<html> <head> <title>Rule 20:06:13:0A Medicare Supplement Refund Calculation Forms.</title> <META NAME="Keywords" Content="Administrative Rules 20:06:13:0A"> <META NAME="Description" Content="Administrative Rules 20:06:13:0A Medicare Supplement Refund Calculation Forms."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <title>DEPARTMENT OF REVENUE AND REGULATION</title> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} @font-face {font-family:"Times Roman"; panose-1:0 0 0 0 0 0 0 0 0 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times","serif";} @page WordSection1 {size:8.5in 11.0in; margin:49.7pt 1.0in 49.7pt 63.35pt;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal 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12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>DEPARTMENT OF LABOR AND REGULATION</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>DIVISION OF INSURANCE</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>MEDICARE SUPPLEMENT REFUND CALCULATION FORMS</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>Chapter 20:06:13</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>APPENDIX A</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>SEE: &#167;</span></font> <font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>20:06:13:21.01</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size: 12.0pt;font-family:"Times New Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><span style='font-weight:bold'>Source:</span></b> 18 SDR 225, effective July 17, 1992; 31 SDR 214, effective July 6, 2005; 39 SDR 10, effective August 1, 2012.</span></font></p> <font size=3 face="Times New Roman"><span style='font-size:12.0pt;font-family: "Times New Roman","serif"'><br clear=all style='page-break-before:always'> </span></font> <p class=MsoNormal align=center style='text-align:center'><b><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"; font-weight:bold'>APPENDIX A</span></font></b></p> <p class=MsoNormal style='text-align:justify'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>MEDICARE SUPPLEMENT REFUND CALCULATION FORM</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>FOR CALENDAR YEAR_________________</span></font></p> <p class=MsoNormal><font size=3 face="Times Roman"><span style='font-size:12.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>TYPE (u) ___________________________ SMSBP (</span></font><font face="Times Roman"><span style='font-family:"Times Roman","serif"'>w</span></font><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>) _________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>For the State of ______________ Company Name ______________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>NAIC Group Code ___________ NAIC Company Code _________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Address ________________________________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Person Completing This Exhibit _____________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Title ____________________________________ Telephone Number_______________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='margin-left:-1.2pt;border-collapse:collapse'> <tr> <td style='border:none;padding:0in 0in 0in 0in' width=2><p class='MsoNormal'>&nbsp;</td> <td width=41 valign=top style='width:30.6pt;padding:0in .05in 0in .05in'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>Line</span></font></p> </td> <td width=390 valign=top style='width:292.5pt;padding:0in .05in 0in .05in'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'><br> <br> <br> </span></font></p> </td> <td width=108 valign=top style='width:81.0pt;padding:0in .05in 0in .05in'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (a)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp; Earned</span></font></p> <p class=MsoNormal><u><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp; Premium (</span></font></u><u><font face="Times Roman"><span style='font-family:"Times Roman","serif"'>x</span></font></u><u><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>)</span></font></u><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br> <br> </span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in .05in 0in .05in'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (b)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp; Incurred</span></font></p> <p class=MsoNormal><u><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp; Claims (</span></font></u><u><font face="Times Roman"><span style='font-family:"Times Roman","serif"'>y</span></font></u><u><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>)</span></font></u></p> </td> </tr> <tr> <td style='border:none;padding:0in 0in 0in 0in' width=2><p class='MsoNormal'>&nbsp;</td> <td width=41 valign=top style='width:30.6pt;padding:0in .05in 0in .05in'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>1.</span></font></p> </td> <td width=390 valign=top style='width:292.5pt;padding:0in .05in 0in .05in'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Current Year's Experience</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=108 valign=top style='width:81.0pt;padding:0in .05in 0in .05in'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'><br> <br> </span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in .05in 0in .05in'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=390 valign=top style='width:292.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>a. Total (all policy years)</span></font></p> </td> <td width=108 valign=top style='width:81.0pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br> <br> </span></font></p> </td> <td width=390 valign=top style='width:292.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>b. Current year's issues (</span></font><font face="Times Roman"><span style='font-family:"Times Roman","serif"'>z</span></font><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>c. Net (for reporting&nbsp; purposes = 1a - 1b)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=108 valign=top style='width:81.0pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'><br> ___________</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>____________</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>2.</span></font></p> </td> <td width=390 valign=top style='width:292.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Past Years' Experience (all policy years) </span></font></p> </td> <td width=108 valign=top style='width:81.0pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>___________</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>____________</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>3.</span></font></p> </td> <td width=390 valign=top style='width:292.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Total Experience</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>(Net Current Year + Past Year's Experience)</span></font></p> </td> <td width=108 valign=top style='width:81.0pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'><br> ___________</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>____________</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>4.</span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Refunds Last Year (Excluding Interest) </span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>5.</span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Previous Since Inception (Excluding Interest)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>6.</span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Refunds Since Inception (Excluding Interest)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>7.