california department of insurance long term care …...feb, 2011 rate increase varied by issue age...

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California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119) Rate Increase History Company Contact: (877) 795-8493 As of 12/31/2013 Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 1 of 28 Dave Jones, Insurance Commissioner Row # Policy Form *Policy Type **Policy Category Date Policy Sold Date Policy Acquired Acquired From Company Name Acquired From Company NAIC CA Policy Other State Policy Increase Requested Increase Approved Date Increase Requested Date Increase Approved Date Increase Issued Company Explanation 1 3358 I C, F 2/2/1988 CA 10% 10% 6/12/2006 Aug, 2006 2 690 I C, F 9/11/1990 CA 20 15 6/12/2006 Aug, 2006 3 691 I C, F 4/1/1992 CA 20 15 6/12/2006 Aug, 2006 4 692 I A, D 5/1/1993 CA 20 15 6/12/2006 Aug, 2006 5 693 I C, F 1/13/1995 CA 20 15 6/12/2006 Aug, 2006 6 695 I C, F 1/17/1997 CA 20 15 6/12/2006 Aug, 2006 7 696 I C, F 1/28/1997 CA 20 15 6/12/2006 Aug, 2006 8 3358 I C, F 2/2/1988 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 9 690 I C, F 9/11/1990 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 10 691 I C, F 4/1/1992 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 11 692 I A, D 5/1/1993 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 12 693 I C, F 1/13/1995 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 13 695 I C, F 1/17/1997 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 14 696 I C, F 1/28/1997 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 2013 15 201 I C, F 1/12/2002 TX 15 10 9/19/2005 Nov, 2005 16 3358 I C, F 4/27/1988 TX 10 10 6/5/2006 Aug, 2006 17 691 I C, F 6/25/1992 TX 20 20 6/5/2006 Aug, 2006 18 692 I A, D 10/21/1992 TX 20 20 6/5/2006 Aug, 2006 19 694 I C, F 6/20/2000 TX 20 20 6/5/2006 Aug, 2006 20 695 I C, F 3/20/1996 TX 20 20 6/5/2006 Aug, 2006 21 696 I C, F 10/14/1998 TX 20 20 6/5/2006 Aug, 2006 22 698 I C, F 4/13/2000 TX 20 20 6/5/2006 Aug, 2006 23 201 I C, F 1/12/2002 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 24 3358 I C, F 4/27/1988 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 25 691 I C, F 6/25/1992 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 26 692 I A, D 10/21/1992 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 27 694 I C, F 6/20/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 28 695 I C, F 3/20/1996 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 29 696 I C, F 10/14/1998 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age 31 201 I C, F 1/12/2002 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age 32 3358 I C, F 4/27/1988 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

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Page 1: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 1 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1 3358 I C, F 2/2/1988 CA 10% 10% 6/12/2006 Aug, 20062 690 I C, F 9/11/1990 CA 20 15 6/12/2006 Aug, 20063 691 I C, F 4/1/1992 CA 20 15 6/12/2006 Aug, 20064 692 I A, D 5/1/1993 CA 20 15 6/12/2006 Aug, 20065 693 I C, F 1/13/1995 CA 20 15 6/12/2006 Aug, 20066 695 I C, F 1/17/1997 CA 20 15 6/12/2006 Aug, 20067 696 I C, F 1/28/1997 CA 20 15 6/12/2006 Aug, 20068 3358 I C, F 2/2/1988 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 20139 690 I C, F 9/11/1990 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 201310 691 I C, F 4/1/1992 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 201311 692 I A, D 5/1/1993 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 201312 693 I C, F 1/13/1995 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 201313 695 I C, F 1/17/1997 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 201314 696 I C, F 1/28/1997 CA 10-15 10-15 5/16/2011 7/5/2013 Sept, 201315 201 I C, F 1/12/2002 TX 15 10 9/19/2005 Nov, 200516 3358 I C, F 4/27/1988 TX 10 10 6/5/2006 Aug, 200617 691 I C, F 6/25/1992 TX 20 20 6/5/2006 Aug, 200618 692 I A, D 10/21/1992 TX 20 20 6/5/2006 Aug, 200619 694 I C, F 6/20/2000 TX 20 20 6/5/2006 Aug, 200620 695 I C, F 3/20/1996 TX 20 20 6/5/2006 Aug, 200621 696 I C, F 10/14/1998 TX 20 20 6/5/2006 Aug, 200622 698 I C, F 4/13/2000 TX 20 20 6/5/2006 Aug, 2006

23 201 I C, F 1/12/2002 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

24 3358 I C, F 4/27/1988 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

25 691 I C, F 6/25/1992 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

26 692 I A, D 10/21/1992 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

27 694 I C, F 6/20/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

28 695 I C, F 3/20/1996 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

29 696 I C, F 10/14/1998 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase varied by issue age

31 201 I C, F 1/12/2002 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

32 3358 I C, F 4/27/1988 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

Page 2: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 2 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

33 691 I C, F 6/25/1992 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

34 692 I A, D 10/21/1992 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

35 694 I C, F 6/20/2000 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

36 695 I C, F 3/20/1996 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

37 696 I C, F 10/14/1998 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age

38 698 I C, F 4/13/2000 TX 2-9 2-9 4/17/2012 5/3/2012 July, 2012 Rate increase varied by issue age39 3358 I C, F 1/1/1988 AL 10 10 6/1/2006 Aug, 200640 691 I C, F 12/24/1991 AL 20 20 6/1/2006 Aug, 200641 692 I A, D 11/17/1992 AL 20 20 6/1/2006 Aug, 200642 695 I C, F 1/16/1996 AL 20 20 6/1/2006 Aug, 2006

43 3358 I C, F 1/1/1988 AL 10-40 10-40 6/9/2010 6/24/2010 Sept, 2010 Rate increase varied by issue age

44 691 I C, F 12/24/1991 AL 10-40 10-40 6/9/2010 6/24/2010 Sept, 2010 Rate increase varied by issue age

45 692 I A, D 11/17/1992 AL 10-40 10-40 6/9/2010 6/24/2010 Sept, 2010 Rate increase varied by issue age

46 695 I C, F 1/16/1996 AL 10-40 10-40 6/9/2010 6/24/2010 Sept, 2010 Rate increase varied by issue age47 3358 I C, F 1/1/1988 AL 40-80 7/3/2013 Pending48 691 I C, F 12/24/1991 AL 40-80 7/3/2013 Pending49 692 I A, D 11/17/1992 AL 40-80 7/3/2013 Pending50 695 I C, F 1/16/1996 AL 40-80 7/3/2013 Pending51 3358 I C, F 1/16/1988 AR 22 22 1/14/2004 Mar, 200452 691 I C, F 7/22/1992 AR 22 22 1/14/2004 Mar, 200453 692 I A, D 2/12/1993 AR 22 22 1/14/2004 Mar, 200454 694 I C, F 11/26/1996 AR 22 22 1/14/2004 Mar, 200455 695 I C, F 9/18/1996 AR 22 22 1/14/2004 Mar, 200456 698 I C, F 2/17/2001 AR 22 22 1/14/2004 Mar, 200457 3358 I C, F 1/16/1988 AR 10 10 9/21/2006 Nov, 200658 691 I C, F 7/22/1992 AR 20 20 9/21/2006 Nov, 200659 692 I A, D 2/12/1993 AR 20 20 9/21/2006 Nov, 200660 694 I C, F 11/26/1996 AR 20 20 9/21/2006 Nov, 200661 695 I C, F 9/18/1996 AR 20 20 9/21/2006 Nov, 200662 698 I C, F 2/17/2001 AR 20 20 9/21/2006 Nov, 200663 3358 I C, F 1/16/1988 AR 18.033 18.033 7/11/2008 10/17/2008 Dec, 200864 691 I C, F 7/22/1992 AR 18.033 18.033 7/11/2008 10/17/2008 Dec, 200865 692 I A, D 2/12/1993 AR 18.033 18.033 7/11/2008 10/17/2008 Dec, 2008

Page 3: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 3 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

66 694 I C, F 11/26/1996 AR 18.033 18.033 7/11/2008 10/17/2008 Dec, 200867 695 I C, F 9/18/1996 AR 18.033 18.033 7/11/2008 10/17/2008 Dec, 200868 698 I C, F 2/17/2001 AR 18.033 18.033 7/11/2008 10/17/2008 Dec, 2008

69 201 I C, F 8/3/2003 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

70 3358 I C, F 1/16/1988 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

71 691 I C, F 7/22/1992 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

72 692 I A, D 2/12/1993 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

73 694 I C, F 11/26/1996 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

74 695 I C, F 9/18/1996 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

75 698 I C, F 2/17/2001 AR 10-40 6.5-26.2 6/21/2010 9/20/2010 Nov, 2010 Rate increase varied by issue age

76 3358 I C, F 1/16/1988 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

77 691 I C, F 7/22/1992 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

78 692 I A, D 2/12/1993 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

79 694 I C, F 11/26/1996 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

80 695 I C, F 9/18/1996 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

81 698 I C, F 2/17/2001 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

82 201 I C, F 8/3/2003 AR 40-80 15-30 6/28/2013 9/16/2013 Dec, 2013Rate increase varied by benefit period

83 3358 I C, F 12/29/1987 AZ 10 10 5/26/2006 Aug, 200684 691 I C, F 11/19/1991 AZ 20 15 5/26/2006 Aug, 200685 692 I A, D 7/31/1993 AZ 20 15 5/26/2006 Aug, 200686 694 I C, F 8/21/1996 AZ 20 15 5/26/2006 Aug, 200687 695 I C, F 3/5/1996 AZ 20 15 5/26/2006 Aug, 200688 696 I C, F 6/22/1998 AZ 20 15 5/26/2006 Aug, 200689 698 I C, F 3/3/2000 AZ 20 15 5/26/2006 Aug, 200690 3358 I C, F 12/29/1987 AZ 9.091 9.091 7/11/2008 8/6/2008 Oct, 200891 691 I C, F 11/19/1991 AZ 13.834 13.834 7/11/2008 8/6/2008 Oct, 200892 692 I A, D 7/31/1993 AZ 13.834 13.834 7/11/2008 8/6/2008 Oct, 200893 694 I C, F 8/21/1996 AZ 13.834 13.834 7/11/2008 8/6/2008 Oct, 200894 695 I C, F 3/5/1996 AZ 13.834 13.834 7/11/2008 8/6/2008 Oct, 2008

