annual statement - osi.state.nm.us
TRANSCRIPT
ANNUAL STATEMENT
OF THE
PRESBYTERIAN HEALTH PLAN INC
TO THE
Insurance Department
OF THE
STATE OF
Arizona
FOR THE YEAR ENDED
DECEMBER 31, 2017
HEALTH
2017
.AZ
ANNUAL STATEMENT
OF THE
PRESBYTERIAN HEALTH PLAN INC
TO THE
Insurance Department
OF THE
STATE OF
New Mexico
FOR THE YEAR ENDED
DECEMBER 31, 2017
HEALTH
2017
.NM
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
ASSETSCurrent Year Prior Year
1
Assets
2
Nonadmitted Assets
3Net Admitted Assets
(Cols. 1 - 2)
4Net Admitted
Assets
1. Bonds (Schedule D) 222,140,528 222,140,528 268,122,465
2. Stocks (Schedule D):
2.1 Preferred stocks
2.2 Common stocks 74,830,845 74,830,845 96,987,920
3. Mortgage loans on real estate (Schedule B):
3.1 First liens
3.2 Other than first liens
4. Real estate (Schedule A):
4.1 Properties occupied by the company (less $
encumbrances)
4.2 Properties held for the production of income (less
$ encumbrances)
4.3 Properties held for sale (less $
encumbrances)
5. Cash ($ 96,965,805 , Schedule E - Part 1), cash equivalents
($ 1,771,582 , Schedule E - Part 2) and short-term
investments ($ 484,010 , Schedule DA) 99,221,397 99,221,397 195,818,595
6. Contract loans, (including $ premium notes)
7. Derivatives (Schedule DB)
8. Other invested assets (Schedule BA) (1,009,200) 2,622,359 (3,631,559) 2,949,003
9. Receivables for securities 115,285 115,285
10. Securities lending reinvested collateral assets (Schedule DL)
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11) 395,298,855 2,622,359 392,676,496 563,877,983
13. Title plants less $ charged off (for Title insurers
only)
14. Investment income due and accrued 1,221,512 1,221,512 1,331,902
15. Premiums and considerations:
15.1 Uncollected premiums and agents' balances in the course of collection 20,250,506 20,250,506 23,001,432
15.2 Deferred premiums and agents' balances and installments booked but
deferred and not yet due (including $
earned but unbilled premiums)
15.3 Accrued retrospective premiums ($ ) and
contracts subject to redetermination ($ )
16. Reinsurance:
16.1 Amounts recoverable from reinsurers 2,664,234 625,156 2,039,078 7,969,884
16.2 Funds held by or deposited with reinsured companies
16.3 Other amounts receivable under reinsurance contracts
17. Amounts receivable relating to uninsured plans 2,208,770 2,208,770 3,347,391
18.1 Current federal and foreign income tax recoverable and interest thereon
18.2 Net deferred tax asset 3,299,975 3,299,975 5,874,691
19. Guaranty funds receivable or on deposit
20. Electronic data processing equipment and software (1) (1)
21. Furniture and equipment, including health care delivery assets
($ )
22. Net adjustment in assets and liabilities due to foreign exchange rates
23. Receivables from parent, subsidiaries and affiliates 10,054,934 10,054,934 13,646,358
24. Health care ($ 32,881,457 ) and other amounts receivable 37,206,603 2,458,336 34,748,267 38,430,709
25. Aggregate write-ins for other than invested assets 5,049,284 1,049,284 4,000,000 7,417,128
26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) 477,254,672 6,755,135 470,499,537 664,897,478
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28. Total (Lines 26 and 27) 477,254,672 6,755,135 470,499,537 664,897,478
DETAILS OF WRITE-INS
1101.
1102.
1103.
1198. Summary of remaining write-ins for Line 11 from overflow page
1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)
2501. Prepaid Other 560,324 560,324
2502. Magellan Behavioral Health 4,000,000 4,000,000 4,000,000
2503. Medicare Part D 488,960 488,960 3,417,128
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) 5,049,284 1,049,284 4,000,000 7,417,128
2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
LIABILITIES, CAPITAL AND SURPLUSCurrent Year Prior Year
1
Covered
2
Uncovered
3
Total
4
Total
1. Claims unpaid (less $ 2,807,239 reinsurance ceded) 95,645,813 5,896,474 101,542,287 117,355,138
2. Accrued medical incentive pool and bonus amounts
3. Unpaid claims adjustment expenses 1,973,731 121,449 2,095,180 2,552,880
4. Aggregate health policy reserves, including the liability of
$ for medical loss ratio rebate per the Public
Health Service Act 3,730,530 540,156 4,270,686 3,396,501
5. Aggregate life policy reserves
6. Property/casualty unearned premium reserves
7. Aggregate health claim reserves
8. Premiums received in advance 6,116,758 314,488 6,431,246 4,688,666
9. General expenses due or accrued 81,221,375 4,442,227 85,663,602 234,204,035
10.1 Current federal and foreign income tax payable and interest thereon
(including $ on realized capital gains (losses)) 30,308,721
10.2 Net deferred tax liability
11. Ceded reinsurance premiums payable
12. Amounts withheld or retained for the account of others 2,798,323 172,188 2,970,511 2,949,003
13. Remittances and items not allocated
14. Borrowed money (including $ current) and
interest thereon $ (including
$ current)
15. Amounts due to parent, subsidiaries and affiliates 31,155,815 1,917,097 33,072,912 23,371,017
16. Derivatives
17. Payable for securities 87,168 5,364 92,532
18. Payable for securities lending
19. Funds held under reinsurance treaties (with $
authorized reinsurers, $ unauthorized
reinsurers and $ certified reinsurers)
20. Reinsurance in unauthorized and certified ($ )
companies
21. Net adjustments in assets and liabilities due to foreign exchange rates
22. Liability for amounts held under uninsured plans 1,405,518 193,279 1,598,797 2,725,939
23. Aggregate write-ins for other liabilities (including $ 3,519,385
current) 3,315,381 204,004 3,519,385 5,102,676
24. Total liabilities (Lines 1 to 23) 227,450,412 13,806,726 241,257,138 426,654,577
25. Aggregate write-ins for special surplus funds XXX XXX 30,183,227
26. Common capital stock XXX XXX 800,000 800,000
27. Preferred capital stock XXX XXX
28. Gross paid in and contributed surplus XXX XXX 73,874,967 73,874,967
29. Surplus notes XXX XXX
30. Aggregate write-ins for other than special surplus funds XXX XXX (4,372,802) 15,319,166
31. Unassigned funds (surplus) XXX XXX 128,757,007 148,248,768
32. Less treasury stock, at cost:
32.1 shares common (value included in Line 26
$ ) XXX XXX
32.2 shares preferred (value included in Line 27
$ ) XXX XXX
33. Total capital and surplus (Lines 25 to 31 minus Line 32) XXX XXX 229,242,399 238,242,901
34. Total liabilities, capital and surplus (Lines 24 and 33) XXX XXX 470,499,537 664,897,478
DETAILS OF WRITE-INS
2301. P.E.G.G. Funding 29,078 1,789 30,867 15,734
2302. Coverage Gap Discount 1,065,729 65,577 1,131,306 1,230,112
2303. ACA Tax Liability 50,852 3,129 53,981 1,917,343
2398. Summary of remaining write-ins for Line 23 from overflow page 2,169,722 133,509 2,303,231 1,939,487
2399. Totals (Lines 2301 thru 2303 plus 2398)(Line 23 above) 3,315,381 204,004 3,519,385 5,102,676
2501. ACA Fee Due in 2018 for 2017 XXX XXX 30,183,227
2502. XXX XXX
2503. XXX XXX
2598. Summary of remaining write-ins for Line 25 from overflow page XXX XXX
2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) XXX XXX 30,183,227
3001. Unrealized gains/losses on Investments XXX XXX (4,372,802) 15,319,166
3002. XXX XXX
3003. XXX XXX
3098. Summary of remaining write-ins for Line 30 from overflow page XXX XXX
3099. Totals (Lines 3001 thru 3003 plus 3098)(Line 30 above) XXX XXX (4,372,802) 15,319,166
3
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
STATEMENT OF REVENUE AND EXPENSESCurrent Year Prior Year
1Uncovered
2Total
3Total
1. Member Months XXX 3,918,133 3,959,126
2. Net premium income ( including $ 3,346,363 non-health premium income) XXX 1,832,500,312 1,838,874,726
3. Change in unearned premium reserves and reserve for rate credits XXX
4. Fee-for-service (net of $ medical expenses) XXX
5. Risk revenue XXX
6. Aggregate write-ins for other health care related revenues XXX
7. Aggregate write-ins for other non-health revenues XXX
8. Total revenues (Lines 2 to 7) XXX 1,832,500,312 1,838,874,726
Hospital and Medical:
9. Hospital/medical benefits 92,988,943 1,346,627,743 1,331,044,873
10. Other professional services 4,133,731 82,297,737 83,430,723
11. Outside referrals
12. Emergency room and out-of-area
13. Prescription drugs 8,818,591 142,545,782 141,870,744
14. Aggregate write-ins for other hospital and medical (100,153) (1,865,386) (737,808)
15. Incentive pool, withhold adjustments and bonus amounts 68,638 1,205,270 2,947,557
16. Subtotal (Lines 9 to 15) 105,909,750 1,570,811,146 1,558,556,089
Less:
17. Net reinsurance recoveries 178,523 3,009,546 9,934,780
18. Total hospital and medical (Lines 16 minus 17) 105,731,227 1,567,801,600 1,548,621,309
19. Non-health claims (net)
20. Claims adjustment expenses, including $ 57,163,437 cost containment expenses 2,066,835 73,423,444 71,112,950
21. General administrative expenses 8,725,854 151,943,700 186,930,874
22. Increase in reserves for life and accident and health contracts (including $
increase in reserves for life only) (279,555) (3,346,363) (16,346,275)
23. Total underwriting deductions (Lines 18 through 22) 116,244,361 1,789,822,381 1,790,318,858
24. Net underwriting gain or (loss) (Lines 8 minus 23) XXX 42,677,931 48,555,868
25. Net investment income earned (Exhibit of Net Investment Income, Line 17) (412,263) 6,239,552 5,855,267
26. Net realized capital gains (losses) less capital gains tax of $ 8,828,466 955,200 16,395,722 5,739,743
27. Net investment gains (losses) (Lines 25 plus 26) 542,937 22,635,274 11,595,010
28. Net gain or (loss) from agents’ or premium balances charged off [(amount recovered
$ ) (amount charged off $ )]
29. Aggregate write-ins for other income or expenses 45,174 674,398 419,125
30. Net income or (loss) after capital gains tax and before all other federal income taxes (Lines 24 plus 27 plus 28 plus 29) XXX 65,987,603 60,570,003
31. Federal and foreign income taxes incurred XXX 7,984,026 28,780,640
32. Net income (loss) (Lines 30 minus 31) XXX 58,003,577 31,789,363
DETAILS OF WRITE-INS
0601. XXX
0602. XXX
0603 XXX
0698. Summary of remaining write-ins for Line 6 from overflow page XXX
0699. Totals (Lines 0601 thru 0603 plus 0698)(Line 6 above) XXX
0701. XXX
0702. XXX
0703 XXX
0798. Summary of remaining write-ins for Line 7 from overflow page XXX
0799. Totals (Lines 0701 thru 0703 plus 0798)(Line 7 above) XXX
1401. Transplants Reimbursements (100,153) (1,865,386) (737,808)
1402.
1403.
1498. Summary of remaining write-ins for Line 14 from overflow page
1499. Totals (Lines 1401 thru 1403 plus 1498)(Line 14 above) (100,153) (1,865,386) (737,808)
2901. Other revenue 39,475 589,316 288,232
2902. Late Fees 5,293 79,020 96,183
2903 Miscellaneous Income 406 6,062 34,710
2998. Summary of remaining write-ins for Line 29 from overflow page
2999. Totals (Lines 2901 thru 2903 plus 2998)(Line 29 above) 45,174 674,398 419,125
4
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
STATEMENT OF REVENUE AND EXPENSES (Continued)1
Current Year2
Prior Year
CAPITAL AND SURPLUS ACCOUNT
33. Capital and surplus prior reporting year 238,242,901 209,874,563
34. Net income or (loss) from Line 32 58,003,577 31,789,363
35. Change in valuation basis of aggregate policy and claim reserves
36. Change in net unrealized capital gains (losses) less capital gains tax of $ (6,410,368) (13,281,626) (1,740,940)
37. Change in net unrealized foreign exchange capital gain or (loss)
38. Change in net deferred income tax (9,910,131) 829,825
39. Change in nonadmitted assets 2,187,691 (2,509,935)
40 Change in unauthorized and certified reinsurance
41. Change in treasury stock
42. Change in surplus notes
43. Cumulative effect of changes in accounting principles
44. Capital Changes:
44.1 Paid in
44.2 Transferred from surplus (Stock Dividend)
44.3 Transferred to surplus
45. Surplus adjustments:
45.1 Paid in
45.2 Transferred to capital (Stock Dividend)
45.3 Transferred from capital
46. Dividends to stockholders (46,000,000)
47. Aggregate write-ins for gains or (losses) in surplus 26
48. Net change in capital and surplus (Lines 34 to 47) (9,000,489) 28,368,338
49. Capital and surplus end of reporting period (Line 33 plus 48) 229,242,412 238,242,901
DETAILS OF WRITE-INS
4701. Additional deferred tax asset as a result of 10R
4702. Change in accounting for Other than invested Assets 26
4703.
4798. Summary of remaining write-ins for Line 47 from overflow page
4799. Totals (Lines 4701 thru 4703 plus 4798)(Line 47 above) 26
5
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
CASH FLOW1
Current Year
2
Prior Year
Cash from Operations
1. Premiums collected net of reinsurance 1,709,204,380 1,827,391,625
2. Net investment income 8,113,050 7,972,800
3. Miscellaneous income
4. Total (Lines 1 through 3) 1,717,317,430 1,835,364,425
5. Benefit and loss related payments 1,569,898,035 1,547,574,371
6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts
7. Commissions, expenses paid and aggregate write-ins for deductions 245,015,766 235,980,278
8. Dividends paid to policyholders
9. Federal and foreign income taxes paid (recovered) net of $ 8,828,466 tax on capital gains (losses) 49,195,426 14,280,408
10. Total (Lines 5 through 9) 1,864,109,228 1,797,835,057
11. Net cash from operations (Line 4 minus Line 10) (146,791,797) 37,529,369
Cash from Investments
12. Proceeds from investments sold, matured or repaid:
12.1 Bonds 320,402,106 237,423,274
12.2 Stocks 45,436,482 52,836,974
12.3 Mortgage loans
12.4 Real estate
12.5 Other invested assets
12.6 Net gains or (losses) on cash, cash equivalents and short-term investments (212)
12.7 Miscellaneous proceeds 92,532
12.8 Total investment proceeds (Lines 12.1 to 12.7) 365,931,120 290,260,035
13. Cost of investments acquired (long-term only):
13.1 Bonds 322,228,895 254,396,560
13.2 Stocks 3,349,841 54,247,185
13.3 Mortgage loans
13.4 Real estate
13.5 Other invested assets 6,997,097
13.6 Miscellaneous applications 115,285
13.7 Total investments acquired (Lines 13.1 to 13.6) 332,691,118 308,643,745
14. Net increase (decrease) in contract loans and premium notes
15. Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14) 33,240,002 (18,383,710)
Cash from Financing and Miscellaneous Sources
16. Cash provided (applied):
16.1 Surplus notes, capital notes
16.2 Capital and paid in surplus, less treasury stock
16.3 Borrowed funds
16.4 Net deposits on deposit-type contracts and other insurance liabilities
16.5 Dividends to stockholders 412,982
16.6 Other cash provided (applied) 17,367,603 (3,868,341)
17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6) 16,954,621 (3,868,341)
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) (96,597,175) 15,277,317
19. Cash, cash equivalents and short-term investments:
19.1 Beginning of year 195,818,595 180,541,277
19.2 End of year (Line 18 plus Line 19.1) 99,221,420 195,818,595
2017 Dividend approved by OSI 05/16/2017: $46,000,000 ( $412,982.26 Cash Wire Transfer, $45,587,017.74 in Investment Fixed Income Bond Transfer) executed June 30, 2017.
Note: Supplemental disclosures of cash flow information for non-cash transactions:
6
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
ANALYSIS OF OPERATIONS BY LINES OF BUSINESS1
Total
2
Comprehensive(Hospital & Medical)
3
MedicareSupplement
4
DentalOnly
5
VisionOnly
6Federal
EmployeesHealth
Benefits Plan
7
TitleXVIII
Medicare
8
TitleXIX
Medicaid
9
Other Health
10
OtherNon-Health
1. Net premium income 1,832,500,312 213,727,480 77,496,585 375,613,746 1,165,662,501
2. Change in unearned premium reserves and reserve for rate credit
3. Fee-for-service (net of $
medical expenses) XXX
4. Risk revenue XXX
5. Aggregate write-ins for other health care related revenues XXX
6. Aggregate write-ins for other non-health care related revenues XXX XXX XXX XXX XXX XXX XXX XXX
7. Total revenues (Lines 1 to 6) 1,832,500,312 213,727,480 77,496,585 375,613,746 1,165,662,501
8. Hospital/medical benefits 1,346,627,743 167,142,467 64,529,599 315,861,416 799,094,261 XXX
9. Other professional services 82,297,737 2,290,977 125,902 466,215 79,414,643 XXX
10. Outside referrals XXX
11. Emergency room and out-of-area XXX
12. Prescription drugs 142,545,782 20,993,213 3,519,821 16,666,880 101,365,868 XXX
13. Aggregate write-ins for other hospital and medical (1,865,385) (380,392) (86,722) (1,398,271) XXX
14. Incentive pool, withhold adjustments and bonus amounts 1,205,270 10,948 3,257 122,201 1,068,864 XXX
15. Subtotal (Lines 8 to 14) 1,570,811,147 190,057,213 68,091,857 333,116,712 979,545,365 XXX
16. Net reinsurance recoveries 3,009,546 1,340,577 308,403 1,360,566 XXX
17. Total medical and hospital (Lines 15 minus 16) 1,567,801,601 188,716,636 67,783,454 333,116,712 978,184,799 XXX
18. Non-health claims (net) XXX XXX XXX XXX XXX XXX XXX XXX
19. Claims adjustment expenses including
$ 57,163,428 cost containment expenses 73,423,434 9,721,238 1,186,504 9,463,167 43,426,696 9,625,829
20. General administrative expenses 151,943,700 26,811,286 3,176,058 21,645,076 115,965,271 (15,653,991)
21. Increase in reserves for accident and health contracts (3,346,363) (3,346,363) XXX
22. Increase in reserves for life contracts XXX XXX XXX XXX XXX XXX XXX XXX
23. Total underwriting deductions (Lines 17 to 22) 1,789,822,372 221,902,797 72,146,016 364,224,955 1,137,576,766 (6,028,162)
24. Total underwriting gain or (loss) (Line 7 minus Line 23) 42,677,940 (8,175,317) 5,350,569 11,388,791 28,085,735 6,028,162
DETAILS OF WRITE-INS
0501. XXX
0502. XXX
0503. XXX
0598. Summary of remaining write-ins for Line 5 from overflow page XXX
0599. Totals (Lines 0501 thru 0503 plus 0598) (Line 5 above) XXX
0601. XXX XXX XXX XXX XXX XXX XXX XXX
0602. XXX XXX XXX XXX XXX XXX XXX XXX
0603. XXX XXX XXX XXX XXX XXX XXX XXX
0698. Summary of remaining write-ins for Line 6 from overflow page XXX XXX XXX XXX XXX XXX XXX XXX
0699. Totals (Lines 0601 thru 0603 plus 0698) (Line 6 above) XXX XXX XXX XXX XXX XXX XXX XXX
1301. Transplant Reimbursements (1,865,385) (380,392) (86,722) (1,398,271) XXX
1302. XXX
1303. XXX
1398. Summary of remaining write-ins for Line 13 from overflow page XXX
1399. Totals (Lines 1301 thru 1303 plus 1398) (Line 13 above) (1,865,385) (380,392) (86,722) (1,398,271) XXX
7
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 1 - PREMIUMS
Line of Business
1
DirectBusiness
2
ReinsuranceAssumed
3
ReinsuranceCeded
4
Net PremiumIncome
(Cols. 1 + 2 - 3)
1. Comprehensive (hospital and medical) 214,838,982 1,111,502 213,727,480
2. Medicare Supplement
3. Dental only
4. Vision only
5. Federal Employees Health Benefits Plan 77,780,522 283,937 77,496,585
6. Title XVIII - Medicare 375,613,746 375,613,746
7. Title XIX - Medicaid 1,168,474,550 2,812,048 1,165,662,502
8. Other health
9. Health subtotal (Lines 1 through 8) 1,836,707,800 4,207,487 1,832,500,313
10. Life
11. Property/casualty
12. Totals (Lines 9 to 11) 1,836,707,800 4,207,487 1,832,500,313
8
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2 - CLAIMS INCURRED DURING THE YEAR
1
Total
2
Comprehensive (Hospital & Medical)
3
MedicareSupplement
4
Dental Only
5
Vision Only
6Federal
EmployeesHealth
Benefits Plan
7
TitleXVIII
Medicare
8
TitleXIX
Medicaid
9
Other Health
10
Other Non-Health
1. Payments during the year:
1.1 Direct 1,620,171,862 204,286,288 68,516,018 337,413,581 1,009,955,975
1.2 Reinsurance assumed
1.3 Reinsurance ceded 7,671,493 7,522,877 249,387 (100,771)
1.4 Net 1,612,500,369 196,763,411 68,266,631 337,413,581 1,010,056,746
2. Paid medical incentive pools and bonuses 1,205,270 10,438 3,767 122,201 1,068,864
3. Claim liability December 31, current year from Part 2A:
3.1 Direct 104,349,527 11,738,355 3,292,539 5,550,638 83,767,995
3.2 Reinsurance assumed
3.3 Reinsurance ceded 2,807,239 2,807,239
3.4 Net 101,542,289 11,738,355 3,292,539 5,550,638 80,960,757
4. Claim reserve December 31, current year from Part 2D:
4.1 Direct
4.2 Reinsurance assumed
4.3 Reinsurance ceded
4.4 Net
5. Accrued medical incentive pools and bonuses, current year
6. Net healthcare receivables (a) 37,560,377 4,474,316 834,728 5,359,837 26,891,496
7. Amounts recoverable from reinsurers December 31, current year 2,664,235 1,650,898 193,331 820,006
8. Claim liability December 31, prior year from Part 2A:
8.1 Direct 117,355,137 21,504,063 2,885,229 4,609,871 88,355,974
8.2 Reinsurance assumed
8.3 Reinsurance ceded
8.4 Net 117,355,137 21,504,063 2,885,229 4,609,871 88,355,974
9. Claim reserve December 31, prior year from Part 2D:
9.1 Direct
9.2 Reinsurance assumed
9.3 Reinsurance ceded
9.4 Net
10. Accrued medical incentive pools and bonuses, prior year
11. Amounts recoverable from reinsurers December 31, prior year 10,133,421 7,833,198 134,316 2,165,907
12. Incurred Benefits:
12.1 Direct 1,569,605,875 190,046,264 68,088,600 332,994,511 978,476,500
12.2 Reinsurance assumed
12.3 Reinsurance ceded 3,009,546 1,340,577 308,402 1,360,567
12.4 Net 1,566,596,330 188,705,687 67,780,198 332,994,511 977,115,934
13. Incurred medical incentive pools and bonuses 1,205,270 10,438 3,767 122,201 1,068,864
(a) Excludes $ loans or advances to providers not yet expensed.
9
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2A - CLAIMS LIABILITY END OF CURRENT YEAR
1
Total
2
Comprehensive (Hospital & Medical)
3
MedicareSupplement
4
Dental Only
5
Vision Only
6Federal
EmployeesHealth
Benefits Plan
7
TitleXVIII
Medicare
8
TitleXIX
Medicaid
9
Other Health
10
Other Non-Health
1. Reported in Process of Adjustment:
1.1 Direct 6,908,168 1,937,402 202,992 4,767,774
1.2 Reinsurance assumed
1.3 Reinsurance ceded
1.4 Net 6,908,168 1,937,402 202,992 4,767,774
2. Incurred but Unreported:
2.1 Direct 97,441,359 9,800,953 3,292,539 5,347,646 79,000,221
2.2 Reinsurance assumed
2.3 Reinsurance ceded 2,807,239 2,807,239
2.4 Net 94,634,120 9,800,953 3,292,539 5,347,646 76,192,982
3. Amounts Withheld from Paid Claims and Capitations:
3.1 Direct
3.2 Reinsurance assumed
3.3 Reinsurance ceded
3.4 Net
4. TOTALS:
4.1 Direct 104,349,527 11,738,355 3,292,539 5,550,638 83,767,995
4.2 Reinsurance assumed
4.3 Reinsurance ceded 2,807,239 2,807,239
4.4 Net 101,542,289 11,738,355 3,292,539 5,550,638 80,960,757
10
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2B - ANALYSIS OF CLAIMS UNPAID - PRIOR YEAR - NET OF REINSURANCE
Claims Paid During the YearClaim Reserve and Claim Liability
December 31 of Current Year5 6
Line of Business
1
On Claims IncurredPrior to January 1of Current Year
2
On Claims IncurredDuring the Year
3
On Claims UnpaidDecember 31 of
Prior Year
4
On Claims IncurredDuring the Year
Claims IncurredIn Prior Years
(Columns 1 + 3)
Estimated ClaimReserve and Claim
LiabilityDecember 31 of
Prior Year
1. Comprehensive (hospital and medical) 18,980,728 185,305,560 445,227 11,293,127 19,425,955 21,504,063
2. Medicare Supplement
3. Dental Only
4. Vision Only
5. Federal Employees Health Benefits Plan 2,971,889 65,544,129 6,155 3,286,384 2,978,044 2,885,229
6. Title XVIII - Medicare 4,507,063 332,906,518 5,550,637 4,507,063 4,609,871
7 Title XIX - Medicaid 84,234,638 925,721,338 3,597,499 77,363,258 87,832,137 88,355,974
8. Other health
9. Health subtotal (Lines 1 to 8) 110,694,318 1,509,477,545 4,048,881 97,493,406 114,743,199 117,355,137
10. Healthcare receivables (a) 32,498,413 12,476,228 14,369,188 23,634,842 46,867,601 45,215,987
11. Other non-health
12. Medical incentive pools and bonus amounts 1,205,270
13. Totals (Lines 9 - 10 + 11 + 12) 78,195,905 1,498,206,587 (10,320,307) 73,858,564 67,875,598 72,139,150
(a) Excludes $ loans or advances to providers not yet expensed.
11
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2C - DEVELOPMENT OF PAID AND INCURRED HEALTH CLAIMS
($000 Omitted)Section A - Paid Health Claims - Comprehensive (Hospital & Medical)
Cumulative Net Amounts Paid
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 11,139 11,139 11,140 11,139 11,140
2. 2013 181,965 194,866 194,865 194,865 194,865
3. 2014 XXX 177,073 195,174 195,174 195,174
4. 2015 XXX XXX 178,079 192,135 191,135
5. 2016 XXX XXX XXX 231,269 250,250
6. 2017 XXX XXX XXX XXX 185,317
Section B - Incurred Health Claims - Comprehensive (Hospital & Medical)Sum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses
Outstanding at End of Year
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 11,598 11,160 11,139 11,139 11,140
2. 2013 199,486 196,809 194,865 194,865 194,865
3. 2014 XXX 197,297 197,594 195,174 195,174
4. 2015 XXX XXX 190,805 191,409 191,135
5. 2016 XXX XXX XXX 252,500 250,695
6. 2017 XXX XXX XXX XXX 196,610
Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio - Comprehensive (Hospital & Medical)
Years in whichPremiums were Earned and Claims
were Incurred
1
Premiums Earned
2
Claims Payment
3
Claim Adjustment Expense Payments
4
(Col. 3/2)Percent
5Claim and Claim
Adjustment Expense Payments(Col. 2 + 3)
6
(Col. 5/1)Percent
7
Claims Unpaid
8
Unpaid Claims AdjustmentExpenses
9Total Claims and
Claims Adjustment Expense Incurred
(Col. 5+7+8)
10
(Col. 9/1)Percent
1. 2013 223,265 194,865 1,813 0.9 196,678 88.1 196,678 88.1
2. 2014 249,195 195,174 1,966 1.0 197,140 79.1 197,140 79.1
3. 2015 223,372 191,135 1,937 1.0 193,072 86.4 193,072 86.4
4. 2016 245,953 231,269 3,009 1.3 234,278 95.3 445 234,723 95.4
5. 2017 213,727 185,317 1,866 1.0 187,183 87.6 11,293 866 199,342 93.3
12.H
M
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2C - DEVELOPMENT OF PAID AND INCURRED HEALTH CLAIMS
($000 Omitted)Section A - Paid Health Claims - Federal Employees Health Benefits Plan Premium
Cumulative Net Amounts Paid
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 2,034 2,034 2,034 2,034 2,033
2. 2013 57,197 59,127 59,127 59,127 59,127
3. 2014 XXX 55,595 56,776 56,776 56,776
4. 2015 XXX XXX 51,317 52,611 52,611
5. 2016 XXX XXX XXX 59,992 62,964
6. 2017 XXX XXX XXX XXX 65,547
Section B - Incurred Health Claims - Federal Employees Health Benefits Plan PremiumSum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses
Outstanding at End of Year
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 2,119 2,039 2,034 2,034 2,033
2. 2013 59,393 58,955 59,127 59,127 59,127
3. 2014 XXX 56,710 56,416 56,776 56,776
4. 2015 XXX XXX 53,166 52,673 52,611
5. 2016 XXX XXX XXX 62,673 62,970
6. 2017 XXX XXX XXX XXX 68,834
Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio - Federal Employees Health Benefits Plan Premium
Years in whichPremiums were Earned and Claims
were Incurred
1
Premiums Earned
2
Claims Payment
3
Claim Adjustment Expense Payments
4
(Col. 3/2)Percent
5Claim and Claim
Adjustment Expense Payments(Col. 2 + 3)
6
(Col. 5/1)Percent
7
Claims Unpaid
8
Unpaid Claims AdjustmentExpenses
9Total Claims and
Claims Adjustment Expense Incurred
(Col. 5+7+8)
10
(Col. 9/1)Percent
1. 2013 67,368 59,127 381 0.6 59,508 88.3 59,508 88.3
2. 2014 62,226 56,776 325 0.6 57,101 91.8 57,101 91.8
3. 2015 60,621 52,611 441 0.8 53,052 87.5 53,052 87.5
4. 2016 71,231 62,964 555 0.9 63,519 89.2 6 63,525 89.2
5. 2017 77,497 65,547 466 0.7 66,013 85.2 3,286 17 69,316 89.4
12.F
E
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2C - DEVELOPMENT OF PAID AND INCURRED HEALTH CLAIMS
($000 Omitted)Section A - Paid Health Claims - Title XVIII
Cumulative Net Amounts Paid
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 6,419 6,420 6,420 6,420 6,420
2. 2013 237,620 237,314 237,314 237,314 237,314
3. 2014 XXX 189,307 189,889 189,889 189,889
4. 2015 XXX XXX 255,181 258,999 258,999
5. 2016 XXX XXX XXX 278,166 282,673
6. 2017 XXX XXX XXX XXX 333,029
Section B - Incurred Health Claims - Title XVIIISum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses
Outstanding at End of Year
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 6,446 6,422 6,420 6,420 204,604
2. 2013 237,298 237,314 237,314 237,314 237,314
3. 2014 XXX 189,849 189,889 189,889 189,889
4. 2015 XXX XXX 259,362 259,006 258,999
5. 2016 XXX XXX XXX 282,769 282,673
6. 2017 XXX XXX XXX XXX 338,579
Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio - Title XVIII
Years in whichPremiums were Earned and Claims
were Incurred
1
Premiums Earned
2
Claims Payment
3
Claim Adjustment Expense Payments
4
(Col. 3/2)Percent
5Claim and Claim
Adjustment Expense Payments(Col. 2 + 3)
6
(Col. 5/1)Percent
7
Claims Unpaid
8
Unpaid Claims AdjustmentExpenses
9Total Claims and
Claims Adjustment Expense Incurred
(Col. 5+7+8)
10
(Col. 9/1)Percent
1. 2013 259,101 237,314 1,289 0.5 238,603 92.1 238,603 92.1
2. 2014 215,831 189,889 1,169 0.6 191,058 88.5 191,058 88.5
3. 2015 294,416 258,999 2,870 1.1 261,869 88.9 261,869 88.9
4. 2016 298,307 282,673 3,217 1.1 285,890 95.8 285,890 95.8
5. 2017 375,614 333,029 2,819 0.8 335,848 89.4 5,551 72 341,471 90.9
12.X
V
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2C - DEVELOPMENT OF PAID AND INCURRED HEALTH CLAIMS
($000 Omitted)Section A - Paid Health Claims - Title XIX
Cumulative Net Amounts Paid
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 35,698 35,698 35,698 35,698 35,698
2. 2013 437,372 474,645 474,645 474,645 474,645
3. 2014 XXX 661,395 727,925 727,925 727,925
4. 2015 XXX XXX 806,226 881,824 881,824
5. 2016 XXX XXX XXX 927,195 1,011,430
6. 2017 XXX XXX XXX XXX 926,790
Section B - Incurred Health Claims - Title XIXSum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses
Outstanding at End of Year
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 61,042 49,632 35,698 35,698 35,698
2. 2013 480,878 478,281 474,645 474,645 474,645
3. 2014 XXX 741,601 736,611 727,925 727,925
4. 2015 XXX XXX 896,195 882,572 881,824
5. 2016 XXX XXX XXX 1,014,802 1,015,027
6. 2017 XXX XXX XXX XXX 1,004,153
Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio - Title XIX
Years in whichPremiums were Earned and Claims
were Incurred
1
Premiums Earned
2
Claims Payment
3
Claim Adjustment Expense Payments
4
(Col. 3/2)Percent
5Claim and Claim
Adjustment Expense Payments(Col. 2 + 3)
6
(Col. 5/1)Percent
7
Claims Unpaid
8
Unpaid Claims AdjustmentExpenses
9Total Claims and
Claims Adjustment Expense Incurred
(Col. 5+7+8)
10
(Col. 9/1)Percent
1. 2013 542,741 474,645 4,475 0.9 479,120 88.3 479,120 88.3
2. 2014 920,575 727,925 4,745 0.7 732,670 79.6 732,670 79.6
3. 2015 1,080,157 881,824 9,995 1.1 891,819 82.6 891,819 82.6
4. 2016 1,223,384 1,011,430 10,498 1.0 1,021,928 83.5 3,597 1,025,525 83.8
5. 2017 1,165,663 926,790 8,434 0.9 935,224 80.2 77,363 1,140 1,013,727 87.0
12.X
I
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2C - DEVELOPMENT OF PAID AND INCURRED HEALTH CLAIMS
($000 Omitted)Section A - Paid Health Claims - Grand Total
Cumulative Net Amounts Paid
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 55,290 55,291 55,292 55,291 55,291
2. 2013 914,154 965,952 965,951 965,951 965,951
3. 2014 XXX 1,083,370 1,169,764 1,169,764 1,169,764
4. 2015 XXX XXX 1,290,803 1,385,569 1,384,569
5. 2016 XXX XXX XXX 1,496,622 1,607,317
6. 2017 XXX XXX XXX XXX 1,510,683
Section B - Incurred Health Claims - Grand TotalSum of Cumulative Net Amount Paid and Claim Liability, Claim Reserve and Medical Incentive Pool and Bonuses
Outstanding at End of Year
Year in Which Losses Were Incurred1
20132
20143
20154
20165
2017
1. Prior 81,205 69,253 55,291 55,291 253,475
2. 2013 977,055 971,359 965,951 965,951 965,951
3. 2014 XXX 1,185,457 1,180,510 1,169,764 1,169,764
4. 2015 XXX XXX 1,399,528 1,385,660 1,384,569
5. 2016 XXX XXX XXX 1,612,744 1,611,365
6. 2017 XXX XXX XXX XXX 1,608,176
Section C - Incurred Year Health Claims and Claims Adjustment Expense Ratio - Grand Total
Years in whichPremiums were Earned and Claims
were Incurred
1
Premiums Earned
2
Claims Payment
3
Claim Adjustment Expense Payments
4
(Col. 3/2)Percent
5Claim and Claim
Adjustment Expense Payments(Col. 2 + 3)
6
(Col. 5/1)Percent
7
Claims Unpaid
8
Unpaid Claims AdjustmentExpenses
9Total Claims and
Claims Adjustment Expense Incurred
(Col. 5+7+8)
10
(Col. 9/1)Percent
1. 2013 1,092,475 965,951 7,958 0.8 973,909 89.1 973,909 89.1
2. 2014 1,447,827 1,169,764 8,205 0.7 1,177,969 81.4 1,177,969 81.4
3. 2015 1,658,566 1,384,569 15,243 1.1 1,399,812 84.4 1,399,812 84.4
4. 2016 1,838,875 1,588,336 17,279 1.1 1,605,615 87.3 4,048 1,609,663 87.5
5. 2017 1,832,501 1,510,683 13,585 0.9 1,524,268 83.2 97,493 2,095 1,623,856 88.6
12.G
T
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBIT PART 2D - AGGREGATE RESERVE FOR ACCIDENT AND HEALTH CONTRACTS ONLY
1
Total
2
Comprehensive (Hospital & Medical)
3
MedicareSupplement
4
Dental Only
5
Vision Only
6Federal
EmployeesHealth
Benefits Plan
7
TitleXVIII
Medicare
8
TitleXIX
Medicaid
9
Other
1. Unearned premium reserves
2. Additional policy reserves (a)
3. Reserve for future contingent benefits
4. Reserve for rate credits or experience rating refunds (including
$ ) for investment income
5. Aggregate write-ins for other policy reserves 4,270,667 4,270,667
6. Totals (gross) 4,270,667 4,270,667
7. Reinsurance ceded
8. Totals (Net)(Page 3, Line 4) 4,270,667 4,270,667
9. Present value of amounts not yet due on claims
10. Reserve for future contingent benefits
11. Aggregate write-ins for other claim reserves
12. Totals (gross)
13. Reinsurance ceded
14. Totals (Net)(Page 3, Line 7)
DETAILS OF WRITE-INS
0501. Part D Risk Share 1,625,662 1,625,662
0502. Part D Reinsurance Liability 2,645,005 2,645,005
0503.
0598. Summary of remaining write-ins for Line 5 from overflow page
0599. Totals (Lines 0501 thru 0503 plus 0598) (Line 5 above) 4,270,667 4,270,667
1101.
1102.
1103.
1198. Summary of remaining write-ins for Line 11 from overflow page
1199. Totals (Lines 1101 thru 1103 plus 1198) (Line 11 above)
(a) Includes $ premium deficiency reserve.
13
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
UNDERWRITING AND INVESTMENT EXHIBITPART 3 - ANALYSIS OF EXPENSES
Claim Adjustment Expenses 3 4 51
CostContainment
Expenses
2Other Claim AdjustmentExpenses
GeneralAdministrative
ExpensesInvestmentExpenses Total
1. Rent ($ for occupancy of
own building) 2,681,572 2,681,572
2. Salary, wages and other benefits 31,942,077 12,549,421 49,444,561 93,936,060
3. Commissions (less $
ceded plus $ assumed) 4,296,055 4,296,055
4. Legal fees and expenses 877 500,709 501,586
5. Certifications and accreditation fees
6. Auditing, actuarial and other consulting services 2,189 1,152 8,430,206 8,433,548
7. Traveling expenses 430,196 22,707 385,567 838,471
8. Marketing and advertising 2,292,732 2,292,732
9. Postage, express and telephone 230,838 4,023 2,404,655 2,639,515
10. Printing and office supplies 139,856 33,503 398,857 572,216
11. Occupancy, depreciation and amortization 418 43,233 893,036 936,687
12. Equipment 2,671,503 (2) 308,495 2,979,996
13. Cost or depreciation of EDP equipment and software 1,250,640 1,250,640
14. Outsourced services including EDP, claims, and other services 14,626,400 2,727,325 30,724,511 48,078,236
15. Boards, bureaus and association fees 8,524 8,201 444,480 461,206
16. Insurance, except on real estate 883,893 883,893
17. Collection and bank service charges 1,147,399 1,147,399
18. Group service and administration fees 4,965,792 4,965,792
19. Reimbursements by uninsured plans (28,858,790) (28,858,790)
20. Reimbursements from fiscal intermediaries
21. Real estate expenses
22. Real estate taxes
23. Taxes, licenses and fees:
23.1 State and local insurance taxes 24,364,378 24,364,378
23.2 State premium taxes 46,249,873 46,249,873
23.3 Regulatory authority licenses and fees 451,999 656,411 1,108,410
23.4 Payroll taxes 2,144,766 870,443 3,245,675 6,260,884
23.5 Other (excluding federal income and real estate taxes) 3,197 3,197
24. Investment expenses not included elsewhere
25. Aggregate write-ins for expenses
26. Total expenses incurred (Lines 1 to 25) 57,163,437 16,260,008 151,943,700 656,411 (a) 226,023,555
27. Less expenses unpaid December 31, current year 2,095,180 85,663,602 87,758,782
28. Add expenses unpaid December 31, prior year 2,552,879 234,204,035 236,756,914
29. Amounts receivable relating to uninsured plans, prior year
30. Amounts receivable relating to uninsured plans, current year
31. Total expenses paid (Lines 26 minus 27 plus 28 minus 29 plus 30) 57,163,437 16,717,707 300,484,133 656,411 375,021,687
DETAILS OF WRITE-INS
2501. Adjustmentfor CAL
2502.
2503.
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above)
(a) Includes management fees of $ 20,108,379 to affiliates and $ 8,498,146 to non-affiliates.
14
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT OF NET INVESTMENT INCOME
1 2Collected During Year Earned During Year
1. U.S. government bonds (a) 1,377,628 1,349,476
1.1 Bonds exempt from U.S. tax (a)
1.2 Other bonds (unaffiliated) (a) 4,508,178 4,353,981
1.3 Bonds of affiliates (a)
2.1 Preferred stocks (unaffiliated) (b)
2.11 Preferred stocks of affiliates (b)
2.2 Common stocks (unaffiliated) 920,385 920,385
2.21 Common stocks of affiliates
3. Mortgage loans (c)
4. Real estate (d)
5 Contract Loans
6 Cash, cash equivalents and short-term investments (e) 59,989 63,586
7 Derivative instruments (f)
8. Other invested assets 208,535 208,535
9. Aggregate write-ins for investment income
10. Total gross investment income 7,074,716 6,895,963
11. Investment expenses (g)
12. Investment taxes, licenses and fees, excluding federal income taxes (g) 656,411
13. Interest expense (h)
14. Depreciation on real estate and other invested assets (i)
15. Aggregate write-ins for deductions from investment income
16. Total deductions (Lines 11 through 15) 656,411
17. Net investment income (Line 10 minus Line 16) 6,239,552
DETAILS OF WRITE-INS
0901.
0902.
0903.
0998. Summary of remaining write-ins for Line 9 from overflow page
0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above)
1501.
1502.
1503.
1598. Summary of remaining write-ins for Line 15 from overflow page
1599. Totals (Lines 1501 thru 1503 plus 1598) (Line 15, above)
(a) Includes $ 215,293 accrual of discount less $ 1,956,888 amortization of premium and less $ 767,274 paid for accrued interest on purchases.
(b) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued dividends on purchases.
(c) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued interest on purchases.
(d) Includes $ for company’s occupancy of its own buildings; and excludes $ interest on encumbrances.
(e) Includes $ 582 accrual of discount less $ 5,127 amortization of premium and less $ 1,690 paid for accrued interest on purchases.
(f) Includes $ accrual of discount less $ amortization of premium.
(g) Includes $. investment expenses and $ investment taxes, licenses and fees, excluding federal income taxes, attributable tosegregated and Separate Accounts.
(h) Includes $ interest on surplus notes and $ interest on capital notes.
(i) Includes $ depreciation on real estate and $ depreciation on other invested assets.
EXHIBIT OF CAPITAL GAINS (LOSSES)1
Realized Gain (Loss) On Sales or Maturity
2
Other Realized Adjustments
3
Total Realized Capital Gain (Loss)
(Columns 1 + 2)
4
Change inUnrealized Capital
Gain (Loss)
5
Change in Unrealized Foreign Exchange Capital Gain (Loss)
1. U.S. Government bonds (840,991) (840,991) 91,105
1.1 Bonds exempt from U.S. tax
1.2 Other bonds (unaffiliated) 166,981 166,981 102,793
1.3 Bonds of affiliates
2.1 Preferred stocks (unaffiliated)
2.11 Preferred stocks of affiliates
2.2 Common stocks (unaffiliated) 26,798,030 26,798,030 (6,875,490)
2.21 Common stocks of affiliates
3. Mortgage loans
4. Real estate
5. Contract loans
6. Cash, cash equivalents and short-term investments
7. Derivative instruments
8. Other invested assets (13,910,234)
9. Aggregate write-ins for capital gains (losses) (899,832) (899,832) 899,832
10. Total capital gains (losses) 26,124,020 (899,832) 25,224,188 (19,691,994)
DETAILS OF WRITE-INS
0901. Unrealized transfered in PNI with Dividend on
Bonds (899,832) (899,832) 899,832
0902. PY Other
0903.
0998. Summary of remaining write-ins for Line 9 from overflow page
0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) (899,832) (899,832) 899,832
15
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT OF NON-ADMITTED ASSETS1
Current Year Total Nonadmitted Assets
2
Prior Year Total Nonadmitted Assets
3Change in Total
Nonadmitted Assets (Col. 2 - Col. 1)
1. Bonds (Schedule D)
2. Stocks (Schedule D):
2.1 Preferred stocks
2.2 Common stocks 7,026 7,026
3. Mortgage loans on real estate (Schedule B):
3.1 First liens
3.2 Other than first liens
4. Real estate (Schedule A):
4.1 Properties occupied by the company
4.2 Properties held for the production of income
4.3 Properties held for sale
5. Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and short-term investments (Schedule DA)
6. Contract loans
7. Derivatives (Schedule DB)
8. Other invested assets (Schedule BA) 2,622,359 2,933,426 311,067
9. Receivables for securities
10. Securities lending reinvested collateral assets (Schedule DL)
11. Aggregate write-ins for invested assets
12. Subtotals, cash and invested assets (Lines 1 to 11) 2,622,359 2,940,452 318,093
13. Title plants (for Title insurers only)
14. Investment income due and accrued
15. Premiums and considerations:
15.1 Uncollected premiums and agents' balances in the course of collection
15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due
15.3 Accrued retrospective premiums and contracts subject to redetermination
16. Reinsurance:
16.1 Amounts recoverable from reinsurers 625,156 2,163,537 1,538,381
16.2 Funds held by or deposited with reinsured companies
16.3 Other amounts receivable under reinsurance contracts
17. Amounts receivable relating to uninsured plans
18.1 Current federal and foreign income tax recoverable and interest thereon
18.2 Net deferred tax asset 925,050 925,050
19. Guaranty funds receivable or on deposit
20. Electronic data processing equipment and software 161,074 161,074
21. Furniture and equipment, including health care delivery assets
22. Net adjustment in assets and liabilities due to foreign exchange rates
23. Receivable from parent, subsidiaries and affiliates
24. Health care and other amounts receivable 2,458,336 1,676,760 (781,576)
25. Aggregate write-ins for other than invested assets 1,049,284 1,075,953 26,669
26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) 6,755,135 8,942,826 2,187,691
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28. Total (Lines 26 and 27) 6,755,135 8,942,826 2,187,691
DETAILS OF WRITE-INS
1101.
1102.
1103.
1198. Summary of remaining write-ins for Line 11 from overflow page
1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)
2501. Prepaids 1,049,284 1,075,953 26,669
2502.
2503.
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) 1,049,284 1,075,953 26,669
16
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 1 - ENROLLMENT BY PRODUCT TYPE FOR HEALTH BUSINESS ONLYTotal Members at End of 6
Source of Enrollment 1
Prior Year2
First Quarter3
Second Quarter4
Third Quarter5
Current YearCurrent Year
Member Months
1. Health Maintenance Organizations 324,074 320,074 315,818 306,304 305,670 3,538,500
2. Provider Service Organizations
3. Preferred Provider Organizations
4. Point of Service 7,270 11,005 11,307 11,520 11,695 379,633
5. Indemnity Only
6. Aggregate write-ins for other lines of business
7. Total 331,344 331,079 327,125 317,824 317,365 3,918,133
DETAILS OF WRITE-INS
0601.
0602.
0603.
0698. Summary of remaining write-ins for Line 6 from overflow page
0699. Totals (Lines 0601 thru 0603 plus 0698) (Line 6 above)
17
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 2 - ACCIDENT AND HEALTH PREMIUMS DUE AND UNPAID1
Name of Debtor2
1 - 30 Days3
31 - 60 Days4
61 - 90 Days5
Over 90 Days6
Nonadmitted7
Admitted
0199999 Total individuals 158,219 744 410 159,373
Group Subscribers:
FEDERAL EMPLOYEES 4,575,799 2,369,569 6,945,368
CITY OF ALBUUERQUE 288,297 15,201 303,499
ALL OTHER 1,265,928 7,564 1,273,493
GROUP 319,892 27,433 4,318 351,642
0299997. Group subscriber subtotal 6,449,916 2,419,767 4,318 8,874,002
0299998. Premiums due and unpaid not individually listed
0299999. Total group 6,449,916 2,419,767 4,318 8,874,002
0399999. Premiums due and unpaid from Medicare entities 4,982,349 4,982,349
0499999. Premiums due and unpaid from Medicaid entities 3,767,423 36,983 3,703,869 7,508,275
0599999 Accident and health premiums due and unpaid (Page 2, Line 15) 15,357,907 2,457,494 4,728 3,703,869 21,523,999
18
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 3 - HEALTH CARE RECEIVABLES1
Name of Debtor2
1 - 30 Days3
31 - 60 Days4
61 - 90 Days5
Over 90 Days6
Nonadmitted7
Admitted
0199998. Aggregate Pharmaceutical Rebate Receivables Not Individually Listed 2,539,025 2,342,837 2,441,497 2,214,791 1,104,295 8,433,854
0199999. Total Pharmaceutical Rebate Receivables 2,539,025 2,342,837 2,441,497 2,214,791 1,104,295 8,433,854
0299998. Aggregate Claim Overpayment Receivables Not Individually Listed 1,015,726 1,015,726
0299999. Total Claim Overpayment Receivables 1,015,726 1,015,726
0399998. Aggregate Loans and Advances to Providers Not Individually Listed 193,939 193,939
0399999. Total Loans and Advances to Providers 193,939 193,939
0499998. Aggregate Capitation Arrangement Receivables Not Individually Listed 283,471 2,295,877 1,160,102 1,160,102 2,579,348
0499999. Total Capitation Arrangement Receivables 283,471 2,295,877 1,160,102 1,160,102 2,579,348
0599998. Aggregate Risk Sharing Receivables Not Individually Listed
0599999. Total Risk Sharing Receivables
Coverage Gap Part D 476,892 183,526 478,294 1,138,712
Indian Health Services 1,576,502 1,841,420 1,750,850 14,392,193 19,560,965
Medicaid Preg Term 6,796 5,420 7,980 132,656 152,852
0699998. Aggregate Other Receivables Not Individually Listed
0699999. Total Other Receivables 2,060,190 2,030,366 2,237,124 14,524,849 20,852,529
0799999 Gross health care receivables 5,898,412 6,669,080 4,678,621 18,093,681 2,458,336 32,881,457
19
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 3A - ANALYSIS OF HEALTH CARE RECEIVABLES COLLECTED AND ACCRUEDHealth Care Receivables Collected
During the YearHealth Care Receivables Accruedas of December 31 of Current Year
5 6
Type of Health Care Receivable
1On Amounts Accrued Prior to January 1 of
Current Year
2
On Amounts Accrued During the Year
3On Amounts Accrued
December 31 of Prior Year
4
On Amounts Accrued During the Year
Health Care Receivables in
Prior Years(Columns 1 + 3)
Estimated Health Care Receivables Accrued as of December 31
of Prior Year
1. Pharmaceutical rebate receivables 9,070,878 4,902,708 3 9,538,149 9,070,881 8,477,855
2. Claim overpayment receivables 2,132,574 1,015,726 2,132,574 2,132,574
3. Loans and advances to providers 193,939
4. Capitation arrangement receivables 272,136 3,739,450 272,136 272,136
5. Risk sharing receivables
6. Other health care receivables 10,782,833 7,334,780 13,328,219 7,524,310 24,111,052 24,200,000
7. Totals (Lines 1 through 6) 22,258,421 12,237,488 13,328,222 22,011,574 35,586,643 35,082,565
Note that the accrued amounts in Columns 3, 4, and 6 are the total health care receivables, not just the admitted portion.
