STATE OF NEW HAMPSHIRE WORKERS COMPENSATION LOSS COST MULTIPLIERS

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1 : 11/5/2014 Page: ACE USA ACE USA ACE USA ACE USA ACE USA ACE USA Ace American Insurance Ace Fire Underwriters Insurance Ace Property & Casualty Insurance Indemnity Insurance of North America Insurance of North America Pacific Employers Insurance /01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % Advantage Workers Compensation Insurance Advantage Workers Compensation Insurance 10/01/ % 2498 AIM Mutual AIM Mutual Associated Industries of Massachusetts Mutual Insurance New Hampshire Employers Insurance 12/01/01 Standard % 05/08/02 Basic % 06/01/09 Preferred % 05/18/10 Basic % 05/18/10 Standard % 05/19/10 Preferred % 0761 Allianz (Fireman's Fund ) (Fireman's Fund ) (Fireman's Fund ) (Fireman's Fund ) Allianz Global Risks USInsurance Co American Automobile Insurance American Insurance, The Associated Indemnity Insurance Fireman's Fund Insurance 09/01/ % 05/01/ /01/ % 05/01/ /01/ % 03/01/ /01/ % 05/01/ /01/ %

2 : 11/5/2014 Page: (Fireman's Fund ) National Surety Insurance /01/ /01/ % 0140 Allied Property & Casualty Ins. Co Allied Property & Casualty Ins. Co. 07/15/ % 0008 Allstate Companies Allstate Insurance 09/01/ % 0008 Allstate Companies Allstate Indemnity Insurance % 0922 American Assets Insurance of the West 11/01/ % American Financial (Great American Cos.) American Financial (Great American Cos.) American Financial (Great American Cos.) American Financial (Great American Cos.) American Financial Great American Assurance Great American Ins. Co. of New York Great American Insurance GreatAmerican Alliance Insurance National Interstate Insurance 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 0408 American National Financial Corp Farm Family Casualty Insurance 01/01/ /01/ % American International American International American International American International American International AIU Insurance 04/01/ /01/ % American Home Assurance American International Pacific Insurance American International South Insurance Chartis Property Casualty 04/01/ /01/ % 04/01/ % 08/01/ /01/ % 04/01/ /01/ %

3 : 11/5/2014 Page: American International American International American International American International American International American International Commerce & Industry Insurance Granite State Insurance Illinois National Insurance /01/ /01/ % 04/01/ /01/ % 03/01/ /01/ % Insurance State of PA. 08/01/ /01/ % National Union Fire Insurance of Pittsburg, PA. New Hampshire Insurance 08/01/ /01/ % 04/01/ /01/ % 0680 Amerisafe Insurance American Interstate Insurance 04/01/ /01/ % 0124 Amerisure Companies Amerisure Companies Amerisure Ins. Co. (SEBO 12/95) 12/04 Exception for National Accounts with NH exposures. Amerisure Mutual Ins. Co. (SEBO 12/95) 12/04 Excpetion for National Accounts with NH exposures. 06/01/ /01/ % 06/01/ /01/ % 2538 AmTrust Security National Insurance Co 01/01/ /01/ % 2538 AmTrust Technology Insurance 10/01/ /01/ % 2538 AmTrust Wesco Insurance 11/02/ % 0586 Arbella Insurance Arbella Insurance Arbella Indemnity Insurance Arbella Protection Insurance 10/01/ % 01/01/ /01/14 Standard % 01/01/ /01/14 Preferred % 0457 Argonaut Insurance Argonaut Insurance Co 04/13/ /01/ %

4 : 11/5/2014 Page: Arrow Mutual Ins. Co Arrow Mutual Liability Ins. Co. 10/11/ % 0024 Atlantic Mutual Cos Atlantic Mutual Cos Atlantic Mutual Insurance Centennial Insurance Insurance 01/01/ /01/ % 01/01/ /01/ % 0098 Berkley(WR) Berkley(WR) American Mining Insurance American Mining Insurance 03/01/14 Standard % 03/01/14 Preferred % 0098 Berkley(WR) Acadia Insurance 01/01/ /01/14 Standard % 01/01/ /01/14 Preferred % 0098 Berkley(WR) Berkley(WR) Berkley(WR) Berkley(WR) Berkley(WR) Berkley(WR) Berkley(WR) Berkley National Insurance Berkley National Insurance Berkley Regional Insurance Berkley Regional Insurance Carolina Casualty Insurance Continental Western Insurance Firemen's Ins. Co.of Washington DC dba Berkely Underwriters Ins. Co. 01/01/ /01/14 07/01/ /01/15 07/01/ /01/15 07/01/ /01/15 07/01/ /01/ % % % % % 08/01/ /01/ % 01/01/ /01/14 Standard % 01/01/ /01/14 Preferred % 01/01/ /01/14 Standard % 01/01/ /01/14 Preferred % 01/01/ /01/14 Super- Preferred Non Technology Technology Classes Non Technology Technology Classes Super- Preferred %

