INSURER ID INSURER NAME W010003 TRAVELERS CASUALTY ...

INSURER_ID W010003 W010250 W010508 W010631 W010441 W014005 W015754 W018758 W019004 W019509 W019632 W019576 W018883 W021000 W022008 W022131 W022503 W025506 W027007 W028005 W029003 W024509 W058002 W063002 W063507 W067508 W069009 W071005 W071070 W071133 W074009 W075006 W076004 W073324 W073381 W076947 W076962 W077002 W078000 W078133 W076996 W077508 W076972

INSURER_NAME TRAVELERS CASUALTY & SURETY CO ATTN: JULIET ASAFO ACADIA INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG TRAVELERS CASUALTY INS CO OF AMERICA TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA ACCREDITED SURETY AND CASUALTY COMPANY, INC GREAT AMERICAN ASSURANCE CO PDC WC TEAM AIU INSURANCE CO ATTN JIMMY FRAZIER ALLIED EASTERN INDEMNITY CO ACE AMERICAN INSURANCE CO WORKERS COMPENSATION UNDRWTG ST. PAUL PROTECTIVE INS CO ATTN: PAULA FELKER ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY AMERICAN AUTOMOBILE INS CO WORKERS' COMPENSATION UNDWRG AMERICAN CASUALTY CO OF READING, PENNSYLVANIA BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY AMERICAN ECONOMY INS CO AMERICAN FIRE & CASUALTY CO WORKERS COMPENSATION UNDRWTG AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY MOTORISTS COMMERCIAL MUTUAL INSURANCE COMPANY AMERICAN HOME ASSURANCE CO AMERICAN FAMILY HOME INS CO COMMERCE AND INDUSTRY INS CO CONTINENTAL CASUALTY COMPANY CONTINENTAL INDEMNITY COMPANY CRUM & FORSTER INDEMNITY CO WORKERS' COMPENSATION UNDWRG SENTRY SELECT INSURANCE COMPANY SENECA INSURANCE COMPANY INC EASTERN ALLIANCE INSUR COMPANY WORKERS COMPENSATION UNDRWTG EASTGUARD INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG EMPLOYERS FIRE INSURANCE CO EMPLOYERS MUTUAL CASUALTY CO DENNIS BECKMAN CPCU EMPLOYERS INSURANCE COMPANY OF WAUSAU EMPLOYERS ASSURANCE COMPANY EMPLOYERS COMPENSATION INSURANCE COMPANY ERIE INSURANCE COMPANY OF NEW YORK ERIE INSURANCE PROPERTY & CASUALTY COMPANY EXCELSIOR INSURANCE CO WORKERS COMPENSATION UNDRWTG SELECTIVE INSURANCE CO OF NY NORTHEAST REGION FDM PREFERRED INSURANCE COMPANY INC EXECUTIVE RISK INDEMNITY INC EXPLORER INSURANCE COMPANY EVEREST DENALI INSURANCE COMPANY

W076980 W079503 W080006 W082002 W082135 W084503 W085005 W085500 W085575 W086003 W030001 W031504 W031251 W036578 W036636 W036669 W036885 W036722 W036653 W039507 W040257 W043251 W043889 W045009 W043822 W044507 W043799 W048250 W049753 W050322 W050389 W054001 W054134 W054571 W054382 W055388 W056253 W056329 W056691 W087258 W087381 W087449 W088637 W088751

EVEREST PREMIER INSURANCE COMPANY FARMINGTON CASUALTY COMPANY ATTN: PAULA FELKER FEDERAL INSURANCE COMPANY C/O CHUBB & SON - PRODUCT SERV FEDERATED MUTUAL INS CO WORKERS COMPENSATION UNDRWTG FEDERATED RESERVE INSURANCE COMPANY FIDELITY & GUARANTY INS CO ATTN: PAULA FELKER FIDELITY & GUARANTY INS UND INC ATTN: PAULA FELKER FIRE DISTRICTS OF NEW YORK MUTUAL INSURANCE COMPANY FIRE DISTRICTS INSURANCE COMPANY INC FIREMANS FUND INSURANCE CO ATTN: ELIZABETH SAYERS AMERICAN INSURANCE CO WORKERS' COMPENSATION UNDWRG AMERICAN MODERN HOME INS CO BERKLEY CASUALTY COMPANY COMPANY AMERICAN STATES INSURANCE CO AMERICAN ZURICH INSURANCE CO AMGUARD INSURANCE COMPANY WORKERS COMPENSATION UNDRWTG ARCH INDEMNITY INSURANCE CO AMTRUST INSURANCE COMPANY AMERISURE PARTNERS INSURANCE COMPANY THE TRAVELERS CASUALTY COMPANY ATTN: PAULA FELKER ATLANTIC SPECIALTY INS CO OBI-BIS DEPARTMENT BANKERS STANDARD INS CO WORKERS COMPENSATION UNDRWTG BERKLEY REGIONAL INS COMPANY AIG PROPERTY CASUALTY COMPANY BERKLEY NATIONAL INSURANCE CO BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY BERKLEY INSURANCE COMPANY BROTHERHOOD MUTUAL INS CO CALIFORNIA INSURANCE COMPANY CAPITOL INDEMNITY CORPORATION CAROLINA CASUALTY INS CO WORKERS' COMPENSATION UNDWRG CHARTER OAK FIRE INS CO ATTN:PAULA FELKER CHEROKEE INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG COREPOINT INSURANCE COMPANY SUITE 300 CHIRON INSURANCE COMPANY CINCINNATI CASUALTY COMPANY WORKERS COMPENSATION UNDRWTG CITIZENS INS CO OF AMERICA C/O HANOVER INSURANCE GROUP CLERMONT INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIREMANS INSURANCE COMPANY OF WASHINGTON DC ARCH INSURANCE CO HARBORSIDE 3 FIRST LIBERTY INS CORPORATION FLAGSHIP CITY INSURANCE CO FLORISTS' INSURANCE CO