20
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 4 - CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported)Aging Analysis of Unpaid Claims
1Account
21 - 30 Days
331 - 60 Days
461 - 90 Days
591 - 120 Days
6Over 120 Days
7Total
Claims Unpaid (Reported)
Commercial 7,262,058 2,064,151 1,099,464 723,404 1,298,070 12,447,147
Medicare 4,067,901 492,071 110,177 77,499 204,796 4,952,444
Centennial Care 31,380,823 9,242,799 6,791,405 5,432,428 8,687,484 61,534,939
Centennial Care BH 6,782,412 1,486,429 879,749 496,957 1,360,311 11,005,858
CC Dental 1,387,092 148,625 44,118 5,837 27,751 1,613,423
Commercial RX 645,283 794 272 (12) 8 646,345
Medicare RX 395,124 77 395,201
CC RX 2,032,615 1,592 3,739 43 765 2,038,754
0199999. Individually listed claims unpaid 53,953,308 13,436,538 8,928,924 6,736,156 11,579,185 94,634,111
0299999. Aggregate accounts not individually listed- uncovered 239,277 114,219 7,769 5,086 34,086 400,437
0399999. Aggregate accounts not individually listed-covered 3,888,627 1,856,234 126,260 82,657 553,953 6,507,731
0499999. Subtotals 58,081,212 15,406,991 9,062,953 6,823,899 12,167,224 101,542,279
0599999. Unreported claims and other claim reserves
0699999. Total amounts withheld 2,807,247
0799999. Total claims unpaid 104,349,526
0899999 Accrued medical incentive pool and bonus amounts
21
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 5 - AMOUNTS DUE FROM PARENT, SUBSIDIARIES AND AFFILIATES1 2 3 4 5 6 Admitted
Name of Affiliate 1 - 30 Days 31 - 60 Days 61 - 90 Days Over 90 Days Nonadmitted7
Current8
Non-Current
Presbyterian Network Inc. 7,980,719 7,980,719
Affiliate Taxs Due 2,074,215 2,074,215 0199999. Individually listed receivables 10,054,934 10,054,934 0299999. Receivables not individually listed
0399999 Total gross amounts receivable 10,054,934 10,054,934 22
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 6 - AMOUNTS DUE TO PARENT, SUBSIDIARIES AND AFFILIATES1
Affiliate2
Description3
Amount4
Current5
Non-Current
Presbyterian Insurance Company 593,080 593,080
PHP Admin Administrative Costs 26,742,442 26,742,442
Presbyteiran Medical Group RX Rebates 5,737,389 5,737,389
0199999. Individually listed payables 33,072,911 33,072,911
0299999. Payables not individually listed
0399999 Total gross payables 33,072,911 33,072,911
23
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 7 PART 1- SUMMARY OF TRANSACTIONS WITH PROVIDERS
Payment Method
1
Direct MedicalExpensePayment
2
Column 1as a %
of Total Payments
3
TotalMembersCovered
4
Column 3as a %
of Total Members
5
Column 1Expenses Paid toAffiliated Providers
6Column 1
Expenses Paid toNon-Affiliated
Providers
Capitation Payments:
1. Medical groups 419,624,841 26.4 91,708 28.9 418,821,181 803,660
2. Intermediaries 17,838,679 1.1 260,972 82.2 17,838,679
3. All other providers
4. Total capitation payments 437,463,520 27.6 352,680 111.1 418,821,181 18,642,339
Other Payments:
5. Fee-for-service 82,091,997 5.2 XXX XXX 82,091,997
6. Contractual fee payments 1,067,325,707 67.3 XXX XXX 324,343,889 742,981,818
7. Bonus/withhold arrangements - fee-for-service XXX XXX
8. Bonus/withhold arrangements - contractual fee payments XXX XXX
9. Non-contingent salaries XXX XXX
10. Aggregate cost arrangements XXX XXX
11. All other payments XXX XXX
12. Total other payments 1,149,417,704 72.4 XXX XXX 324,343,889 825,073,815
13. TOTAL (Line 4 plus Line 12) 1,586,881,224 100% XXX XXX 743,165,070 843,716,154
EXHIBIT 7 - PART 2 - SUMMARY OF TRANSACTIONS WITH INTERMEDIARIES1
NAIC Code
2
Name of Intermediary
3
Capitation Paid
4AverageMonthly
Capitation
5
Intermediary’sTotal Adjusted Capital
6Intermediary’s
AuthorizedControl Level RBC
Vision Capitation 782,041 65,170
Unreimbursed Capitated Medical 342,733 28,561
Dialysis Case Rate 530,746 44,229
Imaging Review Capitation 1,676,213 139,684
Transplant Capitation Expense 14,506,946 1,208,912
9999999 Totals 17,838,679 XXX XXX XXX
24
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT 8 - FURNITURE, EQUIPMENT AND SUPPLIES OWNED
Description
1
Cost
2
Improvements
3
AccumulatedDepreciation
4
Book Value LessEncumbrances
5
Assets NotAdmitted
6
Net Admitted Assets
1. Administrative furniture and equipment
2. Medical furniture, equipment and fixtures
3. Pharmaceuticals and surgical supplies
4. Durable medical equipment
5. Other property and equipment
6. Total
NONE
25
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
NOTES TO FINANCIAL STATEMENTS
26
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.3
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
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26.6
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
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ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.8
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.9
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.10
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.11
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
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ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
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ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.17
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
26.18
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
PART 1 - COMMON INTERROGATORIESGENERAL
1.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? Yes [ X ] No [ ]
If yes, complete Schedule Y, Parts 1, 1A and 2
1.2 If yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent, or with such regulatory official of the state of domicile of the principal insurer in the Holding Company System, a registration statement providing disclosure substantially similar to the standards adopted by the National Association of Insurance Commissioners (NAIC) in its Model Insurance Holding Company System Regulatory Act and model regulations pertaining thereto, or is the reporting entity subject to standards and disclosure requirements substantially similar to those required by such Act and regulations? Yes [ X ] No [ ] N/A [ ]
1.3 State Regulating? New Mexico
2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity? Yes [ ] No [ X ]
2.2 If yes, date of change:
3.1 State as of what date the latest financial examination of the reporting entity was made or is being made. 12/31/2015
3.2 State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. This date should be the date of the examined balance sheet and not the date the report was completed or released. 01/16/2017
3.3 State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date). 04/18/2017
3.4 By what department or departments?
NM Office of the Superintendent of Insurance
3.5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial statement filed with Departments? Yes [ X ] No [ ] N/A [ ]
3.6 Have all of the recommendations within the latest financial examination report been complied with? Yes [ X ] No [ ] N/A [ ]
4.1 During the period covered by this statement, did any agent, broker, sales representative, non-affiliated sales/service organization or any combination thereof under common control (other than salaried employees of the reporting entity), receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:
4.11 sales of new business? Yes [ ] No [ X ]
4.12 renewals? Yes [ ] No [ X ]
4.2 During the period covered by this statement, did any sales/service organization owned in whole or in part by the reporting entity or an affiliate, receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:
4.21 sales of new business? Yes [ ] No [ X ]
4.22 renewals? Yes [ ] No [ X ]
5.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? Yes [ ] No [ X ]
5.2 If yes, provide the name of the entity, NAIC Company Code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation.
1Name of Entity
2NAIC Company Code
3State of Domicile
6.1 Has the reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked by any governmental entity during the reporting period? Yes [ ] No [ X ]
6.2 If yes, give full information:
7.1 Does any foreign (non-United States) person or entity directly or indirectly control 10% or more of the reporting entity? Yes [ ] No [ X ]
7.2 If yes,
7.21 State the percentage of foreign control; %
7.22 State the nationality(s) of the foreign person(s) or entity(s) or if the entity is a mutual or reciprocal, the nationality of its manager or attorney-in-fact; and identify the type of entity(s) (e.g., individual, corporation or government, manager or attorney in fact).
1Nationality
2Type of Entity
27
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
8.1 Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board? Yes [ ] No [ X ]
8.2 If response to 8.1 is yes, please identify the name of the bank holding company.
8.3 Is the company affiliated with one or more banks, thrifts or securities firms? Yes [ ] No [ X ]
8.4 If response to 8.3 is yes, please provide below the names and location (city and state of the main office) of any affiliates regulated by a federal regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate's primary federal regulator.
1Affiliate Name
2Location (City, State)
3FRB
4OCC
5FDIC
6SEC
9. What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit?
Ernst & Young
William C. Heimerdinger, Partner
2 North Central Ave, Suite 2300
Phoenix, AZ 85004 10.1 Has the insurer been granted any exemptions to the prohibited non-audit services provided by the certified independent public accountant
requirements as allowed in Section 7H of the Annual Financial Reporting Model Regulation (Model Audit Rule), or substantially similar state law or regulation? Yes [ ] No [ X ]
10.2 If the response to 10.1 is yes, provide information related to this exemption:
10.3 Has the insurer been granted any exemptions related to the other requirements of the Annual Financial Reporting Model Regulation as allowed for in Section 18A of the Model Regulation, or substantially similar state law or regulation? Yes [ ] No [ X ]
10.4 If the response to 10.3 is yes, provide information related to this exemption:
10.5 Has the reporting entity established an Audit Committee in compliance with the domiciliary state insurance laws? Yes [ X ] No [ ] N/A [ ]
10.6 If the response to 10.5 is no or n/a, please explain
11. What is the name, address and affiliation (officer/employee of the reporting entity or actuary/consultant associated with an actuarial consulting firm) of the individual providing the statement of actuarial opinion/certification?
Jordan Erp, F.S.A, M.A.A.A
Chief Actuary Presbyterian Health Plan
9521 San Mateo Blvd
Albuquerque, NM 87113
12.1 Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly? Yes [ ] No [ X ]
12.11 Name of real estate holding company
12.12 Number of parcels involved
12.13 Total book/adjusted carrying value $
12.2 If, yes provide explanation:
13. FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY:
13.1 What changes have been made during the year in the United States manager or the United States trustees of the reporting entity?
13.2 Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located? Yes [ X ] No [ ]
13.3 Have there been any changes made to any of the trust indentures during the year? Yes [ ] No [ X ]
13.4 If answer to (13.3) is yes, has the domiciliary or entry state approved the changes? Yes [ ] No [ ] N/A [ X ]
14.1 Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions) of the reporting entity subject to a code of ethics, which includes the following standards? Yes [ X ] No [ ]
(a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships;
(b) Full, fair, accurate, timely and understandable disclosure in the periodic reports required to be filed by the reporting entity;
(c) Compliance with applicable governmental laws, rules and regulations;
(d) The prompt internal reporting of violations to an appropriate person or persons identified in the code; and
(e) Accountability for adherence to the code.
14.11 If the response to 14.1 is No, please explain:
14.2 Has the code of ethics for senior managers been amended? Yes [ ] No [ X ]
14.21 If the response to 14.2 is yes, provide information related to amendment(s).
14.3 Have any provisions of the code of ethics been waived for any of the specified officers? Yes [ ] No [ X ]
14.31 If the response to 14.3 is yes, provide the nature of any waiver(s).
27.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
15.1 Is the reporting entity the beneficiary of a Letter of Credit that is unrelated to reinsurance where the issuing or confirming bank is not on the SVO Bank List? Yes [ ] No [ X ]
15.2 If the response to 15.1 is yes, indicate the American Bankers Association (ABA) Routing Number and the name of the issuing or confirming bank of the Letter of Credit and describe the circumstances in which the Letter of Credit is triggered.
1American Bankers
Association (ABA) Routing
Number
2
Issuing or Confirming Bank Name
3
Circumstances That Can Trigger the Letter of Credit
4
Amount
BOARD OF DIRECTORS16. Is the purchase or sale of all investments of the reporting entity passed upon either by the board of directors or a subordinate committee
thereof? Yes [ X ] No [ ]
17. Does the reporting entity keep a complete permanent record of the proceedings of its board of directors and all subordinate committees thereof? Yes [ X ] No [ ]
18. Has the reporting entity an established procedure for disclosure to its board of directors or trustees of any material interest or affiliation on the part of any of its officers, directors, trustees or responsible employees that is in conflict with the official duties of such person? Yes [ X ] No [ ]
FINANCIAL19. Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles (e.g., Generally Accepted
Accounting Principles)? Yes [ ] No [ X ]
20.1 Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy loans): 20.11 To directors or other officers $
20.12 To stockholders not officers $
20.13 Trustees, supreme or grand
(Fraternal Only) $
20.2 Total amount of loans outstanding at the end of year (inclusive of Separate Accounts, exclusive of policy loans): 20.21 To directors or other officers $
20.22 To stockholders not officers $
20.23 Trustees, supreme or grand
(Fraternal Only) $
21.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for such obligation being reported in the statement? Yes [ ] No [ X ]
21.2 If yes, state the amount thereof at December 31 of the current year: 21.21 Rented from others $
21.22 Borrowed from others $
21.23 Leased from others $
21.24 Other $
22.1 Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund or guaranty association assessments? Yes [ X ] No [ ]
22.2 If answer is yes: 22.21 Amount paid as losses or risk adjustment $
22.22 Amount paid as expenses $ 24,310,356
22.23 Other amounts paid $
23.1 Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement? Yes [ X ] No [ ]
23.2 If yes, indicate any amounts receivable from parent included in the Page 2 amount: $ 7,980,719
INVESTMENT
24.01 Were all the stocks, bonds and other securities owned December 31 of current year, over which the reporting entity has exclusive control, in the actual possession of the reporting entity on said date? (other than securities lending programs addressed in 24.03) Yes [ X ] No [ ]
24.02 If no, give full and complete information relating thereto
24.03 For security lending programs, provide a description of the program including value for collateral and amount of loaned securities, and whether collateral is carried on or off-balance sheet. (an alternative is to reference Note 17 where this information is also provided)
24.04 Does the Company's security lending program meet the requirements for a conforming program as outlined in the Risk-Based Capital Instructions? Yes [ ] No [ ] N/A [ X ]
24.05 If answer to 24.04 is yes, report amount of collateral for conforming programs. $
24.06 If answer to 24.04 is no, report amount of collateral for other programs. $
24.07 Does your securities lending program require 102% (domestic securities) and 105% (foreign securities) from the counterparty at the outset of the contract? Yes [ ] No [ ] N/A [ X ]
24.08 Does the reporting entity non-admit when the collateral received from the counterparty falls below 100%? Yes [ ] No [ ] N/A [ X ]
24.09 Does the reporting entity or the reporting entity ’s securities lending agent utilize the Master Securities lending Agreement (MSLA) to conduct securities lending? Yes [ ] No [ ] N/A [ X ]
27.2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
24.10 For the reporting entity’s security lending program state the amount of the following as December 31 of the current year:
24.101 Total fair value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2. $
24.102 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2 $
24.103 Total payable for securities lending reported on the liability page. $
25.1 Were any of the stocks, bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under the control of the reporting entity, or has the reporting entity sold or transferred any assets subject to a put option contract that is currently in force? (Exclude securities subject to Interrogatory 21.1 and 24.03). Yes [ ] No [ X ]
25.2 If yes, state the amount thereof at December 31 of the current year: 25.21 Subject to repurchase agreements $
25.22 Subject to reverse repurchase agreements $
25.23 Subject to dollar repurchase agreements $
25.24 Subject to reverse dollar repurchase agreements $
25.25 Placed under option agreements $ 25.26 Letter stock or securities restricted as to sale -
excluding FHLB Capital Stock $
25.27 FHLB Capital Stock $
25.28 On deposit with states $ 810,837
25.29 On deposit with other regulatory bodies $ 100,408,315 25.30 Pledged as collateral - excluding collateral pledged to
an FHLB $ 25.31 Pledged as collateral to FHLB - including assets
backing funding agreements $
25.32 Other $
25.3 For category (25.26) provide the following:
1Nature of Restriction
2Description
3Amount
26.1 Does the reporting entity have any hedging transactions reported on Schedule DB? Yes [ ] No [ X ]
26.2 If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? Yes [ ] No [ ] N/A [ X ]If no, attach a description with this statement.
27.1 Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity, or, at the option of the issuer, convertible into equity? Yes [ ] No [ X ]
27.2 If yes, state the amount thereof at December 31 of the current year. $
28. Excluding items in Schedule E - Part 3 - Special Deposits, real estate, mortgage loans and investments held physically in the reporting entity's offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a custodial agreement with a qualified bank or trust company in accordance with Section 1, III - General Examination Considerations, F. Outsourcing of Critical Functions, Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook? Yes [ X ] No [ ]
28.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following:
1Name of Custodian(s)
2Custodian's Address
Wells Fargo MAC N9303-121 Minneapolis, MN 55479
Century Bank PO Box 1507 Santa Fe, NM 87504-1507
Union Bank 350 California St 6th Floor San Francisco, CA 94104
28.02 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name, location and a complete explanation:
1Name(s)
2Location(s)
3Complete Explanation(s)
28.03 Have there been any changes, including name changes, in the custodian(s) identified in 28.01 during the current year? Yes [ ] No [ X ]
28.04 If yes, give full and complete information relating thereto:
1Old Custodian
2New Custodian
3Date of Change
4Reason
27.3
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
28.05 Investment management – Identify all investment advisors, investment managers, broker/dealers, including individuals that have the authority to make investment decisions on behalf of the reporting entity. For assets that are managed internally by employees of the reporting entity, note as such. ["…that have access to the investment accounts"; "…handle securities"]
1Name of Firm or Individual
2Affiliation
SCHRODERS U
T. Rowe Price U
JP Morgan Investment Management, Inc. U
Wells Fargo Securities, LLC U
CS McKee U
28.0597 For those firms/individuals listed in the table for Question 28.05, do any firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") manage more than 10% of the reporting entity’s assets? Yes [ X ] No [ ]
28.0598 For firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") listed in the table for Question 28.05, does the total assets under management aggregate to more than 50% of the reporting entity’s assets? Yes [ ] No [ X ]
28.06 For those firms or individuals listed in the table for 28.05 with an affiliation code of "A" (affiliated) or "U" (unaffiliated), provide the information for the table below.
1
Central Registration Depository Number
2
Name of Firm or Individual
3
Legal Entity Identifier (LEI)
4
Registered With
5Investment
Management Agreement (IMA) Filed
107038 J.P. MORGAN ASSET MANAGEMENT 54930033JJHPUBPLHG91 SEC OS
126292 Wells Fargo Securities PBLD0EJDB5FWOLXP3B76 SEC OS
105496 T. Rowe Price Associates, Inc. 5493009J3B3K61NJKF71 SEC OS
24129 SCHRODER FUND ADVISORS LLC 801-15834 SEC OS
119167 CS McKee 254900N9ZGA4MGXR6G25 SEC OS
29.1 Does the reporting entity have any diversified mutual funds reported in Schedule D, Part 2 (diversified according to the Securities and Exchange Commission (SEC) in the Investment Company Act of 1940 [Section 5(b)(1)])? Yes [ X ] No [ ]
29.2 If yes, complete the following schedule:
1
CUSIP #
2
Name of Mutual Fund
3Book/Adjusted Carrying Value
45775L-70-5 T. Rowe Price Institutional U.S. Structured Research Fund 74,830,845 29.2999 - Total 74,830,845
29.3 For each mutual fund listed in the table above, complete the following schedule:
1
Name of Mutual Fund (from above table)
2
Name of Significant Holding of theMutual Fund
3Amount of Mutual
Fund's Book/Adjusted Carrying Value
Attributable to the Holding
4
Date of Valuation
T. Rowe Price Institutional U.S. Structured Research Fund Microsoft 2,614,692 12/31/2017
T. Rowe Price Institutional U.S. Structured Research Fund Apple 2,450,396 12/31/2017
T. Rowe Price Institutional U.S. Structured Research Fund Amazon.com 1,814,723 12/31/2017
T. Rowe Price Institutional U.S. Structured Research Fund Facebook 1,747,886 12/31/2017
T. Rowe Price Institutional U.S. Structured Research Fund JPMorgan Chase 1,370,226 12/31/2017
30. Provide the following information for all short-term and long-term bonds and all preferred stocks. Do not substitute amortized value or statement value for fair value.
1
Statement (Admitted) Value
2
Fair Value
3Excess of Statement over Fair Value (-), or
Fair Value over Statement (+)
30.1 Bonds 222,140,528 221,018,626 (1,121,902)
30.2 Preferred stocks
30.3 Totals 222,140,528 221,018,626 (1,121,902)
30.4 Describe the sources or methods utilized in determining the fair values:
FAS 157 (ASC 820-10) - Fair Value Accounting
31.1 Was the rate used to calculate fair value determined by a broker or custodian for any of the securities in Schedule D? Yes [ X ] No [ ]
31.2 If the answer to 31.1 is yes, does the reporting entity have a copy of the broker’s or custodian’s pricing policy (hard copy or electronic copy) for all brokers or custodians used as a pricing source? Yes [ X ] No [ ]
31.3 If the answer to 31.2 is no, describe the reporting entity’s process for determining a reliable pricing source for purposes of disclosure of fair value for Schedule D:
32.1 Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Investment Analysis Office been followed? Yes [ X ] No [ ]
32.2 If no, list exceptions:
27.4
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
33. By self-designating 5*GI securities, the reporting entity is certifying the following elements of each self-designated 5*GI security:
a. Documentation necessary to permit a full credit analysis of the security does not exist.
b. Issuer or obligor is current on all contracted interest and principal payments.
c. The insurer has an actual expectation of ultimate payment of all contracted interest and principal.
Has the reporting entity self-designated 5*GI securities? Yes [ ] No [ X ]
OTHER
34.1 Amount of payments to trade associations, service organizations and statistical or rating bureaus, if any? $
34.2 List the name of the organization and the amount paid if any such payment represented 25% or more of the total payments to trade associations, service organizations and statistical or rating bureaus during the period covered by this statement.
1Name
2Amount Paid
35.1 Amount of payments for legal expenses, if any? $ 481,302
35.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal expenses during the period covered by this statement.
1Name
2Amount Paid
Sanders & Westbrook 2,299
Laurus Law Group, LLC 5,598
Law Offices of Gabriel Parra 13,071
Thompson Coburn, LLP 259,097
Rodey Law Firm 79,184
Certified Languages 184
McDermott Will & Emery 68,305
Freedman Boyd Hollan 14,484
Ogletree Deakins Nash 15,388
Freeborn and Peters 10,194
Psych Appeal 8,513
Other 4,984
36.1 Amount of payments for expenditures in connection with matters before legislative bodies, officers or departments of government, if any? $ 66,622
36.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payment expenditures in connection with matters before legislative bodies, officers or departments of government during the period covered by this statement.
1Name
2Amount Paid
Lawrence Horan 43,472
Thomas Horan 23,150
27.5
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
PART 2 - HEALTH INTERROGATORIES
1.1 Does the reporting entity have any direct Medicare Supplement Insurance in force? Yes [ ] No [ X ]
1.2 If yes, indicate premium earned on U.S. business only. $
1.3 What portion of Item (1.2) is not reported on the Medicare Supplement Insurance Experience Exhibit? $
1.31 Reason for excluding
1.4 Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item (1.2) above $
1.5 Indicate total incurred claims on all Medicare Supplement Insurance. $
1.6 Individual policies: Most current three years:
1.61 Total premium earned $
1.62 Total incurred claims $
1.63 Number of covered lives
All years prior to most current three years:
1.64 Total premium earned $
1.65 Total incurred claims $
1.66 Number of covered lives
1.7 Group policies: Most current three years:
1.71 Total premium earned $
1.72 Total incurred claims $
1.73 Number of covered lives
All years prior to most current three years:
1.74 Total premium earned $
1.75 Total incurred claims $
1.76 Number of covered lives
2. Health Test:
1Current Year
2Prior Year
2.1 Premium Numerator 1,832,500,312 1,838,874,726
2.2 Premium Denominator 1,832,500,312 1,838,874,726
2.3 Premium Ratio (2.1/2.2) 1.000 1.000
2.4 Reserve Numerator 101,542,287 120,751,639
2.5 Reserve Denominator 105,812,973 120,751,639
2.6 Reserve Ratio (2.4/2.5) 0.960 1.000
3.1 Has the reporting entity received any endowment or gift from contracting hospitals, physicians, dentists, or others that is agreed will be returned when, as and if the earnings of the reporting entity permits? Yes [ ] No [ X ]
3.2 If yes, give particulars:
4.1 Have copies of all agreements stating the period and nature of hospitals’, physicians’, and dentists’ care offered to subscribers and dependents been filed with the appropriate regulatory agency? Yes [ X ] No [ ]
4.2 If not previously filed, furnish herewith a copy(ies) of such agreement(s). Do these agreements include additional benefits offered? Yes [ ] No [ ]
5.1 Does the reporting entity have stop-loss reinsurance? Yes [ X ] No [ ]
5.2 If no, explain:
5.3 Maximum retained risk (see instructions) 5.31 Comprehensive Medical $ 995,000
5.32 Medical Only $
5.33 Medicare Supplement $
5.34 Dental & Vision $
5.35 Other Limited Benefit Plan $
5.36 Other $ 1,220,000
6. Describe arrangement which the reporting entity may have to protect subscribers and their dependents against the risk of insolvency including hold harmless provisions, conversion privileges with other carriers, agreements with providers to continue rendering services, and any other agreements:
7.1 Does the reporting entity set up its claim liability for provider services on a service date basis? Yes [ X ] No [ ]
7.2 If no, give details
8. Provide the following information regarding participating providers: 8.1 Number of providers at start of reporting year 19,216
8.2 Number of providers at end of reporting year 18,949
9.1 Does the reporting entity have business subject to premium rate guarantees? Yes [ ] No [ X ]
9.2 If yes, direct premium earned: 9.21 Business with rate guarantees between 15-36 months $
9.22 Business with rate guarantees over 36 months $
28
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
GENERAL INTERROGATORIES
10.1 Does the reporting entity have Incentive Pool, Withhold or Bonus Arrangements in its provider contracts? Yes [ ] No [ X ]
10.2 If yes: 10.21 Maximum amount payable bonuses $
10.22 Amount actually paid for year bonuses $
10.23 Maximum amount payable withholds $
10.24 Amount actually paid for year withholds $
11.1 Is the reporting entity organized as:
11.12 A Medical Group/Staff Model, Yes [ ] No [ X ]
11.13 An Individual Practice Association (IPA), or, Yes [ ] No [ X ]
11.14 A Mixed Model (combination of above)? Yes [ X ] No [ ]
11.2 Is the reporting entity subject to Statutory Minimum Capital and Surplus Requirements? Yes [ X ] No [ ]
11.3 If yes, show the name of the state requiring such minimum capital and surplus. New Mexico
11.4 If yes, show the amount required. $ 87,453,372
11.5 Is this amount included as part of a contingency reserve in stockholder's equity? Yes [ ] No [ X ]
11.6 If the amount is calculated, show the calculation
12. List service areas in which reporting entity is licensed to operate:
1Name of Service Area
13.1 Do you act as a custodian for health savings accounts? Yes [ ] No [ X ]
13.2 If yes, please provide the amount of custodial funds held as of the reporting date. $
13.3 Do you act as an administrator for health savings accounts? Yes [ ] No [ X ]
13.4 If yes, please provide the balance of funds administered as of the reporting date. $
14.1 Are any of the captive affiliates reported on Schedule S, Part 3, authorized reinsurers? Yes [ ] No [ ] N/A [ X ]
14.2 If the answer to 14.1 is yes, please provide the following:
1 2 3 4 Assets Supporting Reserve Credit
Company Name
NAICCompany
CodeDomiciliary Jurisdiction
ReserveCredit
5Letters of
Credit
6Trust
Agreements
7
Other
15. Provide the following for individual ordinary life insurance* policies (U.S. business only) for the current year (prior to reinsurance assumed or ceded):
15.1 Direct Premium Written $
15.2 Total Incurred Claims $
15.3 Number of Covered Lives
*Ordinary Life Insurance Includes
Term(whether full underwriting, limited underwriting, jet issue, "short form app")
Whole Life (whether full underwriting, limited underwriting, jet issue, "short form app")
Variable Life (with or without secondary gurarantee)
Universal Life (with or without secondary gurarantee)
Variable Universal Life (with or without secondary gurarantee)
28.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
FIVE-YEAR HISTORICAL DATA1
20172
20163
20154
20145
2013
Balance Sheet (Pages 2 and 3)
1. Total admitted assets (Page 2, Line 28) 470,499,537 664,897,478 605,983,227 506,840,613 305,698,449
2. Total liabilities (Page 3, Line 24) 241,257,138 426,654,577 396,108,664 260,709,099 136,593,770
3. Statutory minimum capital and surplus requirement 87,453,372 90,690,093 73,836,549 60,554,803 43,182,321
4. Total capital and surplus (Page 3, Line 33) 229,242,399 238,242,901 209,874,563 246,131,515 169,104,679
Income Statement (Page 4)
5. Total revenues (Line 8) 1,832,500,312 1,838,874,726 1,658,565,939 1,447,826,779 1,092,475,012
6. Total medical and hospital expenses (Line 18) 1,567,801,600 1,548,621,309 1,355,283,589 1,157,223,183 964,707,311
7. Claims adjustment expenses (Line 20) 73,423,444 71,112,950 64,292,458 40,264,463 27,673,113
8. Total administrative expenses (Line 21) 151,943,700 186,930,874 160,333,524 141,594,176 84,685,778
9. Net underwriting gain (loss) (Line 24) 42,677,931 48,555,868 58,963,730 108,744,957 15,408,810
10. Net investment gain (loss) (Line 27) 22,635,274 11,595,010 8,689,294 8,580,931 5,958,654
11. Total other income (Lines 28 plus 29) 674,398 419,125 440,985 612,712 537,577
12. Net income or (loss) (Line 32) 58,003,577 31,789,363 29,785,382 71,002,875 16,562,767
Cash Flow (Page 6)
13. Net cash from operations (Line 11) (146,791,797) 37,529,369 138,358,085 175,234,482 39,616,266
Risk-Based Capital Analysis
14. Total adjusted capital 229,242,399 238,242,901 209,874,563 246,131,515 169,104,679
15. Authorized control level risk-based capital 53,328,959 54,096,512 47,087,245 39,458,580 29,116,009
Enrollment (Exhibit 1)
16. Total members at end of period (Column 5, Line 7) 317,365 331,344 309,316 286,814 271,386
17. Total members months (Column 6, Line 7) 3,918,133 3,959,126 3,684,462 3,475,278 3,273,559
Operating Percentage (Page 4)(Item divided by Page 4, sum of Lines 2, 3 and 5) x 100.0
18. Premiums earned plus risk revenue (Line 2 plus Lines 3 and 5) 100.0 100.0 100.0 100.0 100.0
19. Total hospital and medical plus other non-health (Lines 18 plus Line 19) 85.6 84.2 81.7 79.9 88.3
20. Cost containment expenses 3.1 2.7 2.6 2.4 2.0
21. Other claims adjustment expenses 0.9 1.2 1.2 0.3 0.5
22. Total underwriting deductions (Line 23) 97.7 97.4 96.4 92.5 98.6
23. Total underwriting gain (loss) (Line 24) 2.3 2.6 3.6 7.5 1.4
Unpaid Claims Analysis(U&I Exhibit, Part 2B)
24. Total claims incurred for prior years (Line 13, Col. 5) 67,875,598 57,126,129 75,310,646 66,203,415 68,842,031
25. Estimated liability of unpaid claims-[prior year (Line 13, Col. 6)] 72,139,150 82,484,135 86,993,636 76,745,699 78,042,926
Investments In Parent, Subsidiaries and Affiliates
26. Affiliated bonds (Sch. D Summary, Line 12, Col. 1)
27. Affiliated preferred stocks (Sch. D Summary, Line 18, Col. 1)
28. Affiliated common stocks (Sch. D Summary, Line 24, Col. 1) 7,026 7,026 7,026 7,026
29. Affiliated short-term investments (subtotal included in Schedule DA Verification, Col. 5, Line 10)
30. Affiliated mortgage loans on real estate
31. All other affiliated
32. Total of above Lines 26 to 31 7,026 7,026 7,026 7,026
33. Total investment in parent included in Lines 26 to 31 above. 7,026
NOTE: If a party to a merger, have the two most recent years of this exhibit been restated due to a merger in compliance with the disclosure requirements of SSAP No. 3, Accounting Changes and Correction of Errors? Yes [ ] No [ ]
If no, please explain:
29
*95330201743003000*ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION (a)REPORT FOR: 1. CORPORATION 2.
(LOCATION)
NAIC Group Code BUSINESS IN THE STATE OF Arizona DURING THE YEAR 2017 NAIC Company Code 1 Comprehensive (Hospital & Medical) 4 5 6 7 8 9 10
Total
2
Individual
3
GroupMedicare
SupplementVisionOnly
DentalOnly
Federal EmployeesHealth Benefit Plan
Title XVIIIMedicare
Title XIXMedicaid Other
Total Members at end of:
1. Prior Year
2. First Quarter
3. Second Quarter
4. Third Quarter
5. Current Year
6. Current Year Member Months
Total Member Ambulatory Encounters for Year:
7 Physician
8. Non-Physician
9. Total
10. Hospital Patient Days Incurred
11. Number of Inpatient Admissions
12. Health Premiums Written (b)
13. Life Premiums Direct
14. Property/Casualty Premiums Written
15. Health Premiums Earned
16. Property/Casualty Premiums Earned
17. Amount Paid for Provision of Health Care Services
18 Amount Incurred for Provision of Health Care Services
(a) For health business: number of persons insured under PPO managed care products and number of persons insured under indemnity only products .
(b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $
NONE 30.A
Z
*95330201743032100*ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION (a)REPORT FOR: 1. CORPORATION Presbyterian Health Plan, Inc. 2. Albuquerque, NM
(LOCATION)
NAIC Group Code 0481 BUSINESS IN THE STATE OF New Mexico DURING THE YEAR 2017 NAIC Company Code 95330 1 Comprehensive (Hospital & Medical) 4 5 6 7 8 9 10
Total
2
Individual
3
GroupMedicare
SupplementVisionOnly
DentalOnly
Federal EmployeesHealth Benefit Plan
Title XVIIIMedicare
Title XIXMedicaid Other
Total Members at end of:
1. Prior Year 331,344 23,937 31,672 11,217 37,621 226,897
2. First Quarter 331,079 14,504 32,101 11,870 42,752 229,852
3. Second Quarter 327,125 13,937 32,123 11,802 42,911 226,352
4. Third Quarter 317,824 13,436 32,421 11,763 43,220 216,984
5. Current Year 317,365 12,651 33,322 11,635 43,322 216,435
6. Current Year Member Months 3,918,133 165,272 388,048 141,293 515,833 2,707,687
Total Member Ambulatory Encounters for Year:
7 Physician 2,974,202 110,975 200,087 103,957 635,562 1,923,621
8. Non-Physician 1,663,599 39,316 82,520 45,820 333,294 1,162,649
9. Total 4,637,801 150,291 282,607 149,777 968,856 3,086,270
10. Hospital Patient Days Incurred 139,079 2,844 4,960 3,869 53,252 74,154
11. Number of Inpatient Admissions 33,739 931 1,483 822 8,944 21,559
12. Health Premiums Written (b) 1,836,707,800 69,893,938 144,945,044 77,780,522 375,613,746 1,168,474,550
13. Life Premiums Direct
14. Property/Casualty Premiums Written
15. Health Premiums Earned 1,836,707,800 69,893,938 144,945,044 77,780,522 375,613,746 1,168,474,550
16. Property/Casualty Premiums Earned
17. Amount Paid for Provision of Health Care Services 1,586,881,224 72,093,829 126,938,190 67,804,164 333,715,901 986,329,140
18 Amount Incurred for Provision of Health Care Services 1,570,811,145 65,601,042 124,456,170 68,091,857 333,116,711 979,545,365
(a) For health business: number of persons insured under PPO managed care products and number of persons insured under indemnity only products .
(b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $ 375,613,746
Line 17 includes receivable.
30.N
M
*95330201743059100*ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION (a)REPORT FOR: 1. CORPORATION Presbyterian Health Plan, Inc. 2. Albuquerque, NM
(LOCATION)
NAIC Group Code 0481 BUSINESS IN THE STATE OF Grand Total DURING THE YEAR 2017 NAIC Company Code 95330 1 Comprehensive (Hospital & Medical) 4 5 6 7 8 9 10
Total
2
Individual
3
GroupMedicare
SupplementVisionOnly
DentalOnly
Federal EmployeesHealth Benefit Plan
Title XVIIIMedicare
Title XIXMedicaid Other
Total Members at end of:
1. Prior Year 331,344 23,937 31,672 11,217 37,621 226,897
2. First Quarter 331,079 14,504 32,101 11,870 42,752 229,852
3. Second Quarter 327,125 13,937 32,123 11,802 42,911 226,352
4. Third Quarter 317,824 13,436 32,421 11,763 43,220 216,984
5. Current Year 317,365 12,651 33,322 11,635 43,322 216,435
6. Current Year Member Months 3,918,133 165,272 388,048 141,293 515,833 2,707,687
Total Member Ambulatory Encounters for Year:
7 Physician 2,974,202 110,975 200,087 103,957 635,562 1,923,621
8. Non-Physician 1,663,599 39,316 82,520 45,820 333,294 1,162,649
9. Total 4,637,801 150,291 282,607 149,777 968,856 3,086,270
10. Hospital Patient Days Incurred 139,079 2,844 4,960 3,869 53,252 74,154
11. Number of Inpatient Admissions 33,739 931 1,483 822 8,944 21,559
12. Health Premiums Written (b) 1,836,707,800 69,893,938 144,945,044 77,780,522 375,613,746 1,168,474,550
13. Life Premiums Direct
14. Property/Casualty Premiums Written
15. Health Premiums Earned 1,836,707,800 69,893,938 144,945,044 77,780,522 375,613,746 1,168,474,550
16. Property/Casualty Premiums Earned
17. Amount Paid for Provision of Health Care Services 1,586,881,224 72,093,829 126,938,190 67,804,164 333,715,901 986,329,140
18 Amount Incurred for Provision of Health Care Services 1,570,811,145 65,601,042 124,456,170 68,091,857 333,116,711 979,545,365
(a) For health business: number of persons insured under PPO managed care products and number of persons insured under indemnity only products .
(b) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $ 375,613,746
30.G
T
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE S - PART 1 - SECTION 2Reinsurance Assumed Accident and Health Insurance Listed by Reinsured Company as of December 31, Current Year
1
NAICCompany
Code
2
ID Number
3
EffectiveDate
4
Name of Reinsured
5
Domiciliary Jurisdiction
6
Type of Reinsurance
Assumed
7
Premiums
8
UnearnedPremiums
9Reserve LiabilityOther Than for
UnearnedPremiums
10
Reinsurance Payable on Paid and
Unpaid Losses
11
ModifiedCoinsurance
Reserve
12
Funds WithheldUnder Coinsurance
9999999 - Totals
NONE
31
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE S - PART 2Reinsurance Recoverable on Paid and Unpaid Losses Listed by Reinsuring Company as of December 31, Current Year
1NAIC
CompanyCode
2
IDNumber
3
EffectiveDate
4
Name of Company
5
Domiciliary Jurisdiction
6
Paid Losses
7
Unpaid Losses
0399999. Total Life and Annuity - U.S. Affiliates
0699999. Total Life and Annuity - Non-U.S. Affiliates
0799999. Total Life and Annuity - Affiliates
1099999. Total Life and Annuity - Non-Affiliates
1199999. Total Life and Annuity
1499999. Total Accident and Health - U.S. Affiliates
1799999. Total Accident and Health - Non-U.S. Affiliates
1899999. Total Accident and Health - Affiliates
11835 04-1590940 01/01/2016 PartnerRe America Insurance Company DE 966,761
00000 AA-9990032 01/01/2016 US Department of Health and Human Services DC 1,072,317 2,807,247
1999999. Accident and Health - U.S. Non-Affiliates 2,039,078 2,807,247
2199999. Total Accident and Health - Non-Affiliates 2,039,078 2,807,247
2299999. Total Accident and Health 2,039,078 2,807,247
2399999. Total U.S. (Sum of 0399999, 0899999, 1499999 and 1999999) 2,039,078 2,807,247
2499999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999 and 2099999)
9999999 Totals - Life, Annuity and Accident and Health 2,039,078 2,807,247
32
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE S - PART 3 - SECTION 2Reinsurance Ceded Accident and Health Insurance Listed by Reinsuring Company as of December 31, Current Year
1 2 3 4 5 6 7 8 9 10 Outstanding Surplus Relief 13 14
NAICCompany
CodeID
NumberEffective
Date Name of Company
Domi-ciliary Juris-diction
Type of Reinsurance
Ceded
Type of Business
Ceded Premiums
UnearnedPremiums
(Estimated)
Reserve CreditTaken Other
than for Unearned Premiums
11
Current Year
12
Prior Year
ModifiedCoinsurance
Reserve
Funds WithheldUnder
Coinsurance
0399999. Total General Account - Authorized U.S. Affiliates
0699999. Total General Account - Authorized Non-U.S. Affiliates
0799999. Total General Account - Authorized Affiliates
00000 AA-9990032 01/01/2018 US Department of Health and Human Services DC SSL/A/I CMM 2,812,048
11835 04-1590940 01/01/2018 PartnerRe America Insurance Company DE SSL/L/G CMM 1,395,439
0899999. General Account - Authorized U.S. Non-Affiliates 4,207,487
1099999. Total General Account - Authorized Non-Affiliates 4,207,487
1199999. Total General Account Authorized 4,207,487
1499999. Total General Account - Unauthorized U.S. Affiliates
1799999. Total General Account - Unauthorized Non-U.S. Affiliates
1899999. Total General Account - Unauthorized Affiliates
2199999. Total General Account - Unauthorized Non-Affiliates
2299999. Total General Account Unauthorized
2599999. Total General Account - Certified U.S. Affiliates
2899999. Total General Account - Certified Non-U.S. Affiliates
2999999. Total General Account - Certified Affiliates
3299999. Total General Account - Certified Non-Affiliates
3399999. Total General Account Certified
3499999. Total General Account Authorized, Unauthorized and Certified 4,207,487
3799999. Total Separate Accounts - Authorized U.S. Affiliates
4099999. Total Separate Accounts - Authorized Non-U.S. Affiliates
4199999. Total Separate Accounts - Authorized Affiliates
4499999. Total Separate Accounts - Authorized Non-Affiliates
4599999. Total Separate Accounts Authorized
4899999. Total Separate Accounts - Unauthorized U.S. Affiliates
5199999. Total Separate Accounts - Unauthorized Non-U.S. Affiliates
5299999. Total Separate Accounts - Unauthorized Affiliates
5599999. Total Separate Accounts - Unauthorized Non-Affiliates
5699999. Total Separate Accounts Unauthorized
5999999. Total Separate Accounts - Certified U.S. Affiliates
6299999. Total Separate Accounts - Certified Non-U.S. Affiliates
6399999. Total Separate Accounts - Certified Affiliates
6699999. Total Separate Accounts - Certified Non-Affiliates
6799999. Total Separate Accounts Certified
6899999. Total Separate Accounts Authorized, Unauthorized and Certified
6999999. Total U.S. (Sum of 0399999, 0899999, 1499999, 1999999, 2599999, 3099999, 3799999, 4299999, 4899999, 5399999, 5999999 and 6499999) 4,207,487
7099999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999, 2099999, 2899999, 3199999, 4099999, 4399999, 5199999, 5499999, 6299999 and 6599999)
9999999 - Totals 4,207,487
33
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
Schedule S - Part 4
N O N E
Schedule S - Part 4 - Bank Footnote
N O N E
Schedule S - Part 5
N O N E
Schedule S - Part 5 - Bank Footnote
N O N E
34, 35
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE S - PART 6Five Year Exhibit of Reinsurance Ceded Business ($000 Omitted)
12017
22016
32015
42014
52013
A. OPERATIONS ITEMS
1. Premiums 1,395 3,156 3,597 5,733 6,205
2. Title XVIII - Medicare 3
3. Title XIX - Medicaid 2,812 2,779 3,720 14,689 9,670
4. Commissions and reinsurance expense allowance
5. Total hospital and medical expenses
B. BALANCE SHEET ITEMS
6. Premiums receivable
7. Claims payable 2,807 2,564
8. Reinsurance recoverable on paid losses 2,039 7,970 4,994 5,034 409
9. Experience rating refunds due or unpaid
10. Commissions and reinsurance expense allowances due
11. Unauthorized reinsurance offset
12. Offset for reinsurance with Certified Reinsurers
C. UNAUTHORIZED REINSURANCE (DEPOSITS BY AND FUNDS WITHHELD FROM)
13. Funds deposited by and withheld from (F)
14. Letters of credit (L)
15. Trust agreements (T)
16. Other (O)
D. REINSURANCE WITH CERTIFIED REINSURERS (DEPOSITS BY AND FUNDS WITHHELD FROM)
17. Multiple Beneficiary Trust
18. Funds deposited by and withheld from (F)
19. Letters of credit (L)
20. Trust agreements (T)
21. Other (O)
36
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE S - PART 7Restatement of Balance Sheet to Identify Net Credit For Ceded Reinsurance
1As Reported
(net of ceded)
2Restatement Adjustments
3Restated
(gross of ceded)
ASSETS (Page 2, Col. 3)
1. Cash and invested assets (Line 12) 392,676,496 392,676,496
2. Accident and health premiums due and unpaid (Line 15) 20,250,506 20,250,506
3. Amounts recoverable from reinsurers (Line 16.1) 2,039,078 2,039,078
4. Net credit for ceded reinsurance XXX
5. All other admitted assets (Balance) 55,533,457 55,533,457
6. Total assets (Line 28) 470,499,537 470,499,537
LIABILITIES, CAPITAL AND SURPLUS (Page 3)
7. Claims unpaid (Line 1) 101,542,287 101,542,287
8. Accrued medical incentive pool and bonus payments (Line 2)
9. Premiums received in advance (Line 8) 6,431,246 6,431,246
10. Funds held under reinsurance treaties with authorized and unauthorized reinsurers (Line 19 first inset amount plus second inset amount)
11. Reinsurance in unauthorized companies (Line 20 minus inset amount)
12. Reinsurance with Certified Reinsurers (Line 20 inset amount)
13. Funds held under reinsurance treaties with Certified Reinsurers (Line 19 third inset amount)
14. All other liabilities (Balance) 133,283,605 133,283,605
15. Total liabilities (Line 24) 241,257,138 241,257,138
16. Total capital and surplus (Line 33) 229,242,399 XXX 229,242,399
17. Total liabilities, capital and surplus (Line 34) 470,499,537 470,499,537
NET CREDIT FOR CEDED REINSURANCE
18. Claims unpaid
19. Accrued medical incentive pool
20. Premiums received in advance
21. Reinsurance recoverable on paid losses
22. Other ceded reinsurance recoverables
23. Total ceded reinsurance recoverables
24. Premiums receivable
25. Funds held under reinsurance treaties with authorized and unauthorized reinsurers
26. Unauthorized reinsurance
27. Reinsurance with Certified Reinsurers
28. Funds held under reinsurance treaties with Certified Reinsurers
29. Other ceded reinsurance payables/offsets
30. Total ceded reinsurance payables/offsets
31. Total net credit for ceded reinsurance
37
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE T PREMIUMS AND OTHER CONSIDERATIONSAllocated by States and Territories
1 Direct Business Only
States, etc.ActiveStatus
2
Accident & Health
Premiums
3
MedicareTitle XVIII
4
MedicaidTitle XIX
5Federal
EmployeesHealth
BenefitsPlan
Premiums
6
Life & Annuity Premiums &
Other Considerations
7
Property/Casualty
Premiums
8
TotalColumns 2 Through 7
9
Deposit-Type Contracts
1. Alabama AL N 2. Alaska AK N 3. Arizona AZ E 4. Arkansas AR N 5. California CA N 6. Colorado CO N 7. Connecticut CT N 8. Delaware DE N 9. District of Columbia DC N
10. Florida FL N 11. Georgia GA N 12. Hawaii HI N 13. Idaho ID N 14. Illinois IL N 15. Indiana IN N 16. Iowa IA N 17. Kansas KS N 18. Kentucky KY N 19. Louisiana LA N 20. Maine ME N 21. Maryland MD N 22. Massachusetts MA N 23. Michigan MI N 24. Minnesota MN N 25. Mississippi MS N 26. Missouri MO N 27. Montana MT N 28. Nebraska NE N 29. Nevada NV N 30. New Hampshire NH N 31. New Jersey NJ N 32. New Mexico NM L 214,838,982 375,613,746 1,168,474,550 77,780,522 1,836,707,800 33. New York NY N 34. North Carolina NC N 35. North Dakota ND N 36. Ohio OH N 37. Oklahoma OK N 38. Oregon OR N 39. Pennsylvania PA N 40. Rhode Island RI N 41. South Carolina SC N 42. South Dakota SD N 43. Tennessee TN N 44. Texas TX N 45. Utah UT N 46. Vermont VT N 47. Virginia VA N 48. Washington WA N 49. West Virginia WV N 50. Wisconsin WI N 51. Wyoming WY N 52. American Samoa AS N 53. Guam GU N 54. Puerto Rico PR N 55. U.S. Virgin Islands VI N 56. Northern Mariana
Islands MP N 57. Canada CAN N 58. Aggregate other
alien OT XXX 59. Subtotal XXX 214,838,982 375,613,746 1,168,474,550 77,780,522 1,836,707,800 60. Reporting entity
contributions for Employee Benefit Plans XXX
61. Total (Direct Business) (a) 1 214,838,982 375,613,746 1,168,474,550 77,780,522 1,836,707,800
DETAILS OF WRITE-INS58001. XXX58002. XXX58003. XXX58998. Summary of remaining
write-ins for Line 58 from overflow page XXX
58999. Totals (Lines 58001 through 58003 plus 58998)(Line 58 above) XXX
(L) Licensed or Chartered - Licensed Insurance Carrier or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Qualified - Qualified or Accredited Reinsurer; (E) Eligible - Reporting
Entities eligible or approved to write Surplus Lines in the state; (N) None of the above - Not allowed to write business in the state.
Explanation of basis of allocation by states, premiums by state, etc.Premiums are not allocated, based on actuals. (a) Insert the number of L responses except for Canada and Other Alien.
Medicaid-Long Term Program Premium Income was 190,170,263.
38
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE T - PART 2INTERSTATE COMPACT - EXHIBIT OF PREMIUMS WRITTEN
Allocated by States and TerritoriesDirect Business Only
States, Etc.
1
Life(Group and Individual)
2
Annuities(Group and Individual)
3Disability Income
(Group and Individual)
4Long-Term
Care(Group and Individual)
5
Deposit-Type Contracts
6
Totals
1. Alabama AL
2. Alaska AK
3. Arizona AZ
4. Arkansas AR
5. California CA
6. Colorado CO
7. Connecticut CT
8. Delaware DE
9. District of Columbia DC
10. Florida FL
11. Georgia GA
12. Hawaii HI
13. Idaho ID
14. Illinois IL
15. Indiana IN
16. Iowa IA
17. Kansas KS
18. Kentucky KY
19. Louisiana LA
20. Maine ME
21. Maryland MD
22. Massachusetts MA
23. Michigan MI
24. Minnesota MN
25. Mississippi MS
26. Missouri MO
27. Montana MT
28. Nebraska NE
29. Nevada NV
30. New Hampshire NH
31. New Jersey NJ
32. New Mexico NM
33. New York NY
34. North Carolina NC
35. North Dakota ND
36. Ohio OH
37. Oklahoma OK
38. Oregon OR
39. Pennsylvania PA
40. Rhode Island RI
41. South Carolina SC
42. South Dakota SD
43. Tennessee TN
44. Texas TX
45. Utah UT
46. Vermont VT
47. Virginia VA
48. Washington WA
49. West Virginia WV
50. Wisconsin WI
51. Wyoming WY
52. American Samoa AS
53. Guam GU
54. Puerto Rico PR
55. U.S. Virgin Islands VI
56. Northern Mariana Islands MP
57. Canada CAN
58. Aggregate Other Alien OT
59. Total
NONE
39
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE Y - INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUPPART 1 - ORGANIZATIONAL CHART
40
AN
NU
AL S
TA
TE
ME
NT
FO
R T
HE
YE
AR
2017 O
F T
HE
PR
ES
BY
TE
RIA
N H
EA
LT
H P
LA
N IN
C
40.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE YPART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM
1
GroupCode
2
Group Name
3
NAICCompany
Code
4
IDNumber
5
Federal RSSD
6
CIK
7
Name of SecuritiesExchange
if Publicly Traded(U.S. or
International)
8
Names ofParent, Subsidiaries
Or Affiliates
9
Domi-ciliaryLoca-tion
10
Relation-ship to
ReportingEntity
11
Directly Controlled by(Name of Entity/Person)
12Type
of Control(Ownership,
Board,Management,
Attorney-in-Fact,Influence,
Other)
13If
Controlis
Owner-ship
ProvidePercen-
tage
14
Ultimate ControllingEntity(ies)/Person(s)
15
Is anSCA FilingRe-
quired? (Y/N)
16
*0481 Presbyterian Healthcare Services 00000 85-0105601 Presbyterian Healthcare Services NM NIA Non-Profit Community Board of Directors Board of Directors Non-profit N 1
0481 Presbyterian Healthcare Services 00000 85-0289728 Southwest Health Foundation NM UIP
Presbyterian Healthcare Services Board of
Directors Board of Directors Presbyterian Healthcare Services N
0481 Presbyterian Healthcare Services 00000 85-0337392 Presbyterian Network, Inc. NM UDP Southwest Health Foundation Ownership 100.000 Presbyterian Healthcare Services N
0481 Presbyterian Healthcare Services 11504 85-0484337 Presbyterian Insurance Company, Inc. NM IA Presbyterian Network, Inc. Ownership 100.000 Presbyterian Healthcare Services N
0481 Presbyterian Healthcare Services 00000 54-2154946 Affiliated Imaging, LLC NM NIA Prebyterian Health Plan, Inc. Ownership 50.000 Presbyterian Healthcare Services N 2
0481 Presbyterian Healthcare Services 00000 85-0386882 Southwest Magnetic Imaging Associates, Inc. NM NIA Prebyterian Health Plan, Inc. Ownership 90.000 Presbyterian Healthcare Services N
0481 Presbyterian Healthcare Services 95330 94-3037165 Presbyterian Health Plan, Inc. NM IA Presbyterian Network, Inc. Ownership 100.000 Presbyterian Healthcare Services N
0481 Presbyterian Healthcare Services 95330 81-4074164 Fluent Health, LLC NM OTH Presbyterian Health Plan, Inc. Ownership 95.000 Presbyterian Healthcare Services N 3
0481 Presbyterian Healthcare Services 95330 81-4074164 Fluent Health, LLC NM OTH Presbyterian Insurance Company, Inc. Ownership 5.000 Presbyterian Healthcare Services N 3
Asterisk Explanation1 NM non-profit corporation without members. This entity is owned by the community.