5 : 11/5/2014 Page: Berkley(WR) Great Divide Insurance 02/15/ % 0098 Berkley(WR) Midwest Employers Casualty 0098 Berkley(WR) Riverport Insurance 04/24/ /01/ Berkley(WR) Riverport Insurance 04/24/ /01/15 12/15/ /01/ % Non Technology Technology Classes % % 0098 Berkley(WR) StarNet Insurance 05/15/ /01/ % 0098 Berkley(WR) Berkley(WR) Berkley(WR) Tri-State Insurance of Minnesota Tri-State Insurance of Minnesota Union Insurance dba Berkley Property & Casualty 07/01/ /01/15 07/01/ /01/15 Non Technology Technology Classes % % 01/01/ /01/14 Standard % 01/01/ /01/14 Preferred % 0031 Berkshire Hathaway Continental Indemnity 01/01/ /01/ % 0031 Berkshire Hathaway Cornhusker Casualty 07/01/ % 0031 Berkshire Hathaway Fairfield Insurance 11/24/ /01/ % 0031 Berkshire Hathaway Genesis Insurance 10/01/ % 0031 Berkshire Hathaway National Indemnity 11/01/ % 0031 Berkshire Hathaway Redwood Fire and Casualty Insurance 12/01/ % Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Michigan Accident Fund General Insurance Accident Fund National Insurance Accident Fund Insurance of America United Wisconsin Insurance 01/01/ /01/ % 01/01/ % 01/01/ /01/ % 01/01/ /01/ %

6 : 11/5/2014 Page: Blue Cross Blue Shield of South Carolina Blue Cross Blue Shield of South Carolina Companion Commercial Insurance Companion Property & Casualty Insurance /01/ % 11/15/ % Brotherhood Mutual Insurance Brotherhood Mutual Insurance 01/01/ /01/ % 0036 Central Mutual Ins Cos Central Mutual Insurance Co. 01/01/ /01/13 01/01/ /01/13 01/01/ /01/13 01/01/ /01/13 01/01/ /01/13 01/01/ /01/13 Standard - Other Standard - Contr Standard - Mfg Preferred - Other Preferred - Contr Preferred - Mfg % % % % % % 1178 Charter Insurance Atlantic Charter Insurance 03/01/ /20/ % 11/17/ % 11/17/ % 03/01/ /20/08 Preferred % 12/01/09 Superior % 1178 Charter Insurance Endeavor Insurance 03/01/ /20/ % 1178 Charter Insurance Independence Casualty Insurance 03/01/ /20/ % 0240 Chrysler Insurance Chrysler Insurance Co. 04/01/ %

7 : 11/5/2014 Page: Chubb Chubb Chubb Indemnity Insurance Chubb National Insurance /01/ /01/ % 01/01/ /01/ % 0038 Chubb Federal Insurance 01/01/ /01/ % 0038 Chubb Great Northern Insurance 01/01/ /01/ % 0038 Chubb Pacific Indemnity 01/01/ /01/ % 0038 Chubb Vigilant Insurance 01/01/ /01/ % Church Mutual Ins. Co Church Mutual Insurance 01/01/ /01/ % 0244 Cincinnati Companies Cincinnati Indemnity 01/01/ /01/ % 0244 Cincinnati Companies Cincinnati Insurance 01/01/ /01/ % 0244 Cincinnati Companies Cincinnati Casualty 01/01/ /01/ % 0244 Cincinnati Companies Cincinnati Casualty 01/01/ % 0218 CNA Insurance Cos American Casualty of Reading PA 01/01/ /01/ % 0218 CNA Insurance Cos Continental Casualty Insurance 01/01/ /01/ % 0218 CNA Insurance Cos National Fire Insurance Co. of Hartford 01/01/ /01/ % 0218 CNA Insurance Cos The Continental Insurance 01/01/ /01/ % 0218 CNA Insurance Cos Transportation Insurance 01/01/ /01/ % 0218 CNA Insurance Cos Valley Forge Insurance 01/01/ /01/ %

