All States Workers Comp Payer List

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1 For instructions on how to submit attachments, please click here. All States Workers Comp Payer List Payer ID Name State WS052 NOV01 TX & MN Only WC OhioComp All States WC101 3-HAB All States WC224 3M TX & MN Only WC229 7-Eleven (Corp) TX & MN Only WC188 AAA Automobile All States A0001 AAA Cooper Transportation TX & MN Only WC231 Acceptance Insurance TX & MN Only WC313 Access Group MN Only Accident Fund Insurance Co of America TX & MN Only WC528 Accuride Corporation TX & MN Only WC343 Ace American Insuarnce Company TX & MN Only WC390 Ace Fire Underwriters Insurance Co TX & MN Only WR905 ACE Insurance Company All States WB133 ACE/ESIS (excludes Sunoco) All States WC232 ACIG Insurance All States WC399 Acrometal Companies MN Only ACU99 Acuity, A Mutual Insurance Company All States WC240 ACWA JPI All States WC241 Adams and Brooks, Inc. All States WZ093 Administrative Claim Service, Inc. MN Only WC270 ADT Fire & Security TX & MN Only WC413 Advance Auto Parts TX & MN Only WB111 Advanced Auto Parts All States WZ327 Advanced Medical Optics All States WC413 Advanced Micro Devices TX & MN Only WC102 AdvoCare Inc All Statest WC492 Agilent Technologies TX & MN Only WC680 AID Insurance Company MN Only WC312 AIG All States WB108 AIG Claim Services All States WC680 Al South Insurance Co TX & MN Only WC680 Alamo Community College District TX Only WC331 Alaska National All States WC543 Allianz Insurance TX & MN Only WC680 Allied Document Solutions MN Only WC814 Allied Group Incorporated MN Only WC892 Allied Group Ins MN Only WC893 Allied Group Ins Marketing MN Only WC894 Allied Life Insurance Company MN Only WC896 Allied Mutual Ins Co MN Only WC904 Allied Property and Casualty Ins Co MN Only WC905 Allied Texas Agency Colonial County Mutual MN Only WC906 Allied Texas Agency Inc MGA TX & MN Only WC909 Allison Transmission TX Only WR378 Allstate Insurance All States WP985 Alpha Review TX & MN Only WC103 ALPS CompCare All States WZ216 Altec MN Only WZ232 Altec Industries MN Only WZ668 Alternative Insurance Management All States WC913 Alternative Service Concepts TX Only For instructions on how to submit attachments, please click here. Page 1 of 26

2 WC370 Alternative Services Concepts All States WC595 Alvey Systems (AON Risk) TX & MN Only WP022 Amazon Com, Inc. TX Only WP023 AMCO Ins Co MN Only WZ921 Amcomp Assurance - Wisconsin All States WC213 American All Risk Insurnace Co (AARIS) All States WP979 American All Risk Loss Administrators (AARLA) All States American Alternative Ins Corp TX & MN Only American Casualty Co of Reading PA TX & MN Only WA065 American Claims Management (ACM) All States WC633 American Coin Merchandising, Inc TX & MN Only WC212 American Commercial Claim Admin (ACCA) ( San Francisco ONLY) All States WX732 American Commercial Claim Admin (ACCA) (Pasedena, CA ONLY) All States WC391 American Commercial Claim Admin (ACCA) (San Diego ONLY) All States WC634 American Cyanamid TX & MN Only WP030 American Express TX & MN Only WP065 American Guarantee TX & MN Only WR899 American Home Assurance TX & MN Only WC400 American Home Craft All States WP073 American Honda Motor Company TX & MN Only American Insurance Co TX & MN Only WP093 American Insurance Company MN Only American International South Ins Co TX & MN Only WB100 American Interstate - TX only All States WP095 American Lumber Underwriters TX Only American Manufacturers Mutual Insurance Company TX & MN Only American Motorists Insurance Co TX & MN Only American Protection Insurance Co TX & MN Only WC408 American Protective Ins. TX & MN Only WB103 American Risk Services, Inc and all subsidiaries (Amerisafe Insureance Co) All States WP096 American Rural Work TX&MNO Only WZ672 American Select All States WC638 American Specialty Companies TX & MN Only WC643 American Specialty Ins. / MIB TX & MN Only WP103 American Zurich TX & MN Only WA054 Ameriprise Auto & Home Insurance All States WB101 Amerisafe Risk Services - TX only All States WC422 Amerisure Insurance TX & MN Only WC111 Amerisure Mutual Insurance TX & MN Only WA056 Amica Mutual Insurance Company All States WP113 Amtrust Insurance Co of Kansas TX & MN Only WC435 Anderson & Howard All States WP119 Anoka Hennepin-Isd 11 MN Only WC454 API Panel All States WP122 Apogee Enterprises Inc. TX & MN Only WB164 Applied Risk Services, A subsidiary of Applied Underwriters, California Insurance Co., and Continental Indemnity Co. All States WR904 Aramark (Dental Only) All States WB112 Aramark (Prof & Inst Only) All States WC130 Arcadia Insurance Company TX & MN Only WP125 Archdiocese Of St Paul & Mpls MN Only WX852 ARCMI TX & MN Only WP126 Arctic Cat Inc MN Only WP127 Arctic Cat Of South Dakota MN Only WP129 Arden Foods, Inc MN Only WZ233 Argenbright Holdings Limited MN Only Page 2 of 26

3 WZ478 Argonaut Claims Services, Ltd All States WZ479 Argonaut Midwest Insurance Co All States WZ502 Argonaut Southwest Insurance Co All States WB165 Arrow Point Capital (Formerly Royal&SunAlliance) All States WC503 Arrowhead Water (Los Angeles, CA) TX & MN Only WC504 Arrowhead Water (Oakland, CA) TX & MN Only WC505 Arrowhead Water (Orange, CA) TX & MN Only WC506 Arrowhead Water (San Diego, CA) TX & MN Only WC507 Arrowhead Water (South San Fran, CA) TX & MN Only WC516 Artistree, Inc. All States WC518 Asbury Environmental Corp (Southgate, CA) All States WC519 Asbury Environmental Corp (Spring Valley, CA) All States WC520 ASC All States WP130 Ascension Health TX Only Associated Indemnity Corp TX & MN Only WP987 Association Casualty Insurance Company All States A0016 AT & T Corp TX & MN Only WC539 AT&T Worldwide Customer Service TX & MN Only WC542 AT&T (El Segundo, CA) TX & MN Only WC541 AT&T (San Francisco, CA) TX & MN Only WC544 AT&T (San Jose, CA) TX & MN Only WC540 AT&T (San Ramon, CA) TX & MN Only WC550 Atlantic Mutual All States WP131 Atlantic Mutual Insurance TX & MN Only WC104 AultComp All States WZ744 Austin Mutual All States WA053 Auto Club Insurance Association All States WZ751 Auto Owners Insurance Company All States WZ788 Auto Owners Life Insurance Company All States WC564 Auto Zone (Fullerton, CA) TX Only WC563 Auto Zone (Modesto, CA) TX Only WC562 Auto Zone(San Diego, CA) TX Only WC567 Automotive Clinic All States WC105 AvatarComp All States WP930 Aviation Safeguard All States WX601 Avizent TX & MN Only WC429 Ayers Trucking TX & MN Only WP132 Bancinsure, Inc. TX & MN Only WP135 Bankers Standard Insurance TX & MN Only WB113 Barnes All States WC618 Bas Tire Recycling All States WC621 Bassett Unified School District All States WZ806 Beacon All States WC648 Beall's Inc / Midwest Employers TX & MN Only WP136 Bed Bath & Beyond (Auto Only) TX & MN Only WB114 Bed Bath and Beyond (WC Only) All States WC657 Bell Gardens Family Medical Center All States WP137 Bell South Corporation TX & MN Only WP138 Bemis Company Inc. TX & MN Only WP049 Benchmark Insurance All States WP139 Benedictine Group Self-Insurance Assoc. MN Only WC669 Bennett Landscaping All States WC679 Berkley Specialty Underwriters TX & MN Only WBH01 Berkshire Hathaway Homestate Co. All States WC681 Berkshire Hathaway Homestate Co. (San Fran, CA) All States WP140 Bermo, Inc. MN Only Page 3 of 26

