of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

21
Group Code 2 G"'up Nome 3 NAIC Company Code . • JIOOOO ••. " FederaiiD Number ..... JIOOOO .... 5H016292 .. ...... 00000 .... 2H1118754 .. ...... 00000 .... 20-0151tl88 .. . .. 00000 .... . .. 00000 ... STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc. SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY SYSTEM 5 8 CIK 7 Nome g( Securi\iee Elcx:honge If Publicly Traded (U.S. or lniBmolionall 8 Nomeaol Pa,.nt, Suboldlllrln OrAfflli- QSSI Tec:hnologi" India 9 Domi- dllary Location 10 Relationship to RepOIIIng Entity 11 DlrtiC!Iy Contn>lled by g( EntityiPenoon) 12 Type g(Cont"'l (Ownenhip, Board, t.lanllgemllnl, Altomey-in-Fact, lnftuenae, Olher) ... Llolted .. _ . ...... -·-·-·-· Quollty Softnre Smlceo, Inc._ Ooncnhlp ... _ ................................ Quolity Soflmo Smioos, Inc ................ Jil .............. NIL ........ Optumlneiltlt, Inc .............................. Omorship ................................ Rill Fomlly Fl1nea l.hllolted liC .............. JX .............. NIL ........ Welllled lledlcolllon-t, Inc ....... llmerolllp ................................ Rx Solu\iono NY IPA, Inc .................. ....... Nt . .............. NIL ........ Optii.'Ax, Inc ..................................... Omorollip ................. 3crlp13ollch Holdlngo Llnlted __ _ lJ( . •• _ ________ NIL ........ lngonl1l.t( Hold logo Llmllod . ........... Omorshlp ... _ ... ScriptS.itch Limitad . .. _ lJ( . ...... NIL ........ ScriptS.itch lloldingo Linited ... _ Ooncrship ____ Sierra HN.Ith and Llf1 ln1uranct .. JJTfTI ... Uli 1-llh Oroup Incorporated ........... ..71GO .... .. ................................ Coopony, Inc ............................................ J:A. .............. .......... Sierra Hotlth SerYioos, Inc .............. Ooncrollip . ... 00000 .... IB-OZII415 ... . . Sierra Hllllh S.rvicas, Inc. ..IN_ .• .•. ...•.•.•. MIA. .......... Inc. __ .. ·- ············· l)mllrlhip. ... . .. 00000 .... 18-0254322 . ................. Sierra Hotlth-Coro Inc. .... .!fl .. _____________ NIL ........ Sierra Hotlth Servloes, Inc . . _ ....... Ooncnhlp ___ _ ...... 00000 .... IIHXl857ll5 .. ................................ Sierraltl111 Pro0Jct1, Inc ..... ....... IN ...... ......... MIA. .......... Sierra tWIIth lne .............. Omlnhip. ...... 00000. _____ _ ................................ Slam NMdo Ado In lotratoro, Inc ........... !fl ............... NIL ........ Slam Hill th Servlceo, Inc .............. Ooncrolllp ...... 00000 .... t8-02014ZO .. ................................ Scuth10ot Modica I Aloociateo, Inc .... ....... Nt . .............. NIL ........ Sierra Hill th Sorvioos, Inc .............. Omorollip 3culhl .. l Mlchlgon Holllh 14otoork . .. 00000 .____ _ Inc. .... .MI ...... _ ________ NIL ........ Ulihlftoalthcare, Inc.___ Omorship ___ _ ...... 00000 .... 41-18:211183 .. ................................ 3poclal\y Bonoflta, liC ....... liE .............. NIL ........ Ullhd HoolthCoro Sorvlooo, Inc ....... Omorolllp ...... 00000 .... 71--11 . ................................ 3poctora of lin York, IPA, Inc ......... ....... Nt . .............. NIL ........ 3poctora, Inc. Omorollip . .. 00000 .... 52-1:11112112 .... ........... ············--·-·-· Spaclera, Inc. _ Jll __ .... _ ._ ._ .. MIA. .......... Specialty B1raf its, U.C __ . l)mlrlhip. . ... 00000 .... 58-1970224 .. . . Tho Lorin Croup, Inc. __ .JI:. ..... ......... NIL ........ Opium Public Soctor Solutions, Inc ... Ooncrship __ _ ...... 00000 .... 25-11125549 .. ................................ Thre1 AiYerl Holdinga, Inc. ....... .DE. .............. MIA. .......... ""-riChoice Corpor1tion Olnlrlhip. ...... 00000 .... .. ................................ Trml Expre'" lncorporoted ...................... Jil .............. NIL ........ Front lerfi!El, Inc. ........... Ooncrolllp U.S. llohavioral Hool1h Pion, . .. 00000 .... 84-307711114 ... ........... ............ ..... C&llfornlo .... ... .J:A. ............. .JL ..... Ulllod llohovlorol Holllh ... . ......... . . ... 00000 .... 41-11113068 .. . . I.H: lntornotimal Servicoo, Inc. . ..liE ..... ......... NIL ........ Ulihlftoalth Group Incorporated ... ...... 00000 .... 8548314Sl .. ··························· ..... I.H: of C&llfornlo ..................................... J:A. .............. .JL ......... Ullhd HollthCoro Sorvlcoo, Inc ....... Omorolllp ...... 00000 .... 41-18:21ml .. ................................ IJfiC Holdingo, Inc............ ....... liE .............. NIL ........ Ul i tod HoolthCoro Serviooo, Inc ....... Omorollip . .. 00000 ... 14-111112:!1111 .. . . .. Ulll,.llx, liC ... _ .fL .. . ...... NIL ........ Ulllod HoolthCoro Sorvlcoo, Inc . .... _ Omorshlp ... _ . .. 00000 .... 75-2188811 .. . ........... ............ ..... 1111 Care llan._,t, liLP .. .liE ............. NIL ........ Ulitad HotlthCoro Servioo&, Inc. . Ooncrship ...... 00000 .... 75-2188811 . ................................ 1111 Caro llon._,t, liLP ........................ liE .............. NIL ........ 1111, Inc. ........................... ...... 00000 .... 5-1985im .. ................................ 1111, Inc............................ ....... liE .............. NIL ........ Ulltod HotlthCore Servlooo, Inc ....... Ooncnhlp .J1Tr11 IJ'Ii tactllal th Graup Incorporated ___ _ .. 1115211 .... 52-_ __ _ ············--- ---· lnMJranc:• .JL _____________ .JA. ______ Optlii'Hallth Holdings, LlC .. l)mllrlhip. ___ _ Ullwlco Life Coii!>IIIJ of ... IJTfTI ... Uli l-Ith Group Incorporated ............ .1 1586 .... OHI637148 .. ................................ lin York........................ ....... Nt . .............. .JL ......... Ulihlftoalthcaro lnouranco ... Omorship ........................... . ..... 00000 .... 25-1B7771S .. ................................ Ulloon AdolnlstrotiYO Servlceo, liC ......... Pl. .............. NIL ........ Three RIYero lloldlnga, Inc. llmerolllp ........................... . ..... 00000 .... 2!HII17714 .. ................................ Ulioon Hoolth Pion ot Dolmre, Inc ........ liE .............. .JL ......... Throo Ri¥tro Holdingo, Inc .............. Omorollip Ulloon Hollth Pion of lila Cop Ilei •. IJTfTI ••. Uli t-1 th Group Incorporated ... _ . . .13032 .... 2!Hitl51tl31 ___ _ ... loroo, Inc. . .JIC... ... . ...... .JL ..... . ThroB RiYir& lloldingo, Inc . .... _ Omorship ____ ........................... . ..... 00000. _____ _ ................................ Ullhd llthovlorol Hoolth ......................... J:A. .............. NIL ........ Opt-lth lfoldlnga, liC .......... Omorolllp Ulitod Behavioral Hoolth ot lin York, . ... 00000 .... 41-111111111 ... I.P.A., Inc. . . .... ·- ············· .. N'f ••••• •.••••••• MIA. .......... Bltwivioral Health ... ············-· l)mllrlhip. ... . .. 00000 .... 41-1941615 . ................. Ullhd Hotlth Foundation ... .Ill ..... _ ________ NIL ........ Ullhllteolth Group Incorporated ... . Ooncnhlp ___ _ ...... 00000 .... 41-121111245 .... 3410132 ...... ................................ Ulihd HoolthCoro Servicoo, Inc ............... Ill .............. UIP ........... Ulihlftoalth Group Incorporated...... Omorship Ullted Reoouroo Nohorko IPA ol lin . .. 00000 .... :l0-031823tl .... ........... ............ ..... York, Inc. .. ........... .............. ... .NL ........... NIL ........ Opt-lth C&ra Solu\iono, Inc. . Omorollip _ ... 00000 .... OHI638317 __ . . . Ulllolfleollh loclvlms, tiC .. . JE ..... ......... NIL ........ Ullled HoolthCore Servlceo, Inc . ...... llmenhlp .. . Ulihlftoolth Group Globtl Hollthcaro ...... 00000 .... ............. ................................ Sml011 Llml1od .................................... JE ............... NIL ........ Ullhd HoolthCoro Sorvlooo, Inc ....... Omorolllp Ulitollteolth Group Globtl Sorvicoo, Ulitolftoolth Group lnternotionol B.V . .. 00000 .. ........... ............ ..... Inc . ...... ......... ............ _ JIH ........ NIL. . ... ............ _ ......... . Omorolllp. 00000 41-13211139 __ . . _ ___________ 0000731788 Neo York Stack Eschii'Gtl ___ . Ulitallteolth Group Incorporated . lfl ______________ UIP . 13 If Contn>l is Owner- ship Provide p.,.,. taae 14 Ulllmllhl Controlling Entily(ieel/Penoon(ol . .1111.900 .... lllltolltellth Broup lncorporotod ..100.1100 ... lllitelltellth Group Incorporated ..100.1100 ... ll111elltell1h Broup lncorporoted ..100.1100 ... lllitelltellth Group Incorporated ..100.1100 ... 11111olltell1h Broup lncorporolod ..100.1100 ... lllitolltellth Group lnoorporated . .100.1100 ... lllitelltellth Group lnoorporoted .. 100JID ... lhiteltlallth 6ro14' Incorporated .. 100.1100 ... lllltolltellth Broup lncorporotod .. 100.1100 ... Ulitelltellth Group lnoorporated . .100.1100 ... lllltalltellth Broup Incorporated . .100.1100 ... lllitolltellth Group lnoorporated .. 100.1100 ... lllitelltellth Group Incorporated . .100.1100 ... 11111olltell1h Group lnoorporoted . .100.1100 ... lllitelltellth lnoorporated __ 100JID ... lk!iteltlallth 6ro14' lnoarporat1d . .100 .1100 ... lllitolltellth Group Incorporated .. 100.1100 ... Uli1olltell1h Group Incorporated . .100.1100 ... lllltelltellth Broup lncorparoted ..100.1100 ... lllltolltell1h Broup lncorporolod . .100.1100 ... lllitelltellth Group Incorporated . .100.1100 ... 11111olltell1h Broup lncorporotod . .100.1100 ... lllitelltellth lnoorporated . .100.1100 ... 11111olltell1h Group lnoorporolod . .1111. 1100 .... lllitolltellth Braup Incorporated .. .1.000 ..... Uli1olltell1h Group Incorporated . .100.1100 ... lllltelltellth Group Incorporated __100JID ... lhitelliallth 6ro14' Incorporated .. 100.1100 ... lllitelltellth Group Incorporated . .100.1100 ... ll111elltell1h Broup lncorporoted . .100.1100 ... lllitolltellth Group lnoorporated . .100.1100 ... lllitolltellth lnoorporatod ..100.1100 ... 11111olltell1h Group lncorporoted .. 100JID .. lhiteltlallth 6ro14' Incorporated ..100.1100 ... lllltolltellth Braup lncorporoted ..100.1100 ... Ulitelltellth Group Incorporated . .100.1100 ... ll!itolltellth 6roup Incorporated . .100.1100 ... 11111elltell1h Broup lncorporoled .. 100.1100 ... 11111olltell1h Broup lncorporoted ..100.1100 ... lllltolltell1h Group lncorporalod 15 .. 1 .

Transcript of of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

Page 1: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

Group Code

2

G"'up Nome

3

NAIC Company

Code

. • JIOOOO ••.

"

FederaiiD Number

..... JIOOOO .... 5H016292 ..

...... 00000 .... 2H1118754 ..

...... 00000 .... 20-0151tl88 .. . .. 00000 ... . . .. 00000 .. .

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY SYSTEM

5 8

CIK

7

Nome g( Securi\iee Elcx:honge If Publicly Traded

(U.S. or lniBmolionall

8

Nomeaol Pa,.nt, Suboldlllrln

OrAfflli-QSSI Tec:hnologi" India Privt~te

9

Domi­dllary

Location

10

Relationship to

RepOIIIng Entity

11

DlrtiC!Iy Contn>lled by (N~me g( EntityiPenoon)

12 Type

g(Cont"'l (Ownenhip,

Board, t.lanllgemllnl,

Altomey-in-Fact, lnftuenae,

Olher)

... Llolted .. _ .J~----- . ...... NI~ -·-·-·-· Quollty Softnre Smlceo, Inc._ Ooncnhlp ... _ ................................ Quolity Soflmo Smioos, Inc ................ Jil .............. NIL ........ Optumlneiltlt, Inc .............................. Omorship ................................ Rill Fomlly Fl1nea l.hllolted liC .............. JX .............. NIL ........ Welllled lledlcolllon-t, Inc ....... llmerolllp ................................ Rx Solu\iono NY IPA, Inc .................. ....... Nt . .............. NIL ........ Optii.'Ax, Inc • ..................................... Omorollip

................. 3crlp13ollch Holdlngo Llnlted __ _ lJ( . •• _________ NIL ........ lngonl1l.t( Hold logo Llmllod . ........... Omorshlp ... _ ... ScriptS.itch Limitad . .. _ lJ( . ...... NIL ........ ScriptS.itch lloldingo Linited ... _ Ooncrship ___ _

Sierra HN.Ith and Llf1 ln1uranct .. JJTfTI ... Uli 1-llh Oroup Incorporated ........... ..71GO .... ~- .. ................................ Coopony, Inc •............................................ J:A. .............. .J~ .......... Sierra Hotlth SerYioos, Inc .............. Ooncrollip

. ... 00000 .... IB-OZII415 ... . . Sierra Hllllh S.rvicas, Inc. ..IN_ .•.•. ...•.•.•. MIA. .......... ~ihlttlalthcare, Inc. __ .. ·-············· l)mllrlhip. .. .

. .. 00000 .... 18-0254322 . . ................ Sierra Hotlth-Coro ~tlono, Inc. .... .!fl .. _____________ NIL ........ Sierra Hotlth Servloes, Inc . . _ ....... Ooncnhlp ___ _ ...... 00000 .... IIHXl857ll5 .. . ............................... Sierraltl111 ~iCII Pro0Jct1, Inc ..... ....... IN ...... ......... MIA. .......... Sierra tWIIth Service~, lne .............. Omlnhip. ...... 00000. _____ _

. ............................... Slam NMdo Ado In lotratoro, Inc •........... !fl ............... NIL ........ Slam Hill th Servlceo, Inc .............. Ooncrolllp ...... 00000 .... t8-02014ZO .. ................................ Scuth10ot Modica I Aloociateo, Inc •.... ....... Nt . .............. NIL ........ Sierra Hill th Sorvioos, Inc .............. Omorollip

3culhl .. l Mlchlgon Holllh 14otoork . .. 00000 . ___ _ _ Inc. .... .MI ...... _________ NIL ........ Ulihlftoalthcare, Inc.___ Omorship ___ _

...... 00000 .... 41-18:211183 .. ................................ 3poclal\y Bonoflta, liC ....... liE .............. NIL ........ Ullhd HoolthCoro Sorvlooo, Inc ....... Omorolllp

...... 00000 .... 71--11 . . ............................... 3poctora of lin York, IPA, Inc ......... ....... Nt . .............. NIL ........ 3poctora, Inc. Omorollip . .. 00000 .... 52-1:11112112 .... . .......... ············--·-·-· Spaclera, Inc. _ Jll __ .... _._._ .. MIA. .......... Specialty B1raf its, U.C __ . l)mlrlhip. . ... 00000 .... 58-1970224 . . . . Tho Lorin Croup, Inc. __ .JI:. ..... ......... NIL ........ Opium Public Soctor Solutions, Inc ... Ooncrship __ _ ...... 00000 .... 25-11125549 .. . ............................... Thre1 AiYerl Holdinga, Inc. . ...... .DE. .............. MIA. .......... ""-riChoice Corpor1tion Olnlrlhip. ...... 00000 .... 52-1~1156 .. ................................ Trml Expre'" lncorporoted ...................... Jil .............. NIL ........ Front lerfi!El, Inc. ........... Ooncrolllp

U.S. llohavioral Hool1h Pion, . .. 00000 .... 84-307711114 ... ........... ............ ..... C&llfornlo .... ... .J:A. ............. .JL ..... Ulllod llohovlorol Holllh ... . ......... . Ooncrshl~. . ... 00000 .... 41-11113068 . . . . I.H: lntornotimal Servicoo, Inc. . ..liE ..... ......... NIL ........ Ulihlftoalth Group Incorporated ... Omorshi~---...... 00000 .... 8548314Sl .. ··························· ..... I.H: of C&llfornlo ..................................... J:A. .............. .JL ......... Ullhd HollthCoro Sorvlcoo, Inc ....... Omorolllp ...... 00000 .... 41-18:21ml .. . ............................... IJfiC Holdingo, Inc............ . ...... liE .............. NIL ........ Ul i tod HoolthCoro Serviooo, Inc ....... Omorollip . .. 00000 ... 14-111112:!1111 .. . . .. Ulll,.llx, liC ... _ .fL .. . ...... NIL ........ Ulllod HoolthCoro Sorvlcoo, Inc . .... _ Omorshlp ... _ . .. 00000 .... 75-2188811 .. . . .......... ............ ..... 1111 Care llan._,t, liLP .. .liE ............. NIL ........ Ulitad HotlthCoro Servioo&, Inc. . Ooncrship ...... 00000 .... 75-2188811 . . ............................... 1111 Caro llon._,t, liLP ........................ liE .............. NIL ........ 1111, Inc. ........................... Omorolli~ ...... 00000 .... 5-1985im .. . ............................... 1111, Inc............................ . ...... liE .............. NIL ........ Ulltod HotlthCore Servlooo, Inc ....... Ooncnhlp

.J1Tr11 ·~- IJ'Ii tactllal th Graup Incorporated ___ _ . . 1115211 .... 52-_ __ _

············------· ~ir1rica lnMJranc:• ~nJ . .JL _____________ .JA. ______ • Optlii'Hallth Holdings, LlC .. l)mllrlhip. ___ _ Ullwlco Life I~S~ronoo Coii!>IIIJ of

... IJTfTI ... Uli l-Ith Group Incorporated ............ .1 1586 .... OHI637148 .. ................................ lin York........................ . ...... Nt . .............. .JL ......... Ulihlftoalthcaro lnouranco ~ny ... Omorship ........................... . ..... 00000 .... 25-1B7771S .. . ............................... Ulloon AdolnlstrotiYO Servlceo, liC ......... Pl. .............. NIL ........ Three RIYero lloldlnga, Inc. llmerolllp ........................... . ..... 00000 .... 2!HII17714 .. . ............................... Ulioon Hoolth Pion ot Dolmre, Inc •........ liE .............. .JL ......... Throo Ri¥tro Holdingo, Inc • .............. Omorollip

Ulloon Hollth Pion of lila Cop I lei •. IJTfTI ••. Uli t-1 th Group Incorporated ... _ . . .13032 .... 2!Hitl51tl31 ___ _ ... loroo, Inc. . .JIC... ... . ...... .JL ..... . ThroB RiYir& lloldingo, Inc . .... _ Omorship ___ _

........................... . ..... 00000. _____ _ ................................ Ullhd llthovlorol Hoolth ......................... J:A. .............. NIL ........ Opt-lth lfoldlnga, liC ......... . Omorolllp Ulitod Behavioral Hoolth ot lin York,

. ... 00000 .... 41-111111111 ... I.P.A., Inc. . . .... ·-············· .. N'f • ••••• •. ••••••• MIA. .......... ~ihd Bltwivioral Health ... ············-· l)mllrlhip. .. .

. .. 00000 .... 41-1941615 . ................. Ullhd Hotlth Foundation ... .Ill ..... _________ NIL ........ Ullhllteolth Group Incorporated ... . Ooncnhlp ___ _ ...... 00000 .... 41-121111245 .... 3410132 ..... . ................................ Ulihd HoolthCoro Servicoo, Inc ............... Ill .............. UIP ........... Ulihlftoalth Group Incorporated...... Omorship

Ullted Reoouroo Nohorko IPA ol lin . .. 00000 .... :l0-031823tl .... . .......... ............ ..... York, Inc. .. ........... .............. ... .NL ........... NIL ........ Opt-lth C&ra Solu\iono, Inc. . Omorollip _ ... 00000 .... OHI638317 __ . . . Ulllolfleollh loclvlms, tiC .. .JE ..... ......... NIL ........ Ullled HoolthCore Servlceo, Inc . ...... llmenhlp .. .

Ulihlftoolth Group Globtl Hollthcaro ...... 00000 .... ............. . ............................... Sml011 Llml1od .................................... JE ............... NIL ........ Ullhd HoolthCoro Sorvlooo, Inc ....... Omorolllp

Ulitollteolth Group Globtl Sorvicoo, Ulitolftoolth Group lnternotionol B.V • . .. 00000 .. . .......... ............ ..... Inc . ...... ......... ............ _ JIH ........ NIL. . ... ............ _ ......... . Omorolllp.

00000 41-13211139 __ . . ____________ 0000731788 Neo York Stack Eschii'Gtl ___ . Ulitallteolth Group Incorporated . lfl ______________ UIP.

