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Modifications after the initial release of the
2025 QUARTERLY STATEMENT BLANKS:

Health Quarterly Statement Blank

• 11/21/24 Revisions – Schedule D, Part 1B

Life/Fraternal Quarterly Statement Blank

• 11/21/24 Revisions – Schedule D, Part 1B

Property/Casualty Quarterly Statement Blank

• 11/21/24 Revisions – Schedule D, Part 1B

Title Quarterly Statement Blank

• 11/21/24 Revisions – Schedule BA, Parts 2 and 3; Schedule D, Part 1B; Schedule D, Parts 3 and 4; Schedule E, Part 2

Modifications after the initial release of the 
2025 ANNUAL STATEMENT BLANKS:

Health Annual Statement Blank

• 10/15/2025 Revisions – Schedule D, Part 1A

Life/Fraternal Annual Statement Blank

• 10/15/2025 Revisions – Schedule D, Part 1A

Property/Casualty Annual Statement Blank

• 10/15/2025 Revisions – Schedule D, Part 1A

Protected Cell Annual Statement Blank

• No revisions have been made as of this date.

Separate Accounts Annual Statement Blank

• No revisions have been made as of this date.

Title Annual Statement Blank

• 10/15/2025 Revisions – Schedule D, Part 1A