STATE OF CONNECTICUT
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1 STATE OF CONNECTICUT INSURANCE PARTMENT Licensed Captive Insurance Companies and Risks Retention s, Registered Risk Retention s and *Risk Purchasing s Number Lines of Business 1 Fire, extended coverage and other allied lines 2 Homeowners multiple peril 3 Commercial multiple peril 4 Earthquake 5 Growing crops 6 Ocean marine 7 Inland marine 8 Accident & Health 9 Workers compensation 10 Liability other than auto (Bodily Injury and Property Damage) 11 Auto liability (Bodily Injury and Property Damage) 12 Auto Physical damage 13 Aircraft (all perils) 14 Fidelity & surety 15 Glass 16 Burglary & Theft 17 Boiler & Machinery 18 Credit 19 Reinsurance 20 Life non-participating 21 Life participating 22 Variable Life non-participating 23 Variable Life participating 24 Variable Annuities 25 Title 26 Fraternal Benefit Society 27 Mortgage Guaranty 28 Health Care Center 29 See Addendum (none at this time) 30 See Addendum (none at this time) OA OD OF OR OP Type of Company Captive Alien Captive Domestic Captive Foreign Risk Retention Domestic Risk Retention Foreign Risk Purchasing Domestic Risk Purchasing Foreign *Not a complete list of Registered Risk Purchasing s (Due to ongoing automation process) P.O. Box 816 Hartford, CT An Equal Opportunity Employer
2 Licensed Captive Insurance Companies and Risks Retention s, Registered Risk Retention s and *Risk Purchasing s as of 10/07/ Academic Medical Professionals Insurance Risk Retention, LLC 76 Saint Paul Street Suite 500 Burlington, Aetna Risk Assurance Company of Connecticut Inc. 151 Farmington Avenue Hartford, CT CT OD Affiliates Insurance Reciprocal, A Risk Retention 100 Bank Street Suite 610 Burlington, AKC PG Inc E RICE PLACE SUITE 100 AURORA, CO Alliance of Nonprofits for Insurance Risk Retention 2386 Airport Road Barre, Allied Beauty Experts 6551 S. Revere Pkwy, Ste. 120 Centennial, CO CO Allied Premier Insurance, A Risk Retention 5679 South Redwood Road, Suite 25 Salt Lake City, UT CT OR Allied Professionals Insurance Company, a RRG 1100 W. Town & Country Road Suite 1400 Orange, CA AZ American Association of Orthodontists Insurance Company 7580 E. Gray Road, Suite 101 Scottsdale, AZ AZ American Contractors Insurance Company RRG 2600 N Central Expressway Suite 800 Richardson, TX TX American Feed Industry Insurance Company RRG, Inc Merle Hay Road Des Moines, IA IA 10/07/2015 Page 1 of 17
3 0 0 American Realty Owners and Managers Association, Inc. 225 Metro Center Blvd., Suite 200 Warwick, RI RI American Safety Risk Retention, Inc Circle 75 Parkway Suite 925 Atlanta, GA American Specialty Sports & Entertainment Purchasing 7609 W Jefferson Blvd, Suite 100 Fort Wayne, IN IN American Trucking and Transportation Insurance Company, A Risk Retention. 111 North Higgins Avenue 4th Floor Missoula, MT MT AmeriGuard Risk Retention, Inc Airport Road Barre, Applied Medico-Legal Solutions Risk Retention, Inc N. Central Avenue Suite 1700 Phoenix, AZ AZ 0 0 Appraisers Liability Insurance Trust Purchasing 1600 ANACAPA STREET Santa Barbara, CA ARCOA Risk Retention, Inc N. Central Avenue Phoenix, AZ NV ARISE Boiler Inspection & Insurance Company Risk Retention P.O. Box Louisville, KY KY 0 0 Arthur J. Gallagher Financial Services Professionals Risk Purchasing, LLC VON KARMAN AVE, SUITE 200 Irvine, CA CA 0 0 Arthur J. Gallagher Real Estate Risk Purchasing, LLC 209 Hawksbury Place Dardenne Prairie, MO CA 10/07/2015 Page 2 of 17
