Presbyterian Health Plan September 30, 2020 Quarterly Statement by siegellawgroup

QUARTERLY STATEMENT

OF THE

PRESBYTERIAN HEALTH PLAN INC

TO THE

Insurance Department

OF THE

STATE OF Arizona

FOR THE QUARTER ENDED SEPTEMBER 30, 2020

HEALTH

2020

.AZ

QUARTERLY STATEMENT

OF THE

PRESBYTERIAN HEALTH PLAN INC

TO THE

Insurance Department

OF THE

STATE OF New Mexico

FOR THE QUARTER ENDED SEPTEMBER 30, 2020

HEALTH

2020

.NM

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

ASSETS

Bonds

Stocks:

Current Statement Date 2

Assets

Nonadmitted Assets

3 Net Admitted Assets (Cols. 1 - 2)

4 December 31 Prior Year Net Admitted Assets

405,824,548

290,458,117

155,159,302

115,472,662

226,755,515

169,662,966

2,634,495

2,198,705

2.1 Preferred stocks 2.2 Common stocks 3.

Mortgage loans on real estate: 3.1 First liens 3.2 Other than first liens

Real estate: 4.1 Properties occupied by the company (less $ encumbrances) 4.2 Properties held for the production of income (less $

encumbrances)

4.3 Properties held for sale (less $ encumbrances) 5.

Cash ($

185,997,337 ), cash equivalents

12,018,600 ) and short-term 28,739,578 ) investments ($

($ 6.

Contract loans (including $

Derivatives

Other invested assets

Receivables for securities

premium notes)

3,526,394

891,899

548,990

10.

Securities lending reinvested collateral assets

11.

Aggregate write-ins for invested assets

12.

Subtotals, cash and invested assets (Lines 1 to 11)

13.

Title plants less $

791,814,749

548,990

891,899

790,922,850

577,792,450

1,855,456

1,956,669

48,400,083

24,290,451

2,622,558

1,590,991

7,814,220

5,140,095

9,895,789

9,195,884

charged off (for Title insurers

only) 14.

Investment income due and accrued

15.

Premiums and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection 15.2 Deferred premiums, agents' balances and installments booked but deferred and not yet due (including $ earned but unbilled premiums) 15.3 Accrued retrospective premiums ($

) and

contracts subject to redetermination ($ 16.

)

Reinsurance:

3,811,864

16.1 Amounts recoverable from reinsurers

1,189,306

16.2 Funds held by or deposited with reinsured companies 16.3 Other amounts receivable under reinsurance contracts 17.

Amounts receivable relating to uninsured plans

18.1 Current federal and foreign income tax recoverable and interest thereon 18.2 Net deferred tax asset 19.

Guaranty funds receivable or on deposit

20.

Electronic data processing equipment and software

21.

Furniture and equipment, including health care delivery assets

22.

Net adjustment in assets and liabilities due to foreign exchange rates

23.

Receivables from parent, subsidiaries and affiliates

24.

Health care ($

25.

Aggregate write-ins for other than invested assets

26.

Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25)

27.

From Separate Accounts, Segregated Accounts and Protected Cell Accounts

28.

Total (Lines 26 and 27)

)

2,276,648

56,216,111 ) and other amounts receivable

79,678,128

8,941,976

70,736,152

130,184,641

57,852,298

37,465,749

20,386,549

8,430,460

1,001,122,587

48,488,930

952,633,657

760,858,289

1,001,122,587

48,488,930

952,633,657

760,858,289

DETAILS OF WRITE-INS 1101. 1102. 1103. 1198.

Summary of remaining write-ins for Line 11 from overflow page

1199.

Totals (Lines 1101 through 1103 plus 1198)(Line 11 above)

2501.

UHC Membership Cost

33,258,514

2502.

Prepaid Expenses

4,207,235

2503.

Magellan Behavioral Health

7,200,000

2598.

Summary of remaining write-ins for Line 25 from overflow page

13,186,549

1,230,460

2599.

Totals (Lines 2501 through 2503 plus 2598)(Line 25 above)

57,852,298

20,386,549

8,430,460

37,465,749

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

LIABILITIES, CAPITAL AND SURPLUS 1 Covered

4,309,944

Claims unpaid (less $

Accrued medical incentive pool and bonus amounts

reinsurance ceded)

Unpaid claims adjustment expenses

Aggregate health policy reserves, including the liability of $

Prior Year 4 Total

3 Total

290,605,530

13,143,893

303,749,423

269,974,913

4,928,276

223,104

5,151,380

4,362,104

10,752

297

11,049

504,391

for medical loss ratio rebate per the Public

Health Service Act 5.

Current Period 2 Uncovered

Aggregate life policy reserves

Property/casualty unearned premium reserve

Aggregate health claim reserves

Premiums received in advance

General expenses due or accrued

1,398,452

62,835

1,461,287

1,792,581

132,022,779

5,952,357

137,975,136

115,389,232

14,578,334

659,965

15,238,299

7,332,560

2,520,396

114,099

2,634,495

2,198,706

37,196,465

1,683,894

38,880,359

49,836,141

5,561,936

251,790

5,813,726

3,430,000

6,131,339

540,704

6,672,043

5,910,895

10.1 Current federal and foreign income tax payable and interest thereon (including $

856,543 on realized gains (losses))

10.2 Net deferred tax liability 11.

Ceded reinsurance premiums payable

12.

Amounts withheld or retained for the account of others

13.

Remittances and items not allocated

14.

Borrowed money (including $

current) and

interest thereon $ $

(including current)

15.

Amounts due to parent, subsidiaries and affiliates

16.

Derivatives

17.

Payable for securities

18.

Payable for securities lending

19.

Funds held under reinsurance treaties (with $ authorized reinsurers, $

unauthorized

reinsurers and $ 20.

certified reinsurers)

)

Reinsurance in unauthorized and certified ($ companies

21.

Net adjustments in assets and liabilities due to foreign exchange rates

22.

Liability for amounts held under uninsured plans

23.

Aggregate write-ins for other liabilities (including $

9,689,215 36,942,217

1,688,945

38,631,163

38,689,116

24.

Total liabilities (Lines 1 to 23)

531,896,476

24,321,883

556,218,360

499,420,639

25.

Aggregate write-ins for special surplus funds

XXX

26.

Common capital stock

XXX

27.

Preferred capital stock

XXX

28.

Gross paid in and contributed surplus

XXX

29.

Surplus notes

XXX

30.

Aggregate write-ins for other than special surplus funds

XXX

24,951,657

16,670,905

31.

Unassigned funds (surplus)

XXX

296,788,674

155,979,409

XXX

396,415,298

261,437,650

XXX

952,633,657

760,858,289

current)

32.

$ 32.2 $ 34.

800,000

73,874,967

Less treasury stock, at cost: 32.1

33.

14,112,369 800,000

shares common (value included in Line 26 ) shares preferred (value included in Line 27 )

Total capital and surplus (Lines 25 to 31 minus Line 32) Total liabilities, capital and surplus (Lines 24 and 33)

XXX

DETAILS OF WRITE-INS 2301.

P.E.G.G. Funding

2302.

Coverage Gap Discount

2303.

ACA Tax Liability

2398.

Summary of remaining write-ins for Line 23 from overflow page

2399.

Totals (Lines 2301 through 2303 plus 2398)(Line 23 above)

2501.

ACA Fee Due in 2020

34,844

1,577

36,422

42,233

952,667

59,689

1,012,356

1,025,191

35,954,706

1,627,679

37,582,385

37,585,677

1,688,945

38,631,163

38,689,116

36,015 36,942,217

2502. 2503.

XXX

2598.

Summary of remaining write-ins for Line 25 from overflow page

XXX

2599.

Totals (Lines 2501 through 2503 plus 2598)(Line 25 above)

XXX

3001.

Unrealized gains/losses on Equity (D2.2)

XXX

3002.

Unrealized gains/losses MRI BA

XXX

3003.

Unrealized gains/losses on Liberty (BA)

XXX

14,112,369

14,112,369 25,154,852

15,461,211

XXX

1,613,956

2,387,558

XXX

2,168,420

1,892,337 (3,070,201) 16,670,905

3098.

Summary of remaining write-ins for Line 30 from overflow page

XXX

(3,985,571)

3099.

Totals (Lines 3001 through 3003 plus 3098)(Line 30 above)

XXX

24,951,657

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

STATEMENT OF REVENUE AND EXPENSES Prior Year To Date 3 Total

Current Year To Date 1 Uncovered

2 Total

Prior Year Ended December 31 4 Total

XXX

4,147,016

4,167,642

5,519,675

XXX

2,527,492,098

2,284,194,507

3,063,974,020

2,527,492,098

2,284,194,507

3,063,974,020

76,680,950

1,743,314,882

1,697,033,034

2,273,107,385

3,104,965

71,031,777

89,005,386

120,229,482

10,304,406

231,572,300

175,375,165

251,164,290

Member Months

Net premium income ( including $

Change in unearned premium reserves and reserve for rate credits

XXX

Fee-for-service (net of $

XXX

Risk revenue

XXX

Aggregate write-ins for other health care related revenues

XXX

Aggregate write-ins for other non-health revenues

XXX

Total revenues (Lines 2 to 7)

XXX

non-health

premium income) medical expenses)

Hospital and Medical: 9.

Hospital/medical benefits

10.

Other professional services

11.

Outside referrals

12.

Emergency room and out-of-area

13.

Prescription drugs

14.

Aggregate write-ins for other hospital and medical

15.

Incentive pool, withhold adjustments and bonus amounts

16.

Subtotal (Lines 9 to 15)

(33,624)

(876,538)

21,312

484,714

90,078,009

2,045,527,135

(1,077,705) (38,616) 1,960,297,264

(1,370,401) 475,047 2,643,605,803

Less: 17.

Net reinsurance recoveries

18.

Total hospital and medical (Lines 16 minus 17)

19.

Non-health claims (net)

20.

Claims adjustment expenses, including $

69,172,591

147,806

3,581,107

3,801,646

4,273,593

89,930,203

2,041,946,028

1,956,495,618

2,639,332,210

cost

4,224,279

91,306,557

93,874,002

124,882,431

9,487,953

238,440,646

169,194,482

236,757,594

Total underwriting deductions (Lines 18 through 22)

103,642,435

2,371,693,231

2,219,564,102

3,000,972,236

24.

Net underwriting gain or (loss) (Lines 8 minus 23)

XXX

155,798,867

64,630,405

63,001,784

25.

Net investment income earned

2,652,010

4,224,537

8,132,902

26.

Net realized capital gains (losses) less capital gains tax of

containment expenses 21.

General administrative expenses

22.

Increase in reserves for life and accident and health contracts

23.

(including $

increase in reserves for life only)

123,480

(1,742,468)

150,030

3,222,235

1,157,197

3,915,529

27.

Net investment gains (losses) (Lines 25 plus 26)

273,510

5,874,245

5,381,734

12,048,431

28.

Net gain or (loss) from agents’ or premium balances charged off [(amount

25,040

537,792

516,138

697,375

recovered $

)

(amount charged off $

)]

29.

Aggregate write-ins for other income or expenses

30.

Net income or (loss) after capital gains tax and before all other federal income taxes (Lines 24 plus 27 plus 28 plus 29)

XXX

162,210,904

70,528,277

75,747,590

31.

Federal and foreign income taxes incurred

XXX

40,899,196

15,115,556

15,571,395

32.

Net income (loss) (Lines 30 minus 31)

XXX

121,311,708

55,412,721

60,176,195

DETAILS OF WRITE-INS 0601.

XXX

0602.

XXX

0603.

XXX

0698.

Summary of remaining write-ins for Line 6 from overflow page

XXX

0699.

Totals (Lines 0601 through 0603 plus 0698)(Line 6 above)

XXX

0701.

XXX

0702.

XXX

0703.

XXX

0798.

Summary of remaining write-ins for Line 7 from overflow page

XXX

0799.

Totals (Lines 0701 through 0703 plus 0798)(Line 7 above)

XXX

1401.

Transplants Reimbursements

(33,624)

(876,538)

(1,077,705)

(1,370,401)

(33,624)

(876,538)

(1,077,705)

(1,370,401)

24,928

535,388

476,598

647,515

112

2,404

39,540

49,860

25,040

537,792

516,138

697,375

1402. 1403 1498.

Summary of remaining write-ins for Line 14 from overflow page

1499.

Totals (Lines 1401 through 1403 plus 1498)(Line 14 above)

2901.

Other revenue

2902.

Late Fees

2903 2998.

Summary of remaining write-ins for Line 29 from overflow page

2999.

Totals (Lines 2901 through 2903 plus 2998)(Line 29 above)

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

STATEMENT OF REVENUE AND EXPENSES (Continued) 1 Current Year to Date

2 Prior Year to Date

3 Prior Year Ended December 31

CAPITAL AND SURPLUS ACCOUNT

33.

Capital and surplus prior reporting year

261,437,649

182,538,785

34.

Net income or (loss) from Line 32

121,311,708

55,412,721

60,176,195

35.

Change in valuation basis of aggregate policy and claim reserves

36.

Change in net unrealized capital gains (losses) less capital gains tax of $

6,538,284

13,149,897

16,867,569

37.

Change in net unrealized foreign exchange capital gain or (loss)

38.

Change in net deferred income tax

644,022

1,337,317

39.

Change in nonadmitted assets

7,610,627

6,845,356

517,783

Change in unauthorized and certified reinsurance

41.

Change in treasury stock

42.

Change in surplus notes

43.

Cumulative effect of changes in accounting principles

44.

Capital Changes:

(1,742,468)

(482,970)

44.1 Paid in 44.2 Transferred from surplus (Stock Dividend) 44.3 Transferred to surplus 45.

Surplus adjustments: 45.1 Paid in 45.2 Transferred to capital (Stock Dividend) 45.3 Transferred from capital

46.

Dividends to stockholders

47.

Aggregate write-ins for gains or (losses) in surplus

48.

Net change in capital & surplus (Lines 34 to 47)

134,977,648

76,051,996

78,898,864

49.

Capital and surplus end of reporting period (Line 33 plus 48)

396,415,297

258,590,781

261,437,649

DETAILS OF WRITE-INS 4701.

