Affliates Insurance Reciprocal, A Risk Retention Group C/O Marsh Management Services, Inc. Alliance of NonProfits for Insurance, Risk Retention Group Allied Professionals Insurance Company, A Risk Retention Group, Inc. 1100 W Town & Country Road, Suite 144 Orange, CA 92868 American Association of Orthodontists Insurance Company (A Risk Retention Group) 15615 North 71 st Street, Suite 103 Scottsdale, AZ 85254 American Builders Insurance Company Risk Retention Group, Inc., American Contractors Insurance Company Risk Retention Group 12222 Merit Drive, Suite 1660 Dallas, TX 75251 American Excess Insurance Exchange, Risk Retention Group 140 Kennedy Drive, P. O. Box 2127 South Burlington, VT 05407-2127 American Safety Risk Retention Group, Inc. 100 Galleria Parkway, S.E., Suite 700 Atlanta, GA 30339 American Trucking and Transportation Insurance Company, A Risk Retention Group (Attic) 111 North Higgins Avenue, 4 th Floor Missoula, MT 59802 Ameriguard Risk Retention Group, Inc. Applied Medico Legal Solutions Risk Retention Group, Inc. 1850 N Central Ave, Suite 1700 Phoenix, AZ 85004 Architects & Engineers Insurance Company, A Risk Retention Group 2056 Westings Avenue, Suite 20 Naperville, IL 60563 ARCOA Risk Retention Group, Inc. c/o Risk Services 2233 Wisconsin Ave, NW, Suite 310 Washington, D.C. 20007 ARISE Boiler Inspection and Insurance Company Risk Retention Group P. O. Box 23790 Louisville, KY 40223-0790 Attorneys Liability Assurance Society, Inc., A Risk Retention Group 311 South Wacker Drive, Suite 5700 Chicago, IL 60606-6629 387655 13677 Vermont $7,706 271162 10023 Vermont $55,565 306606 11710 Arizona $7,683 208014 10232 Arizona $23,498 344294 12631 Montana 2585 12300 Texas $54,158 223526 10903 Vermont 7035 25448 Vermont $59,193 311576 11534 Montana 350387 12171 Vermont 409455 11598 Arizona 8185 44148 Delaware 372867 13177 Nevada $22,921 381321 13580 Kentucky $2,282 209447 10639 Vermont $509,168 620
Attorneys Liability Protection Society, Inc., A Risk Retention Group P. O. Box 9169 Missoula, MT 59807-9169 Automotive Underwriters Insurance Company, Inc. A Risk Retention Group Capital Assurance Risk Retention Group, Inc. (Risk Retention Group placed in Rehabilitation by State of Domicile. Annual Statement for 12/31/2010 was not filed) Caring Communities, a Reciprocal Risk Retention Group 1850 W. Winchester Rd, Ste 109 Libertyville, IL 60048 Cattleman s Insurance Company Risk Retention Group P.O. Box 9169 Missoula, MT 59807-9169 CHC Casualty Risk Retention Group, Inc. Burlington,VT 05402-0530 Claim Professionals Liability Insurance Company (A Risk Retention Group) -0306 College Risk Retention Group, Inc. Consumer Specialties Insurance Company Risk Retention Group -0306 Continuing Care Risk Retention Group, Inc. CPA Mutual Insurance Company of America Risk Retention Group 40 Main Street, Suite 200-000 CrossFit Risk Retention Group C/O Pacific Risk Solutions, LLC 2897 Kalawao Street Honolulu, HI 96822 Emergency Medicine Professional Assurance Company Risk Retention Group 1800 Second Street, Suite 909E Sarasota, FL 34236 Global International Insurance Company, Inc., A Risk Retention Group 290443 32450 Montana 262768 11033 Nevada 287521 11194 South 371293 12373 District of Not Available $10,405 402050 13784 Montana $16,840 298513 11531 Vermont $348,597 318941 12172 Vermont $7,901 385653 13613 Vermont $111,341 299891 10075 Vermont 307435 11798 South 11422 10164 Vermont $154,714 390095 13720 Montana $1,550 331859 12003 Nevada 278379 10991 District of 621
