - - - - - - - - - - - -
1. Basilan 0 - - -
2. Lanao del Sur 0 - - -
3. Maguindanao 0 - - -
4. Sulu 0 - - -
5. Tawi-tawi
6. Cotabato City 0 - - -
TOTALS 34,802 35,220,373.52 - 63,176,112.85 - - - - 2,712 25,438,433 - 59,576,598 - - - -
Legend
Non-Financial - manufacturing, agriculture, mining, marine, government-owned and controlled corporations and other corporations which are not involved in financial intermediation
Financial - banks, investment corporation, insurance corporation, pawnshops and other financial intermediations
Household - individual insureds
Government - National Government, excluding GOCCs
NPISHS - non-profit institutions serving households like Red Cross, Charitable Institutions, NGOs, Cooperatives, etc.
Page 17
ANNUAL STATEMENT
ANNUAL
OF THE
STATEMENT
PREMIEROF
INSURANCE
THE PREMIER
& SURETY
INSURANCE
CORPORATION
& SURETYFOR
CORPORATION
THE YEAR ENDED
FOR THE
DECEMBER
YEAR ENDED
31, 2019
DECEMBER 31, 2019
RECAPITULATION
RECAPITULATION
Vl - PREMIUMS AND
Vl - CLAIMS
PREMIUMS
BY MARKET
AND CLAIMS
SEGMENT
BY MARKET SEGMENT
General Government Households NPISHs
Provinces by Region Social Insurance Social Insurance Social Insurance

Direct Premiums Direct Premiums Direct Premiums
Number of policy Direct Premiums Direct Losses Paid Number of policy Direct Premiums Direct Losses Paid Number of Policy Direct Premiums Direct Losses Paid
Written Written Written
Written Written Written
NCR - - - - 82 277,496 - 1,139,485 - - - -

1. Manila 15 52,118 197,948
2. Mandaluyong 4 14,086 143,993
3. Marikina 2 7,043 78,589
4. Pasig 5 18,312 8,758
5. San Juan 4 12,677
6. Quezon City 25 83,108 321,118
7. Caloocan City 4 12,677 19,044
8. Malabon 1 4,226 27,640
9. Navotas 1 4,226 8,251
10. Valenzuela 4 12,677 62,706
11. Las Pinas 1 4,226 41,254
12. Makati 2 8,452 23,363
13. Muntinlupa - 1,409
14. Pasay City 2 7,043
15. Taguig City 6 21,129 91,584
16. Pateros - - 17,872
17. Parañaque 6 14,086 97,365
CAR - - - - - - - 20,627 - - - -
1. Abra
2. Apayao
3. Benguet 20,627
4. Baguio City
5. Ifugao
6. Kalinga
7. Mountain Province
Region I - - - - - - - 70,618 - - - -
1. Ilocos Norte
2. Ilocos Sur 6,188
3. La Union 29,694
4. Pangasinan 34,736
5. Dagupan City
Region II - - - - - - - 105,925 - - - -
1. Batanes
2. Cagayan 61,881
3. Isabela 44,044
4. Nueva Vizcaya
5. Quirino
6. Santiago
Region III - - - - - - - 541,112 - - - -

1. Aurora
2. Bataan 55,140
3. Bulacan 93,861
4. Nueva Ecija 141,280
5. Pampanga 105,003
6. Angeles City 61,881
7. Tarlac 77,759
8. Zambales 6,188
9. Olongapo City
Region IV-A - - - - 422 124,282 - 619,369 - - - -

1. Batangas 110,560
2. Cavite 101,929
3. Laguna 422 124,282 143,156
4. Quezon 28,878
5. Lucena City 80,115
6. Rizal 154,730
MIMAROPA - - - - - - - 25,263 - - - -
1. Marinduque
2. Occidental Mindoro
3. Oriental Mindoro
4. Palawan 25,263
5. Puerto Princesa City
6. Romblon
Region V - - - - - - - 19,101 - - - -
1. Albay
2. Camarines Norte
3. Camarines Sur
4. Catanduanes
5. Masbate 19,101
6. Naga City
7. Sorsogon
Page 17
ANNUAL STATEMENT
ANNUAL
OF THE
STATEMENT
PREMIEROF
INSURANCE
THE PREMIER
& SURETY
INSURANCE
CORPORATION
& SURETYFOR
CORPORATION
THE YEAR ENDED
FOR THE
DECEMBER
YEAR ENDED
31, 2019
DECEMBER 31, 2019
RECAPITULATION
RECAPITULATION
Vl - PREMIUMS AND
Vl - CLAIMS
PREMIUMS
BY MARKET
AND CLAIMS
SEGMENT
BY MARKET SEGMENT
Page 17
ANNUAL STATEMENT
ANNUAL
OF THE
STATEMENT
PREMIEROF
INSURANCE
THE PREMIER
& SURETY
INSURANCE
CORPORATION
& SURETYFOR
CORPORATION
THE YEAR ENDED
FOR THE
DECEMBER
YEAR ENDED
31, 2019
DECEMBER 31, 2019
RECAPITULATION
RECAPITULATION
Vl - PREMIUMS AND
Vl - CLAIMS
PREMIUMS
BY MARKET
AND CLAIMS
SEGMENT
BY MARKET SEGMENT
Region VI - - - - - - - 127,459 - - - -
1. Aklan
2. Antique
3. Capiz 12,988
4. Negros Occidental 61,881
5. Bacolod City
6. Guimaras
7. Iloilo 52,590
8. Iloilo City
Region VII - - - - 488 179,161 - 262,631 - - - -

1. Bohol 187,653
2. Cebu 74,978
3. Cebu City 488 179,161
4. Lapu-Lapu
5. Mandaue City
6. Negros Oriental
7. Siquijor
Region VIII - - - - 20,294 5,891,273 - 60,334 - - - -

1. Biliran
2. Eastern Samar 20,294 5,891,273
3. Leyte 34,344
4. Tacloban City 16,502
5. Northern Samar 9,488
6. Southern Leyte
7. Samar (Western Samar)
8. Ormoc City
Region IX - - - - 3,456 1,165,295 - 20,166 - - - -

1. Zamboanga del Norte
2. Zamboanga del Sur
3. Zamboanga City 3,456 1,165,295 20,166
4. Zamboanga Sibugay
5. City of Isabela
Region X - - - - - - - 46,578 - - - -
1. Bukidnon 13,688
2. Camiguin
3. Lanao del Norte
4. Iligan City
5. Misamis Occidental
6. Misamis Oriental
7. Cagayan de Oro City 32,889
Region XI - - - - 7,348 2,144,434 - 404,199 - - - -

1. Davao del Norte
2. Davao del Sur
3. Davao City 7,348 2,144,434 393,782
4. Davao Oriental
5. Compostela Valley 10,417
6. Davao Occidental
Region XII - - - - - - - 128,399 - - - -

1. North Cotabato 35,066
2. Sarangani
3. South Cotabato 21,015
4. General Santos City 51,691
5. Sultan Kudarat 20,627
Region XIII - - - - - - - 8,251 - - - -

1. Agusan del Norte
2. Butuan City
3. Agusan del Sur
4. Surigao del Norte 8,251
5. Surigao del Sur
6. Dinagat Islands
ARMM - - - - - - - - - - - -
1. Basilan
2. Lanao del Sur
3. Maguindanao
4. Sulu
5. Tawi-tawi
6. Cotabato City
TOTALS - - - - 32,090 9,781,940 - 3,599,515 - - - -
Page 17
RECAPITULATION VII - DISTRIBUTION METHOD BY LINE OF BUSINESS
Bancasurrance
Totals
Line of Business Ordinary Agents General Agents Brokers Cooperative, Rural and Direct Marketing Mobile Phone Others
Commercial Banks (2+3+4+5+6+7+8+9)
Thrift Banks
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Total Fire 50,238 50,237.50
Total Marine 26,785 26,784.68
Total Motor 9,959,762.21 - - - - - - - 9,959,762.21

Passenger Personal Accident Insurance - -
CMVL-LTO 354,400.80 354,400.80
CMVL-N0N-LTO 9,349,043.31 9,349,043.31
OT-CMVL-LTO - -
OT-CMVL-NON-LTO 256,318.10 256,318.10
Total Others 25,183,589.13 - - - - - - - 25,183,589.13

Health -
Accident 11,679.00 11,679.00
Engineering 4,798,696.25 4,798,696.25
Insurance for Migrant Workers -
Microinsurance -
Bonds 20,361,463.88 20,361,463.88
General Liability 11,750.00 11,750.00
Professional Indemnity Insurance -
Crime Insurance -
Special Risks -
Miscellaneous -
GRAND TOTAL 35,220,373.52 - - - - - - - 35,220,373.52
Page 18
SCHEDULE 1 - CASH ON HAND AND IN BANKS
INTEREST
Name of the Bank
or Trust Company Bank Rating* January February March April May June July August September October November December Collected Earned Incumbrance
Branch Account Number Accrued/ Accrued Remarks
Classify: Current, Savings, Time (for RBC purpose) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) During the During the (if any)
Overdraft, With Lien Previous Year Current Year
Year Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22)
I. Cash on Hand
a. Undeposited Collections - - - - - - - - - - - -
b. Petty Cash Fund - - - - - - - - - - - -
c. Commission Fund In good standing (15%) 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00
d. Documentary Stamps Fund In good standing (15%) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 -
e. Claims Fund In good standing (15%) 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74 40,568.74
f. Revolving Fund In good standing (15%) 231,682.44 231,682.44 231,682.44 231,682.44 261,684.44 261,684.44 291,682.44 291,682.44 291,682.44 291,682.44 291,682.44 291,682.44
g. Other Funds - - - - - - 689,867.98 1,113,948.59 1,656,895.84 2,002,640.76 2,002,640.76 2,002,640.76
Total Cash on Hand 302,251.18 302,251.18 302,251.18 302,251.18 332,253.18 332,253.18 1,052,119.16 1,476,199.77 2,019,147.02 2,364,891.94 2,364,891.94 2,364,891.94 - - - -
II. Cash in Banks
a. Current - Peso
1 Philippine National Bank Lapazan, Cagayan De Oro CA 4102-7000-1333 In good standing (15%) 218,075.54 218,075.54 218,075.54 218,075.54 218,075.54 218,162.06 218,162.06 218,162.06 218,162.06 218,162.06 218,162.06 218,250.05 218.14
2 Philippine National Bank Jakosalem, Cebu City CA 3008-7000-1298 In good standing (15%) 728,243.19 728,243.19 728,243.19 728,243.19 728,243.19 728,532.13 728,532.13 728,532.13 728,532.13 728,532.13 728,532.13 728,825.97 728.47
3 Philippine National Bank C. M. Recto, Davao CA 4076-7000-1074 In good standing (15%) 431,371.60 431,371.60 431,371.60 431,371.60 431,371.60 431,371.60 431,930.01 431,930.01 431,930.01 431,930.01 432,117.11 192.86 901.58
4 Philippine National Bank U.N. Ave., Ermita Manila CA 1677-7000-1197 In good standing (15%) 4,936,536.55 4,958,266.48 5,031,972.31 21,654,006.17 34,731,129.49 21,373,505.19 21,455,259.71 7,516,004.61 8,419,910.04 7,578,410.04 7,589,116.10 1,095,368.62 7,050.73
5 Philippine National Bank Tanza, Cavite CA 2441-7000-1096 In good standing (15%) 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 1,583,786.80 -
6 LandBank of the Phils. Salcedo, Makati CA-1792-1008-44 In good standing (15%) 189,225.41 297,191.05 297,249.02 297,249.02 297,249.02 376,037.17 574,320.67 574,320.67 574,452.20 574,452.20 574,452.20 574,569.64 811.61
7 Metrobank Escolta, Manila CA-7015-90138-8 In good standing (15%) 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 3,546.97 -
8 Bank of Commerce Basa, Iloilo City CA-083-00000161-1 In good standing (15%) 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 2,269.96 -
9 RCBC Bataan CA-5-347-000215 In good standing (15%) 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 5,310.20 - -
10 BPI Plaza Cervantes, Binondo CA-0051-0547-76 In good standing (15%) 922,869.35 922,869.35 922,869.35 922,869.35 922,869.35 922,869.35 922,869.35 922,869.35 1,130,575.51 1,131,319.03 1,131,319.03 1,200,905.82 3,795.59
11 BPI Plaza Cervantes, Binondo CA-0051-0530-95 In good standing (15%) 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 195,108.01 -
12 Unionbank Dasma Binondo CA-010030018935 In good standing (15%) 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 145,595.50 -
13 SBTC U.N. Ave., Ermita Manila CA-000-00121-379 In good standing (15%) 1,510,158.36 1,615,698.73 6,303,680.71 19,222,914.99 19,236,872.69 12,005,892.18 4,830,931.58 5,357,456.12 5,124,764.51 18,116,568.15 16,851,490.23 2,820,608.39 10,720.21
14 Eastwest Bank U.N. Ave., Ermita Manila CA-2000-2685-7097 In good standing (15%) - - 124,464.56 58,878.86 527,454.34 6,807,634.67 520,536.91 447,871.73 1,234,643.65 6,348,621.56 5,978,076.32 6,940,877.49 4,704.52
15 RCBC U.N. Ave., Ermita Manila CA-7590-521-261 In good standing (15%) - - 99,521.96 99,531.78 99,541.92 99,551.74 99,561.88 99,572.02 217,464.20 260,552.94 240,564.46 172,145.94 185.21
16 UCPB TM Kalaw, Manila CA-2010-2003-3976 In good standing (15%) - - - - - - - 50,000.00 739,975.96 1,164,240.55 593,369.95 396,237.48 615.71
17 BDO Capitol, Cebu City CA-0029-3801-6142 In good standing (15%) - - - - - - - - 50,003.01 58,569.18 50,101.74 50,110.24 32.28
18 Unionbank U.N. Ave., Ermita Manila CA-0022-8000-6681 In good standing (15%) - - - - - - - 50,480.00 50,480.00 50,480.00 50,480.00 50,480.00 -
19 GRBANK Gua-Gua, Pampanga CA-01-04-2382-4 In good standing (15%) - - - - - - - - - - - 302,589.28 -
Sub-total 10,872,097.44 11,107,333.38 16,093,065.68 45,568,757.94 59,128,424.58 44,899,173.53 31,717,721.74 18,332,816.14 20,856,510.72 38,597,455.29 36,373,398.77 16,481,469.02 29,764.05 - - -
b. Current - Foreign - - - - - - - - - - - - -
Sub-total - - - - - - - - - - - - - - - -
c. Regular Savings - Peso

1 BPI Kalaw SA-8107-0274-33 In good standing (15%) 235,921.50 235,921.50 235,921.50 236,150.93 236,265.73 236,265.73 236,265.73 236,610.45 236,610.45 236,725.47 236,840.54 236,955.68 1,579.23
2 BPI Plaza Cervantes SA-0053-3086-19 In good standing (15%) 332,667.05 332,667.05 332,833.38 332,833.38 332,833.38 333,001.65 333,001.65 333,001.65 333,171.85 333,171.85 333,171.85 333,342.14 843.86
3 SBTC San Fernando, Pampanga SA-0891-008438-001 In good standing (15%) 186,167.05 186,167.05 186,167.05 186,167.05 186,167.05 186,240.91 186,240.91 186,240.91 186,278.46 186,278.46 186,278.46 186,316.02 186.22
4 BPI Cebu SA- 1021-0267-15 In good standing (15%) 59.37 59.37 59.37 59.37 59.37 59.37 59.37 59.37 59.37 59.37 59.37 59.37 -
5 BPI Plaza Cervantes SA-0053-2810-36 In good standing (15%) 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 19,833.51 -
6 Eastwest Bank Cebu SA-009201010044 In good standing (15%) 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 1,060,865.23 -
7 Robinson Bank Dagupan SA-302-23-000021-9 In good standing (15%) 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 179,484.24 -
8 China Bank Binondo SA-10137170-17 In good standing (15%) 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 12,498.75 -
9 Maynank Montiverde, Davao City SA-01-048-00-1992-0 In good standing (15%) 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 430,892.05 -
10 LandBank of the Phils. U. N. Avenue SA-1441-0624-23 In good standing (15%) 17,062.01 17,062.01 17,065.42 17,065.42 17,065.42 17,068.88 17,068.88 17,068.88 17,072.37 17,072.37 17,072.37 17,075.86 17.30
11 BDO Marikina SA-000330554247 In good standing (15%) 11,171.89 11,173.60 11,175.50 11,177.33 11,179.23 11,181.06 11,187.64 11,189.54 11,191.37 11,193.27 11,195.10 11,197.00 33.74
12 UCBP Escolta, Manila In good standing (15%) 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 844,490.89 -
13 GRBANK Gua-Gua, Pampanga SA-001-01-46662-8 In good standing (15%) 182,055,000.00 182,055,000.00 182,055,000.00 182,055,000.00 182,055,000.00 182,502,817.81 182,502,817.81 182,502,817.81 182,502,817.81 182,502,817.81 182,502,817.81 183,069,014.97 1,330,018.70
14 GRBANK Gua-Gua, Pampanga TD-02-08583-1 In good standing (15%) 60,000,000.00 60,000,000.00 60,000,000.00 60,000,000.00 60,000,000.00 60,493,001.25 60,493,001.25 60,493,001.25 60,493,001.25 60,493,001.25 60,493,001.25 - 1,108,396.90
15 GRBANK Gua-Gua, Pampanga TD-02-08582-2 In good standing (15%) 40,000,000.00 40,000,000.00 40,000,000.00 40,000,000.00 40,000,000.00 40,328,667.50 40,328,667.50 40,328,667.50 40,328,667.50 40,328,667.50 40,328,667.50 - 722,897.39
16 GRBANK Gua-Gua, Pampanga TD-02-08581-4 In good standing (15%) 48,000,000.00 48,000,000.00 48,000,000.00 48,000,000.00 48,000,000.00 48,394,401.00 48,394,401.00 48,394,401.00 48,394,401.00 48,394,401.00 48,394,401.00 - 914,067.31
Sub-total 333,386,113.54 333,386,115.25 333,386,286.89 333,386,518.15 333,386,634.85 335,050,769.83 335,050,776.41 335,051,123.03 335,051,336.10 335,051,453.02 335,051,569.92 186,402,025.71 4,078,040.65 - - -
d. Regular Savings - Foreign

1 MBTC Federal Tower 101-2-01000554-4 In good standing (15%) 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 34,572.93 33,329.98 42.03
2 Eastwest Bank U.N. Ave., Ermita Manila 3000-0103-9354 In good standing (15%) 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 26,393.50 25,358.00 50.64
Sub-total 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 60,966.43 58,687.98 92.67 - - -
e. Special Savings - Peso - - - - - - - - - - - - -
Sub-total - - - - - - - - - - - - - - - -
f. Special Savings - Foreign - - - - - - - - - - - - -
Sub-total - - - - - - - - - - - - - - - -
Total Cash in Banks 344,319,177.41 344,554,415.06 349,540,319.00 379,016,242.52 392,576,025.86 380,010,909.79 366,829,464.58 353,444,905.60 355,968,813.25 373,709,874.74 371,485,935.12 202,942,182.71 4,107,897.37 - - -
TOTAL CASH ON HAND AND IN BANKS 344,621,428.59 344,856,666.24 349,842,570.18 379,318,493.70 392,908,279.04 380,343,162.97 367,881,583.74 354,921,105.37 357,987,960.27 376,074,766.68 373,850,827.06 205,307,074.65 4,107,897.37 - - -
*Please refer to CL No. 2018-68 dated 28 December 2016. Also, please specify Rating Agency.
Note:
1.In case of deposit in foreign banks, please attach computation showing amount of deposit in foreign currency, conversion rate used, etc.
2. Disclose the amounts allocated for Microinsurance. - NONE
Page 19
SCHEDULE 2 - TIME DEPOSITS
DATE Interest
Description Collected Accrued Earned
Nature and Amount
CTD No. Principal Rate Term Maturity Value During Previous Accrued During Where Kept Remarks
of Incumbrance (if any)
Bank Rating* Acquired Maturity Current Year
Name of the Bank Branch Account No. The Year Year the Year
(For RBC purpose)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
A. Peso Currency
1
2
3
Sub-total - -
B. Foreign Currency NONE

1
2
3
Sub-total - -
TOTAL TIME DEPOSITS - - - - - -

*Please refer to CL No. 2016-68 dated 28 December 2016. Also, please specify Rating Agency.
Note:
* Disclose the amounts allocated for Microinsurance - NONE
Page 20
SCHEDULE 3.A - PREMIUMS RECEIVABLE - DIRECT BUSINESS, BROKERS, GENERAL AGENTS AND ORDINARY AGENTS WITHIN 90 DAYS
Premium Other
Name of Intermediary Name of Insured Policy Number Inception Date Premiums VAT DST FST LGT Total Amount Due
Tax Charges
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
A. Direct
1. - - - - - - - - - - - -
2. - - - - - - - - - - - -
3. - - - - - - - - - - - -
4. - - - - - - - - - - - -
5. - - - - - - - - - - - -
Microinsurance - - - - - - - - - - -
OFW - - - - - - - - - - -
PPAI - - - - - - - - - - -
CTPL - - - - - - - - - - -
B. Brokers
1. - - - - - - - - - - - -
2. - - - - - - - - - - - -
3. - - - - - - - - - - - -
4. - - - - - - - - - - - -
5. - - - - - - - - - - - -
Microinsurance - - - - - - - - - - -
OFW - - - - - - - - - - -
PPAI - - - - - - - - - - -
CTPL - - - - - - - - - - -
C. General Agents
1. - - - - - - - - - - - -
2. - - - - - - - - - - - -
3. - - - - - - - - - - - -
4. - - - - - - - - - - - -
5. - - - - - - - - - - - -
Microinsurance - - - - - - - - - - -
OFW - - - - - - - - - - -
PPAI - - - - - - - - - - -
CTPL - - - - - - - - - - -
D. Ordinary Agents
1. ARNULFO C. CONCHA, JR. 3,375,803.14 405,096.37 302,356.47 12,504.40 800.00 4,096,560.38
2. TRADELINE INSURANCE AGENCY CORPORATION 1,258,413.17 150,432.17 125,965.16 4,586.65 400.28 10,342.47 1,550,139.90
3. - - - - - - - -
4. - - - - - - - -
5. - - - - - - - -
Microinsurance - - - - - - - -
OFW - - - - - - - -
PPAI - - - - - - - -
CTPL - - - - - - - -
Page 21
SCHEDULE 3.A - PREMIUMS RECEIVABLE - DIRECT BUSINESS, BROKERS, GENERAL AGENTS AND ORDINARY AGENTS WITHIN 90 DAYS
Premium Other
Name of Intermediary Name of Insured Policy Number Inception Date Premiums VAT DST FST LGT Total Amount Due
Tax Charges
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
Total Premiums Receivable - Within 90 days (Admitted) 4,634,216.31 555,528.54 428,321.63 - 17,091.05 400.28 11,142.47 5,646,700.28
Less: Net Commission
Total Net Premiums Receivable - Within 90 days (Admitted) 4,634,216.31 555,528.54 428,321.63 - 17,091.05 400.28 11,142.47 5,646,700.28
Total Premiums Receivable - Gevernment Agencies (See Sch. 3-B, page 22)
Total Premiums Receivable - Marine Hull (see Sch. 3-C, page 23)
Total Premiums Receivable - Jumbo Risks (see Sch. 3-D, page 24)
Total Premiums Receivable - Beyond Ninety (90) days (Non-admitted): 77,981,419.39 8,552,366.47 7,409,178.56 21,236.10 330,111.60 1,595.79 3,693,424.29 97,989,332.20
a. More than 3 months but less than 6 months 10,907,189.54 1,308,417.70 979,896.11 - 22,069.31 12,945.47 13,230,518.13
b. More than 6 months but less than 9 months 11,390,957.96 1,366,439.60 969,149.65 - 22,772.21 5,087.60 13,754,407.02
c. More than 9 months but less than 12 months 345,564.00 41,467.68 28,671.00 - 691.13 500.00 416,893.81
d. More than 12 months but less than 18 months 55,337,707.89 5,836,041.49 5,431,461.80 21,236.10 284,578.95 1,595.79 3,674,891.22 70,587,513.24
e. More than 18 months
Total Premiums Receivable - Microinsurance - W/in 180 days - - - - - - - -
- Over 180 days - - - - - - - -
Totals 82,615,635.70 9,107,895.01 7,837,500.19 21,236.10 347,202.65 1,996.07 3,704,566.76 103,636,032.48

Less: Allowance for Impairment Losses/for Doubtful Accounts 3,536,047.38 252,421.23 282,876.60 1,079.41 21,501.72 - 309,126.66 4,403,053.00
TOTAL PREMIUMS RECEIVABLE, NET 79,079,588.32 8,855,473.78 7,554,623.59 20,156.69 325,700.93 1,996.07 3,395,440.10 99,232,979.48
NOTE:
1. As this page is a summary, it must be supported with schedule showing the policy number of each policy, by line of business - Fire and Allied Perils
Marine/Aviation
Suretyship
Motor Car
2. Premiums receivable beyond ninety (90) days need to be supported by schedule showing policy details -
Page 21
SCHEDULE 3.B - PREMIUMS RECEIVABLE FROM GOVERNMENT AGENCIES
Particulars of Policy/Bond
Non-admitted Admitted
Name of Government Agency Assured Premiums Premium Tax VAT DST FST Other Charges Balance
Policy No. Inception Date (in pesos) (in pesos)
(in pesos) (in pesos) (in pesos) (in pesos) (in pesos) (in pesos) (in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
A. Fire
1.
2.
3.
B. Marine Cargo
1.
2. NONE
C. Marine Hull
1.
2.
D. Surety and Fidelity

1.
2.
E. Motor Car
1.
2.
F. Health and Accident

1.
2.
G. Others
Specify particular line of business
1.
2.
TOTAL PREMIUMS RECEIVABLE DUE FROM GOVERNMENT AGENCIES
*Group according to government accounts.
Page 22
SCHEDULE 3.C - PREMIUMS RECEIVABLE - MARINE HULL
Installment Payment Schedule (Paid & Unpaid)

Inception Balance
Assured Policy No. Premium DST VAT LGT Other Charges Total 1st Due 2nd Due 3rd Due 4th Due Non-admitted Admitted
Date Amount Amount Amount Amount Current Year
Date Date Date Date
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1.
2.
3.
4.
5. NONE
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
TOTAL PREMIUMS RECEIVABLE - MARINE HULL
Page 23
SCHEDULE 3.D - PREMIUMS RECEIVABLE - JUMBO RISKS
Installment Payment Schedule (Paid & Unpaid)

Inception Balance
Assured Policy No. Premium DST VAT LGT Other Charges Total 1st Due 2nd Due 3rd Due 4th Due Non-admitted Admitted
Date Amount Amount Amount Amount Current Year
Date Date Date Date
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
1.
2.
3.
4.
5.
6. NONE
7.
8.
9.
10.
11.
12.
13.
14.
15.
TOTAL PREMIUMS RECEIVABLE - JUMBO RISKS
Page 24
SCHEDULE 4 - REINSURANCE ACCOUNTS
ASSETS LIABILITIES
Treaty Facultative Treaty Facultative
Counterparty Rating* Premium Funds Loss Reserve Premium Funds Loss Reserve Amount Recoverable from Other R/I Premium Other R/I
Name of Company Amount Recoverable from Reinsurers Premiums Premium Loss Premiums
(For RBC ) Due from Held by Withheld by Due from Held by Withheld by Reinsurers Accounts Reserve Accounts
Receivable Due to Reserve Reserve Due to Payable
Ceding Ceding Ceding Ceding Ceding Ceding Unpaid Withheld
Paid Losses Unpaid Losses Paid Losses Reinsurer Withheld for Withheld for Reinsurer
Companies Companies Companies Companies Companies Companies Losses for
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
I. Authorized
A. Domestic - with Certificate of Authority