Page 4: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 4 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

95 696 I C, F 6/22/1998 AZ 13.834 13.834 7/11/2008 8/6/2008 Oct, 200896 698 I C, F 3/3/2000 AZ 13.834 13.834 7/11/2008 8/6/2008 Oct, 2008

97 201 I C, F 11/22/2001 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

98 3358 I C, F 12/29/1987 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

99 597 I C, F 10/17/2000 AZ 10-40 10-40 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

100 691 I C, F 11/19/1991 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

101 692 I A, D 7/31/1993 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

102 694 I C, F 8/21/1996 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

103 695 I C, F 3/5/1996 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

104 696 I C, F 6/22/1998 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

105 698 I C, F 3/3/2000 AZ 10-40 10-30 10/8/2010 12/10/2010 Feb, 2011 Rate increase varied by issue age

106 201 I C, F 11/22/2001 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

107 3358 I C, F 12/29/1987 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

108 597 I C, F 10/17/2000 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

109 691 I C, F 11/19/1991 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

110 692 I A, D 7/31/1993 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

111 694 I C, F 8/21/1996 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

112 695 I C, F 3/5/1996 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

113 696 I C, F 6/22/1998 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age

114 698 I C, F 3/3/2000 AZ 0-10 0-10 10/14/2011 4/10/2012 June, 2012 Rate increase varied by issue age115 201 I C, F 11/14/2001 CO 15 10 10/4/2005 Dec, 2005116 3358 I C, F 2/27/1988 CO 10 10 8/29/2006 Nov, 2006117 690 I C, F 10/14/1990 CO 20 20 8/29/2006 Nov, 2006118 691 I C, F 11/26/1991 CO 20 20 8/29/2006 Nov, 2006119 692 I A, D 3/17/1993 CO 20 20 8/29/2006 Nov, 2006120 694 I C, F 11/15/1996 CO 20 20 8/29/2006 Nov, 2006

Page 5: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 5 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

121 695 I C, F 4/1/1996 CO 20 20 8/29/2006 Nov, 2006122 698 I C, F 10/13/1999 CO 20 20 8/29/2006 Nov, 2006123 3358 I C, F 2/27/1988 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008124 690 I C, F 10/14/1990 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008125 691 I C, F 11/26/1991 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008126 692 I A, D 3/17/1993 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008127 694 I C, F 11/15/1996 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008128 695 I C, F 4/1/1996 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008129 698 I C, F 10/13/1999 CO 4.348 4.348 7/10/2008 9/3/2008 Nov, 2008130 201 I C, F 11/14/2001 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010131 3358 I C, F 2/27/1988 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010132 597 I C, F 4/7/2000 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010133 690 I C, F 10/14/1990 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010134 691 I C, F 11/26/1991 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010135 692 I A, D 3/17/1993 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010136 694 I C, F 11/15/1996 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010137 695 I C, F 4/1/1996 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010138 698 I C, F 10/13/1999 CO 10-40 10 9/8/2010 10/1/2010 Dec, 2010139 201 I C, F 11/14/2001 CO 23 23 10/24/2011 12/16/2011 Feb, 2012140 3358 I C, F 2/27/1988 CO 23 23 10/24/2011 12/16/2011 Feb, 2012141 597 I C, F 4/7/2000 CO 23 23 10/24/2011 12/16/2011 Feb, 2012142 690 I C, F 10/14/1990 CO 23 23 10/24/2011 12/16/2011 Feb, 2012143 691 I C, F 11/26/1991 CO 23 23 10/24/2011 12/16/2011 Feb, 2012144 692 I A, D 3/17/1993 CO 23 23 10/24/2011 12/16/2011 Feb, 2012145 694 I C, F 11/15/1996 CO 23 23 10/24/2011 12/16/2011 Feb, 2012146 695 I C, F 4/1/1996 CO 23 23 10/24/2011 12/16/2011 Feb, 2012147 698 I C, F 10/13/1999 CO 23 23 10/24/2011 12/16/2011 Feb, 2012

148 3358 I C, F 2/27/1988 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

149 597 I C, F 4/7/2000 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

150 690 I C, F 10/14/1990 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

151 691 I C, F 11/26/1991 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

152 692 I A, D 3/17/1993 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

Page 6: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 6 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

153 694 I C, F 11/15/1996 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

154 695 I C, F 4/1/1996 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

155 698 I C, F 10/13/1999 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

156 201 I C, F 11/14/2001 CO40-80 40-80

7/25/2013 9/25/2013 Jan, 2014

Implementing Non-Life Ben Per Rate Increase 20% for 2 yrs/Life Ben. Per. 22% for 3 yrs.

157 3358 I C, F 3/5/1988 FL 24 24 11/6/2006 Jan, 2007158 582 I C, F 5/25/1989 FL 24 24 11/6/2006 Jan, 2007159 691 I C, F 3/27/1992 FL 24 24 11/6/2006 Jan, 2007160 692 I A, D 7/16/1993 FL 24 24 11/6/2006 Jan, 2007161 694 I C, F 1/9/1999 FL 24 24 11/6/2006 Jan, 2007162 695 I C, F 2/9/1996 FL 24 24 11/6/2006 Jan, 2007163 697 I C, F 2/2/2000 FL 24 24 11/6/2006 Jan, 2007164 201 I C, F 9/20/2001 FL 25 5 1/25/2008 4/28/2008 July 2008165 3358 I C, F 3/5/1988 FL 25 5 1/25/2008 4/28/2008 July 2008166 582 I C, F 5/25/1989 FL 25 5 1/25/2008 4/28/2008 July 2008167 691 I C, F 3/27/1992 FL 25 5 1/25/2008 4/28/2008 July 2008168 692 I A, D 7/16/1993 FL 25 5 1/25/2008 4/28/2008 July 2008169 694 I C, F 1/9/1999 FL 25 5 1/25/2008 4/28/2008 July 2008170 695 I C, F 2/9/1996 FL 25 5 1/25/2008 4/28/2008 July 2008171 697 I C, F 2/2/2000 FL 25 5 1/25/2008 4/28/2008 July 2008

172 201 I C, F 9/20/2001 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

173 3358 I C, F 3/5/1988 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

174 582 I C, F 5/25/1989 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

175 691 I C, F 3/27/1992 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

176 692 I A, D 7/16/1993 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

177 694 I C, F 1/9/1999 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

178 695 I C, F 2/9/1996 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

179 697 I C, F 2/2/2000 FL 10-40 5-20 2/10/2011 3/23/2012 May 2012 Rate increase varied by issue age

Page 7: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 7 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

180 201 I C, F 2/1/2002 GA 15 10 9/21/2005 Nov, 2005181 3358 I C, F 3/3/1988 GA 10 10 8/25/2006 Nov, 2006182 691 I C, F 3/24/1992 GA 20 10 8/25/2006 Nov, 2006183 692 I A, D 3/17/1994 GA 20 10 8/25/2006 Nov, 2006184 694 I C, F 12/19/1997 GA 20 10 8/25/2006 Nov, 2006185 695 I C, F 6/3/1997 GA 20 10 8/25/2006 Nov, 2006186 698 I C, F 6/14/2000 GA 20 10 8/25/2006 Nov, 2006187 3358 I C, F 3/3/1988 GA 20.401 8 7/8/2008 10/7/2008 Dec, 2008188 691 I C, F 3/24/1992 GA 31.347 8 7/8/2008 10/7/2008 Dec, 2008189 692 I A, D 3/17/1994 GA 31.347 8 7/8/2008 10/7/2008 Dec, 2008190 694 I C, F 12/19/1997 GA 31.347 8 7/8/2008 10/7/2008 Dec, 2008191 695 I C, F 6/3/1997 GA 31.347 8 7/8/2008 10/7/2008 Dec, 2008192 698 I C, F 6/14/2000 GA 31.347 8 7/8/2008 10/7/2008 Dec, 2008193 201 I C, F 2/1/2002 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011194 597 I C, F 2/24/2001 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011195 3358 I C, F 3/3/1988 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011196 691 I C, F 3/24/1992 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011197 692 I A, D 3/17/1994 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011198 694 I C, F 12/19/1997 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011199 695 I C, F 6/3/1997 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011200 698 I C, F 6/14/2000 GA 10-40 10 8/13/2010 12/7/2010 Feb, 2011201 201 I C, F 2/1/2002 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012202 597 I C, F 2/24/2001 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012203 3358 I C, F 3/3/1988 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012204 691 I C, F 3/24/1992 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012205 692 I A, D 3/17/1994 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012206 694 I C, F 12/19/1997 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012207 695 I C, F 6/3/1997 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012208 698 I C, F 6/14/2000 GA 0-30 15 11/16/2011 12/19/2011 Feb, 2012209 3358 I C, F 3/3/1988 GA 40-80 7/22/2013 Pending210 691 I C, F 3/24/1992 GA 40-80 7/22/2013 Pending211 692 I A, D 3/17/1994 GA 40-80 7/22/2013 Pending212 694 I C, F 12/19/1997 GA 40-80 7/22/2013 Pending213 695 I C, F 6/3/1997 GA 40-80 7/22/2013 Pending214 698 I C, F 6/14/2000 GA 40-80 7/22/2013 Pending215 201 I C, F 2/1/2002 GA 40-80 7/22/2013 Pending216 597 I C, F 2/24/2001 GA 40-80 7/22/2013 Pending217 201 I C, F 6/11/2003 HI 15 15 5/12/2005 July, 2005218 3358 I C, F 6/23/1988 HI 10 10 5/9/2007 July, 2007219 690 I C, F 9/8/1990 HI 20 20 5/9/2007 July, 2007220 691 I C, F 12/31/1991 HI 20 20 5/9/2007 July, 2007

Page 8: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 8 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

