CarrierID

CARRIER ID CARRIER NAME 1 CARRIER NAME 2
COMPENSATION
COMPANY WORKERS'
UNDWRG INSURANCE
W010250 ACADIA
UNDRWTG
COMPENSATION
W019004 ACE AMERICAN INSURANCE CO WORKERS
W011001 ACE FIRE UNDERWRITERS INSURANCE COMPANY
COMPENSATION
UNDWRG
W054696 ACE INDEMNITY INSURANCE CO WORKERS'
COMPANY
W012009 ACE PROPERTY AND CASUALTY INSURANCE
W036545 ACIG INSURANCE COMPANY
COMPENSATION
UNDWRG W082507 ADMIRAL INDEMNITY CORP WORKERS'
COMPANY
W012132 ADVANTAGE WORKERS COMPENSATION INSURANCE
W016448 AETNA LIFE INSURANCE COMPANY
W119259 AGCS MARINE INSURANCE COMPANY ELIZABETH SAYERS
W015754 AIU INSURANCE CO ATTN JIMMY FRAZIER
W016380 ALEA NORTH AMERICA INS CO
UNDRWTG
COMPENSATION
W016505 ALL AMERICA INSURANCE CO WORKERS
W018006 ALLIANCE ASSURANCE CO LTD
W223002 ALLIANCE NATIONAL INSURANCE CO
W018758 ALLIED EASTERN INDEMNITY CO
BENEFIT INSURANCE
COMPANY
FINANCIAL
W019632 ALLMERICA
W019756 ALLSTATE INDEMNITY COMPANY RICH YOCIUS
INSURANCE COMPANY RICH YOCIUS
W020002 ALLSTATE
UNDWRG
COMPENSATION
W020754 AMERICAN ALTERNATIVE INS CORP WORKERS'
UNDRWTG
COMPENSATION
W026009 AMERICAN AND FOREIGN INS CO WORKERS
AUTOMOBILE INS CO WORKERS' COMPENSATION UNDWRG
W021000 AMERICAN
W022008 AMERICAN CASUALTY CO OF READIN ATT:KIMBERLY BEEM
W022503 AMERICAN ECONOMY INS CO WORKERS
UNDRWTG
COMPENSATION
COMPENSATION UNDRWTG
W025506 AMERICAN FIRE & CASUALTY COMPA WORKERS
& MARINE IN INSURANCE CO.
FIRE
FUJI
W026504 AMERICAN
W027007 AMERICAN GUARANTEE & LIAB
COMPANY
MUTUAL INSURANCE
W028005 AMERICAN
HARDWARE
W029003 AMERICAN HOME ASSURANCE CO
UNDWRG
COMPENSATION
W030001 AMERICAN INSURANCE CO WORKERS'
MANUFACTURERS MUTL INSURANCE COMPANY
W031009 AMERICAN
COMPENSATION
CO WORKERS
UNDERWTG W032007 AMERICAN
MOTORIST
INS
INS CO WORKERS COMP UNDERWRITER
PROTECTION
W036503 AMERICAN
SAFETY CASUALTY INS
W036529 AMERICAN
COMPENSATION
UNDWRG
CO WORKERS'
W036578 AMERICAN
STATES
INSURANCE
W036636 AMERICAN ZURICH INSURANCE CO
W037501 AMERISURE INS CO WORKERS COMPENSATION UNDRWTG
W137004 AMERISURE MUTUAL INSURANCE CO WORKERS COMPENSATION UNDRWTG
UNDRWTG
W036669 AMGUARD INSURANCE COMPANY WORKERS
COMPENSATION
W087381 ARCH INSURANCE CO C/O LYNDA FOSSING
UNDRWTG
W037006 ARGONAUT INSURANCE COMPANY WORKERS
COMPENSATION
UNDRWTG W037253 ARGONAUT-MIDWEST INS CO WORKERS
COMPENSATION
