Claims Reporting Phone Numbers
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1 Abercrombie Accident Fund Accident Fund (Medical Bills) Ace Group (WC) Ace Group First Notice System ACE North American ACE North American Reporting Ace Specialty Group (petroleum) Ace USA Ace Westchester Admin York Claims Admiral AIG Environmental AIG Private Client AIG/Chartis AIG/Chartis (WC) AIG/Chartis (All Other) AIG/Chartis (Direct Report) AIG/Chartis Pollution Alfa Alliance Alianz All Risk Ltd All Risk Ltd MD Office Allied Ins (Nationwide) Ally/GMAC Risk Services AmComp x 8015 American Interstate American Specialty AmTrust AmTrust (Assigned Risk) AmTrust (Status Only) AmWins Association Ins Atlantic Specialty Auto Owners Beacon Hill Beacon Hill (Evanston/Investors) Berkley Mid Atlantic Berkley/BRISC Berkshire Hathaway Builders Insurance Association (BIA) Brickstreet Broadspire (Seafire) Brownyard Builders Ins. Grp Builders Mutual Builders Mutual Builders Mutual (WC) of 5
2 Builders Mutual (bills/notes) Bunker Hills Burns & Wilcox CNA CNA Defense Base Act (within US) CNA Defense Base Act (outside US) CNA Pro Canal Canal Capitol Specialty (Surplus) Carolina Casualty CGU Chubb (AOL Claims) Chubb (WC all states) Chubb Marine Chubb Specialty Cincinnati Cincinnati (Glass) Cincinnati (WC) Commerce & Indust. (Chartis/AIG) Commerce Cas Commonw. Contractors Commonwealth Contracors (All Medical Bills) Commonwealth Contracors managed by Landin Comp First x 2931 is wc Companion P & C Continental (CLU) Underw Crum & Forster CV Starr (LVL Claims) Dan Rutherford Donegal/Southern EMC Empire Employers (Inquiry) Employers (Report) Endurance Falcon Ins Fara (All Risks Ltd) FCCI Firemans Fund Firemans Fund First Media First Specialty Frontier Claim Serv of 5
3 Gallagher Bassett Great Divide Greenwich Transp Gresham & Assoc Guard Hanover Hanover (WC Claims Only) Harford Mutual Harleysville Hartford Hartford Bond/Fidelity Hartford Ocean/MTC Hartford PL Hartford Steam Boiler HBW Ins. Svs Heath Insurance Int l Marine U/W Int l Specialty Int l Specialty Risk Irving Weber Assoc K & K Kemper Environ (NJ) Key Risk Key Risk (WC Bills) Lancer Lexington/Coastal Champ Reporting Liberty Mutual Main Street America (NGM) Maritime Markel Martens-Johnson Mattei Companies Middlesex Mutual Minico Monitor Liability Montlake (ACE) Morrow National Cas./Scottsdale National Flood National Flood (Hartford) National General National Interstate Nationwide Private Client Navigators NCJUA Northfield (Northland) Northland Ocean Marine Ins of 5
4 One Beacon One Beacon Paul Hanson Ins Peninsula Penn America Penn Millers Penn National Penn National (Glass) Penn National (WC) Philadelphia PMA Call Center PMA Richmond Progressive Progressive (Glass) PURE QBE Riverport x7935 Rockwood Royal Royal (Glass) Royal Oak Safeco Scottsdale Sea Bright Seaworthy Seaworthy (Status Updates) Selective Selective (WC Claims) Seneca Signal Claims (US Fire) Southern Homes St Paul (AOL Claims) St Paul(WC) Starr Marine (claims handled by Vericlaim) Stonington Claims Swett & Crawford Technology (Assigned Risk WC) (Report) Technology (Assigned Risk WC) (Inquiry) TIG Premier Ins Timber Sure Tower U/W Transguard Travelers Travelers Boiler of 5