2 The remaining 50% is owned by Radiology Associates of Albuquerque (RAA).
3 LLC MCO without any members.
41
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE YPART 2 - SUMMARY OF INSURER’S TRANSACTIONS WITH ANY AFFILIATES
1
NAICCompany
Code
2
IDNumber
3
Names of Insurers and Parent,Subsidiaries or Affiliates
4
ShareholderDividends
5
CapitalContributions
6
Purchases, Salesor Exchanges of
Loans, Securities,Real Estate,
Mortgage Loans or Other Investments
7Income/
(Disbursements)Incurred in
Connection withGuarantees or
Undertakings forthe Benefit of any
Affiliate(s)
8
ManagementAgreements andService Contracts
9
Income/(Disbursements)Incurred UnderReinsuranceAgreements
10
*
11
Any Other MaterialActivity Not in the
Ordinary Course ofthe Insurer’s
Business
12
Totals
13
ReinsuranceRecoverable/(Payable) on
Losses and/orReserve CreditTaken/(Liability)
00000 85-0337392 Presbyterian Network, Inc. 46,000,000 (21,000,000) 74,376,527 99,376,527
00000 85-0105601 Presbyterian Healthcare Services 84,182 15,854,719 (396,155) 15,542,746 1,104,572
95330 94-3037165 Presbyterian Health Plan, Inc. (45,800,000) (6,997,097) (84,693,003) (137,490,100)
11504 85-0484337 Presbyterian Insurance Company, Inc. 17,800,000 (84,182) (5,538,243) 396,155 12,573,730 (1,104,572)
00000 81-4074164 Fluent Health, LLC 10,197,097 10,197,097
00000 Affiliated Imaging, LLC (200,000) (200,000)
9999999 Control Totals XXX
42
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIESThe following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state. However, in the event that your domiciliary state waives the filing requirement, your response of WAIVED to the specific interrogatory will be accepted in lieu of filing a “NONE” report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions.
ResponsesMARCH FILING
1. Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1? YES
2. Will an actuarial opinion be filed by March 1? YES
3. Will the confidential Risk-based Capital Report be filed with the NAIC by March 1? YES
4. Will the confidential Risk-based Capital Report be filed with the state of domicile, if required, by March 1? YES
APRIL FILING
5. Will Management’s Discussion and Analysis be filed by April 1? YES
6. Will the Supplemental Investment Risks Interrogatories be filed by April 1? YES
7. Will the Accident and Health Policy Experience Exhibit be filed by April 1? YES
JUNE FILING
8. Will an audited financial report be filed by June 1? YES
9. Will Accountant's Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1? YES
AUGUST FILING
10. Will the regulator-only (non-public) Communication of Internal Control Related Matters Noted in Audit be filed with the state of domicile and electronically with the NAIC (as a regulator-only non-public document) by August 1? YES
The following supplemental reports are required to be filed as part of your annual statement filing. However, in the event that your company does not transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a “NONE” report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions.
MARCH FILING
11. Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1? NO
12. Will the Supplemental Life data due March 1 be filed with the state of domicile and the NAIC? NO
13. Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1? NO
14. Will the actuarial opinion on participating and non-participating policies as required in Interrogatories 1 and 2 on Exhibit 5 to Life Supplement be filed with the state of domicile and electronically with the NAIC by March 1? NO
15. Will the actuarial opinion on non-guaranteed elements as required in Interrogatory 3 to Exhibit 5 to Life Supplement be filed with the state of domicile and electronically with the NAIC by March 1? NO
16. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1? NO
17. Will an approval from the reporting entity’s state of domicile for relief related to the five-year rotation requirement for lead audit partner be filed electronically with the NAIC by March 1? NO
18. Will an approval from the reporting entity’s state of domicile for relief related to the one-year cooling off period for independent CPA be filed electronically with the NAIC by March 1? NO
19. Will an approval from the reporting entity’s state of domicile for relief related to the Requirements for Audit Committees be filed electronically with the NAIC by March 1? NO
APRIL FILING
20. Will the Long-Term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1? NO
21. Will the Supplemental Life data due April 1 be filed with the state of domicile and the NAIC? NO
22. Will the Supplemental Health Care Exhibit (Parts 1, 2 and 3) be filed with the state of domicile and the NAIC by April 1? YES
23. Will the regulator only (non-public) Supplemental Health Care Exhibit’s Expense Allocation Report be filed with the state of domicile and the NAIC by April 1? YES
AUGUST FILING
24. Will Management’s Report of Internal Control Over Financial Reporting be filed with the state of domicile by August 1? YES
Explanations:
11. N/A
12. N/A
13. N/A
14. N/A
15. N/A
16. N/A
17. N/A
18. Audit Partner was rotated in 2015. 19. N/A 20. N/A 21. N/A
Bar Codes:
11. Medicare Supplement Insurance Experience Exhibit [Document Identifier 360]
*95330201736000000*12. Life Supplement [Document Identifier 205]
*95330201720500000*13. SIS Stockholder Information Supplement [Document Identifier 420]
*95330201742000000*14. Participating Opinion for Exhibit 5 [Document Identifier 371]
*95330201737100000*15. Non-Guaranteed Opinion for Exhibit 5 [Document Identifier 370]
*95330201737000000*16. Medicare Part D Coverage Supplement [Document Identifier 365]
*95330201736500000*17. Relief from the five-year rotation requirement for lead audit partner [Document
Identifier 224] *95330201722400000*18. Relief from the one-year cooling off period for independent CPA
[Document Identifier 225] *95330201722500000*19. Relief from the Requirements for Audit Committees [Document Identifier 226]
*95330201722600000*
43
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES20. Long-Term Care Experience Reporting Forms [Document Identifier 306]
*95330201730600000*21. Life Supplement [Document Identifier 211]
*95330201721100000*
43.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
OVERFLOW PAGE FOR WRITE-INS
Additional Write-ins for Liabilities Line 23Current Year Prior Year
1
Covered
2
Uncovered
3
Total
4
Total
2304. Centennial Rewards Liability 2,169,722 133,509 2,303,231 1,940,409 2305. Medical Claims Check (922)2397. Summary of remaining write-ins for Line 23 from overflow page 2,169,722 133,509 2,303,231 1,939,487
44
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SUMMARY INVESTMENT SCHEDULEGross Investment Holdings
Admitted Assets as Reportedin the Annual Statement
Investment Categories
1
Amount
2
Percentage
3
Amount
4Securities Lending
Reinvested CollateralAmount
5
Total(Col. 3 + 4)
Amount
6
Percentage
1. Bonds:
1.1 U.S. treasury securities 27,033,471 9.030 27,033,471 27,033,471 6.884
1.2 U.S. government agency obligations (excluding mortgage-backed securities):
1.21 Issued by U.S. government agencies 0.000 0.000
1.22 Issued by U.S. government sponsored agencies 12,773,421 4.267 12,773,421 12,773,421 3.253
1.3 Non-U.S. government (including Canada, excluding mortgaged-backed securities) 1,550,685 0.518 1,550,685 1,550,685 0.395
1.4 Securities issued by states, territories, and possessions and political subdivisions in the U.S. :
1.41 States, territories and possessions general obligations 8,438,930 2.819 8,438,930 8,438,930 2.149
1.42 Political subdivisions of states, territories and possessions and political subdivisions general obligations 5,449,347 1.820 5,449,347 5,449,347 1.388
1.43 Revenue and assessment obligations 76,702,629 25.622 76,702,629 76,702,629 19.533
1.44 Industrial development and similar obligations 3,859,517 1.289 3,859,517 3,859,517 0.983
1.5 Mortgage-backed securities (includes residential and commercial MBS):
1.51 Pass-through securities:
1.511 Issued or guaranteed by GNMA 888,554 0.297 888,554 888,554 0.226
1.512 Issued or guaranteed by FNMA and FHLMC 18,216,003 6.085 18,216,003 18,216,003 4.639
1.513 All other 0.000 0.000
1.52 CMOs and REMICs:
1.521 Issued or guaranteed by GNMA, FNMA, FHLMC or VA 4,289,178 1.433 4,289,178 4,289,178 1.092
1.522 Issued by non-U.S. Government issuers and collateralized by mortgage-backed securities issued or guaranteed by agencies shown in Line 1.521 0.000 0.000
1.523 All other 16,032,291 5.355 16,032,291 16,032,291 4.083
2. Other debt and other fixed income securities (excluding short-term):
2.1 Unaffiliated domestic securities (includes credit tenant loans and hybrid securities) 38,709,183 12.931 38,709,183 38,709,183 9.858
2.2 Unaffiliated non-U.S. securities (including Canada) 8,197,318 2.738 8,197,318 8,197,318 2.088
2.3 Affiliated securities 0.000 0.000
3. Equity interests:
3.1 Investments in mutual funds 74,830,845 24.997 74,830,845 74,830,845 19.057
3.2 Preferred stocks:
3.21 Affiliated 0.000 0.000
3.22 Unaffiliated 0.000 0.000
3.3 Publicly traded equity securities (excluding preferred stocks):
3.31 Affiliated 0.000 0.000
3.32 Unaffiliated 0.000 0.000
3.4 Other equity securities:
3.41 Affiliated 0.000 0.000
3.42 Unaffiliated 0.000 0.000
3.5 Other equity interests including tangible personal property under lease:
3.51 Affiliated 0.000 0.000
3.52 Unaffiliated 0.000 0.000
4. Mortgage loans:
4.1 Construction and land development 0.000 0.000
4.2 Agricultural 0.000 0.000
4.3 Single family residential properties 0.000 0.000
4.4 Multifamily residential properties 0.000 0.000
4.5 Commercial loans 0.000 0.000
4.6 Mezzanine real estate loans 0.000 0.000
5. Real estate investments:
5.1 Property occupied by company 0.000 0.000
5.2 Property held for production of income (including
$ 0 of property acquired in satisfaction of
debt) 0.000 0.000
5.3 Property held for sale (including $ 0
property acquired in satisfaction of debt) 0.000 0.000
6. Contract loans 0.000 0.000
7. Derivatives 0.000 0.000
8. Receivables for securities 135,218 0.045 115,285 115,285 0.029
9. Securities Lending (Line 10, Asset Page reinvested collateral) 0.000 XXX XXX XXX
10. Cash, cash equivalents and short-term investments 2,255,592 0.753 99,221,397 99,221,397 25.268
11. Other invested assets 0.000 (3,631,559) (3,631,559) (0.925)
12. Total invested assets 299,362,183 100.000 392,676,496 392,676,496 100.000
SI01
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
Schedule A - Verification - Real Estate
N O N E
Schedule B - Verification - Mortgage Loans
N O N E
SI02
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE BA - VERIFICATION BETWEEN YEARSOther Long-Term Invested Assets
1. Book/adjusted carrying value, December 31 of prior year 5,882,429
2. Cost of acquired:
2.1 Actual cost at time of acquisition (Part 2, Column 8) 639,471
2.2 Additional investment made after acquisition (Part 2, Column 9) 6,357,626 6,997,097
3. Capitalized deferred interest and other:
3.1 Totals, Part 1, Column 16
3.2 Totals, Part 3, Column 12
4. Accrual of discount 21,508
5. Unrealized valuation increase (decrease):
5.1 Totals, Part 1, Column 13 (13,910,234)
5.2 Totals, Part 3, Column 9 (13,910,234)
6. Total gain (loss) on disposals, Part 3, Column 19
7. Deduct amounts received on disposals, Part 3, Column 16
8. Deduct amortization of premium and depreciation
9. Total foreign exchange change in book/adjusted carrying value:
9.1 Totals, Part 1, Column 17
9.2 Totals, Part 3, Column 14
10. Deduct current year’s other than temporary impairment recognized:
10.1 Totals, Part 1, Column 15
10.2 Totals, Part 3, Column 11
11. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) (1,009,200)
12. Deduct total nonadmitted amounts 2,622,359
13. Statement value at end of current period (Line 11 minus Line 12) (3,631,559)
SCHEDULE D - VERIFICATION BETWEEN YEARSBonds and Stocks
1. Book/adjusted carrying value, December 31 of prior year 365,117,410
2. Cost of bonds and stocks acquired, Part 3, Column 7 325,578,736
3. Accrual of discount 215,293
4. Unrealized valuation increase (decrease):
4.1. Part 1, Column 12 104,301
4.2. Part 2, Section 1, Column 15
4.3. Part 2, Section 2, Column 13 5,597,431
4.4. Part 4, Column 11 (12,383,324) (6,681,592)
5. Total gain (loss) on disposals, Part 4, Column 19 26,124,020
6. Deduction consideration for bonds and stocks disposed of, Part 4, Column 7 411,425,606
7. Deduct amortization of premium 1,956,888
8. Total foreign exchange change in book/adjusted carrying value:
8.1. Part 1, Column 15
8.2. Part 2, Section 1, Column 19
8.3. Part 2, Section 2, Column 16
8.4. Part 4, Column 15
9. Deduct current year’s other than temporary impairment recognized:
9.1. Part 1, Column 14
9.2. Part 2, Section 1, Column 17
9.3. Part 2, Section 2, Column 14
9.4. Part 4, Column 13
10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 296,971,373
11. Deduct total nonadmitted amounts
12. Statement value at end of current period (Line 10 minus Line 11) 296,971,373
SI03
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - SUMMARY BY COUNTRYLong-Term Bonds and Stocks OWNED December 31 of Current Year
Description
1Book/Adjusted Carrying Value
2
Fair Value
3
Actual Cost
4
Par Value of Bonds
BONDS
Governments
(Including all obligations guaranteed by governments)
1. United States 28,723,981 28,567,785 28,639,889 28,733,684
2. Canada 722,450 720,318 722,264 725,000
3. Other Countries 828,235 836,308 828,198 829,000
4. Totals 30,274,666 30,124,411 30,190,351 30,287,684
U.S. States, Territories and Possessions
(Direct and guaranteed) 5. Totals 7,250,801 7,219,123 7,416,713 7,115,000
U.S. Political Subdivisions of States, Territories and Possessions (Direct and guaranteed)
6. Totals 10,496,994 10,470,222 10,862,802 9,590,000
U.S. Special Revenue and Special Assessment Obligations and all Non-Guaranteed Obligations of Agencies and Authorities of Governments and their Political Subdivisions 7. Totals 111,179,274 110,905,504 111,773,737 108,419,165
Industrial and Miscellaneous, SVO Identified Funds and Hybrid Securities (unaffiliated)
8. United States 54,741,474 54,799,443 54,926,496 53,834,121
9. Canada 4,680,472 4,657,819 4,677,983 4,689,000
10. Other Countries 3,516,846 3,543,103 3,501,954 3,571,417
11. Totals 62,938,793 63,000,366 63,106,434 62,094,538
Parent, Subsidiaries and Affiliates 12. Totals
13. Total Bonds 222,140,528 221,719,625 223,350,036 217,506,388
PREFERRED STOCKS
Industrial and Miscellaneous (unaffiliated)
14. United States
15. Canada
16. Other Countries
17. Totals
Parent, Subsidiaries and Affiliates 18. Totals
19. Total Preferred Stocks
COMMON STOCKS
Industrial and Miscellaneous (unaffiliated)
20. United States 74,830,845 74,830,845 68,161,340
21. Canada
22. Other Countries
23. Totals 74,830,845 74,830,845 68,161,340
Parent, Subsidiaries and Affiliates 24. Totals
25. Total Common Stocks 74,830,845 74,830,845 68,161,340
26. Total Stocks 74,830,845 74,830,845 68,161,340
27. Total Bonds and Stocks 296,971,373 296,550,470 291,511,376
SI04
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1A - SECTION 1Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations
NAIC Designation
1
1 Year or Less
2Over 1 Year
Through 5 Years
3Over 5 Years
Through 10 Years
4Over 10 Years
Through 20 Years
5
Over 20 Years
6No Maturity
Date
7
Total Current Year
8Col. 7 as a % of
Line 10.7
9Total from Col. 7
Prior Year
10% From Col. 8
Prior Year
11Total Publicly
Traded
12Total Privately
Placed (a)
1. U.S. Governments
1.1 NAIC 1 1,797,247 18,484,586 8,926,158 XXX 29,207,991 13.1 55,094,738 20.5 29,207,991
1.2 NAIC 2 XXX
1.3 NAIC 3 XXX
1.4 NAIC 4 XXX
1.5 NAIC 5 XXX
1.6 NAIC 6 XXX
1.7 Totals 1,797,247 18,484,586 8,926,158 XXX 29,207,991 13.1 55,094,738 20.5 29,207,991
2. All Other Governments
2.1 NAIC 1 722,450 278,764 XXX 1,001,214 0.4 722,450 278,764
2.2 NAIC 2 549,471 XXX 549,471 0.2 549,471
2.3 NAIC 3 XXX
2.4 NAIC 4 XXX
2.5 NAIC 5 XXX
2.6 NAIC 6 XXX
2.7 Totals 722,450 549,471 278,764 XXX 1,550,685 0.7 1,271,921 278,764
3. U.S. States, Territories and Possessions etc., Guaranteed
3.1 NAIC 1 5,025,801 2,225,000 XXX 7,250,801 3.3 5,626,985 2.1 7,250,801
3.2 NAIC 2 XXX 4,685,881 1.7
3.3 NAIC 3 XXX
3.4 NAIC 4 XXX
3.5 NAIC 5 XXX
3.6 NAIC 6 XXX
3.7 Totals 5,025,801 2,225,000 XXX 7,250,801 3.3 10,312,866 3.8 7,250,801
4. U.S. Political Subdivisions of States, Territories and Possessions , Guaranteed
4.1 NAIC 1 1,188,130 2,406,253 4,997,978 XXX 8,592,360 3.9 8,550,410 3.2 8,592,360
4.2 NAIC 2 169,388 XXX 169,388 0.1 169,388
4.3 NAIC 3 1,735,246 XXX 1,735,246 0.8 5,161,084 1.9 1,735,246
4.4 NAIC 4 XXX
4.5 NAIC 5 XXX
4.6 NAIC 6 XXX
4.7 Totals 1,357,517 4,141,499 4,997,978 XXX 10,496,994 4.7 13,711,494 5.1 10,496,994
5. U.S. Special Revenue & Special Assessment Obligations, etc., Non-Guaranteed
5.1 NAIC 1 23,262,321 72,914,453 10,208,801 1,613,982 299,034 XXX 108,298,590 48.6 100,268,031 37.4 108,298,590
5.2 NAIC 2 886,213 1,994,471 XXX 2,880,684 1.3 2,686,969 1.0 2,880,684
5.3 NAIC 3 XXX
5.4 NAIC 4 XXX
5.5 NAIC 5 XXX
5.6 NAIC 6 XXX
5.7 Totals 24,148,534 74,908,924 10,208,801 1,613,982 299,034 XXX 111,179,274 49.9 102,955,000 38.4 111,179,274
SI0
5
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1A - SECTION 1 (Continued)Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations
NAIC Designation
1
1 Year or Less
2Over 1 Year
Through 5 Years
3Over 5 Years
Through 10 Years
4Over 10 Years
Through 20 Years
5
Over 20 Years
6No Maturity
Date
7
Total Current Year
8Col. 7 as a % of
Line 10.7
9Total from Col. 7
Prior Year
10% From Col. 8
Prior Year
11Total Publicly
Traded
12Total Privately
Placed (a)
6. Industrial & Miscellaneous (Unaffiliated)
6.1 NAIC 1 7,737,605 27,046,144 14,624,738 522,009 180,486 XXX 50,110,982 22.5 57,517,108 21.4 31,155,002 18,955,980
6.2 NAIC 2 500,702 9,323,762 2,638,033 XXX 12,462,496 5.6 28,765,407 10.7 11,475,081 987,416
6.3 NAIC 3 XXX 75,135 0.0
6.4 NAIC 4 XXX 5,978 0.0
6.5 NAIC 5 162,362 202,952 XXX 365,314 0.2 365,314
6.6 NAIC 6 XXX
6.7 Totals 8,400,669 36,572,858 17,262,771 522,009 180,486 XXX 62,938,793 28.3 86,363,627 32.2 42,995,397 19,943,395
7. Hybrid Securities
7.1 NAIC 1 XXX
7.2 NAIC 2 XXX
7.3 NAIC 3 XXX
7.4 NAIC 4 XXX
7.5 NAIC 5 XXX
7.6 NAIC 6 XXX
7.7 Totals XXX
8. Parent, Subsidiaries and Affiliates
8.1 NAIC 1 XXX
8.2 NAIC 2 XXX
8.3 NAIC 3 XXX
8.4 NAIC 4 XXX
8.5 NAIC 5 XXX
8.6 NAIC 6 XXX
8.7 Totals XXX
9. SVO Identified Funds
9.1 NAIC 1 XXX XXX XXX XXX XXX
9.2 NAIC 2 XXX XXX XXX XXX XXX
9.3 NAIC 3 XXX XXX XXX XXX XXX
9.4 NAIC 4 XXX XXX XXX XXX XXX
9.5 NAIC 5 XXX XXX XXX XXX XXX
9.6 NAIC 6 XXX XXX XXX XXX XXX
9.7 Totals XXX XXX XXX XXX XXX
SI0
6
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1A - SECTION 1 (Continued)Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations
NAIC Designation
1
1 Year or Less
2Over 1 Year
Through 5 Years
3Over 5 Years
Through 10 Years
4Over 10 Years
Through 20 Years
5
Over 20 Years
6No Maturity
Date
7
Total Current Year
8Col. 7 as a % of
Line 10.7
9Total from Col. 7
Prior Year
10% From Col. 8
Prior Year
11Total Publicly
Traded
12Total Privately
Placed (a)
10. Total Bonds Current Year
10.1 NAIC 1 (d) 39,011,103 123,798,885 38,757,675 2,414,755 479,519 204,461,937 91.8 XXX XXX 185,227,193 19,234,744
10.2 NAIC 2 (d) 1,556,303 11,318,233 3,187,504 16,062,040 7.2 XXX XXX 15,074,624 987,416
10.3 NAIC 3 (d) 1,735,246 1,735,246 0.8 XXX XXX 1,735,246
10.4 NAIC 4 (d) XXX XXX
10.5 NAIC 5 (d) 162,362 202,952 (c) 365,314 0.2 XXX XXX 365,314
10.6 NAIC 6 (d) (c) XXX XXX
10.7 Totals 40,729,767 137,055,317 41,945,179 2,414,755 479,519 (b) 222,624,538 100.0 XXX XXX 202,402,378 20,222,159
10.8 Line 10.7 as a % of Col. 7 18.3 61.6 18.8 1.1 0.2 100.0 XXX XXX XXX 90.9 9.1
11. Total Bonds Prior Year
11.1 NAIC 1 48,869,175 142,663,731 31,788,828 3,516,521 219,018 XXX XXX 227,057,273 84.6 223,478,878 3,578,395
11.2 NAIC 2 4,916,608 27,802,210 3,397,474 21,965 XXX XXX 36,138,256 13.5 36,138,256
11.3 NAIC 3 39,750 5,196,469 XXX XXX 5,236,219 2.0 5,236,219
11.4 NAIC 4 5,978 XXX XXX 5,978 0.0 5,978
11.5 NAIC 5 XXX XXX (c)
11.6 NAIC 6 XXX XXX (c)
11.7 Totals 53,831,510 175,662,410 35,186,302 3,538,486 219,018 XXX XXX (b) 268,437,725 100.0 264,859,331 3,578,395
11.8 Line 11.7 as a % of Col. 9 20.1 65.4 13.1 1.3 0.1 XXX XXX 100.0 XXX 98.7 1.3
12. Total Publicly Traded Bonds
12.1 NAIC 1 35,601,475 114,160,656 33,531,955 1,634,073 299,034 185,227,193 83.2 223,478,878 83.3 185,227,193 XXX
12.2 NAIC 2 1,556,303 10,330,817 3,187,504 15,074,624 6.8 36,138,256 13.5 15,074,624 XXX
12.3 NAIC 3 1,735,246 1,735,246 0.8 5,236,219 2.0 1,735,246 XXX
12.4 NAIC 4 5,978 0.0 XXX
12.5 NAIC 5 162,362 202,952 365,314 0.2 365,314 XXX
12.6 NAIC 6 XXX
12.7 Totals 37,320,140 126,429,672 36,719,459 1,634,073 299,034 202,402,378 90.9 264,859,331 98.7 202,402,378 XXX
12.8 Line 12.7 as a % of Col. 7 18.4 62.5 18.1 0.8 0.1 100.0 XXX XXX XXX 100.0 XXX
12.9 Line 12.7 as a % of Line 10.7, Col. 7, Section 10 16.8 56.8 16.5 0.7 0.1 90.9 XXX XXX XXX 90.9 XXX
13. Total Privately Placed Bonds
13.1 NAIC 1 3,409,627 9,638,229 5,225,720 780,681 180,486 19,234,744 8.6 3,578,395 1.3 XXX 19,234,744
13.2 NAIC 2 987,416 987,416 0.4 XXX 987,416
13.3 NAIC 3 XXX
13.4 NAIC 4 XXX
13.5 NAIC 5 XXX
13.6 NAIC 6 XXX
13.7 Totals 3,409,627 10,625,645 5,225,720 780,681 180,486 20,222,159 9.1 3,578,395 1.3 XXX 20,222,159
13.8 Line 13.7 as a % of Col. 7 16.9 52.5 25.8 3.9 0.9 100.0 XXX XXX XXX XXX 100.0
13.9 Line 13.7 as a % of Line 10.7, Col. 7, Section 10 1.5 4.8 2.3 0.4 0.1 9.1 XXX XXX XXX XXX 9.1
(a) Includes $ 17,448,968 freely tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A.
(b) Includes $ 244,454 current year, $ prior year of bonds with Z designations and $ , current year $ prior year of bonds with Z* designations. The letter "Z" means the NAIC designation was not
assigned by the Securities Valuation Office (SVO) at the date of the statement. "Z*" means the SVO could not evaluate the obligation because valuation procedures for the security class are under regulatory review.
(c) Includes $ current year, $ prior year of bonds with 5* designations and $ , current year $ prior year of bonds with 6* designations. "5*" means the NAIC designation was assigned by the
(SVO) in reliance on the insurer's certification that the issuer is current in all principal and interest payments. "6*" means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments.
(d) Includes the following amount of short-term and cash equivalent bonds by NAIC designation: NAIC 1 $ 484,009 ; NAIC 2 $ ; NAIC 3 $ ; NAIC 4 $ ; NAIC 5 $ ; NAIC 6 $
SI0
7
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1A - SECTION 2Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues
Distribution by Type
1
1 Year or Less
2Over 1 Year
Through 5 Years
3Over 5 Years
Through 10 Years
4Over 10 Years
Through 20 Years
5
Over 20 Years
6No Maturity
Date
7
Total Current Year
8Col. 7 as a % of
Line 10.6
9Total from Col. 7
Prior Year
10% From Col. 8
Prior Year
11Total Publicly
Traded
12Total Privately
Placed
1. U.S. Governments1.1 Issuer Obligations 1,292,321 17,327,101 8,898,058 XXX 27,517,480 12.4 49,251,475 18.3 27,517,480
1.2 Residential Mortgage-Backed Securities 504,926 1,157,485 28,100 XXX 1,690,510 0.8 5,843,263 2.2 1,690,510
1.3 Commercial Mortgage-Backed Securities XXX
1.4 Other Loan-Backed and Structured Securities XXX
1.5 Totals 1,797,247 18,484,586 8,926,158 XXX 29,207,991 13.1 55,094,738 20.5 29,207,991
2. All Other Governments
2.1 Issuer Obligations 722,450 549,471 278,764 XXX 1,550,685 0.7 1,271,921 278,764
2.2 Residential Mortgage-Backed Securities XXX
2.3 Commercial Mortgage-Backed Securities XXX
2.4 Other Loan-Backed and Structured Securities XXX
2.5 Totals 722,450 549,471 278,764 XXX 1,550,685 0.7 1,271,921 278,764
3. U.S. States, Territories and Possessions, Guaranteed
3.1 Issuer Obligations 5,025,801 2,225,000 XXX 7,250,801 3.3 10,312,866 3.8 7,250,801
3.2 Residential Mortgage-Backed Securities XXX
3.3 Commercial Mortgage-Backed Securities XXX
3.4 Other Loan-Backed and Structured Securities XXX
3.5 Totals 5,025,801 2,225,000 XXX 7,250,801 3.3 10,312,866 3.8 7,250,801
4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed
4.1 Issuer Obligations 1,357,517 4,141,499 4,997,978 XXX 10,496,994 4.7 13,711,494 5.1 10,496,994
4.2 Residential Mortgage-Backed Securities XXX
4.3 Commercial Mortgage-Backed Securities XXX
4.4 Other Loan-Backed and Structured Securities XXX
4.5 Totals 1,357,517 4,141,499 4,997,978 XXX 10,496,994 4.7 13,711,494 5.1 10,496,994
5. U.S. Special Revenue & Special Assessment Obligations etc., Non-Guaranteed
5.1 Issuer Obligations 19,381,199 63,400,315 6,694,536 XXX 89,476,050 40.2 71,572,526 26.7 89,476,050
5.2 Residential Mortgage-Backed Securities 4,728,450 11,374,395 3,480,304 1,613,982 299,034 XXX 21,496,163 9.7 30,843,334 11.5 21,496,163
5.3 Commercial Mortgage-Backed Securities 38,885 134,214 33,962 XXX 207,061 0.1 539,140 0.2 207,061
5.4 Other Loan-Backed and Structured Securities XXX
5.5 Totals 24,148,534 74,908,924 10,208,801 1,613,982 299,034 XXX 111,179,274 49.9 102,955,000 38.4 111,179,274
6. Industrial and Miscellaneous
6.1 Issuer Obligations 2,352,326 26,765,061 8,621,562 20,091 XXX 37,759,040 17.0 64,498,573 24.0 35,119,945 2,639,096
6.2 Residential Mortgage-Backed Securities 1,849,445 4,972,979 1,287,111 201,485 XXX 8,311,019 3.7 96,104 0.0 41,420 8,269,599
6.3 Commercial Mortgage-Backed Securities 30,738 122,950 6,993,712 207,478 XXX 7,354,878 3.3 137,158 0.1 4,066,833 3,288,045
6.4 Other Loan-Backed and Structured Securities 4,168,160 4,711,868 360,386 92,954 180,486 XXX 9,513,855 4.3 21,631,793 8.1 3,767,199 5,746,656
6.5 Totals 8,400,669 36,572,858 17,262,771 522,009 180,486 XXX 62,938,793 28.3 86,363,627 32.2 42,995,397 19,943,395
7. Hybrid Securities
7.1 Issuer Obligations XXX
7.2 Residential Mortgage-Backed Securities XXX
7.3 Commercial Mortgage-Backed Securities XXX
7.4 Other Loan-Backed and Structured Securities XXX
7.5 Totals XXX
8. Parent, Subsidiaries and Affiliates
8.1 Issuer Obligations XXX
8.2 Residential Mortgage-Backed Securities XXX
8.3 Commercial Mortgage-Backed Securities XXX
8.4 Other Loan-Backed and Structured Securities XXX
8.5 Totals XXX
SI0
8
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1A - SECTION 2 (Continued)Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues
Distribution by Type
1
1 Year or Less
2Over 1 Year
Through 5 Years
3Over 5 Years
Through 10 Years
4Over 10 Years
Through 20 Years
5
Over 20 Years
6No Maturity
Date
7
Total Current Year
8Col. 7 as a % of
Line 10.6
9Total from Col. 7
Prior Year
10% From Col. 8
Prior Year
11Total Publicly
Traded
12Total Privately
Placed
9. SVO Identified Funds9.1 Exchange Traded Funds Identified by the SVO XXX XXX XXX XXX XXX 9.2 Bond Mutual Funds Identified by the SVO XXX XXX XXX XXX XXX
9.3 Totals XXX XXX XXX XXX XXX
10. Total Bonds Current Year10.1 Issuer Obligations 29,409,165 114,581,426 29,761,605 298,855 XXX 174,051,051 78.2 XXX XXX 171,133,191 2,917,860
10.2 Residential Mortgage-Backed Securities 7,082,820 17,504,858 4,795,514 1,815,467 299,034 XXX 31,497,693 14.1 XXX XXX 23,228,094 8,269,599
10.3 Commercial Mortgage-Backed Securities 69,623 257,164 7,027,673 207,478 XXX 7,561,939 3.4 XXX XXX 4,273,894 3,288,045
10.4 Other Loan-Backed and Structured Securities 4,168,160 4,711,868 360,386 92,954 180,486 XXX 9,513,855 4.3 XXX XXX 3,767,199 5,746,656
10.5 SVO Identified Funds XXX XXX XXX XXX XXX XXX XXX
10.6 Totals 40,729,767 137,055,317 41,945,179 2,414,755 479,519 222,624,538 100.0 XXX XXX 202,402,378 20,222,159
10.7 Line 10.6 as a % of Col. 7 18.3 61.6 18.8 1.1 0.2 100.0 XXX XXX XXX 90.9 9.1
11. Total Bonds Prior Year11.1 Issuer Obligations 35,720,852 151,183,530 22,416,022 26,530 XXX XXX XXX 209,346,934 78.0 208,096,064 1,250,870
11.2 Residential Mortgage-Backed Securities 4,883,569 16,201,792 11,966,366 3,511,956 219,018 XXX XXX XXX 36,782,701 13.7 36,782,701
11.3 Commercial Mortgage-Backed Securities 150,242 337,341 188,715 XXX XXX XXX 676,298 0.3 676,298
11.4 Other Loan-Backed and Structured Securities 13,076,846 7,939,747 615,199 XXX XXX XXX 21,631,793 8.1 19,304,268 2,327,525
11.5 SVO Identified Funds XXX XXX XXX XXX XXX XXX XXX
11.6 Totals 53,831,510 175,662,410 35,186,302 3,538,486 219,018 XXX XXX 268,437,725 100.0 264,859,331 3,578,395
11.7 Line 11.6 as a % of Col. 9 20.1 65.4 13.1 1.3 0.1 XXX XXX 100.0 XXX 98.7 1.3
12. Total Publicly Traded Bonds
12.1 Issuer Obligations 29,409,165 112,594,341 29,109,594 20,091 XXX 171,133,191 76.9 208,096,064 77.5 171,133,191 XXX12.2 Residential Mortgage-Backed Securities 5,241,744 12,564,264 3,509,070 1,613,982 299,034 XXX 23,228,094 10.4 36,782,701 13.7 23,228,094 XXX12.3 Commercial Mortgage-Backed Securities 38,885 134,214 4,100,795 XXX 4,273,894 1.9 676,298 0.3 4,273,894 XXX12.4 Other Loan-Backed and Structured Securities 2,630,346 1,136,853 XXX 3,767,199 1.7 19,304,268 7.2 3,767,199 XXX12.5 SVO Identified Funds XXX XXX XXX XXX XXX XXX12.6 Totals 37,320,140 126,429,672 36,719,459 1,634,073 299,034 202,402,378 90.9 264,859,331 98.7 202,402,378 XXX12.7 Line 12.6 as a % of Col. 7 18.4 62.5 18.1 0.8 0.1 100.0 XXX XXX XXX 100.0 XXX12.8 Line 12.6 as a % of Line 10.6, Col. 7, Section 10 16.8 56.8 16.5 0.7 0.1 90.9 XXX XXX XXX 90.9 XXX
13. Total Privately Placed Bonds
13.1 Issuer Obligations 1,987,085 652,011 278,764 XXX 2,917,860 1.3 1,250,870 0.5 XXX 2,917,860
13.2 Residential Mortgage-Backed Securities 1,841,076 4,940,594 1,286,444 201,485 XXX 8,269,599 3.7 0.0 XXX 8,269,599
13.3 Commercial Mortgage-Backed Securities 30,738 122,950 2,926,879 207,478 XXX 3,288,045 1.5 XXX 3,288,045
13.4 Other Loan-Backed and Structured Securities 1,537,814 3,575,015 360,386 92,954 180,486 XXX 5,746,656 2.6 2,327,525 0.9 XXX 5,746,656
13.5 SVO Identified Funds XXX XXX XXX XXX XXX XXX
13.6 Totals 3,409,627 10,625,645 5,225,720 780,681 180,486 20,222,159 9.1 3,578,395 1.3 XXX 20,222,159
13.7 Line 13.6 as a % of Col. 7 16.9 52.5 25.8 3.9 0.9 100.0 XXX XXX XXX XXX 100.0
13.8 Line 13.6 as a % of Line 10.6, Col. 7, Section 10 1.5 4.8 2.3 0.4 0.1 9.1 XXX XXX XXX XXX 9.1
SI0
9
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE DA - VERIFICATION BETWEEN YEARSShort-Term Investments
1
Total
2
Bonds
3
Mortgage Loans
4Other Short-term
Investment Assets (a)
5Investments in Parent,
Subsidiaries and Affiliates
1. Book/adjusted carrying value, December 31 of prior year 4,648,284 4,648,284
2. Cost of short-term investments acquired 6,667,503 6,667,503
3. Accrual of discount 582 582
4. Unrealized valuation increase (decrease)
5. Total gain (loss) on disposals (111) (111)
6. Deduct consideration received on disposals 10,827,120 6,494,097 4,333,023
7. Deduct amortization of premium 5,127 5,127
8. Total foreign exchange change in book/adjusted carrying value
9. Deduct current year’s other than temporary impairment recognized
10. Book adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 484,010 4,817,033 (4,333,023)
11. Deduct total nonadmitted amounts
12. Statement value at end of current period (Line 10 minus Line 11) 484,010 4,817,033 (4,333,023)
(a) Indicate the category of such assets, for example, joint ventures, transportation equipment:
SI1
0
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
Schedule DB - Part A - Verification - Options, Caps, Floors, Collars, Swaps and Forwards
N O N E
Schedule DB - Part B - Verification - Futures Contracts
N O N E
Schedule DB - Part C - Section 1 - Replication (Synthetic Asset) Transactions (RSATs) Open
N O N E
Schedule DB-Part C-Section 2-Reconciliation of Replication (Synthetic Asset) Transactions Open
N O N E
Schedule DB - Verification - Book/Adjusted Carrying Value, Fair Value and Potential Exposure of Derivatives
N O N E
SI11, SI12, SI13, SI14
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE E - PART 2 - VERIFICATION BETWEEN YEARS(Cash Equivalents)
1
Total
2
Bonds
3Money MarketMutual funds
4
Other (a)
1. Book/adjusted carrying value, December 31 of prior year
2. Cost of cash equivalents acquired 261,650,437 261,650,437
3. Accrual of discount
4. Unrealized valuation increase (decrease)
5. Total gain (loss) on disposals
6. Deduct consideration received on disposals 259,878,855 259,878,855
7. Deduct amortization of premium
8. Total foreign exchange change in book/adjusted carrying value
9. Deduct current year’s other than temporary impairment recognized
10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9) 1,771,582 1,771,582
11. Deduct total nonadmitted amounts
12. Statement value at end of current period (Line 10 minus Line 11) 1,771,582 1,771,582
(a) Indicate the category of such investments, for example, joint ventures, transportation equipment:
SI15
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
Schedule A - Part 1 - Real Estate Owned
N O N E
Schedule A - Part 2 - Real Estate Acquired and Additions Made
N O N E
Schedule A - Part 3 - Real Estate Disposed
N O N E
Schedule B - Part 1 - Mortgage Loans Owned
N O N E
Schedule B - Part 2 - Mortgage Loans Acquired and Additions Made
N O N E
Schedule B - Part 3 - Mortgage Loans Disposed, Transferred or Repaid
N O N E
E01, E02, E03, E04, E05, E06
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE BA - PART 1Showing Other Long-Term Invested Assets OWNED December 31 of Current Year
1 2 3 Location 6 7 8 9 10 11 12 Change in Book/Adjusted Carrying Value 18 19 20
CUSIPIdenti-fication Name or Description Code
4
City
5
StateName of Vendor
or General PartnerNAIC
Designation
Date OriginallyAcquired
Typeand
StrategyActualCost
FairValue
Book/Adjusted Carrying
ValueLess
Encum-brances
13
Unrealized Valuation Increase
(Decrease)
14
Current Year’s (Depre-ciation)
or(Amorti-zation)/
Accretion
15Current Year’s Other-Than-
Temporary Impair-ment
Recog-nized
16
Capital-ized
Deferred Interest
andOther
17
Total Foreign
Exchange Change in
Book/Adjusted Carrying
Value
Invest-ment
Income
Commit-mentfor
AdditionalInvest-ment
Percen-tage of Owner-
ship000000-00-0 Affiliated Imaging Associates Albuquerque NM Affiliated Imaging Associates 06/01/2005 1 50,000 2,037,691 2,137,691 (291,166) 100,000
000000-00-0 Southwest Magnetic Imaging Associates, Inc. Albuquerque NM
Southwest Magnetic Imaging Associates,
Inc. 01/01/1993 1 117,900 (245,967) (245,967) 108,535
000000-00-0 Liberty New Mexico Partners LLC Albuquerque NM Liberty New Mexico Partners LLC 03/28/2014 2 862,435 622,100 730,635 (19,901)
1599999. Joint Venture Interests - Common Stock - Unaffiliated 1,030,335 2,413,824 2,622,359 (311,067) 208,535 XXX000000-00-0 Fluent Health Albuquerque NM Presbyterian Insurance Company 10/01/2017 2 (6,602,070) (13,599,167)
2299999. Joint Venture Interests - Other - Affiliated (6,602,070) (13,599,167) XXX
000000-00-0
Metlife
Deferred Compensation Asset M Hartford CT MetLife 01/01/2006 250,676 250,676 14,208 100.000
000000-00-0 Fidelity Deferred Compensation Asset M Salt Lake City UT Fidelity 01/01/2014 2,719,835 2,719,835 7,301 100.000
4399999. Any Other Class of Assets - Affiliated 2,970,511 2,970,511 21,509 XXX4499999. Total - Unaffiliated 1,030,335 2,413,824 2,622,359 (311,067) 208,535 XXX4599999. Total - Affiliated 2,970,511 (3,631,559) (13,599,167) 21,509 XXX
4699999 - Totals 1,030,335 5,384,335 (1,009,200) (13,910,234) 21,509 208,535 XXX
E07
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE BA - PART 2Showing Other Long-Term Invested Assets ACQUIRED AND ADDITIONS MADE December 31 of Current Year
1 2 Location 5 6 7 8 9 10 11
CUSIPIdentification Name or Description
3
City
4
StateName of Vendor
or General Partner
Date OriginallyAcquired
Typeand
Strategy
Actual Costat Time of Acquisition
Additional Investment Made After Acquisition
Amount ofEncumbrances
Percentage of Ownership
000000-00-0 Fluent Health Albuquerque NM Presbyterian Insurance Company 10/01/2017 2 639,471 6,357,626 95.000
2299999. Joint Venture Interests - Other - Affiliated 639,471 6,357,626 XXX4499999. Total - Unaffiliated XXX4599999. Total - Affiliated 639,471 6,357,626 XXX
4699999 - Totals 639,471 6,357,626 XXX
E08
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE BA - PART 3Showing Other Long-Term Invested Assets DISPOSED, Transferred or Repaid During the Current Year
1 2 Location 5 6 7 8 Change in Book/Adjusted Carrying Value 15 16 17 18 19 20
CUSIPIdentification Name or Description
3
City
4
StateName of Purchaser or
Nature of Disposal
DateOriginally Acquired
DisposalDate
Book/Adjusted Carrying
ValueLess
Encum-brances,
PriorYear
9
Unrealized Valuation Increase
(De-crease)
10
Current Year’s (Depre-
ciation) or (Amorti-zation)/
Accretion
11Current Year’s Other- Than-
Temporary Impair-ment
Recog-nized
12
Capital-ized
Deferred Interest
andOther
13
Total Change in
Book/ Adjusted Carrying
Value (9+10-11+12)
14
Total Foreign
Exchange Change in
Book/Adjusted Carrying
Value
Book/Adjusted Carrying
ValueLess
Encum-brances
onDisposal
Consid-eration
Foreign Exchange
Gain (Loss)
on Disposal
Realized Gain
(Loss) on Disposal
TotalGain
(Loss) on Disposal
Invest-ment
Income
4699999 - Totals
NONE
E09
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
912828-2A-7 UNITED STATES TREASURY 1 1,475,326 93.0390 1,450,478 1,559,000 1,478,241 2,915 1.500 2.162 FA 8,833 08/24/2017 08/15/2026
912828-2P-4 UNITED STATES TREASURY 1 2,017,514 98.6450 2,005,453 2,033,000 2,018,087 573 1.875 2.043 JJ 15,952 10/25/2017 07/31/2022
