Legal Notices 5-6
76236
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
The Cincinnati Life Insurance
Company
In the state of Ohio
Total Assets 4,809,651,904
Total Liabilities 4,568,195,573
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 1,000,000
Unassigned Funds 237,456,331
Total Capital and Surplus
241,456,331
Total Liabilities, Capital
and Surplus 4,809,651,904
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 1,891,628
Total Life and Annuity Direct Losses
Paid 521,887
Total Accident and Health Direct
Premiums Written 6,378
Total Accident and Health Direct
Losses Paid 26,691
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
60142
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
TIAA-CREF Life Insurance
Company
In the state of New York
Total Assets 15,760,719,440
Total Liabilities 14,941,936,072
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 777,500,000
Unassigned Funds 38,783,368
Total Capital and Surplus
818,783,368
Total Liabilities, Capital
and Surplus 15,760,719,440
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 1,789,071
Total Life and Annuity Direct Losses
Paid 1,624,592
Total Accident and Health Direct
Premiums Written 0
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
86231
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Transamerica Life Insurance
Company
In the state of Iowa
Total Assets 200,268,216,641
Total Liabilities 192,158,595,295
Aggregate Write-ins for
Special Surplus Funds -145,350,655
Common Capital Stock 6,791,900
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 4,562,518,963
Unassigned Funds 3,685,691,138
Total Capital and Surplus
8,109,651,346
Total Liabilities, Capital
and Surplus 200,268,246,641
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 22,486,047
Total Life and Annuity Direct Losses
Paid 27,323,534
Total Accident and Health Direct
Premiums Written 11,860,540
Total Accident and Health Direct
Losses Paid 22,346,765
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
60227
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Trinity Life Insurance Company
In the state of Oklahoma
Total Assets 330,535,170
Total Liabilities 316,896,939
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 1,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 250,000
Gross Paid in and
Contributed Surplus 16,624,574
Unassigned Funds -4,736,343
Total Capital and Surplus
13,638,231
Total Liabilities, Capital
and Surplus 330,535,170
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 3,631,802
Total Life and Annuity Direct Losses
Paid 4,755,370
Total Accident and Health Direct
Premiums Written 0
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
80314
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Unicare Life & Health Insurance
Company
In the state of Indiana
Total Assets 1,033,164,436
Total Liabilities 766,887,697
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 202,054,487
Unassigned Funds 61,222,252
Total Capital and Surplus
266,276,739
Total Liabilities, Capital
and Surplus 1,033,164,436
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 0
Total Life and Annuity Direct Losses
Paid 2,027
Total Accident and Health Direct
Premiums Written 0
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
11121
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Unified Life Insurance Company
In the state of Texas
Total Assets 220,799,551
Total Liabilities 194,928,847
Aggregate Write-ins for
Special Surplus Funds -1,194,746
Common Capital Stock 1,750,000
Preferred Capital Stock 750,000
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 16,298,618
Unassigned Funds 8,266,832
Total Capital and Surplus
25,870,704
Total Liabilities, Capital
and Surplus 220,799,551
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 14,041
Total Life and Annuity Direct Losses
Paid 73,878
Total Accident and Health Direct
Premiums Written 5,389
Total Accident and Health Direct
Losses Paid -383
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
91529
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Unimerica Insurance Company
In the state of Wisconsin
Total Assets 450,010,984
Total Liabilities 208,607,346
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,600,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 82,849,470
Unassigned Funds 155,954,168
Total Capital and Surplus
241,403,638
Total Liabilities, Capital
and Surplus 450,010,984
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
ACCIDENT & HEALTH
Total Premiums Earned 824,572
Total Amount Incurred 36,839
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
62596
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Union Fidelity Life Insurance
Company
In the state of Kansas
Total Assets 20,129,958,237
Total Liabilities 19,353,181,798
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,903,775
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 6,108,781,964
Unassigned Funds -5,334,909,301
Total Capital and Surplus
776,776,438
Total Liabilities, Capital
and Surplus 20,129,958,236
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 38,547
Total Life and Annuity Direct Losses
Paid 57,207
Total Accident and Health Direct
Premiums Written 33,239
Total Accident and Health Direct
Losses Paid 12,803
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
69744
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Union Labor Life Insurance
Company
In the state of Maryland
Total Assets 4,306,595,998
Total Liabilities 4,164,951,946
Aggregate Write-ins for
Special Surplus Funds 750,000
Common Capital Stock 3,578,700