4 WP141 Bertelmanns Inc. TX & MN Only WC677 Berwind Corporation TX & MN Only WP143 Best American Hospitality TX & MN Only WP144 Big Lots TX Only WC705 Big Lots (Garden Grove, CA) TX & MN Only WC703 Big Lots (Lornita, CA) TX & MN Only WC706 Big Lots (Mission Viejo, CA) TX & MN Only WC707 Big Lots (Rancho Cucamonga, CA) TX & MN Only WC708 Big Lots (Redlands, CA) TX & MN Only WC704 Big Lots (Santa Ana, CA) TX & MN Only WP146 Birmingham Fire Insurance Co PA TX & MN Only WZ570 Bituminous Casualty Corp All States WZ588 Bituminous Fire & Marine Insurance Co All States WP147 Blockbuster Inc TX & MN Only WC729 Bloodsource, Inc. All States WC739 Blueline Food Services All States WP148 Bob Evans TX Only WP149 Bois Forte Reservation Tribal Council MN Only WP152 Boise Cascade Corporation TX & MN Only WP154 Boise Paper Holdings TX & MN Only WZ817 Boldt Company All States Boston Old Colony Insurance Co TX & MN Only WP187 Brickman Group (Dallas) TX Only WP190 Brickman Group (Houston) TX Only WP194 Brickman Group (Plano) TX Only WP206 Brickman Group (Roanoke) TX Only WP179 Brickman Group (Woodlands) TX Only WP186 Brickman Groupp (Austin) TX Only WB147 Bridgefield Casualty Insurance Company All States WB148 Bridgefield Employers Insurance Company All States WP216 Bi Brinker International ti TX Only WC782 Bristol Park Medical All States WP745 British American Insurance Company All States WC789 Broadspire TX & MN Only WP222 Broadspire - Dallas TX Only WP233 Broadspire - Lewisville TX Only WC678 Brownyard Group Inc. (Arch Insurance) TX & MN Only WC744 Brunswick Corporation TX & MN Only WC812 Bunch & Assoc. Inc All States WB166 Bunch & Associates - CostCo All States WB167 Bunch & Associates - Food Lion All States WB188 Bunch and Associates - Aramark (LIMITED) All States WB189 Bunch and Associates - Lowes (LIMITED) All States WP243 Burger King Corporation TX & MN Only WC761 Burlington Coat Factory Wareho TX & MN Only WR900 Burtons Fire All States WP251 Butterball, L.L.C. TX Only WP267 C & S Wholesale Grocers TX Only WC840 C.O.P. All States WR896 CA American Water Company All States WP288 Cal Southampton TX Only WP289 Calfarm Insurance company MN Only WC898 Cambridge (Carrolton, TX) All States WR909 Cambridge (Concord, CA) All States WP598 Cambridge (Glendale, CA) All States WC915 Cambridge (Los Angeles, CA) All States Page 4 of 26

5 WP472 Cambridge (Pasedena, CA) All States WR872 Cambridge (Portland, OR) All States WC902 Cambridge (Rancho Cordova, CA) All States WC897 Cambridge (Sacramento, CA) All States WC900 Cambridge (San Diego, CA) All States WX163 Cambridge Integrated Services Group All States WR911 Cambridge Integrated Services Group (Glendale, CA) All States WP123 Cambridge Integrated Services Group (Modesto, CA) All States WR841 Cambridge Integrated Services Group (now Xchanging) All States WC903 Cambridge Integrated Services Group (Pasedena, CA) All States WC910 Cambridge Integrated Services Group (Rancho Cordova, CA) All States WC907 Cambridge Integrated Services Group (Sacramento, CA) All States WC908 Cambridge Integrated Services Group (Salt Lake City, UT) All States WP978 Cambridge Integrated Services Group, Inc. (Warren, MI) All States WC413 Canyon House All States Capital City Insurance Company, Inc TX & MN Only WC931 Cardinal Health TX & MN Only WP291 Careage TX Only WC107 CareWorks All States WP311 Carleton College MN Only WP312 Casella Ins. Co MN Only WZ279 Caseys General Stores TX & MN Only WP870 Catholic Mutual TX & MN Only WP290 CCMLBOI MN Only WR322 CCMSI TX Only WP315 Cedar Fair L.P. MN Only WR888 Cen Cal Machine All States WC783 Cendant Corporation TX & MN Only WX167 Center for Employee Training (Student Accident ONLY) All States WC966 Center for Employee Training (WorkComp ONLY) All States WC787 Central Hockey League TX&MNO Only WP336 Cerenity Senior Care Large Deductible MN Only WP370 Certified Power Train Specialists, Inc. MN Only WB149 Charlotte County All States WC788 Charming Shoppes, Inc. TX & MN Only WX007 Cherokee Insurance All States WP371 Chesterfield Serv-Uniontown TX & MN Only WP385 Chick-fil-A TX Only WP406 Children's Hospitals and Clinics of MN MN Only A0031 Christus Health TX & MN Only WP407 Chrysler Group LLC TX & MN Only WZ528 Chubb & Sons - Federal Insurance All States Chubb Indemnity Co TX & MN Only Chubb National Insurance Company TX & MN Only WP422 Church - Auto TX & MN Only WP424 Church Mutual Insurance Company TX & MN Only WP428 Church of Jesus Christ of Latter Day Saints TX & MN Only WP470 CIGNA TX & MN Only WZ922 CIM Insurance Corporation All States Cincinnati Insurance Co TX & MN Only WZ923 Cincinnati Specialty Underwriters Company All States WX067 Cintas (Ontario) All States WX063 Cintas (Pico Rivera) All States WX064 Cintas (Sacramento) All States WX066 Cintas (San Diego) All States WX068 Cintas (San Fran) All States Page 5 of 26