Golden Insurance Company, A Risk Retention Group 8390 E. Crescent Pkwy, Suite 200 Greenwood Village, CO 80111 Green Hills Insurance Company, A Risk Retention Group 100 Bank Street, Suite 610 Health Care Industry Liability Reciprocal Insurance Company, A Risk Retention Group 201 S. Main Street, Suite 200 Ann Arbor, MI 48104 Healthcare Safety & Protection Risk Retention Group, Inc. c/o Kane (USA), Inc. 1180 Sam Rittenberg Blvd, Suite 235 Healthcare Underwriting Company, A Risk Retention Group/The 100 Bank Street, Suite 610 Heritage Warranty Insurance Risk Retention Group, Inc. Housing Authority Risk Retention Group, Inc. P. O. Box 189 Cheshire, CT 06410-0189 ICI Mutual Insurance Company, A Risk Retention Group Jamestown Insurance Company, A Risk Retention Group Lewis & Clark LTC Risk Retention Group, Inc. 3655 Brookside Parkway, Suite 200 Alpharetta, GA 30022 Livestock Market Enhancement Risk Retention Group 5430 W Sahara Ave Las Vegas, NV 89146 Marathon Financial Insurance Company, Inc., A Risk Retention Group 1710 Corporate Crossing, Suite 1 O Fallon, IL 62269 Mental Health Risk Retention Group, Inc. Mountain States Healthcare Reciprocal Risk Retention Group 40 Main Street, Suite 200 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 59911 282475 11145 Nevada 311577 11941 Vermont $4,086 381303 11832 District of 333163 10752 South $589,887 333257 10152 Vermont $753,443 289841 11097 South 35875 26797 Vermont $176,140 381261 11268 Vermont $252,020 315788 11589 South 311570 11947 Nevada 413413 14084 Nevada 291669 11117 Delaware 44465 44237 Vermont 302463 11585 Montana $997,124 50450 10083 Vermont 393509 12293 Montana $492 622
National Home Insurance Company A Risk Retention Group 10375 E. Harvard Avenue, Suite 100 National Independent Truckers Insurance Company, A Risk Retention Group National Service Contract Insurance Company Risk Retention Group, Inc. New Home Warranty Insurance Company, A Risk Retention Group Compliance Specialist 10375 E Harvard Ave, Suite 100 Novus Insurance Company (Risk Retention Group) C/O HSBC Insurance Management (USA) 1180 Sam Rittenberg Blvd., Suite 235 OMS National Insurance Company, Risk Retention Group 6133 North River Road, Suite 650 Rosemont, IL 60018-5173 OOIDA Risk Retention Group Ophthalmic Mutual Insurance Company, A Risk Retention Group Paratransit Insurance Company, A Mutual Risk Retention Group P.O. Box 1330 PCH Mutual Insurance Company, Inc., A Risk Retention Group PROAIR Risk Retention Group, Inc. 1800 Second Street, Suite 909E Sarasota, FL 34236-5998 Probuilders Specialty Insurance Company, RRG, A Risk Retention Group C/O NationsBuilders Ins. Svcs., Inc. 2859 Paces Ferry Rd., Suite 1900 Atlanta, GA 30339 Residential Insurance Company, Inc., A Risk Retention Group 10375 E. Harvard Avenue, Suite 100 Restoration Risk Retention Group, Inc. 51475 44016 Colorado 287555 11197 South 205208 10234 District of 398384 13792 District of 333163 10752 South $5,021 $104,799 17 44121 Illinois $295,330 208256 10353 Vermont $145,509 58466 44105 Vermont $37,272 59175 44130 Tennessee $351,823 323864 11973 District of $12,677 374424 13179 Nevada $7,393 316659 11671 District of 217678 10691 Hawaii $3,444 320687 12209 Arizona $55,299 623
Scaffold Industry Insurance Company Risk Retention Group, Inc. 1620 Providence Road Towson, MD 21286 Security America Risk Retention Group, Inc. Spirit Mountain Insurance Company Risk Retention Group, Inc. St. Charles Insurance Company Risk Retention Group State Capitol Insurance Risk Retention Group, Inc. 5430 W Sahara Ave Las Vegas, NV 89146 States Self-Insurers Risk Retention Group, Inc. 222 South Ninth Street, Suite 1300 Minneapolis, MN 55402-3332 STICO Mutual Insurance Company, A Risk Retention Group 76 St. Paul Street, Suite 500-4477 Terra Insurance Company, A Risk Retention Group P.O. Box 306 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 20815 Urgent Care Assurance Company Risk Retention Group 1800 Second Street, 900 E Sarasota, FL 34236 Vehicular Service Insurance Company, Risk Retention Group 2007 Poole Drive, Suite D Huntsville, AL 35810 Western Pacific Mutual Insurance Company Risk Retention Group 9265 Madras Court Littleton, CO 80130 338000 12524 District of 307334 11267 Vermont $5,348 326430 10754 District of 280384 11114 South $24,053 $10,727 407085 13993 Nevada $4,228 71435 44075 Vermont $624,119 295779 10476 Vermont 72579 10113 Vermont 287537 11153 South $3,747,314 72675 10084 Vermont $84,437 76240 10020 Vermont $916,864 405876 12915 Nevada 333752 11063 Oklahoma 80575 40940 Colorado $2,567 TOTAL : $10,604,938 624