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 141,056,800
Unassigned Funds -3,741,448
Total Capital and Surplus
141,644,052
Total Liabilities, Capital
and Surplus 4,306,595,998
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 49,287
Total Life and Annuity Direct Losses
Paid 38,000
Total Accident and Health Direct
Premiums Written 11,147
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
85766
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
United Concordia Insurance
Company
In the state of Arizona
Total Assets 293,152,464
Total Liabilities 108,766,031
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 36,747,124
Unassigned Funds 145,139,309
Total Capital and Surplus
184,386,433
Total Liabilities, Capital
and Surplus 293,152,464
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
ACCIDENT & HEALTH
Total Premiums Earned 286,009
Total Amount Incurred 231,229
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
69892
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
United Farm Family Life Insurance
Company
In the state of Indiana
Total Assets 2,474,937,503
Total Liabilities 2,117,442,180
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 1,000,000
Unassigned Funds 353,995,323
Total Capital and Surplus
357,495,323
Total Liabilities, Capital
and Surplus 2,474,937,503
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 5,942
Total Life and Annuity Direct Losses
Paid 663
Total Accident and Health Direct
Premiums Written 0
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
87645
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
United Fidelity Life Insurance
Company
In the state of Texas
Total Assets 867,559,388
Total Liabilities 246,948,921
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 4,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 86,085,754
Gross Paid in and
Contributed Surplus 179,649,940
Unassigned Funds 350,874,773
Total Capital and Surplus
620,610,467
Total Liabilities, Capital
and Surplus 867,559,388
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 1,792
Total Life and Annuity Direct Losses
Paid 1,511
Total Accident and Health Direct
Premiums Written 0
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
79413
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
UnitedHealthcare Insurance
Company
In the state of Connecticut
Total Assets 21,587,265,693
Total Liabilities 13,976,035,179
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 558,595,764
Unassigned Funds 7,049,634,750
Total Capital and Surplus
7,611,230,514
Total Liabilities, Capital
and Surplus 21,587,265,693
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 110,070
Total Life and Annuity Direct Losses
Paid 10,000
Total Accident and Health Direct
Premiums Written 33,636,679
Total Accident and Health Direct
Losses Paid 26,326,247
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
67601
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Unum Insurance Company
In the state of Maine
Total Assets 79,043,670
Total Liabilities 30,120,128
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 48,800,000
Unassigned Funds -2,376,458
Total Capital and Surplus
48,923,542
Total Liabilities, Capital
and Surplus 79,043,670
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 1,257
Total Life and Annuity Direct Losses
Paid 0
Total Accident and Health Direct
Premiums Written 145,252
Total Accident and Health Direct
Losses Paid 18,965
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
62235
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Unum Life Insurance Company of
America
In the state of Maine
Total Assets 21,791,489,322
Total Liabilities 20,192,743,396
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 5,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 4,142,102
Surplus Notes 0
Gross Paid in and
Contributed Surplus 1,097,211,213
Unassigned Funds 492,392,610
Total Capital and Surplus
1,598,745,925
Total Liabilities, Capital
and Surplus 21,791,489,321
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 9,308,883
Total Life and Annuity Direct Losses
Paid 5,198,730
Total Accident and Health Direct
Premiums Written 12,245,012
Total Accident and Health Direct
Losses Paid 6,266,765
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
70319
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Washington National Insurance
Company
In the state of Indiana
Total Assets 5,742,109,772
Total Liabilities 5,380,459,317
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 25,036,850
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 1,249,375,943
Unassigned Funds -912,762,338
Total Capital and Surplus
361,650,455
Total Liabilities, Capital
and Surplus 5,742,109,772
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 299,340
Total Life and Annuity Direct Losses
Paid 1,948,609
Total Accident and Health Direct
Premiums Written 22,825,729
Total Accident and Health Direct
Losses Paid 12,224,929
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
64467
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
WellCare Health Insurance
Company of Kentucky, Inc.
In the state of Kentucky
Total Assets 1,065,669,870
Total Liabilities 727,514,278
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 137,298,516
Unassigned Funds 198,357,076
Total Capital and Surplus
338,155,592
Total Liabilities, Capital
and Surplus 1,065,669,870
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
ACCIDENT & HEALTH
Total Premiums Earned 0
Total Amount Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
10155
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
WellCare Prescription Insurance Inc.