</span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Benchmark Ratio Since Inception</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>(SEE WORKSHEET FOR RATIO&nbsp; 1)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>8.<br> <br> <br> <br> </span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Experienced Ratio Since Inception</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Total Actual Incurred Claims (line 3, col. b) = Ratio 2 </span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>----------------------------------------------------</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Total Earned Prem. (line 3, col. a) - Refunds Since Inception (line 6) </span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp; </span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>9.<br> <br> <br> <br> </span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Life Years Exposed Since Inception&nbsp;&nbsp; __________________</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>If the Experienced Ratio is less than the Benchmark Ratio, and there are more than 500 life years exposure, then proceed to calculation of refund.</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp; </span></font></p> </td> </tr> <tr> <td width=42 colspan=2 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>10.</span></font></p> </td> <td width=498 colspan=2 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Tolerance Permitted (obtained from credibility table)&nbsp; __________</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr height=0> <td width=2 style='border:none'></td> <td width=41 style='border:none'></td> <td width=390 style='border:none'></td> <td width=108 style='border:none'></td> <td width=109 style='border:none'></td> </tr> </table> <font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br clear=all style='page-break-before:always'> </span></font> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>MEDICARE SUPPLEMENT REFUND CALCULATION FORM</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>FOR CALENDAR YEAR_________________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>TYPE (u) ___________________________ SMSBP (</span></font><font face="Times Roman"><span style='font-family:"Times Roman","serif"'>w</span></font><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>) _________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>For the State of ______________ Company Name ______________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>NAIC Group Code ___________ NAIC Company Code _________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Address ________________________________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Person Completing This Exhibit _____________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Title ____________________________________ Telephone Number_______________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='border-collapse:collapse'> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>11.</span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Adjustment to Incurred Claims for Credibility</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br> <br> </span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Ratio 3 = Ratio 2 + Tolerance </span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> </table> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>If Ratio 3 is more than Benchmark Ratio (Ratio 1), a refund or credit to premium is not required.</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>If Ratio 3 is less than the Benchmark Ratio, then proceed.</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='border-collapse:collapse'> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>12.</span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Adjusted Incurred Claims =</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br> <br> <br> </span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>[Total Earned Premiums (line 3, col. a) - Refunds Since Inception</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>(line 6)] x Ratio 3 (line 11) </span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp; </span></font></p> </td> </tr> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>13.</span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Refund = Total Earned Premiums (line 3, col. a) -</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br> <br> <br> </span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;Refunds Since Inception (line 6) -</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Adjusted Incurred Claims (line 12)</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>-----------------------------------------</span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp; </span></font></p> </td> </tr> <tr> <td width=42 valign=top style='width:31.8pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=right style='text-align:right'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br> <br> </span></font></p> </td> <td width=498 valign=top style='width:373.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>Benchmark Ratio (Ratio 1) </span></font></p> </td> <td width=102 valign=top style='width:76.5pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size: 11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> </tr> </table> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>If the amount on line 13 is less than .005 times the annualized premium in force as of December 31 of the reporting year, then no refund is made. Otherwise, the amount on line 13 is to be refunded or credited, and a description of the refund and/or credit against premiums to be used must be attached to this form.</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size:11.0pt; font-family:"Times Roman","serif"'>Medicare Supplement Credibility Table</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size:11.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size:11.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Life Years Exposed</span></font></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 style='border-collapse:collapse'> <tr> <td width=281 valign=top style='width:210.6pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><u><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>Since Inception</span></font></u></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> </td> <td width=173 valign=top style='width:129.9pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><u><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>Tolerance</span></font></u><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'> </span></font></p> </td> </tr> <tr> <td width=281 valign=top style='width:210.6pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>10,000 + </span></font></p> </td> <td width=173 valign=top style='width:129.9pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>0.0% </span></font></p> </td> </tr> <tr> <td width=281 valign=top style='width:210.6pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>5,000 - 9,999 </span></font></p> </td> <td width=173 valign=top style='width:129.9pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>5.0% </span></font></p> </td> </tr> <tr> <td width=281 valign=top style='width:210.6pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>2,500 - 4,999 </span></font></p> </td> <td width=173 valign=top style='width:129.9pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>7.5% </span></font></p> </td> </tr> <tr> <td width=281 valign=top style='width:210.6pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>1,000 - 2,499 </span></font></p> </td> <td width=173 valign=top style='width:129.9pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>10.0% </span></font></p> </td> </tr> <tr> <td width=281 valign=top style='width:210.6pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>500 - 999 </span></font></p> </td> <td width=173 valign=top style='width:129.9pt;padding:0in 4.8pt 0in 4.8pt'> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>15.0% </span></font></p> </td> </tr> </table> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size:11.