1 ACCETTE RE INS in good standing ( 15% ) - - - - - 36,607.86 - - 1,792,251.96 - - - - - - - -
2 ALLIED BANKERS INS in good standing ( 15% ) - - - - - 6,999.29 - - - - - - - - 141,017.88 - -
3 ALPHA INS & SURETY in good standing ( 15% ) - - - - - 82,540.29 - - 289,649.26 - - - - - (275,609.60) - -
4 ASIA INS (PHILS) CORP in good standing ( 15% ) - - - - - 422,205.70 - - 553,512.36 - - - - - 238,715.38 - -
5 ASIA UNITED INS INC in good standing ( 15% ) - - - - - 11,837.37 - - 44,707.82 - - - - - 202,931.40 - -
6 BF GENERAL INS in good standing ( 15% ) - - - - - 400,974.37 - - 54,347.76 - - - - - 71,680.95 - -
7 CHARTER PING-AN INS (form. Phil. Charter Ins) in good standing ( 15% ) - - - - - 12,251.70 - - - - - - - - 36,860.56 - -
8 COMMONWEALTH INSURANCE in good standing ( 15% ) - - - - - 907,652.19 - - 250,887.14 - - - - - 205,150.37 - -
9 CORPORATE GUARANTEE in good standing ( 15% ) - - - - - - - - 287,532.00 - - - - - 12,911.21 - -
10 COUNTRY BANKERS in good standing ( 15% ) - - - 8,975.78 - 6,180,003.20 - - 1,722,879.90 - - - - - 4,791,656.63 - -
11 EMPIRE INSURANCE in good standing ( 15% ) - - - - - 49,137.93 - - 3,177,857.53 - - - - - 169,949.73 - -
12 FEDERAL PHOENIX ASNCE CORP INC in good standing ( 15% ) - - - - - - - - 7,990.24 - - - - - 11,676.50 - -
13 FORTUNE GENERAL INS CORP in good standing ( 15% ) - - - 177.70 - 31,953.53 - - 3,457.28 - - - - - 160,367.88 - -
14 FORTUNE GUARANTEE in good standing ( 15% ) - - - - - 44,254.69 - - 139,908.79 - - - - - - - -
15 GSIS in good standing ( 15% ) 49,479.00 - - - - - - - - - 2,466,388.88 15,700.89 - - 6,079.07 - -
16 GRANITE INT'L REINS in good standing ( 15% ) - - - 61,441.00 - - - - 921,924.57 - - 28,084.00 - - - - -
17 HOWDEN INS (ACCETTE) in good standing ( 15% ) - - - - - 9,430.24 - - - - - (143,896.98) - - 2,377.84 - -
18 INTERBROKER INS in good standing ( 15% ) - - - - - - - - - - - - - - (16,027.58) - -
19 INTER-CONTINENTAL in good standing ( 15% ) - - - - - 5,487.29 - - 18,417.09 - - - - - 13,522.86 - -
20 INTRA STRATA in good standing ( 15% ) - - - - - 559,126.21 - - 11,504,908.03 - - - - - 253,633.10 - -
21 KRM REINS BRK in good standing ( 15% ) - - - - - 164,845.30 - - - - - - - - 100,420.47 - -
22 LIBERTY INSURANCE in good standing ( 15% ) - - - - - 12,774.67 - - 217,049.00 - - - - - 3,581.49 - -
23 MALAYAN RE in good standing ( 15% ) - - - 171,168.00 - - - - - - - - - - 496,912.70 - -
24 MAPRE INSULAR in good standing ( 15% ) - - - 2,083,190.00 - 0.99 - - - - - - - - - - -
25 MAPRE RE in good standing ( 15% ) - - - - - - - - 237.53 - - 333,520.00 - - - - -
26 MEGA REINS BROKER in good standing ( 15% ) (158,896.35) - - (703,046.45) - 309,349.24 - - 13,468,842.48 - - 480,793.23 - - 436,481.28 - -
27 MERCANTILE INSURANCE in good standing ( 15% ) - - - - - 890,715.93 - - 1,892,351.75 - - - - - 158,141.07 - -
28 MILESTONE INS (formerly EASCO) in good standing ( 15% ) - - - - - 272,393.14 - - 9,205,334.99 - - - - - 53,392.10 - -
29 MONARCH INS CO in good standing ( 15% ) - - - - - 11,244.23 - - - - - - - - - - -
30 NATIONAL REINSURANCE in good standing ( 15% ) - - - 6,724,755.59 1,431,449.92 59,894.05 - - 101,119.12 - 10,733,660.36 8,321,411.05 - - (153,489.75) - -
31 NEW INDIA ASNCE in good standing ( 15% ) - - - - - - - - - - - - - - 14,101.30 - -
32 NORTHWEST INSURANCE in good standing ( 15% ) - - - - - 114,369.91 - - 94,011.47 - - - - - 104,068.44 - -
33 ORIENTAL ASNCE in good standing ( 15% ) - - - 32,377.53 - 68,064.25 - - - - - - - - 448,094.29 - -
34 PACIFIC UNION in good standing ( 15% ) - - - - - 21,923.90 - - 513,981.36 - - - - - 40,511.87 - -
35 PAG-IBIG INS POOL in good standing ( 15% ) 188,205.63 - - - - - - - - - - - - - - - -
36 PANA HARRISON REINS BROKER in good standing ( 15% ) - - - - - 6,708.84 - - (248.03) - - - - - (771.85) - -
37 PARAMOUNT LIFE & GEN INS in good standing ( 15% ) - - - 486,161.66 - 2,089,005.97 - - 46,429.65 - - - - - 436,077.30 - -
38 PARAMOUNT UNION in good standing ( 15% ) - - - - - - - - 2,550.00 - - - - - 234,010.43 - -
39 PEOPLES GENERAL INS in good standing ( 15% ) - - - - - 52,885.24 - - 406,133.31 - - - - - 24,807.71 - -
40 PHIL GUARANTEE in good standing ( 15% ) - - - - - - - - - - - - - - - - -
41 PHIL. ACCIDENT MANAGERS INC in good standing ( 15% ) 853,243.92 - - - - - - - - - - - - - - - -
42 PHIL. BRITISH in good standing ( 15% ) - - - - - 45,551.51 - - 1,836.77 - - - - - - - -
43 PHIL. FIRST INS CO INC in good standing ( 15% ) - - - 22,701.33 - 462,463.48 - - 981,119.75 - - - - - 301,474.08 - -
44 PIONEER ASIA INS in good standing ( 15% ) - - - - - 34,311.95 - - 428.71 - - - - - 2,707.96 - -
45 PIONEER INTERNATIONAL in good standing ( 15% ) - - - - - 8,658.76 - - - - - - - - - - -
46 PNB GENERAL INS in good standing ( 15% ) - - - - - 236,122.02 - - 1,276,811.53 - - - - - (32,191.76) - -
47 POLARIS REINS BRK in good standing ( 15% ) - - - 63,052.56 - 147,758.74 - - 9,633.15 - - 1,284,721.67 - - (54,647.25) - -
48 PRUDENTIAL GUARANTEE in good standing ( 15% ) - - - - - 8,787.71 - - 15,972.41 - - - - - 13,801.59 - -
49 QUANTUM REINS BROKERS INS in good standing ( 15% ) - - - 18,141.12 - 55,127.56 - - 3,036.78 - - - - - (114,602.50) - -
50 RELIANCE SURETY & INS in good standing ( 15% ) - - - - - 14,421.57 - - 145,862.44 - - - - - 28,252.84 - -
51 REPUBLIC SURETY INS in good standing ( 15% ) - - - - - - - - - - - - - - (9,790.20) - -
52 SEABOARD EASTERN in good standing ( 15% ) - - - - - - - - - - - - - - - - -
53 STANDARD INS in good standing ( 15% ) - - - - - - - - 11,227.10 - - - - - - - -
54 STERLING INS in good standing ( 15% ) - - - - - - - - 113,940.89 - - - - - 215,873.32 - -
55 STREET EXCHANGE INS in good standing ( 15% ) - - - - - 4,740.55 - - 382,611.13 - - - - - (3,679.13) - -
Page 25
ASSETS LIABILITIES
56 STRONGHOLD INS in good standing ( 15% ) - - - - - 806,068.73 - - 11,024,097.22 - - - - - 679,798.54 - -
57 TRAVELLERS SURETY & INS in good standing ( 15% ) - - - - - 2,932,727.89 - - 84,125.10 - - - - - 531,585.22 - -
58 UCPB GEN INS in good standing ( 15% ) - - - 30,917.14 - 335,605.31 - - 319,959.84 - - - - - 575,927.43 - -
59 UNIVERSAL RE in good standing ( 15% ) - - - - - - - - 74.93 - - 69,655.00 - - - - -
60 UTILITY ASSURANCE in good standing ( 15% ) - - - - - 1,691,755.95 - - 368,632.42 - - - - - 287,705.59 - -
61 VISAYAN INS in good standing ( 15% ) - - - - - - - - 0.06 - - - - - 186,079.98 - -
62 WESTERN GUARANTY in good standing ( 15% ) - - - - - 2,847,360.22 - - 251,750.42 - - - - - - - -
B. Foreign - with Certificate of Authority

1. - - - - - - - - - - - - - - - - - -
2. - - - - - - - - - - - - - - - - - -
3. - - - - - - - - - - - - - - - - - -
Total Authorized Reinsurance Accounts 932,032.20 - - 9,000,012.96 1,431,449.92 22,466,099.47 - - 61,709,145.01 - 13,200,049.24 10,389,988.86 - - 11,031,528.74 - -
II. Unauthorized
A. Domestic - With Servicing Licence/ No License

1 AFP GENERAL INS CORP Others ( 25% ) - - - - - 62,536.65 - - 912,844.53 - - - - - 43,599.30 - -
2 ASIAN PROPERTY INS Others ( 25% ) - - - - - - - - 4,211.52 - - - - - - - -
3 ASIAN RE Others ( 25% ) - - - 845,926.00 - - - - - - - - - - - - -
4 CANNON REINS CORP Others ( 25% ) - - - - - 2,974.30 - - - - - - - - - - -
5 CAP GENERAL INSURANCE Others ( 25% ) - - - 15,200.00 - 114,168.93 - - 140,956.85 - - - - - - - -
6 CAPITAL INS CORP Others ( 25% ) - - - - - 61,656.21 - - 26,050.45 - - - - - - - -
7 CATHAY INS CORP Others ( 25% ) - - - - - 1,954.58 - - 158,422.70 - - - - - - - -
8 CCC INSURANCE Others ( 25% ) - - - - - 87,006.28 - - 98,930.31 - - - - - - - -
9 CEDE INT'L. RE BROKER Others ( 25% ) - - - - - 117,117.19 - - 15,764.29 - - - - - - - -
10 CENTENNIAL GTY INS Others ( 25% ) - - - - - 2,376,701.10 - - 283,381.50 - - - - - 179,815.94 - -
11 CENTRAL SURETY Others ( 25% ) - - - - - - - - 570.00 - - - - - - - -
12 COMMERZ INSURANCE Others ( 25% ) - - - - - 6,255.56 - - - - - - - - - - -
13 CONGLO INT'L. RE Others ( 25% ) - - - - - 65,202.55 - - - - - - - - - - -
14 CONSOLIDATED INS Others ( 25% ) - - - - - - - - - - - - - - - - -
15 COVENANT ASNCE CORP Others ( 25% ) - - - - - 664,953.91 - - 2,525,032.39 - - - - - - - -
16 DELBROS INS BRKS Others ( 25% ) - - - - - 105,758.46 - - 745,455.80 - - - - - - - -
17 DEVELOPMENT INS Others ( 25% ) - - - - - 573,997.66 - - 37,909.73 - - - - - - - -
18 DOMINION INS Others ( 25% ) - - - - - 35,147.77 - - 170,156.56 - - - - - - - -
19 EQUITABLE INS Others ( 25% ) - - - - - 114,156.84 - - 963.61 - - - - - - - -
20 EURO-GLOBAL Others ( 25% ) - - - - - 29,056.50 - - 7,650.94 - - - - - - - -
21 FAR EASTERN STY CORP Others ( 25% ) - - - 302,586.00 - 90,171.79 - - 939,964.68 - - - - - - - -
22 FIDELITY INSURANCE Others ( 25% ) - - - - - 27,534.85 - - 4,245.96 - - - - - - - -
23 FILIP[INO MERCHANTS Others ( 25% ) - - - - - - - - 1,604.50 - - - - - - - -
24 FINMAN GEN ASNCE CORP Others ( 25% ) - - - - - 15,926.99 - - 9,958.73 - - - - - - - -
25 FIRST INTEGRATED BONDING & INS Others ( 25% ) - - - - - - - - 4,500.00 - - - - - 6,413.50 - -
26 FLT PRIME INS CORP Others ( 25% ) - - - 29,639.42 - 11,326.65 - - 766,247.09 - - - - - 430,547.70 - -
27 GENICO RE Others ( 25% ) - - - 1,581,088.28 - - - - - - - - - - - - -
28 GIRA INSURANCE Others ( 25% ) - - - - - 24,072.47 - - 147,235.70 - - - - - - - -
29 GLOBAL RISK MGT Others ( 25% ) - - - - - 19,905.32 - - - - - - - - - - -
30 GREAT DOMESTIC INS Others ( 25% ) - - - - - - - - - - - - - - - - -
31 INDUSTRIAL INSURANCE Others ( 25% ) - - - - - 74,912.92 - - 1,480,611.28 - - - - - - - -
32 INS. OF THE PHIL ISLAND Others ( 25% ) - - - - - 136,813.23 - - 551,046.89 - - - - - - - -
33 INVESTORS ASNCE CORP Others ( 25% ) - - - - - 12,648.71 - - 4,469,378.85 - - - - - (142,498.59) - -
34 KER INS BROKER Others ( 25% ) - - - - - 22,821.23 - - - - - - - - - - -
35 LUZON INS Others ( 25% ) - - - - - - - - 14,899.06 - - - - - - - -
36 MANIAGO REINS BROKER Others ( 25% ) - - - - - - - - - - - - - - - - -
37 MANILA SURETY & FIDELITY Others ( 25% ) - - - - - 223,838.95 - - 1,341,707.28 - - - - - 472,205.06 - -
38 MEGA PACIFIC Others ( 25% ) - - - - - 39,847.03 - - 252.73 - - - - - - - -
39 MERIDIAN ASNCE CO Others ( 25% ) - - - - - 5,490.27 - - 12,595.06 - - - - - 70,751.53 - -
40 P.T. SATRIA Others ( 25% ) - - - (41,566.00) - - - - - - - - - - - - -
Page 25
ASSETS LIABILITIES
41 PANA INSURANCE Others ( 25% ) - - - - - 73,331.82 - - 20,768.82 - - - - - - - -
42 PANA RE Others ( 25% ) - - - 230,519.00 - - - - - - - 204,563.00 - - - - -
43 PANA RESOURCES Others ( 25% ) - - - 4,000.00 - - - - 2,729,037.16 - - - - - - - -
44 PENINSULA EXCESS Others ( 25% ) - - - - - 195,054.28 - - 57,212.52 - - - - - - - -
45 PHIL PHOENIX Others ( 25% ) - - - - - 308,628.92 - - - - - - - - - - -
46 PHIL. ASNCE CORP Others ( 25% ) - - - - - 51,547.58 - - 123,759.33 - - - - - - - -
47 PHIL. FIRE & MARINE Others ( 25% ) - - - - - 643,547.94 - - 1,923,659.19 - - - - - - - -
48 PHIL. FIRE ASSNCE CORP Others ( 25% ) - - - - - - - - 508,423.11 - - - - - - - -
49 PHIL. GENERAL INS Others ( 25% ) - - - - - 214,649.50 - - 77,310.03 - - - - - - - -
50 PHIL. INT'L INS BRK Others ( 25% ) - - - - - - - - 145,254.95 - - - - - - - -
51 PLARIDEL SURETY & INS Others ( 25% ) - - - 92,334.70 - 729,220.08 - - 1,971,352.28 - - - - - 580,660.58 - -
52 R & B INS CORP Others ( 25% ) - - - - - 17,328.60 - - 8,182.72 - - - - - - - -
53 RICO GEN INS Others ( 25% ) - - - - - 60,920.79 - - 1,179.58 - - - - - - -
54 SEC. PACIFIC ASNCE Others ( 25% ) - - - - - 533,406.16 - - 68,097.96 - - - - - - - -
55 SENECS REINS BRK Others ( 25% ) - - - - - 17,335.81 - - - - - - - - - - -
56 SIDDCOR INS Others ( 25% ) - - - - - - - - 71,174.46 - - - - - - - -
57 SOLID GUARANTEE INS Others ( 25% ) - - - - - 59,479.99 - - 33,703.50 - - - - - 102,928.44 - -
58 SOUTH SEA STY & INS CORP Others ( 25% ) - - - - - 27,521.81 - - 4,368.82 - - - - - - - -
59 SUMMIT GUARANTY Others ( 25% ) - - - - - - - - - - - - - - - - -
60 TICO INS CORP Others ( 25% ) - - - - - 7,768.79 - - - - - - - - - - -
61 TIMES SURETY Others ( 25% ) - - - - - 15,995.71 - - - - - - - - - - -
62 UNITED INS Others ( 25% ) - - - - - - - - 589,661.59 - - - - - 25,932.58 - -
63 WELLINGTON INS Others ( 25% ) - - - - - 14,337.76 - - - - - - - - - - -
B. Foreign - With Resident Agent (RA) - indicate name of RA

1. ASEAN - - - - - - - - - - - - - - - - -
2. Others - - - - - - - - - - - - - - - - -
3. - - - - - - - - - - - - - - - - -
C. Foreign - Without Resident Agent

1. ASEAN - - - - - - - - - - - - - - - - -
2. Others - - - - - - - - - - - - - - - - -
3. - - - - - - - - - - - - - - - - -
Total Unauthorized Reinsurance Accounts - - - 3,059,727.40 - 8,094,030.44 - - 23,205,695.01 - - 204,563.00 - - 1,770,356.04 - -
Totals 932,032.20 - - 12,059,740.36 1,431,449.92 30,560,129.91 - - 84,914,840.02 - 13,200,049.24 10,594,551.86 - - 12,801,884.78 - -

Add: RI share on IBNR 2,267,112.00
TOTAL REINSURANCE ACCOUNTS 932,032.20 - - 12,059,740.36 3,698,561.92 30,560,129.91 - - 84,914,840.02 - 13,200,049.24 10,594,551.86 - - 12,801,884.78 - -
Less: Allowance for Impairment Losses - - - - - - - - - - - - - - - -
TOTAL REINSURANCE ACCOUNTS, NET 932,032.20 - - 12,059,740.36 3,698,561.92 30,560,129.91 - - 84,914,840.02 - 13,200,049.24 10,594,551.86 - - 12,801,884.78 - -
*Please refer to CL 2016-68 dated 28 December 2016.
Notes
1 Prepare schedule on a per company basis.
2 Disclose the reinsurance on microinsurance, if any - NONE
Page 25
SCHEDULE 5 - SURETY LOSSES RECOVERABLE
Surety Losses Recoverable

Date of
Counterparty Rating* Description of Asset Value Market Value Non-admitted
Principal Kind of Bond Bond Number Confiscation Amount of Covered by Not Covered by Total Ledger Admitted Asset Remarks
(For RBC purpose) Securities of Securities of Securities Asset
of Bond Bond Securities Securities Asset
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
1.
2.
3.
4.
5. NONE
6.
7.
8.
9.
10.
Total
Less: Allowance for Impairment Losses
GRAND TOTALS
Page 26
SCHEDULE 6.A - FINANCIAL ASSETS AT FAIR VALUE THROUGH PROFIT OR LOSS - DEBT SECURITIES
Counterparty Certificates Interest (Premium)/

Date (Premium)/ Acquisition Book Value Market Value Earned
Rating* Face Value Change in Accrued Accrued Discount Incumbrances,
Description Serial Discount Cost Annual Rate Payment During the Where Kept
(For RBC Per Cert Total Fair Value Collected Previous Year Current Year Amortizartion if any
Acquisition Issue Maturity No. (Pesos) (Pesos) (Pesos) (Pesos) (Coupon Rate) Date Year
purpose) (Pesos) (Pesos) (in pesos) (in pesos) (in pesos)
(in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22)
A. Trading Debt Securities - Government

1.
2.
3.
Total Trading Debt Securities - Government
B. Trading Debt Securities - Private

1. NONE
2.
3.
Total Trading Debt Securities - Private
C. Financial Assets Designated at Fair Value Through Profit or Loss (FVPL) - Debt Securities (Government)
1.
2.
3.
Total Financial Assets Designated at FVPL - Debt Securities (Government)
D. Financial Assets Designated at Fair Value Through Profit or Loss (FVPL) - Debt Securities (Private)
1.
2.
3.
Total Financial Assets Designated at FVPL - Debt Securities (Private)
Notes:
1. Give complete and accurate description of debt securities owned. If bonds are registered, coupon or serial issues, give amount in each group.
2. Includes investments from microinsurance business - NONE
3. In case of foreign investment, please submit rate of exchange used and computation
Page 27
SCHEDULE 6.B - FINANCIAL ASSETS AT FAIR VALUE THROUGH PROFIT OR LOSS - EQUITY SECURITIES
State if Number of Dividend In(De)crease

Par Value
"Listed" or Outstanding Adjustment in
Stock Cert. Date How Shares Rate Used Market Value Acquisition Change in Collected Accrued Earned Incumbrances, Where
Description "Unlisted"* Current Year BV During
Symbol No. Acquired Acquired Per Share Total to Obtain MV (in pesos) (in pesos) Fair Value During the Year Previous Year During the Year if any Kept
(For RBC (in pesos) the Year
purpose) CY PY (in pesos) (in pesos) (in pesos) (in pesos) (in pesos) (in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)
A. Trading Equity Securities

1.
2.
3. NONE
Total Trading Securities
B. Financial Assets Designated at Fair Value Through

Profit or Loss (FVPL) - Equity Securities
1.
2.
3.
Total (FVPL) - Equity Securities
Notes:
1 Give complete and accurate description of stock owned, including redeemable options, if any, and dividend rights.
2 Indicate whether purchased, stock dividends or foreclosed with corresponding shares.
3 In case of foreign investment, please submit rate of exchange used and computation
4 Includes investments from microinsurance business
Page 28
SCHEDULE 6.C - FINANCIAL ASSETS AT FAIR VALUE THROUGH PROFIT OR LOSS -

MUTUAL FUND, UITF, REIT AND OTHER FUNDS
Category* Date Net Asset Value per Unit/Share Accrued Interest Earned Interest Accrued Interest
No. of
Description (For RBC Amount Collected Interest
units/share Purchased at time of Purchase As of Dec. ( C.Y.) Current Current Previous
purpose)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
I. Securities Held for Trading
A. Investment in Mutual Funds

a.
b.
Sub-total
B. Invetment in Unit Investment Trust Funds

a. NONE
b.
Sub-total
C. Real Estate Investment Trust Funds

a.
b.
Sub-total
D. Other Funds
D.1 IMA ACCOUNTS

a.
b.
Sub-total
D.2 Others
a.
b.
Sub-total
TOTAL OTHER FUNDS - - - - -
Total Securities Held for Trading
2. Financial Assets Designated at Fair Value Through Profit or Loss (FVPL)

a.
b.
Sub-total
B. Invetment in Unit Investment Trust Funds NONE

a.
b.
Page 29
SCHEDULE 6.C - FINANCIAL ASSETS AT FAIR VALUE THROUGH PROFIT OR LOSS -

Category* Date Net Asset Value per Unit/Share Accrued Interest Earned Interest Accrued Interest
No. of
Description (For RBC
purpose)
units/share Purchased
NONE
at time of Purchase As of Dec. ( C.Y.)
Amount
Current
Collected Interest
Current Previous
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
Sub-total

a.
b.
Sub-total
D. Other Funds
D.1 IMA ACCOUNTS

a.
b.
Sub-total
D.2 Others
a.
b.
Sub-total
TOTAL OTHER FUNDS - - - - -
Total Financial Assets Designated at FVPL
Note:
1. Disclose the amounts allocated for Microinsurance - NONE
Page 29
SCHEDULE 6.D - FINANCIAL ASSETS AT FAIR VALUE THROUGH PROFIT OR LOSS -
DERIVATIVE ASSETS
Counterparty Date
Ratings* Change in Market
Derivative Asset to Hedge Counterparty Notional Amount Market Value Remarks
(For RBC Value
purpose) Start Maturity
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Itemize the accounts

1.
2.
3. NONE
4.
5.
6.
7.
TOTAL FINANCIAL ASSETS AT FAIR VALUE THROUGH

PROFIT OR LOSS - DERIVATIVE ASSETS
Note:
1. Disclose the amounts allocated for Microinsurance - NONE
Page 30
SCHEDULE 8 - LOANS RECEIVABLE - REAL ESTATE MORTGAGE LOANS
Record of Mortgage TERM PRINCIPAL INTEREST Title Number, Location, and

Counterparty a. Registry No. Description of Property
Market Value
Ratings* b. Entry Date Amount Loaned Paid Amount Unpaid Collected Accrued Accrued Earned Sound Value Mortgaged:
Name of Mortgagor of Land Remarks
(For RBC c. City/Province Date Given Date Due Original Loan Amount Unpaid During the During the as of Dec. 31
Annual
During the Previous Current During the of Building State if mortgage is being foreclosed,
in Previous Year Rate Mortgage
purpose) d. Amt. of Notation of Year Year Current Year Year Year Year Year any prior liens, if real estate is
Incumbrance agricultural or improved.
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)

1.
2.
3. NONE
4.
Total Loans Receivable - Real Estate Mortgage Loans

TOTAL LOANS RECEIVABLE - REAL ESTATE MORTGAGE LOANS (NET)
Page 32
SCHEDULE 9 - LOANS RECEIVABLE - COLLATERAL LOANS
Term of Loan PRINCIPAL INTEREST

Description of Securities Held As
Counterparty Rate Used
Name of Borrower Amount of Amount Amount Market Value Collateral December 31 of Current Year
Ratings* Date of IC Loaned Paid Collected Accrued Accrued Earned Par or Face to Obtained
(State if borrower is a parent, subsidiary, affiliate, officer Date of Original Loan Unpaid Unpaid Annual December of (Number of shares of stock, rate of interest, Remarks
(For RBC Approval Date of Loan During the During the During the Previous Current Year During the Value Market
or director) Maturity (in pesos) in Previous as of Dec. 31 Rate Current Year year of maturity of each bond held as
purpose) Year Year Year Year Year Value
Year Current Year collateral)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)

1.
2.
3. NONE
4.
Total Loans Receivable- Collateral Loans

Less: Allowance of Impairment Losses
TOTAL LOANS RECEIVABLE - COLLATERAL LOANS (NET)
Page 33
SCHEDULE 10 - LOANS RECEIVABLE - GUARANTEED LOANS

Counterparty
Name of Borrower Amount of Original
Ratings* Date of IC Loaned Paid Amount Unpaid Collected Earned
(State if borrower is a parent, subsidiary, Loan Amount Unpaid Accrued Accrued
(For RBC Approval Date of Loan Date of Maturity During the During the as of Dec. 31 Annual Rate During the During the
affiliate, officer or director) (in pesos) in Previous Year Previous Year Current Year
purpose) Year Year Current Year Year Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)

1.
2.
3.
4. NONE
Total Loans Receivable - Guaranteed Loans

TOTAL LOANS RECEIVABLE - GUARANTEED LOANS (NET)
Page 34
SCHEDULE 11 - LOANS RECEIVABLE - CHATTEL MORTGAGE LOANS

Counterparty
Name of Borrower Amount of
Ratings* Date of IC Loaned Paid Amount Unpaid Collected Earned
(State if borrower is a parent, subsidiary, Date of Original Loan Amount Unpaid Accrued Accrued Remarks
(For RBC Approval Date of Loan During the During the as of Dec. 31 Annual Rate During the During the
affiliate, officer or director) Maturity (in pesos) in Previous Year Previous Year Current Year
purpose) Year Year Current Year Year Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

1.
2.
3.
4. NONE
Total Loans Receivable - Chattel Mortgage Loans

TOTAL LOANS RECEIVABLE - CHATTEL MORTGAGE LOANS (NET)
Page 35
SCHEDULE 7- HELD-TO-MATURITY INVESTMENTS
Certificates Unamortized Interest (Premium)/

Counterparty Date (Premium)/
Face Value Acquisition Cost Book Value (Discount)/ Accrued Accrued Earned Discount Incumbrances,
Description Ratings* Discount Annual Rate Payment Where Kept
Serial No. (Pesos) (Pesos) Premium Collected Previous Year Current Year During the Year Amortizartion if any
(For RBC purpose) Acquisition Issue Maturity Per Cert (Pesos) Total (Pesos) (Pesos) (Coupon Rate) Date
(Pesos) (in pesos) (in pesos) (in pesos) (in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)
A. Government
Treasury Bill - Previous year's carry-over
1. PIBL1219D132 Local currency (0%) 11-29-2018 11-28-2018 11-27-2019 4209307 2,971,328.19 2,971,328.19 2,971,328.19 OFFICE
Treasury Bill - Current year's purchases