W191001 ARROWOOD INDEMNITY CO WORKERS COMPENSATION UNDRWTG
UNDWRG
W038004 ASSOCIATED INDEMNITY CORP WORKERS'
COMPENSATION
W039002 ASSURANCE CO OF AMERICA
W039507 ATHENA ASSURANCE COMPANY PAULA FELKER
W040000 ATLANTIC MUTUAL INSURANCE CO WORKERS' COMPENSATION UNDWRG
INS CO OBI-BIS DEPARTMENT
SPECIALTY
W040257 ATLANTIC
W041503 AUTO INS CO OF HARTFORD CONN PAULA FELKER
Page 1 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
INC
W042386 BANCINSURE
W043251 BANKERS STANDARD INS CO WORKERS COMPENSATION UNDRWTG
W043889 BERKLEY REGIONAL INS COMPANY
W046007 BITUMINOUS
CASUALTY CORP E. A. MUELLER
W047005 BITUMINOUS FIRE AND MARINE E. A. MUELLER
W047757 BLUE RIDGE INDEMNITY CO DOING BUS UNDER W091755
W047500 BLUE RIDGE INSURANCE CO DOING BUS UNDER W091755
W048003 BOSTON OLD COLONY CO ATTN: KIM BEEM
W048250 BROTHERHOOD MUTUAL INS CO
W048508 BUCKEYE UNION INS CO ATTN: KIM BEEM
W049506 C I M INSURANCE CORPORATION WORKERS COMPENSATION UNDRWTG
W049753 CALIFORNIA INSURANCE COMPANY
W050322 CAPITOL INDEMNITY CORPORATION
UNDWRG
COMPENSATION
W050389 CAROLINA CASUALTY INS CO WORKERS'
W050579 CASTLE POINT INSURANCE COMPANY
W204382 CASTLEPOINT NATIONAL INS CO
W051007 CENTENNIAL INSURANCE COMPANY ATTN: BECKY MARTIN
W052005 CENTRAL MUTUAL INSURANCE CO
W126007 CENTRE INSURANCE CO WORKERS COMPENSATION UNDRWTG
INS CO PAULA FELKER
FIRE
OAK
W054001 CHARTER
PROPERTY CASUALTY COMP
W045009 CHARTIS
UNDWRG
W054134 CHEROKEE INSURANCE COMPANY WORKERS'
COMPENSATION
UNDRWRG
COMPENSATION
W054571 CHRYSLER INSURANCE COMPANY WORKERS
UNDWRG W054605 CHUBB INDEMNITY INS CO WORKERS'
COMPENSATION
W054621 CHUBB NATIONAL INS COMPANY
COMPENSATION
UNDRWTG
W054639 CHURCH MUTUAL INSURANCE CO WORKERS
UNDRWTG
COMPANY WORKERS
COMPENSATION
W055388 CINCINNATI
CASUALTY
W054886 CINCINNATI INDEMNITY COMPANY WORKERS COMPENSATION UNDRWTG
W054753 CINCINNATI INSURANCE CO MANAGER-STAFF
UNDERWRITING
W056253 CITIZENS INS CO OF AMERICA C/O HANOVER INSURANCE GROUP
W056386 CLARENDON NATIONAL INS CO WORKERS' COMPENSATION UNDWRG
COMPANY
INSURANCE
W056329 CLERMONT
CASUALTY AND SURETY COMPANY
AMERICAN
W056691 COLONIAL
W058002 COMMERCE AND INDUSTRY INS CO
W059000 COMMERCIAL INS CO OF NEWARK NEW JERSEY
W061006 CONNECTICUT INDEMNITY CO WORKERS COMPENSATION UNDRWTG
CO
REINSURANCE
W062509 CONSTELLATION
W064505 CONSTITUTION INS CO C/O JEFFREY A. SILVER ESQ.
