COMMONWEALTH OF MASSACHUSETTS. Companies Licensed for Worker's Compensation (Designation 6E) October 01, 2015

Transcription

1 COMMONWEALTH OF MASSACHUSETTS DIVISION OF INSURANCE Company Licensing / Financial Surveillance 1000 Washington Street, Suite 810 Boston, MA (617) FAX (617) Companies Licensed for Worker's Compensation ( 6E) October 01, 2015 NAIC /18/ st Century Advantage Insurance Company /22/ st Century Assurance Company /4/ st Century Centennial Insurance Company /1/ st Century Pacific Insurance Company 21st Century Plaza, 3 Beaver Valley Road 21st Century Plaza, 3 Beaver Valley Road 21st Century Plaza, 3 Beaver Valley Road 21st Century Plaza, 3 Beaver Valley Road Wilmington DE Wilmington DE Wilmington DE Wilmington DE /1/1993 ABC Massachusetts W. C. Self Insurance Group, Inc. One Wall Street Burlington MA /8/1996 Acadia Insurance Company P.O. Box 9010 Westbrook ME /28/2008 Accident Fund General Insurance Company P.O. Box Lansing MI /26/2004 Accident Fund Insurance Company of America P.O. Box Lansing MI /28/2008 Accident Fund National Insurance Company P.O. Box Lansing MI /1/1971 ACE American Insurance Company 436 Walnut St., PO Box 1000 Philadelphia PA /20/1969 ACE Fire Underwriters Insurance Company 436 Walnut St., PO Box 1000 Philadelphia PA /3/1957 ACE Property and Casualty Insurance Company 436 Walnut St., PO Box 1000 Philadelphia PA /20/2001 ACIG Insurance Company /24/2006 Advantage Workers Compensation Insurance Company 2600 N. Central Expressway, Suite 800 Richardson TX P.O. Box Salt Lake City UT /27/1965 Affiliated FM Insurance Company 270 Central Avenue Johnston RI /25/1966 AIG Property Casualty Company 175 Water Street, 18th Fl New York NY /3/2012 Aioi Nissay Dowa Insurance Company of America 15 Independence Blvd. Warren NJ /24/1962 AIU Insurance Company 175 Water Street, 24th Fl New York NY /12/2003 Alea North America Insurance Company /12/2003 Alea North America Insurance Company City Place II, 185 Asylum Street, 9th Floor City Place II, 185 Asylum Street, 9th Floor Page 1 of 14 Hartford CT Hartford CT

2 /18/1973 All America Insurance Company 800 South Washington St. Van Wert OH /31/1977 Allianz Global Risks US Insurance Company 225 W. Washington St., Suite 1800 Chicago IL /16/2015 Allied Eastern Indemnity Company 25 Race Avenue Lancaster PA /27/1998 Allied World Insurance Company 199 Water Street New York NY /24/2006 Allied World Specialty Insurance Company 1690 New Britain Avenue, Suite 101 Farmington CT /30/1995 Allmerica Financial Alliance Insurance Company 440 Lincoln St. Worcester MA /23/1991 Allmerica Financial Benefit Insurance Company 440 Lincoln St. Worcester MA /1/1982 Allstate Indemnity Company 3075 Sanders Rd., Suite H1A Northbrook IL /4/1963 Allstate Insurance Company 3075 Sanders Rd., Suite H1A Northbrook IL /9/1983 Allstate Northbrook Indemnity Company 3075 Sanders Rd Suite H1E Northbrook IL /7/1998 American Alternative Insurance Corporation /1/1991 American Automobile Insurance Company /29/1944 American Casualty Company of Reading, Pennsylvania /15/1996 American Compensation Insurance Company 555 College Road East, PO Box W. Washington Street, Suite 1800 Princeton NJ Chicago IL S. Wabash Ave. Chicago IL Normandale Lake Blvd, Suite /9/1999 American Country Insurance Company 150 Northwest Point Blvd., 3rd Floor Bloomington MN Elk Grove Village IL /3/1977 American Economy Insurance Company 175 Berkeley Street Boston MA /22/1965 American European Insurance Company 2250 Chapel Avenue West, Suite 200 Cherry Hill NJ /4/2012 American Family Home Insurance Company P.O. Box 5323 Cincinnati OH /30/2000 American Fire and Casualty Company 175 Berkeley St. Boston MA /11/1940 American Guarantee and Liability Insurance Company 1400 American Lane Schaumburg IL /29/2011 American Hallmark Insurance Company of Texas 777 Main Street, Suite 1000 Fort Worth TX /11/1960 American Home Assurance Company 175 Water St., 18th Fl. New York NY /1/1991 American Insurance Company, (The) 777 San Marin Dr. Navato CA /23/1997 American Interstate Insurance Company 2301 Highway 190 West DeRidder LA /31/2013 American Mining Insurance Company P.O. Box Birmingham AL /5/2013 American Modern Home Insurance Company P.O. Box 5323 Cincinnati OH /21/1994 American Pet Insurance Company 907 NW Ballard Way Seattle WA /3/1977 American States Insurance Company 175 Berkeley Street, M09G Boston MA /9/1984 American Zurich Insurance Company 1400 American Lane Schaumburg IL /23/1985 Amerisure Insurance Company P.O. Box 2060 Farmington Hills MI /30/1950 Amerisure Mutual Insurance Company P.O. Box 2060 Farmington Hills MI /21/2012 Amerisure Partners Insurance Company P.O. Box 2060 Farmington Hills MI Page 2 of 14