912828-2R-0 UNITED STATES TREASURY 1 502,801 98.5940 497,900 505,000 502,855 54 2.250 2.299 FA 4,292 10/04/2017 08/15/2027
912828-2S-8 UNITED STATES TREASURY 1 493,398 97.5270 487,635 500,000 493,724 325 1.625 1.908 FA 2,761 09/29/2017 08/31/2022
912828-3D-0 UNITED STATES TREASURY 1 172,295 99.5390 171,207 172,000 172,291 (4) 2.250 2.223 AO 663 11/24/2017 10/31/2024
912828-3F-5 UNITED STATES TREASURY 1 170,383 98.5900 170,561 173,000 170,388 5 2.250 2.423 MN 511 12/28/2017 11/15/2027
912828-3H-1 UNITED STATES TREASURY 1 8,291,895 99.7500 8,279,250 8,300,000 8,292,163 268 1.750 1.800 MN 12,769 12/07/2017 11/30/2019
912828-K3-3 UNITED STATES TREASURY 1 506,901 99.7950 507,711 508,754 515,261 10,954 (2,595) 0.125 (0.442) AO 136 629 02/01/2017 04/15/2020
912828-M4-9 UNITED STATES TREASURY 1 1,814,592 98.5470 1,798,483 1,825,000 1,814,886 294 1.875 1.996 AO 5,861 11/07/2017 10/31/2022
912828-M8-0 UNITED STATES TREASURY 1 1,043,520 99.0900 1,040,445 1,050,000 1,043,602 82 2.000 2.131 MN 1,846 12/07/2017 11/30/2022
912828-N7-1 UNITED STATES TREASURY 1 2,331,352 101.6010 2,377,385 2,339,922 2,377,547 50,364 (4,169) 0.625 0.417 JJ 6,756 7,251 02/08/2017 01/15/2026
912828-V4-9 UNITED STATES TREASURY 1 2,646,196 99.2790 2,666,358 2,685,722 2,676,510 29,787 526 0.375 0.414 JJ 4,653 3,610 08/09/2017 01/15/2027
912828-VE-7 UNITED STATES TREASURY 1 805,821 99.7969 805,869 810,000 808,312 2,491 1.000 1.510 MN 3,237 5,575 05/23/2017 05/31/2018
912828-W3-0 UNITED STATES TREASURY 1 840,102 99.1800 836,087 843,000 841,118 1,016 1.125 1.320 FA 3,222 4,742 05/11/2017 02/28/2019
912828-WZ-9 UNITED STATES TREASURY 1 1,605,462 98.2770 1,600,932 1,629,000 1,609,387 3,924 1.750 2.042 AO 4,883 28,508 02/01/2017 04/30/2022
912828-XS-4 UNITED STATES TREASURY 1 698,441 99.1720 694,204 700,000 698,875 433 1.250 1.365 MN 769 4,375 06/13/2017 05/31/2019
912828-XX-3 UNITED STATES TREASURY 1 1,519,657 98.0860 1,500,716 1,530,000 1,520,226 570 2.000 2.106 JD 15,385 12/05/2017 06/30/2024
0199999. Subtotal - Bonds - U.S. Governments - Issuer Obligations 26,935,656 XXX 26,890,673 27,163,398 27,033,471 91,105 6,709 XXX XXX XXX 92,528 54,690 XXX XXX36202D-5R-8 G2 003556 - RMBS 4 1 214,141 110.8480 212,522 191,724 212,482 (88) 5.500 2.526 MON 879 10,722 05/06/2013 05/20/2034
36202E-6Q-7 G2 004479 - RMBS 4 1 90,787 105.0780 89,130 84,823 89,752 (507) 4.500 2.075 MON 318 3,907 05/27/2015 07/20/2024
36241K-AZ-1 GN 781824 - RMBS 4 1 152,532 111.0610 149,172 134,315 152,645 (83) 5.500 1.924 MON 616 7,513 10/05/2016 11/15/2034
36241K-UV-8 GN 782396 - RMBS 4 1 64,815 106.6620 61,985 58,114 62,665 (441) 6.000 1.768 MON 291 3,585 06/26/2012 09/15/2023
36241L-UV-6 GN 783296 - RMBS 4 1 372,423 106.4940 368,937 346,440 371,010 (1,413) 5.000 1.570 MON 1,444 13,272 03/03/2017 01/15/2025
38374T-J6-2 GNR 0934D BH - CMO/RMBS 4 1 117,342 103.9300 118,402 113,924 116,544 56 4.000 3.461 MON 380 4,634 04/24/2014 05/20/2039
38374X-AA-3 GNR 0914A AG - CMO/RMBS 4 1 91,585 105.1280 91,312 86,858 92,479 102 4.500 2.916 MON 326 3,987 04/18/2016 03/20/2039
38375J-6B-6 GNR 0724A PC - CMO/RMBS 4 1 34,464 106.7030 34,168 32,022 34,648 (93) 5.500 2.746 MON 147 1,797 08/26/2010 04/20/2037
38375J-ZM-0 GNR 0722C LP - CMO/RMBS 4 1 154,710 108.3500 148,303 136,874 150,691 185 5.500 3.160 MON 627 7,653 02/28/2014 04/20/2037
38376F-FN-7 GNR 0961F AP - CMO/RMBS 4 1 73,642 104.1460 72,665 69,772 75,103 62 4.000 2.175 MON 233 2,859 03/07/2013 08/20/2039
38376L-EG-0 GNR 1090B LE - CMO/RMBS 4 1 245,736 104.3020 239,820 229,929 240,171 (769) 4.500 2.638 MON 862 10,416 11/25/2014 07/16/2040
38376W-GQ-2 GNR 1014G QP - CMO/RMBS 4 1 7,048 101.1010 6,614 6,542 6,651 (96) 6.000 1.359 MON 33 427 09/02/2010 12/20/2039
38377R-FR-1 GNR 10158F CT - CMO/RMBS 4 1 85,008 106.4990 84,082 78,951 85,669 214 4.500 2.527 MON 296 3,625 08/07/2015 12/20/2040
0299999. Subtotal - Bonds - U.S. Governments - Residential Mortgage-Backed Securities 1,704,233 XXX 1,677,112 1,570,287 1,690,510 (2,872) XXX XXX XXX 6,450 74,396 XXX XXX
0599999. Total - U.S. Government Bonds 28,639,889 XXX 28,567,785 28,733,684 28,723,981 91,105 3,837 XXX XXX XXX 98,978 129,086 XXX XXX195325-DL-6 COLOMBIA, REPUBLIC OF (GOVERNMENT) C 1,2 2FE 549,494 101.8000 556,846 547,000 549,471 (23) 3.875 3.816 AO 3,886 15,897 08/02/2017 04/25/2027
563469-UH-6 MANITOBA, PROVINCE OF 1FE 415,028 99.1150 413,310 417,000 415,083 56 2.050 2.130 MAT 736 11/29/2017 11/30/2020
68323A-ED-2 ONTARIO, PROVINCE OF 1FE 307,236 99.6780 307,008 308,000 307,366 130 2.400 2.453 FA 2,936 3,696 02/01/2017 02/08/2022
80413T-AE-9 SAUDI ARABIA, KINGDOM OF (GOVERNMENT) C 1FE 278,703 99.1000 279,462 282,000 278,764 60 3.625 3.762 MS 2,470 09/27/2017 03/04/2028
0699999. Subtotal - Bonds - All Other Governments - Issuer Obligations 1,550,461 XXX 1,556,626 1,554,000 1,550,685 223 XXX XXX XXX 10,029 19,593 XXX XXX1099999. Total - All Other Government Bonds 1,550,461 XXX 1,556,626 1,554,000 1,550,685 223 XXX XXX XXX 10,029 19,593 XXX XXX20772J-5F-5 CONNECTICUT ST 1FE 5,191,713 102.7240 5,023,204 4,890,000 5,025,801 (161,049) 5.000 1.622 MN 40,750 210,542 12/07/2016 11/01/2018
57582P-5Q-9 MASSACHUSETTS ST 1FE 2,225,000 98.6930 2,195,919 2,225,000 2,225,000 1.700 1.700 FA 15,760 07/20/2017 08/01/2043
1199999. Subtotal - Bonds - U.S. States, Territories and Possessions - Issuer Obligations 7,416,713 XXX 7,219,123 7,115,000 7,250,801 (161,049) XXX XXX XXX 56,510 210,542 XXX XXX
1799999. Total - U.S. States, Territories and Possessions Bonds 7,416,713 XXX 7,219,123 7,115,000 7,250,801 (161,049) XXX XXX XXX 56,510 210,542 XXX XXX158249-KZ-4 CHAMPAIGN CNTY ILL CMNTY UNIT SCH DIST N 1FE 84,281 111.2590 83,444 75,000 84,123 (158) 5.000 1.830 JJ 260 11/15/2017 01/01/2022
199492-VF-3 COLUMBUS, CITY OF 1FE 3,869,148 111.0140 3,824,432 3,445,000 3,859,517 (9,631) 4.000 1.601 AO 17,225 11/03/2017 04/01/2023
213187-BT-3 COOK CNTY ILL CMNTY COLLEGE DIST NO 508 2FE 188,489 102.5380 169,188 165,000 169,388 (4,705) 5.000 2.050 JD 688 8,250 10/09/2013 12/01/2018
25476F-TC-2 DISTRICT COLUMBIA 1FE 1,232,888 101.4560 1,187,035 1,170,000 1,188,130 (43,336) 5.000 1.242 JD 4,875 55,413 12/01/2016 06/01/2018
442403-LU-3 HOUSTON TEX INDPT SCH DIST 1FE 1,795,892 112.5980 1,745,269 1,550,000 1,765,319 (30,573) 5.000 1.511 FA 29,278 17,653 05/11/2017 02/15/2022
778017-NG-4 ROSEVILLE MICH CMNTY SCHS 1FE 596,736 110.2210 562,127 510,000 556,810 (13,420) 5.000 2.131 MN 4,250 25,500 12/03/2014 05/01/2021
844368-KX-7 SOUTHGATE MICH CMNTY SCH DIST 1FE 1,201,880 115.1960 1,163,480 1,010,000 1,138,460 (22,301) 5.000 2.441 MN 8,417 50,500 01/09/2015 05/01/2023
969073-MG-7 WILL CNTY ILL CMNTY HIGH SCH DIST NO 210 3FE 1,893,488 104.2190 1,735,246 1,665,000 1,735,246 17,035 (48,121) 5.000 1.951 JJ 41,625 83,250 03/25/2015 01/01/2020
1899999. Subtotal - Bonds - U.S. Political Subdivisions - Issuer Obligations 10,862,802 XXX 10,470,222 9,590,000 10,496,994 17,035 (172,245) XXX XXX XXX 106,617 240,565 XXX XXX
E10
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
2499999. Total - U.S. Political Subdivisions Bonds 10,862,802 XXX 10,470,222 9,590,000 10,496,994 17,035 (172,245) XXX XXX XXX 106,617 240,565 XXX XXX00561Q-AE-3 ADAMS CNTY COLO HSG AUTH MULTIFAMILY HSG 2 1FE 2,775,000 99.6050 2,764,039 2,775,000 2,775,000 1.500 1.500 MN 5,203 11/14/2017 11/01/2020
01030P-GP-5 ALABAMA HSG FIN AUTH MULTI FAMILY HSG RE 2 1FE 335,000 99.3040 332,668 335,000 335,000 1.350 1.350 JJ 2,274 06/27/2017 01/01/2020
085278-CW-7 BERNALILLO CNTY N MEX MULTIFAMILY REV 1FE 640,000 99.6800 637,952 640,000 640,000 1.400 1.400 MS 2,987 3,460 04/05/2017 03/01/2020
121342-PD-5 BURKE CNTY GA DEV AUTH POLLUTN CTL REV 1FE 1,560,000 99.1530 1,546,787 1,560,000 1,560,000 1.850 1.812 JD 2,405 14,430 05/25/2017 12/01/2049
121342-PE-3 BURKE CNTY GA DEV AUTH POLLUTN CTL REV 1FE 780,000 99.1530 773,393 780,000 780,000 1.850 1.850 JD 1,203 7,215 05/25/2017 12/01/2049
13032U-MT-2 CALIFORNIA HEALTH FACS FING AUTH REV 2 1FE 1,774,856 115.0810 1,754,985 1,525,000 1,746,008 (28,848) 5.000 1.850 MN 12,708 37,701 04/26/2017 08/01/2031
13058A-AD-3 CALIFORNIA PUB FIN AUTH MULTIFAMILY HSG 1FE 1,425,000 99.9610 1,424,444 1,425,000 1,425,000 1.450 1.450 JD 1,722 19,515 12/14/2016 12/01/2019
13078H-AW-2 CALIFORNIA STATEWIDE CMNTYS DEV AUTH POL 1FE 725,000 102.3430 741,987 725,000 725,000 2.625 2.625 MN 3,172 14,961 01/11/2017 11/01/2033
13079P-XF-5 CALIFORNIA STATEWIDE CMNTYS DEV AUTH MUL 1FE 465,000 99.8710 464,400 465,000 465,000 1.250 1.250 FA 2,422 2,648 02/14/2017 08/01/2019
162404-DH-7 CHATTANOOGA TENN HEALTH EDL & HSG FAC BR 1FE 2,045,000 99.9280 2,043,528 2,045,000 2,045,000 1.400 1.400 MN 4,772 25,767 11/18/2016 11/01/2019
162404-DJ-3 CHATTANOOGA TENN HEALTH EDL & HSG FAC BR 1FE 580,000 99.9430 579,669 580,000 580,000 1.750 1.750 JD 338 12/13/2017 12/01/2020
20774Y-X7-7 CONNECTICUT ST HEALTH & EDL FACS AUTH RE 1FE 1,315,000 98.8400 1,299,746 1,315,000 1,315,000 1.300 1.300 JJ 7,360 07/18/2017 07/01/2048
24917D-AD-5 DENVER COLO CITY & CNTY DEDICATED TAX RE 1FE 1,440,000 99.4840 1,432,570 1,440,000 1,440,000 1.825 1.825 FA 10,950 26,280 03/24/2016 08/01/2019
266785-AK-0 DURHAM N C HSG AUTH MULTIFAMILY HSG REV 1FE 1,245,000 99.7860 1,242,336 1,245,000 1,245,000 1.800 1.800 JJ 996 12/11/2017 01/01/2021
312739-AA-3 FAYETTEVILLE N C MET HSG AUTH MULTIFAMIL 2 1FE 3,700,000 99.7110 3,689,307 3,700,000 3,700,000 1.950 1.950 JJ 2,004 12/15/2017 01/01/2022
3130AC-R2-2 FEDERAL HOME LOAN BANKS 2 1 1,505,000 99.8280 1,502,411 1,505,000 1,505,000 1.500 1.498 MN 2,446 10/27/2017 11/22/2022
3133EH-HY-2 FEDERAL FARM CREDIT BANKS FUNDING CORP 2 1 463,695 99.6280 461,278 463,000 463,000 (695) 2.960 2.939 MN 1,675 6,852 06/26/2017 11/17/2025
3133EH-NF-6 FEDERAL FARM CREDIT BANKS FUNDING CORP 2 1 1,169,070 99.1380 1,161,897 1,172,000 1,169,137 67 2.700 2.739 JD 1,055 15,822 11/13/2017 12/19/2024
3133EH-PP-2 FEDERAL FARM CREDIT BANKS FUNDING CORP 2 1 1,049,213 98.9710 1,039,196 1,050,000 1,049,238 25 2.840 2.850 MS 7,869 7,455 09/07/2017 03/26/2026
3133EH-RW-5 FEDERAL FARM CREDIT BANKS FUNDING CORP 2 1 1,250,715 98.8910 1,243,060 1,257,000 1,250,831 116 2.800 2.873 JJ 15,349 11/13/2017 07/24/2025
3134G9-5P-8 FEDERAL HOME LOAN MORTGAGE CORP 2 1 949,200 99.1710 949,066 957,000 954,082 4,883 1.625 2.186 FA 5,443 10,198 05/17/2017 08/25/2021
3134G9-H2-6 FEDERAL HOME LOAN MORTGAGE CORP 2 1 1,544,453 99.1960 1,548,450 1,561,000 1,547,837 3,384 1.500 2.314 JD 11,773 11,708 02/06/2017 06/30/2021
3134G9-SM-0 FEDERAL HOME LOAN MORTGAGE CORP 2 1 1,733,239 99.6380 1,735,694 1,742,000 1,735,013 1,775 1.750 2.414 JD 14,238 13,065 03/24/2017 06/30/2021
3134GB-6H-0 FEDERAL HOME LOAN MORTGAGE CORP 2 1 236,000 99.9320 235,840 236,000 236,000 2.000 2.000 JD 52 12/07/2017 12/27/2022
3134GB-Z3-9 FEDERAL HOME LOAN MORTGAGE CORP 2 1 1,275,000 99.8280 1,272,807 1,275,000 1,275,000 1.500 1.498 MN 2,072 10/30/2017 11/22/2022
3135G0-S3-8 FEDERAL NATIONAL MORTGAGE ASSOCIATION 1 800,746 99.3410 801,682 807,000 800,790 45 2.000 2.201 JJ 7,891 12/20/2017 01/05/2022
3137EA-DB-2 FREDDIE MAC 1 787,529 100.8990 789,030 782,000 787,493 (36) 2.375 2.192 JJ 8,667 12/20/2017 01/13/2022
34073J-UZ-0 FLORIDA HSG FIN CORP MULTIFAMILY REV 1FE 1,635,000 99.3500 1,624,373 1,635,000 1,635,000 1.300 1.300 AO 5,019 09/29/2017 04/01/2019
34074G-DG-6 FLORIDA HURRICANE CATASTROPHE FD FIN COR 1 1FE 1,336,147 100.0350 1,330,466 1,330,000 1,330,835 (1,418) 2.107 1.980 JJ 14,012 26,970 06/07/2017 07/01/2018
34074H-GA-4 FLORIDA HSG FIN CORP MULTIFAMILY MTG REV 1FE 505,000 99.3170 501,551 505,000 505,000 1.250 1.250 MN 1,052 2,876 05/12/2017 05/01/2019
341271-AA-2 FLORIDA ST BRD ADMIN FIN CORP REV 1 1FE 455,000 99.7840 454,017 455,000 455,000 2.163 2.163 JJ 4,921 9,842 02/23/2016 07/01/2019
346817-AZ-2 FORT BEND CNTY TEX TOLL RD REV 1FE 532,887 112.1310 510,196 455,000 501,576 (10,517) 5.000 2.401 MS 7,583 22,750 11/18/2014 03/01/2022
346817-BA-6 FORT BEND CNTY TEX TOLL RD REV 1FE 293,690 114.2170 285,543 250,000 278,541 (5,099) 5.000 2.621 MS 4,167 12,500 11/18/2014 03/01/2023
353200-DR-6 FRANKLIN CNTY OHIO MULTIFAMILY REV 2 1FE 1,020,000 99.5290 1,015,196 1,020,000 1,020,000 1.300 1.300 JD 1,105 6,114 06/12/2017 06/01/2020
413734-AA-2 HARRIMAN TENN INDL DEV BRD MULTIFAMILY H 1FE 445,000 99.8040 444,128 445,000 445,000 1.200 1.200 AO 1,335 5,073 10/14/2016 10/01/2019
41401P-CA-9 HARRIS CNTY TEX CULTURAL ED FACS FIN COR 1FE 148,841 106.0550 148,477 140,000 148,676 (165) 5.000 1.622 MN 233 12/06/2017 11/15/2019
45203L-CP-6 ILLINOIS HSG DEV AUTH MULTIFAMILY HSG RE 2 1FE 2,540,000 99.6320 2,530,653 2,540,000 2,540,000 1.250 1.250 MN 5,292 16,316 04/20/2017 11/01/2018
454898-SF-5 INDIANA MUN PWR AGY PWR SUPPLY SYS REV 1FE 160,548 100.0000 150,000 150,000 150,000 (2,616) 3.000 1.240 JJ 2,250 4,500 10/25/2013 01/01/2018
46246K-3W-0 IOWA FIN AUTH REV 1FE 2,839,088 114.2360 2,838,765 2,485,000 2,835,546 (3,542) 5.000 1.781 FA 5,867 11/29/2017 08/01/2022
468741-BU-6 JACKSON TENN HEALTH EDL & HSG FAC BRD MU 1FE 340,000 99.6510 338,813 340,000 340,000 1.300 1.300 AO 1,105 1,719 04/26/2017 04/01/2020
499652-AG-0 KNOX CNTY TENN HEALTH EDL & HSG FAC BRD 1FE 570,000 99.8250 569,003 570,000 570,000 1.150 1.150 MAT 2,731 07/19/2017 08/01/2018
499743-CH-3 KNOXVILLE TENN CMNTY DEV CORP MULTIFAMIL 1FE 695,000 98.5010 684,582 695,000 695,000 1.200 1.200 FA 2,919 08/23/2017 02/01/2020
499743-CJ-9 KNOXVILLE TENN CMNTY DEV CORP MULTIFAMIL 1FE 615,000 98.5010 605,781 615,000 615,000 1.200 1.200 FA 2,583 08/23/2017 02/01/2020
529050-EE-2 LEXINGTON CNTY S C HEALTH SVCS DIST INC 1FE 121,910 105.6700 121,521 115,000 121,809 (101) 5.000 1.702 MN 144 12/06/2017 11/01/2019
57586N-W4-9 MASSACHUSETTS ST HSG FIN AGY 2 1FE 1,760,000 99.7970 1,756,427 1,760,000 1,760,000 1.900 1.899 FA 836 12/14/2017 02/01/2021
586169-FG-4 MEMPHIS TENN HEALTH EDL & HSG FAC BRD MU 1FE 390,000 100.0560 390,218 390,000 390,000 1.800 1.800 JD 312 12/07/2017 12/01/2020
592113-BE-3 METROPOLITAN GOVT NASHVILLE & DAVIDSON C 1FE 210,000 100.0570 210,120 210,000 210,000 1.800 1.800 JD 126 12/07/2017 12/01/2020
592113-BF-0 METROPOLITAN GOVT NASHVILLE & DAVIDSON C 1FE 870,000 99.9430 869,504 870,000 870,000 1.750 1.750 JD 508 12/13/2017 12/01/2020
59447T-QA-4 MICHIGAN FIN AUTH REV 1FE 274,706 113.7640 273,034 240,000 274,503 (203) 5.000 1.920 JD 333 12/08/2017 12/01/2022
64577B-J7-0 NEW JERSEY ECONOMIC DEV AUTH REV 2FE 244,211 109.1870 240,211 220,000 243,032 (1,179) 5.000 2.499 JD 2,628 09/28/2017 06/15/2022
64577B-SR-6 NEW JERSEY ECONOMIC DEV AUTH REV 2FE 431,571 101.3360 420,544 415,000 420,002 (10,858) 5.000 2.310 JD 922 21,361 12/01/2016 06/15/2018
64577B-SS-4 NEW JERSEY ECONOMIC DEV AUTH REV 2FE 752,287 103.6970 741,434 715,000 736,830 (14,509) 5.000 2.840 JD 1,589 36,679 12/01/2016 06/15/2019
645918-M4-2 NEW JERSEY ECONOMIC DEV AUTH REV 2 2FE 1,020,576 108.6630 1,032,299 950,000 1,014,610 (5,965) 5.000 3.240 MS 15,833 23,750 07/31/2017 03/01/2023
645918-VX-8 NEW JERSEY ECONOMIC DEV AUTH REV 2FE 478,551 102.7410 467,472 455,000 466,211 (11,495) 5.000 2.370 JD 1,011 22,750 11/30/2016 12/15/2018
646127-EB-2 NEW JERSEY ST HSG & MTG FIN AGY MULTIFAM 2 1FE 285,000 99.6010 283,863 285,000 285,000 1.350 1.350 FA 1,635 07/21/2017 02/01/2020
E10.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
647207-AP-4 NEW MEXICO MUN ENERGY ACQUISITION AUTH G 2 1FE 3,989,975 99.9130 3,966,546 3,970,000 3,975,496 (5,066) 1.661 1.534 MON 5,601 56,644 02/19/2015 11/01/2039
652276-CU-8 NEWPORT NEWS VA REDEV & HSG AUTH MULTIFA 1FE 2,155,000 99.0880 2,135,346 2,155,000 2,155,000 1.200 1.200 AO 9,123 08/11/2017 04/01/2019
66748V-AB-5 NORTHWEST GA CONS HSG AUTH MULTIFAMILY R 1FE 2,440,000 99.5080 2,427,995 2,440,000 2,440,000 1.700 1.700 MS 2,881 11/21/2017 12/01/2020
668865-AA-6 NORWALK CONN HSG AUTH MULTIFAMILY HSG RE 1FE 285,000 99.7800 284,373 285,000 285,000 1.250 1.250 JD 297 2,751 02/17/2017 08/01/2018
676900-TZ-6 OHIO HSG FIN AGY MULTIFAMILY HSG REV 2 1FE 1,055,000 98.8860 1,043,247 1,055,000 1,055,000 1.250 1.250 MS 3,663 09/18/2017 09/01/2020
687904-CT-7 OSCEOLA CNTY FLA HSG FIN AUTH MULTIFAMIL 2 1FE 1,791,000 99.9200 1,789,567 1,791,000 1,791,000 1.050 1.050 AO 4,701 23,827 09/16/2016 10/01/2019
708681-AV-3 PENNSYLVANIA CONVENTION CTR AUTH REV 2 1FE 1,368,384 104.6420 1,344,650 1,285,000 1,343,188 (25,195) 6.000 3.181 MS 25,700 56,100 03/29/2017 09/01/2019
708797-AH-8 PENNSYLVANIA HSG FIN AGY SPL LTD OBLIG M 2 1FE 2,215,000 100.0690 2,216,528 2,215,000 2,215,000 1.850 1.850 JJ 20,489 20,716 12/22/2016 12/01/2019
708797-AM-7 PENNSYLVANIA HSG FIN AGY SPL LTD OBLIG M 1FE 3,695,000 99.6770 3,683,065 3,695,000 3,695,000 1.650 1.650 MN 5,589 11/21/2017 11/01/2020
71883M-LG-7 PHOENIX ARIZ CIVIC IMPT CORP ARPT REV 1FE 349,978 111.0420 344,230 310,000 348,772 (1,206) 5.000 1.331 JJ 1,722 11/01/2017 07/01/2021
71883M-LH-5 PHOENIX ARIZ CIVIC IMPT CORP ARPT REV 1FE 514,562 113.8490 506,628 445,000 512,934 (1,628) 5.000 1.481 JJ 2,472 11/01/2017 07/01/2022
72317B-AH-5 PINELLAS CNTY FLA HSG FIN AUTH MULTIFAMI 1FE 690,000 99.7860 688,523 690,000 690,000 1.850 1.850 JJ 567 12/11/2017 01/01/2022
725204-AA-9 PITTSBURGH PA HSG AUTH REV 1FE 780,000 99.1450 773,331 780,000 780,000 1.400 1.400 AO 1,972 10/24/2017 10/01/2021
762243-K3-6 RHODE ISLAND ST HEALTH & EDL BLDG CORP R 2 1FE 4,070,295 107.4100 3,861,390 3,595,000 3,862,594 (191,895) 7.000 1.490 MN 32,155 251,650 11/29/2016 05/15/2039
792892-JH-5 ST PAUL MINN HSG & REDEV AUTH MULTIFAMIL 1FE 880,000 98.8990 870,311 880,000 880,000 1.250 1.250 FA 3,697 08/23/2017 08/01/2020
80585T-BU-4 SCAGO EDL FACS CORP FOR PICKENS SCH DIST 1FE 933,933 103.0520 850,179 825,000 852,655 (29,864) 5.000 1.301 JD 3,438 41,250 02/26/2015 12/01/2018
837151-KV-0 SOUTH CAROLINA ST PUB SVC AUTH REV 1FE 838,523 113.5640 851,730 750,000 828,159 (10,364) 5.000 2.720 JD 3,125 37,500 04/12/2017 12/01/2022
88213A-KS-3 TEXAS A & M UNIV REVS 1FE 1,093,206 118.7690 1,104,552 930,000 1,092,411 (794) 5.000 2.061 MN 1,421 11/30/2017 05/15/2024
88271F-FF-5 TEXAS ST AFFORDABLE HSG CORP MULTIFAMILY 2 1FE 420,000 100.0270 420,113 420,000 420,000 1.900 1.900 JD 532 12/01/2017 12/01/2020
91417K-W6-4 UNIVERSITY COLO ENTERPRISE SYS REV 1FE 377,650 116.4270 378,388 325,000 377,145 (505) 5.000 1.870 JD 858 12/01/2017 06/01/2023
91514A-HD-0 UNIVERSITY TEX UNIV REVS 1FE 799,925 114.3040 800,128 700,000 798,539 (1,386) 5.000 1.811 FA 2,333 11/29/2017 08/15/2022
917434-CK-6 UTAH HSG CORP MULTIFAMILY REV 2 1FE 405,000 99.8550 404,413 405,000 405,000 1.200 1.199 JJ 4,091 02/24/2017 04/01/2018
928172-X4-2 VIRGINIA ST PUB BLDG AUTH PUB FACS REV 1FE 532,820 114.0470 530,319 465,000 532,141 (679) 5.000 1.711 FA 1,098 12/06/2017 08/01/2022
93873C-AA-0 WASHINGTON CNTY TEX HSG CORP MULTIFAMILY 2 1FE 480,000 99.5330 477,758 480,000 480,000 1.500 1.500 JJ 3,600 3,240 01/13/2017 01/01/2020
93978H-RR-8 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 107,869 111.5730 105,994 95,000 105,819 (2,049) 5.000 1.840 AO 1,188 2,309 03/17/2017 10/01/2021
93978H-RS-6 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 80,742 114.2420 79,969 70,000 79,362 (1,380) 5.000 2.030 AO 875 1,701 03/17/2017 10/01/2022
93978H-RT-4 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 57,961 116.7330 58,367 50,000 57,112 (848) 5.000 2.340 AO 625 1,215 03/17/2017 10/01/2023
93978H-RU-1 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 69,871 118.8370 71,302 60,000 68,978 (894) 5.000 2.570 AO 750 1,458 03/17/2017 10/01/2024
93978H-RV-9 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 46,936 120.7840 48,314 40,000 46,392 (544) 5.000 2.700 AO 500 972 03/17/2017 10/01/2025
93978H-RW-7 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 70,656 122.4270 73,456 60,000 69,924 (732) 5.000 2.850 AO 750 1,458 03/17/2017 10/01/2026
93978H-RX-5 WASHINGTON ST HEALTH CARE FACS AUTH REV 1FE 47,270 123.8410 49,536 40,000 46,827 (443) 5.000 2.970 AO 500 972 03/17/2017 10/01/2027
93978P-NX-1 WASHINGTON ST HSG FIN COMMN MULTIFAMILY 2 1FE 1,765,000 99.4630 1,755,522 1,765,000 1,765,000 1.350 1.352 JJ 11,914 6,023 03/29/2017 04/01/2019
93978P-NY-9 WASHINGTON ST HSG FIN COMMN MULTIFAMILY 2 1FE 415,000 99.1140 411,323 415,000 415,000 1.400 1.400 JJ 3,583 05/16/2017 11/01/2019
971696-AD-1 WILMINGTON N C HSG AUTH MULTIFAMILY REV 1FE 600,000 99.1380 594,828 600,000 600,000 1.500 1.500 AO 1,875 10/12/2017 10/01/2020
2599999. Subtotal - Bonds - U.S. Special Revenues - Issuer Obligations 89,960,280 XXX 89,308,332 87,703,000 89,476,050 (362,424) XXX XXX XXX 390,779 940,064 XXX XXX31282C-KH-9 FH M30296 - RMBS 4 1 4,175 100.1910 3,984 3,976 3,999 (30) 4.000 1.767 MON 13 179 07/23/2010 09/01/2018
3128CU-QS-8 FH G30465 - RMBS 4 1 105,504 107.1360 99,315 92,700 101,804 (1,121) 6.500 0.936 MON 502 6,212 04/13/2012 09/01/2026
3128M1-LH-0 FH G12228 - RMBS 4 1 31,883 103.6630 30,568 29,487 30,758 (307) 5.500 1.807 MON 135 1,685 07/13/2010 07/01/2021
3128M1-M2-2 FH G12277 - RMBS 4 1 22,471 104.1590 21,473 20,616 21,549 (203) 6.000 2.343 MON 103 1,283 11/02/2010 08/01/2021
3128M1-PA-1 FH G12317 - RMBS 4 1 15,333 103.9160 14,721 14,166 14,814 (141) 5.500 1.827 MON 65 807 08/03/2010 08/01/2021
3128M1-PS-2 FH G12333 - RMBS 4 1 12,857 102.1900 12,330 12,066 12,456 (117) 4.500 1.291 MON 45 567 07/29/2010 06/01/2021
3128M8-P8-1 FH G06447 - RMBS 4 1 170,462 108.3620 169,270 156,208 170,220 (43) 4.500 2.629 MON 586 7,116 10/02/2014 05/01/2041
3128MB-4P-9 FH G13330 - RMBS 4 1 12 100.5610 11 11 11 6.000 5.710 MON 2 06/06/2011 10/01/2019
3128MC-6J-9 FH G14273 - RMBS 4 1 190,256 104.9580 185,219 176,469 188,659 (1,480) 5.000 1.043 MON 735 9,096 08/24/2016 07/01/2025
3128MC-CL-7 FH G13475 - RMBS 4 1 44,865 104.9370 43,622 41,570 43,955 (441) 6.000 1.894 MON 208 2,583 10/10/2012 01/01/2024
3128MF-HF-8 FH G16330 - RMBS 4 1 993,966 103.5480 991,732 957,751 994,305 339 3.500 2.489 MON 2,793 2,825 11/29/2017 08/01/2032
3128MJ-YN-4 FH G08716 - RMBS 4 1 1,126,291 102.8490 1,129,086 1,097,809 1,124,866 (1,425) 3.500 3.097 MON 3,202 30,883 02/28/2017 08/01/2046
3128MJ-ZB-9 FH G08737 - RMBS 4 1 1,264,580 100.1020 1,271,524 1,270,228 1,264,781 201 3.000 3.063 MON 3,176 29,450 02/24/2017 12/01/2046
3128P8-CS-8 FH C91881 - RMBS 4 1 298,795 103.7090 297,512 286,872 298,635 (160) 3.500 2.615 MON 837 1,693 09/21/2017 07/01/2036
312965-T4-8 FH B13271 - RMBS 4 1 32,115 101.4140 30,500 30,075 30,509 (356) 4.500 1.450 MON 113 1,457 12/16/2011 04/01/2019
3132GM-DL-3 FH Q05807 - RMBS 4 1 435,889 105.5870 436,248 413,165 435,940 (135) 4.000 2.933 MON 1,377 16,788 07/28/2014 01/01/2042
3132KS-A3-8 FH V70026 - RMBS 4 1 224,712 104.6940 223,425 213,408 225,137 (204) 3.500 2.179 MON 622 7,568 04/27/2016 05/01/2033
31335H-5A-7 FH C90841 - RMBS 4 1 77,097 111.7000 78,400 70,188 73,740 (331) 6.000 3.273 MON 351 4,302 07/19/2010 05/01/2024
31335H-7D-9 FH C90892 - RMBS 4 1 105,291 107.4590 103,825 96,619 104,105 (519) 5.000 1.355 MON 403 4,955 10/31/2012 04/01/2025
31335H-WP-4 FH C90654 - RMBS 4 1 42,399 109.2310 42,752 39,139 41,409 (273) 5.500 2.043 MON 179 2,213 02/02/2012 04/01/2023
3133TE-R5-5 FHR 2073B PH - CMO/RMBS 4 1 114,007 110.6410 112,248 101,452 111,019 (375) 6.500 3.024 MON 550 6,713 11/08/2010 07/15/2028
E10.2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
3136A2-YE-7 FNR 11122A A - CMO/RMBS 4 1 55,966 100.4990 54,574 54,303 54,881 (322) 3.000 1.477 MON 136 1,687 07/24/2014 12/25/2025
3136AA-2A-2 FNR 12145A HE - CMO/RMBS 4 1 60,829 96.6330 60,134 62,229 60,822 19 2.000 2.487 MON 104 1,266 04/28/2015 01/25/2033
3136AA-QE-8 FNR 12134A VA - CMO/RMBS 4 1 215,380 101.9070 210,682 206,739 213,561 (803) 3.000 2.130 MON 517 6,256 11/03/2015 01/25/2026
3136AB-DL-4 FNR 12147F WN - CMO/RMBS 4 1 114,670 107.8690 115,064 106,670 114,130 205 4.500 2.599 MON 400 4,920 04/24/2014 01/25/2033
3136AC-H5-3 FNR 1313A PH - CMO/RMBS 4 1 133,714 99.1220 130,985 132,145 133,414 (89) 2.500 2.210 MON 275 3,350 03/18/2015 04/25/2042
3136AD-GF-0 FNR 1331F HC - CMO/RMBS 4 1 130,656 96.3430 128,858 133,749 130,641 (9) 2.000 2.575 MON 223 2,726 08/17/2015 02/25/2043
31371K-2X-8 FN 254690 - RMBS 4 1 64,909 109.4590 65,577 59,910 63,162 (406) 5.500 2.209 MON 275 3,390 04/05/2011 04/01/2023
31371K-4C-2 FN 254719 - RMBS 4 1 2,618 101.5500 2,491 2,453 2,458 (33) 4.500 1.253 MON 9 133 07/29/2010 04/01/2018
31371K-4D-0 FN 254720 - RMBS 4 1 4,119 101.5500 3,917 3,857 3,870 (51) 4.500 1.482 MON 14 203 07/28/2010 05/01/2018
31371K-U2-5 FN 254501 - RMBS 4 1 24,622 109.4590 24,825 22,680 23,883 (172) 5.500 2.043 MON 104 1,288 07/15/2010 09/01/2022
31371M-MM-6 FN 256064 - RMBS 4 1 85,140 109.4960 84,370 77,053 84,536 (444) 5.500 1.197 MON 353 4,326 10/17/2012 01/01/2026
31371M-NA-1 FN 256085 - RMBS 4 1 20,233 106.4760 20,305 19,070 20,526 (90) 4.500 0.947 MON 72 867 08/06/2010 12/01/2025
31371M-TC-1 FN 256247 - RMBS 4 1 66,743 111.7130 67,361 60,298 66,051 (313) 6.000 1.825 MON 301 3,700 06/02/2011 05/01/2026
31371M-VC-8 FN 256311 - RMBS 4 1 45,271 111.7130 46,265 41,414 44,975 (187) 6.000 2.233 MON 207 2,537 07/14/2010 07/01/2026
31371M-XL-6 FN 256383 - RMBS 4 1 56,715 110.0100 56,336 51,210 56,813 (310) 5.500 0.768 MON 235 2,871 10/05/2012 08/01/2026
31371M-ZD-2 FN 256440 - RMBS 4 1 31,662 103.8110 30,276 29,164 30,565 (289) 6.000 2.231 MON 146 1,815 08/30/2010 10/01/2021
31371N-2D-6 FN 257372 - RMBS 4 1 46,437 111.7290 47,518 42,530 47,124 (148) 6.000 1.846 MON 213 2,592 11/03/2010 09/01/2028
31371N-2E-4 FN 257373 - RMBS 4 1 89,576 112.2950 91,212 81,225 89,063 (249) 6.500 2.699 MON 440 5,357 07/29/2010 09/01/2028
31371N-AA-3 FN 256601 - RMBS 4 1 40,077 111.7130 40,981 36,684 39,766 (137) 6.000 2.438 MON 183 2,263 07/20/2010 02/01/2027
31371N-DU-6 FN 256715 - RMBS 4 1 77,984 111.7190 79,975 71,586 77,469 (240) 6.000 2.564 MON 358 4,408 07/13/2010 05/01/2027
31371N-NJ-0 FN 256993 - RMBS 4 1 51,983 110.8450 51,910 46,831 51,448 (172) 6.500 2.509 MON 254 3,090 07/26/2010 11/01/2027
31371N-PJ-8 FN 257025 - RMBS 4 1 90,155 110.8450 90,080 81,266 89,335 (294) 6.500 2.500 MON 440 5,406 07/29/2010 12/01/2027
31371N-TU-9 FN 257163 - RMBS 4 1 23,071 107.3550 23,161 21,574 23,776 (76) 5.000 1.061 MON 90 1,108 08/06/2010 04/01/2028
31371N-U8-6 FN 257207 - RMBS 4 1 34,603 112.0650 34,293 30,601 34,505 15 6.000 2.821 MON 153 1,886 12/19/2011 05/01/2038
31371N-WM-3 FN 257252 - RMBS 4 1 69,522 111.7130 71,191 63,727 69,528 (186) 6.000 2.408 MON 319 3,910 07/12/2010 06/01/2028
3137A0-5F-8 FHR 3677A PB - CMO/RMBS 4 1 113,196 105.3780 107,221 101,749 108,536 86 4.500 2.531 MON 382 4,683 08/03/2012 05/15/2040
3137AH-GR-3 FHR 3959B MA - CMO/RMBS 4 1 171,893 105.8780 167,642 158,335 171,931 53 4.500 1.816 MON 594 7,283 03/22/2016 11/15/2041
3137AT-QV-7 FHR 4097Q VB - CMO/RMBS 4 1 222,998 96.9680 226,203 233,276 220,863 (401) 2.000 3.366 MON 389 4,817 08/20/2014 08/15/2042
31385X-K7-1 FN 555718 - RMBS 4 1 50,831 106.4760 50,939 47,841 49,920 (236) 4.500 1.819 MON 179 2,205 08/03/2010 08/01/2023
3138A4-XB-6 FN AH3373 - RMBS 4 1 93,269 107.9880 90,918 84,192 93,796 8 5.000 2.520 MON 351 4,316 09/02/2014 01/01/2041
3138AK-XX-2 FN AI6093 - RMBS 4 1 229,743 106.6640 224,562 210,532 230,774 (471) 4.500 1.981 MON 790 9,647 02/24/2015 06/01/2031
3138EG-FA-7 FN AL0160 - RMBS 4 1 590,102 107.2010 585,398 546,075 589,762 (340) 4.500 2.833 MON 2,048 18,760 02/28/2017 05/01/2041
3138EH-SV-5 FN AL1431 - RMBS 4 1 221,745 107.1060 216,310 201,959 223,127 (45) 4.500 2.361 MON 757 9,272 07/11/2016 11/01/2041
3138EJ-XS-2 FN AL2488 - RMBS 4 1 217,639 104.4260 213,526 204,476 217,201 (298) 3.500 1.977 MON 596 7,260 04/29/2016 09/01/2032
3138EK-RW-7 FN AL3200 - RMBS 4 1 161,010 103.2460 157,640 152,684 160,780 (241) 3.500 2.394 MON 445 5,416 04/28/2016 02/01/2033
3138EN-Z9-3 FN AL6167 - RMBS 4 1 323,666 103.0700 317,844 308,377 323,624 (103) 3.500 2.707 MON 899 6,420 12/06/2017 01/01/2044
3138ER-2E-9 FN AL9772 - RMBS 4 1 505,113 101.9430 502,598 493,018 504,141 (972) 3.000 2.202 MON 1,233 11,310 03/09/2017 09/01/2026
3138ER-ZG-8 FN AL9742 - RMBS 4 1 1,163,945 103.8520 1,152,647 1,109,894 1,159,972 (3,973) 4.000 2.119 MON 3,700 34,116 03/09/2017 07/01/2029
3138ET-RW-8 FN AL8600 - RMBS 4 1 556,828 103.3000 551,424 533,808 556,538 (291) 3.500 2.270 MON 1,557 7,948 07/11/2017 04/01/2031
3138L5-E4-8 FN AM4654 - RMBS 4 1 201,672 104.8460 197,123 188,012 198,742 (1,583) 3.550 2.489 MON 575 6,777 03/03/2016 01/01/2024
3138L8-QB-3 FN AM7649 - RMBS 4 1 357,176 101.4740 355,159 350,000 356,171 (528) 2.885 2.666 MON 870 5,850 11/28/2017 01/01/2025
3138MC-YK-4 FN AP8813 - RMBS 4 1 250,900 103.0810 241,535 234,315 250,687 (262) 3.500 2.233 MON 683 8,300 07/08/2016 11/01/2042
3138MJ-VC-0 FN AQ3310 - RMBS 4 1 192,328 105.4180 188,248 178,573 192,154 (177) 4.000 2.749 MON 595 7,223 03/18/2016 11/01/2042
3138W9-CT-5 FN AS0081 - RMBS 4 1 474,670 103.6380 457,085 441,040 473,758 (288) 3.500 2.301 MON 1,286 15,630 08/15/2016 08/01/2043
3138W9-GK-0 FN AS0201 - RMBS 4 1 279,155 100.7160 268,285 266,377 279,112 (158) 3.000 2.304 MON 666 8,071 07/07/2016 08/01/2043
3138WH-F6-4 FN AS7388 - RMBS 4 1 1,161,351 102.7270 1,163,037 1,132,163 1,159,903 (1,448) 3.500 3.083 MON 3,302 33,392 02/06/2017 06/01/2046
31392B-QR-0 FNR 0181H HE - CMO/RMBS 4 1 56,200 112.2660 56,713 50,517 56,476 (55) 6.500 3.339 MON 274 3,343 07/22/2010 01/25/2032
31392F-ES-2 FNR 0271G AP - CMO/RMBS 4 1 85,486 105.5480 84,129 79,707 85,225 (116) 5.000 3.009 MON 332 4,047 08/24/2010 11/25/2032
31393A-K9-7 FNR 0324A PD - CMO/RMBS 4 1 2,095 100.1780 1,947 1,944 1,950 (29) 5.000 1.430 MON 8 119 06/27/2011 04/25/2018
31393C-RH-8 FNR 0347B PE - CMO/RMBS 4 1 174,576 111.3200 171,506 154,066 174,717 (53) 5.750 2.710 MON 738 9,002 11/10/2011 06/25/2033
31393L-YD-9 FHR 2581C LL - CMO/RMBS 4 1 203,568 109.6850 198,530 181,000 193,432 (2,466) 5.250 3.519 MON 792 9,507 02/13/2013 03/15/2033
31393N-K5-7 FHR 2590J OA - CMO/RMBS 4 1 24,047 102.5890 23,614 23,018 23,863 (92) 4.000 2.121 MON 77 946 08/05/2010 03/15/2033
31393T-AH-9 FNR 0392A PE - CMO/RMBS 4 1 5,953 100.2400 5,452 5,439 5,465 (50) 4.500 2.203 MON 20 275 09/03/2010 09/25/2018
31393W-3S-6 FHR 2650A PB - CMO/RMBS 4 1 252,105 108.0140 243,032 225,000 240,278 (3,460) 5.000 3.051 MON 938 11,250 07/07/2014 07/15/2033
31394A-5A-0 FNR 0470F EB - CMO/RMBS 4 1 40,360 104.8330 38,328 36,561 38,714 (205) 5.000 2.084 MON 152 1,873 09/28/2010 10/25/2024
31394B-GT-5 FNR 0479B B - CMO/RMBS 4 1 139,065 108.4310 139,260 128,432 136,751 155 5.000 3.240 MON 535 6,558 04/19/2012 11/25/2034
31394C-JP-8 FNR 0519A PA - CMO/RMBS 4 1 44,464 103.2280 42,109 40,793 41,990 (383) 5.500 2.628 MON 187 2,333 08/27/2010 07/25/2034
E10.3
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
31394D-G8-7 FNR 0553D LY - CMO/RMBS 4 1 134,949 105.8240 130,048 122,890 131,495 (638) 5.000 2.105 MON 512 6,278 06/02/2011 06/25/2025
31394E-2Q-0 FNR 0568A GC - CMO/RMBS 4 1 144,905 105.0110 146,094 139,123 140,841 (243) 5.000 4.380 MON 580 7,113 07/29/2010 07/25/2035
31394L-MM-1 FHR 2709 PG - CMO/RMBS 4 1 166,180 104.7050 159,039 151,892 163,470 (904) 5.000 1.290 MON 633 7,779 06/17/2015 11/15/2023
31397F-5S-7 FHR 3274E B - CMO/RMBS 4 1 68,588 105.9140 65,088 61,453 70,740 168 6.000 2.720 MON 307 3,842 05/18/2012 02/15/2037
31398J-GN-7 FHR 3563J LB - CMO/RMBS 4 1 89,397 105.3580 89,862 85,292 88,357 47 4.000 2.855 MON 284 3,502 11/10/2011 08/15/2029
31398N-Y2-4 FNR 10123E PM - CMO/RMBS 4 1 135,313 104.4920 130,615 125,000 131,689 (1,548) 4.000 2.550 MON 417 5,000 08/19/2015 07/25/2040
31398S-B3-6 FNR 10144B YB - CMO/RMBS 4 1 103,250 101.7260 101,726 100,000 101,669 (655) 3.000 2.322 MON 250 3,000 07/22/2015 12/25/2025
31398W-SD-7 FHR 3632A PK - CMO/RMBS 4 1 134,699 108.2310 130,897 120,942 133,239 168 5.000 1.850 MON 504 6,163 11/26/2012 02/15/2040
31402R-P2-9 FN 735841 - RMBS 4 1 22,686 101.5500 21,733 21,402 21,676 (201) 4.500 1.974 MON 80 1,034 03/02/2011 11/01/2019
31402Y-NK-6 FN 742094 - RMBS 4 1 22,810 101.5500 21,712 21,380 21,773 (273) 4.500 1.099 MON 80 1,025 11/10/2011 04/01/2019
31403C-ZP-9 FN 745150 - RMBS 4 1 22,330 101.5500 21,268 20,943 21,303 (253) 4.500 1.283 MON 79 1,013 11/10/2011 06/01/2020
31403D-KF-5 FN 745594 - RMBS 4 1 21,958 101.9780 20,977 20,570 21,055 (196) 4.500 1.603 MON 77 973 08/03/2010 03/01/2021
31404W-TM-8 FN 780956 - RMBS 4 1 21,630 101.5500 20,652 20,337 20,582 (169) 4.500 2.218 MON 76 982 08/20/2010 05/01/2019
31407J-DC-3 FN 831799 - RMBS 4 1 14,622 112.7270 14,795 13,125 15,478 (3) 6.500 2.251 MON 71 879 10/28/2011 09/01/2036
31407S-LF-7 FN 839226 - RMBS 4 1 6,541 101.0130 6,333 6,269 6,379 (33) 4.000 2.068 MON 21 264 09/13/2010 09/01/2020
31407X-DP-3 FN 843510 - RMBS 4 1 28,354 102.1440 27,367 26,793 27,487 (198) 4.500 1.965 MON 100 1,254 09/10/2010 11/01/2020
3140EV-JC-2 FN BC1158 - RMBS 4 1 1,314,439 102.7270 1,313,024 1,278,168 1,313,442 (996) 3.500 3.026 MON 3,728 29,232 09/19/2017 02/01/2046
31410C-RK-0 FN 885290 - RMBS 4 1 27,548 103.7040 26,187 25,251 26,308 (226) 6.000 2.545 MON 126 1,575 07/26/2010 06/01/2021
31410G-CD-3 FN 888468 - RMBS 4 1 56,414 103.5520 53,304 51,476 54,036 (625) 5.500 1.249 MON 236 2,947 06/21/2012 09/01/2021
31410G-SV-6 FN 888932 - RMBS 4 1 26,652 101.9700 25,654 25,159 25,836 (217) 4.500 1.680 MON 94 1,184 08/20/2010 11/01/2022
31412L-EN-6 FN 928141 - RMBS 4 1 73,854 114.5720 75,803 66,162 73,896 10 6.000 3.003 MON 331 4,036 08/07/2013 03/01/2037
31414T-A7-6 FN 975330 - RMBS 4 1 12,237 104.0370 12,006 11,540 12,108 (73) 4.500 2.009 MON 43 536 08/03/2010 05/01/2023
31416B-N5-3 FN 995112 - RMBS 4 1 145,524 110.9360 147,264 132,747 148,815 (100) 5.500 2.739 MON 608 7,454 05/13/2013 07/01/2036
31416C-MA-1 FN 995953 - RMBS 4 1 59,691 111.7210 61,146 54,731 60,168 (204) 6.000 2.015 MON 274 3,342 07/23/2010 11/01/2028
31416L-YF-7 FN AA3409 - RMBS 4 1 112,640 110.1740 110,495 100,292 113,139 (63) 5.000 2.212 MON 418 5,094 04/08/2013 03/01/2039
31416M-6U-3 FN AA4482 - RMBS 4 1 38,892 105.5240 39,760 37,679 39,449 (18) 4.000 3.049 MON 126 1,534 09/07/2010 04/01/2039
31416S-VH-1 FN AA8715 - RMBS 4 1 327,426 106.1440 325,372 306,538 326,895 (205) 4.000 2.686 MON 1,022 12,434 09/15/2015 06/01/2039
31417T-P5-1 FN AC6743 - RMBS 4 1 45,177 107.9120 44,752 41,471 46,021 (6) 5.000 2.618 MON 173 2,108 06/18/2013 12/01/2039
31417Y-D6-1 FN MA0124 - RMBS 4 1 6,877 102.9160 6,717 6,526 6,614 (60) 4.000 1.690 MON 22 280 09/23/2010 07/01/2019
31418A-AH-1 FN MA0907 - RMBS 4 1 99,765 105.0250 100,447 95,641 99,729 (36) 4.000 3.157 MON 319 2,592 03/15/2017 11/01/2041
31418A-HB-7 FN MA1125 - RMBS 4 1 119,739 105.3840 115,767 109,853 119,954 (17) 4.000 2.175 MON 366 4,462 07/12/2016 07/01/2042
31418A-HQ-4 FN MA1138 - RMBS 4 1 184,538 104.0560 180,332 173,302 182,226 (196) 3.500 2.228 MON 505 6,154 08/24/2012 08/01/2032
31418A-K3-1 FN MA1213 - RMBS 4 1 83,975 103.0710 81,583 79,152 84,017 (42) 3.500 2.504 MON 231 2,803 06/21/2016 10/01/2042
31418B-D4-5 FN MA1922 - RMBS 4 1 842,236 105.5510 836,227 792,250 841,422 (815) 4.000 2.539 MON 2,641 24,147 06/05/2017 06/01/2034
31418B-FY-7 FN MA1982 - RMBS 4 1 825,697 104.0440 824,065 792,035 825,045 (651) 3.500 2.496 MON 2,310 23,484 02/07/2017 08/01/2034
31418B-G5-9 FN MA2019 - RMBS 4 1 369,265 105.5540 366,775 347,476 368,980 (285) 4.000 2.549 MON 1,158 9,989 09/28/2017 09/01/2034
31418M-QV-7 FN AD0467 - RMBS 4 1 76,945 104.8880 73,859 70,417 74,029 (744) 6.000 2.062 MON 352 4,381 10/08/2013 04/01/2023
31418M-QZ-8 FN AD0471 - RMBS 4 1 37,587 104.2480 36,224 34,748 36,410 (320) 5.500 1.900 MON 159 1,975 07/19/2010 01/01/2024
31419A-E9-4 FN AE0159 - RMBS 4 1 63,473 105.1810 59,976 57,022 61,063 (710) 6.000 1.137 MON 285 3,540 03/04/2013 01/01/2024
2699999. Subtotal - Bonds - U.S. Special Revenues - Residential Mortgage-Backed Securities 21,605,567 XXX 21,395,012 20,513,165 21,496,163 (41,854) XXX XXX XXX 67,364 683,057 XXX XXX
3137BS-5N-9 FHMS KS06 A2 - CMBS 4 1 86,514 99.3060 83,417 84,000 86,210 (254) 2.720 2.358 MON 190 2,285 10/06/2016 07/25/2026
3137BS-6Q-1 FHMS KJ08 A2 - CMBS 4 1 121,376 99.7840 118,743 119,000 120,851 (447) 2.356 1.946 MON 234 2,804 10/20/2016 08/25/2022
2799999. Subtotal - Bonds - U.S. Special Revenues - Commercial Mortgage-Backed Securities 207,890 XXX 202,160 203,000 207,061 (702) XXX XXX XXX 424 5,088 XXX XXX
3199999. Total - U.S. Special Revenues Bonds 111,773,737 XXX 110,905,504 108,419,165 111,179,274 (404,979) XXX XXX XXX 458,567 1,628,209 XXX XXX00206R-CN-0 AT&T INC 1,2 2FE 216,653 98.3150 217,276 221,000 217,008 355 3.400 3.681 MN 960 4,913 06/07/2017 05/15/2025
00206R-DQ-2 AT&T INC 1,2 2FE 76,295 101.9420 75,437 74,000 76,224 (71) 4.250 3.849 MS 1,048 1,765 08/24/2017 03/01/2027
02587D-N2-0 American Express Centurion Bank 2FE 243,836 99.2990 243,283 245,000 244,052 216 2.300 2.425 AO 1,359 2,825 03/28/2017 04/05/2021
0258M0-DX-4 AMERICAN EXPRESS CREDIT CORP 2 1FE 206,564 100.5060 205,032 204,000 205,929 (635) 2.600 2.226 MS 1,576 5,304 02/06/2017 09/14/2020
03027X-AH-3 AMERICAN TOWER CORP 1,2 2FE 1,705,627 101.8340 1,736,270 1,705,000 1,705,440 (142) 3.300 3.291 FA 21,256 56,265 02/04/2016 02/15/2021
037833-AK-6 APPLE INC 1 1FE 589,158 98.9710 591,847 598,000 590,331 1,173 2.400 2.659 MN 2,312 13,032 05/03/2017 05/03/2023
05568B-AA-6 BNSF RAILWAY CO 1FE 407,613 109.5310 402,183 367,186 403,695 (3,919) 5.720 2.194 JJ 9,685 10,507 03/28/2017 01/15/2024
