The following information will be kept confidential. It will be used exclusively for the Company providing it for a reinsurance and services proposal by Miele Consulting.

This RFP is divided into the following sections:

Fill out the information in each section as applicable. Then at the end of the form supply your name and contact information, and submit the form. You will receive a confirmation message from us shortly.

Group Disability

The following information represents

Short Term Long Term Disability.

Please submit a separate form for each line of coverage.

How many years has your Company been marketing Group Disability?


Years

Define the following market characteristics of your business.

Case Size by Lives %

Less 10 10 to 100 101 to 200

201 to 500 Over 500

Distribution %

Brokerage Agent (Captive)

Independent Financial Institution

TPA/MGU Other

Geographic Distribution %

Northeast Mid-Atlantic

Southeast Central States

Northwest Southwest

International

Please list your top 6 target markets (i.e. Accounting, Computer/High Tech, Engineering, etc.)













Group Disability Production

1999 Annual Premium $ Cases

2000 Annual Premium $ Cases

2001 Annual Premium $ Cases

Disability Underwriting Results

1999 Loss Ratio % (paid) (incurred)

2000 Loss Ratio % (paid) (incurred)

2001 Loss Ratio % (paid) (incurred)

Earnings as a % of Premium (including investment income)


1998 1999 2000

Group Disability In-force (as of 12/31/2001)

Earned Premium $ Lives Cases

Top three group disability competitors







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REINSURANCE SERVICES

Please rank the following areas in order of importance to your organization.

Very, Somewhat, or Low Importance

Prioritize those top 5 services you now receive.

1.

2.

3.

4.

5.

List three services not provided which would be of value.

1.

2.

3.

What best describes your current primary group disability reinsurance arrangement?

Quota Share

Retained % Ceded %

Excess of $

Combination

Select the disability product areas you are most interested in.


STD
Small Group LTD
Traditional LTD
Seamless
Voluntary
Integrated
 Critical Care

FEEDBACK

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Revised: July 27, 2008.