Additional deferred tax asset as a result of 10R

4702.

Change in accounting for Other than invested Assets

4703.

Fluent Transfer

4798.

Summary of remaining write-ins for Line 47 from overflow page

4799.

Totals (Lines 4701 through 4703 plus 4798)(Line 47 above)

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

CASH FLOW 1 Current Year To Date

2 Prior Year To Date

3 Prior Year Ended December 31

Cash from Operations

2,547,515,896

2,286,965,767

3,044,667,241

4,021,598

4,679,149

8,560,517

Total (Lines 1 to 3)

2,551,537,494

2,291,644,916

3,053,227,758

Benefit and loss related payments

1,947,207,183

1,932,412,481

2,623,444,388

Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts

Commissions, expenses paid and aggregate write-ins for deductions

352,705,273

251,130,029

324,652,637

33,849,999

15,279,999

24,411,063

2,333,762,455

2,198,822,509

2,972,508,088

217,775,039

92,822,407

80,719,670

12.1 Bonds

329,941,437

199,136,404

260,796,746

12.2 Stocks

7,000

Premiums collected net of reinsurance

Net investment income

Miscellaneous income

Dividends paid to policyholders

Federal and foreign income taxes paid (recovered) net of $

(1,742,468) tax on capital

gains (losses) 10.

Total (Lines 5 through 9)

11.

Net cash from operations (Line 4 minus Line 10)

Cash from Investments 12.

Proceeds from investments sold, matured or repaid:

2,965,580

12.3 Mortgage loans 12.4 Real estate 12.5 Other invested assets

30,796

12.6 Net gains or (losses) on cash, cash equivalents and short-term investments

2,383,726

935,905

3,446,340

332,362,959

200,072,309

267,208,666

13.1 Bonds

442,480,346

288,089,364

344,821,895

13.2 Stocks

30,000,000

10,071,585

15,013,616

473,029,336

298,160,949

359,835,511

(140,666,377)

(98,088,640)

(92,626,845)

16.6 Other cash provided (applied)

(20,016,113)

13,911,408

936,100

Net cash from financing and miscellaneous sources (Line 16.1 through Line 16.4 minus Line 16.5 plus Line 16.6)

(20,016,113)

13,911,408

936,100

57,092,549

8,645,174

19.1 Beginning of year

169,662,966

180,634,041

19.2 End of period (Line 18 plus Line 19.1)

226,755,515

189,279,216

169,662,966

12.7 Miscellaneous proceeds 12.8 Total investment proceeds (Lines 12.1 to 12.7) 13.

Cost of investments acquired (long-term only):

13.3 Mortgage loans 13.4 Real estate 13.5 Other invested assets

548,990

13.6 Miscellaneous applications 13.7 Total investments acquired (Lines 13.1 to 13.6) 14.

Net increase (or decrease) in contract loans and premium notes

15.

Net cash from investments (Line 12.8 minus Line 13.7 and Line 14)

16.

Cash provided (applied):

Cash from Financing and Miscellaneous Sources

16.1 Surplus notes, capital notes 16.2 Capital and paid in surplus, less treasury stock 16.3 Borrowed funds 16.4 Net deposits on deposit-type contracts and other insurance liabilities 16.5 Dividends to stockholders

17.

RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS 18.

Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17)

19.

Cash, cash equivalents and short-term investments:

Note: Supplemental disclosures of cash flow information for non-cash transactions: 20.0001.

(10,971,075)

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

EXHIBIT OF PREMIUMS, ENROLLMENT AND UTILIZATION Comprehensive (Hospital & Medical)

Total

Individual

Group

Medicare Supplement

Vision Only

Dental Only

Federal Employees Health Benefit Plan

Title XVIII Medicare

Title XIX Medicaid

Other

Total Members at end of: 1.

Prior Year

448,414

7,786

16,592

11,552

39,829

372,655

First Quarter

449,084

5,134

17,017

10,702

42,212

374,019

Second Quarter

462,677

4,946

16,470

10,488

43,189

387,584

Third Quarter

470,589

4,802

16,203

10,453

44,150

394,981

Current Year

Current Year Member Months

4,147,016

45,433

146,579

97,363

385,462

3,472,179

Total Member Ambulatory Encounters for Period:

Physician

1,790,643

20,187

53,399

53,051

368,884

1,295,122

Non-Physician

1,779,651

7,730

22,880

27,280

206,650

1,515,111

Total

3,570,294

27,917

76,279

80,331

575,534

2,810,233

156,229

1,302

5,598

3,516

32,601

113,212

35,941

125

282

345

5,381

29,808

2,535,149,206

30,172,603

62,594,995

57,540,693

333,016,394

2,051,824,521

2,535,149,206

30,172,603

62,594,995

57,540,693

333,016,394

2,051,824,521

2,105,214,371

21,913,884

50,589,517

51,503,281

300,092,953

1,681,114,736

2,045,527,136 333,016,394

20,586,089

48,395,453

45,654,199

283,247,606

1,647,643,788

10.

Hospital Patient Days Incurred

11.

Number of Inpatient Admissions

12.

Health Premiums Written (a)

13.

Life Premiums Direct

14.

Property/Casualty Premiums Written

15.

Health Premiums Earned

16.

Property/Casualty Premiums Earned

17.

Amount Paid for Provision of Health Care Services

18. Amount Incurred for Provision of Health Care Services (a) For health premiums written: amount of Medicare Title XVIII exempt from state taxes or fees $

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

CLAIMS UNPAID AND INCENTIVE POOL, WITHHOLD AND BONUS (Reported and Unreported) Aging Analysis of Unpaid Claims 1 Account Claims Unpaid (Reported) Commercial Medicare Centennial Care Centennial Care BH CC Dental Commercial RX Medicare RX CC RX Other Liab 0199999. Individually listed claims unpaid

0299999 Aggregate accounts not individually listed-uncovered 0399999 Aggregate accounts not individually listed-covered 0499999 Subtotals 0599999 Unreported claims and other claim reserves 0699999 Total amounts withheld 0799999 Total claims unpaid 0899999 Accrued medical incentive pool and bonus amounts

2 1 - 30 Days

3 31 - 60 Days

4 61 - 90 Days

7,749,239 16,864,093 103,429,579 15,221,414 3,930,361 425,405 1,237,462 2,779,149 6,956,397 158,593,098

4,279,786 3,158,850 31,821,796 3,696,973 213,441 (95,995) (338,113) (670,790) 1,718,972 43,784,921

2,756,249 1,410,669 23,097,141 1,964,886 76,251 63

158,593,098

43,784,921

5 91 - 120 Days

6 Over 120 Days

7 Total

1,265,170 804,230 48,671,150 2,552,476 4,290 2,600

(3,116) 2,640,738 31,942,880

1,287,133 720,265 8,806,315 1,197,351 19,658 1,437 (74) (214) 2,438,799 14,470,671

105,821 1,552,116 54,957,853

17,337,577 22,958,106 215,825,982 24,633,101 4,244,001 333,511 899,275 2,210,850 15,307,022 303,749,423

31,942,880

14,470,671

54,957,853

303,749,423 4,309,944 308,059,367

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

UNDERWRITING AND INVESTMENT EXHIBIT ANALYSIS OF CLAIMS UNPAID - PRIOR YEAR - NET OF REINSURANCE Claims Paid Year to Date 1

Line of Business

Liability End of Current Quarter 3 4

On Claims Incurred Prior to January 1 of Current Year

On Claims Incurred During the Year

11,886,523

60,616,879

3,647,151

47,856,129

19,832,828

280,260,126

195,617,365

Health subtotal (Lines 1 to 8)

10.

Healthcare receivables (a)

11.

Other non-health

12.

Medical incentive pools and bonus amounts

13.

Totals (Lines 9-10+11+12)

Comprehensive (hospital and medical)

Medicare Supplement

Dental Only

Vision Only

Federal Employees Health Benefits Plan

Title XVIII - Medicare

Title XIX - Medicaid

Other health

(a) Excludes $

89,044

On Claims Incurred During the Year

Claims Incurred in Prior Years (Columns 1 + 3)

Estimated Claim Reserve and Claim Liability December 31 of Prior Year

16,748,851

11,975,566

15,290,716

1,178,638

3,647,151

2,773,743

251,573

24,393,614

20,084,401

22,788,824

1,485,497,371

9,672,301

251,415,403

205,289,666

229,121,630

230,983,866

1,874,230,504

10,012,918

293,736,506

240,996,784

269,974,913

120,395,035

36,917,330

87,063,837

(26,890,688)

207,458,872

119,957,949

(77,050,919)

320,627,194

33,537,912

150,016,964

484,711 110,588,831

loans or advances to providers not yet expensed.

On Claims Unpaid Dec. 31 of Prior Year

1,837,797,885

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

GENERAL INTERROGATORIES PART 1 - COMMON INTERROGATORIES GENERAL 1.1

Did the reporting entity experience any material transactions requiring the filing of Disclosure of Material Transactions with the State of Domicile, as required by the Model Act?

Yes [

] No [ X ]

1.2

If yes, has the report been filed with the domiciliary state?

Yes [

] No [

2.1

Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the reporting entity?

Yes [

] No [ X ]

]

2.2

If yes, date of change:

3.1

Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? If yes, complete Schedule Y, Parts 1 and 1A.

Yes [ X ] No [

3.2

Have there been any substantial changes in the organizational chart since the prior quarter end?

Yes [

] No [ X ]

3.3

If the response to 3.2 is yes, provide a brief description of those changes.

3.4

Is the reporting entity publicly traded or a member of a publicly traded group?

Yes [

] No [ X ]

3.5

If the response to 3.4 is yes, provide the CIK (Central Index Key) code issued by the SEC for the entity/group.

4.1

Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? If yes, complete and file the merger history data file with the NAIC.

Yes [

] No [ X ]

4.2

If yes, provide the name of the entity, NAIC Company Code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a result of the merger or consolidation. 1 Name of Entity

2 NAIC Company Code

3 State of Domicile

If the reporting entity is subject to a management agreement, including third-party administrator(s), managing general agent(s), attorneyYes [ in-fact, or similar agreement, have there been any significant changes regarding the terms of the agreement or principals involved? If yes, attach an explanation.

] No [ X ] N/A [

6.1

State as of what date the latest financial examination of the reporting entity was made or is being made.

12/31/2018

6.2

State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity. This date should be the date of the examined balance sheet and not the date the report was completed or released.

01/21/2019

State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date).

01/22/2020

6.3

6.4

By what department or departments? Office of Superintendant of Insurance Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial statement filed with Departments?

Yes [

6.6

Have all of the recommendations within the latest financial examination report been complied with?

Yes [ X ] No [

7.1

Has this reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked by any governmental entity during the reporting period?

6.5

7.2

If yes, give full information:

8.1

Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board?

8.2

If response to 8.1 is yes, please identify the name of the bank holding company.

8.3

Is the company affiliated with one or more banks, thrifts or securities firms?

8.4

If response to 8.3 is yes, please provide below the names and location (city and state of the main office) of any affiliates regulated by a federal regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate's primary federal regulator.

1 Affiliate Name

2 Location (City, State)

]

3 FRB

4 OCC

5 FDIC

] No [

] N/A [ X ] ] N/A [

Yes [

] No [ X ]

Yes [

] No [ X ]

Yes [

] No [ X ]

6 SEC

]

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

GENERAL INTERROGATORIES 9.1

9.11

Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions) of the reporting entity subject to a code of ethics, which includes the following standards? (a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships; (b) Full, fair, accurate, timely and understandable disclosure in the periodic reports required to be filed by the reporting entity; (c) Compliance with applicable governmental laws, rules and regulations; (d) The prompt internal reporting of violations to an appropriate person or persons identified in the code; and (e) Accountability for adherence to the code. If the response to 9.1 is No, please explain:

9.2 9.21

Has the code of ethics for senior managers been amended? If the response to 9.2 is Yes, provide information related to amendment(s).

Yes [

] No [ X ]

9.3 9.31

Have any provisions of the code of ethics been waived for any of the specified officers? If the response to 9.3 is Yes, provide the nature of any waiver(s).

Yes [

] No [ X ]

Yes [

] No [ X ]

Yes [

] No [ X ]

Yes [ X ] No [

]

FINANCIAL 10.1 10.2

Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement? If yes, indicate any amounts receivable from parent included in the Page 2 amount:

INVESTMENT 11.1 11.2

Were any of the stocks, bonds, or other assets of the reporting entity loaned, placed under option agreement, or otherwise made available for use by another person? (Exclude securities under securities lending agreements.) If yes, give full and complete information relating thereto:

12. 13. 14.1 14.2

Amount of real estate and mortgages held in other invested assets in Schedule BA: Amount of real estate and mortgages held in short-term investments: Does the reporting entity have any investments in parent, subsidiaries and affiliates? If yes, please complete the following:

$ $

Yes [ X ] No [ 1 Prior Year-End Book/Adjusted Carrying Value

14.21 14.22 14.23 14.24 14.25 14.26 14.27 14.28

Bonds Preferred Stock Common Stock Short-Term Investments Mortgage Loans on Real Estate All Other Total Investment in Parent, Subsidiaries and Affiliates (Subtotal Lines 14.21 to 14.26) Total Investment in Parent included in Lines 14.21 to 14.26 above Has the reporting entity entered into any hedging transactions reported on Schedule DB? If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? If no, attach a description with this statement.

16.

For the reporting entity’s security lending program, state the amount of the following as of the current statement date: 16.1 Total fair value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2. 16.2 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2 16.3 Total payable for securities lending reported on the liability page.

11.1

2 Current Quarter Book/Adjusted Carrying Value $ $ $ $ $ $ $ $

$ $ $ $ $ $ $ $

15.1 15.2

]

891,899 891,899

Yes [ ] No [ X ] ] No [ ] N/A [ ]

Yes [

$ $ $

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

GENERAL INTERROGATORIES 17.