W063002 CONTINENTAL CASUALTY COMPANY
W063507 CONTINENTAL INDEMNITY COMPANY
INSURANCE CO KIMBERLY BEEM
W064000 CONTINENTAL
W169007 CONTINENTAL REINSURANCE CORP
W064257 CONTINENTAL WESTERN INS CO C/O ACADIA INSURANCE CO
W227755 CONVERIUM
INSURANCE (NORTH AMERICA) INC
UNDRWTG
W015002 COUNTRY-WIDE INSURANCE COMPANY WORKERS
COMPENSATION
W067508 CRUM & FORSTER INDEMNITY CO WORKERS' COMPENSATION UNDWRG
COMPENSATION
UNDRWTG
W068001 CUMIS INSURANCE SOCIETY INC WORKERS
W069637 DELOS INSURANCE COMPANY
W160816 DISCOVER PROP & CAS INS CO PAUL FELKER
W069884 DONEGAL MUTUAL INSURANCE CO WORKERS' COMPENSATION UNDWRG
Page 2 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
W070502 EAGLE INSURANCE CO WORKERS COMPENSATION UNDRWTG
ASSURANCE COMPANY
W071385 EASTERN
ADVANTAGE
ALLIANCE INSUR COMPANY WORKERS COMPENSATION UNDRWTG
W071070 EASTERN
UNDWRG
COMPENSATION
W071133 EASTGUARD INSURANCE COMPANY WORKERS'
UNDWRG
W071757 ELECTRIC INSURANCE COMPANY WORKERS'
COMPENSATION
W073134 EMPIRE FIRE AND MARINE INS CO WORKERS COMPENSATION UNDRWRTG
W073001 EMPIRE INSURANCE CO WORKERS COMPENSATION UNDRWTG
COMPANY
COMPENSATION INSURANCE
W073381 EMPLOYERS
W074009 EMPLOYERS FIRE INSURANCE CO ATTN: OBI-BIS DEPARTMENT
W076004 EMPLOYERS INS OF WAUSAU
CASUALTY CO DENNIS BECKMAN CPCU
MUTUAL
W075006 EMPLOYERS
UNDWRG
COMPENSATION
W076681 EMPLOYERS REINSURANCE CO WORKERS'
UNDWRG W076947 ERIE INSURANCE CO OF NY WORKERS'
COMPENSATION
UNDWRG W076889 ERIE INSURANCE COMPANY WORKERS'
COMPENSATION
W076962 ERIE INSURANCE PROPERTY & CASUALTY COMPANY
W183693 EVEREST NATIONAL INS COMPANY WORKERS'
UNDWRG
COMPENSATION
W076970 EVEREST REINSURANCE CO WORKERS' COMPENSATION UNWRG
COMPENSATION
UNDRWTG INSURANCE
CO WORKERS
W077002 EXCELSIOR
W076996 EXECUTIVE RISK INDEMNITY INC
UNDWRG
COMPENSATION
W078257 FAIRFIELD INSURANCE COMPANY WORKERS'
UNDWRTG
W078505 FAIRMONT INSURANCE COMPANY WORKERS
COMPENSATION
W079008 FARM FAMILY CASUALTY INS CO
W079255 FARMERS NEW CENTURY INS CO
CASUALTY COMPANY PAULA FELKER
W079503 FARMINGTON
W078133 FDM PREFERRED INSURANCE COMPANY INC
W080006 FEDERAL INSURANCE COMPANY C/O CHUBB & SON - PRODUCT SERV
W082002 FEDERATED MUTUAL INS CO WORKERS COMPENSATION UNDRWTG
W082259 FEDERATED RURAL ELECTRIC INS. EXCHANGE
W082754 FEDERATED SERVICE INSURANCE CO
W084008 FIDELITY & DEPOSIT COMPANY OF MARYLAND
W084503 FIDELITY & GUARANTY INS CO PAULA FELKER
W085005 FIDELITY & GUARANTY INS UND IN PAULA FELKER
W083000 FIDELITY AND CASUALTY CO NY ATTN: KIM BEEM
W085575 FIRE DISTRICTS INSURANCE COMPANY INC
W085500 FIRE DISTRICTS OF NY MUTUAL INSURANCE COMPANY
W085633 FIRE INSURANCE EXCHANGE
INSURANCE COMPANY OF WISCONSIN
FUND
W086508 FIREMAN'S
W086003 FIREMANS FUND INSURANCE CO ATTN: ELIZABETH SAYERS
W087001 FIREMANS INS CO OF NEWARK NJ ATT: KIM BEEM
