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NAICCompanyCodeANNUAL STATEMENT FOR THE YEAR 2011 OF THE TEACHERS INSURANCE and ANNUITY ASSOCIATION of AMERICASCHEDULE S - PART 4Reinsurance Ceded to Unauthorized Companies1 2 3 4 5 6 7 8 9 Letter of Credit Issuing or Confirming Bank (a) 13 14 15 16 1710 1112AmericanBankersFundsPaid andAssociation LetterDeposited byUnpaid Losses(ABA) ofand WithheldMiscellaneousFederal ID EffectiveReserve RecoverableTotal Letters of Routing CreditTrust fromBalancesNumber DateName of ReinsurerCredit Taken (Debit) Other Debits (Cols.5+6+7) Credit Number Code Bank Name Agreements Reinsurers Other (Credit)0399999. Total General Account - Life and Annuity Affiliates XXX XXX XXX 0599999. General Account - Life and Annuity Non-U.S. Non-Affiliates XXX XXX XXX 0699999. Total General Account - Life and Annuity Non-Affiliates XXX XXX XXX 0799999. Total General Account Life and Annuity XXX XXX XXX 1099999. Total General Account - Accident and Health Affiliates XXX XXX XXX 1199999. General Account - Accident and Health U.S. Non-Affiliates XXX XXX XXX 1399999. Total General Account - Accident and Health Non-Affiliates XXX XXX XXX 1499999. Total General Account Accident and Health XXX XXX XXX 1599999. Total General Account XXX XXX XXX 1899999. Total Separate Accounts - Affiliates XXX XXX XXX 2199999. Total Separate Accounts - Non-Affiliates XXX XXX XXX 2299999. Total Separate Accounts XXX XXX XXX 2399999. Total U.S. (Sum of 0199999, 0499999, 0899999, 1199999, 1699999 and1999999) XXX XXX XXX 2499999. Total Non-U.S. (Sum of 0299999, 0599999, 0999999, 1299999, 1799999and 2099999) XXX XXX XXX Sum of Cols.9+13+14+15+16 but not inExcess ofCol. 8452599999 - Total XXX XXX XXX (a)CodeAmerican Bankers Association(ABA) Routing NumberBank Name
ANNUAL STATEMENT FOR THE YEAR 2011 OF THE TEACHERS INSURANCE and ANNUITY ASSOCIATION ofAMERICASCHEDULE S - PART 5Five Year Exhibit of Reinsurance Ceded BusinessA. OPERATIONS ITEMS12011(000 OMITTED)220101. Premiums and annuity considerations for life andaccident and health contracts 2. Commissions and reinsurance expense allowances 3. Contract claims 4. Surrender benefits and withdrawals for life contracts 5. Dividends to policyholders 6. Reserve adjustments on reinsurance ceded 7. Increase in aggregate reserve for life and accidentand health contracts B. BALANCE SHEET ITEMS8. Premiums and annuity considerations for life andaccident and health contracts deferred anduncollected 9. Aggregate reserves for life and accident and healthcontracts 10. Liability for deposit-type contracts 11. Contract claims unpaid 12. Amounts recoverable on reinsurance 13. Experience rating refunds due or unpaid 14. Policyholders’ dividends (not included in Line 10) 15. Commissions and reinsurance expense allowancesunpaid 16. Unauthorized reinsurance offset C. UNAUTHORIZED REINSURANCE (DEPOSITSBY AND FUNDS WITHHELD FROM)17. Funds deposited by and withheld from (F) 18. Letters of credit (L) 19. Trust agreements (T) 20. Other (O) 32009420085200746
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