Asset Adequacy Tested Amounts--Reserves and Liabilities Statement Item Formula Reserves (1) Additional Actuarial Reserves (a) (2) Analysis Method (b) Other Amount (3) Total Amount (1)+(2)+(3) (4) Exhibit 8 A Life Insurance B Annuities C Supplementary Contracts Involving Life Contingencies D Accidental Death Benefit E Disability - Active F Disability - Disabled G Miscellaneous Total (Exhibit 8 Item 1, Page 3) Exhibit 9 A Active Life Reserve B Claim Reserve Total (Exhibit 9 Item 2, Page 3) Exhibit 10 Premium and Other Deposit Funds (Column 5, Line 14) Guaranteed Interest Contracts (Column 2, Line 14) Other (Column 6, Line 14) Supplemental Contracts and Annuities Certain (Column 3, Line 14) Dividend Accumulations or Refunds (Column 4, Line 14) Total Exhibit 10 (Column 1, Line 14) Exhibit 11 Part 1 1 Life (Page 3, Line 4.1) 2 Health (Page 3, Line 4.2) Total Exhibit 11, Part 1 Separate Accounts (Page 3 of the Annual Statement of the Separate Accounts, Lines 1, 2, 3.1, 3.2, 3.3) TOTAL RESERVES

Asset Adequacy Tested Amounts--Reserves and Liabilities

Statement Item

Formula Reserves (1)

Additional Actuarial Reserves (a) (2)

Analysis Method (b)

Other Amount (3)

Total Amount (1)+(2)+(3)

(4)

Exhibit 8

A Life Insurance

B Annuities

C Supplementary

Contracts Involving

Life Contingencies

D Accidental Death

Benefit

E Disability - Active

F Disability - Disabled

G Miscellaneous

Total (Exhibit 8

Item 1, Page 3)

Exhibit 9

A Active Life Reserve

B Claim Reserve

Total (Exhibit 9

Item 2, Page 3)

Exhibit 10

Premium and Other

Deposit Funds

(Column 5, Line 14)

Guaranteed Interest

Contracts

(Column 2, Line 14)

Other

(Column 6, Line 14)

Supplemental Contracts and Annuities Certain

(Column 3, Line 14)

Dividend Accumulations

or Refunds

(Column 4, Line 14)

Total Exhibit 10

(Column 1, Line 14)

Exhibit 11 Part 1

1 Life (Page 3,

Line 4.1)

2 Health (Page 3,

Line 4.2)

Total Exhibit 11,

Part 1

Separate Accounts

(Page 3 of the Annual Statement of the Separate Accounts, Lines 1, 2, 3.1, 3.2, 3.3)

TOTAL RESERVES

IMR (General Account, Page ___ Line ___) (Separate Accounts, Page ___ Line ___) AVR (Page ___ Line ___) (c) Net Deferred and Uncollected Premium

IMR (General Account, Page ___ Line ___)

(Separate Accounts, Page ___ Line ___)

AVR (Page ___ Line ___)

(c)

Net Deferred and Uncollected Premium

(a) The additional actuarial reserves are the reserves established under Paragraphs (2) of Subsection E of 13.2.6.8 NMAC. (b) The appointed actuary should indicate the method of analysis, determined in accordance with the standards for asset adequacy analysis referred to in Subsection D of 13.2.6.8 NMAC, by means of symbols that should be defined in footnotes to the table. (c) Allocated amount of Asset Valuation Reserve (AVR).

(a) The additional actuarial reserves are the reserves established under Paragraphs (2) of Subsection E of 13.2.6.8 NMAC.

(b) The appointed actuary should indicate the method of analysis, determined in accordance with the standards for asset adequacy analysis referred to in Subsection D of 13.2.6.8 NMAC, by means of symbols that should be defined in footnotes to the table.

(c) Allocated amount of Asset Valuation Reserve (AVR).

HISTORY OF 13.2.6 NMAC:

Pre-NMAC History: The material in this part was derived from that previously filed with the commission of public records - state records center and archives.

SCC 93-5-IN, Actuarial Opinions and Memoranda, filed 12-01-93.

History of Repealed Materials:

13 NMAC 2.6, Actuarial Opinion and Memoranda, filed 5-27-97, was repealed 9-30-03.

Other History:

SCC 93-5-IN, Actuarial Opinions and Memoranda, filed 12-01-93, renumbered, reformatted and replaced by 13 NMAC 2.6, Actuarial Opinion and Memoranda, effective 7-1-97;

13 NMAC 2.6, Actuarial Opinion and Memoranda, filed 5-27-97 replaced by 13.2.6 NMAC, Replacement of Life Insurance and Annuities, effective 10-1-03.

[13.2.6.11 NMAC - Rp 13 NMAC 2.6.22, 10-1-03]