8 : 11/5/2014 Page: Donegal Peninsula Insurance 01/01/ /01/ % Electric Mutual Insurance Electric Mutual Insurance 01/01/ /01/ % 0062 EMC Insurance Cos Emcasco Insurance 01/01/ /01/ % 0062 EMC Insurance Cos Employers Mutual Casualty 01/01/ /01/ % 1120 Everest Reins. Holding,Inc Everest National Insurance Co. 01/01/ /01/ % 0158 Fairfax Financial Fairfax Financial Fairfax Financial Fairfax Financial Fairfax Financial Crum & Forster Indemnity Fairmont Specialty Insurance North River Insurance. The TIG Insurance (SEBO 7/9/04) United States Fire Insurance 10/01/ % 02/01/ % 11/01/ /01/ % 02/01/01 Standard % 02/01/01 Preferred % 11/01/ /01/ % 0158 Fairfax Financial Seneca Insurance 12/01/ % 0007 Federated Mutual Federated Mutual Insurance 01/01/ /01/ % 07/01/ % Federated Rural Electric Insurance Exchange Federated Rural Electric Insurance Exchange 07/01/ %

9 : 11/5/2014 Page: Florists' Mutual Florists' Mututal Insurance /01/ /01/ % Frank Winston Crum Insurance Frank Winston Crum Insurance 12/01/ % 1309 Frankenmuth Mutual Frankenmuth Mutual Insurance 01/01/ /01/ % 1309 Frankenmuth Mutual Patriot Insurance 01/01/ /01/ % 0222 Greater NY Greater New York Mutual Insurance 01/01/ /01/ % 0828 Guard AmGUARD Insurance 10/15/ /01/14 Standard % 10/15/ /01/14 Preferred % 0828 Guard EastGUARD Insurance 09/11/ /15/10 Standard % 10/01/ /15/10 Preferred % 0828 Guard NorGUARD Insurance 10/15/ /01/14 Standard % 10/15/ /01/14 Preferred % 0303 Guideone Mutual GuideOne Mutual Insurance 01/01/ /01/ % 0088 Hanover Hanover Hanover Citizens Insurance of America Hanover American Insurance Hanover Insurance, The 03/01/ /01/ % 03/01/ /01/ % 01/01/ /01/ % 0088 Hanover Mass Bay Insurance 03/01/ /01/ %

10 : 11/5/2014 Page: Hanover Nova Casualty 01/01/ /01/ % 0088 Hanover Allmerica Financial Benefit Insurance 10/01/ /01/ % 0517 Hannover Clarendon Insurance 10/01/ /01/ % 0517 Hannover HDI-Gerling America Insurance 07/20/ % 0517 Hannover Praetorian Insurance 09/15/ % 0517 Hannover Redland Insurance 01/01/ /15/ % 0091 Hartford Ins Hartford Ins Hartford Accident & Indemnity Hartford Casualty Insurance 01/01/ /01/ % 01/01/ /01/ % 0091 Hartford Ins Hartford Fire Insurance 01/01/ /01/ % 0091 Hartford Ins Hartford Ins Hartford Insurance of the Midwest Hartford Underwriters Insurance 01/01/ /01/ % 01/01/ /01/ % 0091 Hartford Ins Sentinel Insurance Ltd. 01/01/ /01/ % 0091 Hartford Ins Twin City Fire Insurance 01/01/ /01/ % 4381 Houston International Insurance Imperium Insurance 08/01/ % % 08/01/ /01/ % 0225 IAT Reins Co IAT Reins Co Harco National Insurance Transguard Insurance of America 01/01/ /01/ % 07/15/ /01/ %