17.1

Excluding items in Schedule E - Part 3 - Special Deposits, real estate, mortgage loans and investments held physically in the reporting entity’s offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a custodial agreement with a qualified bank or trust company in accordance with Section 1, III - General Examination Considerations, F. Outsourcing of Critical Functions, Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook? For all agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following: 1 Name of Custodian(s)

MAC N9303-121 Minneapolis, MN 55479 PO Box 1507 Santa Fe, NM 87504-1507 350 California St 6th Floor San Francisco, CA 94104

For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name, location and a complete explanation: 1 Name(s)

17.3 17.4

2 Location(s)

3 Complete Explanation(s)

Have there been any changes, including name changes, in the custodian(s) identified in 17.1 during the current quarter? If yes, give full information relating thereto: 1 Old Custodian

17.5

2 New Custodian

3 Date of Change

Yes [

] No [ X ]

4 Reason

Investment management – Identify all investment advisors, investment managers, broker/dealers, including individuals that have the authority to make investment decisions on behalf of the reporting entity. For assets that are managed internally by employees of the reporting entity, note as such. ["…that have access to the investment accounts"; "…handle securities"] 1 Name of Firm or Individual

2 Affiliation

Wells Fargo Securities T. Rowe Price Associates, Inc. SCHRODER FUND ADVISORS LLC CS McKee

17.6

]

2 Custodian Address

Wells Fargo Century Bank Union Bank 17.2

Yes [ X ] No [

U U U U

17.5097 For those firms/individuals listed in the table for Question 17.5, do any firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") manage more than 10% of the reporting entity’s invested assets?

Yes [ X ] No [

]

17.5098 For firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") listed in the table for Question 17.5, does the total assets under management aggregate to more than 50% of the reporting entity’s invested assets?

Yes [ X ] No [

]

For those firms or individuals listed in the table for 17.5 with an affiliation code of "A" (affiliated) or "U" (unaffiliated), provide the information for the table below. 1

Central Registration Depository Number

Name of Firm or Individual

Legal Entity Identifier (LEI)

Registered With

5 Investment Management Agreement (IMA) Filed

18.1 18.2

Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Investment Analysis Office been followed? If no, list exceptions:

19.

By self-designating 5GI securities, the reporting entity is certifying the following elements for each self-designated 5GI security: a. Documentation necessary to permit a full credit analysis of the security does not exist or an NAIC CRP credit rating for an FE or PL security is not available. b. Issuer or obligor is current on all contracted interest and principal payments. c. The insurer has an actual expectation of ultimate payment of all contracted interest and principal. Has the reporting entity self-designated 5GI securities?

Yes [

] No [ X ]

By self-designating PLGI securities, the reporting entity is certifying the following elements of each self-designated PLGI security: a. The security was purchased prior to January 1, 2018. b. The reporting entity is holding capital commensurate with the NAIC Designation reported for the security. c. The NAIC Designation was derived from the credit rating assigned by an NAIC CRP in its legal capacity as a NRSRO which is shown on a current private letter rating held by the insurer and available for examination by state insurance regulators. d. The reporting entity is not permitted to share this credit rating of the PL security with the SVO. Has the reporting entity self-designated PLGI securities?

Yes [

] No [ X ]

By assigning FE to a Schedule BA non-registered private fund, the reporting entity is certifying the following elements of each self-designated FE fund: a. The shares were purchased prior to January 1, 2019. b. The reporting entity is holding capital commensurate with the NAIC Designation reported for the security. c. The security had a public credit rating(s) with annual surveillance assigned by an NAIC CRP in its legal capacity as an NRSRO prior to January 1, 2019. d. The fund only or predominantly holds bonds in its portfolio. e. The current reported NAIC Designation was derived from the public credit rating(s) with annual surveillance assigned by an NAIC CRP in its legal capacity as an NRSRO. f. The public credit rating(s) with annual surveillance assigned by an NAIC CRP has not lapsed. Has the reporting entity assigned FE to Schedule BA non-registered private funds that complied with the above criteria?

Yes [

] No [ X ]

20.

21.

11.2

Yes [ X ] No [

]

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

GENERAL INTERROGATORIES PART 2 - HEALTH 1.

Operating Percentages:

78.4 %

1.1 A&H loss percent 1.2 A&H cost containment percent

1.9 %

1.3 A&H expense percent excluding cost containment expenses

9.0 % Yes [

] No [ X ]

Yes [

] No [ X ]

2.1

Do you act as a custodian for health savings accounts?

2.2

If yes, please provide the amount of custodial funds held as of the reporting date

2.3

Do you act as an administrator for health savings accounts?

2.4

If yes, please provide the balance of the funds administered as of the reporting date

Is the reporting entity licensed or chartered, registered, qualified, eligible or writing business in at least two states?

Yes [ X ] No [

3.1

If no, does the reporting entity assume reinsurance business that covers risks residing in at least one state other than the state of domicile of the reporting entity?

Yes [

]

] No [ X ]

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE S - CEDED REINSURANCE Showing All New Reinsurance Treaties - Current Year to Date 1

NAIC Company Code

ID Number

Effective Date

Name of Reinsurer

11835

04-1590940

01/01/2013

PartnerRe America Insurance Company

23647

41-0121640

01/01/2019

IronShore, A Liberty Mutual Company

Type of Domiciliary Reinsurance Ceded Jurisdiction Health Specific Stop Loss - All Medical Combined Individual DE Health Specific Stop Loss - All Medical Combined Group MN

Type of Business Ceded

Authorized

Type of Reinsurer

Certified Reinsurer Rating (1 through 6)

10 Effective Date of Certified Reinsurer Rating

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE S - CEDED REINSURANCE Showing All New Reinsurance Treaties - Current Year to Date 1

NAIC Company Code

23647

ID Number

41-0121640

Effective Date

01/01/2019

Name of Reinsurer

IronShore, A Liberty Mutual Company

Type of Domiciliary Reinsurance Ceded Jurisdiction Health Specific Stop Loss - All Medical Combined Group MN

Type of Business Ceded

Authorized

Type of Reinsurer

Certified Reinsurer Rating (1 through 6)

10 Effective Date of Certified Reinsurer Rating

13.1

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE T - PREMIUMS AND OTHER CONSIDERATIONS Current Year to Date - Allocated by States and Territories 1

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60.

61.

States, etc. Alabama AL Alaska AK Arizona AZ Arkansas AR California CA Colorado CO Connecticut CT Delaware DE District of Columbia DC Florida FL Georgia GA Hawaii HI Idaho ID Illinois IL Indiana IN Iowa IA Kansas KS Kentucky KY Louisiana LA Maine ME Maryland MD Massachusetts MA Michigan MI Minnesota MN Mississippi MS Missouri MO Montana MT Nebraska NE Nevada NV New Hampshire NH New Jersey NJ New Mexico NM New York NY North Carolina NC North Dakota ND Ohio OH Oklahoma OK Oregon OR Pennsylvania PA Rhode Island RI South Carolina SC South Dakota SD Tennessee TN Texas TX Utah UT Vermont VT Virginia VA Washington WA West Virginia WV Wisconsin WI Wyoming WY American Samoa AS Guam GU Puerto Rico PR U.S. Virgin Islands VI Northern Mariana MP Islands Canada CAN Aggregate Other OT Aliens Subtotal Reporting Entity Contributions for Employee Benefit Plans Totals (Direct Business) DETAILS OF WRITE-INS

Active Status (a)

N N E N N N N N N N N N N N N N N N N N N N N N N N N N N N N L N N N N N N N N N N N N N N N N N N N N N N N

Accident and Health Premiums

Medicare Title XVIII

Medicaid Title XIX

Direct Business Only 5 6 Federal Employees Life and Health Annuity Benefits Premiums & Program Other Premiums Considerations

Property/ Casualty Premiums

Total Columns 2 Through 7

Deposit-Type Contracts

92,767,598

333,016,394 2,051,824,521

57,540,693

2,535,149,206

XXX XXX

92,767,598

333,016,394 2,051,824,521

57,540,693

2,535,149,206

XXX XXX

92,767,598

333,016,394 2,051,824,521

57,540,693

2,535,149,206

N N

58001. XXX 58002. XXX 58003. XXX 58998. Summary of remaining write-ins for Line 58 from overflow page XXX 58999. Totals (Lines 58001 through 58003 plus 58998)(Line 58 above) XXX (a) Active Status Counts: L - Licensed or Chartered - Licensed Insurance carrier or domiciled RRG E - Eligible - Reporting entities eligible or approved to write surplus lines in the state N - None of the above - Not allowed to write business in the state

1 1 55

R - Registered - Non-domiciled RRGs Q - Qualified - Qualified or accredited reinsurer

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE Y PART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM 1

Group Code

Group Name

NAIC Company Code

ID Number

Federal RSSD

CIK

Name of Securities Exchange if Publicly Traded (U.S. or International)

Names of Parent, Subsidiaries Or Affiliates

RelationDomiship ciliary to Loca- Reporting tion Entity

0481

Presbyterian Healthcare Services

00000

85-0105601

Presbyterian Healthcare Services

NIA

0481 0481 0481 0481 0481 0481 0481 0481 0481

Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian

00000 00000 11504 00000 00000 95330 95330 95330 95330

85-0289728 85-0337392 85-0484337 54-2154946 85-0386882 94-3037165 81-4074164 81-4074164 81-4074164

Southwest Health Foundation Presbyterian Network, Inc. Presbyterian Insurance Company, Inc. Affiliated Imaging, LLC Southwest Magnetic Imaging Associates, Inc. Presbyterian Health Plan, Inc. Fluent Health, LLC Fluent Health, LLC Fluent Health, LLC

NM NM NM NM NM NM NM NM NM

UIP UDP IA NIA NIA IA OTH OTH OTH

Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare

Services Services Services Services Services Services Services Services Services

Directly Controlled by (Name of Entity/Person) Non-Profit Community Board of Directors Presbyterian Healthcare Services Board of Directors Southwest Health Foundation Presbyterian Network, Inc. Prebyterian Health Plan, Inc. Prebyterian Health Plan, Inc. Presbyterian Network, Inc. Presbyterian Health Plan, Inc. Presbyterian Insurance Company, Inc. Presbyterian Network, Inc.

16 Asterisk 1 2 3 4 5 6 7 8

Explanation NM non-profit corporation without members. This entity is owned by the community. NM non-profit corporation whose sole member is Presbyterian Healthcare Services. NM profit corporation: 100% of common stock held by Southwest Health Foundation. NM profit corporation: 100% of common stock held by Presbyterian Network, Inc. Limited liability company: 50% interest held by Presbyterian Health Plan, Inc. NM profit corporation: 90% of common stock held by Presbyterian Health Plan, Inc. NM profit corporation: 100% of common stock held by Presbyterian Network, Inc. DE limited liability company: 90% interst held by Presbyterian Network, Inc., 5% held by Presbyterian Health Plan, Inc and 5% interest by Presbyterian Insurance Company, Inc.

12 Type of Control (Ownership, Board, Management, Attorney-in-Fact, Influence, Other)

13 If Control is Ownership Provide Percentage

Board of Directors

0.000

Board of Directors Ownership Ownership Ownership Ownership Ownership Ownership Ownership Ownership

0.000 100.000 100.000 50.000 90.000 100.000 5.000 5.000 90.000

Ultimate Controlling Entity(ies)/Person(s)

Is an SCA Filing Required? (Y/N)

N N N N N N N N N

2 3 4 5 6 7 8 8 8

Non-profit Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian Presbyterian

Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare Healthcare

Services Services Services Services Services Services Services Services Services

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The following supplemental reports are required to be filed as part of your statement filing. However, in the event that your company does not transact the type of business for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a “NONE” report and a bar code will be printed below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions. Response 1.

Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC with this statement?

Explanation: 1.

Company does not maintain stand alone Part D Contracts.

Medicare Part D Coverage Supplement [Document Identifier 365]

Bar Code:

*95330202036500003*

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

OVERFLOW PAGE FOR WRITE-INS Additional Write-ins for Assets Line 25

2504. 2505. 2506. 2507. 2597.

Medicare Part D ACA Tax Accrual CC Reward Medical Check Clearing

Current Statement Date 2

Assets

Nonadmitted Assets

2,448,556 10,187,660 491,938 58,395 13,186,549

Summary of remaining write-ins for Line 25 from overflow page

4 3 Net Admitted Assets (Cols. 1 - 2)

2,448,556 10,187,660 491,938 58,395 13,186,549

Prior Year Net Admitted Assets

442,471 787,989 1,230,460

Additional Write-ins for Liabilities Line 23 1 Covered 2304. 2305. 2306. 2397.

Current Period 2 Uncovered

3 Total

Centennial Rewards Liability Other Tax Liability Clearing - Medical Claims Check

35,954,706

1,627,679

37,582,385

Summary of remaining write-ins for Line 23 from overflow page

35,954,706

1,627,679

37,582,385

Prior Year 4 Total

37,582,385 3,292 37,585,677

Additional Write-ins for Liabilities Line 30

3004. 3005. 3006. 3097.

Unrealized gains/losses on SMIA (BA) Unrealized gains/losses on Fluent (BA) Unrealized Investment Related Summary of remaining write-ins for Line 30 from overflow page

1 Covered

Current Period 2 Uncovered

XXX XXX XXX XXX

3 Total

128,067 (3,799,114) (314,524) (3,985,571)

Prior Year 4 Total

128,067 (2,900,442) (297,827) (3,070,201)

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE A - VERIFICATION Real Estate 1 Year to Date 1. 2.

3. 4. 5. 6. 7. 8. 9. 10. 11.

2 Prior Year Ended December 31

Book/adjusted carrying value, December 31 of prior year Cost of acquired: 2.1 Actual cost at time of acquisition 2.2 Additional investment made after acquisition Current year change in encumbrances Total gain (loss) on disposals Deduct amounts received on disposals Total foreign exchange change in book/adjusted carrying value Deduct current year’s other than temporary impairment recognized Deduct current year’s depreciation Book/adjusted carrying value at the end of current period (Lines 1+2+3+4-5+6-7-8) Deduct total nonadmitted amounts Statement value at end of current period (Line 9 minus Line 10)

NONE

SCHEDULE B - VERIFICATION Mortgage Loans 1 Year to Date 1. 2.