221 692 I A, D 1/21/1993 HI 20 20 5/9/2007 July, 2007222 694 I C, F 9/2/1998 HI 20 20 5/9/2007 July, 2007223 695 I C, F 11/16/1996 HI 20 20 5/9/2007 July, 2007224 696 I C, F 4/1/1998 HI 20 20 5/9/2007 July, 2007225 201 I C, F 6/11/2003 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age226 3358 I C, F 6/23/1988 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age227 690 I C, F 9/8/1990 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age228 691 I C, F 12/31/1991 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age229 692 I A, D 1/21/1993 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age230 694 I C, F 9/2/1998 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age231 695 I C, F 11/16/1996 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age232 696 I C, F 4/1/1998 HI 10-40 10-40 7/27/2010 1/20/2012 Mar, 2012 Rate increase varied by issue age233 3358 I C, F 6/23/1988 HI 40-80 7/19/2013 Pending234 690 I C, F 9/8/1990 HI 40-80 7/19/2013 Pending235 691 I C, F 12/31/1991 HI 40-80 7/19/2013 Pending236 692 I A, D 1/21/1993 HI 40-80 7/19/2013 Pending237 694 I C, F 9/2/1998 HI 40-80 7/19/2013 Pending238 695 I C, F 11/16/1996 HI 40-80 7/19/2013 Pending239 696 I C, F 4/1/1998 HI 40-80 7/19/2013 Pending240 201 I C, F 6/11/2003 HI 40_80 7/19/2013 Pending241 201 I C, F 11/17/2001 IA 15 10 10/4/2005 Dec, 2005242 3358 I C, F 11/19/1987 IA 10 10 7/31/2006 Oct, 2006243 690 I C, F 9/19/1990 IA 20 18 7/31/2006 Oct, 2006244 691 I C, F 11/9/1991 IA 20 18 7/31/2006 Oct, 2006245 692 I A, D 2/17/1993 IA 20 18 7/31/2006 Oct, 2006246 694 I C, F 6/25/1996 IA 20 18 7/31/2006 Oct, 2006247 695 I C, F 1/5/1996 IA 20 18 7/31/2006 Oct, 2006248 696 I C, F 2/26/1998 IA 20 18 7/31/2006 Oct, 2006249 698 I C, F 9/8/1999 IA 20 18 7/31/2006 Oct, 2006250 3358 I C, F 11/19/1987 IA 5.932 5.932 7/8/2008 10/1/2008 Dec, 2008251 690 I C, F 9/19/1990 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008252 691 I C, F 11/9/1991 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008253 692 I A, D 2/17/1993 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008254 694 I C, F 6/25/1996 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008255 695 I C, F 1/5/1996 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008256 696 I C, F 2/26/1998 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008257 698 I C, F 9/8/1999 IA 7.728 7.728 7/8/2008 10/1/2008 Dec, 2008258 201 I C, F 11/17/2001 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011259 3358 I C, F 11/19/1987 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011260 690 I C, F 9/19/1990 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011261 691 I C, F 11/9/1991 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011

Page 9: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 9 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

262 692 I A, D 2/17/1993 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011263 694 I C, F 6/25/1996 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011264 695 I C, F 1/5/1996 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011265 696 I C, F 2/26/1998 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011266 698 I C, F 9/8/1999 IA 10-40 20 6/15/2010 10/27/2010 Jan, 2011267 201 I C, F 11/17/2001 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012268 3358 I C, F 11/19/1987 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012269 690 I C, F 9/19/1990 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012270 691 I C, F 11/9/1991 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012271 692 I A, D 2/17/1993 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012272 694 I C, F 6/25/1996 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012273 695 I C, F 1/5/1996 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012274 696 I C, F 2/26/1998 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012275 698 I C, F 9/8/1999 IA 9 7.5 9/27/2011 1/20/2012 Mar, 2012276 690 I C, F 9/19/1990 IA 40-80 6/25/2013 Pending277 691 I C, F 11/9/1991 IA 40-80 6/25/2013 Pending278 692 I A, D 2/17/1993 IA 40-80 6/25/2013 Pending279 694 I C, F 6/25/1996 IA 40-80 6/25/2013 Pending280 695 I C, F 1/5/1996 IA 40-80 6/25/2013 Pending281 696 I C, F 2/26/1998 IA 40-80 6/25/2013 Pending282 698 I C, F 9/8/1999 IA 40-80 6/25/2013 Pending283 201 I C, F 11/17/2001 IA 40-80 6/25/2013 Pending284 3358 I C, F 11/19/1987 IA 40-80 6/25/2013 Pending285 3358 I C, F 2/18/1988 ID 10 10 7/14/2006 Sept, 2006286 690 I C, F 9/10/1991 ID 20 20 7/14/2006 Sept, 2006287 694 I C, F 9/1/1996 ID 20 20 7/14/2006 Sept, 2006288 695 I C, F 3/19/1996 ID 20 20 7/14/2006 Sept, 2006289 696 I C, F 9/1/1998 ID 20 20 7/14/2006 Sept, 2006290 698 I C, F 8/1/2000 ID 20 20 7/14/2006 Sept, 2006291 3358 I C, F 2/18/1988 ID 20 15 7/21/2008 8/20/2008 Oct, 2008292 690 I C, F 9/10/1991 ID 20 15 7/21/2008 8/20/2008 Oct, 2008293 694 I C, F 9/1/1996 ID 20 15 7/21/2008 8/20/2008 Oct, 2008294 695 I C, F 3/19/1996 ID 20 15 7/21/2008 8/20/2008 Oct, 2008295 696 I C, F 9/1/1998 ID 20 15 7/21/2008 8/20/2008 Oct, 2008296 698 I C, F 8/1/2000 ID 20 15 7/21/2008 8/20/2008 Oct, 2008297 201 I C, F 12/13/2001 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age298 3358 I C, F 2/18/1998 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age299 690 I C, F 9/10/1991 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age300 694 I C, F 9/1/1996 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age301 695 I C, F 3/19/1996 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age302 696 I C, F 9/1/1998 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age

Page 10: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 10 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

303 698 I C, F 8/1/2000 ID 10-40 7.5-30 7/28/2010 10/25/2010 Jan, 2011 Rate increase varied by issue age304 201 I C, F 12/13/2001 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age305 3358 I C, F 2/18/1988 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age306 690 I C, F 9/10/1991 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age307 694 I C, F 9/1/1996 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age308 695 I C, F 3/19/1996 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age309 696 I C, F 9/1/1998 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age310 698 I C, F 8/1/2000 ID 2.5-10 2.5-10 10/6/2011 11/15/2011 Jan, 2012 Rate increase varied by issue age311 201 I C, F 12/13/2001 ID 40-80 6/27/2013 Pending312 3358 I C, F 2/18/1988 ID 40-80 6/27/2013 Pending313 690 I C, F 9/10/1991 ID 40-80 6/27/2013 Pending314 694 I C, F 9/1/1996 ID 40-80 6/27/2013 Pending315 695 I C, F 3/19/1996 ID 40-80 6/27/2013 Pending316 696 I C, F 9/1/1998 ID 40-80 6/27/2013 Pending317 698 I C, F 8/1/2000 ID 40-80 6/27/2013 Pending318 201 I C, F 4/13/2002 IL 15 15 8/29/2005 Nov, 2005319 3358 I C, F 1/12/1988 IL 10 10 7/25/2006 Oct, 2006320 691 I C, F 11/26/1991 IL 20 20 7/25/2006 Oct, 2006321 692 I A, D 11/18/1992 IL 20 20 7/25/2006 Oct, 2006322 694 I C, F 7/26/1996 IL 20 20 7/25/2006 Oct, 2006323 695 I C, F 1/25/1996 IL 20 20 7/25/2006 Oct, 2006324 696 I C, F 9/28/1999 IL 20 20 7/25/2006 Oct, 2006325 698 I C, F 9/26/2000 IL 20 20 7/25/2006 Oct, 2006326 201 I C, F 4/13/2002 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age327 3358 I C, F 1/12/1988 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age328 691 I C, F 11/26/1991 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age329 692 I A, D 11/18/1992 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age330 694 I C, F 7/26/1996 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age331 695 I C, F 1/25/1996 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age332 696 I C, F 9/28/1999 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age333 698 I C, F 9/26/2000 IL 10-40 10-40 6/18/2010 10/21/2010 Dec, 2010 Rate increase varied by issue age334 3358 I C, F 1/12/1988 IL 40-80 6/26/2013 Pending335 691 I C, F 11/26/1991 IL 40-80 6/26/2013 Pending336 692 I A, D 11/18/1992 IL 40-80 6/26/2013 Pending337 694 I C, F 7/26/1996 IL 40-80 6/26/2013 Pending338 695 I C, F 1/25/1996 IL 40-80 6/26/2013 Pending339 696 I C, F 9/28/1999 IL 40-80 6/26/2013 Pending340 698 I C, F 9/26/2000 IL 40-80 6/26/2013 Pending341 201 I C, F 4/13/2002 IL 40-80 6/26/2013 Pending342 3358 I C, F 1/1/1988 IN 20 20 6/8/2004 Aug, 2004343 691 I C, F 6/3/1992 IN 20 20 6/8/2004 Aug, 2004

Page 11: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 11 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

