The following discussion and analysis of our financial condition and results of operations should be read in conjunction with our condensed consolidated financial statements and related notes included elsewhere in this Form 10-Q.

Note on Forward-Looking Statements



This current report on Form 10-Q contains "forward-looking statements" that are
made pursuant to the safe harbor provisions of the Private Securities Litigation
Reform Act of 1995. The forward-looking statements are based on the Company's
current expectations and beliefs concerning future developments and their
potential effects on the Company. Forward-looking statements can generally be
identified by the use of forward-looking terminology, such as "may," "will,"
"plan," "expect," "project," "intend," "estimate," "anticipate" and "believe" or
their variations or similar terminology. There can be no assurance that actual
developments will be those anticipated by us. Actual results may differ
materially from those expressed or implied in these statements as a result of
significant risks and uncertainties, including, but not limited to, plans and
expectations related to our proposed merger with The Allstate Corporation
("Allstate"), including anticipated timing for closing of the merger, the
occurrence of any event, change or other circumstances that could give rise to
the termination of the merger agreement with Allstate, the inability to complete
the proposed merger due to the failure to obtain stockholder approval for the
proposed merger or the failure to satisfy other conditions to completion of the
proposed merger, the possibility that competing offers will be made, non-receipt
of expected payments from insureds or reinsurers, changes in interest rates, a
downgrade in the financial strength ratings of our insurance subsidiaries, the
potential effect of changes in LIBOR reporting practices, the effects of
pandemics or other widespread health problems such as the ongoing COVID-19
pandemic on our business, including our investment portfolio, and the national
and global economy generally, the effect of the performance of financial markets
on our investment portfolio, our ability to accurately underwrite and price our
products and to maintain and establish accurate loss reserves, estimates of the
fair value of investments, development of claims and the effect on loss
reserves, large loss activity including hurricanes and wildfires, the cost and
availability of reinsurance coverage, the effects of emerging claim and coverage
issues, the effect of unpredictable catastrophic losses, changes in the demand
for our products, our degree of success in integrating acquired businesses, the
effect of general economic conditions, state and federal legislation, the
effects of tax reform, regulations and regulatory investigations into industry
practices, risks associated with conducting business outside the United States,
developments relating to existing agreements, disruptions to our business
relationships with third party vendors or agencies, breaches in data security or
other disruptions involving our technology, heightened competition, changes in
pricing environments, and changes in asset valuations. Additional information
about these risks and uncertainties, as well as others that may cause actual
results to differ materially from those projected, is contained in Item 1A,
"Risk Factors" included in our Annual Report on Form 10-K for the year ended
December 31, 2019, Part II, Item 1A, "Risk Factors, in this quarterly report on
Form 10-Q, and our other quarterly reports on Form 10-Q. The projections and
statements in this report speak only as of the date of this report and we
undertake no obligation to update or revise any forward-looking statement,
whether as a result of new information, future developments or otherwise, except
as may be required by law.


Overview

We are a specialty personal lines insurance holding company that, through our
subsidiaries, provides a variety of insurance products, including personal and
small business automobile, homeowners, umbrella, recreational vehicle,
motorcycle, lender-placed, supplemental health and other niche insurance
products. We sell insurance products with a focus on underwriting profitability
through a combination of our customized and predictive analytics and our
technology-driven low-cost infrastructure.

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We manage our business in two segments, Property and Casualty ("P&C") and Accident and Health ("A&H"), and conduct business primarily through our twenty-two regulated domestic insurance subsidiaries:



              Property and Casualty:
              Agent Alliance Insurance Company
              Century-National Insurance Company
              Direct General Insurance Company
              Direct General Insurance Company of Mississippi
              Direct Insurance Company
              Direct National Insurance Company
              Imperial Fire and Casualty Insurance Company
              Integon Casualty Insurance Company
              Integon General Insurance Corporation
              Integon Indemnity Corporation
              Integon National Insurance Company
              Integon Preferred Insurance Company
              MIC General Insurance Corporation
              National Farmers Union Property and Casualty Company
              National General Assurance Company
              National General Insurance Company
              National General Insurance Online, Inc.
              National General Premier Insurance Company
              New South Insurance Company
              Standard Property and Casualty Insurance Company

              Accident and Health:
              Direct General Life Insurance Company
              National Health Insurance Company



Our insurance subsidiaries have an "A-" (Excellent) group rating by A.M. Best
Company, Inc. ("A.M. Best"). On July 9, 2020, A.M. Best placed us and our
subsidiaries under review with positive implications. We currently conduct a
limited amount of business outside the United States, primarily in Bermuda.

Two of our wholly-owned subsidiaries are management companies that act as
attorneys-in-fact for Adirondack Insurance Exchange, a New York reciprocal
insurer, and New Jersey Skylands Insurance Association, a New Jersey reciprocal
insurer (together with Mountain Valley Indemnity Company, a subsidiary of
Adirondack Insurance Exchange, the "Reciprocal Exchanges" or "Exchanges"). We do
not own the Reciprocal Exchanges but are paid a fee to manage their business
operations through our wholly-owned management companies. The Reciprocal
Exchanges are included in our P&C segment.

The operating results of insurance companies are subject to quarterly and yearly
fluctuations due to the effect of competition on pricing, the frequency and
severity of losses, the effect of weather and natural disasters on losses,
general economic conditions, the general regulatory environment in states in
which an insurer operates, state regulation of premium rates, changes in fair
value of investments, and other factors such as changes in tax laws. The
industry has been highly cyclical with periods of high premium rates and
shortages of underwriting capacity followed by periods of severe price
competition and excess capacity. While these cycles can have a large impact on a
company's ability to grow and retain business, we have sought to focus on niche
markets and regions where we are able to maintain premium rates at generally
consistent levels and maintain underwriting discipline throughout these cycles.
We believe that the nature of our insurance products, including their relatively
low limits, the relatively short duration of time between when claims are
reported and when they are settled, and the broad geographic distribution of our
customers, have allowed us to grow and retain our business throughout these
cycles. Also, we have limited
                                       47
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our exposure to catastrophe losses through reinsurance. With regard to seasonality, we tend to experience higher claims and claims expense in our P&C segment during periods of severe or inclement weather.



Our products in the P&C segment include personal auto, homeowners, RV/Packaged,
small business auto, lender-placed insurance, and other products. The personal
auto segment includes policies for standard, preferred and nonstandard
automobile insurance. The homeowners product includes multiple-peril policies
and personal umbrella coverage to the homeowner. The RV/Packaged product offers
policies that include RV automatic personal effects coverage, optional
replacement cost coverage, RV storage coverage, and full-time liability
coverage. The small business auto product offers policies that include liability
and physical damage coverage for light-to-medium duty commercial vehicles. The
lender-placed insurance product offers fire, home and flood products, as well as
collateral protection insurance and guaranteed asset protection products for
automobiles.

Our products in the A&H segment include group, individual and third-party fees.
The group product includes revenue from our small group self-funded product. The
individual product line includes revenue from our supplemental products
including short-term medical, accident/AD&D, hospital indemnity, cancer/critical
illness, dental and term life insurance. Third-party fees include commission and
general agent fees for selling policies issued by third-party insurance
companies, fees generated through selling our technology products to third
parties and fees from our international health insurance offerings.

We evaluate our operations by monitoring key measures of growth and
profitability, including net combined ratio (non-GAAP) and operating leverage.
We target a net combined ratio (non-GAAP) in the low-to-mid 90s while seeking to
maintain optimal operating leverage in our insurance subsidiaries commensurate
with our A.M. Best rating objectives. To achieve our targeted net combined ratio
(non-GAAP) we continually seek ways to reduce our operating costs and lower our
expense ratio. For the six months ended June 30, 2020, our operating leverage
(the ratio of net earned premium to average total stockholders' equity) was
1.5x, which was within our planned target operating leverage of between 1.5x and
2.0x.

Investment income is also an important part of our business. Because we often do
not settle claims until several months or longer after we receive the original
policy premiums, we can invest cash from premiums for significant periods. We
invest our capital and surplus following state and regulatory guidelines. Our
net investment income was $61.4 million and $68.6 million for the six months
ended June 30, 2020, and 2019, respectively. We held 6.2% and 3.3% of our total
invested assets in cash, cash equivalents and restricted cash as of June 30,
2020, and December 31, 2019, respectively.

Our most significant balance sheet liability is our unpaid loss and LAE
reserves. As of June 30, 2020, and December 31, 2019, our reserves, net of
reinsurance recoverable on unpaid losses, were $1.7 billion and $1.8 billion,
respectively. We record reserves for estimated losses under insurance policies
that we write and for LAE related to the investigation and settlement of policy
claims. Our reserves for loss and LAE represent the estimated cost of all
reported and unreported loss and LAE incurred and unpaid at any given point in
time based on known facts and circumstances. Reserves are based on estimates of
the most likely ultimate cost of individual claims. These estimates are
inherently uncertain. Judgment is required to determine the relevance of our
historical experience and industry information under current facts and
circumstances. The interpretation of this historical and industry data can be
impacted by external forces, principally frequency and severity of future
claims, length of time to achieve ultimate settlement of claims, inflation of
medical costs and wages, insurance policy coverage interpretations, jury
determinations, and legislative changes. Accordingly, our reserves may prove to
be inadequate to cover our actual losses. If we change our estimates, such
changes would be reflected in our results of operations during the period in
which they are made, with increases in our reserves resulting in decreases in
our earnings.