UNDRWTG
COMPENSATION
W087258 FIREMANS INS CO WASH DC WORKERS
W087449 FIRST LIBERTY INS CORPORATION
W088009 FIRST NATIONAL INSURANCE COMPANY OF AMERICA
W088637 FLAGSHIP CITY INSURANCE CO
W088751 FLORISTS' INSURANCE CO
W089007 FLORISTS MUTUAL INSURANCE CO WORKERS COMPENSATION UNDRWTG
W089502 FOREMOST PROPERTY AND CASUALTY INS CO
W039754 FREEDOM SPECIALTY INSURANCE CO
UNDRWTG W090500 FRONTIER INSURANCE CO WORKERS
COMPENSATION
W090823 GATEWAY INSURANCE COMPANY
OF WI COMPANY OF WISCONSIN
W091755 GENERAL
CO
CASUALTY
Page 3 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
UNDRWTG
W093009 GENERAL INS CO OF AMERICA WORKERS
COMPENSATION
W093504 GENERAL REINSURANCE CORP WORKERS' COMPENSATION UNDWRG
W143002 GENERAL STAR NATIONAL INS CO WORKERS COMPENSATION UNDRWTG
W095004 GLENS FALLS INSURANCE CO ATTN: KIM BEEM
W095509 GLOBAL LIBERTY INS CO OF NY ATTN: MIKE RAGAB
UNDRWTG
COMPENSATION
W096002 GLOBE INDEMNITY COMPANY WORKERS
W098008 GRANITE STATE INSURANCE CO
W099006 GRAPHIC ARTS MUTUAL INS CO PUDGE CARNEY
W020507 GREAT AMERICAN ALLIANCE INS CO PDC WC TEAM
W014005 GREAT AMERICAN ASSURANCE CO PDC WC TEAM
W100002 GREAT AMERICAN INS CO PDC WC TEAM
W035000 GREAT AMERICAN INS CO OF NY PDC WC TEAM
AMERICAN SECURITY INS CO
W100077 GREAT
UNDWRG
COMPENSATION
W100135 GREAT DIVIDE INSURANCE COMPANY WORKERS'
W100507 GREAT NORTHERN INSURANCE CO
COMPENSATION
UNDRWTG
W100754 GREAT WEST CASUALTY COMPANY WORKERS
UNDRWTG
COMPENSATION
W101000 GREATER N Y MUT INS CO WORKERS
UNDWRG
COMPENSATION
W101257 GREENWICH INSURANCE COMPANY WORKERS'
W101883 GUARANTEE INS CO WORKERS COMPENSATION UNDRWTG
W101752 GUIDEONE MUTUAL INS CO
W102008 GULF INSURANCE CO WORKERS COMPENSATION UNDWRITIN
W101885 GULF UNDERWRITERS INSURANCE CO PAUL FELKER
W103006 HANOVER INSURANCE CO WORKERS' COMPENSATION UNDWRG
UNDRWTG
COMPENSATION
W104509 HARCO NATIONAL INSURANCE CO WORKERS
COMPENSATION
UNDRWTG
W156509 HARLEYSVILLE INS CO OF NY WORKERS
W104756 HARLEYSVILLE INSURANCE COMPANY
PREFERRED INS CO
W104889 HARLEYSVILLE
INS CO ATTN KATHLEEN CONWAY
W227193 HARLEYSVILLE
WORCESTER
W105001 HARTFORD ACCIDENT & INDEM CO ATTN DAVID BRENNER
W106009 HARTFORD CASUALTY INSURANCE CO ATTN DAVID BRENNER
W106504 HARTFORD FIRE INSURANCE CO ATTN : DAVID BRENNER
W106751 HARTFORD INS CO OF THE MIDWEST ATTN DAVID BRENNER
W158000 HARTFORD UNDERWRITERS INS CO ATTN DAVID BRENNER
COMPENSATION
COMPANY WORKERS'
UNDWRG
INSURANCE
W106884 HEREFORD
W107007 HIGHLANDS INSURANCE GROUP
W090757 HOMELAND INSURANCE CO OF NY ATTN: OBI-BIS DEPARTMENT
W112254 ILLINOIS NATIONAL INS CO
W112502 INDEMNITY INSURANCE CO OF NORTH AMERICA -- WC UNDRWTG
UNDRWTG
W113005 INDIANA LUMBERMEN MUT INS CO WORKERS
COMPENSATION
UNDRWTG W115000 INS CO OF GREATER NY WORKERS