4 0 0 Arthur J. Gallagher School Risk Purchasing, LLC 209 Hawksbury Place Dardenne Prairie, MO CA 0 0 Ascension Health Risk Purchasing, Inc 4600 Edmundson Road St. Louis, MO MO Association of Certified Mortgage Originators Risk Retention, Inc Main Street Suite 800 Sarasota, FL NV 0 0 Association Resource PG E RICE PLACE, SUITE 100 Aurora, CO CO Attorneys Liability Assurance Society, Inc. RRG 311 South Wacker Drive Suite 5700 Chicago, Attorneys Liability Protection Society, A Mutual RRG P O Box 9169 Missoula, MT MT 0 0 Attorneys' Advantage Risk Purchasing One North Franklin, Suite 3600 Chicago, Aviation Alliance Insurance Risk Retention, Inc. 111 North Higgins Avenue Suite 200 Missoula, MT MT 0 0 B&L Select Transportation RPG, Inc N. Meridian St., Suite 700 (317) Indianapolis, IN Bar Vermont Risk Retention, Inc. 76 St. Paul Street Suite 500 Burlington, BeaconHarbor Mutual Risk Retention P.O. Box Portland, ME ME 0 0 Beauty Health & Trade Alliance One North Franklin, Suite 3600 Chicago, /07/2015 Page 3 of 17
5 Bedford Physicians Risk Retention, Inc. One Lawson Lane Suite 410 Burlington, Behavioral Health Purchasing, Inc. 135 Crossways Park Drive, Suite 300, P.O. Box 9017 Woodbury, NY Bonded Builder Insurance Company, A Risk Retention 2233 Wisconsin Avenue, NW Suite 310 Washington, NV 0 Buttine Underwriters Purchasing, LLC 33 EAST 33RD STREET, 5TH FLOOR New York, NY MD 0 0 CALP, Inc. 6 CLEMENT AVENUE SARATOGA SPRINGS, NY Cardigan Commercial Auto Risk Purchasing, LLC 6320 Canoga Avenue, 12th Floor Woodland Hills, CA MD CARE Risk Retention, Inc Second Street Suite 909 Sarasota, FL CareConcepts Insurance Company, Inc. A Risk Retention 2500 Westchester Ave 4th Floor Purchase, NY MT Caring Communities, a Reciprocal Risk Retention 1850 W. Winchester Road Suite 109 Libertyville, Cassatt Risk Retention, Inc. 76 St. Paul Street, Suite 500 Burlington, Claim Professionals Liability Insurance Company, A Risk Retention 2386 Airport Road Barre, CMIC Risk Retention 30 Main Street Suite 450 Burlington, /07/2015 Page 4 of 17
6 0 College and University Scholastic Excess Risk Purchasing, LLC 701 South Parker Street, Suite 6200 Orange, CA CA 0 0 College Risk Purchasing, Inc. 100 BANK STREET, SUITE 610 Burlington, College Risk Retention, Inc. P.O. Box 530 Burlington, Combined Real Estate Purchasing Enterprise, Inc. 135 Crossways Park Drive, P.O. Box Woodbury, NY Consumer Specialties Insurance Company RRG 2386 Airport Road Barre, Continuing Care Risk Retention, Inc Wilson Boulevard Suite 110 Arlington, VA SC Contractors Insurance Company of North America, Inc. a RRG 201 Merchants Street, Suite 2400 Honolulu, HI HI Controlled Risk Insurance Company of Vermont P O Box 530 Burlington, COPIC, A Risk Retention 2386 Airport Road Barre, Coverys, RRG, Inc. 40 Main Street Suite 200 Burlington, CPA Mutual Insurance Company of America RRG 112 Lake Street Burlington, Crossfit Risk Retention, Inc Kalawao Street Honolulu, HI MT 10/07/2015 Page 5 of 17
7 0 0 DeWitt Stern Cultural Institution Risk Purchasing, Inc. 209 Hawkbury Place Dardenne Prarie, MO DME/OP Purchasing, Inc 100 Lake Street West Wayzata, MN KS 0 0 DT Preferred, LLC 110 West Road, Suite 227 Towson,, MD MD Eastern Dentists Insurance Company RRG 148 College Street Suite 204 Burlington, Educators Liability Insurance Purchasing of Missouri Forest T. Jones & Company, Inc., 3130 Broadway Kanas City, MO MO Elite Transportation Risk Retention, Inc. 58 East View Lane Suite 2 Barre, AZ Emergency Medicine Professional Assurance Company Risk retention 1605 Main Street Suite 800 Sarasota, FL NV Emergency Physicians Insurance Company RRG Streeter Road Suite 6 Auburn, CA NV 0 0 Employment Practices Risk Management Association 1763 Marlton Pike East, Suite 200 Cherry Hill, NJ Evergreen USA Risk Retention, Inc. 76 St. Paul Street 5th Floor Burlington, Family Entertainment Centers Safety Association, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY NY 0 0 Financial Sales Professional Purchasing 681 S. Parker Street, Suite 300 Orange, CA CA 10/07/2015 Page 6 of 17