In March 2020, the outbreak of COVID-19 caused by a novel strain of the
coronavirus was recognized as a pandemic by the World Health Organization.
Shortly thereafter, the President of the United States declared a National
Emergency throughout the United States attributable to such outbreak. The
outbreak has become increasingly widespread in the United States, including in
the markets in which we operate. The COVID-19 outbreak has had a notable adverse
impact on general economic conditions, including adverse impacts on automobile
sales and new home sales and increased unemployment, which may decrease customer
demand for our
                                       48
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insurance products, negatively impact our premium volume, reduce our ability to
access capital, and otherwise adversely impact our future results of operations.
Additionally, federal, state, and local government actions to address and
contain the impact of COVID-19 may adversely affect us. For example, regulatory
actions seek to retroactively mandate coverage for losses which various types of
insurance policies were not designed or priced to cover or seek to require
premium refunds. Regulatory restrictions or requirements also impact pricing,
risk selection and our rights and obligations with respect to our policies and
insureds, including our ability to cancel policies or our right to collect
premiums or fees. Because of the unprecedented size and breadth of this
pandemic, and rapidly evolving situation, all of the direct and indirect
consequences of COVID-19 are not yet known and may not emerge for some time.

While we continue to closely monitor the impact of the COVID-19 pandemic and
assess its potential effects on our business, the extent to which the COVID-19
outbreak will impact our operations or financial results is uncertain.

On July 7, 2020, the Company, The Allstate Corporation, a Delaware corporation
("Allstate"), and Bluebird Acquisition Corp., a Delaware corporation and an
indirect wholly owned subsidiary of Allstate ("Merger Sub"), entered into an
Agreement and Plan of Merger (the "Merger Agreement"), pursuant to which Merger
Sub will be merged with and into the Company (the "Merger"), with the Company
surviving the Merger as a wholly owned subsidiary of Allstate following the
receipt of shareholder and regulatory approval and the satisfaction of other
customary conditions. The Company expects the Merger to close in the first
quarter of 2021.

For further discussion regarding the potential impact of COVID-19 and related
economic conditions on the Company, and the proposed merger transaction pursuant
to which the Company will be acquired by Allstate, see "Part II-Item 1A-Risk
Factors."


Critical Accounting Policies



Our discussion and analysis of our results of operations, financial condition,
and liquidity are based upon our condensed consolidated financial statements,
which have been prepared in accordance with U.S. generally accepted accounting
principles. The preparation of these financial statements requires us to make
estimates and judgments that affect the amounts of assets and liabilities,
revenues and expenses and disclosure of contingent assets and liabilities as of
the date of the financial statements. As more information becomes known, these
estimates and assumptions could change, which would have an impact on actual
results that may differ materially from these estimates and judgments under
different assumptions. We have not made any changes in estimates or judgments
that have had a significant effect on the reported amounts as previously
disclosed in Item 7 of our Annual Report on Form 10-K for the year ended
December 31, 2019.

For more information related to recent accounting pronouncements that we adopted during the six months ended June 30, 2020, see Note 2, "Recent Accounting Pronouncements" in the notes to our condensed consolidated financial statements.

Principal Revenue and Expense Items



Gross premium written. Gross premium written represents premium from each
insurance policy that we write, including as a servicing carrier for assigned
risk plans, during a reporting period based on the effective date of the
individual policy, before ceding reinsurance to third parties. Premium refunds
are recorded against gross premium written.

Net premium written. Net premium written is gross premium written less that portion of premium that we cede to third-party reinsurers under reinsurance agreements. The amount ceded under these reinsurance agreements is based on a contractual formula contained in the individual reinsurance agreement.


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Change in unearned premium. Change in unearned premium is the change in the balance of the portion of premium that we have written but have yet to earn during the relevant period because the policy is unexpired.



Net earned premium. Net earned premium is the earned portion of our net premium
written. We earn insurance premium on a pro rata basis over the term of the
policy. At the end of each reporting period, premium written that is not earned
is classified as unearned premium, which is earned in subsequent periods over
the remaining term of the policy. Our policies typically have a term of six
months or one year. For a six-month policy written on January 1, 2020, we would
earn half of the premium in the first quarter of 2020, and the other half in the
second quarter of 2020.

Ceding commission income. Ceding commission income is commission we receive
based on the earned premium ceded to third-party reinsurers to reimburse us for
our acquisition, underwriting and other operating expenses. We earn commissions
on reinsurance premium ceded in a manner consistent with the recognition of the
earned premium on the underlying insurance policies, on a pro-rata basis over
the terms of the policies reinsured. The portion of ceding commission revenue
which represents reimbursement of successful acquisition costs related to the
underlying policies is recorded as an offset to acquisition costs and other
underwriting expenses.

Service and fee income. We also generate policy service and fee income from installment fees, late payment fees, and other finance and processing fees related to policy cancellation, policy reinstatement, and insufficient fund check returns. We also collect service fees in the form of commissions and general agent fees by selling policies issued by third-party insurance companies as well as fees generated through selling our technology products to third parties.



Net investment income. We invest our statutory surplus funds and the funds
supporting our insurance liabilities primarily in cash and cash equivalents,
debt and equity securities. Our net investment income includes interest and
dividends earned on our invested assets and earnings or losses on our equity
method investments.

Net gains and losses on investments. Net realized gains occur when we sell our
investment securities for more than their costs or amortized costs, as
applicable; conversely, net realized losses occur when we sell our investment
securities for less than their costs or amortized costs, as applicable, or we
establish a credit loss allowance on our debt securities as a result of specific
credit concerns. For debt securities classified as available-for-sale, other
than the allowance for credit losses, we report net unrealized gains and losses
within accumulated other comprehensive income in our balance sheet. We report
all gains and losses on equity securities within net gains (losses) on
investments in our statement of income. Net gains and losses on investments also
include foreign exchange gains and losses which are generated by the
remeasurement of financial statement balances that are denominated or stated in
another currency into the functional currency.

Loss and loss adjustment expense. Loss and LAE represent our largest expense
item and, for any given reporting period, include estimates of future claim
payments, changes in those estimates from prior reporting periods and costs
associated with investigating, defending, and servicing claims. These expenses
fluctuate based on the amount and types of risks we insure. We record loss and
LAE related to estimates of future claim payments based on case-by-case
valuations and statistical analyses. We seek to establish all reserves at the
most likely ultimate exposure based on our historical claims experience. It is
typical for our more serious bodily injury claims to take several years to
settle, and we revise our estimates as we receive additional information about
the condition of claimants and the costs of their medical treatment. Our ability
to estimate loss and LAE accurately at the time of pricing our insurance
policies is a critical factor in our profitability.

Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses consist of policy acquisition and marketing expenses,
salaries and benefits expenses. Policy acquisition expenses comprise commissions
attributable to those agents, wholesalers, or brokers that produce premiums
written on our behalf and promotional fees attributable to our affinity
relationships. Acquisition costs also include costs that are related to the
successful acquisition of new or renewal insurance contracts including
comprehensive loss underwriting exchange reports, motor vehicle reports, credit
score checks, and policy issuance costs.

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General and administrative expenses. General and administrative expenses are
composed of all other operating expenses, including various departmental
salaries and benefits expenses for employees that are involved in the
maintenance of policies, information systems, and accounting for insurance
transactions, and other insurance expenses such as federal excise tax, postage,
telephones and internet access charges, as well as legal and auditing fees and
board and bureau charges. In addition, general and administrative expenses
include those charges that are related to the amortization of tangible and
intangible assets and non-insurance activities in which we engage.

Interest expense. Interest expense represents amounts we incur on our outstanding indebtedness and interest credited on funds held balances at the applicable interest rates.

Income tax expense. We incur federal, state, and local income tax expenses as well as income tax expenses in certain foreign jurisdictions in which we operate.

Net operating expense (non-GAAP). These expenses consist of the sum of general and administrative expenses and acquisition costs and other underwriting expenses less ceding commission income and service and fee income.



Underwriting income. Underwriting income is a measure of an insurance company's
overall operating profitability before items such as investment income, interest
expense, and income taxes. Underwriting income is calculated as net earned
premium plus ceding commission income and service and fee income less loss and
LAE, acquisition costs and other underwriting expenses, and general and
administrative expenses.


Insurance Ratios

Net combined ratio (non-GAAP). The net combined ratio (non-GAAP) is a measure of
an insurance company's overall underwriting profit. This is the sum of the net
loss ratio and net operating expense ratio (non-GAAP). If the net combined ratio
(non-GAAP) is at or above 100 percent, an insurance company cannot be profitable
without investment income, and may not be profitable if investment income is
insufficient. Our definition of net loss ratio and net operating expense ratio
(non-GAAP) are as follows:

Net loss ratio. The net loss ratio is a measure of the underwriting profitability of an insurance company's business. Expressed as a percentage, this is the ratio of loss and LAE incurred to net earned premium.



Net operating expense ratio (non-GAAP). The net operating expense ratio
(non-GAAP) is one component of an insurance company's operational efficiency in
administering its business. Expressed as a percentage, this is the ratio of net
operating expense to net earned premium.

Net combined ratio before amortization and impairment (non-GAAP). The net
combined ratio before amortization and impairment (non-GAAP) is a measure of an
insurance company's overall underwriting profit. This is the sum of the net loss
ratio and net operating expense ratio before amortization and impairment
(non-GAAP). Management believes that this measure of underwriting profitability
provides a more useful comparison to the combined ratio of other insurance
companies involved in fewer acquisitions. Our definition of net operating
expense ratio before amortization and impairment is as follows:

Net operating expense ratio before amortization and impairment (non-GAAP). The
net operating expense ratio before amortization and impairment (non-GAAP) is one
component of an insurance company's operational efficiency in administering its
business. Expressed as a percentage, this is the ratio of net operating expense
before non-cash amortization of intangible assets and non-cash impairment of
goodwill to net earned premium.