5 Travelers Bond Travelers Chantilly Travelers Flood Travelers Glass Unit Travelers Inland Marine Travelers Service Center Trident Marine Mgrs Trinity U/W (claims go to North American Risk Services) VA Commerce Group (Landin) Virginia Municipal Liab. Pool (VML) VO Schinnerer & Co Wausau Wausau Hospitality Program (inquires on existing claims) Wausau (Medical Bill Status) Wausau (WC) Western Heritage Westminster XL Catlin York Risk Services Zenith Zurich Zurich Atlanta GA Zurich Builders' Risk Zurich Environmental Zurich F&D Crime Claims Zurich Farmers Farmers Zurich Farmers WC CLAIMANT CARRIERS Phone # State Farm VA Claims State Farm NC Claims State Farm General Claim# Nationwide Geico USAA GMAC/National General Esurance (Allstate) Elephant (Admiral Group) Allstate Farm Bureau Erie Farmers The General of 5
THE SOUTH CAROLINA WIND AND HAIL UNDERWRITING ASSOCIATION
ACADIA INSURANCE COMPANY 0.0240% 0.0303% 0.0561% ACCEPTANCE INDEMNITY INSURANCE COMPANY 0.0066% 0.0083% 0.0154% ACCESS HOME INSURANCE COMPANY 0.0009% 0.0011% 0.0021% ACE USA COMPANIES 0.5611% 0.0000% 0.0000%
South Carolina Wind and Hail Underwriting Association
Page 1 of 5 ACADIA INSURANCE COMPANY 0.0006% 0.0009% ACCEPTANCE INDEMNITY INSURANCE COMPANY 0.0008% 0.0012% ACE USA COMPANIES 0.3788% 0.5506% AEGIS SECURITY INSURANCE COMPANY 0.3011% 0.4376% AFFILIATED
THE SOUTH CAROLINA WIND AND HAIL UNDERWRITING ASSOCIATION
ACADIA INSURANCE COMPANY 0.0092% 0.0114% 0.0210% ACCEPTANCE INDEMNITY INSURANCE COMPANY 0.0224% 0.0278% 0.0512% ACE USA COMPANIES 0.5440% 0.0000% 0.0000% ACGS MARINE INSURANCE COMPANY 0.0335% 0.0416% 0.0765%
South Carolina Wind and Hail Underwriting Association 2012 Final Zone 2
Page 1 of 5 ACADIA INSURANCE COMPANY 0.0479% 0.1270% ACCEPTANCE INDEMNITY INSURANCE COMPANY 0.0016% 0.0042% ACE USA COMPANIES 0.3124% 0.8281% ACGS MARINE INSURANCE COMPANY 0.0779% 0.2065% AEGIS SECURITY
South Carolina Wind and Hail Underwriting Association
Page 1 of 6 ACE USA GROUP 0.4788% 0.5914% AEGIS SECURITY INSURANCE COMPANY 0.7279% 0.8990% AFFILIATED FM INSURANCE COMPANY 0.1471% 0.1817% ALEA NORTH AMERICA INSURANCE COMPANY 0.0198% 0.0245% ALLIANZ GLOBAL
Chattanooga - Murfreesboro - Knoxville
A I SOUTH 800-242-2923 A I Transport 800-426-3168 Ace/Cigna 678-795-4000 ACE - EPL 212-453-3649 ACE Professional Liability 646-458-7000 ACE Auto Property Marine GL 800-433-0385 ACE/ESIS 800-830-6823 Accident
NORTH CAROLINA 2009 PARTICIPATION BASED ON 2008 CALENDAR YEAR