13 If

Contn>l is

Owner-ship

Provide p.,.,.

taae

14

Ulllmllhl Controlling Entily(ieel/Penoon(ol

. .1111.900 .... lllltolltellth Broup lncorporotod

..100.1100 ... lllitelltellth Group Incorporated

..100.1100 ... ll111elltell1h Broup lncorporoted

..100.1100 ... lllitelltellth Group Incorporated

..100.1100 ... 11111olltell1h Broup lncorporolod

..100.1100 ... lllitolltellth Group lnoorporated

. .100.1100 ... lllitelltellth Group lnoorporoted

..100JID ... lhiteltlallth 6ro14' Incorporated

.. 100.1100 ... lllltolltellth Broup lncorporotod

.. 100.1100 ... Ulitelltellth Group lnoorporated

. .100.1100 ... lllltalltellth Broup Incorporated

. .100.1100 ... lllitolltellth Group lnoorporated

.. 100.1100 ... lllitelltellth Group Incorporated

. .100.1100 ... 11111olltell1h Group lnoorporoted

. .100.1100 ... lllitelltellth Gro~o~> lnoorporated __ 100JID ... lk!iteltlallth 6ro14' lnoarporat1d . .100.1100 ... lllitolltellth Group Incorporated .. 100.1100 ... Uli1olltell1h Group Incorporated . .100.1100 ... lllltelltellth Broup lncorparoted

..100.1100 ... lllltolltell1h Broup lncorporolod

. .100.1100 ... lllitelltellth Group Incorporated

. .100.1100 ... 11111olltell1h Broup lncorporotod

. .100.1100 ... lllitelltellth Gro~o~> lnoorporated

. .100.1100 ... 11111olltell1h Group lnoorporolod

. .1111.1100 .... lllitolltellth Braup Incorporated

.. .1.000 ..... Uli1olltell1h Group Incorporated

. .100.1100 ... lllltelltellth Group Incorporated __100JID ... lhitelliallth 6ro14' Incorporated

.. 100.1100 ... lllitelltellth Group Incorporated

. .100.1100 ... ll111elltell1h Broup lncorporoted

. .100.1100 ... lllitolltellth Group lnoorporated

. .100.1100 ... lllitolltellth Gro~o~> lnoorporatod

..100.1100 ... 11111olltell1h Group lncorporoted

..100JID .. lhiteltlallth 6ro14' Incorporated

..100.1100 ... lllltolltellth Braup lncorporoted

..100.1100 ... Ulitelltellth Group Incorporated

. .100.1100 ... ll!itolltellth 6roup Incorporated

. .100.1100 ... 11111elltell1h Broup lncorporoled

.. 100.1100 ... 11111olltell1h Broup lncorporoted

..100.1100 ... lllltolltell1h Group lncorporalod

15

.. 1 .

Page 2: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

Group Code

2

Group Nome

3

NAIC Company

Code

. . JIOOOO .. .

..... JIOOOO ... .

. •. 00000 •..•

"

FedaraiiD Number

. •. 00000 ·-· 41-19173118 .. .

...... 00000 .... '11r'E/4fTT .. . .•. 00000 ••••

... l/1UI ... \.hi t-1 th Group Incorporated ............ .15174 .... 33-01151113 ..

... l/1UI ... \.hi t-1 th Group Incorporated ............ J232S .... -1429 ..

•. l/1UI •.. lhit-lth Group Incorporated ... _ . . .11141 •..• 11~1 __ _

... l/1UI ... \.hi t-1 th Group Incorporated ............ .115487 .... - ..

. .•. 00000 ••••

........................... . ..... 00000 ... . .• l/1UI ••. \.hi t-1 th Group lncorporoted ... _ . --~IS .... ~71 ....

.•• l/1UI ••. \.hi t-1 th Group Incorporated .. _ ... 80318 .... :!H800348 __ .

... l/1UI ... \.hi t-1 th Group Incorporated ............ JIOOII& .... 11.- ..

•• l/1UI •.. \.hi t-1 th Oroup lnoorporated .... . . .122:11 •.•• 20-1902788 ___ _

........................... . ..... 00000 .... . ........... . •• l/1UI •.. \.hi t-1 th Group lncorporoted ... _ . . .15184 •..• ~ __ _ •. l/1UI ••. \.hi t-1 th Qroup lnoorporated ... _ . . .BII016 ••.• 18-C601W4 ___ _ ... l/1UI ... \.hi t-1 th Group Incorporated ............ .15446 .... 63-1036819 .. ... l/1UI ... \.hi tecHeal th Qroup lncorpor.ted ............ .961:80 .... 84-10046311 .. ... l/1UI ... \.hi t-1 th Group Incorporated ............. 95314 .... •1283885 .. •• l/1UI •.. \.hi t-1 th Broup Incorporated ... _ . . J5850 .... 58-11163544 __ _ •. l/1UI ••. \.hi t-1 th Group lnoorporated ... _ . .. 96111 ••.• 3H21111214 ___ _ ... l/1UI ... \.hi t-1 th Group Incorporated ............ .J6644 .... 62-12>40315 .. ... l/1UI ... \.hi t-1 th Qroup lnoorporated ............ .1111844 .... 62-12>40316 .. ..• l/1UI ••. \.hi t-1 th Group lncorporotod .. _ .. J51m .... 72-10140011 __ .

... l/1UI ... \.hi t-1 th Group Incorporated ............ .15716 .... 63-1036817 ..

•. l/1UI •.. \.hi t-1 th Group lncorporoted .... . . .151441 •.•• 4l5-041:546i .... .•• l/1UI ••. \.hi tecHeal th Qroup Incorporated .. _ .. .13:!14 •••• 2S4tiS78II8 __ . •. l/1UI •.. \.hi t-1 th Group Incorporated ... _ . .. 96055 .... 06-11728111 __ _

... l/1UI ... \.hi t-1 th Group lnoorporated ............. 9610& .... 58-1461010 .. •. l/1UI •.. \.hi t-1 th Group lnoorporoted .... . . .151118 •.•• 31-1142815 .... .l/1UI \.hi t-1 th Oroup lnoorporated __ 1111003 33-01151118 __ .

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY SYSTEM

5 8

CIK

7

Name g( Securities Exdlonga If Publicly Traded

(U.S. or lniBmolionlll)

8

Nomeaol Pa,.nt, Suboldlllrln

OrAfflli-

9

Dcmi­dllary

Location

10

Relationship to

RapDIItng Entity

11

DlrtiC!Iy Controlled by (N~~me g( Entity/Pe1110n)

l.ll i tolltoalth Gro"' tntornotional B.Y.

12 Type

(J(Control (Ownanhip,

Board, t.lanllgamant,

Altomey-in-Fact, tnftuanae,

other) ~ih~alth Gro"" lnforr,ation

... Servt ... Private Ll•lted .. .JL .. . ...... NIL_ Ommhl~--- _ lklihltilalth Gro~ lnforr,ation

................................ Servlceo Private Ll•lted ......................... J~ .............. NIL ........ lklltellleolth lnternotlo,.l, Inc ....... Omer"'l~ lklitolltoalth Gro"' International B.Y.

M. ... _________ NIL ...... lklltolltoolth Oro"' Incorporated ... . Omer"'l~--- _ ... lklitalltoalth International, Inc. . .DE .... . ...... Ill~ -·-·-·-· lklitalltoalth Gro"' Incorporated ... Omenhi~--- _

lklltolltoalth Mill tory l Yotorons ................................ Servi,.., U..C ................ . ...... DE .............. NIL ........ lklitod Hotlt!Coro Serviceo, Inc ....... Omer"'i~

. . ~itllttlalth 1,1( Lirnit1d . J,K ..•..•......... MIA. .......... lngani1l,l: !-biding• Limitld ·--· ........ l)mllrlhip. .. . lklltolltoalthcare Beneflto of Tu10,

............................. Inc................................... . ...... JX .............. .JA. .......... lklihd Hotlt!Coro Serviceo, Inc ....... Omerohi~ lklltelltoolthcere Co!llllnlty Pion of

................................ Ohio. Inc ................................................ Jif. .............. .JA. .......... 111reo Rivero Holdin110. Inc •.............. Omerohi~ lklltolltoalthcaro Co!llllnlty Pion of

................. Tm1, LL.C . .... _ .JX _____ ......... .JL. ___ . O..li11<11, Inc . . _ Omerohi~--- _ lkllhlltoalthcara Co:mmlty Pion, Inc.

................................................................................................ MI ............... .JA. .......... kleriCIIoice Corporation Omerohi~ IA'litllttlalthcare India Private ijlitllttlalth Gral.fl International B.Y .

. . Li•i ted .. . ............ ............ ............. ..J~ ..... ......... NIL....... . .................... ............. ............. Omerohi~---lklihltilalthcare lndi1 Private

................................ Ll•lted ................................. J~ .............. NIL ........ lklltelltoolth lntornotlonef, Inc ....... Omerohl~ ... l.llitolltoalthcaro ln.,ranco C<qiony ·: ... . l:L ... . ...... .JL ..... . liUC ltoldingo, Inc. .... Omerohi~---· - .

lklltolltoalthcare lnouronco C<qiony of lllinDil ·-·······-············· . lklltolltoolthcert lnouronco C<qiony of

. .JL. .... ......... .JL ... . . lklihlltoalthcare lnouranco C<qiony . . Omerohi~---

................................ Not York........................ . ...... Kt ............... .JA. .......... lkl i tolltoalthcare lnouranco C<qiony ... Omerohi~ lklltllttlalthcare lnauranc1 C:C.,.ny of lklltllttlalthcare S1rvlca Cmp~r~y of

........... ............ ..... the River Yolley ............ ............ ... .JL. ............ .JL ..... the River Yolley, Inc. ____ . lkli hltilal thcare I ntarnati00111l A1 ia,

................................ U..C .... ........................... . ...... DE .............. NIL ........ lklltolltoalth Bro"' lncorporoted ..... . ············------· l.klihlltlalthcan of Allblna, Inc. ··-··- .AL ______________ JA. ___ ___ . l.kl ihlltlalthcarl, Inc. __ _

... lklllelltotllhcare of Arizona, Inc . ... __ .JiL ... . ...... .JL ..... . lklllelltotllhcare, Inc •...... . ............................... lklihlltoalthcaro of Arkanou, Inc ............ AR .............. .JL ......... lklihlltoalthcaro, Inc ...................... . . ............................... lklltellleolthcere of Colorodo, Inc •........... at .............. .JL ......... lklltellleolthcere, Inc •...................... . ............................... lklitolltoalthcare of Floria&, Inc •............. fl .............. .JL ......... lklitolltoalthcare. Inc •......................

................. lklltolltoalthcaro of Boorgla, Inc. ...... .J!.I. _____ ......... .JL. ___ . lklltolltoalthcaro, Inc. __ _ ... lklihlltoalthcare of lllinaia, Inc.. .JL. ... . ...... .JL ..... . lklihlltoalthcare, Inc. __ .

. ............................... lkllhlltoalthcaro of Kentucky, Lta ............ XY ............... .JL ......... lkllhd Hotlt!Core Sorvlooo, Inc ...... .

. ............................... lklitolltoalthcare of Kentucky, Lta •........... XY ............... .JL ......... lklitolltoalthcare, Inc •...................... . . lA'lihlttlalthcare of Louiaiu., Inc. __ .. LL ... ......... .JA ..... ·--· IA'lihlttlalthcare, Inc. __

lkllhlltoalthcare of Mluloolppl, Inc. . ............................................................................................... liS. .............. .JA. .......... lklihlltoalthcaro, Inc ...................... .

lklltelltoolthcere of Moo England, Inc.

Omerohi~

Omerohl~ Omerohi~--- _ Omenhl~--- _ Omerohi~

Omer"'l~ Omerohi~ Omer"'I~---­Omerohi~--- _ a.,.,,.~

Omerohi~ Omerohi~---

Omerohi~

.RL ............ .JL ..... l.llitod Hotii!Qore Serviceo, Inc. . Omerohi~

. . lklltelllealthcare of Neo Me~lco, Inc. ................. lklihlltoalthcare of Noo York, Inc .. .

lkllhlltoolthcara of North r.rollna, ............................. Inc .................................. . ........... ............ ..... lklltolttoalthcora of tl!lo, Inc . .... .

. . lklihlltoalthcare oflkloha• Inc.

.JIL ... ......... .JL ... . . lklltelllealthcare lnouronce C<qiony . . Omer"'I~---.Kt .. ____ ......... .JL. ___ . lllleriCIIoic:o Corporation__ Omerohi~--- _

. ...... JC: .............. .JA. .......... lkl i tolltoalthcare. Inc •...................... _Jif. ___ .......... .JL ..... lklltod HKII!Core Sorvlooo, Inc . . a!. ______________ .lL ... .. lklihd Hotlt!Core Service& Inc.

Omerohi~ a... ..... ~ . Omerohi~---

13 If

Conlnll is

Owner-ship

Provide Percen­

tage

14

Ultfmllhl Controlling Entily(ieel/Penoon(ol

..1111.370 .•.• lllltetfloolth Bro"' lncorporoted

... 0.1130 ..... lllltetfloolth Brol.!l Incorporated

..100.000 .•• lllltotfloolth Bro"' Incorporated

..100.000 .• lllitetfloolth Gro"' Incorporated

. .100.000 ... lllitotfloolth Bro"' Incorporated

..11XUID ... lhiteltlallth 6roLf1 lncarporattd

.. 100.000 ... ll!itetfloolth Gro"' Incorporated

. .100.000 ... lllitotfloolth GroLl> Incorporated

.. 100.000 .•• lllitetfloolth Gro"' Incorporated

..100.000 ... lllitetfloolth Gro"' Incorporated

. .1111.9115 •... lllitotfloolth Bro"' Incorporated

... 0~ ..... lllltotfloolth Broi.!> lncorporoted

..100.000 ..• ll!itotfloolth 6ro"' Incorporated

..100.000 •• lllitetfloolth Gra"' Incorporated

. .100.000 ... lllitetfloolth Gro"' Incorporated

..100.000 ••• lllitotfloolth Bro"' Incorporated

..100.000 ... lllltotfloolth Bro"' Incorporated __uxum -·· lhitllliallth 6ra..., lncarporattd . .100.000 ..• lllltotfloolth Bro"' lncorporoted ..100.000 ... ll!itetfloolth Gro"' Incorporated ..100.000 ... lllltetfloolth Brol.!l Incorporated ..100.000 ... lllitotfloolth 6ro"' Incorporated ..100.000 .•• lllltotfloolth Bro"' Incorporated . .100.000 ..• lllitotfloolth Gro"' Incorporated ..84.180 .... lllltotfloolth 6ro"' lncorporoted ... 5.8al ..... lllitotfloolth Bro"' Incorporated _.uxum ... lhit•ltlallth 6ra..., lncarporattd

..100.000 ... ll!itetfloolth Gro"' Incorporated

..100.000 ••• ll!itotfloolth 6ra"' Incorporated

..100.000 ••• lllltetfloolth Bro"' Incorporated

..100.000 .•• lllitetfloolth 6ro"' Incorporated

..100.000 ... lllitetfloolth Gro"' Incorporated

..100.000 ••• lllltotfloolth 6ro"' Incorporated

..100.000 . lllitotfloolth Bro1.1> Incorporated

15

. .... 2 ..... .

. .... 2 ..... .

Page 3: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

2 3 4

NAIC Group Company FedaraiiD Code Group Nome Code Number

.. lflUI ··- \l'li t-1 th Group lncorporoted ___ _ . --- ·--· 93--QI38819 ---

... lflUI ... \l'li 1-llh Group Incorporated ............ JI5Z!O .... 25-1156858 ..

... lflUI ... \l'li 1-llh Group lncorporoted ............ .ttm .... ~ .. .. lflUI ··- \I'll t-1 th Broup Incorporated ___ _ . . .Jii785 ··-· - __ _

... lflUI ... \I'll t-1 th Group Incorporated ............ .Jii025 .... 52-1t:lltB3 ..

... lflUI ... \l'li I-I th Group Incorporated .. _ .. .Jii5M •••• 47~ __ .

... lflUI ... \l'li t-1 th Group Incorporated ............ .Jii385 .... 43-13111841 .

... lflUI ... \I'll t-1 th Broup Incorporated ............ .B6S01 .... 4t-1a583 ..

... lflUI ... \l'li t-1 th Group Incorporated ....... ······- .... 91-13t2$6t .

... lflUI ... \I'll t-1 th Qrwp Incorporated .. _ .. .J67t0 .... »-15658118 __ .

... lflUI ... \I'll t-1 th Group Incorporated ............ .J6318 .... ~ .. ........................... . ..... Oimo .... 47- ..

- ... Oimo .... 38--.1365tt0 . . ...... Oimo .... 4t-1122511 . ...... Oimo .... 37-tB4 ..

. .. Oimo .... 744797745 ... - ... Oimo .... 74-21811364 . .

...... Oimo .... - ..

...... Oimo .... 20--0325334 .. . .. Oimo ··-· 524tll2848 -· ·

...... Oimo ................ .

...... Oimo .... 20--Vt72B4 .. . .. Oimo ··-· 524111342 ---

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY SYSTEM

5 8

CIK

7

Nome g( Securitiee Exdlonge If Publicly Traded

(U.S. or lniBmolionllll

8

Nom811ol Pa,.nt, Suboldlorlae

OrAfflli-·············-·-· lklito,..althcoro ol Orogon, Inc . ....

\l'lltollloolthcoro ol PoniiiJIVInlo, ----------------------------- Inc. _______ ---------------------------

\l'lltellleolthcore ol South C.rollno, ............................. Inc .................................. .

············------- lkllllllilaltbc•n ol T1xu. Inc. ____ _ \l'litallloalthcoro ol tho Mid-Atlantic,

9 10 11

Relationship Domi- to dllary Rapolllng DlrtiC!Iy Contn>llod by

Location Entity (NIII'Ile g( Entity/Penoon) ..(IR. ---·- _________ _jA.__ ____ • !kl i tod HolltiQoro 3orYiCIO, Inc. ·-·-

....... PA.. .............. .JA.. .......... Thre1 Rivera Holding~, Inc .

....... JC. .............. .J~ .......... 111reo AiYOro Holdingo, Inc • .1X ______________ .J,L ____ . \l'llto,..olthcaro, Inc. __ _

............................. Inc................................... . ...... Jil .............. .J~ .......... \l'llto,..olthcoro, Inc ...................... . \l'litollloolthcoro ol tho Midlondo, Inc. ······----·-········-············· . .. 1£ .. ____________ .JA.. .•.•• ·--· ~ihlttlalthcare, Inc. __ \l'llhllloolthcare ol the Mldroot, Inc.

. ............................................................................................... Ill .............. .J~ .......... \l'lih,..althcoro, Inc ...................... .

. ............................... \l'lltellloolthcore ol Utoh, Inc .................. 111 ............... .J~ .......... \l'lltellloolthcore, Inc ...................... .

. ............................... \l'lih,..althcoro ol lalhington, Inc •. ···----~~ .............. .J~ .......... \l'lihd Hoii\IQoro 3orvicoo, Inc ...... . . . \l'llto,..olthcoro ollloconsln, Inc. __ .JL ..... ......... .JL ... . . \l'llto,..olthcoro, Inc. __

\l'lih,..althcare Plan ol tho Rim \l'lih,..althcare Smicoo Coopony of

12 Type

(J(Control (Ownanhip,

Board, t.lanllgamant,

Altomey-in-Fact, lnftuanae,

Olher) Oomorohi~--- _

Oomorohi~

Oomorohi~ Oomorohl~--- _

Oomorohl~

(lmorohi~---

Oomorohi~ Oomorohl~ Oomorohi~ Oomtrohl~---

................................ Vol lor, Inc .............................................. JL ............ tho Rl,.r Vol lor, Inc ....................... Oomorohl~

. ............................... \l'lihllloalthcore Smica L.LC ....... JJE. .............. fttL ........ \l'lihllloalthcore lnouronco ~nr ... Oomorohi~ ~ihlttlalthcare Sarvices tDpany of

. . tho River VolloJ, Inc. .. ..JJE. .•.•. ...•.•.. Jill' ........... \l'litallloolthcare, Inc. __ Oomtnhi~---··············------------- ..... ~italttlalthcare, Inc.··········------------- ....... DE. .............. UIP ___________ ~itad lillllli:lre Senice1, Inc. ______ Olnllrlhip. ................................ \l'llhllloolthOno !Goner, Inc. . ...... J~ .............. fttL ........ ~ldon Aulo Financial Corporotlon .... Oomorohl~

lolltlod tlodicol llon-t ol ........... ············ ·-·-· Florida, Inc. · ············ ·-·-·. .FL ............ NIL ........ Wolltlod tlodlcolllon-t, Inc. . Oomtrohl~.