Net operating expense ratio, net operating expense ratio before amortization and
impairment, net combined ratio and net combined ratio before amortization and
impairment are considered non-GAAP financial measures under applicable SEC rules
because a component of those ratios, net operating expense, is calculated by
offsetting acquisition costs and other underwriting expenses and general and
administrative expenses by ceding commission income and service and fee income,
and is therefore a non-GAAP measure. We use net operating expense ratio (non-
                                       51
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GAAP), net operating expense ratio before amortization and impairment
(non-GAAP), net combined ratio (non-GAAP) and net combined ratio before
amortization and impairment (non-GAAP) to evaluate financial performance against
historical results and establish targets on a consolidated basis. We believe
this presentation enhances the understanding of our results by eliminating what
we believe are volatile and unusual events and presenting the ratios with what
we believe are the underlying run rates of the business. Other companies may
calculate these measures differently, and, therefore, their measures may not be
comparable to those used by us. For a reconciliation of net operating expense,
see "Results of Operations - Consolidated Results of Operations for the Three
and Six Months Ended June 30, 2020, and 2019, (Unaudited)" below.

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Results of Operations



Consolidated Results of Operations for the Three Months Ended June 30, 2020, and
2019, (Unaudited)

                                                                                                   Three Months Ended June 30,
                                                                    2020                                                                                                                          2019
                                                      Reciprocal                                                                           Reciprocal
                                     NGHC              Exchanges          Eliminations             Total                 NGHC              Exchanges           Eliminations             Total
Underwriting revenues:                                                                                (amounts in thousands)
Gross premium written           $ 1,243,165          $   98,436          $ 

        -          $ 1,341,601          $ 1,192,762          $  121,146           $          -          $ 1,313,908
Ceded premiums                     (285,525)            (41,168)                    -             (326,693)            (253,584)            (64,926)                     -             (318,510)
Net premium written             $   957,640          $   57,268          $  

- $ 1,014,908 $ 939,178 $ 56,220

       $          -          $   995,398
Change in unearned premium           53,142              (2,483)                    -               50,659               44,843              (9,590)                     -               35,253
Net earned premium              $ 1,010,782          $   54,785          $  

- $ 1,065,567 $ 984,021 $ 46,630

       $          -          $ 1,030,651
Ceding commission income             35,530              11,110                     -               46,640               43,346              16,846                      -               60,192
Service and fee income              192,023               2,336               (13,767)             180,592              166,049               1,516                (18,657)             148,908

Total underwriting revenues $ 1,238,335 $ 68,231 $

(13,767) $ 1,292,799 $ 1,193,416 $ 64,992

       $    (18,657)         $ 1,239,751
Underwriting expenses:
Loss and loss adjustment
expense                             570,439              30,007                     -              600,446              680,246              35,289                      -              715,535
Acquisition costs and other
underwriting expenses               219,278              10,100                     -              229,378              185,951               8,175                      -              194,126
General and administrative
expenses                            257,318              18,858               (13,767)             262,409              244,827              21,597                (18,657)             247,767

Total underwriting expenses $ 1,047,035 $ 58,965 $

(13,767) $ 1,092,233 $ 1,111,024 $ 65,061

       $    (18,657)         $ 1,157,428
Underwriting income (loss)      $   191,300          $    9,266          $          -          $   200,566          $    82,392          $      (69)          $          -          $    82,323
Net investment income                30,523               2,012                (1,360)              31,175               35,949               2,124                 (2,942)              35,131
Net gain (loss) on investments        5,511                (353)                    -                5,158               (5,274)                 44                      -               (5,230)
Interest expense                    (11,779)             (1,360)                1,360              (11,779)             (12,925)             (2,942)                 2,942              (12,925)
Income (loss) before provision
(benefit) for income taxes      $   215,555          $    9,565          $  

- $ 225,120 $ 100,142 $ (843)

       $          -          $    99,299
Provision (benefit) for income
taxes                                48,981               1,526                     -               50,507               22,266                 (25)                     -               22,241
Net income (loss)               $   166,574          $    8,039          $          -          $   174,613          $    77,876          $     (818)          $          -          $    77,058
Net (income) loss attributable
to noncontrolling interest                -              (8,039)                    -               (8,039)                   -                 818                      -                  818

Net income attributable to NGHC $ 166,574 $ - $

- $ 166,574 $ 77,876 $ -

       $          -          $    77,876
Dividends on preferred stock         (8,925)                  -                     -               (8,925)              (8,925)                  -                      -               (8,925)
Net income attributable to NGHC
common stockholders             $   157,649          $        -          $          -          $   157,649          $    68,951          $        -           $          -          $    68,951



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                                                                                                 Three Months Ended June 30,
                                                                  2020                                                                                                                         2019
                                                    Reciprocal                                                                          Reciprocal
                                   NGHC              Exchanges          Eliminations             Total                 NGHC              Exchanges          Eliminations             Total
Underwriting ratios:                                                                     (amounts in thousands, except percentages)
Net loss ratio                       56.4  %             54.8  %                  -  %              56.3  %              69.1  %             75.7  %                  -  %              69.4  %
Net operating expense ratio
(non-GAAP)                           24.6  %             28.3  %                  -  %              24.8  %              22.5  %             24.5  %                  -  %              22.6  %
Net combined ratio (non-GAAP)        81.0  %             83.1  %                  -  %              81.1  %              91.6  %            100.2  %                  -  %              92.0  %
Underwriting ratios before
amortization and impairment
(non-GAAP):
Net loss ratio                       56.4  %             54.8  %                  -  %              56.3  %              69.1  %             75.7  %                  -  %              69.4  %
Net operating expense ratio
before amortization and
impairment (non-GAAP)                24.1  %             28.3  %                  -  %              24.3  %              21.8  %             24.4  %                  -  %              21.9  %
Net combined ratio before
amortization and impairment
(non-GAAP)                           80.5  %             83.1  %                  -  %              80.6  %              90.9  %            100.1  %                  -  %              91.3  %

Reconciliation of net
operating expense ratio
(non-GAAP):
Total expenses                $ 1,058,814          $   60,325          $    

(15,127) $ 1,104,012 $ 1,123,949 $ 68,003

   $    (21,599)         $ 1,170,353
Less: Loss and loss
adjustment expense                570,439              30,007                     -              600,446              680,246              35,289                     -              715,535
Less: Interest expense             11,779               1,360                (1,360)              11,779               12,925               2,942                (2,942)              12,925
Less: Ceding commission
income                             35,530              11,110                     -               46,640               43,346              16,846                     -               60,192
Less: Service and fee income      192,023               2,336               (13,767)             180,592              166,049               1,516               (18,657)             148,908

Net operating expense $ 249,043 $ 15,512 $

- $ 264,555 $ 221,383 $ 11,410

    $          -          $   232,793
Net earned premium            $ 1,010,782          $   54,785          $          -          $ 1,065,567          $   984,021          $   46,630          $          -          $ 1,030,651
Net operating expense ratio
(non-GAAP)                           24.6  %             28.3  %                  -  %              24.8  %              22.5  %             24.5  %                  -  %              22.6  %

Net operating expense         $   249,043          $   15,512          $   

- $ 264,555 $ 221,383 $ 11,410

$ - $ 232,793



Less: Non-cash amortization
of intangible assets                5,343                  30                     -                5,373                7,089                  12                     -                7,101
Net operating expense before
amortization and impairment   $   243,700          $   15,482          $          -          $   259,182          $   214,294          $   11,398          $          -          $   225,692
Net earned premium            $ 1,010,782          $   54,785          $          -          $ 1,065,567          $   984,021          $   46,630          $          -          $ 1,030,651
Net operating expense ratio
before amortization and
impairment (non-GAAP)                24.1  %             28.3  %                  -  %              24.3  %              21.8  %             24.4  %                  -  %              21.9  %



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Consolidated Results of Operations for the Six Months Ended June 30, 2020, and
2019, (Unaudited)

                                                                                                     Six Months Ended June 30,
                                                                     2020                                                                                                                          2019
                                                       Reciprocal                                                                           Reciprocal
                                     NGHC              Exchanges           Eliminations             Total                 NGHC              Exchanges           Eliminations             Total
Underwriting revenues:                                                                                (amounts in thousands)
Gross premium written           $ 2,627,866          $  190,289           $          -          $ 2,818,155          $ 2,596,971          $  226,715           $          -          $ 2,823,686
Ceded premiums                     (515,918)            (77,726)                     -             (593,644)            (542,084)           (121,540)                     -             (663,624)
Net premium written             $ 2,111,948          $  112,563           $ 

- $ 2,224,511 $ 2,054,887 $ 105,175

        $          -          $ 2,160,062
Change in unearned premium          (83,558)               (180)                     -              (83,738)            (152,367)            (12,887)                     -             (165,254)
Net earned premium              $ 2,028,390          $  112,383           $ 

- $ 2,140,773 $ 1,902,520 $ 92,288

        $          -          $ 1,994,808
Ceding commission income             72,121              24,824                      -               96,945               94,346              35,380                      -              129,726
Service and fee income              383,180               3,493                (26,640)             360,033              346,437               2,886                (34,908)             314,415
Total underwriting revenues     $ 2,483,691          $  140,700           $ 

(26,640) $ 2,597,751 $ 2,343,303 $ 130,554

        $    (34,908)         $ 2,438,949
Underwriting expenses:
Loss and loss adjustment
expense                           1,220,070              72,374                      -            1,292,444            1,290,030              77,314                      -            1,367,344
Acquisition costs and other
underwriting expenses               437,023              20,597                      -              457,620              389,284              16,760                      -              406,044
General and administrative
expenses                            518,197              38,421                (26,640)             529,978              487,660              43,109                (34,908)             495,861
Total underwriting expenses     $ 2,175,290          $  131,392           $ 