ACE USA 626 0.539% 0.035% 1.823% 0.053% 3.208% 0.371% ACE AMERICAN INSURANCE COMPANY ACE FIRE UNDERWRITERS INS. COMPANY ACE PROPERTY & CASUALTY INS CO BANKERS STANDARD INSURANCE COMPANY CENTURY INDEMNITY
South Carolina Wind and Hail Underwriting Association
Page 1 of 5 ACE USA 0.4443% 0.5556% AEGIS SECURITY INSURANCE COMPANY 0.4699% 0.5876% AFFILIATED FM INSURANCE COMPANY 0.0886% 0.1108% ALEA NORTH AMERICA INSURANCE COMPANY 0.0059% 0.0074% ALLIANZ GLOBAL
STATEMENT OF PARTICIPATION FOR CALENDAR YEAR ENDING DECEMBER 31, 2015 BASED ON PREMIUM WRITINGS FOR PERIOD JANUARY 1, 2014 TO DECEMBER 31, 2014
ACADIA INSURANCE COMPANY 31325 0.010% 0.000% 0.042% 0.000% 0.052% 0.007% ACE USA 626 0.465% 0.000% 1.522% 0.031% 2.247% 0.335% ACE AMERICAN INSURANCE COMPANY ACE FIRE UNDERWRITERS INS. COMPANY ACE PROPERTY
NORTH CAROLINA 2014 PARTICIPATION BASED ON 2013 CALENDAR YEAR
ACADIA INSURANCE COMPANY 31325 0.010% 0.000% 0.042% 0.000% 0.051% 0.008% ACE USA 626 0.486% 0.000% 1.562% 0.000% 2.320% 0.352% ACE AMERICAN INSURANCE COMPANY ACE FIRE UNDERWRITERS INSURANCE COMPANY ACE
Hurricane Hermine Claims Data List of Companies Reporting Claims Companies Filed as of March 3, 2017 (282)
Hurricane Hermine Claims Data List of Companies Reporting Claims Companies Filed as of March 3, 2017 (282) ACE AMERICAN INSURANCE COMPANY ACE FIRE UNDERWRITERS INSURANCE COMPANY ACE INSURANCE COMPANY OF
STATEMENT OF PARTICIPATION FOR CALENDAR YEAR ENDING DECEMBER 31, 2016 BASED ON PREMIUM WRITINGS FOR PERIOD JANUARY 1, 2015 TO DECEMBER 31, 2015
ACADIA INSURANCE COMPANY 31325 0.005% 0.000% 0.021% 0.000% 0.028% 0.003% ADM INSURANCE COMPANY 33987 0.000% 0.000% 0.000% 0.000% 0.000% 0.000% AEGIS SECURITY INSURANCE COMPANY 33898 0.005% 0.008% 0.000%
NORTH CAROLINA 2013 PARTICIPATION (REVISED) BASED ON 2012 CALENDAR YEAR
ACADIA INSURANCE COMPANY 31325 0.010% 0.000% 0.041% 0.000% 0.052% 0.008% ACE USA 626 0.464% 0.000% 1.263% 0.036% 2.109% 0.338% ACE AMERICAN INSURANCE COMPANY ACE FIRE UNDERWRITERS INS. COMPANY ACE PROPERTY
STATEMENT OF PARTICIPATION FOR CALENDAR YEAR ENDING DECEMBER 31, 2017 BASED ON PREMIUM WRITINGS FOR PERIOD JANUARY 1, 2016 TO DECEMBER 31, 2016
ACADIA INSURANCE COMPANY 31325 0.001% 0.000% 0.003% 0.000% 0.005% 0.001% ADM INSURANCE COMPANY 33987 0.000% 0.000% 0.000% 0.000% 0.000% 0.000% AEGIS SECURITY INSURANCE COMPANY 33898 0.010% 0.016% 0.000%
Rating Board Membership Updated: 4/20/2018. Page 1. Carrier Member Name
Page 1 00452 Acadia Insurance Company 03106 Accident Fund General Insurance Company 01788 Accident Fund Insurance Company of America 03487 Accident Fund National Insurance Company 00632 ACE American Insurance
2016 MN FAIR Plan Participation Factors Participation Share
25143 176 STATE FARM FIRE AND CASUALTY COMPANY 0 0 19,666,818 13,098,101 510,663,308 34,497,235 558,258,644 0.193591 19275 473 AMERICAN FAMILY MUTUAL INSURANCE COMPANY 218,153 190,725 14,717,954 9,802,157
2016 MN FAIR Plan Participation Factors Alphabetic