3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

2 Prior Year Ended December 31

Book value/recorded investment excluding accrued interest, December 31 of prior year Cost of acquired: 2.1 Actual cost at time of acquisition 2.2 Additional investment made after acquisition Capitalized deferred interest and other Accrual of discount Unrealized valuation increase (decrease) Total gain (loss) on disposals Deduct amounts received on disposals Deduct amortization of premium and mortgage interest points and commitment fees Total foreign exchange change in book value/recorded investment excluding accrued interest Deduct current year’s other than temporary impairment recognized Book value/recorded investment excluding accrued interest at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) Total valuation allowance Subtotal (Line 11 plus Line 12) Deduct total nonadmitted amounts Statement value at end of current period (Line 13 minus Line 14)

NONE

SCHEDULE BA - VERIFICATION Other Long-Term Invested Assets 1 Year to Date 1. 2.

3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Book/adjusted carrying value, December 31 of prior year Cost of acquired: 2.1 Actual cost at time of acquisition 2.2 Additional investment made after acquisition Capitalized deferred interest and other Accrual of discount Unrealized valuation increase (decrease) Total gain (loss) on disposals Deduct amounts received on disposals Deduct amortization of premium and depreciation Total foreign exchange change in book/adjusted carrying value Deduct current year’s other than temporary impairment recognized Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5+6-7-8+9-10) Deduct total nonadmitted amounts Statement value at end of current period (Line 11 minus Line 12)

2 Prior Year Ended December 31

5,073,651

3,912,999

(1,547,257)

1,074,730

(85,922)

3,526,394 891,899 2,634,495

5,073,651 2,874,946 2,198,705

SCHEDULE D - VERIFICATION Bonds and Stocks 1 Year to Date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Book/adjusted carrying value of bonds and stocks, December 31 of prior year Cost of bonds and stocks acquired Accrual of discount Unrealized valuation increase (decrease) Total gain (loss) on disposals Deduct consideration for bonds and stocks disposed of Deduct amortization of premium Total foreign exchange change in book/adjusted carrying value Deduct current year’s other than temporary impairment recognized Total investment income recognized as a result of prepayment penalties and/or acceleration fees Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9+10) Deduct total nonadmitted amounts Statement value at end of current period (Line 11 minus Line 12)

SI01

2 Prior Year Ended December 31

405,930,779 472,480,346 109,858 9,749,741 4,039,795 330,010,333 1,378,233

283,403,358 359,835,511 178,156 22,238,381 4,943,326 263,752,024 915,931

61,896 560,983,849

405,930,779

560,983,849

405,930,779

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 1B Showing the Acquisitions, Dispositions and Non-Trading Activity During the Current Quarter for all Bonds and Preferred Stock by NAIC Designation 1 Book/Adjusted Carrying Value Beginning of Current Quarter

NAIC Designation

Acquisitions During Current Quarter

Dispositions During Current Quarter

Non-Trading Activity During Current Quarter

5 Book/Adjusted Carrying Value End of First Quarter

6 Book/Adjusted Carrying Value End of Second Quarter

7 Book/Adjusted Carrying Value End of Third Quarter

8 Book/Adjusted Carrying Value December 31 Prior Year

BONDS

NAIC 1 (a)

333,308,209

205,407,346

144,228,591

NAIC 2 (a)

38,370,900

7,416,153

6,195,423

NAIC 3 (a)

501,900

NAIC 4 (a)

NAIC 5 (a)

NAIC 6 (a)

Total Bonds

(730,038)

282,914,348

333,308,209

393,756,925

277,776,492

201,130

32,256,298

38,370,900

39,792,761

31,532,638

537

485,000

501,900

502,437

212,823,499

150,424,014

(528,372)

315,655,646

372,181,010

434,052,123

309,309,130

372,181,010

212,823,499

150,424,014

(528,372)

315,655,646

372,181,010

434,052,123

309,309,130

SI02

372,181,010

PREFERRED STOCK

NAIC 1

NAIC 2

10.

NAIC 3

11.

NAIC 4

12.

NAIC 5

13.

NAIC 6

14.

Total Preferred Stock

15.

Total Bonds and Preferred Stock

(a) Book/Adjusted Carrying Value column for the end of the current reporting period includes the following amount of short-term and cash equivalent bonds by NAIC designation: NAIC 1 $

28,739,578 ; NAIC 2 $

; NAIC 3 $

NAIC 4 $

; NAIC 5 $

; NAIC 6 $

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE DA - PART 1 Short-Term Investments 1

Book/Adjusted Carrying Value

Par Value

Actual Cost

Interest Collected Year-to-Date

28,739,578

9199999 Totals

XXX

28,739,415

5 Paid for Accrued Interest Year-to-Date

2,737

17,084

SCHEDULE DA - VERIFICATION Short-Term Investments 1

Year To Date

Prior Year Ended December 31

Book/adjusted carrying value, December 31 of prior year

18,851,013

5,509,353

Cost of short-term investments acquired

46,593,266

52,504,890

Accrual of discount

69,872

207,472

Unrealized valuation increase (decrease)

Total gain (loss) on disposals

38,983

12,417

Deduct consideration received on disposals

36,789,873

39,381,366

23,683

1,753

28,739,578

18,851,013

28,739,578

18,851,013

Deduct amortization of premium

Total foreign exchange change in book/adjusted carrying value

Deduct current year’s other than temporary impairment recognized

10.

Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)

11.

Deduct total nonadmitted amounts

12.

Statement value at end of current period (Line 10 minus Line 11)

SI03

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

Schedule DB - Part A - Verification - Options, Caps, Floors, Collars, Swaps and Forwards

NONE Schedule DB - Part B - Verification - Futures Contracts

NONE Schedule DB - Part C - Section 1 - Replication (Synthetic Asset) Transactions (RSATs) Open

NONE Schedule DB-Part C-Section 2-Reconciliation of Replication (Synthetic Asset) Transactions Open

NONE Schedule DB - Verification - Book/Adjusted Carrying Value, Fair Value and Potential Exposure of Derivatives

NONE

SI04, SI05, SI06, SI07

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE E - PART 2 - VERIFICATION (Cash Equivalents)

Book/adjusted carrying value, December 31 of prior year

Cost of cash equivalents acquired

Accrual of discount

Unrealized valuation increase (decrease)

Total gain (loss) on disposals

Deduct consideration received on disposals

Deduct amortization of premium

Total foreign exchange change in book/adjusted carrying value

Deduct current year’s other than temporary impairment recognized

Year To Date

Prior Year Ended December 31

6,434,199

3,239,214

436,754,734

305,643,646

1,749

61,371

431,172,083

302,510,654

12,018,600

6,434,199

12,018,600

6,434,199

623

10.

Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)

11.

Deduct total nonadmitted amounts

12.

Statement value at end of current period (Line 10 minus Line 11)

SI08

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

Schedule A - Part 2 - Real Estate Acquired and Additions Made

NONE Schedule A - Part 3 - Real Estate Disposed

NONE Schedule B - Part 2 - Mortgage Loans Acquired and Additions Made

NONE Schedule B - Part 3 - Mortgage Loans Disposed, Transferred or Repaid

NONE Schedule BA - Part 2 - Other Long-Term Invested Assets Acquired and Additions Made

NONE Schedule BA - Part 3 - Other Long-Term Invested Assets Disposed, Transferred or Repaid

NONE

E01, E02, E03

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 3 Show All Long-Term Bonds and Stock Acquired During the Current Quarter 1

CUSIP Identification 912828-5Z-9 912828-B2-5 912828-G3-8 912828-YE-4 912828-Z3-7 912828-ZG-8 912828-ZQ-6 912828-ZR-4 912828-ZU-7 912828-ZY-9 91282C-AB-7 91282C-AC-5 91282C-AD-3 91282C-AE-1 91282C-AG-6 91282C-AH-4 91282C-AJ-0

Description UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED UNITED

STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES STATES

TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY TREASURY

Foreign

Date Acquired

Name of Vendor

Number of Shares of Stock

08/12/2020 06/25/2020 09/08/2020 09/08/2020 09/03/2020 09/16/2020 09/02/2020 08/17/2020 06/30/2020 08/11/2020 08/11/2020 08/11/2020 08/06/2020 09/16/2020 09/11/2020 08/27/2020 08/31/2020

CHASE SECURITIES BANC OF AMERICA SECURITIES LLC Various Various UBS SECURITIES LLC INDUSTRIAL AND COMMERCIAL BANK Various UBS SECURITIES LLC DEUTSCHE BANK SECURITIES, INC. BANC OF AMERICA SECURITIES LLC CHASE SECURITIES CHASE SECURITIES GOLDMAN Various ICBC FINCL SVCS, EQUITY CLEARANCE BONY/TORONTO DOMINION SECURITI BANC OF AMERICA SECURITIES LLC

09/30/2020 09/25/2020 07/09/2020 09/03/2020 09/23/2020 08/21/2020 09/21/2020 08/19/2020 08/04/2020 07/31/2020 07/16/2020 07/06/2020 07/14/2020 07/29/2020 08/07/2020 07/08/2020 09/17/2020 08/28/2020 06/29/2020 09/24/2020 09/24/2020 06/30/2020 06/30/2020 07/21/2020 09/02/2020 07/23/2020 08/13/2020 09/03/2020 08/27/2020 06/25/2020 08/21/2020 09/04/2020 09/09/2020 06/25/2020 07/23/2020 08/10/2020 09/29/2020 06/26/2020 08/18/2020 07/09/2020 06/29/2020 07/02/2020 06/29/2020

JP MORGAN SECURITIES INC. JEFFERIES & COMPANY, INC. BARCLAYS CAPITAL INC FIXED INC Zeus Capital Limited CHASE SECURITIES GX CLARKE & CO. GX CLARKE & CO. GX CLARKE & CO. CITIGROUP GBL MKTS/SALOMON, NEW YORK GOLDMAN Various Nomura International Trust Co UBS SECURITIES LLC Amherst Pierpont Securities UBS SECURITIES LLC CITIGROUP GBL MKTS/SALOMON, NEW YORK Stephens Inc. RBC Dain Rauscher (US) PERSHING LLC GX CLARKE & CO. Various OPPENHEIMER & CO. INC. INTL FCStone Financial Inc. WELLS FARGO SECURITIES LLC Various PIPER JAFFRAY PERSHING LLC Stephens Inc. DAVIDSON (D.A.) & CO. INC. WELLS FARGO SECURITIES LLC GX CLARKE & CO. Stephens Inc. Stephens Inc. CITIGROUP GBL MKTS/SALOMON, NEW YORK GX CLARKE & CO. INTL FCStone Financial Inc. GX CLARKE & CO. Various INTL FCStone Financial Inc. GX CLARKE & CO. GX CLARKE & CO. DAVIDSON (D.A.) & CO. INC. GX CLARKE & CO.

0599999. Subtotal - Bonds - U.S. Governments

E04

04780M-XE-4 167593-S6-0 196480-HC-4 3128MJ-ZB-9 31329M-EL-0 3132A9-SS-7 3132CW-CV-4 3132CW-MD-3 3133A7-2Y-4 3133KJ-T2-8 3134GV-6C-7 3134GV-JW-9 3134GW-BV-7 3134GW-HK-5 3134GW-PV-2 3135G0-5G-4 3136AB-3Q-4 3136AT-FK-5 3136AX-JT-3 3136B2-2G-6 3136B4-2K-3 3137B4-WA-0 3137BR-QH-1 3137EA-EU-9 3137EA-EW-5 3137FC-AZ-7 3137FL-QR-8 3138EN-KZ-1 3138WH-EW-8 3140F0-JJ-4 3140F1-VB-5 3140FX-GF-3 3140J9-MA-6 3140QD-AV-6 3140QE-AY-8 3140QE-P7-1 3140X5-MK-6 3140X6-3C-3 3140X6-4G-3 3140X7-D9-7 31418C-AK-0 31418C-GD-0 31418D-HD-7

ATLANTA GA ARPT REV CHICAGO ILL O HARE INTL ARPT REV COLORADO HSG & FIN AUTH FH G08737 - RMBS FH ZA3739 - RMBS FH ZS8629 - RMBS FH SB0084 - RMBS FH SB0356 - RMBS FH QB1691 - RMBS FH RA3269 - RMBS FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP FEDERAL NATIONAL MORTGAGE ASSOCIATION FNR 2013-2 MA - CMO/RMBS FNR 2016-54 PA - CMO/RMBS FNR 2017-49 JA - CMO/RMBS FNR 2018-62 PT - CMO/RMBS FNR 2019-37 AG - CMO/RMBS FHMS K-033 A1 - CMBS FHMS K-057 A1 - CMBS FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP FHR 4742 PA - CMO/RMBS FHR 4883 NA - CMO/RMBS FN AL5711 - RMBS FN AS7348 - RMBS FN BC4764 - RMBS FN BC6009 - RMBS FN BF0197 - RMBS FN BM4852 - RMBS FN CA5419 - RMBS FN CA6322 - RMBS FN CA6745 - RMBS FN FM2161 - RMBS FN FM3494 - RMBS FN FM3522 - RMBS FN FM3727 - RMBS FN MA2709 - RMBS FN MA2895 - RMBS FN MA3827 - RMBS

Actual Cost 15,196,416 3,065,271 5,444,752 4,384,020 577,539 2,367,662 1,127,671 4,739,592 6,514,473 15,986,366 1,997,422 14,995,554 1,015,872 3,063,957 483,981 2,733,430 1,860,909 85,554,886 789,776 330,000 1,571,429 415,973 579,253 31,033 723,550 1,206,111 4,751,123 2,867,778 8,758,000 5,462,874 4,354,000 1,035,000 766,962 5,090,033 629,782 325,066 (57,970) 39,228 1,367,935 499,624 2,265,936 1,029,846 965,681 1,954,508 2,721,011 572,693 43,766 (67,440) 96,706 962,273 284,445 (12,561) 2,138,389 441,481 153,294 3,127,687 2,310,874 2,649,609 (85,499) 147,208 (11,665)