(26,640) $ 2,280,042 $ 2,166,974 $ 137,183

        $    (34,908)         $ 2,269,249
Underwriting income (loss)      $   308,401          $    9,308           $          -          $   317,709          $   176,329          $   (6,629)          $          -          $   169,700
Net investment income                60,270               4,195                 (3,047)              61,418               70,232               4,294                 (5,950)              68,576
Net loss on investments                (557)             (1,146)                     -               (1,703)              (4,508)               (700)                     -               (5,208)
Interest expense                    (23,559)             (3,047)                 3,047              (23,559)             (25,924)             (5,950)                 5,950              (25,924)
Income (loss) before provision
(benefit) for income taxes      $   344,555          $    9,310           $ 

- $ 353,865 $ 216,129 $ (8,985)

        $          -          $   207,144
Provision (benefit) for income
taxes                                77,222               1,457                      -               78,679               46,495              (1,748)                     -               44,747
Net income (loss)               $   267,333          $    7,853           $          -          $   275,186          $   169,634          $   (7,237)          $          -          $   162,397
Net (income) loss attributable
to noncontrolling interest                -              (7,853)                     -               (7,853)                   -               7,237                      -                7,237
Net income attributable to NGHC $   267,333          $        -           $ 

- $ 267,333 $ 169,634 $ -

        $          -          $   169,634
Dividends on preferred stock        (16,800)                  -                      -              (16,800)             (16,800)                  -                      -              (16,800)
Net income attributable to NGHC
common stockholders             $   250,533          $        -           $          -          $   250,533          $   152,834          $        -           $          -          $   152,834



                                       55

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                                                                                                   Six Months Ended June 30,
                                                                   2020                                                                                                                          2019
                                                     Reciprocal                                                                           Reciprocal
                                   NGHC              Exchanges           Eliminations             Total                 NGHC              Exchanges           Eliminations             Total
Underwriting ratios:                                                                      (amounts in thousands, except percentages)
Net loss ratio                       60.1  %             64.4   %                  -  %              60.4  %              67.8  %             83.8   %                  -  %              68.5  %
Net operating expense ratio
(non-GAAP)                           24.6  %             27.3   %                  -  %              24.8  %              22.9  %             23.4   %                  -  %              22.9  %
Net combined ratio (non-GAAP)        84.7  %             91.7   %                  -  %              85.2  %              90.7  %            107.2   %                  -  %              91.4  %
Underwriting ratios before
amortization and impairment
(non-GAAP):
Net loss ratio                       60.1  %             64.4   %                  -  %              60.4  %              67.8  %             83.8   %                  -  %              68.5  %
Net operating expense ratio
before amortization and
impairment (non-GAAP)                24.1  %             27.3   %                  -  %              24.2  %              22.2  %             23.4   %                  -  %              22.2  %
Net combined ratio before
amortization and impairment
(non-GAAP)                           84.2  %             91.7   %                  -  %              84.6  %              90.0  %            107.2   %                  -  %              90.7  %

Reconciliation of net
operating expense ratio
(non-GAAP):
Total expenses                $ 2,198,849          $  134,439           $  

(29,687) $ 2,303,601 $ 2,192,898 $ 143,133

      $    (40,858)         $ 2,295,173
Less: Loss and loss
adjustment expense              1,220,070              72,374                      -            1,292,444            1,290,030              77,314                      -            1,367,344
Less: Interest expense             23,559               3,047                 (3,047)              23,559               25,924               5,950                 (5,950)              25,924
Less: Ceding commission
income                             72,121              24,824                      -               96,945               94,346              35,380                      -              129,726
Less: Service and fee income      383,180               3,493                (26,640)             360,033              346,437               2,886                (34,908)             314,415
Net operating expense         $   499,919          $   30,701           $   

- $ 530,620 $ 436,161 $ 21,603

      $          -          $   457,764
Net earned premium            $ 2,028,390          $  112,383           $   

- $ 2,140,773 $ 1,902,520 $ 92,288

      $          -          $ 1,994,808
Net operating expense ratio
(non-GAAP)                           24.6  %             27.3   %                  -  %              24.8  %              22.9  %             23.4   %                  -  %              22.9  %

Net operating expense         $   499,919          $   30,701           $  

- $ 530,620 $ 436,161 $ 21,603

$ - $ 457,764



Less: Non-cash amortization
of intangible assets               11,845                  60                      -               11,905               14,305                  23                      -               14,328
Net operating expense before
amortization and impairment   $   488,074          $   30,641           $   

- $ 518,715 $ 421,856 $ 21,580

      $          -          $   443,436
Net earned premium            $ 2,028,390          $  112,383           $   

- $ 2,140,773 $ 1,902,520 $ 92,288

      $          -          $ 1,994,808
Net operating expense ratio
before amortization and
impairment (non-GAAP)                24.1  %             27.3   %                  -  %              24.2  %              22.2  %             23.4   %                  -  %              22.2  %



                                       56

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In 2017, we entered into auto and homeowners quota share agreements
(collectively, the "Quota Shares"). Effective January 1, 2020, we cede 5.0% of
net liability under new and renewal auto policies written, compared to 7.0% and
10.0% of net liability ceded effective January 1, 2019, and July 1, 2019,
respectively. Under our homeowners' quota share agreement we continue to cede
40.0% of net liability under homeowners policies.

In August 2019, we completed the acquisition of National Farmers Union Property
and Casualty Company ("Farmers Union Insurance"). In December 2019, we sold our
Euro Accident Health and Care Insurance Sweden operation ("Euroaccident").

On April 23, 2020, we announced a 15.0% credit on April premiums for personal
auto insurance customers with a policy in force as of April 30, 2020, which was
automatically credited to their policy.

As a result of these transactions, comparisons between the results for the three
and six months ended June 30, 2020, and 2019, will be less meaningful. The Quota
Shares, Farmers Union Insurance and the credit relief impacted our P&C segment.
The sale of Euroaccident impacted our A&H segment.

Consolidated Results of Operations for the Three Months Ended June 30, 2020, Compared to the Three Months Ended June 30, 2019, (Unaudited)



Gross premium written. Gross premium written increased by $27.7 million, or
2.1%, from $1,313.9 million for the three months ended June 30, 2019, to
$1,341.6 million for the three months ended June 30, 2020. The P&C segment
increased by $9.7 million, as a result of the acquisition of Farmers Union
Insurance ($47.7 million), offset by a decrease in the Reciprocal Exchanges
($22.7 million). The P&C segment was also impacted by the refund of premiums
related to COVID-19. The A&H segment increased by $18.0 million, due to an
increase in the small group self-funded and individual products ($31.8 million),
partially offset by the sale of Euroaccident in 2019 ($13.8 million).

Net premium written. Net premium written increased by $19.5 million, or 2.0%,
from $995.4 million for the three months ended June 30, 2019, to $1,014.9
million for the three months ended June 30, 2020. Net premium written for the
P&C segment increased by $4.0 million for the three months ended June 30, 2020,
compared to the same period in 2019. Net premium written for the A&H segment
increased by $15.5 million for the three months ended June 30, 2020, compared to
the same period in 2019, due to an increase in the small group self-funded and
individual products ($27.6 million), partially offset by the sale of
Euroaccident in 2019 ($12.1 million).

Net earned premium. Net earned premium increased by $34.9 million, or 3.4%, from
$1,030.7 million for the three months ended June 30, 2019, to $1,065.6 million
for the three months ended June 30, 2020. The change by segment was: P&C
increased by $32.2 million and A&H increased by $2.7 million. The increase in
the P&C segment was attributable to higher written premium volume in the prior
periods that were earned in this period, a decrease in ceded premium to the
Quota Shares ($13.6 million) and an increase in the Reciprocal Exchanges
($8.2 million). The increase in the A&H segment was attributable to an increase
in the small group self-funded and individual products ($26.9 million), offset
by the sale of Euroaccident in 2019 ($24.2 million).

Ceding commission income. Ceding commission income decreased by $13.6 million,
or 22.5%, from $60.2 million for the three months ended June 30, 2019, to $46.6
million for the three months ended June 30, 2020, primarily driven by a decrease
in ceded earned premium to the Quota Shares and in the Reciprocal Exchanges.

Service and fee income. Service and fee income increased by $31.7 million, or
21.3%, from $148.9 million for the three months ended June 30, 2019, to $180.6
million for the three months ended June 30, 2020, primarily due to an increase
of $27.1 million in the A&H segment related to growth in the group
administration fees and third party technology fees.

                                       57
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The components of service and fee income are as follows:



                                                Three Months Ended June 30,
                                                 2020                  2019               Change                % Change
                                                            (amounts in thousands)
Commission revenue                         $      42,270           $   35,623          $    6,647                      18.7  %
Group health administrative fees                  30,536               24,548               5,988                      24.4  %
Finance and processing fees                       30,391               33,031              (2,640)                     (8.0) %
Installment fees                                  26,405               25,148               1,257                       5.0  %
Late payment fees                                  7,761                8,607                (846)                     (9.8) %
Other service and fee income                      43,229               21,951              21,278                      96.9  %
Total                                      $     180,592           $  148,908          $   31,684                      21.3  %



Loss and loss adjustment expense; net loss ratio. Loss and LAE decreased by
$115.1 million, from $715.5 million for the three months ended June 30, 2019, to
$600.4 million for the three months ended June 30, 2020, reflecting lower claims
frequency ($129.8 million) and the sale of Euroaccident in 2019 ($12.9 million),
offset by the acquisition of Farmers Union Insurance ($29.7 million). The
changes by segment were: P&C decreased by $95.4 million and A&H decreased by
$19.7 million.

Loss and LAE for the three months ended June 30, 2020, included $3.1 million of
favorable loss development on prior accident year loss and LAE reserves. This
loss development was composed of $8.3 million of unfavorable loss development in
the P&C segment, driven by small business auto, and $11.4 million of favorable
loss development in the A&H segment, driven by the small group self-funded
business and short term medical. Loss and LAE for the three months ended June
30, 2019, included $1.6 million of unfavorable loss development on prior
accident year loss and LAE reserves. This loss development was composed of $9.7
million of unfavorable loss development in the P&C segment, primarily driven by
auto liability, and $8.1 million of favorable loss development in the A&H
segment, driven by the small group self-funded business and short term medical.