8 0 0 First Federal Guarantee Insurance Company 50 Weston Street Hartford, CT CT OD Food Services RPG, LLC 240 MINEOLA BOULEVARD MINEOLA, NY Frontier Services Corporation 3 High Ridge Park Stamford, CT CT OD Funeral Directors Planning, Inc. 225 Metro Center Blvd., Suite 220 Warwick, RI RI 0 0 Gallagher Steel Courier Risk Purchasing 209 HAWKSBURY PLACE O'FALLON, MO NJ 0 0 Garage Services and Equipment Dealers Liability Association of America 8722 S. Harrison Street Sandy, UT UT 0 0 General Real Estate Environmental Enterprises Net, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY GGP Tenants Purchasing One North Franklin, Suite 3600 Chicago, Golden Insurance Company, A Risk Retention 2121 Valley Sand Street Las Vegas, NV NV Green Hills Insurance Company, a Risk Retention P O Box 2127 South Burlington, Hand Made Artisans Risk Purchasing 6860 W. Snowville Road Suite 110 Brecksville, OH OH Health Care Industry Liability Reciprocal Insurance Company, A Risk Retention 103 East Liberty Suite 201 Ann Arbor, MI /07/2015 Page 7 of 17
9 0 0 Heating Oil Dealers Risk Purchasing 308 Farmington Avenue Farmington, CT Heritage Warranty Insurance Risk Retention, Inc Ashley River Road Building C, Suite 200 Charleston, SC SC 0 0 Hospitality Supportive Systems, LLC 940 West Sproul Road, Suite 103 Springfield, PA PA Housing Authority RRG, Inc. P O Box 189 Cheshire, CT ICI Mutual Insurance Company, A Risk Retention 1401 H Street NW Suite 1000 Washington, Independent Contractor Services PG, Inc Merrick Road, Suite 305 Merrick, NY Integrated Risk Facilities, Inc. 14 WALL STREET, 18TH FLOOR New York, NY International Special Events and Recreation Association, Inc S. Harrison Street Sandy, UT UT 0 0 IPHFHA Risk Purchasing One North Franklin, Suite 3600 Chicago, IRF Construction, Inc. 14 Wall Street, 18th Floor New York, NY IRF Hospitality, Inc. 14 Wall Street, 18th Floor New York, NY IRF Manufacturing, Inc. 14 Wall Street, 18th Floor New York, NY /07/2015 Page 8 of 17
10 0 0 IRF Real Estate Operations, Inc. 14 Wall Street, 18th Floor New York, NY IRF Restaurant, Inc. 14 Wall Street, 18th Floor New York, NY IRF Retail, Inc. 14 Wall Street, 18th Floor New York, NY IRF Service, Inc. 14 Wall Street, 18th Floor New York, NY IRF Wholesale, Inc. 14 Wall Street, 18th Floor New York, NY Ironshore Risk Retention, Inc Connecticut Avenue, N.W., Suite 6 Washington, Lawyers Protector Plan Purchasing 655 North Franklin St., Suite 1900 Tampa, FL Lenders Protection Assurance Company Risk Retention P O Box Omaha, NE NE Marathon Financial Insurance Company, Inc. RRG 1716 Corporate Crossing, Suite 2 P O Box 961 O'Fallon, MCIC Vermont Inc. RRG 76 St. Paul Street Suite 500 Burlington, MDVIP Risk Purchasing Association 1875 NW Corporate Boulevard, Suite 300 Boca Raton, FL Medical Data & Billing Insurance Liability Risk Purchasing, Inc. 330 E. Kilbourn Ave., Suite 1085, Two Plaza East Milwaukee, WI WI 10/07/2015 Page 9 of 17
11 0 0 MedPro Provider Solutions, Inc Reed Road Fort Wayne, IN IN MedPro RRG Risk Retention 1050 K Street NW Suite 400 Washington, Mental Health Risk Retention, Inc. c/o Strategic Risk Solutions P O Box 1750 Burlington, Millbrook NMF Risk Retention, Inc. Strategic Risk Solutions LLC 360 Concord Street Unit 106 Charleston, SC SC MMIC Risk Retention, Inc France Avenue South #500 Minneapolis, MN Mutual Risk Retention, Inc. (The) 2121 N. California Boulevard Suite 1010 Walnut Creek, CA HI NASW Risk Retention, Inc H St. N.W. Suite 820 Washington, National Association of Insurance and Financial Advisors 681 S. Parker Street, Suite 300 Orange, CA National Automotive Coalition, Inc. 757 THIRD AVENUE New York, NY National Contractors Insurance Company, Inc. P.O. Box 510 Bigfork, MT MT National Guardian Risk Retention, Inc Copper Ridge Drive Traverse City, MI HI National Home Insurance Company E. Harvard Ave. Suite 550 Denver, CO CO 10/07/2015 Page 10 of 17