Par Value

Paid for Accrued Interest and Dividends

14,084,000 2,916,259 5,020,000 4,209,000 519,647 2,359,000 1,132,000 4,742,000 6,500,000 16,007,000 2,000,000 15,002,000 1,015,000 3,076,000 484,000 2,737,000 1,862,000 83,664,906 660,000 330,000 1,420,000 392,948 545,661 29,529 677,105 1,129,847 4,568,731 2,770,069 8,758,000 5,462,000 4,354,000 1,035,000 767,000 5,101,000 574,488 319,476 (54,997) 36,113 1,265,485 482,074 2,167,550 1,035,000 966,000 1,881,030 2,698,662 543,642 41,095 (63,805) 90,804 880,799 254,929 (12,051) 2,038,381 394,015 142,599 2,976,544 2,166,339 2,500,000 (81,529) 139,204 (11,143)

10 NAIC Designation and Administrative Symbol

12,438 8,162 31,682 4,616 97 4,109 1,645 1,296 710 1,522 163 611 103 1,162 23

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 13 1 68,354 1 1FE 1FE 426 1 1,046 1 47 1 1,016 1 1,758 1 1,015 1 308 1 1 14,019 1 1 1 1 1 1,173 1 27 1 (6) 1 84 1 62 1 38 1 664 1 1 1 4,232 1 5,097 1 725 1 108 1 (69) 1 203 1 1,272 1 368 1 (11) 1 1,699 1 460 1 402 1 2,687 1 2,888 1 2,708 1 (85) 1 58 1 (12) 1

XXX

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 3 Show All Long-Term Bonds and Stock Acquired During the Current Quarter 1

CUSIP Identification 31418D-SH-6 341271-AD-6 442349-EK-8 462467-C3-3 60637B-ZD-5 73208P-BC-4 73358W-4V-3 91412H-GE-7

Description FN MA4119 - RMBS FLORIDA ST BRD ADMIN FIN CORP REV HOUSTON TEX ARPT SYS REV IOWA FIN AUTH SINGLE FAMILY MTG REV MISSOURI ST HSG DEV COMMN SINGLE FAMILY POMONA CALIF PENSION OBLIG PORT AUTH N Y & N J UNIVERSITY CALIF REVS

Foreign

Date Acquired 08/03/2020 09/03/2020 09/18/2020 07/22/2020 07/16/2020 08/14/2020 07/07/2020 07/10/2020

CHASE SECURITIES MERRILL LYNCH PIERCE FENNER Morgan Stanley RBC Dain Rauscher (US) Stifel Nicolaus & Co. RBC Dain Rauscher (US) CITIGROUP GLOBAL MARKETS INC. JP MORGAN SECURITIES INC.

07/20/2020 08/12/2020 07/22/2020 07/24/2020 08/13/2020 08/12/2020 07/20/2020 07/07/2020 08/11/2020 07/17/2020 09/29/2020 09/29/2020 09/10/2020 08/03/2020 09/10/2020 09/29/2020 09/02/2020 07/09/2020 08/17/2020 07/14/2020 09/29/2020 08/28/2020 09/29/2020 08/19/2020 08/11/2020 09/21/2020 09/21/2020 07/20/2020 07/02/2020 06/30/2020

RBC Dain Rauscher (US) Various BANC OF AMERICA SECURITIES LLC Morgan Stanley Various BARCLAYS CAPITAL INC FIXED INC GX CLARKE & CO. NATIONAL FINANCIAL SERVICES CO Various GOLDMAN MARKETAXESS CORPORATION MARKETAXESS CORPORATION DEUTSCHE BANK SECURITIES, INC. PERSHING LLC CITIGROUP GBL MKTS/SALOMON, NEW CITIGROUP GBL MKTS/SALOMON, NEW BAIRD, ROBERT W., & COMPANY IN NATHAN HALE CAPITAL, LLC Various CITIGROUP GBL MKTS/SALOMON, NEW GOLDMAN BARCLAYS CAPITAL INC FIXED INC WELLS FARGO SECURITIES LLC CITIGROUP GBL MKTS/SALOMON, NEW BANC OF AMERICA SECURITIES LLC DAVIDSON (D.A.) & CO. INC. DAVIDSON (D.A.) & CO. INC. Various DAVIDSON (D.A.) & CO. INC. NATHAN HALE CAPITAL, LLC

Name of Vendor

Number of Shares of Stock

3199999. Subtotal - Bonds - U.S. Special Revenues

E04.1

026874-DR-5 035240-AL-4 035240-AQ-3 097023-CT-0 126650-CX-6 126650-DM-9 146868-AD-6 14686U-AC-9 166756-AL-0 166764-BY-5 172967-MF-5 209111-FX-6 25746U-DH-9 26208Q-AB-3 26441C-BH-7 30231G-AT-9 314353-AA-1 36256G-AF-6 37045X-CR-5 42824C-BJ-7 46647P-AY-2 654106-AK-9 693475-AV-7 693475-AZ-8 760759-AX-8 80285C-AJ-0 80285H-AE-0 857477-BG-7 981464-HC-7 98163B-AC-6

AMERICAN INTERNATIONAL GROUP INC ANHEUSER-BUSCH INBEV WORLDWIDE INC ANHEUSER-BUSCH INBEV WORLDWIDE INC BOEING CO CVS HEALTH CORP CVS HEALTH CORP CRVNA 191 B - ABS CRVNA 192 A3 - ABS CHEVRON USA INC CHEVRON CORP CITIGROUP INC CONSOLIDATED EDISON COMPANY OF NEW YORK DOMINION ENERGY INC DRIVE 2020-1 A2A - ABS DUKE ENERGY CORP EXXON MOBIL CORP FEDERAL EXPRESS CORPORATION 2020-1 PASS GMALT 2018-3 B - ABS GENERAL MOTORS FINANCIAL COMPANY INC HEWLETT PACKARD ENTERPRISE CO JPMORGAN CHASE & CO NIKE INC PNC FINANCIAL SERVICES GROUP INC PNC FINANCIAL SERVICES GROUP INC REPUBLIC SERVICES INC SDART 2016-2 D - ABS SDART 2019-1 B - ABS STATE STREET CORP WFNMT 2019-B A - ABS WOSAT 2019-A A3 - ABS

3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 8399997. Total - Bonds - Part 3 8399998. Total - Bonds - Part 5 8399999. Total - Bonds 8999997. Total - Preferred Stocks - Part 3 8999998. Total - Preferred Stocks - Part 5 8999999. Total - Preferred Stocks 9799997. Total - Common Stocks - Part 3 9799998. Total - Common Stocks - Part 5 9799999. Total - Common Stocks 9899999. Total - Preferred and Common Stocks 9999999 - Totals

YORK YORK

YORK

Actual Cost 2,873,378 2,170,000 575,000 331,359 595,316 297,976 1,913,264 660,000 72,641,096 1,131,364 226,708 238,855 474,861 698,061 153,569 152,859 605,063 747,547 1,493,580 485,568 376,784 1,795,000 1,528,617 245,760 479,050 395,218 45,591 186,930 1,640,079 1,072,237 681,784 671,457 161,925 624,967 67,309 57,133 341,165 51,172 413,614 17,243,827 175,439,809

XXX 175,439,809

XXX

175,439,809

Par Value

Paid for Accrued Interest and Dividends

2,769,000 2,170,000 575,000 300,000 535,000 285,000 1,910,000 660,000 70,575,591 1,018,000 194,000 194,000 436,000 590,000 154,000 150,000 600,000 748,000 1,396,000 450,000 326,000 1,795,000 1,521,485 232,000 433,000 390,000 45,000 170,000 1,642,000 975,000 611,000 615,000 148,000 628,000 67,058 56,708 314,000 50,000 407,000 16,356,250 170,596,748

XXX

769 1 1FE 1FE 1FE 1FE 1FE 10 1FE 1FE 45,186 6,826 2FE 2,608 2FE 26 2FE 4,960 2FE 9,851 2FE 2FE 82 1FE 1,032 1FE 11 1FE 6,070 1FE 6,578 1FE 1FE 2FE 1,682 1FE 1,879 2FE 1,098 1FE 427 1FE 100 1FE 771 2FE 2FE 12,639 1FE 7,449 1FE 4,066 1FE 304 1FE 2FE 44 1FE 35 1FE 3,570 1FE 73 1FE 384 1FE 72,563 186,103

XXX

170,596,748

XXX XXX XXX XXX XXX XXX XXX XXX

10 NAIC Designation and Administrative Symbol

186,103

XXX

186,103

XXX

XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1

Change In Book/Adjusted Carrying Value 12 13 14 15 Total Total Current Change in Foreign Book/ Exchange Year's Current Other Than Adjusted Change in Book Unrealized Year's Temporary Carrying /Adjusted Valuation (Amor- Impairment Value (11 + 12 - Carrying Increase/ tization)/ Recog13) Value (Decrease) Accretion nized

Stated Contractual Maturity Date

NAIC Designation and Administrative Symbol

07/20/2048 07/20/2024 01/15/2025 05/20/2039 03/20/2039 04/20/2037 07/16/2040 12/20/2040 01/31/2024 02/15/2022 01/15/2024

1 1 1 1 1 1 1 1 1 1 1

CUSIP Identification

Description

For- Disposal eign Date

E05

36179T-4R-3 36202E-6Q-7 36241L-UV-6 38374T-J6-2 38374X-AA-3 38375J-ZM-0 38376L-EG-0 38377R-FR-1 912828-5Z-9 912828-6C-9 912828-B2-5

G2 MA5332 - RMBS G2 004479 - RMBS GN 783296 - RMBS GNR 2009-034 BH - CMO/RMBS GNR 2009-014 AG - CMO/RMBS GNR 2007-022 LP - CMO/RMBS GNR 2010-090 LE - CMO/RMBS GNR 2010-158 CT - CMO/RMBS UNITED STATES TREASURY UNITED STATES TREASURY UNITED STATES TREASURY

09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/10/2020 07/01/2020 08/12/2020

912828-Y3-8

UNITED STATES TREASURY

07/21/2020

912828-YL-8 912828-Z3-7

UNITED STATES TREASURY UNITED STATES TREASURY

08/12/2020 09/16/2020

912828-Z9-4 912828-ZL-7

UNITED STATES TREASURY UNITED STATES TREASURY

09/02/2020 08/04/2020

912828-ZM-5 912828-ZP-8

UNITED STATES TREASURY UNITED STATES TREASURY

07/15/2020 07/01/2020

912828-ZR-4

UNITED STATES TREASURY

08/04/2020

912828-ZS-2

UNITED STATES TREASURY

08/04/2020

912828-ZT-0 912828-ZU-7 912828-ZY-9

UNITED STATES TREASURY UNITED STATES TREASURY UNITED STATES TREASURY

09/02/2020 09/02/2020 08/12/2020

91282C-AD-3 91282C-AG-6 91282C-AH-4

UNITED STATES TREASURY UNITED STATES TREASURY UNITED STATES TREASURY

08/28/2020 09/17/2020 09/04/2020

Name of Purchaser

Number of Shares of Stock

Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown BMO Capital Markets CHASE SECURITIES Various WELLS FARGO SECURITIES LLC JP MORGAN SECURITIES INC. TORONTO DOMINION BK DEUTSCHE BANK SECURITIES, INC. Various CITIGROUP GBL MKTS/SALOMON, NEW YORK GOLDMAN BARCLAYS CAPITAL INC FIXED INC BARCLAYS CAPITAL INC FIXED INC BARCLAYS CAPITAL INC FIXED INC Various CHASE SECURITIES DEUTSCHE BANK SECURITIES, INC. CHASE SECURITIES CHASE SECURITIES

0599999. Subtotal - Bonds - U.S. Governments 283770-ND-3 283770-NF-8

EL PASO TEX INDPT SCH DIST EL PASO TEX INDPT SCH DIST

07/30/2020 08/17/2020

346843-QY-4 667825-7Z-0 720611-YM-8

FORT BEND TEX INDPT SCH DIST NORTHWEST TEX INDPT SCH DIST PIERCE CNTY WASH SCH DIST NO 403 BETHEL

07/09/2020 08/17/2020 08/12/2020

PERSHING LLC RBC Dain Rauscher (US) JP MORGAN SECURITIES INC. Morgan Stanley OPPENHEIMER & CO. INC.

2499999. Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions 041806-SV-3 097073-AA-8 25477P-NX-9 3128CU-QS-8 3128M1-LH-0 3128M1-M2-2 3128M1-PA-1 3128M1-PS-2 3128M8-P8-1 3128M9-MY-5 3128MC-6J-9 3128MF-HF-8 3128MJ-YN-4 3128MJ-ZB-9 3128MM-RE-5

ARLINGTON TEX HIGHER ED FIN CORP ED REV BOERNE TEX PUB FAC CORP HSG REV DISTRICT COLUMBIA HSG FIN AGY MULTIFAMIL FH G30465 - RMBS FH G12228 - RMBS FH G12277 - RMBS FH G12317 - RMBS FH G12333 - RMBS FH G06447 - RMBS FH G07275 - RMBS FH G14273 - RMBS FH G16330 - RMBS FH G08716 - RMBS FH G08737 - RMBS FH G18484 - RMBS

08/15/2020 08/17/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020

Call @ 100.00 FIRST UNION SECURITIES Maturity @ 100.00 Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown

Consideration

Par Value

Actual Cost

Prior Year Book/ Adjusted Carrying Value

74,296 19,549 14,852 6,895 3,951 8,022 70,762 5,920 1,790,895 59,126 4,512,241

74,296 19,549 14,852 6,895 3,951 8,022 70,762 5,920 1,661,000 57,000 4,229,166

78,010 20,499 15,966 7,102 4,166 9,067 75,626 6,375 1,792,193 58,296 4,302,911

77,675 20,374 15,671 7,051 4,198 8,781 73,600 6,439 58,096 4,313,160

1,084,061

947,878

1,006,785

1,008,635

1,040,561 1,190,027

977,591 1,071,191

345,899 5,864,437 269,852 1,849,598

Book/ Adjusted Carrying Value at Disposal Date

Foreign Exchange Realized Total Gain Gain Gain (Loss) on (Loss) on (Loss) on Disposal Disposal Disposal

Bond Interest/ Stock Dividends Received During Year

(15,871)

(3,379) (825) (818) (156) (247) (760) (2,838) (518) (3,282) (261) (12,830)

(3,379) (825) (818) (156) (247) (760) (2,838) (518) (3,282) (261) (28,701)