In the state of Florida
Total Assets 2,089,629,231
Total Liabilities 1,745,682,388
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 37,500,000
Unassigned Funds 309,946,843
Total Capital and Surplus
349,946,843
Total Liabilities, Capital
and Surplus 2,095,629,231
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
ACCIDENT & HEALTH
Total Premiums Earned 14,916,488
Total Amount Incurred 10,066,420
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
70335
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
West Coast Life Insurance Company
In the state of Nebraska
Total Assets 4,374,551,587
Total Liabilities 4,004,144,324
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 5,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 296,907,115
Unassigned Funds 68,500,148
Total Capital and Surplus
370,407,263
Total Liabilities, Capital
and Surplus 4,374,551,587
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 1,572,806
Total Life and Annuity Direct Losses
Paid 205,309
Total Accident and Health Direct
Premiums Written 0
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
70483
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Western and Southern Life In-
surance Company
In the state of Ohio
Total Assets 11,180,126,486
Total Liabilities 5,522,385,248
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 497,604,225
Gross Paid in and
Contributed Surplus 417,102,515
Unassigned Funds 4,740,534,498
Total Capital and Surplus
5,657,741,238
Total Liabilities, Capital
and Surplus 11,180,126,486
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 2,468
Total Life and Annuity Direct Losses
Paid 60,467
Total Accident and Health Direct
Premiums Written 168
Total Accident and Health Direct
Losses Paid 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
85189
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Western United Life Assurance
Company
In the state of Washington
Total Assets 1,283,404,604
Total Liabilities 1,187,870,225
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 56,657,002
Unassigned Funds 36,377,377
Total Capital and Surplus
95,534,379
Total Liabilities, Capital
and Surplus 1,283,404,604
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Life and Annuity Premiums
Written 13,049,703
Total Life and Annuity Direct Losses
Paid 20,892,833
Total Accident and Health Direct
Premiums Written 818,110
Total Accident and Health Direct
Losses Paid 676,661
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D. 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thoized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D. 2022. IN
TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL)
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
12963
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
21st Century Insurance Company
In the state of California
Total Assets 1,105,563,169
Total Liabilities 14,217,917
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 487,322,625
Unassigned Funds (Surplus)
601,022,627
Total Capital and Surplus
1,091,345,252
Total Liabilities, Capital
and Surplus 1,105,563,169
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 0
Total Direct Losses
Incurred 0
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
23795
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
21st Century Pacific Insurance
Company
In the state of Colorado
Total Assets 46,189,559
Total Liabilities 35,956
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 1,204,950
Unassigned Funds (Surplus)
41,948,653
Total Capital and Surplus
46,153,603
Total Liabilities, Capital
and Surplus 46,189,559
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 0
Total Direct Losses
Incurred 6,450
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
31325
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Acadia Insurance Company
In the state of Iowa
Total Assets 162,634,118
Total Liabilities 106,816,726
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 5,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 48,301,000
Unassigned Funds (Surplus)
2,516,392
Total Capital and Surplus
55,817,392
Total Liabilities, Capital
and Surplus 162,634,118
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 254,252
Total Direct Losses
Incurred 59,376
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
22667
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
ACE American Insurance Company
In the state of Pennsylvania
Total Assets 26,082,643,060
Total Liabilities 21,209,522,905
Aggregate Write-ins for
Special Surplus Funds 114,013,431
Common Capital Stock 5,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 4,196,093,651
Unassigned Funds (Surplus)
558,013,073
Total Capital and Surplus
4,873,120,155
Total Liabilities, Capital
and Surplus 26,082,643,060
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 6,298,491
Total Direct Losses
Incurred 7,150,393
Total Accident and Health Direct
Premiums Earned 68,119
Total Accident and Health Direct
Losses Incurred 2,152
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
20702
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
ACE Fire Underwriters Insurance
Company
In the state of Pennsylvania
Total Assets 105,570,887
Total Liabilities 22,078,545
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 4,250,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 8,529,527
Unassigned Funds (Surplus)
70,712,815
Total Capital and Surplus
83,492,342
Total Liabilities, Capital
and Surplus 105,570,887
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 76,702
Total Direct Losses
Incurred 12,026
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
20699
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
ACE Property and Casualty
Insurance Company
In the state of Pennsylvania
Total Assets 12,629,014,325
Total Liabilities 9,918,233,654
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 10,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 1,261,674,995
Unassigned Funds (Surplus)
1,439,105,676
Total Capital and Surplus
2,710,780,671
Total Liabilities, Capital
and Surplus 12,629,014,325
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 131,519,690
Total Direct Losses
Incurred 202,309,588
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
14184
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