W089007 W089502 W089759 W089254 W091755 W093009 W095509 W098008 W099006 W100002 W099502 W100101 W101000 W101257 W101752 W101696 W101828 W104509 W104756 W105001 W106009 W104889 W112254 W112502 W114508 W115000 W115505 W116008 W117006 W117253 W118251 W121008 W122253 W122634 W123509 W124002 W132500 W132633 W133508 W133756 W134886 W135008 W135255 W138002

FLORISTS MUTUAL INSURANCE CO WORKERS COMPENSATION UNDRWTG FOREMOST PROPERTY AND CASUALTY INS CO FOREMOST SIGNATURE INSURANCE COMPANY FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN GENERAL CASUALTY COMPANY OF WISCONSIN GENERAL INS CO OF AMERICA GLOBAL LIBERTY INS CO OF NY ATTN: MIKE RAGAB GRANITE STATE INSURANCE CO GRAPHIC ARTS MUTUAL INS CO GREAT AMERICAN INS CO PDC WC TEAM GRAY INSURANCE COMPANY GREAT AMERICAN SPIRIT INSURANCE COMPANY GREATER NEW YORK MUTUAL INSURANCE COMPANY GREENWICH INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG GUIDEONE MUTUAL INS CO GUIDEONE ELITE INSURANCE COMPA GUIDEONE SPECIALTY MUTUAL INSU HARCO NATIONAL INSURANCE CO WORKERS COMPENSATION UNDRWTG HARLEYSVILLE INSURANCE COMPANY HARTFORD ACCIDENT & INDEMNITY COMPANY HARTFORD CASUALTY INSURANCE CO HARLEYSVILLE PREFERRED INS CO ILLINOIS NATIONAL INS CO INDEMNITY INSURANCE CO OF NORTH AMERICA -- WC UNDRWTG MARKEL INS CO INSURANCE COMPANY OF GREATER NEW YORK PRAETORIAN INSURANCE COMPANY ATTN JASON ANDERSON INSURANCE COMPANY OF NORTH AMERICA INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA INSURANCE COMPANY OF THE WEST XL SPECIALTY INSURANCE CO OAK RIVER INSURANCE CO WORKERS' COMPENSATION UNDWRG CLEAR SPRING PROPERTY AND CASUALTY COMPANY KEY RISK INSURANCE COMPANY LIBERTY MUTUAL FIRE INS CO LIBERTY MUTUAL INSURANCE CO MAIN STREET AMERICA ASSURANCE COMPANY MAINE EMPLOYERS' MUTUAL INSURANCE COMPANY MANUFACTURERS ALLIANCE INSURANCE COMPANY MARKEL AMERICAN INSURANCE COMPANY MERCHANTS PREFERRED INSURANCE COMPANY MERCHANTS MUTUAL INS CO STAFF UNDERWRITING MANAGER MERCER INSURANCE COMPANY MIDDLESEX INSURANCE COMPANY WORKERS COMPENSATION UNDRWTG

W139638 W147003 W148001 W148639 W148753 W148888 W152003 W152508 W153001 W154009 W158000 W160709 W160816 W161004 W165005 W165500 W166003 W165759 W168504 W170005 W172001 W175509 W177000 W179758 W179881 W179829 W183693 W184006 W185250 W184501 W187751 W188254 W192579 W195002 W197073 W199509 W200000 W200133 W200190 W200167 W200159 W202758 W203004 W203509