1. PIBL1219D132 Local currency (0%) 4/4/2019 4/1/2020 14,000,000.00 14,000,000.00 791,144.41 13,208,855.59 14,000,000.00 200,510.43 791,144.41 200,510.43 590,633.98 791,144.41 OFFICE
2. PIBL1219D178 Local currency (0%) 5/3/2019 4/29/2020 2,000,000.00 2,000,000.00 113,442.87 1,886,557.13 2,000,000.00 37,605.37 113,442.87 37,605.37 75,837.50 113,442.87 OFFICE
3. PIBL1219C124 Local currency (0%) 5/20/2019 3/25/2020 26,000,000.00 26,000,000.00 1,256,064.05 24,743,935.95 26,000,000.00 344,404.66 1,256,064.05 344,404.66 911,659.39 1,256,064.05 OFFICE
4. PIBL1219E211 Local currency (0%) 6/4/2019 5/27/2020 14,000,000.00 14,000,000.00 710,350.24 13,289,649.76 14,000,000.00 293,664.35 710,350.24 293,664.35 416,685.89 710,350.24 OFFICE
5. PIBL1219F247 Local currency (0%) 6/27/2019 6/17/2020 520,000.00 520,000.00 24,266.17 495,733.83 520,000.00 11,519.61 24,266.17 11,519.61 12,746.56 24,266.17 OFFICE
6. PIBL1219G273 Local currency (0%) 7/31/2019 7/22/2020 4,000,000.00 4,000,000.00 163,590.88 3,836,409.12 4,000,000.00 93,480.50 163,590.88 93,480.50 70,110.38 163,590.88 OFFICE
7. PIBL1219G273 Local currency (0%) 7/31/2019 7/22/2020 10,000,000.00 10,000,000.00 407,878.33 9,592,121.67 10,000,000.00 233,073.33 407,878.33 233,073.33 174,805.00 407,878.33 OFFICE
8. PIBL1219H290 Local currency (0%) 8/20/2019 8/19/2020 10,290,000.00 10,290,000.00 352,771.61 9,937,228.39 10,290,000.00 224,227.43 352,771.61 224,227.43 128,544.18 352,771.61 OFFICE
9. PIBL1219I306 Local currency (0%) 9/4/2019 9/2/2020 4,110,000.00 4,110,000.00 144,349.67 3,965,650.33 4,110,000.00 97,555.00 144,349.67 97,555.00 46,794.67 144,349.67 OFFICE
10. PIBL1219I315 Local currency (0%) 10/21/2019 9/16/2020 2,060,000.00 2,060,000.00 65,113.65 1,994,886.35 2,060,000.00 51,146.67 65,113.65 51,146.67 13,966.98 65,113.65 OFFICE
11. PIBL1219J332 Local currency (0%) 11/4/2019 10/21/2020 5,140,000.00 5,140,000.00 170,081.65 4,969,918.35 5,140,000.00 142,540.02 170,081.65 142,540.02 27,541.63 170,081.65 OFFICE
12. PIBL1219K358 Local currency (0%) 11/15/2019 11/4/2020 2,100,000.00 2,100,000.00 69,093.14 2,030,906.86 2,100,000.00 60,140.23 69,093.14 60,140.23 8,952.91 69,093.14 OFFICE
13. PIBL1219K358 Local currency (0%) 11/29/2019 11/4/2020 54,200,000.00 54,200,000.00 1,691,078.97 52,508,921.03 54,200,000.00 1,532,385.34 1,691,078.97 1,532,385.34 158,693.63 1,691,078.97 OFFICE
Sub-total 148,420,000.00 5,959,225.64 142,460,774.36 148,420,000.00 3,322,252.94 5,959,225.64 2,971,328.19 3,322,252.94 5,608,300.89 5,959,225.64
Government Bond
1. BPI CAPITAL CORP. - PIID1021C027 Local currency (0%) 3/3/2011 3/3/2021 5,000,000.00 5,000,000.00 5,000,000.00 5,000,000.00 7.375% 368,750.00 - 18,185.00 386,935.00 OFFICE
Sub-total 5,000,000.00 5,000,000.00 5,000,000.00 - 368,750.00 18,185.00 386,935.00
B. Private - Bond
1. PDTC - R15ACBCP136 in good standing (15%) 5/11/2012 5/11/2027 5,000,000.00 5,000,000.00 5,000,000.00 5,000,000.00 6.875% 343,750.00 47,089.00 390,839.00 OFFICE
Sub-total 5,000,000.00 5,000,000.00 5,000,000.00 - 343,750.00 47,089.00 390,839.00 -
Total Held-to-Maturity Investments 158,420,000.00 5,959,225.64 152,460,774.36 158,420,000.00 3,322,252.94 6,671,725.64 2,971,328.19 3,387,526.94 6,386,074.89 5,959,225.64
Allowance for Impairment Losses - - - - - - -
TOTAL HELD-TO-MATURITY INVESTMENTS (NET) 158,420,000.00 5,959,225.64 152,460,774.36 158,420,000.00 3,322,252.94 6,671,725.64 2,971,328 3,387,526.94 6,386,074.89 5,959,225.64
*Please refer to CL 2016-68 dated 28 December 2016. Total Earned (Interest +Amortization)
Notes:
1. Give complete and accurate description of stock owned, including redeemable options, if any, and dividend rights.
2. Indicate whether purchased, stock dividends or foreclosed with corresponding shares.
4. Includes investments from microinsurance business - NONE
5. Attach amortization schedule for each investment.
Page 31
SCHEDULE 12 - LOANS RECEIVABLE - NOTES RECEIVABLE

Name of Borrower Aging Period* Amount of
Promissory Note Date of IC
(State if borrower is a parent, subsidiary, (For RBC Date of Original Loan Amount Unpaid Loaned Paid Amount Unpaid Collected
Accrued Accrued
Earned Remarks
No. Approval Date of Loan in During the During the as of Dec. 31 Annual Rate During the During the
affiliate, officer or director) purpose) Maturity (in pesos) Previous Year Current Year
Previous Year Year Year Current Year Year Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)

1. Marissa I. Rafael For more than 18 months (96.40%) 12/13/19 01/31/25 65,000,000 - 65,000,000 - 65,000,000 7% - - - -
2. One Source Solutions Inc. For more than 18 months (96.40%) 12/13/19 01/31/25 85,000,000 - 85,000,000 - 85,000,000 7% - - - -
Total Loans Receivable - Notes Receivable 150,000,000 - 150,000,000 - 150,000,000 - - - -

TOTAL LOANS RECEIVABLE - NOTES RECEIVABLE (NET) 150,000,000 - 150,000,000 - 150,000,000 - - - -
Page 36
SCHEDULE 13 - LOANS RECEIVABLE - HOUSING LOANS

Counterparty
Ratings* Date of IC
(State if borrower is a parent, subsidiary, TCT NO. Date of Original Loan Amount Unpaid Loaned Paid Amount Unpaid Collected
Accrued Accrued
Earned Remarks
(For RBC Approval Date of Loan in During the During the as of Dec. 31 Annual Rate During the During the
affiliate, officer or director) Maturity (in pesos) Previous Year Current Year
purpose) Previous Year Year Year Current Year Year Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)

1.
2.
3. NONE
4.
Total Loans Receivable - Housing Loans

TOTAL LOANS RECEIVABLE - HOUSING LOANS (NET)
Page 37
SCHEDULE 14 - LOANS RECEIVABLE - CAR LOANS
Registration Term of Loan PRINCIPAL INTEREST

Counterparty
Ratings* Date of IC
(State if borrower is a parent, subsidiary, Official Receipt Car Registration Date of Original Loan Amount Unpaid Loaned Paid Amount Unpaid Collected
Accrued Accrued
Earned Remarks
affiliate, officer or director) (OR) No. (CR) No. Maturity (in pesos) Previous Year Current Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)

1.
2.
3. NONE
4.
Total Loans Receivable - Car Loans

TOTAL LOANS RECEIVABLE - CAR LOANS (NET)
Page 38
SCHEDULE 15 - LOANS RECEIVABLE - PURCHASE MONEY MORTGAGES
Record of Mortgage Terms PRINCIPAL INTEREST

Title No., Location and
Counterparty Market Amount of Fire
Description of Property Mode of Sound Amount Amount
Ratings* Amount of Annual Amount of Value of Insurance Held Loaned Paid Collected Accrued Accrued Earned
Name of Mortgagor (State if mortgage is Entry Registry Date Years Amount of Down Amortization Value of Unpaid Unpaid
(For RBC City/ Province Notation of Rate of Amortization Land by Company During the During the During the Previous Current Year During the
being foreclosed or have Date No. Granted to Pay Principal payment payments Building in Previous as of Dec. 31
purpose) Encumbrance Interest Payments Mortgage on Building Year Year Year Year Year
prior liens) (M,Q,S, or A) Year Current Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25)

1.
2.
3. NONE
4.
Total Loans Receivable - Purchase Money Mortgages

TOTAL LOANS RECEIVABLE - PURCHASE MONEY MORTGAGES (NET)
Page 39
SCHEDULE 16 - LOANS RECEIVABLE - SALES CONTRACT RECEIVABLES

Name of Borrower Aging Period* Amount of
Date of IC
(State if borrower is a parent, subsidiary, affiliate, officer (For RBC Date of Original Loan Amount Unpaid Loaned Paid Amount Unpaid Collected
Accrued Accrued
Earned Remarks
Approval Date of Loan in During the During the as of Dec. 31 Annual Rate During the During the
or director) purpose) Maturity (in pesos) Previous Year Current Year
Previous Year Year Year Current Year Year Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (15)

1.
2. NONE
3.
4.
Total Loans Receivable - Sales Contract Receivables

TOTAL LOANS RECEIVABLE - LOANS RECEIVABLE - SALES CONTRACT RECEIVABLES (NET)
*Please refer to CL 2016-68 dated 28 December 2016
Page 40
SCHEDULE 17 - LOANS RECEIVABLE - UNQUOTED DEBT SECURITIES
Counterparty Certificates Unamortized INTEREST (Premium)/

Date (Premium)/ Acquisition Book Value Incumbrances, if
Ratings* Face Value (Discount)/ Earned Discount
Description Serial Discount Cost Annual Rate Payment Accrued Accrued any Where Kept
(for RBC Per Cert Total Premium Collected During the Amortization
Acquisition Issue Maturity No. (Pesos) (Pesos) (Pesos) (Coupon Rate) Date Previous Year Current Year (Pesos)
purpose) (Pesos) (Pesos) (Pesos) Year (Pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)

1.
2.
3. NONE
4.
Total Loans Receivable - Unquoted Debt Securities

TOTAL LOANS RECEIVABLE - LOANS RECEIVABLE - UNQUOTED DEBT SECURITIES (NET)
Notes:
1. Give complete and accurate description of debt securities owned. If bonds are registered, coupon or serial issues, give amount in each group.
2. Includes investments from microinsurance business
Page 41
SCHEDULE 18 - LOANS RECEIVABLE - SALARY LOANS

Counterparty
Ratings* Date of IC
(State if borrower is a parent, subsidiary, Date of Original Loan Amount Unpaid Loaned Paid Amount Unpaid Collected
Accrued Accrued
Earned Remarks
affiliate, officer or director) Maturity (in pesos) Previous Year Current Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

1. Eugenio Hermosa Jr. Others / Individ IC - CL 2016-65 07/30/19 07/31/20 40,000 - 40,000 7,564 32,436 12% 1,850 - - 1,850
2.
3.
4.
5.
6.
7.
Total Loans Receivable - Salary Loans 40,000 - 40,000 7,564 32,436 1,850 - - 1,850
Less: Allowance for Impairment Losses - - - - - - - - -
TOTAL LOANS RECEIVABLE - SALARY LOANS (NET) 40,000 - 40,000 7,564 32,436 1,850 - - 1,850
Page 42
SCHEDULE 19 - LOANS RECEIVABLE - OTHERS

Counterparty
Ratings Date of IC
(State if borrower is a parent, subsidiary, affiliate, Date of Original Loan Amount Unpaid Loaned Paid Amount Unpaid Collected
Accrued Accrued
Earned Remarks
officer or director) Maturity (in pesos) Previous Year Current Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

1.
2.
3.
4.
NONE
5.
6.
7.
Total Loans Receivable - Others

TOTAL LOANS RECEIVABLE - OTHERS (NET)
Page 43
SCHEDULE 20.A - AVAILABLE-FOR-SALE (AFS) FINANCIAL ASSETS - DEBT SECURITIES
Counterparty Certificate Interest (Premium)/

Date Acquisition Book Value Market Reserve for Earned
Ratings* Face Value Accrued Accrued Discount Incumbrances,
Description Serial Cost Value AFS Annual Rate Payment During the Where Kept
(For RBC Collected Previous Year Current Year Amortization if any
purpose) Acquisition Issue Maturity No. Per Cert Total (Pesos) (Pesos) (Pesos) Securities (Coupon Rate) Date Year (in pesos)
(Pesos) (Pesos) (in pesos) (in pesos)
(in pesos)
(1) (2) (3) (4) (5) (6) (7) (9) (10) (11) (12) (13) (14) (15) (16) (16) (17) (17) (18) (19) (20)
A. Government
1.
2.
3.
Subtotal
B. Private NONE
1.
2.
3.
Subtotal
Total AFS Financial Assets - Debt Securities

Less: Allowance of Impairment Losses
TOTAL AVAILABLE-FOR-SALE (AFS)
FINANCIAL
*Please referASSETS - DEBT
to CL 2016-68 SECURITIES
dated 28 December 2016 Total Earned (Interest +Amortization)
(NET)
Notes: Fluctuation Reserve-Securities before
1. Indicate whether purchased, stock dividends or foreclosed with corresponding shares. deferred
Add: Income
Deferred tax Tax on Market
Income
2. In case of foreign investment, please submit rate of exchange used and computation Value of Securities
Fluctuation Reserve- Securities after
3. Includes investments from microinsurance business deferred Income tax
Page 44
SCHEDULE 20.B - AVAILABLE-FOR-SALE (AFS) FINANCIAL ASSETS - EQUITY SECURITIES
Dividend In(De)crease
Number of Par Value
Category* OutstandingShares Collected Accrued Earned Adjustment in
Stock Cert. Date How Rate Used Market Value Acquisition Reserve for AFS Current Incumbrances, Where
DESCRIPTION (For RBC During the Previous During the BV During
Symbol No. Acquired Acquired Per Share Total to Obtain MV (in pesos) (in pesos) Securities Year if any Kept
purpose) Year Year Year the Year
CY PY (in pesos) (in pesos) (in pesos) (in pesos)
(in pesos) (in pesos) (in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)
1. First Philippine Holdings FPH Listed (40%) A12028 11-02-78 Purchase 37 37 10.00 370 68.95 2,551 370 2,181 OFFICE
2. First Philippine Holdings FPH Listed (40%) A29167 11-05-79 Purchase 37 37 10.00 370 68.95 2,551 370 2,181 OFFICE
3. First Philippine Holdings FPH Listed (40%) 52351 01-28-80 Purchase 150 150 10.00 1,500 68.95 10,343 2,726 7,616 OFFICE
4. PLDT - COMMON PLDT Listed (40%) MFO-2508 11-19-93 Conversion 17 17 5.00 85 988.00 16,796 26,899 (10,103) OFFICE
5. PLDT - COMMON PLDT Listed (40%) MFO-2994 6/30/1997 S. Dividend 17 17 5.00 85 988.00 16,796 - 16,796 OFFICE
6. PLDT - COMMON PLDT Listed (40%) MFO-3146 01-28-04 Purchase 18 18 5.00 90 988.00 17,784 10,282 7,502 OFFICE
7. PLDT - PREFERRED PLDT Unlisted (55%) SIC-23366 07-20-76 S. Dividend 150 150 10.00 1,500 - 1,500 1,500 OFFICE
8. PLDT - PREFERRED PLDT Unlisted (55%) SIS-00839 3/2/1992 Purchase 600 600 10.00 6,000 - 6,000 6,000 - OFFICE
9. PLDT - PREFERRED PLDT Unlisted (55%) SIT-06785 08-25-93 Purchase 2,000 2,000 10.00 20,000 - 20,000 20,000 - OFFICE
10. PLDT - PREFERRED PLDT Unlisted (55%) SIT-07447 09-21-93 Purchase 350 350 10.00 3,500 - 3,500 3,500 - OFFICE
13. PLDT - PREFERRED PLDT Unlisted (55%) SIT-10392 12-08-93 Purchase 2,000 2,000 10.00 20,000 - 20,000 20,000 - OFFICE
14. PLDT - PREFERRED PLDT Unlisted (55%) SIU-02784 03-08-94 Purchase 1,050 1,050 10.00 10,500 - 10,500 10,500 - OFFICE
15. PLDT - PREFERRED PLDT Unlisted (55%) SIU-02837 03-11-94 Purchase 350 350 10.00 3,500 - 3,500 3,500 - OFFICE
16. PLDT - PREFERRED PLDT Unlisted (55%) SIV-09522 08-21-95 Purchase 200 200 10.00 2,000 - 2,000 2,000 - OFFICE
17. PLDT - PREFERRED PLDT Unlisted (55%) SIX-10041 08-28-97 Purchase 200 200 10.00 2,000 - 2,000 2,000 - OFFICE
19. PLDT - PREFERRED PLDT Unlisted (55%) SIX-11914 11-27-97 Purchase 200 200 10.00 2,000 - 2,000 2,000 - OFFICE
20. National Reins. Corp. of the Phils. NRCP Listed (40%) 00629 08-04-2015 Purchase 29,700 29,700 1.00 29,700 0.83 24,651 35,640 (10,989) OFFICE
22. National Reins. Corp. of the Phils. NRCP Listed (40%) 00631 08-04-2015 Purchase 400 400 1.00 400 0.83 332 480 (148) OFFICE
25. National Reins. Corp. of the Phils. NRCP Listed (40%) 00634 08-04-2015 S. Dividend 6,500 6,500 1.00 6,500 0.83 5,395 - 5,395 OFFICE
44. National Reins. Corp. of the Phils. NRCP Listed (40%) 1759 6/19/1991 Purchase 100 100 1.00 100 0.83 83 120 (37) OFFICE
46. National Reins. Corp. of the Phils. NRCP Listed (40%) 3144 6/21/1905 Purchase 100 100 1.00 100 0.83 83 227,300 725,955 OFFICE
47. National Reins. Corp. of the Phils. NRCP Listed (40%) 138 5/31/1905 Purchase 29,900 29,900 1.00 29,900 0.83 24,817 OFFICE
48. National Reins. Corp. of the Phils. NRCP Listed (40%) 341 6/1/1905 S. Dividend 15,000 15,000 1.00 15,000 0.83 12,450 OFFICE
Page 45
SCHEDULE 20.B - AVAILABLE-FOR-SALE (AFS) FINANCIAL ASSETS - EQUITY SECURITIES
Dividend In(De)crease
Number of Par Value
Category* OutstandingShares Collected Accrued Earned Adjustment in
Stock Cert. Date How Rate Used Market Value Acquisition Reserve for AFS Current Incumbrances, Where
DESCRIPTION (For RBC During the Previous During the BV During
Symbol No. Acquired Acquired Per Share Total to Obtain MV (in pesos) (in pesos) Securities Year if any Kept
purpose) Year Year Year the Year
CY PY (in pesos) (in pesos) (in pesos) (in pesos)
(in pesos) (in pesos) (in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21)
67. International Sports Dev't. Corp Unlisted (55%) 1094 1994 Purchase 1 1 14,000.00 14,000 - 14,000 14,000 - OFFICE
TOTAL AVAILABLE-FOR-SALE (AFS) FINANCIAL ASSETS - EQUITY SECURITIES 3,157,805 1,327,567 1,830,238
Notes: Fluctuation Reserve- AFS Securities before deferred Income tax

1. Indicate whether purchased, stock dividends or foreclosed with corresponding shares. Add: Deferred Income Tax on Market Value of AFS Securities
2. In case of foreign investment, please submit rate of exchange used and computation Fluctuation Reserve-AFS Secuities after deferred Income tax
3. Includes investments from microinsurance business
Page 45
SCHEDULE 20.C - AVAILABLE-FOR-SALE (AFS) FINANCIAL ASSETS -

Net Asset Value per Unit/Share Accrued Interest Earned Interest Accrued Interest
Category* No. of Amount of Reserve for AFS
Description Date Purchased Collected Interest
(For RBC purpose) units/shares at time of Purchase As of Dec. ( C.Y.) Investment Securities Current Current Previous
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

1.
2.
3.
Total Investment in Mutual Funds
B. Investment in Unit Investment Trust Funds

1.
2.
3.
Total Investment in Unit Investment Trust Funds

1.
2. NONE
3.
Total Real Estate Investment Trust Funds
D. Other Funds
D.1 IMA Accounts

1.
2.
3.
Sub-total
D.2 Others
1.
2.
3.
Sub-total
Total Other Funds
Notes:
1 Disclose the amounts allocated for Microinsurance - NONE
Page 46
SCHEDULE 21 - INVESTMENT INCOME DUE AND ACCRUED
GROSS
Accrued Collected Accrued Earned Net
KIND OF INVESTMENTS
Reference Current During the Year Previous During Final Tax Earned
Year (2+5-4) Year the Year
(1) (2) (3) (4) (5) (6) (7)
1. Accrued Interest Income - Cash in Banks Schedule 1, page 19 - 4,107,897.37 - 4,107,897.37 821,577.20 3,286,320.17
2. Accrued Interest Income - Time Deposits Schedule 2, page 20 - - - - - -
3. Accrued Interest Income - Financial Assets at FVPL - - - - - -
3.1 Securities Held for Trading - - - - - -
3.1.1 Debt Securities - Government Schedule 6.B, page 28 - -
3.1.2 Debt Securities - Private Schedule 6.B, page 28 - -
3.2 Financial Assets Designated at FVPL - - - - - -
3.2.1 Debt Securities - Government Schedule 6.B, page 28 - -
3.2.2 Debt Securities - Private Schedule 6.B, page 28 - -
4. Accrued Interest Income - AFS Financial Assets - - - - - -
4.1 AFS Debt Securities - Government Schedule 20.A, page 44 -
4.2 AFS Debt Securities - Private Schedule 20.A, page 44 -
5. Accrued Interest Income - HTM Investments 3,256,978.94 6,671,725.64 2,971,328.19 6,386,074.89 1,277,214.98 5,108,859.91
5.1 HTM Debt Securities - Government TBILLS Schedule 7, page 31 3,322,252.94 5,959,225.64 2,971,328.19 5,608,300.89 1,121,660.18 4,486,640.71
HTM Debt Securities - Government BONDS (18,185.00) 368,750.00 386,935.00 77,387.00 309,548.00
5.2 HTM Debt Securities - Private BONDS Schedule 7, page 31 (47,089.00) 343,750.00 390,839.00 78,167.80 312,671.20
6. Accrued Interest Income - Loans and Receivables - 1,850.22 - 1,850.22 - 1,850.22
6.1 Real Estate Mortgage Loans Schedule 8, page 32 -
6.2 Collateral Loans Schedule 9, page 33 -
6.3 Guaranteed Loans Schedule 10, page 34 -
6.4 Chattel Mortgage Loans Schedule 11, page 35 -
6.5 Notes Receivable Schedule 12, page 36 -
6.6 Housing Loans Schedule 13, page 37 -
6.7 Car Loans Schedule 14, page 38 -
6.8 Purchase Money Mortgages Schedule 15, page 39
6.9 Sales Contract Receivable Schedule 16, page 40 -
6.10 Unquoted Debt Securities Schedule 17, page 41 -
6.11 Salary Loans Schedule 18, page 42 1,850.22 1,850.22 - 1,850.22
6.12 Others Schedule 19, page 43 -
6.13 Accrued Dividends Receivable - - - - - -
6.13.1 FVPL Equity Securities Schedule 6.A, page 27 -
6.13.2 DVPL Equity Securities -
6.13.3 AFS Equity Securities Schedule 20.B, page 45 -
7. Accrued Interest Income - Security Fund
8. Accrued Investment Income - Investment Properties Schedule 25, page 52
9. Accrued Investment Income - Others
TOTAL INVESTMENT INCOME DUE AND ACCRUED 3,256,978.94 10,781,473.23 2,971,328.19 10,495,822.48 2,098,792.18 8,397,030.30
Notes:
1 Disclose the amounts allocated for Microinsurance - NONE
Page 47
SCHEDULE 22 - ACCOUNTS RECEIVABLE
PRINCIPAL REPAYMENT
Aging Period*
(for Operating Additional Receivable
Name of Debtor or Maker of Note Date Granted/ Issued Original Amount of Amount Paid Balance as of CY Balance as of PY Remarks
Lease Rec. - RBC Granted During the Date of Last Payment
purpose) Receivable During the Year
Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A Advances to Agents (Agents Accounts) / Employees

Itemize
1. SSS Sickness/Maternity Benefits 144,639.15 144,639.15
2. Employees additional dependents - Maxicare 36,222.00 -
3. Ruben Talaboc - Car loan subsidy 97,218.00 -
4. IC Certifications 17,500.00
5. Creditable Withholding Tax 2,168.13
6. Unliquidated Advances - employees 2,633,321.17
7. Infrastructure Development 58,000,000.00
Total Advances to Agents (Agents Accounts) / Employees 60,931,068.45 144,639.15
B Operating Lease Receivables

Itemize
1.
2. NONE
3.
Total Operating Lease Receivables
Total Accounts Receivable

TOTAL ACCOUNTS RECEIVABLE (NET) 60,931,068.45 144,639.15
Notes:
1 State if Borrower is a parent, subsidiary, affiliate, officer, director or stockholder of the company
2 Disclose the amounts allocated for Microinsurance
* As specified under Circular Letter 2016-68 dated 28 December 2016
Page 48
SCHEDULE 23 - INVESTMENTS IN SUBSIDIARIES, ASSOCIATES AND JOINT VENTURES
Number of Dividend In(De)crease

Par Value
Category* Outstanding Shares Adjustment in
Cert. Date How Rate Used Market Value Acquisition Collected Accrued Earned Incumbrances, Where
Description (for RBC Current Year BV During
No. Acquired Acquired Per Share Total to Obtain MV (in pesos) (in pesos) During the Year Previous Year During the Year if any Kept
purpose) CY PY (in pesos) the Year
(in pesos) (in pesos) (in pesos) (in pesos) (in pesos) (in pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
A Investment in Subsidiaries
1.
2.
3.
Total Investment in Subsidiaries
B Investment in Associates
1. NONE
2.
3.
Total Investment in Associates
C Investment in Joint Ventures

1.
2.
3.
Total Investment in Joint Ventures
TOTAL INVESTMENTS IN SUBSIDIARIES, ASSOCIATES AND JOINT VENTURES

*Please refer to CL 2016-68 dated 28 December 2016 and CL 2018-46 dated 12 September 2018
Notes:
1 Give complete and accurate description of debt securities owned. If bonds are registered, coupon or serial issues, give amount in each group.
3 In case of foreign investment, please submit rate of exchange used and computation
* As specified under Circular Letter 2016-68 dated 28 December 2016
Page 49
SCHEDULE 24.A- PROPERTY AND EQUIPMENT

LAND, BUILDING & BUILDING IMPROVEMENTS AND LEASEHOLD IMPROVEMENT
Date Date Acquired or Date Revaluation Increment

Amount of
Lot No., Area and Location of Lands, How Name of Amount of TRANSFERRED to Acquisition Accumulated Book Value Book Value Market Accumulated
Incumbranc Non-Admitted
Title No. Insurance on Company's name in Depreciation Previous Accumulated Impairment Admitted Assets Remarks
Size and Description of Buildings Acquired IC Approved Acquired Vendor es, Cost Current Year Value Increment Assets
Building case of a Foreclosed (if any) Year Depreciation Loss
if any
Property
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20)
A Land
1. Lot #1 to 3, Block 1 of the subdivision plan Psd-24494
San Marcelino, Malate, Manila 455.20sq. meters 181382,83,84 Infusion Samuel U. Lee 10/18/2019 140,000,000.00 - 140,000,000.00 - 140,000,000.00 140,000,000.00
Total Land 140,000,000.00 - 140,000,000.00 - 140,000,000.00 140,000,000.00
B Building and Building Improvements
B.1 Building
1.
2.
3.
Total Building
B.2 Building Improvements

1.
2.
3.
Total Building Improvements
Total Building and Building Improvements - - - - - - - - - - - -
C Leasehold Improvements - At Cost

1. Rm. 301 Travellers Life Bldg., 490 T.M Kalaw, Ermita, Manila The Travellers Life Assurance of the Phils., Inc. 7/11/2019 1,250,000.00 116,666.65 1,133,333.35 1,133,333.35 1,133,333.35
2 MO3 Mezzanine Floor, Aniceta Building, 849 Osmeña Boulevard, Cebu City P. Larrazabal & Sons Enterprises Inc. 8/20/2019 63,551.50 10,591.92 52,959.58 52,959.58 52,959.58
Total Leasehold Improvements - At Cost 1,313,551.50 127,258.57 1,186,292.93 - 1,186,292.93 - 1,186,292.93
TOTAL 141,313,551.50 127,258.57 141,186,292.93 - 141,186,292.93 140,000,000.00 1,186,292.93
Page 50
SCHEDULE 24.B - PROPERTY AND EQUIPMENT

IT EQUIPMENT
OR/ Invoice Date Date Acquisition Estimated Accumulated Net Non- Admitted
Particulars/ Description Remarks
Number of Approval of Purchase Cost Life Depreciation Book Value Admitted Asset Asset
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A IT Equipment
Balance Forwarded, Previous Year 55,779.79 55,779.79 - -
Provision for Depreciation of Previous Years Acquisitions, Current Year
I. Computer Hardware
2015
1. (1) CANON LIDE 120 SCANNER x 2/1/2015 2,931.09 2,931.09 -
2. 2 Brother HL-5350DN x 4/2/2015 8,000.00 8,000.00 -
3. (1) INTEL CORE PROCESSOR x 7/12/2015 10,383.93 10,383.93 -
(1) ASUS PARALLEL PORT/GLAN M x
(2) KINGSTON 4GB MEMORY x
(1) SEAGATE 1TERABYTE (HARD DR x
(1) AEROCOOL STRIKE (BRONZE x
(1) XIGMATEX RECON EFF PSU BLA x
4. (1) INTEL PENTIUM G3260 DUALCO x 11/12/2015 10,214.28 10,214.28 -
(1) MSI B85M -P3 V2 LGA1150 x
(1) GSKILLS RIPJAWS X-RED 8GB x
(1) SEAGATE 500GB SATA x
(1) COOLER MASTER ELITE RC102 x
(2) ACER 15.6 P166HQL LED x
(2) AVR 500W x
5. (1) ASUS H170M-E D3 (GLAN MATR x 12/28/2015 12,700.89 12,700.89 -
(2) KINGSTON 8GB (MEMORY) x
(1) SEAGATE 1TB SATA 7200RPM ( x
(1) INTEL CORE PROCESSOR x
(1) AEROCOOL GT BLACK USB (PO x
(1) CORSAIR VS550 550W 80% EF x
(1) FLICKER SAFE LED WIDESCRE x
Page 51

