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1 A I SOUTH A I Transport Ace/Cigna ACE - EPL ACE Professional Liability ACE Auto Property Marine GL ACE/ESIS Accident Fund Aeon Affiliated FM Affinity Insurance AIG - Environmental/Pollution Claims PIER NOW AIG - EPL CLAIMS AIG - NY AIG Early Notice WC,GL & Auto AIG Personal Lines Allianz Alexander General Agency Allied World (AWAC) All Risks, LTD/Great American All Risks, Ltd American Equity/ALMA American Professional Liab. Underwriters American Safety American Wholesalers American Wholesalers/Broadspire / & contact is Heath McMillan for WIP Amerisafe/American Interstate Amerisure AMWins Brokerage of GA Anchor Managing Gen'l Agency Appalachian Underwriters ARA American Rental Assoc Argonaut Insurance Arthur J. Gallagher Arthur J. Gallagher - AUTO AS Montgomery Ins Associated Underwriters Associates Ins Atlantic reporting Atlantic - Atlanta Audubon Audubon - New Claims Auto Owners Axis Beacon Hill Associates Beazley Insurance Berkley Net Underwriters Berkshire Hathaway Homestate Bituminous Ins. Co
2 Bridgeport Casualty Ins. Co Bridgeworks Commercial Mgmt Brown & Riding Builders Insurance Group - WC Bunker Hill Agency CCU C & F Reporting C & F- Atlanta CGU (Montgomery Ins) CJW CNA -TN Canal Insurance / Carolina Casualty Casualty & Surety Insurance Center for Spec Risk Central Insurance Company Chubb Reporting Chubb - Atlanta Cigna Cincinnati Insurance Colemont Insurance Brokers Colony Insurance Columbia Insurance / Commercial Underwriters Companion Property & Casualty Cooper, Gay - Southeast Coregis Cover X CRC - AL Crum & Forester Crum & Forester - WC Darwin Professional/Darwin Select Deep South Diamond State EMC-TN/Employers Mutual Empire Fire & Marine Employers Preferred Ins. Co Encompass Encompass Regional Claims EIS Environmental Ins. Services Everest National (SEE FARA) Executive Risk FARA (F.A. Richard & Assoc.) FARA - USL&H CLAIMS FARA Nashville Office Farmers Insurance FCCI Insurance FFVA FFVA WC Phone # Fireman's Fund
3 Fireman's Fund Ocean Marine First State Management Foremost Ins. Co Frank Gates GA Casualty GA Casualty Reporting GA Underwriters Assoc GAB Robbins-FL Gabor Insurance Gabor Insurance Gallagher Bassett Gallagher Bassett Gallagher Bassett Gallagher Bassett GEICO General Accident General Casualty General Casualty Des Moines Office Generali (Anchor) Gennesse Gen"l Agency Glass Doctor Global Indemnity Group Grange Mutual Grange Glass Claims Great American Great American - WC Great Central Greenwich Gresham & Associates Grocers Insurance Grocers WC GTU Guardian Guide One Gulf Insurance Hanover Reporting Hanover - Atlanta Hanover - SPECIAL ACCOUNTS Harleysville Hartford Archway Captive Hartford NC - Property Hartford Orlando - AUTO/GL Hartford WC - Orlando Hartford Dedicated Comm'l Lines Hartford - SRS (Specialty Risks) Hartford Teleclaim HBW Insurance Services Heath Ins Brokers Highlands Insurance Hull & Co. Broker x396
4 I R I/ Swiss Re Ian H. Ingram Indiana/Montgomery Insurance Indiana Lumbermen's Mutual Innovative Risk Mgmt Insurance House Insurance Professionals Irving Webber Associates James River Ins. Co Jefferson Pilot Johnson & Johnson K & K Insurance Kemper Atlanta Kemper-New Loss Kemper-pers lines Key Risks Key Risk Management Lexington Ins Liberty Mutual - Commercial Liberty Mutual - Personal Lincoln General Lumberman's - Atlanta Lumberman's - Florida Mark Adjustment Markel Insurance Co Markel Insurance Co Maryland/Zurich - ALL OTHER STATES Maryland/Zurich - GA/FL Maryland/Zurich - NC/SC Metlilfe Middle Oaks Insurance Co Midwest Underwriting Svc Mitsui Sumitomo (Great American) Mitsui Marine (Great American) Montgomery Ins Reporting Montgomery Ins. - Atlanta Ofc Montgomery Ins. - Charlotte Off NAPCO, LLC Nationwide AgriBusiness Nautilus Nobel Insurance Norman Spencer McKeman Norman Spencer McKeman-Chatt Claims Northpoint Underwriters OccuSure Ohio Casualty One Beacon PMA - WC Pacesetter Patriot Underwriters