12 National Independent Truckers Insurance Company, Inc. A Risk Retiontion Gr 1327 Ashley River Road Building C, Suite 200 Charleston, SC SC 0 0 National Retail Safety Association, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY National Service Contract Insurance Company 2233 Wisconsin Avenue, NW Suite 310 Washington, NCMIC Diversified Health RPG Association University Avenue Clive, IA NCMIC Risk Retention Univeristy Avenu Clive, IA OF New Home Warranty Insurance Company, A Risk Retention East Harvard Avenue Suite 100 Denver, CO New York Healthcare Insurance Company, Inc., A Risk Retention Risk Services, LLC 1501 Wilson Blvd. Suite 1110 Arlington, VA North America Chemical Users and Applicators Association, Inc 8722 S. Harrison Street Sandy, UT UT 0 0 North American Data Security RPG 3310 W. Big Beaver, Suite #104 Troy, MI MI 0 0 Northeast Restaurant Programs, Inc. 225 Metro Center Blvd., Suite 200 Warwick, RI RI Oasis Reciprocal Risk Retention 40 Main Street, Suite 200 Burlington, Oceanus Insurance Company, A Risk Retention 1327 Ashley River Road. Building C, Suite 200 Charleston, SC SC 10/07/2015 Page 11 of 17
13 OMS National Insurance Company, Risk Retention 6133 N. River Road Suite 650 Rosemont, OOIDA Risk Retention, Inc. P O Box 2100 Montpelier, Ophthalmic Mutual Insurance Company 126 College Street Suite 400 Burlington, Outdoor & Recreational Insurance Program One North Franklin, Suite 3600 Chicago, Paratransit Insurance Company, A Mutual Risk Retention P O Box 1330 Montpelier, TN PCH Mutual Insurance Company, Inc., A Risk Retention 1501 Wilson Blvd. Suite 1110 Arlington, VA PCO Program, Inc. 225 Metro Center Blvd., Ste 200 Warwick, RI RI 0 0 Petro XS Risk Purchasing 308 Farmington Avenue Farmington, CT CT Physicians Specialty Ltd. RRG 1327 Ashley River Road Building C, Suite 200 Charleston, SC SC PIA Professional Liability Insurance Company, A Risk Retention (PIAPRO) 111 North Higgins Ave, Suite 200 Missoula, MT MT Preferred Contractors Insurance Company Risk Retention, LLC 27 North 27th Street Suite 1900 Billings, MT MT 0 Preferred Delivery RPG, Inc N. Meridian St., Suite 700 INDIANAPOLIS, IN /07/2015 Page 12 of 17
14 0 0 Preferred Motor Sports Risk Purchasing, LLC 600 West Cuthbert Blvd., 6th Floor Westmont, NJ MN Preferred Physicians Medical Risk Retention, Inc West 67th Street Shawnee Mission, KS MO Premier Insurance Exchange RRG 150 Dorset Street #238 Burlington, Primary Real Estate Insurance Management Enterprise, Inc. 135 Crossways Park Drive, P.O. Box 9017 Woodbury, NY ProBuilders Specialty Insurance Company, RRG 2859 Paces Ferry Road Suite 1900 Atlanta, GA Professional Advisors Purchasing, Inc Parkview Plaza W 1200 East Ridgewood Ave. Ridgewood, NJ NJ 0 0 Professional Auditors, Consultants & Engineers RPG One North Franklin Street, Suite 3600 Chicago, Professional Industry Purchasing 826 East State Road, Suite 100 American Fork, UT UT 0 Professional Transportation RPG, Inc N. Meridian St., Suite 700 INDIANAPOLIS, IN Promotion, Event and Prize Purchasing 826 East State Road, Suite 100 American Fork, UT UT 0 0 PSIC RPG Association University Avenue Clive, IA Psychologists Purchasing Association 111 Rockville Pike, Suite 900 Rockville, MD /07/2015 Page 13 of 17