ACUITY, A Mutual Insurance
Company
In the state of Wisconsin
Total Assets 5,191,596,275
Total Liabilities 2,546,013,816
Aggregate Write-ins for
Special Surplus Funds 18,186,000
Common Capital Stock 0
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 0
Unassigned Funds (Surplus)
2,627,396,459
Total Capital and Surplus
2,645,582,459
Total Liabilities, Capital
and Surplus 5,191,596,275
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 25,853,995
Total Direct Losses
Incurred 9,184,996
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
10324
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Addison Insurance Company
In the state of Iowa
Total Assets 127,018,989
Total Liabilities 88,556,604
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 2,500,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 10,608,723
Unassigned Funds (Surplus)
25,353,662
Total Capital and Surplus
38,462,385
Total Liabilities, Capital
and Surplus 127,018,989
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 1,726,166
Total Direct Losses
Incurred 106,958
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
36153
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Aetna Insurance Company of
Connecticut
In the state of Connecticut
Total Assets 5,680,430
Total Liabilities 138,011
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,000,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 2,394,785
Unassigned Funds (Surplus)
147,634
Total Capital and Surplus
5,542,419
Total Liabilities, Capital
and Surplus 5,680,430
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 0
Total Direct Losses
Incurred 0
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
10014
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Affiliated F M Insurance Company
In the state of Rhode Island
Total Assets 3,907,156,260
Total Liabilities 1,514,522,696
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 4,000,000
Preferred Capital Stock 7,250,000
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 270,210,661
Unassigned Funds (Surplus)
2,111,172,903
Total Capital and Surplus
2,392,633,564
Total Liabilities, Capital
and Surplus 3,907,156,260
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 517,253
Total Direct Losses
Incurred -556,573
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
32670
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Agraria Insurance Company
In the state of North Dakota
Total Assets 154,630,822
Total Liabilities 68,568,625
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 1,000
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 0
Unassigned Funds (Surplus)
86,061,196
Total Capital and Surplus
86,062,196
Total Liabilities, Capital
and Surplus 154,630,821
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 73,819,663
Total Direct Losses
Incurred 30,723,285
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
42757
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Agri General Insurance Company
In the state of Iowa
Total Assets 138,778,476
Total Liabilities 176,808
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 16,837,810
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 35,775,437
Unassigned Funds (Surplus)
85,988,421
Total Capital and Surplus
138,601,668
Total Liabilities, Capital
and Surplus 138,778,476
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 26,616,409
Total Direct Losses
Incurred 40,831,676
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
24899
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Alea North America Insurance
Company
In the state of New York
Total Assets 110,276,343
Total Liabilities 58,802,880
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 13,924,900
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 88,817,013
Unassigned Funds (Surplus)
-51,268,450
Total Capital and Surplus
51,473,463
Total Liabilities, Capital
and Surplus 110,276,343
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 0
Total Direct Losses
Incurred 0
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
19186
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Alliance Insurance Company Inc.
In the state of Kansas
Total Assets 29,855,912
Total Liabilities 16,024,005
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 1,516,466
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 758,660
Unassigned Funds (Surplus)
11,556,778
Total Capital and Surplus
13,831,904
Total Liabilities, Capital
and Surplus 29,855,909
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 1,257,276
Total Direct Losses
Incurred 667,896
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
21911
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
Allianz Reinsurance America, Inc.
In the state of California
Total Assets 2,882,541,551
Total Liabilities 2,413,215,667
Aggregate Write-ins for
Special Surplus Funds 0
Common Capital Stock 3,921,500
Preferred Capital Stock 0
Aggregate Write-ins for Other Than
Special Surplus Funds 0
Surplus Notes 0
Gross Paid in and
Contributed Surplus 401,633,647
Unassigned Funds (Surplus)
63,770,737
Total Capital and Surplus
469,325,884
Total Liabilities, Capital
and Surplus 2,882,541,551
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Total Direct Premiums
Earned 0
Total Direct Losses
Incurred 0
Total Accident and Health Direct
Premiums Earned 0
Total Accident and Health Direct
Losses Incurred 0
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6-13-20, 2021)
99025
ABSTRACT OF STATEMENT
FOR THE YEAR ENDING
DECEMBER 31, 2020
of the
West McLean County Farmers
Mutual Insurance Company
In the state of North Dakota
Total Admitted Assets 3,229,596
Total Amount of All Liabilities
663,779
Surplus as Regards Policyholders
2,565,817
Total Income 959,799
Total Disbursements 615,494
NORTH DAKOTA BUSINESS
ONLY FOR THE YEAR 2020
Net Premiums Received 874,982
Net Losses Paid 179,553
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
I, Jon Godfread, Commissioner of
Insurance of the State of North
Dakota, do hereby certify that the
foregoing is a true Abstract of State-
ment, as officially filed by the Com-
pany in this office.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and affixed
the seal of this office at Bismarck,
the first day of May, A.D., 2021
(SEAL).