. . lelltlod tlodicolllon1111011t, Inc. . ..1X ..... ......... fttL ........ CollaboraliYB Core Holdingo, L.LC •••••• Oomtnhi~---........................... ..... WollnOSI, Inc. . ...... JL .............. NIL ........ Opttrrlioolth C.ro Solutl"''· Inc ....... Oomtrohl~ . ............................... IILJtoolth BIP~. Inc............ . ...... Jil .............. fttL ........ IILJtoolth Corporation.................. Oomorohi~

. .. 11Utool1h Corporotlon · ·- _ .Jil .... . ...... NIL ________ \l'llhd HotiiiQoro 3orvlcoo, Inc. ·-·-_ Oomtrohl~--- _ IILJtoolth Corporation Indio Privoto

................................ Li•ited ................................. J~ .............. fttL ........ IILJtoolth Corporotion

. ............................... IILJtoolth Tonnoo110, L.LC ....... Jil .............. fttL ........ IILJtoolth Corporotlon ············------- D.HIIalth Texu, Inc.--·· Jll ______________ NIA.. .......... D.HIIalth Corporal ian .

lanatlon

Oomtnhi~ Oomorllll~ (lmorohi~--- _

13 14 If

Contn>l is

Owner-ship

Provide p.,.,. Ulllmllhl Controlling

taae Entily(ieel/Penoon(ol

.. tOO.IIOO ... ll'litolftoalth Sro"' Incorporated

..100.1100 ... ll'litolftoalth Gro"' Incorporated

.. tOO.IIOO ... ll'll1olftoal1h a •• ..., lncorporotod

..100.1100 ... ll'lltolftoalth Gro..., lncorporotod

__ uxum .. lhiteltlallth Gra..., lncarporattd

..tOO.IIOO ... ll'litolftoalth Sro"' lncorporotod

..100.1100 ... ll'lltolftoalth Bro..., lncorporotod

..100.1100 ... ll'litolftoalth Gro"' Incorporated

..tOO.IIOO ... ll'll1olftoalth a •• ..., lncorporoted

.. tOO.IIOO ... ll'lltolftoalth Gro..., lncorporotod

. .100.1100 ... ll'litolftoalth Gro"' Incorporated

.. tOO.IIOO .. ll'litolftoalth Gro'l' Incorporated

.. tOO.IIOO ... ll'litolftoalth Sro..., lncorporotod

. .100.1100 ... ll'lltolftoalth Bro'l' lncorporotod

..100.1100 ••• ll'lltolftoal1h a •• ..., lncorporotod

.. 111.1100 .... ll'litolftoalth Sro"' Incorporated

. .100.1100 ... ll'lltolftoalth a •• ..., lncorporotod

. .100.1100 ... ll'litolftoalth Gro"' Incorporated

.. tOO.IIOO ... ll'lltolftoal1h Gro"' lncorporotod

.. tOO.IIOO ... ll'litolftoalth Gro..., lncorporotod

. .100.1100 ... ll'lltolftoalth Bro'l' Incorporated __ uxum ... lhitllliallth Gra..., lncarporattd

15

. .. 3 ..

Page 4: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHeallhcare Plan of the River Valley, Inc.

SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES The lollcroolng aupplemenllll reports ore required tc be ftled u part af your - ftllng. H.,.,_., In the - that your campany doee not traneect the lype af

buoineN far which the opecial report muot be nled, your._ or NO to the opecific inillmlglllory will be accepted in lieu or nli~ a "NONE" raport and a bar cade will ba prlrrlad balaw. If tha oupplamantlo raqulrad af your company but II nat baing ftled far whatavar 11111on antar SEE EXPLANATION and pravlda an ""Pionallon following the inborroglliDiy qu-..

Re!ponoe

1. Will the Madicara Part D C""""'118 Supplemanl be nled with the - or domicile and the NAIC with thio -men!? ... .. ...................... . Nl

Explanalion:

1. The Company doeo not offer the Medica"' Part D product

Bar Cod.:

1. Madical!l Part D COY&noue Supplement [Document Identifier 3651

17

Page 5: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHeaHhcare Plan of the River Valley, Inc.

OVERFLOW PAGE FOR WRITE-INS

Additionlll Write-ino for- Une 25 4

2 3 - Nonadm-Aisets Nat~~-~ 2504. State Tax Receivable ........... . ..... .............. 0 ........... ..... 10,244 2505. Service Faa Receivable ............. ............. . . ............ ............ .............. ................ ..... 2,511l . . ............ ...... ........................ 2,5111 2597. Summ•ryDirwnolnlngwriiiHnaforLIM25fromoverllowpoga 2,511l 2,5111 10,244

18

Page 6: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30,2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULE A· VERIFICATION Real Estate

1. Bookladjuotsd canyingvalue, De<:ember31 ofprior)OIIIr . .

2. eo.t of acquired:

2. 1 Acluil coet at time of ecquilition ........................................................................................................................................... .

22Additionali.-.-tmentmlldeafterecquooijoon

6 ..... B.. ·········-~-···~::····· 3. Cument YMr change In anCIJmbranoee ......... . .. .. . ......... . :: :::.::::.::;;;;;;. .... .. . .... .. .... ..... . ....... .

8. Tolal fOreign axchange chonge 1n bookladjuoled ·ng ... .. ... .... . .......... .

7. Deduct C\mlnl ,_... other than temporary imp ent •zed ............ ............ . .......... .

8. Deduct ...,.nl )'1111's dapraclatlon ..... ......... ............ ............. . . .... . ............ .

9. Bo-juoted canying value 81 the end of"""""' period (Lineo 1+2+3+<1-6te-7--'l ....................................................... .

10. Deduct tabll nonlldmiffsd 81T1DUnlo •.... . ........• .•••••••••••

11. St.alement value at end of cumont peliod (Une 9 minuo Line 10)

SCHEDULE B -VERIFICATION Mortgaga loans

1. Book valuelreconled inveetment axduding 8CCIUed intenoot, Dacember 31 of prior )OIIIr ....

2. eo.t of acquired:

2. 1 Acluil coet at time of ecquilition ............................................................................................................................................ .

2 PriorY..,. Ended

December 31

2 PriorY ear Ended

December 31

2.2 Additional i.-.-tment mllde after ecquioijion ....................................................................................................................................................................................... .

3. Capltallzlld clofarnod lntoi"MI and other .

~ ~§.f-1~~~1===-10. Deduct ...... nt ,.,..... other than temporary impainnent 111C0gnized ............. ... . .......... ............ ..... .

11. Book valuelreconled inveetment excluding 8CCIUed in-Ill end of curT8nl period (Linea 1 +2+~+l;+~H--'+1'-10) ..... .

12. Tolalvalullllan allawanoa .......................................................................................................................................................................................................................... .

13. SubtotBI (Uno11 plus Uno 12) ..

14. Deduct tabll nonadmitted 81T1DUnlo ............................................................................................................................................................................................. .

15. St.alement value at end of cumont period (Une 13 minus Line 14)

SCHEDULE BA- VERIFICATION Other Long-Tenn Invested Assam

1. Bookladjuotsd canyingvalue, De<:ember31 ofprior)OIIIr ...................................................................................................... . .................... 0 2. eo.t of acquired:

2. 1 Aclual coet at time of ecquilition ·-·- ... 9,(111),212

2.2 Additional i.-.-tment mllde after ecquioijion .............................................................................................................. .

3. Capltallzlld clofernod lntoi"MI and other ......................................................................................................................................................... .

4. Accrual of discount ......... ············ ............. .

5. Unllllllized valuation increue(-)

8. Tolal gain ~011) on dilpoeill .......... .

7. Deduct alnOIO'ts received on di8poeak .....

8. Deduct emor11mtlon of .,..,lum end dap~eclollon . ......... .65,483 9. Tolal fO""an exohonge chonge in book/adjuoled carrying value ...

10. Deduct ..... nt )'1111'1 other than temporary impainnent 111C0gnized ....................................................................................... .

2 PriorY..,. Ended

December 31

11. Bookladjuotsd canying value at and of cumont period (Lineo 1 +2+~+!;+&-7--'+11-1 D) .. . .... 9,014,729 .............................. 0 12. Deduct tabll nonadmitted 81T1DUnlo ·-·-· .........• .•••••••••••

13. St.alement value at end of cumont period (Une 11 minus Line 12)

SCHEDULE D -VERIFICATION Bonds and Stocks

1. Bo-JuaWd canying value of bonds ond stockll, Deoamber31 of prior- .................................................................. .

2. eo.t of bondo and - acquired ......................................................................................................................... .

3. Accrual of dillcount . . ........ ············ ............. . 4. Unllllllized valuation in.,......(-) ..

5. Tolal gain ~-> on dilpooill .................................................................................................................................................... .

8. Deduct conoiderlllion for bondo ond atoclal diopooed of ............................................................................................................. . 7. Deduct emor11mtlon of .,..,lum ....................................................................................................... .

8. Tolal fOreign axchange chonga in book/adjuoled canying value .. ............ ............. . . .... . ............ .

9. Deduct cumont yea(s othar than tarnporary lmpalnnllni18C0gnlzed ............. __ . . .......... ............ ·-·-· .

9,014, 729

.. 628,251,495

.. 184,420, 149

.......... .74,395

.... 1 ,325,193 .. 113,291,024 .... .7, 168,1187

10. Bo-JuaWd canying value mend of CIJmont period (Linoa 1 +2+~+&3-7-) ............................................................................... 873,611, 521

11. Deduct tabll nonadmlllad 81T1DUnto ........................... ........................... ........................... ........................... ............... . .................................. .

12. S-mllnl VIII,. at end of cument period (Une10 minus Una 11) 873 611 521

$101

2 Plior Year Ended

December31

.............. 560,542,524

. ............ 233,(8!,501

. .................... 119,544 ··········· ·············· ... 0 . ... .3,361,395 . ............. 161,022,036 . ................ ], 793,843

. ............ .... 0 . ...................... 52,788 . ............. 828,251,495

0 828 251 495

Page 7: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

BONDS

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULED· PART 18 Showing the Acquisitions, Dispositions and Nor~-Trading Activity

Durin~ the Current Quarter for all Bonds and Praferrad Stock bv Ratina Clasa 1 2 3 4

Book/Adjuad C..rryingValue

Bag Inning of Cumont Quarfllr

A<:quioitiono Durlng

CuiTWII Quarfllr

Diopooiliono Durlng

CuiTWII Quarfllr

Non-Trading Activity Durlng

Cu1111ntQuarfllr

5 Bcok/Adju­CarryingValue

End of Firm Quar1Br

e Book/Adj.­Carrying Value

End of Second Quar1Br

7 Bcok/Adjuad C..rryingValue

End of Third Quarter

8 Book/Adj­carry;ng Value o-nber31

PriorY_,.

1. a .... 1 (a) ......................................................................................................................................................... 781,838,225 ............ 1,929,838,616 .............. 1,671,114,806 .......... {3,371,670) ................ .826 ,226,304 .... 781,838,225 ................. 837,192,365 ................. 792,382,009

2. Clou2(a) . . ............ . 49, 144.246 . ..... .1,304,427 .. ............ 7.030,496

3. Clus3(a) ....... 807,029 ............................... 0 .............. 0

4. Clua4 (a) . .. ...... 0 ... . ......... .............. .. .

........... .... 0 ............................... .

........ .. 1,254,035 ..... ....... Jil,819,4119 . ..... .. . 49, 144,246 ........... ... Jil,672,212

............ Jar7,029) ................................. 0 ........... 807,029 ................................. 0

......... .............. ........ .0 ........... ....... .0 .... .............. . ... 0

.. ........ 0 . ..... ............ ........ 0 . .. 0

41),994,983

.. ................ 0

.... 0

.... 0 5. Clou5(a)

e. a .... e(a)

7. Tolal-

......................................................................................................................................... l----~f------+-----+-----+----~----4----____:4----~ 831 790 500 1 937 144 043 1 878 145 302 {2 924864

PREFERRED STOCK

8. Cl8181 ........................................................................................................................................................................................ 0 ............................... .

9. CIUB2 .... .. .... .... 0

10. CIU83 .. ......... ................. 0 ............................... .

11 . Cl8184 ........................................................................................................................................................................................ 0 ............................... .

12. ClUBS .... .. .... .... Q

13. a ... e .. 14. Tolal Preferred Stock 0 0 0

15. Tolal-and P-Biod< 831 790 500 1 937 144 043 1 878 145 302 {2 924 664)

878 905 793 831 790 500 867 864 577

................................ .0 ..................... .0 ................................. 0

.... .0 ....... .0 ...... ................ .0

. ............ .......... 0 ..... 0 ......................... ...... 0

................................ .0 ..................... .0 ................................. 0

.... .0 ....... .0 ...... ................ .0

876 905 793 831 790 500 867 864 577

8333781172

.................. 0

.. .. 0

..... 0

.. ................ 0

0

8333781172

(a) Book/Adj.- Carrying Value column for the ond of1he cu1111nt 111porting period includeo the following amount ofnon...tBd ahort-term and Cllllh equivalent bond• by NAIC deoignation: NAIC 1 $ .................. 52,1!97,868 ; NAIC 2 $ .... 7,836,660 ; NAIC3 $ ................................. .0 ;

NAIC4 $ ......... .. ........ .0 ; NAIC 5 $... .. ......... ............ 0 ; NAIC6 $ ...................... ... 0

Page 8: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30,2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULE DA- PART 1 Short-Term lnV118Imenta

1 2 3

Book/Adju-CarMna Valu. PIII"V•Iua Actual Cos!

9199999 Totala 212.2-19.229 XXX 213.0111.787

SCHEDULE DA ·VERIFICATION Short-Term Investments

4

1-Colleclacl Year-to-Dale

121.323

Year To Date

5 P•id for

Accrued lnle....t Year-fo.D&Ie

296.130

2

P~orYear End&d Dec:ember 31

1. Bo~~ cenyi~value, Dec:ember31 of priori"""· ....................................................................................................................... 194,538, 154 .............. 417, 762,526

2. eo.t af lhorl-bmn i~ acquiAIII . .......... 5,529,567,812 . . . 7,035, 728,626

3. Accrual of discount.. ............................................................................................................................................................... . ............ .6,548 . ...................... ..4.716

4. Unrealized 'l!llu.tion incnaaee (-) .. . ............................... 0

5. Tollll gain ~ou) on dlspoaols .......... . . ..... .. 241 ........... .............. 235

8. Deductconeidaration receivedondi-18 ........................................................................................................................................ 5,510,606,354

7. Deduct a......-ion of premium .......................... .......................... .......................... .......................... . ..... 1, 257, 971)

8. To!JII foreign axch•nge chqe in bookllldjuallld COI?)'ing value ...

9. Deducl.....,nl yam'• other lhlln temporary impainnenl raoognized ..

10. Bo~~ cenyi~ valua at end of cumont period (Linao 1 +2+lt<I+~7+IHI) .. .................... . ......... .............. . 212,2-19,229

11. Deductll>bll nonadmitted ll!"nounla

12. Stalement value at end of cumon\ oeriod CUne10 min,. Line 11! 212,249,229

$103

.. ....... .7 ,258, 238,944

..................... 718,065

.. 0

..0

.......... 194,539,154

.. .............................. 0

194,539,154

Page 9: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHeaHhcare Plan of the River Valley, 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, Sl07

Page 10: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30,2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULE E ·VERIFICATION (Caah Equivalents)

YMrToDate

1. Boakladjuated Cllrryi'ljvalue, December31 afpriory.r . . .. 10,586, 325

2. Cost at Cll&h equlvalenls acquired ......................................................................................................................................................... .265, 7118,057

3. Accn.lel of diecounL.. .829

4. Unraalizoad Ylllulltion incraue (-) ..

5. Tolal gain Qooo) on dispoeala .................................................................................................................................................. .

6. Deduct canoldaratlon reoalwld on dloposelo ...... .......................... .......................... .......................... .......................... ............ . .............. 274,330,101

7. Deduct a~ion of premium .......................... .......................... .......................... .......................... . ......... 22, 384

8. Tolal for11ign axchange chqe in bookladjuoled carrying Ylllue ...

9. Deduct "'""'"' yaou'• other than tsmporary impllinnenl """'gnizoad ..

10. Boakladjuated carrying value at end or current period (Linea 1 +2+~~7+!Mil .. .......................... .......................... ........ . .................. 2, 003,827

11. Deduct tolalnonedmitted amounto

12. Stalement value at end of current oeriod rune 10 minus Line 11! 2 003 827

$108

2

PriorY ear Ended December31

. . 15,003,038

. ........ J ,872,358,094

......... .3,261

.. 0

··········· ··············.Ill

......... J ,878,812,101

....................... 16, 146

.. 0

..0

. ............... 10,586,325

................................ 0

10 586 325

Page 11: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHeaHhcare Plan of the River Valley, 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

NONE

Schedule B - Part 3 - Mortgage Loans Disposed, Transferred or Repaid

NONE

E01, E02

Page 12: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULE BA • PART 2 Showing Other Lon~J-Term Invested Aasel:ll ACQUIRED AND ADDITIONS MADE During the CuiTIInl Quarter

2 Location 5 B 7 8 9 10

3 "" c.te Type Al:lual Coat CUSIP NAIC Orlglnelly and Ill Time r>P

Identification Name or Deocription City stale Nemer>PV•ndor

orGanenll Pllltner Deoignlltion Acijuirad Strmegy A<:quioition

Additional ln11M1mant:Made After A<:quioition

------------------------- ll !llncclrp LIH Flnd 2012-5 U.C PrY P O.IDI 12131123 ------------- ------------------------- ----------------------- _____ at,------- LB Blna~r ..................................................................... 1l .......... ... JJ7/WlD12 ....................................• 0111 212 ............... 0 291199119. Guaranteed Federall.CJw Income Houoing Tax Crad•- Unaffiliated 1.11111.212 3999999. Total- Unllllllleted I '*I 212 4089999. Tc>lal- Al'lililllad

4199999- Totals I 0111 212

SCHEDULE BA • PART 3 SIIOWing Other Long-Term lnvusted Aaset1 I I or Repaid Durir1gthe CuiTIInl Quarlar

1 2 LOcation 5 5 7 8 Change I cam. navaiU& 15 3 4

BoOk/ 9 1D

Cu~ 12 13 14

Book/ Adjusted y.,.~. Total Total Adjuoted Carrying Cumont other Ch::~in Foreign Carrying Value Years Than Capi!BI- Exchllflge Valu• Leoo IUnrallimd

~~ ~~~-~rj imd Adjuoted ~in ~-Encun· Valuation Dole mod Carrying BoOk/ EnaJm-

c.te bnlncea, lncreue lntereot

~:~ l~i~ b1'811C88

CUSIP Name of Purch._ or ~~! 01:::1 Prior (0. = ~ and ~:..r.i on

Name' City s- Natura of Diopooal Year ..-l other Dioposal

···· ·········· ~~~;""'"'''-"ll.C'"' ... ..... ... IPaydnn .... ··········· ············--·-· ~.Oliiii/2CI12 ..,,.,.,. o ~--······· .... 0 , .. ........... 1 ~ •• D ~ 0 .•••••••• ..... 0 ~ .......... 1 1······ ···11

II'Uid201HU.CPn~~~ ~~'!.. Cttdlt- !miff llattd .

.. 11\ IBuloAdil81mon1 .. Oliiii/2CI12 '"""""' • .. 0 .. 0 , .... ::=G..= Federal LOw-Income Houeina Tax ,;,.d~- Unallili81ec . D D D IIS,oll4

rotal· unamlia18d D D D li,oll4 4089999. 1- Al'lililllad D D D

4199999· lall D D D li,oll4

11

Amountr>P Encumbnlncea

12 Commitment

for Additional IIMOII!rnent

13

P..-.tag•r>P Ownenohip

......... 0 ............................. 0 ................ 0.000 XXX XXX XXX

XXX

16 17 18 19 20

F0111lgn

~e~~ge Rllollmd Tollll (~) Gain Gain IIMIOII-

Conald- on

~= == men! aration Diopoaal Income

....... 85,1111 ...... ...... 1 ~ ....... 1 , ...... ....... 1 ~ I

..0 115.1111 D 115,1111 D

0

.................. !················· •················· !················· ··• · ••········ I ············ ·· , ...... ......... I .. .................. !················· •················· !················· ·············· !··············· ······· ·········· ! ··········· ··· ·············· !··············· ······· ·········· ! ··········· ··· .................. I················· •················· I············· ······ ········ ! ············ ·· , ...... ......... ! ······ ·· .................. !················· •················· !················· ······ ········ I ·············· ······· ········· I .