COMPENSATION
W117006 INS CO STATE OF PEN
W116008 INSURANCE CO OF NORTH AMERICA WORKERS
COMPENSATION UNDRWTG
W117253 INSURANCE COMPANY OF THE WEST
UNDRWTG
COMPENSATION
W118004 INTERBORO MUTUAL INDEMNITY WORKERS
W122006 KANSAS CITY FIRE AND MARINE ATTN: KIM BEEM
W148506 LEGION INSURANCE COMPANY ATTN JOYCE DAUBNER
CORPORATION
INSURANCE
W123251 LIBERTY
W016257 LIBERTY INSURANCE UNDERWRITERS WORKERS COMPENSATION UNDRWTG
W123509 LIBERTY MUTUAL FIRE INS CO
W124002 LIBERTY MUTUAL INSURANCE CO
Page 4 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
W124507 LINCOLN GENERAL INSURANCE CO
W122824 LM INSURANCE CORP
CASUALTY INS CO
W122139 LUMBERMENS
COMPENSATION
CO WORKERS
UNDRWTG
CAS
W130009 LUMBERMENS
MUTUAL
UNDERWRITING ALLIANCE
W130256 LUMBERMENS
UNDRWTG
COMPENSATION
W131502 M I C PROPERTY AND CASUALTY WORKERS
COMPANY
W132500 MAIN STREET AMERICA ASSURANCE
COMPANY
MUTUAL INSURANCE
W132633 MAINE
EMPLOYERS'
W132757 MAJESTIC INSURANCE COMPANY
W133508 MANUFACTURERS ALLIANCE INSURANCE COMPANY
W134001 MARYLAND CASUALTY CO
W134506 MASSACHUSETTS BAY INS CO C/O HANOVER INSURANCE GROUP
W134555 MEMIC INDEMNITY COMPANY
W134639 MERASTAR INSURANCE CO
W135255 MERCER INSURANCE COMPANY
COMPANY
INSURANCE
W134753 MERCHANTS & BUSINESS MEN'S MUTUAL
INSURANCE
CO OF NH MR CHARLES BOVA
W155006 MERCHANTS
W135008 MERCHANTS MUTUAL INS CO STAFF UNDERWRITING MANAGER
W134886 MERCHANTS PREFERRED INS. CO. WORKERS COMP UNDWRTNG
PROPERTY & CASUALTY INSURANCE CO
W135503 METROPOLITAN
W136006 MICHIGAN MILLERS MUT INS CO WORKERS COMPENSATION UNDRWTG
UNDRWTG
COMPENSATION
COMPANY WORKERS
W138002 MIDDLESEX
INSURANCE
EMPLOYERS
CASUALTY CO WORKERS' COMPENSATION UNDWRG
W139638 MIDWEST
SUMITOMO INSURANCE USA INC
W206502 MITSUI
INSURANCE CO OF AMERICA
W204507 MITSUI
SUMITOMO
COMPENSATION
CO WORKERS'
UNDWRG
INDEMNITY
W227102 MOUNTAIN
VALLEY
UNDRWTG W144505 NATIONAL AMERICAN INS CO WORKERS
COMPENSATION
UNDWRG
W146500 NATIONAL CONTINENTAL INS CO WORKERS'
COMPENSATION
W147003 NATIONAL FIRE INSURANCE CO ATTN: KIM BEEM
W147508 NATIONAL GENERAL INS CO WORKERS COMPENSATION UNDRWTG
W148639 NATIONAL INTERSTATE INSURANCE COMPANY
W149009 NATIONAL SURETY CORPORATION WORKERS' COMPENSATION UNDWRG
W150007 NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
W151252 NATIONWIDE AGRIBUSINESS INS CO WORKERS' COMPENSATION UNDWRG
W151500 NATIONWIDE MUT FIRE INS CO ATTN: NEW YORK COMMERCIAL
W152003 NATIONWIDE MUTUAL INS CO CO-04-04 NYTA
AND CAS PHYLLIS ROSS CO-04-04
W152508 NATIONWIDE
PROPERTY
UNDWRG W152755 NAVIGATORS INSURANCE CO WORKERS'
COMPENSATION
UNDRWTG W153001 NETHERLANDS INSURANCE CO WORKERS
COMPENSATION
W154009 NEW HAMPSHIRE INSURANCE CO
W156004 NEW JERSEY MANUFACTURERS INSURANCE COMPANY
W156632 NEW YORK CENTRAL MUTUAL FIRE WORKERS COMPENSATION UNDRWTG