31325 98 ACADIA INSURANCE COMPANY 185 1,005 0 0 0 54,460 55,650 0.000019 20010 225 ACCEPTANCE INDEMNITY INSURANCE COMPANY 0 0 0 0 5,327,371 23,596 5,350,967 0.001856 22667 626 ACE AMERICAN INSURANCE COMPANY
2017 MN FAIR Plan Participation Factors Participation
25143 176 STATE FARM FIRE AND CASUALTY COMPANY 0 0 22,401,315 14,932,717 539,756,468 35,541,417 590,230,602 0.197330 19275 473 AMERICAN FAMILY MUTUAL INSURANCE COMPANY 221,178 207,462 15,142,460 10,093,964
The Surety & Fidelity Association of America Serving the Industry Since 1908 Membership List
Member Acadia Insurance Company, Group: W.R. Berkley Corporation Group Accredited Surety & Casualty Company, Group: Accredited Surety & Casualty Company, Inc. ACE American Insurance Company, Group: Chubb
2018 MN FAIR Plan Participation Factors Alphabetic
31325 98 ACADIA INSURANCE COMPANY 0 0 0 0 0 235,094 235,094 0.000077 20010 225 ACCEPTANCE INDEMNITY INSURANCE COMPANY 0 0 0 0 216,116 11,194 227,310 0.000075 22667 626 ACE AMERICAN INSURANCE COMPANY 15,683
2018 MN FAIR Plan Participation Factors Particiaption Factors
25143 176 STATE FARM FIRE AND CASUALTY COMPANY 0 0 22,182,467 14,640,428 538,603,066 35,411,439 588,654,933 0.193762 19275 473 AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I. 203,649 198,036 15,713,180
Sorted by Company Name Company
Sorted by Company Name Company Number Name 102 Acadia Insurance Company 100 Acadia Insurance Company 261 ACE American Insurance Company 263 ACE Fire Underwriters Insurance Company 264 ACE Indemnity Insurance
NORTH CAROLINA 2012 PERCENTAGES (REVISED) BASED ON 2011 CALENDAR YEAR
ACADIA INSURANCE COMPANY 31325 0.019% 0.000% 0.080% 0.000% 0.086% 0.014% ACE USA 626 0.437% 0.000% 1.587% 0.014% 2.942% 0.305% ACE AMERICAN INSURANCE COMPANY ACE FIRE UNDERWRITERS INS. COMPANY ACE PROPERTY
GRAND TOTAL 847,190,072 60,329, ,519, ,786,174 1,387,431 N/A N/A N/A N/A -
Appendix Table 1a: Summary of Oregon workers' compensation Insurance business by type of insurer for calendar year 2005 (excludes workers' compensation premium assessment) Earned large Total-system deductible
CAOM / MWCPF Calendar Year 2016 Direct Written Premium Verification Report
21St Century Centennial Insurance Company 18198 12661 34789 $ 21St Century Security Insurance Company 12661 12661 23833 $ Acadia Insurance Company 33391 34681 31325 $ 683,132 Acceptance Insurance Company
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ISRB Affiliated Insurers Name of Insurer Status NAIC License 21ST CENTURY CENTENNIAL INS CO. S 34789 21ST CENTURY NATIONAL INS CO. INC S 36587 ID 21ST CENTURY INDEMNITY INS CO. S 43974 ID 21ST CENTURY
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DOMESTIC 23892 NORTH PACIFIC INSURANCE CO. OR 166,373 169,516 0 81,309 93,871 74,879 12,095 20338 NORTHWESTERN PACIFIC INDEMNITY COMPANY OR 699 614 0 185 0-51 362 14907 OREGON MUTUAL INSURANCE COMPANY