6 WX065 Cintas (San Jose) All States WX069 Cintas (Tustin) All States WX070 Cintas (Vista) All States WX060 Cintas Fire And Safety All States WR898 Cirq Wire Works All States WX078 City Fibers, Inc. (Vernon) All States WX059 City of Amarillo (Austin) All States WC293 City Of Arlington TX & MN Only WP473 City of Bloomington MN Only WP474 City of Eagan MN Only WP857 City Of El Paso TX & MN Only A0051 City of Hurst TX & MN Only WB115 City of Jacksonville All States WR497 City of Lewisville TX & MN Only WP475 City of Minneapolis TX & MN Only WB150 City of North Miami Beach All States WB151 City of Plant City All States WP476 City of Plymouth MN Only WP478 City of Richfield MN Only WP480 City of Rochester MN Only WC152 City of San Angelo TX & MN Only WP481 City of San Antonio TX Only WX090 City of San Bernardino All States WZ842 City of St. Paul All States WP482 City of Waco TX Only WX115 Claim Quest (was Centurion) All States WP492 Claimetrics TX Only WR889 Claims Administrative Services (CAS) TX & MN Only WB152 Claims Center All States WZ843 Claims Services & Investigations All States WP980 Clarendon National All Statest Clarendon National Insurance Co TX & MN Only WX124 Clarendon National Insurance Co (Santa Ana) TX & MN Only WC790 Classic Residence By Hyatt TX & MN Only WX137 Clean Harbors, LLC (all locations) All States WP493 Cleveland Cliffs (Empire, Tilden, Cleveland Cliffs, Marquette Iron, United Taconite, Hibbing Taconite, Northshore, LS&I Railroad) MN Only WA041 CNA Insurance All States WB168 CNA Insurance All States WP929 CNA Insurance (FL) All States WX160 CNA Insurance (TX) All States WX161 CNA Insurance (CA) All States WX164 CNA Insurance (OR) All States WX165 CNA Insurance (PA) All States WP496 Coach America TX & MN Only WP497 Coach USA All States WC791 Coca-Cola Enterprises Inc. TX & MN Only WC834 Cochran Canon Management Service, Inc. (CCMSI) (Concord, CA) All States WC835 Cochran Canon Management Service, Inc. (CCMSI) (Danville, IL) All States WR320 Cochran Canon Management Service, Inc. (CCMSI) (Minnetonka) All States WP502 Colgate-Palmolive Corporate TX Only WP513 Colonial General Insurance Company MN Only WC792 Columbia Sussex Corporation TX & MN Only WP514 Commerce & Industry Insurance TX & MN Only WB136 Commonwealth Industries TX WX214 Comp West All States Page 6 of 26

7 WC793 Compass Group Usa, Inc. TX & MN Only WC109 CompManagement Health Systems All States WC108 CompOne All States WC106 Comprehensive Manged Care Systems All States WX753 CompTech TX & MN Only WP526 Conagra Food, Inc. TX & MN Only WX226 Concepts Awnings Canvas, Inc. All States WP565 Connecticut Indemnity Co TX & MN Only WP674 Constitution State Services All States WB102 Constitution States (St. Paul Travelers) All States WP575 Construction Services Group Self Insured Association MN Only WX239 Container Store (San Diego) All States WC803 Contech Construction Products TX & MN Only WC813 Continental Airlines TX & MN Only Continental Casualty Co TX & MN Only Continental Insurance Co TX & MN Only WP578 Continental National Insurance TX & MN Only WC131 Continental Western TX & MN Only WP589 Continental Western Ins Co TX & MN Only WC826 Convergys Corporation TX & MN Only Coregis Insurance Co TX & MN Only WP612 Core-Mark International TX & MN Only WC846 Correctional Management Service TX & MN Only WC899 Corrections Corp of America TX & MN Only WC110 CorVel Corp All States WB116 Costco (Corp) All States WZ902 Cottingham & Butler Claim Services, Inc. All States WZ903 Country Casualty Insurance Company All States WZ904 Country Mutual Insurance Company All States WZ905 Country Preferred Insurance Company All States WX286 County Of Kern (Risk Management Dept) All Statest WP613 County Of Olmsted MN Only WX307 County Of San Diego All States WX318 Couts Heating & Cooling (Sacramento) All States WP615 Covidien TX & MN Only WC901 Coworx Staffing, LLC TX & MN Only WX335 Crawford Insurance TX & MN Only WR916 Crescent Village All States WP618 Crestbrook Insurance Company TX & MN Only WC153 Crum & Forster Indemnity Co TX & MN Only WC132 Cumis Insurance Society TX & MN Only WP155 CVS Pharmacy TX & MN Only WB117 CVS Pharmacy / Caremark / Minute Clinic All States WX381 Cypress Security All States WP619 Daimler Trucks North America WC (fka Freightliner LLC) TX & MN Only WP640 Dallas County Schools TX Only WC127 Dallas County Schools All States Dallas National Insurance Co All States WP441 Danaher Corporation TX & MN Only WP647 DCI, Inc. MN Only WX037 De Bartolos, Inc TX & MN Only WP649 Delphi Corporation TX & MN Only WB105 Department of Energy All States WX444 Department of Labor and Industries All States WB104 Department of Labor Black Lung All States WP651 Depositors Insurance Co MN Only Page 7 of 26

8 WX452 Dept. Of Veteran's Affairs (CA) All States WP652 Dillard Departmen (Little Rock) TX & MN Only WX294 Dillards Risk Management All States WP675 Diocese of Winona MN Only WX039 Directory Distributing Assoc. TX & MN Only WX040 Discover Re (Burger King) TX & MN Only WP697 Discover Reinsurance Company TX & MN Only WP748 Dixie Staffing (Lithia Springs) TX & MN Only WP749 Domino's Pizza LLC TX & MN Only WX500 Donovan's Steak House All States WP753 DPWN Holdings Inc. TX & MN Only WP756 Dreyer's Grand Ice Cream Holdings, Inc. TX & MN Only WX042 Dunn-Edwards Corporation TX & MN Only WX540 Durham School Services (Oxnard) All States WX541 Durham School Services (Santa Ana) All States WX570 Dustrol TX & MN Only WX043 Dynamex, Inc. TX & MN Only WP767 East Central ISD TX & MN Only WP768 Eaton Corporation TX & MN Only WP788 ebay TX & MN Only WP800 Eddie Bauer (Spiegel) TX Only WP804 Edgewood ISD TX Only WB021 EDIC All States WP805 EEP Workers Compensation Fund MN Only WX577 El Cholo Restaurant All States WC329 El Paso Community College (Tx Jur) TX & MN Only WC351 El Paso Water Util Tx Jur TX & MN Only WX574 Electric Insurance Company All States WP807 Elim Care, Inc. MN Only WC160 EMC Risk Services, LLC TX & MN Only WC157 EMCASCO Insurance Co TX&MN Only WP812 Emergency Medical Services (AMR) TX Only WP813 Emerson Electric Company TX & MN Only WP818 Employ Bridge (Irving) TX & MN Only Employers Compensation Insurance Co TX & MN Only WP853 Employers Compensation Insurance Fund TX & MN Only WC158 Employers Mutual Casualty TX & MN Only WZ906 Employers Preferred All States Employers Reinsurance Corp TX & MN Only WZ258 Enterprise Rent A Car MN Only WX045 Envirosource TX & MN Only WX638 Equity Resid (San Diego, CA) All States WB169 Erie Insurance Group All States WR894 ERMC TX & MN Only WB153 Escambia County All States WS026 Esis (Alabama) All States WS027 Esis (Alaska) All States WS028 Esis (Arizona) All States WS029 Esis (Arkansas) All States WS030 Esis (California) All States WS031 Esis (Colorado) All States WS032 Esis (Connecticut) All States WS033 Esis (Delaware) All States WX046 Esis (First American Insurance Co) TX & MN Only WS034 Esis (Florida) All States WS035 Esis (Georgia) All States Page 8 of 26