115,1111 D

Page 13: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

il

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

2

CUSIP

iJla&H'It"U _________ ffiM Not. ttJn c..u o.sm 10.1M/f1

0699999. Sul:lloiJII- Bond• • u.s.

~~~~~~~~- Alllt I~ Tlltr llstrtr 111211V..Rl .......... AU: Pool - 1111 UIIOIIIII/011~ ......................... . 313E-7J-2 ········- RIM Paol MC9IIIII IBS 3..!l101 01/llt/42 ·---313814-Q-2 ·--------- RIM Pool »'USB S.DJI. 071U1/42 ----------------------- --------------------------31-TH .......... 111M Pool ,IP144IIIS 3-'M lll/ll1142 ................................................ . 3111111~ ••••••••. 111M Pool 11'4472116 a.m llllll1142 .. 113~1~~-~M .......... 111M Pool 11'8114 liS 3.8m 111101142 ................................................ . !iM41P-M-2 _________ Ill St Fin Autl'l Rn Band Cant C.ll 5..Dml 07/DI/11

SCHEDULE D - PART 3 Show All l.Dn!J-Term Boncla and Stock Aal.uired During the Cumllll. Quarter

3 4 I 5

NemeaiV-or

6

Number <If Sharwaf -

7 6

Aduel Coe1 ParValua -----::rooo .. _ !.DCD.DCD ,..,,.,

5.3111.1811 I 5.4110.0110

25315311 211100110

9

Paid for Accrued l-and OM-

10 I NAIC Desig-

nation or M­

lndicodor

---'!1. 1~::::::::::: :

XXl

XXl

I ~ ~~:~-;~~~-;~ ••••••••••••• ;;. ~~;§§ g§§ ;;~ ~-=;;; _____ Dlf01512012 ______ III~X~tQII!Ilii'J Sloarltl• ------------------------------------------------------------------------------------------- ---------------------------- ---------------------------•·• ______________ .&41,101 -------------------------- ... .840 t ------------------~

_.o7/1812012 ______ U.rrlll Lyncll __ _ ____________________ 1.174.710 ______________________ 2.2!D.DOO _______________________ .1. 125 tfE __ _

3199999. Sul:lloiJII- Bond• • u.s. SDeciel Revenu• 13.llill.554 I 1U1U77 I 30.100 I XXl D661~ ---------- lilT Corp NDt• Ncn C. II s..sm illlr.W/13 .... --------------------------- ----------------------------- .......... D7/27121112 ............ lo.tl I ltrlngftlln --------------------------- --------------------------- ---------------------------- ---------------------------.. -....... _______________ .. v,,_ ------------------------------&·-· ...... .. D!iY'F-AE:-3 .................. IBlT Carp tl:lb Nan C. II 3..S1S1. t~~/25~13 ____ _ ____ .o7/2712012 ______ laC lllcur I tl• In: __ _ ________ ............................ 1,030, 1111 ___________ J,DCD,DCD ____________ •••••••••••• __ 11,113 1FE ••• 11112'li'-M-7 ·---------Coca Col• Cor~ Net• • 111P 1.1251 11/12/IS .. ------------··------------· ------------··------------··- _____ W25/21112 ______ Bu* of tiBII York ------------··------------· ------------··------------· ------------··------------ ------------··------------·· ---------··--------------1,5(11,125 ___________ J,D,DJ) ·------------··------------· .1,315 2fE. _________ _ )463fi-JH .......... Fordlotor Credit Cor, Noto Non C.ll 2.~05115115 ....................... ......................... . .... WW/3112 ...... Cantor FltZIIOnld........... ........................... ........................... ........................... . .................................................... 1.111.500 ........... J.IIIO,OIIO ............................. ua H. ......... . 4111251hE-t ••••••••. .J'IIor1on Chi• Cor; Noto Non Co. II 3.25111 ~ •••••••• .......... . •••. 1&'111121112 ...... .l'llorgon Clue .... . ........ •••••••••••• 1,:1311,122 ........... J,345,0110 ...... ~ liE ••• 5182fl.a.-.3 ·--------- llu .. t~al Olob tor~ ~11 NDn Call Prv Pie o.-1 01127/11 _________ ------------··------------··- _____ D7/11121112 ------ Ylillllo lnvulor &MI ------------··------------·· ---------··------------·.1.Dtlli • ..U ___________ J,Dt».D'» ·------------··------------· ... JIJT lfE ____________ _ 51~ ········- •tllf• lr.t ltuh CDr" Nat• lbl Call Prv Pic 1.1!111 04RM/14 ·--- .•••. D7/1312012 . ____ WI :diD Irma lor S.: _________ ............ __ t,ICI,8711 ___________ J,D,IICD ____ ._ 1FE... ---· 1 58211"J-AA-Q ·--------- •a.. if• 81obll Corp lmt1 Non Cell Prv- Pie 0.7811 01/11/14 ------------··----------- _____ 11/12/21112 ______ Ul Blncorp ____ ------------··------------· ------------··------------· ------------··------------· ------------··------------·· ---------··------------··--JSI,IDI ______________ J50,DJ) ·------------··------------· ______ .D tfE ____________ _ ~ ••••••••. llm•t;o c.,;tol Co•; lloto 1111(11' 2- Wo!l/22 •• . •••. Wit/3112 ..... .J'IIorgon Clue .... . ........ •••••••••••• 1,338,531 ........... J,310,0110 ...... » tiE... . ...

1

~,::: :::::::::~ = ~~~~r~~t~:n:l ~II ~~~:m-imi.ii --------··------------· ~:::~::::~ :.:::: ~:~~~~:-~~--~-=~-~~----··------------· ------------··------------· ------------··------------· ------------··------------·· ::::::::: .. ::::::::::::::~:::: :::::::::::~:::: -------------··------------··13.-: ~:::: _________ :--· 1

742511...-M-7 ········-Principal Llfl Glallal CDr" Nat• lbl Call Prv Pic UIIB aJ'RII/14 __ .•••. D7/1012012 ______ US Bln:orp •• __ 500,000 ____________ !iOO,DCD ______ .0 1FE... ---· I 713111'J-A1l-1 __________ IIIC C..niolti1111 Inc Corp lmt1 Cant Call 5.1001 W"15/14 --------· ------------··------------··- _____ L'Ifl4121112 ------ kc:t.ovia Blr* ----------· ------------··------------· ------------··------------· ------------··------------··- ------------··------------·· ---------··--------------1,411,511 ___________ J,:ID,DJ) ·------------··------------· ____ nf 1fE ____________ _ -- ••••••••. 't .lodo llod;ool Cor, Noto Ill t511P 2.2001 ot/15113 . . •••. »7111813112 ...... oloff"'' ond CooponJ .. ..1&3,3111 ............ 110,0110 .5,31S tiE ••• t112DH11-2 ••••••••. W' Cor; lloto Coli 1.1141 111123/13. •••••••••••• . •••. »7/11131t2 ...... iiZIIIo lnvutor loc Co .. ..liii,IIO ............ 5111,0110 ... .813 liE ••• -- - - ·--------- 1111r•n Corp NDt1 Non Clll o.l88l iQ/13114 .. ------------··------------· ------------··------------··- _____ .tlfi012D12 ______ &oln.t SU;r. ----------· ------------··------------· ------------··------------· ------------··------------··- ------------··------------·· ---------··------------··--D.ac. ______________ ,.,Dr» ·------------··------------· ------»

~u--Bond• • lnduotrlal and Mlloolll•naouo (UniOiftll-l 15.1111.7$1 15,425,0110 51,310 "obol • - • Plll13 I 31,11511,111 I 34,231,117 I m,aJO "otal • -. P11115 I XXX I XXX I XXX ·o~a1-- I 31,11511,71&] 34,231,117 I m.aJO obol • P11118rrad - • Plll13

'rolarnMI- • P11115 XXX XXX '11118rrad-:Ommon S--Pert 3 :Ommon S-· Plll15 XXX XXX :Ommon Stocka

i899999. Tobol • ProlarnMI and Common stockl o XXX o XXl 1999999 • Tobolo 31 11511 711 XXX m aJO XXX a) For all oommon oiDck bearing tile NAIC marbtlndlcator "U' provide: the number Dl ouch luuaa

Page 14: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULED ·PART 4 Show All Long-Term Bonds and Stock Sold Redesned or Olherwiae Diapoeed of During the Cun-ent. Quarter

2 3 4 5 e 7 8 9 10 Change In Baok/Ad"uatad Canying Value 16 17 18 19 20 21 22 11 12 13 14 15

Tobd Total NAIC Cumont Change In Foreign Deolg-v .... Book/ Exchange Book/ Bond nation

PriorY ear Cumont Clthar Than Adj.-d Change In Adjuatad Foreign 1-t/ 8- or Book/ Unllllllizad Yea~• Tempolllry Carryi'lj Book Carrying ~qe Reali;ood stock Con- Mlllk8!

CUSIP NLmbarol Adjultlld Valuation (Amor· lmpeirmenl Value /Adj- Value at Gain Gain Tobd Gain Dividends tractual In-I dent· For- Dis pollOI Name stuo .... ol Conoid- Actual Carrying ln.,_.., Hzatian)' Rec:ag- (11 + 12· Carrying Diopolal (Looo)on (L011)on (Loao)on - Maturity d-

ificalion o-riDtion eian Dale ofPurchaoar Stock -ion Par Value Coat Value Decna81e - nizad 131 value Dale Dilll0881 Dilll0881 Dis.,.;... DunnaYaar Date (8}

.. J1Sill-aH RIB Nolo Coli o.2ltOI DII/W1S ---------------- -------- .D8/W2012 .. Coli 100.CIJCIII ....... ...... 2,IXI),IXI) ........ 2,IXI),IXI) ........ 2,IXI),IXI) ................... 0 ............... ~ ............... ~ ............... ~ ............... J ............... J ........ 2,IXI),IXI) ..... ~ ...... ~ ........ ~ ........ 1,0 .111106/l!D11 I. • Jt:Jil'il.a'.l RIB Nolo Coli D.SlOIL 011110/ts ---- ---------- -------- .11112S/2012 .. Coli 100.CIICIII .• .••••. 2,IXI),IXI) ....... 2,IXI),IXI) ....... I,CilO,CilO ........ .•••••.. 0 ....... ~ ........ ~ .......... ~ •.•••••••••• D ••••••••••• D .••••••. 2,(1)0,(1)0 .... D ...... D ........ D ....... 1,1)(1) 011/tMDtJ 1... .. Jt~ RIB Nolo Coli D.BlOl_,M ---------------- -------- .III/DS/2CI11 .. Coli 100.CIJCIII ....... ....... t,!iCJO,I)(I) ........ t,!iCIO,I)(I) ........ t,!ilO,CilO ................... 0 ............... » ............... » ............... » ............... » ............... » ........ t,!ilO,CilO ..... D ...... D ........ D ........... 115 .1111/0512)14 I. .. l112211H\1--8 Kl Pool :IQ27 IllS Q.CIX)\ 12115118 ........ .01.10112011 .. l'lydoon .. ..... 18 .................. 16 .................. 16 .................. 16 ............... » ............... » ............... » ............... » ............... D .... 18 ..... J ...... » ........ » ·············-~ .1V151201t I. . l112211H\1--8 Kl Pool :IQ27 IllS Q.CIXI\ 121151111 •.•.• . -------- .0110112012 •· l'lydoon • ... ll .•.•.•.. 16 •. .11 •.•.•. 11 •.•.•.• D ........ » . ......... » ............ J ........... J ------ .... 18 .... D ...... J ........ J ~ 1V1512011 1... .. l112211H\1--8 -Pool :IQ27 IBS Q.CIXI\ 121161111 ........ .0110112012 --- ..... 11 .................. 11 .................. 11 .................. 11 ............... ~ """"jiB"~ ............... ~ :···:jil"~ ............... J .... 11 ..... ~ ...... ~ ........ ~ ..............• .1V16/l!D1t I. m~ U8 Tr8BI&IrJ Note 1.315'1 08115112 .08/1~11 .. •turltp ___ .. 10 lXI) lXI) ...... .10 lXI) lXI) ...... 10 OIM 174 ....... 10 0111 712 .J .J D .toCilOCilO .... J ---- ...... J ... ........ J ..... 137 !ill) !&/1512012 1...

0699999. Sul:lloiJII-Bondo- u.s. Govemmantl 1~5CIOm 1~ !iCIO '111 15 584 ~ to 0111 IIIII 0 21 712 0 21712 0 15!il0 '111 0 0 0 141 15 XXX XXX .. 10412HH IIIII Ill Non Coli &.DCUICII/01/11 ------------ -------- .0110112012 .. •turltr -------------------- --------------- ...... 2,tliO,IXI) ........ 2,1l10,1)(1) ........ 2,2141,141 ....... .2,11111,~ ............... ~ ....... 1211,3871 ............... » ....... J211,111} ............... J ........ 2,010,(1)0 ..... ~ ...... ~ ........ ~ ...... 11l1,1D) .CIII01/l!D12 IFE. ..... JUII4147 PAll Ill Non Coli 5.DCUICII/01/11 .. .0810112011 .. llllturlb ___ .. 21)(1)1)(1) ....... 2 lXI) lXI) ....... 1 147 1110 ....... .2 0'11 151 ... J 71 151 ---- J 21 151 ------ D .... 2(1)0(1)0 .... D ---- ...... J ... ........ J ..... 1001)(1) Cll/01/l!D12 !FE. . 1799999. Sul:lloiJII-Bond•- u.s.s- T-and Poet••ions 4 010 lXI) 4 010 lXI) 4 31M 121 4 c.! 54li 0 53 54li 0 53545 0 4 01111)(1) 0 0 0 201 !iCIO XXX XXX

IJII- IL IE Nlth Cop Rov Non Coli •. tf15ST-AI-a 5.150!.111101/12 .111/0112011 .. llllturltr .••••. 2,100,1)(1) ....... 2,1111,1)(1) ....... l,lll!i,ll71 ...... .2,140,241 ....... » .J40,2411 . .. .......... » •.•• 140,241} ••••••••••• D .••••••. 2,100,(1)0 .... J ...... J ........ J .... 110,150 lll/01/l!D12 I FE. .. .. Jt!R4H IIIII: P<ol ..11111101118 5.5001 CIWI/21 .111/0112011 .. l'lydoon .. .1,5JS .............. 1,5JS .............. 1,51S .............. 1,515 ............... » ................ ! ............... » . .............. .! ............... » .............. 1,511 ..... D ...... D ........ D ............. 51 .CIWI/ZIIt .. I. .. 311R4H IIIII: Pool ..1111110 1118 5.5001 CIWI/21 .0810112011 .. l'lydoon .. .1.511 .............. 1.511 .............. 1.511 .............. 1.512 ............... » ................ ! ...............• . .............. .! ............... J .............. 1.513 ..... J ...... » ........ J ............. $ .CIWI/ZII1 .. 1. .311R4H IIIII: P<ol ..1111110 1118 5.5001 CIWI/21 .. .0110112012 •· l'lydoon . ··•·•·•·• .1,511 .•.. 1,511 ........... 1,511 •. 1,511 •.•.•.• D ·········• .......... » . ........... .! ........... J ...... 1,511 .... D ...... J ........ J ......... 116 CIWI/ZII1 1... .. J1:1B'E-4-1 IIIII: P<ol .113&211 1118 ··- 10101121 .111.10112012 .. --- .2,m ............. .J,m ............. 1,121 ............. .2,11& ............... ~ ............ .lllll ............... ~ •..•••••••••• (311} ............... J ............. 2,m ..... ~ ...... ~ ........ ~ ............. il .10101/ZII1 .. I. .31:1B'E-4-1 IIIII: P<ol .Jl3!i2ll 11!8 ·-- 10101121 .. .0110112011 .. -- -~.1)12 •.. ~.012 ............ 1,1112 .t,t:t!i ....... » •..• 11221 . ........ » • .•.•.• 1122} •.•.•.•.••• D ..•.•.•.•.•• ~.012 .... D ...... D ........ D .......... 310 10101/ZIIt 1... .. 31:1B'E-4-1 IIIII: P<ol .Jl3!i2ll 1118 I.DCUI 10101/21 .0810112011 .. l'lydoon .. ........... 11,118 ............ 11,71111 ............ lt,lllt ............ Jt,IMII ............... » ........... 111111 ............... » . .......... 11110} ...............• ............. 11,7111 ..... D ...... D ........ D ........... 5!0 .10101/ZIIt .. I.

m .. 31~ IIIII: Pool Jl353(l .. ··- 10101121 .01.10112011 .. l'lydoon .. .1.118 .............. 1.111 .............. 1.144 .............. UJII ............... » ............. (211 ............... 0 . ............ 1211 ...............• .............. 1.118 ..... J ...... J ........ J ............. 14 .10101/ZII1 .. 1. 0 .. 31~ IIIII: P<ol Jl353(l 1118 ··- 10101121 ... .0110112012 .. l'lydoon . ••••••••. 1.1211 . .•..• 1.11211 ............ 1,152 •. 1,1147 . ........ » . .•.•••• 1211 ... ........... » . .•.••••••.. (211 ............ J .••••••••••. 1,1211 .... D ....... ...... 0 ..... ........ » ........... 11 10101/ZII1 1... c.n .. J1~ IIIII: P<ol Jl353(l 1118 ··- 10101121 .0810112012 .. --- .1.112D ............. .l.ll:!l ............. .1.141i ............. .1.141 ............... ~ ............ .1211 ............... » ............. 1211 ............... J ............. .l.ll:!l ..... ~ ...... ~ ........ ~ .............• .10101/ZII1 .. I.

. Jt:III'E-ICP-2 IIIII: P<ol ..113001 11!8 5.5001111101121 ------ .111.10112012 .. -··· .1,1!15 •.• ~.1115 ............ 3,1111 ........ .. ~.- ....... » ........ ~ .......... » ............ ~ ••••••••••• D ............. J,f75 .... D ...... J ........ J .......... 111 111101/ZIIt 1... .. Jt:III'E-ICP-2 IIIII: P<ol ..113001 1118 5.5001111101/21 .0110112011 .. --- .2,141 ............. .2,140 ............. 1,144 ............. .2,144 ............... » ............... 5 ............... » ............... 5 ............... J ............. 2,1411 ..... D ...... J ........ D ............. 71 .111101/ZIIt .. I. .31:III'E-ICP-2 IIIII: Pool ..113001 1118 5.5001 0711)1/21 .0110112011 •· l'lydoon . .1,11116 .•.• 1.11116 ........... 1,1111 •. t,llt ... ....... J ........ 5 .. .......... » . •.•.•.•.•.. 5 ........ . J ...... 1,11116 .... J ...... J ........ J ......... 11 0711)1/ZIIt 1... .J1211'1HIJ-5 IIIII: P<ol Jl157( 1118 5.5001 CIWI/23 ..... .01/0112011 .. l'lydoon . ..•.•.•.• 42,:!115 .• !2,305 .......... !1,181 ········· -l2,1lll ....... J .•.• 1G51 . .. .......... » . •.•.•.• 1-12i) ........... J ............ !2,Ui .... D ...... J ........ J ...... 1,351 CIWI/21113 1... .. J1211'1HIHi IIIII: P<ol .111&71 IllS &.liOOICIWI/23 .0110112012 .. --- ............ UIIO ............. UIIO ............. U811 ............. J.212 ............... ~ ............ .CUI ............... J ...•••••••••• (31} ............... J ............. 1.2110 ..... ~ ...... ~ ........ J ............ 120 .CIWI/l!Z I. .J1III'K-IIJ-5 IIIII: P<ol Jl1571 11!8 5.5001 CIWI/23 .. .0110112012 .. -- •••••••• 42,11111 •. A:!,IIIII ... 4ti,C. JS,IDII ....... » •..• 142111 . ........ » • .•.•.• 1421) ........... 0 ..•.•.•.•.•. A2,4Illl .... J ...... D ........ D ... 1,7$ CIWI/l!Z 1... .. 3131\.·PIH IIIII: P<ol .lllli3l 1118 5.5001 Cll/01/23 .111/0112011 .. --- ........... 11,712 ............ 11,712 ............ lt,IIM ............ Jt,IIIO ............... » ........... 11181 ............... » ........... 1118} ............... J ............. 11,112 ..... D ...... D ........ D ........... :m .CII/01/l!Z I. .. 3131\.~7 IIIII: Pool .lllli3l 1118 5.5001 Cll/01/23 ... .0110112011 .. l'lydoon . •••••••• 40,321 . .•. 40,321 ........... 40,774 40,724 . ........ J . .•.•• 141111 ... ........... » . .•.••••.. 1403) ............ » .••••••••••. 40,321 .... J ....... ...... 0 ..... ........ » ........ 1,41t Cll/01121113 1... .. 3131\.~7 IIIII: P<ol .lllli3l .. 5.5001 Cll/01/23 ... .0810112012 .. l'lydoon . .••••••••. ~.744 ······· .•.• .11,744 ............ 1,85.'1 .........• .11,141 ...... ........ J .... ...... .!ill ... ........... » . .......... .!ill ............ J .••••••••••. .11,744 .... D ...... 0 ........ J ..•.•.•.•. 401 Cll/01121113 I. .. 3121Pi'-111-4 IIIII: P<ol J10710 IllS 4.5001 Cll/01n4 .01.10112012 .. l'lydoon .. ............ 1.530 ............. H*l ............. Hill ............. .11.811:2 ............... J ........... 13111 ............... J . .......... 13111 ............... J ............. .11.530 ..... J ...... J ........ J ........... 250 .ot/01m!4 1. .J121Pi'-111-4 IIIII: P<ol JIO!IO 1118 4.1i001CII/01124 ...... .0110112012 .. -··· .•••••••• 10,&14 •. 10,614 ........... JO,Il'il JO,IIIi2 ....... ~ •.•• 1311111 . .. .......... » •.•••••• Jill} ........... 0 .••••••••••• 10,6114 .... J ...... J ........ J ......... J11 CII/OtmM 1... .. 3131'1'-111-<4 IIIII: P<ol JIO!IO 1118 4.5001 Cll/01/24 .0810112012 .. --- .......... Jl,!illl ............ 17,5118 ........... 11)1,2:111 ........... 100,971 ............... » ......... (1,:1141 ............... » ...•••••• (8,81M} ............... J ............ 81,5118 ..... D ...... D ........ D ........ 3,194 .CIIIOtmM I. .31III'P-IIC-4 IIIII: P<ol Jlll'l!i!i 1118 4.5001111/1)1/24 ... .111.10112011 •· l'lydoon . ..•.•.•.• lt,IQO .• 11,2111 ......... .1!8,417 1!,215 ....... » .. 11,11151 . .. .......... » . •.•.• (l,fl!i} ........ » •.•.•.•.•.•. 81,1110 .... J ...... J ........ J ..... 2, 184 111/l)lmz,j 1... .J1III'P-IIC-4 IIIII: P<ol Jlll'l!i!i .. 4.5001 01101124 ..... .0110112012 .. l'lydoon . ..•.•.•.• .110,1)18 •• 110.018 .......... 81,1111 ········· 11,414 ...... ....... J .... •. (1,4&111 ... .......... » . .•.•.. (1,4611} ........... J •.•.•.•.•.•. 110,011 .... 0 ...... J ........ J ...... 1,1D) 01/0tmM 1... .. 312lfi'-IIO-,I IIIII: P<ol J111'15!i IllS 4.5001 01JI)In4 .0110112012 .. l'lydoon .. .......... Ja.741 ............ 18.141 ............ 10,1(12 ............ 110.1154 ............... J ......... 11.1131 ...............• . ........ (1.813} ............... J ............ 18.741 ..... J ...... J ........ J ........ 2.1166 .01Mmz4 1. .J1-!1.•1 IIIII: P<ol Jllll1& 11!8 4.1i001CII/01/24 .. .111.10112012 .. -- •••••••• 11,7&1i •• 11,7&& ........... l2,2311 J2,201 ....... ~ •..• 14411 . ........ » • .•.•.• 1441) ........... 0 ..•.•.•.•.•. 11,1ti& .... J ...... D ........ D .......... Jill CII/OtmM 1... .. 31-!1.-1 IIIII: P<ol JI0115 1118 4.5001 Cll/01/24 .0110112011 .. --- ........... 12,2112 ............ 12,2112 ............ l2,114 ............ J2,727 ............... » ........... 141111 ............... » ........... j-1111} ............... J ............. 12,2112 ..... ~ ...... D ........ D ...........• .CIIIOtmM I. .. 31-!1.-1 IIIII: P<ol Jllll15 1118 4.5001 Cll/01/24 ... .0810112011 .. l'lydoon . •••••••• 11,& . .•• 13,& ........... l4,248 J4,3111 . ........ » . .•.•• 1!i2111 ... ........... » . .•.••••.. J!i211} ............ » .••••••••••. ta,MI .•.• D ....... ...... » ..... ........ » .......... All CIIIOtmM 1... .. 31-- IIIII: P<ol Jl1387 1118 4.DCUI 11101124 .01.10112012 .. l'lydoon .. ............ 4,377 .............. 4,'S71 ............. A,4311 .............. 4,431 ............... » ............. (541 ............... » . ............ (54} ............... » .............. 4,377 ..... D ...... D ........ D ............ 102 .11101m!4 I. .. 312!PO-il&-l IIIII: P<ol J11311 IllS 4.DCUI 11101124 .0110112012 .. l'lydoon .. .......... .Q.lll! ............ .Q.712 ............ 83.81!1 ............ 83.541 ............... J ........... 11111 ...............• . .......... Illl) ............... J ............ 112.712 ..... J ...... J ........ J ......... 1.1114 .11/01m!4 1. . J1l!II'Q-iiHI IIIII: P<ol Jl1387 1118 4.DCUI 11101124 ...... . 0810112012 .. -··· .•••••••• . 4.214 ... 4,214 ............ A.m ........ .•. 4,11111 ....... ~ •.•••• (61!1 . .. .......... » •••••••••• (&!) ........... 0 .•••••••••••. 4,214 .... J ...... J ........ J .......... 1111 12101m!4 1... .. J1211'1Hi11-4 IIIII: P<ol Jl21151 1118 4.5001111/0112i .111.10112012 .. --- ............ 2 •• ............. .2,31111 ............. 2,5:111 ............. .2,511 ............... » ........... .(Mil ............... » ........... 1141} ............... J ............. 2,.!1111 ..... ~ ...... D . ....... D ............. 11:1 .lll/01/l!l2i I. .Jt~ IIIII: P<ol Jl21151 1118 4.5001111JI)I/2i ... .0110112011 •· -- .2,:tlll .•. .l!,:tlll ........... 2,548 • .2,5411 ....... » .•.• 11421 . .. .......... » .•.•.•.• 1142) •.•.•.•.•.• D •.•.•.•.•.•. 2,:tlll .... J ...... J ........ J ......... 71 IIIJI)I/l!l2i 1... .. J1211'1Hi11-4 IIIII: P<ol Jl21151 1118 4.5001111/0112i .0810112012 .. l'lydoon .. ........... 41,187 ............ J1 ,187 ............ J4,421 ............ J4,311 ............... » ......... (1,>1151 ...............• . ........ (1,415) ............... » ............ J1,187 ..... D ...... D ........ D ......... 1,414 .lll/01f1fllf> I. .. 31211'1HJJ-4 IIIII: Pool 12315 IllS 4.5001 ot/0112i .01.10112011 .. l'lydoon ..

-~-- ............. ~.2112 ............. j,litt ............. U88 ............... ~ ........... 12811 ...............• . .......... 111111 ............... J ............. j,ll2 ..... J ...... J ........ J ............ Ill .c./Otf1fllf> 1. .J1211'1HJJ-4 IIIII: P<ol 12315 IllS 4.1i001CIII01121i .. .0110112012 .. -- •••••••• . S,307 •.. ~.307 ............ UIII .~.liM ....... ~ •..• 12171 . ........ J • .•.•.• 1211) ........... 0 ..•.•.•.•.•• ~.307 .•.. ~ .•.•.. ~ ........ J ........... 111 CII/01/Zll!li 1... .. 31211'1HJJ-4 IIIII: Pool 12315 1118 4.5001 C1110112i .0110112012 .. --- -~.2112 ............. ~.2112 ............. S,ltl ............. S,541 ............... » ........... JIIIil ............... » ........... 12151 ··············-~ ............. 5,2112 ..... ~ ...... ~ ........ D ............ 171 .CIII01/l!l2i I. .. 31111'1-<1.~ IIIII: P<ol Jl'ml 1118 3.5001 1110112i ... .111/0112011 .. -- ••••••••. 7,5!11 • .•.. J,!i!il ............ 1,111 .J,I!OII . ........ » . .•.••.. (511 ... ........... » . .•.••••••.. 151) .••••••••••• D .••••••••••.. 1,!i!il .•.• D ....... ...... » ..... ........ » ..•.•.•.•.• 154 11101/l!l2i 1... .. Jtlll'l-<1.~ IIIII: P<ol Jl'ml 1118 3.5001 1110112i .0110112011 .. l'lydoon .. .7,4111 ............. J,411! ............. 1,552 ............. J,IIiO ............... » ............. (511 ............... » . ............ (51) ............... » ............. 1,4811 ..... D ...... D ........ D ............ 175 .11101/ZII!i I. .. 31111'1-<1.~ IIIII: Pool J13111 .. 3.5001 1110112i .0810112011 .. l'lydoon .. .1.088 ............. .11.088 ............. t.1ao ............. .11.121 ............... ~ ............. 1611 ...............• . ............ 18() ............... J ............. t.OIII ..... J ...... » ........ ~ ........... 231 .11101f1fllf> 1. .31111'1-IF-I IIIII: P<ol Jl3151 1118 4.DCUI 12/0112i ... .01/0112012 .. l'lydoon •.. .1,823 •.. JI,II23 ........... :111,247 J0,235 ••••••• D •.•• 131() . .. .......... » • .•••••• 1!1() ........... J .•••••••••••. .11,123 .... ~ ...... J ........ J ......... 232 12101/ZII!i 1... .. J1111'1-IF-I IIIII: P<ol Jl3151 1118 4.DCUI 12101121i .0110112012 .. --- .8,11&1 ............. J,II&I ............. J,lMII ............. B,tra ............... ~ ........... 12121 ............... » ........... 1212) ............... J ............. J,4Iitl ..... ~ ...... ~ ........ D ........... 2!1 .12101/Zll!li I. .31111'1-IF-I IIIII: P<ol Jl3151 1118 4.DCUI 1110112i ... .0810112011 •· -- .1,410 .•. 1,410 ........... 3,1115 .1,1114 ....... » .•.• 11141 . .. .......... » .•.•.•.• JISI) •.•.•.•.•.• D •·•·•·•·•·•·•1,410 .... J ...... J ........ J ........ 251 11101/l!l2i 1... .. 312111\HQHi IIIII: P<ol Jl41l7 1118 4.500111Wt/211 .111/0112011 l'lydoon .. .2,0111 ............. .2,0111 ............. 1,132 ............. .2,129 ............... » ........... J1201 ............... ~ . .......... 11211) ............... » ............. 2,0111 ..... D ...... D ........ D ............. 5:1 .IIWI/ZIII I. .. 312111\HQHi IIIII: Pool J141l7 .. 4.500111Wt/211 .0810112011 -:~=· : .1.111$ .............. 1.111$ .............. 1.111 .............. 1.111 ............... » ........... 11001 ............... J ........... 1100) ............... J .............. 1.111$ ..... ~ ...... » ........ ~ ............. 50 .IIWI/ZIII 1. . 312111\HQHi IIIII: P<ol Jl41l7 IllS 4.500111Wt/21 .0110112012 . ..... .14145 14 IMii .. .ill 114 110 rm J ~ 012 J . 5 012 .. J .14145 ----· .. 0 ... .. 0 . . .. J 2 1111 .IIWI/ZIII 1..

Page 15: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULED ·PART 4 Show All Long-Term Bonds and Stock Sold Redesned or Olherwiae Diapoeed of During the Cun-ent. Quarter

2 3 4 5 e 7 8 9 10 Change In Baok/Ad'uatad Canying Value 16 17 18 19 20 21 22 11 12 13 14 15

Tobd Total NAIC Cumont Change In Foreign Deolg-v .... Book/ Exchange Book/ Bond nation

PriorY ear Cumont CJiher Than Adj.-d Change In Adjuatad Foreign 1-t/ 8- or Book/ Unllllllizad Yea~• Tempolllry Carryi'lj Book Carrying ~qe Reali;ood stock Con- Mlllk8!

CUSIP NLmbarol Adjultlld Valuation (Amor· lmpeirmenl Value /Adj- Value at Gain Gain Tobd Gain Dl'lldands tractual In-I dent· For- Diopollll Name Shlln111 ol Conoid- Actual Carrying ln.,_.., Hzatian)' Rec:ag- (11 + 12· Carrying Diopolal (Looo)on (L011)on (Loao)on - Maturity d-

ificalion o-riDtion eian Dale ofPurchaoar Stock -ion Par Value Coat Value Decne81e - nizad 131 value Dale Dilll0881 Dilll0881 Dis.,.;... DunnaYaar Date (8}

.. 31:111'.1-TH IIIII: Pool J1iU13 11!1 ucm 04101121 .Dl/0112012 .. --- ......... .124,22:1 ........... 124,Z!S .......... .1:11,144 ........... 11111,11311 ............... ~ ........ .13,1131 ............... ~ ......... {1,111} ··············-~ .......... .124,Z!S ..... ~ ...... ~ ........ ~ ........ 1,111111 .IK/01/m!B 1. . 31:111'.1-TH IIIII: Pool J151113 11!1 4.0001. IK/01121 •..... .DB/0112012 .. -··· .•••••••• 41,!m . •• A8,532 ........... 50,0&4 50,1122 ....... ~ . •. 11.•1 ... . ......... ~ •.•••. {1,480} ........... ~ .••••••••••. A8,532 .... ~ ...... ~ ........ ~ ....... 1,2114 IK/01/m!B 1... .. 31:111'.1-TH IIIII: Pool J151113 11!1 4.0001. 04101121 .DB/0112011 .. --- .......... sa, 121 ............ 53,121 ............ S4,11l0 ............ !14,754 ............... ~ ......... (1,110} . .............. ~ ......... (1,110} ··············-~ ........... .!i3,123 ..... ~ ...... ~ ........ ~ ......... 1,5114 .IK/01/ZI!I 1. .. 3121PH.H IIIII: Pool J(5011(1 1111 4.500!oowti:IJ .Dl/0112012 .. --- .uee ............. 2.5811 ............. U25 ............. 1.722 ............... » ........... Jtsll . .............. » ........... 1153) ··············-~ ............. 2.5811 ..... » ...... » ........ » ............. &7 .owt/ZI!I I. .3121PH.H IIIII: Pool J150110 IllS 4.500!oowti:IJ .....

~······· .DB/0112012 •· -- .Ufl .•. 2,fll1 ........... l,NI .2,111 ....... ~ .•.• 1151) ... . ......... ~ .•.•.•.• 1151) ........... ~ •.•.•.•.•.•. 1,fll1 .... D ...... D ........ D ......... ll CWOI/ZI!I 1...

.. 31:1B'J-\P-6 IIIII: Pool J1iUIO 11!1 ucm 04101121 .0110112012 .. --- .1.147 ............. 2.147 ............. Uilll ............. 2.11114 ............... ~ ........... 11571 ............... ~ ........... 11&7} ··············-~ ............. 2.611 ..... ~ ...... ~ ........ ~ .............• .IK/01/m!B 1. .312IPJ.IF.6 IIIII: Pool J15141 11!8 4.!1001. IK/01121 •· .Dl/0112012 .. -- ••••••••. 4,2111 •.•• 4,211 ............ A,!il2 •• 4,!i!i5 ....... ~ •..• 1111141 . ........ J • .•.•.• 111114) ........... ~ ..•.•.•.•.••. 4,2111 .... ~ ...... ~ ........ ~ ........... 113 IK/01/m!B 1... .. 312IPJ.IF.6 IIIII: Pool J15141 11!8 4.50(11, IK/01121 .DB/0112011 .. --- .4,8 .............. 4,21B ............. A,!il1 .............. 4,5:11 ............... ~ ........... .(:1112} . .............. ~ ........... .(1112} ··············-~ .............. 4,:111 ..... ~ ...... ~ ........ ~ ............ 1111 .IK/01/D!I 1. .. 312IPJ.IF.6 IIIII: Pool J15141 ,.. 4.50(11, CWOI/:11 ..• .DBIOI/2012 .. -- ••••••••. 4,:180 • .•... 4,:180 .•.•.•.•.•.. 4,5411 •. 4,543 . .•••••.. D • .•.•• Jial . •. .•.••••••.• D . .•.••••.. Jia) ............ J .••••••••••• 4,2e{J .... D ....... ...... J ..... ........ J ..•.•.•.•.. 144 CWOI/ZI!I 1... .. 31:111'.1-\'H IIIII: Pool J151211 IllS 4.500!oowti:IJ ..• .DI/0112012 .. l'lydoon . • •••••••. 3.7ffl . .... ~.ro .•.•.•.•.•.• 3,144 .3,11111 . .•••••.• D • .•.•• 12321 . .. .•.••••••.. D . .•.••••.. 1232) .••••••••••• D .••••••••••. 3,7'11 .... D ••••••• ...... D ••••• ........ D ........... il CWOIID!I 1... .. 31:111'.1-\'H IIIII: Pool J11il!211 IIIIi 4.&001. 04101121 .DB/0112012 .. --- .4.D11 .............. 4.D11 ............. A.lMG .............. 4.333 ............... J ........... Jillilil ............... J ........... Ji!lilil ··············-~ .............. 4.D11 ..... ~ ...... ~ ........ J ............ 122 .IK/01/m!B 1. .31:111'.1-\'Z~ IIIII: Pool Jl51211 11!8 4.50(11, IK/01121 •..... .DB/0112012 .. -··· .•••••••• 47,0!i9 . •• A7,0!i9 ........... SO,Dll 50,1110 ....... J •. (2,1141} ... . ......... J •.••.. (2,1141} ........... ~ .••••••••••. lf1,0!i9 .... ~ ...... ~ ........ ~ ....... 1,511 IK/01/ZI!I 1... .. 31211'HT-2 IIIII: Pool J1112112 11!8 3.50(11, IJILI1)1J21 .Dl/0112011 .. --- .2,211) ............. 2,2110 ............. 1,811 ............. 2,3M ............... ~ ........... .(114} . .............. J ........... jiM} ............... J ............. 2,2110 ..... ~ ...... J ........ J ............. 45 .IJILI1)1/Z121 1. .31211'HT-2 IIIII: Pool J1112112 11!8 3.50(1!,1JILI1)1/:IJ ... .DBIOI/2012 •· -- .2,230 .•. 2,1:J) ........... 2,341 .1,11411 ... •.•.•.• D .•.• .(1181 . .. . ......... J .•.•.•.• 1111) ........ . J •.•.•.•.•.•. 2,1:J) .... D ...... D ........ J ......... .52 IJILI1)1/D!I 1... .31211'HT-2 IIIII: Pool J1112112 IllS 3.500!o1JILI1)1/:IJ ..... .DB/0112012 .. l'lydoon . .2,253 .•. l.253 ........... Uil .l,31111 •.•.•.• D .....•.• 11171 ... .......... ~ ..•.•.•.• 1117} ........... ~ •.•.•.•.•.•. 2,253 .... D ...... D ........ J .......... II IJILI1)1/D!I L. .. 31111'H4-2 IIIII: Pool J1- IllS 4.&001. lllil01121 .Dl/0112012 .. --- .3.flli8 .............. 3.11i1 ............. J.IIiG ............. J.241i ............... J ........... 11.1 ............... J . .......... 11.} ··············-~ ............. 1.181 ..... ~ ...... ~ ........ J ............. 110 .lllil01/m!B I. .31211"1~ IIIII: Pool Jl5421 11!8 4.50(11, lllil01121 .. .DB/0112012 .. -- ••••••••. 2,111 •.• 2,811 ............ 1,0113 .J,O!i9 ....... J •..• Jill} . ........ J • .•.•.• 1171} ........... ~ ..•.•.•.•.•• 2,811 .•.. ~ ...... ~ ........ ~ ···········• lllii01/Z121 L. .. 31111'H4-2 IIIII: Pool J15421 11!8 4.50(11, 1&101121 .DB/0112012 .. --- .2,R ............. 2,R ............. 1,011 ............. .3,011 ............... ~ ........... .(11!1} . .............. J ........... .(1711} ............... J ............. 2,8111! ..... ~ ...... J ........ J ............. 111 .1&101/ZI!I 1. .. 31211"1-fH IIIII: Pool JIS!ill 11!8 4.50(1!,1JILI1)11:1J ..• .Dl/0112012 .. -- ••••••••. 4,511 • .•... 4,!1i11 .•.•.•.•.•.. 4,617 •. 4,1MG . .•••••.• D . .•.•• .(lei} . .. ........... J . .•.••••.. Jiel) ............ J .••••••••••• 4,!1i11 .... J ••••••• ...... D ..... ........ J ........... 120 IJILI1)1/D!I L.

m .. 31211"1-fH IIIII: Pool JIS!ill 11!8 4.500!o1JILI1)1/:IJ ..• .DB/0112012 .. l'lydoon . • •••••••. 3,741 ··•·•·• .•.• 3,141 .•.•.•.•.•.. 3,11111 .........• 3.1111 ...... ........ ~ .•.• .•.•• 11111 . .. ........... ~ . .•.••••.. 12311 ............ ~ .••••••••••. 1,7411 .... D ...... D ........ J ..•.•.•.•.. 112 IJILI1)1/D!I I.

0 .. 31211"1-fH IIIII: Pool J(S!ill IllS 4.5001.081011:11 .0110112012 .. --- .4.18S .............. 4.115 ............. A-4110 .............. 4.454 ............... ~ ........... 12511 . .............. J ........... 1!Sii) ··············-~ .............. 4.115 ..... ~ ...... ~ ........ J ............ 142 _IJILI1)1fll)28 I. Ul .31211"1411-1 IIIII: Pool JUiiiSI 11!8 4.000!.1JILI1)1/21 •..... .Dl/0112012 .. -··· - •.••.• !liS .J112 .......• .•••. JII2 ....... ~ •.•••• (211 ... . ......... J •.••••••• .(21} ........... ~ ............ .. llli! .... ~ ...... J ........ J .......... II IJILI1)1/m!B L. :.. .. SI:1l1"141H IIIII: Pool J1511S1 11!8 4.000!.1JILI1)1/21 .DB/0112012 .. --- .I, 1511 ............. J,I!il ............. 1,52i ............. 1,519 ............... ~ ........... .(381} ............... J ........... .(11!0} ··············-~ ............. l,l!il ..... ~ ...... J ........ J ........... 211 _IJILI1)1/Z121 I.

.312JPV..IIG.I IIIII: Pool JISIISI 11!8 4.000!.1JILI1)1/:IJ ... .DBIOI/2012 •· -- ..•.•.•.• 18,445 .• 18,445 .......... J7,1112 J7,1l0 ....... J .•.• .(725} ... . ......... J .•.•.•.• .(TlS) ........ J •.•.•.•.•.•. 11,445 .... ~ ...... J ........ ~ ........ AI3 IJILI1)1/Z121 L.