5 Penco Pennsylvania Lumbermen's Mutual Penn National Philadelphia Insurance Preferred Risk/Guidance Preferred Serv. Legion Program Mgmt. Services Progressive Insurance Risk Placement Service Royal Reporting Safeco Reporting Safeco - Atlanta Safelite Solution / Scottsdale Insurance Selective Insurance Sentry Shand Morehan Socius Insurance Services X 353 Southern General Southern Guaranty Southern Insurance Underwriters Southern Pilot Southern Risk Spec Specialty Brokerage Services St. Paul - Atlanta St. Paul - Orlando St. Paul 800 Reporting State Auto Strategic Comp Services, LLC / Strickland General Agency Summitt Holdings TML-Tenn. Mutual League Risk Mgm Pool TIG Tokio Marine Auto & GL Claims Tokio Marine Property Claims Tokio Marine WC Thomco Trans Ins. Spec Travelers Travelers Reporting Travelers EPL Claims & Bonds Union Standard United Fire Group United Group - Captive Ins Unitran Business Insurance Unitrin USAA USF&G Reporting USF&G - Atlanta Utica Insurance
6 Vesta Insurance Watson Family Insurance Wausau Wausau - AUTO & GL & WC Wausau - PROPERTY Weisburger Westfield Group- Ohio / Westfield Knox Office Westfield - Nashville Office Westfield Glass Serv. Repair Prgm Westrope WIP Willis Recycle Guard Program Wood & Company Wood Special Risk XL Group Yasuda York Claims Service Zenith Zurich Zurich - Claims Zurich - Tampa KEMPER
Claims Reporting Phone Numbers
Abercrombie 800-580-2334 713-690-2371 Accident Fund 866-206-5851 866-814-5595 Accident Fund (Medical Bills) 517-316-2747 Ace Group (WC) 800-830-6823 800-884-7975 Ace Group First Notice System 866-300-8206
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
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
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
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
ACE USA - Aviation only
Carrier Phone Website URL Acceptance Indemnity 866-576-7971 http://www.iatinsurancegroup.com/claims Access General 800-533-7439 https://www.access.com/claimsintake/external Accident Fund 866-206-5851 http://www.accidentfund.com/accident-fund-toolbox/claims/
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
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
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%
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
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
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
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
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
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
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
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
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
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
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
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 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
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, 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
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
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%
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OREGON INSURANCE DIVISION STATE PAGE LINE: 24 - SURETY FOREIGN
22950 ACSTAR INSURANCE COMPANY IL 56,410 49,910 0 8,153 0 11,222 89,396 19097 ALLIED MUTUAL INSURANCE COMPANY IA 115,811 115,599 0 51,718 2,885 14,885 14,530 19232 ALLSTATE INSURANCE COMPANY IL 2,466 3,122
OREGON INSURANCE DIVISION STATE PAGE LINE: 16 - WORKERS' COMPENSATION DOMESTIC
DOMESTIC 18813 DENTISTS BENEFITS INSURANCE COMPANY (OR) OR 86,392 311,776 0-14,471 291,659 177,982 260,619 40541 GROCERS INSURANCE COMPANY OR 6,086,379 5,794,123 208,865 471,551 3,060,447 2,968,972 6,654,757
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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
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NORTH CAROLINA DEPARTMENT OF INSURANCE NORTH CAROLINA PROPERTY AND CASUALTY - HOMEOWNERS MUTIPLE PERIL BUSINESS FOR THE YEAR ENDED DECEMBER 31, 2011
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OREGON INSURANCE DIVISION STATE PAGE LINE: PRIVATE PASSENGER AUTO PHYSICAL DAMAGE DOMESTIC
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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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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
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