74,296 19,549 14,852 6,895 3,951 8,022 70,762 5,920 1,788,911 57,835 4,284,459

1,985 1,292 227,782

2,449 577 481 177 116 283 2,104 173 5,078 1,268 28,782

(3,907)

(3,733)

(7,640)

1,000,995

83,066

7,257

07/15/2028

1,009,478 1,075,168

(1,948) (601)

1,007,530 1,074,568

33,031 115,459

792 901

10/15/2024 01/15/2030

1 1

320,000 5,818,000

345,492 5,831,644

(696) (498)

344,796 5,831,146

1,102 33,291

2,648 5,612

02/15/2030 04/30/2025

1 1

270,000 1,853,000

269,736 1,848,291

21 166

269,757 1,848,457

95 1,141

71 327

04/30/2022 05/15/2023

1 1

223

2,399,469

2,399,000

2,396,492

2,396,715

2,754

541

05/31/2022

1,956,673

1,937,000

1,937,303

(7)

1,937,295

19,377

1,746

05/31/2027

609,379 6,519,324 15,978,863

609,000 6,500,000 16,007,000

606,510 6,514,473 15,986,366

102 (639) 19

606,612 6,513,834 15,986,385

2,766 5,490 (7,522)

395 2,835 1,577

05/31/2025 06/15/2023 07/15/2023

1 1 1

1,006,515 215,958 724,848 47,621,972 241,433 290,815

1,015,000 216,000 724,000 46,816,072 230,000 255,000

1,015,872 215,992 723,056 47,152,869 241,295 287,018

(7)

3 (33,509) (1,410) (1,903)

3 (53,287) (1,410) (1,903)

1,015,865 215,992 723,059 47,108,458 239,886 285,115

(9,350) (34) 1,790 513,514 1,548 5,700

321 13 90 66,612 1,693 2,444

07/31/2027 08/31/2022 08/31/2027

1 1 1

08/15/2021 08/15/2023

1FE 1FE

583,361 308,195 451,441 1,875,245 30,000 3,051,637 960,000 3,993 1,373 994 756 341 6,685 9,785 8,469 47,253 65,235 145,839 7,069

555,000 265,000 415,000 1,720,000 30,000 2,965,000 960,000 3,993 1,373 994 756 341 6,685 9,785 8,469 47,253 65,235 145,839 7,069

582,045 304,671 446,117 1,861,145 30,000 2,965,000 960,000 4,545 1,485 1,084 818 363 7,295 10,438 9,130 47,952 66,410 148,645 7,295

(2,828) (2,932) (2,636) (11,708)

579,217 301,739 443,481 1,849,438 30,000 2,965,000 960,000 3,993 1,373 994 756 341 6,685 9,785 8,469 47,253 65,235 145,839 7,069

4,143 6,456 7,960 25,807

08/15/2021 02/15/2024 12/01/2022

1FE 1FE 1FE

86,637

3,546 3,754 3,551 14,987 723 65,230 19,200 172 46 38 26 3 204 143 282 1,117 1,516 2,025 106

5,593,678

30,000 2,965,000 960,000 4,243 1,392 1,011 769 343 7,263 8,842 47,907 66,301 85,377

(19,778)

(250) (19) (17) (13) (2) (578) (653) (373) (654) (1,066) (2,835) (226)

XXX

XXX 08/15/2023 11/01/2022 09/01/2021 09/01/2026 07/01/2021 08/01/2021 08/01/2021 06/01/2021 05/01/2041 12/01/2042 07/01/2025 08/01/2032 08/01/2046 12/01/2046 10/01/2028

XXX 1FE 1FE 1FE 1 1 1 1 1 1 1 1 1 1 1 1

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1

Stated Contractual Maturity Date

NAIC Designation and Administrative Symbol

797 633 374

11/01/2033 07/01/2030 07/01/2036

1 1 1

CUSIP Identification

Description

For- Disposal eign Date

E05.1

3128P7-4Q-3 3128P7-N2-5 3128P8-CS-8

FH C91731 - RMBS FH C91309 - RMBS FH C91881 - RMBS

09/01/2020 09/01/2020 09/01/2020

3130AJ-BE-8

FEDERAL HOME LOAN BANKS

08/07/2020

3130AJ-CX-5 3132A5-H4-0 3132A8-AG-4 3132A9-SS-7 3132AE-GF-7 3132GM-DL-3 3132J4-MP-1 3132KS-A3-8 3132L8-CS-4 31335H-5A-7 31335H-WP-4 3133A7-2Y-4 3133KJ-T2-8 3133TE-R5-5 3134GV-JP-4 3134GV-JW-9

FEDERAL HOME LOAN BANKS FH ZS4751 - RMBS FH ZS7207 - RMBS FH ZS8629 - RMBS FH ZT1998 - RMBS FH Q05807 - RMBS FH G31065 - RMBS FH V70026 - RMBS FH V82781 - RMBS FH C90841 - RMBS FH C90654 - RMBS FH QB1691 - RMBS FH RA3269 - RMBS FHR 2073 PH - CMO/RMBS FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP

08/21/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 07/07/2020 07/13/2020

3134GV-ZS-0

FEDERAL HOME LOAN MORTGAGE CORP

08/21/2020

3134GW-BV-7

FEDERAL HOME LOAN MORTGAGE CORP

09/08/2020

3135G0-5G-4 3136AA-2A-2 3136AA-QE-8 3136AC-H5-3 3136AD-GF-0 3136AS-QR-0 3136AX-JT-3 3136B2-2G-6 3136B4-2K-3 31371M-NA-1 31371M-VC-8 31371M-ZD-2 31371N-2D-6 31371N-2E-4 31371N-AA-3 31371N-DU-6 31371N-NJ-0 31371N-PJ-8 3137A0-5F-8 3137AA-UF-8 3137AH-GR-3 3137AT-QV-7 3137B4-WA-0 3137BF-DQ-1 3137BN-ZH-0 3137BR-QH-1 3137BW-P9-9

FEDERAL NATIONAL MORTGAGE ASSOCIATION FNR 2012-145 HE - CMO/RMBS FNR 2012-134 VA - CMO/RMBS FNR 2013-13 PH - CMO/RMBS FNR 2013-31 HC - CMO/RMBS FNR 2016-37 MJ - CMO/RMBS FNR 2017-49 JA - CMO/RMBS FNR 2018-62 PT - CMO/RMBS FNR 2019-37 AG - CMO/RMBS FN 256085 - RMBS FN 256311 - RMBS FN 256440 - RMBS FN 257372 - RMBS FN 257373 - RMBS FN 256601 - RMBS FN 256715 - RMBS FN 256993 - RMBS FN 257025 - RMBS FHR 3677 PB - CMO/RMBS FHR 3867 VB - CMO/RMBS FHR 3959 MA - CMO/RMBS FHR 4097 VB - CMO/RMBS FHMS K-033 A1 - CMBS FHMS K-717 A2 - CMBS FHR 4569 DA - CMO/RMBS FHMS K-057 A1 - CMBS FHR 4664 AK - CMO/RMBS

07/16/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 07/23/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020

3137EA-EU-9 3137EA-EW-5 3137FA-RK-6

FEDERAL HOME LOAN MORTGAGE CORP FEDERAL HOME LOAN MORTGAGE CORP FHMS Q-004 A2H - CMBS

07/29/2020 09/08/2020 09/01/2020

Name of Purchaser Paydown Paydown Paydown DAVIDSON (D.A.) & CO. INC. DAVIDSON (D.A.) & CO. INC. Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Call @ 100.00 Various CITIGROUP GBL MKTS/SALOMON, NEW YORK DAVIDSON (D.A.) & CO. INC. DEUTSCHE BANK SECURITIES, INC. Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Various Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown KEYBANC CAPITAL MARKETS INC RBC Dain Rauscher (US) Paydown

Number of Shares of Stock

Consideration

Par Value

Actual Cost

30,237 21,128 16,077

31,863 22,260 16,588

375,413

375,000

375,263

1,356,355 21,337 44,924 60,505 44,112 18,854 12,492 3,155 55,312 4,291 2,204 8,787 9,307 3,895 5,462,000 15,221,510

1,355,000 21,337 44,924 60,505 44,112 18,854 12,492 3,155 55,312 4,291 2,204 8,787 9,307 3,895 5,462,000 15,221,000

1,355,000 22,244 46,577 63,409 45,938 19,891 12,623 3,313 54,646 4,714 2,388 9,138 9,635 4,377 5,463,183 15,225,220

7,440,595

7,440,000

2,931,000

Prior Year Book/ Adjusted Carrying Value 31,844 22,211 16,548

Book/ Adjusted Carrying Value at Disposal Date

Foreign Exchange Realized Total Gain Gain Gain (Loss) on (Loss) on (Loss) on Disposal Disposal Disposal

Bond Interest/ Stock Dividends Received During Year

(1,606) (1,084) (471)

30,237 21,128 16,077

(202)

375,060

352

3,884

03/04/2033

1,355

(907) (1,642) (2,905) (1,766) (999) (122) (153) 641 (154) (82) (351) (328) (320) (1,183) (3,682)

1,355,000 21,337 44,924 60,505 44,112 18,854 12,492 3,155 55,312 4,291 2,204 8,787 9,307 3,895 5,462,000 15,221,538

1,355

(907) (1,642) (2,905) (1,766) (999) (122) (153) 641 (154) (82) (351) (328) (320) (1,183) (3,682)

(28)

11,064 372 1,007 251 1,180 496 287 74 1,114 168 80 15 16 169 15,191 41,234

04/02/2032 01/01/2048 07/01/2030 11/01/2031 07/01/2029 01/01/2042 08/01/2036 05/01/2033 12/01/2046 05/01/2024 04/01/2023 07/01/2050 08/01/2050 07/15/2028 10/07/2022 04/13/2023

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

7,440,000

595

15,996

05/28/2025

2,931,000

3,126

07/21/2025

5,093,516 3,193 6,194 4,545 7,381 118,278 100,153 74,285 37,671 1,332 1,776 1,258 1,311 4,125 1,626 1,981 869 3,904 65,900 20,182 5,352 9,713 21,376 851 37,969 365,116 10,656

5,101,000 3,193 6,194 4,545 7,381 118,278 100,153 74,285 37,671 1,332 1,776 1,258 1,311 4,125 1,626 1,981 869 3,904 60,906 20,182 5,352 9,713 21,376 851 37,969 365,116 10,656

5,090,033 3,121 6,453 4,599 7,210 123,508 105,567 80,251 40,720 1,414 1,941 1,366 1,432 4,549 1,777 2,158 964 4,331 67,757 21,242 5,810 9,285 22,154 866 38,206 381,689 10,631

248 41 124 76 99 730 469 444 164 43 68 49 52 163 67 79 38 183 1,790 606 160 138 77 17 789 5,461 249

07/10/2023 01/25/2033 01/25/2026 04/25/2042 02/25/2043 08/25/2043 07/25/2053 09/25/2048 06/25/2053 12/01/2025 07/01/2026 10/01/2021 09/01/2028 09/01/2028 02/01/2027 05/01/2027 11/01/2027 12/01/2027 05/15/2040 03/15/2024 11/15/2041 08/15/2042 02/25/2023 09/25/2021 08/15/2044 06/25/2025 06/15/2028

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

1,032,475 965,604 4,691

1,035,000 966,000 4,691

1,029,846 965,681 4,728

75 34 90

07/21/2025 09/08/2023 01/25/2046

1 1 1

46,566 45,878 19,853 12,614 3,308 54,671 4,445 2,286

4,215

3,126 6,346 4,581 7,228

1,414 1,901 1,283 1,435 4,473 1,741 2,120 942 4,238 64,810 21,184 5,797 9,182 864 38,183 10,633

69 66 (152) (36) 153 (5,230) (5,415) (5,966) (3,049) (81) (125) (25) (124) (347) (115) (138) (74) (334) (188) (1,002) (445) 532 (778) (13) (214) (16,573) 24 19 1

4,691

69 66 (152) (36) 153 (5,230) (5,415) (5,966) (3,049) (81) (125) (25) (124) (347) (115) (138) (74) (334) (188) (1,002) (445) 532 (778) (13) (214) (16,573) 24 19 1

5,090,102 3,193 6,194 4,545 7,381 118,278 100,153 74,285 37,671 1,332 1,776 1,258 1,311 4,125 1,626 1,981 869 3,904 64,622 20,182 5,352 9,713 21,376 851 37,969 365,116 10,656 1,029,865 965,683 4,691

3,413

1,278

2,609 (79)

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1

Stated Contractual Maturity Date

NAIC Designation and Administrative Symbol

10/15/2047 04/15/2043 08/01/2023 12/01/2040 06/01/2031 05/01/2041 11/01/2041 09/01/2032 02/01/2033 01/01/2044 01/01/2025 11/01/2042 11/01/2042 01/01/2021 08/01/2043 08/01/2043 07/01/2030 04/01/2046 06/01/2046 01/25/2032 11/25/2032 06/25/2033 03/15/2033 03/15/2033 07/15/2033 11/25/2034 06/25/2025 07/25/2035 11/15/2023 02/15/2037 08/15/2029 07/25/2040 12/25/2025 02/15/2040 03/01/2021 09/01/2020 11/01/2020 10/01/2046 05/01/2046 03/01/2046 12/01/2033 06/01/2049 03/01/2050 07/01/2050 08/01/2050 06/01/2032 11/01/2035 08/01/2038 02/01/2033 11/01/2035 12/01/2048 04/01/2048 07/01/2050 06/01/2021 09/01/2021 11/01/2022 05/01/2023 11/01/2028