344 692 I A, D 12/17/1993 IN 20 20 6/8/2004 Aug, 2004345 694 I C, F 4/17/1997 IN 20 20 6/8/2004 Aug, 2004346 695 I C, F 5/9/1997 IN 20 20 6/8/2004 Aug, 2004347 696 I C, F 6/4/1998 IN 20 20 6/8/2004 Aug, 2004348 698 I C, F 4/22/2000 IN 20 20 6/8/2004 Aug, 2004349 3358 I C, F 1/1/1988 IN 10 10 6/6/2006 Aug, 2006350 691 I C, F 6/3/1992 IN 20 20 6/6/2006 Aug, 2006351 692 I A, D 12/17/1993 IN 20 20 6/6/2006 Aug, 2006352 694 I C, F 4/17/1997 IN 20 20 6/6/2006 Aug, 2006353 695 I C, F 5/9/1997 IN 20 20 6/6/2006 Aug, 2006354 696 I C, F 6/4/1998 IN 20 20 6/6/2006 Aug, 2006355 698 I C, F 4/22/2000 IN 20 20 6/6/2006 Aug, 2006356 201 I C, F 5/13/2004 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011357 3358 I C, F 1/1/1988 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011358 691 I C, F 6/3/1992 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011359 692 I A, D 12/17/1993 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011360 694 I C, F 4/17/1997 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011361 695 I C, F 5/9/1997 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011362 696 I C, F 6/4/1998 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011363 698 I C, F 4/22/2000 IN 10-40 14.5 7/15/2010 1/12/2011 Mar, 2011364 201 I C, F 5/13/2004 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012365 3358 I C, F 1/1/1988 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012366 691 I C, F 6/3/1992 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012367 692 I A, D 12/17/1993 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012368 694 I C, F 4/17/1997 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012369 695 I C, F 5/9/1997 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012370 696 I C, F 6/4/1998 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012371 698 I C, F 4/22/2000 IN 14.5 8.5 10/26/2011 3/14/2012 May, 2012372 3358 I C, F 1/1/1988 IN 40-80 7/31/2013 Pending373 691 I C, F 6/3/1992 IN 40-80 7/31/2013 Pending374 692 I A, D 12/17/1993 IN 40-80 7/31/2013 Pending375 694 I C, F 4/17/1997 IN 40-80 7/31/2013 Pending376 695 I C, F 5/9/1997 IN 40-80 7/31/2013 Pending377 696 I C, F 6/4/1998 IN 40-80 7/31/2013 Pending378 698 I C, F 4/22/2000 IN 40-80 7/31/2013 Pending379 201 I C, F 5/13/2004 IN 40-80 7/31/2013 Pending380 201 I C, F 1/21/2002 KS 15 15 8/11/2005 Oct, 2005381 3358 I C, F 1/1/1988 KS 10 10 8/11/2006 Oct, 2006382 691 I C, F 2/19/1992 KS 20 20 8/11/2006 Oct, 2006383 692 I A, D 3/1/1993 KS 20 20 8/11/2006 Oct, 2006384 694 I C, F 4/14/1999 KS 20 20 8/11/2006 Oct, 2006

Page 12: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 12 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

385 695 I C, F 12/31/1996 KS 20 20 8/11/2006 Oct, 2006386 696 I C, F 6/1/1997 KS 20 20 8/11/2006 Oct, 2006387 698 I C, F 4/8/2000 KS 20 20 8/11/2006 Oct, 2006388 201 I C, F 1/21/2002 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011389 3358 I C, F 1/1/1988 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011390 691 I C, F 2/19/1992 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011391 692 I A, D 3/1/1993 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011392 694 I C, F 4/14/1999 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011393 695 I C, F 12/31/1996 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011394 696 I C, F 6/1/1997 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011395 698 I C, F 4/8/2000 KS 10-40 10 6/9/2010 11/22/2010 Jan, 2011396 201 I C, F 1/21/2002 KS 0-30 10 9/21/2011 3/14/2012 May, 2012397 3358 I C, F 1/1/1988 KS 0-30 10 9/21/2011 3/14/2012 May, 2012398 691 I C, F 2/19/1992 KS 0-30 10 9/21/2011 3/14/2012 May, 2012399 692 I A, D 3/1/1993 KS 0-30 10 9/21/2011 3/14/2012 May, 2012400 694 I C, F 4/14/1999 KS 0-30 10 9/21/2011 3/14/2012 May, 2012401 695 I C, F 12/31/1996 KS 0-30 10 9/21/2011 3/14/2012 May, 2012402 696 I C, F 6/1/1997 KS 0-30 10 9/21/2011 3/14/2012 May, 2012403 698 I C, F 4/8/2000 KS 0-30 10 9/21/2011 3/14/2012 May, 2012404 3358 I C, F 1/1/1988 KS 40-80 6/25/2013 Pending405 691 I C, F 2/19/1992 KS 40-80 6/25/2013 Pending406 692 I A, D 3/1/1993 KS 40-80 6/25/2013 Pending407 694 I C, F 4/14/1999 KS 40-80 6/25/2013 Pending408 695 I C, F 12/31/1996 KS 40-80 6/25/2013 Pending409 696 I C, F 6/1/1997 KS 40-80 6/25/2013 Pending410 698 I C, F 4/8/2000 KS 40-80 6/25/2013 Pending411 201 I C, F 1/21/2002 KS 40-80 6/25/2013 Pending412 3358 I C, F 12/1/1987 KY 10 10 7/27/2006 Oct, 2006413 690 I C, F 11/29/1990 KY 20 20 7/27/2006 Oct, 2006414 691 I C, F 11/27/1991 KY 20 20 7/27/2006 Oct, 2006415 692 I A, D 12/4/1992 KY 20 20 7/27/2006 Oct, 2006416 694 I C, F 7/12/1996 KY 20 20 7/27/2006 Oct, 2006417 695 I C, F 2/16/1996 KY 20 20 7/27/2006 Oct, 2006418 696 I C, F 4/1/1998 KY 20 20 7/27/2006 Oct, 2006419 698 I C, F 8/19/2000 KY 20 20 7/27/2006 Oct, 2006420 3358 I C, F 12/1/1987 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age421 597 I C, F 8/1/2001 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age422 201 I C, F 10/15/2001 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age423 691 I C, F 11/27/1991 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age424 692 I A, D 12/4/1992 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age425 694 I C, F 7/12/1996 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age

Page 13: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 13 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

426 695 I C, F 2/16/1996 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age427 696 I C, F 4/1/1998 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age428 698 I C, F 8/19/2000 KY 0-40 0-40 6/25/2010 9/30/2010 Dec, 2010 Rate increase varied by issue age429 3358 I C, F 12/1/1987 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012430 597 I C, F KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012431 201 I C, F KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012432 691 I C, F 11/27/1991 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012433 692 I A, D 12/4/1992 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012434 694 I C, F 7/12/1996 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012435 695 I C, F 2/16/1996 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012436 696 I C, F 4/1/1998 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012437 698 I C, F 8/19/2000 KY 0-11 6.7 10/7/2011 12/10/2011 Feb, 2012

438 3358 I C, F 12/1/1987 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

439 597 I C, F 8/1/2001 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

440 201 I C, F 10/15/2001 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

441 691 I C, F 11/27/1991 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

442 692 I A, D 12/4/1992 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

443 694 I C, F 7/12/1996 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

444 695 I C, F 2/16/1996 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

445 696 I C, F 4/1/1998 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period

446 698 I C, F 8/19/2000 KY 40-80 10-35 7/11/2013 10/3/2013 Jan, 2014 Rate increase varied by benefit period447 201 I C, F 10/15/2001 LA 15 15 8/15/2005 Oct, 2005448 3358 I C, F 1/20/1988 LA 10 10 9/12/2006 Nov, 2006449 694 I C, F 2/13/1997 LA 20 20 9/12/2006 Nov, 2006450 695 I C, F 10/28/1996 LA 20 20 9/12/2006 Nov, 2006451 696 I C, F 4/28/2000 LA 20 20 9/12/2006 Nov, 2006452 698 I C, F 11/15/2000 LA 20 20 9/12/2006 Nov, 2006453 3358 I C, F 1/20/1988 LA 10-40 10-40 8/5/2010 8/24/2010 Oct, 2010 Rate increase varied by issue age454 694 I C, F 2/13/1997 LA 10-40 10-40 8/5/2010 8/24/2010 Oct, 2010 Rate increase varied by issue age455 695 I C, F 10/28/1996 LA 10-40 10-40 8/5/2010 8/24/2010 Oct, 2010 Rate increase varied by issue age456 696 I C, F 4/28/2000 LA 10-40 10-40 8/5/2010 8/24/2010 Oct, 2010 Rate increase varied by issue age457 698 I C, F 11/15/2000 LA 10-40 10-40 8/5/2010 8/24/2010 Oct, 2010 Rate increase varied by issue age458 3358 I C, F 12/2/1989 ME 10 10 6/21/2006 Aug, 2006459 691 I C, F 8/13/1992 ME 20 20 6/21/2006 Aug, 2006

Page 14: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 14 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

460 695 I C, F 11/9/1996 ME 20 20 6/21/2006 Aug, 2006461 696 I C, F 9/5/1998 ME 20 20 6/21/2006 Aug, 2006462 201 I C, F 12/11/2001 MI 15 10 6/20/2005 Aug, 2005463 3358 I C, F 12/5/1987 MI 10 10 7/1/2006 Sept, 2006464 585 I C, F 11/11/1993 MI 20 20 7/1/2006 Sept, 2006465 690 I C, F 9/23/1990 MI 20 20 7/1/2006 Sept, 2006466 691 I C, F 11/7/1991 MI 20 20 7/1/2006 Sept, 2006467 692 I A, D 11/18/1992 MI 20 20 7/1/2006 Sept, 2006468 694 I C, F 8/30/1996 MI 20 20 7/1/2006 Sept, 2006469 695 I C, F 8/30/1996 MI 20 20 7/1/2006 Sept, 2006470 696 I C, F 10/13/1999 MI 20 20 7/1/2006 Sept, 2006471 201 I C, F 12/11/2001 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age472 3358 I C, F 12/5/1987 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age473 585 I C, F 11/11/1993 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age474 690 I C, F 9/23/1990 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age475 691 I C, F 11/7/1991 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age476 692 I A, D 11/18/1992 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age477 694 I C, F 8/30/1996 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age478 695 I C, F 8/30/1996 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age479 696 I C, F 10/13/1999 MI 10-40 10-40 7/20/2010 8/12/2010 Oct, 2010 Rate increase varied by issue age480 692 I A, D 5/8/1993 MN 20 20 4/12/2007 June, 2007481 694 I C, F 9/16/1996 MN 20 20 4/12/2007 June, 2007482 695 I C, F 1/31/1996 MN 20 20 4/12/2007 June, 2007483 696 I C, F 5/28/1998 MN 20 20 4/12/2007 June, 2007484 698 I C, F 3/9/2001 MN 20 20 4/12/2007 June, 2007485 692 I A, D 5/8/1993 MN 40-80 7/3/2013 Pending486 694 I C, F 9/16/1996 MN 40-80 7/3/2013 Pending487 695 I C, F 1/31/1996 MN 40-80 7/3/2013 Pending488 696 I C, F 5/28/1998 MN 40-80 7/3/2013 Pending489 698 I C, F 3/9/2001 MN 40-80 7/3/2013 Pending490 201 I C, F 11/27/2001 MO 15 15 9/26/2005 Dec, 2005491 3358 I C, F 12/22/1987 MO 10 10 5/3/2006 July, 2006492 691 I C, F 11/6/1991 MO 20 20 5/3/2006 July, 2006493 692 I A, D 11/18/1992 MO 20 20 5/3/2006 July, 2006494 694 I C, F 7/31/1996 MO 20 20 5/3/2006 July, 2006495 695 I C, F 2/2/1996 MO 20 20 5/3/2006 July, 2006496 696 I C, F 3/7/1998 MO 20 20 5/3/2006 July, 2006497 698 I C, F 10/1/1999 MO 20 20 5/3/2006 July, 2006498 201 I C, F 11/27/2001 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age499 3358 I C, F 12/22/1987 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age500 597 I C, F 9/1/2001 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age