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face="Times Roman"><span style='font-size:11.0pt; font-family:"Times Roman","serif"'>If less than 500, no credibility.</span></font></p> <font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br clear=all style='page-break-before:always'> </span></font> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>MEDICARE SUPPLEMENT REFUND CALCULATION FORM</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>FOR CALENDAR YEAR_________________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>TYPE (u) ___________________________ SMSBP (</span></font><font face="Times Roman"><span style='font-family:"Times Roman","serif"'>w</span></font><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>) _________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>For the State of ______________ Company Name ______________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>NAIC Group Code ___________ NAIC Company Code _________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Address ________________________________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Person Completing This Exhibit _____________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=3 face="Times Roman"><span style='font-size:12.0pt;font-family:"Times Roman","serif"'>Title ____________________________________ Telephone Number_______________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>(u)&nbsp;&nbsp; Individual, Group, Individual Medicare Select, or Group Medicare Select Only.</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>(w)&nbsp;&nbsp; &quot;SMSBP&quot; = Standardized Medicare Supplement Benefit Plan - Use &quot;P&quot; for pre-standardized plans.</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>(x)&nbsp;&nbsp; Includes Modal Loadings and Fees Charged</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>(y)&nbsp;&nbsp; Excludes Active Life Reserves</span></font></p> <p class=MsoNormal style='margin-left:.3in;text-indent:-.3in'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>(z)&nbsp;&nbsp; This is to be used as &quot;Issue Year Earned Premium&quot; for Year 1 of next year's &quot;Worksheet for Calculation of Benchmark Ratios.&quot;</span></font></p> <p class=MsoNormal style='margin-left:.4in;text-indent:-.4in'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>I certify that the above information and calculations are true and accurate to the best of my knowledge and belief.</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ____________________________________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Signature</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ____________________________________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Name - Please Type</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ____________________________________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Title - Please Type</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; ____________________________________</span></font></p> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Date</span></font></p> <font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'><br clear=all style='page-break-before:always'> </span></font> <p class=MsoNormal style='text-align:justify'><font size=2 face="Times Roman"><span style='font-size:11.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>REPORTING FORM FOR THE CALCULATION OF BENCHMARK </span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>RATIO SINCE INCEPTION FOR GROUP POLICIES</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>FOR CALENDAR YEAR____________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>TYPE (q) ____________________ SMSBP (p) _____________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>FOR THE STATE OF __________ Company Name _________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>NAIC Group Code ______________ NAIC Company Code ___________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>Address ____________________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>Person Completing This Exhibit _________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>Title ___________________________ Telephone Number ____________</span></font></p> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size: 9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size: 9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=648 style='margin-left:3.0pt;border-collapse:collapse;border:none'> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(a)</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(b)</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(c) </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(d) </span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(e) </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(f) </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(g) </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(h) </span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(i) </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(j) </span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(o)</span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Earned </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Cumulative </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Cumulative </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Policy Year </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Year </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Premium </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Factor </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(b) x (c) </span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Loss Ratio </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(d) x (e) </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Factor </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(b) x (g) </span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Loss Ratio </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(h) x (i) </span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Loss Ratio </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>1 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>2.770 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.507 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.46 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>2 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.63 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>3 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>1.194 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.759 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.75 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>2.245 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.771 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.77 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>5 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>3.170 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.782 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.80 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>6 