9 WP975 Esis (HawaiI) All States WC730 Esis (Idaho) All States WP508 Esis (Illinois) All States WP989 Esis (Indiana) All States WP990 Esis (Iowa) All States WP766 Esis (Irving) TX & MN Only WP991 Esis (Kansas) All States WP992 Esis (Kentucky) All States WP993 Esis (Louisisana) All States WP994 Esis (Maine) All States WP995 Esis (Maryland) All States WP996 Esis (Massachusetts) All States WP997 Esis (Michigan) All States WP998 Esis (Minnesota) All States WP999 Esis (Mississippi) All States WS001 Esis (Missouri) All States WS002 Esis (Montana) All States WS003 Esis (Nebraska) All States WS004 Esis (Nevada) All States WS005 Esis (New Jersey) All States WS006 Esis (New Mexico) All States WS007 Esis (New York) All States WS008 Esis (North Carolina) All States WS009 Esis (North Dakota) All States WS010 Esis (Ohio) All States WS011 Esis (Oklahoma) All States WS012 Esis (Oregon) All States WS013 Esis (Pennsylvania) All States WS014 Esis (Rhode Island) All States WS015 Esis (South Carolina) All States WS016 Esis (South Dakota) t) All Statest WS016 Esis (Sunoco Claims) All States WS018 Esis (Tennessee) All States WS019 Esis (Texas) TX & MN Only WS020 Esis (Utah) All States WS021 Esis (vermont) All States WS022 Esis (Washington DC) All States WS023 Esis (Washington) All States WS024 Esis (West Virginia) All States WS025 Esis (Wyoming) All States WX644 Esis Fremont W/C All States WX645 Esis Portland W/C All States WP854 Essential Health Large Deductible MN Only WA057 Esurance Insurance Company All States WR787 Everest National Insurance (Fresno) All States WX666 Everest National Insurance (NJ) All States WX665 Everest National Insurance (Oakland) All States WX667 Everest National Insurance (Orange) All States WX664 Everest National Insurance (SF) All States WX048 Evolution Insurance Company TX & MN Only WP855 Evolution Insurance Company, Ltd. TX & MN Only WX682 Exel, Inc TX & MN Only WX698 F.A. Richard & Associates, Inc. TX Only WX699 F.A.R.A TX Only WC133 Facility Insurance Group TX & MN Only WC431 Factory 2 U TX & MN Only Page 9 of 26

10 WZ282 Factory Motor Parts TX & MN Only WP856 Fairmont Foods Of Minnesota (MN) MN Only Fairmont Premier Insurance Company TX & MN Only WZ924 Fairmont Specialty Insurance Company All States WZ589 Fairview Health Services All States WP202 Fairview Redwing Health Services MN Only WB118 Family Dollar All States WP869 Farm Bureau Mutual Insurance Company MN Only WP907 Farm Family Casualty Insuarnce Company TX & MN Only WB170 Farmer's Insurance All States Farmland Mutual Insurance Co TX & MN Only WP910 Federal Express Corporation TX & MN Only Federal Insurance Co TX & MN Only WP917 Federal Mogul (AE Goetze) MN Only WZ313 Federated Claims Service Corp. All States WC161 Federated Mutual Insurance Company TX & MN Only WC168 Federated Rural Electric (TX) TX & MN Only WP932 FedEx Freight West, Inc. TX Only A0110 Fedex Ground Package System Inc TX & MN Only WP936 FedEx National LTL, Inc. TX & MN Only WP937 Fidelity & Casualty Company of New York TX & MN Only WP941 Fidelity & Gurananty Insurance Underwriters TX & MN Only WP938 Fidelity and Guaranty Insurance Co. TX & MN Only WP939 Fidelity National Financial Inc. TX & MN Only WP940 Fidelity National Information Services TX & MN Only WP942 Fire & Casualty Insuarnce Company of CT TX & MN Only WX777 Firemans Fund Insuarnce (Burbank, CA) TX Only WX774 Fireman's Fund Insuarnce (Tustin, CA) TX Only WX781 Fireman's Fund Insurance (Chicago, IL) TX Only Fireman's Fund Insurance (Dallas, TX) TX Only WX780 Fireman's Fund Insurance (Novato, CA) TX Only WX772 Fireman's Fund Insurance (Sacramento, CA) TX Only WA042 Fireman's Fund Insurance Company TX Only WP943 First Data Corporation TX & MN Only WX798 Firstcomp All States WP068 FKI Industries, Inc. TX & MN Only WX801 Fleetwood Motor Homes (Plan 47) All States WB154 Florida Retail Federation All States WX842 Florist Mutual Insurance All States WP944 Fond Du Lac Reservation MN Only WB119 Food Lion / Delhaize All States WP945 Ford Motor Credit Co. TX & MN Only WP946 Fort Worth ISD TX Only WP947 Fort Worth Transportation Authority TX Only WX692 Forte, Inc. TX & MN Only WX856 Frank Gates / Attenta TX & MN Only WB106 Frankenmuth All States WP948 Freedom Communications TX Only WP982 Fresno Police Officers Association All States WP949 G A B Business Services TX & MN Only WX907 GAB Robbins, Inc. TX & MN Only WP873 GAB Robins (For Van Tuyl Companies ONLY) TX & MN Only WP950 Gainey Corporation-Grand Rapids TX & MN Only WP951 Galderma Laboratories, LLC TX & MN Only WX915 Gallagher Bassett (IL) All States WX913 Gallagher Bassett (Sacramento) All States Page 10 of 26