IT EQUIPMENT
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Subtotal 44,230.19 44,230.19 -
2016
1. One (1) set of Computer c/o Bonds dep x 10/3/2016 12,940.00 12,940.00 -
2. One (1) Computer set c/o Bonds dept. x 10/5/2016 12,770.00 12,770.00 -
3. One (1) unit of Computer Desktop c/o U x 10/19/2016 13,390.00 13,390.00 -
4. One (1) Set of Desktop Computer fo x 10/25/2016 17,610.00 17,610.00 -
5. One (1) set of desktop Computer c/o Tr x 11/14/2016 12,490.00 12,490.00 -
6. One
One (1)
(1) set
set Desktop
LRRCC Computer c/o G4400,
& CDT - Intel Legal GBxH110, Adata 4GB ram, Seagate 11/14/2016 13,390.00
500GB, Generic Tower case & Generic PSU 13,390.00 -
7. One (1) set Epson L120 Inkjet x 11/29/2016 15,800.00 15,800.00 -
One (1) set HP Laserjet P1102 & Canon Lide x120
x
One (1) set HR Toshiba 8GB flash driv x
One (1) set of Desktop Computer for C x 12/21/2016 15,450.00 15,450.00 -
8. two (2) sets of Desktop Computer c/ x 12/23/2016 17,150.00 17,150.00 -
Subtotal 130,990.00 130,990.00 -
2019
1. 3 Computer Set (Inter Core i3 8Gen/ 11723 4/26/2019 58,392.86 5yrs. 7,967.03 50,426 50,426
2. 1 Epson LX-310 Dotmatrix Printer narroLBC-H-ADR-L1 5/8/2019 10,399.00 5yrs. 1,350.45 9,049 9,049
3. 1 WD Green 240Gb Sata III 2.5" int DV-26361 5/29/2019 5,367.00 5yrs. 635.22 4,732 4,732
4. 1 branded WD 3.5 SATA up to 6TB 8/2/2019 1,550.00 5yrs. 128.25 1,422 1,422
DV-26607
5. 1 WD Green 240Gb Sata III 2.5" int 8/5/2019 1,840.00 5yrs. 149.22 1,691 1,691
6. 1 Lenovo LCD Monitor A18238FLD 7,000.00 5yrs. 536.99 6,463 6,463
7. 1 Printer LX 310 SN:Q7CYZ09591 8054 8/13/2019 11,000.00 5yrs. 843.84 10,156 10,156
8. 1 CPU IDEACENTRE 5 10S-071CB S 19,500.00 5yrs. 1,495.89 18,004 18,004
9. 1 Epson Printer L5190/3pcs. C13T00V BCB No.37976/1902988 8/19/2019 15,430.00 5yrs. 1,132.94 14,297 14,297
10. 1 Computer Set (Inter Core i3 8Gen 12709 9/4/2019 19,062.50 5yrs. 1,232.53 17,830 17,830
Subtotal 149,541.36 15,472.34 134,069.02 134,069.02
Page 51

IT EQUIPMENT
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Total Computer Hardware 380,541.34 246,472.32 134,069.02 - 134,069.02
II. Computer Software

2015
1. x
5. x
Subtotal
2016
1. x
5. x
Subtotal
2017
1. x
5. x
Subtotal
2018
1. x
5. x
Subtotal
2019
1.
5.
Subtotal
Total Computer Software
II. Peripherals
2015
Page 51

IT EQUIPMENT
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
1. x
5. x
Subtotal
2016
1. x
5. x
Subtotal
2017
1. x
5. x
Subtotal
2018
1. x
5. x
Subtotal
2019
1.
5.
Subtotal
Total Peripherals
Disposal
1. 1 pc Printer epson LX310/1 pc printer x (4,600) (4,600)
2. x
3. x
4. x
5. x
Page 51

IT EQUIPMENT
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
Subtotal (4,600.00) (4,600.00)
Total IT Equipment 375,941.34 241,872.32 134,069.02 134,069.02
Page 51
SCHEDULE 24.C - PROPERTY AND EQUIPMENT

TRANSPORTATION EQUIPMENT/ OFFICE FURNITURE, FIXTURES and EQUIPMENT
Date Date Acquisition Estimated Accumulated Net Non- Admitted

of Approval of Purchase Cost Life Depreciation Book Value Admitted Asset Asset
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)
A Transportation Equipment
Balance Forwarded, Previous Year 1,138,000.00 644,868.00 493,132.00
Provision for Depreciation of Previous Years Acquisitions, Current Year 37,932 (37,932.00)
Acquisition/ (Disposal) (see attached) (1,138,000.00) (682,800) (455,200.00)
1.
2.
3.
4.
Total Transportation Equipment - - - -
B Office Furnitures, Fixtures and Equipment

Balance Forwarded, Previous Year 205,700.00 140,450.00 65,250.00 65,250
Provision for Depreciation of Previous Years Acquisitions, Current Year
Acquisition/ (Disposal) (see attached) 319,784.36 85,006.25 234,778.11 234,778
1.
2.
3.
4.
Total Office Furnitures, Fixtures and Equipment 525,484.36 225,456.25 300,028.11 300,028.11
Page 51
SCHEDULE 25 - INVESTMENT PROPERTY
Amoun
Date t of Accumulate Book Income Income Income
Amount of Reserve for Earned
Lot No., Area and Location of Lands, How IC Incum Acquisition d Book Value Value Market Collected Accrued Accrued
Title No. Name of Vendor Insurance Appraisal During the Remarks
Size and Description of Buildings Acquired Approv Acquired brance Cost Depreciatio Current Year Previou Value During the Previous Current
on Building Increment Year
ed s, n s Year Year Year Year
(1) (2) (3) (4) (5) (6) (7)
if any (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19)
A. Land
1. Lot 3519, Sta Cruz de Malabon Estate, Trece Martires, Cavite, GLRO Rec. No. 6832 (30,124 sq.m) TCT No. 077-2020003487 purchased 11/13/2019 Teodirica Creencia etc. - 93,512,425.00 - 93,512,425.00 - - - - - - -
2. Lot 3520-C, Sta. Cruz de Malabon Estate, Trece Martires, Cavite LRC Rec. No. 6832 (19,000 sq.m) TCT No. 077-2020003486 purchased 11/13/2019 Pablo Creencia - 58,980,750.00 - 58,980,750.00 - - - - - - -
3. Lot 4021-C, Sta. Cruz de Malabon Estate, Trece Martires, Cavite LRC Rec. No. 6832 (4,977 sq.m) TCT No. 077-2020003678 purchased 11/13/2019 Exporter Venture Inc. - - - - - - - - -
4. Lot 4021-A, Sta. Cruz de Malabon Estate, Trece Martires, Cavite LRC Rec. No. 6832 (10,089 sq.m) TCT No. 077-2020003679 purchased 11/13/2019 Exporter Venture Inc. - 46,154,973.57 - 46,154,973.57 - - - - - - -
5. Lot 4001-G-2-C, Trece Martires, Cavite LRC Rec. No. 6832 (268 sq.m) TCT No. 077-2020003680 purchased 11/13/2019 Exporter Venture Inc. - - - - - - - - -
6. Lot 3520-A, Sta. Cruz de Malabon Estate, Trece Martires, Cavite LRC Rec. No. 6832 (29,039 sq.m) TCT No. 077-2020003942 purchased 11/13/2019 Regina Bugarin - 90,144,325.00 - 90,144,325.00 - - - - - - -
7. Lot 2214-New-A Sta. Cruz de Malabon Estate, Trece Martires, Cavite (54,252 sq.m) TCT No. 077-2020003943 purchased 11/13/2019 Ma. Rita Lindenmayer - 168,411,775.00 - 168,411,775.00 - - - - - - -
8. Lot 2214-New-B Sta. Cruz de Malabon Estate, Trece Martires, Cavite (10,000 sq.m) TCT No. 67905 purchased 11/13/2019 Metropolitan Bank & Trust Comp - - - - - - - - -
105,852,000.00 105,852,000.00
9. Lot 4019 Sta. Cruz de Malabon Estate, Trece Martires, Cavite GLRO Rec. No. 8843 (18,968 sq.m) TCT No. 67906 purchased 11/13/2019 Metropolitan Bank & Trust Comp - - - - - - - - -
10. No. 124, Sta. Cruz de Malabon Estate, Trece Martires, Cavite (2,000 sq.m) TCT No. 077-2018002441 purchased 11/13/2019 Marina V. Isayas - 8,000,000.00 - 8,000,000.00 - - - - - - -
11 Lot 3518-E Sta. Cruz de Malabon Estate, Trece Martires, Cavite LRC Rec. 6802 (10,355) TCT No. 35344 purchased 11/13/2019 Arnel Peña Halol Sr. - 31,065,000.00 - 31,065,000.00 - - - - - - -
12. Lot 3512-B-4 Trece Martires, Cavite, LRA Rec. No. 6832 (26,234) TCT No. 2019001690 purchased 11/5/2019 Ludivina A. Bautista - 78,702,000.00 - 78,702,000.00 - - - - - - -
13. Lot 3522 Sta. Cruz de Malabon Estate, Trece Martires RS-04-001818 (30,454 sq.m) TCT No. RT 20415 purchased 11/13/2019 Interline Realty & Development C - 88,914,803.73 - 88,914,803.73 - - - - - - -
14. Bounded on Lot 3512 and Lot 3519 Brgy. Aguado, Trece Martires, Cavite (10,089 sq.m) Tax Dec No. 001-01-00072 purchased 11/13/2019 Heirs of Late Pablo Creencia - 30,267,000.00 - 30,267,000.00 - - - - - - -
Total Land - - 800,005,052.30 - 800,005,052.30 - - - - - - -
B. Building and Building Improvements
B.1 Building
1.
3.
Total Foreclosed Properties
TOTAL INVESTMENT PROPERTY - - 800,005,052.30 - 800,005,052.30 - - - - - - -
Page 52
SCHEDULE 26 - RIGHT OF USE ASSET / LEASE LIABILITY
Term of Lease Agreement Lease Liability -

Present Value of Accumulated Lease Liability - Lease Liability -
Right of Use Asset Carrying Amount Non-Admitted Asset Admitted Asset Movement During the
Right of Use Asset Depreciation Beginning Balance Ending Balance
Start End Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
A. Land
1.
2.
3.
Total Land
B. Building
1.
2. NONE
3.
Total Building
C. Equipment
1.
2.
3.
Total Equipment
TOTAL
Page 53
SCHEDULE 27 - NON-CURRENT ASSETS HELD FOR SALE
Date Amount of Amount of

Lot No., Area and Location of Lands, Acquisition Accumulated Book Value Book Value
Title No. How Acquired Name of Vendor Incumbrances, Insurance Market Value Remarks
Size and Description of Buildings/ Equipments IC Approved Acquired Cost Depreciation Current Year Previous Year
if any on Building
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14)
1.
2.
3. NONE
4.
5.
TOTAL NON-CURRENT ASSET HELD FOR SALE
Page 54
SCHEDULE 28 - SUBSCRIPTION RECEIVABLE
Number of Shares Total Amount of

Name of Shareholder/Subscriber Selling Price Per Share Amount Paid Outstanding Receivable Remarks
Subscribed Subscription
(1) (2) (3) (4) (5) (6) (7)
1. CONPAC WAREHOUSING INC. 5,500,000.00 100.00 550,000,000.00 416,450,000.00 133,550,000.00

2. - - - - - -
3. - - - - - -
4. - - - - - -
5. - - - - - -
6. - - - - - -
7. - - - - - -
8. - - - - - -
9. - - - - - -
10. - - - - - -
TOTAL SUBSCRIPTION RECEIVABLE 5,500,000 550,000,000.00 416,450,000.00 133,550,000.00
Page 55
SCHEDULE 29 - DERIVATIVE ASSETS & LIABILITITES HELD FOR HEDGING
Net Asset Position Net Liability Position

Counterparty Type of Derivative Contract Remarks
Principal Amount Fair Value Principal Amount Fair Value
(1) (2) (4) (5) (6) (7) (8)
A. Fair Value Hedge

1.
2.
3.
Total Fair Value Hedge
B. Cash Flow Hedge

1.
2.
3. NONE
Total Cash Flow Hedge
C. Hedges of a Net Investment in Foreign Operation

1.
2.
3.
Total Hedge of Net Investments in Foreign Operation
TOTAL
Page 56
SCHEDULE 30 - OTHER ASSETS
Particulars/Payee Nature Ledger Asset Non-admitted Asset Admitted Asset Remarks

(1) (2) (3) (4) (5) (6)
A. Deposits
1 Innovative Investors & Financing Co. Inc. Rental 112,000 112,000 -
2 OICP authentication 1,409,009 1,409,009 -
3 Stradcom Corp. verification 366,117 366,117 -
4 Bayad Center authentication 124,718 124,718 -
5 BIR - eDST DST 158,043 158,043 -
6 Meralco Bill Deposit 53,263 53,263 -
7 Moda De Angeli Inc. Office Uniform 125,010.00 125,010 -
8 P. Larrazabal and Sons Ent., Inc. Rental 24,000.00 24,000 -
9 Pedro C. Lat. Realty Development Corp Rental 40,330.74 40,331 -
10 Supreme Court of the Philippines OCA / CashiFund Deposit 1,000,000 1,000,000 -
11 Triple FFF Printmaster Printer 300,000.00 300,000 -
12 Xiaobo Pan Rental 10,000.00 10,000 -
Total Deposits 3,722,490.74 3,722,491
B. Prepayment
Itemize
1. Amalgamated Investment Bancorporation Unearned Prepaid on Treasury Bills 179,449 179,449.47 -
2. Dynamics Development Trade & General ServiCreditable Withholding Tax 191 191.07 -
3. Evercon Builders & Equipment Corp. Creditable Withholding Tax 68 68.33 -
Total Prepayments 179,709 179,709 -
C. Others
Itemize
1. Supplies Inventory 2,381,549 2,381,549
2. Excess Input Vat 4,601,247 4,601,247
Total - Others 6,982,796 6,982,796
TOTAL - OTHER ASSETS 10,884,995 10,884,995
Page 57
SCHEDULE 31.A - CLAIMS LIABILITIES (UNDISCOUNTED)
Gross of Reinsurance
Class of Business Fire Marine Motor Car Casualty (w/o OFW) Suretyship Business A Business B Business C Business D OFW Total
Claims Liabilities (Gross of RI)
1 Outstanding Claims Reserve 2,935,571.00 1,206,494.00 6,685,303.00 2,666,536.00 6,872,226.00 - - - - - 20,366,130.00
(a) Direct Business - 161,226.00 1,591,184.00 6,872,226.00
(b) Assumed - Treaty - - -
(c ) Assumed - Facultative 2,935,571.00 1,045,268.00 5,094,119.00 2,666,536.00
2 Claims Handling Expense 154,895.00 81,436.00 2,995,995.00 204,553.00 510,237.00 3,947,116.00
3 IBNR 274,193.00 148,689.00 17,385,426.00 167,365.00 26,793.00 18,002,466.00
4 MfAD (percentage) 23% 17% 26% 21% 25% 10,411,873.05
Total Claims Liability (Gross of RI) 4,134,052.88 1,682,503.01 33,970,538.56 3,678,920.60 9,261,570.00 - - - - - 52,727,585.05
Net of Reinsurance
Claims Liabilities (Net of RI)
1 Outstanding Claims Reserve 2,018,432.00 878,488.00 6,685,303.00 2,480,232.00 6,872,226.00 - - - - -
(a) Direct Business - 161,226.00 1,591,184.00 6,872,226.00
(b) Assumed - Treaty - - - - -
(c ) Assumed - Facultative 2,018,432.00 717,262.00 5,094,119.00 2,480,232.00 -
2 Claims Handling Expense 154,895.00 81,436.00 2,995,995.00 204,553.00 510,237.00
3 IBNR 41,863.00 113,364.00 16,987,450.00 147,932.00 26,229.00
4 MfAD (percentage) 10% 15% 23% 18% 25%
Total Claims Liability (Net of RI) 2,436,709.00 1,236,915.05 32,750,182.00 3,344,353.00 9,260,865.00 - - - - - 49,029,024.05
Note:
1. Add columns, if needed
Page 58
SCHEDULE 31.B - CLAIMS LIABILITIES (DISCOUNTED)
1 Outstanding Claims Reserve - - - - - - -
(a) Direct Business
(b) Assumed - Treaty NONE
(c ) Assumed - Facultative
2 Claims Handling Expense
3 IBNR
4 MfAD (percentage)
Total Claims Liability (Gross of RI) - - - - - - - - - - -
Net of Reinsurance
1 Outstanding Claims Reserve - - - - - - -
(a) Direct Business
(b) Assumed - Treaty NONE
(c ) Assumed - Facultative
2 Claims Handling Expense
3 IBNR
4 MfAD (percentage)
Total Claims Liability (Gross of RI) - - - - - - - - - - -
Note:
1. Add columns, if needed
Page 59
SCHEDULE 32.A - PREMIUM LIABILITIES (UNDISCOUNTED)
(1) Unearned Premium Reserve (UPR) 23,778.00 11,479.00 8,563,698.00 3,020,397.00 11,369,192.00 22,988,544.00
(2) Deferred Acquisition Cost (DAC) 3,667.00 1,792.00 4,814,400.00 538,362.00 1,939,888.00 7,298,109.00
(3) UPR net of DAC 20,111.00 9,687.00 3,749,298.00 2,482,035.00 9,429,304.00 - - - - - 15,690,435.00
(4) Unexpired Risk Reserve (URR) 16,470.00 7,660.90 6,693,318.00 1,546,730.00 6,088,225.00 - - - - - 14,352,403.90
4.1 Ultimate Loss Ratio 22% 10% 16% 3% 0%
4.2 Best Estimate of Future Obligation (Discounted) 5,304.00 1,147.90 1,372,151.00 101,936.00 24,421.00 - - - - -
4.3 Maintenance Expense 6,110.00 4,063.00 3,137,206.00 973,914.00 4,057,823.00
4.4 Claims Handling Expense 230.00 153.00 118,321.00 36,732.00 153,043.00
4.5 MfAD (Amount) 4,826.00 2,297.00 2,065,640.00 434,148.00 1,852,938.00
(5) Premium Liability 26,382.00 12,352.00 10,720,787.00 2,477,420.00 9,751,603.00 22,988,544.00
Net of Reinsurance
Fire Marine Motor Car Casualty (w/o OFW) Suretyship Business A Business B Business C Business D OFW Total
(1) Unearned Premium Reserve (UPR) 16,653.00 11,073.00 8,550,153.00 2,654,309.00 11,059,208.00 22,291,396.00
(2) Deferred Acquisition Cost (DAC) 1,708.00 1,660.00 4,810,153.00 419,384.00 1,839,143.00 7,072,048.00
(3) UPR net of DAC 14,945.00 9,413.00 3,740,000.00 2,234,925.00 9,220,065.00 - - - - - 15,219,348.00
(4) Unexpired Risk Reserve (URR) 10,211.00 7,250.00 6,471,376.00 1,489,496.00 6,087,268.00 - - - - - 14,065,601.00
4.1 Ultimate Loss Ratio 13% 10% 16% 3% 0%
4.2 Best Estimate of Future Obligation (Discounted) 2,178.00 1,096.00 1,369,981.00 90,549.00 23,755.00 - - - - -
4.3 Maintenance Expense 6,110.00 4,063.00 3,137,206.00 973,914.00 4,057,823.00
4.4 Claims Handling Expense 230.00 153.00 118,321.00 36,732.00 153,043.00
4.5 MfAD (Amount) 1,693.00 1,938.00 1,845,868.00 388,301.00 1,852,647.00
(5) Premium Liability 16,183.00 11,489.00 10,255,944.00 2,360,577.00 9,647,204.00 22,291,397.00
Note:
1. Add columns if needed
Page 60
SCHEDULE 32.B - PREMIUM LIABILITIES (DISCOUNTED)
(1) Unearned Premium Reserve (UPR) -
(2) Deferred Acquisition Cost (DAC) -
(3) UPR net of DAC - - - - - - - -
(4) Unexpired Risk Reserve (URR) - - - - - - - -
4.1 Ultimate Loss Ratio
4.2 Best Estimate of Future Obligation (Discounted) - - - NONE - - - -
4.3 Maintenance Expense
4.4 Claims Handling Expense
4.5 MfAD (Amount)
(5) Premium Liability
Net of Reinsurance
Fire Marine Motor Car Casualty (w/o OFW) Suretyship Business A Business B Business C Business D OFW Total
(1) Unearned Premium Reserve (UPR) -
(2) Deferred Acquisition Cost (DAC) -
(3) UPR net of DAC - - - - - - - -
(4) Unexpired Risk Reserve (URR) - - - - - - - -
4.1 Ultimate Loss Ratio
NONE
4.2 Best Estimate of Future Obligation (Discounted) - - - - - - -
4.3 Maintenance Expense
4.4 Claims Handling Expense
4.5 MfAD (Amount)
(5) Premium Liability
Note:
1. Add columns if needed
Page 61
ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2019 OF THE THE PREMIER INSURANCE & SURETY CORPORATION
SCHEDULE 33 - LOSS DEVELOPMENT TRIANGLES
NOTE:
1. Kindly specify whether the triangles are designed on an accident year or on an underwriting year basis. If underwriting year basis is used, submit also development table/triangles for premiums.
2. Should the Company have a more granular categorization of its business, it must ensure to present loss triangles for all classes of business.
3. Triangles must be setup on a cumulative basis.
MARINE
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross 6,087,335.12 7,516,301.24 5,523,763.07 5,080,032.49 4,276,530.62 4,474,726.49 3,419,966.18 1,654,552.71 24,099.00
Net 5,062,282.79 4,985,659.77 3,626,093.30 2,798,874.65 2,392,558.54 2,344,388.38 1,827,786.11 1,065,916.87 22,655.00
Cumulative Gross Paid Claims

End of
Accident year One year later Two years later Three years later Four years later Five years later Six years later Seven years later Eight years later Nine years later Ten years later
Accident year
2009 and prior
2010
2011 117,215.53 738,101.42 2,252,607.81 2,252,607.81 2,252,607.81 2,252,799.12 2,252,799.12 2,252,799.12 2,252,799.12
2012 2,000.00 237,000.00 237,587.01 237,587.01 324,587.73 324,587.73 324,587.73 324,587.73
2013 - 11,415.00 228,582.73 233,998.16 246,288.33 246,288.33 246,288.33
2014 - 655,263.21 656,417.13 656,417.13 677,368.92 677,368.92
2015 30,000.00 150,444.08 300,444.08 300,444.08 300,444.08
2016 - 41,293.60 165,694.49 165,694.49
2017 63,492.00 85,371.94 85,371.94
2018
2019
Cumulative Net Paid Claims

End of
Accident year
2009 and prior
2010
2011 112,041.13 639,031.52 1,115,628.40 1,115,628.40 1,115,628.40 1,115,819.71 1,115,819.71 1,115,819.71 1,115,819.71
2012 1,200.00 66,700.00 67,287.01 67,287.01 122,668.98 122,668.98 122,668.98 122,668.98
2013 - 11,415.00 86,665.53 89,373.24 101,663.41 101,663.41 101,663.41
2014 - 89,040.31 90,194.23 90,194.23 111,146.02 111,146.02
2015 7,500.00 29,067.32 119,067.32 119,067.32 119,067.32
2016 - 10,562.87 41,663.09 41,663.09
2017 55,992.00 77,871.94 77,871.94
2018
2019
Cumulative Gross Incurred Claims

End of
Accident year
2009 and prior
2010
2011 673,721.90 1,103,184.22 2,304,508.09 2,263,588.27 2,263,574.52 2,263,614.22 2,263,614.22 2,263,614.22 2,263,614.22
2012 62,000.00 937,782.00 517,963.31 329,964.03 354,964.03 354,964.03 324,603.68 324,603.68
2013 1,103,782.00 222,998.83 245,413.13 245,413.13 249,288.30 246,288.33 246,288.33
2014 565,300.00 776,815.80 776,815.80 776,815.80 878,594.52 878,594.52
2015 31,420.36 844,026.92 794,026.92 794,026.92 794,026.92
2016 40,655.00 162,273.60 165,694.49 165,694.49
2017 176,161.13 188,041.07 188,041.07
2018
2019
Cumulative Net Incurred Claims

End of
Accident year
2009 and prior
2010
2011 374,159.90 816,204.81 1,167,528.68 1,126,608.86 1,126,595.11 1,126,634.81 1,126,634.81 1,126,634.81 1,126,634.81
2012 15,600.00 312,588.42 185,382.61 121,247.03 153,045.28 153,045.28 122,684.93 122,684.93
2013 382,221.76 89,665.50 100,788.21 100,788.21 104,663.38 101,663.41 101,663.41
2014 156,625.00 210,592.90 210,592.90 210,592.90 312,371.62 312,371.62
2015 8,920.36 446,259.50 416,259.50 416,259.50 416,259.50
2016 10,163.75 41,542.87 41,663.09
2017 161,161.13 180,541.07 180,541.07
2018
2019
Page 62
NOTE:
FIRE
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross 13,623,989.88 13,685,721.73 11,633,022.89 10,633,567.67 7,460,384.82 8,685,828.72 4,499,516.23 1,732,905.89 52,414.00
Net 10,749,420.84 12,506,576.43 10,399,310.22 7,070,780.61 3,750,867.65 4,889,347.14 870,331.98 246,603.04 28,453.00

End of
Accident year
2009 and prior
2010
2011 41,800.00 772,088.20 772,088.20 793,387.80 808,453.23 808,453.23 808,453.23 808,453.23 808,453.23
2012 100,000.00 5,802,451.59 6,164,199.93 6,173,016.32 6,236,869.73 6,236,869.73 6,236,869.73 6,236,869.73
2013 - 1,554,654.35 1,606,227.45 1,750,484.94 1,750,484.94 1,750,484.94 1,750,484.94
2014 1,864,151.01 1,938,264.52 2,091,356.13 2,131,356.13 2,131,413.43 2,131,413.43
2015 135,575.11 2,045,252.23 2,091,267.30 2,141,787.50 2,141,787.50
2016 - 9,347,465.31 26,302,275.48 50,012,275.48
2017
2018 200,000.00 392,159.83
2019 -

End of
Accident year
2009 and prior
2010
2011 32,670.00 544,050.22 544,050.22 565,349.82 579,597.27 579,597.27 579,597.27 579,597.27 579,597.27
2012 100,000.00 5,291,663.72 5,440,726.54 5,447,100.90 5,499,410.18 5,499,410.18 5,499,410.18 5,499,410.18
2013 - 1,554,654.35 1,606,224.83 1,750,482.32 1,750,482.32 1,750,482.32 1,750,482.32
2014 980,390.58 1,023,867.56 1,155,988.32 1,195,988.32 1,196,045.62 1,196,045.62
2015 135,575.11 1,364,474.59 1,389,241.67 1,439,761.87 1,439,761.87
2016 - 529,974.82 873,798.60 1,306,099.37
2017
2018 7,142.86 14,005.71
2019 -

End of
Accident year
2009 and prior
2010
2011 59,910.65 772,919.61 2,855,874.95 1,329,740.33 1,337,962.30 1,337,962.30 1,337,962.30 1,335,180.97 1,335,180.97
2012 5,750,000.00 6,869,793.40 7,080,632.03 7,146,172.52 7,144,639.45 7,195,534.44 7,194,915.24 7,194,915.24
2013 1,507,992.00 1,935,689.98 2,107,662.48 2,051,239.52 2,051,304.57 2,015,292.85 2,015,292.85
2014 1,955,668.78 2,047,142.15 2,105,506.80 2,144,252.43 2,137,870.36 2,137,870.36
2015 1,426,875.90 2,070,329.20 2,091,267.30 2,141,787.50 2,141,787.50
2016 50,000.00 49,912,299.53 54,684,793.92 50,347,495.51
2017
2018 375,000.00 392,159.83
2019 -

End of
Accident year
2009 and prior
2010
2011 46,017.25 544,881.63 969,484.19 795,680.50 802,266.51 802,266.51 802,266.51 799,485.18 799,485.18
2012 5,071,210.00 5,436,570.42 6,353,862.26 6,405,643.68 6,403,883.52 6,445,903.53 6,445,284.33 6,445,284.33
2013 1,500,675.07 1,935,689.98 2,107,659.86 2,051,236.90 2,051,301.95 2,015,290.23 2,015,290.23
2014 1,039,509.85 1,132,745.19 1,170,138.99 1,208,884.62 1,202,502.55 1,202,502.55
2015 869,539.38 1,379,551.56 1,389,241.67 1,439,761.87 1,439,761.87
2016 30,000.00 1,390,413.01 1,778,378.79 1,641,319.40
2017
2018 13,390.36 14,005.71
2019 -
Page 62
NOTE:
CASUALTY
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross 16,487,943.68 13,897,233.08 19,491,567.29 17,139,405.91 24,115,065.93 27,768,344.46 23,677,543.45 8,630,988.40 2,761,735.00
Net 13,213,695.96 11,812,039.22 15,202,250.23 7,873,517.31 8,422,887.55 10,541,479.85 8,977,395.23 4,020,817.15 2,407,964.00

End of
Accident year
2009 and prior
2010
2011 67,366.53 91,082.53 159,503.47 159,503.47 159,503.47 161,340.72 161,340.72 161,340.72 161,340.72
2012 109,187.70 671,610.53 676,095.64 684,464.64 684,464.64 684,464.64 684,464.64 684,464.64
2013 62,847.51 88,416.40 349,702.50 576,033.45 576,033.45 576,033.45 576,033.45
2014 39,247.80 53,658.90 54,751.53 59,051.53 59,051.53 59,051.53
2015 99,836.50 143,746.59 148,216.59 148,216.59 148,216.59
2016 9,745.00 37,272.00 43,242.54 43,242.54
2017 36,434.50 36,434.50 36,434.50
2018 54,419.67 54,419.67
2019 -

End of
Accident year
2009 and prior
2010
2011 28,575.28 44,858.64 104,672.68 104,672.68 104,672.68 106,509.93 106,509.93 106,509.93 106,509.93
2012 38,908.86 319,686.09 324,171.20 331,395.77 331,395.77 331,395.77 331,395.77 331,395.77
2013 51,436.83 69,546.24 330,832.34 443,997.81 443,997.81 443,997.81 443,997.81
2014 39,247.80 51,281.13 52,196.06 54,574.42 54,574.42 54,574.42
2015 28,418.25 69,328.34 73,798.34 73,798.34 73,798.34
2016 9,745.00 36,008.50 41,979.04 41,979.04
2017 18,217.25 18,217.25 18,217.25
2018 54,419.67 54,419.67
2019 -

