Table of Contents CITIZENS, INC. AND CONSOLIDATED SUBSIDIARIES Consolidated Statements of Cash Flows, Continued Years Ended December 31, (In thousands) 2019 2018 2017 Cash flows from financing activities: Annuity deposits $ 6,717 7,265 9,346 Annuity withdrawals (8,505) (7,323) (6,799) Other (377) — — Net cash provided by (used in) financing activities (2,165) (58) 2,547 Net increase (decrease) in cash and cash equivalents 713 (572) 10,554 Cash and cash equivalents at beginning of year 45,492 46,064 35,510 Cash and cash equivalents at end of year $ 46,205 45,492 46,064 Supplemental Disclosure of Operating Activities: Cash paid during the year for income taxes $ 2,200 2,510 2,675 SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING ACTIVITIES: During 2019, 2018 and 2017, various fixed maturity issuers exchanged securities with book values of $16.8 million, $2.5 million and $4.8 million, respectively, for securities of equal value. See accompanying Notes to Consolidated Financial Statements. December 31, 2019 | 10-K 70