JON GODFREAD
Commissioner of Insurance
STATE OF NORTH DAKOTA
OFFICE OF THE COMMISSIONER
OF INSURANCE
COMPANY’S CERTIFICATE OF
AUTHORITY
WHEREAS, the above corporation
duly organized under the laws of its
state or country of domicile, has filed
in this office a sworn statement exhi-
biting its condition and business for
the year ending December 31, 2020
conformable to the requirements of
the laws of this State regarding the
business of insurance and
WHEREAS, the said company has
filed in this office a duly certified
copy of its charter with certificate of
organization in compliance with the
requirements of insurance law afore-
said, NOW THEREFORE, I, JON
GODFREAD, Commissioner of In-
surance of the State of North Dako-
ta, pursuant to the provisions of said
laws, do hereby certify that the
above named company is fully em-
powered through its authorized
agents and representatives, to tran-
sact its appropriated business of au-
thorized insurance in the state ac-
cording to the laws thereof, until the
30th day of April, A.D., 2022.
IN TESTIMONY WHEREOF, I have
hereunto set my hand and seal at
Bismarck this first day of May, A.D.,
2021 (SEAL).
JON GODFREAD
Commissioner of Insurance
(May 6, 2021)
NOTICE OF SALE
You are herein notified that Midwest
Capital Group, LLC, d/b/a Souris
River Storage, 4000 11th Ave. S.E.,
Minot, North Dakota, will conduct a
sale of abandoned personal property
of the following units: #249 Wade
Zieman, #150 Wendy Tofte. The
contents of the units will be sold by
PRIVATE SALE after 6:00 p.m. on
May 6, 2021. Questions should be
directed to Donald Malchose, Souris
River Storage, (701) 833-5362.
(April 29; May 6, 2021)
NOTICE TO CREDITORS
Case No. 51-2021-PR-00068
IN THE DISTRICT COURT OF
WARD COUNTY, STATE OF
NORTH DAKOTA, NORTH
CENTRAL JUDICIAL DISTRICT
In the Matter of the Estate of
Carole Anderson, Deceased.
NOTICE IS HEREBY GIVEN that
Lori Thom has been appointed per-
sonal representative of the above
estate. All persons having claims
against the said deceased are re-
quired to present their claims within
three months after the date of the
first publication of this notice or said
claims will be forever barred. Claims
must either be presented to Lori
Thom, personal representative of
the estate in care of Michael Ward,
at Martin Law, 201 South Main St.
Suite 200, Minot, North Dakota
58701, or filed with the Court.
Dated this 21st day of April, 2021.
/s/Michael Ward
(N.D. Bar I.D. 02830)
Martin Law
201 S. Main St., Suite 200
Minot, ND 58701
701-852-4837
mike.9273@yahoo.com
(April 29; May 6-13, 2021)
NOTICE TO CREDITORS
Probate No. 51-2021-PR-00078
STATE OF NORTH DAKOTA,
COUNTY OF WARD, IN DISTRICT
COURT, NORTH CENTRAL
JUDICIAL DISTRICT
In the Matter of the Estate of William
G. Schriock, Jr. , Deceased.
NOTICE IS HEREBY GIVEN that
the undersigned has been appointed
Personal Representative of the
above Estate. All persons having
claims against the said deceased
are required to present their claims
within three months after the date of
the first publication of this Notice or
said claims will be forever barred.
Claims must either be presented to
James M. Thompson, Personal
Representative of the Estate of Willi-
am G. Schriock, Jr., c/o Olson &
Burns P.C., P. O. Box 1180, Minot,
ND 58702-1180, or filed with the
Court.
Dated this 16th day of April, 2021.
/s/James M. Thompson
James M. Thompson,
Personal Representative
Richard P. Olson (#03183)
OLSON & BURNS P.C.