3 /4/2007 Ameritrust Insurance Corporation American Drive Southfield MI /23/1998 AmGuard Insurance Company 16 South River St., P.O. Box A-H Wilkes Barre PA /19/2012 Amtrust Insurance Company of Kansas, Inc Merit Dr., Suite 200 Dallas TX /11/1994 Arbella Indemnity Insurance Company, Inc Crown Colony Drive Quincy MA /29/1996 Arbella Protection Insurance Company, Inc Crown Colony Drive Quincy MA /9/2008 Arch Indemnity Insurance Company 300 Plaza Three, 3rd Floor Jersey City NJ /25/2002 Arch Insurance Company 300 Plaza Three, 3rd Floor Jersey City NJ /25/2010 Argonaut Great Central Insurance Company 225 W. Washington Street, 5th Floor Chicago IL /12/1960 Argonaut Insurance Company 225 W. Washington 24th Fl. Chicago IL /14/1973 Argonaut-Midwest Insurance Company P.O. Box San Antonio TX /26/1920 Arrow Mutual Liability Insurance Company 23 Commonwealth Avenue Chestnut Hill MA /31/1980 Arrowood Indemnity Company 3600 Arco Corporate Drive Charlotte NC /17/2006 Ashmere Insurance Company 628 Hebron Avenue, Suite 106 Glastonbury CT /4/2001 Associated Employers Insurance Company P.O. Box 4070 Burlington MA /1/1991 Associated Indemnity Corporation 225 W. Washington St., Suite 1800 Chicago IL /9/1989 Associated Industries of Mass. Mutual Ins. Co. P.O. Box 4070 Burlington MA /9/1989 Associated Industries of Mass. Mutual Ins. Co. P.O. Box 4070 Burlington MA /8/1971 Assurance Company of America 1400 American Lane Schaumburg IL /14/1964 Atlanta International Insurance Company 3024 Harney Street Omaha NE /14/1991 Atlantic Charter Insurance Company 25 New Chardon St. Boston MA /12/2002 Atlantic Specialty Insurance Company 605 US Highway 169, 8th Floor Plymouth MN /31/1973 Automobile Insurance Company of Hartford, Conn. One Tower Sq. Hartford CT /1/1995 Automotive Industry Compensation Corporation c/o FutureComp, Inc., 123 Interstate Drive West Springfield MA /12/1983 AXA Insurance Company 125 Broad Street, 5th Floor New York NY /30/1996 AXIS Insurance Company Great Oaks Way, Suite 500 Alpharetta GA /12/1968 AXIS Reinsurance Company Great Oaks Way, Suite 500 Alpharetta GA /1/1980 Bankers Standard Insurance Company 436 Walnut Street, PO Box 1000 Philadelphia PA /29/1999 Beacon Mutual Insurance Company (The) One Beacon Centre Warwick RI /16/1992 Bedivere Insurance Company 1880 JFK Blvd., Suite 801 Philadelphia PA /28/2012 Benchmark Insurance Company 100 Lake Street West Wayzata MN /18/2009 Berkley Insurance Company 475 Steamboat Rd. Greenwich CT /15/2008 Berkley National Insurance Company P.O. Box 1594 Des Moines IA /1/2010 Berkley Regional Insurance Company P.O. Box 1594 Des Moines IA /22/2009 Berkshire Hathaway Homestate Insurance Company 1314 Douglas Street Omaha NE /1/2015 Berkshire Hathaway Specialty Insurance Company 3024 Harney Street Omaha NE Page 3 of 14