11 : 11/5/2014 Page: JP Morgan Chase & Co Sequoia Insurance 09/01/ % 09/01/ % 09/01/ % 09/01/ % 0111 Liberty Mutual Liberty Mutual Liberty Mutual Liberty Mutual American Economy Insurance (9/18/08) American Fire & Casualty American States Insurance (9/18/08) Employers Insurance of Wausau 04/01/ /01/ % 01/01/ /01/ % 04/01/ /01/ % 01/01/ /01/ % 0111 Liberty Mutual Excelsior Insurance 01/01/ /01/ % 0111 Liberty Mutual Liberty Mutual First Liberty Insurance Corporation. The General Insurance of America (9/18/08) 01/01/ /01/ % 04/01/ /01/ % 0111 Liberty Mutual Liberty Insurance Corporation 01/01/ /01/ % 0111 Liberty Mutual Liberty Mutual Liberty Mutual Fire Insurance Liberty Mutual Insurance 01/01/ /01/ % 01/01/ /01/ % 0111 Liberty Mutual LM Insurance Corporation 01/01/ /01/ % 0111 Liberty Mutual Netherlands Insurance 01/01/ /01/ % 0111 Liberty Mutual Liberty Mutual Liberty Mutual Ohio Casualty Insurance Ohio Security Insurance Peerless Indemnity Insurance 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 0111 Liberty Mutual Peerless Insurance 01/01/ /01/ %

12 : 11/5/2014 Page: Liberty Mutual Liberty Mutual Liberty Mutual Wausau Business Insurance Wausau Underwriters Insurance West American Insurance /01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % Lumbermen's Underwriting Alliance Lumbermen's Underwriting Alliance 01/01/ /01/ % 0785 Markel Corporation FirstComp Insurance 09/01/ /01/13 04/01/13 04/01/ Markel Corporation Markel Insurance 09/01/ /01/13 04/01/13 04/01/13 Preferred Standard Substandard Preferred Standard Substandard % % % % % % Meadowbrook Insurance Meadowbrook Insurance Ameritrust Insurance 10/01/ /01/13 Basic % 06/01/13 Standard % Star Insurance 11/01/ /01/13 Basic % 11/01/ /01/13 Standard % 1332 MEMIC Maine Employers' Mutual Insurance 03/15/07 Standard % 03/15/07 Preferred % 03/15/07 Safety % 1332 MEMIC MEMIC Indemnity 04/01/ /01/06 Standard %

13 : 11/5/2014 Page: /01/ /01/06 Preferred % 04/01/ /01/06 Safety % 0226 Merchants Merchants Merchants Merchants Insurance of NH Merchants Mutual Insurance Merchants Preferred Insurance 01/01/ /01/ % 01/01/ /01/ % 01/01/ % 01/01/ /01/ % 01/01/ % Tokio Marine Holdings Tokio Marine Holdings Tokio Marine Holdings The Tokio Marine & Nichido Fire Insurance, LTD Tokio Marine America Insurance 11/01/ /01/ % 06/01/ % TNUS Insurance 03/01/ % 0291 Motorists Mutual Motorists Mutual American Hardware Mutual Insurance Phenix Mutual Fire Insurance 05/01/ /01/ % 05/11/ % 2978 MSIG MSIG Mitsui Sumitomo Insurance of America Mitsui Sumitomo Insurance USA, Inc. 04/01/ /01/ % 04/01/ /01/ % 0361 Munich Munich American Alternative Insurance American Modern Home Insurance 01/01/ /15/ % 02/15/ %

14 : 11/5/2014 Page: National Grange National Grange Mutual Insurance 01/01/ /01/13 01/01/ /01/ % % National Liability & Fire Insurance National Liability & Fire Insurance 07/15/ % 0140 Nationwide Nationwide Harleysville Mutual Insurance Harleysville Preferred Insurance New 2/1/09 Renewal 8/1/ /01/ % 01/01/ /01/ % 0140 Nationwide Harleysville Insurance 01/01/ /01/ % 0140 Nationwide Harleysville Worcester Insurance 01/01/ /01/ % 0140 Nationwide National Casualty 01/01/ /01/14 Standard % 0140 Nationwide Nationwide Nationwide Nationwide Nationwide Agribusiness Insurance Nationwide Mutual Fire Insurance Nationwide Mutual Insurance Nationwide Property & Casualty Insurance 01/01/ /01/14 Preferred % 01/01/ /01/14 Non Standard % 01/01/ /01/14 Standard % 01/01/ /01/14 Preferred % 01/01/ /01/14 Standard % 01/01/ /01/12 Preferred 01/01/ /01/14 Standard % 01/01/ /01/13 Preferred 01/01/ /01/14 Harleysville Operations % 01/01/ /01/14 Standard % 01/01/ /01/13 Preferred