05580A-KF-0 BMW Bank of North America C 1FE 244,204 99.3940 243,515 245,000 244,287 84 1.900 2.012 MS 1,467 08/18/2017 09/08/2020
06051G-GP-8 BANK OF AMERICA CORP 1,2,5 1FE 755,000 99.8250 753,679 755,000 755,000 2.369 2.370 JJ 7,949 07/18/2017 07/21/2021
E10.4
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
06367T-G3-8 BANK OF MONTREAL 1FE 361,041 98.3690 358,063 364,000 361,183 142 2.350 2.526 MS 2,614 09/29/2017 09/11/2022
06406H-CP-2 BANK OF NEW YORK MELLON CORP 2 1FE 428,273 99.9660 424,856 425,000 426,706 (1,566) 2.100 1.675 JJ 4,115 4,463 02/07/2017 01/15/2019
064159-HT-6 BANK OF NOVA SCOTIA 1FE 460,731 99.2170 459,375 463,000 461,587 856 1.650 1.864 JD 361 7,640 02/07/2017 06/14/2019
064159-JG-2 BANK OF NOVA SCOTIA 1FE 315,428 99.9990 315,997 316,000 315,517 89 2.700 2.739 MS 2,702 4,266 03/01/2017 03/07/2022
084670-BR-8 BERKSHIRE HATHAWAY FINANCE CORP 1,2 1FE 497,673 100.6540 492,198 489,000 495,998 (1,104) 2.750 2.446 MS 3,960 9,735 11/20/2017 03/15/2023
126410-LM-9 CSX TRANSPORTATION INC 1 1FE 684,921 112.8100 678,330 601,303 677,260 (7,661) 6.251 2.920 JJ 17,332 20,473 03/28/2017 01/15/2023
140420-2B-5 Capital One Bank 2FE 243,836 99.1440 242,903 245,000 244,041 205 2.250 2.375 AO 1,118 2,764 04/13/2017 04/19/2021
14042R-FH-9 CAPITAL ONE NA 2 2FE 955,831 99.6990 952,125 955,000 955,583 (248) 2.350 2.319 JJ 9,413 11,221 02/02/2017 01/31/2020
14042R-FV-8 Capital One, National Association 2FE 243,836 99.0620 242,702 245,000 244,013 177 2.250 2.375 MN 574 2,779 05/17/2017 05/24/2021
14912L-6U-0 CATERPILLAR FINANCIAL SERVICES CORP 1 1FE 195,504 97.5260 197,003 202,000 196,646 1,142 1.700 2.473 FA 1,355 1,717 03/06/2017 08/09/2021
166764-AB-6 CHEVRON CORP 1,2 1FE 996,468 99.2070 1,005,959 1,014,000 999,023 2,555 2.355 2.677 JD 1,725 23,880 02/02/2017 12/05/2022
17275R-BD-3 CISCO SYSTEMS INC 1 1FE 351,454 99.6830 350,884 352,000 351,587 133 2.200 2.231 FA 2,646 7,744 02/02/2017 02/28/2021
20030N-BJ-9 COMCAST CORP 1 1FE 642,763 104.2500 651,563 625,000 640,711 (2,052) 3.600 3.148 MS 7,500 22,500 02/02/2017 03/01/2024
24422E-QV-4 JOHN DEERE CAPITAL CORP 1FE 761,303 102.6340 784,124 764,000 763,759 330 5.750 5.797 MS 13,789 43,930 09/03/2008 09/10/2018
25468P-DM-5 WALT DISNEY CO 1 1FE 288,732 91.4000 288,824 316,000 289,203 471 1.850 2.977 JJ 2,452 10/27/2017 07/30/2026
263534-BT-5 E I DU PONT DE NEMOURS AND CO 1 1FE 246,020 102.1210 236,921 232,000 237,443 (8,577) 6.000 1.602 JJ 6,419 6,960 02/23/2017 07/15/2018
263534-BW-8 E I DU PONT DE NEMOURS AND CO 1 1FE 103,350 104.0930 100,970 97,000 101,473 (1,877) 5.750 1.850 MS 1,642 2,789 06/23/2017 03/15/2019
263534-CL-1 E I DU PONT DE NEMOURS AND CO 1 1FE 141,844 99.9120 141,875 142,000 141,878 34 2.200 2.238 MN 521 1,553 04/27/2017 05/01/2020
30219G-AR-9 EXPRESS SCRIPTS HOLDING CO 1 2FE 281,935 99.9080 281,741 282,000 281,937 2 2.600 2.608 MN 631 11/20/2017 11/30/2020
31331F-AX-9 FEDERAL EXPRESS CORPORATION 2FE 848,574 108.0000 826,197 764,998 834,503 (14,071) 6.720 1.380 JJ 23,705 25,704 03/28/2017 07/15/2023
31429K-AB-9 FEDERATION DES CAISSES DESJARDINS DU QUE 1FE 999,650 99.4380 994,380 1,000,000 999,669 19 2.250 2.262 AO 3,813 10/24/2017 10/30/2020
341081-FK-8 FLORIDA POWER & LIGHT CO 1,2 1FE 103,429 102.8030 102,803 100,000 102,771 (401) 3.250 2.739 JD 271 3,250 02/10/2017 06/01/2024
345370-CR-9 FORD MOTOR CO 2 2FE 501,286 104.2580 515,035 494,000 500,852 (434) 4.346 4.154 JD 1,372 21,469 05/03/2017 12/08/2026
369604-BD-4 GENERAL ELECTRIC CO 1 1FE 299,557 99.8470 296,546 297,000 299,187 (370) 2.700 2.535 AO 1,827 8,019 02/13/2017 10/09/2022
37045X-BM-7 GENERAL MOTORS FINANCIAL COMPANY INC 1,2 2FE 646,076 100.9760 648,266 642,000 645,369 (707) 3.200 3.038 JJ 9,987 10,272 04/06/2017 07/06/2021
372546-AQ-4 GEORGE WASHINGTON UNIVERSITY 1 1FE 312,567 102.3290 312,103 305,000 311,561 (1,006) 3.485 2.991 MS 3,130 5,315 03/16/2017 09/15/2022
38141G-VM-3 GOLDMAN SACHS GROUP INC 1FE 204,943 104.9140 206,681 197,000 204,048 (895) 4.000 3.353 MS 2,583 7,880 02/09/2017 03/03/2024
38141G-WQ-3 GOLDMAN SACHS GROUP INC 1,2,5 1FE 472,528 99.5970 471,094 473,000 472,536 9 3.272 3.287 MS 3,955 12/12/2017 09/29/2025
437076-BG-6 HOME DEPOT INC 1,2 1FE 657,035 100.5580 654,633 651,000 656,062 (973) 2.625 2.435 JD 1,424 17,089 02/03/2017 06/01/2022
438516-BL-9 HONEYWELL INTERNATIONAL INC 1,2 1FE 72,781 96.7210 73,508 76,000 72,977 196 2.500 3.016 MN 317 950 05/01/2017 11/01/2026
44891A-AJ-6 HYUNDAI CAPITAL AMERICA C 1 2FE 981,050 98.0950 980,950 1,000,000 987,416 6,366 1.750 2.496 MS 4,569 17,500 02/02/2017 09/27/2019
46625H-HS-2 JPMORGAN CHASE & CO 1FE 788,764 105.0540 776,349 739,000 776,212 (12,552) 4.400 2.359 JJ 14,361 16,258 02/03/2017 07/22/2020
46625H-JE-1 JPMORGAN CHASE & CO 1FE 706,830 102.3850 709,528 693,000 704,910 (1,920) 3.250 2.858 MS 6,131 20,898 05/31/2017 09/23/2022
46625H-LW-8 JPMORGAN CHASE & CO 2 1FE 105,968 100.8730 104,908 104,000 105,709 (259) 2.750 2.043 JD 64 1,430 08/14/2017 06/23/2020
49327M-2N-3 KEYBANK NA 1FE 504,292 100.1830 500,915 500,000 502,532 (1,759) 2.350 1.915 MS 3,688 7,638 03/07/2017 03/08/2019
50077L-AH-9 KRAFT HEINZ FOODS CO 1,2 2FE 395,897 100.5770 391,245 389,000 394,971 (926) 2.800 2.146 JJ 5,416 08/08/2017 07/02/2020
501044-CX-7 THE KROGER CO 1,2 2FE 413,136 101.9860 407,944 400,000 411,080 (2,056) 3.300 2.325 JJ 6,087 6,600 05/31/2017 01/15/2021
539830-BH-1 LOCKHEED MARTIN CORP 1,2 2FE 249,207 103.8380 254,403 245,000 248,830 (377) 3.550 3.321 JJ 4,011 4,349 02/03/2017 01/15/2026
58933Y-AR-6 MERCK & CO INC 1,2 1FE 390,000 99.5950 388,421 390,000 390,000 2.750 2.750 FA 4,201 10/26/2017 02/10/2025
594918-BX-1 MICROSOFT CORP 1,2 1FE 846,354 101.4480 847,091 835,000 845,366 (989) 2.875 2.648 FA 9,669 12,003 05/16/2017 02/06/2024
59523U-AN-7 MID AMERICA APARTMENTS LP 1,2 2FE 100,621 100.1710 100,171 100,000 100,594 (27) 3.600 3.524 JD 300 2,020 05/31/2017 06/01/2027
61746B-EA-0 MORGAN STANLEY 1FE 592,861 99.8330 591,011 592,000 592,772 (89) 2.500 2.459 AO 2,878 7,400 07/20/2017 04/21/2021
637432-LR-4 NATIONAL RURAL UTILITIES COOP FINANCE CO 1 1FE 624,442 106.8320 568,346 532,000 568,116 (28,438) 10.375 2.090 MN 9,199 45,235 10/11/2017 11/01/2018
637432-NB-7 NATIONAL RURAL UTILITIES COOPERATIVE FIN 1,2 1FE 355,379 100.2760 352,972 352,000 354,403 (976) 2.300 1.910 MN 1,034 8,096 03/29/2017 11/15/2019
655044-AF-2 NOBLE ENERGY INC 1,2 2FE 2,394,073 104.2020 2,462,293 2,363,000 2,383,527 (5,029) 4.150 3.897 JD 4,358 98,065 10/30/2015 12/15/2021
68389X-BL-8 ORACLE CORP 1,2 1FE 394,436 98.7490 401,908 407,000 396,024 1,588 2.400 2.917 MS 2,876 11,613 02/03/2017 09/15/2023
693476-BN-2 PNC FUNDING CORP 2 1FE 497,486 102.6740 492,835 480,000 495,771 (1,715) 3.300 2.451 MS 4,972 7,590 10/19/2017 03/08/2022
694308-HV-2 PACIFIC GAS AND ELECTRIC CO 1,2 1FE 652,003 99.0650 646,894 653,000 652,011 8 3.300 3.318 JD 1,915 11/27/2017 12/01/2027
695114-CM-8 PACIFICORP 1,2 1FE 125,803 104.4770 124,328 119,000 125,345 (458) 3.850 2.120 JD 204 2,291 10/03/2017 06/15/2021
695114-CP-1 PACIFICORP 1,2 1FE 635,286 101.5640 631,728 622,000 632,939 (2,347) 2.950 2.467 FA 7,645 9,175 02/13/2017 02/01/2022
741503-BB-1 PRICELINE GROUP INC 1,2 2FE 199,708 99.6390 199,278 200,000 199,729 21 2.750 2.778 MS 2,078 08/10/2017 03/15/2023
742718-EG-0 PROCTER & GAMBLE CO 1 1FE 200,841 99.7660 198,534 199,000 200,190 (593) 1.900 1.567 MN 630 3,781 02/03/2017 11/01/2019
780082-AA-1 ROYAL BANK OF CANADA 5 1FE 689,864 99.1710 688,247 694,000 691,057 1,193 1.875 2.083 FA 5,277 6,506 02/13/2017 02/05/2021
780082-AE-3 ROYAL BANK OF CANADA 5 1FE 1,698,810 99.4070 1,689,919 1,700,000 1,699,218 231 2.300 2.315 MS 10,753 39,100 03/14/2016 03/22/2022
828807-DE-4 SIMON PROPERTY GROUP LP 1,2 1FE 107,151 100.4630 108,500 108,000 107,155 4 3.375 3.469 JD 203 11/30/2017 12/01/2027
857477-AZ-6 STATE STREET CORP 2,5 1FE 139,000 100.0290 139,040 139,000 139,000 2.653 2.654 MN 471 1,844 05/10/2017 05/15/2023
887317-AW-5 TIME WARNER INC 1,2 2FE 392,396 100.2240 400,896 400,000 393,101 705 3.600 3.866 JJ 6,640 7,200 02/03/2017 07/15/2025
E10.5
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
89114Q-BE-7 TORONTO-DOMINION BANK 1FE 152,460 99.8940 151,839 152,000 152,241 (203) 1.950 1.798 JJ 1,309 1,765 02/03/2017 01/22/2019
89236T-BP-9 TOYOTA MOTOR CREDIT CORP C 1 1FE 604,014 100.0030 600,018 600,000 602,561 (1,453) 2.125 1.844 JJ 5,773 6,375 02/03/2017 07/18/2019
89236T-CZ-6 TOYOTA MOTOR CREDIT CORP C 1 1FE 446,028 98.5600 446,477 453,000 447,485 1,456 1.900 2.289 AO 1,984 8,607 02/03/2017 04/08/2021
90131H-AQ-8 21ST CENTURY FOX AMERICA INC 1 2FE 497,963 105.6920 487,240 461,000 492,531 (5,432) 4.500 2.220 FA 7,837 10,373 06/06/2017 02/15/2021
90931L-AA-6 UNITED AIRLINES INC 1 1FE 421,623 99.7500 425,933 427,000 421,921 299 3.100 3.234 JJ 6,398 7,233 06/09/2017 01/07/2030
90932Q-AA-4 UNITED AIRLINES INC 1 1FE 150,045 103.4500 152,945 147,845 149,922 (123) 3.750 3.493 MS 1,817 2,861 03/28/2017 03/03/2028
91159H-HC-7 U.S. BANCORP 2 1FE 377,146 101.9940 375,338 368,000 375,955 (1,191) 3.000 2.445 MS 3,251 5,520 05/19/2017 03/15/2022
91159H-HK-9 U.S. BANCORP 2 1FE 395,416 103.5920 397,793 384,000 394,241 (1,175) 3.600 3.150 MS 4,224 13,824 02/21/2017 09/11/2024
92343V-BR-4 VERIZON COMMUNICATIONS INC 1 2FE 906,088 111.2640 901,238 810,000 901,696 (4,392) 5.150 2.976 MS 12,283 16,738 10/19/2017 09/15/2023
94974B-GF-1 WELLS FARGO & CO 1FE 751,606 99.7810 748,358 750,000 751,006 (378) 2.150 2.084 JJ 6,764 9,138 05/31/2017 01/30/2020
949763-FW-1 Wells Fargo Bank, National Association 1FE 244,326 99.9450 244,865 245,000 244,454 128 2.250 2.322 MON 45 4,153 03/22/2017 03/29/2021
3299999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) - Issuer Obligations 37,892,694 XXX 37,866,875 37,296,331 37,759,040 (101,380) XXX XXX XXX 352,176 792,147 XXX XXX
22541Q-P8-9 CSFB 0327 5A4 - CMO/RMBS 4 1FM 20,743 101.2460 20,594 20,341 20,759 22 5.250 4.713 MON 89 1,088 10/22/2010 11/25/2033
33850R-AE-2 FSMT 172 A5 - CMO/RMBS 4 1FM 1,356,093 101.0590 1,350,201 1,336,052 1,355,564 (528) 3.500 2.851 MON 3,897 7,987 10/26/2017 10/25/2047
46647S-AJ-9 JPMMT 173 1A5 - CMO/RMBS 4 1FE 1,383,548 101.2770 1,363,299 1,346,109 1,383,044 (504) 3.500 2.384 MON 3,926 16,147 08/09/2017 08/26/2047
46648C-AE-4 JPMMT 171 A5 - CMO/RMBS 4 1FE 1,014,144 101.4020 1,007,581 993,650 1,013,937 (207) 3.500 2.149 MON 2,898 5,903 10/27/2017 01/25/2047
61745M-A5-2 MSM 043 4A - CMO/RMBS 4 1FM 21,019 105.3290 20,985 19,923 20,661 (45) 5.666 4.746 MON 94 1,150 11/09/2010 04/25/2034
81746P-AA-1 SEMT 161 A1 - CMO/RMBS 4,5 1FE 1,383,629 101.6120 1,380,904 1,358,997 1,392,326 8,698 3.500 2.927 MON 3,964 11/30/2017 06/25/2046
89173F-AA-8 TPMT 171 A1 - CMO/RMBS 4 1FE 1,398,567 99.8720 1,389,250 1,391,030 1,398,397 (170) 2.750 2.505 MON 3,188 2,811 11/29/2017 10/25/2056
89173H-AA-4 TPMT 172 A1 - CMO/RMBS 4 1FM 533,513 99.9240 531,280 531,684 533,315 (198) 2.750 2.607 MON 1,218 8,727 05/05/2017 04/25/2057
89175J-AA-8 TPMT 176 A1 - CMO/RMBS 4 1FE 1,192,987 99.6510 1,185,424 1,189,576 1,193,016 29 2.750 2.594 MON 2,726 2,761 11/09/2017 10/25/2057
3399999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) - Residential Mortgage-Backed Securities 8,304,243 XXX 8,249,517 8,187,361 8,311,019 7,095 XXX XXX XXX 22,000 46,573 XXX XXX
07332V-BD-6 BBCMS 17C1 A4 - CMBS 4 1FM 295,589 104.2870 299,304 287,000 295,471 (119) 3.674 3.520 MON 879 8,787 02/16/2017 02/17/2050
12626L-AE-2 COMM 13CR11 A4 - CMBS 4 1FM 1,339,126 107.0650 1,319,041 1,232,000 1,325,594 (13,533) 4.258 2.799 MON 4,372 43,716 02/08/2017 08/12/2050
23305J-AA-0 DBUBS 17BRBK A - CMBS 4 1FE 514,976 102.1690 510,845 500,000 514,854 (122) 3.452 3.222 MON 1,438 2,877 10/12/2017 10/13/2034
46590M-AR-1 JPMCC 16JP2 A4 - CMBS 4 1FM 907,331 97.9220 905,779 925,000 908,710 1,379 2.822 3.062 MON 2,175 21,751 02/08/2017 08/17/2049
61691A-BL-6 MSC 15UBS8 A4 - CMBS 4 1FM 1,081,585 105.0970 1,082,499 1,030,000 1,076,942 (4,643) 3.809 3.154 MON 3,269 32,329 03/28/2017 12/17/2048
61766C-AE-9 MSC 16UBS9 A4 - CMBS 4 1FM 1,697,207 103.4830 1,691,947 1,635,000 1,696,248 (958) 3.594 3.399 MON 4,897 48,968 02/08/2017 03/17/2049
90349G-BF-1 UBSBB 13C6 A4 - CMBS 4 1FM 930,764 101.9250 922,421 905,000 927,541 (3,224) 3.244 2.726 MON 2,447 21,967 07/18/2017 12/12/2045
95000T-BS-4 WFCM 17RB1 A5 - CMBS 4 1FM 609,738 103.9190 615,200 592,000 609,518 (220) 3.635 3.482 MON 1,793 16,139 03/22/2017 03/15/2050
3499999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) - Commercial Mortgage-Backed Securities 7,376,317 XXX 7,347,036 7,106,000 7,354,878 (21,439) XXX XXX XXX 21,270 196,534 XXX XXX
03065M-AE-7 AMCAR 154 B - ABS 4 1FE 245,565 99.9470 244,870 245,000 245,340 (224) 2.110 1.999 MON 330 4,308 03/02/2017 01/08/2021
12508U-AB-1 CCG 171 A2 - ABS 4 1FE 998,951 99.6360 995,364 999,000 998,955 4 1.840 1.841 MON 868 9,191 06/05/2017 11/14/2023
14041N-FN-6 COMET 174 A - ABS 4 1FE 200,984 99.3680 199,730 201,000 200,986 1 1.990 2.001 MON 178 722 10/04/2017 07/17/2023
14313X-AC-4 CARMX 154 A3 - ABS 4 1FE 242,603 99.7070 241,362 242,071 242,263 (194) 1.560 1.457 MON 168 3,795 11/10/2016 11/16/2020
254683-AY-1 DCENT 126 A - ABS 4 1FE 241,784 99.4340 243,613 245,000 243,574 902 1.670 2.063 MON 182 4,092 12/24/2015 01/18/2022
254683-BK-0 DCENT 144 A - ABS 4 1FE 438,807 100.0480 439,211 439,000 438,940 40 2.120 2.139 MON 414 9,307 07/29/2014 12/15/2021
254683-BQ-7 DCENT 153 A - ABS 4 1FE 299,960 99.6860 299,058 300,000 299,990 14 1.450 1.459 MON 193 4,350 09/30/2015 03/15/2021
31331F-BA-8 FEDERAL EXPRESS CORPORATION 5AM 376,716 111.5000 365,314 327,636 365,314 (3,840) (7,562) 7.650 1.962 JJ 11,557 12,559 03/28/2017 07/15/2024
34531D-AD-0 FORDL 17B A3 - ABS 4 1FE 249,989 99.5930 248,983 250,000 249,990 1 2.030 2.031 MON 226 634 10/24/2017 12/15/2020
36159J-CV-1 GEMNT 122 A - ABS 4 1FE 502,344 100.1290 500,645 500,000 500,565 (532) 2.220 2.119 MON 493 12,025 07/23/2014 01/18/2022
39154T-AH-1 GALC 171 A2 - ABS 4 1FE 880,281 99.9160 879,637 880,377 880,351 69 1.720 1.735 MON 463 12,923 02/07/2017 04/22/2019
65478V-AD-9 NAROT 16B A3 - ABS 4 1FE 211,350 99.3090 209,542 211,000 211,152 (136) 1.320 1.256 MON 124 2,785 07/19/2016 01/15/2021
87407P-AJ-9 TAL 141 A - ABS C 4 1FE 1,226,658 99.9000 1,272,143 1,273,417 1,235,097 5,524 3.510 4.622 MON 1,366 46,871 05/12/2016 02/22/2039
89173U-AA-5 TPMT 174 A1 - CMO/RMBS 4 1FE 366,405 99.5840 362,575 364,090 366,394 (11) 2.750 2.724 MON 834 3,393 08/04/2017 06/25/2057
89231U-AD-9 TAOT 16B A3 - ABS 4 1FE 261,521 99.6240 260,272 261,255 261,349 (123) 1.300 1.250 MON 151 3,396 08/16/2016 04/15/2020
92348N-AA-5 VZOT 171 A - ABS 4 1FE 424,922 99.7490 423,933 425,000 424,937 15 2.060 2.064 MON 268 6,712 03/07/2017 09/20/2021
92348N-AB-3 VZOT 171 B - ABS 4 1FE 660,903 100.0340 661,225 661,000 660,922 19 2.450 2.453 MON 495 12,416 03/07/2017 09/20/2021
92887M-AA-4 VMOT 17A A - ABS 4,5 1FE 1,180,000 100.2840 1,183,351 1,180,000 1,180,000 1.744 2.004 MON 972 1,676 11/03/2017 11/15/2022
981464-CW-8 WFNMT 12A A - ABS 4 1FE 523,438 101.2220 506,110 500,000 507,735 (6,286) 3.140 1.848 MON 698 15,700 10/15/2015 01/17/2023
E10.6
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 1Showing All Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
CUSIP Identification Description
Code
Foreign
BondChar
NAICDes.
ActualCost
Rate Used to Obtain
Fair Value
FairValue
ParValue
Book/AdjustedCarrying
Value
UnrealizedValuationIncrease/
(Decrease)
CurrentYear's(Amor-tization)
Accretion
CurrentYear'sOther-Than-
TemporaryImpairmentRecognized
TotalForeign
ExchangeChange
inBook/
AdjustedCarrying
ValueRate
of
EffectiveRate
ofWhenPaid
AdmittedAmountDue andAccrued
Amount Received
During Year Acquired
StatedContractual
MaturityDate
3599999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) - Other Loan-Backed and Structured Securities 9,533,181 XXX 9,536,938 9,504,845 9,513,855 (3,840) (8,479) XXX XXX XXX 19,979 166,856 XXX XXX
3899999. Total - Industrial and Miscellaneous (Unaffiliated) Bonds 63,106,434 XXX 63,000,366 62,094,538 62,938,793 (3,840) (124,202) XXX XXX XXX 415,425 1,202,110 XXX XXX4899999. Total - Hybrid Securities XXX XXX XXX XXX XXX XXX5599999. Total - Parent, Subsidiaries and Affiliates Bonds XXX XXX XXX XXX XXX XXX6099999. Subtotal - SVO Identified Funds XXX XXX XXX XXX XXX XXX7799999. Total - Issuer Obligations 174,618,607 XXX 173,311,850 170,421,729 173,567,041 108,140 (790,165) XXX XXX XXX 1,008,639 2,257,601 XXX XXX7899999. Total - Residential Mortgage-Backed Securities 31,614,042 XXX 31,321,641 30,270,813 31,497,693 (37,631) XXX XXX XXX 95,814 804,027 XXX XXX7999999. Total - Commercial Mortgage-Backed Securities 7,584,207 XXX 7,549,196 7,309,000 7,561,939 (22,140) XXX XXX XXX 21,694 201,622 XXX XXX8099999. Total - Other Loan-Backed and Structured Securities 9,533,181 XXX 9,536,938 9,504,845 9,513,855 (3,840) (8,479) XXX XXX XXX 19,979 166,856 XXX XXX8199999. Total - SVO Identified Funds XXX XXX XXX XXX XXX XXX8399999 - Total Bonds 223,350,036 XXX 221,719,625 217,506,388 222,140,528 104,301 (858,415) XXX XXX XXX 1,146,125 3,430,106 XXX XXX
E10.7
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 2 - SECTION 1Showing All PREFERRED STOCKS Owned December 31 of Current Year
1 2 Codes 5 6 7 8 Fair Value 11 Dividends Change in Book/Adjusted Carrying Value 20 21
CUSIP Identi-fication Description
3
Code
4
For-eign
Numberof
Shares
ParValuePer
Share
RatePer
Share
Book/AdjustedCarrying
Value
9
RatePer
ShareUsed to Obtain
FairValue
10
Fair Value Actual Cost
12
Declaredbut Unpaid
13
Amount Received
During Year
14
Nonadmitted Declared But
Unpaid
15
Unrealized Valuation Increase/
(Decrease)
16
Current Year's (Amor-tization)
Accretion
17
Current Year's
Other-Than- Temporary Impairment Recognized
18
Total Change in
Book/Adjusted Carrying Value (15 + 16 - 17)
19Total
Foreign Exchange Change in
Book/Adjusted Carrying
Value
NAIC Desig-nation
Date Acquired
8999999 - Total Preferred Stocks XXX XXX XXX
NONE
E11
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 2 - SECTION 2Showing All COMMON STOCKS Owned December 31 of Current Year
1 2 Codes 5 6 Fair Value 9 Dividends Change in Book/Adjusted Carrying Value 17 18
CUSIP Identi-fication Description
3
Code
4
For-eign
Numberof
Shares
Book/AdjustedCarrying
Value
7RatePer
ShareUsed to Obtain
FairValue
8
Fair Value Actual Cost
10
Declaredbut Unpaid
11
Amount Received
During Year
12
Nonadmitted Declared But
Unpaid
13
Unrealized Valuation Increase/
(Decrease)
14
Current Year's Other-Than- Temporary Impairment Recognized
15
Total Change in Book/Adjusted Carrying Value
(13 - 14)
16
Total Foreign Exchange Change in
Book/Adjusted Carrying
Value
NAIC Market
Indicator(a)
Date Acquired
45775L-70-5 T.ROWE INST US STR RESEARCH MF 5,791,861.067 74,830,845 12.920 74,830,845 68,161,340 920,385 5,597,431 5,597,431 L 12/21/2017
9299999. Subtotal - Mutual Funds 74,830,845 XXX 74,830,845 68,161,340 920,385 5,597,431 5,597,431 XXX XXX
9799999 - Total Common Stocks 74,830,845 XXX 74,830,845 68,161,340 920,385 5,597,431 5,597,431 XXX XXX9899999 - Total Preferred and Common Stocks 74,830,845 XXX 74,830,845 68,161,340 920,385 5,597,431 5,597,431 XXX XXX
(a) For all common stock bearing the NAIC market indicator "U" provide: the number of such issues , the total $ value (included in Column 8) of all such issues $
E12
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year
1
CUSIP Identification
2
Description
3
Foreign
4
DateAcquired
5
Name of Vendor
6
Number of Sharesof Stock
7
Actual Cost
8
Par Value
9Paid for Accrued
Interest andDividends
36241L-UV-6 GN 783296 - RMBS 03/03/2017 TAHOE FIXED INCOME LLC 451,385 419,893 875
912828-2A-7 UNITED STATES TREASURY 08/24/2017 BONY/TORONTO DOMINION SECURITI 2,717,854 2,872,000 1,522
912828-2P-4 UNITED STATES TREASURY 10/25/2017 DEUTSCHE BANK SECURITIES, INC. 2,111,791 2,128,000 9,541
912828-2R-0 UNITED STATES TREASURY 10/04/2017 VARIOUS 623,234 626,000 1,750
912828-2S-8 UNITED STATES TREASURY 10/01/2017 CITADEL SECURITIES LLC 1,973,594 2,000,000 2,873
912828-3D-0 UNITED STATES TREASURY 11/24/2017 VARIOUS 172,295 172,000 264
912828-3F-5 UNITED STATES TREASURY 12/28/2017 VARIOUS 170,383 173,000 423
912828-3H-1 UNITED STATES TREASURY 12/07/2017 GOLDMAN 11,988,281 12,000,000 4,615
912828-K3-3 UNITED STATES TREASURY 02/01/2017 GOLDMAN SACHS & CO 1,215,303 1,193,481 451
912828-M4-9 UNITED STATES TREASURY 11/07/2017 BARCLAYS CAPITAL INC FIXED INC 1,814,592 1,825,000 851
912828-M8-0 UNITED STATES TREASURY 12/07/2017 GOLDMAN 1,987,656 2,000,000 879
912828-N7-1 UNITED STATES TREASURY 02/08/2017 VARIOUS 2,331,352 2,289,559 766
912828-V4-9 UNITED STATES TREASURY 08/09/2017 VARIOUS 2,646,196 2,655,935 2,620
912828-VE-7 UNITED STATES TREASURY 07/01/2017 VARIOUS 805,821 810,000 3,858
912828-W3-0 UNITED STATES TREASURY 05/11/2017 PIERPONT SECURITIES 1,993,125 2,000,000 4,708
912828-WZ-9 UNITED STATES TREASURY 04/01/2017 GOLDMAN SACHS & CO 3,513,489 3,565,000 16,200
912828-XS-4 UNITED STATES TREASURY 06/13/2017 JP MORGAN CHASE BANK/HSBCSI 9,578,625 9,600,000 4,590
912828-XX-3 UNITED STATES TREASURY 12/05/2017 VARIOUS 1,519,657 1,530,000 2,877
0599999. Subtotal - Bonds - U.S. Governments 47,614,634 47,859,868 59,663
195325-DL-6 COLOMBIA, REPUBLIC OF (GOVERNMENT) C 08/02/2017 BANC OF AMERICA SECURITIES LLC 549,494 547,000 11,422
563469-UH-6 MANITOBA, PROVINCE OF 11/29/2017 FIRST MARATHON SECURITIES LIMI 415,028 417,000 24
68323A-ED-2 ONTARIO PROVINCE OF 02/01/2017 NESBITT BURNS SECS INC 456,864 458,000
80413T-AE-9 SAUDI ARABIA, KINGDOM OF (GOVERNMENT) C 09/27/2017 CHASE SECURITIES 278,703 282,000
1099999. Subtotal - Bonds - All Other Governments 1,700,089 1,704,000 11,446
57582P-5Q-9 MASSACHUSETTS ST 07/20/2017 BARCLAYS CAPITAL INC FIXED INC 2,225,000 2,225,000
1799999. Subtotal - Bonds - U.S. States, Territories and Possessions 2,225,000 2,225,000
158249-KZ-4 CHAMPAIGN CNTY ILL CMNTY UNIT SCH DIST N 11/15/2017 FIRST UNION SECURITIES 84,281 75,000
199492-VF-3 COLUMBUS, CITY OF 11/03/2017 MERRILL LYNCH PIERCE FENNER 3,869,148 3,445,000
442403-LU-3 HOUSTON TEX INDPT SCH DIST 05/11/2017 CITIGROUP GLOBAL MARKETS/ALGO 1,795,892 1,550,000
2499999. Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions 5,749,322 5,070,000
00561Q-AE-3 ADAMS CNTY COLO HSG AUTH MULTIFAMILY HSG 11/14/2017 CITIGROUP GLOBAL MARKETS INC. 2,775,000 2,775,000
01030P-GP-5 ALABAMA HSG FIN AUTH MULTI FAMILY HSG RE 06/27/2017 CITIGROUP GLOBAL MARKETS/ALGO 335,000 335,000
085278-CW-7 BERNALILLO CNTY N MEX MULTIFAMILY REV 04/05/2017 KEYBANC CAPITAL MARKETS INC 640,000 640,000
121342-PD-5 BURKE CNTY GA DEV AUTH POLLUTN CTL REV 05/25/2017 Goldman Sachs 1,560,000 1,560,000
121342-PE-3 BURKE CNTY GA DEV AUTH POLLUTN CTL REV 05/25/2017 Morgan Stanley 780,000 780,000
13032U-MT-2 CALIFORNIA HEALTH FACS FING AUTH REV 05/01/2017 Goldman Sachs 1,774,856 1,525,000
13078H-AW-2 CALIFORNIA STATEWIDE CMNTYS DEV AUTH POL 01/11/2017 BARCLAYS CAPITAL INC FIXED INC 725,000 725,000
13079P-XF-5 CALIFORNIA STATEWIDE CMNTYS DEV AUTH MUL 02/14/2017 RBC Dain Rauscher (US) 465,000 465,000
162404-DJ-3 CHATTANOOGA TENN HEALTH EDL & HSG FAC BR 12/13/2017 RAYMOND JAMES/FI 580,000 580,000
20774Y-X7-7 CONNECTICUT ST HEALTH & EDL FACS AUTH RE 07/18/2017 BARCLAYS CAPITAL INC FIXED INC 1,315,000 1,315,000
266785-AK-0 DURHAM N C HSG AUTH MULTIFAMILY HSG REV 12/11/2017 RBC Dain Rauscher (US) 1,245,000 1,245,000
312739-AA-3 FAYETTEVILLE N C MET HSG AUTH MULTIFAMIL 12/15/2017 FIRST UNION SECURITIES 3,700,000 3,700,000
3128MF-HF-8 FH G16330 - RMBS 11/29/2017 CANTOR FITZGERALD & CO. INC. 1,005,211 968,586 2,731
3128MJ-YN-4 FH G08716 - RMBS 02/28/2017 PERSHING LLC 1,257,277 1,225,491 1,430
3128MJ-ZB-9 FH G08737 - RMBS 04/01/2017 VARIOUS 1,338,361 1,344,344 1,612
3128P8-CS-8 FH C91881 - RMBS 10/01/2017 GX CLARKE & CO. 305,799 293,597 314
3130AC-R2-2 FEDERAL HOME LOAN BANKS 10/27/2017 PIPER JAFFRAY 1,505,000 1,505,000
3133EH-HY-2 FEDERAL FARM CREDIT BANKS FUNDING CORP 06/26/2017 Nomura International Trust Co 463,695 463,000 1,637
3133EH-NF-6 FEDERAL FARM CREDIT BANKS FUNDING CORP 11/13/2017 DAVIDSON (D.A.) & CO. INC. 1,169,070 1,172,000 12,746
3133EH-PP-2 FEDERAL FARM CREDIT BANKS FUNDING CORP 09/07/2017 Nomura International Trust Co 1,049,213 1,050,000 5,964
3133EH-RW-5 FEDERAL FARM CREDIT BANKS FUNDING CORP 11/13/2017 DAVIDSON (D.A.) & CO. INC. 1,250,715 1,257,000 10,754
3134G9-5P-8 FEDERAL HOME LOAN MORTGAGE CORP 05/17/2017 VARIOUS 949,200 957,000 3,939
3134G9-H2-6 FEDERAL HOME LOAN MORTGAGE CORP 02/06/2017 D A Davidson 1,544,453 1,561,000 2,407
3134G9-SM-0 FEDERAL HOME LOAN MORTGAGE CORP 03/24/2017 D A Davidson 2,388,944 2,401,000 3,968
3134GB-6H-0 FEDERAL HOME LOAN MORTGAGE CORP 12/07/2017 KGS ALPHA CAPITAL MARKETS 236,000 236,000
3134GB-Z3-9 FEDERAL HOME LOAN MORTGAGE CORP 11/01/2017 PIPER JAFFRAY 1,275,000 1,275,000
3135G0-S3-8 FEDERAL NATIONAL MORTGAGE ASSOCIATION 12/20/2017 WELLS FARGO SECURITIES LLC 800,746 807,000 7,442
3137EA-DB-2 FREDDIE MAC 12/20/2017 WELLS FARGO SECURITIES LLC 787,529 782,000 8,151
3138EG-FA-7 FN AL0160 - RMBS 02/28/2017 GX CLARKE & CO. 692,381 640,723 961
3138EN-Z9-3 FN AL6167 - RMBS 12/06/2017 BAIRD, ROBERT W., & COMPANY IN 130,987 126,979 148
3138ER-2E-9 FN AL9772 - RMBS 03/09/2017 GX CLARKE & CO. 601,388 586,989 734
3138ER-ZG-8 FN AL9742 - RMBS 03/09/2017 GX CLARKE & CO. 1,448,621 1,381,349 2,302
3138ET-RW-8 FN AL8600 - RMBS 07/11/2017 GX CLARKE & CO. 617,638 592,103 979
3138L8-QB-3 FN AM7649 - RMBS 11/28/2017 BREAN CAPITAL, LLC 152,496 150,000
E13
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year
1
CUSIP Identification
2
Description
3
Foreign
4
DateAcquired
5
Name of Vendor
6
Number of Sharesof Stock
7
Actual Cost
8
Par Value
9Paid for Accrued
Interest andDividends
3138WH-F6-4 FN AS7388 - RMBS 02/06/2017 PERSHING LLC 1,298,509 1,265,873 1,477
3140EV-JC-2 FN BC1158 - RMBS 09/19/2017 VARIOUS 1,420,327 1,381,282 1,709
31418A-AH-1 FN MA0907 - RMBS 03/15/2017 JPM/CONCORDIA PARTNR 113,528 108,834 133
31418B-D4-5 FN MA1922 - RMBS 06/05/2017 VARIOUS 975,086 917,309 1,101
31418B-FY-7 FN MA1982 - RMBS 02/07/2017 D A Davidson 973,249 933,573 1,089
31418B-G5-9 FN MA2019 - RMBS 10/01/2017 VARIOUS 430,173 404,775 664
34073J-UZ-0 FLORIDA HSG FIN CORP MULTIFAMILY REV 10/01/2017 RBC Dain Rauscher (US) 1,635,000 1,635,000
34074G-DG-6 FLORIDA HURRICANE CATASTROPHE FD FIN COR 06/07/2017 DAVIDSON (D.A.) & CO. INC. 100,563 100,000 919
34074H-GA-4 FLORIDA HSG FIN CORP MULTIFAMILY MTG REV 05/12/2017 RBC Dain Rauscher (US) 505,000 505,000
353200-DR-6 FRANKLIN CNTY OHIO MULTIFAMILY REV 06/12/2017 PERSHING LLC 1,020,000 1,020,000
41401P-CA-9 HARRIS CNTY TEX CULTURAL ED FACS FIN COR 12/06/2017 MERRILL LYNCH PIERCE FENNER 148,841 140,000
45203L-CP-6 ILLINOIS HSG DEV AUTH MULTIFAMILY HSG RE 04/20/2017 CITIGROUP GLOBAL MARKETS/ALGO 2,540,000 2,540,000
46246K-3W-0 IOWA FIN AUTH REV 11/29/2017 MERRILL LYNCH PIERCE FENNER 2,839,088 2,485,000
468741-BU-6 JACKSON TENN HEALTH EDL & HSG FAC BRD MU 04/26/2017 RAYMOND JAMES/FI 340,000 340,000
499652-AG-0 KNOX CNTY TENN HEALTH EDL & HSG FAC BRD 07/19/2017 Unknown 570,000 570,000
499743-CH-3 KNOXVILLE TENN CMNTY DEV CORP MULTIFAMIL 08/23/2017 CITIGROUP GLOBAL MARKETS INC. 695,000 695,000
499743-CJ-9 KNOXVILLE TENN CMNTY DEV CORP MULTIFAMIL 08/23/2017 CITIGROUP GLOBAL MARKETS INC. 615,000 615,000
529050-EE-2 LEXINGTON CNTY S C HEALTH SVCS DIST INC 12/06/2017 CITIGROUP GLOBAL MARKETS/ALGO 121,910 115,000
57586N-W4-9 MASSACHUSETTS ST HSG FIN AGY 12/14/2017 FIRST UNION SECURITIES 1,760,000 1,760,000
586169-FG-4 MEMPHIS TENN HEALTH EDL & HSG FAC BRD MU 12/07/2017 RAYMOND JAMES/FI 390,000 390,000
592113-BE-3 METROPOLITAN GOVT NASHVILLE & DAVIDSON C 12/07/2017 RAYMOND JAMES/FI 210,000 210,000
592113-BF-0 METROPOLITAN GOVT NASHVILLE & DAVIDSON C 12/13/2017 RAYMOND JAMES/FI 870,000 870,000
59447T-QA-4 MICHIGAN FIN AUTH REV 12/08/2017 MERRILL LYNCH PIERCE FENNER 274,706 240,000
64577B-J7-0 NEW JERSEY ECONOMIC DEV AUTH REV 09/28/2017 MERRILL LYNCH PIERCE FENNER 244,211 220,000
645918-M4-2 NEW JERSEY ECONOMIC DEV AUTH REV 08/01/2017 BNY CAPITAL MARKETS, INC. 1,020,576 950,000 20,056
646127-EB-2 NEW JERSEY ST HSG & MTG FIN AGY MULTIFAM 07/21/2017 WELLS FARGO SECURITIES LLC 285,000 285,000
652276-CU-8 NEWPORT NEWS VA REDEV & HSG AUTH MULTIFA 08/11/2017 CITIGROUP GLOBAL MARKETS/ALGO 2,155,000 2,155,000
66748V-AB-5 NORTHWEST GA CONS HSG AUTH MULTIFAMILY R 11/21/2017 RAYMOND JAMES/FI 2,440,000 2,440,000
668865-AA-6 NORWALK CONN HSG AUTH MULTIFAMILY HSG RE 02/17/2017 PERSHING LLC 285,000 285,000
676900-TZ-6 OHIO HSG FIN AGY MULTIFAMILY HSG REV 09/18/2017 PERSHING LLC 1,055,000 1,055,000
708681-AV-3 PENNSYLVANIA CONVENTION CTR AUTH REV 04/01/2017 JANNEY MONTGOMERY SCOTT INC 1,991,344 1,870,000 9,973
708797-AM-7 PENNSYLVANIA HSG FIN AGY SPL LTD OBLIG M 11/21/2017 FIRST UNION SECURITIES 3,695,000 3,695,000
71883M-LG-7 PHOENIX ARIZ CIVIC IMPT CORP ARPT REV 11/01/2017 CITIGROUP GLOBAL MARKETS/ALGO 349,978 310,000
71883M-LH-5 PHOENIX ARIZ CIVIC IMPT CORP ARPT REV 11/01/2017 CITIGROUP GLOBAL MARKETS/ALGO 514,562 445,000
72317B-AH-5 PINELLAS CNTY FLA HSG FIN AUTH MULTIFAMI 12/11/2017 RBC Dain Rauscher (US) 690,000 690,000
725204-AA-9 PITTSBURGH PA HSG AUTH REV 10/24/2017 PERSHING LLC 780,000 780,000
792892-JH-5 ST PAUL MINN HSG & REDEV AUTH MULTIFAMIL 08/23/2017 DOUGHERTY & CO 880,000 880,000
837151-KV-0 SOUTH CAROLINA ST PUB SVC AUTH REV 04/12/2017 WELLS FARGO SECURITIES LLC 838,523 750,000 14,271
88213A-KS-3 TEXAS A & M UNIV REVS 12/01/2017 BARCLAYS CAPITAL INC FIXED INC 1,093,206 930,000
88271F-FF-5 TEXAS ST AFFORDABLE HSG CORP MULTIFAMILY 12/01/2017 RBC Dain Rauscher (US) 420,000 420,000
91417K-W6-4 UNIVERSITY COLO ENTERPRISE SYS REV 12/01/2017 FUNB FUNDS II 377,650 325,000
91514A-HD-0 UNIVERSITY TEX UNIV REVS 12/01/2017 BARCLAYS CAPITAL INC FIXED INC 799,925 700,000
917434-CK-6 UTAH HSG CORP MULTIFAMILY REV 02/24/2017 CITIGROUP GLOBAL MARKETS INC. 405,000 405,000
928172-X4-2 VIRGINIA ST PUB BLDG AUTH PUB FACS REV 12/06/2017 RAYMOND JAMES/FI 532,820 465,000
93873C-AA-0 WASHINGTON CNTY TEX HSG CORP MULTIFAMILY 01/13/2017 RAYMOND JAMES/FI 480,000 480,000
93978H-RR-8 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 107,869 95,000
93978H-RS-6 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 80,742 70,000
93978H-RT-4 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 57,961 50,000
93978H-RU-1 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 69,871 60,000
93978H-RV-9 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 46,936 40,000
93978H-RW-7 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 70,656 60,000
93978H-RX-5 WASHINGTON ST HEALTH CARE FACS AUTH REV 03/17/2017 JP MORGAN SECURITIES INC. 47,270 40,000
93978P-NX-1 WASHINGTON ST HSG FIN COMMN MULTIFAMILY 03/29/2017 CITIGROUP GLOBAL MARKETS INC. 1,765,000 1,765,000
93978P-NY-9 WASHINGTON ST HSG FIN COMMN MULTIFAMILY 05/16/2017 CITIGROUP GLOBAL MARKETS/ALGO 415,000 415,000
971696-AD-1 WILMINGTON N C HSG AUTH MULTIFAMILY REV 10/12/2017 PERSHING LLC 600,000 600,000
3199999. Subtotal - Bonds - U.S. Special Revenues 81,304,656 79,392,807 119,611
00206R-CN-0 AT&T INC 06/07/2017 VARIOUS 263,806 270,000 1,318
00206R-DQ-2 AT&T INC 08/24/2017 BANC OF AMERICA SECURITIES LLC 76,295 74,000 1,747
02587D-N2-0 American Express Centurion Bank 03/28/2017 D A Davidson 243,836 245,000
0258M0-DX-4 AMERICAN EXPRESS CREDIT CORP 02/06/2017 FIRST TENNESSEE SECURITIES COR 206,564 204,000 2,136
03065M-AE-7 AMCAR 154 B - ABS 03/02/2017 DEUTSCHE BANC SECURITIES INC. 245,565 245,000 416
037833-AK-6 APPLE INC 05/03/2017 VARIOUS 799,494 812,000 4,576
05568B-AA-6 BNSF RAILWAY CO 03/28/2017 PIPER JAFFRAY & HOPWOOD, INC 407,814 367,367 4,319
05580A-KF-0 BMW Bank of North America C 08/18/2017 DAVIDSON (D.A.) & CO. INC. 244,204 245,000
06051G-GP-8 BANK OF AMERICA CORP 07/18/2017 BANC OF AMERICA SECURITIES LLC 755,000 755,000
E13.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year
1
CUSIP Identification
2
Description
3
Foreign
4
DateAcquired
5
Name of Vendor
6
Number of Sharesof Stock
7
Actual Cost
8
Par Value
9Paid for Accrued
Interest andDividends
06367T-G3-8 BANK OF MONTREAL 09/29/2017 Morgan Stanley 361,041 364,000 523
06406H-CP-2 BANK OF NEW YORK MELLON CORP 02/07/2017 KEYBANC CAPITAL MARKETS INC 428,273 425,000 620
064159-HT-6 BANK OF NOVA SCOTIA 02/07/2017 BANC OF AMERICA SECURITIES LLC 460,731 463,000 1,188
064159-JG-2 BANK OF NOVA SCOTIA 03/01/2017 SCOTIA CAPITAL MARKETS 315,428 316,000
07332V-BD-6 BBCMS 17C1 A4 - CMBS 02/16/2017 BARCLAYS CAPITAL INC 295,589 287,000 762
084670-BR-8 BERKSHIRE HATHAWAY FINANCE CORP 11/20/2017 VARIOUS 240,723 239,000 1,867
12508U-AB-1 CCG 171 A2 - ABS 06/05/2017 WELLS FARGO SECURITIES LLC 998,951 999,000
12626L-AE-2 COMM 13CR11 A4 - CMBS 02/08/2017 DEUTSCHE BANK SECURITIES INC EQ PROGRAM 1,339,126 1,232,000 1,749
126410-LM-9 CSX TRANSPORTATION INC 03/28/2017 VARIOUS 746,136 655,044 5,531
14041N-FN-6 COMET 174 A - ABS 10/04/2017 CHASE SECURITIES 200,984 201,000
140420-2B-5 Capital One Bank 04/13/2017 DAVIDSON (D.A.) & CO. INC. 243,836 245,000
14042R-FH-9 CAPITAL ONE NA 02/02/2017 SCOTT & STRINGFELLOW, INC 955,831 955,000 436
14042R-FV-8 Capital One, National Association 05/17/2017 DAVIDSON (D.A.) & CO. INC. 243,836 245,000
14912L-6U-0 CATERPILLAR FINANCIAL SERVICES CORP 03/06/2017 FBS INVESTMENT SERVICES, INC 195,504 202,000 286
166764-AB-6 CHEVRON CORP 02/02/2017 Salomon Smith Barney Inc 996,468 1,014,000 4,113
17275R-BD-3 CISCO SYSTEMS INC 02/02/2017 Salomon Smith Barney Inc 351,454 352,000 3,420
20030N-BJ-9 COMCAST CORP 02/02/2017 Salomon Smith Barney Inc 642,763 625,000 9,750
23305J-AA-0 DBUBS 17BRBK A - CMBS 11/01/2017 DEUTSCHE BANK SECURITIES, INC. 514,976 500,000 1,151
25468P-DM-5 WALT DISNEY CO 10/27/2017 VARIOUS 288,732 316,000 1,462
263534-BT-5 E I DU PONT DE NEMOURS AND CO 02/23/2017 VARIOUS 348,865 329,000 2,052
263534-BW-8 E I DU PONT DE NEMOURS AND CO 06/23/2017 PNC SECURITIES CORP. 103,350 97,000 1,596
263534-CL-1 E I DU PONT DE NEMOURS AND CO 04/27/2017 Goldman Sachs 141,844 142,000
30219G-AR-9 EXPRESS SCRIPTS HOLDING CO 11/20/2017 BANC OF AMERICA SECURITIES LLC 281,935 282,000
31331F-AX-9 FEDERAL EXPRESS CORPORATION 03/28/2017 VARIOUS 848,574 764,998 6,856
31331F-BA-8 FEDERAL EXPRESS CORPORATION 04/01/2017 VARIOUS 377,532 328,346 5,163
31429K-AB-9 FEDERATION DES CAISSES DESJARDINS DU QUE 10/24/2017 BARCLAYS CAPITAL INC FIXED INC 999,650 1,000,000
33850R-AE-2 FSMT-172-A5 - CMO/RMBS 10/26/2017 CHASE SECURITIES 1,424,070 1,403,025 4,092
341081-FK-8 FLORIDA POWER & LIGHT CO 02/10/2017 MARKETAXESS CORPORATION 51,509 50,000 325
34531D-AD-0 FORDL 17B A3 - ABS 10/24/2017 CITIGROUP GBL MKTS/SALOMON, NEW YORK 249,989 250,000
345370-CR-9 FORD MOTOR CO 05/03/2017 VARIOUS 501,286 494,000 6,783
369604-BD-4 GENERAL ELECTRIC CO 02/13/2017 TORONTO DOMINION SECURTIES (USA) INC 299,557 297,000 2,829
37045X-BM-7 GENERAL MOTORS FINANCIAL COMPANY INC 04/06/2017 VARIOUS 646,076 642,000 4,291
372546-AQ-4 GEORGE WASHINGTON UNIVERSITY 03/16/2017 MARKETAXESS CORPORATION 312,567 305,000 170
38141G-VM-3 GOLDMAN SACHS GROUP INC 02/09/2017 ROBERT W. BAIRD & CO. 242,395 233,000 4,168
38141G-WQ-3 GOLDMAN SACHS GROUP INC 12/12/2017 VARIOUS 472,528 473,000 1,570
39154T-AH-1 GALC 171 A2 - ABS 02/07/2017 BANC OF AMERICA SECURITIES LLC 974,894 975,000
437076-BG-6 HOME DEPOT INC 02/03/2017 MORGAN STANLEY & CO INC, NY 657,035 651,000 3,180
438516-BL-9 HONEYWELL INTERNATIONAL INC 05/01/2017 CHASE SECURITIES 72,781 76,000 16
44891A-AJ-6 HYUNDAI CAPITAL AMERICA C 02/02/2017 MARKETAXESS CORPORATION 981,050 1,000,000 6,319
46590M-AR-1 JPMCC 16JP2 A4 - CMBS 02/08/2017 DEUTSCHE BANC SECURITIES INC. 907,331 925,000 870
46625H-HS-2 JPMORGAN CHASE & CO 02/03/2017 JEFFERIES & COMPANY INC 899,768 843,000 1,649
46625H-JE-1 JPMORGAN CHASE & CO 05/31/2017 VARIOUS 706,830 693,000 7,966
46625H-LW-8 JPMORGAN CHASE & CO 08/14/2017 BANC OF AMERICA SECURITIES LLC 105,968 104,000 429
46647S-AJ-9 JPMMT 173 1A5 - CMO/RMBS 08/09/2017 CHASE SECURITIES 1,546,929 1,505,069 4,243
46648C-AE-4 JPMMT 171 A5 - CMO/RMBS 10/27/2017 JP MORGAN SECURITIES INC. 1,051,882 1,030,626 3,006
49327M-2N-3 KEYBANK NA 03/07/2017 VARIOUS 504,292 500,000 1,557
50077L-AH-9 KRAFT HEINZ FOODS CO 08/08/2017 DEUTSCHE BANK SECURITIES, INC. 395,897 389,000 1,180
501044-CX-7 THE KROGER CO 05/31/2017 WELLS FARGO SECURITIES LLC 413,136 400,000 5,133
539830-BH-1 LOCKHEED MARTIN CORP 02/03/2017 MILLENIUM ADVISORS LLC 249,207 245,000 556
58933Y-AR-6 MERCK & CO INC 10/26/2017 BANC OF AMERICA SECURITIES LLC 390,000 390,000 2,383
594918-BX-1 MICROSOFT CORP 05/16/2017 VARIOUS 846,354 835,000 6,488
59523U-AN-7 MID AMERICA APARTMENTS LP 05/31/2017 BNY/SUNTRUST CAPITAL MARKETS 100,621 100,000 260
61691A-BL-6 MSC 15UBS8 A4 - CMBS 03/28/2017 VARIOUS 1,081,585 1,030,000 1,684
61746B-EA-0 MORGAN STANLEY 07/20/2017 VARIOUS 592,861 592,000 3,552
61766C-AE-9 MORGAN STANLEY CAPITAL I TRUST - CMBS 02/08/2017 Paine Webber 1,697,207 1,635,000 1,959
637432-LR-4 NATIONAL RURAL UTILITIES COOP FINANCE CO 10/11/2017 VARIOUS 502,116 447,000 15,480
637432-NB-7 NATIONAL RURAL UTILITIES COOPERATIVE FIN 03/29/2017 MILLENIUM ADVISORS LLC 355,379 352,000 3,103
68389X-BL-8 ORACLE CORP 02/03/2017 MILLENIUM ADVISORS LLC 394,436 407,000 5,725
693476-BN-2 PNC FUNDING CORP 10/19/2017 VARIOUS 955,140 923,000 10,408
694308-HV-2 PACIFIC GAS AND ELECTRIC CO 11/27/2017 VARIOUS 652,003 653,000
695114-CM-8 PACIFICORP 10/03/2017 KEYBANC CAPITAL MARKETS INC 125,803 119,000 1,400