P. O. Box 1180
Minot, ND 58702-1180
Attorneys for Personal Representa-
tive
(April 22-29; May 6, 2021)
NOTICE TO CREDITORS
Probate No. 51-2021-PR-00034
IN THE DISTRICT COURT OF
WARD COUNTY, STATE OF
NORTH DAKOTA
In the Matter of the Estate of Lorene
E. Gerhart
NOTICE IS HEREBY GIVEN that
Jeffrey Gerhart has been appointed
as personal representative of the
above estate. All persons having
claims against the said deceased
are required to present their claims
within three months after the date of
the first publication of this notice or
said claims will be forever barred.
Claims must either be presented to
Jeffrey Gerhart, c/o Justin Hager, At-
torney at Law, 1110 College Drive,
Suite 211, Bismarck, ND 58501, or
filed with the above-named Court.
Dated this 3rd day of May 2021.
/s/Justin D. Hager
JUSTIN D. HAGER, P.C.
Attorney for the Personal Represen-
tative
1110 College Drive, Suite 211
Bismarck, North Dakota 58501
(701) 258-0250
justins_law2005@yahoo.com
Bar ID#06003
(May 6-13-20, 2021)
REQUEST FOR BIDS
for
Fire Alarm System Upgrade Project
2021
Nueta, Hidatsa, Sahnish College
New Town, NORTH DAKOTA
NHS College located at 301 College
Drive, New Town ND 58763 re-
quests bids for the repair and up-
grades of their existing fire alarm
system. For full details of the project
contractors can contact Kristopher
Schwab with Core Facility Solutions
via email at info@corefacility
solutions.com
Proposals shall be electronically re-
ceived in the office of Kristopher
Schwab, Managing Partner, Core
Facility Solutions, no later than 4
p.m. Friday, May 7, 2021.
Every effort will be made to ensure
that all persons have equal access
to contracts and other business op-
portunities with NHSC within the lim-
its imposed by law or NHSC policy.
Each Bidder may be required to
show evidence of its equal employ-
ment opportunity policy.
(April 24-26-27-28-29-30; May
1-3-4-5-6-7, 2021)
SUMMONS
Case No. 51-2021-DM-00252
STATE OF NORTH DAKOTA,
COUNTY OF WARD, IN DISTRICT
COURT, NORTH CENTRAL
JUDICIAL DISTRICT
State of North Dakota, and
Kaitlyn Jean Bruns,
Plaintiffs,
v.
Gunner W. Pelham,
Defendant.
The State of North Dakota to
Gunner W. Pelham:
You are summoned and required to
defend against the Complaint by
serving an Answer, which is a writ-
ten response, on the State of North
Dakota and Kaitlyn Jean Bruns
within 21 days after service of this
Summons and by also filing that
Answer with the court. If you do not
serve and file an Answer, the court
can grant the requests made in the
Complaint by ordering that a default
judgment be entered against you.
Dated this 10th day of March, 2021.
/s/Stephen Williamson
Stephen Williamson
Special Assistant Attorney General
Bar I.D. Number: 09282
1015 S. Broadway Suite 18, Minot,
ND 58701
1-800-231-4255; minotcse@nd.gov
Attorney for Child Support
(May 6-13-20, 2021)
SUMMONS
Case No. 51-2021-DM-00253
STATE OF NORTH DAKOTA,
COUNTY OF WARD, IN DISTRICT
COURT, NORTH CENTRAL
JUDICIAL DISTRICT
State of North Dakota, and
Latia Lanika Lanea Ondieki,
Plaintiffs,
v.
Walter Oseko Ondieki,
Defendant.
The State of North Dakota to Walter
Oseko Ondieki:
You are summoned and required to
defend against the Complaint by
serving an Answer, which is a writ-
ten response, on the State of North
Dakota and Latia Lanika Lanea On-
dieki within 21 days after service of
this Summons and by also filing that
Answer with the court. If you do not
serve and file an Answer, the court
can grant the requests made in the
Complaint by ordering that a default
judgment be entered against you.
Dated this 29th day of March, 2021.
/s/Tina M. Heinrich
Tina M. Heinrich
Special Assistant Attorney General
Bar I.D. Number: 04088
1015 S. Broadway Suite 18, Minot,
ND 58701
1-800-231-4255; minotcse@nd.gov
Attorney for Child Support
(May 6-13-20, 2021)
SUMMONS
Case No. 51-2021-DM-00251
STATE OF NORTH DAKOTA,
COUNTY OF WARD, IN DISTRICT
COURT, NORTH CENTRAL
JUDICIAL DISTRICT
In the Interest of R.A.P., a Minor
Child
State of North Dakota,
Plaintiff,
v.