MIDWEST EMPLOYERS CASUALTY CO WORKERS' COMPENSATION UNDWRG NATIONAL FIRE INSURANCE CO OF HARTFORD NGM INSURANCE COMPANY WORKERS COMPENSATION UNDRWTG NATIONAL INTERSTATE INSURANCE COMPANY NATIONAL LIABILITY AND FIRE INS CO NATIONAL SPECIALTY INSURANCE COMPANY NATIONWIDE MUTUAL INSURANCE COMPANY NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY NETHERLANDS INSURANCE CO WORKERS COMPENSATION UNDRWTG NEW HAMPSHIRE INSURANCE CO HARTFORD UNDERWRITERS INS CO ATTN DAVID BRENNER NORTH AMERICAN ELITE INS CO DISCOVER PROP & CAS INS CO ATTN: PAULA FELKER NORTH RIVER INS CO C/O CRUM & FORSTER CORP OHIO CASUALTY INSURANCE CO MR DAVID PELLEGRINI OHIO SECURITY INSURANCE CO OLD REPUBLIC INSURANCE CO WORKERS COMPENSATION UNDRWTG OLD DOMINION INSURANCE COMPANY PATRIOT GENERAL INSURANCE CO WORKERS COMPENSATION UNDRWTG PEERLESS INSURANCE CO PENNSYLVANIA INSURANCE CO PETROLEUM CASUALTY CO AVA HARTMAN PHOENIX INSURANCE CO ATTN: PAULA FELKER PRINCETON INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG PROCENTURY INSURANCE COMPANY ATT: NYS WORK COMP UNDERWRITIN PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE EVEREST NATIONAL INS COMPANY WORKERS' COMPENSATION UNDWRG PUBLIC SERVICE INSURANCE CO IN REHABILITATION RLI INSURANCE CO QBE INSURANCE CORPORATION REPUBLIC FRANKLIN INS CO RIVERPORT INSURANCE COMPANY SAMSUNG FIRE & MARINE INS CO LTD ST PAUL MERCURY INSURANCE CO ATTN: PAULA FELKER SECURITY NATIONAL INSURANCE CO SENTINEL INSURANCE CO LTD SENTRY INSURANCE COMPANY SENTRY CASUALTY COMPANY SOMPO AMERICA FIRE & MARINE INSURANCE COMPANY SIRIUSPOINT AMERICA INS CO LINDA S LIEBERMAN SEQUOIA INSURANCE COMPANY STARNET INSURANCE COMPANY WORKERS COMPENSATION UNDERWRTG STATE FARM FIRE AND CASUALTY COMPANY STATE FARM GENERAL INSURANCE COMPANY

W204002 W202824 W207252 W207328 W209753 W209886 W211007 W214001 W214506 W215008 W213255 W213136 W218382 W218440 W221501 W221634 W221758 W222004 W222509 W223002 W221600 W221889 W222757 W225445 W225486 W227060 W227102 W227169 W227888 W228001 W227946 W047005 W047757 W046007 W047500 W186506 W186440 W160667 W160626 W160659 W160675 W019756 W020002 W020754

STATE INSURANCE FUND STARR SPECIALTY INSURANCE COMPANY T H E INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG TNUS INSURANCE COMPANY TRANS PACIFIC INSURANCE CO WORKERS COMPENSATION UNDRWTG TRANSGUARD INSURANCE COMPANY OF AMERICA INC TRANSPORTATION INSURANCE CO TRUCK INSURANCE EXCHANGE DIR OF WORKERS COMPENSATION TRUMBULL INSURANCE COMPANY TWIN CITY FIRE INSURANCE CO ATTN DAVI BRENNER TRI-STATE INSURANCE COMPANY OF MINNESOTA TRI-STATE CONSUMER INS CO UNION INSURANCE COMPANY C/O ACADIA INSURANCE COMPANY UNITED FARM FAMILY INS CO ATT: JOHN HEIMERDINGER UNIVERSAL UNDERWRITERS INSURANCE COMPANY HIGHVIEW NATIONAL INSURANCE COMPANY UTICA NATIONAL ASSURANCE CO UTICA MUTUAL INS CO UTICA NATIONAL INSURANCE CO OF TEXAS ALLIANCE NATIONAL INSURANCE CO UNITED WISCONSIN INSURANCE CO UTICA NATIONAL INS CO OF OHIO MARTHA DUMONT, DATA MGR SUP UTICA SPECIALTY RISK INSURANCE COMPANY WAUSAU BUSINESS INSURANCE CO WAUSAU GENERAL INSURANCE CO WESTPORT INSURANCE CORP WORKERS' COMPENSATION UNDWRG MOUNTAIN VALLEY INDEMNITY CO WILLIAMSBURG NATIONAL INS CO WORKERS' COMPENSATION UNDWRG ZENITH INSURANCE COMPANY ZURICH AMERICAN INSURANCE CO ZURICH AMERICAN INSURANCE CO OF ILLINOIS BITCO NATIONAL INSURANCE COMPANY BLUE RIDGE INDEMNITY COMPANY BITCO GENERAL INSURANCE CORPORATION ROOT PROPERTY & CASUALTY INSURANCE COMPANY REGENT INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG REDWOOD FIRE AND CASUALTY INSURANCE COMPANY NORTH POINTE INSURANCE CO NIPPONKOA INSURANCE CO, LTD PAULA FELKER NORGUARD INSURANCE COMPANY NORTH AMERICAN SPECIALTY INSURANCE COMPANY ALLSTATE INDEMNITY COMPANY ALLSTATE INSURANCE COMPANY AMERICAN ALTERNATIVE INS CORP WORKERS' COMPENSATION UNDWRG

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