695114-CP-1 PACIFICORP 02/13/2017 RAYMOND JAMES/FI 756,828 741,000 911
741503-BB-1 PRICELINE GROUP INC 08/10/2017 WELLS FARGO SECURITIES LLC 199,708 200,000
742718-EG-0 PROCTER & GAMBLE CO 02/03/2017 MILLENIUM ADVISORS LLC 125,182 124,000 635
780082-AA-1 ROYAL BANK OF CANADA 02/13/2017 NESBITT BURNS SECS INC 689,864 694,000 398
E13.2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 3Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year
1
CUSIP Identification
2
Description
3
Foreign
4
DateAcquired
5
Name of Vendor
6
Number of Sharesof Stock
7
Actual Cost
8
Par Value
9Paid for Accrued
Interest andDividends
81746P-AA-1 SEMT 161 A1 - CMO/RMBS 12/01/2017 JP MORGAN SECURITIES INC. 1,400,295 1,375,367 401
828807-DE-4 SIMON PROPERTY GROUP LP 12/01/2017 CITIGROUP GBL MKTS/SALOMON, NEW YORK 107,151 108,000
857477-AZ-6 STATE STREET CORP 05/10/2017 Morgan Stanley 139,000 139,000
887317-AW-5 TIME WARNER INC 02/03/2017 Salomon Smith Barney Inc 392,396 400,000 920
89114Q-BE-7 TORONTO-DOMINION BANK 02/03/2017 FIRST MARATHON SECURITIES LIMI 123,407 123,000 107
89173F-AA-8 TPMT 171 A1 - CMO/RMBS 12/01/2017 VARIOUS 1,425,588 1,414,277 468
89173H-AA-4 TPMT 172 A1 - CMO/RMBS 05/05/2017 CHASE SECURITIES 611,096 609,000 1,396
89173U-AA-5 TPMT 174 A1 - CMO/RMBS 08/04/2017 BANC OF AMERICA SECURITIES LLC 391,473 389,000 862
89175J-AA-8 TPMT 176 A1 - CMO/RMBS 11/09/2017 CHASE SECURITIES 1,208,153 1,204,699 2,669
89236T-BP-9 TOYOTA MOTOR CREDIT CORP C 02/03/2017 VARIOUS 604,014 600,000 708
89236T-CZ-6 TOYOTA MOTOR CREDIT CORP C 02/03/2017 SMBC NIKKO SECURITIES AMERICA, INC. 446,028 453,000 2,869
90131H-AQ-8 21ST CENTURY FOX AMERICA INC 06/06/2017 CHASE SECURITIES 497,963 461,000 6,569
90349G-BF-1 UBSBB 13C6 A4 - CMBS 07/18/2017 VARIOUS 930,764 905,000 1,224
90931L-AA-6 UNITED AIRLINES INC 06/09/2017 VARIOUS 386,623 392,000 3,608
90932Q-AA-4 UNITED AIRLINES INC 03/28/2017 VARIOUS 154,874 152,602 202
91159H-HC-7 U.S. BANCORP 05/19/2017 US BANCORP INVESTMENTS INC. 377,146 368,000 1,454
91159H-HK-9 U.S. BANCORP 02/21/2017 MILLENIUM ADVISORS LLC 395,416 384,000 6,259
92343V-BR-4 VERIZON COMMUNICATIONS INC 10/19/2017 VARIOUS 906,088 810,000 16,677
92348N-AA-5 VZOT 171 A - ABS 03/07/2017 LOOP CAPITAL MARKETS L.L.C. 424,922 425,000
92348N-AB-3 VZOT 171 B - ABS 03/07/2017 LOOP CAPITAL MARKETS L.L.C. 660,903 661,000
92887M-AA-4 VMOT 17A A - ABS 11/03/2017 BANC OF AMERICA SECURITIES LLC 1,180,000 1,180,000
94974B-GF-1 WELLS FARGO & CO 05/31/2017 VARIOUS 650,942 650,000 1,174
949763-FW-1 Wells Fargo Bank, National Association 03/22/2017 D A Davidson 244,326 245,000
95000T-BS-4 WFRBS 17RB1 A5 - CMBS 03/22/2017 FIRST UNION CAP MKTS (FED MBS) 609,738 592,000 1,733
3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 53,565,080 52,562,419 227,056
8399997. Total - Bonds - Part 3 192,158,781 188,814,094 417,777
8399998. Total - Bonds - Part 5 130,070,114 130,770,053 349,497
8399999. Total - Bonds 322,228,895 319,584,146 767,274
000000-00-0 AFFILIATED IMAGING ASSOCIATES 09/30/2017 Adjust off Affilate (7,026)
8599999. Subtotal - Preferred Stocks - Parent, Subsidiaries and Affiliates (7,026) XXX
8999997. Total - Preferred Stocks - Part 3 (7,026) XXX
8999998. Total - Preferred Stocks - Part 5 XXX
8999999. Total - Preferred Stocks (7,026) XXX
45775L-70-5 T.ROWE INST US STR RESEARCH MF 12/21/2017 NO BROKER 678,610.425 8,794,791
VP7001-21-8 WF GOVT MM FUND-SELECT #3802 03/01/2017 Direct (2,096,499.110) (2,096,499)
9299999. Subtotal - Common Stocks - Mutual Funds 6,698,292 XXX
9799997. Total - Common Stocks - Part 3 6,698,292 XXX
9799998. Total - Common Stocks - Part 5 (3,341,425) XXX
9799999. Total - Common Stocks 3,356,867 XXX
9899999. Total - Preferred and Common Stocks 3,349,841 XXX
9999999 - Totals 325,578,736 XXX 767,274
E13.3
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date36202D-5R-8 G2 003556 - RMBS 12/01/2017 Paydown 42,483 42,482 47,450 47,102 (4,619) (4,619) 42,482 1,048 05/20/2034
36202E-6Q-7 G2 004479 - RMBS 12/01/2017 Paydown 27,257 27,257 29,174 29,004 (1,747) (1,747) 27,257 547 07/20/2024
36241K-AZ-1 GN 781824 - RMBS 12/01/2017 Paydown 30,049 30,049 34,124 34,168 (4,119) (4,119) 30,049 738 11/15/2034
36241K-UV-8 GN 782396 - RMBS 12/01/2017 Paydown 22,698 22,698 25,315 24,648 (1,951) (1,951) 22,698 579 09/15/2023
36241L-UV-6 GN 783296 - RMBS 12/01/2017 Paydown 73,454 73,454 78,963 (5,509) (5,509) 73,454 1,268 01/15/2025
383742-4J-9 GNR 0856 EB - CMO/RMBS 04/01/2017 VARIOUS 288,364 259,370 290,130 275,477 (405) (405) 275,073 13,292 13,292 3,671 06/20/2038
383742-M3-4 GNR 0834A PG - CMO/RMBS 04/01/2017 VARIOUS 501,464 457,000 494,004 475,543 (308) (308) 475,235 26,229 26,229 4,993 04/20/2038
38374E-5M-5 GNR 041 TE - CMO/RMBS 10/01/2017 VARIOUS 411,437 379,726 428,216 410,651 (578) (578) 410,073 1,364 1,364 3,902 06/20/2033
38374G-4C-3 GNR 0442C PB - CMO/RMBS 04/01/2017 VARIOUS 558,116 530,693 584,094 562,446 (734) (734) 561,713 (3,596) (3,596) 4,675 05/20/2034
38374M-U9-8 GNR 0617A TW - CMO/RMBS 04/01/2017 PERSHING LLC 113,608 99,848 113,452 109,386 (204) (204) 109,182 4,426 4,426 1,448 04/20/2036
38374N-4P-9 GNR 0664A LH - CMO/RMBS 04/01/2017 VARIOUS 297,163 272,476 303,811 288,418 (592) (592) 287,826 9,337 9,337 3,755 11/20/2036
38374T-J6-2 GNR 0934D BH - CMO/RMBS 12/01/2017 Paydown 25,239 25,239 25,996 25,806 (568) (568) 25,239 508 05/20/2039
38374X-AA-3 GNR 0914A AG - CMO/RMBS 12/01/2017 Paydown 23,288 23,288 24,555 23,537 4,340 4,340 23,288 450 03/20/2039
38375J-6B-6 GNR 0724A PC - CMO/RMBS 12/01/2017 Paydown 8,861 8,861 9,536 9,613 (753) (753) 8,861 225 04/20/2037
38375J-ZM-0 GNR 0722C LP - CMO/RMBS 12/01/2017 Paydown 29,977 29,977 33,883 32,962 (2,986) (2,986) 29,977 748 04/20/2037
38375P-KJ-9 GNR 089B PW - CMO/RMBS 02/28/2017 VARIOUS 183,418 167,317 194,297 183,473 (409) (409) 183,064 355 355 2,109 02/20/2038
38375Q-EY-1 GNR 0833A PB - CMO/RMBS 12/01/2017 VARIOUS 285,023 258,879 292,480 293,374 (611) (611) 292,763 (7,740) (7,740) 3,376 04/20/2038
38376F-FN-7 GNR 0961F AP - CMO/RMBS 12/01/2017 Paydown 23,286 23,286 24,578 25,045 (1,759) (1,759) 23,286 393 08/20/2039
38376J-JZ-8 GNR 09104E YD - CMO/RMBS 04/01/2017 BREAN CAPITAL 270,703 250,000 263,828 255,794 (227) (227) 255,567 15,136 15,136 3,021 11/20/2039
38376K-GV-7 GNR 0993D AY - CMO/RMBS 10/01/2017 VARIOUS 295,654 273,383 308,730 297,016 (464) (464) 296,552 (898) (898) 3,221 10/20/2039
38376L-EG-0 GNR 1090B LE - CMO/RMBS 12/01/2017 Paydown 19,071 19,071 20,383 19,985 (914) (914) 19,071 492 07/16/2040
38376P-ZF-0 GNR 09116C BN - CMO/RMBS 04/01/2017 GX CLARKE & CO. 434,000 400,000 451,500 433,052 (976) (976) 432,077 1,923 1,923 4,167 07/16/2038
38376W-GQ-2 GNR 1014G QP - CMO/RMBS 12/01/2017 Paydown 11,513 11,513 12,403 11,875 (362) (362) 11,513 313 12/20/2039
38377R-FR-1 GNR 10158F CT - CMO/RMBS 12/01/2017 Paydown 21,461 21,461 23,107 23,229 (1,768) (1,768) 21,461 430 12/20/2040
38379E-MZ-2 GNR 14116D VE - CMO/RMBS 04/01/2017 VARIOUS 611,496 589,497 637,210 635,285 (738) (738) 634,547 (23,050) (23,050) 3,603 09/20/2027
912828-2A-7 UNITED STATES TREASURY 10/06/2017
BANC OF AMERICA
SECURITIES LLC 1,226,703 1,313,000 1,242,529 853 853 1,243,382 (16,679) (16,679) 3,040 08/15/2026
912828-2C-3 UNITED STATES TREASURY 06/01/2017
BANC OF AMERICA
SECURITIES LLC 3,189,852 3,209,000 3,202,075 3,202,881 226 226 3,203,107 (13,255) (13,255) 9,645 08/31/2018
912828-2P-4 UNITED STATES TREASURY 12/04/2017 GOLDMAN 93,901 95,000 94,276 16 16 94,293 (391) (391) 620 07/31/2022
912828-2R-0 UNITED STATES TREASURY 11/07/2017
BARCLAYS CAPITAL INC
FIXED INC 120,395 121,000 120,433 6 6 120,439 (44) (44) 636 08/15/2027
912828-2S-8 UNITED STATES TREASURY 12/13/2017 VARIOUS 1,466,934 1,500,000 1,480,195 629 629 1,480,824 (13,891) (13,891) 6,105 08/31/2022
912828-3H-1 UNITED STATES TREASURY 12/14/2017 NESBITT BURNS SECS INC 3,695,664 3,700,000 3,696,387 50 50 3,696,437 (772) (772) 3,202 11/30/2019
912828-A3-4 UNITED STATES TREASURY 10/01/2017
Salomon Smith Barney
Inc 3,001,982 3,000,000 3,011,535 3,006,540 (298) (298) 3,006,242 (4,260) (4,260) 6,593 11/30/2018
912828-K3-3 UNITED STATES TREASURY 07/26/2017 TORONTO DOMINION BK 706,919 705,321 708,402 (1,906) (1,906) 706,496 423 423 686 04/15/2020
912828-KQ-2 UNITED STATES TREASURY 10/01/2017
BANC OF AMERICA
SECURITIES LLC 3,118,467 3,000,000 3,209,356 3,131,591 (4,844) (4,844) 3,126,747 (8,280) (8,280) 20,459 05/15/2019
912828-M8-0 UNITED STATES TREASURY 12/13/2017
BANC OF AMERICA
SECURITIES LLC 942,467 950,000 944,137 22 22 944,158 (1,692) (1,692) 783 11/30/2022
912828-MS-6 UNITED STATES TREASURY 05/01/2017 VARIOUS 2,255,881 2,250,000 2,436,582 2,257,544 (2,556) (2,556) 2,254,987 893 893 26,499 02/28/2017
912828-SY-7 UNITED STATES TREASURY 07/01/2017 Maturity @ 100.0 810,000 810,000 811,045 810,415 (415) (415) 810,000 4,109 05/31/2017
912828-T6-7 UNITED STATES TREASURY 06/13/2017
BANC OF AMERICA
SECURITIES LLC 11,934,215 12,187,000 11,840,237 11,844,594 30,756 30,756 11,875,350 58,865 58,865 94,797 10/31/2021
912828-TS-9 UNITED STATES TREASURY 10/01/2017 Maturity @ 100.0 1,955,000 1,955,000 1,943,087 1,949,843 5,157 5,157 1,955,000 12,219 09/30/2017
912828-UZ-1 UNITED STATES TREASURY 10/01/2017
Salomon Smith Barney
Inc 2,488,761 2,500,000 2,484,082 2,491,260 578 578 2,491,838 (3,077) (3,077) 4,057 04/30/2018
912828-W3-0 UNITED STATES TREASURY 10/12/2017 VARIOUS 1,152,699 1,157,000 1,153,023 462 462 1,153,484 (785) (785) 5,439 02/28/2019
912828-WC-0 UNITED STATES TREASURY 04/01/2017 GOLDMAN SACHS & CO 1,000,622 1,000,000 1,023,848 1,021,028 (475) (475) 1,020,553 (19,932) (19,932) 4,544 10/31/2020
912828-WZ-9 UNITED STATES TREASURY 10/04/2017 VARIOUS 1,910,714 1,936,000 1,908,026 1,203 1,203 1,909,230 1,485 1,485 16,815 04/30/2022
912828-XP-0 UNITED STATES TREASURY 06/06/2017 Unknown 8,294,435 8,293,000 8,303,366 8,298,649 (4,053) (4,053) 8,294,596 (161) (161) 43,319 07/31/2017
912828-XS-4 UNITED STATES TREASURY 12/13/2017 VARIOUS 8,845,423 8,900,000 8,880,184 3,995 3,995 8,884,179 (38,756) (38,756) 48,604 05/31/2019
912833-LD-0 UNITED STATES TREASURY 04/01/2017 GOLDMAN SACHS & CO 1,663,796 2,000,000 1,669,995 1,825,529 3,344 3,344 1,828,873 (165,077) (165,077) 173,544 05/15/2021
912833-LH-1 UNITED STATES TREASURY 04/01/2017
Salomon Smith Barney
Inc 1,743,470 2,000,000 1,713,020 1,764,757 3,609 3,609 1,768,365 (24,895) (24,895) 41,610 05/15/2022
912833-LL-2 UNITED STATES TREASURY 05/01/2017
BARCLAYS CAPITAL FIXED
INCOME 1,629,880 2,000,000 1,625,381 1,723,156 4,944 4,944 1,728,099 (98,220) (98,220) 114,360 02/15/2023
E14
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date912833-LQ-1 UNITED STATES TREASURY 04/01/2017 GOLDMAN SACHS & CO 1,502,240 2,000,000 1,502,240 1,627,063 4,136 4,136 1,631,199 (128,959) (128,959) 187,840 02/15/2024
912833-LR-9 UNITED STATES TREASURY 05/01/2017 GOLDMAN SACHS & CO 1,660,238 2,000,000 1,666,220 1,708,737 3,201 3,201 1,711,938 (51,699) (51,699) 16,282 05/15/2024
912833-LW-8 UNITED STATES TREASURY 05/01/2017 VARIOUS 2,412,550 3,000,000 2,557,830 2,587,889 2,721 2,721 2,590,610 (178,060) (178,060) 08/15/2025
0599999. Subtotal - Bonds - U.S. Governments 73,432,288 75,878,146 73,978,709 53,778,365 22,400 22,400 74,102,732 (670,444) (670,444) 895,487 XXX
68323A-ED-2 ONTARIO, PROVINCE OF 04/01/2017
TORONTO DOMINION
SECURTIES (USA) INC 150,963 150,000 149,628 1 1 149,629 1,334 1,334 50 02/08/2022
1099999. Subtotal - Bonds - All Other Governments 150,963 150,000 149,628 1 1 149,629 1,334 1,334 50 XXX452152-C4-1 ILLINOIS ST 10/18/2017 VARIOUS 3,488,258 3,315,000 3,594,885 3,547,377 (66,167) (66,167) 3,481,210 7,047 7,047 130,123 06/01/2019
452152-HU-8 ILLINOIS ST 10/16/2017
MERRILL LYNCH PIERCE
FENNER 1,124,787 1,085,000 1,164,585 1,138,504 (19,154) (19,154) 1,119,350 5,437 5,437 72,090 03/01/2019
677521-YA-8 OHIO STATE 04/01/2017 MARKETAXESS 447,840 400,000 473,972 440,135 (1,117) (1,117) 439,018 8,822 8,822 10,444 08/01/2020
1799999. Subtotal - Bonds - U.S. States, Territories and Possessions 5,060,885 4,800,000 5,233,442 5,126,016 (86,438) (86,438) 5,039,579 21,306 21,306 212,658 XXX
25476F-TC-2 DISTRICT COLUMBIA 06/01/2017
JP MORGAN SECURITIES
INC. 2,093,180 2,000,000 2,107,500 2,105,069 (18,640) (18,640) 2,086,429 6,751 6,751 28,611 06/01/2018
486063-UZ-1 KATY TEX INDPT SCH DIST 06/01/2017
CITIGROUP GLOBAL
MARKETS/ALGO 387,435 375,000 391,316 390,666 (4,435) (4,435) 386,232 1,203 1,203 6,875 02/15/2018
486063-VA-5 KATY TEX INDPT SCH DIST 06/01/2017
SIEBERT BRANDFORD SHANK
& CO. LLC 1,354,714 1,265,000 1,359,571 1,357,561 (13,721) (13,721) 1,343,840 10,874 10,874 23,192 02/15/2019
486063-VB-3 KATY TEX INDPT SCH DIST 06/01/2017
JEFFERIES & COMPANY,
INC. 463,835 420,000 462,403 461,793 (4,164) (4,164) 457,629 6,206 6,206 7,700 02/15/2020
717883-SF-0 PHILADELPHIA PA SCH DIST 06/06/2017 Unknown 109,084 105,000 110,895 110,479 (1,395) (1,395) 109,084 2,917 09/01/2018
763261-ZM-9 RICHARDSON TEX INDPT SCH DIST 04/01/2017 MARKETAXESS 577,495 500,000 597,635 562,044 (1,189) (1,189) 560,855 16,640 16,640 12,083 02/15/2022
889855-D2-5 TOMBALL TEX INDPT SCH DIST 06/01/2017
CITIGROUP GLOBAL
MARKETS/ALGO 314,989 305,000 320,396 318,890 (3,930) (3,930) 314,960 28 28 7,456 02/15/2018
969073-MG-7 WILL CNTY ILL CMNTY HIGH SCH DIST NO 210 07/01/2017 Unknown 3,443,266 3,200,000 3,639,136 3,394,752 88,176 (39,661) 48,514 3,443,266 148,889 01/01/2020
2499999. Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions 8,743,999 8,170,000 8,988,853 8,701,253 88,176 (87,133) 1,043 8,702,297 41,702 41,702 237,722 XXX010608-D2-0 ALABAMA ST PUB SCH & COLLEGE AUTH 06/01/2017 RAYMOND JAMES/FI 4,650,176 4,520,000 4,711,151 4,688,854 (40,467) (40,467) 4,648,387 1,789 1,789 69,683 12/01/2019
072024-TM-4 BAY AREA TOLL AUTH CALIF TOLL BRDG REV 11/01/2017 VARIOUS 470,000 470,000 470,000 470,000 470,000 7,050 04/01/2047
072024-TN-2 BAY AREA TOLL AUTH CALIF TOLL BRDG REV 02/06/2017
MARKETAXESS CORPORATION
502,975 500,000 500,000 500,000 500,000 2,975 2,975 3,333 04/01/2047
167736-VW-4 CHICAGO ILL WTR REV 11/01/2017 Maturity @ 100.0 145,000 145,000 163,857 148,932 (3,932) (3,932) 145,000 7,250 11/01/2017
18085P-MX-9 CLARK CNTY NEV ARPT REV 06/06/2017 VARIOUS 3,600,000 3,600,000 3,600,000 3,600,000 3,600,000 19,882 07/01/2040
23239T-AA-9 CUYAHOGA OHIO MET HSG AUTH MULTIFAMILY H 06/06/2017 Unknown 2,385,000 2,385,000 2,385,000 2,385,000 2,385,000 12,256 09/01/2019
31282C-KH-9 FH M30296 - RMBS 12/01/2017 Paydown 12,109 12,109 12,714 12,268 (159) (159) 12,109 180 09/01/2018
3128CU-QS-8 FH G30465 - RMBS 12/01/2017 Paydown 40,885 40,885 46,532 45,395 (4,512) (4,512) 40,885 1,180 09/01/2026
3128M1-LH-0 FH G12228 - RMBS 12/01/2017 Paydown 16,996 16,996 18,377 17,906 (910) (910) 16,996 412 07/01/2021
3128M1-M2-2 FH G12277 - RMBS 12/01/2017 Paydown 11,225 11,225 12,236 11,844 (619) (619) 11,225 320 08/01/2021
3128M1-PA-1 FH G12317 - RMBS 12/01/2017 Paydown 7,475 7,475 8,090 7,891 (417) (417) 7,475 184 08/01/2021
3128M1-PS-2 FH G12333 - RMBS 12/01/2017 Paydown 8,255 8,255 8,796 8,602 (348) (348) 8,255 167 06/01/2021
3128M8-P8-1 FH G06447 - RMBS 12/01/2017 Paydown 24,689 24,689 26,942 26,911 (2,222) (2,222) 24,689 484 05/01/2041
3128MB-4P-9 FH G13330 - RMBS 12/01/2017 Paydown 7,404 7,404 8,089 7,486 (82) (82) 7,404 116 10/01/2019
3128MC-6J-9 FH G14273 - RMBS 12/01/2017 Paydown 77,669 77,669 83,737 83,686 (6,019) (6,019) 77,669 1,672 07/01/2025
3128MC-CL-7 FH G13475 - RMBS 12/01/2017 Paydown 21,582 21,582 23,293 23,049 (1,468) (1,468) 21,582 581 01/01/2024
3128MF-HF-8 FH G16330 - RMBS 12/01/2017 Paydown 10,835 10,835 11,245 (410) (410) 10,835 08/01/2032
3128MJ-YN-4 FH G08716 - RMBS 12/01/2017 Paydown 127,682 127,682 130,986 (3,305) (3,305) 127,682 1,819 08/01/2046
3128MJ-ZB-9 FH G08737 - RMBS 12/01/2017 Paydown 74,116 74,116 73,781 334 334 74,116 838 12/01/2046
3128P8-CS-8 FH C91881 - RMBS 12/01/2017 Paydown 6,724 6,724 7,004 (279) (279) 6,724 12 07/01/2036
312965-T4-8 FH B13271 - RMBS 12/01/2017 Paydown 42,774 42,774 45,675 43,898 (1,125) (1,125) 42,774 820 04/01/2019
3132GM-DL-3 FH Q05807 - RMBS 12/01/2017 Paydown 85,608 85,608 90,317 90,355 (4,747) (4,747) 85,608 1,538 01/01/2042
3132KS-A3-8 FH V70026 - RMBS 12/01/2017 Paydown 35,836 35,836 37,734 37,840 (2,004) (2,004) 35,836 682 05/01/2033
31335H-5A-7 FH C90841 - RMBS 12/01/2017 Paydown 20,254 20,254 22,248 21,375 (1,121) (1,121) 20,254 490 05/01/2024
31335H-7D-9 FH C90892 - RMBS 12/01/2017 Paydown 34,489 34,489 37,585 37,347 (2,859) (2,859) 34,489 762 04/01/2025
31335H-WP-4 FH C90654 - RMBS 12/01/2017 Paydown 15,355 15,355 16,634 16,353 (998) (998) 15,355 383 04/01/2023
3133EC-SW-5 FEDERAL FARM CREDIT BANKS FUNDING CORP 04/01/2017 NESBITT BURNS SECS INC 715,141 700,000 697,029 697,885 37 37 697,922 17,219 17,219 2,082 06/24/2022
3133TE-R5-5 FHR 2073B PH - CMO/RMBS 12/01/2017 Paydown 24,228 24,228 27,226 26,602 (2,375) (2,375) 24,228 637 07/15/2028
E14.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date
3134G9-SM-0 FEDERAL HOME LOAN MORTGAGE CORP 06/13/2017
DAVIDSON (D.A.) & CO.
INC. 658,209 659,000 655,705 261 261 655,966 2,243 2,243 4,503 06/30/2021
3136A1-G8-2 FNR 11112A PB - CMO/RMBS 04/01/2017 STEPHENS INC. 230,244 220,000 239,800 238,909 (231) (231) 238,678 (8,434) (8,434) 2,127 11/25/2041
3136A1-MA-0 FNR 1199C DB - CMO/RMBS 04/01/2017 VARIOUS 378,643 352,808 386,986 378,070 (1,051) (1,051) 377,019 1,624 1,624 4,953 10/25/2041
3136A2-YE-7 FNR 11122A A - CMO/RMBS 12/01/2017 Paydown 28,362 28,362 29,230 28,832 (471) (471) 28,362 384 12/25/2025
3136A4-2W-8 FNR 1234E KA - CMO/RMBS 12/01/2017 VARIOUS 399,527 392,327 398,702 397,789 (34) (34) 397,755 1,772 1,772 3,293 09/25/2041
3136A4-HL-6 FNR 1220G BY - CMO/RMBS 04/01/2017 BREAN CAPITAL 100,844 100,000 106,625 106,253 (75) (75) 106,178 (5,334) (5,334) 846 03/25/2032
3136A4-JR-1 FNR 1220E TD - CMO/RMBS 12/01/2017 VARIOUS 358,873 344,519 364,734 359,728 (1,582) (1,582) 358,147 726 726 4,688 02/25/2042
3136A4-Q4-4 FNR 1239B MP - CMO/RMBS 12/01/2017 VARIOUS 412,405 391,957 417,115 414,369 (948) (948) 413,420 (1,016) (1,016) 3,747 11/25/2041
3136A8-DA-5 FNR 1298J KY - CMO/RMBS 04/01/2017 STEPHENS INC. 520,859 500,000 545,156 541,740 (432) (432) 541,307 (20,448) (20,448) 3,306 09/25/2027
3136AA-2A-2 FNR 12145A HE - CMO/RMBS 12/01/2017 Paydown 14,115 14,115 13,797 13,792 323 323 14,115 122 01/25/2033
3136AA-QE-8 FNR 12134A VA - CMO/RMBS 12/01/2017 Paydown 22,563 22,563 23,506 23,395 (832) (832) 22,563 315 01/25/2026
3136AB-DL-4 FNR 12147F WN - CMO/RMBS 12/01/2017 Paydown 36,573 36,573 39,316 39,060 (2,487) (2,487) 36,573 748 01/25/2033
3136AC-GA-3 FNR 134A AJ - CMO/RMBS 12/01/2017 VARIOUS 490,172 480,640 502,599 501,260 (244) (244) 501,016 (10,844) (10,844) 3,473 02/25/2043
3136AC-H5-3 FNR 1313A PH - CMO/RMBS 12/01/2017 Paydown 23,903 23,903 24,187 24,149 (246) (246) 23,903 274 04/25/2042
3136AC-TJ-0 FNR 1320A DL - CMO/RMBS 04/01/2017 VARIOUS 392,890 371,405 405,470 402,321 (668) (668) 401,653 (8,763) (8,763) 3,545 03/25/2033
3136AC-WD-9 FNR 1320P MC - CMO/RMBS 04/01/2017 VARIOUS 149,125 141,317 154,698 154,501 (293) (293) 154,207 (5,083) (5,083) 1,346 03/25/2033
3136AD-GF-0 FNR 1331F HC - CMO/RMBS 12/01/2017 Paydown 33,685 33,685 32,906 32,904 781 781 33,685 337 02/25/2043
3136AD-GP-8 FNR 1331G ME - CMO/RMBS 12/01/2017 VARIOUS 545,944 564,559 535,802 537,688 504 504 538,192 7,752 7,752 2,109 04/25/2033
3136AE-HL-4 FNR 1357F DK - CMO/RMBS 04/01/2017 VARIOUS 205,560 199,682 213,535 212,052 (119) (119) 211,933 (6,374) (6,374) 1,676 06/25/2033
3136AF-W8-3 FNR 1383E CA - CMO/RMBS 12/01/2017 VARIOUS 201,941 196,395 204,303 203,347 (483) (483) 202,864 (923) (923) 2,218 10/25/2037
3136AG-HV-7 FNR 1394B CV - CMO/RMBS 12/01/2017 VARIOUS 680,921 657,335 672,433 669,647 (158) (158) 669,490 11,431 11,431 4,398 07/25/2033
3136AH-HJ-2 FNR 13120C CV - CMO/RMBS 04/01/2017 STEPHENS INC. 401,500 400,000 405,688 404,658 (91) (91) 404,567 (3,067) (3,067) 2,900 08/25/2033
3136AJ-D5-2 FNR 1426C YW - CMO/RMBS 04/01/2017 BREAN CAPITAL 99,375 100,000 110,469 110,181 (125) (125) 110,056 (10,681) (10,681) 846 04/25/2044
3136AJ-T9-7 FNR 1429B PA - CMO/RMBS 04/01/2017 VARIOUS 166,013 160,655 170,947 169,856 (156) (156) 169,699 (3,687) (3,687) 1,440 01/25/2044
3136G0-RL-7 FEDERAL NATIONAL MORTGAGE ASSOCIATION 04/01/2017
NOMURA SECURITIES
INTL., FIXED I 477,192 475,000 464,289 470,230 189 189 470,419 6,774 6,774 4,096 07/24/2019
31371K-2X-8 FN 254690 - RMBS 12/01/2017 Paydown 24,231 24,231 26,253 25,711 (1,480) (1,480) 24,231 586 04/01/2023
31371K-4C-2 FN 254719 - RMBS 12/01/2017 Paydown 19,266 19,266 20,563 19,564 (298) (298) 19,266 398 04/01/2018
31371K-4D-0 FN 254720 - RMBS 12/01/2017 Paydown 20,703 20,703 22,107 21,045 (342) (342) 20,703 434 05/01/2018
31371K-U2-5 FN 254501 - RMBS 12/01/2017 Paydown 10,496 10,496 11,394 11,132 (637) (637) 10,496 259 09/01/2022
31371M-MM-6 FN 256064 - RMBS 12/01/2017 Paydown 21,637 21,637 23,908 23,863 (2,227) (2,227) 21,637 507 01/01/2026
31371M-NA-1 FN 256085 - RMBS 12/01/2017 Paydown 2,353 2,353 2,497 2,544 (191) (191) 2,353 50 12/01/2025
31371M-TC-1 FN 256247 - RMBS 12/01/2017 Paydown 18,709 18,709 20,708 20,591 (1,882) (1,882) 18,709 481 05/01/2026
31371M-VC-8 FN 256311 - RMBS 12/01/2017 Paydown 11,585 11,585 12,664 12,633 (1,049) (1,049) 11,585 315 07/01/2026
31371M-XL-6 FN 256383 - RMBS 12/01/2017 Paydown 13,263 13,263 14,689 14,795 (1,532) (1,532) 13,263 323 08/01/2026
31371M-ZD-2 FN 256440 - RMBS 12/01/2017 Paydown 15,837 15,837 17,193 16,755 (918) (918) 15,837 449 10/01/2021
31371M-ZM-2 FN 256448 - RMBS 12/01/2017 VARIOUS 17,007 15,449 16,863 16,918 (287) (287) 16,631 376 376 683 10/01/2026
31371N-2D-6 FN 257372 - RMBS 12/01/2017 Paydown 8,682 8,682 9,479 9,650 (968) (968) 8,682 246 09/01/2028
31371N-2E-4 FN 257373 - RMBS 12/01/2017 Paydown 15,276 15,276 16,847 16,797 (1,521) (1,521) 15,276 389 09/01/2028
31371N-AA-3 FN 256601 - RMBS 12/01/2017 Paydown 14,398 14,398 15,730 15,662 (1,263) (1,263) 14,398 373 02/01/2027
31371N-DU-6 FN 256715 - RMBS 12/01/2017 Paydown 26,113 26,113 28,447 28,347 (2,234) (2,234) 26,113 771 05/01/2027
31371N-NJ-0 FN 256993 - RMBS 12/01/2017 Paydown 9,178 9,178 10,187 10,116 (939) (939) 9,178 300 11/01/2027
31371N-NY-7 FN 257007 - RMBS 12/01/2017 VARIOUS 108,546 98,957 110,355 110,128 (2,467) (2,467) 107,661 885 885 4,214 12/01/2027
31371N-P9-0 FN 257048 - RMBS 12/01/2017 VARIOUS 53,659 48,570 53,002 53,171 (721) (721) 52,450 1,209 1,209 2,159 01/01/2028
31371N-PJ-8 FN 257025 - RMBS 12/01/2017 Paydown 25,695 25,695 28,505 28,339 (2,645) (2,645) 25,695 751 12/01/2027
31371N-SP-1 FN 257126 - RMBS 12/01/2017 VARIOUS 47,219 42,771 46,648 46,572 (613) (613) 45,958 1,260 1,260 1,888 03/01/2028
31371N-TU-9 FN 257163 - RMBS 12/01/2017 Paydown 8,010 8,010 8,566 8,856 (846) (846) 8,010 170 04/01/2028
31371N-U8-6 FN 257207 - RMBS 12/01/2017 Paydown 11,687 11,687 13,215 13,172 (1,485) (1,485) 11,687 325 05/01/2038
31371N-WM-3 FN 257252 - RMBS 12/01/2017 Paydown 19,595 19,595 21,377 21,436 (1,841) (1,841) 19,595 579 06/01/2028
3137A0-5F-8 FHR 3677A PB - CMO/RMBS 12/01/2017 Paydown 31,457 31,457 34,996 33,529 (2,072) (2,072) 31,457 586 05/15/2040
3137A0-MB-8 FHR 3688L BC - CMO/RMBS 10/01/2017 VARIOUS 954,374 889,165 972,370 958,354 (1,443) (1,443) 956,911 (2,537) (2,537) 7,890 07/15/2040
3137A1-LY-7 FHR 3710D GB - CMO/RMBS 04/01/2017 VARIOUS 299,994 285,676 306,924 300,188 (417) (417) 299,771 223 223 2,545 08/15/2025
3137A1-RJ-4 FHR 3722B DW - CMO/RMBS 04/01/2017 VARIOUS 262,382 250,000 265,078 258,955 (458) (458) 258,497 3,884 3,884 2,940 09/15/2030
3137A3-AF-6 FHR 3754C MB - CMO/RMBS 04/01/2017 VARIOUS 360,461 345,891 364,699 353,668 (541) (541) 353,127 7,334 7,334 3,086 01/15/2039
3137A4-M7-9 FHR 3770J KB - CMO/RMBS 04/01/2017 GX CLARKE & CO. 639,276 595,454 663,187 654,266 (1,079) (1,079) 653,187 (13,911) (13,911) 4,499 12/15/2025
3137A6-QZ-8 FHR 3816B HA - CMO/RMBS 12/01/2017 VARIOUS 508,538 488,428 511,903 505,617 (360) (360) 505,258 3,280 3,280 3,561 11/15/2025
3137A6-R3-8 FHR 3816D HM - CMO/RMBS 12/01/2017 VARIOUS 564,886 521,158 573,762 558,622 (668) (668) 557,954 6,932 6,932 4,430 05/15/2040
E14.2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date3137A7-JZ-4 FHR 3810D NB - CMO/RMBS 04/01/2017 D A Davidson 260,156 250,000 261,602 255,437 (584) (584) 254,853 5,303 5,303 3,306 12/15/2028
3137A7-TL-4 FHR 3828A B - CMO/RMBS 10/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 375,118 359,610 381,468 371,880 (368) (368) 371,512 3,606 3,606 3,042 03/15/2031
3137A8-VY-1 FHR 3844C QB - CMO/RMBS 04/01/2017 GX CLARKE & CO. 325,219 300,000 329,625 322,216 (252) (252) 321,963 3,255 3,255 3,263 04/15/2041
3137AA-AF-0 FHR 3858C CB - CMO/RMBS 04/01/2017 GX CLARKE & CO. 201,163 190,000 205,378 202,159 (711) (711) 201,448 (285) (285) 2,533 05/15/2026
3137AD-ZD-2 FHR 3911A B - CMO/RMBS 04/01/2017 STEPHENS INC. 419,313 400,000 412,563 409,341 (388) (388) 408,953 10,359 10,359 3,383 08/15/2026
3137AH-GR-3 FHR 3959B MA - CMO/RMBS 12/01/2017 Paydown 47,496 47,496 51,562 51,558 (4,063) (4,063) 47,496 1,041 11/15/2041
3137AJ-JZ-8 FHR 3962G KD - CMO/RMBS 04/01/2017 VARIOUS 301,392 296,027 310,043 308,984 (266) (266) 308,719 (7,326) (7,326) 2,146 10/15/2026
3137AK-3E-9 FHR 3974C B - CMO/RMBS 04/01/2017 STEPHENS INC. 557,906 550,000 581,367 578,254 (390) (390) 577,864 (19,958) (19,958) 3,117 12/15/2026
3137AK-6V-8 FHR 3970E LJ - CMO/RMBS 04/01/2017 STEPHENS INC. 148,125 150,000 156,633 156,020 (117) (117) 155,904 (7,779) (7,779) 1,088 12/15/2026
3137AN-UB-9 FHR 4037B B - CMO/RMBS 04/01/2017 STEPHENS INC. 568,084 559,000 589,745 586,075 (462) (462) 585,613 (17,529) (17,529) 3,168 04/15/2027
3137AT-HV-7 FHR 4097K CU - CMO/RMBS 04/01/2017 GX CLARKE & CO. 64,125 75,000 67,547 67,978 103 103 68,081 (3,956) (3,956) 272 08/15/2027
3137AT-QV-7 FHR 4097Q VB - CMO/RMBS 12/01/2017 Paydown 108,599 108,599 103,814 103,007 5,592 5,592 108,599 1,066 08/15/2042
3137AY-EW-7 FHR 4171 NG - CMO/RMBS 12/01/2017 VARIOUS 386,962 399,456 392,278 393,143 222 222 393,365 (6,402) (6,402) 2,260 06/15/2042
3137BA-R5-3 FHR 4335C VP - CMO/RMBS 12/01/2017 VARIOUS 694,317 646,240 709,955 696,159 (1,004) (1,004) 695,155 (838) (838) 5,159 07/15/2025
31385W-5T-2 FN 555358 - RMBS 12/26/2017 VARIOUS 6,676 6,676 7,304 6,747 (71) (71) 6,676 140 12/01/2017
31385X-K7-1 FN 555718 - RMBS 12/01/2017 Paydown 15,780 15,780 16,766 16,544 (764) (764) 15,780 315 08/01/2023
3138A4-XB-6 FN AH3373 - RMBS 12/01/2017 Paydown 29,223 29,223 32,374 32,554 (3,331) (3,331) 29,223 547 01/01/2041
3138AK-XX-2 FN AI6093 - RMBS 12/01/2017 Paydown 50,896 50,896 55,540 55,903 (5,008) (5,008) 50,896 1,043 06/01/2031
3138EG-FA-7 FN AL0160 - RMBS 12/01/2017 Paydown 94,648 94,648 102,279 (7,631) (7,631) 94,648 1,409 05/01/2041
3138EH-SV-5 FN AL1431 - RMBS 12/01/2017 Paydown 54,533 54,533 59,876 60,261 (5,728) (5,728) 54,533 984 11/01/2041
3138EJ-XS-2 FN AL2488 - RMBS 12/01/2017 Paydown 38,263 38,263 40,726 40,700 (2,437) (2,437) 38,263 579 09/01/2032
3138EK-RW-7 FN AL3200 - RMBS 12/01/2017 Paydown 26,422 26,422 27,863 27,864 (1,443) (1,443) 26,422 414 02/01/2033
3138EN-Z9-3 FN AL6167 - RMBS 12/01/2017 Paydown 26,001 26,001 27,618 27,627 (1,626) (1,626) 26,001 443 01/01/2044
3138ER-2E-9 FN AL9772 - RMBS 12/01/2017 Paydown 93,970 93,970 96,275 (2,305) (2,305) 93,970 856 09/01/2026
3138ER-ZG-8 FN AL9742 - RMBS 12/01/2017 Paydown 271,456 271,456 284,676 (13,220) (13,220) 271,456 3,557 07/01/2029
3138ET-RW-8 FN AL8600 - RMBS 12/01/2017 Paydown 58,295 58,295 60,809 (2,514) (2,514) 58,295 346 04/01/2031
3138L5-E4-8 FN AM4654 - RMBS 12/01/2017 Paydown 3,290 3,290 3,529 3,505 (216) (216) 3,290 55 01/01/2024
3138MC-YK-4 FN AP8813 - RMBS 12/01/2017 Paydown 36,049 36,049 38,600 38,608 (2,559) (2,559) 36,049 490 11/01/2042
3138MJ-VC-0 FN AQ3310 - RMBS 12/01/2017 Paydown 25,552 25,552 27,520 27,520 (1,969) (1,969) 25,552 435 11/01/2042
3138W9-CT-5 FN AS0081 - RMBS 12/01/2017 Paydown 70,981 70,981 76,394 76,293 (5,312) (5,312) 70,981 1,350 08/01/2043
3138W9-GK-0 FN AS0201 - RMBS 12/01/2017 Paydown 33,487 33,487 35,093 35,107 (1,621) (1,621) 33,487 508 08/01/2043
3138WH-F6-4 FN AS7388 - RMBS 12/01/2017 Paydown 133,710 133,710 137,158 (3,447) (3,447) 133,710 2,032 06/01/2046
31390J-RT-0 FN 647698 - RMBS 12/01/2017 Paydown 15,926 15,926 17,360 16,074 (148) (148) 15,926 278 07/01/2017
31392B-QR-0 FNR 0181H HE - CMO/RMBS 12/01/2017 Paydown 12,059 12,059 13,416 13,495 (1,436) (1,436) 12,059 346 01/25/2032
31392F-ES-2 FNR 0271G AP - CMO/RMBS 12/01/2017 Paydown 16,159 16,159 17,331 17,302 (1,142) (1,142) 16,159 384 11/25/2032
31393A-K9-7 FNR 0324A PD - CMO/RMBS 12/01/2017 Paydown 19,446 19,446 20,960 19,798 (352) (352) 19,446 448 04/25/2018
31393C-RH-8 FNR 0347B PE - CMO/RMBS 12/01/2017 Paydown 32,630 32,630 36,974 37,015 (4,385) (4,385) 32,630 878 06/25/2033
31393L-YD-9 FHR 2581C LL - CMO/RMBS 12/15/2017 VARIOUS 3,998 4,000 4,500 4,330 (21) (21) 4,308 (310) (310) 90 03/15/2033
31393N-K5-7 FHR 2590J OA - CMO/RMBS 12/01/2017 Paydown 8,965 8,965 9,366 9,330 (365) (365) 8,965 159 03/15/2033
31393T-AH-9 FNR 0392A PE - CMO/RMBS 12/01/2017 Paydown 16,169 16,169 17,697 16,397 (229) (229) 16,169 332 09/25/2018
31394A-5A-0 FNR 0470F EB - CMO/RMBS 12/01/2017 Paydown 12,288 12,288 13,565 13,080 (793) (793) 12,288 271 10/25/2024
31394B-GT-5 FNR 0479B B - CMO/RMBS 12/01/2017 Paydown 36,728 36,728 39,769 39,063 (2,334) (2,334) 36,728 729 11/25/2034
31394C-JP-8 FNR 0519A PA - CMO/RMBS 12/01/2017 Paydown 24,482 24,482 26,686 25,431 (949) (949) 24,482 621 07/25/2034
31394D-G8-7 FNR 0553D LY - CMO/RMBS 12/01/2017 Paydown 36,084 36,084 39,625 38,798 (2,714) (2,714) 36,084 791 06/25/2025
31394E-2Q-0 FNR 0568A GC - CMO/RMBS 12/01/2017 Paydown 42,568 42,568 44,337 43,168 (600) (600) 42,568 954 07/25/2035
31394L-MM-1 FHR 2709 PG - CMO/RMBS 12/01/2017 Paydown 50,737 50,737 55,509 54,906 (4,170) (4,170) 50,737 1,152 11/15/2023
31394M-CM-0 FHR 2702C CE - CMO/RMBS 04/01/2017 VARIOUS 437,930 408,593 447,026 436,805 (868) (868) 435,937 1,994 1,994 4,325 11/15/2033
31394U-S6-0 FNR 05110B GL - CMO/RMBS 04/01/2017
SOUTHWEST SECURITIES
INC 451,328 400,000 474,703 451,444 (741) (741) 450,704 625 625 4,583 12/25/2035
31394Y-H9-8 FHR 2793A PE - CMO/RMBS 04/01/2017 VARIOUS 342,936 318,168 365,495 347,796 (1,584) (1,584) 346,211 (3,276) (3,276) 4,545 05/15/2034
31397F-5S-7 FHR 3274E B - CMO/RMBS 12/01/2017 Paydown 35,834 35,834 39,994 41,152 (5,317) (5,317) 35,834 620 02/15/2037
31397S-G2-4 FNR 1146A B - CMO/RMBS 04/01/2017 STEPHENS INC. 1,132,313 1,100,000 1,117,070 1,110,530 (280) (280) 1,110,251 22,062 22,062 6,233 05/25/2026
31398C-XG-8 FHR 3534C MB - CMO/RMBS 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 441,020 417,333 452,024 438,431 (724) (724) 437,706 3,313 3,313 3,478 05/15/2024
31398J-GN-7 FHR 3563J LB - CMO/RMBS 12/01/2017 Paydown 31,204 31,204 32,706 32,308 (1,104) (1,104) 31,204 494 08/15/2029
31398L-KA-5 FHR 3614A QB - CMO/RMBS 04/01/2017 STEPHENS INC. 212,250 200,000 219,094 215,458 (852) (852) 214,606 (2,356) (2,356) 2,644 12/15/2024
31398M-6U-5 FN 10M3 A3 - CMBS 07/21/2017 VARIOUS 326,184 308,796 332,414 331,377 (3,799) (3,799) 327,578 (1,395) (1,395) 7,053 03/25/2020
E14.3
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date31398Q-K3-0 FHR 3684A CY - CMO/RMBS 04/01/2017 STEPHENS INC. 762,344 700,000 789,578 775,193 (1,734) (1,734) 773,459 (11,115) (11,115) 5,950 06/15/2025
31398S-MV-2 FNR 10134E EB - CMO/RMBS 04/01/2017 STEPHENS INC. 213,750 200,000 220,625 217,640 (357) (357) 217,283 (3,533) (3,533) 1,933 12/25/2025
31398W-SD-7 FHR 3632A PK - CMO/RMBS 12/01/2017 Paydown 30,996 30,996 34,522 34,105 (3,109) (3,109) 30,996 684 02/15/2040
31402R-P2-9 FN 735841 - RMBS 12/01/2017 Paydown 28,503 28,503 30,213 29,137 (634) (634) 28,503 575 11/01/2019
31402Y-NK-6 FN 742094 - RMBS 12/01/2017 Paydown 24,250 24,250 25,871 25,005 (756) (756) 24,250 500 04/01/2019
31403C-ZP-9 FN 745150 - RMBS 12/01/2017 Paydown 28,667 28,667 30,567 29,506 (840) (840) 28,667 584 06/01/2020
31403D-KF-5 FN 745594 - RMBS 12/01/2017 Paydown 16,919 16,919 18,061 17,479 (561) (561) 16,919 316 03/01/2021
31404W-TM-8 FN 780956 - RMBS 12/01/2017 Paydown 26,719 26,719 28,418 27,264 (546) (546) 26,719 546 05/01/2019
31407J-DC-3 FN 831799 - RMBS 12/01/2017 Paydown 5,655 5,655 6,300 6,670 (1,015) (1,015) 5,655 173 09/01/2036
31407S-LF-7 FN 839226 - RMBS 12/01/2017 Paydown 5,221 5,221 5,448 5,340 (119) (119) 5,221 83 09/01/2020
31407X-DP-3 FN 843510 - RMBS 12/01/2017 Paydown 16,201 16,201 17,145 16,740 (540) (540) 16,201 305 11/01/2020
3140EV-JC-2 FN BC1158 - RMBS 12/01/2017 Paydown 103,114 103,114 105,888 (2,774) (2,774) 103,114 1,277 02/01/2046
31410C-RK-0 FN 885290 - RMBS 12/01/2017 Paydown 14,877 14,877 16,230 15,633 (756) (756) 14,877 341 06/01/2021
31410F-2N-4 FN 888281 - RMBS 12/01/2017 VARIOUS 70,755 64,244 71,110 71,411 (1,361) (1,361) 70,050 705 705 2,821 04/01/2027
31410G-CD-3 FN 888468 - RMBS 12/01/2017 Paydown 31,754 31,754 34,801 33,719 (1,966) (1,966) 31,754 768 09/01/2021
31410G-SV-6 FN 888932 - RMBS 12/01/2017 Paydown 17,870 17,870 18,932 18,506 (636) (636) 17,870 370 11/01/2022
31412L-EN-6 FN 928141 - RMBS 12/01/2017 Paydown 14,354 14,354 16,023 16,030 (1,676) (1,676) 14,354 381 03/01/2037
31414T-A7-6 FN 975330 - RMBS 12/01/2017 Paydown 5,320 5,320 5,641 5,616 (296) (296) 5,320 120 05/01/2023
31416B-N5-3 FN 995112 - RMBS 12/01/2017 Paydown 37,529 37,529 41,141 42,099 (4,571) (4,571) 37,529 914 07/01/2036
31416C-MA-1 FN 995953 - RMBS 12/01/2017 Paydown 12,897 12,897 14,066 14,227 (1,329) (1,329) 12,897 348 11/01/2028
31416L-YF-7 FN AA3409 - RMBS 12/01/2017 Paydown 20,813 20,813 23,376 23,492 (2,679) (2,679) 20,813 406 03/01/2039
31416M-6U-3 FN AA4482 - RMBS 12/01/2017 Paydown 8,993 8,993 9,282 9,420 (427) (427) 8,993 139 04/01/2039
31416S-VH-1 FN AA8715 - RMBS 12/01/2017 Paydown 55,684 55,684 59,478 59,419 (3,735) (3,735) 55,684 944 06/01/2039
31417T-P5-1 FN AC6743 - RMBS 12/01/2017 Paydown 8,928 8,928 9,726 9,909 (981) (981) 8,928 176 12/01/2039
31417Y-D6-1 FN MA0124 - RMBS 12/01/2017 Paydown 8,816 8,816 9,290 9,016 (200) (200) 8,816 158 07/01/2019
31418A-AH-1 FN MA0907 - RMBS 12/01/2017 Paydown 13,193 13,193 13,762 (569) (569) 13,193 138 11/01/2041
31418A-HB-7 FN MA1125 - RMBS 12/01/2017 Paydown 22,076 22,076 24,063 24,109 (2,033) (2,033) 22,076 400 07/01/2042
31418A-HQ-4 FN MA1138 - RMBS 12/01/2017 Paydown 32,705 32,705 34,825 34,426 (1,721) (1,721) 32,705 498 08/01/2032
31418A-K3-1 FN MA1213 - RMBS 12/01/2017 Paydown 11,886 11,886 12,611 12,623 (737) (737) 11,886 188 10/01/2042
31418B-D4-5 FN MA1922 - RMBS 12/01/2017 Paydown 125,060 125,060 132,850 (7,790) (7,790) 125,060 1,750 06/01/2034
31418B-FY-7 FN MA1982 - RMBS 12/01/2017 Paydown 141,537 141,537 147,553 (6,015) (6,015) 141,537 1,949 08/01/2034
31418B-G5-9 FN MA2019 - RMBS 12/01/2017 Paydown 57,299 57,299 60,908 (3,609) (3,609) 57,299 821 09/01/2034
31418M-QV-7 FN AD0467 - RMBS 12/01/2017 Paydown 38,263 38,263 41,810 40,630 (2,368) (2,368) 38,263 1,028 04/01/2023
31418M-QZ-8 FN AD0471 - RMBS 12/01/2017 Paydown 16,864 16,864 18,242 17,827 (963) (963) 16,864 408 01/01/2024
31419A-E9-4 FN AE0159 - RMBS 12/01/2017 Paydown 28,701 28,701 31,948 31,093 (2,393) (2,393) 28,701 785 01/01/2024
34073J-UY-3 FLORIDA HSG FIN CORP MULTIFAMILY REV 06/01/2017 Call @ 100.0 465,000 465,000 465,000 465,000 465,000 2,790 10/01/2017
40579P-AB-7 HALIFAX CNTY VA INDL DEV AUTH REV 04/01/2017
PIPER JAFFRAY &
HOPWOOD, INC 298,200 300,000 300,000 300,000 300,000 (1,800) (1,800) 6,593 12/01/2041
451295-TF-6 IDAHO HEALTH FACS AUTH REV 06/06/2017 Unknown 2,230,345 2,065,000 2,331,426 2,277,684 (47,339) (47,339) 2,230,345 64,997 12/01/2028
452252-GG-8 ILLINOIS ST TOLL HWY AUTH TOLL HIGHWAY R 04/01/2017 Adjustment 1,630,000 1,630,000 1,630,000 1,630,000 1,630,000 1,853 01/01/2031
452252-KB-4 ILLINOIS ST TOLL HWY AUTH TOLL HIGHWAY R 04/01/2017 MARKETAXESS 568,345 500,000 594,380 568,483 (1,407) (1,407) 567,076 1,269 1,269 15,139 01/01/2022
46940Y-BK-6 JACKSONVILLE FLA HSG FIN AUTH MULTIFAMIL 06/06/2017 Unknown 1,580,000 1,580,000 1,580,000 1,580,000 1,580,000 10,707 08/01/2018
49130T-TS-5 KENTUCKY HSG CORP HSG REV 06/06/2017 Unknown 1,315,000 1,315,000 1,315,000 1,315,000 1,315,000 10,653 07/01/2018
491552-J4-8 KENTUCKY ST TPK AUTH ECONOMIC DEV RD REV 04/01/2017 MARKETAXESS 579,510 500,000 600,535 590,975 (1,419) (1,419) 589,556 (10,046) (10,046) 15,139 07/01/2023
495289-L5-7 KING CNTY WASH SWR REV 04/01/2017 MARKETAXESS 346,026 300,000 354,870 334,882 (710) (710) 334,172 11,854 11,854 9,083 01/01/2022
546593-AE-4 LOUISVILLE & JEFFERSON CNTY KY METRO GOV 06/06/2017 Unknown 2,185,324 2,110,000 2,290,384 2,234,590 (49,266) (49,266) 2,185,324 109,493 02/01/2037
562415-AA-7 MANCHESTER TENN HEALTH EDL & HSG FAC BRD 06/06/2017 Unknown 790,000 790,000 790,000 790,000 790,000 4,913 10/01/2019
593338-AH-9 MIAMI DADE CNTY FLA EXPWY AUTH TOLL SYS 04/01/2017
MARKETAXESS CORPORATION
571,650 500,000 588,690 564,932 (1,195) (1,195) 563,737 7,913 7,913 15,139 07/01/2022
59447T-NN-9 MICHIGAN FIN AUTH REV 06/01/2017 Goldman Sachs 822,744 800,000 831,568 829,488 (5,354) (5,354) 824,134 (1,390) (1,390) 10,667 10/01/2018
605155-AF-7 MISSION TEX ECONOMIC DEV CORP SOLID WAST 04/01/2017 MARKETAXESS 300,960 300,000 300,000 300,000 300,000 960 960 7,667 08/01/2020
64577B-SR-6 NEW JERSEY ECONOMIC DEV AUTH REV 06/13/2017
DAVIDSON (D.A.) & CO.