Page 15: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 15 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

501 691 I C, F 11/6/1991 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age502 692 I A, D 11/18/1992 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age503 694 I C, F 7/31/1996 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age504 695 I C, F 2/2/1996 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age505 696 I C, F 3/7/1998 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age506 698 I C, F 10/1/1999 MO 10-40 10-40 6/14/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age507 201 I C, F 11/27/2001 MO 40-80 6/25/2013 Pending508 3358 I C, F 12/22/1987 MO 40-80 6/25/2013 Pending509 597 I C, F 9/1/2001 MO 40-80 6/25/2013 Pending510 691 I C, F 11/6/1991 MO 40-80 6/25/2013 Pending511 692 I A, D 11/18/1992 MO 40-80 6/25/2013 Pending512 694 I C, F 7/31/1996 MO 40-80 6/25/2013 Pending513 695 I C, F 2/2/1996 MO 40-80 6/25/2013 Pending514 696 I C, F 3/7/1998 MO 40-80 6/25/2013 Pending515 698 I C, F 10/1/1999 MO 40-80 6/25/2013 Pending516 201 I C, F 3/1/2002 MS 15 15 4/13/2005 June, 2005517 3358 I C, F 3/1/1988 MS 10 10 7/17/2006 Sept, 2006518 691 I C, F 11/26/1991 MS 20 20 7/17/2006 Sept, 2006519 692 I A, D 2/15/1993 MS 20 20 7/17/2006 Sept, 2006520 694 I C, F 8/8/1996 MS 20 20 7/17/2006 Sept, 2006521 695 I C, F 4/5/1996 MS 20 20 7/17/2006 Sept, 2006522 696 I C, F 4/1/1998 MS 20 20 7/17/2006 Sept, 2006523 698 I C, F 8/16/2000 MS 20 20 7/17/2006 Sept, 2006524 201 I C, F 3/1/2002 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age525 3358 I C, F 3/1/1988 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age526 691 I C, F 11/26/1991 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age527 692 I A, D 2/15/1993 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age528 694 I C, F 8/8/1996 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age529 695 I C, F 4/5/1996 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age530 696 I C, F 4/1/1998 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age531 698 I C, F 8/16/2000 MS 10-40 10-25 7/26/2010 8/19/2010 Oct, 2010 Rate increase varied by issue age532 201 I C, F 3/1/2002 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age533 3358 I C, F 3/1/1988 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age534 691 I C, F 11/26/1991 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age535 692 I A, D 2/15/1993 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age536 694 I C, F 8/8/1996 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age537 695 I C, F 4/5/1996 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age538 696 I C, F 4/1/1998 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age539 698 I C, F 8/16/2000 MS 0-15 0-15 11/2/2011 1/3/2012 Feb, 2012 Rate increase varied by issue age540 201 I C, F 3/1/2002 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014541 3358 I C, F 3/1/1988 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014

Page 16: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 16 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

542 691 I C, F 11/26/1991 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014543 692 I A, D 2/15/1993 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014544 694 I C, F 8/8/1996 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014545 695 I C, F 4/5/1996 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014546 696 I C, F 4/1/1998 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014547 698 I C, F 8/16/2000 MS 40-80 25 7/31/2013 10/2/2013 Jan, 2014548 201 I C, F 12/13/2001 MT 15 15 8/15/2005 Oct, 2005549 3358 I C, F 12/23/1987 MT 10 10 8/16/2006 Oct, 2006550 690 I C, F 10/21/1990 MT 20 20 8/16/2006 Oct, 2006551 692 I A, D 5/11/1993 MT 20 20 8/16/2006 Oct, 2006552 694 I C, F 9/11/1996 MT 20 20 8/16/2006 Oct, 2006553 695 I C, F 3/30/1996 MT 20 20 8/16/2006 Oct, 2006554 696 I C, F 2/5/1998 MT 20 20 8/16/2006 Oct, 2006555 698 I C, F 5/18/2000 MT 20 20 8/16/2006 Oct, 2006556 201 I C, F 12/13/2001 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age557 3358 I C, F 12/23/1987 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age558 690 I C, F 10/21/1990 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age559 692 I A, D 5/11/1993 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age560 694 I C, F 9/11/1996 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age561 695 I C, F 3/30/1996 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age562 696 I C, F 2/5/1998 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age563 698 I C, F 5/18/2000 MT 10-40 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age564 597 I C, F 3/15/2000 MT 40-80 10-40 6/9/2010 7/12/2010 Sept, 2010 Rate increase varied by issue age565 201 I C, F 12/13/2001 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013566 3358 I C, F 12/23/1987 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013567 690 I C, F 10/21/1990 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013568 692 I A, D 5/11/1993 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013569 694 I C, F 9/11/1996 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013570 695 I C, F 3/30/1996 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013571 696 I C, F 2/5/1998 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013572 698 I C, F 5/18/2000 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013573 597 I C, F 3/15/2000 MT 40-80 40 6/25/2013 8/26/2013 Nov, 2013574 692 I A, D 12/2/1994 NC 20 20 8/28/2006 Nov, 2006575 694 I C, F 12/2/1996 NC 20 20 8/28/2006 Nov, 2006576 695 I C, F 4/5/1996 NC 20 20 8/28/2006 Nov, 2006577 696 I C, F 2/16/1999 NC 20 20 8/28/2006 Nov, 2006578 698 I C, F 10/21/1999 NC 20 20 8/28/2006 Nov, 2006579 692 I A, D 12/2/1994 NC 20 20 8/6/2008 9/22/2008 Nov, 2008580 694 I C, F 12/2/1996 NC 20 20 8/6/2008 9/22/2008 Nov, 2008581 695 I C, F 4/5/1996 NC 20 20 8/6/2008 9/22/2008 Nov, 2008582 696 I C, F 2/16/1999 NC 20 20 8/6/2008 9/22/2008 Nov, 2008

Page 17: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 17 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

583 698 I C, F 10/21/1999 NC 20 20 8/6/2008 9/22/2008 Nov, 2008584 201 I C, F 1/16/2002 NC 10-40 10-40 7/12/2010 10/20/2010 Dec, 2010 Rate increase varied by issue age585 692 I A, D 12/2/1994 NC 10-40 6-23.2 7/12/2010 10/20/2010 Dec, 2010 Rate increase varied by issue age586 694 I C, F 12/2/1996 NC 10-40 6-23.2 7/12/2010 10/20/2010 Dec, 2010 Rate increase varied by issue age587 695 I C, F 4/5/1996 NC 10-40 6-23.2 7/12/2010 10/20/2010 Dec, 2010 Rate increase varied by issue age588 696 I C, F 2/16/1999 NC 10-40 6-23.2 7/12/2010 10/20/2010 Dec, 2010 Rate increase varied by issue age589 698 I C, F 10/21/1999 NC 10-40 6-23.2 7/12/2010 10/20/2010 Dec, 2010 Rate increase varied by issue age590 692 I A, D 12/2/1994 NC 4-16 2-8.2 12/5/2011 12/23/2011 Feb, 2012 Rate increase varied by issue age591 694 I C, F 12/2/1996 NC 4-16 2-8.2 12/5/2011 12/23/2011 Feb, 2012 Rate increase varied by issue age592 695 I C, F 4/5/1996 NC 4-16 2-8.2 12/5/2011 12/23/2011 Feb, 2012 Rate increase varied by issue age593 696 I C, F 2/16/1999 NC 4-16 2-8.2 12/5/2011 12/23/2011 Feb, 2012 Rate increase varied by issue age594 698 I C, F 10/21/1999 NC 4-16 2-8.2 12/5/2011 12/23/2011 Feb, 2012 Rate increase varied by issue age595 201 I C, F 1/7/2002 ND 15 15 5/20/2005 July, 2005596 3358 I C, F 1/15/1988 ND 10 10 6/6/2006 Aug, 2006597 691 I C, F 12/20/1991 ND 20 15 6/6/2006 Aug, 2006598 692 I A, D 3/5/1993 ND 20 15 6/6/2006 Aug, 2006599 694 I C, F 11/26/1996 ND 20 15 6/6/2006 Aug, 2006600 695 I C, F 11/21/1996 ND 20 15 6/6/2006 Aug, 2006601 696 I C, F 7/15/1998 ND 20 15 6/6/2006 Aug, 2006602 698 I C, F 6/28/2000 ND 20 15 6/6/2006 Aug, 2006603 3358 I C, F 1/15/1988 ND 9.091 9.091 7/3/2008 7/22/2008 Sept, 2008604 691 I C, F 12/20/1991 ND 13.834 13.834 7/3/2008 7/22/2008 Sept, 2008605 692 I A, D 3/5/1993 ND 13.834 13.834 7/3/2008 7/22/2008 Sept, 2008606 694 I C, F 11/26/1996 ND 13.834 13.834 7/3/2008 7/22/2008 Sept, 2008607 695 I C, F 11/21/1996 ND 13.834 13.834 7/3/2008 7/22/2008 Sept, 2008608 696 I C, F 7/15/1998 ND 13.834 13.834 7/3/2008 7/22/2008 Sept, 2008609 698 I C, F 6/28/2000 ND 13.834 13.834 7/3/2008 7/22/2008 Sept, 2008610 201 I C, F 1/7/2002 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age611 3358 I C, F 1/15/1988 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age612 597 I C, F 4/15/2000 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age613 691 I C, F 12/20/1991 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age614 692 I A, D 3/5/1993 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age615 694 I C, F 11/26/1996 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age616 695 I C, F 11/21/1996 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age617 696 I C, F 7/15/1998 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age618 698 I C, F 6/28/2000 ND 10-40 5-20 6/16/2010 11/2/2010 Jan, 2011 Rate increase varied by issue age619 201 I C, F 1/7/2002 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age620 3358 I C, F 1/15/1988 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age621 597 I C, F 4/15/2000 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age622 691 I C, F 12/20/1991 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age623 692 I A, D 3/5/1993 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age