11 WX917 Gallagher Bassett Services, Inc. All States WP952 GameStop Inc. TX & MN Only WB120 Gap All States WX929 Gategourmet #836 All States WX052 Gates Corp Dba Gates Rubber Co TX & MN Only WC112 Gatews McDonald Health Plus, Inc. All States WCG01 Geico Insurance All States WP953 Genentech, Inc. TX Only WP955 General Accident Corp of America TX & MN Only WP957 General Casualty (Eden Prairie) TX & MN Only WP956 General Casualty (Farmers' Union) TX & MN Only WP958 General Casualty (Freeport) TX & MN Only WP959 General Casualty (Indianapolis) TX & MN Only WP960 General Casualty (Simsbury) TX & MN Only WP961 General Casualty (Sun Prairie) TX & MN Only WP962 General Casualty (West Des Moines) TX & MN Only General Casualty Co of Wisconsin TX & MN Only WP963 General Motors Corporation TX & MN Only WC113 Genex Care for Ohio TX & MN Only WX948 Genex Services (Orange County) TX & MN Only WX949 Genex Services (Sacramento) TX & MN Only WX946 Genex Services (Schaumburg, IL) TX & MN Only WB121 GEO All States WX952 George A Bicks Plumbing All States WC128 Georgia Casualty & Surety Co All States WP964 Georgia-Pacific Corp. TX & MN Only WP965 Georgia-Pacific Liability TX & MN Only WP966 Gillette Children'S Specialty H.C. MN Only WP967 GMAC LLC TX & MN Only WP553 Golden Corral Corporation TX & MN Only WX984 Golden State t Supply All Statest WB122 Goodrich All States WP968 Gopher Resource Corporation MN Only WP969 Grand Portage Res. Tribal Council MN Only WP970 Grange TX & MN Only WA058 Grange Mutual Casualty Company All States WA043 Graphic Arts Mutual TX Only WP747 Graphics Art Mutual TX & MN Only WC134 Gray Insurance Co. TX & MN Only WC166 Great American Alliance Ins Co. TX & MN Only WC165 Great American Assurance Co. TX & MN Only WZ013 Great American Ins. Co. TX & MN Only WC164 Great American Ins. Co.of N.Y. TX & MN Only WP971 Great Central/Argonaut TX & MN Only WC156 Great Divide Insurance TX & MN Only WC154 Great River Insurance Co TX & MN Only Great West Casualty Co TX & MN Only WZ907 Grinnell Reinsurance Company All States WZ908 Grinnell Select All States WX093 Gse Lining Technology, Inc. TX & MN Only WZ590 Guideone Mutual Insurance Co All States WZ043 Guy Evans Inc All States WP972 Hanesbrands Inc. TX & MN Only WB123 Hannaford All States WP927 Hanover Insurance TX & MN Only Harco National Insurance Co TX & MN Only Page 11 of 26

12 WP973 Harlandale ISD TX Only WZ591 Harleysville Insurance Company All States WB109 Hartford - SRS All States WB110 Hartford (Prof & Inst Only) All States WZ915 Hartford Accident and Indemnity Company TX & MN Only WZ916 Hartford Casualty Insurance Company TX & MN Only WZ917 Hartford Fire Insurance Company All States WP092 Hartford Insurance Company of the Midwest (All other states) All but CA, FL, NJ TX WZ911 Hartford Insurance Company of the Midwest (CA, FL, NJ & TX ONLY) CA, FL, NJ, TX Only WZ044 Hartford Insurance Company of the Midwest (Ruby Tuesday ONLY) All States WZ912 Hartford Life and Annuity Insurance Company All States WZ913 Hartford Life Insurance Company (Dent & Rx Only) All States WZ914 Hartford Underwriters Insurance Company All States WP974 HD Supply Inc. TX Only WR012 Health Care Group Self Insured Association MN Only WR019 Health Care Reciprocal MN Only WC114 Health Management Solutions All States WZ127 Health Partners TX & MN Only WR060 Health Smart-Lubbock All States WZ107 Healthcare Services Group All States WZ649 Helmsman Mgmt. Services All States WZ123 Helpmates (Irvine) All States WZ124 Helpmates (Los Angeles) All States WZ125 Helpmates Staffing Service All States WZ126 Heman G Stark Youth Corr Facility All States WX103 Heritage Group TX & MN Only WB155 Heritage Summit All States WR174 Hershey Company TX & MN Only WR175 Hewlett Packard Company TX & MN Only Highlands Insurance Co TX & MN Only WR179 Ho Chunk MN Only WR180 Hobby Lobby Stores, Inc. TX & MN Only WX104 Holly Farms Corp. TX & MN Only WR183 Home Depot Corporate TX & MN Only WZ909 Home Owners Insurance Company All States WR184 Honeywell TX & MN Only WZ202 Hortica Florist Mutual Insurance TX & MN Only WX105 Household Merch Nni TX & MN Only WC332 Housing Authority El Paso (TX) TX & MN Only WR901 Houston Hunters Patrol, Inc TX & MN Only WX106 Hughes Tool Company TX & MN Only WR200 Hurst-Euless-Bedford ISD TX & MN Only WR210 Hutchinson Area Healthcare Center MN Only WZ919 Hutchinson Technology All States WZ229 Hyatt Regency (Irvine) All States WZ227 Hyatt Regency (San Diego) All States WZ283 Hy-Vee, Inc TX & MN Only WR281 IBOCO Inc. MN Only WP976 ICW Group (NV Only) All States WA055 IDS Property Casualty Insurance Company All States WZ241 IFCO Systems (Wasco Only) All States WZ250 IL Fornaio (America) Corp All States WR315 Illinois National Insurance Co TX & MN Only WR318 Illinois Tool Works TX & MN Only WR319 Incstar Corporation MN Only WR323 Indemnity Insuarnce North America TX & MN Only Page 12 of 26

13 WR375 Indiana Lumbermen-Indianapolis TX & MN Only Indiana Lumbermens Mutual Insurnace Co TX & MN Only WZ670 Innovative Care Systems (ICS) (San Ramon ONLY) All States WZ281 Innovative Care Systems (ICS) (Torrance ONLY) All States WZ287 Insight Health Corp. All States WX107 Insilco Corp TX & MN Only Insurance Co of North America TX & MN Only WZ291 Insurance Company of the West (ICW) All States WR376 Insurance Company State of Pennsylvania TX & MN Only WZ910 Integon National Insurance All States WR377 Integrity TX & MN Only WR379 Integrity Auto TX & MN Only WA059 Integrity Mutual Insurance Company All States WZ298 Intercare Insurance Services (Irvine) All States WX602 Intercare Insurance Services (Orange) TX & MN Only WR388 International Paper Company TX & MN Only WR394 Iowa Assigned Risk Plan MN Only WR395 Iowa Group 14 Assigned Risk Plan MN Only WX108 Irex Corporation TX & MN Only WX109 Ironworking Contract I.P. TX & MN Only WC327 J B Hunt Transport Inc. TX & MN Only WZ362 Jack In The Box (Chino) All States WZ359 Jack In The Box (Colton) All States WZ360 Jack In The Box (Escondido) All States WZ364 Jack In The Box (Milpitas) All States WZ365 Jack In The Box (Modesto) All States WZ363 Jack In The Box (Ontario) All States WZ366 Jack In The Box (Ontario) All States WZ358 Jack In The Box (Riverside) All States WZ361 Jack In The Box (San Bernardino) All States WZ357 Jack In The Box (Torrance) All Statest A0141 Jeld Wen Inc TX & MN Only WZ920 Jennie O Foods All States WR397 Jenny Craig TX Only WA044 JI Specialty Services TX Only WZ386 Jiffy Lube / Allied Lube All States WX110 Jones Truck Lines, Inc. TX & MN Only WX111 Juvenile Jail Facility Managem TX & MN Only WR436 Kaiser Foundation Health Plan TX & MN Only WX112 KCI Holdings USA TX & MN Only WZ441 Keenan & Associates (Rancho Cordova) All States WZ436 Keenan & Associates (Redwood City) All States WZ439 Keenan & Associates (Riverside) All States WZ438 Keenan & Associates (San Jose) All States WZ437 Keenan & Associates (Torrance) All States WZ926 Kemper UniTrin Auto and Home All States WZ925 Kemper UniTrin Safeguard Ins Company All States WX113 Ken Davis Industries Inc. TX & MN Only WR452 Kindred Healthcare TX & MN Only WR482 Kinetic Concepts, Inc. TX & MN Only WZ489 King's Seafood All States WC115 Klais & Co All States WZ494 K-Med Inc. All States WR601 Kohl's Department Stores Inc. TX & MN Only WP981 KRM Risk Mgmt Insurance Services All States WR643 Kroger Co. TX Only Page 13 of 26