W156699 NEW YORK TRANSPORTATION INS CORP
W148001 NGM INSURANCE COMPANY WORKERS COMPENSATION UNDRWTG
W160006 NIAGARA FIRE INS CO ATTN: KIM BEEM
W160626 NIPPONKOA INSURANCE CO, LTD PAULA FELKER
W160659 NORGUARD INSURANCE COMPANY GUARD INSURANCE GROUP INC
W160709 NORTH AMERICAN ELITE INS CO
COMPANY
W160675 NORTH AMERICAN SPECIALTY INSURANCE
W161004 NORTH RIVER INS CO C/O CRUM & FORSTER CORP
Page 5 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
W160717 NORTHBROOK INDEMNITY CO JUDY FOWLER
W162002 NORTHERN ASSURANCE COMPANY ATTN: OBI-BIS DEPARTMENT
W163000 NORTHERN INSURANCE CO OF NY
COMPENSATION UNDW
WORKER'S
W163505 NORTHWESTERN
NATIONAL
CASUALTY NYS
W164255 NOVA CASUALTY COMPANY
UNDWRG
COMPENSATION
W121008 OAK RIVER INSURANCE CO WORKERS'
W164503 OCCIDENTAL FIRE & CAS CO NC WORKERS COMPENSATION UNDRWTG
W165005 OHIO CASUALTY INSURANCE CO MR DAVID PELLEGRINI
W165500 OHIO SECURITY INSURANCE CO
W118756 OLD REPUBLIC GENERAL INSURANCE
COMPENSATION
CO WORKERS
UNDRWTG
W166003 OLD
REPUBLIC
INSURANCE
W060008 ONE BEACON AMER INS CO ATTN: OBI-BIS DEPARTMENT
W091003 ONE BEACON INSURANCE CO ATTN: OBI-BIS DEPARTMENT
UNDWRG
COMPENSATION
W166250 ORISKA
COMPANY WORKERS'
INSURANCE
COMPENSATION
UNDRWTG W167001 PACIFIC EMPLOYERS INS CO WORKERS
INDEMNITY COMPANY
W168009 PACIFIC
W168256 PARAMOUNT INSURANCE COMPANY TUAN MAI
W168504 PATRIOT GENERAL INSURANCE CO WORKERS COMPENSATION UNDRWTG
UNDRWTG
COMPENSATION
W040505 PEERLESS INDEMNITY INS CO WORKERS
W170005 PEERLESS INSURANCE CO
W174007 PENN MILLERS INSURANCE CO
W172001 PENNSYLVANIA GENERAL INS CO ATTN: OBI-BIS DEPARTMENT
W172506 PENNSYLVANIA LUMBERMENS WORKERS COMP UNDRWTG
W173504 PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY
MANUFACTURERS' ASSOCIATION INSURANCE COMPANY
W173009 PENNSYLVANIA
W175004 PENNSYLVANIA NATIONAL MUTUAL WORKERS
UNDRWTG
COMPENSATION
W175509 PETROLEUM CASUALTY CO AVA HARTMAN
W166508 PG INS CO OF NEW YORK MEMBER OF ONEBEACON
UNDRWTG
W176002 PHOENIX ASSURANCE CO OF NY WORKERS
COMPENSATION
INSURANCE CO PAULA FELKER
W177000 PHOENIX
W115505 PRAETORIAN INSURANCE COMPANY ATTN JASON ANDERSON
UNDRWTG
W179196 PREFERRED PROFESSIONAL INS CO WORKERS
COMPENSATION
UNDRWTG
W179253 PREFERRED RISK MUTUAL INS CO WORKERS
COMPENSATION
W179220 PRESERVER INSURANCE COMPANY
W179758 PRINCETON INSURANCE COMPANY WORKERS'
UNDWRG
COMPENSATION
W180251 PROFESSIONAL LIABILITY INS CO OF AMERICA (PLICA)
CASUALTY INS CO WORKERS' COMPENSATION UNDWRG
W180509 PROGRESSIVE
W180756 PROPERTY AND CASUALTY INSURANCE CO OF HARTFORD
UNDRWTG
COMPENSATION
W181002 PROTECTIVE INSURANCE CO WORKERS
WASHINGTON INS CO OF NY
W042253 PROVIDENCE
W182000 PROVIDENCE
WASHINGTON INS CO ATTN: JOE ANDRADE,
W184006 PUBLIC SERVICE MUTUAL INS CO WORKERS COMPENSATION UNDRWTG
