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Insurer Company ABC Reinsurer Company XYZ Group Hospital & Surgical Quota Share portion As to Date 20% 6/30/2021 Policy Start Date Company Benefit Net Premium

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Insurer Company ABC Reinsurer Company XYZ Group Hospital & Surgical Quota Share portion As to Date 20% 6/30/2021 Policy Start Date Company Benefit Net Premium per Net Reinsurance Effective Days Effective Portion Year Premium (As to Date) Effective Net Reinsurance Premium 1/23/2021 2/1/2021 3/1/2021 3/1/2021 4/1/2021 4/6/2021 5/1/2021 4/1/2021 4/11/2021 5/1/2021 Company A Company A Company A Company B Company B Company B Company C Company C Company C Company C GHS GHS GHS GHS GHS GHS GHS GHS GHS GHS Gross Premium per Year 50,000 200,000 300,000 100,000 375,000 258,750 75,000 120,000 500,000 105,000 Brokerage Loading 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% Expense Loading 10% 10% 10% 10% 10% 10% 5% 5% 5 5% 5% 5 Profit Loading 10% 10% 10% 10% 10% 10% 5% 5% 5% 5% % Insurer Company ABC Reinsurer Company XYZ Term Life Insurance Quota Share portion Max retention per life 20% 187,500 * Applies per life Gross Premium Net Premium Sum Retained by ABC Reinsurer's share % Reinsured Reinsurance Premium (Net) Member Member Al Member A2 Member A3 Member B1 Benefit GTL GTL GTL GTL GTL GTL GTL GTL GTL GTL Member B2 Brokerage Expense Loading Loading 10% 10% 1096 10% 10% 10% 10% 10% 10%. 10% 10%. 10% 10% 5% 10% 5% 10% 5% 10% 5% Sum Assured Risk Premium Rate (Gross) (per 1000 sum assured) 100,000 1.20 200,000 1.20 300,000 1.20 1,000,000 3.50 200,000 3.50 100,000 3.50 100,000 1.20 150,000 1.20 500,000 1.20 5.000.000 1.20 Profit Loading 109 10% 10% 10% 10% 10% 5% 5% 5% 5% Member B3 Member C1 Member C2 Member C3 Member C4 Insurer Company ABC Reinsurer Company XYZ Group Hospital & Surgical Quota Share portion As to Date 20% 6/30/2021 Policy Start Date Company Benefit Net Premium per Net Reinsurance Effective Days Effective Portion Year Premium (As to Date) Effective Net Reinsurance Premium 1/23/2021 2/1/2021 3/1/2021 3/1/2021 4/1/2021 4/6/2021 5/1/2021 4/1/2021 4/11/2021 5/1/2021 Company A Company A Company A Company B Company B Company B Company C Company C Company C Company C GHS GHS GHS GHS GHS GHS GHS GHS GHS GHS Gross Premium per Year 50,000 200,000 300,000 100,000 375,000 258,750 75,000 120,000 500,000 105,000 Brokerage Loading 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% Expense Loading 10% 10% 10% 10% 10% 10% 5% 5% 5 5% 5% 5 Profit Loading 10% 10% 10% 10% 10% 10% 5% 5% 5% 5% % Insurer Company ABC Reinsurer Company XYZ Term Life Insurance Quota Share portion Max retention per life 20% 187,500 * Applies per life Gross Premium Net Premium Sum Retained by ABC Reinsurer's share % Reinsured Reinsurance Premium (Net) Member Member Al Member A2 Member A3 Member B1 Benefit GTL GTL GTL GTL GTL GTL GTL GTL GTL GTL Member B2 Brokerage Expense Loading Loading 10% 10% 1096 10% 10% 10% 10% 10% 10%. 10% 10%. 10% 10% 5% 10% 5% 10% 5% 10% 5% Sum Assured Risk Premium Rate (Gross) (per 1000 sum assured) 100,000 1.20 200,000 1.20 300,000 1.20 1,000,000 3.50 200,000 3.50 100,000 3.50 100,000 1.20 150,000 1.20 500,000 1.20 5.000.000 1.20 Profit Loading 109 10% 10% 10% 10% 10% 5% 5% 5% 5% Member B3 Member C1 Member C2 Member C3 Member C4

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