15 Public Utility Mutual Insurance Company (A Risk Retention ) P.O. Box 530 Burlington, Real Estate Sales Professional Program 681 S. Parker Street, Suite 300 Orange, CA CA 0 0 Religious Organizations Umbrella RPG, Inc N. Orange Street, Suite 710 Wilmington, Resort Hotel Purchasing, Inc 161-A JOHN JEFFERSON ROAD WLIAMSBURG, VA Restoration Risk Retention, Inc. c/o Risk Services 1605 Main Street Suite 800 Sarasota, FL Romulus Insurance Risk Retention 1327C Ashley river Rd,Ste 200 Charleston, SC SC RPX Risk Retention, Inc. 201 Merchant Street Suite 2400 Honolulu, HI HI 0 0 Safety Merchants and Retail Tenants Umbrella Incorporated 135 Crossways Park Drive Woodbury, NY SBD Insurance, Inc Stanley Drive New Britain, CT CT OD SCRUBS Mutual Assurance Company Risk Retention 7251 West Lake Mead Blvd Suite 401 Las Vegas, NV NV 0 0 Security America Risk Purchasing, LLC 100 Bank Street, Suite 610 Burlington, Security America Risk Retention, Inc. c/o Marsh Management Services, Inc. P O Box 530 Burlington, /07/2015 Page 14 of 17
16 0 0 Short Term Special Events, Inc GULF BLVD Treasure Island, FL FL 0 0 SIG Sports, Leisure and Entertainment Risk Purchasing LLC 477 Martinsville Road, Post Office Box 830 Liberty Corner, NJ IN 0 0 SLS Insurance Company 100 Bank Street, Suite 610 Burlington, CT OD SOBC Insurance Company Limited 55 Madison Avenue Morristown, NJ CT OD Social Service Providers PG, Inc MERRICK ROAD, STE 305 MERRICK, NY Social Services Safety Association, Inc 135 Crossways Park Drive, Suite 300, PO Box 9017 Woodbury, NY Spirit Commercial Auto Risk Retention Inc Main Street Suite 800 Sarasota, FL NV Spirit Mountain Insurance Company Risk Retention, Inc Wisconsin Avenue, N.W. Suite 310 Washington, St. Charles Insurance Company Risk Retention 1327 Ashley River Road, Bldg C Suite 200 Charleston, SC SC States Self Insurers RRG 222 South Ninth Street Suite 1300 Minneapolis, MN STICO Mutual Insurance Company, Risk Retention c/o Aon Insurance Managers 76 St. Paul Street Suite 500 Burlington, SZ Fly Safe RPG One North Franklin Street, Suite 3600 Chicago, /07/2015 Page 15 of 17
17 Terra Insurance Company, A Risk Retention 2386 Airport Road Barre, Terrafirma Risk Retention LLC 100 Bank Street Suite 610 Burlington, The Doctors Company Risk Retention A Reciprocal Exchange 185 Greenwood Road Napa, CA Thomson Reuters Risk Management Inc. Metro Center One Station Place Stamford, CT CT OD Titan Insurance Company, Inc. A Risk Retention 1327 Ashley River Road Building C, Suite 200 Charleston, SC SC Title Industry Assurance Company RRG 76 St. Paul Street Suite 500 Burlington, Transworld Building Trades and Contractors Liability Association, Inc S. Harrison Street Sandy, UT UT 0 0 Unemployment Alternatives Purchasing One North Franklin, Suite 3600 Chicago, United Educators Insurance, Reciprocal Risk Retention Two Wisconsin Circle Fourth Floor Chevy Chase, MD United Food & Lodging Association, Inc. 220 S. Walnut Street Muncie, IN IN 0 0 United Risk Purchasing, Inc. Street Address Needed Scottsdale, AZ AR 0 0 United States Equestrian Federation Service Company 3000 S JAMAICA CT SUITE 210 Aurora, CO CO 10/07/2015 Page 16 of 17
18 Urgent Care Assurance Company Risk Retention 1605 Main Street Suite 800 Sarasota, FL NV 0 0 USI Affinity Lawyers' Liability Risk Purchasing, Inc. 427 Bedford Road, Suite 250 Pleasantville, NY USI Risk Purchasing, Inc. 200 Summit Lake Drive, Suite 350 Valhalla, NY Vanderbilt Properties Associates II, Inc. 770 Lexington Avenue, 12th Floor New York, NY Vanderbilt Properties Associates, Inc 770 LEXINGTON AVE. 7TH FLOOR New York, NY Vehicular Service Insurance Company 2007 Poole Drive Huntsville, AL OK 0 0 WellnessPro Purchasing 826 East State Road, Suite 100 American Fork, UT UT Western Pacific Mutual Insurance Company 9265 Madras Court Littleton, CO CO Restricted in Connecticut 0 0 Wildlife RPG, Inc. 26 N. Ninth Street Lemoyne, PA PA 0 0 Willis Risk Purchasing 100 Bank Street, Suite #500 Burlington, Worldwide Outfitter and Guides Association, Inc 8722 S. Harrison Street Sandy, UT UT 10/07/2015 Page 17 of 17
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