Page 18: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 18 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

624 694 I C, F 11/26/1996 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age625 695 I C, F 11/21/1996 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age626 696 I C, F 7/15/1998 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age627 698 I C, F 6/28/2000 ND 5-20 5-20 9/23/2011 11/16/2011 Jan, 2012 Rate increase varied by issue age628 201 I C, F 1/7/2002 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013629 3358 I C, F 1/15/1988 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013630 597 I C, F 4/15/2000 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013631 691 I C, F 12/20/1991 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013632 692 I A, D 3/5/1993 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013633 694 I C, F 11/26/1996 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013634 695 I C, F 11/21/1996 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013635 696 I C, F 7/15/1998 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013636 698 I C, F 6/28/2000 ND 40-80 15 6/27/2013 9/17/2013 Dec, 2013637 201 I C, F 11/15/2001 NE 15 15 5/19/2005 July, 2005638 3358 I C, F 11/12/1987 NE 10 10 6/29/2006 Sept, 2006639 690 I C, F 9/6/1990 NE 20 20 6/29/2006 Sept, 2006640 691 I C, F 11/9/1991 NE 20 20 6/29/2006 Sept, 2006641 692 I A, D 9/17/1992 NE 20 20 6/29/2006 Sept, 2006642 694 I C, F 7/2/1996 NE 20 20 6/29/2006 Sept, 2006643 695 I C, F 1/23/1996 NE 20 20 6/29/2006 Sept, 2006644 696 I C, F 12/15/1997 NE 20 20 6/29/2006 Sept, 2006645 698 I C, F 6/2/1999 NE 20 20 6/29/2006 Sept, 2006646 201 I C, F 11/15/2001 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age647 3358 I C, F 11/12/1987 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age648 597 I C, F 5/9/2000 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age649 690 I C, F 9/6/1990 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age650 691 I C, F 11/9/1991 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age651 692 I A, D 9/17/1992 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age652 694 I C, F 7/2/1996 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age653 695 I C, F 1/23/1996 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age654 696 I C, F 12/15/1997 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age655 698 I C, F 6/2/1999 NE 10-40 10-20 6/8/2010 1/24/2011 Mar, 2011 Rate increase varied by issue age656 201 I C, F 11/15/2001 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age657 3358 I C, F 11/12/1987 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age658 597 I C, F 5/9/2000 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age659 690 I C, F 9/6/1990 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age660 691 I C, F 11/9/1991 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age661 692 I A, D 9/17/1992 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age662 694 I C, F 7/2/1996 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age663 695 I C, F 1/23/1996 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age664 696 I C, F 12/15/1997 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age

Page 19: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 19 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

665 698 I C, F 6/2/1999 NE 0-20 0-20 11/1/2011 6/28/2012 Sept, 2012 Rate increase varied by issue age

666 201 I C, F 11/15/2001 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

667 3358 I C, F 11/12/1987 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

668 597 I C, F 5/9/2000 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

669 690 I C, F 9/6/1990 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

670 691 I C, F 11/9/1991 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

671 692 I A, D 9/17/1992 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

672 694 I C, F 7/2/1996 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

673 695 I C, F 1/23/1996 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

674 696 I C, F 12/15/1997 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period

675 698 I C, F 6/2/1999 NE 40-80 40-80 6/13/2013 6/21/2013 Sept, 2013 Rate increase varied by benefit period676 201 I C, F 12/2/2001 NM 15 15 6/24/2005 Aug, 2005677 3358 I C, F 7/19/1988 NM 10 10 12/7/2006 Feb, 2007678 691 I C, F 2/28/1992 NM 20 20 12/7/2006 Feb, 2007679 692 I A, D 5/15/1993 NM 20 20 12/7/2006 Feb, 2007680 694 I C, F 6/27/1997 NM 20 20 12/7/2006 Feb, 2007681 695 I C, F 6/19/1997 NM 20 20 12/7/2006 Feb, 2007682 201 I C, F 12/2/2001 NM 10-40 9.5 5/2/2011 6/13/2011 Aug, 2011683 3358 I C, F 7/19/1988 NM 10-40 9.5 5/2/2011 6/13/2011 Aug, 2011684 691 I C, F 2/28/1992 NM 10-40 9.5 5/2/2011 6/13/2011 Aug, 2011685 692 I A, D 5/15/1993 NM 10-40 9.5 5/2/2011 6/13/2011 Aug, 2011686 694 I C, F 6/27/1997 NM 10-40 9.5 5/2/2011 6/13/2011 Aug, 2011687 695 I C, F 6/19/1997 NM 10-40 9.5 5/2/2011 6/13/2011 Aug, 2011688 3358 I C, F 1/26/1988 NV 20 20 4/13/2004 Jun, 2004689 691 I C, F 8/13/1992 NV 20 20 4/13/2004 Jun, 2004690 692 I A, D 11/6/1993 NV 20 20 4/13/2004 Jun, 2004691 694 I C, F 1/8/1997 NV 20 20 4/13/2004 Jun, 2004692 695 I C, F 3/26/1996 NV 20 20 4/13/2004 Jun, 2004693 696 I C, F 2/4/1998 NV 20 20 4/13/2004 Jun, 2004694 698 I C, F 2/16/2000 NV 20 20 4/13/2004 Jun, 2004695 3358 I C, F 1/26/1988 NV 10 10 11/3/2006 Jan, 2007696 691 I C, F 8/13/1992 NV 20 20 11/3/2006 Jan, 2007697 692 I A, D 11/6/1993 NV 20 20 11/3/2006 Jan, 2007698 201 I C, F 1/25/2002 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012

Page 20: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 20 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

699 3358 I C, F 1/26/1988 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012700 597 I C, F 10/1/2001 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012701 691 I C, F 8/13/1992 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012702 692 I A, D 11/6/1993 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012703 694 I C, F 1/8/1997 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012704 695 I C, F 3/26/1996 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012705 696 I C, F 2/4/1998 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012706 698 I C, F 2/16/2000 NV 31.6 25 5/9/2011 3/31/2012 Jun, 2012707 3358 I C, F 12/1/1987 OH 10 10 5/2/2006 July, 2006708 690 I C, F 10/26/1990 OH 20 20 5/2/2006 July, 2006709 691 I C, F 11/5/1991 OH 20 20 5/2/2006 July, 2006710 692 I A, D 11/19/1992 OH 20 20 5/2/2006 July, 2006711 694 I C, F 8/13/1996 OH 20 20 5/2/2006 July, 2006712 695 I C, F 1/26/1996 OH 20 20 5/2/2006 July, 2006713 698 I C, F 2/1/2000 OH 20 20 5/2/2006 July, 2006714 201 I C, F 11/7/2001 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age715 3358 I C, F 12/1/1987 OH 10-40 7.5-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age716 597 I C, F 7/4/2000 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age717 690 I C, F 10/26/1990 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age718 691 I C, F 11/5/1991 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age719 692 I A, D 11/19/1992 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age720 694 I C, F 8/13/1996 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age721 695 I C, F 1/26/1996 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age722 698 I C, F 2/1/2000 OH 10-40 6-20 9/8/2010 10/7/2010 Dec, 2010 Rate increase varied by issue age723 201 I C, F 11/7/2001 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age724 3358 I C, F 12/1/1987 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age725 597 I C, F 7/4/2000 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age726 690 I C, F 10/26/1990 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age727 691 I C, F 11/5/1991 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age728 692 I A, D 11/19/1992 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age729 694 I C, F 8/13/1996 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age730 695 I C, F 1/26/1996 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age731 698 I C, F 2/1/2000 OH 4-20 4-20 9/29/2011 10/27/2011 Jan, 2012 Rate increase varied by issue age732 201 I C, F 11/7/2001 OH 40-80 7/23/2013 Pending733 3358 I C, F 12/1/1987 OH 40-80 7/23/2013 Pending734 597 I C, F 7/4/2000 OH 40-80 7/23/2013 Pending735 690 I C, F 10/26/1990 OH 40-80 7/23/2013 Pending736 691 I C, F 11/5/1991 OH 40-80 7/23/2013 Pending737 692 I A, D 11/19/1992 OH 40-80 7/23/2013 Pending738 694 I C, F 8/13/1996 OH 40-80 7/23/2013 Pending739 695 I C, F 1/26/1996 OH 40-80 7/23/2013 Pending

Page 21: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 21 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