UNDWRG
COMPENSATION
W090880 RAMPART INSURANCE COMPANY WORKERS'
W186381 REDLAND INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG
W186506 REGENT INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG
W187009 RELIANCE INSURANCE CO PRODUCT MANAGEMENT 20TH FLOOR
W178008 RELIANCE NATIONAL INDEMNITY CO WORKERS' COMPENSATION UNDWRG
W187637 RELIANCE NATIONAL INSURANCE CO WORKERS' COMPENSATION UNDWRG
FRANKLIN INS CO WORKERS COMPENSATION UNDRWTG
W187751 REPUBLIC
W185250 RLI INSURANCE CO
Page 6 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
W188502 ROCHDALE INS CO ATTN: HANK SIBLEY
W591382 ROMAN CATHOLIC DIO OF BKLYN WRKRS' COMP UNDWRG
W190003 ROYAL INSURANCE CO. OF AMERICA
W192637 SAFECO INSURANCE CO OF AMERICA WORKERS'
COMPENSATION UNDWRG
W193254 SAFETY FIRST INSURANCE COMPANY
COMPENSATION
UNDWRG
W193502 SAFETY NATIONAL CASUALTY CORP WORKERS'
COMPANY
INSURANCE
W122253 SEABRIGHT
CO MANAGING UNDERWRITER WC
W218002 SEATON
INSURANCE
UNDRWTG
W197008 SECURITY INS CO OF HARTFORD WORKERS
COMPENSATION
MUTUAL INS CO NY WORKERS' COMPENSATION UNDWRG
W199004 SECURITY
COMPANY
INSURANCE
W197139 SELECT
REGION
W198253 SELECTIVE INS CO OF AMERICA NORTHEAST
W198352 SELECTIVE
INSURANCE COMPANY OF SOUTHEAST
W078000 SELECTIVE INSURANCE CO OF NY NORTHEAST REGION
W198329 SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
W198386 SELECTIVE WAY INSURANCE CO NORTHEAST REGION
W071005 SENECA INSURANCE COMPANY INC CAROL MULLER
W199509 SENTINEL INSURANCE CO LTD
W200133 SENTRY CASUALTY COMPANY
COMPENSATION
UNDRWTG
W200000 SENTRY INSURANCE A MUTUAL CO WORKERS
W069009 SENTRY SELECT INSURANCE COMPAN
UNDRWTG
W081004 SHELBY CASUALTY INSURANCE CO WORKERS
COMPENSATION
W617633 SOMPO JAPAN FIRE & MARINE INS CO OF AMERICA
W227508 SOMPO JAPAN INS CO OF AMERICA
W200752 SPARTA INSURANCE COMPANY CITY PLACE II
W194005 ST PAUL FIRE & MARINE INS CO PAULA FELKER
W194500 ST PAUL GUARDIAN INSURANCE CO PAULA FELKER
W195002 ST PAUL MERCURY INSURANCE CO PAULA FELKER
W019509 ST. PAUL PROTECTIVE INS CO PAULA FELKER
INS CO PAULA FELKER
FIRE
W202006 STANDARD
UNDWRG
COMPENSATION
W202501 STAR INSURANCE COMPANY WORKERS'
COMPENSATION UNDERWRTG
W202758 STARNET INSURANCE COMPANY WORKERS
UNDERWRTG
COMPENSATION
W203004 STATE FARM FIRE & CAS CO WORKERS
W203509 STATE FARM GENERAL INS CO
W204002 STATE INSURANCE FUND
COMPENSATION
UNDERWRTG W204135 STATE NATIONAL INS CO. INC. WORKERS
W204259 STRATHMORE INS CO
W207252 T H E INS CO WORKERS' COMPENSATION UNDWRG
W206759 TECHNOLOGY INSURANCE CO INC ATTN: HANK SIBLEY
W179501 TIG INS CO OF NY WORKERS COMPENSATION UNDRWTG
W208003 TIG INSURANCE CO WORKERS' COMPENSATION UNDWRG
UNDWRG
COMPENSATION
W207385 TITAN INDEMNITY COMPANY WORKERS'
W206254 TM CASUALTY INSURANCE CO