.31211'H.H IIIII: Pool J15143 11!8 3,50(11, 071011:11 ····· .Dl/0112012 .. l'lydoon . . .•.•.•.• . 3, 111 ······· .•. J,111 ........... 1,21B ········· • .3,213 ...... •.•.•.• D .....•.• Jtllil ... .......... ~ ..•.•.•.• 1181} ........... ~ •.•.•.•.•.•. 1,111 .... D ...... D ........ J ......... 14 fi/101/D!I L. .. 3121FH.H IIIII: Pool J(5To(3 IllS 3.50(11, D!/011:11 .0110112012 .. --- ........... 1t012 ............ 12.012 ........... J2,81(} ............ J2.MI ............... ~ ........... 18161 . ............... ........... 18161 ··············-~ ............. 12.012 ..... ~ ...... D ........ J ........... 210 .07101/D!I I. .J1211'H.H IIIII: Pool Jl67o(3 11!8 3.6001. D!/01121 .. .DB/0112012 .. -- •••••••• • 1,171 •.• .1,171 .. 1,112 • .1,1110 ....... J • .•.. (!111} . ........ J • .•.•.•• .(81} ........... ~ ..•.•.•.•.•• 1,m .•.. ~ .•.•.. ~ ........ J .. 41 fl/101/m!B L. .. 31:111PHH IIIII: Pool J151183 11!8 4.000!.1JILI1)1/21 .Dl/0112012 .. --- ........... 15,431 ............ 15,431 ............ JI,221 ............ jj},212 ............... ~ ........... .(711} . .............. J ........... .(7711} ............... J ............. 15,431 ..... ~ ...... J ........ J ........... 3110 _IJILI1)1/Z121 I. .. 31:111PHH IIIII: Pool Jl51183 11!8 4.000!.1JILI1)1/21 ..• .DBIOI/2012 .. -- •••••••• 10,233 • .•• 10,ZIS .•.•.•.•.•. J0,7511 J0,7411 . ........ J • .•.•• .(514} . .. ........... J . .•.••••.. J5M) ............ J .••••••••••. 10,233 .... ~ ....... ...... J ..... ........ ~ .......... m IJILI1)1/D!I L. .. 31:111PHH IIIII: Pool J151183 1111 4.000!.1JILI1)1/:IJ ..• .DB/0112012 .. -- ••••••••. 1,1125 ....... .•.• !.1125 .•.•.•.•.•.• 1.1111 .......... J.m ...... .•••••.. D .•.• .•.•• 13481 . .. ........... J . .•.••••.. 1341} ............ ~ .••••••••••. !,1125 .... J ...... J ........ J .......... lCII IJILI1)1/D!I I. .. 31~ IIIII: Pool J(~ IllS 3.50(11, 011011:11 .DI/0112012 .. --- ... 341 ................ 341 ................ 3110 ................ 3110 ............... D ............ .C111 . ............... ............ .(11) . .............. J ................ 341 ..... » ...... D ........ J ............. .1 .01101/D!I I. .31~ IIIII: Pool J1~ IllS 3.6001 01101/21 •..... .DB/0112012 .. -··· 342 ...... ~ .• J81 .......• .•••. 3111 ....... J •.•••• (Ill ... .......... J •.•••••••• (11} ........... ~ ............ .. ~ .... ~ ...... J ........ J I 01101/m!B L. .. SI~ IIIII: Pool J1145:1 11!8 3.50(11, 01101121 .DB/0112012 .. --- .7,7Jll ............. J,TS ............. J,II1 ............. J,IS4 ............... ~ ........... .(415} . .............. J ........... .(415) ··············-~ ............. J,TS ..... ~ ...... J ........ J ........... 2113 .01101/ZI!I I. .31211"1~ IIIII: Pool Jll741 11!8 3.0001. CWOI/21 ·-·-· .Dl/0112012 •· -- ..•.•.•.• • 7,111111 .•. 1,11811 ........... 1,11114 •.•.••. 0 ....... J .•.• .(318} ... . ......... J .•.•.•.• 111111) ........... ~ •.•.•.•.•.•.. 1,11111 .... ~ ...... J ........ ~ ......... lll CWOI/2027 L. .. 31211"1~ IIIII: Pool J11141 11!8 3.0001. CWOI/21 .DB/0112012 .. --- .1,411 ............. J,411 ............. J,I43 ................... 0 ............... J ........... JG51 ................ ........... .(425} . .............. J ............. 1,411 ..... ~ ...... ~ ........ J ............. 11 .0410112027 1. .. 31211"1~ IIIII: Pool J(i/41 IllS 3.1i001owt/21 .0110112012 .. l'lydoon .. .1.542 ............. J.S42 ............. UT11 ................... 0 ............... ~ ........... 14311 . .............. J ........... 14311 ··············-~ ............. J.S42 ..... » ...... D ........ J ............. & .CWOI/3127 I. .31210HH IIIII: 1111 1106 Cia El all 7.111111o 07101121 .Dl/0112012 .. -- ••••••••..... 12 • .•.•• .12 •. .12 •••••. 12 ....... J . ...... J . ........ J . .......... ~ ........... ~ .... 12 .... J ...... J ........ J 0 fii/011Z11!1 L. .. 3125106--fZ .. IIIII: 1111 1105 Cl& EZ all 7.111111o D!/01121 .DB/0112012 .. --- ..... 11 ................. .11 .................. 11 .................. 11 ............... J ............... J . .............. J ............... J ··············-~ .... 11 ..... ~ ...... ~ ........ J .............. 0 .fii/011Z11!1 . . I. .. 312IIQI..R.I IIIII: 1111 1105 Cia El all 7.111111o D!/01121 .DB/0112012 .. -- ••••••••..•.• 10 • .•.••••. .10 .•.• 10 •••••. 10 . ........ J . ......... J ... ........... J . ............. ~ ............ ~ .... 10 .... ~ ....... ...... ~ ..... ........ ~ . 0 fii/Ot!ZII!I L. .. 3121121-lP-2 IIIII: Pool -11!8 i.OOO!.IJILI1)1/31 .Dl/0112012 .. --- .......... 11,41115 ............ 11,4111 ............ 112,1211 ............ 12,512 ............... J ......... (1,111} . .............. J ......... (1,111} ............... ) ............ 11,4811 ..... ~ ...... J ........ J ........ 2, 152 .IJILI1)1/ZIS I. .. 3121121-lP-2 IIIII: Pool -11!8 l.liOOIIJILI1)1/31 .0110112012 .. --- .......... 28.514 ............ 21.5114 ............ Zl.OSI ............ 27.0411 ............... J ........... 14821 . .............. J ........... 1~) ··············-~ ............ 2U81 ..... » ...... ~ ........ » ......... 1.011 _IJILI1)1/ZIS I. .312121-3'-2 IIIII: Pool -IllS I.OOO!.IJILI1)1/31 ... .DB/0112012 .. -··· .•••••••• 101.2'12 . .11111,212 .......... 111.217 .......• 111,2511 ••••••• D . •. 11.1141 ... . ......... ~ •.•••. (1,8) ........... ~ .••••••••.• 101,272 .... J ...... J ........ J ....... 4,111 IJILI1)1/ZIS L. .. 312!112-U--0 IIIII: Pool B11Ji321i 11!1 i.OOO!.IIIil01120 .Dl/0112012 .. --- .......... 22,11110 ............ .22,11110 ............ 22,411 ............ Z!,Ii46 ............... ~ ............ .381 . .............. J ............ .J111i ··············-~ ............ 22,1110 ..... ~ ...... ~ ........ J ........... 81111 .lllil01/l!IZ I. .312!112-U--0 IIIII: Pool 811!325 11!8 5.0001. 1&101120 ····· .DB/0112012 •· -- .2,2111 .•. 2,2111 ........... 2,250 .2,2!i1 ....... J .•.•.•. lll . ......... J ···········• ........... ~ •.•.•.•.•.•. 2,2111 .... ~ ...... ~ ........ ~ ......... 11 1&101/l!IZ L. .. 3121172-U--0 IIIII: Pool 811!325 11!8 5.0001.1&/01120 .DB/0112012 .. --- ............ 2,300 ............. 2,300 ............. 2,2511 ............. 2,211 ............... ~ .............. lll ............... ~ .............. 311 ............... J ............. 2,lll0 ..... ~ ...... ~ ........ J .............. .1&101/ZI20 1. .. 3132CIH.H IIIII: Pool -1111 4.1i00102101/43 .Dl/0112012 .. --- ............ a. eel ............. J.eel ............. A.101 ................... 0 ............... » ........... 12081 . .............. J ........... 1208) ··············-~ ............. J.eel ..... J ...... J ........ » ............. 52 .021011201: I. .313211H.&-2 IIIII: Pool -IllS 4.0001. 02101/42 .. .DB/0112012 . . -- •••••••• 40,1108 .. J0,1108 ........... 12,715 ••••••. 0 •.•.••• D •. (2,1111 . ........ J • .•.. (2, Ill) ........... ~ ..•.•.•.•.•. «<,tlll .... D ...... D ........ J .. .fill C121011201: L. .. J132CIH.H IIIII: Pool -11!1 4.000!.WOI/43 .0110112012 .. --- .......... li8.147 ............ 11.147 . ........... lill.llll ................... 0 ............... J ........ .13.1511 ............... J ......... {l.tlill ··············-~ ............ liii.&IJ' ..... ~ ...... ~ ........ ~ ......... 1.111 .IR/011201: I. .. 31311SX-3-3 -Pool 555541 1118 5.1110'1 01101119 .•••• .Dl/0112012 .. -- •••••••• . 47,519 • .•. A7,519 .•.•.•.•.• A11,1104 A8,1167 . ........ J • .•. (1,311} . .. ........... J . .•.••.. (1,111} ............ ~ .••••••••••. 111,5111 .... ~ ....... ...... ~ ..... ........ ~ ..•.•... 1,381 IJILI1)1J2011 L. .. 31311SX-3-3 -Pool 555541 1118 5.1110'1 01101119 ........ .DB/0112012 .. --- .......... 11,114 ............ 51,114 ............ 58,111111 ............ 58,315 ............... ~ ......... (1,501} . .............. J ......... (1,501} ............... J ............ 51,8M ..... ~ ...... J ........ J ......... 1,721 .IJILI1)112011 I. .3138SII-84 -Pool 555541 186 5.1110'1 01101119 .•••• . .DBIOI/2012 .. -··· .•••••••• .52,816 •. 52,816 ........... 54,543 54,1!G ••••••• D -· -· . •. (1,5151 ... • .•••••••• D •.••• .(1,515) ........... J .••••••••••. 52,816 .... D ...... J ........ J ....... 1,174 IJILI1)1J2011 L. .31311.HH -Pool -1118 3..5DM 01101121 .•••• . .DI/0112012 .. -··· .UIO •.• ~.1111 ............ 3,232 .......• .• 3,2211 ••••••• D •.•• JMII ... . ......... ~ •.•••••• 1141} ........... ~ .•••••••••••. 3,1111 .... D ...... D ........ J .......... liS 01101121121 L. .. 31311.H\'-8 -Pool -IBS ucm ln/01121 ........ .DB/0112012 .. --- .!.DIS ............. J.DIS ............. 1.224 ............. J.Z!1 ............... J ........... JMII ............... J ........... 1141} ··············-~ ............. J.Dll ..... ~ ...... ~ ........ J ............. 12 .01101/m!B I. .31~~ -Pool -1118 3..5001 01101121 •.•. ········ .DB/0112012 •· -- .3,232 .•. J,232 ........... 1,181 • .3,317 ....... J .... jl!il} ... . ......... J .•.•.•.• 11511} ........... ~ •·•·•·•·•·•·•3,232 .... ~ ...... ~ ........ ~ ......... & 01101/ZI!I L. .. 3131111HIH -Pool H7ll2 1118 4.DOO!. 08101121 ........ .Dl/0112012 .. --- ... .111 ................ 11!1 ................ J15 ................ S15 ............... J ............. (lll} ............... ~ ............. (311} ............... J ................ 11!1 ..... ~ ...... ~ ........ J ............ 20 .11:1101/ZI!I 1. . 3138MI-21)-I -Pool H7ll2 1118 4.DOO!. 08101121 ..•• .DBIOI/2012 .. -- ...........•

·····• .. ... •••. !lifT .. ....... J • .••. (llll . ........ J • .•.•.•.. (11) ........ ~ ..• .... J ...... D ........ J ........... .23 11:1101/D!I L.

. 3138MI-21)-1 -Pool H7ll2 1118 4.DOO!. 08101121 ..•• .DB/0112012 l'lydoon • . ···········• ....... .Ja4 .... ill •.•.•.• D .... •..••. (40} . ........ J . •..•.•.••. (40} ........... ~ .... .... D ...... D ........ J ........... :11 O!JOIID!I L. .. 31-.TT~ -Pool -1 IBS ucm 01101121 ........ .Dl/0112012 ::~=·::·: -------------- --------------- .4.015 .............. 4.015 ............. A.!IB .............. 4.214 ............... J ........... 12011 ............... J ........... 1201) ··············-~ .............. 4.015 ..... ~ ...... ~ ........ J ............. 113 _IJILI1)1/m!B I. 31_.TT_. -Pool -I 1118 3..5001 01101121 .DB/0112012 .4 311 .4 318 ............ A 1108 .4 1m J 12251 .. J .(225} ~ 4111 .... J .•.•.. ~ ........ ~ ........... 1112 IJILI1)1/Z121 L.

Page 16: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULED ·PART 4 Show All Long-Term Bonds and Stock Sold Redesned or Olherwiae Diapoeed of During the Cun-ent. Quarter

2 3 4 5 e 7 8 9 10 Change In Baok/Ad'uatad Canying Value 16 17 18 19 20 21 22 11 12 13 14 15

Tobd Total NAIC Cumont Change In Foreign Deolg-v .... Book/ Exchange Book/ Bond nation

PriorY ear Cumont CJiher Than Adj.-d Change In Adjuatad Foreign 1-t/ 8- or Book/ Unllllllizad Yea~• Tempolllry Carryi'lj Book Carrying ~qe Reali;ood stock Con- Mlllk8!

CUSIP NLmbarol Adjultlld Valuation (Amor· lmpeirmenl Value /Adj- Value at Gain Gain Tobd Gain Dl'lldands tractual In-I dent· For- Diopollll Name Shlln111 ol Conoid- Actual Carrying ln.,_.., Hzatian)' Rec:ag- (11 + 12· Carrying Diopolal (Looo)on (L011)on (Loao)on - Maturity d-

ificalion o-riDtion eian Dale ofPurchaoar Stock -ion Par Value Coat Value Decne81e - nizad 131 value Dale Dilll0881 Dilll0881 Dis.,.;... DunnaYaar Date (8}

.. Jt-.TH -""I llllill1 IllS UllCII Dl/011211 ........ .DIIOl/2012 .. --- .......... .11,011 ............ 11,011 ............ JII,llli1 ............ JI,II:IIi ............... ~ ........... .111241 ............... ~ ........... JII241 ··············-~ ............. 11,011 ..... ~ ...... ~ ........ ~ ........... m .01101/m!B I. . J13Ml--fA.I -""I 1101110 IllS 4.!IIQI 011011211 .•••• . .111/0112012 .. -··· .l,!llll •.. ~.5113 ............ 1,185 .......• .• ~.711 ....... ~ •.•• .11111 ... . ......... ~ •.•••••• JIM} ........... ~ .•••••••••••. J,!llll .... ~ ...... ~ ........ ~ .......... 14 04101/m!B 1... .. 313110--fto-11 -""I 1101110 IllS 4.!IIQI 011011211 ........ .DI/QI/2011 .. --- ............ 3,-lil ............. ~.411 ............. 3,121 ............. ~.1523 ............... ~ ........... .111121 . .............. ~ ........... J1&21 ··············-~ ............. J,-111 ..... ~ ...... ~ ........ ~ ............. 112 .04101/ZIII I. .. 313BIO-fH -Pool 1101110 IllS 4JIIIIIi 01101128 ........ .11110112012 .. --- ............ UI!II ............. .3.511 ............. U31 ............. .3.735 ............... » ........... .11811 . .............. » ........... J1611 ··············-~ ............. 3.511 ..... ~ ...... » ........ » ............ YII .04/01/ZIII I. .3t-.zH -""I !IIIIiS IllS 4..5DIII 01101128 •·•· .111/0112012 •· -- .2.m ... 2.m ........... 1,151 .2,IMI ....... ~ .•.• .11101 ... . ......... ~ .•.•.•.• J11lll ........... ~ ............ 2.m .... D ...... D ........ D ......... 71 04/01/ZIII 1... .. 31-.zl., -""I III.S IllS 4.DliOI 011011211 ........ .0110112012 .. --- .......... 16.027 ............ .lli.027 ............ Sl.Zil! ............ .11.170 ............... ~ ........ .II. lUI ............... ~ ......... {2.1oll} ··············-~ ............ 36.027 ..... ~ ...... ~ ........ ~ ......... 1.01i1 .04101/m!B I. .31-.zl-,1 -""I !IIIIiS IllS 4..5DIII 011011211 ..•• .DIIOI/2012 .. -- ......... 2,:m ••• 2,:m ............ 2,414 .2,411 ....... ~ •••. .11311 . ........ J • .•••.. J131} ........... ~ ..•.•.•.•.•• 2,212 .... ~ ...... ~ ........ ~ .. 11 04101/m!B 1... .. 31l!BIHA-2 -""I !111112 IllS 4.!IIQI DM111211 ........ .111/0112011 .. --- .......... 31,325 ............ 31,:125 ............ Sl,lll!i ............ .11,811 ............... ~ ......... (I,S12) . .............. ~ ......... {1,5111 ··············-~ ............ 31,.!25 ..... ~ ...... ~ ........ ~ ........... 141 .lli/01/D!I I. .. 31~ -Pool 1111112 IllS 4.!IIQI DI/QII28 .•••• .11110112012 .. -- ••••••••.. 15,1523 • .•• 15,&21 .•.•.•.•.•. JII,2911 111,274 . .•••••.. D . ..... JIIilll . •. .•.••••••.• D . .•.••••.. Jt501 ............ J .••••••••••• 15,&21 .... D ....... ...... J ..... ........ J ..•.•...•. All 01101/ZIII 1... .. 31~ -""I !111112 IllS 4.!IIQI DI/QII28 .•••• .0110112012 .. l'lydoon . • ••••••• 40, 1CIS • .•• J0,115 .•.•.•.•.•. A1,1111 o!1,115 . .•••••.• D • .•. (1.11111 . .. .•.••••••.. D . .•.••.. (1,81 .••••••••••• D ............. «1.115 .... D ••••••• ...... D ••••• ........ D ..•.•.•• t.:m 01101/D!I 1... .. J131!!1-1Hi -""I 1133111 IllS 4.!IIQI Dl/011211 ........ .111/0112012 .. --- ............ 3.114 ............. J.114 . ............ U111 ............. 3.3111 ............... J ........... Jtli!l ............... J ........... J11i2} ··············-~ ............. 1.1114 ..... ~ ...... ~ ........ J ............. 74 .01101/m!B I. .3131!HHi -""I !13311 IllS 4.!IIQI 011011211 .•••• . .0110112012 .. -··· .•••••••• . 1, 1111 •.• J,II!I ............ J,ll42 .......• .• J,331 ....... J •.•• .11541 ... . ......... J •.•••••• JI541 ........... ~ .•••••••••••. J,II!I .... D ...... ~ ........ ~ .......... IIi 01101/ZIII 1... .. 3131!HHi -""I !13311 IIIII 4.!IIQI 011011211 ........ .DI/QI/2011 .. --- .......... 111,1184 ............ 31,1184 ............ AI,IIII ............ AI,IIill ............... ~ ......... (1,1115) . .............. J ......... (1,11251 ··············-~ ............ 311,1134 ..... ~ ...... J ........ J ......... 1,1111 .01101/ZIII I. .3138AII-lH -Pool 114331 IllS 4.!IIQI 01101128 •·•· .01/0112012 •· -- ··•·•·•·• .7,447 .•. 1,441 ........... 1,131 .1.~1 ... •.•.•.• D .•.• .13141 . .. . ......... J .•.•.•.• J3141 ........ . J ............. 1,«1 .... D ...... D ........ J ......... 174 otiOIID!I 1... .J138AII-lH -""I !14331 IllS 4.!IIQI Dl/01128 •·•· .0110112012 .. l'lydoon . . .•.•.•.• .7,21& ........•. 1,'16; ........... 1.141 ··•·•·•·• .1,131 •.•.•.• D .....•.• .13141 ... ··········• ..•.•.•.• 13741 ........... J •.•.•.•.•.•. 1,115 .... D ...... D ........ J ......... 1114 otiOI/ZIII 1... .. 3131!!1-ZH -""I !14331 IllS 4.!IIQI 0111011211 ........ .01/0112012 .. --- .......... .1M41 ............ Jt.ooll ............ 111.1141 ............ lll.ll!ll ............... J ........... .111111 ............... J . .......... Jill) ··············-~ ............. 111.0411 ..... ~ ...... ~ ........ J ........... &71 .01101/m!B I. .31-.u--a -""I !15747 IllS 4.!IIQI Dl/011211 ..•• .111/0112012 .. -- ••••••••. 1,1104 •.. ~.1104 ............ 1,148 .1,142 ....... J •..• .13111 . ........ J • .•.•.• JB!II) ........... ~ ..•.•.•.•.•• 1,1104 .•.. ~ ...... ~ ........ ~ ........... 1!11 01101/ZIII 1... .. 31--uH -""I !15747 IllS 4.!IIQI 011011211 ........ .DIIOI/2011 .. --- ............ S,!ia:l ............. ~.533 ............. S,818 ............. s,a ............... ~ ........... .12751 . .............. J ........... ~2751 ··············-~ ............. S,533 ..... ~ ...... J ........ J ............ 141 .01101/ZIII I. .. 31--uH -Pool 115747 IllS 4.!IIQI 01101128 .•••• .11110112012 .. -- •••••••• 31,006 • .•• 31,006 .•.•.•.•.•. 32,51111 32,5411 . .•••••.• D • .•. (1,5401 . .. ........... J . .•.••.. (1,5401 ............ J .••••••••••. 31,006 .... J ••••••• ...... D ..... ........ J .......... 131 01101/D!I 1...

m .. J131MHHJ -""I !11101111 IllS 3.51101 01101128 .•••• • .111/0112012 .. l'lydoon . . ......... 2,-lil ······· .... l,417 ............ l.IIICI .......... l,517 ...... ........ J .•.• .•.•• 11SII . .. ........... J . .•.••••.. ~13111 ............ J .••••••••••. 1,417 .... D ...... D ........ J ..•.•.•.•.• 511 01101/ZIII I.

0 .. JIJIMHT~ -""I 111101111 IllS 3.51101 01101128 ........ .0110112012 .. --- ............ 2.«10 ............. l.400 ............. l.530 ............. l.$27 ............... J ........... .11271 . .............. J ........... 111!11 ............... J ............. l.¥JO ..... J ...... J ........ J ............. 56 .otl01flll28 I. Ul .J131MHT~ -""I !11101111 IllS UllCII Dl/011211 .•••• . .DII0112012 .. -··· ......... . 2,620 •.. 2,!1!0 ............ 1,1&11 .......• .• 2,116S ....... ~ .... Jtal ... . ......... J •.•••••• JI311} ........... ~ .••••••••••• 2,!1!0 .... J ...... J ........ J .......... Ill 01101/m!B 1...

~ .. J13111Hi1-1 -""I 11110110 IIIII 3.51101 101011211 ........ .111/0112012 .. --- ........... 10,11111 ............ JO,IIill ............ li,IISI ............ .11,355 ............... ~ ........... j&) ............... J ........... J.WS) ··············-~ ............. 10,IIill ..... ~ ...... J ........ J ........... Z/2 .10/01/ZIII I. .313111Hi1-1 -""I 11110110 IllS 3.51101 10101128 •.•. .DI/0112011 •· -- ..•.•.•.• 10,1!111 .• JO,B .......... .11,11!8 .11,157 ....... J .•.• .14111 ... . ......... J .•.•.•.• J4111 ........ J •.•.•.•.•.•. 10,1118 .... ~ ...... J ........ ~ ........ 241 10101/ZIII 1... .J13111Hi1-1 -""I !1110110 IllS 3.51101 10101128 •.•.• . .11110112012 .. l'lydoon . . .•.•.•.• 10,1174 .• .10,1114 .......... .11,411 ··•·•·•·• .11,411 ...... •.•.•.• D .....•.• .15031 ··· ··········• ..•.•.•.• ~5031 ........... J •.•.•.•.•.•. 10,1174 .... D ...... D ........ J ........ 2111 10/01/D!I 1... .. 313111HM--0 -""I !111115 IllS 3.51101 111101128 ........ .01/lll/2012 .. --- .8.2110 ............. 8.21111 ............. U11 ............. Uti ............... J ........... 13211 . ............... ........... ~32() . .............. J ............. J.210 ..... J ...... J ........ J ............ 126 .OI/Oiflll28 I. .J13111HM--0 -""I !111116 IllS UllCII 011011211 ..•• .0110112012 .. -- •••••••• . 8,625 •.. ~.6:!6 ............ 1,1114

-~--....... J •..• .13331 . ........ J • .•.•.• JI!II) ........... ~ ..•.•.•.•.•• J,lil6 .... J ...... J ........ J ........... 161 01/01/m!B 1...

.. 313111HM--0 -""I !111115 IllS 3.51101 Dl/011211 ........ .01/0112012 .. --- .8,2111 ............. 1,2!13 ............. ll,ll20 ............. J,I13 ............... ~ ........... .1:121) . .............. J ........... ~821} ............... J ............. J,!III ..... ~ ...... J ........ J ............ 11& .01/01/ZIII I.

.. 31-.a41 -""I 1111111 IllS 4.!IIQI DMIV42 .•••• .111/0112012 .. -- ••••••••. 7, 1811 • .•.. 1,1311 .•.•.•.•.•.• 1,1DI ....... a . ........ J . ..... JS&il . .. ........... J . .•.••••.. Jlimil ............ J .••••••••••.. 1,138 .... ~ ....... ...... J ..... ........ ~ ..•.•.•.•.•. 41 0110112042 1...