740 698 I C, F 2/1/2000 OH 40-80 7/23/2013 Pending741 3358 I C, F 2/11/1988 OK 10 10 6/5/2006 Aug, 2006742 691 I C, F 4/4/1992 OK 20 15 6/5/2006 Aug, 2006743 694 I C, F 7/19/1997 OK 20 15 6/5/2006 Aug, 2006744 695 I C, F 10/8/1997 OK 20 15 6/5/2006 Aug, 2006745 696 I C, F 7/23/1999 OK 20 15 6/5/2006 Aug, 2006746 698 I C, F 2/2/2000 OK 20 15 6/5/2006 Aug, 2006747 3358 I C, F 2/11/1988 OK 8.885 8.885 7/2/2008 7/31/2008 Oct, 2008748 691 I C, F 4/4/1992 OK 13.619 13.619 7/2/2008 7/31/2008 Oct, 2008749 694 I C, F 7/19/1997 OK 13.619 13.619 7/2/2008 7/31/2008 Oct, 2008750 695 I C, F 10/8/1997 OK 13.619 13.619 7/2/2008 7/31/2008 Oct, 2008751 696 I C, F 7/23/1999 OK 13.619 13.619 7/2/2008 7/31/2008 Oct, 2008752 698 I C, F 2/2/2000 OK 13.619 13.619 7/2/2008 7/31/2008 Oct, 2008753 201 I C, F 12/13/2001 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010754 3358 I C, F 2/11/1988 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010755 597 I C, F 12/4/2001 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010756 691 I C, F 4/4/1992 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010757 694 I C, F 7/19/1997 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010758 695 I C, F 10/8/1997 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010759 696 I C, F 7/23/1999 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010760 698 I C, F 2/2/2000 OK 10-40 10 7/13/2010 10/19/2010 Dec, 2010761 201 I C, F 12/13/2001 OK 18 18 10/7/2011 1/30/2012 Apr, 2012762 3358 I C, F 2/11/1988 OK 18 18 10/7/2011 1/30/2012 Apr, 2012763 597 I C, F 12/4/2001 OK 18 18 10/7/2011 1/30/2012 Apr, 2012764 691 I C, F 4/4/1992 OK 18 18 10/7/2011 1/30/2012 Apr, 2012765 694 I C, F 7/19/1997 OK 18 18 10/7/2011 1/30/2012 Apr, 2012766 695 I C, F 10/8/1997 OK 18 18 10/7/2011 1/30/2012 Apr, 2012767 696 I C, F 7/23/1999 OK 18 18 10/7/2011 1/30/2012 Apr, 2012768 698 I C, F 2/2/2000 OK 18 18 10/7/2011 1/30/2012 Apr, 2012769 3358 I C, F 2/11/1988 OR 10 10 11/30/2006 Feb, 2007770 690 I C, F 11/15/1990 OR 20 20 11/30/2006 Feb, 2007771 692 I A, D 5/18/1993 OR 20 20 11/30/2006 Feb, 2007772 694 I C, F 8/13/1996 OR 20 20 11/30/2006 Feb, 2007773 695 I C, F 2/27/1996 OR 20 20 11/30/2006 Feb, 2007774 696 I C, F 3/11/1998 OR 20 20 11/30/2006 Feb, 2007775 3358 I C, F 2/11/1988 OR 14.286 14.286 7/7/2008 8/14/2008 Oct, 2008776 690 I C, F 11/15/1990 OR 14.286 14.286 7/7/2008 8/14/2008 Oct, 2008777 692 I A, D 5/18/1993 OR 14.286 14.286 7/7/2008 8/14/2008 Oct, 2008778 694 I C, F 8/13/1996 OR 14.286 14.286 7/7/2008 8/14/2008 Oct, 2008779 695 I C, F 2/27/1996 OR 14.286 14.286 7/7/2008 8/14/2008 Oct, 2008780 696 I C, F 3/11/1998 OR 14.286 14.286 7/7/2008 8/14/2008 Oct, 2008

Page 22: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 22 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

781 201 I C, F 6/13/2002 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age782 3358 I C, F 2/11/1988 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age783 690 I C, F 11/15/1990 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age784 692 I A, D 5/18/1993 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age785 694 I C, F 8/13/1996 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age786 695 I C, F 2/27/1996 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age787 696 I C, F 3/11/1998 OR 10-40 5-20 6/18/2010 9/7/2010 Nov, 2010 Rate increase varied by issue age788 201 I C, F 6/13/2002 OR 40-80 6/27/2013 Pending789 3358 I C, F 2/11/1988 OR 40-80 6/27/2013 Pending790 690 I C, F 11/15/1990 OR 40-80 6/27/2013 Pending791 692 I A, D 5/18/1993 OR 40-80 6/27/2013 Pending792 694 I C, F 8/13/1996 OR 40-80 6/27/2013 Pending793 695 I C, F 2/27/1996 OR 40-80 6/27/2013 Pending794 696 I C, F 3/11/1998 OR 40-80 6/27/2013 Pending795 201 I C, F 6/10/2002 PA 15 15 5/13/2005 July, 2005796 3358 I C, F 4/1/1988 PA 10 10 6/29/2006 Sept, 2006797 691 I C, F 6/24/1992 PA 20 20 6/29/2006 Sept, 2006798 692 I A, D 3/25/1993 PA 20 20 6/29/2006 Sept, 2006799 694 I C, F 9/5/1996 PA 20 20 6/29/2006 Sept, 2006800 695 I C, F 1/28/1997 PA 20 20 6/29/2006 Sept, 2006801 201 I C, F 6/10/2002 PA 10-40 16 8/27/2010 12/30/2010 Mar, 2011802 3358 I C, F 4/1/1988 PA 10-40 16 8/27/2010 12/30/2010 Mar, 2011803 691 I C, F 6/24/1992 PA 10-40 16 8/27/2010 12/30/2010 Mar, 2011804 692 I A, D 3/25/1993 PA 10-40 16 8/27/2010 12/30/2010 Mar, 2011805 694 I C, F 9/5/1996 PA 10-40 16 8/27/2010 12/30/2010 Mar, 2011806 695 I C, F 1/28/1997 PA 10-40 16 8/27/2010 12/30/2010 Mar, 2011807 201 I C, F 11/7/2001 SC 15 15 8/11/2005 Oct, 2005808 3358 I C, F 6/10/1988 SC 10 10 10/25/2006 Jan, 2007809 691 I C, F 7/8/1992 SC 20 20 10/25/2006 Jan, 2007810 695 I C, F 3/5/1997 SC 20 20 10/25/2006 Jan, 2007811 698 I C, F 4/20/2001 SC 20 20 10/25/2006 Jan, 2007812 201 I C, F 11/7/2001 SC 10-40 20 8/2/2010 2/4/2011 Apr, 2011813 3358 I C, F 6/10/1988 SC 10-40 14 8/2/2010 2/4/2011 Apr, 2011814 691 I C, F 7/8/1992 SC 10-40 20 8/2/2010 2/4/2011 Apr, 2011815 695 I C, F 3/5/1997 SC 10-40 20 8/2/2010 2/4/2011 Apr, 2011816 698 I C, F 4/20/2001 SC 10-40 20 8/2/2010 2/4/2011 Apr, 2011817 201 I C, F 11/7/2001 SC 12 11 11/18/2011 3/1/2012 May, 2012818 3358 I C, F 6/10/1988 SC 17 3.6 11/18/2011 3/1/2012 May, 2012819 691 I C, F 7/8/1992 SC 12 11 11/18/2011 3/1/2012 May, 2012820 695 I C, F 3/5/1997 SC 12 11 11/18/2011 3/1/2012 May, 2012821 698 I C, F 4/20/2001 SC 12 11 11/18/2011 3/1/2012 May, 2012

Page 23: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 23 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

822 201 I C, F 12/7/2001 SD 15 15 6/17/2005 Aug, 2005823 3358 I C, F 1/13/1988 SD 10 10 4/3/2006 Jun, 2006824 691 I C, F 4/29/1992 SD 20 20 4/3/2006 Jun, 2006825 692 I A, D 2/1/1993 SD 20 20 4/3/2006 Jun, 2006826 694 I C, F 8/14/1996 SD 20 20 4/3/2006 Jun, 2006827 695 I C, F 2/10/1996 SD 20 20 4/3/2006 Jun, 2006828 696 I C, F 5/29/1998 SD 20 20 4/3/2006 Jun, 2006829 698 I C, F 9/8/1999 SD 20 20 4/3/2006 Jun, 2006

830 201 I C, F 12/7/2001 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

831 3358 I C, F 1/13/1988 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

832 597 I C, F 12/16/1999 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

833 691 I C, F 4/29/1992 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

834 692 I A, D 2/1/1993 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

835 694 I C, F 8/14/1996 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

836 695 I C, F 2/10/1996 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

837 696 I C, F 5/29/1998 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age

838 698 I C, F 9/8/1999 SD 10-40 10-40 6/10/2010 6/23/2010 Aug, 2010 Rate increase varied by issue age839 201 I C, F 12/21/2001 TN 15 15 7/11/2005 Sept, 2005840 3358 I C, F 2/18/1988 TN 10 10 5/8/2006 July, 2006841 691 I C, F 2/20/1992 TN 20 20 5/8/2006 July, 2006842 692 I A, D 12/15/1992 TN 20 20 5/8/2006 July, 2006843 694 I C, F 7/12/1996 TN 20 20 5/8/2006 July, 2006844 695 I C, F 2/23/1996 TN 20 20 5/8/2006 July, 2006845 696 I C, F 2/4/1998 TN 20 20 5/8/2006 July, 2006846 698 I C, F 4/28/2000 TN 20 20 5/8/2006 July, 2006

847 201 I C, F 12/21/2001 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

848 3358 I C, F 2/18/1988 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

849 597 I C, F 6/15/2000 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

850 691 I C, F 2/20/1992 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

Page 24: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 24 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

851 692 I A, D 12/15/1992 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

852 694 I C, F 7/12/1996 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

853 695 I C, F 2/23/1996 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

854 696 I C, F 2/4/1998 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age

855 698 I C, F 4/28/2000 TN 10-40 0-40 6/16/2010 2/18/2011 Apr, 2011 Rate increase varied by issue age856 3358 I C, F 2/18/1988 TN 10 10 11/15/2011 11/30/2011 Feb, 2012857 691 I C, F 2/20/1992 TN 10 10 11/15/2011 11/30/2011 Feb, 2012858 692 I A, D 12/15/1992 TN 10 10 11/15/2011 11/30/2011 Feb, 2012859 694 I C, F 7/12/1996 TN 10 10 11/15/2011 11/30/2011 Feb, 2012860 698 I C, F 4/28/2000 TN 10 10 11/15/2011 11/30/2011 Feb, 2012861 201 I C, F 12/21/2001 TN 40-80 7/11/2013 Pending862 3358 I C, F 2/18/1988 TN 40-80 7/11/2013 Pending863 597 I C, F 6/15/2000 TN 40-80 7/11/2013 Pending864 691 I C, F 2/20/1992 TN 40-80 7/11/2013 Pending865 692 I A, D 12/15/1992 TN 40-80 7/11/2013 Pending866 694 I C, F 7/12/1996 TN 40-80 7/11/2013 Pending867 695 I C, F 2/23/1996 TN 40-80 7/11/2013 Pending868 696 I C, F 2/4/1998 TN 40-80 7/11/2013 Pending869 698 I C, F 4/28/2000 TN 40-80 7/11/2013 Pending870 3358 I C, F 4/26/1988 UT 10 10 8/23/2006 Oct, 2006871 692 I A, D 4/29/1993 UT 20 20 8/23/2006 Oct, 2006872 694 I C, F 1/16/1997 UT 20 20 8/23/2006 Oct, 2006873 695 I C, F 5/2/1997 UT 20 20 8/23/2006 Oct, 2006874 698 I C, F 3/16/2001 UT 20 20 8/23/2006 Oct, 2006875 201 I C, F 1/13/2002 UT 10-40 15 1/26/2011 4/25/2011 July, 2011876 694 I C, F 1/16/1997 UT 10-40 25 1/26/2011 4/25/2011 July, 2011877 3358 I C, F 5/19/1988 VA 20 20 9/2/2004 Nov, 2004878 692 I A, D 1/22/1993 VA 20 20 9/2/2004 Nov, 2004879 694 I C, F 9/18/1996 VA 20 20 9/2/2004 Nov, 2004880 3358 I C, F 5/19/1988 VA 10 10 7/10/2006 Sept, 2006881 692 I A, D 1/22/1993 VA 20 20 7/10/2006 Sept, 2006882 694 I C, F 9/18/1996 VA 20 20 7/10/2006 Sept, 2006