4 /27/1964 BITCO General Insurance Corporation th Street Rock Island IL /28/1964 BITCO National Insurance Company th Street Rock Island IL /29/2014 Brotherhood Mutual Insurance Company P.O. Box 2227 Fort Wayne IN /7/1963 Cambridge Mutual Fire Insurance Company 95 Old River Road Andover MA /24/2006 Capitol Indemnity Corporation 1600 Aspen Commons Middleton WI /30/1999 Carolina Casualty Insurance Company P.O. Box 2575 Jacksonville FL /30/2005 Caterpillar Insurance Company P.O. Box Nashville TN /10/1997 Catlin Indemnity Company 3340 Peachtree Rd. NE, Suite 2950 Atlanta GA /13/1963 Central Mutual Insurance Company 800 South Washington St. Van Wert OH /31/1977 Centre Insurance Company 1 Liberty Plaza, 165 Broadway New York NY /2/1970 Century Indemnity Company 436 Walnut Street, P.O. Box 1000 Philadelphia PA /10/1972 Charter Oak Fire Insurance Company, (The) One Tower Square Hartford CT /20/2006 Cherokee Insurance Company Mound Road Sterling Heights MI /22/1997 Chubb Indemnity Insurance Company 15 Mountain View Rd. Warren NJ /19/1997 Chubb National Insurance Company 15 Mountain View Road Warren NJ /12/1997 Church Mutual Insurance Company 3000 Schuster Lane Merrill WI /4/2012 Cincinnati Casualty Company P.O. Box Cincinnati OH /4/2012 Cincinnati Indemnity Company P.O. Box Cincinnati OH /1/1986 Cincinnati Insurance Company P.O. Box Cincinnati OH /6/1981 Citation Insurance Company P.O. Box 758 Webster MA /25/1985 Citizens Insurance Company of America 440 Lincoln St. Worcester MA /1/1998 Clarendon National Insurance Company 411 5th Avenue, 5th Floor New York NY /23/1997 Colonial American Casualty and Surety Company 1400 American Lane Schaumburg IL /10/1963 Commerce and Industry Insurance Company 175 Water St., 18th Fl. New York NY /10/1972 Commerce Insurance Company 211 Main Street Webster MA /7/1998 Commercial Casualty Insurance Company 3024 Harney Street Omaha NE /1/1992 Commonwealth Transportation Compensation Corp. 10 New England Bus. Ctr., Suite 303 Andover MA /1/1948 Continental Casualty Company 333 S. Wabash Ave. Chicago IL /4/2007 Continental Indemnity Company P.O. Box 3646 Omaha NE /31/1977 Continental Insurance Company, (The) 333 S. Wabash Ave. Chicago IL /4/2005 Continental Western Insurance Company P.O. Box 1594 Des Moines IA /31/2000 Country Casualty Insurance Company P.O. Box 2100 Bloomington IL /31/2000 Country Mutual Insurance Company P.O. Box 2000 Bloomington IL /28/1969 Countryway Insurance Company P.O. Box 4851 Syracuse NY /20/1964 Covenant Insurance Company 1450 Southford Rd, Unit 11 Southbury CT /29/2014 Crestbrook Insurance Company 8877 North Gainey Center Drive Scottsdale AZ Page 4 of 14

5 /19/2006 Crum & Forster Indemnity Company 305 Madison Avenue Morristown NJ /14/1969 CUMIS Insurance Society, Inc. P.O. Box 1084 Madison WI /18/2012 Dakota Truck Underwriters P.O. Box Sioux Falls SD /19/1990 Diamond State Insurance Company Three Bala Plaza East, Suite 300 Bala Cynwyd PA /15/1993 Diocesan Facilities Self-Insurance Group Cannon Cochran Mgt Svcs, 100 Quannapowitt Pkwy 201 Wakefield MA /9/1983 Discover Property & Casualty Insurance Company One Tower Square Hartford CT /25/2000 Dorchester Mutual Insurance Company P.O. Box 9109 Dedham MA /16/2015 Eastern Advantage Assurance Company 25 Race Avenue Lancaster PA /16/2015 Eastern Alliance Insurance Company 25 Race Avenue Lancaster PA /14/1999 EastGuard Insurance Company 16 South River St., P.O. Box A-H Wilkes-Barre PA /28/1966 Electric Insurance Company 75 Sam Fonzo Dr. Beverly MA /23/1983 Empire Insurance Company 628 Hebron Avenue, Suite 106 Glastonbury CT /23/2015 Employers Assurance Company Professional Circle Reno NV /12/2007 Employers Compensation Insurance Company Professional Circle Reno NV /4/1939 Employers Insurance Company of Wausau 175 Berkeley St. Boston MA /18/1968 Employers Mutual Casualty Company P.O. Box 712 Des Moines IA /23/2015 Employers Preferred Insurance Company Professional Circle Reno NV /20/1950 Employers' Fire Insurance Company 1880 JFK Blvd., Suite 801 Philadelphia PA /19/1996 Endeavour Insurance Company 25 New Chardon St. Boston MA /28/2007 Endurance American Insurance Company 4 Manhattanville Road, 3rd Floor Purchase NY /25/2006 Endurance Reinsurance Corporation of America 4 Manhattan Road, 3rd Floor Purchase NY /15/2003 Everest National Insurance Company P.O. Box 830 Liberty Corner NJ /31/1999 Everest Reinsurance Company 477 Martinsville Road, P.O. Box 830 Liberty Corner NJ /28/1998 Excelsior Insurance Company 175 Berkeley Street, M09G Boston MA /11/1994 Executive Risk Indemnity Inc. 15 Mountain View Road Warren NJ /9/2012 Fair American Insurance and Reinsurance Company One Liberty Plaza, 165 Broadway New York NY /18/2013 Falls Lake National Insurance Company 6131 Falls of Neuse Rd., Suite 306 Raleigh NC /22/1960 Farm Family Casualty Insurance Company P.O. Box 656 Albany NY /9/2009 Farmers Insurance Exchange 4680 Wilshire Blvd. Los Angeles CA /10/1987 Farmington Casualty Company One Tower Square Hartford CT /13/1953 Federal Insurance Company 15 Mountain View Road Warren NJ /1/1962 Federated Mutual Insurance Company 121 East Park Square Owatonna MN /14/2003 Federated Service Insurance Company 121 East Park Square Owatonna MN /4/1965 Fidelity & Guaranty Insurance Underwriters, Inc. 385 Washington Street St. Paul MN /1/1985 Fidelity and Deposit Company of Maryland 1400 American Lane Schaumburg IL Page 5 of 14