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

CUSIP Identification

E05.2

3137FC-AZ-7 3137FL-QR-8 31385X-K7-1 3138A2-BL-2 3138AK-XX-2 3138EG-FA-7 3138EH-SV-5 3138EJ-XS-2 3138EK-RW-7 3138EN-Z9-3 3138L8-QB-3 3138MC-YK-4 3138MJ-VC-0 3138NJ-AD-0 3138W9-CT-5 3138W9-GK-0 3138WE-3P-2 3138WG-X9-0 3138WH-EW-8 31392B-QR-0 31392F-ES-2 31393C-RH-8 31393L-YD-9 31393N-K5-7 31393W-3S-6 31394B-GT-5 31394D-G8-7 31394E-2Q-0 31394L-MM-1 31397F-5S-7 31398J-GN-7 31398N-Y2-4 31398S-B3-6 31398W-SD-7 31403D-KF-5 31407S-LF-7 31407X-DP-3 3140F0-JJ-4 3140F1-VB-5 3140J7-6G-5 3140JA-QC-5 3140QB-CV-8 3140QD-AV-6 3140QE-AY-8 3140QE-P7-1 3140X4-H9-0 3140X4-PM-2 3140X5-JM-6 3140X5-M2-6 3140X5-MK-6 3140X5-PZ-0 3140X6-3C-3 3140X7-D9-7 31410C-RK-0 31410G-CD-3 31410G-SV-6 31414T-A7-6 31416C-MA-1

Description FHR 4742 PA - CMO/RMBS FHR 4883 NA - CMO/RMBS FN 555718 - RMBS FN AH0942 - RMBS FN AI6093 - RMBS FN AL0160 - RMBS FN AL1431 - RMBS FN AL2488 - RMBS FN AL3200 - RMBS FN AL6167 - RMBS FN AM7649 - CMBS/RMBS FN AP8813 - RMBS FN AQ3310 - RMBS FN FN0003 - CMBS/RMBS FN AS0081 - RMBS FN AS0201 - RMBS FN AS5305 - RMBS FN AS7003 - RMBS FN AS7348 - RMBS FNR 2001-81 HE - CMO/RMBS FNR 0271G AP - CMO/RMBS FNR 0347B PE - CMO/RMBS FHR 2581C LL - CMO/RMBS FHR 2590J OA - CMO/RMBS FHR 2650A PB - CMO/RMBS FNR 2004-79 B - CMO/RMBS FNR 2005-53 LY - CMO/RMBS FNR 2005-68 GC - CMO/RMBS FHR 2709 PG - CMO/RMBS FHR 3274 B - CMO/RMBS FHR 3563 LB - CMO/RMBS FNR 2010-123 PM - CMO/RMBS FNR 2010-144 YB - CMO/RMBS FHR 3632 PK - CMO/RMBS FN 745594 - RMBS FN 839226 - RMBS FN 843510 - RMBS FN BC4764 - RMBS FN BC6009 - RMBS FN BM3570 - RMBS FN BM5850 - RMBS FN CA3683 - RMBS FN CA5419 - RMBS FN CA6322 - RMBS FN CA6745 - RMBS FN FM1155 - RMBS FN FM1327 - RMBS FN FM2067 - RMBS FN FM2176 - RMBS FN FM2161 - RMBS FN FM2239 - RMBS FN FM3494 - RMBS FN FM3727 - RMBS FN 885290 - RMBS FN 888468 - RMBS FN 888932 - RMBS FN 975330 - RMBS FN 995953 - RMBS

For- Disposal eign Date 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/15/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 07/27/2020 08/25/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/15/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020

Name of Purchaser Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Call @ 100.00 Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Various Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown

Number of Shares of Stock

Consideration 184,556 635,339 2,094 8,088 9,262 31,564 12,191 7,331 8,547 19,322 1,552 6,512 8,042 44,356 13,631 8,156 14,893 16,115 29,831 1,445 5,564 2,310 8,000 2,068 6,349 4,647 5,142 6,124 8,736 7,368 3,944 8,718 5,583 4,284 7 55 1,128 144,315 49,923 66,039 41,021 2,656,066 63,859 11,589 1,707 124,971 14,682 49,225 98,422 27,696 63,307 273,608 22,217 1,575 2,198 586 742 2,137

Par Value 184,556 635,339 2,094 8,088 9,262 31,564 12,191 7,331 8,547 19,322 1,552 6,512 8,042 44,356 13,631 8,156 14,893 16,115 29,831 1,445 5,564 2,310 8,000 2,068 6,349 4,647 5,142 6,124 8,736 7,368 3,944 8,718 5,583 4,284 7 55 1,128 144,315 49,923 66,039 41,021 2,479,276 63,859 11,589 1,707 124,971 14,682 49,225 98,422 27,696 63,307 273,608 22,217 1,575 2,198 586 742 2,137

Actual Cost 191,765 640,600 2,225 8,438 10,107 33,062 13,385 7,803 9,013 20,201 1,584 6,550 8,662 45,327 13,759 8,141 15,410 16,611 31,152 1,608 5,967 2,617 9,000 2,149 7,114 5,032 5,646 6,379 9,417 8,223 4,134 9,437 5,764 4,771 7 57 1,194 152,538 49,129 69,867 42,182 2,627,646 66,563 12,158 1,912 130,986 15,639 50,955 102,851 29,064 65,265 287,523 23,546 1,718 2,409 621 786 2,330

Prior Year Book/ Adjusted Carrying Value 2,154 8,431 10,070 33,024 13,425 7,747 8,954 20,164 1,572 6,549 8,622 44,760 13,755 8,139

1,599 5,896 2,592 8,464 1,597 6,753 4,933 5,411 6,169 9,138 8,426 4,080 9,045 5,649 4,705 7 55 1,135 44,742 69,749 42,134 2,622,304

1,600 2,232 588 765 2,319

(7,209) (5,261) (60) (343) (809) (1,460) (1,234) (416) (407) (841) (20) (38) (580) (404) (124) 17 (517) (496) (1,321) (153) (332) (283) (14) (47) (404) (286) (270) (45) (401) (1,058) (136) (327) (66) (422)

(6) (8,223) 780 (3,710) (1,112) (18,203) (2,704) (569) (206) (6,014) (957) (1,731) (4,429) (1,368) (1,959) (13,915) (1,330) (25) (34) (2) (23) (182)

Book/ Adjusted Carrying Value at Disposal Date 184,556 635,339 2,094 8,088 9,262 31,564 12,191 7,331 8,547 19,322 1,552 6,512 8,042 44,356 13,631 8,156 14,893 16,115 29,831 1,445 5,564 2,310 8,451 2,068 6,349 4,647 5,142 6,124 8,736 7,368 3,944 8,718 5,583 4,284 7 55 1,128 144,315 49,923 66,039 41,021 2,604,101 63,859 11,589 1,707 124,971 14,682 49,225 98,422 27,696 63,307 273,608 22,217 1,575 2,198 586 742 2,137

Foreign Exchange Realized Total Gain Gain Gain (Loss) on (Loss) on (Loss) on Disposal Disposal Disposal

(451)

51,965

(451)

51,965

Bond Interest/ Stock Dividends Received During Year 681 2,118 62 217 293 942 363 172 199 450 30 152 201 1,240 321 164 181 242 483 62 192 91 258 52 215 154 171 204 288 284 108 232 111 143 79 7 20 543 1,059 1,962 958 86,838 207 24 5 808 349 759 1,994 473 956 882 101 61 71 22 84

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1

Stated Contractual Maturity Date

NAIC Designation and Administrative Symbol

CUSIP Identification

Description

For- Disposal eign Date

E05.3

31416M-6U-3 31416S-VH-1 31418A-HB-7 31418A-HQ-4 31418A-YE-2 31418B-D4-5 31418B-FY-7 31418B-G5-9 31418B-H9-0 31418B-HY-5 31418C-4G-6 31418C-7K-4 31418C-AK-0 31418C-GD-0 31418C-MV-3 31418C-U7-7 31418D-FS-6 31418D-HD-7 31418D-SH-6 31418M-QV-7 31418M-QZ-8 31418N-ZW-3 59447P-SS-1 67886M-TE-9 709235-Q6-5 792892-JN-2

FN AA4482 - RMBS FN AA8715 - RMBS FN MA1125 - RMBS FN MA1138 - RMBS FN MA1608 - RMBS FN MA1922 - RMBS FN MA1982 - RMBS FN MA2019 - RMBS FN MA2055 - RMBS FN MA2046 - RMBS FN MA3522 - RMBS FN MA3597 - RMBS FN MA2709 - RMBS FN MA2895 - RMBS FN MA3071 - RMBS FN MA3305 - RMBS FN MA3776 - RMBS FN MA3827 - RMBS FN MA4119 - RMBS FN AD0467 - RMBS FN AD0471 - RMBS FN AD1656 - RMBS MICHIGAN FIN AUTH REV OKLAHOMA HSG FIN AGY SINGLE FAMILY MTG R PENNSYLVANIA ST UNIV ST PAUL MINN HSG & REDEV AUTH MULTIFAMIL

09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 09/11/2020 08/18/2020 09/01/2020 09/01/2020 09/01/2020 09/01/2020 08/12/2020 09/01/2020 08/12/2020 09/01/2020

79730C-JV-7

SAN DIEGO CALIF PUB FACS FING AUTH WTR R

08/17/2020

927781-K8-6

VIRGINIA COLLEGE BUILDING AUTHORITY

07/23/2020

927793-TY-5

VIRGINIA COMWLTH TRANSN BRD TRANSN REV

07/09/2020

Name of Purchaser Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Paydown Various Various Paydown Paydown Paydown Paydown Morgan Stanley Call @ 100.00 CHASE SECURITIES Maturity @ 100.00 VINING SPARKS IBG, L.P. JP MORGAN SECURITIES INC. JEFFERIES & COMPANY, INC.

3199999. Subtotal - Bonds - U.S. Special Revenues 023135-BR-6 023771-R9-1 026874-DQ-7 03027X-AH-3 031162-CU-2

AMAZON.COM INC AMERICAN AIRLINES 2016-3 PASS THROUGH TR AMERICAN INTERNATIONAL GROUP INC AMERICAN TOWER CORP AMGEN INC

09/22/2020 09/02/2020 07/20/2020 07/06/2020 07/20/2020

035240-AL-4 035240-AQ-3 05531F-BJ-1 05568B-AA-6 05972F-AA-7

ANHEUSER-BUSCH INBEV WORLDWIDE INC ANHEUSER-BUSCH INBEV WORLDWIDE INC TRUIST FINANCIAL CORP BNSF RAILWAY CO - ABS BANC 2018-CRE3 A - CMBS

07/22/2020 08/12/2020 08/12/2020 07/15/2020 08/15/2020

097023-CH-6

BOEING CO

07/24/2020

110122-CP-1 12510G-AB-8 126410-LM-9 126650-DM-9 14686U-AC-9 165183-AR-5 166764-BX-7 166764-BY-5 209111-FX-6

BRISTOL-MYERS SQUIBB CO CCG 2019-1 A2 - ABS CSX TRANSPORTATION INC - ABS CVS HEALTH CORP CRVNA 192 A3 - ABS CFII 2017-3 A1 - ABS CHEVRON CORP CHEVRON CORP CONSOLIDATED EDISON COMPANY OF NEW YORK

08/24/2020 09/14/2020 07/15/2020 08/13/2020 09/15/2020 09/15/2020 07/17/2020 08/19/2020 09/15/2020

WELLS FARGO SECURITIES LLC Various RBC Dain Rauscher (US) Call @ 100.00 Various BANC OF AMERICA SECURITIES LLC Various Morgan Stanley Paydown Paydown CITIGROUP GBL MKTS/SALOMON, NEW YORK JEFFERIES & COMPANY, INC. Paydown Paydown GOLDMAN Paydown Paydown GOLDMAN GOLDMAN Various

Number of Shares of Stock

Consideration

Par Value

Actual Cost

Prior Year Book/ Adjusted Carrying Value

1,535 10,035 7,454 8,477 12,021 47,425 44,536 20,600 44,522 90,659 27,122 53,744 166,442 87,936 73,796 75,321 566,636 261,739 7,275 3,420 10,055 37,639 2,488,085 5,000 332,949 565,000

1,535 10,035 7,454 8,477 12,021 47,425 44,536 20,600 44,522 90,659 27,122 53,744 166,442 87,936 73,796 75,321 536,298 250,781 7,275 3,420 10,055 37,639 2,290,000 5,000 310,000 565,000

1,584 10,719 8,124 9,027 12,444 49,647 45,364 21,886 46,345 90,687 28,283 54,099 174,547 91,056 76,397 78,405 559,279 262,536 7,550 3,738 10,385 39,580 2,489,138 5,446 331,957 564,862

1,603 10,668 8,112 8,877 12,415 49,553 45,328 21,794 46,296 90,679 28,214 54,077

148,394

130,000

321,999

300,000

597,638 56,462,391

575,000 55,876,142

600,737 56,509,802

1,179,955 132,400 1,091,235 1,730,728 435,842

1,159,000 140,572 1,018,000 1,705,000 408,000

1,162,918 132,196 1,033,324 1,705,627 407,857

228,000 239,136 284,946 141 21,886

194,000 194,000 273,000 141 21,886

214,935 238,855 272,798 154 21,886

440,220

436,000

434,775

434,880

981,725 62,967 110,889 153,487 192,397 56,879 1,480,402 1,492,785 385,732

838,000 62,967 110,889 154,000 192,397 56,879 1,396,000 1,396,000 332,000

831,393 62,960 122,827 153,569 193,279 56,615 1,448,956 1,493,580 331,243

831,791 62,961 119,429

373 6 (8,540)

87,451 56,784

(883) 95 (452) (796) 3

Book/ Adjusted Carrying Value at Disposal Date

(68) (633) (658) (399) (394) (2,128) (793) (1,194) (1,774) (21) (1,092) (333) (8,105) (3,119) (2,390) (3,083) (3,430) (1,361) (274) (72) (209) (1,869) (29,118) (12) (2,509) 44

146,357

(1,358)

144,998

3,395

322,608

(3,457)

319,151

2,848

(5,821) (230,883)

594,916 56,261,894

2,722 200,497

(131) 374 (188) (87) 5

1,162,788 133,308 1,033,136 1,705,056 407,862

(698) (290) 35 (9)

214,238 238,565 272,849 141 21,886

76,186 557,878

3,493 10,264 39,508

564,956

9,328,412

132,934 1,705,143

272,814 150 21,886

1,535 10,035 7,454 8,477 12,021 47,425 44,536 20,600 44,522 90,659 27,122 53,744 166,442 87,936 73,796 75,321 554,448 261,175 7,275 3,420 10,055 37,639 2,460,021 5,433 329,448 565,000