End of
Accident year
2009 and prior
2010
2011 127,797.61 101,552.74 266,672.43 202,341.40 207,341.82 199,479.11 205,702.57 203,552.88 203,552.88
2012 130,997.99 680,356.52 682,884.36 690,946.14 691,095.01 690,752.52 690,752.52 690,752.52
2013 69,616.01 945,430.39 1,035,187.90 1,261,671.08 1,261,671.08 1,261,671.08 1,261,671.08
2014 47,281.13 55,512.54 66,648.08 68,800.35 68,800.35 68,800.35
2015 150,381.34 194,670.43 199,351.43 149,351.43 149,351.43
2016 12,272.00 50,271.61 56,242.15 56,242.15
2017 36,434.50 36,434.50 36,434.50
2018 54,419.67 54,419.67
2019 -

End of
Accident year
2009 and prior
2010
2011 62,737.66 51,329.52 197,284.73 144,399.78 149,399.20 144,648.32 147,759.95 145,610.26 145,610.26
2012 55,694.50 328,374.58 330,931.17 337,848.52 337,997.39 337,654.90 337,654.90 337,654.90
2013 56,223.58 926,560.23 1,016,317.74 1,129,635.44 968,049.72 968,049.72 968,049.72
2014 47,281.13 53,134.77 64,092.61 64,323.24 64,323.24 64,323.24
2015 30,463.09 71,752.18 76,433.18 74,933.18 74,933.18
2016 11,008.50 49,008.11 54,978.65 54,978.65
2017 18,217.25 18,217.25 18,217.25
2018 54,419.67 54,419.67
2019 -
Page 62
NOTE:
MOTOR CAR
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross 66,012,606.88 67,001,813.97 59,619,360.30 111,099,992.48 148,881,525.73 249,957,746.82 441,526,918.65 71,310,946.95 19,051,544.00
Net 67,159,082.32 65,680,880.31 57,726,592.99 105,986,611.76 143,170,651.39 243,698,792.24 441,187,898.29 70,490,445.47 19,046,431.00

End of
Accident year
2009 and prior
2010
2011 8,290,978.78 15,514,117.72 15,993,783.00 16,117,038.71 16,220,110.31 16,276,996.55 16,276,996.55 16,276,996.55 16,276,996.55
2012 9,989,896.79 17,392,452.24 18,028,061.75 18,183,918.18 18,217,031.30 18,317,031.30 18,317,031.30 18,317,031.30
2013 10,356,978.59 15,138,004.08 15,400,714.72 15,422,868.10 15,443,568.10 15,443,568.10 15,443,568.10
2014 8,683,159.92 16,957,031.26 17,577,838.99 17,598,404.97 17,698,404.97 17,698,404.97
2015 9,934,061.17 21,630,556.32 22,203,420.01 22,331,625.89 22,331,625.89
2016 15,104,479.32 29,475,890.48 30,671,016.77 30,741,016.77
2017 8,759,807.29 17,658,873.06 19,191,494.00
2018 3,733,433.30 6,630,349.00
2019 868,216.00

End of
Accident year
2009 and prior
2010
2011 7,476,004.96 14,517,113.46 14,996,778.74 15,120,034.45 15,223,106.05 15,279,992.29 15,279,992.29 15,279,992.29 15,279,992.29
2012 9,340,040.73 16,476,550.15 17,112,159.66 17,268,016.09 17,301,129.21 17,401,129.21 17,401,129.21 17,401,129.21
2013 10,054,651.74 14,609,006.47 14,863,930.93 14,886,084.31 14,906,784.31 14,906,784.31 14,906,784.31
2014 8,227,516.04 16,005,316.46 16,623,447.69 16,644,013.67 16,744,013.67 16,744,013.67
2015 9,705,536.41 20,764,355.86 21,337,219.55 21,465,425.43 21,465,425.43
2016 14,462,056.89 28,215,949.82 29,411,076.11 29,481,076.11
2017 8,621,239.18 17,367,081.29 18,899,714.75
2018 3,719,239.27 6,616,155.00
2019 868,216.00

End of
Accident year
2009 and prior
2010
2011 11,379,010.83 16,202,933.43 16,767,411.68 16,886,468.37 16,819,626.44 16,876,512.68 16,819,626.44 16,502,749.40 16,502,749.40
2012 15,068,937.17 18,840,206.00 18,285,614.58 18,402,657.53 18,507,379.97 18,779,009.72 18,721,959.26 18,721,959.26
2013 15,693,345.37 16,093,306.01 16,397,537.74 16,394,967.59 16,407,031.81 16,353,624.07 16,353,624.07
2014 13,989,887.97 18,121,951.18 18,173,833.61 17,853,821.18 17,933,371.08 17,933,371.08
2015 17,533,880.88 22,854,706.60 23,458,797.01 22,874,405.61 22,874,405.61
2016 18,249,960.35 31,184,740.40 31,573,895.46 31,408,206.00
2017 13,225,075.35 19,966,352.42 20,181,242.00
2018 5,344,604.70 7,094,654.00
2019 948,216.00

End of
Accident year
2009 and prior
2010
2011 10,434,338.63 15,205,929.17 15,770,407.42 15,889,464.11 15,822,622.18 15,879,508.42 15,822,622.18 15,505,745.14 15,505,745.14
2012 14,239,995.26 17,913,191.85 17,369,712.49 17,486,755.44 17,591,477.88 17,863,107.63 17,806,057.17 17,806,057.17
2013 15,220,261.20 15,549,660.08 15,846,105.63 15,858,183.80 15,870,248.02 15,816,840.28 15,816,840.28
2014 13,526,509.03 17,168,293.73 17,219,442.31 16,899,429.88 16,978,979.78 16,978,979.78
2015 17,305,356.12 21,988,506.14 22,587,596.55 22,008,205.15 22,008,205.15
2016 17,568,304.18 29,924,799.74 30,313,954.80 30,148,265.00
2017 13,086,507.24 19,674,560.65 19,889,450.00
2018 5,330,410.67 7,080,460.00
2019 948,216.00
Page 62
NOTE:
SURETYSHIP
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross 32,585,159.81 40,324,192.09 64,581,680.83 62,222,418.08 70,506,070.74 100,544,850.80 98,174,748.27 54,769,893.08 12,473,161.00
Net 29,725,339.48 39,456,546.95 64,049,334.65 61,502,178.28 69,415,452.73 98,770,863.42 96,506,014.06 54,575,554.48 12,210,867.00

End of
Accident year
2009 and prior
2010
2011 - - - 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49
2012
2013
2014
2015
2016
2017
2018 99,935.00
2019

End of
Accident year
2009 and prior
2010
2011 - - - 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49
2012
2013
2014
2015
2016
2017
2018 99,935.00
2019

End of
Accident year
2009 and prior
2010
2011 - - - 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49
2012
2013
2014
2015
2016
2017
2018 99,935.00
2019

End of
Accident year
2009 and prior
2010
2011 - - - 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49 77,096.49
2012
2013
2014
2015
2016
2017
2018 99,935.00
2019
Page 62
NOTE:
BUSINESS A
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
NOTE:
BUSINESS B
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
NOTE:
BUSINESS C
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
NOTE:
BUSINESS D
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
NOTE:
BUSINESS E
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
NOTE:
BUSINESS F
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
NOTE:
OFW
Earned Premiums
2009 and prior 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Gross
Net

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019

End of
Accident year
2009 and prior
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Page 62
SCHEDULE 34.A - LOSSES AND CLAIMS PAYABLE -

DIRECT BUSINESS
Amount of Amount Recoverable

Net Claims Payable
Amount of Authotized Unauthorized
Date of Loss
Insurance Loss Adjustment Domestic Foreign Loss
Name of Claimant/Policyholder Claim No. Date Filed Policy Number or Damage Loss Loss Loss Adjustment
Coverage Expenses Loss Adjustment Loss Adjustment Loss
Loss Adjustment Loss Expenses
Expenses Expenses
Expenses
(Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
A. Fire
1. - -
Total Fire - - - - - - - - - - -
B. Marine
1 FOCUS INT'L. BROKERAGE 00003 5/25/2016 MN-INLAND-MA-14-004 9-Nov-14 161,225.60 161,225.60 -
Total Marine - 161,225.60 - - - - - - - 161,225.60 -
C. Motor Car
1 SMA CARGO MOVERS 085-16 04-28-16 CV-OM-16-0000004 4/17/2016 73,104.08 73,104.08 -
2 MARILOU BALTAZAR 092-17 7/21/2017 CV-MA-17-0000035 7/18/2017 26,017.87 26,017.87 -
3 PEARL BERNADETH/M. BANDIGAN 111-17 9/5/2017 CV-HO-16-0000482 2/13/2017 30,000.00 30,000.00 -
4 STEWART LEONARDO 113-17 9/8/2017 CV-HO-16-0000485 1/28/2017 50,000.00 50,000.00
5 ALASKA MILK 124-17 10/3/2017 CV-HO-16-0000492 7/5/2016 15,000.00 15,000.00
6 INT'L. KITCHEN SYSTEM CEBU INC. 135-17 11/2/2017 CV-HO-16-0000495 12/25/2016 70,000.00 70,000.00
7 MICHELLE GUZMAN 149-17 12/19/2017 CV-SI-174-0000013 10/7/2017 22,650.00 22,650.00
8 ROBERTO SANTOS 279-17 8/10/2017 PC-HO-17-0000609 5/7/2017 50,000.00 50,000.00
9 IRINE CRUZ 312-17 9/22/2017 PC-HO-16-0001188 3/11/2017 11,053.40 11,053.40
10 ZAYNAB CORTEZ 313-17 9/22/2017 PC-HO-16-0001186 4/28/2017 50,000.00 50,000.00
11 RICHARD CAYETANO 318-17 9/26/2017 PC-HO-16-0001184 7/12/2017 50,000.00 50,000.00
12 MAYLAINE ARAGON 367-17 11/28/2017 PC-HO-17-0000833 9/12/2017 18,000.00 18,000.00
13 JULIE OREÑA 383-17 12/26/2017 PC-HO-16-0001199 5/15/2017 10,000.00 10,000.00
15 LIGAYA MALTO 009-17 3/9/2017 LTO-HO-16-0000018 10/17/2016 50,000.00 50,000.00
16 RONIEL TRAJE 025-17 9/5/2017 LTO-HO-17-0000004 3/5/2017 3,559.00 3,559.00
17 ANALIE LUNA 027-17 9/13/2017 LTO-HO-16-0000030 6/27/2017 50,000.00 50,000.00
18 VIRGILIO MANLUNAO 031-17 11/28/2017 LTO-HO-17-0000007 10/18/2017 4,000.00 4,000.00
19 MAHALIL BUENDIA 050-17 5/9/2017 MCL-HO-16-0000236 12/3/2016 25,000.00 25,000.00
20 MICHAEL CHEN GUZMAN 006-18 1/25/2018 CV-SI-16-0000042 6/24/2017 10,000.00 10,000.00
21 EMILUS MART 019-18 3/23/2018 CV-HO-17-0000330 12/26/2017 50,000.00 50,000.00
22 VALENTE BERTES 021-18 3/23/2018 CV-HO-17-0000338 7/7/2017 15,000.00 15,000.00
23 TEODORO SANTOS 036-18 6/5/2018 CV-HO-16-0000504 10/12/2016 37,700.00 37,700.00
24 SIMEON BONACUA 037-18 6/5/2018 CV-HO-17-0000344 9/21/2018 50,000.00 50,000.00
25 QMIX CONCRETE 046-18 7/30/2018 CV-DV-17-0000176 6/15/2018 32,400.90 32,400.90
26 JAMES BALMOCENA 079-18 5/24/2018 PC-HO-17-0000904 2/7/2018 15,000.00 15,000.00
27 GIDEON ROMAGUERRA 082-18 5/31/2018 PC-HO-16-0001211 6/11/2017 15,000.00 15,000.00
28 JOHN ESTOLANO 090-18 6/5/2018 PC-HO-17-0000911 11/12/2017 15,000.00 15,000.00
29 TRIFORCE BUILDER/M. ONG 092-18 6/5/2018 PC-HO-17-0000909 9/25/2017 8,414.00 8,414.00
30 FELY BUHI-AN 096-18 6/7/2018 PC-HO-17-0000912 9/29/2017 18,929.60 18,929.60
31 MICHELLE ORITA 127-18 7/24/2018 PC-HO-17-0000930 10/22/2017 11,461.50 11,461.50
32 ANTONIO NAVALES JR. 132-18 7/27/2018 PC-HO-17-0000936 4/27/2018 4,051.50 4,051.50
33 MIRIAM MONDERO 148-18 8/16/2018 PC-HO-17-0000945 12/20/2017 50,000.00 50,000.00
34 LUISITO SERRA 149-18 8/17/2018 PC-HO-17-0000946 9/7/2017 57,500.00 57,500.00
35 IN LINE FORWARDER 169-18 9/27/2018 PC-HO-17-0000955 2/1/2018 10,050.00 10,050.00
36 CORAZON JAVIER 173-18 10/2/2018 PC-HO-17-0000964 5/20/2018 15,000.00 15,000.00
37 GLOBALINX ASIA GEN. MDSG. 174-18 10/2/2018 PC-HO-17-0000960 8/17/2018 11,242.00 11,242.00
38 RODULFO COMPAYAN 180-18 10/4/2018 PC-HO-18-0000085 5/20/2018 7,827.00 7,827.00
39 DEMEPER PAJARILLAGA 190-18 10/26/2018 PC-HO-17-0000971 2/6/2018 50,000.00 50,000.00
40 JOSE FORNOLES JR. 194-18 10/29/2018 PC-HO-17-0000973 9/5/2018 20,479.00 20,479.00
41 JAN EDWARD SOLIVEN 007-18 3/8/2018 MCL-HO-17-0000181 12/2/2017 2,002.00 2,002.00
42 JULIETA LEMON 008-18 3/8/2018 MCL-HO-17-0000183 9/2/2017 1,383.00 1,383.00
Page 63
SCHEDULE 34.A - LOSSES AND CLAIMS PAYABLE -

DIRECT BUSINESS
Amount of Amount Recoverable

Net Claims Payable
Amount of Authotized Unauthorized
Date of Loss
Insurance Loss Adjustment Domestic Foreign Loss
Name of Claimant/Policyholder Claim No. Date Filed Policy Number or Damage Loss Loss Loss Adjustment
Coverage Expenses Loss Adjustment Loss Adjustment Loss
Loss Adjustment Loss Expenses
Expenses Expenses
Expenses
(Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
43 JOHN BARANDA 009-18 3/8/2018 MCL-HO-17-0000182 7/19/2017 2,348.50 2,348.50
44 RIZAN TAMPEPE 028-18 5/23/2018 MCL-HO-17-0000196 2/16/2018 13,373.00 13,373.00
45 BERJAN VERGARA 033-18 6/8/2018 MCL-HO-17-0000202 1/4/2018 4,738.32 4,738.32
46 ARNIEL ESPINOSA 002-18 3/2/2018 LTO-HO-17-0000011 8/18/2017 50,000.00 50,000.00
47 ORLANDO SUPRITO 011-18 6/25/2018 LTO-HO-17-0000015 3/24/2018 7,221.00 7,221.00
48 ZEBRO TRUCKING SERVICES 002-19 1/15/2019 CV-HO-18-0000031 10/25/2018 15,000.00 15,000.00
49 VINZENT QUEROL/RICARDO ORATE 008-19 1/25/2019 CV-HO-17-0000360 11/3/2017 49,000.00 49,000.00
50 ABRAHAM GUMAHIN JR. 014-19 1/31/2019 CV-DV-17-0000181 11/10/2018 25,000.00 25,000.00
51 JADE BROS FREIGHT 015-19 2/20/2019 CV-HO-17-0000369 10/5/2018 44,221.50 44,221.50
52 DAN LOUIE FLORES 026-19 11-18-19 CV-HO-17-0000372 12-27-18 100,000.00 100,000.00
53 REALTY EXCHANGE VENTURE 002-19 1/15/2019 PC-HO-17-0000985 5/26/2018 38,700.00 38,700.00
54 TRANSPORT AUTOMOTIVE 033-19 6/10/2019 PC-HO-16-0001205 4/11/2017 14,756.74 14,756.74
55 RAY OF GOLD/JERRYVIE CRUZ 049-19 10/14/2019 PC-HO-17-0001016 9/27/2019 50,000.00 50,000.00
56 RAY OF GOLD/KONSTRUCT 050-19 11-18-19 PC-HO-17-0001017 09-29-19 30,000.00 30,000.00
57 ZANDY ORTILLA/EDVIN SANDOVAL 051-19 11-18-19 PC-HO-15-0001139 12-20-15 30,000.00 30,000.00
Total Motor Car - 1,591,183.91 - - - - - - - 1,591,183.91 -
D. Casualty
1. - -
Total Casualty - - - - - - - - - - -
E. Surety
1. ARG Realty Development Corp. HLURB Case#NCRREM050702-11881 4,270,037.53 4,270,037.53 -
2. Asea Brown Boveri Civil Case#03-0225 Performance Bond 2,602,188.28 2,602,188.28 -
Total Surety - 6,872,225.81 - - - - - - - 6,872,225.81 -
F. Line of Business F
1. - -
Total Line of Business F - - - - - - - - - - -
G. Line of Business G
1. - -
Total Line of Business G - - - - - - - - - - -
H. Line of Business H
1. - -
Total Line of Business H - - - - - - - - - - -
TOTAL - 8,624,635.32 - - - - - - - 8,624,635.32 -
Notes:
Group line of business
Page 63
SCHEDULE 34.B - LOSSES AND CLAIMS PAYABLE -

ASSUMED - TREATY
Amount of Amount Recoverable Net Claims Payable

Loss Adjustment Loss Adjustment Loss Adjustment
Name of Insurance Company Line of Business Loss Loss Loss
Expenses Expenses Expenses
(Pesos) (Pesos) (Pesos) (Pesos) (Pesos) (Pesos)
(1) (2) (7) (8) (9) (10) (11) (12)
1. Authorized - with Certificate of Authority - -

A. Domestic - -
a. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
NONE
b. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
B. Foreign
a. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
NONE
Page 64

ASSUMED - TREATY

(1) (2) (7) (8) (9) (10) (11) (12)
Business A NONE
b. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
2. Unauthorized
A. Domestic - with Servicing license/No License - -
a. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A NONE
b. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Page 64

ASSUMED - TREATY

(1) (2) (7) (8) (9) (10) (11) (12)
Sub-total
Page 64

ASSUMED - TREATY

(1) (2) (7) (8) (9) (10) (11) (12)
B. Foreign - With Resident Agent
a.
a.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A NONE
a.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
b.
b.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A NONE
Page 64

ASSUMED - TREATY

(Pesos) (Pesos) (Pesos) NONE (Pesos) (Pesos) (Pesos)
(1) (2) (7) (8) (9) (10) (11) (12)
b.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
C. Foreign - without Resident Agent

a.
a.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
NONE
a.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
Page 64

ASSUMED - TREATY

(1) (2) (7) (8) (9) (10) (11) (12)
b.
b.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A NONE
b.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
TOTAL - - - - - -
Page 64
SCHEDULE 34.C - LOSSES AND CLAIMS PAYABLE -

ASSUMED - FACULTATIVE

Name of Insurance Company Name of Claimant Line of Business Loss Loss Loss
(1) (2) (3) (4) (5) (6) (7) (8) (9)
1. Authorized - with Certificate of Authority - -

A. Domestic - -
AFP GENERAL INSURANCE Phil Army Motor Car 1,920.49 1,920.49 -
Casualty (w/o OFW)
Microinsurance
Business A
ALPHA INSURANCE & SURETY DOMINUS CONSTRUCTION & SERVICE Motor Car 1,785.71 1,785.71 -
ALPHA INSURANCE & SURETY Roel Cayetano Motor Car 14,000.00 14,000.00 -
ALPHA INSURANCE & SURETY Dr. Francisco Altarejos Motor Car 700.00 700.00 -
ALPHA INSURANCE & SURETY Sinoequip Inc/Roberto Cayetano Motor Car 5,800.00 5,800.00 -
ALPHA INSURANCE & SURETY Dm Consunji Inc. &/Or Mr. Alfredo GonzaMotor Car 1,320.00 1,320.00 -
Casualty (w/o OFW)
Microinsurance
Business A
ASIA INSURANCE CORP. Lee Yeung Hoi Motor Car 36.36 36.36 -
ASIA INSURANCE CORP. Libertad Tourist Development Motor Car 45.46 45.46 -
Casualty (w/o OFW)
Microinsurance
Business A
ASIA TRADERS INSURANCE CORP

HONG SING PLASTIC Fire 1,125.19 225.04 900.15 -
MULTIGROWTH CORP. Fire 4,773.98 1,193.50 3,580.48 -
CONTINENTAL CEMENT Marine 147,258.80 114,351.20 32,907.60 -
GOLDEN SEASON GRAINS CENTER INMarine 31,855.00 15,672.81 16,182.19 -
Lao, Kenneth Motor Car 27.28 27.28 -
Tan, Robert Motor Car 68.08 68.08 -
Lao,Kenneth &/Or An Siong Poa Motor Car 109.10 109.10 -
Ngo, Angel Motor Car 168.38 168.38 -
Bank Wise Motor Car 207.14 207.14 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Worth Properties Motor Car 295.00 295.00 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Lim, Dennis Motor Car 382.81 382.81 -
Worth Properties Motor Car 1,000.00 1,000.00 -
Isip, Ryan C. Motor Car 1,318.50 1,318.50 -
Isip, Ryan C. Motor Car 1,318.50 1,318.50 -
King, Jeanifer & /Or Kaunlaran Motor Car 1,750.00 1,750.00 -
Metalex International Motor Car 1,973.35 1,973.35 -
Microvan Inc. Motor Car 2,059.36 2,059.36 -
Nickson Merchandising Motor Car 3,080.60 3,080.60 -
Santos, Diosdado &Or E. Dela Cruz Motor Car 3,120.00 3,120.00 -
Lao, Kenneth Motor Car 3,326.00 3,326.00 -
Lao, Kenneth Motor Car 3,764.80 3,764.80 -
King, Jeanifer Motor Car 5,331.40 5,331.40 -
Prado Miguel Motor Car 5,457.16 5,457.16 -
Cavite Packing Corporation Motor Car 7,384.09 7,384.09 -
Santos, Diosdado &Or E. Dela Cruz Motor Car 11,106.50 11,106.50 -
Delta Ng Casualty (w/o OFW) 377.64 318.12 59.52 -
Gardenia Bakeries Casualty (w/o OFW) 1,000.00 881.16 118.84 -
Gardenia Bakeries Casualty (w/o OFW) 1,000.00 881.16 118.84 -
New Golden City Const. Casualty (w/o OFW) 11.45 11.45 -
RUFINO PACIFIC TOWER Casualty (w/o OFW) 2,210.38 442.08 1,768.30 -
LANDCO PACIFIC CORP &/OR FUEGO Casualty (w/o OFW) 626.80 313.40 313.40 -
Microinsurance - -
Business A - -
ASIA UNITED INS Omnipack Ind'L/M. Bautista Casualty (w/o OFW) 41.00 41.00 -
ASIA UNITED INS Omnipack Indt'L-Danilo Navarro Casualty (w/o OFW) 34.00 34.00 -
ASIA UNITED INS Omnipack Indt'L-Danilo Navarro Casualty (w/o OFW) 36.00 36.00 -
ASIA UNITED INS Omnipack Indt'L-John Paul Mendoza Casualty (w/o OFW) 91.00 91.00 -
ASIA UNITED INS Omnipack Indt'L-Orlando Mina Casualty (w/o OFW) 76.00 76.00 -
ASIA UNITED INS Omnipack Indt'L-Ruel Bernacedo Casualty (w/o OFW) 101.00 101.00 -
ASIA UNITED INS Omnipack Indl/Angelo Gonzales Casualty (w/o OFW) 36.00 36.00 -
ASIA UNITED INS Omnipack Indl/Argie Roda Casualty (w/o OFW) 37.00 37.00 -
ASIA UNITED INS Omnipack Indl/Boyet Morcilla Casualty (w/o OFW) 39.00 39.00 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
ASIA UNITED INS Omnipack Indl/Frances Masuta Casualty (w/o OFW) 31.20 31.20 -
ASIA UNITED INS Omnipack Indl/Geoffrey Casas Casualty (w/o OFW) 148.00 148.00 -
ASIA UNITED INS Omnipack Indl/Herminio Penero Casualty (w/o OFW) 32.00 32.00 -
ASIA UNITED INS Omnipack Indl/J. Peralta Casualty (w/o OFW) 195.60 195.60 -
ASIA UNITED INS Omnipack Indl/Jatfree Castillo Casualty (w/o OFW) 106.88 106.88 -
ASIA UNITED INS Omnipack Indl/Jeffrey Sebuc Casualty (w/o OFW) 83.00 83.00 -
ASIA UNITED INS Omnipack Indl/John Paul Mendoza Casualty (w/o OFW) 91.00 91.00 -
ASIA UNITED INS Omnipack Indl/John Peralta Casualty (w/o OFW) 152.40 152.40 -
ASIA UNITED INS Omnipack Indl/Joseph Abrinillo Casualty (w/o OFW) 123.04 123.04 -
ASIA UNITED INS Omnipack Indl/Lloyd Medecielo Casualty (w/o OFW) 83.00 83.00 -
ASIA UNITED INS Omnipack Indl/Luisito Erjas Casualty (w/o OFW) 84.88 84.88 -
ASIA UNITED INS Omnipack Indl/Michael Rohr Casualty (w/o OFW) 146.00 146.00 -
ASIA UNITED INS Omnipack Indl/Randy Bragas Casualty (w/o OFW) 96.96 96.96 -
ASIA UNITED INS Omnipack Indl/Romeo Aguinaldo Casualty (w/o OFW) 154.08 154.08 -
ASIA UNITED INS Omnipack Indl/Ruel Cubos Casualty (w/o OFW) 97.00 97.00 -
ASIA UNITED INS Omnipack Indl/Severino Cemotra Casualty (w/o OFW) 400.00 400.00 -
ASIA UNITED INS Omnipack Indl/Symond Mendoza Casualty (w/o OFW) 43.20 43.20 -
Microinsurance - -
Business A - -
ASIAN PROPERTY REINSURANC Eastwest Seed Company Motor Car 216.00 216.00 -
ASIAN PROPERTY REINSURANC EQUITABLE LSNG FRANCISCO Motor Car 350.00 350.00 -
Casualty (w/o OFW) - -
Microinsurance - -
Business A - -
BF GEN BF SAVINGS & MORTGAGE BANK/ Fire 18.08 9.15 18.08 9.15
BF GEN BF SAVINGS & MORTGAGE BANK/PASFire 26.35 26.35 -
BF GEN BF SAVINGS & MORTGAGE BANK/PASFire 664.66 664.66 -
BF GEN AIRLIFT ASIA, INC &/OR ASIA OCEAN Marine 6,012.45 6,012.45 -
BF GEN Roberto Chavez Motor Car 860.22 860.22 -
Microinsurance - -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Business A - -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
CENTENNIAL Batelec Ii Motor Car 524.75 524.75 -
CENTENNIAL JEFFRIE DE GUZMAN Motor Car 680.00 680.00 -
CENTENNIAL Zenaida Kumagau Motor Car 1,043.65 1,043.65 -
CENTENNIAL Ronzales, Donabel Motor Car 1,111.00 1,111.00 -
CENTENNIAL Tirol Sarah Motor Car 1,620.00 1,620.00 -
CENTENNIAL Reynaldo Mark Advincula Motor Car 2,360.00 2,360.00 -
CENTENNIAL Noel Villaverde Inoncillo Motor Car 2,625.00 2,625.00 -
CENTENNIAL Equi-Parco Construction Company Motor Car 2,699.87 2,699.87 -
CENTENNIAL Tirol, Sarah Motor Car 3,405.00 3,405.00 -
CENTENNIAL Cesar Villanueva Motor Car 3,437.50 3,437.50 -
CENTENNIAL Aaron Carlo Apalisoc Motor Car 3,500.00 3,500.00 -
CENTENNIAL Mercedita Musnit Motor Car 4,630.00 4,630.00 -
CENTENNIAL Cooper, Emmaruth Motor Car 4,916.00 4,916.00 -
CENTENNIAL Felix, Christopher Abelardo Jones Motor Car 5,000.00 5,000.00 -
CENTENNIAL Jose Parais Jr. Motor Car 5,360.00 5,360.00 -
CENTENNIAL Sps. Arnel & Nancy De Mesa Motor Car 5,571.00 5,571.00 -
CENTENNIAL Strongforth Limestone Motor Car 7,238.60 7,238.60 -
CENTENNIAL Tirol Sarah Motor Car 7,500.00 7,500.00 -
CENTENNIAL Amor Grace Motor Car 10,000.00 10,000.00 -
CENTENNIAL Jerao, Melinda Austria Motor Car 10,000.00 10,000.00 -
CENTENNIAL Cristeta Salgado/Josephine Libiran Motor Car 25,000.00 25,000.00 -
CENTENNIAL Asahi Group Int'L Corp./Emmanuel CoopeMotor Car 26,456.94 26,456.94 -
CENTENNIAL Orix Metro Leasing & Finance Inc. Motor Car 67,300.00 67,300.00 -
CENTENNIAL Orix Metro Leasing & Finance Inc. Motor Car 85,050.00 85,050.00 -
CENTENNIAL COOPER, EMMARUTH Motor Car 92,815.00 92,815.00 -
CENTENNIAL Annaliza Tagufa Motor Car 112,825.00 112,825.00 -
CENTENNIAL Alvarez, Jose Jr. Motor Car 415,363.89 4,172.80 415,363.89 4,172.80
CENTENNIAL Roxanne Silverio Casualty (w/o OFW) 430.81 430.81 -
Microinsurance -
Business A -
COMMONWEALTH Barcenas, Emily Motor Car 3,500.00 3,500.00 -