6 /8/1998 Fidelity and Guaranty Insurance Company One Tower Square Hartford CT /1/1991 Fireman's Fund Insurance Company 225 W. Washington Street, Suite 1800 Chicago IL /28/1998 Firemen's Insurance Company of Washington, D.C Lake Brook Dr., Suite 300 Glen Allen VA /18/2012 First Dakota Indemnity Company P.O. Box Sioux Falls SD /18/1994 First Liberty Insurance Corporation (The) 175 Berkeley Street Boston MA /14/2011 FirstComp Insurance Company Ten Parkway North Deerfield IL /9/2005 Fitchburg Mutual Insurance Company 222 Ames St. Dedham MA /3/1971 Florists' Mutual Insurance Company P.O. Box 428 Edwardsville IL /15/2010 Foremost Insurance Company Grand Rapids, Michigan P.O. Box 2450 Grand Rapids MI /15/2010 Foremost Property and Casualty Insurance Company P.O. Box 2450 Grand Rapids MI /15/2010 Foremost Signature Insurance Company P.O. Box 2450 Grand Rapids MI /15/1999 Frankenmuth Mutual Insurance Company One Mutual Avenue Frankenmuth MI /23/1997 General Casualty Company of Wisconsin One General Drive Sun Prairie WI /15/1959 General Insurance Company of America 175 Berkeley Street Boston MA /15/2008 Generali- U.S. Branch 7 World Trade Center, 250 Greenwich Street,33rd Floor New York NY /22/1991 Genesis Insurance Company 120 Long Ridge Road Stamford CT /1/1967 Granite State Insurance Company 175 Water Street, 18th Fl New York NY /24/1966 Graphic Arts Mutual Insurance Company P.O. Box 530 Utica NY /23/2006 Gray Insurance Company (The) P.O. Box 6202 Metairie LA /1/1985 Great American Alliance Insurance Company 301 E. Fourth Street Cincinnati OH /10/1983 Great American Assurance Company 301 E. Fourth Street Cincinnati OH /30/1976 Great American Insurance Company 301 E. Fourth Street Cincinnati OH /23/1966 Great American Insurance Company of New York 301 E. Fourth Street Cincinnati OH /3/1999 Great Divide Insurance Company P.O. Box 1594 Des Moines IA /3/2011 Great Midwest Insurance Company 800 Gessner, Suite 600 Houston TX /1/1980 Great Northern Insurance Company P.O. Box 1615 Warren NJ /25/1996 Great West Casualty Company P.O. Box 277 South Sioux City NE /10/1963 Greater New York Mutual Insurance Company 200 Madison Avenue New York NY /30/1983 Greenwich Insurance Company 70 Seaview Avenue Stamford CT /14/1979 GuideOne Mutual Insurance Company 1111 Ashworth Road West Des Moines IA /30/1995 Hanover American Insurance Company (The) 440 Lincoln St. Worcester MA /1/1973 Hanover Insurance Company (The) 440 Lincoln St. Worcester MA /1/1977 Harco National Insurance Company 2850 West Golf Road Page 6 of 14 Rolling Meadows IL

7 /27/2007 Harleysville Insurance Company /2/1997 Harleysville Preferred Insurance Company /19/1983 Harleysville Worcester Insurance Company 107 Columbus OH Columbus OH Columbus OH /26/1913 Hartford Accident and Indemnity Company One Hartford Plaza Hartford CT /25/1959 Hartford Casualty Insurance Company One Hartford Plaza Hartford CT /24/1986 Hartford Fire Insurance Company One Hartford Plaza Hartford CT /12/1989 Hartford Insurance Company of the Midwest One Hartford Plaza Hartford CT /1/1988 Hartford Underwriters Insurance Company One Hartford Plaza Hartford CT /23/2011 HDI-Gerling America Insurance Company 161 North Clark St., 48th Floor Chicago IL /7/1970 Highlands Insurance Company 275 Phillips Blvd. Trenton NJ /29/2004 Hudson Insurance Company 100 William Street, 5th Floor New York NY /1/1992 HVAC Compensation Corporation c/o FutureCorp, Inc., 123 Interstate Drive West Springfield MA /3/1996 Illinois National Insurance Company 175 Water Street, 18th Fl New York NY /13/1997 Imperium Insurance Company 800 Gessner, Suite 600 Houston TX /18/1998 Indemnity Insurance Company of North America 436 Walnut St., P.O. Box 1000 Philadelphia PA /21/2004 Independence Casualty Insurance Company 25 New Chardon Street Boston MA /1/1992 Independent Schools Compensation Corporation 10 New England Bus. Ctr., Suite 303 Andover MA /1/1968 Insurance Company of Greater New York 200 Madison Avenue New York NY /14/1960 Insurance Company of North America 436 Walnut St., P.O. Box 1000 Philadelphia PA /1/1967 Insurance Company of the State of Pennsylvania 175 Water St., 18th Fl. New York NY /4/2007 Insurance Company of The West P.O. Box San Diego CA /6/1969 Integon National Insurance Company P.O. Box 3199 Winston Salem NC /26/2010 Key Risk Insurance Company P.O. Box Greensboro NC /1/1971 Lamorak Insurance Company 1880 JFK Blvd., Suite 801 Philadelphia PA /1/2012 Lancer Indemnity Company P.O. Box 9007 Long Beach NY /16/1965 Lancer Insurance Company P.O. Box 9004 Long Beach NY /7/1983 Liberty Insurance Corporation 175 Berkeley Street Boston MA /1/1973 Liberty Mutual Fire Insurance Company 175 Berkeley St. Boston MA /27/1912 Liberty Mutual Insurance Company 175 Berkeley St. Boston MA /16/2000 Liberty Mutual Mid-Atlantic Insurance Company 175 Berkeley Street Boston MA /29/1996 Liberty Northwest Insurance Corporation 175 Berkeley St. Boston MA /27/2014 Lion Insurance Company 2739 U.S. Highway 19 N. Holiday FL /7/1994 LM Insurance Corporation 175 Berkeley Street, M09G Boston MA Page 7 of 14

