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 05601 Allied Professionals Insurance Company, A Risk Retention Group, Inc. 1100 W Town & Country Road, Suite 1400 Orange, CA 92868 American Association of Orthodontists Insurance Company (A Risk Retention Group) 15615 North 71 st Street, Suite 103 Scottsdale, AZ 85254 American Contractors Insurance Company Risk Retention Group 2600 N Central Express Way, Suite 800 Richardson, TX 75080 American Excess Insurance Exchange, Risk Retention Group 150 Dorset Street, PMB #238 Burlington, VT 05403 American Safety Risk Retention Group, Inc. 1100 Circle 75 Pkwy, Suite 925 Atlanta, GA 30339 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. 2555 E Camelback Road, Suite 700 Phoenix, AZ 85016 Architects & Engineers Insurance Company, A Risk Retention Group 2056 Westings Avenue, Suite 20 Naperville, IL 60563 ARCOA Risk Retention Group, Inc. 2721 N Central Avenue Phoenix, AZ 85004 ARISE Boiler Inspection and Insurance Company Risk Retention Group P. O. Box 23790 Louisville, KY 40223-0790 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 60606-6629 608 NEBRASKA PREMIUMS WRITTEN 153863 12934 Vermont 152007 13677 Vermont $4,732 151293 10023 Vermont $51,925 151508 11710 Arizona $24,107 150787 10232 Arizona $23,029 146988 12300 Texas $23,653 151018 10903 Vermont 147134 25448 Vermont $21,841 151547 11534 Montana 151790 12171 Vermont $640 152111 11598 Arizona 147196 44148 Delaware 151933 13177 Nevada $22,659 151974 13580 Kentucky $4,861 152248 14425 Nevada 150809 10639 Vermont $602,392
Aviation Alliance Insurance Risk Retention Group, Inc. Caring Communities, a Reciprocal Risk Retention Group 1850 W. Winchester Rd, Ste 109 Libertyville, IL 60048 Cattleman s Insurance Company Risk Retention Group CHC Casualty Risk Retention Group, Inc. Burlington,VT 05402-0530 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 96822 Doctors & Surgeons National Risk Purchasing Group 3370 Sugarloaf Pkwy, Suite G-2/302 Lawrenceville, GA 30044 Emergency Medicine Professional Assurance Company Risk Retention Group Golden Insurance Company, A Risk Retention Group 975 Kelly Johnson Drive, Suite 100 Las Vegas, NV 89119 Green Hills Insurance Company, A Risk Retention Group 15365 13791 Montana $13,838 151924 12373 $10,625 152072 13784 Montana $39,973 151454 11531 Vermont $390,747 152152 11839 Vermont 151613 12172 Vermont $5,322 152000 13613 Vermont $99,052 151467 10075 Vermont 153806 15204 Nevada 151515 11798 147337 10164 Vermont $91,610 152029 13720 Montana $6,522 152258 13018 Kentucky 151694 12003 Nevada 151352 11145 Nevada $3,200 151548 11941 Vermont $8,003 609
Health Care Industry Liability Reciprocal Insurance Company, A Risk Retention Group 201 S. Main Street, Suite 200 Ann Arbor, MI 48104 Healthcare Underwriting Company, A Risk Retention Group/The Housing Authority Risk Retention Group, Inc. P. O. Box 189 Cheshire, CT 06410-0189 ICI Mutual Insurance Company, A Risk Retention Group 1401 H Street NW, Suite 1000 Washington, DC 20005 Jamestown Insurance Company, A Risk Retention Group Lewis & Clark LTC Risk Retention Group, Inc. 3655 Brookside Parkway, Suite 200 Alpharetta, GA 30022 Marathon Financial Insurance Company, Inc., A Risk Retention Group P.O. Box 961 O Fallon, IL 62269 Mental Health Risk Retention Group, Inc. Mountain States Healthcare Reciprocal Risk Retention Group 40 Main Street, Suite 200 NASW Risk Retention Group, Inc. 1401 Eye Street NW, Suite 600 Washington, D.C. 20005 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 National Guardian Risk Retention Group, Inc. 4075 Copper Ridge Drive Traverse City, MI 49684 National Home Insurance Company A Risk Retention Group 10375 E. Harvard Avenue, Suite 100 Denver, CO 80231 National Independent Truckers Insurance Company, A Risk Retention Group National Service Contract Insurance Company Risk Retention Group, Inc. 2233 Wisconsin Ave., NW, Suite 310 Washington, DC 20007 New Home Warranty Insurance Company, A Risk Retention Group Compliance Specialist 10375 E Harvard Ave, Suite 100 151973 11832 $550,209 151702 10152 Vermont 148085 26797 Vermont $189,532 151972 11268 Vermont $242,020 151591 11589 151546 11947 Nevada 151404 11117 Delaware 148421 44237 Vermont 151482 11585 Montana $1,158,481 152241 14366 $13,861 148598 10083 Vermont 152043 12293 Montana $29,420 152266 36072 Hawaii 148643 44016 Colorado 151382 11197 150702 10234 152063 13792 $8,453 $120,650 610
Denver, CO 80231 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 60018-5173 OOIDA Risk Retention Group P.O. Box 2100 Montpelier, VT 05601 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 44718 PIA Professional Liability Insurance Company, A Risk Retention Group Probuilders Specialty Insurance Company, RRG, A Risk Retention Group C/O NationsBuilders Ins. Svcs., Inc. 2859 Paces Ferry Rd., Suite 800 Atlanta, GA 30339 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. 2233 Wisconsin Ave., NW, Suite 310 Washington, DC 20007 St. Charles Insurance Company Risk Retention Group 2700 N 3 rd Street, Suite 3050 Phoenix, AZ 85004 States Self-Insurers Risk Retention Group, Inc. 222 Ninth Street, Suite 1300 Minneapolis, MN 55402-3332 611 152283 12189 146826 44121 Illinois $309,442 150789 10353 Vermont $133,743 148835 44105 Vermont $37,788 148873 44130 Tennessee $391,815 151639 11973 152178 11513 $7,344 152153 14108 Montana 151597 11671 151628 12209 Vermont $54,154 151513 11267 Vermont $7,628 152225 14207 Nevada $17,118 151655 10754 151337 11114 $17,535 $6,865 149284 44075 Vermont $778,207 STICO Mutual Insurance Company, A Risk Retention Group 76 St. Paul Street, Suite 500 151437 10476 Vermont
-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 20815 Urgent Care Assurance Company Risk Retention Group Western Pacific Mutual Insurance Company Risk Retention Group 9265 Madras Court Littleton, CO 80130 149338 10113 Vermont 152240 14395 Vermont $1,206 151381 11153 $4,682,847 149350 10084 Vermont $96,640 149470 10020 Vermont $1,475,027 152089 12915 Nevada 149615 40940 Colorado $2,360 TOTAL NEBRASKA PREMIUMS WRITTEN: $11,781,076 612