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85766 ABSTRACT OF STATEMENT FOR THE YEAR

85766 ABSTRACT OF STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2021 of the United Concordia Insurance Company In the state of Arizona Total Assets 325,232,552 Total Liabilities 112,026,510 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 173,958,918 Total Capital and Surplus 213,206,042 Total Liabilities, Capital And Surplus 325,232,552 NORTH DAKOTA BUSINESS ONLY FOR THE YEAR 2021 Total Premiums Earned 274,627 Total Amount Incurred 245,339 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 or Statement, as officially filed by the Company 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. 2022 (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 duty organized under the laws of its state or country of domicile, has filed in this office a sworn statement exhibiting its condition and business for the year ending December 31, 2021 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 aforesaid, NOW THEREFORE, I, JON GODFREAD, Commissioner of Insurance of the State of North Dakota, pursuant to the provisions of said laws, do hereby certify that the above named company is fully empowered through its authorized agents and representatives, to transact its appropriated business of authorized insurance in the state according to the laws thereof, until the 30th day of April, A.D. 2023. IN TESTIMONY WHEREOF, I have hereunto set my hand and seal at Bismarck this first day of May, A.D., 2022 (SEAL) JON GODFREAD Commissioner of Insurance (May 4, 11 & 18, 2022) 59246