8 /24/1962 Lumber Mutual Insurance Company PO Box 9165 Framingham MA /8/1976 Lumbermen's Underwriting Alliance 1905 NW Corporate Blvd. Boca Raton FL /8/1989 Main Street America Assurance Company 55 West Street Keene NH /12/1999 Maine Employers' Mutual Insurance Company 261 Commercial Street, P.O. Box Portland ME /9/1982 Mapfre Insurance Company 211 Main Street Webster MA /11/1991 Markel Insurance Company 4521 Highwoods Parkway Glen Allen VA /20/1982 Maryland Casualty Company 1400 American Lane Schaumburg IL /30/1956 Massachusetts Bay Insurance Company 440 Lincoln St. Worcester MA /14/1994 Massachusetts Bay Self-Insurance Group, Inc /1/1990 Massachusetts Care Self-Insurance Group, Inc. C/O Cabot Risk Strategies, 12 Gill St, Suite 5500 c/o Cove Risk Services, LLC, 35 Braintree Hill OP Woburn MA Braintree MA /31/1990 Massachusetts Catholic Self-Insurance Group, Inc. 66 Brooks Drive Braintree MA /1/1990 Massachusetts Educ.& Govt. Assn. P&C Group, Inc. Cannon Cochran Mgt Svcs, 100 Quannapowitt Pkwy 201 Wakefield MA /13/2007 Massachusetts Employers Insurance Company 54 Third Avenue, P.O. Box 4070 Burlington MA /1/1989 Massachusetts Healthcare Self-Insurance Group, Inc /1/1994 Massachusetts High Technology Self-Ins. Group, Inc c/o Cove Risk Services, LLC, 35 Braintree Hill OP c/o FutureComp, 123 Interstate Drive Braintree MA West Springfield MA /29/1981 Massachusetts Homeland Insurance Company 59 Maiden Lane, 38th Floor New York NY /1/1991 Massachusetts Manufacturing Self-Ins. Group, Inc /1/1992 Massachusetts McDonald's Operators' W.C.Group,Inc /1/1991 Massachusetts Retail Merchants WCSIG, Inc /22/1992 Massachusetts Trade Self-Insurance Group, Inc. c/o Cove Risk Services, LLC, 35 Braintree Hill OP Aon Risk Services of MI, 2000 Town Center c/o Cove Risk Services, LLC, 35 Braintree Hill OP c/o Cove Risk Services, LLC, 35 Braintree Hill OP Braintree MA Southfield MI Braintree MA Braintree MA /3/2002 MEMIC Indemnity Company 1750 Elm St, Suite 500 Manchester NH /25/1928 Merchants Mutual Insurance Company 250 Main Street Buffalo NY /13/2007 Merchants Preferred Insurance Company 250 Main Street Buffalo NY /30/2012 Meridian Security Insurance Company 518 East Broad Street Columbus OH /17/1963 Merrimack Mutual Fire Insurance Company 95 Old River Road Andover MA /1/2009 Mid-Century Insurance Company P.O. Box 2478, Terminal Annex Los Angeles CA /19/1963 Middlesex Insurance Company 1800 North Point Drive Stevens Point WI /17/1990 Midwest Employers Casualty Company No. Outer Forty Dr., Suite 300 Chesterfield MO /1/1987 MIIA Property & Casualty Group, Inc. One Winthrop Square Boston MA Page 8 of 14