Our consolidated net loss ratio decreased from 69.4% for the three months ended June 30, 2019, to 56.3% for the three months ended June 30, 2020, primarily reflecting the above items.



Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses increased by $35.3 million, or 18.2%, from $194.1 million
for the three months ended June 30, 2019, to $229.4 million for the three months
ended June 30, 2020, due to an increase of $16.4 million in the P&C segment,
primarily due to the acquisition of Farmers Union Insurance; and an increase of
$18.9 million in the A&H segment, primarily due to the costs of selling policies
issued by third-party insurance companies.

General and administrative expenses. General and administrative expenses
increased by $14.6 million, from $247.8 million for the three months ended June
30, 2019, to $262.4 million for the three months ended June 30, 2020, due to an
increase of $17.9 million in the P&C segment, primarily due to organic growth
and the acquisition of Farmers Union Insurance; and a decrease of $3.3 million
in the A&H segment.

Net operating expense (non-GAAP); net operating expense ratio (non-GAAP). Net
operating expense increased by $31.8 million, from $232.8 million for the three
months ended June 30, 2019, to $264.6 million for the three months ended June
30, 2020, due to an increase of $39.8 million from the P&C segment, offset by a
decrease of $8.1 million from the A&H segment.

The consolidated net operating expense ratio increased from 22.6% for the three
months ended June 30, 2019, to 24.8% for the three months ended June 30, 2020.
Excluding the Reciprocal Exchanges, the net operating expense ratio was 24.6%
and 22.5% for the three months ended June 30, 2020, and 2019, respectively. The
Reciprocal Exchanges' net operating expense ratio was 28.3% and 24.5% for the
three months ended June 30, 2020, and 2019, respectively.
                                       58
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Consolidated Results of Operations for the Six Months Ended June 30, 2020, Compared to the Six Months Ended June 30, 2019, (Unaudited)



Gross premium written. Gross premium written decreased by $5.5 million, from
$2,823.7 million for the six months ended June 30, 2019, to $2,818.2 million for
the six months ended June 30, 2020.The P&C segment increased by $48.0 million,
as a result of the acquisition of Farmers Union Insurance ($96.6 million),
offset by a decrease in the Reciprocal Exchanges ($36.4 million). The P&C
segment was also impacted by the refund of premiums related to COVID-19. The A&H
segment decreased by $53.5 million, due to the sale of Euroaccident in 2019
($123.3 million), offset by an increase in the small group self-funded and
individual products ($69.7 million).

Net premium written. Net premium written increased by $64.4 million, or 3.0%,
from $2,160.1 million for the six months ended June 30, 2019, to
$2,224.5 million for the six months ended June 30, 2020. Net premium written for
the P&C segment increased by $80.9 million for the six months ended June 30,
2020, compared to the same period in 2019, due to the increase in gross premium
written and a reduction in ceded premium to the Auto Quota Share. Net premium
written for the A&H segment decreased by $16.5 million for the six months ended
June 30, 2020, compared to the same period in 2019, due to the sale of
Euroaccident in 2019 ($74.2 million), offset by an increase in the small group
self-funded and individual products ($57.7 million).

Net earned premium. Net earned premium increased by $146.0 million, or 7.3%,
from $1,994.8 million for the six months ended June 30, 2019, to
$2,140.8 million for the six months ended June 30, 2020. The change by segment
was: P&C increased by $140.1 million and A&H increased by $5.9 million. The
increase in the P&C segment was attributable to the increase in net premium
written, a decrease in ceded earned premium to the Quota Shares ($32.4 million)
and an increase in the Reciprocal Exchanges ($20.1 million). The increase in the
A&H segment was attributable to an increase in the small group self-funded and
individual products ($55.4 million), offset by the sale of Euroaccident in 2019
($49.6 million).

Ceding commission income. Ceding commission income decreased by $32.8 million, or 25.3%, from $129.7 million for the six months ended June 30, 2019, to $96.9 million for the six months ended June 30, 2020, primarily driven by a decrease in ceded earned premium to the Quota Shares and in the Reciprocal Exchanges.

Service and fee income. Service and fee income increased by $45.6 million, or 14.5%, from $314.4 million for the six months ended June 30, 2019, to $360.0 million for the six months ended June 30, 2020, primarily due to an increase of $46.6 million in the A&H segment related to growth in the group administration fees and third party technology fees.

The components of service and fee income are as follows:



                                             Six Months Ended June 30,
                                             2020                   2019          Change        % Change
                                                      (amounts in thousands)
Commission revenue                     $     90,653             $  87,604       $  3,049           3.5  %
Finance and processing fees                  68,651                67,491          1,160           1.7  %
Group health administrative fees             60,511                48,053         12,458          25.9  %
Installment fees                             51,493                49,318          2,175           4.4  %
Late payment fees                            15,606                16,987         (1,381)         (8.1) %
Other service and fee income                 73,119                44,962         28,157          62.6  %
Total                                  $    360,033             $ 314,415       $ 45,618          14.5  %



                                       59

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Loss and loss adjustment expense; net loss ratio. Loss and LAE decreased by
$74.9 million, from $1,367.3 million for the six months ended June 30, 2019, to
$1,292.4 million for the six months ended June 30, 2020, reflecting lower claims
frequency ($118.1 million) and the sale of Euroaccident in 2019 ($30.0 million),
offset by the acquisition of Farmers Union Insurance ($48.6 million) and a
decrease in losses ceded to Quota Shares ($22.3 million). The changes by segment
were: P&C decreased by $52.1 million and A&H decreased by $22.8 million.

Loss and LAE for the six months ended June 30, 2020, included $2.5 million of
favorable loss development on prior accident year loss and LAE reserves. This
loss development was composed of $13.7 million of unfavorable loss development
in the P&C segment, driven by small business auto, and $16.2 million of
favorable loss development in the A&H segment, driven by the small group
self-funded business and short term medical. Loss and LAE for the six months
ended June 30, 2019, included $12.7 million of favorable loss development on
prior accident year loss and LAE reserves. This loss development was composed of
$6.3 million of unfavorable loss development in the P&C segment, driven by auto
liability, and $19.0 million of favorable loss development in the A&H segment,
driven by the small group self-funded business and short term medical.

The consolidated net loss ratio decreased from 68.5% for the six months ended June 30, 2019, to 60.4% for the six months ended June 30, 2020, primarily reflecting the above items.



Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses increased by $51.6 million, or 12.7%, from $406.0 million
for the six months ended June 30, 2019, to $457.6 million for the six months
ended June 30, 2020, due to an increase of $22.1 million in the P&C segment,
primarily due to the acquisition of Farmers Union Insurance; and an increase of
$29.5 million in the A&H segment, primarily due to the costs of selling policies
issued by third-party insurance companies.

General and administrative expenses. General and administrative expenses
increased by $34.1 million, from $495.9 million for the six months ended June
30, 2019, to $530.0 million for the six months ended June 30, 2020, due to an
increase of $36.3 million in the P&C segment, primarily due to organic growth
and the acquisition of Farmers Union Insurance; and a decrease of $2.2 million
in the A&H segment.

Net operating expense (non-GAAP); net operating expense ratio (non-GAAP). Net
operating expense increased by $72.9 million, from $457.8 million for the six
months ended June 30, 2019, to $530.6 million for the six months ended June 30,
2020, due to an increase of $86.7 million from the P&C segment, offset by a
decrease of $13.8 million from the A&H segment.

The consolidated net operating expense ratio increased from 22.9% for the six
months ended June 30, 2019, to 24.8% for the six months ended June 30, 2020.
Excluding the Reciprocal Exchanges, the net operating expense ratio was 24.6%
and 22.9% for the six months ended June 30, 2020, and 2019, respectively. The
Reciprocal Exchanges' net operating expense ratio was 27.3% and 23.4% for the
six months ended June 30, 2020, and 2019, respectively.

                                       60
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P&C Segment - Results of Operations for the Three Months Ended June 30, 2020, and 2019, (Unaudited)



                                                                                                   Three Months Ended June 30,
                                                                    2020                                                                                                                          2019
                                                      Reciprocal                                                                           Reciprocal
                                     NGHC              Exchanges          Eliminations             Total                 NGHC              Exchanges           Eliminations             Total
Underwriting revenues:                                                                                (amounts in thousands)
Gross premium written           $ 1,053,508          $   98,436          $ 

        -          $ 1,151,944          $ 1,021,090          $  121,146           $          -          $ 1,142,236
Ceded premiums                     (264,080)            (41,168)                    -             (305,248)            (234,619)            (64,926)                     -             (299,545)
Net premium written             $   789,428          $   57,268          $  

- $ 846,696 $ 786,471 $ 56,220

       $          -          $   842,691
Change in unearned premium           52,557              (2,483)                    -               50,074               31,501              (9,590)                     -               21,911
Net earned premium              $   841,985          $   54,785          $          -          $   896,770          $   817,972          $   46,630           $          -          $   864,602
Ceding commission income             35,059              11,110                     -               46,169               39,418              16,846                      -               56,264
Service and fee income              111,955               2,336               (13,767)             100,524              113,112               1,516                (18,657)              95,971

Total underwriting revenues $ 988,999 $ 68,231 $

(13,767) $ 1,043,463 $ 970,502 $ 64,992

       $    (18,657)         $ 1,016,837
Underwriting expenses:
Loss and loss adjustment
expense                             503,784              30,007                     -              533,791              593,922              35,289                      -              629,211
Acquisition costs and other
underwriting expenses               152,384              10,100                     -              162,484              137,950               8,175                      -              146,125
General and administrative
expenses                            199,327              18,858               (13,767)             204,418              183,535              21,597                (18,657)             186,475