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>3.998 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.792 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='margin-right:1.5pt;text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.82 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>7 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.754 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.802 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.84 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>5.445 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.811 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.87 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>9 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>6.075 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.818 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.88 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>10 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>6.650 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.824 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.88 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>11 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>7.176 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.828 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.88 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>12 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>7.655 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.831 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.88 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>13 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8.093 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.834 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.89 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>14 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8.493 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.837 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.89 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp; 15+</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.567 </span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8.684 </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.838 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.89 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:.5in;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal style='text-align:justify'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Total: </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(k): </span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=48 height=17 valign=top style='width:.5in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(l): </span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=60 height=17 valign=top style='width:45.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(m): </span></font></p> </td> <td width=84 height=17 valign=top style='width:63.0pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(n): </span></font></p> </td> <td width=66 height=17 valign=top style='width:49.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> </tr> </table> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>Benchmark Ratio Since Inception:&nbsp; (1 + n) / (k + m):</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (a): Year 1 is the current calendar year - 1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (b): For&nbsp; the calendar year on the appropriate line in column (a),</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Year 2 is the current calendar year - 2 (etc.)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; the premium earned during that year for policies issued in </span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (Example:&nbsp; If the current year is 1991, then:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; that year.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Year 1 is 1990; Year 2 is 1989, etc.).</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Year 15+ is the earned premium for all years prior</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; to as well as the 15<sup>th</sup> year prior to the current year.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (o): These loss ratios are not explicitly used in computing the (p): &quot;SMSBP&quot; = Standardized Medicare Supplement Benefit Plan.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; benchmark loss ratios. They are the loss ratios, on</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; a policy year basis, which result in the cumulative&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (q): Individual Group, Individual Medicare Select, or Group Medicare</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; loss ratios displayed on this worksheet. They are shown&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Select Only.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; here for informational purposes only.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'><br clear=all style='page-break-before:always'> </span></font> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>REPORTING FORM FOR THE CALCULATION OF BENCHMARK</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>RATIO SINCE INCEPTION FOR INDIVIDUAL POLICIES</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>FOR CALENDAR YEAR____________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>TYPE (q) ____________________ SMSBP (p) _____________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>FOR THE STATE OF __________ Company Name _________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>NAIC Group Code ______________ NAIC Company Code ___________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>Address ____________________________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>Person Completing This Exhibit _________________________________</span></font></p> <p class=MsoNormal align=center style='text-align:center'><font size=2 face="Times Roman"><span style='font-size:10.0pt;font-family:"Times Roman","serif"'>Title ___________________________ Telephone Number ____________</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:9.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size: 9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=652 style='border-collapse:collapse;border:none'> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(a)</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(b)</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(c) </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(d) </span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(e) </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(f) </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(g) </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(h) </span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(i)</span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(j) </span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border:solid windowtext 1.0pt; border-left:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(o)</span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Earned </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Cumulative </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Cumulative </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Policy Year </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Year </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Premium </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Factor </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(b) x (c) </span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Loss Ratio </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(d) x (e) </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Factor </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(b) x (g) </span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Loss Ratio </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(h) x (i) </span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Loss Ratio </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;1 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>2.770 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.442 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.40 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;2 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.000 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.55 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>3 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>1.194 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.659 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;0.65 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>2.245 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.669 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;0.67 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>5 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>3.170 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.678 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;0.69 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>6 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>3.998 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.686 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.71 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>7 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.754 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.695 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.73 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>5.445 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.702 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.75 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>9 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>6.075 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.708 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.76 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>10 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>6.650 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.713 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.76 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>11 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>7.176 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.717 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.76 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>12 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>7.655 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.720 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.77 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>13 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8.093 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.723 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.77 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>14 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.725 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.77 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp; 15+ </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>4.175 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.493 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>8.684 </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.725 </span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal align=center style='text-align:center'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>0.77 </span></font></p> </td> </tr> <tr height=17 style='height:12.95pt'> <td width=48 height=17 valign=top style='width:35.65pt;border:solid windowtext 1.0pt; border-top:none;padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal style='text-align:justify'><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>Total: </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(k): </span></font></p> </td> <td width=77 height=17 valign=top style='width:.8in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(l): </span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=55 height=17 valign=top style='width:41.15pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(m): </span></font></p> </td> <td width=72 height=17 valign=top style='width:54.35pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> <td width=54 height=17 valign=top style='width:40.5pt;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>(n): </span></font></p> </td> <td width=72 height=17 valign=top style='width:.75in;border-top:none; border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt; padding:0in 3.0pt 0in 3.0pt;height:12.95pt'> <p class=MsoNormal><font size=1 face="Times New Roman"><span style='font-size:9.0pt;font-family:"Times New Roman","serif"'>&nbsp;</span></font></p> </td> </tr> </table> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:9.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>Benchmark Ratio Since Inception: (l&nbsp; +&nbsp; n) / (k&nbsp; +&nbsp; m):</span></font></p> <p class=MsoNormal><font size=1 face=Times><span style='font-size:8.0pt'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (a): Year 1 is the current calendar year - 1&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (b):&nbsp;&nbsp;&nbsp; For the calendar year on the appropriate line in column (a),</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Year 2 is the current calendar year - 2 (etc.)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; the premium earned during that year for policies issued in that </span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (Example:&nbsp; If the current year is 1991, then:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; year.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Year 1 is 1990; Year 2 is 1989, etc.).</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Year 15+ is the earned premium for all years prior</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; to as well as the 15<sup>th</sup> year prior to the current year.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (o): These loss ratios are not explicitly used in computing the ( p):&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &quot;SMSBP&quot; = Standardized Medicare Supplement Benefit Plan.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; benchmark loss ratios. They are the loss ratios, on</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; a policy year basis, which result in the cumulative&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (q):&nbsp;&nbsp;&nbsp; Individual Group, Individual Medicare Select, or Group Medicare</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; loss ratios displayed on this worksheet. They are shown&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Select Only.</span></font></p> <p class=MsoNormal><font size=1 face="Times Roman"><span style='font-size:8.0pt; font-family:"Times Roman","serif"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; here for informational purposes only.</span></font></p> <p class=MsoNormal><font size=2 face=Times><span style='font-size:10.0pt'>&nbsp;</span></font></p> <p class=MsoNormal><font size=2 face=Times><span style='font-size:10.0pt'>&nbsp;</span></font></p> </div> </body> </html>