W207328 TNUS INSURANCE COMPANY
W207500 TOKIO MARINE & NICHIDO FIRE INS CO., LTD WKRS COMP UNDRWRT
W207757 TOWER INSURANCE CO OF NY WORKERS' COMPENSATION UNDWRG
W207633 TOWER NATIONAL INS COMPANY
COMPENSATION
UNDWRG
W207880 TOYOTA MOTOR INSURANCE COMPANY WORKERS'
UNDRWTG
COMPENSATION
W209753 TRANS PACIFIC INSURANCE CO WORKERS
W209001 TRANSCONTINENTAL INS CO ATTN KIM BEEM
Page 7 of 8
CARRIER ID CARRIER NAME 1 CARRIER NAME 2
W209886 TRANSGUARD INS CO OF AMERICA INC
INSURANCE CO ATTN KIM BEEM
W211007 TRANSPORTATION
W010003 TRAVELERS CASUALTY & SURETY CO
SURETY COMPANY OF AMERICA
W010631 TRAVELERS
AND
CASUALTY
CO OF CONN PAULA FELKER
W010698 TRAVELERS
CASUALTY
CASUALTY INS CO OF AMERICA
W010508 TRAVELERS
W010755 TRAVELERS COMMERCIAL INSURANCE COMPANY
W212005 TRAVELERS INDEMNITY CO PAULA FELKER
CO OF AMER PAULA FELKER
INDEMNITY
W212252 TRAVELERS
INDEMNITY
CO OF CONN PAULA FELKER
W212500 TRAVELERS
W213003 TRAVELERS INSURANCE CO
CASUALTY PAULA
FELKER
PROPERTY
W212757 TRAVELERS
CASUALTY IN PAULA FELKER
PROPERTY
W213508 TRAVELERS
W214001 TRUCK INSURANCE EXCHANGE DIR OF WORKERS COMPENSATION
W214506 TRUMBULL INSURANCE COMPANY
W215008 TWIN CITY FIRE INSURANCE CO ATTN DAVI BRENNER
W215503 ULLICO CASUALTY COMPANY WORKERS'
UNDWRG
COMPENSATION
W218382 UNION INSURANCE COMPANY C/O ACADIA INSURANCE COMPANY
W220008 UNITED STATES FID & GUAR CO PAULA FELKER
UNDWRG W221006 UNITED STATES FIRE INS CO WORKERS'
COMPENSATION
W093751 UNITRIN AUTO AND HOME INS CO WORKERS' COMPENSATION UNDWRG
W092506 UNITRIN PREFERRED INSURANCE CO WORKERS COMP UNDERWRITING
INS CO ATTN PATTY KLINKENBERG
UNDRWRTG
W221501 UNIVERSAL
W220503 US SPECIALTY INSURANCE CO ATTN: PATTY HINTON
MUTUAL
INS CO PUDGE CARNEY
W222004 UTICA
W221758 UTICA NATIONAL ASSURANCE CO PUDGE CARNEY
W222509 UTICA NATIONAL INSURANCE CO OF PUDGE CARNEY
W224000 VALLEY FORGE INSURANCE CO ATTN: KIM BEEM
COMPENSATION
UNDRWTG
W224505 VANLINER INSURANCE COMPANY WORKERS
UNDRWTG
COMPENSATION
W225007 VIGILANT INSURANCE COMPANY WORKERS
W036008 VILLANOVA INSURANCE COMPANY ATTN JOYCE DAUBNER
UNDRWTG
W225254 VIRGINIA SURETY COMPANY, INC. WORKERS
COMPENSATION
BUSINESS INSURANCE CO
W225445 WAUSAU
W225486 WAUSAU GENERAL INSURANCE CO
W225502 WAUSAU UNDERWRITERS INS CO
W225759 WESCO
CO
INSURANCE
W226005 WEST AMERICAN INSURANCE CO
COMPANY
INSURANCE
W227045 WESTFIELD
UNDWRG
COMPENSATION
W227060 WESTPORT INSURANCE CORP WORKERS'
UNDWRG
W227169 WILLIAMSBURG NATIONAL INS CO WORKERS'
COMPENSATION
UNDWRG
W227326 WORK FIRST CASUALTY COMPANY WORKERS
COMPENSATION
W227383 XL INSURANCE AMERICA INC
W118251 XL SPECIALTY INSURANCE CO
W227888 ZENITH INSURANCE COMPANY WORKERS' COMPENSATION UNDWRG
W227946 ZURICH AMERICAN INSURANCE CO OF ILLINOIS
W228001 ZURICH AMERICAN INSURANCE CO
Page 8 of 8。