INC. 8,192 8,000 8,319 8,306 (95) (95) 8,211 (19) (19) 1 06/15/2018
64577B-SS-4 NEW JERSEY ECONOMIC DEV AUTH REV 06/13/2017
DAVIDSON (D.A.) & CO.
INC. 9,394 9,000 9,469 9,457 (83) (83) 9,375 19 19 1 06/15/2019
646131-BZ-4 NEW JERSEY ST TRAN CORP 06/06/2017 Unknown 1,193,530 1,120,000 1,280,608 1,206,972 (13,442) (13,442) 1,193,530 40,600 09/15/2019
646136-Z4-6 NEW JERSEY ST TRANSN TR FD AUTH 06/06/2017 Unknown 1,257,035 1,190,000 1,276,216 1,270,855 (13,820) (13,820) 1,257,035 28,263 06/15/2019
647207-AP-4 NEW MEXICO MUN ENERGY ACQUISITION AUTH G 07/01/2017 Unknown 3,406,903 3,400,000 3,416,875 3,408,683 (1,780) (1,780) 3,406,903 22,670 11/01/2039
E14.4
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date64972F-SF-4 NEW YORK N Y CITY MUN WTR FIN AUTH WTR & 12/07/2017 RBC Dain Rauscher (US) 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 22,843 06/15/2024
650035-B5-6 NEW YORK ST URBAN DEV CORP REV 04/01/2017
MARKETAXESS CORPORATION
567,770 500,000 576,585 544,961 (1,093) (1,093) 543,869 23,901 23,901 10,000 03/15/2021
67756Q-PG-6 OHIO ST HSG FIN AGY RESIDENTIAL MTG REV 04/01/2017 VARIOUS 465,243 485,000 485,000 485,000 485,000 (19,757) (19,757) 3,966 03/01/2023
67886U-AF-8 OKLAHOMA HSG FIN AGY COLLATERALIZED REV 06/06/2017 Unknown 1,345,000 1,345,000 1,345,000 1,345,000 1,345,000 9,178 07/01/2019
687904-CT-7 OSCEOLA CNTY FLA HSG FIN AUTH MULTIFAMIL 12/01/2017 Call @ 100.0 2,294,000 2,294,000 2,294,000 2,294,000 2,294,000 23,330 10/01/2019
708681-AV-3 PENNSYLVANIA CONVENTION CTR AUTH REV 09/01/2017 Call @ 100.0 585,000 585,000 622,961 (6,253) (6,253) 616,708 (31,708) (31,708) 09/01/2019
717823-7U-6 PHILADELPHIA PA GAS WKS REV 06/06/2017 Unknown 1,166,424 1,151,000 1,203,290 1,187,007 (20,583) (20,583) 1,166,424 39,166 10/01/2017
79642B-ZR-7 SAN ANTONIO TEX WTR REV 04/01/2017
MARKETAXESS CORPORATION
454,404 400,000 472,412 443,598 (1,024) (1,024) 442,574 11,830 11,830 4,667 05/15/2021
876394-UD-7 TARRANT CNTY TEX HSG FIN CORP REV 06/06/2017 Unknown 1,820,000 1,820,000 1,820,000 1,820,000 1,820,000 15,419 08/01/2018
88880T-NM-4 TOBACCO SETTLEMENT FING CORP N Y REV 04/01/2017
MARKETAXESS CORPORATION
505,450 500,000 549,500 506,097 (1,575) (1,575) 504,522 928 928 4,722 06/01/2022
91514A-FY-6 UNIVERSITY TEX UNIV REVS 06/01/2017
CANTOR FITZGERALD & CO.
INC. 410,132 390,000 417,386 416,005 (5,075) (5,075) 410,930 (798) (798) 7,963 08/15/2018
92778U-AD-2 VIRGINIA COMMLTH TRANSN BRD FED TRANSN G 06/01/2017 Goldman Sachs 1,086,609 1,030,000 1,107,291 1,101,178 (13,287) (13,287) 1,087,890 (1,282) (1,282) 24,033 09/15/2018
927790-GH-2 VIRGINIA COMWLTH TRANSN BRD 04/01/2017
MARKETAXESS CORPORATION
573,715 500,000 582,705 552,058 (1,125) (1,125) 550,932 22,783 22,783 10,000 09/15/2021
96634R-AP-7 WHITING IND ENVIRONMENTAL FACS REV 02/07/2017
MARKETAXESS CORPORATION
247,795 250,000 250,000 250,000 250,000 (2,205) (2,205) 886 06/01/2044
3199999. Subtotal - Bonds - U.S. Special Revenues 71,953,090 70,059,418 73,209,765 69,823,636 (470,615) (470,615) 71,996,886 (43,796) (43,796) 911,764 XXX
001192-AG-8 SOUTHERN COMPANY GAS CAPITAL CORP 04/01/2017
FBS INVESTMENT
SERVICES, INC 69,742 65,000 74,539 69,488 (173) (173) 69,315 426 426 1,649 08/15/2019
00206R-CN-0 AT&T INC 08/24/2017
BANC OF AMERICA
SECURITIES LLC 48,510 49,000 47,153 108 108 47,261 1,248 1,248 1,314 05/15/2025
00206R-CR-1 AT&T INC 12/06/2017
CITIGROUP GBL
MKTS/SALOMON, NEW YORK 1,716,252 1,707,000 1,703,979 1,704,493 543 543 1,705,035 11,216 11,216 62,533 02/17/2021
00206R-CS-9 AT&T INC 05/01/2017 Goldman Sachs 302,361 300,000 318,134 317,194 (116) (116) 317,079 (14,718) (14,718) 4,500 02/17/2023
002824-AZ-3 ABBOTT LABORATORIES 04/01/2017
MITSUBISHI UFJ
SECURITIES 123,858 125,000 124,763 124,846 5 5 124,851 (994) (994) 1,007 03/15/2020
00287Y-AQ-2 ABBVIE INC 04/01/2017
MARKETAXESS CORPORATION
124,148 125,000 128,571 128,309 (40) (40) 128,270 (4,122) (4,122) 1,075 05/14/2025
00507U-AS-0 ACTAVIS FUNDING SCS C 10/01/2017
Salomon Smith Barney
Inc 150,771 150,000 154,412 154,083 (49) (49) 154,034 (3,263) (3,263) 2,296 03/15/2025
00817Y-AN-8 AETNA INC 04/01/2017 MILLENIUM ADVISORS LLC 125,796 125,000 124,875 124,944 3 3 124,947 850 850 1,108 03/15/2019
00817Y-AS-7 AETNA INC 06/01/2017
BARCLAYS CAPITAL INC
FIXED INC 1,139,729 1,139,000 1,138,089 1,138,343 169 169 1,138,511 1,218 1,218 8,552 06/07/2018
02005A-EB-0 AMOT 143 A - ABS 04/01/2017 Paydown 384,000 384,000 384,270 384,032 (32) (32) 384,000 1,277 03/15/2019
02006W-AC-3 ALLYA 142 A3 - ABS 10/01/2017 VARIOUS 337,142 337,177 337,130 337,143 5 5 337,148 (6) (6) 595 04/15/2019
025816-AY-5 AMERICAN EXPRESS CO 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 211,476 200,000 251,422 212,472 (1,130) (1,130) 211,342 134 134 5,483 03/19/2018
02582J-GW-4 AMXCA 144 A - ABS 11/01/2017 G.X. CLARKE 600,656 600,000 603,281 601,583 (184) (184) 601,400 (743) (743) 1,263 06/15/2020
0258M0-EB-1 AMERICAN EXPRESS CREDIT CORP 07/20/2017 BNP PARIBAS SEC SVCS 2,597,207 2,589,000 2,587,421 2,587,619 172 172 2,587,790 9,417 9,417 42,071 05/05/2021
02665W-AC-5 AMERICAN HONDA FINANCE CORP C 04/01/2017 RBC Dain Rauscher (US) 101,036 100,000 101,134 100,672 (41) (41) 100,631 405 405 708 10/10/2018
026874-CY-1 AMERICAN INTERNATIONAL GROUP INC 04/01/2017 GOLDMAN SACHS & CO 62,542 60,000 60,181 60,170 (2) (2) 60,168 2,373 2,373 1,203 02/15/2024
026874-DG-9 AMERICAN INTERNATIONAL GROUP INC 12/07/2017 GOLDMAN 1,058,626 1,036,000 1,036,099 1,036,086 (22) (22) 1,036,065 22,562 22,562 43,685 03/01/2021
03027X-AL-4 AMERICAN TOWER CORP 04/01/2017
JEFFERIES & COMPANY INC
96,131 100,000 99,858 99,863 3 3 99,866 (3,735) (3,735) 813 01/15/2022
03040W-AN-5 AMERICAN WATER CAPITAL CORP 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 73,223 75,000 74,864 74,865 2 2 74,867 (1,643) (1,643) 519 12/01/2026
031162-BM-1 AMGEN INC 04/01/2017 MILLENIUM ADVISORS LLC 131,643 125,000 134,548 132,150 (162) (162) 131,989 (346) (346) 1,144 11/15/2021
035242-AG-1 ANHEUSER-BUSCH INBEV FINANCE INC C 06/01/2017
BONY/TORONTO DOMINION
SECURITI 1,446,801 1,444,000 1,440,087 1,441,273 489 489 1,441,762 5,039 5,039 21,949 02/01/2019
035242-AL-0 ANHEUSER-BUSCH INBEV FINANCE INC C 09/07/2017 Morgan Stanley 104,393 100,000 105,220 104,973 (547) (547) 104,426 (33) (33) 3,667 02/01/2023
035242-AP-1 ANHEUSER-BUSCH INBEV FINANCE INC C 10/01/2017
FBS INVESTMENT
SERVICES, INC 202,664 200,000 207,994 207,852 (83) (83) 207,770 (5,106) (5,106) 3,833 02/01/2026
E14.5
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date
037389-AW-3 AON CORP C 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 81,451 75,000 83,233 81,279 (178) (178) 81,101 350 350 1,354 09/30/2020
037833-AK-6 APPLE INC 04/01/2017
MITSUBISHI UFJ
SECURITIES 207,704 214,000 210,336 50 50 210,387 (2,683) (2,683) 1,869 05/03/2023
037833-AR-1 APPLE INC 04/01/2017 MILLENIUM ADVISORS LLC 307,527 300,000 307,564 307,002 (171) (171) 306,831 696 696 2,233 05/06/2021
03939C-AA-1 ARCH CAPITAL FINANCE LLC C 02/02/2017
MORGAN STANLEY & CO LLC
19,306 19,000 19,000 19,000 19,000 306 306 125 12/15/2026
039483-BL-5 ARCHER DANIELS MIDLAND CO 04/01/2017 MILLENIUM ADVISORS LLC 94,999 100,000 99,710 99,720 3 3 99,723 (4,724) (4,724) 1,243 08/11/2026
040555-CR-3 ARIZONA PUBLIC SERVICE CO 04/01/2017
FBS INVESTMENT
SERVICES, INC 13,031 13,000 12,998 12,999 12,999 32 32 160 01/15/2020
042735-BA-7 ARROW ELECTRONICS INC 04/01/2017
MORGAN STANLEY & CO
INC, NY 70,995 65,000 67,797 66,106 (33) (33) 66,073 4,922 4,922 1,387 04/01/2020
05522R-CU-0 BACCT 152 A - ABS 04/01/2017 CHEMICAL SECURITIES 449,508 450,000 449,946 449,976 2 2 449,978 (470) (470) 901 09/15/2020
055451-AF-5 BHP BILLITON FINANCE (USA) LTD C 04/01/2017 CHEMICAL SECURITIES 90,542 90,000 105,198 90,793 (346) (346) 90,446 95 95 1,742 03/29/2017
05565Q-BZ-0 BP CAPITAL MARKETS PLC C 04/01/2017
MARKETAXESS CORPORATION
153,629 150,000 154,536 153,464 (63) (63) 153,401 227 227 1,244 05/06/2022
05568B-AA-6 BNSF RAILWAY CO 12/01/2017 Paydown 181 181 201 (20) (20) 181 01/15/2024
05581Q-AD-0 BMWLT 152 A3 - ABS 04/01/2017 GX CLARKE & CO. 400,031 400,000 399,993 399,998 1 1 399,998 33 33 1,447 09/20/2018
06051G-DX-4 BANK OF AMERICA CORPORATION 11/30/2017
BANC OF AMERICA
SECURITIES LLC 903,644 890,000 1,005,317 931,663 (28,756) (28,756) 902,908 736 736 54,894 05/01/2018
06051G-EC-9 BANK OF AMERICA CORP 04/01/2017 GOLDMAN SACHS & CO 165,210 150,000 172,980 162,949 (391) (391) 162,559 2,651 2,651 5,133 07/01/2020
06051G-EE-5 BANK OF AMERICA CORP 05/01/2017 VARIOUS 558,600 500,000 579,944 551,791 (1,090) (1,090) 550,701 7,899 7,899 16,972 01/05/2021
06406H-BP-3 BANK OF NEW YORK COMPANY, INC. (THE) 04/01/2017 Morgan Stanley & Co 107,517 100,000 109,673 103,519 (121) (121) 103,398 4,119 4,119 2,619 01/15/2020
064159-HT-6 BANK OF NOVA SCOTIA 06/01/2017
BANC OF AMERICA
SECURITIES LLC 1,183,043 1,189,000 1,188,929 1,188,941 9 9 1,188,950 (5,907) (5,907) 8,447 06/14/2019
06416C-AC-2 BANK OF NOVA SCOTIA 06/06/2017 Unknown 2,261,450 2,271,000 2,258,850 2,260,444 1,007 1,007 2,261,450 26,022 04/26/2022
075887-BF-5 BECTON DICKINSON AND CO 02/02/2017 MILLENIUM ADVISORS LLC 10,259 10,000 10,000 10,000 10,000 259 259 54 12/15/2024
075896-AA-8 BED BATH & BEYOND INC 05/01/2017 VARIOUS 30,520 31,000 31,000 31,000 31,000 (480) (480) 583 08/01/2024
09062X-AC-7 BIOGEN INC 04/01/2017 MILLENIUM ADVISORS LLC 44,789 44,000 43,908 43,931 2 2 43,933 856 856 507 09/15/2020
09247X-AC-5 BLACKROCK INC 04/01/2017 MILLENIUM ADVISORS LLC 51,516 50,000 58,776 50,973 (144) (144) 50,829 687 687 1,241 09/15/2017
097023-AW-5 BOEING CO 04/01/2017
MARKETAXESS CORPORATION
81,658 75,000 89,558 79,174 (203) (203) 78,971 2,686 2,686 1,813 03/15/2019
118230-AQ-4 BUCKEYE PARTNERS LP 04/01/2017 MILLENIUM ADVISORS LLC 48,905 50,000 49,896 49,897 1 1 49,899 (994) (994) 499 12/01/2026
124857-AM-5 CBS CORP 04/01/2017 MILLENIUM ADVISORS LLC 40,143 40,000 39,512 39,565 5 5 39,571 572 572 711 08/15/2024
125634-AN-5 CLIF 141 NTS - ABS 08/17/2017 VARIOUS 934,212 934,546 896,032 898,562 5,765 5,765 904,327 29,885 29,885 20,059 06/18/2029
126117-AS-9 CNA FINANCIAL CORP 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 27,389 27,000 27,251 27,212 (3) (3) 27,209 180 180 243 05/15/2024
12618S-AC-1 CNHI 13D A3 - ABS 06/15/2017 Paydown 74,498 74,498 74,233 74,438 60 60 74,498 136 10/15/2018
12623P-AC-0 CNHI 14B A3 - ABS 09/15/2017 Paydown 107,420 107,420 107,243 107,353 67 67 107,420 275 05/15/2019
12632X-AD-0 CNHI 14C A4 - ABS 04/01/2017 CHEMICAL SECURITIES 109,957 110,000 110,554 110,501 (24) (24) 110,477 (520) (520) 267 09/15/2021
126410-LM-9 CSX TRANSPORTATION INC 07/15/2017 Paydown 53,741 53,741 61,214 (7,473) (7,473) 53,741 01/15/2023
126650-CC-2 CVS CAREMARK CORP 04/01/2017
MORGAN STANLEY & CO
INC, NY 131,776 125,000 125,612 125,583 (9) (9) 125,574 6,202 6,202 903 12/05/2023
136385-AV-3 CANADIAN NATURAL RESOURCES LTD 04/01/2017 MILLENIUM ADVISORS LLC 45,321 45,000 41,878 42,218 28 28 42,246 3,075 3,075 1,789 02/01/2025
14040H-BD-6 CAPITAL ONE FINANCIAL CORP 05/01/2017
CITIGROUP GBL
MKTS/SALOMON, NEW YORK 111,508 110,000 108,980 109,307 7 7 109,313 2,195 2,195 449 06/15/2023
14041N-DX-6 COMET 077A A - ABS 10/01/2017 VARIOUS 1,821,625 1,800,000 1,992,750 1,855,838 (34,038) (34,038) 1,821,800 (175) (175) 49,897 07/15/2020
14041N-ET-4 COMET 145A A - ABS 09/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 160,244 160,000 160,931 160,496 (71) (71) 160,425 (181) (181) 349 07/15/2020
140420-NG-1 CAPITAL ONE BANK USA NA 02/13/2017 Maturity @ 100.0 750,000 750,000 746,303 749,611 389 389 750,000 4,500 02/13/2017
141781-AX-2 CARGILL INC 04/01/2017
TORONTO DOMINION
SECURTIES (USA) INC 56,962 55,000 64,836 56,368 (162) (162) 56,207 756 756 660 11/27/2017
14313M-AD-6 CARMX 132 A4 - ABS 04/01/2017 VARIOUS 420,401 420,759 418,889 420,094 251 251 420,345 56 56 850 11/15/2018
14313P-AD-9 CARMX 134 A4 - ABS 04/01/2017 CHEMICAL SECURITIES 549,764 550,000 550,656 550,256 (33) (33) 550,223 (459) (459) 1,036 05/15/2019
14313X-AC-4 CARMX 154 A3 - ABS 12/15/2017 Paydown 57,929 57,929 58,056 58,021 (92) (92) 57,929 786 11/16/2020
144141-CZ-9 DUKE ENERGY PROGRESS LLC 04/01/2017 MILLENIUM ADVISORS LLC 69,377 65,000 76,591 68,120 (160) (160) 67,960 1,417 1,417 1,952 01/15/2019
149123-BQ-3 CATERPILLAR INC 11/10/2017 Not Available 219,226 200,000 234,006 222,692 (9,869) (9,869) 212,823 6,402 6,402 7,900 12/15/2018
E14.6
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date
151020-AE-4 CELGENE CORP 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 42,042 40,000 43,431 41,755 (46) (46) 41,709 333 333 496 10/15/2020
15135U-AG-4 CENOVUS ENERGY INC 04/01/2017 SUMRIDGE PARTNERS LLC 48,866 50,000 44,345 45,086 80 80 45,166 3,700 3,700 725 08/15/2022
166764-AH-3 CHEVRON CORP 04/01/2017 MILLENIUM ADVISORS LLC 154,046 150,000 152,924 152,492 (40) (40) 152,451 1,594 1,594 612 06/24/2023
171232-AR-2 CHUBB INA HOLDINGS INC C 04/01/2017 GOLDMAN SACHS & CO 52,619 50,000 56,726 52,856 (217) (217) 52,639 (20) (20) 663 05/15/2018
17275R-AH-5 CISCO SYSTEMS INC 05/01/2017
CREDIT SUISSE
SECURITIES (USA) 37,543 35,000 38,905 37,592 (84) (84) 37,508 35 35 874 01/15/2020
17275R-AX-0 CISCO SYSTEMS INC 04/01/2017 GOLDMAN SACHS & CO 40,605 40,000 40,073 40,051 (1) (1) 40,050 555 555 144 06/15/2020
172967-KB-6 CITIGROUP INC 12/06/2017 Bond Desk Trading 2,058,180 2,050,000 2,047,704 2,048,221 419 419 2,048,640 9,540 9,540 60,663 10/26/2020
172967-KG-5 CITIGROUP INC 04/01/2017
SMBC NIKKO SECURITIES
AMERICA, INC. 300,945 300,000 309,834 309,328 (98) (98) 309,230 (8,285) (8,285) 6,413 01/12/2026
172967-KS-9 CITIGROUP INC 12/06/2017
CREDIT SUISSE
SECURITIES (USA) 1,381,274 1,385,000 1,384,280 1,384,411 223 223 1,384,634 (3,360) (3,360) 28,471 06/07/2019
17305E-EE-1 CCCIT 08A1 A1 - ABS 04/01/2017 CHEMICAL SECURITIES 727,234 700,000 790,289 728,741 (2,609) (2,609) 726,131 1,103 1,103 18,829 02/07/2020
17305E-FQ-3 CCCIT 14A4 A4 - ABS 04/01/2017
FIRST UNION CAP MKTS
(FED MBS) 200,000 200,000 200,398 200,067 (44) (44) 200,022 (22) (22) 977 04/24/2019
17305E-FR-1 CCCIT 14A5 A5 - ABS 04/01/2017 CHASE SECURITIES 405,368 400,000 421,238 419,415 (513) (513) 418,902 (13,534) (13,534) 1,995 06/07/2023
17307G-BT-4 CMLTI 031 3A4 - CMO/RMBS 10/01/2017 VARIOUS 26,523 26,621 27,989 26,478 1,160 4 1,164 27,642 (1,119) (1,119) 333 09/25/2033
191216-AV-2 COCA-COLA CO 04/01/2017 GOLDMAN SACHS & CO 104,790 100,000 105,254 104,334 (98) (98) 104,237 554 554 1,458 09/01/2021
199575-AW-1 COLUMBUS SOUTHERN POWER CO 04/01/2017 MILLENIUM ADVISORS LLC 131,239 125,000 148,506 129,564 (372) (372) 129,192 2,047 2,047 2,080 05/01/2018
203233-AA-9 EQUITY COMMONWEALTH 04/01/2017
FBS INVESTMENT
SERVICES, INC 53,789 50,000 48,927 49,525 13 13 49,538 4,251 4,251 1,167 09/15/2020
205887-BJ-0 CONAGRA FOODS INC 04/01/2017 MILLENIUM ADVISORS LLC 101,180 100,000 96,864 97,375 47 47 97,422 3,758 3,758 1,309 09/15/2022
20825C-AU-8 CONOCOPHILLIPS 06/21/2017 Call @ 100.0 1,375,000 1,375,000 1,606,041 1,517,024 (21,378) (21,378) 1,495,647 (120,647) (120,647) 220,509 01/15/2020
20826F-AD-8 CONOCOPHILLIPS CO 04/01/2017 MARKETAXESS 125,586 125,000 128,489 128,402 (44) (44) 128,358 (2,772) (2,772) 989 11/15/2024
210518-CT-1 CONSUMERS ENERGY CO 04/01/2017 MILLENIUM ADVISORS LLC 32,373 32,000 31,997 31,998 31,999 374 374 208 05/15/2022
22160K-AH-8 COSTCO WHOLESALE CORP 04/01/2017
CREDIT SUISSE
SECURITIES (USA) 99,652 100,000 99,235 99,377 13 13 99,390 262 262 1,094 02/15/2022
22303Q-AG-5 COVIDIEN INTERNATIONAL FINANCE SA C 04/01/2017 MILLENIUM ADVISORS LLC 51,589 50,000 53,740 51,724 (234) (234) 51,490 99 99 950 10/15/2017
22541Q-P8-9 CSFB 0327 5A4 - CMO/RMBS 12/01/2017 Paydown 5,048 5,048 5,148 5,146 (99) (99) 5,048 107 11/25/2033
22546Q-AN-7 CREDIT SUISSE AG (NEW YORK BRANCH) C 04/01/2017
BANC OF AMERICA
SECURITIES LLC 251,453 250,000 248,885 249,430 25 25 249,455 1,998 1,998 1,118 05/28/2019
233851-CF-9 DAIMLER FINANCE NORTH AMERICA LLC C 06/06/2017 Unknown 1,194,755 1,196,000 1,194,218 1,194,501 253 253 1,194,755 16,445 07/05/2019
244199-BC-8 DEERE & CO 04/01/2017
PIPER JAFFRAY &
HOPWOOD, INC 106,716 100,000 111,077 106,082 (233) (233) 105,848 868 868 1,385 10/16/2019
24422E-TB-5 JOHN DEERE CAPITAL CORP 04/01/2017 MILLENIUM ADVISORS LLC 67,653 67,000 67,160 67,125 (3) (3) 67,121 531 531 679 09/11/2020
250847-EG-1 DTE ELECTRIC CO 04/01/2017 CHEMICAL SECURITIES 53,065 50,000 54,686 52,298 (56) (56) 52,242 823 823 368 06/01/2021
25152C-MN-3 DEUTSCHE BANK AG LONDON C 02/03/2017
BANC OF AMERICA
SECURITIES LLC 112,444 110,000 128,161 110,000 110,000 2,444 2,444 2,878 09/01/2017
254683-AC-9 DCENT 071A A - ABS 10/01/2017 VARIOUS 3,627,515 3,600,000 3,932,859 3,710,324 (82,809) (82,809) 3,627,515 127,643 03/16/2020
254683-BG-9 DCENT 141 A - ABS 06/06/2017 Unknown 1,007,240 1,000,000 1,002,813 1,006,685 556 556 1,007,240 7,364 07/15/2021
254683-BJ-3 DCENT 143 A - ABS 10/01/2017
FIRST UNION CAP MKTS
(FED MBS) 374,971 375,000 375,645 375,105 (75) (75) 375,030 (60) (60) 1,169 10/15/2019
25468P-CT-1 WALT DISNEY CO 04/01/2017
FBS INVESTMENT
SERVICES, INC 151,518 150,000 147,150 147,961 40 40 148,002 3,516 3,516 1,859 02/15/2022
25746U-BP-3 DOMINION RESOURCES INC 04/01/2017
FBS INVESTMENT
SERVICES, INC 99,203 100,000 100,446 100,410 (7) (7) 100,403 (1,200) (1,200) 1,108 09/15/2022
25746U-CH-0 DOMINION RESOURCES INC 06/06/2017 Unknown 275,982 276,000 275,975 275,979 4 4 275,982 3,643 08/15/2019
260543-CF-8 DOW CHEMICAL CO 05/01/2017
FBS INVESTMENT
SERVICES, INC 45,585 43,000 46,682 45,749 (59) (59) 45,690 (106) (106) 409 11/15/2021
260543-CH-4 DOW CHEMICAL CO 04/01/2017
RAYMOND JAMES &
ASSOCIATES 42,251 42,000 43,137 43,042 (18) (18) 43,024 (773) (773) 291 11/15/2022
26138E-AP-4 DR PEPPER SNAPPLE GROUP INC 04/01/2017 MILLENIUM ADVISORS LLC 51,245 50,000 51,987 51,936 (43) (43) 51,893 (648) (648) 373 11/15/2021
263534-BT-5 E I DU PONT DE NEMOURS AND CO 06/23/2017 PNC SECURITIES CORP. 101,414 97,000 102,845 (1,451) (1,451) 101,394 19 19 2,635 07/15/2018
26442C-AG-9 DUKE ENERGY CAROLINAS LLC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 97,970 90,000 115,415 96,416 (416) (416) 95,999 1,970 1,970 1,575 11/15/2018
26884A-AZ-6 ERP OPERATING LP 05/01/2017 MILLENIUM ADVISORS LLC 26,032 24,000 26,993 25,716 (35) (35) 25,681 350 350 160 12/15/2021
26884A-BF-9 ERP OPERATING LP 04/01/2017 MILLENIUM ADVISORS LLC 21,597 23,000 22,848 22,851 1 1 22,853 (1,256) (1,256) 209 11/01/2026
E14.7
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date278642-AE-3 EBAY INC 04/01/2017 SUMRIDGE PARTNERS LLC 122,050 125,000 117,595 119,289 103 103 119,392 2,658 2,658 1,851 07/15/2022
278865-AU-4 ECOLAB INC 04/01/2017 GOLDMAN SACHS & CO 30,611 30,000 30,964 30,886 (14) (14) 30,872 (261) (261) 550 01/14/2023
291011-AY-0 EMERSON ELECTRIC CO 04/01/2017
JEFFERIES & COMPANY INC
108,143 100,000 113,439 107,376 (283) (283) 107,093 1,050 1,050 1,557 10/15/2019
29379V-BB-8 ENTERPRISE PRODUCTS OPERATING LLC 04/01/2017 GOLDMAN SACHS & CO 25,791 25,000 24,953 24,965 1 1 24,965 826 826 466 02/15/2024
29379V-BD-4 ENTERPRISE PRODUCTS OPERATING LLC 12/06/2017 Bond Desk Trading 1,776,107 1,770,000 1,758,920 1,762,071 2,593 2,593 1,764,664 11,442 11,442 51,780 10/15/2019
30161M-AL-7 EXELON GENERATION CO LLC 04/01/2017 CHEMICAL SECURITIES 39,645 38,000 40,786 40,658 (49) (49) 40,609 (964) (964) 233 06/15/2022
30219G-AK-4 EXPRESS SCRIPTS HOLDING CO 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 58,812 60,000 59,563 59,661 5 5 59,666 (854) (854) 321 06/15/2024
30231G-AF-9 EXXON MOBIL CORP 02/07/2017
WACHOVIA CAPITAL
MARKETS, LLC 97,863 100,000 100,000 100,000 100,000 (2,137) (2,137) 1,159 03/06/2025
31331F-BA-8 FEDERAL EXPRESS CORPORATION 07/15/2017 Paydown 709 709 816 (106) (106) 709 07/15/2024
31677Q-BG-3 FIFTH THIRD BANK (OHIO) 12/06/2017
WELLS FARGO SECURITIES
LLC 1,825,428 1,839,000 1,837,621 1,837,765 249 249 1,838,014 (12,586) (12,586) 40,688 06/14/2021
33850R-AE-2 FSMT 172 A5 - CMO/RMBS 12/01/2017 Paydown 66,973 66,973 67,978 (1,005) (1,005) 66,973 86 10/25/2047
34530H-AC-4 FORDO 14A A3 - ABS 10/01/2017 Paydown 68,137 68,137 68,073 68,123 14 14 68,137 68 05/15/2018
34530Q-AD-2 FORDO 15A A3 - ABS 04/01/2017 VARIOUS 213,115 213,273 213,408 213,336 (7) (7) 213,329 (214) (214) 432 09/16/2019
345397-WL-3 FORD MOTOR CREDIT CO LLC 04/01/2017
LOOP CAPITAL MARKETS
L.L.C. 202,786 200,000 205,542 202,390 (148) (148) 202,243 543 543 2,060 10/01/2018
345397-WR-0 FORD MOTOR CREDIT COMPANY LLC 12/06/2017 Maturity @ 100.0 2,800,000 2,800,000 2,757,272 2,779,576 20,424 20,424 2,800,000 48,272 12/06/2017
35671D-AW-5 FREEPORT-MCMORAN COPPER & GOLD INC 10/01/2017
MITSUBISHI UFJ
SECURITIES 40,008 40,000 39,697 39,750 239 7 246 39,996 11 11 375 03/01/2017
35671D-BG-9 FREEPORT-MCMORAN COPPER & GOLD INC 04/01/2017
MORGAN STANLEY & CO
INC, NY 49,800 50,000 32,000 35,385 391 391 35,776 14,024 14,024 620 03/15/2020
36164Q-MS-4 GE CAPITAL INTERNATIONAL FUNDING CO 04/01/2017 MILLENIUM ADVISORS LLC 407,122 405,000 404,984 404,995 1 1 404,996 2,126 2,126 2,187 11/15/2020
369550-AW-8 GENERAL DYNAMICS CORP 04/01/2017 CHEMICAL SECURITIES 21,847 23,000 22,843 22,851 2 2 22,853 (1,006) (1,006) 210 08/15/2023
36962G-5J-9 GENERAL ELECTRIC CO 04/01/2017 GOLDMAN SACHS & CO 193,198 175,000 197,088 188,969 (300) (300) 188,669 4,530 4,530 2,554 10/17/2021
370334-BM-5 GENERAL MILLS INC 04/01/2017 MILLENIUM ADVISORS LLC 51,330 50,000 50,038 50,032 (1) (1) 50,031 1,298 1,298 236 12/15/2021
375558-BL-6 GILEAD SCIENCES INC 04/01/2017
JEFFERIES & CO INC, NEW
YORK 97,544 100,000 100,419 100,408 (6) (6) 100,401 (2,857) (2,857) 972 09/01/2023
377372-AD-9 GLAXOSMITHKLINE CAPITAL INC C 04/27/2017
BARCLAYS CAPITAL INC
FIXED INC 52,150 50,000 53,532 52,967 (721) (721) 52,246 (97) (97) 1,310 05/15/2018
38141E-A2-5 GOLDMAN SACHS GROUP INC 04/01/2017
Bank of America
Securities 5,528 5,000 5,418 5,141 (6) (6) 5,135 394 394 179 02/15/2019
38141E-A6-6 GOLDMAN SACHS & CO 05/01/2017 GOLDMAN SACHS & CO 83,399 75,000 84,487 81,976 (213) (213) 81,763 1,635 1,635 688 06/15/2020
38141G-GS-7 GOLDMAN SACHS GROUP INC 10/01/2017
MORGAN STANLEY & CO
INC, NY 169,932 150,000 173,608 168,197 (364) (364) 167,834 2,098 2,098 4,696 01/24/2022
38141G-VM-3 GOLDMAN SACHS GROUP INC 12/12/2017 GOLDMAN 142,808 136,000 140,000 102,352 (434) (434) 139,370 3,438 3,438 6,966 03/03/2024
38141G-VT-8 GOLDMAN SACHS GROUP INC 12/06/2017 CHASE SECURITIES 656,184 658,000 656,171 656,580 565 565 657,145 (961) (961) 14,732 04/25/2019
39154T-AH-1 GALC 171 A2 - ABS 12/20/2017 Paydown 94,623 94,623 94,613 10 10 94,623 1,239 04/22/2019
40414L-AJ-8 HCP INC 05/01/2017
KEYBANC CAPITAL MARKETS
INC 68,271 66,000 69,140 68,956 (27) (27) 68,929 (658) (658) 549 11/15/2023
404280-AN-9 HSBC HOLDINGS PLC C 04/01/2017 MILLENIUM ADVISORS LLC 208,802 200,000 210,042 208,431 (156) (156) 208,275 527 527 2,844 03/30/2022
406216-BD-2 HALLIBURTON CO 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 66,452 65,000 67,418 66,940 (30) (30) 66,910 (458) (458) 1,194 08/01/2023
42217K-BF-2 HEALTH CARE REIT INC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 61,433 60,000 63,265 63,215 (38) (38) 63,177 (1,744) (1,744) 460 06/01/2025
437076-BE-1 HOME DEPOT INC 04/01/2017 RBC Dain Rauscher (US) 75,763 75,000 76,055 75,718 (33) (33) 75,685 77 77 229 06/15/2019
43814F-AD-4 HAROT 134 A4 - ABS 04/01/2017 Paydown 517,141 517,141 517,221 517,162 (22) (22) 517,141 838 02/18/2020
438516-BD-7 HONEYWELL INTERNATIONAL INC 05/01/2017 PIERPONT SECURITIES 83,329 80,000 79,507 79,643 5 5 79,648 3,680 3,680 514 12/01/2023
452308-AU-3 ILLINOIS TOOL WORKS INC 04/01/2017 GOLDMAN SACHS & CO 33,318 33,000 32,957 32,981 1 1 32,982 336 336 279 03/01/2019
458140-AR-1 INTEL CORP 04/01/2017 MILLENIUM ADVISORS LLC 103,049 100,000 104,588 104,026 (74) (74) 103,952 (903) (903) 1,645 07/29/2022
45866F-AA-2 INTERCONTINENTALEXCHANGE INC 04/01/2017 MARKETAXESS 46,833 44,000 43,659 43,755 4 4 43,758 3,075 3,075 552 10/15/2023
459200-HU-8 INTERNATIONAL BUSINESS MACHINES CORP 04/01/2017
Salomon Smith Barney
Inc 130,160 125,000 135,733 135,435 (143) (143) 135,292 (5,132) (5,132) 2,240 02/12/2024
461202-AB-9 INTUIT INC. 04/01/2017 VARIOUS 90,000 90,000 102,138 90,414 (414) (414) 90,000 2,588 03/15/2017
46625H-HS-2 JPMORGAN CHASE & CO 08/14/2017
BANC OF AMERICA
SECURITIES LLC 110,845 104,000 111,003 (1,030) (1,030) 109,973 872 872 2,606 07/22/2020
E14.8
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date46625H-QJ-2 JPMORGAN CHASE & CO 07/05/2017 CHASE SECURITIES 3,407,264 3,392,000 3,389,456 3,389,860 255 255 3,390,115 17,149 17,149 74,242 03/01/2021
46647S-AJ-9 JPMMT 173 1A5 - CMO/RMBS 12/01/2017 Paydown 158,960 158,960 163,381 (4,421) (4,421) 158,960 949 08/26/2047
46648C-AE-4 JPMMT 171 A5 - CMO/RMBS 12/01/2017 Paydown 36,976 36,976 37,739 (763) (763) 36,976 44 01/25/2047
472319-AH-5 JEFFERIES GROUP INC 04/01/2017 MARKETAXESS 91,246 80,000 90,494 88,033 (188) (188) 87,845 3,400 3,400 1,757 04/15/2021
50076Q-AU-0 KRAFT FOODS GROUP INC 05/01/2017 MILLENIUM ADVISORS LLC 54,154 50,000 58,346 54,857 (153) (153) 54,704 (550) (550) 1,329 02/10/2020
50076Q-AZ-9 KRAFT FOODS GROUP INC 04/01/2017 GOLDMAN SACHS & CO 40,953 40,000 41,316 40,995 (18) (18) 40,977 (24) (24) 241 06/06/2022
501044-CX-7 THE KROGER CO 05/01/2017 MILLENIUM ADVISORS LLC 102,836 100,000 99,755 99,854 4 4 99,858 2,978 2,978 1,879 01/15/2021
501044-DA-6 KROGER CO 11/28/2017
WELLS FARGO SECURITIES
LLC 1,484,098 1,486,000 1,484,276 1,484,818 524 524 1,485,342 (1,244) (1,244) 40,865 01/15/2019
539830-AT-6 LOCKHEED MARTIN CORP 04/01/2017 SUMRIDGE PARTNERS LLC 53,213 50,000 54,370 53,137 (115) (115) 53,022 190 190 496 11/15/2019
548661-DH-7 LOWE'S COMPANIES INC 04/01/2017 MARKETAXESS 102,069 100,000 108,351 108,128 (96) (96) 108,031 (5,962) (5,962) 1,359 09/15/2025
565849-AF-3 MARATHON OIL CORP 05/01/2017 FUJI SECURITIES INC 94,737 91,000 104,873 93,524 (228) (228) 93,296 1,442 1,442 2,163 03/15/2018
58013M-EY-6 MCDONALD'S CORP 04/01/2017 MILLENIUM ADVISORS LLC 76,682 75,000 80,637 80,304 (58) (58) 80,246 (3,564) (3,564) 1,465 01/30/2026
58405U-AG-7 MEDCO HEALTH SOLUTIONS INC 04/01/2017 MILLENIUM ADVISORS LLC 104,873 100,000 111,798 105,841 (167) (167) 105,674 (801) (801) 1,661 09/15/2020
585055-AX-4 MEDTRONIC INC C 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 26,551 26,000 26,893 26,873 (17) (17) 26,856 (305) (305) 320 03/15/2022
585055-BR-6 MEDTRONIC INC C 05/01/2017 GOLDMAN SACHS & CO 24,592 24,000 24,973 24,845 (16) (16) 24,830 (238) (238) 298 03/15/2022
58772P-AB-4 MBART 151 A2A - ABS 05/18/2017 Paydown 107,349 107,349 107,198 107,316 33 33 107,349 192 06/15/2018
58772P-AE-8 MBART 151 A4 - ABS 05/01/2017 CHEMICAL SECURITIES 149,906 150,000 151,383 150,950 (37) (37) 150,914 (1,007) (1,007) 386 12/15/2021
59156R-BM-9 METLIFE INC 04/01/2017 GOLDMAN SACHS & CO 98,616 100,000 99,428 99,520 6 6 99,526 (910) (910) 1,325 03/01/2025
594918-AT-1 MICROSOFT CORP 10/01/2017 MILLENIUM ADVISORS LLC 172,450 175,000 174,193 174,414 10 10 174,424 (1,973) (1,973) 1,143 05/01/2023
60688C-AE-6 MLCFC 079 A4 - CMBS 09/14/2017 Paydown 134,937 134,937 140,365 137,158 (2,220) (2,220) 134,937 4,292 09/12/2049
60871R-AF-7 MOLSON COORS BREWING CO 06/06/2017 Unknown 1,149,642 1,150,000 1,149,563 1,149,606 36 36 1,149,642 22,070 07/15/2021
61745M-A5-2 MSM 043 4A - CMO/RMBS 12/01/2017 Paydown 4,761 4,761 5,023 4,948 (187) (187) 4,761 130 04/25/2034
61746B-DX-1 MORGAN STANLEY 11/29/2017 PERSHING LLC 1,224,050 1,220,000 1,219,183 1,219,429 247 247 1,219,677 4,374 4,374 39,853 02/01/2019
61746B-EA-0 MORGAN STANLEY 07/06/2017
BNP PARIBAS SECURITIES
BOND 268,465 269,000 268,096 268,216 91 91 268,307 158 158 4,857 04/21/2021
61746B-ED-4 MORGAN STANLEY 07/06/2017 Morgan Stanley 811,428 814,000 809,840 809,938 412 412 810,350 1,078 1,078 13,889 11/17/2021
61747W-AL-3 MORGAN STANLEY 04/01/2017
MORGAN STANLEY & CO LLC
471,351 425,000 483,451 461,850 (773) (773) 461,078 10,273 10,273 12,337 07/28/2021
61945C-AC-7 MOSAIC CO 10/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 25,722 25,000 26,646 26,594 (22) (22) 26,572 (850) (850) 242 11/15/2023
629568-AV-8 NABORS INDUSTRIES INC C 05/01/2017 MILLENIUM ADVISORS LLC 26,138 25,000 21,934 22,499 60 60 22,559 3,579 3,579 493 09/15/2020
629568-AX-4 NABORS INDUSTRIES INC C 04/01/2017 MILLENIUM ADVISORS LLC 25,592 25,000 24,153 24,321 13 13 24,334 1,258 1,258 456 09/15/2021
64952X-BT-7 NEW YORK LIFE GLOBAL FUNDING 04/01/2017
WARBURG DILLON READ LLC
74,486 75,000 74,863 74,901 4 4 74,905 (419) (419) 743 02/11/2020
65339K-AJ-9 NEXTERA ENERGY CAPITAL HOLDINGS INC 06/06/2017 Unknown 822,276 821,000 823,053 822,711 (435) (435) 822,276 10,342 09/01/2018
65473Q-AR-4 NISOURCE FINANCE CORP 04/01/2017
FBS INVESTMENT
SERVICES, INC 109,981 100,000 112,950 106,224 (174) (174) 106,051 3,931 3,931 2,195 09/15/2020
654748-AD-4 NAROT 13A A4 - ABS 05/15/2017 Paydown 257,304 257,304 257,296 257,303 1 1 257,304 517 07/15/2019
65504L-AH-0 NOBLE HOLDING INTERNATIONAL LTDNBLHDYKYK C 04/01/2017 CHEMICAL SECURITIES 5,991 6,000 5,996 5,978 22 22 6,000 (9) (9) 59 03/15/2017
655844-BG-2 NORFOLK SOUTHERN CORP 04/01/2017
MARKETAXESS CORPORATION
142,223 138,000 137,202 137,577 9 9 137,587 4,636 4,636 860 12/01/2021
666807-BA-9 NORTHROP GRUMMAN CORP 04/01/2017 GOLDMAN SACHS & CO 26,891 25,000 26,682 25,571 (21) (21) 25,551 1,341 1,341 652 08/01/2019
666807-BK-7 NORTHROP GRUMMAN CORP 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 21,637 22,000 21,965 21,965 1 1 21,966 (328) (328) 129 02/01/2027
670346-AK-1 NUCOR CORP 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 94,726 90,000 104,227 92,955 (220) (220) 92,736 1,990 1,990 995 06/01/2018
674599-CG-8 OCCIDENTAL PETROLEUM CORP 04/01/2017
FIRST TENNESSEE
SECURITIES COR 61,116 60,000 59,853 59,872 2 2 59,873 1,243 1,243 321 06/15/2025
68389X-BK-0 ORACLE CORP 04/01/2017
JEFFERIES AND COMPANY
INC. [GOVT/EQUITY] 246,414 251,000 251,886 251,831 (17) (17) 251,814 (5,400) (5,400) 2,822 09/15/2021
693476-BB-8 PNC FUNDING CORP 04/01/2017 Maturity @ 100.0 40,000 40,000 43,935 40,059 (59) (59) 40,000 1,125 02/01/2017
693476-BN-2 PNC FUNDING CORP 05/08/2017 VARIOUS 459,521 443,000 457,654 (545) (545) 457,109 2,411 2,411 9,085 03/08/2022
69351U-AQ-6 PPL ELECTRIC UTILITIES CORP 04/01/2017
FIRST TENNESSEE
SECURITIES COR 68,327 69,000 68,769 68,862 3 3 68,865 (539) (539) 762 09/01/2022
69353R-EX-2 PNC BANK NA 06/01/2017
JANNEY MONTGOMERY SCOTT
INC 1,083,246 1,094,000 1,092,468 1,092,681 192 192 1,092,872 (9,626) (9,626) 12,779 07/29/2019
E14.9
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date
694308-HM-2 PACIFIC GAS & ELECTRIC UTILITIES 04/01/2017
Salomon Smith Barney
Inc 32,637 32,000 32,435 32,389 (4) (4) 32,384 253 253 162 06/15/2025
695114-CP-1 PACIFICORP 10/03/2017
KEYBANC CAPITAL MARKETS
INC 122,271 119,000 121,542 (325) (325) 121,217 1,055 1,055 2,379 02/01/2022
72650R-AW-2 PLAINS ALL AMERICAN PIPELINE LP 09/19/2017
WELLS FARGO SECURITIES
LLC 1,085,902 1,020,000 1,127,987 1,099,357 (18,243) (18,243) 1,081,115 4,787 4,787 69,403 01/15/2020
74005P-BB-9 PRAXAIR INC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 39,247 40,000 40,800 40,769 (14) (14) 40,755 (1,508) (1,508) 423 08/15/2022
74251V-AM-4 PRINCIPAL FINANCIAL GROUP INC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 14,440 15,000 14,978 14,978 14,979 (538) (538) 112 11/15/2026
74432Q-CB-9 PRUDENTIAL FINANCIAL INC 04/01/2017 MARKETAXESS 100,895 100,000 101,891 101,747 (74) (74) 101,672 (777) (777) 1,162 08/15/2019
744448-CB-5 PUBLIC SERVICE COMPANY OF COLORADO 04/01/2017 MILLENIUM ADVISORS LLC 90,129 85,000 102,219 88,817 (250) (250) 88,567 1,562 1,562 2,588 08/01/2018
760759-AP-5 REPUBLIC SERVICES INC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 86,611 83,000 82,770 82,866 3 3 82,869 3,742 3,742 565 06/01/2022
76110H-RA-9 RALI 04QS3 CB - CMO/RMBS 10/01/2017 VARIOUS 17,817 17,976 18,717 18,088 (24) (24) 18,064 (247) (247) 206 03/25/2019
780082-AE-3 ROYAL BANK OF CANADA 04/01/2017 MILLENIUM ADVISORS LLC 125,023 125,000 125,514 125,500 (12) (12) 125,489 (466) (466) 1,102 03/22/2022
78355H-JZ-3 RYDER SYSTEM INC 04/01/2017 MILLENIUM ADVISORS LLC 43,025 43,000 42,882 42,919 3 3 42,921 103 103 260 05/11/2020
78409V-AH-7 MCGRAW HILL FINANCIAL INC 11/28/2017
MILLENNIUM ADVISORS,
LLC 466,855 465,000 464,456 464,706 164 164 464,870 1,985 1,985 15,016 08/15/2018
80283L-AK-9 SANTANDER UK PLC C 04/01/2017 MILLENIUM ADVISORS LLC 67,517 67,000 66,883 66,914 4 4 66,918 598 598 670 03/14/2019
806854-AH-8 SCHLUMBERGER INVESTMENT SA 04/01/2017 MILLENIUM ADVISORS LLC 84,372 80,000 83,328 82,863 (43) (43) 82,820 1,552 1,552 560 12/01/2023
816851-AJ-8 SEMPRA ENERGY 04/01/2017
FBS INVESTMENT
SERVICES, INC 105,709 100,000 120,718 105,252 (441) (441) 104,810 899 899 1,025 06/15/2018
81746P-AA-1 SEMT 161 A1 - CMO/RMBS 12/25/2017 Paydown 16,370 16,370 16,667 (297) (297) 16,370 06/25/2046
822582-AJ-1 SHELL INTERNATIONAL FINANCE BV C 04/01/2017
CREDIT SUISSE
SECURITIES 106,111 100,000 104,009 101,336 (51) (51) 101,284 4,827 4,827 1,648 09/22/2019
82481L-AC-3 SHIRE ACQUISITIONS INVESTMENTS IRELAND D C 04/01/2017
MORGAN STANLEY & CO LLC
143,886 150,000 143,673 143,752 89 89 143,841 45 45 1,617 09/23/2023
828807-CF-2 SIMON PROPERTY GROUP LP 04/01/2017 MILLENIUM ADVISORS LLC 107,292 100,000 109,663 108,024 (218) (218) 107,805 (513) (513) 1,932 03/01/2021
843646-AS-9 SOUTHERN POWER CO 04/01/2017
BANC OF AMERICA
SECURITIES LLC 38,741 39,000 38,990 38,991 38,991 (250) (250) 171 12/15/2019
84755T-AD-9 SPECTRA ENERGY CAPITAL LLC 04/01/2017 MILLENIUM ADVISORS LLC 70,805 66,000 75,997 70,462 (148) (148) 70,313 492 492 1,647 03/01/2020
863667-AK-7 STRYKER CORP 04/01/2017 MILLENIUM ADVISORS LLC 40,106 40,000 40,529 40,471 (22) (22) 40,448 (342) (342) 333 03/08/2019
86722T-AA-0 SUNCOR ENERGY INC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 73,900 70,000 81,868 72,408 (179) (179) 72,229 1,671 1,671 807 06/01/2018
867914-BM-4 SUNTRUST BANKS INC 04/01/2017 RAYMOND JAMES/FI 24,925 25,000 24,968 24,969 1 1 24,969 (45) (45) 124 01/27/2022
87165B-AL-7 SYNCHRONY FINANCIAL 04/01/2017 MILLENIUM ADVISORS LLC 48,429 50,000 49,596 49,609 4 4 49,613 (1,184) (1,184) 946 08/04/2026
87165L-AK-7 SYNCT 152 A - ABS 09/01/2017 CHASE SECURITIES 500,313 500,000 502,344 501,428 (478) (478) 500,950 (637) (637) 3,844 04/15/2021
871829-AZ-0 SYSCO CORP 04/01/2017 MILLENIUM ADVISORS LLC 76,298 75,000 77,375 77,126 (23) (23) 77,103 (804) (804) 1,008 10/01/2025
87236Y-AE-8 TD AMERITRADE HOLDING CORP 04/01/2017
TORONTO DOMINION
SECURTIES (USA) INC 34,313 34,000 33,920 33,939 1 1 33,941 373 373 351 04/01/2022
87407P-AJ-9 TAL 141 A - ABS C 12/20/2017 Paydown 206,500 206,500 198,918 199,390 7,110 7,110 206,500 3,559 02/22/2039
87612E-AZ-9 TARGET CORP 04/01/2017
MITSUBISHI UFJ
SECURITIES 128,240 125,000 125,969 125,789 (16) (16) 125,773 2,467 2,467 2,064 01/15/2022
88167A-AD-3 TEVA PHARMACEUTICAL FINANCE NETHERLANDS C 05/01/2017 FUJI SECURITIES INC 94,390 100,000 97,237 97,293 40 40 97,332 (2,942) (2,942) 1,532 07/21/2023
882508-AZ-7 TEXAS INSTRUMENTS INC 04/01/2017 MILLENIUM ADVISORS LLC 54,601 55,000 54,807 54,869 4 4 54,873 (273) (273) 262 05/01/2020
88579Y-AV-3 3M CO 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 70,442 75,000 74,583 74,590 5 5 74,595 (4,153) (4,153) 661 09/19/2026
887317-AQ-8 TIME WARNER INC 04/01/2017 MILLENIUM ADVISORS LLC 126,524 125,000 129,846 129,300 (81) (81) 129,220 (2,696) (2,696) 649 06/15/2022
88732J-AS-7 SPECTRUM MANAGEMENT HOLDING COMPANY LLC 04/01/2017
SG AMERICAS SECURITIES
LLC 140,025 125,000 157,341 141,015 (764) (764) 140,250 (225) (225) 3,695 04/01/2019
88732J-BA-5 SPECTRUM MANAGEMENT HOLDING COMPANY LLC 04/01/2017
FBS INVESTMENT
SERVICES, INC 103,499 100,000 102,081 101,773 (40) (40) 101,733 1,766 1,766 1,767 09/01/2021
89152U-AG-7 TOTAL CAPITAL INTERNATIONAL SA C 04/01/2017 MILLENIUM ADVISORS LLC 50,421 50,000 50,782 50,461 (29) (29) 50,433 (12) (12) 525 08/10/2018
89173F-AA-8 TPMT 171 A1 - CMO/RMBS 12/01/2017 Paydown 23,247 23,247 23,379 (133) (133) 26,888 (3,641) (3,641) 10/25/2056
89173H-AA-4 TPMT 172 A1 - CMO/RMBS 12/01/2017 Paydown 77,316 77,316 77,582 (266) (266) 77,316 522 04/25/2057
89173U-AA-5 TPMT 174 A1 - CMO/RMBS 10/01/2017 Paydown 11,972 11,972 12,048 (76) (76) 11,972 11 06/25/2057
89173U-AA-5 TPMT 174 A1 - CMO/RMBS 12/01/2017 Paydown 12,939 12,939 13,021 (82) (82) 12,939 71 06/25/2057
E14.1
0
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date89175J-AA-8 TPMT 176 A1 - CMO/RMBS 12/01/2017 Paydown 15,123 15,123 15,167 (43) (43) 15,123 10/25/2057
89231M-AD-7 TAOT 14A A4 - ABS 04/01/2017 CHEMICAL SECURITIES 124,932 125,000 124,927 124,968 5 5 124,973 (42) (42) 217 06/17/2019
89231U-AD-9 TAOT 16B A3 - ABS 12/15/2017 Paydown 6,745 6,745 6,752 6,751 (6) (6) 6,745 88 04/15/2020
89233P-6D-3 TOYOTA MOTOR CREDIT CORP C 04/01/2017 MILLENIUM ADVISORS LLC 125,226 125,000 124,543 124,963 10 10 124,973 253 253 468 05/22/2017
893526-8Y-2 TRANSCANADA PIPELINES LTD 04/01/2017 GOLDMAN SACHS & CO 76,797 70,000 86,122 74,371 (227) (227) 74,144 2,653 2,653 2,840 01/15/2019
907818-DK-1 UNION PACIFIC CORP 02/07/2017
SANTANDER INVESTMENT
SECURITIES 93,692 87,000 87,000 87,000 87,000 6,692 6,692 2,062 07/15/2022