Brandy Patino,
Defendant.
The State of North Dakota to Brandy
Patino:
You are summoned and required to
defend against the Complaint by
serving an Answer, which is a writ-
ten response, on the State of North
Dakota within 21 days after service
of this Summons and by also filing
that Answer with the court. If you do
not serve and file an Answer, the
court can grant the requests made in
the Complaint by ordering that a de-
fault judgment be entered against
you.
Dated this 2nd day of March, 2021.
/s/Tina M. Heinrich
Tina M. Heinrich
Special Assistant Attorney General
Bar I.D. Number: 04088
1015 S. Broadway Suite 18, Minot,
ND 58701
1-800-231-4255; minotcse@nd.gov
Attorney for Child Support
(May 6-13-20, 2021)
SUMMONS
Civil No. 51-2021-DM-00215
STATE OF NORTH DAKOTA,
COUNTY OF WARD, IN DISTRICT
COURT, NORTH CENTRAL
JUDICIAL DISTRICT
Dan J. Tompkins,
Plaintiff,
vs
Megan W. Tompkins, A.K.A. Magan
W. Tompkins,
Defendant.
THE STATE OF NORTH DAKOTA
TO THE ABOVE-NAMED DEFEN-
DANT: YOU ARE HEREBY SUM-
MONED and required to appear and
defend against the Complaint for Di-
vorce in the above-entitled action,
copy of which is herewith served
upon you, by serving upon the un-
dersigned attorney an answer or oth-
er proper response within
twenty-one (21) days after the ser-
vice of this Summons upon you, ex-
clusive of the day of service. If you
fail to do so, judgement by default
will be taken against you for the re-
lief demand in the Complaint. You
are hereby notified that pursuant to
Rule 8.4 of the North Dakota Rules
of Court, you must comply with the
following provisions:
(1) Neither spouse shall dispose of,
sell, encumber, or otherwise dissi-
pate any of the parties’ assets, ex-
cept: (a) For necessities of life or for
the necessary generation of income
or preservation of assets; or (b) For
retaining counsel to carry on or to
contest the proceeding. If a spouse
disposes of, sells, encumbers, or
otherwise dissipates assets during
the interim period, that spouse shall
provide to the other spouse an ac-
counting within thirty (30) days. (2)
Neither spouse shall harass the oth-
er spouse. (3) All currently available
insurance coverage must be main-
tained and continued without change
in coverage or beneficiary designa-
tion. IF EITHER SPOUSE
VIOLATES ANY OF THESE PRO-
VISIONS, THAT SPOUSE MAY BE
IN CONTEMPT OF COURT.
Dated this 12th day of April, 2021.
FRANTSVOG LAW, P.C.
/s/Remington M. Kostenko
Remington M. Kostenko (ID #09033)
Dean A. Frantsvog (ID #05753)
P.O. Box 667
Minot, ND 58702-667
701-833-6371
rklaw@srt.com
frantsvoglaw@srt.com
ATTORNEYS FOR PLAINTIFF
(April 29; May 6-13, 2021)
SUMMONS
CIVIL NUMBER: 51-2021-CV-00612
IN THE STATE OF NORTH
DAKOTA, COUNTY OF WARD
IN THE DISTRICT COURT, NORTH
CENTRAL JUDICIAL DISTRICT
PennyMac Loan Services, LLC,
Plaintiff,
v.
Lauren Otradovec; Paul Otradovec;
any person in possession,
Defendants.
THE STATE OF NORTH DAKOTA
TO THE ABOVE-NAMED DEFEN-
DANTS:
1. To the above-mentioned Defen-
dants including all persons unk-
nown, claiming any estate or interest
in, or lien or encumbrance upon, the
real estate described below and in
the complaint.
2. You are hereby summoned and
required to appear and defend
against the Complaint in this action,
which is herewith served upon you,
by serving upon the undersigned a
copy of an Answer or other proper
response within twenty-one (21)
days after the service of this Sum-
mons upon you, exclusive of the day
of service.
3. If you fail to do so, Judgment by
default will be taken against you for
the relief demanded in the Com-
plaint.
4. This Summons and Complaint will
be filed with the Clerk of this Court.