COMMONWEALTH Gonzales, Lino M. Motor Car 3,950.59 3,950.59 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
COMMONWEALTH De Guzman, Dolores Motor Car 4,292.80 4,292.80 -
COMMONWEALTH Gonzales, Innony Motor Car 13,500.00 13,500.00 -
COMMONWEALTH Toyota Calamba Laguna, Inc. Motor Car 75,000.00 2,681.25 75,000.00 2,681.25
COMMONWEALTH Paul Alexei Basinilio Motor Car 774.01 774.01 -
COMMONWEALTH Manuel B. Nerona Motor Car 914.00 914.00 -
COMMONWEALTH Diosdado Dimacali Motor Car 999.99 999.99 -
COMMONWEALTH Jocelyn R. Lee Motor Car 1,191.55 1,191.55 -
COMMONWEALTH Raziel Goh Motor Car 1,700.00 1,700.00 -
COMMONWEALTH Nissan Southwoods Motor Car 1,745.51 1,745.51 -
COMMONWEALTH Roland A. Jusay Motor Car 2,170.74 2,170.74 -
COMMONWEALTH Emily F. Barcenas Motor Car 3,251.30 3,251.30 -
COMMONWEALTH Alsco Devt. Corp. Motor Car 4,500.00 4,500.00 -
COMMONWEALTH Lionel A. Tirol Motor Car 5,285.15 5,285.15 -
COMMONWEALTH Miking L. Dy Motor Car 5,833.85 5,833.85 -
COMMONWEALTH Milagros Araiza Motor Car 11,574.83 11,574.83 -
COMMONWEALTH Charito Batigue Motor Car 11,906.57 11,906.57 -
Microinsurance - -
Business A - -
COUNTRY BANKERS Union Motor Corp. Marine 10,770.94 10,770.94 -

COUNTRY BANKERS Ropali Corporation Marine 900.00 900.00 -
COUNTRY BANKERS Edward Dy Motor Car 101.16 101.16 -
COUNTRY BANKERS Edward Dy Motor Car 102.74 102.74 -
COUNTRY BANKERS Roberto Hortaleza Motor Car 381.00 381.00 -
COUNTRY BANKERS Meryl Babette Tolentino Motor Car 447.35 447.35 -
COUNTRY BANKERS Martin Jay Dela Cruz Manahan Motor Car 525.00 525.00 -
COUNTRY BANKERS Ma. Victoria Prats Motor Car 543.44 543.44 -
COUNTRY BANKERS Alfonso Silvestre Motor Car 582.51 582.51 -
COUNTRY BANKERS Lilibeth Martinez Motor Car 594.70 594.70 -
COUNTRY BANKERS Stephen Lee Motor Car 683.00 683.00 -
COUNTRY BANKERS Luis Angelo Penson Motor Car 691.50 691.50 -
COUNTRY BANKERS RACHELLE GERALDEZ Motor Car 874.73 874.73 -
Page 65


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COUNTRY BANKERS Julito Villanueva Motor Car 949.57 949.57 -
COUNTRY BANKERS Kenneth Lim Motor Car 991.00 991.00 -
COUNTRY BANKERS Wilfredo Loyola Motor Car 1,150.00 1,150.00 -
COUNTRY BANKERS Fabian Tan Cua Motor Car 1,268.00 1,268.00 -
COUNTRY BANKERS Fabian Tan Chua Motor Car 1,476.80 1,476.80 -
COUNTRY BANKERS Cecilia Atienza Motor Car 1,542.35 1,542.35 -
COUNTRY BANKERS Cecilia Duran Motor Car 1,943.51 1,943.51 -
COUNTRY BANKERS Nicasio Delos Reyes Motor Car 1,950.44 1,950.44 -
COUNTRY BANKERS EIRENE BULK SALES Motor Car 2,000.00 2,000.00 -
COUNTRY BANKERS MARIO RIVERA Motor Car 2,049.69 2,049.69 -
COUNTRY BANKERS Cecilia Atienza Motor Car 2,054.03 2,054.03 -
COUNTRY BANKERS ROSARIO RIVERA JOSON Motor Car 2,098.19 2,098.19 -
COUNTRY BANKERS Wong Sai Wai Motor Car 2,325.00 2,325.00 -
COUNTRY BANKERS ROMEL LUGUE Motor Car 2,373.33 2,373.33 -
COUNTRY BANKERS Josefino Siayngco Motor Car 2,983.02 2,983.02 -
COUNTRY BANKERS Joel Sapul Motor Car 3,001.39 3,001.39 -
COUNTRY BANKERS Henry Go Motor Car 3,076.45 3,076.45 -
COUNTRY BANKERS Dicky Lim Motor Car 3,113.20 3,113.20 -
COUNTRY BANKERS Janiuay Rural Bank, Inc. Motor Car 3,158.12 3,158.12 -
COUNTRY BANKERS Eduardo Veloso Motor Car 3,318.69 3,318.69 -
COUNTRY BANKERS Joselito De Guzman Motor Car 3,375.62 3,375.62 -
COUNTRY BANKERS William Go, Jr. Motor Car 3,616.38 3,616.38 -
COUNTRY BANKERS Emerald Cuevas Motor Car 3,661.91 3,661.91 -
COUNTRY BANKERS Bpi Leasing Corp. Tractor Head Motor Car 3,760.00 3,760.00 -
COUNTRY BANKERS Virgilio Narciso Samar Motor Car 3,845.57 3,845.57 -
COUNTRY BANKERS White Eagle Transport System Motor Car 4,300.00 4,300.00 -
COUNTRY BANKERS Milo Rey Cruz Ramos Motor Car 4,502.62 4,502.62 -
COUNTRY BANKERS Joselito De Guzman Motor Car 4,522.19 4,522.19 -
COUNTRY BANKERS Amado Inciong Jr. Motor Car 5,847.78 5,847.78 -
COUNTRY BANKERS Reynald B. Padilla Motor Car 5,894.46 5,894.46 -
COUNTRY BANKERS SUNWEST CONST. DEV'T. CORP. Motor Car 6,000.00 6,000.00 -
COUNTRY BANKERS Nerisa Abacan Motor Car 7,394.57 7,394.57 -
COUNTRY BANKERS Malaysian Phils., Utilities Motor Car 7,994.36 7,994.36 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
COUNTRY BANKERS Rosanna Sarsino Motor Car 8,000.00 8,000.00 -
COUNTRY BANKERS Ratna Amarnani Motor Car 9,886.37 136.36 9,886.37 136.36
COUNTRY BANKERS Sps. Marie Grace & Edwin Beltran Motor Car 10,411.76 10,411.76 -
COUNTRY BANKERS PAPA GRAND MOVERS CORP/OR Motor Car 11,142.86 11,142.86 -
COUNTRY BANKERS Jamcat Transport Motor Car 12,750.00 12,750.00 -
COUNTRY BANKERS Dilgonz Costruction Corp. Motor Car 14,084.00 14,084.00 -
COUNTRY BANKERS Wilfredo Delas Armas Motor Car 16,355.04 16,355.04 -
COUNTRY BANKERS Rogelio Namo Motor Car 21,428.57 21,428.57 -
COUNTRY BANKERS Warrem Ochoa/Felix Minaldo Motor Car 36,363.64 36,363.64 -
COUNTRY BANKERS Arturo Anupol Motor Car 74,594.59 74,594.59 -
COUNTRY BANKERS Siao Khong Tiu Motor Car 102,355.50 102,355.50 -
COUNTRY BANKERS Nancy Feliciano Motor Car 108,000.00 355.50 108,000.00 355.50
COUNTRY BANKERS RURAL BANK OF BUSTOS Casualty (w/o OFW) 30,607.18 1,055.32 30,607.18 1,055.32
Microinsurance - -
Business A - -
DECE Advance Paper Corp. Motor Car 384.00 384.00 -

DECE Feranti Factory Shirt Inc. Motor Car 1,098.85 1,098.85 -
DECE Louie Estrellanes Motor Car 1,405.00 1,405.00 -
DECE Perla Sun Motor Car 2,076.25 2,076.25 -
DECE Kuo Yi Cheng/Cheryl Tan Motor Car 2,407.44 2,407.44 -
DECE Anelene Tungol Motor Car 2,911.60 2,911.60 -
DECE Louie Estrellanes Motor Car 13,347.50 13,347.50 -
Microinsurance - -
Business A - -
FLT PRIME INSURANCE CORP. YUSEN LOGISTICS PHIL. Marine 2,606.19 2,606.19 -
FLT PRIME INSURANCE CORP. Economi Enterprises, Inc. Motor Car 500.00 500.00 -
FLT PRIME INSURANCE CORP. LARA, AURORA Motor Car 2,985.27 2,985.27 -
FLT PRIME INSURANCE CORP. Gm Joe Tours & Transport Corp. Motor Car 24,483.26 24,483.26 -
FLT PRIME INSURANCE CORP. ITALIAN THAI DEVELOPMENT PCL &/ Casualty (w/o OFW) 209.36 209.36 -
Microinsurance - -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Business A - -
FORTUNE MEYCAUAYAN PEOPLE'S MARKET (ALFire 73.54 73.54 -

FORTUNE EXPRESSLAND LOGISTICS CORP. Marine 19,851.85 20,148.15 19,851.85 20,148.15
FORTUNE SNE COMMERCIAL Marine 490,976.65 196,390.66 294,585.99 -
FORTUNE RNE TRUCKING SERVICES &/OR AUR Marine 100,638.14 2,030.99 100,638.14 2,030.99
FORTUNE Aju Global Transport &/Or King Motor Car 4,000.00 4,000.00 -
Microinsurance - -
Business A - -
INTRA STRATA ASSURANCE BUBUNAWAN POWER Fire 514,323.13 306,021.85 208,301.28 -

INTRA STRATA ASSURANCE STRATEGIC SOLUTIONS Fire 531.50 441.89 89.61 -
INTRA STRATA ASSURANCE Campo Maria Motor Car 374.75 374.75 -
INTRA STRATA ASSURANCE Tan Lilia Motor Car 1,345.00 1,345.00 -
INTRA STRATA ASSURANCE Vamenia Uri Lao Motor Car 1,445.57 1,445.57 -
INTRA STRATA ASSURANCE Gopengco, Purificacion Motor Car 1,950.00 1,950.00 -
Microinsurance - -
Business A - -
INVESTORS ASSURANCE Marven Hardware Const. Supply Motor Car 379.12 379.12 -
Microinsurance - -
Business A - -
IPI Inasal Food Services, Inc. Motor Car 671.21 671.21 -

IPI Luis Dallarte Motor Car 1,176.23 1,176.23 -
IPI Icb Foods Motor Car 1,233.75 1,233.75 -
IPI Doris P. Cuenca Motor Car 1,787.51 1,787.51 -
IPI Mabuhay Conglomerate Asphalt Motor Car 2,489.00 2,489.00 -
IPI Dexter Ivan Lee Motor Car 2,550.00 2,550.00 -
IPI Ganzon, Lita Marie Motor Car 3,036.40 3,036.40 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
IPI Cavite Ideal International Costruction Motor Car 3,944.55 3,944.55 -
IPI SACRED HEART DIAGNOSIS CLINIC Motor Car 4,997.71 4,997.71 -
IPI Mcneil N. Molino Motor Car 5,470.77 5,470.77 -
IPI Jubilant Foods Corp. Motor Car 6,035.00 6,035.00 -
IPI Carmela Ann T. Isidoro Motor Car 23,303.25 23,303.25 -
IPI Dexter Ivan Lee, Jr. Motor Car 64,332.93 64,332.93 -
IPI Megaworld Properties&Holding Casualty (w/o OFW) 586.07 29.01 586.07 29.01
IPI Megaworld Properties&Holding Casualty (w/o OFW) 232.94 16.98 232.94 16.98
IPI C.B. BARANGAY ENTERPRISES Casualty (w/o OFW) 198.41 198.41 -
Microinsurance - -
Business A - -
INTERBROKER INC St. John Of Beverly School Casualty (w/o OFW) 148.87 148.87 -
INTERBROKER INC Interbroker- St. John Of Beverly School Casualty (w/o OFW) 193.62 193.62 -
INTERBROKER INC St. John Of Beverly School Casualty (w/o OFW) 57.50 28.75 28.75 -
Microinsurance - -
Business A - -
KRM LOVE ELECTRONICS SERVICES, INC. Fire 8,119.67 195.02 8,119.67 195.02
KRM Raul Gonzales Motor Car 215.19 215.19 -
KRM Ariel Carreon Motor Car 244.85 244.85 -
KRM Virgilio Hizon Motor Car 329.84 329.84 -
KRM International Heavy Truck Center Motor Car 358.15 358.15 -
KRM Delfin Rivero Pilapil Jr. Motor Car 363.66 363.66 -
KRM Wheels, Inc. Motor Car 432.39 432.39 -
KRM Anthony Marc Crespo Motor Car 490.08 490.08 -
KRM Robert Gan Motor Car 560.01 560.01 -
KRM Samuel Candido Motor Car 853.27 853.27 -
KRM Gerry Austria Motor Car 902.68 902.68 -
KRM Taewook Ha Motor Car 939.19 939.19 -
KRM Ronald Cruz Motor Car 998.92 998.92 -
KRM Noli Santos Motor Car 1,589.59 1,589.59 -
KRM Josephine Patio Motor Car 1,763.36 1,763.36 -
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KRM Oliver Atanacio Motor Car 1,936.68 1,936.68 -
KRM Virgilio Hizon Motor Car 2,500.36 2,500.36 -
Microinsurance - -
Business A - -
LIBERTY INSURANCE CORPORATPHILIPPINE SOFTWOOD PRODUCTS., FI ire 37,140.10 37,140.10 -

LIBERTY INSURANCE CORPORATALGO LEASING AND FINANCE INC. Motor Car 1,950.00 1,950.00 -
LIBERTY INSURANCE CORPORATVILLATEMA ENT/SPS. FREDERICO C& Motor Car 3,032.73 3,032.73 -
LIBERTY INSURANCE CORPORATGILLERAN, DELFIN JR AND JANICE Motor Car 3,482.14 3,482.14 -
LIBERTY INSURANCE CORPORATALCORAN TRANSPORT SERVICES Motor Car 4,550.00 4,550.00 -
LIBERTY INSURANCE CORPORATLVILRODZ TRUCKING SERVICE Motor Car 4,550.00 4,550.00 -
LIBERTY INSURANCE CORPORATJCE TRUCKING & TRADING JOCE & RIMotor Car 6,185.48 6,185.48 -
LIBERTY INSURANCE CORPORATJCE TRUCKING & TRADING JOCE & RIMotor Car 18,620.64 18,620.64 -
LIBERTY INSURANCE CORPORATWIDE AREA NETWORK Motor Car 23,214.29 23,214.29 -
LIBERTY INSURANCE CORPORATBORJA, ALLAN E Motor Car 31,200.00 31,200.00 -
LIBERTY INSURANCE CORPORATR.R Dutierrez Gravel & Sand Motor Car 270.00 270.00 -
LIBERTY INSURANCE CORPORATIfm Trading & Development Motor Car 285.88 285.88 -
LIBERTY INSURANCE CORPORATR.R Dutierrez Gravel & Sand Motor Car 340.25 340.25 -
LIBERTY INSURANCE CORPORATCojuangco Melegio Motor Car 423.98 423.98 -
LIBERTY INSURANCE CORPORATR.R Dutierrez Gravel & Sand Motor Car 1,170.64 1,170.64 -
Microinsurance - -
Business A - -
MANILA INS Olivia Sanchez Motor Car 3,155.92 3,155.92 -

MANILA INS UNITY BANK A RURAL BANK INC. Casualty (w/o OFW) 2,936.96 2,936.96 -
MANILA INS UNITY BANK, A RURAL BANKS INC. Casualty (w/o OFW) 415.34 - 415.34
Microinsurance - -
Business A - -
MEGA RE INTERNATIONAL PHIL. RACING CLUB Fire 14.68 2.94 11.74 -

MEGA RE INTERNATIONAL VH MANUFACTURING Fire 1,636.55 1,636.55 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
MEGA RE INTERNATIONAL PHILIPPINE ELECTRIC CORP Marine 250.00 250.00 -
MEGA RE INTERNATIONAL Worth Properties Motor Car 88.50 88.50 -
MEGA RE INTERNATIONAL Ghardenia Bakeries (Phils.) Corp. Motor Car 108.04 108.04 -
MEGA RE INTERNATIONAL Masahiro Otsuka C/O Ab Motor Car 115.68 115.68 -
MEGA RE INTERNATIONAL M. Akram Malik C/O Adb Motor Car 127.27 127.27 -
MEGA RE INTERNATIONAL Seok-Hyun Yoon C/O Adb Motor Car 128.24 128.24 -
MEGA RE INTERNATIONAL Binh T. Nguyen C/O Adb Motor Car 152.27 152.27 -
MEGA RE INTERNATIONAL Niklaus Zigg C/O Adb Motor Car 160.00 160.00 -
MEGA RE INTERNATIONAL Yuji Tsujiki Motor Car 165.02 165.02 -
MEGA RE INTERNATIONAL Tsukasa Maekawa C/O Adb Motor Car 178.18 178.18 -
MEGA RE INTERNATIONAL Stephen Wermert C/O Adb Motor Car 181.81 181.81 -
MEGA RE INTERNATIONAL Quinta Trading Co., Inc. Motor Car 210.00 210.00 -
MEGA RE INTERNATIONAL Ynn Holdings Corp. Motor Car 227.27 227.27 -
MEGA RE INTERNATIONAL Cooperative Of Allegro Microsystems Motor Car 250.00 250.00 -
MEGA RE INTERNATIONAL Lorraine Wang C/O Adb Motor Car 259.71 259.71 -
MEGA RE INTERNATIONAL Kenneth Tan Motor Car 269.32 269.32 -
MEGA RE INTERNATIONAL J. Tan Trucking Services/Jacob Tan Motor Car 342.00 342.00 -
MEGA RE INTERNATIONAL Benjamin Lee C/O Adb Motor Car 377.23 377.23 -
MEGA RE INTERNATIONAL Mats Elerud C/O Adb Motor Car 379.69 379.69 -
MEGA RE INTERNATIONAL Thelma Diaz Motor Car 511.00 511.00 -
MEGA RE INTERNATIONAL Yumiko Tamura C/O Adb Motor Car 607.00 607.00 -
MEGA RE INTERNATIONAL First Phil. Holdings Corp./R. Garcellano Motor Car 700.00 700.00 -
MEGA RE INTERNATIONAL First Phil. Holdings Corp. Motor Car 800.00 800.00 -
MEGA RE INTERNATIONAL Muriel S. Ordonez C/O Adb Motor Car 834.76 834.76 -
MEGA RE INTERNATIONAL Cooperative Of Allegro Microsystems Motor Car 1,000.00 149.81 1,000.00 149.81
MEGA RE INTERNATIONAL Eduardo J. Uy Motor Car 1,192.50 1,192.50 -
MEGA RE INTERNATIONAL Clay Wescott Motor Car 1,223.00 1,223.00 -
MEGA RE INTERNATIONAL Juan Pierpont C/O Adb Motor Car 1,241.00 1,241.00 -
MEGA RE INTERNATIONAL Lanfranco Blanchetti-Revelli C/O Adb Motor Car 1,257.71 1,257.71 -
MEGA RE INTERNATIONAL Linton, Inc. Motor Car 1,310.00 1,310.00 -
MEGA RE INTERNATIONAL First Phil. Hodlings Corp./R. Garcellano Motor Car 1,500.00 1,500.00 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
MEGA RE INTERNATIONAL Debra Kertzman Motor Car 2,015.00 2,015.00 -
MEGA RE INTERNATIONAL Iberia Steel Corp. Motor Car 2,360.00 2,360.00 -
MEGA RE INTERNATIONAL Anton Lim Motor Car 2,484.44 2,484.44 -
MEGA RE INTERNATIONAL Michael J. Lhuiller Pawnshops, Inc. Motor Car 2,515.20 2,515.20 -
MEGA RE INTERNATIONAL United Power Commercial Corp. Motor Car 2,672.75 2,672.75 -
MEGA RE INTERNATIONAL Jordi Capdevilla C/O Adb Motor Car 2,750.38 2,750.38 -
MEGA RE INTERNATIONAL Juan Pierpont C/O Adb Motor Car 2,803.00 2,803.00 -
MEGA RE INTERNATIONAL Gardenia Bakeries (Phils.), Inc. Motor Car 3,000.00 3,000.00 -
MEGA RE INTERNATIONAL Iberia Steel Corp. Motor Car 4,158.54 4,158.54 -
MEGA RE INTERNATIONAL Nueva Food Corp Motor Car 4,500.00 4,500.00 -
MEGA RE INTERNATIONAL Elizabeth L. Tan Motor Car 4,720.00 4,720.00 -
MEGA RE INTERNATIONAL Yiwu Wang Motor Car 5,021.13 5,021.13 -
MEGA RE INTERNATIONAL Evangeline Chan &/Or G. Roxas Trading Motor Car 5,175.00 5,175.00 -
MEGA RE INTERNATIONAL Mario Gerona Motor Car 7,520.00 7,520.00 -
MEGA RE INTERNATIONAL Fidel King Motor Car 9,818.75 9,818.75 -
MEGA RE INTERNATIONAL Fidel King Motor Car 10,849.10 10,849.10 -
MEGA RE INTERNATIONAL Daniel Villacorta Motor Car 17,571.74 17,571.74 -
MEGA RE INTERNATIONAL PARFAIT BUILDERS AND GEN. SERVICE Casualty (w/o OFW) 285.00 285.00 -
MEGA RE INTERNATIONAL PARFAIT BUILDERS AND GEN. SERVICE Casualty (w/o OFW) 318.00 - 318.00
MEGA RE INTERNATIONAL FOODSPHERE, INC. Casualty (w/o OFW) 195.62 268.00 195.62 268.00
MEGA RE INTERNATIONAL GASGUARD PROTECTION 2 (CALTEX)Casualty (w/o OFW) 0.01 0.01 -
Microinsurance - -
Business A - -
MERCHANTILE A&G COCONUT ENTERPRISES Fire 2,500.00 200.88 2,500.00 200.88

MERCHANTILE NEW TAYABAS OIL MILL Fire 575.00 126.95 575.00 126.95
MERCHANTILE JOSEPHINE V. TRUCKING SERVICES Marine 5,000.00 5,000.00 -
MERCHANTILE Tantuco Enterprises, Inc. &/or Discovery Marine 37,833.44 1,616.75 37,833.44 1,616.75
MERCHANTILE Impex Pro Logistics Corp. Marine 115,618.76 3,897.86 115,618.76 3,897.86
MERCHANTILE Priscilla Lim Gan Motor Car 205.56 205.56 -
MERCHANTILE Trilight Refining, Inc. Motor Car 801.25 801.25 -
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(1) (2) (3) (4) (5) (6) (7) (8) (9)
MERCHANTILE Abs-Cbn Broadcasting Corp Motor Car 1,750.00 1,750.00 -
MERCHANTILE Bpi Leasing Motor Car 2,622.83 2,622.83 -
MERCHANTILE Leovie Tan Motor Car 3,630.00 317.50 3,630.00 317.50
MERCHANTILE Messrs.Alpina Haulers Motor Car 3,790.76 294.90 3,790.76 294.90
MERCHANTILE Melchor G. Jagua Motor Car 10,252.21 626.00 10,252.21 626.00
MERCHANTILE Khen Cargo Forwarders Motor Car 83,041.75 7,848.75 83,041.75 7,848.75
MERCHANTILE Nycobs Trading Corporation Motor Car 155,551.89 388.88 155,551.89 388.88
MERCHANTILE Torrejon, Manuel Motor Car 63.50 63.50 -
MERCHANTILE Villanueva Zanailda Motor Car 83.50 83.50 -
MERCHANTILE Macauhay Federico Motor Car 240.00 240.00 -
MERCHANTILE Plum Realty Developments Corp Motor Car 259.00 259.00 -
MERCHANTILE Valdecantos Olivia Motor Car 354.00 354.00 -
MERCHANTILE Magasiray Federiko Motor Car 920.00 920.00 -
MERCHANTILE Poileasing & Fin Inc Motor Car 1,137.50 1,137.50 -
MERCHANTILE Domarian International Corp Motor Car 1,700.00 1,700.00 -
MERCHANTILE Ang, Benito Motor Car 1,993.00 1,993.00 -
MERCHANTILE Central Catv Inc Motor Car 2,603.88 2,603.88 -
MERCHANTILE Petrochemicals Corp. Of Asia Pacific/E.A Casualty (w/o OFW) 1,486.36 1,486.36 -
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 796.10 796.10 -
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 2,115.04 2,115.04 -
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 358.16 38.11 358.16 38.11
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 1,012.69 55.23 1,012.69 55.23
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 205.56 44.11 205.56 44.11
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 2,737.03 120.90 2,737.03 120.90
MERCHANTILE ROCKWELL POWER PLANT &ROCKWEL Casualty (w/o OFW) 425.00 425.00 -
MERCHANTILE ABS-CBN BROADCASTING CORPORATCasualty (w/o OFW) 12.10 - 12.10
MERCHANTILE ABS-CBN BROADCASTING CORP. Casualty (w/o OFW) 633.60 36.20 633.60 36.20
MERCHANTILE ABS-CBN BROADCASTING CORP. Casualty (w/o OFW) 4.60 - 4.60
MERCHANTILE ITALIAN THAI DEVELOPMENT PCL &/ Casualty (w/o OFW) 202.50 202.50 -
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(1) (2) (3) (4) (5) (6) (7) (8) (9)
MERCHANTILE ITALIAN THAI DEVELOPMENT PCL &/ Casualty (w/o OFW) 579.74 281.08 579.74 281.08
MERCHANTILE ABS-CBN BROADCASTING CORP. Casualty (w/o OFW) 152.73 152.73 -
MERCHANTILE SOUTHLINK TRANSPORT Casualty (w/o OFW) 14,922.91 14,922.91 -
MERCHANTILE OROPORT CARGO HANDLING SERVICE Casualty (w/o OFW) 18,364.00 2,364.00 18,364.00 2,364.00
MERCHANTILE ABS-CBN Broadcasting Corp. Casualty (w/o OFW) 143.74 143.74 -
MERCHANTILE SULTAN KUDARAT MILLING & TRADIN Casualty (w/o OFW) 299.10 - 299.10
MERCHANTILE SULTAN KUDARAT MILLING & TRADIN Casualty (w/o OFW) 252.00 - 252.00
MERCHANTILE MSY GOLF TOURNAMENT/SIMPLICIO Casualty (w/o OFW) 18,518.82 18,518.82 -
MERCHANTILE PSBC TRANSPORT &/OR PHING SU B Casualty (w/o OFW) 58,282.72 6,820.00 58,282.72 6,820.00
Microinsurance - -
Business A - -
MERIDIAN BRIGHT STAR INDUSTRIES INC Motor Car 7,458.84 7,458.84 -

MERIDIAN WV NEW DAVAO GOLDSTAR HARDWAMotor Car 8,231.25 8,231.25 -
Microinsurance - -
Business A - -
NORTHWEST INSURANCE & SURE

ABC TRADING Fire 14,157.99 7,079.00 7,078.99 -
MULTI CUPS POLY Fire 63,727.03 25,490.81 38,236.22 -
RTL INDUSTRIES Fire 487.00 223.76 263.24 -
Tan Liliy Motor Car 117.64 117.64 -
Winrich Distibution Corp Motor Car 200.00 200.00 -
Snaca 2000 Motor Car 315.00 315.00 -
Gibbs Carla Victoria Loyzaga Motor Car 320.00 320.00 -
Snaca 2000 Motor Car 325.00 325.00 -
Hay Steven/ Philips Wire Motor Car 374.11 374.11 -
Cordova Michael Motor Car 390.00 390.00 -
Loyzaga Darla Victoria Motor Car 422.00 422.00 -
Gibbs Carla Victoria Loyzaga Motor Car 530.00 530.00 -
Basic Concrete & Aggregriate Motor Car 575.00 575.00 -
Ong Cheng Hing Motor Car 795.81 795.81 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Albert Metal Craft Motor Car 1,001.05 1,001.05 -
Lim Carolina Motor Car 1,124.36 1,124.36 -
Nocon Antonio Motor Car 1,156.02 1,156.02 -
Palacio Chona Motor Car 1,243.98 1,243.98 -
Salvador Dee Tian Motor Car 1,352.94 1,352.94 -
Wai King Yeung Motor Car 1,437.33 1,437.33 -
Huang Buaa Motor Car 1,575.69 1,575.69 -
Uy Wong Po Motor Car 1,792.50 1,792.50 -
Huang Belia Motor Car 1,859.87 1,859.87 -
Uniomn Industrial Corp Motor Car 2,529.53 2,529.53 -
Tongco Guntin Motor Car 2,768.55 2,768.55 -
Stan Simon Ng Motor Car 4,259.00 4,259.00 -
Microinsurance - -
Business A - -
ORIENTAL ASSURANCE CORPORDEVELOP TIMBER STRUCTURE LUMBFire 56,585.20 11,317.04 45,268.16 -

ORIENTAL ASSURANCE CORP. Oriental Assurance Corp Motor Car 150.00 150.00 -
ORIENTAL ASSURANCE CORP. Mds Distributors, Inc Motor Car 580.00 580.00 -
ORIENTAL ASSURANCE CORP. Bdo Leasing And Finance Inc Motor Car 627.61 627.61 -
ORIENTAL ASSURANCE CORP. Oriental Assurance Corp Motor Car 3,750.00 3,750.00 -
ORIENTAL ASSURANCE CORP. PATRICIA JEWELS COLLECTION INC. Motor Car 128,000.00 128,000.00 -
Microinsurance - -
Business A - -
PACIFIC UNION INSURANCE CRISOSTOMO, FERNANDA Fire 40,000.00 20,000.00 20,000.00 -