Total underwriting expenses $ 855,495 $ 58,965 $

(13,767) $ 900,693 $ 915,407 $ 65,061

       $    (18,657)         $   961,811
Underwriting income (loss)      $   133,504          $    9,266          $          -          $   142,770          $    55,095          $      (69)          $          -          $    55,026



                                       61

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                                                                                              Three Months Ended June 30,
                                                                 2020                                                                                                                    2019
                                                   Reciprocal                                                                      Reciprocal
                                   NGHC             Exchanges          Eliminations            Total               NGHC             Exchanges          Eliminations            Total
Underwriting ratios:                                                                  (amounts in thousands, except percentages)
Net loss ratio                      59.8  %             54.8  %                  -  %            59.5  %            72.6  %             75.7  %                  -  %            72.8  %
Net operating expense ratio
(non-GAAP)                          24.3  %             28.3  %                  -  %            24.6  %            20.7  %             24.5  %                  -  %            20.9  %
Net combined ratio (non-GAAP)       84.1  %             83.1  %                  -  %            84.1  %            93.3  %            100.2  %                  -  %            93.7  %
Underwriting ratios before
amortization and impairment
(non-GAAP):
Net loss ratio                      59.8  %             54.8  %                  -  %            59.5  %            72.6  %             75.7  %                  -  %            72.8  %
Net operating expense ratio
before amortization and
impairment (non-GAAP)               23.8  %             28.3  %                  -  %            24.1  %            20.0  %             24.4  %                  -  %            20.2  %
Net combined ratio before
amortization and impairment
(non-GAAP)                          83.6  %             83.1  %                  -  %            83.6  %            92.6  %            100.1  %                  -  %            93.0  %

Reconciliation of net
operating expense ratio
(non-GAAP):
Total underwriting expenses    $ 855,495          $   58,965          $    (13,767)         $ 900,693          $ 915,407          $   65,061          $    (18,657)         $ 961,811
Less: Loss and loss adjustment
expense                          503,784              30,007                     -            533,791            593,922              35,289                     -            629,211
Less: Ceding commission income    35,059              11,110                     -             46,169             39,418              16,846                     -             56,264
Less: Service and fee income     111,955               2,336               (13,767)           100,524            113,112               1,516               (18,657)            95,971

Net operating expense $ 204,697 $ 15,512 $

- $ 220,209 $ 168,955 $ 11,410 $

          -          $ 180,365
Net earned premium             $ 841,985          $   54,785          $          -          $ 896,770          $ 817,972          $   46,630          $          -          $ 864,602
Net operating expense ratio
(non-GAAP)                          24.3  %             28.3  %                  -  %            24.6  %            20.7  %             24.5  %                  -  %            20.9  %

Net operating expense $ 204,697 $ 15,512 $

- $ 220,209 $ 168,955 $ 11,410 $

- $ 180,365



Less: Non-cash amortization of
intangible assets                  4,041                  30                     -              4,071              5,412                  12                     -              5,424
Net operating expense before
amortization and impairment    $ 200,656          $   15,482          $          -          $ 216,138          $ 163,543          $   11,398          $          -          $ 174,941
Net earned premium             $ 841,985          $   54,785          $          -          $ 896,770          $ 817,972          $   46,630          $          -          $ 864,602
Net operating expense ratio
before amortization and
impairment (non-GAAP)               23.8  %             28.3  %                  -  %            24.1  %            20.0  %             24.4  %                  -  %            20.2  %



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P&C Segment - Results of Operations for the Six Months Ended June 30, 2020, and
2019, (Unaudited)

                                                                                                     Six Months Ended June 30,
                                                                     2020                                                                                                                          2019
                                                       Reciprocal                                                                           Reciprocal
                                     NGHC              Exchanges           Eliminations             Total                 NGHC              Exchanges           Eliminations             Total
Underwriting revenues:                                                                                (amounts in thousands)
Gross premium written           $ 2,251,184          $  190,289           $

         -          $ 2,441,473          $ 2,166,755          $  226,715           $          -          $ 2,393,470
Ceded premiums                     (475,664)            (77,726)                     -             (553,390)            (464,756)           (121,540)                     -             (586,296)
Net premium written             $ 1,775,520          $  112,563           $ 

- $ 1,888,083 $ 1,701,999 $ 105,175

        $          -          $ 1,807,174
Change in unearned premium          (80,633)               (180)                     -              (80,813)            (127,108)            (12,887)                     -             (139,995)
Net earned premium              $ 1,694,887          $  112,383           $ 

- $ 1,807,270 $ 1,574,891 $ 92,288

        $          -          $ 1,667,179
Ceding commission income             71,090              24,824                      -               95,914               87,827              35,380                      -              123,207
Service and fee income              222,588               3,493                (26,640)             199,441              232,488               2,886                (34,908)             200,466
Total underwriting revenues     $ 1,988,565          $  140,700           $ 

(26,640) $ 2,102,625 $ 1,895,206 $ 130,554

        $    (34,908)         $ 1,990,852
Underwriting expenses:
Loss and loss adjustment
expense                           1,071,814              72,374                      -            1,144,188            1,118,957              77,314                      -            1,196,271
Acquisition costs and other
underwriting expenses               301,658              20,597                      -              322,255              283,435              16,760                      -              300,195
General and administrative
expenses                            400,454              38,421                (26,640)             412,235              367,730              43,109                (34,908)             375,931
Total underwriting expenses     $ 1,773,926          $  131,392           $ 

(26,640) $ 1,878,678 $ 1,770,122 $ 137,183

        $    (34,908)         $ 1,872,397
Underwriting income (loss)      $   214,639          $    9,308           $          -          $   223,947          $   125,084          $   (6,629)          $          -          $   118,455



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                                                                                                          Six Months Ended June 30,
                                                                          2020                                                                                                                          2019
                                                            Reciprocal                                                                           Reciprocal
                                          NGHC              Exchanges           Eliminations             Total                 NGHC              Exchanges           Eliminations             Total
Underwriting ratios:                                                                             (amounts in thousands, except percentages)
Net loss ratio                              63.2  %             64.4   %                  -  %              63.3  %              71.0  %             83.8   %                  -  %              71.8  %
Net operating expense ratio
(non-GAAP)                                  24.1  %             27.3   %                  -  %              24.3  %              21.0  %             23.4   %                  -  %              21.1  %
Net combined ratio (non-GAAP)               87.3  %             91.7   %                  -  %              87.6  %              92.0  %            107.2   %                  -  %              92.9  %
Underwriting ratios before
amortization and impairment
(non-GAAP):
Net loss ratio                              63.2  %             64.4   %                  -  %              63.3  %              71.0  %             83.8   %                  -  %              71.8  %
Net operating expense ratio before
amortization and impairment
(non-GAAP)                                  23.6  %             27.3   %                  -  %              23.8  %              20.3  %             23.4   %                  -  %              20.5  %
Net combined ratio before
amortization and impairment
(non-GAAP)                                  86.8  %             91.7   %                  -  %              87.1  %              91.3  %            107.2   %                  -  %              92.3  %

Reconciliation of net operating
expense ratio (non-GAAP):
Total underwriting expenses          $ 1,773,926          $  131,392

$ (26,640) $ 1,878,678 $ 1,770,122 $ 137,183

$    (34,908)         $ 1,872,397
Less: Loss and loss adjustment
expense                                1,071,814              72,374                      -            1,144,188            1,118,957              77,314                      -            1,196,271
Less: Ceding commission income            71,090              24,824                      -               95,914               87,827              35,380                      -              123,207
Less: Service and fee income             222,588               3,493                (26,640)             199,441              232,488               2,886                (34,908)             200,466
Net operating expense                $   408,434          $   30,701           $          -          $   439,135          $   330,850          $   21,603           $          -          $   352,453
Net earned premium                   $ 1,694,887          $  112,383           $          -          $ 1,807,270          $ 1,574,891          $   92,288           $          -          $ 1,667,179
Net operating expense ratio
(non-GAAP)                                  24.1  %             27.3   %                  -  %              24.3  %              21.0  %             23.4   %                  -  %              21.1  %

Net operating expense                $   408,434          $   30,701           $          -          $   439,135          $   330,850          $   21,603           $          -          $   352,453

Less: Non-cash amortization of
intangible assets                          9,228                  60                      -                9,288               10,897                  23                      -               10,920
Net operating expense before
amortization and impairment          $   399,206          $   30,641           $          -          $   429,847          $   319,953          $   21,580           $          -          $   341,533
Net earned premium                   $ 1,694,887          $  112,383           $          -          $ 1,807,270          $ 1,574,891          $   92,288           $          -          $ 1,667,179
Net operating expense ratio before
amortization and impairment
(non-GAAP)                                  23.6  %             27.3   %                  -  %              23.8  %              20.3  %             23.4   %                  -  %              20.5  %


P&C Segment Results of Operations for the Three Months Ended June 30, 2020, Compared to the Three Months Ended June 30, 2019, (Unaudited)



Gross premium written. Gross premium written increased by $9.7 million, from
$1,142.2 million for the three months ended June 30, 2019, to $1,151.9 million
for the three months ended June 30, 2020, as a result of the acquisition of
Farmers Union Insurance ($47.7 million), offset by a decrease in the Reciprocal
Exchanges ($22.7 million). The P&C segment was also impacted by the refund of
premiums related to COVID-19.

Net premium written. Net premium written increased by $4.0 million, from $842.7
million for the three months ended June 30, 2019 to $846.7 million for the three
months ended June 30, 2020.