.. J1-.a41 -""I !I IIIII IllS 4.!IIQI DMIV42 .•••• • .0110112012 .. -- ••••••••• 7, 1114 ..•.•.• .•.. 1.114 .•.•.•.•.•.• 1,731 .........••••••. 0 ...... .•••••.. D .•.• .•.•• 1SIIBI . .. ........... J . .•.••••.. 151111 ............ J .••••••••••. 1,1114 .... J ...... J ........ J ........... 12 0110112042 I.

.. 31-.a41 -""I II IIIII IllS 4.!IIQI DMIV42 ........ .0110112012 .. --- .7.1110 ............. 1.111) ............. 1.7811 ................... 0 ............... D ........... 1SIIII . ............... ........... 1SIIII . .............. J ............. 1.1110 ..... » ...... J ........ J ............. 116 .01101121)12 I. . 3138NH.HJ -""I !.1!412 IllS UllCII 11/011211 .•••• . .111/0112012 .. -··· .•••••••• 11,371 •. JU111 ..........• 111,2114 111,213 ....... J .... JIIIlll ... .......... J • .•••••• JIIll) ........... ~ .••••••••••• 111,1711 .... J ...... J ........ J ......... 31111 11101/m!B 1... .. 3138111-Y.HJ -""I !.1!412 IllS 3.51101 11/011211 ........ .0110112012 .. --- .......... 21,1114 ............ 21,1114 ............ 22,711 ............ 22,1111 ............... ~ ......... (1,1115) . .............. J ......... (1,015} ··············-~ ............ 21,1114 ..... ~ ...... J ........ J ........... 501 .11101/ZIII I. .3138MH.Hl -""I !.1!412 IllS 3.51101 11/01128 •·•· .11110112011 •· -- ..•.•.•.• 31,270 .• 31,270 .......... :11,1117 .11,1117 ....... J .. (1,117) ... . ......... J .•.•.. (1,1117} ........... ~ •.•.•.•.•.•. 3!1,170 .... ~ ...... J ........ ~ ........ 152 11101/ZIII 1... .. 313&-111-7 -""I 1115211 IllS 3.000'1 01101/27 ........ .01/0112012 .. --- .......... 10,614 ............ 10,874 ........... .74,321 ................... a ............... J ......... (3,11151 ................ ......... (3,1551 . .............. J ............ 711,174 ..... ~ ...... ~ ........ J ........... 35:1 .04/lll/3127 I. .. 313&-111-7 -Pool 1115211 IllS 3JIIIIIi 01101/27 ........ .0110112012 .. """"" .. . .......... 18.150 ............ 18.150 ............ 11.1111 ................... 0 ............... J ........... 111111 . ............... ........... 111111 . .............. J ............. 111.150 ..... » ...... J ........ J ............ 126 .04/0113127 I. .313&-111-7 -""I Mll211 IllS 3.000'1 01101/27 ..•• . 0110112012 .. -- •••••••• 18,310 •. JUIO ........... 17,17i ••••••. 0 ....... J •••. .11461 . ........ J • .•••.. JI46) ........... ~ ..•.•.•.•.•• 11,130 .•.. ~ ...... J ........ J ........... 1111 04101ml7 1... .. 3131£1r-81h'1 -""I M!illll IllS 4.!IIQI OIIIOV42 ........ .111/0112012 .. --- .......... :72,1141 ............ 12,1141 ............ 11,071! ................... 0 ............... J ........ .14,2231 . .............. J ......... 14,223} ··············-~ ............ 12,1411 ..... ~ ...... ~ ........ J ........... 121 .11110112042 I. .. 3131£1r-81h'1 -""I M!illll IllS 4.!IIQI OIIIOV42 .•••• .DIIOI/2012 .. -- ••••••••. 1,11110 • .•.• J,IIIO .•.•.•.•.•.. 4,115 ....... a . ........ J • .•.•• .12251 . .. ........... J . .•.••••.. J2251 ............ ~ .••••••••••. 3,1110 .... ~ ....... ...... ~ ..... ........ ~ ........... !!! 11110112042 1... .. 31!i£HIH -""I M!illll IllS 4.!IIQI OIIIOV42 ........ .0110112011 .. --- .......... 19,182 ............ 19,112 ............ 114,518 ................... a ............... J ......... (4,11111 . .............. J ......... (4,1!811 ............... ) ............ 19,112 ..... ~ ...... J ........ J ......... 1,331 .11110112042 I. .. 31-- -Pool -IllS 5JIIIIIi DMIVte ........ .01/lll/2012 .. --- ............ U41 ............. J.Mt ............. 1.1111 ............. J.711 ................ ............. 126 . .............. J . ........... .1211 ............... J ............. J.Mt ..... » ...... » ........ » ........... 251 .011011J)tl I. .31-- -""I -IllS 5JIIIIIi 0510Vte .•••• . .0110112012 .. -··· .•••••••• • 7,441 •.. 1,441 ............ 1,3111 .......• .• 1,341 ••••••• D •.••.• 108 . ......... J •.••••••. .108 ........... J .•••••••••••. 1,4-li .... J ...... J ........ J ......... 241 Cli/0112111 1... .. 31-- -""I -IllS 6JilCII DMIVII ........ .DIIOl/2012 .. --- ............ I, IIIIi ............. 1,1116 ............. J,IIi1 ............. J,IIIO ............... ~ ............. 12ti . .............. J ............ .13i ··············-~ ............. 1,1116 ..... ~ ...... ~ ........ J ........... :110 .0110112111 I. .31~ -""I 731i1!111 IllS 5.!110'1 12/0Vtl •.•. .111/0112012 •· -- ..•.•.•.• 1:1,53) .• 71,510 .......... 7'11,1142 19,1S1 ....... J .. (5,130) ... . ......... J .•.•. . (5,110} ........... ~ •.•.•.•.•.•. 73,510 .... ~ ...... ~ ........ ~ ..... 2,3111 1V0112117 1... .. 31~ -""I 731i1!111 IllS 5.!110'1 12/0Vtl ........ .DI/QI/2011 .. --- .......... :71,11& ............ :71,1115 ............ 113,571 ............ 12,752 ............... ~ ......... (5,117) ............... ~ ......... (5,11171 ............... J ............ 71,E ..... ~ ...... ~ ........ J ........ 2,811 .1V0112117 I. .. 31~ -Pool 731i1!111 IllS 5.!110'1 12/0Vtl ........ .11110112012 .. --- .......... .1&.418 ............ 85.418 ............ 11.1211 ............ 10.425 ............... » ........ .15.11101 . .............. J ......... (5.'101 ............... J ............ 1&.4111 ..... J ...... » ........ » ........ 1.1111 .IVOIIJ)17 I. .31~ -""I 1135470 IllS 5JIIIIIi 01101120 ··••• . .111/0112012 . . -- •••••••• .7,1111 •.• 1.111 ........... .1,521; .1,551 •.•.••• D • .•.• lSI . ........ J • .•.•.•. .1311 ........... J ..•.•.•.•.•. 1,1111 .... D ...... D ........ J .......... 224 01/01/2112{} 1... .. 31~ -""I 116470 IllS 6JilCII 111101120 ........ .0110112012 .. --- .I. Iiiii ............. J.IiZ ............. 1.488 ............. J.47li ............... J .............. 110 ............... J ............. .111 ··············-~ ............. J.1!81i ..... ~ ...... ~ ........ ~ ........... .111 _01/01/2112{} I. .. 31~ -""I 1135470 IllS 5.000'1 Dl/01120 .•••• .DIIOI/2012 .. -- ••••••••• 1,m • .•.• t,m .•.•.•.•.•.• 1,1:18 .1,1114 . ........ J . .•.••.• 151 . .. ........... J . .•.••••••. .158 ............ ~ .••••••••••. 1,!22 .... ~ ....... ...... ~ ..... ........ ~ ..•.•.•.•. J5ll 01/01/2112{} 1... .. 31407HA-4 -""I ll!tDIS IllS 5.000'1 10101120 ........ .111/0112011 .. --- .I,IICil ............. J,IICil ............. J,IIO ............. J,IIill ............... ~ ............. M4 . .............. J ............ .144 ............... J ............. J,ID! ..... ~ ...... J ........ J ........... 257 .10/01/2112{} I. .31407HA-4 -Pool ll!tDIS IllS 5.000'1 10101120 .•••• . .08.10112012 .. -··· .I."' ... J,234 ............ J,Oill ........ .. J,OII ••••••• D •.••.• 151 .. • .•••••••• D •.••••••. .151 ........... J .•••••••••••. 3,234 .... D ...... J ........ J ......... 308 10/01/2112{} 1... .31407HH -""I ll!tDIS IllS 5.000'1 10101120 .•••• . .0110112012 .. -··· .8,524 ....... . •.• ~.524 ............ J,Sl ........• .• 1,411 ••••••• D •.••.• 107 . ......... J •.••••••. .1111 ........... J .••••••••••• J,S!4 .... D ...... D ........ J .......... 245 10101/2112{} 1... .. J141QII-\I!-4 -""I lll07!4 IllS .__ Dl/01121 -----··- .111/0112012 .. --- .UII ............. 2.131 ............. 2.131 . ............ 2.!131 ............... J ............... 2 ............... J ............... 2 ··············-~ ............. 2.131 ..... ~ ...... ~ ........ J ............. !14 .01101/m!t .. I. .3141QII-\I!-4 -""I lll07!4 IllS 5.!110'1 Dl/01121 ---- -------- .0110112012 •· -- ..•.•.•.• • 1,1108 .•.. 1,1108 ........... 1,1108 •. 1,1105 ....... J .•.•.•.•. 1 .......... J ............ ! ........... ~ ...... 1,1108 .... D ...... ~ ........ ~ ......... 70 01101/m!l 1... .. 3141QII-\I!-4 -""I lll07!4 IllS 5.!110'1 Dl/01121 .DI/QI/2011 .. --- .5,1128 ............. ~.- ............. S,II'D ............. S,II23 ............... J ................ 4 ............... ~ ................ 4 ............... J ............. S,1121 ..... ~ ...... ~ ........ J ........... 244 .01101/m!l . . I. .31412,HN-7 -Pool 835115 IllS 5.000'1 DMI1!24 ..•• .01/0112012 .. -- ••••••••. 8,1148 •.. J.II48 ............ J,(I82 .J,013 .. ....... J .... JIM) . ........ J • .•.•.• J!at1 ........ J ..•.•.•.•.•• 8,8411 .... J ...... D ........ J .......... 25t 01101/IDM 1... .314111HN-7 -""I 835185 IllS 5.000'1 DMI1!24 ..•• .0110112012 l'lydoon • . • •••••••. 8,113 •.• 1,1113 ............ 1,121 ........• • .11,1111 •.•.•.• D •..• .12251 . ........ J • .•.•.• 12251 ........... J ..•.•.•.•.•• J,IA .... D ...... D ........ J .......... .3111 01101/IDM 1... .. J14111HN-7 -""I 116115 IllS 6JilCII 05101124 ........ .01/0112012 ::~=·::·: -------------- --------------- .1.617 ............. ~.177 ............. 1.111 ............. ~.117 ............... J ........... .1!2111 ............... J ........... J!l!ll) ··············-~ ............. J.m ..... ~ ...... ~ ........ J ........... 326 .01101/IDM I.

31412¥-/o&-3 -""I 111&7117 IllS 5.000'1 11/0IIJ4 .111/0112012 .S 006 ~ 006 ............ S &'12 ~ 311 J .131141 .. J JIIOI) ~ Soot! .... ~ .•.•.. ~ ........ ~ ........... 141 11101/IDM 1...

Page 17: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULED ·PART 4 Show All Long-Term Bonds and Stock Sold Redesned or Olherwiae Diapoeed of During the Cun-ent. Quarter

2 3 4 5 e 7 8 9 10 Change In Baok/Ad'uatad Canying Value 16 17 18 19 20 21 22 11 12 13 14 15

Tobd Total NAIC Cumont Change In Foreign Deolg-v .... Book/ Exchange Book/ Bond nation

PriorY ear Cumont CJiher Than Adj.-d Change In Adjuatad Foreign 1-t/ 8- or Book/ Unllllllizad Yea~• Tempolllry Carryi'lj Book Carrying ~qe Reali;ood stock Con- Mlllk8!

CUSIP NLmbarol Adjultlld Valuation (Amor· lmpeirmenl Value /Adj- Value at Gain Gain Tobd Gain Dl'lldands tractual In-I dent· For- Diopollll Name Shlln111 ol Conoid- Actual Carrying ln.,_.., Hzatian)' Rec:ag- (11 + 12· Carrying Diopolal (Looo)on (L011)on (Loao)on - Maturity d-

ificalion o-riDtion eian Dale ofPurchaoar Stock -ion Par Value Coat Value Decne81e - nizad 131 value Dale Dilll0881 Dilll0881 Dis.,.;... DunnaYaar Date (8}

.. 31412¥-MH -""I 11167117 IllS 6JilCII 11/011!4 ........ .DI/0112012 .. --- ............ J,IIIil) ............. J,IIIil) ............. J, .. ............. ~.112 ............... ~ ........... 1Z!!I ............... ~ ........... 11Z!) ··············-~ ............. J,411i0 ..... ~ ...... ~ ........ ~ ............ 12.1 .1V01/l!lll4 I. . 31412¥-MH -""I 11167117 IllS 5JIIQI 11/01124 .•••• . .Da/0112012 .. -··· .•••••••• J4,1U •• :14,142 ........... :11,1118 :11,211 ....... ~ . •. 12,11111 ... . ......... ~ •.•••. (2,11111 ........... ~ .••••••••••. :14,142 .... ~ ...... ~ ........ ~ ....... 1,210 11101/l!lll4 1... .. 31414F-Q-1 -""I -IllS 5JIIQI Dl/01/23 ........ .01/0112011 .. --- .......... JII,011 ............ JII,011 ............ :111,3411 ............ :11,3011 ............... ~ ........... 12911 . .............. ~ ........... 12911 ··············-~ ............ 36,011 ..... ~ ...... ~ ........ ~ ......... 1,0!i0 .111/01/ZIII I. .. 31414F-«t-1 -Pool -IllS 5.CIIIIIi Dl/01/23 ........ .118.10112012 .. --- .......... .31.~ ............ 12.181 ............ 32.484 ............ 12.423 ............... » ........... 12«11 . .............. » ........... 12«11 ··············-~ ............ 32.181 ..... ~ ...... » ........ » ......... 1.072 .118101/2QD I. .31414F-«t-1 -""I -IllS 5JIIQI 111101/23 •.•. .11110112012 •· -- ..•.•.•.• .31,184 .• 12,814 .......... 31,112 31,1311 ....... ~ .•.• 12111 ... . ......... ~ .•.•.•.• 12111 ........... ~ •.•.•.•.•.•. 32,814 .... D ...... D ........ D ...... 1.232 118101/2QD 1... .. 314111..-tH -""I 11113814 IllS um 11/011!4 ........ .01/0112012 .. --- ............ 1.181 ............. ~.181 ............. 1.0111 ............. 1.014 ............... ~ ............ .111!1 ............... ~ ............ .111!} ··············-~ ............. J.tit ..... ~ ...... ~ ........ ~ ............ ~ .1V01/l!lll4 I. .3141!1.-tH -""I 11113814 1118 um 11/01124 ..•• .DI/0112012 .. -- •••••••• .7,1110 •.. 1,1110 ............ 1,040 .J,D.'I3 ....... ~ • .••. (1131 . ........ J • .•.•.••. (1131 ........... ~ ..•.•.•.•.•• 1,940 .... ~ ...... ~ ........ ~ .......... 212 11101/l!lll4 1... .. 3141!1.-tH -""I 11113814 1118 um 11/01124 ........ .Da/0112011 .. --- ........... .7,D70 ............. 1,D70 ............. 1,1511 ............. 1,153 ............... ~ ............. (1131 . .............. ~ ............. (1181 ··············-~ ............. 1,D70 ..... ~ ...... ~ ........ ~ ........... 212 .11101/D!4 I. .. 3141SV-Il-8 -Pool -I8S UIIO'I 01101124 .•••• .0110112012 .. -- •••••••• 1U311 . .•• 15,1311 ........... Jt,325 Jll.2112 . .•••••.. D . .•.•• 14121 . •. .•.••••••.• D . .•.••••.. 14121 ............ J .••••••••••• 15,1311 .... D ....... ...... J ..... ........ J .......... A1a 04101f20M 1... .. 3141SV-Il-8 -""I -IllS UIIO'I 01101124 .•••• .11110112012 .. l'lydoon . • ••••••• 11,811 . .•. JI,811 ........... 11,1112 J7,141 . .•••••.• D . .•.•• 14111 . .. .•.••••••.. D . .•.••••.. 147111 .••••••••••• D .••••••••••. 11,171 .... D ••••••• ...... D ••••• ........ D ..•.•.•.•. 500 04101121124 1... .. 31416¥-ll-8 -""I -IllS 4.Dim 1181011!4 ........ . DI/0112012 .. --- .......... .17.1112 ............ 17.1112 ............ 11.131 ............ J7.481 ............... J ........... J411il ............... J ........... 1411il ··············-~ ............ .T7.0ll! ..... ~ ...... ~ ........ J ........... &74 .04101/l!lll4 I. .3141IJI.III.a -""I 11115112 1118 5.!1101 111101120 .•••• . .01/0112012 .. -··· .•••••••• l4,3&'1 . •• 24,3&'1 ........... 21,0 J11,451 ....... J •. (2,10151 ... . ......... J •.••.. (2,10111 ........... ~ .••••••••••. :11,8 .... ~ ...... ~ ........ ~ ......... 711 118.101/ZII!I) 1... .. 3141IJI.III.a -""I 11115112 IIIII 5.!1101 111101/20 ........ .11110112011 .. --- .......... JII,185 ............ JII,1111 ............ 211,131 ............ JII,450 ............... ~ ......... (2,21141 . .............. J ......... (1,21141 ............... J ............ JII,1118 ..... J ...... J ........ J ........... 110 .118.101/ZII!I) I. .31411114-e -Pool 11115182 I8S 5.!1101 111101/20 •.•. .11110112012 •· -- ..•.•.•.• l7,1114 .• 21,1114 .......... 3UIII ~.251 ... •.•.•.• D .. (2,QI . .. . ......... l .•.•.• (2,40111 ........ . l •.•.•.•.•.•. ~.1114 .... D ...... D ........ J ...... 1,11t 118.101/2010 1... .314111.. -lF--0 -""I !KJ1Iil IllS UIIO'I 118101124 •·•· .01/01/2012 .. l'lydoon . . .•.•.•.• 10S,ID1 .115,107 ........ .1111,1182 ......... 1111,5118 ....... J .. (3,1181 ... .......... ~ .•.•.. (3,11181 ........... ~ •.•.•.•.•.• 115,'11/ .... D ...... D ........ J ..... l,liD Ci/01121124 1... .. 314111.. -lF--0 -""I UDT IllS 4.Dim 1181011!4 ........ .DI/0112012 .. --- .......... J3,11) ............ J3.111l ............ 111.&77 . ........... 111.342 ............... J ........ .13.1!421 ............... J ......... 11.!42} ··············-~ ........... .lll.111l ..... ~ ...... ~ ........ J ........ 1.1113 .Ci/01/l!lll4 I. .314111.-IF--0 -""I !KJ1Iil 1118 4.!1101 118101124 ..•• .Da/0112012 .. -- ........ JO,Itl .. ~.Ill ........... :12,115 .32,017 ....... J •. (1,11111 . ........ J • .•.• (1,11111 ........... ~ ..•.•.•.•.•. 30,1141 .... J ...... J ........ ~ ... 1,045 DS/01/l!lll4 1... .. 314111.~~ -""I 111:1170 1118 UIIO'I 04101124 ........ .01/0112011 .. --- ........... 11,277 ............ 18,277 ............ 18,11211 ............ JI,II85 ............... J ........... 15181 . .............. J ........... 15181 ............... J ............. 18,277 ..... J ...... J ........ J ........... AID .04101/l!lll4 I. .. 314111.~ -Pool 111:1170 I8S UIIO'I 01101124 .•••• .11110112012 .. -- •••••••• JII,518 . .•• 31,511 ........... 37.119 37.1112 . .•••••.• D . .•. (1,1741 . .. ........... J . .•.••.. (1,1741 ............ l .••••••••••. 18,518 .... ~ ••••••• ...... D ..... ........ J ........ 1,1a 04101/D!4 1...

m .. 314111..~ -""I 111:1170 I8S UIIO'I 118101124 .•••• . .Da/0112012 .. l'lydoon . . •••••••• .34,1118 ....... .•• .34,1118 ........... :11,11111 ......... 35,1181 ...... ........ l .... .•. 11.1211 . .. ........... ~ . .•.••.. (1,121} ............ ~ .••••••••••. :14,1118 .... D ...... D ........ J ........ 1.m 04101121124 I.

0 .. 314111H12-4 -""I Ml47e IllS 5JIIQI 118101124 ........ .0110112012 .. --- ........... 11.110 ............ J1.11D ........... .J1.101 ........... .J1.511 ............... ~ ........... 14101 . .............. J ........... 14101 ··············-~ ............. 11.11D ..... ~ ...... ~ ........ J ........... 3:26 .118.101121124 I. U1 .314111H12-4 -""I Ml47e 1118 6JilCII 1111011!4 .•••• . .DI/0112012 .. -··· .•••••••• 11,2111 •. J1,JIII ........... J1,1211 J1,814 ....... J •.•• 14141 ... . ......... J •.•••••• 14141 ........... ~ .••••••••••• 11,2111 .... J ...... J ........ J ......... :1111 118101/l!lll4 1... c., .. 3141118-G--4 -""I Ml47e IIIII 5JIIQI 118101124 ........ .Da/0112012 .. --- ........... 11,:!10 ............ 11,210 ............ J1,11S8 ............ 11,122 ............... J ........... 14121 ............... J ........... 1411) ··············-~ ............. 11,210 ..... J ...... J ........ J ........... A20 .118101/l!lll4 I.

.3141~ -""I Al&l 1118 UIIO'I 01/01124 •·. .01/0112011 •· -- ..•.•.•.• JS,l'll1 .• 25,711 .......... 21,41'11 J11,424 ....... J .•.• 111321 ... . ......... J .•.•.•.• 111821 ........ ~ •.•.•.•.•.•. 25,711 .... ~ ...... ~ ........ ~ ........ tm 01/fii/D!4 1...