883 3358 I C, F 5/19/1988 VA 10-40 10-40 7/22/2010 4/21/2011 Jun, 2011 Rate increase varied by issue age

884 692 I A, D 1/22/1993 VA 10-40 10-40 7/22/2010 4/21/2011 Jun, 2011 Rate increase varied by issue age

Page 25: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 25 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

885 694 I C, F 9/18/1996 VA 10-40 10-40 7/22/2010 4/21/2011 Jun, 2011 Rate increase varied by issue age886 3358 I C, F 5/19/1988 VA 40-80 7/15/2013 Pending887 692 I A, D 1/22/1993 VA 40-80 7/15/2013 Pending888 694 I C, F 9/18/1996 VA 40-80 7/15/2013 Pending889 201 I C, F 3/5/2002 WA 15 15 7/18/2005 Sept, 2005890 3358 I C, F 4/30/1988 WA 10 10 4/25/2006 July, 2006891 691 I C, F 8/15/1992 WA 20 20 4/25/2006 July, 2006892 692 I A, D 6/17/1993 WA 20 20 4/25/2006 July, 2006893 694 I C, F 6/12/1997 WA 20 20 4/25/2006 July, 2006894 695 I C, F 4/25/1996 WA 20 20 4/25/2006 July, 2006895 696 I C, F 5/1/1997 WA 20 20 4/25/2006 July, 2006

896 201 I C, F 3/5/2002 WA 10-40 7.7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

897 3358 I C, F 4/30/1988 WA 10-40 7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

898 691 I C, F 8/15/1992 WA 10-40 7.7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

899 692 I A, D 6/17/1993 WA 10-40 7.7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

900 694 I C, F 6/12/1997 WA 10-40 7.7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

901 695 I C, F 4/25/1996 WA 10-40 7.7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

902 696 I C, F 5/1/1997 WA 10-40 7.7-30.8 6/14/2010 7/26/2010 Oct, 2010 Rate increase varied by issue age

903 201 I C, F 3/5/2002 WA 3-9 2.3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

904 3358 I C, F 4/30/1988 WA 3-9 3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

905 691 I C, F 8/15/1992 WA 3-9 2.3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

906 692 I A, D 6/17/1993 WA 3-9 2.3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

907 694 I C, F 6/12/1997 WA 3-9 2.3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

908 695 I C, F 4/25/1996 WA 3-9 2.3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

909 696 I C, F 5/1/1997 WA 3-9 2.3-9 9/28/2011 3/12/2012 May, 2012 Rate increase varied by issue age

910 201 I C, F 3/5/2002 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

Page 26: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 26 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

911 3358 I C, F 4/30/1988 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

912 691 I C, F 8/15/1992 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

913 692 I A, D 6/17/1993 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

914 694 I C, F 6/12/1997 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

915 695 I C, F 4/25/1996 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

916 696 I C, F 5/1/1997 WA 40-80 40-80 6/25/2013 9/10/2013 Nov, 2013Rate increase varied by benefit period

917 3358 I C, F 5/1/1988 WI 10 10 5/4/2006 July, 2006918 585 I C, F 1/14/1992 WI 20 10 5/4/2006 July, 2006919 691 I C, F 8/8/1991 WI 20 20 5/4/2006 July, 2006920 692 I A, D 9/15/1993 WI 20 20 5/4/2006 July, 2006921 694 I C, F 10/5/1996 WI 20 20 5/4/2006 July, 2006922 695 I C, F 4/24/1996 WI 20 20 5/4/2006 July, 2006923 696 I C, F 4/28/1999 WI 20 20 5/4/2006 July, 2006924 698 I C, F 1/5/2001 WI 20 20 5/4/2006 July, 2006925 201 I C, F 3/6/2002 WI 10-40 29.8 6/23/2010 11/2/2010 Jan, 2011926 203 I C, F 3/15/2002 WI 10-40 29.8 6/23/2010 11/2/2010 Jan, 2011927 3358 I C, F 5/1/1988 WI 10-40 29.8 6/23/2010 11/2/2010 Jan, 2011

928 585 I C, F 1/14/1992 WI 10-40 29.8 6/23/2010 11/2/2010 Jan, 2011Limited to10% Increase due to Adm. Code 3.455(9) (b) 2

929 691 I C, F 8/8/1991 WI 10-40 29.8 6/23/2010 11/2/2010 Jan, 2011930 692 I A, D 9/15/1993 WI 10-40 29.8 6/23/2010 11/2/2010 Jan, 2011931 694 I C, F 10/5/1996 WI 10-40 10 6/23/2010 11/2/2010 Jan, 2011

932 695 I C, F 4/24/1996 WI 10-40 11.1 6/23/2010 11/2/2010 Jan, 2011Limited to10% Increase due to Adm. Code 3.455(9) (b) 2

933 696 I C, F 4/28/1999 WI 10-40 10 6/23/2010 11/2/2010 Jan, 2011

934 698 I C, F 1/5/2001 WI 10-40 13.1 6/23/2010 11/2/2010 Jan, 2011Limited to10% Increase due to Adm. Code 3.455(9) (b) 2

935 585 I C, F 1/14/1992 WI 10 10 7/13/2012 7/24/2012 Sept, 2012936 694 I C, F 10/5/1996 WI 10 10 7/13/2012 7/24/2012 Sept, 2012937 695 I C, F 4/24/1996 WI 10 10 7/13/2012 7/24/2012 Sept, 2012938 696 I C, F 4/28/1999 WI 10 10 7/13/2012 7/24/2012 Sept, 2012939 698 I C, F 1/5/2001 WI 10 10 7/13/2012 7/24/2012 Sept, 2012940 201 I C, F 3/6/2002 WI 40-80 7/12/2013 Pending941 203 I C, F 3/15/2002 WI 40-80 7/12/2013 Pending942 3358 I C, F 5/1/1988 WI 40-80 7/12/2013 Pending943 585 I C, F 1/14/1992 WI 40-80 7/12/2013 Pending

Page 27: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 27 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

944 691 I C, F 8/8/1991 WI 40-80 7/12/2013 Pending945 692 I A, D 9/15/1993 WI 40-80 7/12/2013 Pending946 694 I C, F 10/5/1996 WI 40-80 7/12/2013 Pending947 695 I C, F 4/24/1996 WI 40-80 7/12/2013 Pending948 696 I C, F 4/28/1999 WI 40-80 7/12/2013 Pending949 698 I C, F 1/5/2001 WI 40-80 7/12/2013 Pending950 201 I C, F 12/6/2001 WY 15 15 5/26/2005 Aug, 2005951 3358 I C, F 2/23/1988 WY 10 10 4/25/2006 Jul, 2006952 694 I C, F 9/12/1996 WY 20 20 4/25/2006 Jul, 2006953 695 I C, F 4/25/1996 WY 20 20 4/25/2006 Jul, 2006954 696 I C, F 12/1/1998 WY 20 20 4/25/2006 Jul, 2006955 698 I C, F 6/6/2000 WY 20 20 4/25/2006 Jul, 2006

956 201 I C, F 12/6/2001 WY 10-40 10-40 6/23/2010 7/30/2010 Oct, 2010 Rate increase varied by issue age

957 3358 I C, F 2/23/1988 WY 10-40 10-40 6/23/2010 7/30/2010 Oct, 2010 Rate increase varied by issue age

958 694 I C, F 9/12/1996 WY 10-40 10-40 6/23/2010 7/30/2010 Oct, 2010 Rate increase varied by issue age

959 695 I C, F 4/25/1996 WY 10-40 10-40 6/23/2010 7/30/2010 Oct, 2010 Rate increase varied by issue age

960 696 I C, F 12/1/1998 WY 10-40 10-40 6/23/2010 7/30/2010 Oct, 2010 Rate increase varied by issue age

961 698 I C, F 6/6/2000 WY 10-40 10-40 6/23/2010 7/30/2010 Oct, 2010 Rate increase varied by issue age962 201 I C, F 12/6/2001 WY 40-80 7/1/2013 Pending963 3358 I C, F 2/23/1988 WY 40-80 7/1/2013 Pending964 694 I C, F 9/12/1996 WY 40-80 7/1/2013 Pending965 695 I C, F 4/25/1996 WY 40-80 7/1/2013 Pending966 696 I C, F 12/1/1998 WY 40-80 7/1/2013 Pending967 698 I C, F 6/6/2000 WY 40-80 7/1/2013 Pending

Policy Key Coding:*Policy Type

I IndividualG GroupP Partnership

** Policy CategoryA Nursing and Residential Care Facility/Tax QualifiedB Home Care Only/Tax QualifiedC Comprehensive/Tax QualifiedD Nursing and Residential Care Facility/Non-Tax Qualified

Page 28: California Department of Insurance Long Term Care …...Feb, 2011 Rate increase varied by issue age 30 698 I C, F 4/13/2000 TX 10-40 8-31 7/27/2010 12/3/2010 Feb, 2011 Rate increase

California Department of Insurance Long Term Care Insurance - Medico Ins Co (NAIC 31119)Rate Increase History

Company Contact: (877) 795-8493

As of 12/31/2013

Source: 2013 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division Inactive Companies Report - Page 28 of 28 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

E Home Care Only/Non-Tax QualifiedF Comprehensive/Non-Tax Qualified