15 : 11/5/2014 Page: New York Marine and General New York Marine and General Insurance /15/ % 0144 Norfolk & Dedham Norfolk & Dedham Mutual Fire Insurance 01/01/99 Standard % 01/01/99 Preferred % 1129 OBI National Insurance OBI National Insurance 10/20/13 Standard % 10/20/13 Preferred % 10/20/13 Super Preferred % 0150 Old Republic Great West Casualty 01/01/ /01/ % 0150 Old Republic Old Republic Manufacturers' Alliance Insurance Old Republic General Insurance 04/01/ /01/ % 11/01/ /01/ % 0150 Old Republic Old Republic Insurance 01/01/ /01/ % 150 Old Republic Pennsylvania Manufacturers' Indemnity 01/01/ /01/11 Aviation % 04/01/ /01/ % Penn Lumbermans Mutual Penn Lumbermans Mutual Insurance /15/ % 0125 Penn Millers Penn Millers Insurance 05/01/ % Petroleum Casualty Co Petroleum Casualty 01/01/ %

16 : 11/5/2014 Page: Pharmacists Mutual Pharmacists Mutual Insurance /01/ % 0767 PMA Penn Manufacturers Association Insurance 07/01/ /01/ % Preferred Professional Insurance Preferred Professional Insurance 12/15/ % Premium Insurance Premier Insurance 07/01/ % 0867 Protective Ins Protective Insurance 01/01/ /01/ % 0853 PSM Public Service Mutual Insurance 01/01/ /01/ % 0156 PW Providence Washington Insurance 01/01/ /01/ % 0796 QBE Ins. Grp LTD General Casualty of Wisconsin 07/01/ /01/ % 0796 QBE Ins. Grp LTD North Pointe Insurance 08/01/ % 0796 QBE Ins. Grp LTD Praetorian Insurance 09/15/ /01/ % 0796 QBE Ins. Grp LTD Regent Insurance 08/01/ /01/ % 0796 QBE Ins. Grp LTD Stonington Insurance 02/01/ % 0796 QBE Ins. Grp LTD QBE Insurance Corporation 01/01/ /01/ % 3489 Republic Companies Southern Insurance 07/13/ /01/ %

17 : 11/5/2014 Page: Risk Capital Holding Arch Insurance 09/11/ /25/ % 0783 RLI Insurance RLI Insurance 11/20/ % 0553 Royal/Sun Alliance Arrowood Indemnity 01/01/ /01/ % 0074 Safety National Casualty Safety First Insurance 05/01/ % 0074 Safety National Casualty Safety National Casualty Corporation 01/01/ /01/ % Samsung Fire & Marine Insurance Samsung Fire & Marine Insurance 02/04/13 Preferred % 02/04/13 Standard % 02/04/13 Substandard % SeaBright Insurance SeaBright Insurance 04/01/ % 0242 Selective Insurance Selective Insurance of New England 04/14/ % 0169 Sentry Insurance Middlesex Insurance 01/01/ /01/ % 0169 Sentry Insurance Sentry Insurance Sentry Insurance, A Mutual Sentry Select Insurance 01/01/ /01/ % 01/01/ /01/ %

18 : 11/5/2014 Page: Sentry Insurance Sentry Casualty 03/01/ % Sompo Japan Insurance of America Sompo Japan Insurance of America 12/01/ % SPARTA Insurance SPARTA Insurance 09/01/ /01/ % 4670 Starr Starr Indemnity & Liability 10/15/ % State Farm Insurance State Farm Insurance State Farm Fire & Casualty State Farm General Insurance 01/01/ /01/14 01/01/ /01/14 01/01/ /01/ % % % 01/01/ % Stonewood National Insurance Stonewood National Insurance 05/15/ % 0181 Swiss Re Swiss Re Swiss Re Employers Reinsurance Corporaton North American Specialty Insurance North American Elite Insurance 07/01/ /01/ % 07/01/ /01/ % 07/01/ /01/ % 0181 Swiss Re Westport Insurance Corp. 07/01/ /01/ % 0748 Texas St. National State National Insurance, Inc. 10/01/03 Standard % 10/01/03 Preferred %