.314111&-«)-t -""I Al&l IllS UIIO'I 01/01124 •·•·• . .118.10112012 .. l'lydoon . . .•.•.•.• 21,711 .• 21,711 .......... 22,3)11 ········· 22,325 ...... ....... J .....•.• 15341 ... .......... ~ ..•.•.•.• 15:141 ........... ~ •.•.•.•.•.•. :!1,711 .... D ...... J ........ J ........ 154 01/fll/21124 1... .. 314111&-«)-t -""I Al&l IllS UIIO'I ~/01124 ........ .11110112012 .. --- .......... 11l.llil ............ 20.11i1 ............ 21.0111 ............ 20.1158 ............... ~ ........... 151)1) . ............... ........... 15:1(} ··············-~ ............ 20.-l57 ..... ~ ...... ~ ........ J ........... 8110 .01/fll/21124 I. .314111-3-7 -""I AAm4 1118 6JilCII ~/011!4 ..•• .01/0112012 .. -- ........ Jt,ll4 •• 12,814 ... 111,464 111,201 ....... J •. (1,1171 . ........ J • .•.• {1,1171 ........... ~ ..•.•.•.•.• .112,814 .... J ...... J ........ J ....... 1,701 01/fllll!lll4 1... .. 3141114-7 -""I AAm4 1118 5JIIQI ~/01124 ........ .DI/0112012 .. --- ............ 1,011 ............. J,011 ............. ll,420 ............. ll,3115 ............... J ........... 13241 . .............. J ........... 11:11) ............... J ............. J,D71 ..... J ...... J ........ J ........... 3111 .01/fllll!lll4 I. .. 314111-3-7 -""I AAm4 1118 5JIIQI 01/01124 .•••• .11110112012 .. -- •••••••• 14,:1111 . .•• 74,318 ........... 77,231 n,rm . ........ J . .•. (2,81 . .. ........... J . .•.••.. (2,11S81 ............ J .•••••••••• .74,:1111 .... ~ ....... ...... ~ ..... ........ ~ ....... 2,71D 01/fii/D!4 1... .. 31411111-«Hl -""I -IllS UIIO'I 1181011211 .•••• . .0110112012 .. -- .••••••••. 1,511 ....... .•.. .ll,531 ........... :10,1S4 ......... JII,111l ...... ........ J .... .•.•• 11071 . .. ........... J . .•.••••.. 11071 ............ ~ .••••••••••. .ll,511 .... J ...... J ........ J ..•.•.•.•. 2511 04101/2QII I. .. 31411111-«Hl -""I -IllS UIIO'I 011011211 ........ .11110112012 .. --- ............ 1.104 ............. li.ID4 ............ :10.232 ............ :10.211 ............... D ........... 18121 . ............... ........... 11121 . .............. J ............. li.ID4 ..... » ...... ~ ........ J ........... 211 .04101/2QII I. . 31411111-«>i -""I -IllS 4.Dim 1181011211 .•••• . . DI/0112012 .. -··· .•••••••• 10,412 •. J0,412 ........... J1,181 J1,161 ....... J •.•• 111111 ... .......... J •.•••••• 111111 ........... ~ .••••••••••• 10,412 .... J ...... J ........ J ......... 364 04101/2QII 1... .. 3141l!HIH! -""I IICM85 1118 5JIIQI 11/01124 ........ .01/0112012 .. --- ............ 1,111 ............. J,818 ............. A,OSI .............. 4,0«1 ............... J ........... 1Z!!I . .............. J ........... liZ!} ··············-~ ............. 1,118 ..... ~ ...... J ........ J ............ 111 .11101/l!lll4 I. .3141l!HIH! -""I -1118 5JIIQI 11/01124 •·. .11110112011 •· -- .1,5114 .•. ~.584 ........... ,8,1011 .,8,7112 ....... J .•.• 12C81 ... . ......... J .•.•.•.• 1DI ........... ~ •·•·•·•·•·•·•J,!iiM .... ~ ...... ~ ........ ~ ......... 111 1tf01/D!4 1... .. 3141l!HIH! -""I -IllS 5JIIQI 11/01124 ........ .Da/0112012 .. --- ............ uoo ............. ,8,1011 ............. A,OJI .............. 4,021 ............... ~ ........... 12211 ................ ........... 12211 ··············-~ ............. 3,1011 ..... J ...... J ........ J ............ 142 .11101121124 t. .. 3141714-1 -Pool IC7113 IllS um 11/01124 ........ .0110112012 .. """"" .. . .......... 14.7fl ............ J4.7fl ............ 15.131 ............ J5.1~ ............... ~ ........... 131111 . .............. J ........... 131111 ............... J ............. 14.7fl ..... » ...... ~ ........ J ........... 344 .1tf01121124 I. . 31417T4-I -""I IC7113 IllS um 11/011!4 ..•• .DI/0112012 .. -- •••••••• 16,011) •• J6,040 ........... J6,446 J5,417 ....... J •..• 1:1711 . ........ J • .•.•.• 1&771 ........... ~ ..•.•.•.•.•. 16,0«1 .... J ...... J ........ J .......... AD1 1V01/l!lll4 1... .. 31417T4-I -""I IC7113 1118 4JilCII 11/01124 ........ .Da/0112012 .. --- .......... .14,1101 ............ 14,11118 ............ J5,2DII ............ J5,110 ............... J ........... 11711 . .............. J ........... 1171} ............... J ............. 14,1011 ..... ~ ...... ~ ........ J ........... !144 .1V01/l!lll4 I. .. 31417T.Q.a -""I IC7181 1118 5JIIQI 11/01124 .•••• .01/0112012 .. -- ........ . 44,W • .•. 44,1152 .•.•.•.•.•. 17,7311 J7,5311 . ........ J . .•. (2,1111 . .. ........... J . .•.••.. (2,flll ............ ~ .••••••••••. -44,162 .... ~ ....... ...... J ..... ........ ~ ........ 1,3111 11101/D!4 1... .. 31417T.Q.a -""I IC7181 IllS 5JIIQI 11/01124 ........ .11110112011 .. --- .......... .11,120 ............ 111,120 ........... 101,81111 ........... 101,101J ............... ~ ......... (5,11111 . .............. J ......... (5,11111 ··············-~ ............ 111,120 ..... J ...... J ........ J ........ 3,2Jll .11101/D!4 t. .. 314111-Q.a -Pool IC7181 IllS 5JIIQI 11/01124 ........ .118.10112012 .. --- ............ S.014 ............. ~.014 ............. ~.ISl ............. ~.114 ............... J ........... 12ill . .............. J ........... 12ill ............... J ............. U14 ..... » ...... » ........ » ............ 185 .1tf01121124 I. .31417'1-1'1'-0 -""I II!DII3II IllS um 01/01121 --···--- .1!7/0112012 .. -··· .•••••••• JS,211 . •• 25,2118 ........... 21,317 Jll,301 ••••••• D . •. (1,0111 ... . ......... ~ •.•••. (1,0111 ........... ~ .••••••••••. 25,21lt .... J ...... ~ ........ J ........ .liiO 01101/ZI21 1... .. 31417'1-\'HI -""I II!DII3II IllS 4JilCII 01/01121 -----··- .DI/0112012 .. --- .......... .16, 101 ............ 16,101 ............ J5,7f7 ............ J5,7al ............... ~ ........... 11111111 ............... J ........... 1Q) ··············-~ ............. 16,101 ..... ~ ...... ~ ........ J ........... Jill .OV01/ZI21 .. I. .31417'1-\'Y~ -""I II!DII3II 1118 um 01/01121 .Da/01/2012 •· -- ..•.•.•.• 11,!!111 .• 11,5111 .......... J4,1S1 14,144 ....... J .•.• 1S471 ... .......... J .•.•.•.• 15411 ........... ~ •.•.•.•.•.•. 18,!illl .... ~ ...... J ........ ~

········• 01101/ZI21 1...

.. 314111 .. 1 -""I lllill3l IllS 5JIIQI 04101125 ........ .01/0112011 .. --- .......... JII,134 ............ JII,134 ............ 29,840 ............ JII,750 ............... ~ ......... (1,1151 ............... J ......... (1,1151 ............... J ............ JII,134 ..... J ...... J ........ J ........... 11!1 .04101/ZII5 t.

.. 314111*1 -Pool lllill3l IllS 5JIIQI 01101125 ........ .118.10112012 .. --- ........... ca.tto ............ JI.810 ............ 51.551 ............ 51.401 ............... » ........ .12.11111 . .............. J ......... (2.1'111} ............... J ............ !1.110 ..... J ...... » ........ » ......... 1.120 .04101/ZII5 I. .314111*1 -""I lllill3l IllS 5JIIQI 01101125 ..•• .11110112012 . . -- .•••••••• . 1,2!1 ······· •.. J.2511 ............ 3,-l57 ········· .3,441 •.•.••• D .... •..• 11171 . ........ J . •..•.•.• 11111 ........... ~ ..•.•.•.•.•• 3,2511 .... D ...... D ........ J ........... 122 04101/ZII5 1... .. 3141~~\'-\R~ -""I Nlll11 IllS 4.Dim 1111011211 ........ .01/0112012 .. --- ............ 1.181 ............. UII1 ............. ll.614 ............. ll.481 ............... J ........... 141111 ............... J . .......... 14Q8) ............... J ............. J.tit ..... ~ ...... ~ ........ J ........... 2311 .118.101/m!& I. .. 3141~~\'-\R~ -""I Nlll11 1118 4.Dim 111101125 .•••• .DI/0112012 .. -- •••••••• JD, 144 . ..• 10,144 ........... 11,1011 14,518 . ........ J . .•. (4,4251 . .. ........... J . .•.••.. (4.~1 ............ ~ .••••••••••. 10,144 .... ~ ....... ...... J ..... ........ ~ ....... 2,401 118101/ZI25 1... .. 3141~~\'-\R~ -""I Nlll11 1118 UIIO'I 011/01125 ........ .Da/0112011 .. --- .I, 111 ............. ll,111 ............. ll,711 ............. li,IB5 ............... ~ ........... 15011 . .............. J ........... 15011 ............... J ............. ll,171 ..... J ...... J ........ J ........... 310 .118101/ZII5 t. .3141~T~ -Pool -I8S UIIO'I 111101125 .•••• . .0110112012 .. -··· .•••••••• . 5,llil ... ~.llil ............ UIII ........ .• ~.754 ••••••• D •.•• 12871 ... • .•••••••• D •.•••••• 12871 ........... l .••••••••••• 5,-l57 .... D ...... J ........ J .......... 143 118101/ZII5 1... .3141~H -""I -IllS UIIO'I 111101125 .•••• . .11110112012 .. -··· .•••••••• . S,!III ....... . ... ~.- ............ Ulll ........• •• 5,111111 ••••••• D •.•• 121121 ... . ......... ~ •.•••••• 121121 ........... ~ ............. UIIII .... D ...... D ........ J .......... 111 011101121125 1... .. 3141~H -""I -IllS 4.Dim 1111011211 ........ .DI/0112012 .. --- ............ 6.0112 ............. ~.0112 ............. li.lll . ............ ~.• ............... J ........... 11111 ............... J ........... mn ··············-~ ............. UII2 ..... ~ ...... ~ ........ J ............ 112 .118.101/m!& I. .314111C--U-2 -""I IEI151 1118 um IIB/011211 •.•. -------- .01/01/2012 •· -- ..•.•.•.• 21,401 .• 21,401 .......... 22,022 .22,1111 ....... J .•.• 11011 ... . ......... J .•.•.•.• 1«111 ........... ~ •.•.•.•.•.•. :!1,4011 .... J ...... J ........ ~

········• D.'I/01/2QII 1...

.. 314111C--U-2 -""I IEI151 1118 um IIB/011211 ........ .11110112011 .. --- ........... 11,427 ............ 11,427 ............ J1,7!il ............ 11,748 ............... J ........... 11211 ............... J ........... 18211 ............... J ............. 11,427 ..... J ...... J ........ J ........... 315 .D.'I/01/2QII t. .314111C--U-2 -Pool IEI151 I8S um IIB/011211 ..•• .11110112012 .. -- •••••••• 11,481 .. 11,481 ........... J1,7911 11,7911 .. ....... J •..• 13221 . ........ J • .•.•.• 13221 ........ J ..•.•.•.•.•. 11,481 .... ~ ...... D ........ J .......... 344 D.'I/01/2QII 1... .3141IIHIHI -""I &18 I8S UIIO'I 10101125 ..•• .01/0112012 l'lydoon • . • ••••••• . 3,:14S ······· •.• J,MS ............ USI ········· .~.541 ....... J •..• 12031 . ........ J • .•.•.• 130!1 ........... ~ ............ J,J45 .... D ...... D ........ J ···········• 10/01/ZII5 1... .. J14111HH -""I 11111118 IllS 4.Dim 101011211 ........ .DI/0112012 ::~=·::·: -------------- --------------- .1.1111 ............. J.Iilll ............. J.II01 ............. 1.4111 ............... J ........... 12001 ............... J ........... 1200) ............... J ............. 1.21111 ..... ~ ...... ~ ........ J ............. If .10101/m!& I.

314111<1-81l-0 -""I &18 1118 4.!1101 10101125 .Da/0112012 .1301 ,a 301 ............ J 515 ,a 510 J 11011 .. J 1101) ~ HOI .... J ...... J ........ ~ ........... 111 10/01/ZI25 1...

Page 18: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

2 4

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

5 Show All

e

SCHEDULED ·PART 4 Term Bonds and Stock

7 8 9 16 17 18 19 20 21 22

NAIC Deolg­nation

Page 19: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHeaHhcare Plan of the River Valley, 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 1 B - Brokers with whom cash deposits have been made

NONE

Schedule DB - Part D - Counterparty Exposure for Derivative Instruments Open

NONE

Schedule DL- Part 1 -Reinvested Collateral Assets Owned

NONE

Schedule DL - Part 2 - Reinvested Collateral Assets Owned

NONE

E06,E07,E08, E09, E10

Page 20: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHeaHhcare Plan of the River Valley, Inc.

SCHEDULE E • PART 1 ·CASH Month End Daposilory Balai"IC88

2 3 4 5 Book Bal.,.,., at End of Each Month Durina Cu.,..,t Quilter

9

Dapoollory

Northern Tr111! ........................... . ................................... . Century South Bark Cart of

Amount of 1-1-VIId

Rate of During Cunan Code In- Quarter

........... 0.000 .......................... .0

Amount of lnta!Mt Accrued

at Current -antDD

..... 0

6

Fin! Month ..... .7,8118

Deposit ................................... 0111 07/26/2D13 .................................. 0.480 .......................... .0 ................... .1.2110 ............. 1.500.000 ~ Mora1n Chase ....................... New York Ci tv. New vork ....... ............. ............................. ....................... . ........... 1 574 584 0199998. Dapoaita in ..• dapoalloriaa that do ngl axceadlhll ollaw~~blallm~ In any one dapoaltory (S• inlllructiona)- Open Depooitoriaa

0199999. Tolalo- Open Depooiloriaa 0299998. Dapoaita in ... dapoalloriao that do ngl axceadlhll ollaw~~blalim~ in any one dapooitory (S• inlllructionol-s_,ded Dai>Oo-

049119911. Caoh In Com,.mlo Ofllca

0599999. Tolal- C..h

XXX XXX XXX XXX

XXX XXX XXX XXX XXX XXX XXX XXX

XXX XXX

0 1.2110 9.(112.282

0 0 0 12110 9 (112 282

XXX XXX

0 12110 9 (112 282

E11

7 8

Saoond Montll Third Montll ........... .61,563 ........................... 0 .XXX.

....... 1.500.000 ............. 1.500.000 XXX.

..... .7 110 963 ............ 6 118 306 XXX.

XXX 8.672.526 7.618 306 XXX

XXX 0 XXX

8 672 526 7 618 306 XXX XXX

8 672 526 7 618 306 XXX

Page 21: of SCHEDULEY PART 1A ·DETAIL OF INSURANCE HOLDING COMPANY …

,.,., IBondo -~-r-and I . IBondo ·-. 'olitical • Bonds . IDecial Revenuee Bond8

fotal-ll'ldUOIIIIII and I I 4899999. falal • Hybrid Sec>riieo ~ falal - Parent, Subeidiariee al'ld Aflili- Bonde ~ fotal·llluerODIIgOIIOIIS 7899999. falal - Reoidentilll I Securities 7a99999. fotal Commarclol I Saou.-

I BondS

I 8099999. falal other lllld SINclured secu.-1 8399999. falal Bonde

STATEMENT AS OF SEPTEMBER 30, 2012 OF THE UnitedHealthcare Plan of the River Valley, Inc.

SCHEDULE E - PART 2 -CASH EQUIVALENTS Show IIMIII1ments Owned End of Current Quarter

2 3 4 5 6 7 8

~a:~j= Amount of lnlllreot Amount-Due and Al:crwcl DuringY-Code n.

0 0 D 0 0 D 0 0 D 0 0 D 0 Q Q

.. """"""' .. , ... ·""' . ,._,.. ""'' 2.1113.117 Z!,Jal (3,248}

2,1113,117 22,Jal (3,248}

0 0 0

0 0 D 2,1113,117 22,Jal (3,248}

Q Q D 0 0 D 0 Q 0

2,1113,117 22,Jal (3,248}

:::::::::::::::::::::::::--::::::::-:::::::::::::::::::::::::::::::::::: ·::::::::::::::::::::::: :::::::::::::::::::::::::--::::::::-:::::::::::::::::::::::::::::::::::: ·::::::::::::::::::::::: :::::::::::~::::::: --:: . : : : : : : ::::::: :::::::: r:::::::: -::::::::::: -:::::::::::t::::::::::: -::::::::::::::::::::::t- ::::::::::: .::::::::::: ..• :::::::::: -::r :::::::::::: :::::::::::::::::::::::: :r:::::::::::::::::::::::::::::::::::::l .................................................................................................................................................................................................................. :::::::::::1::::::: :::::::::::::::::::::::1::::::::: ::::::::::: ::::::::::1::::::::::: ::::::::::::::::::::::1 :::::::::: ::::::::::: ::::::::::: ::j:::::::::::::: ::::::::::::::::::::::: :t::::::::::::::::::::::::: ::::::::::: j .................................................................................................................................................................................................................. -----------1--·------···--------------------------f--------------------------------------l·-------------··------··---------·----·+·--·------··-------·----------------------------+---------·------··------·------·---------------+--·----------·----·----------·------------------l

.................................................................................................................................................................................................................. :::::::::::1::::::: ::::::::::::::: ::::::::1::::::::: ::::::::::: ::::::::::1::::::::::: :::::::::::::::: ::::::1 :::::::::: ::::::::::: ::::::::::: ::j:: ::::::::::::::::::::::: :::::::::::: :t:: ::::::::::: :::::::::::: :::::::::::j

:::::::::::::::::::::::::--::::::::-:::::::::::::::::::::::::::::::::::: ·::::::::::::::::::::::: :::::::::::::::::::::::::--::::::::-:::::::::::::::::::::::::::::::::::: ·::::::::::::::::::::::: :::::::::::~::::::: --:: . : : : : : : ::::::: :::::::: r:::::::: -::::::::::: -:::::::::::t::::::::::: -::::::::::::::::::::::t- ::::::::::: .::::::::::: ..• :::::::::: -::r :::::::::::: :::::::::::::::::::::::: :r:::::::::::::::::::::::::::::::::::::l .................................................................................................................................................................................................................. :::::::::::1::::::: :::::::::::::::::::::::1::::::::: ::::::::::: ::::::::::1::::::::::: ::::::::::::::::::::::1 :::::::::: ::::::::::: ::::::::::: ::j:::::::::::::: ::::::::::::::::::::::: :t::::::::::::::::::::::::: ::::::::::: j .................................................................................................................................................................................................................. -----------1--·------···--------------------------f--------------------------------------l·----------------------··---------·----·+·--·------··-------·----------------------------+---------·------··------·------·---------------+--·----------·----·----------·------------------l .................................................................................................................................................................................................................. -----------1--·------···--------------------------f--------------------------------------l·----------------------··---------·----·+·--·------··-------·----------------------------+---------·------··------·------·---------------+--·----------·----·----------·------------------l

.................................................................................................................................................................................................................. :::::::::::1::::::: ::::::::::::::: ::::::::1::::::::: ::::::::::: ::::::::::1::::::::::: :::::::::::::::: ::::::1 :::::::::: ::::::::::: ::::::::::: ::j:: ::::::::::::::::::::::: :::::::::::: :t:: ::::::::::: :::::::::::: :::::::::::j

:::::::::::: :::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::::::::::::: :::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::: :::::::::J :::::: ••::::::::::::::::•• ::::::::!:::::::::•• :::::::::: ••::::::::::::f:::·::::::: ••:::::::::::::::::::::::!••:::::::::::::::::::::::::::::::::::::•• ::J:•:_:::::::::: •:::::::::::::::::::::::: •:r•::::::::::::•:::::::::::: •::::::::::::•J

I 8699999 · falal Ceeh Equ~ 2,1113,117 22,Jal (3,248}