14 WZ520 L.A. County Sheriff (Lennox Station / Inglewood) All States WZ564 Laidlaw (#816) TX & MN Only WR647 Laidlaw International, Inc. TX & MN Only WZ565 Laidlaw Transit (#9095) TX & MN Only WZ592 Lamesa ISD All States WZ572 Lamonica's Pizza Dough All States WR648 Landmark Insurance Company TX & MN Only WX125 Landstar Bco Wc Program TX & MN Only WZ599 Lazar Landscape Design & Construction All States WZ602 LDI Mechanical All States WZ943 League of MN Cities All States WR651 League Of Mn Cities Insurance Trust MN Only WR675 Leech Lake Band Of Ojibwe MN Only WZ608 Lefco Sheet Metal All States WR676 Lender Processing Services TX & MN Only WR677 Lester Electrical MN Only WZ634 Liberty Mutual All States WB171 Liberty Mutual and all subsidaries (excludes UPS) All States WZ626 Liberty Mutual Fire Insurance Co All States WZ635 Liberty Mutual Insurance Co All States WZ671 Little Ceasar Enterprise All States WZ674 LivHOME All States WR678 LKQ Corporation TX Only Lone Star National Ins. Co. TX & MN Only WR679 Longhorn Linen TX Only WB124 Longs Drugs All States WR680 Lower Sioux Indian Community Jacpot Junction MN Only WB126 Lowe's All States WX127 Lsg Sky Chefs International TX & MN Only A0167 Lubbock ISD TX & MN Only Lumbermens Mutual Casualty Co TX&MNO Only WR681 Lumbermens Mutual Casualty Company TX & MN Only WR682 Lumbermens Under-Carrollton TX & MN Only WR683 MAC (Metro Airports Comm) MN Only WZ721 Macys (Daly City) All States WZ727 Macys (Newport Beach) All States WZ310 Macys Corporate Services MN Only WR684 MADA Insurance Exchange MN Only WR685 Maersk Inc. / APM Terminals of North America, Inc. TX & MN Only WR013 Magnetic Imaging Services, Inc. (MIS) All States WZ742 Mainstay Business Solutions (Folsom) All States WZ743 Mainstay Business Solutions (Irvine) All States WR686 Major League Baseball TX & MN Only WX149 Major League Baseball 8 TX & MN Only WR691 Manpower TX & MN Only WZ775 Maric College - Student Injury (Riverside) All States WZ776 Maric College - Student Injury (San Diego) All States WR726 Marriott Claims-Plano TX & MN Only WZ877 Marvin All States WR727 Marvin Lumber & Cedar Company MN Only WZ809 Mass Electric Co. All States WX501 Mater Dei High School Dioces All States WZ812 Matheson Fast Freight, Inc. All States WA045 Matrix Absence Management All States WC150 Matrix Absence Management (Albuquerque, NM) All States WX817 Matrix Absence Management (Austin, TX) All States Page 14 of 26

15 WC148 Matrix Absence Management (Hawthorne, NY) All States WC147 Matrix Absence Management (Kailua, HI) All States WC146 Matrix Absence Management (Las Vegas, NV) All States WC145 Matrix Absence Management (Naperville, IL) All States WC144 Matrix Absence Management (Ontario, CA) All States WC143 Matrix Absence Management (Overland Park, KS) All States WC142 Matrix Absence Management (Owing Mills, MD) All States WZ203 Matrix Absence Management (Pennsburg, PA) All States WX857 Matrix Absence Management (Phoenix, AZ) All States WX855 Matrix Absence Management (Plant City, FL) All States WX853 Matrix Absence Management (Portland, OR) All States WZ816 Matrix Absence Management (Rancho Cucamonga, CA) All States WZ818 Matrix Absence Management (Sacramento, CA) All States WZ820 Matrix Absence Management (San Jose, CA) All States WX854 Matrix Absence Management (Wilmington, NC) All States WZ831 Mayesh Wholesale Florist, Inc. All States WR749 Mayo Clinic TX & MN Only WZ835 MBM Food Service All States WX155 Mc Donald'S-Mcopco TX & MN Only WZ836 McDonald's (Warmel) All States WR751 McGraw-Hill Companies TX Only WR760 MCIT TX & MN Only WX776 MCMC All States WZ927 Meadowbrook - Insured All States WZ929 Meadowbrook - ProCentury All States WZ928 Meadowbrook Century All States WR778 Meadowbrook Inc TX & MN Only WR779 Meadowbrook Meat Company, Inc. (MBM) TX & MN Only WZ594 Meadowbrook TPA Assoc. All States WR802 MeadWestvaco Corporation TX Only WR833 Media General, Inc. TX&MNO Only WC117 Medical Administrators, Inc. All States WZ876 Medrisk All States WR843 Member Insurance Agency Inc. MN Only WA064 MEMIC Insurance All States WA062 Mendota Insurance Company All States WZ954 Menemsha Co All States WR847 Menominee Ind. Tribe of WI MN Only WC118 Mercy Work Solutions, Inc. All States WZ976 Mervyn's All States WZ973 Mervyn's #23 (Mt. View, CA) All States WZ974 Mervyn's #267(Mission Viejo, CA) All States WZ977 Mervyn's #601 (Sun Valley, CA) All States WZ975 Mervyn's #89 (San Diego, CA) All States WR890 Metropolitan Council TX & MN Only WA060 Metropolitan Property and Casualty Insurance Company All States WZ930 MIC General Insurance Corporation All States WZ931 MIC Property and Casualty Ins. Corp. All States WZ878 Michels Corporation All States WB137 Middlesex Insurance Company TX WX605 Midwest Drywall TX & MN Only WR892 Midwest Employers Casualty Company TX & MN Only WR907 Midwest Family Insurance Company MN Only WX909 Midwest Insurance All States WR002 Military Aircraft Rest. All States WR908 Millard Refrigerated Service (FT.Wort) TX Only Page 15 of 26