19 : 11/5/2014 Page: T.H.E. Insurance T.H.E Insurance 03/19/ % 3703 Tower Grp Cos Tower Grp Cos Tower Grp Cos Mountain Valley Indemnity Tower Insurance of New York Tower National Insurance 03/01/ /01/ % 10/15/ % 07/01/ % 3548 Travelers Athena Assurance 01/01/ /01/ % 3548 Travelers Travelers Charter Oak Fire Insurance, The Discover Property & Casualty Insurance 01/01/ /01/ % 01/01/ /01/ % 3548 Travelers Farmington Casualty 01/01/ /01/ % 3548 Travelers Travelers Travelers Travelers Travelers Travelers Travelers Travelers Travelers Travelers Fidelity & Guaranty Insurance Fidelity & Guaranty Insurance Underwriters Phoenix Insurance, The St Paul Fire and Marine Insurance St Paul Guardian Insurance St Paul Mercury Insurance St. Paul Protective Insurance Standard Fire Insurance, The Travelers Casualty & Surety Travelers Indemnity of America, The 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ %

20 : 11/5/2014 Page: Travelers Travelers Travelers Travelers Travelers Indemnity of Connecticut, The Travelers Indemnity, The Travelers Property Casualty of America United States Fidelity & Guaranty /01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % 0201 Utica Mutual Ins Utica Mutual Ins Graphic Arts Mutual Insurance Republic-Franklin Insurance 03/01/ /01/14 Preferred % 03/01/ /01/14 01/01/ /01/ /01/13 Select (all other) Select Superior (all other) Superior % % 03/01/ /01/14 (all other) % 03/01/ /01/ % 0201 Utica Mutual Ins Utica Mutual Insurance 03/01/ /01/ % Vanliner Insurance Co Vanliner Insurance 01/01/ /01/ % 0234 Vermont Mutual Vermont Mutual Insurance 10/11/ % 4254 Warranty Virginia Surety Co. Inc /01/ % 1129 White Mountains Ins. Grp (OneBeacon Grp) Atlantic Specialty Insurance 12/01/ /01/13 Standard %

21 : 11/5/2014 Page: White Mountains Ins. Grp (OneBeacon Grp) White Mountains Ins. Grp (OneBeacon Grp) White Mountains Ins. Grp (OneBeacon Grp) White Mountains Ins. Grp (OneBeacon Grp) White Mountains Ins. Grp (OneBeacon Grp) White Mountains Ins. Grp (OneBeacon Grp) 12/01/11 Preferred % 12/01/11 Super Preferred % Employers' Fire Ins. Co. 05/01/ /01/ % Northern Assurance Co. of America OneBeacon America Insurance 10/01/ % 10/01/ /15/ % OneBeacon Insurance 08/01/ /01/ % Pennsylvania General Insurance York Insurance of Maine 10/01/ /15/ % 10/01/ /15/ % 10/01/ /15/ % 10/01/ /15/ % 1285 XL America Greenwich Insurance 01/01/ /01/ % 1285 XL America XL Specialty Insurance 01/01/ /01/ % 1285 XL America XL Insurance America, Inc. 01/01/ /01/ % 0336 Zenith National Ins Grp Zenith Insurance 07/18/ % 0212 Zurich-American Grp Zurich-American Grp American Guarantee & Liability Insurance American Zurich Insurance 01/01/ /01/ % 01/01/ /01/ % 0212 Zurich-American Grp Assurance of America 01/01/ /01/ % 0212 Zurich-American Grp Farmers Insurance Exhange 01/01/ /01/ % 0212 Zurich-American Grp Fidelity & Deposit of Maryland 01/01/ /01/ %

22 : 11/5/2014 Page: Zurich-American Grp Foremost Insurance 05/01/ /01/ % 0212 Zurich-American Grp Zurich-American Grp Zurich-American Grp Foremost Property & Casualty Insurance Foremost Signature Insurance Maine Bonding and Casualty 05/01/ /01/ % 05/01/ /01/ % 01/01/ /01/ % 0212 Zurich-American Grp Maryland Casualty 01/01/ /01/ % 0212 Zurich-American Grp Zurich-American Grp Mid-Century Insurance (SEBO) Northern Insurance of New York 01/01/ /01/ % 01/01/ /01/ % 0212 Zurich-American Grp Truck Insurance Exchange 01/01/ /01/ % 0212 Zurich-American Grp Zurich-American Grp Zurich-American Grp Universal Underwriters Insurance Zurich American Insurance Zurich American Insurance of Illinois 01/01/ /01/ % 01/01/ /01/ % 01/01/ /01/ % SEBO - Servicing Existing Business Only For class based tiers contact agent or company for listing

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