PACIFIC UNION INSURANCE VIRGINIA SAULOG Fire 29,195.71 4,865.95 24,329.76 -
PACIFIC UNION INSURANCE Sena Roberto Motor Car 200.00 200.00 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
PACIFIC UNION INSURANCE Dharmala Securities Phils Motor Car 729.83 729.83 -
PACIFIC UNION INSURANCE Bana Roberto Motor Car 840.60 840.60 -
PACIFIC UNION INSURANCE Royal Cargo Corporation Motor Car 950.00 950.00 -
PACIFIC UNION INSURANCE Dharmala Securities Phils Motor Car 987.75 987.75 -
PACIFIC UNION INSURANCE Plywood Marketing & Lumber Motor Car 2,608.69 2,608.69 -
Microinsurance - -
Business A - -
PANA INSURANCE & REINS. FOODSPHERE Casualty (w/o OFW) 1,830.00 1,830.00 -
PANA INSURANCE & REINS. SEMIRARA COAL CORP. Casualty (w/o OFW) 8,302.58 8,066.75 235.83 -
Microinsurance - -
Business A - -
PARAMOUNT LIFE & GENERAL INCENTURY SEAFOOD Fire 58,572.83 11,714.57 46,858.26 -
PARAMOUNT LIFE & GENERAL INACR FURNITURE MFG. CORP Fire 5,185.34 1,037.07 4,148.27 -
PARAMOUNT LIFE & GENERAL IN JTB TOURS & TRAVEL Motor Car 0.05 0.05 -
PARAMOUNT LIFE & GENERAL INJtb Tours & Travel Motor Car 30.00 30.00 -
PARAMOUNT LIFE & GENERAL INPrimary Properties Corp Motor Car 94.08 94.08 -
PARAMOUNT LIFE & GENERAL INMAPTAN CONSTRUCTION & EQUIP. Motor Car 573.21 573.21 -
PARAMOUNT LIFE & GENERAL INJAPAN PNB EQUIPMENT Motor Car 931.59 931.59 -
PARAMOUNT LIFE & GENERAL INJADED GREEN MARKETING/MAPTAN Motor Car 1,127.50 1,127.50 -
PARAMOUNT LIFE & GENERAL INCOLDLINK ASIA LOGISTICS Motor Car 1,657.63 1,657.63 -
PARAMOUNT LIFE & GENERAL INBLY ALUMINUM & GLASS SUPPLY INC Motor Car 2,033.92 2,033.92 -
PARAMOUNT LIFE & GENERAL INMACHRO TRANSPORT & SERVICES Motor Car 2,695.09 2,695.09 -
PARAMOUNT LIFE & GENERAL INLAMUAN SHELL GAS STATION Motor Car 3,414.00 3,414.00 -
PARAMOUNT LIFE & GENERAL INKrisalex Trucking Corporation Motor Car 3,526.73 404.98 3,526.73 404.98
PARAMOUNT LIFE & GENERAL INCIRCLE TRANSPORT CORP. Motor Car 3,561.94 3,561.94 -
PARAMOUNT LIFE & GENERAL INMaptan Construction & Equipment Motor Car 4,481.06 4,481.06 -
PARAMOUNT LIFE & GENERAL INROBERT SENG Motor Car 5,744.40 5,744.40 -
PARAMOUNT LIFE & GENERAL IN MAPTAN CONSTRUCTION & EQUIP. Motor Car 7,691.22 7,691.22 -
PARAMOUNT LIFE & GENERAL INGREEN BUCKS ENTERPRISES/MAPTAMotor Car 14,625.00 14,625.00 -
PARAMOUNT LIFE & GENERAL INALEJANDRO ALABAN ROMERO Motor Car 25,038.22 25,038.22 -
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PARAMOUNT LIFE & GENERAL INEdgar Espeleta Motor Car 29,076.29 29,076.29 -
PARAMOUNT LIFE & GENERAL INBDO LEASING & FINANCE INC. LEASED Motor Car 100,250.00 100,250.00 -
PARAMOUNT LIFE & GENERAL INMINDANAO TRUCKING CORP. Motor Car 240,000.00 240,000.00 -
PARAMOUNT LIFE & GENERAL INYapjoco, Paul Motor Car 0.01 0.01 -
PARAMOUNT LIFE & GENERAL INPr Julieta Motor Car 10.00 10.00 -
PARAMOUNT LIFE & GENERAL INOmnico Consortium, Inc Motor Car 32.76 32.76 -
PARAMOUNT LIFE & GENERAL INTapawan, Leonardo Motor Car 90.00 90.00 -
PARAMOUNT LIFE & GENERAL INSu, Wilbert Emerson Motor Car 109.01 109.01 -
PARAMOUNT LIFE & GENERAL INEmerging Technologies Inc Motor Car 138.19 138.19 -
PARAMOUNT LIFE & GENERAL INIcasas, Jennifer Motor Car 142.86 142.86 -
PARAMOUNT LIFE & GENERAL INSee Diet Mariano Motor Car 150.48 150.48 -
PARAMOUNT LIFE & GENERAL INAndaya, Napoleon Atty Motor Car 168.80 168.80 -
PARAMOUNT LIFE & GENERAL INSunpride Foods, Inc. Motor Car 198.00 198.00 -
PARAMOUNT LIFE & GENERAL INCabrera, Roberto Motor Car 209.46 209.46 -
PARAMOUNT LIFE & GENERAL INRobe Pharmacy, Inc. Motor Car 219.00 219.00 -
PARAMOUNT LIFE & GENERAL INMonroy, Teresita Motor Car 274.07 274.07 -
PARAMOUNT LIFE & GENERAL INGravador, Salud Motor Car 290.37 290.37 -
PARAMOUNT LIFE & GENERAL INReyes, Romualdo Motor Car 300.00 300.00 -
PARAMOUNT LIFE & GENERAL INFabie,Gerrardo Motor Car 319.32 319.32 -
PARAMOUNT LIFE & GENERAL INDIMACULANGAN, ESTRELLA Motor Car 445.75 445.75 -
PARAMOUNT LIFE & GENERAL INBravo, Heidi Motor Car 518.70 518.70 -
PARAMOUNT LIFE & GENERAL INCarag, Oscar Motor Car 560.72 560.72 -
PARAMOUNT LIFE & GENERAL INBagadion, Benjamin Jr Motor Car 604.18 604.18 -
PARAMOUNT LIFE & GENERAL INCollyer, Gertrudes Motor Car 613.36 613.36 -
PARAMOUNT LIFE & GENERAL INEastern Telecoms &/Or Nenita Lim Cruz Motor Car 625.00 625.00 -
PARAMOUNT LIFE & GENERAL INMax Schlari Schaitzle Motor Car 659.40 659.40 -
PARAMOUNT LIFE & GENERAL INParamount General Ins. Motor Car 733.33 733.33 -
PARAMOUNT LIFE & GENERAL INSamonte, Yna Motor Car 750.00 750.00 -
PARAMOUNT LIFE & GENERAL INOng Pik Sun Motor Car 807.30 807.30 -
PARAMOUNT LIFE & GENERAL INFoneles, Freddie Motor Car 815.17 815.17 -
PARAMOUNT LIFE & GENERAL INAreza Motor Sales Motor Car 843.74 843.74 -
PARAMOUNT LIFE & GENERAL INMallari, Jaime Motor Car 930.00 930.00 -
PARAMOUNT LIFE & GENERAL INHabana, Leo Motor Car 936.25 936.25 -
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PARAMOUNT LIFE & GENERAL INCo, Benito Motor Car 967.10 967.10 -
PARAMOUNT LIFE & GENERAL INCondez, Michael Vincent Motor Car 1,031.15 1,031.15 -
PARAMOUNT LIFE & GENERAL INLeido, John Paul Motor Car 1,036.36 1,036.36 -
PARAMOUNT LIFE & GENERAL INSol International Cable Specia Motor Car 1,059.70 1,059.70 -
PARAMOUNT LIFE & GENERAL INPioneer Hi-Bred Agri-Tech Motor Car 1,074.00 1,074.00 -
PARAMOUNT LIFE & GENERAL INDiokno, Maria Serena Motor Car 1,092.48 1,092.48 -
PARAMOUNT LIFE & GENERAL INBpi Leasing/Leased To Petrologistics Motor Car 1,123.80 1,123.80 -
PARAMOUNT LIFE & GENERAL INVictorino, Nelson S. Atty. Motor Car 1,135.45 1,135.45 -
PARAMOUNT LIFE & GENERAL INPhpc Company, Ltd Inc Motor Car 1,168.75 1,168.75 -
PARAMOUNT LIFE & GENERAL INMapalad, Jernie Motor Car 1,200.00 1,200.00 -
PARAMOUNT LIFE & GENERAL INRealeza, Vanessa Motor Car 1,340.14 1,340.14 -
PARAMOUNT LIFE & GENERAL INParamount General Ins. Motor Car 1,400.00 1,400.00 -
PARAMOUNT LIFE & GENERAL INContreras, Michael Francis Motor Car 1,553.57 1,553.57 -
PARAMOUNT LIFE & GENERAL INCipriano, Thelma Motor Car 1,553.94 1,553.94 -
PARAMOUNT LIFE & GENERAL INFlores, Erwin Mazo Motor Car 1,640.00 1,640.00 -
PARAMOUNT LIFE & GENERAL INOng, Elizabeth Chan Motor Car 1,812.88 1,812.88 -
PARAMOUNT LIFE & GENERAL INFajardo, Leon Dominador Motor Car 1,852.74 1,852.74 -
PARAMOUNT LIFE & GENERAL INChua, Carolyn Motor Car 1,876.79 1,876.79 -
PARAMOUNT LIFE & GENERAL INTurgo, Gil Motor Car 1,887.13 1,887.13 -
PARAMOUNT LIFE & GENERAL INDaag, Elizabeth Motor Car 1,972.00 1,972.00 -
PARAMOUNT LIFE & GENERAL INContreras, Ryan Motor Car 1,975.29 1,975.29 -
PARAMOUNT LIFE & GENERAL INEscaner, Jose Mariano Motor Car 1,979.17 1,979.17 -
PARAMOUNT LIFE & GENERAL INBpi Lsng Corp/ Honda Phil Motor Car 2,000.00 2,000.00 -
PARAMOUNT LIFE & GENERAL INAlcantara, Rodolfo Motor Car 2,006.32 2,006.32 -
PARAMOUNT LIFE & GENERAL INR.V.Marzan Intl Brokerage Motor Car 2,175.04 2,175.04 -
PARAMOUNT LIFE & GENERAL INMontana, Elugeo Motor Car 2,180.76 2,180.76 -
PARAMOUNT LIFE & GENERAL INSerrano, Amado Motor Car 2,233.38 2,233.38 -
PARAMOUNT LIFE & GENERAL INSantiago, Cirpriano Motor Car 2,237.84 2,237.84 -
PARAMOUNT LIFE & GENERAL INEredia, George Paul Motor Car 2,400.00 2,400.00 -
PARAMOUNT LIFE & GENERAL INVilloria, Armando Motor Car 2,464.80 2,464.80 -
PARAMOUNT LIFE & GENERAL INCelestial Media Services Motor Car 2,544.49 2,544.49 -
PARAMOUNT LIFE & GENERAL INMelody Rivera Motor Car 2,544.50 2,544.50 -
PARAMOUNT LIFE & GENERAL INDeloso, Reynaldo Motor Car 2,600.00 2,600.00 -
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PARAMOUNT LIFE & GENERAL INBpi Lsng Corp/ Honda Phil Motor Car 2,652.00 2,652.00 -
PARAMOUNT LIFE & GENERAL INDfc Tuna Ventures Corp. Motor Car 2,800.00 2,800.00 -
PARAMOUNT LIFE & GENERAL INNg Antonio Motor Car 2,825.00 2,825.00 -
PARAMOUNT LIFE & GENERAL INPadilla, Rodolfo Motor Car 2,965.06 2,965.06 -
PARAMOUNT LIFE & GENERAL INDilao, Gil M Cathedral Of Praise Motor Car 2,976.41 2,976.41 -
PARAMOUNT LIFE & GENERAL INVenvi Corporation Motor Car 3,269.93 3,269.93 -
PARAMOUNT LIFE & GENERAL INNavarro, Erwin Motor Car 3,341.74 3,341.74 -
PARAMOUNT LIFE & GENERAL INSengson, Michael Motor Car 3,489.06 3,489.06 -
PARAMOUNT LIFE & GENERAL INFlorendo, Ramon Motor Car 3,538.25 3,538.25 -
PARAMOUNT LIFE & GENERAL INAguilar, Apolinar Jr. Motor Car 3,699.73 3,699.73 -
PARAMOUNT LIFE & GENERAL INBernardez, Isidora Motor Car 3,750.00 3,750.00 -
PARAMOUNT LIFE & GENERAL INAlvarez, Melissa Motor Car 4,116.54 4,116.54 -
PARAMOUNT LIFE & GENERAL INRed, Isagani V. Motor Car 4,196.09 4,196.09 -
PARAMOUNT LIFE & GENERAL INCamins, Jo Ivy Motor Car 4,643.89 4,643.89 -
PARAMOUNT LIFE & GENERAL INLinda, Delicano Motor Car 4,728.76 4,728.76 -
PARAMOUNT LIFE & GENERAL INMallorca, Joel M. Motor Car 4,758.62 4,758.62 -
PARAMOUNT LIFE & GENERAL INMondares, Rebecca Motor Car 4,843.65 4,843.65 -
PARAMOUNT LIFE & GENERAL INBanta, Remedios Motor Car 5,000.00 5,000.00 -
PARAMOUNT LIFE & GENERAL INCarrion, Maria Rosa Motor Car 5,042.69 5,042.69 -
PARAMOUNT LIFE & GENERAL INRamos, Francisco Motor Car 5,207.85 5,207.85 -
PARAMOUNT LIFE & GENERAL INDizon, Ruby Anne Motor Car 5,464.03 5,464.03 -
PARAMOUNT LIFE & GENERAL INManansala, Emmanuel Motor Car 6,091.61 6,091.61 -
PARAMOUNT LIFE & GENERAL INSta.Ana, Teresita Motor Car 6,695.67 6,695.67 -
PARAMOUNT LIFE & GENERAL INSabijon, Jun H. Motor Car 6,713.07 6,713.07 -
PARAMOUNT LIFE & GENERAL INTan, Nelson Motor Car 7,429.77 7,429.77 -
PARAMOUNT LIFE & GENERAL INBallada, Angelito Motor Car 7,541.40 7,541.40 -
PARAMOUNT LIFE & GENERAL INMahmoud, Jamai Hassan Motor Car 8,735.79 8,735.79 -
PARAMOUNT LIFE & GENERAL INCelestial Media Services Motor Car 8,986.13 8,986.13 -
PARAMOUNT LIFE & GENERAL INLe Jumont Pharmaceutical Motor Car 10,326.29 10,326.29 -
PARAMOUNT LIFE & GENERAL INYutoc, Florinda Molina Motor Car 10,933.46 10,933.46 -
PARAMOUNT LIFE & GENERAL INCalumba, Lorna Motor Car 11,077.01 11,077.01 -
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PARAMOUNT LIFE & GENERAL INNofiel, Michael Motor Car 11,976.15 11,976.15 -
PARAMOUNT LIFE & GENERAL INFujino, Irene Motor Car 12,000.00 12,000.00 -
PARAMOUNT LIFE & GENERAL INGo, Eugene Motor Car 13,292.30 13,292.30 -
PARAMOUNT LIFE & GENERAL INEureka Drive Inc Motor Car 14,112.13 14,112.13 -
PARAMOUNT LIFE & GENERAL INDeon, James Motor Car 22,600.48 22,600.48 -
PARAMOUNT LIFE & GENERAL INTorres, Felcaster Motor Car 37,500.00 37,500.00 -
PARAMOUNT LIFE & GENERAL INIndividual Buyers Of Mazda Motor Car 42,227.36 42,227.36 -
PARAMOUNT LIFE & GENERAL INRivera, Elvira Motor Car 46,041.02 46,041.02 -
PARAMOUNT LIFE & GENERAL INJapan-Pnb Leased & Finance Corp. Motor Car 74,490.17 74,490.17 -
PARAMOUNT LIFE & GENERAL INCacho, Jose Motor Car 75,000.00 75,000.00 -
PARAMOUNT LIFE & GENERAL INUy, Gloria Motor Car 92,000.00 92,000.00 -
PARAMOUNT LIFE & GENERAL INCnp Worldwide Inc Motor Car 125,288.78 125,288.78 -
PARAMOUNT LIFE & GENERAL INCity Government Of Cabanatuan Casualty (w/o OFW) 345.19 307.58 37.61 -
PARAMOUNT LIFE & GENERAL INCENTRALLE MEDICAL DIAGNOSIS Casualty (w/o OFW) 593.50 296.75 296.75 -
PARAMOUNT LIFE & GENERAL INKELYALE CORPORATION Casualty (w/o OFW) 5,630.16 2,815.08 2,815.08 -
PARAMOUNT LIFE & GENERAL INAUTOMATE TRICKS &/OR AMT INTEG Casualty (w/o OFW) 2,648.00 2,648.00 -
PARAMOUNT LIFE & GENERAL INPRESTIGE CARS MAKATI,INC Casualty (w/o OFW) 925.20 925.20 -
PARAMOUNT LIFE & GENERAL INFILIPINAS TRANSPORT Casualty (w/o OFW) 7,027.61 3,513.81 3,513.80 -
PARAMOUNT LIFE & GENERAL INBEACON INTERNATIONAL SCHOOL Casualty (w/o OFW) 333.33 333.33 -
PARAMOUNT LIFE & GENERAL INPRODUCERS SAVINGS BANK CORP-CCasualty (w/o OFW) 52,200.00 52,200.00 -
PARAMOUNT LIFE & GENERAL INPRODUCERS SAVINGS BANK CORP-CCasualty (w/o OFW) 52,200.00 2,340.60 52,200.00 2,340.60
PARAMOUNT LIFE & GENERAL INGEMINI EXCHANGE INT'L INC. Casualty (w/o OFW) 1,239.54 1,239.54 -
PARAMOUNT LIFE & GENERAL INMILLENIUM CARS, INC. Casualty (w/o OFW) 10,451.98 10,451.98 -
PARAMOUNT LIFE & GENERAL INTOYOTA BALINTAWAK INC. Casualty (w/o OFW) 482.55 482.55 -
PARAMOUNT LIFE & GENERAL INTOYOTA BALINTAWAK INC. Casualty (w/o OFW) 784.69 392.35 392.34 -
Microinsurance - -
Business A - -
PEOPLES TRANS-EAST ASIA IN Ngo By Beng Antonio Motor Car 460.07 460.07 -
PEOPLES TRANS-EAST ASIA IN Armor Loans & Credit Corp Motor Car 571.03 571.03 -
PEOPLES TRANS-EAST ASIA IN Berdat Daniel Motor Car 789.37 789.37 -
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PEOPLES TRANS-EAST ASIA IN Del Rosario Enrico Motor Car 1,274.28 1,274.28 -
PHIL GENERAL INSURANCE PORO POINTS INDUSTRIAL Fire 786.30 157.26 629.04 -
PHIL GENERAL INSURANCE Ris Development Corp. Motor Car 4,000.00 4,000.00 -
Microinsurance - -
Business A - -
PHILIPPINE FIRE AND MARINE I Sta Monica Freight Services Inc Motor Car 3.00 3.00 -
PHILIPPINE FIRE AND MARINE I United Paramount Credit Corp Motor Car 2,392.86 2,392.86 -
PHILIPPINE FIRE AND MARINE I SAFEGUARD ARMOR SECURITY CORPMotor Car 2,838.77 2,838.77 -
PHILIPPINE FIRE AND MARINE I Premium Feeds Mfg., Corp Motor Car 3,444.90 3,444.90 -
Microinsurance - -
Business A - -
PHILIPPINE FIRST INS CO INC ASIA TEXTILE MILLS Fire 3,703.75 3,703.75 -
PHILIPPINE FIRST INS CO INC PHILFOAM FURNISHING INDUSTRIES Fire 555.56 59.06 555.56 59.06
PHILIPPINE FIRST INS CO INC KENTUCKY MFG. CORP. Fire 942.56 263.92 678.64 -
PHILIPPINE FIRST INS CO INC TOPBOSS PLASTIC INC. Fire 2,952.01 590.40 2,361.61 -
PHILIPPINE FIRST INS CO INC Philfoam Furnishing Industries, Inc. Fire 292,346.47 5,118.84 292,346.47 5,118.84
PHILIPPINE FIRST INS CO INC JPSA TRADING Marine 398.10 265.40 - 132.70
PHILIPPINE FIRST INS CO INC Fook, Tony Motor Car 548.82 37.50 548.82 37.50
PHILIPPINE FIRST INS CO INC Cavite Ideal Int'L/Alicia Faminial Motor Car 1,115.00 1,115.00 -
PHILIPPINE FIRST INS CO INC ARMANI CHONG Motor Car 21,860.64 21,860.64 -
Microinsurance - -
Business A - -
PHILIPPINE BRITISH ASSURANCER.Almeda Construction Eqpt. Motor Car 91,300.00 91,300.00 -

PHILIPPINE BRITISH ASSURANCECarlos Hilado State Casualty (w/o OFW) 1,310.91 1,310.91 -
Microinsurance - -
Business A - -
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PLARIDEL Bernadette Bernabe Motor Car 996.80 996.80 -

PLARIDEL Maricel Olivera Motor Car 2,123.13 2,123.13 -
PLARIDEL Bernadette Bernabe Motor Car 2,914.19 2,914.19 -
PLARIDEL Creative Affairs Team, Inc Motor Car 3,200.00 3,200.00 -
PLARIDEL PALMER ASIA, INC Motor Car 4,325.00 4,325.00 -
PLARIDEL Laura Malaya De Guzman Motor Car 4,649.11 4,649.11 -
PLARIDEL Mdm. Margarita D.P Tinio Motor Car 6,259.43 6,259.43 -
PLARIDEL Bernadette Bernabe Motor Car 42,573.22 42,573.22 -
PLARIDEL Colegio San Agustin Motor Car 285,000.00 285,000.00 -
PLARIDEL Luckwell Construction Casualty (w/o OFW) 315,000.00 8,171.44 157,500.00 4,085.72 157,500.00 4,085.72
Microinsurance -
Business A -
PHILIPPINE PHOENIX FERRER, ROE Fire 17,646.67 17,646.67 -

PHILIPPINE PHOENIX GULF CONTAINERS MANAGEMENT Casualty (w/o OFW) 228.25 7.17 221.08 -
PHILIPPINE PHOENIX GULF CONTAINERS MANAGEMENT Casualty (w/o OFW) 1,037.50 32.58 1,004.92 -
PHILIPPINE PHOENIX AZ CONTRACTING SYSTEM Casualty (w/o OFW) 55,892.59 55,892.59 -
Microinsurance - -
Business A - -
PNB GEN Limketkai Sons, Inc. Fire 439.03 17.00 439.03 17.00
PNB GEN Limketkai Sons, Inc. Fire 68.33 68.33 -
PNB GEN Limketkai Sons, Inc. Fire 638.50 9.63 638.50 9.63
PNB GEN Limketkai Sons, Inc. Fire 115.78 115.78 -
PNB GEN One McKinley Place, Inc. Fire 16.72 16.72 -
PNB GEN Limketkai Sons, Inc. Fire 1,563.58 65.05 1,563.58 65.05
PNB GEN One McKinley Place, Inc. Fire 7.94 7.94 -
PNB GEN ASIAN MARINE TRANSPORT CORP. Marine 11,488.62 1,036.31 11,488.62 1,036.31
PNB GEN Converge Info.&Comm.Tech. Motor Car 364.21 364.21 -
PNB GEN Gnp Trading Corp. Motor Car 383.03 383.03 -
PNB GEN Galeo Equipment & Mining Co., Inc. Motor Car 674.55 674.55 -
PNB GEN Janice Sy Motor Car 3,870.94 3,870.94 -
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PNB GEN Kcc Property Holdings Inc. Motor Car 4,120.00 4,120.00 -
PNB GEN Kcc Property Holdings, Inc. Et.Al. Motor Car 7,105.06 7,105.06 -
PNB GEN Converge Info.&Comm.Tech. Motor Car 13,535.32 13,535.32 -
PNB GEN Scandinavian Motors Corp. Motor Car 29,052.58 29,052.58 -
Microinsurance - -
Business A - -
POLARIS REINSURANCE BROKERS

BAYVIEW MKTG. Fire 2,222.47 2,222.47 -
Triple star packaging Corp. Fire 896,368.59 896,368.59 -
PIONEER INS/BACNOTAN INDUSTRIALFire 4,089.92 817.98 3,271.94 -
TRANSNATIONAL DIVERSIFIED GROU Marine 13.75 - 13.75
Wl Food Products Motor Car 360.00 360.00 -
Dn Steel Marketing Motor Car 487.83 487.83 -
Wl Foods Products Corp. Motor Car 865.25 865.25 -
Wl Food Corp. Motor Car 875.00 875.00 -
Kilusang Bukang Liwayway Shuttle Service
Motor Car 936.26 936.26 -
Wl Food Products Corp. Motor Car 1,065.50 1,065.50 -
GLOBAL FRESH PRODUCTS, INC. Motor Car 1,845.16 1,845.16 -
Roberto Lozada Motor Car 1,867.81 1,867.81 -
Orix Metro Leasing & Finance Inc. Motor Car 2,557.50 2,557.50 -
Kilusang Bukang Liwayway Shuttle Service
Motor Car 3,600.00 3,600.00 -
Dizon Farms Produce Inc Motor Car 4,492.59 4,492.59 -
Jaime Tan Motor Car 5,268.09 5,268.09 -
AUTOCIRCULO Motor Car 5,951.63 5,951.63 -
Cma Agri Development Motor Car 8,561.11 8,561.11 -
Theo Angelo Garcia Motor Car 8,561.11 8,561.11 -
Dizon Farms Produce Inc Motor Car 19,138.73 19,138.73 -
Advance Global Transport System, Inc Motor Car 1,005.79 1,005.79 -
Advance Global Transport System, Inc Motor Car 3,605.77 3,605.77 -
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Alcel Const. Mark Jay Casualty (w/o OFW) 53,533.71 53,533.71 -
AAC LIGHTWEIGHT BLOCK CORP Casualty (w/o OFW) 12,700.51 12,700.51 -
First Balfour, Inc. Casualty (w/o OFW) 41.39 41.39 -
Milestone Guaranty & Assurance Corp. Casualty (w/o OFW) 10.53 10.53 -
New Pacific Resources Mgt., Inc.&/Or GeCasualty (w/o OFW) 5,210.20 5,210.20 -
New Pacific Resources Mgt., Inc.&/Or GeCasualty (w/o OFW) 8,825.52 8,825.52 -
SM DEVELOPMENT CORP. &/OR MEZ Casualty (w/o OFW) 5,000.00 5,000.00 -
SM DEVELOPMENT CORP. &/OR MEZ Casualty (w/o OFW) 5,000.00 5,000.00 -
SM DEVELOPMENT CORP. &/OR MEZZCasualty (w/o OFW) 28,230.11 28,230.11 -
FIRST BALFOUR INC. Casualty (w/o OFW) 819.93 819.93 -
FIRST BALFOUR, INC. Casualty (w/o OFW) 6.80 6.80 -
FIRST BALFOUR INC. Casualty (w/o OFW) 9.03 - 9.03
FIRST BALFOUR, INC. Casualty (w/o OFW) 95.53 95.53 -
Microinsurance - -
Business A - -
QUANTUM ISLAND CITY MALL &/OR ALTURAS Fire 258,783.00 4,182.50 258,783.00 4,182.50
QUANTUM NATION REALTY INC Fire 457.17 457.17 -
QUANTUM RUSTAN COMMERCIAL CORP. Fire 0.51 0.51 -
QUANTUM RUSTAN COMMERCIAL CORP. Fire 41.30 1.01 41.30 1.01
QUANTUM Raul A. Valera Motor Car 392.85 392.85 -
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QUANTUM Jce Trucking & Trading Motor Car 29,960.93 29,960.93 -
QUANTUM Mac Builders Casualty (w/o OFW) 285,000.00 285,000.00 -
Microinsurance - -
Business A - -
RELIANCE SURETY &INSURANCESPIRIT ELECTRONICS Fire 12,000.00 12,000.00 -

RELIANCE SURETY &INSURANCETEC INDUSTRIES INC. Fire 3,419.79 2,729.05 690.74 -
RELIANCE SURETY &INSURANCEBpi Leasing/Procter Gamble Motor Car 600.00 600.00 -
RELIANCE SURETY &INSURANCEChang Ahbee Motor Car 867.75 867.75 -
RELIANCE SURETY &INSURANCEYap, Jrjeque Eng Chu Motor Car 1,129.23 1,129.23 -
RELIANCE SURETY &INSURANCECECILIA TOOK FARM, INC Motor Car 3,656.80 3,656.80 -
RELIANCE SURETY &INSURANCEHubertus Clausius Ins Broker Motor Car 168.69 168.69 -
RELIANCE SURETY &INSURANCEGo, Ching Motor Car 521.45 521.45 -
RELIANCE SURETY &INSURANCELopez Henry Motor Car 915.50 915.50 -
RELIANCE SURETY &INSURANCECrisostomo Lorelei Motor Car 1,181.82 1,181.82 -
RELIANCE SURETY &INSURANCEUy Jose Motor Car 1,476.55 1,476.55 -
RELIANCE SURETY &INSURANCEWong Chu Pai Motor Car 1,900.00 1,900.00 -
RELIANCE SURETY &INSURANCESytengco Enterprises Casualty (w/o OFW) 216.02 177.14 38.88 -
Microinsurance - -
Business A - -
ST. EXCHANGE Asian Terminal,Inc. Motor Car 726.90 726.90 -