2015 MN FAIR Plan Participation Factors Alphabetic
31325 98 ACADIA INSURANCE COMPANY 0 0 0 0 0 3,440 3,440 0.000001218 20010 225 ACCEPTANCE INDEMNITY INSURANCE COMPANY 0 0 0 0 0 21,713 21,713 0.000007691 22667 626 ACE AMERICAN INSURANCE COMPANY 31,447
2015 MN FAIR Plan Participation Factors Company Code
10014 65 AFFILIATED FM INSURANCE COMPANY 4,199,524 2,086,416 0 0 17,339 1,000,416 7,303,695 0.002586906 10030 626 WESTCHESTER FIRE INSURANCE COMPANY 3,065 1,641 0 0 0 0 4,706 0.000001667 10052 38 CHUBB
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EASTERN HOLDING CO ALLIED EASTERN INDEMNITY CO
TN Workers' Compensation Loss Cost Multiplier Listing Recorded as of February 1, 2017 Company Name Group Name Eff Date Selected LCM ACADIA UNION STANDARD 01-Mar-16 1.29 ACCIDENT FUND GENERAL ACCIDENT FUND
2014 MN FAIR Plan Participation Factors Company Code
10014 65 AFFILIATED FM INSURANCE COMPANY 3,797,281 1,971,790 0 0 17,577 917,368 6,704,016 0.00255614 10030 626 WESTCHESTER FIRE INSURANCE COMPANY 998 322 0 0 0 0 1,320 0.00000050 10052 38 CHUBB NATIONAL
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OREGON INSURANCE DIVISION STATE PAGE LINE: COMMERCIAL AUTO PHYSICAL DAMAGE DOMESTIC
DOMESTIC 40541 GROCERS INSURANCE COMPANY OR 72,599 70,657 0 33,463 26,063 42,797 51,885 23892 NORTH PACIFIC INSURANCE CO. OR 3,127,965 3,094,116 0 1,515,358 2,072,401 1,921,749 135,527 20338 NORTHWESTERN
NORTH CAROLINA DEPARTMENT OF INSURANCE NORTH CAROLINA PROPERTY AND CASUALTY - HOMEOWNERS MUTIPLE PERIL BUSINESS FOR THE YEAR ENDED DECEMBER 31, 2011
Rank Name NORTH CAROLINA DEPARTMENT OF INSURANCE Cumulative 1 25143 State Farm Fire & Cas Co Property and Casualty IL 383,175,444 383,577,608 362,634,220 378,864,013 19.5% 19.5% 2 14842 North Carolina
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2012 MN FAIR Plan Participation Factors Company Name
20010 225 ACCEPTANCE INDEMNITY INSURANCE COMPANY 0 0 0 0 0 13,609 13,609 0.00000596 22667 626 ACE AMERICAN INSURANCE COMPANY 328 134,115 0 0 0 3,993,200 4,127,643 0.00180648 20702 626 ACE FIRE UNDERWRITERS
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DOMESTIC 21636 FARMERS INSURANCE COMPANY OF OREGON OR 77,516,931 74,979,889 0 19,799,161 51,834,115 51,492,066 7,276,135 23892 NORTH PACIFIC INSURANCE CO. OR 13,380,874 13,276,253 0 3,964,570 8,063,971
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NORTH CAROLINA DEPARTMENT OF INSURANCE NORTH CAROLINA PROPERTY AND CASUALTY - HOMEOWNERS MUTIPLE PERIL BUSINESS FOR THE YEAR ENDED DECEMBER 31, 2012
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ACCEPTANCE INDEMNITY INSURANCE COMPANY.0008 %.0010 %.0012 % ACCREDITED SURETY & CASUALTY COMPANY, INC..0000 %.0000 %.0000 % ACE AMERICAN INSURANCE COMPANY.2944 %.3768 %.4407 % ACE EMPLOYERS INSURANCE COMPANY.0000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70
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