16 WR910 Milwaukee Casualty Insurance Co TX & MN Only WZ879 Milwaukee Taxing Unit All States WR912 Minneapolis Park & Recreation Board MN Only WR913 Minneapolis Public Schools TX & MN Only WR914 Minnesota Grp 4 Assigned Risk Plan MN Only WR917 Minnesota Grp 68 Assigned Risk Plan MN Only WR919 Minnesota Grp 78 Assigned Risk Plan MN Only WR923 Minnesota Manufacturers Group Self-Insured Association MN Only WR924 Minnesota Masonic Homes MN Only WR925 Minnesota Nonprofits Employers MN Only WR926 Minnesota School Boards Assoc. MN Only WR927 Minnesota Soft Drink Assoc. MN Only WZ880 Missouri Employers Mutual All States WX159 Mitchell Energy & Devel TX & MN Only WR028 Mitsui Sumitomo Insurance Group All States WZ932 Mitsui Sumitomo Insurance USA Inc. All States WC116 MMAC (Managed Medical Asurance Co) All States WB127 Modern Fibers All States WZ881 Modern Service Casualty Insurance Company All States WR928 Monsanto Company TX & MN Only WC470 Montgomery County Texas TX & MN Only WB172 Montgomery Insurance (Liberty RAM) All States WX166 Morris Material Handling TX & MN Only WX216 Morrison Health Care, Inc. TX & MN Only WR929 Motor Club of Iowa Insurance Company MN Only WZ595 Mountain States Insurance All States WR930 MSI MN Only WR931 MSI MSMM (Richardson) TX & MN Only WZ882 MSI Preferred Insurance Company All States WR932 MSI Risk Manage (Richardson) TX & MN Only WR933 Mueller Water Products, Inc TX&MNO Only Multi-Plan All States WX248 Munford, Inc. TX & MN Only WR934 Munich Re - Aaic-Britt/Paulk MN Only WR935 Munich Re - Wf Clayton Aaic MN Only WR938 Munich Re -Britt/Paulk Peslic MN Only WZ883 Mutual Service Casualty Insurance Company All States WR082 Mygrant Glass (Hayward) All States WR083 Mygrant Glass (Stockton) All States WX608 Nap Tools TX & MN Only WR940 Nash Finch Company TX & MN Only WZ607 National American Insurance Co All States WR949 National Casualty Company MN Only WR953 National Continental Insurance Company MN Only WZ933 National General Assurance Company All States WC169 National Interstate (TX) TX & MN Only WS044 National Loss ControL Service Corporatin TX & MN Only WC462 National Loss Prevention, Inc TX & MN Only WR099 National RV All States WR957 National Union Fire Insuarnce Company of Pittsburgh (PA) TX & MN Only WR959 Nationwide Affinity Ins Co MN Only WR987 Nationwide Affinity Insurance Company of America MN Only WR988 Nationwide Agribusine (Des Moines) TX & MN Only Nationwide Agribusiness Insurance Co TX & MN Only WR988 Nationwide Assurance MN Only WR988 Nationwide General Insurance Company MN Only Page 16 of 26

17 WR988 Nationwide Indemnity Company MN Only WS036 Nationwide Ins Company of America MN Only WS038 Nationwide Insurance (G)ainesville TX & MN Only WS039 Nationwide Insurance (Harrisburg) TX & MN Only WS037 Nationwide Insurance Company of Florida MN Only WS040 Nationwide Lloyd's MN Only WS041 Nationwide Mutual Fire Company MN Only WS042 Nationwide Mutual Insurance Company MN Only WS043 Nationwide Property And Casualty Insurance Company MN Only WX156 NES Rentals All States WS045 Nestle USA TX & MN Only WS046 Nestle Waters North America TX & MN Only WS047 New Hampshire Insurance Company TX & MN Only WS048 NewPage Corporation TX Only WZ939 Nordstrom, Inc. All States WR134 North American Risk Services All States WS049 North American Specialty Insurance TX & MN Only WR135 North Cal Hauling All States WZ884 North Country Health All States WC136 North River Insurance Co of NJ TX & MN Only WB161 Northland Auto All States WR148 Northrop Grumman (Mcclellan) All States WS050 Northside ISD TX Only WZ646 Northwest Insurance All States WS051 Northwestern National Casualty TX & MN Only WX283 Norwood TX & MN Only WR152 Nova Pro Risk Solutions TX & MN Only WB107 NYSIF All States WR182 Octagon Risk Services (Long Beach) TX & MN Only WR173 Octagon Risk Services (Oakland) TX & MN Only WX354 Ot Octagon Risk RikServices (Orange) TX&MNO Only WR177 Octagon Risk Services (Rancho Cordova - UR Dept) TX & MN Only WR178 Octagon Risk Services (Rancho Cordova) TX & MN Only WR181 Octagon Risk Services (Sacramento) TX & MN Only WR176 Octagon Risk Services (San Diego) TX & MN Only WR897 Octagon Risk Services (Van Nuys) TX & MN Only WS053 Office Depot TX & MN Only WS054 Ohio Casualty Insurance (Cincinnati) TX & MN Only WS055 Ohio Casualty Insurance (Fairfield) TX & MN Only WS056 Ohio Casualty Insurance (Raleigh) TX & MN Only WS057 Ohio Casualty Insurance (Voorhees) TX & MN Only WC119 Ohio Employee Health Partnership All States WZ885 Ohio Farmers All States WS058 Ohio Farmers Insurance Company TX Only WZ886 Old Guard All States WS059 Old Home Foods, Inc MN Only WX285 Old Republic Insurance Co (PA) TX & MN Only WS060 Old Republic Insurance Company TX & MN Only WC526 One Beacon TX & MN Only WB173 One Beacon (formerly CGU) All States WX287 Orica, Inc. TX & MN Only WS061 Owatonna Canning Company MN Only WS062 Owner Operator Services, Inc. (McDonald's) TX Only WZ887 Owners Insurance Company All States WS063 P.A.M. Transport, Inc. TX & MN Only A0191 Paccar Inc TX & MN Only Page 17 of 26