9 /19/2012 Milwaukee Casualty Insurance Co Merit Dr., Suite 200 Dallas TX /11/1980 Mitsui Sumitomo Insurance Company of America 15 Independence Blvd. Warren NJ /25/2012 Mitsui Sumitomo Insurance USA Inc. 15 Independence Blvd. Warren NJ /13/1998 Montgomery Mutual Insurance Company 175 Berkeley St., M09G Boston MA /23/1951 Motorists Commercial Mutual Insurance Company 471 E. Broad St. Columbus OH /1/1996 Mountain Valley Indemnity Company P.O. Box 3199 Winston-Salem NC /9/2013 National Casualty Company Columbus OH /20/1964 National Fire Insurance Company of Hartford 333 S. Wabash Ave. Chicago IL /31/2004 National Interstate Insurance Company 3250 Interstate Drive Richfield OH /21/2007 National Liability & Fire Insurance Company 3024 Harney Street Omaha NE /20/2011 National Specialty Insurance Company 1900 L. Don Dodson Dr. Bedford TX /1/1991 National Surety Corporation 225 W. Washington Street, Suite 1800 Chicago IL /1/1957 National Union Fire Ins. Co. of Pittsburgh PA 175 Water Street, 18th Fl New York NY /5/1991 Nationwide Affinity Insurance Company of America /30/2010 Nationwide Agribusiness Insurance Company /6/1980 Nationwide Mutual Fire Insurance Company /24/1961 Nationwide Mutual Insurance Company /11/1985 Nationwide Property & Casualty Insurance Company /1/1990 NEEIA Compensation, Inc. c/o FutureComp, Inc., 123 Interstate Drive Columbus OH Columbus OH Columbus OH Columbus OH Columbus OH West Springfield MA /28/1998 Netherlands Insurance Company (The) 175 Berkeley St. Boston MA /1/1990 New England Insurance Company 100 High St. Boston MA /1/2006 New England Mutual Insurance Company P.O. Box 9155 Quincy MA /17/2008 New Hampshire Employers Insurance Company 54 Third Avenue Burlington MA /27/1956 New Hampshire Insurance Company 175 Water Street, 18th Fl New York NY /9/2006 New York Marine and General Insurance Company /1/1960 NGM Insurance Company 412 Mt. Kemble Avenue, Suite 300C 4601 Touchton Road East, Suite 3400 Morristown NJ Jacksonville FL /4/1997 Norfolk & Dedham Mutual Fire Insurance Company 222 Ames Street Dedham MA /22/1997 NorGuard Insurance Company 16 South River Street, P.O. Box A- H Wilkes Barre PA /11/2001 North American Elite Insurance Company 650 Elm St., 6th Floor Manchester NH Page 9 of 14

10 /21/1989 North American Specialty Insurance Company 650 Elm Street Manchester NH /21/2011 North Pointe Insurance Company One General Drive Sun Prairie WI /30/1972 North River Insurance Company 305 Madison Avenue Morristown NJ /22/1966 Northern Insurance Company of New York 1400 American Lane Schaumburg IL /12/2006 Nova Casualty Company 5 Waterside Crossing, Suite 201 Windsor CT /6/2014 Oak River Insurance Company 1314 Douglas Street Omaha NE /2/2013 OBI National Insurance Company 605 US Highway 169, 8th Floor Plymouth MN /10/1967 Ohio Casualty Insurance Company (The) 175 Berkeley St. Boston MA /9/2000 Ohio Security Insurance Company 175 Berkeley St., M09G Boston MA /4/2007 Old Republic General Insurance Corporation 307 North Michigan Ave. Chicago IL /7/1960 Old Republic Insurance Company 307 N. Michigan Ave., 17th Floor Chicago IL /1/1962 Pacific Employers Insurance Company 436 Walnut St, PO Box 1000 Philadelphia PA /19/1959 Pacific Indemnity Company P.O. Box 1615 Warren NJ /7/1998 Paramount Insurance Company One Park Avenue New York NY /1/1996 PartnerRe America Insurance Company One Greenwich Plaza Greenwich CT /28/1968 Patriot General Insurance Company 1800 North Point Drive Stevens Point WI /30/2012 Patriot Insurance Company One Mutual Ave Frankenmuth MI /1/1985 Patrons Mutual Insurance Company of Connecticut 455 Winding Brook Drive Glastonbury CT /10/1987 Peerless Indemnity Insurance Company 175 Berkeley St., M09G Boston MA /28/1998 Peerless Insurance Company 175 Berkeley St., M09G Boston MA /22/1975 Penn Millers Insurance Company 436 Walnut Street Philadelphia PA /16/1992 Pennsylvania Insurance Company P.O. Box 3646 Omaha NE /29/1985 Pennsylvania Lumbermens Mutual Insurance Company One Commerce Square, 2005 Market St., Ste.1200 Philadelphia PA /26/1973 Pennsylvania Manufacturers' Association Ins. Co. PMA Building, 380 Sentry Parkway Blue Bell PA /20/1979 Pennsylvania National Mutual Casualty Ins. Co. P.O. Box 2361 Harrisburg PA /13/1970 Petroleum Casualty Company Corp BH4 1177B, P.O. Box 3342 Houston TX /30/1999 Pharmacists Mutual Insurance Company P.O. Box 370 Algona IA /16/1955 Phoenix Insurance Company, (The) One Tower Square Hartford CT /24/1988 Pilgrim Insurance Company 695 Atlantic Avenue Boston MA /17/1997 Platte River Insurance Company P.O. Box 5900 Madison WI /19/2012 Plaza Insurance Company 518 East Broad St. Columbus OH /1/1983 Plymouth Rock Assurance Corporation 695 Atlantic Avenue Boston MA /30/1995 Praetorian Insurance Company One General Drive Sun Prairie WI /8/1981 Preferred Mutual Insurance Company One Preferred Way New Berlin NY /31/2001 Preferred Professionals Insurance Company P.O. Box Omaha NE /15/2008 Premier Group Insurance Company 100 East Vine Street Murfreesboro TN Page 10 of 14

