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ANNUAL STATEMENT FOR THE YEAR 2011 OF THE TEACHERS INSURANCE and ANNUITY ASSOCIATION ofAMERICASCHEDULE S - PART 6ASSETS (Page 2, Col. 3)Restatement of Balance Sheet to Identify Net Credit for Ceded Reinsurance1As Reported(net of ceded)2RestatementAdjustments3Restated(gross of ceded)1. Cash and invested assets (Line 12) 2. Reinsurance (Line 16)3. Premiums and considerations (Line 15) 4. Net credit for ceded reinsurance XXX 5. All other admitted assets (balance) 6. Total assets excluding Separate Accounts (Line 26) 7. Separate Account assets (Line 27) 8. Total assets (Line 28) LIABILITIES, CAPITAL AND SURPLUS (Page 3)9. Contract reserves (Lines 1 and 2) 10. Liability for deposit-type contracts (Line 3) 11. Claim reserves (Line 4) 12. Policyholder dividends/reserves (Lines 5 through 7) 13. Premium & annuity considerations received in advance (Line 8) 14. Other contract liabilities (Line 9) 15. Reinsurance in unauthorized companies (Line 24.02)16. Funds held under reinsurance treaties with unauthorized reinsurers (Line 24.03)17. All other liabilities (balance) 18. Total liabilities excluding Separate Accounts (Line 26) 19. Separate Account liabilities (Line 27) 20. Total liabilities (Line 28) 21. Capital & surplus (Line 38) XXX 22. Total liabilities, capital & surplus (Line 39) NET CREDIT FOR CEDED REINSURANCE23. Contract reserves 24. Claim reserves 25. Policyholder dividends/reserves26. Premium & annuity considerations received in advance27. Liability for deposit-type contracts28. Other contract liabilities29. Reinsurance ceded assets30. Other ceded reinsurance recoverables31. Total ceded reinsurance recoverables 32. Premiums and considerations 33. Reinsurance in unauthorized companies34. Funds held under reinsurance treaties with unauthorized reinsurers35. Other ceded reinsurance payables/offsets36. Total ceded reinsurance payable/offsets 37. Total net credit for ceded reinsurance 47
ANNUAL STATEMENT FOR THE YEAR 2011 OF THE TEACHERS INSURANCE and ANNUITY ASSOCIATION ofAMERICASCHEDULE T - PREMIUMS AND ANNUITY CONSIDERATIONSAllocated by States and TerritoriesDirect Business Only1 Life Contracts 4 5 6 723Accident andHealth InsurancePremiums,States, Etc.Active StatusLife InsurancePremiumsAnnuityConsiderationsIncluding Policy,Membershipand Other FeesOtherConsiderationsTotalColumns2 through 5Deposit-TypeContracts1. Alabama AL 2. Alaska AK 3. Arizona AZ 4. Arkansas AR 5. California CA 6. Colorado CO 7. Connecticut CT 8. Delaware DE 9. District of Columbia DC 10. Florida FL 11. Georgia GA 12. Hawaii HI 13. Idaho ID 14. Illinois IL 15. Indiana IN 16. Iowa IA 17. Kansas KS 18. Kentucky KY 19. Louisiana LA 20. Maine ME 21. Maryland MD 22. Massachusetts MA 23. Michigan MI 24. Minnesota MN 25. Mississippi MS 26. Missouri MO 27. Montana MT 28. Nebraska NE 29. Nevada NV 30. New Hampshire NH 31. New Jersey NJ 32. New Mexico NM 33. New York NY 34. North Carolina NC 35. North Dakota ND 36. Ohio OH 37. Oklahoma OK 38. Oregon OR 39. Pennsylvania PA 40. Rhode Island RI 41. South Carolina SC 42. South Dakota SD 43. Tennessee TN 44. Texas TX 45. Utah UT 46. Vermont VT 47. Virginia VA 48. Washington WA 49. West Virginia WV 50. Wisconsin WI 51. Wyoming WY 52. American Samoa AS 53. Guam GU 54. Puerto Rico PR 55. U.S. Virgin Islands VI 56. Northern Mariana Islands MP 57. Canada CN 58. Aggregate Other Alien OT XXX 59. Subtotal (a) 90. Reporting entity contributions for employee benefitsplans XXX 91. Dividends or refunds applied to purchase paid-upadditions and annuities XXX92. Dividends or refunds applied to shorten endowmentor premium paying period XXX93. Premium or annuity considerations waived underdisability or other contract provisions XXX 94. Aggregate or other amounts not allocable by State XXX95. Totals (Direct Business) XXX 96. Plus reinsurance assumed XXX 97 Totals (All Business) XXX 98. Less reinsurance ceded XXX 99. Totals (All Business) less Reinsurance Ceded XXX (b) DETAILS OF WRITE-INS5801. XXX 5802. XXX5803. XXX5898. Summary of remaining write-ins for Line 58 fromoverflow page XXX5899. Totals (Lines 5801 through 5803 plus 5898)(Line58 above) XXX 9401. XXX9402. XXX9403. XXX9498. Summary of remaining write-ins for Line 94 fromoverflow page XXX9499. Totals (Lines 9401 through 9403 plus 9498)(Line94 above) XXX(L) Licensed or Chartered - Licensed Insurance Carrier or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Qualified - Qualified or Accredited Reinsurer; (E) Eligible - ReportingEntities eligible or approved to write Surplus Lines in the state; (N) None of the above - Not allowed to write business in the state.Explanation of basis of allocation by states, etc., of premiums and annuity considerationsOrdinary life insurance, individual accident and health, and individual annuity premiums allocated by current residence. Group life insurance, group annuity and group accidentaland health premiums allocated according to location of group contract holder.(a) Insert the number of L responses except for Canada and Other Alien.(b) Column 4 should balance with Exhibit 1, Lines 6.4, 10.4, and 16.4, Cols. 8, 9, 10, or with Schedule H, Part 1, Line 1, indicate which: ! "# 48
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