RISK RETENTION GROUPS DECEMBER 31, 2013

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1 NAME & ADDRESS NE ID# NAIC # STATE OF DOMICILE Academic Medical Professionals Risk Retention Group, LLC 76 St. Paul Street, Suite 500 Affliates Insurance Reciprocal, A Risk Retention Group C/O Marsh Management Services, Inc. Alliance of NonProfits for Insurance, Risk Retention Group Montpelier, VT Allied Professionals Insurance Company, A Risk Retention Group, Inc W Town & Country Road, Suite 1400 Orange, CA American Association of Orthodontists Insurance Company (A Risk Retention Group) North 71 st Street, Suite 103 Scottsdale, AZ American Contractors Insurance Company Risk Retention Group 2600 N Central Express Way, Suite 800 Richardson, TX American Excess Insurance Exchange, Risk Retention Group 150 Dorset Street, PMB #238 Burlington, VT American Safety Risk Retention Group, Inc Circle 75 Pkwy, Suite 925 Atlanta, GA American Trucking and Transportation Insurance Company, A Risk Retention Group (Attic) 111 North Higgins Avenue, 4 th Floor Ameriguard Risk Retention Group, Inc. Applied Medico Legal Solutions Risk Retention Group, Inc E Camelback Road, Suite 700 Phoenix, AZ Architects & Engineers Insurance Company, A Risk Retention Group 2056 Westings Avenue, Suite 20 Naperville, IL ARCOA Risk Retention Group, Inc N Central Avenue Phoenix, AZ ARISE Boiler Inspection and Insurance Company Risk Retention Group P. O. Box Louisville, KY Association of Certified Mortgage Originators Risk Retention Group, Inc. c/o Risk Services Attorneys Liability Assurance Society, Inc., A Risk Retention Group 311 Wacker Drive, Suite 5700 Chicago, IL NEBRASKA PREMIUMS WRITTEN Vermont Vermont $4, Vermont $51, Arizona $24, Arizona $23, Texas $23, Vermont Vermont $21, Montana Vermont $ Arizona Delaware Nevada $22, Kentucky $4, Nevada Vermont $602,392

2 Aviation Alliance Insurance Risk Retention Group, Inc. Caring Communities, a Reciprocal Risk Retention Group 1850 W. Winchester Rd, Ste 109 Libertyville, IL Cattleman s Insurance Company Risk Retention Group CHC Casualty Risk Retention Group, Inc. Burlington,VT Circle Star Insurance Company, A Risk Retention Group 58 East View Lane, Suite 2 Claim Professionals Liability Insurance Company (A Risk Retention Group) College Risk Retention Group, Inc. Consumer Specialties Insurance Company Risk Retention Group Continental Risk Underwriters Risk Retention Group, Inc. Continuing Care Risk Retention Group, Inc. CPA Mutual Insurance Company of America Risk Retention Group -000 CrossFit Risk Retention Group C/O Pacific Risk Solutions, LLC 2897 Kalawao Street Honolulu, HI Doctors & Surgeons National Risk Purchasing Group 3370 Sugarloaf Pkwy, Suite G-2/302 Lawrenceville, GA Emergency Medicine Professional Assurance Company Risk Retention Group Golden Insurance Company, A Risk Retention Group 975 Kelly Johnson Drive, Suite 100 Las Vegas, NV Green Hills Insurance Company, A Risk Retention Group Montana $13, $10, Montana $39, Vermont $390, Vermont Vermont $5, Vermont $99, Vermont Nevada Vermont $91, Montana $6, Kentucky Nevada Nevada $3, Vermont $8,