11 /30/2009 Preserver Insurance Company 59 Maiden Lane, 38th Floor New York NY /21/1997 Property and Casualty Insurance Co. of Hartford One Hartford Plaza Hartford CT /2/1996 ProSelect Insurance Company P.O. Box Boston MA /1/1972 Protective Insurance Company 111 Congressional Blvd., Suite 500 Carmel IN /15/1957 Providence Washington Insurance Company 475 Kilvert Street, Suite 330 Warwick RI /10/1965 Public Service Insurance Company One Park Avenue New York NY /13/1996 Quincy Mutual Fire Insurance Company P.O. Box 9155 Quincy MA /16/1996 Rampart Insurance Company 80 Broad Street, Suite 1600 New York NY /17/2014 Redwood Fire and Casualty Insurance Company 1314 Douglas Street Omaha NE /23/1997 Regent Insurance Company One General Drive Sun Prairie WI /9/1997 Republic Franklin Insurance Company P.O. Box 530 Utica NY /30/1992 RepWest Insurance Company 2721 N. Central Avenue Phoenix AZ /3/2007 Riverport Insurance Company P.O. Box 1594 Des Moines IA /8/2011 RLI Insurance Company 9025 N. Lindbergh Drive Peoria IL /3/2002 Safety First Insurance Company 1832 Schuetz Rd. St. Louis MO /10/1999 Safety National Casualty Corporation 1832 Schuetz Rd. St. Louis MO /23/2012 Sagamore Insurance Company 111 Congressional Blvd., Suite 500 Carmel IN /1/2011 Samsung Fire & Marine Insurance Co. Ltd. (U.S. Branch) 105 Challenger Road, 5th Floor Ridgefield Park NJ /14/1994 Savers Property and Casualty Insurance Company American Drive Southfield MI /12/1994 School Transportation Assn. of MA. WCSIG, Inc. 76 North Bedford Street East Bridgewater MA /9/2006 SeaBright Insurance Company th Ave., Suite 2600 Seattle WA /29/2010 Security National Insurance Company Merit Dr., Suite 200 Dallas TX /9/2002 Selective Insurance Company of America 40 Wantage Ave. Branchville NJ /2/1965 Selective Insurance Company of New York 40 Wantage Ave. Branchville NJ /3/2002 Selective Insurance Company of South Carolina 40 Wantage Ave. Branchville NJ /9/2002 Selective Insurance Company of the Southeast 40 Wantage Ave. Branchville NJ /1/1992 Self-Insured Lumber Businesses Association C/O Meadowbrook TPA, 10 Northeast Bus Ctr 303 Andover MA /15/1981 Seneca Insurance Company, Inc. 160 Water Street New York NY /24/2009 Sentinel Insurance Company, Ltd. One Hartford Plaza Hartford CT /26/2006 Sentry Casualty Company 1800 North Point Dr. Stevens Point WI /10/1928 Sentry Insurance A Mutual Company 1800 North Point Dr. Stevens Point WI /31/1982 Sentry Select Insurance Company 1800 North Point Dr. Stevens Point WI /6/1979 Sompo Japan Insurance Company of America North Community, House Road, Suite 600 Charlotte NC /2/1923 SPARTA Insurance Company CityPlace II, 185 Asylum St. Hartford CT Page 11 of 14