5. This action relates to the foreclo-
sure of a mortgage upon the follow-
ing described real property in the
County of Ward, State of North
Dakota:
Lot 194, Normal Park, an Addition to
the City of Minot, Ward County,
North Dakota.
Property Address: 1213 7th Ave
Northwest, Minot, ND 58703.
6.The Plaintiff is not seeking a per-
sonal judgment against the
above-named Defendants.
Dated March 4, 2021.
/s/ Scott S. Skeen
Scott S. Skeen
376 East 400 South, Suite 300
Salt Lake City, UT 84111
Tel: 801-355-2886
Email: scott@hwmlawfirm.com
Bar Number: 09334
HWM: ND10238
(April 22-29; May 6, 2021)
SUMMONS
CIVIL NUMBER: 51-2021-CV-00624
IN THE STATE OF NORTH
DAKOTA, COUNTY OF WARD
IN THE DISTRICT COURT, NORTH
CENTRAL JUDICIAL DISTRICT
ServiceMac, LLC,
Plaintiff,
v.
Lee Robles a/k/a Lee Zandra
Nieves; Miguel Robles a/k/a Miguel
Angel Robles; any person in posses-
sion,
Defendants.
THE STATE OF NORTH DAKOTA
TO THE ABOVE-NAMED DEFEN-
DANTS:
1. To the above-mentioned Defen-
dants including all persons unk-
nown, claiming any estate or interest
in, or lien or encumbrance upon, the
real estate described below and in
the complaint.
2. You are hereby summoned and
required to appear and defend
against the Complaint in this action,
which is herewith served upon you,
by serving upon the undersigned a
copy of an Answer or other proper
response within twenty-one (21)
days after the service of this Sum-
mons upon you, exclusive of the day
of service.
3. If you fail to do so, Judgment by
default will be taken against you for
the relief demanded in the Com-
plaint.
4. This Summons and Complaint will
be filed with the Clerk of this Court.
5. This action relates to the foreclo-
sure of a mortgage upon the follow-
ing described real property in the
County of Ward, State of North
Dakota:
Lot 9B, Lakeside 18th Addition to
the City of Minot, Ward County,
North Dakota.
Property Address: 2370 14th Street
NW, Minot, ND 58703
6. The Plaintiff is not seeking a per-
sonal judgment against the
above-named Defendants.
Dated April 7, 2021
/s/ Scott S. Skeen
Scott S. Skeen
376 East 400 South, Suite 300
Salt Lake City, UT 84111
Tel: 801-355-2886
Email: scott@hwmlawfirm.com
Bar Number: 09334
HWM: ND10238
(April 22-29; May 6, 2021)
SUMMONS
CIVIL NUMBER: 51-2021-CV-00677
IN THE STATE OF NORTH
DAKOTA, COUNTY OF WARD
IN THE DISTRICT COURT, NORTH
CENTRAL JUDICIAL DISTRICT
Quicken Loans, LLC,
Plaintiff,
v.
Jerry W. Vaughn, Jr.; any person in
possession,
Defendants.
THE STATE OF NORTH DAKOTA
TO THE ABOVE-NAMED DEFEN-
DANTS: To the above-mentioned
Defendants including all persons
unknown, claiming any estate or in-
terest in, or lien or encumbrance
upon, the real estate described
below and in the complaint. You are
hereby summoned and required to
appear and defend against the Com-
plaint in this action, which is here-
with served upon you, by serving
upon the undersigned a copy of an
Answer or other proper response
within twenty-one (21) days after the
service of this Summons upon you,
exclusive of the day of service. If
you fail to do so, Judgment by de-
fault will be taken against you for the
relief demanded in the Complaint.
This Summons and Complaint will
be filed with the Clerk of this Court.
This action relates to the foreclosure
of a mortgage upon the following
described real property in the Coun-
ty of Ward, State of North Dakota:
Lot 3, Block 3, Parkland Addition
to the City of Minot, Ward County,
North Dakota.
Property Address: 317 7th Street
NW, Minot, ND 58703
The Plaintiff is not seeking a per-
sonal judgment against the
above-named Defendants.
Dated April 16, 2021
/s/ Scott S. Skeen
Scott S. Skeen
376 East 400 South, Suite 300
Salt Lake City, UT 84111
Tel: 801-355-2886
Email: scott@hwmlawfirm.com
Bar Number: 09334
HWM: ND10238
(April 29; May 6-13, 2021)