ST. EXCHANGE Victor Siasat Motor Car 1,337.50 1,337.50 -
ST. EXCHANGE Ernesto Sarao Jr. Motor Car 2,119.40 2,119.40 -
ST. EXCHANGE Victor Siasat Motor Car 3,817.80 3,817.80 -
ST. EXCHANGE Ernesto Sarao Jr. Motor Car 5,000.00 5,000.00 -
ST. EXCHANGE Jose Azucena Jr. Motor Car 5,000.00 5,000.00 -
ST. EXCHANGE P.I. Sebastian Const. Casualty (w/o OFW) 9,901.40 530.71 9,901.40 530.71
ST. EXCHANGE TRADER'S HOTEL MANILA Casualty (w/o OFW) 967.28 483.64 483.64 -
Microinsurance -
Business A -
STRONGHOLD NRCP/GSIS/LUZON HYDRO Fire 576,006.04 518,406.04 57,600.00 -
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STRONGHOLD BESTA SHIPPING LINES,INC.M/V BALEMarine 28,244.76 28,244.76 -
STRONGHOLD China Geo Eng'G (Phil) Corp Casualty (w/o OFW) 2,542.41 2,542.41 -
STRONGHOLD Dongsung Construction Casualty (w/o OFW) 20,000.00 20,000.00 -
STRONGHOLD Hanjin Heavy Industries & Construction Co., LCasualty (w/o OFW) 636.31 636.31 636.31 636.31
STRONGHOLD J.H. Pajara Const., Corp. Casualty (w/o OFW) 171,998.22 171,998.22 -
STRONGHOLD R.D. Interior Junior Const. Casualty (w/o OFW) 41,623.32 - 41,623.32
STRONGHOLD EAB/GSIS LBP-BONTOC BRANCH Casualty (w/o OFW) 850,000.00 850,000.00 -
STRONGHOLD EAB/GSIS/LBP-STA ROSA Casualty (w/o OFW) 1,992.63 1,992.63 -
STRONGHOLD EAB/GSIS/LBP-CABARROGUIS Casualty (w/o OFW) 1,133.33 1,133.33 -
STRONGHOLD EAB/GSIS/LBP-PASIG CAPITOL Casualty (w/o OFW) 418.94 418.94 -
STRONGHOLD EAB/GSIS/LBP/ILOILO BRANCH Casualty (w/o OFW) 195,000.00 195,000.00 -
STRONGHOLD EAB/GSIS/LAND BANK OF PHIL WESTECasualty (w/o OFW) 85,000.00 85,000.00 -
Microinsurance - -
Business A - -
THE PREMIER INSURANCE PNOC/ENERGY DEVT. CORP Casualty (w/o OFW) 760.05 570.04 190.01 -
THE PREMIER INSURANCE VERON PETRON/VERONICA RIVERA Casualty (w/o OFW) 271.00 271.00 -
THE PREMIER INSURANCE RB BENITO GASOLINE SERVICE/RENACasualty (w/o OFW) 339.00 339.00 -
Microinsurance - -
Business A - -
THE SOLID GAURANTY Pagdanganan, Isauro Casualty (w/o OFW) 1,638.30 1,638.30 -
Microinsurance - -
Business A - -
UTILITY ASSURANCE CORP. MISAMIS ORIENTAL 11 ELECTRIC CO Fire 3,323.20 3,323.20 -

UTILITY ASSURANCE CORP. Polytrade Movers, Inc. Marine 1,326.21 162.83 1,326.21 162.83
UTILITY ASSURANCE CORP. POLYTRADE MOVERS INC. Marine 2,652.42 1,326.21 1,326.21 -
UTILITY ASSURANCE CORP. Joevel Usita Motor Car 446.54 446.54 -
UTILITY ASSURANCE CORP. Alex Cujator Motor Car 659.25 659.25 -
UTILITY ASSURANCE CORP. Varidel Corp. Motor Car 675.00 675.00 -
UTILITY ASSURANCE CORP. Dolorito Fiedalan Motor Car 750.00 750.00 -
UTILITY ASSURANCE CORP. Wilfredo M. Guevarra Motor Car 840.00 840.00 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
UTILITY ASSURANCE CORP. Noel San Juan &/Or Romeo Cruz Motor Car 1,000.00 1,000.00 -
UTILITY ASSURANCE CORP. Adela Corazon & Elena A. Navarro Motor Car 1,010.70 1,010.70 -
UTILITY ASSURANCE CORP. Remegio Baldonado Motor Car 1,030.60 1,030.60 -
UTILITY ASSURANCE CORP. Jerry C. Dy Motor Car 1,096.75 1,096.75 -
UTILITY ASSURANCE CORP. Mega Movers Unlimited Network, Inc. Motor Car 1,350.00 1,350.00 -
UTILITY ASSURANCE CORP. Hermogenes G. Librea Motor Car 1,500.00 1,500.00 -
UTILITY ASSURANCE CORP. Ramil Deldo Motor Car 1,500.00 1,500.00 -
UTILITY ASSURANCE CORP. Mrjp Industrial Const. & Gen. Services Motor Car 1,600.00 1,600.00 -
UTILITY ASSURANCE CORP. Amado C. Ostrea Motor Car 1,630.00 1,630.00 -
UTILITY ASSURANCE CORP. Virgilio T. Agropes Motor Car 1,700.00 1,700.00 -
UTILITY ASSURANCE CORP. Imelda Naya Tsai Motor Car 1,746.00 2,408.64 1,746.00 2,408.64
UTILITY ASSURANCE CORP. Advertising Associates, Inc. Motor Car 1,791.80 1,791.80 -
UTILITY ASSURANCE CORP. Varidel Corp. Motor Car 1,800.00 1,800.00 -
UTILITY ASSURANCE CORP. Brigida Porquillo Motor Car 1,882.00 1,882.00 -
UTILITY ASSURANCE CORP. Polytrade Movers, Inc. Motor Car 1,967.90 1,967.90 -
UTILITY ASSURANCE CORP. Myra Oy-Get Motor Car 2,000.00 2,000.00 -
UTILITY ASSURANCE CORP. Roberto Sena Motor Car 2,000.00 2,000.00 -
UTILITY ASSURANCE CORP. Nemelia Mendoza Motor Car 2,400.00 2,400.00 -
UTILITY ASSURANCE CORP. Edna Monto Motor Car 2,969.20 2,969.20 -
UTILITY ASSURANCE CORP. Roberto Sena Motor Car 3,041.57 3,041.57 -
UTILITY ASSURANCE CORP. Jovito Gahaton Motor Car 3,071.00 3,071.00 -
UTILITY ASSURANCE CORP. Ddt Konstruct Inc. Motor Car 3,400.00 3,400.00 -
UTILITY ASSURANCE CORP. Wilmer Chua Motor Car 3,400.00 3,400.00 -
UTILITY ASSURANCE CORP. Dragonhart Const. Ent., Inc. Motor Car 3,600.00 3,600.00 -
UTILITY ASSURANCE CORP. Altis Int'L. Trading &/Or Louie Estrellanes Motor Car 3,800.00 3,800.00 -
UTILITY ASSURANCE CORP. Myra Og-Get Motor Car 4,000.00 4,000.00 -
UTILITY ASSURANCE CORP. R & B Ice Plant Motor Car 4,050.00 4,050.00 -
UTILITY ASSURANCE CORP. Ernesto Gallaza Motor Car 4,500.00 4,500.00 -
UTILITY ASSURANCE CORP. Ma. Lourdes Paulino Motor Car 4,600.00 4,600.00 -
UTILITY ASSURANCE CORP. Nemelia Mendioza Motor Car 4,720.57 4,720.57 -
UTILITY ASSURANCE CORP. Reynaldo S. Bernaldez Motor Car 4,880.96 4,880.96 -
UTILITY ASSURANCE CORP. Kroggen Inc. Motor Car 5,380.80 5,380.80 -
UTILITY ASSURANCE CORP. Altis Trading &/Or Louie Estrellanes Motor Car 6,000.00 6,000.00 -
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
UTILITY ASSURANCE CORP. Arlene F. Sy Motor Car 6,400.00 6,400.00 -
UTILITY ASSURANCE CORP. Raul Villareal Motor Car 7,000.00 7,000.00 -
UTILITY ASSURANCE CORP. Rodmac Ent. Motor Car 7,500.00 7,500.00 -
UTILITY ASSURANCE CORP. R & B Ice Plant, Inc. Motor Car 8,163.03 8,163.03 -
UTILITY ASSURANCE CORP. Steven T. Pua Motor Car 8,726.80 8,726.80 -
UTILITY ASSURANCE CORP. Romeo N. Villeza Motor Car 9,390.00 9,390.00 -
UTILITY ASSURANCE CORP. Kroggen Inc. Motor Car 9,600.00 9,600.00 -
UTILITY ASSURANCE CORP. Primicias Grocery Motor Car 10,000.00 10,000.00 -
UTILITY ASSURANCE CORP. Venancio San Pascual Motor Car 10,000.00 10,000.00 -
UTILITY ASSURANCE CORP. Ncm Marketing Motor Car 10,500.00 10,500.00 -
UTILITY ASSURANCE CORP. Jason L. Pineda Motor Car 11,213.44 11,213.44 -
UTILITY ASSURANCE CORP. Reynaldo Bernaldez Motor Car 12,000.00 12,000.00 -
UTILITY ASSURANCE CORP. Perlito Labuguen Motor Car 12,410.00 12,410.00 -
UTILITY ASSURANCE CORP. John Lee Motor Car 12,640.00 12,640.00 -
UTILITY ASSURANCE CORP. Lorenzo Narciso &/Or A. Gonzales Motor Car 17,000.00 17,000.00 -
UTILITY ASSURANCE CORP. Romulo Claudio Motor Car 18,600.00 18,600.00 -
UTILITY ASSURANCE CORP. Polytrade Sales & Services, Inc. Motor Car 20,000.00 20,000.00 -
UTILITY ASSURANCE CORP. True Transport Co., Inc. Motor Car 24,200.00 24,200.00 -
UTILITY ASSURANCE CORP. Atty. Pablo Z. Tolentino Motor Car 27,390.25 2,070.80 27,390.25 2,070.80
UTILITY ASSURANCE CORP. Josephine Ching Motor Car 40,000.00 2,000.00 40,000.00 2,000.00
UTILITY ASSURANCE CORP. Mayor Caesar Dy Motor Car 47,500.00 47,500.00 -
UTILITY ASSURANCE CORP. Buenaventura E. Gonzales Motor Car 76,160.00 76,160.00 -
UTILITY ASSURANCE CORP. Cunanan, Elsa Motor Car 1,045.40 1,045.40 -
UTILITY ASSURANCE CORP. O.R. Sarmiento Construction/Oscar SarmCasualty (w/o OFW) 55,898.50 55,898.50 -
UTILITY ASSURANCE CORP. Toledo Construction Corp. Casualty (w/o OFW) 131.98 131.98 - -
Microinsurance - -
Business A - -
UCPB GEN INS. PINZON, RENE Marine 720.00 720.00 -

UCPB GEN INS. LOYOLA PLANS, INC. Marine 473.00 473.00 -
UCPB GEN INS. ENTILA, HERMINIO Marine 1,440.00 1,440.00 -
UCPB GEN INS. Zuellig Insurance, Brokers Motor Car 1,156.11 - 1,156.11
UCPB GEN INS. Richmonde Hotel &/Ormegaworld Motor Car 2,462.58 - 2,462.58
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
UCPB GEN INS. Richmonde Hotel &/Or Megaworld Motor Car 262.66 262.66 -
UCPB GEN INS. Bpi Leasing Corp. Motor Car 3,184.38 3,184.38 -
UCPB GEN INS. Danilo Fernando Motor Car 4,447.36 4,447.36 -
UCPB GEN INS. National Petroleum Corp. Motor Car 5,324.90 5,324.90 -
UCPB GEN INS. SIRON, MA. LOURDES Motor Car 7,902.52 7,902.52 -
UCPB GEN INS. Orallo, Eduardo Jr. Motor Car 11,694.11 11,694.11 -
UCPB GEN INS. Diversion Industries, Inc. Motor Car 27,238.12 27,238.12 -
UCPB GEN INS. XJOLLYX, INC. Motor Car 35,000.00 35,000.00 -
UCPB GEN INS. Toledo Construction Corp. Casualty (w/o OFW) 34.76 28.44 6.32 -
UCPB GEN INS. Toledo Construction Corp. Casualty (w/o OFW) 34.76 28.44 6.32 -
UCPB GEN INS. United Coconut Casualty (w/o OFW) 169.89 85.36 84.53 -
Microinsurance - -
Business A - -
WESTERN GUARANTY CENTURY SEAFOOD Fire 7,602.27 4,561.37 3,040.90 -

WESTERN GUARANTY CORP J & M International Mgt Motor Car 2,073.79 2,073.79 -
WESTERN GUARANTY CORP Benito S. Tan & Anderson C. Tan Casualty (w/o OFW) 607.58 607.58 -
WESTERN GUARANTY CORP Sm Prime Holdings Inc. Casualty (w/o OFW) 547.94 547.94 -
WESTERN GUARANTY CORP Uy, Rosendo/Don Builders Inc Casualty (w/o OFW) 4,000.00 3,444.44 555.56 -
WESTERN GUARANTY CORP Uy, Rosendo/Don Builders Inc Casualty (w/o OFW) 1,000.00 861.11 138.89 -
Microinsurance - -
Business A - -
Sub-total 11,603,155.53 138,339.89 1,427,098.80 4,351.12 10,176,056.73 133,988.77
B. Foreign
a. Fire
Marine
Motor Car
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Casualty (w/o OFW)
Microinsurance
Business A
b. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
a. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
b. Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
a.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
a.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
b.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
b.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
a.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
a.2 Fire
Marine
Page 65


(1) (2) (3) (4) (5) (6) (7) (8) (9)
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
a.1 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
a.2 Fire
Marine
Motor Car
Casualty (w/o OFW)
Microinsurance
Business A
Sub-total
TOTAL 11,603,155.53 138,339.89 1,427,098.80 4,351.12 10,176,056.73 133,988.77
Page 65
SCHEDULE 35 - COMMISSIONS PAYABLE
LINE OF BUSINESS RATE AMOUNT

(1) (2) (3)
1. FIRE
a. Residential
b. Warehouse
c. Industrial
d. General
2. EARTHQUAKE/FIRE/SHOCK
3. TYPHOON
4. FLOOD
5. EXTENDED COVERAGE
6. MARINE CARGO 15% 3,300.00
7. MARINE HULL
8. AVIATION
9. BONDS 15% 1,318,207.00
a. Class 1 12,036.74
b. Class 2
c. Class 3 702,026.30
d. Class 4 279,356.32
e. Class 5 324,787.64
10. COMPULSORY MOTOR
COMPULSARY MOTOR VEHICLE LIABILITY (CMVL)

LAND TRANSPORTATION
OPERATOR (CMVL - LTO)
a. AC/PUJ/UV
b. Buses/Tourist Buses
c. Taxis/Tourist Cars
d. Tricycles
11. CMVL - NON-LTO
a. Private Cars
b. Commercial Vehicles
c. Motorcycle
12. OTHER THAN CMVL-LTO
13. OTHER THAN CMVL-NON-LTO 31,607.76
a. Third Party Bodily Injury 15% 3,384.97

b. Property Damage 15% 832.74
c. Loss and Damage 15% 27,390.04
d. Auto Personal Accident
e. NPEC
14. HEALTH AND ACCIDENT
15. ENGINEERING 15% 326,151.04
16. MICROINSURANCE
17. OTHERS
a. Comprehensive General Liability

b. Sports Liability
c. Property Floater
d. Errors & Omission
e. MSPR
f. Fidelity Guarantee
g. Homeowners
h. Golfers Comprehensive Liability
i. Hole In One
j. Commercial All Risk (CAR)
k. Industrial All Risk (IAR)
l. Bank Bankers Blanket
m. Terrorism & Sabotage
TOTAL COMMISSIONS PAYABLE 1,679,265.79
Page 66
SCHEDULE 36 - RETURN PREMIUMS PAYABLE
Total Premiums Return Premiums

Name of Assured Line of Business Policy No. Inception Date Remarks
(Pesos) (Pesos)
(1) (2) (3) (4) (5) (6) (7)
1.
2.
3.
4.
5. NONE
6.
7.
8.
9.
10.
TOTAL RETURN PREMIUMS PAYABLE - -
Page 67
SCHEDULE 37 - TAXES PAYABLE
PREMIUM DOC STAMPS OUTPUT FIRE SERVICE OTHER

PARTICULARS TOTAL REMARKS
TAX TAX VAT TAX TAXES
Beginning balances per Company 8,005,685.22 43,135.92 3,736,978.61 - (17,149.11) 4,242,719.80
NLL set-up in Prior Years
Balanced per approved Synopsis 8,005,685.22 43,135.92 3,736,978.61 - (17,149.11) 4,242,719.80
Add: Incurred during the Year

TAX BASE RATE
PT 11,679.00 2.00% 233.58
DST (other than H&A and Indemn 14,847,230.64 12.50% 1,855,903.83
DST - HEALTH & ACCIDENT 11,679.00 *various rates based on sum insured 1,459.88
DST - INDEMNITY BOND 20,361,463.88 7.50% 1,527,109.79
VAT 35,208,694.52 12.00% 4,225,043.34
RI COMMISSION 206,781.02 12.00% 24,813.72
FST 50,237.50 2.00% 1,004.75 OTHER TAXES:
Total Taxes Incurred - Current Year 233.58 3,384,473.50 4,249,857.06 1,004.75 113,303.22 Income Taxes
302,913.16 LGT
TOTAL TAXES DUE FOR THE YEAR 43,369.50 7,121,452.11 4,249,857.06 (16,144.36) W/Tax
9,224.07 Exp W/Tax
Less: Payments During the Year Others
Input Vat 425,440.45
BIR Tax Assessment/Settlements - Taxable Year Covered
Example: 2012
2011
TOTAL PAYMENTS MADE DURING THE YEAR 388.00 2,015,832.10 2,244,188.60 5,994.25
TAXES PAYABLE FOR THE YEAR 7,557,571.81 42,981.50 5,105,620.01 2,005,668.46 (22,138.61) 425,440.45
Page 68
SCHEDULE 38 - ACCOUNTS PAYABLE
Balance Amount Unpaid

Nature/ Description
Previous Year Current Year
of Account
(Pesos) (Pesos)
1. SSS Premiums Payable 18,560.00

2. SSS Loans Payable - 8,490.70
3. Pag-ibig Premiums Payable - 4,900.00
4. Pag-ibig Loans Payable - 2,549.28
5. Rent Payable -
6. Other Accounts Payable 9,291,691.95 56,490,621.24
*Itemize the Other Accounts payable
TOTAL ACCOUNTS PAYABLE 9,291,691.95 56,525,121.22
Note:
Disclose the amounts allocated for Microinsurance, if any. NONE
Page 69
SCHEDULE 39 - DIVIDENDS PAYABLE

Name of Stockholder Type of Dividend Date of Declaration Date of IC Approval Previous Year Current Year
(Pesos) (Pesos)
1.
2.
3.
4.
5.
6. NONE
7.
8.
9.
10.
TOTAL DIVIDENDS PAYABLE
Page 70
SCHEDULE 40 - NOTES PAYABLE

Nature/ Description
Name of Creditor Previous Year Current Year
of Account
(Pesos) (Pesos)
*Itemize the accounts

1.
2.
3.
4.
5.
6. NONE
7.
8.
9.
10.
TOTAL NOTES PAYABLE
Note:
Disclose the amounts allocated for Microinsurance, if any - NONE
Page 71
SCHEDULE 41 - PROVISIONS

Nature and Description
Name of Obligee Previous Year Current Year
of the Provision
(Pesos) (Pesos)
1.
2.
3.
4.
5. NONE
6.
7.
8.
9.
10.
TOTAL PROVISIONS
Page 72
SCHEDULE 42 - ACCRUED EXPENSES
BALANCE Amount Unpaid

Name of Creditor Nature/Description of Account Previous Year Current Year
(Pesos) (Pesos)
A Accrued Utilities
1. Globe Telecom Telephone Bill 2,672.00 -
2. Meralco Electric Bill 9,974.30 13,338.19
3. Philippine Long Distance Telecom Telephone Bill 15,005.50 21,414.57
4. P. Larrazabal and Sons Ent. Inc. Rental Expense - 14,670.00
5. Smart Communications Inc Telephone Bill 2,994.64
6. Xiaobo Pan Rental Expense 10,000.00
Sub-total 27,651.80 62,417.40
B Accrued Services
1. Aeroplus Multi-Services, Inc. Messengerial Fees 14,709.67 -
2. April Cedie B. Magallanes Various Expense - 24,370.27
3. Nilo P. Misagal & Atty. Arnulfo Pelagio Meal Allowance 21,577.63 -
4. Felicidad T. Garcia Various Expenses - Head Office 7,059.50 32,319.05
5. Philippine Columbian Association Association Dues & Fees 859.45 -
6. Philstar Daily, Inc. Synopsis Publication 7,480.00 -
7. Home Development Mutual Fund Pag Ibig Contribution - December 2019 2,700.00
8. JPWall Consulting (Philippines) Inc. Valuation 3rd Qtr. 2019 40,000.00
9. Philippine Health Insurance Corporation Philhealth Contribution - December 2019 7,673.12
10. Ruben Talaboc Branch Expense 14,657.09
11. Social Security System SSS Contributions - December 2019 37,810.00
12. Stradcom Corporation Authentication Fees 112,950.00
13. Travellers Insurance & Surety Corp Reimburement of Health Card 12,074.00
14.
Sub-total 51,686.25 284,553.53
C Accrual for Unused Compensated Absences

1.
2.
3.
Sub-total - -
TOTAL ACCRUED EXPENSES 79,338.05 346,970.93
Page 73
SCHEDULE 43 - OTHER LIABILITIES

Nature and Description
Name of Creditor Previous Year Current Year
of the Provision
(Pesos) (Pesos)
1.
2.
3.
4.
5.
NONE
6.
7.
8.
9.
10.
TOTAL OTHER LIABILITIES
Page 74
SCHEDULE 44 - NET WORTH ACCOUNTS

Authorized Capital Stock : Number of Shares 13,000,000 , Amount P1,300,000,000.00
Position Capital Paid Dividends

Par Value Number of Percentage of Capital Stock Capital Stock Deposit for Future Contributed Contingency Subscription Dividends Paid
Name of Stockholders Citizenship (Director/ In Excess of Payable
Per Share Shares Ownership Paid-up Subscribed Subscription Surplus Suplus Receivable During the Year
Officer) Par Current Year
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
A Preferred Stocks
1. - - - - - - - - - - - - - - -
2. - - - - - - - - - - - - - - -
3. - - - - - - - - - - - - - - -
4. - - - - - - - - - - - - - - -
5. - - - - - - - - - - - - - - -
Total Preferred Stocks - - - - - - - - - - -
B Common Stock
1 Samuel U. Lee Filipino Chairman 100.00 617,000 4.746155% 61,700,000.00 61,700,000.00 121,235,773.44 - - - - - -
2 Dolores G. Fernandez Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
3 Evangeline de Leon Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
4 Edgardo P. David Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
5 Florinda R. Callo Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
6 Sandra Ang Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
7 Marianito Faral Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
8 Maybelle Lim Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
9 Atty. Florence Carandang Filipino Director 100.00 1,000 0.007692% 100,000.00 100,000.00 - - - - - - -
Travellers Insurance & Surety
10 Filipino 100.00 3,874,995 29.807654% 387,499,500.00 387,499,500.00 210,000,000.0 - - - - - -
Corporation
11 Conpac Warehousing Inc. Filipino 100.00 5,500,000 42.307692% 416,450,000.00 550,000,000.00 - - - - - - -
Toptraders Import Export
12 Filipino 100.00 3,000,000 23.076923% 300,000,000.00 300,000,000.00 10,000,000.00 - - - - - -
Corp.
13 Atty. Arnulfo Pelagio Filipino Directort 100.00 3 0.000024% 300.00 300.00 - - - - - - -
14 Nilo P. Misagal Filipino Director 100.00 2 0.000016% 200.00 200.00 - - - - - - -
15 Ramon M. Carredo Filipino - - - - - - - 24,067,795.37 - - - - -
16 Ramon C. Carredo Jr. Filipino - - - - - - - 500,000.00 - - - - -
17 Russel C. Carredo Filipino - - - - - - - 500,000.00 - - - - -
18 Lou Rommel Raphael Carredo Filipino - - - - - - - 500,000.00 - - - - -
19 Ma. Lora C. Garcia Filipino - - - - - - - 500,000.00 - - - - -
Total Common Stocks 13,000,000 100.000000% 1,166,450,000.00 1,300,000,000.00 341,235,773.44 26,067,795.37 - - - - -
TOTAL NET WORTH ACCOUNTS 13,000,000 100.000000% 1,166,450,000.00 1,300,000,000.00 341,235,773.44 26,067,795.37 - - - - -
Note:
1. Group according to nationality
Page 75
SCHEDULE 45 - COMMISSIONS PAID - DIRECT AGENTS
C. A./License ID Date Date

Name of Agent Amount Paid
No. Issued Expired
1. Arnulfo Concha 3750263-8080625-500013 30-Oct-19 31-Dec-21 94,897.98

2. Marilou C. Lim 1680463-8080625-500013 23-May-19 31-Dec-21 6,216.87
3. Tradeline Insurance Agency Corp 2860705-0080625-500013 25-Mar-19 31-Dec-21 439,823.72
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
TOTAL COMMISSIONS PAID 540,939
Note:
1. Disclose information on microinsurance, if any, NONE
Page 76

Annual Statement of Premier Insurance & Surety Corporation for 2019

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Annual Statement of Premier Insurance & Surety Corporation for 2019

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COMPANY LOGO

For the Year Ended

In Filling-up the Annual Statement

EXHIBIT NO./ EXHIBIT NO./

Property and Equipment - Land, Building & Building

EXHIBIT NO./ EXHIBIT NO./

Property and Equipment - Transportation Equipment/ Office

Incorporated on…………………….……………………October 30, 1964 Telephone no.: (8)523-2257

MEMBERS OF THE BOARD,

TERM OF OFFICE AMOUNT

President MAYBELLE L. LIM Present 1/2/2019 FILIPINO 0.007692% 100,000.00

Auditor: External 2014 2015 2016 2017 2018 2019

Number of Salaried Officers 9 Number of Salaried Employees 22

Number of Branches: (Note 4) Total 1 Domestic/Local Foreign

NOTES & INSTRUCTIONS:

Y - 2018 Y - 2019 Increase/ (Decrease)

ASSETS 514,199,817.77 1,915,627,664.70 1,401,427,846.93

LIABILITIES 156,922,800.72 164,229,924.50 7,307,123.78

EQUITY 357,277,017.05 1,751,397,740.20 1,394,120,723.15

EXHIBIT I. STATEMENT OF INCREASE OF LEDGER ASSETS DURING THE YEAR

A. Increase in Ledger Assets:

1. Increase in Paid-Up Capital Stock during the year 916,450,000.00

3. Deposit Premiums received, if any

4a. Gross Interests/Dividends/Other Income 10,495,822.48

4b. Other Income Earned during the year 1,140,432.51

5. Underwriting income: 36,219,211.37

5.1 Net Premiums Earned, per Recapitulation I

6. Total underwriting Income 47,855,466.36

7. Remittances Received From Home or Branch Office

8. Borrowed Money P____________, less Amount repaid P__________

9. Amount Collected from Receivables previously written off.

10. Other Receipts not included elsewhere:

10.1 Receipts arising from Microinsurance

11. Gross Profit on Sales or Maturity of Investments:

11.1 Financial Assets and Liabilities Held for Trading

12. Gross increase by Adjustment in Book Value of Ledger Assets

12.1 Financial Assets and Liabilities Held for Trading

EXHIBIT I. STATEMENT OF DECREASE OF LEDGER ASSETS DURING THE YEAR

1. Amount carried forward from line 14, page 2.a 1,446,398,363.58

B. Decrease in Ledger Assets:

2. Decrease in Paid-up Capital (Treasury Stock)

3. Decrease in Contributed Surplus

4. Investment Expenses: Incurred

4.1 Taxes on Property & Equipment

5. Underwriting Deductions: As incurred 28,071,516.03

6 Operating, General and Administrative Expenses Incurred 14,055,820.09

6.1 Salaries and Wages 6,185,255.31

6.25 Taxes, Licenses and Fees 1,015,268.34

7. Deposit Premiums Returned

8. Premiums Balances Charged Off

9. Income Taxes Paid During the year (137,284.99)

10. Remittances paid to Home/Branch Office

11. Borrowed Money Paid P______________ less Amount Borrowed P____________

12. Interest Paid on Borrowed Money

13. Dividends paid to Stockholders

14 Gross Loss on Sale/Maturity of Ledger Assets: 2,685,898.32

14.1 Financial Assets and Liabilities Held for Trading

15. Gross Decrease by Adjustment in Book Value of Ledger Assets: 294,567.20

EXHIBIT I. STATEMENT OF DECREASE OF LEDGER ASSETS DURING THE YEAR

15.1 Financial Assets and Liabilities Held for Trading

17. Total Decrease in Ledger Assets 44,970,516.65

EXHIBIT II. STATEMENT OF FINANCIAL POSITION

Amounts for Net Worth

8. Borrowed Money P__, less Amount repaid P

11. Borrowed Money Paid P__ less Amount Borrowed P