12 /4/1956 St. Paul Fire & Marine Insurance Company One Tower Square Hartford CT /1/1982 St. Paul Guardian Insurance Company One Tower Square Hartford CT /29/1967 St. Paul Mercury Insurance Company One Tower Square Hartford CT /20/1979 St. Paul Protective Insurance Company One Tower Square Hartford CT /23/1964 Standard Fire Insurance Company (The) One Tower Sq. Hartford CT /13/1997 Star Insurance Company American Drive Southfield MI /19/2006 StarNet Insurance Company 215 Shuman Blvd., Suite 200 Naperville IL /29/2009 Starr Indemnity & Liability Company 399 Park Avenue, 8th Fl. New York NY /29/2009 Starr Indemnity & Liability Company 399 Park Avenue, 8th Fl. New York NY /23/2009 State Auto Property & Casualty Insurance Company 518 East Broad Street Columbus OH /23/2009 State Automobile Mutual Insurance Company 518 East Broad Street Columbus OH /2/1967 State Farm Fire and Casualty Company One State Farm Plaza Bloomington IL /13/2003 State National Insurance Company Inc L. Don Dodson Drive Bedford TX /1/1988 Stonington Insurance Company One General Drive Sun Prairie WI /17/2005 Strathmore Insurance Company 200 Madison Avenue New York NY /7/2007 Sussex Insurance Company P.O. Box Columbia SC /29/2004 T.H.E. Insurance Company Gulf Blvd. Treasure Island FL /25/2006 Technology Insurance Company, Inc. 59 Maiden Lane, 43rd Floor New York NY /5/1957 TIG Insurance Company 250 Commercial St., Suite 5000 Manchester NH /1/2012 Tokio Marine America Insurance Company 230 Park Avenue New York NY /28/1998 Torus National Insurance Company Harborside Financial Ctr., Plaza 5, 26th Fl. Jersey City NJ /12/2005 Tower Insurance Company of New York 59 Maiden Lane, 38th Floor New York NY /1/1984 Tower National Insurance Company 59 Maiden Lane, 38th Floor New York NY /26/1996 Trans Pacific Insurance Company 230 Park Avenue New York NY /28/2004 TransGuard Insurance Company of America, Inc. P.O. Box 10800, 702 Oberlin Rd. Raleigh NC /1/1977 Transport Insurance Company 2 Logan Square, Suite 600 Philadelphia PA /1/1954 Transportation Insurance Company 333 S. Wabash Ave. Chicago IL /22/1908 Travelers Casualty and Surety Company One Tower Square Hartford CT /16/1990 Travelers Casualty and Surety Company of America One Tower Square Hartford CT /10/1984 Travelers Casualty Company (The) One Tower Square Hartford CT /27/1991 Travelers Casualty Company of Connecticut One Tower Square Hartford CT /3/1982 Travelers Casualty Insurance Company of America One Tower Square Hartford CT /24/2000 Travelers Commercial Casualty Company One Tower Square Hartford CT /27/1991 Travelers Commercial Insurance Company One Tower Square Hartford CT /16/1985 Travelers Constitution State Insurance Company One Tower Square Hartford CT /18/1958 Travelers Indemnity Company (The) One Tower Square Hartford CT Page 12 of 14

13 /3/1983 Travelers Indemnity Company of America One Tower Square Hartford CT /16/1955 Travelers Indemnity Company of Connecticut (The) One Tower Square Hartford CT /24/1973 Travelers Property Casualty Company of America One Tower Square Hartford CT /10/2008 Tri-State Insurance Company of Minnesota P.O. Box 1594 Des Moines IA /5/1955 Truck Insurance Exchange 4680 Wilshire Blvd. Los Angeles CA /15/1991 Trumbull Insurance Company One Hartford Plaza Hartford CT /22/1963 Twin City Fire Insurance Company One Hartford Plaza Hartford CT /4/2005 Union Insurance Company P.O. Box 1594 Des Moines IA /15/1973 Union Insurance Company of Providence P.O. Box 712 Des Moines IA /2/1910 United States Fidelity and Guaranty Company One Tower Square Hartford CT /1/1955 United States Fire Insurance Company 305 Madison Ave. Morristown NJ /8/1916 United States Mutual Liability Insurance Company 9 Riverside Rd. Weston MA /5/2010 United Wisconsin Insurance Company West Small Road New Berlin WI /1/1983 Universal Underwriters Insurance Company 1400 American Lane Schaumburg IL /19/2006 Universal Underwriters of Texas Insurance Company 1400 American Lane Schaumburg IL /20/1924 Utica Mutual Insurance Company P.O. Box 530 Utica NY /23/2009 Utica National Assurance Company P.O. Box 530 Utica NY /10/2009 Utica National Insurance Company of Texas P.O. Box 530 Utica NY /18/1969 Valley Forge Insurance Company 333 S. Wabash Ave. Chicago IL /28/1987 Vanliner Insurance Company 3250 Interstate Drive Richfield OH /14/1999 Vermont Mutual Insurance Company P.O. Box 188 Montpelier VT /18/1967 Vigilant Insurance Company P.O. Box 1615 Warren NJ /27/1984 Virginia Surety Company, Inc. 175 W. Jackson Blvd. Chicago IL /1/1991 Warner Insurance Company One East Wacker Drive, Suite 3700 Chicago IL /6/2007 Washington International Insurance Company 475 N. Martingale Road, Suite 850 Schaumburg IL /23/1992 Wausau Business Insurance Company 175 Berkeley St. Boston MA /19/1999 Wausau General Insurance Company 175 Berkeley St. Boston MA /14/1980 Wausau Underwriters Insurance Company 175 Berkeley Street Boston MA /31/2008 Wesco Insurance Company 59 Maiden Lane, 43rd Fl. New York NY /29/2000 West American Insurance Company 175 Berkeley St. Boston MA /31/1990 Westchester Fire Insurance Company 436 Walnut St., PO Box 1000 Philadelphia PA /9/2004 Westport Insurance Corporation 5200 Metcalf Avenue Overland Park KS /8/1998 XL Insurance America, Inc /1/1992 XL Specialty Insurance Company Seaview House, 70 Seaview Avenue Seaview House, 70 Seaview Avenue Stamford CT Stamford CT /13/2004 York Insurance Company of Maine 59 Maiden Lane, 38th Floor New York NY Page 13 of 14

14 /14/1995 Zenith Insurance Company Califa Street Woodland Hills CA /31/1998 Zurich American Insurance Company 1400 American Lane Schaumburg IL /19/2009 Zurich American Insurance Company of Illinois 1400 American Lane Schaumburg IL Page 14 of 14