Net earned premium. Net earned premium increased by $32.2 million, or 3.7%, from
$864.6 million for the three months ended June 30, 2019, to $896.8 million for
the three months ended June 30, 2020, attributable to higher written premium
volume in the prior periods that were earned in this period, a decrease in ceded
premium to the Quota Shares ($13.6 million) and an increase in the Reciprocal
Exchanges ($8.2 million).

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Ceding commission income. Ceding commission income decreased by $10.1 million,
or 17.9%, from $56.3 million for the three months ended June 30, 2019, to $46.2
million for the three months ended June 30, 2020, primarily driven by a decrease
in ceded earned premium to the Quota Shares and in the Reciprocal Exchanges.

Service and fee income. Service and fee income increased by $4.6 million, from
$96.0 million for the three months ended June 30, 2019, to $100.5 million for
the three months ended June 30, 2020.

The components of service and fee income are as follows:



                                          Three Months Ended June 30,
                                          2020                      2019    

Change % Change


                                                    (amounts in thousands)
 Finance and processing fees       $       28,186                $ 32,145       $ (3,959)        (12.3) %
 Installment fees                          26,405                  25,148          1,257           5.0  %
 Commission revenue                        17,916                  19,650         (1,734)         (8.8) %
 Late payment fees                          7,748                   8,517           (769)         (9.0) %
 Other service and fee income              20,269                  10,511          9,758          92.8  %
 Total                             $      100,524                $ 95,971       $  4,553           4.7  %



Loss and loss adjustment expense; net loss ratio. Loss and LAE decreased by
$95.4 million, from $629.2 million for the three months ended June 30, 2019, to
$533.8 million for the three months ended June 30, 2020, reflecting lower claims
frequency ($129.8 million), offset by the acquisition of Farmers Union Insurance
($29.7 million).

The P&C segment net loss ratio, which includes the Reciprocal Exchanges,
decreased from 72.8% for the three months ended June 30, 2019, to 59.5% for the
three months ended June 30, 2020. Excluding the Reciprocal Exchanges, the net
loss ratio was 59.8% and 72.6% for the three months ended June 30, 2020, and
2019, respectively. The Reciprocal Exchanges' net loss ratio was 54.8% and 75.7%
for the three months ended June 30, 2020, and 2019, respectively. Net loss ratio
decreased reflecting lower claims frequency.

Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses increased by $16.4 million, or 11.2%, from $146.1 million
for the three months ended June 30, 2019, to $162.5 million for the three months
ended June 30, 2020, primarily due to the acquisition of Farmers Union
Insurance.

General and administrative expenses. General and administrative expenses
increased by $17.9 million, from $186.5 million for the three months ended June
30, 2019, to $204.4 million for the three months ended June 30, 2020, primarily
due to organic growth and the acquisition of Farmers Union Insurance.

Net operating expense (non-GAAP); net operating expense ratio (non-GAAP). Net
operating expense increased by $39.8 million, from $180.4 million for the three
months ended June 30, 2019, to $220.2 million for the three months ended June
30, 2020. The P&C segment net operating expense ratio increased from 20.9% for
the three months ended June 30, 2019, to 24.6% for the three months ended June
30, 2020. The increases in net operating expense and net operating expense ratio
were primarily due to organic growth, the acquisition of Farmers Union
Insurance, and to a lesser extent a decrease in ceding commission income from
the Quota Shares.

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Underwriting income; net combined ratio (non-GAAP). Underwriting income
increased by $87.7 million, from $55.0 million for the three months ended June
30, 2019, to $142.8 million for the three months ended June 30, 2020. The P&C
segment net combined ratio decreased from 93.7% for the three months ended June
30, 2019, to 84.1% for the three months ended June 30, 2020. The increase in
underwriting income and the decrease in the net combined ratio were primarily
due to lower claims, including the recent decline in miles driven due to the
Covid-19 pandemic, offset by higher expenses due to organic growth and the
acquisition of Farmers Union Insurance, and to a lesser extent a decrease in
ceding commission income from the Quota Shares.

P&C Segment Results of Operations for the Six Months Ended June 30, 2020, Compared to the Six Months Ended June 30, 2019, (Unaudited)



Gross premium written. Gross premium written increased by $48.0 million, or
2.0%, from $2,393.5 million for the six months ended June 30, 2019, to
$2,441.5 million for the six months ended June 30, 2020, as a result of the
acquisition of Farmers Union Insurance ($96.6 million), offset by a decrease in
the Reciprocal Exchanges ($36.4 million). The P&C segment was also impacted by
the refund of premiums related to COVID-19.

Net premium written. Net premium written increased by $80.9 million, or 4.5%,
from $1,807.2 million for the six months ended June 30, 2019, to
$1,888.1 million for the six months ended June 30, 2020, due to the increase in
gross premium written and a reduction in ceded premium to the Auto Quota Share.

Net earned premium. Net earned premium increased by $140.1 million, or 8.4%,
from $1,667.2 million for the six months ended June 30, 2019, to
$1,807.3 million for the six months ended June 30, 2020, attributable to the
increase in net premium written, a decrease in ceded earned premium to the Quota
Shares ($32.4 million) and an increase in the Reciprocal Exchanges ($20.1
million).

Ceding commission income. Ceding commission income decreased by $27.3 million, or 22.2%, from $123.2 million for the six months ended June 30, 2019, to $95.9 million for the six months ended June 30, 2020, primarily driven by a decrease in ceded earned premium to the Quota Shares and in the Reciprocal Exchanges.



Service and fee income. Service and fee income decreased by $1.0 million, from
$200.5 million for the six months ended June 30, 2019, to $199.4 million for the
six months ended June 30, 2020.

The components of service and fee income are as follows:



                                           Six Months Ended June 30,
                                           2020                   2019          Change        % Change
                                                    (amounts in thousands)
   Finance and processing fees       $     63,975             $  64,581       $   (606)         (0.9) %
   Installment fees                        51,493                49,318          2,175           4.4  %
   Commission revenue                      36,667                46,860        (10,193)        (21.8) %
   Late payment fees                       15,581                16,810         (1,229)         (7.3) %
   Other service and fee income            31,725                22,897          8,828          38.6  %
   Total                             $    199,441             $ 200,466       $ (1,025)         (0.5) %



Loss and loss adjustment expense; net loss ratio. Loss and LAE decreased by
$52.1 million, from $1,196.3 million for the six months ended June 30, 2019, to
$1,144.2 million for the six months ended June 30, 2020, reflecting lower claims
frequency ($118.1 million), offset by the acquisition of Farmers Union Insurance
($48.6 million) and a decrease in losses ceded to Quota Shares ($22.3 million).

The P&C segment net loss ratio, which includes the Reciprocal Exchanges,
decreased from 71.8% for the six months ended June 30, 2019, to 63.3% for the
six months ended June 30, 2020. Excluding the Reciprocal Exchanges, the net loss
ratio was 63.2% and 71.0% for the six months ended June 30, 2020, and 2019,
respectively.
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The Reciprocal Exchanges' net loss ratio was 64.4% and 83.8% for the six months
ended June 30, 2020, and 2019, respectively. Net loss ratio decreased reflecting
lower claims frequency.

Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses increased by $22.1 million, or 7.3%, from $300.2 million
for the six months ended June 30, 2019, to $322.3 million for the six months
ended June 30, 2020, primarily due to the acquisition of Farmers Union
Insurance.

General and administrative expenses. General and administrative expenses
increased by $36.3 million, from $375.9 million for the six months ended June
30, 2019, to $412.2 million for the six months ended June 30, 2020, primarily
due to organic growth and the acquisition of Farmers Union Insurance.

Net operating expense (non-GAAP); net operating expense ratio (non-GAAP). Net
operating expense increased by $86.7 million, from $352.5 million for the six
months ended June 30, 2019, to $439.1 million for the six months ended June 30,
2020. The P&C segment net operating expense ratio increased from 21.1% for the
six months ended June 30, 2019, to 24.3% for the six months ended June 30, 2020.
The increases in net operating expense and net operating expense ratio were
primarily due to organic growth, the acquisition of Farmers Union Insurance, and
a decrease in ceding commission income from the Quota Shares.

Underwriting income; net combined ratio (non-GAAP). Underwriting income
increased by $105.5 million, from $118.5 million for the six months ended June
30, 2019, to $223.9 million for the six months ended June 30, 2020. The P&C
segment net combined ratio decreased from 92.9% for the six months ended June
30, 2019, to 87.6% for the six months ended June 30, 2020. The increase in
underwriting income and the decrease in the net combined ratio were primarily
due to lower claims, including the recent decline in miles driven due to the
Covid-19 pandemic, offset by higher expenses due to organic growth and the
acquisition of Farmers Union Insurance, and a decrease in ceding commission
income from the Quota Shares.