3 Health Care Industry Liability Reciprocal Insurance Company, A Risk Retention Group 201 S. Main Street, Suite 200 Ann Arbor, MI Healthcare Underwriting Company, A Risk Retention Group/The Housing Authority Risk Retention Group, Inc. P. O. Box 189 Cheshire, CT ICI Mutual Insurance Company, A Risk Retention Group 1401 H Street NW, Suite 1000 Washington, DC Jamestown Insurance Company, A Risk Retention Group Lewis & Clark LTC Risk Retention Group, Inc Brookside Parkway, Suite 200 Alpharetta, GA Marathon Financial Insurance Company, Inc., A Risk Retention Group P.O. Box 961 O Fallon, IL Mental Health Risk Retention Group, Inc. Mountain States Healthcare Reciprocal Risk Retention Group 40 Main Street, Suite 200 NASW Risk Retention Group, Inc Eye Street NW, Suite 600 Washington, D.C National Catholic Risk Retention Group/The 148 College Street, Suite 204 National Contractors Insurance Company, Inc., A Risk Retention Group P.O. Box 510 Bigfork, MT National Guardian Risk Retention Group, Inc Copper Ridge Drive Traverse City, MI National Home Insurance Company A Risk Retention Group E. Harvard Avenue, Suite 100 Denver, CO National Independent Truckers Insurance Company, A Risk Retention Group National Service Contract Insurance Company Risk Retention Group, Inc Wisconsin Ave., NW, Suite 310 Washington, DC New Home Warranty Insurance Company, A Risk Retention Group Compliance Specialist E Harvard Ave, Suite $550, Vermont Vermont $189, Vermont $242, Nevada Delaware Vermont Montana $1,158, $13, Vermont Montana $29, Hawaii Colorado $8,453 $120,

4 Denver, CO Oceanus Insurance Company, A Risk Retention Group 1327 Ashley River Rd, Building C Suite 200 OMS National Insurance Company, Risk Retention Group 6133 North River Road, Suite 650 Rosemont, IL OOIDA Risk Retention Group P.O. Box 2100 Montpelier, VT Ophthalmic Mutual Insurance Company, A Risk Retention Group Paratransit Insurance Company, A Mutual Risk Retention Group PCH Mutual Insurance Company, Inc., A Risk Retention Group Physicians Specialty LTD. Risk Retention Group 4535 Dressler Road NW Canton, OH PIA Professional Liability Insurance Company, A Risk Retention Group Probuilders Specialty Insurance Company, RRG, A Risk Retention Group C/O NationsBuilders Ins. Svcs., Inc Paces Ferry Rd., Suite 800 Atlanta, GA Restoration Risk Retention Group, Inc. Security America Risk Retention Group, Inc. Spirit Commercial Auto Risk Retention Group, Inc. Spirit Mountain Insurance Company Risk Retention Group, Inc Wisconsin Ave., NW, Suite 310 Washington, DC St. Charles Insurance Company Risk Retention Group 2700 N 3 rd Street, Suite 3050 Phoenix, AZ States Self-Insurers Risk Retention Group, Inc. 222 Ninth Street, Suite 1300 Minneapolis, MN Illinois $309, Vermont $133, Vermont $37, Tennessee $391, $7, Montana Vermont $54, Vermont $7, Nevada $17, $17,535 $6, Vermont $778,207 STICO Mutual Insurance Company, A Risk Retention Group 76 St. Paul Street, Suite Vermont

5 -4477 Terra Insurance Company, A Risk Retention Group TerraFirma Risk Retention Group, LLC Titan Insurance Company, Inc., A Risk Retention Group Title Industry Assurance Company, A Risk Retention Group C/O Aon Insurance Managers (USA), Inc. 76 St. Paul Street, Suite 500 United Educators Insurance, A Reciprocal Risk Retention Group 2 Wisconsin Circle, 4 th Floor Chevy Chase, MD Urgent Care Assurance Company Risk Retention Group Western Pacific Mutual Insurance Company Risk Retention Group 9265 Madras Court Littleton, CO Vermont Vermont $1, $4,682, Vermont $96, Vermont $1,475, Nevada Colorado $2,360 TOTAL NEBRASKA PREMIUMS WRITTEN: $11,781,