90932Q-AA-4 UNITED AIRLINES INC 09/03/2017 Paydown 4,758 4,758 4,829 (71) (71) 4,758 03/03/2028
911308-AA-2 UNITED PARCEL SERVICE OF AMERICA, INC. 04/01/2017
MITSUBISHI UFJ
SECURITIES 47,510 40,000 50,911 48,039 (251) (251) 47,788 (278) (278) 1,182 04/01/2020
91159H-HH-6 U.S. BANCORP 04/01/2017
FBS INVESTMENT
SERVICES, INC 75,710 75,000 74,933 74,968 2 2 74,970 741 741 481 04/25/2019
913017-BV-0 UNITED TECHNOLOGIES CORP 04/01/2017 MARKETAXESS 51,369 50,000 51,402 51,103 (21) (21) 51,082 287 287 297 06/01/2022
91324P-BP-6 UNITEDHEALTH GROUP INC 05/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 55,536 51,000 58,750 54,885 (102) (102) 54,783 754 754 1,165 02/15/2021
91324P-BV-3 UNITEDHEALTH GROUP INC 12/01/2017 MILLENIUM ADVISORS LLC 40,520 40,000 41,076 (122,822) (19) (19) 40,922 (401) (401) 457 03/15/2022
92343V-BQ-6 VERIZON COMMUNICATIONS INC 05/01/2017
Salomon Smith Barney
Inc 106,777 100,000 109,631 106,017 (171) (171) 105,846 931 931 1,813 09/15/2020
92343V-BY-9 VERIZON COMMUNICATIONS INC 04/01/2017 MAXIM GROUP 77,965 75,000 76,255 76,146 (16) (16) 76,131 1,834 1,834 1,254 03/15/2024
92343V-CC-6 VERIZON COMMUNICATIONS INC 04/01/2017 CHEMICAL SECURITIES 103,061 100,000 103,268 103,201 (79) (79) 103,121 (60) (60) 1,390 03/15/2021
92553P-AM-4 VIACOM INC (NEW) 04/01/2017
SMBC NIKKO SECURITIES
AMERICA, INC. 34,044 35,000 34,169 34,345 11 11 34,356 (312) (312) 158 06/15/2022
92826C-AC-6 VISA INC 04/01/2017 GOLDMAN SACHS & CO 100,991 100,000 101,158 101,005 (18) (18) 100,987 4 4 436 12/14/2022
92857W-BC-3 VODAFONE GROUP PLC C 04/01/2017
MARKETAXESS CORPORATION
73,265 75,000 73,269 73,507 23 23 73,529 (264) (264) 1,039 02/19/2023
931142-DP-5 WAL-MART STORES INC 04/01/2017
MARKETAXESS CORPORATION
51,483 50,000 49,806 49,852 2 2 49,854 1,628 1,628 495 04/22/2024
931427-AP-3 WALGREENS BOOTS ALLIANCE INC 04/01/2017 GOLDMAN SACHS & CO 100,361 100,000 103,029 102,859 (46) (46) 102,812 (2,451) (2,451) 594 06/01/2023
94973V-BJ-5 ANTHEM INC 04/01/2017 GOLDMAN SACHS & CO 103,939 104,000 103,478 103,586 6 6 103,592 346 346 1,769 08/15/2024
949746-RS-2 WELLS FARGO & CO 07/05/2017
Nomura International
Trust Co 511,443 510,000 509,883 509,901 12 12 509,913 1,530 1,530 10,838 03/04/2021
94974B-EV-8 WELLS FARGO & CO 04/01/2017 GOLDMAN SACHS & CO 376,485 350,000 390,110 376,381 (613) (613) 375,768 716 716 5,680 04/01/2021
94974B-GM-6 WELLS FARGO & CO 04/01/2017
BANC OF AMERICA
SECURITIES LLC 75,620 75,000 76,664 76,390 (41) (41) 76,348 (729) (729) 1,073 07/22/2020
94988J-5D-5 WELLS FARGO BANK NA 06/01/2017 Goldman Sachs 1,972,848 1,977,000 1,976,150 1,976,310 105 105 1,976,416 (3,567) (3,567) 16,530 05/24/2019
961214-CF-8 WESTPAC BANKING CORP C 04/01/2017
TORONTO DOMINION SECS
USA INC 50,311 50,000 50,654 50,413 (21) (21) 50,393 (82) (82) 628 01/17/2019
981464-DM-9 WFNMT 12D A - ABS 04/01/2017 CHEMICAL SECURITIES 100,455 100,000 101,512 101,293 (54) (54) 101,239 (784) (784) 323 04/17/2023
98158L-AC-1 WOART 14A A3 - ABS 07/01/2017 VARIOUS 1,778,627 1,778,702 1,778,554 1,778,625 15 15 1,778,640 (12) (12) 5,578 04/15/2019
98160Q-AD-4 WOART 14B A3 - ABS 04/01/2017 VARIOUS 215,891 216,244 216,210 216,219 2 2 216,221 (330) (330) 359 01/15/2020
98160V-AD-3 WOLS 15A A3 - ABS 04/01/2017 CHEMICAL SECURITIES 364,398 364,000 364,597 364,162 (38) (38) 364,124 274 274 825 10/15/2018
98160Y-AD-7 WOART 15B A3 - ABS 04/01/2017 BREAN CAPITAL 234,605 235,000 234,465 234,680 19 19 234,699 (94) (94) 516 12/15/2020
3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 76,705,634 75,950,953 77,878,256 75,017,850 1,422 (193,115) (191,694) 76,670,179 35,455 35,455 1,622,949 XXX8399997. Total - Bonds - Part 4 236,046,858 235,008,517 239,438,653 212,447,121 89,597 (814,900) (725,302) 236,661,301 (614,443) (614,443) 3,880,630 XXX8399998. Total - Bonds - Part 5 129,942,266 130,770,053 130,070,114 (68,281) (68,281) 130,001,833 (59,568) (59,568) 1,083,940 XXX8399999. Total - Bonds 365,989,124 365,778,569 369,508,767 212,447,121 89,597 (883,180) (793,583) 366,663,134 (674,010) (674,010) 4,964,570 XXX8999997. Total - Preferred Stocks - Part 4 XXX XXX8999998. Total - Preferred Stocks - Part 5 XXX XXX8999999. Total - Preferred Stocks XXX XXX
000000-00-0 AFFILIATED IMAGING ASSOCIATES 09/30/2017
Adjust off Inital
Investment in SMIA 25,000.000 7,000 7,000 7,000
9099999. Subtotal - Common Stocks - Industrial and Miscellaneous (Unaffiliated) XXX 7,000 7,000 7,000 XXX45775L-70-5 T.ROWE INST US STR RESEARCH MF 12/21/2017 VARIOUS 3,092,157.133 50,874,406 24,076,376 36,549,297 (12,472,922) (12,472,922) 24,076,376 26,798,030 26,798,030
VP7001-21-8 WF GOVT MM FUND-SELECT #3802 02/01/2017 Adjustment (2,096,499.110) (2,096,499) (2,096,499) (2,096,499)
9299999. Subtotal - Common Stocks - Mutual Funds 48,777,907 XXX 21,979,876 36,549,297 (12,472,922) (12,472,922) 21,979,876 26,798,030 26,798,030 XXX
E14.1
1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 4Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change In Book/Adjusted Carrying Value 16 17 18 19 20 21
CUSIPIdenti-fication Description
For-eign
DisposalDate
Nameof Purchaser
Number of Shares of
StockCon-
sideration Par Value Actual Cost
Prior YearBook/
Adjusted Carrying
Value
11
Unrealized Valuation Increase/Decrease
12
Current Year's (Amor-
tization)/Accretion
13
Current Year'sOther-Than-
Temporary Impairment Recognized
14
TotalChange in
Book/Adjusted Carrying
Value(11+12-13)
15Total
Foreign Exchange Change in
Book/ Adjusted Carrying
Value
Book/Adjusted Carrying Value at Disposal
Date
Foreign Exchange
Gain(Loss) on Disposal
Realized Gain (Loss) on Disposal
Total Gain (Loss) on Disposal
BondInterest/ Stock
Dividends Received
DuringYear
StatedCon-
tractualMaturity
Date
9799997. Total - Common Stocks - Part 4 48,777,907 XXX 21,986,876 36,556,297 (12,472,922) (12,472,922) 21,986,876 26,798,030 26,798,030 XXX9799998. Total - Common Stocks - Part 5 (3,341,425) XXX (3,341,425) (3,341,425) XXX9799999. Total - Common Stocks 45,436,482 XXX 18,645,452 36,556,297 (12,472,922) (12,472,922) 18,645,452 26,798,030 26,798,030 XXX9899999. Total - Preferred and Common Stocks 45,436,482 XXX 18,645,452 36,556,297 (12,472,922) (12,472,922) 18,645,452 26,798,030 26,798,030 XXX9999999 - Totals 411,425,606 XXX 388,154,218 249,003,419 (12,383,324) (883,180) (13,266,505) 385,308,586 26,124,020 26,124,020 4,964,570 XXX
E14.1
2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 5Showing All Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 21
CUSIP Identi-fication Description
For-eign
Date Acquired Name of Vendor
DisposalDate
Name ofPurchaser
Par Value (Bonds)
orNumber of
Shares(Stock) Actual Cost
Consid-eration
Book/Adjusted CarryingValue at Disposal
12
Unrealized Valuation Increase/
(Decrease)
13
Current Year's (Amort-ization)/
Accretion
14
Current Year'sOther-Than-
Temporary Impairment Recognized
15
Total Change in
Book/Adjusted Carrying
Valu (12 + 13 - 14)
16Total
Foreign Exchange Change in
Book/Adjusted Carrying
Value
Foreign Exchange
Gain(Loss) onDisposal
Realized Gain
(Loss) on Disposal
Total Gain (Loss) on Disposal
Interestand
Dividends Received
DuringYear
Paid for Accrued Interest
and Dividends
38374E-5M-5 GNR 041 TE - CMO/RMBS 01/23/2017 Stephens Inc. 04/01/2017 VARIOUS 74,605 81,273 80,947 81,349 77 77 (402) (402) 464 259
912828-2A-7 UNITED STATES TREASURY 04/01/2017 VARIOUS 09/22/2017 VARIOUS 3,249,000 2,977,951 3,034,881 2,988,021 10,070 10,070 46,860 46,860 42,244 22,738
912828-2K-5 UNITED STATES TREASURY 08/03/2017
BANC OF AMERICA SECURITIES LLC
12/13/2017 VARIOUS 21,000,000 21,013,945 20,872,641 21,011,669 (2,277) (2,277) (139,028) (139,028) 98,075 3,139
912828-2P-4 UNITED STATES TREASURY 10/18/2017 UBS SECURITIES LLC 12/04/2017 GOLDMAN 88,000 87,557 86,982 87,568 12 12 (586) (586) 574 363
912828-2R-0 UNITED STATES TREASURY 09/27/2017 VARIOUS 11/07/2017 VARIOUS 955,000 963,845 950,166 963,708 (137) (137) (13,542) (13,542) 4,698 1,104
912828-2T-6 UNITED STATES TREASURY 09/19/2017 GOLDMAN 12/13/2017 GOLDMAN 1,240,000 1,236,416 1,228,327 1,236,846 430 430 (8,519) (8,519) 4,539 899
912828-2W-9 UNITED STATES TREASURY 10/03/2017 CITADEL SECURITIES LLC 12/01/2017 HSBC SECURITIES INC. 2,000,000 1,996,094 1,979,867 1,996,194 100 100 (16,327) (16,327) 5,402 412
912828-2X-7 UNITED STATES TREASURY 10/18/2017 VARIOUS 12/13/2017 HSBC SECURITIES INC. 2,226,000 2,218,703 2,213,972 2,219,029 326 326 (5,057) (5,057) 4,263 1,623
912828-A7-5 UNITED STATES TREASURY 02/01/2017 Salomon Smith Barney Inc 04/01/2017
BANC OF AMERICA
SECURITIES LLC 2,188,000 2,199,033 2,198,103 2,198,412 (621) (621) (308) (308) 6,560 2,992
912828-G9-5 UNITED STATES TREASURY 04/01/2017 VARIOUS 04/13/2017 VARIOUS 3,960,000 3,975,899 3,979,903 3,975,028 (872) (872) 4,875 4,875 16,403 6,088
912828-L3-2 UNITED STATES TREASURY 04/01/2017 WARBURG DILLON READ LLC 08/24/2017 VARIOUS 2,000,000 1,977,975 1,989,630 1,980,458 2,482 2,482 9,172 9,172 23,172 11,775
912828-M8-0 UNITED STATES TREASURY 12/01/2017 GOLDMAN 12/13/2017
BANC OF AMERICA
SECURITIES LLC 500,000 497,129 496,035 497,146 17 17 (1,110) (1,110) 412 110
912828-N4-8 UNITED STATES TREASURY 02/01/2017
BANC OF AMERICA SECURITIES LLC
08/24/2017 VARIOUS 1,820,000 1,817,660 1,829,722 1,817,953 293 293 11,769 11,769 18,516 2,903
912828-ST-8 UNITED STATES TREASURY 06/05/2017 VARIOUS 12/13/2017 VARIOUS 7,712,000 7,705,273 7,667,539 7,706,922 1,649 1,649 (39,383) (39,383) 53,241 7,423
912828-T2-6 UNITED STATES TREASURY 09/14/2017 VARIOUS 10/25/2017
JP MORGAN SECURITIES INC.
2,844,000 2,755,706 2,717,131 2,757,803 2,097 2,097 (40,672) (40,672) 22,346 16,412
912828-T6-7 UNITED STATES TREASURY 03/21/2017
BARCLAYS CAPITAL INC FIXED INC
12/13/2017 VARIOUS 4,000,000 3,880,313 3,898,387 3,892,649 12,337 12,337 5,738 5,738 44,487 19,890
912828-U2-4 UNITED STATES TREASURY 03/15/2017 VARIOUS 08/09/2017 VARIOUS 3,566,000 3,415,472 3,472,400 3,419,217 3,745 3,745 53,183 53,183 38,281 19,161
912828-U6-5 UNITED STATES TREASURY 04/01/2017 BARCLAYS CAPITAL FIXED INCOME 04/01/2017
DEUTSCHE BANC SECURITIES
INC. 900,000 891,952 893,813 891,952 1,860 1,860 2,813 2,769
912828-V8-0 UNITED STATES TREASURY 05/26/2017 VARIOUS 07/13/2017 VARIOUS 191,000 191,256 192,209 191,244 (11) (11) 965 965 828 564
912828-V9-8 UNITED STATES TREASURY 05/09/2017 VARIOUS 05/18/2017 Goldman Sachs 654,000 649,922 655,683 649,939 16 16 5,745 5,745 3,902 3,261
912828-VS-6 UNITED STATES TREASURY 05/08/2017 Goldman Sachs 05/18/2017
BANC OF AMERICA
SECURITIES LLC 146,000 149,342 150,801 149,327 (15) (15) 1,474 1,474 968 857
912828-W4-8 UNITED STATES TREASURY 04/12/2017 VARIOUS 04/21/2017 VARIOUS 722,000 718,957 723,154 718,985 28 28 4,169 4,169 2,080 1,520
912828-W5-5 UNITED STATES TREASURY 05/11/2017 VARIOUS 12/13/2017 VARIOUS 3,063,000 3,055,623 3,046,786 3,056,147 524 524 (9,360) (9,360) 36,046 9,984
912828-W8-9 UNITED STATES TREASURY 05/15/2017 VARIOUS 05/16/2017 VARIOUS 1,136,000 1,137,842 1,135,563 1,137,834 (8) (8) (2,271) (2,271) 1,995 1,614
912828-X8-8 UNITED STATES TREASURY 07/25/2017 VARIOUS 08/09/2017 VARIOUS 325,000 328,092 328,876 328,088 (4) (4) 788 788 1,408 1,229
912828-XB-1 UNITED STATES TREASURY 08/24/2017 Goldman Sachs 09/07/2017
Nomura International
Trust Co 2,394,000 2,401,762 2,426,169 2,401,741 (21) (21) 24,429 24,429 16,036 14,653
912828-XR-6 UNITED STATES TREASURY 07/20/2017 VARIOUS 12/13/2017 VARIOUS 8,699,000 8,642,640 8,597,762 8,646,560 3,920 3,920 (48,798) (48,798) 72,239 18,128
912833-PB-0 UNITED STATES TREASURY 01/12/2017 VARIOUS 10/01/2017
Salomon Smith Barney Inc
2,048,720 1,591,484 1,577,473 1,593,684 2,200 2,200 (16,211) (16,211)
0599999. Subtotal - Bonds - U.S. Governments 79,701,325 78,559,113 78,424,924 78,595,471 36,358 36,358 (170,547) (170,547) 521,992 171,869
682051-AD-9 OMAN, SULTANATE OF (GOVERNMENT) C 03/02/2017 Salomon Smith Barney Inc 03/23/2017 MARKETAXESS CORPORATION 200,000 200,000 201,624 200,000 1,624 1,624 344
748148-RU-9 QUEBEC, PROVINCE OF 08/28/2017 Stifel Nicolaus & Co. 11/29/2017
FIRST MARATHON SECURITIES
LIMI 417,000 437,255 431,870 435,554 (1,702) (1,702) (3,683) (3,683) 4,946 1,297
1099999. Subtotal - Bonds - All Other Governments 617,000 637,255 633,494 635,554 (1,702) (1,702) (2,059) (2,059) 5,291 1,297
3130AB-HB-5 FEDERAL HOME LOAN BANKS 05/31/2017 Nomura International Trust Co 10/27/2017
MIZUHO SECURITIES USA
INC. 2,005,000 2,004,599 1,993,993 2,004,625 26 26 (10,632) (10,632) 21,930 1,023
3133EG-3U-7 FEDERAL FARM CREDIT BANKS FUNDING CORP 05/17/2017 Morgan Stanley 05/25/2017 Call @ 100.0 1,992,000 1,992,558 1,992,000 1,992,000 (558) (558) 5,152 4,203
3133EH-DZ-3 FEDERAL FARM CREDIT BANKS FUNDING CORP 03/24/2017
TORONTO DOMINION SECURTIES
(USA) INC 06/30/2017 Call @ 100.0 993,000 993,000 993,000 993,000 7,696
3133EH-EQ-2 FEDERAL FARM CREDIT BANKS FUNDING CORP 04/07/2017 BONY/TORONTO DOMINION SECURITI 08/25/2017 Not Available 497,000 497,000 497,000 497,000 6,127 219
3133EH-FT-5 FEDERAL FARM CREDIT BANKS FUNDING CORP 04/18/2017 Goldman Sachs 08/25/2017 Not Available 995,000 995,000 995,000 995,000 10,260 641
3133EH-HK-2 FEDERAL FARM CREDIT BANKS FUNDING CORP 07/06/2017 DAVIDSON (D.A.) & CO. INC. 12/01/2017
Amherst Pierpont
Securities 236,000 235,386 234,631 235,425 38 38 (793) (793) 3,711 1,138
3133EH-KU-6 FEDERAL FARM CREDIT BANKS FUNDING CORP 08/15/2017 VARIOUS 11/10/2017
Nomura International
Trust Co 2,429,000 2,428,472 2,413,236 2,428,151 (321) (321) (14,915) (14,915) 27,495 5,049
3133EH-XD-0 FEDERAL FARM CREDIT BANKS FUNDING CORP 09/07/2017 Nomura International Trust Co 12/20/2017
Nomura International
Trust Co 1,344,000 1,344,000 1,323,840 1,344,000 (20,160) (20,160) 11,786 1,179
E15
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 5Showing All Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 21
CUSIP Identi-fication Description
For-eign
Date Acquired Name of Vendor
DisposalDate
Name ofPurchaser
Par Value (Bonds)
orNumber of
Shares(Stock) Actual Cost
Consid-eration
Book/Adjusted CarryingValue at Disposal
12
Unrealized Valuation Increase/
(Decrease)
13
Current Year's (Amort-ization)/
Accretion
14
Current Year'sOther-Than-
Temporary Impairment Recognized
15
Total Change in
Book/Adjusted Carrying
Valu (12 + 13 - 14)
16Total
Foreign Exchange Change in
Book/Adjusted Carrying
Value
Foreign Exchange
Gain(Loss) onDisposal
Realized Gain
(Loss) on Disposal
Total Gain (Loss) on Disposal
Interestand
Dividends Received
DuringYear
Paid for Accrued Interest
and Dividends
3134GA-3M-4 FEDERAL HOME LOAN MORTGAGE CORP 02/07/2017
NATIONAL FINANCIAL SERVICES
CORP. 08/28/2017 Call @ 100.0 2,375,000 2,375,000 2,375,000 2,375,000 17,813
3134GA-6C-3 FEDERAL HOME LOAN MORTGAGE CORP 05/17/2017 VARIOUS 09/14/2017 Call @ 100.0 1,116,000 1,115,967 1,116,000 1,115,969 2 2 31 31 8,370 443
3134GA-E7-5 FEDERAL HOME LOAN MORTGAGE CORP 03/28/2017
NOMURA SECURITIES INTL., FIXED
I 04/06/2017 Call @ 100.0 1,481,000 1,481,295 1,481,000 1,481,000 (295) (295) 7,405 6,829
3134GA-HV-9 FEDERAL HOME LOAN MORTGAGE CORP 05/17/2017 DAVIDSON (D.A.) & CO. INC. 09/15/2017 Call @ 100.0 300,000 299,460 299,925 299,499 39 39 426 426 1,442 525
3134GB-DL-3 FEDERAL HOME LOAN MORTGAGE CORP 05/17/2017 VARIOUS 07/20/2017 VARIOUS 1,934,000 1,934,000 1,933,924 1,934,000 (76) (76) 8,864 688
3134GB-DQ-2 FEDERAL HOME LOAN MORTGAGE CORP 04/18/2017 KGS ALPHA CAPITAL MARKETS 10/20/2017 Call @ 100.0 458,000 458,000 458,000 458,000 3,435
3136A8-DA-5 FNR 1298J KY - CMO/RMBS 01/24/2017 Stephens Inc. 04/01/2017 STEPHENS INC. 100,000 104,125 104,172 104,112 (13) (13) 59 59 369 253
3136AE-GQ-4 FN 13M7B A2 - CMBS 01/03/2017 GX CLARKE & CO. 04/01/2017 G.X. CLARKE 300,000 295,547 295,500 295,603 56 56 (103) (103) 703 95
3136F7-E7-8 FEDERAL NATIONAL MORTGAGE ASSOCIATION 02/07/2017 VARIOUS 05/17/2017
CITIGROUP GBL
MKTS/SALOMON, NEW YORK 2,899,000 2,949,173 2,906,219 2,906,678 (42,495) (42,495) (460) (460) 81,513 31,198
3137A0-MB-8 FHR 3688L BC - CMO/RMBS 01/18/2017 GX CLARKE & CO. 10/01/2017 VARIOUS 165,445 177,130 177,801 177,214 84 84 587 587 863 455
3137B0-4Y-7 FHMS KSMC A2 - CMBS 01/06/2017 GX CLARKE & CO. 04/01/2017 GX CLARKE & CO. 750,000 755,068 752,227 755,000 (68) (68) (2,773) (2,773) 2,016 545
3138WA-Y6-8 FN AS1632 - RMBS 05/09/2017 JPM/CONCORDIA PARTNR 11/29/2017 VARIOUS 1,013,378 1,041,879 1,033,851 1,039,568 (2,311) (2,311) (5,717) (5,717) 17,197 1,267
31398A-BP-6 FEDERAL NATIONAL MORTGAGE ASSOCIATION 02/06/2017 D A Davidson 05/15/2017 VARIOUS 1,108,000 1,122,515 1,117,949 1,118,243 (4,272) (4,272) (294) (294) 19,073 14,133
57586E-HT-1
MASSACHUSETTS ST HEALTH & EDL FACS AUTH
02/01/2017 Adjustment 03/21/2017 CHASE SECURITIES 3,500,000 3,500,000 3,500,000 3,500,000 3,105 312
641272-HD-4 NEVADA HSG DIV 03/02/2017 CHASE SECURITIES 06/06/2017 Unknown 1,425,000 1,425,000 1,425,000 1,425,000 4,180
93978H-SC-0
WASHINGTON ST HEALTH CARE FACS AUTH REV
03/17/2017 JP MORGAN SECURITIES INC. 06/01/2017
CANTOR FITZGERALD & CO.
INC. 240,000 265,373 271,740 265,313 (60) (60) 6,427 6,427 367
3199999. Subtotal - Bonds - U.S. Special Revenues 29,655,824 29,789,546 29,691,005 29,739,400 (50,147) (50,147) (48,394) (48,394) 270,868 70,193
00182E-BC-2
ANZ NEW ZEALAND (INTL) LTD (LONDON BRANC
C 02/06/2017
SALOMON BROTHERS ASSET
MANAGEMENT 04/01/2017 MARKETAXESS CORPORATION 200,000 200,358 200,358 200,350 (8) (8) 8 8 942 224
00206R-CN-0 AT&T INC 01/11/2017 Goldman Sachs 08/24/2017 VARIOUS 300,000 288,852 293,630 289,280 428 428 4,350 4,350 5,467 1,757
00206R-DP-4 AT&T INC 02/06/2017 RBC Dain Rauscher (US) 04/01/2017
Salomon Smith Barney Inc
250,000 250,695 251,685 250,690 (5) (5) 995 995 713
00206R-DQ-2 AT&T INC 05/18/2017
CITIGROUP GBL MKTS/SALOMON, NEW
YORK 06/07/2017 VARIOUS 275,000 280,949 285,647 280,922 (27) (27) 4,725 4,725 3,993 3,268
00287Y-AT-6 ABBVIE INC 02/06/2017 MORGAN STANLEY & CO LLC 05/08/2017 CHASE SECURITIES 445,000 447,968 448,351 447,745 (223) (223) 606 606 5,470 2,627
02005A-EB-0 AMOT 143 A - ABS 01/03/2017 BONY/TORONTO DOMINION SECURITI 04/01/2017 Paydown 180,000 180,049 180,000 180,000 (49) (49) 599 140
02587C-FF-2 American Express Bank, FSB 05/17/2017 DAVIDSON (D.A.) & CO. INC. 12/08/2017
DAVIDSON (D.A.) & CO.
INC. 245,000 243,836 242,663 243,996 160 160 (1,334) (1,334) 3,036
0258M0-EG-0 AMERICAN EXPRESS CREDIT CORP 02/28/2017
BANC OF AMERICA SECURITIES LLC
04/01/2017
Salomon Smith Barney Inc
214,000 213,523 213,533 213,524 1 1 10 10 48
031162-CP-3 AMGEN INC 05/08/2017
BANC OF AMERICA SECURITIES LLC
05/09/2017 Goldman Sachs 120,000 119,743 119,833 119,743 90 90 9
035242-AL-0 ANHEUSER-BUSCH INBEV FINANCE INC C 02/06/2017 VARIOUS 09/07/2017 Morgan Stanley 876,000 895,425 914,483 893,603 (1,821) (1,821) 20,879 20,879 17,666 642
035242-AP-1 ANHEUSER-BUSCH INBEV FINANCE INC C 09/07/2017 Morgan Stanley 09/27/2017
DEUTSCHE BANK SECURITIES,
INC. 976,000 1,020,789 1,010,394 1,020,552 (236) (236) (10,158) (10,158) 5,739 3,958
037833-CU-2 APPLE INC 05/04/2017 Goldman Sachs 05/08/2017
MIZUHO SECURITIES USA
INC. 137,000 136,870 137,155 136,870 285 285
055657-AB-6 BMWLT 171 A2 - ABS 03/15/2017 BARCLAYS CAPITAL FIXED INCOME 06/16/2017 GX CLARKE & CO. 633,000 632,934 633,666 632,949 15 15 717 717 2,358
06051G-DX-4 BANK OF AMERICA CORPORATION 02/07/2017 BNP PARIBAS SECURITIES BOND 07/18/2017
BANC OF AMERICA
SECURITIES LLC 755,000 789,254 777,499 776,898 (12,356) (12,356) 601 601 30,808 11,731
06051G-EM-7 BANK OF AMERICA CORP 01/23/2017 Morgan Stanley 04/01/2017 MORGAN STANLEY & CO LLC 252,000 282,421 284,039 282,186 (235) (235) 1,853 1,853 638 80
06367T-JX-9 BANK OF MONTREAL 02/08/2017 BNP PARIBAS SECURITIES BOND 09/29/2017 Morgan Stanley 364,000 356,356 359,184 357,386 1,030 1,030 1,799 1,799 7,569 3,151
06406R-AA-5 BANK OF NEW YORK MELLON CORP 02/08/2017 Salomon Smith Barney Inc 05/10/2017 VARIOUS 300,000 300,675 300,973 300,650 (25) (25) 323 323 1,660 130
14040H-BG-9 CAPITAL ONE FINANCIAL CORP 01/24/2017
CITIGROUP GBL MKTS/SALOMON, NEW
YORK 04/01/2017 RBC Dain Rauscher (US) 110,000 107,040 107,411 107,052 12 12 359 359 1,809 1,682
149123-BQ-3 CATERPILLAR INC 02/07/2017 MARKETAXESS CORPORATION 11/10/2017 Not Available 689,000 766,273 755,233 735,109 (31,164) (31,164) 20,124 20,124 27,216 8,280
172967-KY-6 CITIGROUP INC 02/08/2017
BANC OF AMERICA SECURITIES LLC
05/09/2017 VARIOUS 384,000 368,502 366,813 368,700 198 198 (1,886) (1,886) 5,598 3,823
20826F-AA-4 CONOCOPHILLIPS CO 02/07/2017 FBS INVESTMENT SERVICES, INC 04/27/2017 VARIOUS 549,000 536,730 542,871 537,160 430 430 5,711 5,711 4,929 2,013
233851-CS-1 DAIMLER FINANCE NORTH AMERICA LLC C 05/02/2017
CITIGROUP GBL MKTS/SALOMON, NEW
YORK 05/04/2017
BARCLAYS CAPITAL INC
FIXED INC 206,000 207,722 207,776 207,719 (4) (4) 57 57 2,006 1,941
E15.1
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE D - PART 5Showing All Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 21
CUSIP Identi-fication Description
For-eign
Date Acquired Name of Vendor
DisposalDate
Name ofPurchaser
Par Value (Bonds)
orNumber of
Shares(Stock) Actual Cost
Consid-eration
Book/Adjusted CarryingValue at Disposal
12
Unrealized Valuation Increase/
(Decrease)
13
Current Year's (Amort-ization)/
Accretion
14
Current Year'sOther-Than-
Temporary Impairment Recognized
15
Total Change in
Book/Adjusted Carrying
Valu (12 + 13 - 14)
16Total
Foreign Exchange Change in
Book/Adjusted Carrying
Value
Foreign Exchange
Gain(Loss) onDisposal
Realized Gain
(Loss) on Disposal
Total Gain (Loss) on Disposal
Interestand
Dividends Received
DuringYear
Paid for Accrued Interest
and Dividends
25468P-DV-5 WALT DISNEY CO 06/01/2017
DEUTSCHE BANK SECURITIES, INC.
10/27/2017 VARIOUS 618,000 615,707 615,944 615,782 75 75 162 162 6,691
37045X-BD-7 GENERAL MOTORS FINANCIAL COMPANY INC 02/13/2017 MARKETAXESS 04/06/2017 VARIOUS 486,000 502,189 501,480 501,668 (521) (521) (188) (188) 6,418 4,096
37045X-BG-0 GENERAL MOTORS FINANCIAL COMPANY INC 01/20/2017 WELLS FARGO SECURITIES LLC 04/01/2017 CHEMICAL SECURITIES 350,000 369,149 373,499 369,084 (64) (64) 4,415 4,415 8,014 7,350
37045X-BT-2 GENERAL MOTORS FINANCIAL COMPANY INC 08/29/2017 RBC Dain Rauscher (US) 12/28/2017
BARCLAYS CAPITAL INC
FIXED INC 111,000 113,980 115,285 113,892 (88) (88) 1,392 1,392 2,213 590
37045X-BW-5 GENERAL MOTORS FINANCIAL COMPANY INC 04/10/2017 CHASE SECURITIES 08/29/2017 VARIOUS 297,000 296,495 302,702 296,514 19 19 6,188 6,188 3,510
377372-AD-9 GLAXOSMITHKLINE CAPITAL INC C 02/15/2017 MARKETAXESS CORPORATION 06/16/2017 VARIOUS 383,000 402,783 397,747 397,965 (4,818) (4,818) (218) (218) 12,037 5,406
40414L-AL-3 HCP INC 01/24/2017 KEYBANC CAPITAL MARKETS INC 04/01/2017 MARKETAXESS CORPORATION 66,000 66,163 66,485 66,163 322 322 1,243 1,140
46625H-RV-4 JPMORGAN CHASE & CO 03/21/2017 VARIOUS 07/25/2017
DEUTSCHE BANK SECURITIES,
INC. 296,000 279,979 287,209 280,468 489 489 6,741 6,741 7,204 4,196
594918-BJ-2 MICROSOFT CORP 02/03/2017 MILLENIUM ADVISORS LLC 05/16/2017 VARIOUS 835,000 838,156 851,359 838,095 (62) (62) 13,264 13,264 13,793 6,886
617446-7U-7 MORGAN STANLEY 02/08/2017 MORGAN STANLEY & CO INC, NY 07/20/2017 VARIOUS 407,000 409,226 408,397 408,438 (788) (788) (42) (42) 6,309 2,595
61746B-DQ-6 MORGAN STANLEY 02/03/2017 BNY CAPITAL MARKETS, INC. 10/18/2017 VARIOUS 398,000 408,567 418,490 407,668 (899) (899) 10,822 10,822 15,037 4,241
68389X-BB-0 ORACLE CORP 02/03/2017 SG AMERICAS SECURITIES LLC 04/01/2017
WACHOVIA CAPITAL
MARKETS, LLC 449,000 449,013 449,422 449,015 2 2 407 407 3,368 2,588
68389X-BS-3 ORACLE CORP 11/07/2017
BANC OF AMERICA SECURITIES LLC
11/24/2017 VARIOUS 194,000 193,693 195,423 193,696 2 2 1,728 1,728 290
687846-AD-7 OSCAR 171 A3 - ABS D 04/01/2017 FUJI SECURITIES INC 04/19/2017 GX CLARKE & CO. 440,000 439,920 443,025 439,922 2 2 3,103 3,103 931
713448-DY-1 PEPSICO INC 10/05/2017
BANC OF AMERICA SECURITIES LLC
12/12/2017
DEUTSCHE BANK SECURITIES,
INC. 270,000 269,236 267,860 269,247 11 11 (1,387) (1,387) 1,281
857477-AN-3 STATE STREET CORP 02/03/2017 BARCLAYS CAPITAL FIXED INCOME 05/26/2017 VARIOUS 199,000 201,736 204,602 201,656 (80) (80) 2,946 2,946 2,742 949
87165L-AK-7 SYNCT 152 A - ABS 01/05/2017 WELLS FARGO SECURITIES LLC 09/01/2017 CHASE SECURITIES 180,000 180,246 180,113 180,167 (79) (79) (54) (54) 1,384 200
89114Q-AV-0 TORONTO-DOMINION BANK 02/03/2017 TORONTO DOMINION SECS USA INC 08/28/2017 Stifel Nicolaus & Co. 417,000 420,027 420,807 419,424 (604) (604) 1,383 1,383 7,715 2,424
89114Q-BL-1 TORONTO-DOMINION BANK 02/07/2017
BANC OF AMERICA SECURITIES LLC
04/03/2017
BONY/TORONTO DOMINION
SECURITI 264,000 257,070 257,709 257,298 228 228 410 410 1,096 356
90131H-AR-6 21ST CENTURY FOX AMERICA INC 02/21/2017 FBS INVESTMENT SERVICES, INC 06/06/2017 CHASE SECURITIES 461,000 461,231 472,299 461,224 (6) (6) 11,075 11,075 10,142 6,108
90331H-NB-5
U.S. BANK NATIONAL ASSOCIATION (CINCINNA
01/19/2017 US BANCORP INVESTMENTS INC. 06/01/2017
WELLS FARGO SECURITIES
LLC 3,471,000 3,463,676 3,485,682 3,464,412 736 736 21,270 21,270 21,597
91159H-HL-7 U.S. BANCORP 02/07/2017 MARKETAXESS CORPORATION 05/19/2017
US BANCORP INVESTMENTS
INC. 199,000 199,870 200,887 199,809 (61) (61) 1,078 1,078 1,494 143
92343V-BR-4 VERIZON COMMUNICATIONS INC 07/20/2017 VARIOUS 08/16/2017 NO BROKER 774,000 848,217 871,524 845,813 (2,405) (2,405) 25,712 25,712 21,638 11,427
92343V-EB-6 VERIZON COMMUNICATIONS INC 08/11/2017 NO BROKER 08/30/2017 VARIOUS 770,904 770,904 771,696 770,904 792 792 1,373
3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 20,795,904 21,084,199 21,192,843 21,031,409 (52,790) (52,790) 161,433 161,433 285,789 106,138
8399998. Total - Bonds 130,770,053 130,070,114 129,942,266 130,001,833 (68,281) (68,281) (59,568) (59,568) 1,083,940 349,497
8999998. Total - Preferred Stocks
VP7001-21-8 WF GOVT MM FUND-SELECT #3802 03/01/2017 Direct 03/01/2017 Direct (3,341,424.820) (3,341,425) (3,341,425) (3,341,425)
9299999. Subtotal - Common Stocks - Mutual Funds (3,341,425) (3,341,425) (3,341,425)
9799998. Total - Common Stocks (3,341,425) (3,341,425) (3,341,425)
9899999. Total - Preferred and Common Stocks (3,341,425) (3,341,425) (3,341,425)
9999999 - Totals 126,728,689 126,600,841 126,660,409 (68,281) (68,281) (59,568) (59,568) 1,083,940 349,497
E15.2
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
Schedule D-Part 6-Section 1-Valuation of Shares of Subsidiary, Controlled or Affiliated Companies
N O N E
Schedule D - Part 6 - Section 2
N O N E
E16
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE DA - PART 1Showing All SHORT-TERM INVESTMENTS Owned December 31 of Current Year
1 Codes 4 5 6 7 Change in Book/Adjusted Carrying Value 12 13 Interest 20
Description
2
Code
3
For-eign
DateAcquired Name of Vendor
MaturityDate
Book/Adjusted Carrying
Value
8
Unrealized Valuation Increase/
(Decrease)
9
Current Year's(Amor-
tization)/Accretion
10
Current Year'sOther-Than-
Temporary Impairment Recognized
11Total
Foreign Exchange Change in
Book/Adjusted Carrying
Value Par Value Actual Cost
14
Amount Dueand Accrued Dec. 31 of
Current Year on Bond
Notin Default
15
Non-Admitted Due and Accrued
16
Rateof
17
Effective Rate
of
18
When Paid
19
Amount Received
DuringYear
Paid forAccruedInterest
UNITED STATES TREASURY 10/19/2017 SCOTIA CAPITAL USA INC 04/30/2018 484,009 582 485,000 483,428 519 0.625 1.250 AO 1,516 1,450
0199999. Subtotal - Bonds - U.S. Governments - Issuer Obligations 484,009 582 485,000 483,428 519 XXX XXX XXX 1,516 1,450
0599999. Total - U.S. Government Bonds 484,009 582 485,000 483,428 519 XXX XXX XXX 1,516 1,450
1099999. Total - All Other Government Bonds XXX XXX XXX
1799999. Total - U.S. States, Territories and Possessions Bonds XXX XXX XXX
2499999. Total - U.S. Political Subdivisions Bonds XXX XXX XXX
3199999. Total - U.S. Special Revenues Bonds XXX XXX XXX
3899999. Total - Industrial and Miscellaneous (Unaffiliated) Bonds XXX XXX XXX
4899999. Total - Hybrid Securities XXX XXX XXX
5599999. Total - Parent, Subsidiaries and Affiliates Bonds XXX XXX XXX
6099999. Subtotal - SVO Identified Funds XXX XXX XXX
7799999. Total - Issuer Obligations 484,009 582 485,000 483,428 519 XXX XXX XXX 1,516 1,450
7899999. Total - Residential Mortgage-Backed Securities XXX XXX XXX
7999999. Total - Commercial Mortgage-Backed Securities XXX XXX XXX
8099999. Total - Other Loan-Backed and Structured Securities XXX XXX XXX
8199999. Total - SVO Identified Funds XXX XXX XXX
8399999. Total Bonds 484,009 582 485,000 483,428 519 XXX XXX XXX 1,516 1,450
8699999. Total - Parent, Subsidiaries and Affiliates XXX XXX XXX XXX
9199999 - Totals 484,009 582 XXX 483,428 519 XXX XXX XXX 1,516 1,450
E17
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
Schedule DB - Part A - Section 1 - Options, Caps, Floors, Collars, Swaps and Forwards Open
N O N E
Schedule DB - Part A - Section 2 - Options, Caps, Floors, Collars, Swaps and Forwards Terminated
N O N E
Schedule DB - Part B - Section 1 - Futures Contracts Open
N O N E
Schedule DB - Part B - Section 1B - Brokers with whom cash deposits have been made
N O N E
Schedule DB - Part B - Section 2 - Futures Contracts Terminated
N O N E
Schedule DB - Part D - Section 1 - Counterparty Exposure for Derivative Instruments Open
N O N E
Schedule DB - Part D-Section 2 - Collateral for Derivative Instruments Open - Pledged By
N O N E
Schedule DB - Part D-Section 2 - Collateral for Derivative Instruments Open - Pledged To
N O N E
Schedule DL - Part 1 - Reinvested Collateral Assets Owned
N O N E
Schedule DL - Part 2 - Reinvested Collateral Assets Owned
N O N E
E18, E19, E20, E21, E22, E23, E24, E25
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE E - PART 1 - CASH1
Depository
2
Code
3
Rate ofInterest
4Amount of Interest Received During
Year
5Amount of Interest
Accrued December 31 of Current Year
6
Balance
7
*Wells Fargo San Fransico, CA 0.000 96,965,805 XXX0199998 Deposits in ... depositories which do not exceed the allowable limit in any one depository (See instructions) - open depositories XXX XXX XXX0199999. Totals - Open Depositories XXX XXX 96,965,805 XXX0299998 Deposits in ... depositories which do not exceed the allowable limit in any one depository (See instructions) - suspended depositories XXX XXX XXX0299999. Totals - Suspended Depositories XXX XXX XXX0399999. Total Cash on Deposit XXX XXX 96,965,805 XXX0499999. Cash in Company's Office XXX XXX XXX XXX XXX
0599999 Total - Cash XXX XXX 96,965,805 XXX
TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR1. January 183,823,050 4. April 95,856,315 7. July 114,940,765 10. October 60,139,702
2. February 174,520,097 5. May 106,080,799 8. August 112,232,761 11. November 45,461,743
3. March 155,989,491 6. June 145,166,559 9. September 115,715,151 12. December 96,965,805
E26
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE E - PART 2 - CASH EQUIVALENTSShow Investments Owned December 31 of Current Year
1
CUSIP
2
Description
3
Code
4
Date Acquired
5
Rate of Interest
6
Maturity Date
7Book/AdjustedCarrying Value
8Amount of InterestDue and Accrued
9Amount Received
During Year
0599999. Total - U.S. Government Bonds
1099999. Total - All Other Government Bonds
1799999. Total - U.S. States, Territories and Possessions Bonds
2499999. Total - U.S. Political Subdivisions Bonds
3199999. Total - U.S. Special Revenues Bonds
3899999. Total - Industrial and Miscellaneous (Unaffiliated) Bonds
4899999. Total - Hybrid Securities
5599999. Total - Parent, Subsidiaries and Affiliates Bonds
6099999. Subtotal - SVO Identified Funds
7799999. Total - Issuer Obligations
7899999. Total - Residential Mortgage-Backed Securities
7999999. Total - Commercial Mortgage-Backed Securities
8099999. Total - Other Loan-Backed and Structured Securities
8199999. Total - SVO Identified Funds
8399999. Total Bonds
WELLSFARGO:GOVT MM;SEL 12/29/2017 1.200 XXX 1,771,582 7,609 4,262
8599999. Subtotal - Exempt Money Market Mutual Funds - as Identified by the SVO 1,771,582 7,609 4,262
8899999 - Total Cash Equivalents 1,771,582 7,609 4,262
E27
ANNUAL STATEMENT FOR THE YEAR 2017 OF THE PRESBYTERIAN HEALTH PLAN INC
SCHEDULE E - PART 3 - SPECIAL DEPOSITS
1 2Deposits For the
Benefit of All Policyholders All Other Special Deposits
States, Etc.Type of Deposit Purpose of Deposit
3Book/Adjusted Carrying Value
4
Fair Value
5Book/Adjusted Carrying Value
6
Fair Value
1. Alabama AL
2. Alaska AK
3. Arizona AZ B License Requirements 506,106 504,014
4. Arkansas AR
5. California CA
6. Colorado CO
7. Connecticut CT
8. Delaware DE
9. District of Columbia DC
10. Florida FL
11. Georgia GA
12. Hawaii HI
13. Idaho ID
14. Illinois IL
15. Indiana IN
16. Iowa IA
17. Kansas KS
18. Kentucky KY
19. Louisiana LA
20. Maine ME
21. Maryland MD
22. Massachusetts MA
23. Michigan MI
24. Minnesota MN
25. Mississippi MS
26. Missouri MO
27. Montana MT
28. Nebraska NE
29. Nevada NV
30. New Hampshire NH
31. New Jersey NJ
32. New Mexico NM B License Requirements/HSD Reserve 304,730 304,381 100,476,187 100,190,023
33. New York NY
34. North Carolina NC
35. North Dakota ND
36. Ohio OH
37. Oklahoma OK
38. Oregon OR
39. Pennsylvania PA
40. Rhode Island RI
41. South Carolina SC
42. South Dakota SD
43. Tennessee TN
44. Texas TX
45. Utah UT
46. Vermont VT
47. Virginia VA
48. Washington WA
49. West Virginia WV
50. Wisconsin WI
51. Wyoming WY
52. American Samoa AS
53. Guam GU
54. Puerto Rico PR
55. U.S. Virgin Islands VI
56. Northern Mariana Islands MP
57. Canada CAN
58. Aggregate Alien and Other OT XXX XXX
59. Subtotal XXX XXX 810,836 808,395 100,476,187 100,190,023
DETAILS OF WRITE-INS
5801.
5802.
5803.
5898. Summary of remaining write-ins for Line 58 from overflow page XXX XXX
5899. Totals (Lines 5801 thru 5803 plus 5898)(Line 58 above) XXX XXX
E28
ALPHABETICAL INDEXANNUAL STATEMENT BLANK
Analysis of Operations By Lines of Business 7
Assets 2
Cash Flow 6
Exhibit 1 - Enrollment By Product Type for Health Business Only 17
Exhibit 2 - Accident and Health Premiums Due and Unpaid 18
Exhibit 3 - Health Care Receivables 19
Exhibit 3A - Analysis of Health Care Receivables Collected and Accrued 20
Exhibit 4 - Claims Unpaid and Incentive Pool, Withhold and Bonus 21
Exhibit 5 - Amounts Due From Parent, Subsidiaries and Affiliates 22
Exhibit 6 - Amounts Due To Parent, Subsidiaries and Affiliates 23
Exhibit 7 - Part 1 - Summary of Transactions With Providers 24
Exhibit 7 - Part 2 - Summary of Transactions With Intermediaries 24
Exhibit 8 - Furniture, Equipment and Supplies Owned 25
Exhibit of Capital Gains (Losses) 15
Exhibit of Net Investment Income 15
Exhibit of Nonadmitted Assets 16
Exhibit of Premiums, Enrollment and Utilization (State Page) 30
Five-Year Historical Data 29
General Interrogatories 27
Jurat Page 1
Liabilities, Capital and Surplus 3
Notes To Financial Statements 26
Overflow Page For Write-ins 44
Schedule A - Part 1 E01
Schedule A - Part 2 E02
Schedule A - Part 3 E03
Schedule A - Verification Between Years SI02
Schedule B - Part 1 E04
Schedule B - Part 2 E05
Schedule B - Part 3 E06
Schedule B - Verification Between Years SI02
Schedule BA - Part 1 E07
Schedule BA - Part 2 E08
Schedule BA - Part 3 E09
Schedule BA - Verification Between Years SI03
Schedule D - Part 1 E10
Schedule D - Part 1A - Section 1 SI05
Schedule D - Part 1A - Section 2 SI08
Schedule D - Part 2 - Section 1 E11
Schedule D - Part 2 - Section 2 E12
Schedule D - Part 3 E13
Schedule D - Part 4 E14
Schedule D - Part 5 E15
Schedule D - Part 6 - Section 1 E16
Schedule D - Part 6 - Section 2 E16
Schedule D - Summary By Country SI04
Schedule D - Verification Between Years SI03
Schedule DA - Part 1 E17
Schedule DA - Verification Between Years SI10
Schedule DB - Part A - Section 1 E18
Schedule DB - Part A - Section 2 E19
Schedule DB - Part A - Verification Between Years SI11
Schedule DB - Part B - Section 1 E20
Schedule DB - Part B - Section 2 E21
Schedule DB - Part B - Verification Between Years SI11
Schedule DB - Part C - Section 1 SI12
Schedule DB - Part C - Section 2 SI13
Schedule DB - Part D - Section 1 E22
Schedule DB - Part D - Section 2 E23
Schedule DB - Verification SI14
Schedule DL - Part 1 E24
Schedule DL - Part 2 E25
Schedule E - Part 1 - Cash E26
Schedule E - Part 2 - Cash Equivalents E27
Schedule E - Part 3 - Special Deposits E28
Schedule E - Verification Between Years SI15
Index 1
ANNUAL STATEMENT BLANK (Continued)
Schedule S - Part 1 - Section 2 31
Schedule S - Part 2 32
Schedule S - Part 3 - Section 2 33
Schedule S - Part 4 34
Schedule S - Part 5 35
Schedule S - Part 6 36
Schedule S - Part 7 37
Schedule T - Part 2 - Interstate Compact 39
Schedule T - Premiums and Other Considerations 38
Schedule Y - Information Concerning Activities of Insurer Members of a Holding Company Group 40
Schedule Y - Part 1A - Detail of Insurance Holding Company System 41
Schedule Y - Part 2 - Summary of Insurer’s Transactions With Any Affiliates 42
Statement of Revenue and Expenses 4
Summary Investment Schedule SI01
Supplemental Exhibits and Schedules Interrogatories 43
Underwriting and Investment Exhibit - Part 1 8
Underwriting and Investment Exhibit - Part 2 9
Underwriting and Investment Exhibit - Part 2A 10
Underwriting and Investment Exhibit - Part 2B 11
Underwriting and Investment Exhibit - Part 2C 12
Underwriting and Investment Exhibit - Part 2D 13
Underwriting and Investment Exhibit - Part 3 14
Index 1.1