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A&H Segment - Results of Operations for the Three and Six Months Ended June 30, 2020, and 2019, (Unaudited)



                                                                                                        Six Months Ended June
                                            Three Months Ended June 30,                                          30,
                                              2020                  2019               2020                  2019
Underwriting revenues:                                     (amounts in thousands, except percentages)
Gross premium written                   $     189,657           $ 171,672          $  376,682          $    430,216
Ceded premiums                                (21,445)            (18,965)            (40,254)              (77,328)
Net premium written                     $     168,212           $ 152,707          $  336,428          $    352,888
Change in unearned premium                        585              13,342              (2,925)              (25,259)
Net earned premium                      $     168,797           $ 166,049          $  333,503          $    327,629
Ceding commission income                          471               3,928               1,031                 6,519
Service and fee income                         80,068              52,937             160,592               113,949
Total underwriting revenues             $     249,336           $ 222,914          $  495,126          $    448,097
Underwriting expenses:
Loss and loss adjustment expense               66,655              86,324             148,256               171,073
Acquisition costs and other
underwriting expenses                          66,894              48,001             135,365               105,849
General and administrative expenses            57,991              61,292             117,743               119,930
Total underwriting expenses             $     191,540           $ 195,617          $  401,364          $    396,852
Underwriting income                     $      57,796           $  27,297          $   93,762          $     51,245

Underwriting ratios:
Net loss ratio                                   39.5   %            52.0  %             44.5  %               52.2    %
Net operating expense ratio (non-GAAP)           26.3   %            31.6  %             27.4  %               32.1    %
Net combined ratio (non-GAAP)                    65.8   %            83.6  %             71.9  %               84.3    %
Underwriting ratios before amortization
and impairment (non-GAAP):
Net loss ratio                                   39.5   %            52.0  %             44.5  %               52.2    %
Net operating expense ratio before
amortization and impairment (non-GAAP)           25.5   %            30.6  %             26.6  %               31.1    %
Net combined ratio before amortization
and impairment (non-GAAP)                        65.0   %            82.6  %             71.1  %               83.3    %

Reconciliation of net operating expense
ratio (non-GAAP):
Total underwriting expenses             $     191,540           $ 195,617          $  401,364          $    396,852
Less: Loss and loss adjustment expense         66,655              86,324             148,256               171,073
Less: Ceding commission income                    471               3,928               1,031                 6,519
Less: Service and fee income                   80,068              52,937             160,592               113,949
Net operating expense                   $      44,346           $  52,428          $   91,485          $    105,311
Net earned premium                      $     168,797           $ 166,049          $  333,503          $    327,629
Net operating expense ratio (non-GAAP)           26.3   %            31.6  %             27.4  %               32.1    %

Net operating expense                   $      44,346           $  52,428          $   91,485          $    105,311

Less: Non-cash amortization of
intangible assets                               1,302               1,677               2,617                 3,408
Net operating expense before
amortization and impairment             $      43,044           $  50,751          $   88,868          $    101,903
Net earned premium                      $     168,797           $ 166,049          $  333,503          $    327,629
Net operating expense ratio before
amortization and impairment (non-GAAP)           25.5   %            30.6  %             26.6  %               31.1    %



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A&H Segment Results of Operations for the Three Months Ended June 30, 2020, Compared to the Three Months Ended June 30, 2019, (Unaudited)

Gross premium written. Gross premium written increased by $18.0 million, or 10.5%, from $171.7 million for the three months ended June 30, 2019, to $189.7 million for the three months ended June 30, 2020, due to an increase in the small group self-funded and individual products ($31.8 million), partially offset by the sale of Euroaccident in 2019 ($13.8 million).



Net premium written. Net premium written increased by $15.5 million, or 10.2%,
from $152.7 million for the three months ended June 30, 2019, to $168.2 million
for the three months ended June 30, 2020, due to an increase in the small group
self-funded and individual products ($27.6 million), partially offset by the
sale of Euroaccident in 2019 ($12.1 million).

Net earned premium. Net earned premium increased by $2.7 million, or 1.7%, from
$166.0 million for the three months ended June 30, 2019, to $168.8 million for
the three months ended June 30, 2020, attributable to an increase in the small
group self-funded and individual products ($26.9 million), offset by the sale of
Euroaccident in 2019 ($24.2 million).

Service and fee income. Service and fee income increased by $27.1 million, or
51.3%, from $52.9 million for the three months ended June 30, 2019, to $80.1
million for the three months ended June 30, 2020, related to growth in the group
administration fees and third party technology fees.

The components of service and fee income are as follows:



                                                 Three Months Ended June 30,
                                                  2020                  2019               Change                % Change
                                                             (amounts in thousands)
Group health administrative fees            $      30,536           $   24,548          $    5,988                      24.4  %
Commission revenue                                 24,354               15,973               8,381                      52.5  %
Finance and processing fees                         2,205                  886               1,319                     148.9  %
Other service and fee income                       22,973               11,530              11,443                      99.2  %
Total                                       $      80,068           $   52,937          $   27,131                      51.3  %



Loss and loss adjustment expense; net loss ratio. Loss and LAE decreased by
$19.7 million, from $86.3 million for the three months ended June 30, 2019, to
$66.7 million for the three months ended June 30, 2020, primarily due to the
sale of Euroaccident in 2019 ($12.9 million). The A&H net loss ratio decreased
from 52.0% for the three months ended June 30, 2019, to 39.5% for the three
months ended June 30, 2020. The net loss ratio decrease was due to improved
performance in the small group self-funded and individual products and the sale
of Euroaccident in 2019.

Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses increased by $18.9 million, or 39.4%, from $48.0 million
for the three months ended June 30, 2019, to $66.9 million for the three months
ended June 30, 2020, primarily due to the costs of selling policies issued by
third-party insurance companies.

General and administrative expenses. General and administrative expenses
decreased by $3.3 million, or 5.4%, from $61.3 million for the three months
ended June 30, 2019, to $58.0 million for the three months ended June 30, 2020,
primarily due to organic growth completely offset by the sale of Euroaccident in
2019.
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Net operating expense (non-GAAP); net operating expense ratio (non-GAAP). Net
operating expense decreased by $8.1 million, from $52.4 million for the three
months ended June 30, 2019, to $44.3 million for the three months ended June 30,
2020. The A&H net operating expense ratio decreased from 31.6% for the three
months ended June 30, 2019, to 26.3% for the three months ended June 30, 2020.
The decreases in net operating expense and net operating ratio were primarily
due to increased net earned premium in 2020 and the sale of Euroaccident in
2019.

Underwriting income; net combined ratio (non-GAAP). Underwriting income
increased by $30.5 million, from $27.3 million for the three months ended June
30, 2019, to $57.8 million for the three months ended June 30, 2020. The A&H net
combined ratio decreased from 83.6% for the three months ended June 30, 2019, to
65.8% for the three months ended June 30, 2020. The increase in underwriting
income and decrease in the net combined ratio were primarily due to increased
net earned premium and lower loss experience in the small group self-funded and
individual products in 2020, and the sale of Euroaccident in 2019.

A&H Segment Results of Operations for the Six Months Ended June 30, 2020, Compared to the Six Months Ended June 30, 2019, (Unaudited)

Gross premium written. Gross premium written decreased by $53.5 million, or 12.4%, from $430.2 million for the six months ended June 30, 2019, to $376.7 million for the six months ended June 30, 2020, due to the sale of Euroaccident in 2019 ($123.3 million), offset by an increase in the small group self-funded and individual products ($69.7 million).



Net premium written. Net premium written decreased by $16.5 million, or 4.7%,
from $352.9 million for the six months ended June 30, 2019, to $336.4 million
for the six months ended June 30, 2020, due to the sale of Euroaccident in 2019
($74.2 million), offset by an increase in the small group self-funded and
individual products ($57.7 million).

Net earned premium. Net earned premium increased by $5.9 million, or 1.8%, from
$327.6 million for the six months ended June 30, 2019, to $333.5 million for the
six months ended June 30, 2020, attributable to an increase in the small group
self-funded and individual products ($55.4 million), offset by the sale of
Euroaccident in 2019 ($49.6 million).

Service and fee income. Service and fee income increased by $46.6 million, or 40.9%, from $113.9 million for the six months ended June 30, 2019, to $160.6 million for the six months ended June 30, 2020, due to growth in the group administration fees and third party technology fees.

The components of service and fee income are as follows:



                                             Six Months Ended June 30,
                                             2020                   2019          Change        % Change
                                                      (amounts in thousands)
Group health administrative fees       $     60,511             $  48,053       $ 12,458          25.9  %
Commission revenue                           53,986                40,744         13,242          32.5  %
Finance and processing fees                   4,676                 2,910          1,766          60.7  %
Other service and fee income                 41,419                22,242         19,177          86.2  %
Total                                  $    160,592             $ 113,949       $ 46,643          40.9  %



Loss and loss adjustment expense; net loss ratio. Loss and LAE decreased by
$22.8 million, from $171.1 million for the six months ended June 30, 2019, to
$148.3 million for the six months ended June 30, 2020, primarily due to the sale
of Euroaccident in 2019 ($30.0 million). The A&H net loss ratio decreased from
52.2% for the six months ended June 30, 2019, to 44.5% for the six months ended
June 30, 2020. The net loss ratio decrease was due to improved performance in
the small group self-funded and individual products and the sale of Euroaccident
in 2019.
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Acquisition costs and other underwriting expenses. Acquisition costs and other
underwriting expenses increased by $29.5 million, or 27.9%, from $105.8 million
for the six months ended June 30, 2019, to $135.4 million for the six months
ended June 30, 2020, primarily due to the costs of selling policies issued by
third-party insurance companies.

General and administrative expenses. General and administrative expenses
decreased by $2.2 million, or 1.8%, from $119.9 million for the six months ended
June 30, 2019, to $117.7 million for the six months ended June 30, 2020,
primarily due to organic growth completely offset by the sale of Euroaccident in
2019.

Net operating expense (non-GAAP); net operating expense ratio (non-GAAP). Net
operating expense decreased by $13.8 million, from $105.3 million for the six
months ended June 30, 2019, to $91.5 million for the six months ended June 30,
2020. The A&H net operating expense ratio decreased from 32.1% for the six
months ended June 30, 2019, to 27.4% for the six months ended June 30, 2020. The
decreases in net operating expense and net operating expense ratio were
primarily due to increased net earned premium in 2020 and the sale of
Euroaccident in 2019.

Underwriting income; net combined ratio (non-GAAP). Underwriting income
increased by $42.5 million, from $51.2 million for the six months ended June 30,
2019, to $93.8 million for the six months ended June 30, 2020. The A&H net
combined ratio decreased from 84.3% for the six months ended June 30, 2019, to
71.9% for the six months ended June 30, 2020. The increase in underwriting
income and decrease in the net combined ratio were primarily due to increased
net earned premium and lower loss experience in the small group self-funded and
individual products in 2020, and the sale of Euroaccident in 2019.

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