18 WS064 PACIFIC EMPLOYERS INSURANCE COMPANY TX & MN Only WZ121 Pacific Motor Company All States WX289 Papa John's International Inc TX & MN Only WZ079 Paradigm All States WC120 Paramount Preferred Network All States WP871 Parker Hannifan All States WB128 Pathmark All States WB138 Patriot General Insurance Company TX WS065 PCA - Packaging Corporation of America TX & MN Only WB174 Peerless Insurance (Liberty RAM) All States WR344 Pegasus Risk Mgmt. All States WX295 Pegi-Family Dining TX & MN Only WR346 Peninsula Metal Fabrication All States WZ901 Penn Millers Insurance All States WB129 People 2.0 All States WS066 Pepsi Bottling Group TX & MN Only WS067 PepsiCo Inc. TX & MN Only WS068 PESTSURE ASSOCIATION TX & MN Only WS069 PetSmart Inc. TX Only WS070 Pharmacist Mutual TX & MN Only WZ934 Pharmacist Mutual Insurance Co. All States WS071 PHARMACISTS MUTUAL INS CO TX & MN Only WX298 Phh Fleetamerica TX & MN Only WR408 Piano Disc (Burgett, Inc.) All States WS072 Pilgrim's Pride Corporation TX & MN Only WZ888 Pioneer Specialties All States WS073 Pitney Bowes Inc. TX & MN Only WR441 PMA - Pennsylvania Manufacturing Associates All States WB175 PMA Insurance Group & PMA Management Corp All States WS074 Polaris TX Only WC137 Poly America LP TX&MNO Only WR449 Porsche Motorsport of North America All States WB139 Ppg Industries TX WS075 Prairie Island Ind. Comm. Dba Treasure Island Resort & Casino MN Only WS076 Precision Cast Parts TX & MN Only WX299 Preferred Employers TX & MN Only WX300 Preferred Employers Group TX & MN Only WC121 Premier Comp of Home Town Health Nework All States WC122 Premier Managed Care Services, Inc. All States WR469 Premier Staffing (Stockton) All States WS077 Presbyterian Homes & Services MN Only WZ046 Professional Claims Management All States WR503 Professional Tree Care Co All States WS080 Progress Casting MN Only WS081 Progressive Casualty Insurance Company MN Only WS082 Progressive Classic Insurance Company MN Only WS083 Progressive Commercial Casualty Company MN Only WS084 Progressive Direct Insurance Company MN Only Progressive Insurance All States WS085 Progressive Max Insurance Company MN Only WS086 Progressive Norrn Insurance Company MN Only WS087 Progressive Northwestern Insurance Company MN Only WS088 Progressive Preferred Insurance Company MN Only WS089 Progressive Premier Insurance Company of Illinois MN Only WS090 Progressive Specialty Insurance Company MN Only WZ889 Property Owners Insurance Company All States Page 18 of 26

19 WR511 Protective Insurance All States WR132 Providence Property and Casualty All States Providence Washington Insurance Co TX & MN Only WS091 Prudential / Everst National Insurance TX & MN Only WS092 Public Storage TX & MN Only WS093 Quadrangle Group Self-Insurance Association MN Only WS094 Qwest Communications International Inc. TX & MN Only WS095 R E M (Dallas) TX Only WS097 R E M (Nashville) TX Only WZ890 RAM Mutual Insurance Company All States WX301 Rampart Insurance Company TX & MN Only WR576 Randstad North America (Riverside) All States WS098 Range Regional Health Services MN Only WZ613 Ranger Insurance Co All States WR585 RBI Framing, Inc. All States WS099 RCI MN Only WX049 Red Lake Band Of Chippewa Ind. MN Only WC302 Red Oak Independent School District TX & MN Only Regent Insurance Co TX & MN Only WX050 Reliance Insurance Company TX & MN Only WX055 Reliance National Indemnity TX & MN Only WX062 Reliance Planet Insurance Company TX & MN Only WX121 Rem Group Workers Compensation Association MN Only WX158 Rentokil Initial TX & MN Only WP746 Republic Franklin Insurance TX & MN Only WR618 Republic Indemnity All States WZ620 Republic Western Ins. Co All States WB022 Rescare, Inc. All States WX302 Residential Services Group TX & MN Only WX303 Restaurant Reinsurance Limited TX & MN Only WX162 Reyes Holdings LLC TX&MNO Only WX311 Rhone-Poulenc,Inc. TX & MN Only WX186 Ridgeview Medical Center MN Only WX314 Rieth-Riley Construction Compa TX & MN Only WX204 RIO TINTO TX & MN Only WX235 Riscomp Industries Inc MN Only WR645 Risk Enterprise Management All States WX325 Risk Transfer Technologies, Inc. TX & MN Only WX238 Riverport - Great Divide MN Only WX354 Riverport Insurance Company P & C MN Only WX355 Riverport Insurance Company WC MN Only WP868 Road Carriers W&P Funds - Local 707 (NY) All States WX356 Roadlink USA TX & MN Only WR671 Robert Half International Inc. All States WR674 Robertson's Ready Mix Co All States WX361 Rochdale Insurance Company TX & MN Only WR694 Rochester Midland Corp All States WX377 Rochester Public Schools MN Only A0211 Rockwell Automation Inc TX & MN Only WX378 Rollins, Inc TX Only WX380 Rosemount Inc. MN Only WX397 Ross Stores, Inc. TX & MN Only WC463 Roth Staffing Companies TX & MN Only WX640 Roto-Rooter Services Company TX Only WR710 Roy Jorgensen & Associates All States WR713 Royal Ambulance All States Page 19 of 26

20 WX641 Royal Caribbean Cruise Lines TX & MN Only Royal Indemnity Co TX & MN Only WX642 Royal Indemnity Company TX & MN Only Royal Insurance Co of America TX & MN Only WX643 Royal Insurance Company of America TX & MN Only WX326 RSC Insurance Services, Ltd. TX & MN Only J1202 RTW All States WR731 Ryder Services All States WR733 S & T Engineering, Inc. All States WA063 Sabago Brewing Company All States WX646 SABIC TX & MN Only WR746 Safeco All States WR745 Safeco Insuarnce (Seattle, WA) All States WR747 Safeco Insurance (Indianapolis, IN) All States WR750 Safeco Insurance (Mission Viejo, CA) All States WR748 Safeco Insurance (Santa Ana, CA) All States Safety First Insurance Co TX & MN Only WX647 Safety National TX & MN Only Safety National Casualty Corp TX & MN Only WX327 Safety-Kleen Corporation TX & MN Only WX648 Safey-Keen Corporation TX Only WR765 Salvation Army (Adult Rehab Cntr) All States WR767 Salvation Army (Sam Jose, CA) All States WR766 Salvation Army (San Bernandino, CA) All States WR768 Salvation Army (Stocton, CA) All States WR821 Savers (San Jose) All States WX649 Scherer Brors Lumber Company MN Only WX650 Schertz/Cibolo/Universal City ISD TX & MN Only WX328 Schlumberger Technology TX & MN Only WR839 SCIF (State Copensation Insurance Fund) All States WP150 Scotts Miracle-Gro Company TX&MNO Only WX700 Scottsdale Indemnity Company MN Only WX720 Scottsdale Insurance Company MN Only WX723 Scottsdale Surplus Lines Insurance Co MN Only WX724 SD - Monoline MN Only WX725 Seabright / Total Health Manager TX Only WR862 Seabright Insurance (CA) All States WZ942 Seabright Insurance (Others) All States WR861 Seabright Insurance (WA) All States WX727 Sears Holdings Corporation MN Only WX728 Seaton Corporation-Chicago MN Only WZ082 SECURA Insurance A Mutual Company All States WX754 Secura Insurance Company TX Only WX840 Security Insurance Company of Hartford TX & MN Only WX865 Security National Insurance Company TX & MN Only WX867 Sedgwick Claims Management Services, Inc TX & MN Only WB176 Sedgwick Claims Management Services, Inc. (TPA) All States WX868 Sedgwick Claims Mgmt-Dallas TX Only WX910 Sedgwick Claims Mgmt-Memphis TX Only TP097 Sedgwick CMS TX & MN Only WR921 Select Build (#8830) All States WZ099 Selective Insurance TX & MN Only WB163 Sentry Auto All States WB140 Sentry Casualty Company TX WB141 Sentry Insurance A Mutual Company TX WB142 Sentry Lloyds Of Texas TX Page 20 of 26

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