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ABC Company

Claim Reserve Valuation Estimates as of December 31, 2016

Medical, Pharmacy and Dental

II. DENTAL

Dental

Reserve Valuation

Reserve

Reinsurance

Seasonality

Method Description

Estimate

Recoverable

& Margin

TOTAL

-------------------------

---------------

------------------

---------------

-------------

1 .

Harm12/Man12

$47,735

1.00

1.00

$47,735

2 .

Harm12/Man6

$47,775

1.00

1.00

$47,775

3 .

Harm6/Man12

$50,086

1.00

1.00

$50,086

4 .

Harm6/Man6

$50,154

1.00

1.00

$50,154

5 .

Harm3/Man12

$49,189

1.00

1.00

$49,189

6 .

Harm3/Man6

$49,231

1.00

1.00

$49,231

7 .

6 mos avg pd claims x

$47,426

1.00

1.00

$47,426

Harm12 "# Mos UnPd"

0.535

8 .

6 mos avg pd claims x

$49,732

1.00

1.00

$49,732

Harm 6 "# Mos UnPd"

0.561

9 .

12 mos avg pd claims x

$48,068

1.00

1.00

$48,068

Harm12 "# Mos UnPd"

0.535

10 .

12 mos avg pd claims x

$50,405

1.00

1.00

$50,405

Harm 6 "# Mos UnPd"

0.561

11 .

Average of 10 Methods

$48,980

Harm 12/Man 12

12 .

Prior Months Runoff Claims

Remaining

Runoff

Reserve

Total Est

Dental

Dental

Runoff

High & Low

------------------

------------------

------------------

----------------

Dec 16

$0

$47,735

$47,735

Nov 16

$39,224

$13,058

$52,282

Oct 16

$27,317

$8,269

$35,586

Low

Sep 16

$34,011

$5,547

$39,558

Aug 16

$44,426

$3,745

$48,171

Jul 16

$43,866

$2,579

$46,445

Jun 16

$65,537

$1,612

$67,148

High

May 16

$36,981

$894

$37,875

Apr 16

$37,792

$554

$38,347

Mar 16

$52,322

$346

$52,669

Feb 16

$42,237

$192

$42,429

Jan 16

$52,172

$96

$52,267

Dec 15

$58,244

$0

$58,244

13 .

Claim Reserve Relative Range:

$35,586 to

$67,148

14 .

Dental Claims IBNR Reserve Estimate:

$48,980

15 .

Dental Claims Processed But Not Cleared

$0

0

Day Estimate

Bank Account

16 .

Administration Expenses of Run-off Claims (Rounded):

$0 ($0.00 PEPM * 1535 EEs * 3 months)

17 .

Final Total Dental Reserve Estimate:

$48,980