Foreign Exchange Realized Total Gain Gain Gain (Loss) on (Loss) on (Loss) on Disposal Disposal Disposal

Bond Interest/ Stock Dividends Received During Year 41 267 197 201 281 1,287 1,048 558 1,205 2,098 806 1,234 524 1,220 1,962 1,529 16,103 1,297 12 127 365 1,108 80,468 64 3,143 12,430

04/01/2039 06/01/2039 07/01/2042 08/01/2032 10/01/2033 06/01/2034 08/01/2034 09/01/2034 10/01/2034 10/01/2034 11/01/2048 02/01/2049 08/01/2031 02/01/2047 07/01/2037 03/01/2048 09/01/2049 11/01/2034 09/01/2050 04/01/2023 01/01/2024 03/01/2040 06/01/2027 03/01/2050 03/01/2022 09/01/2021

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

3,395

1,769

08/01/2023

1FE

2,848

7,333

02/01/2023

1FE

19,007 467,995

05/15/2031

1FE

12,188 564

28,064 (433) 3,501

1FE 1FE 1FE

XXX

17,167 (908) 58,099 (56) 27,980

4,288 3,461 5,019 75,898 3,892

06/03/2027 04/15/2030 06/30/2025 02/15/2021 02/21/2030

1FE 2FE 2FE 2FE 2FE

13,763 572 12,097

2,917 538 5,472 8 258

04/13/2028 01/23/2029 03/16/2023 01/15/2024 03/16/2035

2FE 2FE 1FE 1FE 1FE

434,972

5,248

10,024

05/01/2026

2FE

832,164 62,967 110,889 153,569 192,397 56,879 1,448,504 1,492,784 331,246

149,562

36,406 1,164 6,932

07/26/2029 09/14/2026 01/15/2023 08/21/2027 03/15/2023 08/15/2029 05/11/2027 05/11/2030 04/01/2030

1FE 1FE 1FE 2FE 1FE 1FE 1FE 1FE 1FE

(82)

31,898 1 54,486

(82)

31,898 1 54,486

2,237 723 5,415 8,671 5,150

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE D - PART 4 Show All Long-Term Bonds and Stock Sold, Redeemed or Otherwise Disposed of During the Current Quarter 1

Stated Contractual Maturity Date

NAIC Designation and Administrative Symbol

276 792

09/15/2023 12/15/2022

1FE 1FE

CUSIP Identification

Description

For- Disposal eign Date

E05.4

23344E-AA-4 26208Q-AB-3

DTAOT 2020-1 A - ABS DRIVE 2020-1 A2A - ABS

09/15/2020 09/15/2020

26442C-AS-3 31331F-AX-9 31428X-BZ-8 33850R-AE-2

DUKE ENERGY CAROLINAS LLC FEDERAL EXPRESS CORPORATION 1998-1-A PAS FEDEX CORP FSMT 2017-2 A5 - CMO/RMBS

09/10/2020 07/15/2020 09/02/2020 08/27/2020

459200-HU-8 46647S-AJ-9 46648C-AE-4

INTERNATIONAL BUSINESS MACHINES CORP JPMMT 2017-3 1A5 - CMO/RMBS JPMMT 2017-1 A5 - CMO/RMBS

08/12/2020 08/01/2020 07/30/2020

48128L-RZ-4 58933Y-AX-3

JPMorgan Chase Bank, National Associatio MERCK & CO INC

09/01/2020 08/28/2020

594918-BX-1 65339K-AQ-3 654106-AH-6 665859-AV-6

MICROSOFT CORP NEXTERA ENERGY CAPITAL HOLDINGS INC NIKE INC NORTHERN TRUST CORP

08/12/2020 07/09/2020 08/28/2020 09/02/2020

68389X-BL-8 693475-AZ-8 80285C-AJ-0 80285H-AE-0 81746P-AA-1 83406H-AA-6 857477-AN-3

ORACLE CORP PNC FINANCIAL SERVICES GROUP INC SDART 2016-2 D - ABS SDART 2019-1 B - ABS SEMT 161 A1 - CMO/RMBS SCLP 2018-4 A - ABS STATE STREET CORP

08/11/2020 07/20/2020 09/15/2020 09/15/2020 09/01/2020 09/25/2020 08/07/2020

857477-BG-7 87407P-AJ-9 89788J-AB-5 90348J-FF-2

STATE STREET CORP TAL 141 A - RMBS TRUIST BANK UBS Bank USA

08/27/2020 09/21/2020 08/04/2020 08/17/2020

907818-EY-0

UNION PACIFIC CORP

08/24/2020

907818-FH-6 91832Y-AA-6 92348N-AB-3 931142-EK-5 95000U-2S-1

UNION PACIFIC CORP VMC 2018-FL2 A - CDO VZOT 2017-1 B - ABS WALMART INC WELLS FARGO & CO

07/06/2020 08/17/2020 07/20/2020 08/11/2020 08/06/2020

Name of Purchaser Paydown Paydown CITIGROUP GBL MKTS/SALOMON, NEW YORK Paydown Various Various MERRILL LYNCH PROF CLRING CORP Paydown Various DAVIDSON (D.A.) & CO. INC. Various US BANCORP INVESTMENTS INC. TORONTO DOMINION BK RBC Dain Rauscher (US) Various WELLS FARGO SECURITIES LLC Various Paydown Paydown Paydown Paydown Morgan Stanley CITIGROUP GBL MKTS/SALOMON, NEW YORK Paydown TORONTO DOMINION BK PERSHING LLC MIZUHO SECURITIES USA INC. WELLS FARGO SECURITIES LLC Paydown Paydown Stifel Nicolaus & Co. GOLDMAN

3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) 8399997. Total - Bonds - Part 4 8399998. Total - Bonds - Part 5 8399999. Total - Bonds 8999997. Total - Preferred Stocks - Part 4 8999998. Total - Preferred Stocks - Part 5 8999999. Total - Preferred Stocks 9799997. Total - Common Stocks - Part 4 9799998. Total - Common Stocks - Part 5 9799999. Total - Common Stocks 9899999. Total - Preferred and Common Stocks 9999999 - Totals

Number of Shares of Stock

Consideration

Par Value

Actual Cost

Prior Year Book/ Adjusted Carrying Value

26,781 460,451

26,780 462,609

326,333 1,763 319,900 459,472

291,000 1,763 265,000 458,117

321,369 1,955 264,576 455,474

201,137 450,093 467,489

182,000 448,369 465,526

179,872 442,644 460,764

241,570 127,108

245,000 109,000

244,081 121,389

244,099

155 (646)

58,294 1,244,836 749,508 770,626

54,000 1,240,000 696,000 734,000

54,856 1,243,534 740,587 759,066

54,532 1,241,158

118,465 342,678 325,992 60,519 108,318 106,149 937,639

112,000 314,000 325,992 60,519 108,318 106,149 832,000

108,182 313,121 327,596 60,875 110,288 106,140 826,309

109,605

340,587 757,167 2,189,146 89,483

314,000 757,167 2,147,000 82,000

341,165 729,364 2,145,497 81,652

357,660

300,000

299,253

73,975 195,878 299,950 749,244 1,110,270 24,770,235 130,729,843

69,000 195,878 299,950 691,000 1,050,000 23,530,711 127,942,925

68,732 195,878 299,906 700,016 1,085,774 23,899,052 129,422,868

XXX 130,729,843

XXX

130,729,843

XXX 127,942,925

XXX XXX XXX XXX XXX XXX XXX XXX

XXX 129,422,868

Book/ Adjusted Carrying Value at Disposal Date

Foreign Exchange Realized Total Gain Gain Gain (Loss) on (Loss) on (Loss) on Disposal Disposal Disposal

Bond Interest/ Stock Dividends Received During Year

1 (2,158)

26,781 460,451

(1,147) (93) 24 802

320,222 1,763 264,600 456,381

6,112

455,578

(1,147) (93) 24 802

55,300 3,091

2,456 118 4,599 11,260

12/01/2026 07/15/2023 05/15/2030 10/25/2047

1FE 2FE 2FE 1FM

180,306 443,054 461,551

238 1,501 997

180,544 444,555 462,548

20,593 5,538 4,941

6,634 10,186 10,741

02/12/2024 08/26/2047 01/25/2047

1FE 1FM 1FE

155 (646)

244,254 120,743

(2,684) 6,365

2,266 3,644

12/04/2023 03/07/2029

1FE 1FE

(80) (920) (1,627) (358)

54,452 1,240,238 738,961 758,708

3,841 4,598 10,548 11,917

1,587 35,915 7,146 4,469

02/06/2024 09/01/2020 03/27/2025 05/01/2030

1FE 2FE 1FE 1FE

378 37 (756) (358) (1,566) 7 472

109,983 313,158 325,992 60,519 108,318 106,149 828,140

8,482 29,520

109,499

2,449 3,189 7,370 909 2,510 2,494 17,923

09/15/2023 01/22/2030 04/15/2022 09/15/2023 06/25/2046 11/26/2027 12/16/2024

1FE 1FE 1FE 1FE 1FM 1FE 1FE

(328) 15,914 200 44

340,837 757,167 2,145,697 81,777

43,449 7,705

4,494 19,753 10,884 1,816

01/24/2030 02/22/2039 03/09/2023 10/27/2023

1FE 1FE 1FE 1FE

1,856

326,748 26,373 109,884 106,142 827,668

741,252 81,733 299,336

195,878 299,933 676,847 10,609,759 25,531,849

XXX 25,531,849

(19,778)

XXX (19,778)

(250)

299,378

58,282

11,389

09/10/2028

2FE

68,738 195,878 299,950 697,471 1,085,232 23,905,785 129,125,575

5,237

51,773 25,038 838,721 1,578,540

727 2,232 4,287 14,474 4,746 392,209 941,803

02/05/2030 10/15/2035 09/20/2021 06/26/2023 06/02/2028

2FE 1FE 1FE 1FE 1FE

17 (1,087) (541) (1,920) (278,019)

XXX

17 (1,087) (541) (1,920) (297,796)

XXX

(278,019)

XXX

(297,796)

XXX

129,125,575

XXX

1,578,540

XXX 941,803

XXX

1,578,540

129,422,868

25,531,849

(19,778)

(278,019)

(297,796)

129,125,575

941,803

XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX XXX

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

Schedule DB - Part A - Section 1 - Options, Caps, Floors, Collars, Swaps and Forwards Open

NONE Schedule DB - Part B - Section 1 - Futures Contracts Open

NONE Schedule DB - Part B - Section 1B - Brokers with whom cash deposits have been made

NONE Schedule DB - Part D - Section 1 - Counterparty Exposure for Derivative Instruments Open

NONE Schedule DB - Part D-Section 2 - Collateral for Derivative Instruments Open - Pledged By

NONE Schedule DB - Part D-Section 2 - Collateral for Derivative Instruments Open - Pledged To

NONE Schedule DB - Part E - Derivatives Hedging Variable Annuity Guarantees

NONE Schedule DL - Part 1 - Reinvested Collateral Assets Owned

NONE Schedule DL - Part 2 - Reinvested Collateral Assets Owned

NONE

E06, E07, E08, E09, E10, E11, E12

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE E - PART 1 - CASH Month End Depository Balances 1

Depository

Amount of Amount of Interest Received Interest Accrued Rate of During Current at Current Quarter Statement Date Code Interest

Wells Fargo 0199998. Deposits in ... depositories that do not exceed the allowable limit in any one depository (See instructions) - Open Depositories 0199999. Totals - Open Depositories 0299998. Deposits in ... depositories that do not exceed the allowable limit in any one depository (See instructions) - Suspended Depositories 0299999. Totals - Suspended Depositories 0399999. Total Cash on Deposit 0499999. Cash in Company's Office

0599999. Total - Cash

XXX XXX

XXX XXX XXX XXX

XXX

E13

Book Balance at End of Each Month During Current Quarter 6 7 8

295,481,374

210,491,298

185,997,337

* XXX

295,481,374

210,491,298

185,997,337

XXX XXX

First Month

Second Month

Third Month

295,481,374

210,491,298

185,997,337

295,481,374

210,491,298

185,997,337

XXX

XXX XXX XXX XXX

XXX

STATEMENT AS OF SEPTEMBER 30, 2020 OF THE PRESBYTERIAN HEALTH PLAN INC

SCHEDULE E - PART 2 - CASH EQUIVALENTS Show Investments Owned End of Current Quarter 1 CUSIP 0599999. Total - U.S. Government Bonds 1099999. Total - All Other Government Bonds 1799999. Total - U.S. States, Territories and Possessions Bonds 2499999. Total - U.S. Political Subdivisions Bonds 3199999. Total - U.S. Special Revenues Bonds 3899999. Total - Industrial and Miscellaneous (Unaffiliated) Bonds 4899999. Total - Hybrid Securities 5599999. Total - Parent, Subsidiaries and Affiliates Bonds 6099999. Subtotal - SVO Identified Funds 6599999. Subtotal - Unaffiliated Bank Loans 7699999. Total - Issuer Obligations 7799999. Total - Residential Mortgage-Backed Securities 7899999. Total - Commercial Mortgage-Backed Securities 7999999. Total - Other Loan-Backed and Structured Securities 8099999. Total - SVO Identified Funds 8199999. Total - Affiliated Bank Loans 8299999. Total - Unaffiliated Bank Loans 8399999. Total Bonds 949921-12-6 949921-12-6

WELLSFARGO:GOVT MM SEL WELLSFARGO:GOVT MM SEL

Description

Code

Date Acquired

Rate of Interest

Maturity Date

0.040 0.040

8 Amount of Interest Due and Accrued

9 Amount Received During Year

121 460 581

1,780

8699999. Subtotal - All Other Money Market Mutual Funds

1,601,126 10,417,474 12,018,600

8899999 - Total Cash Equivalents

12,018,600

581

1,780

09/30/2020 09/30/2020

7 Book/Adjusted Carrying Value

1,780

E14

Health Quarterly Merger/History Data Amount

NONE

Bonds (Assets C3 L1 PY Annual)

Subtotals cash and invested assets (Assets C3 L12 PY Annual)

Total assets (Assets C3 L28 PY Annual)

Total liabilities (Liabilities C3 L34 PY Annual)