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4/15/2014 Page 1 Workers’ Compensation Agency Insurance Company Listing
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
A.I.U. Insurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 193990012
Advantage Workers Compensation Insurance
Company
P.O. Box 571918
Salt Lake City, UT 84157-1918
NAIC Number: 405170000
Acadia Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 313250098
Affiliated F M Insurance Company
Allendale Park
P.O. Box 7500
Johnston, RI 02919
NAIC Number: 100140065
Acceptance Insurance Company
535 W. Broadway
P.O. Box 1574
Council Bluffs, IA 51502-1574
NAIC Number: 379580329
Alea North America Insurance Company
55 Capital Blvd.
Rocky Hill, CT 06067
NAIC Number: 248991325
Accident Fund General Insurance Co.
P.O. Box 40790
Lansing, MI 48901
NAIC Number: 123040572
All America Insurance Company
800 S. Washington Street
Vanwert, OH 45891
NAIC Number: 202220036
Accident Fund Insurance Co. of America
P.O. Box 40790
Lansing , MI 48901
NAIC Number: 101660572
Alliance Assurance Company, Ltd.
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 202730553
Accident Fund National Insurance Co.
P.O. Box 40790
Lansing, MI 48901
NAIC Number: 123050572
Allianz Insurance Company
2995 Prospect Park Drive, Suite 200
Rancho Cordova, CA 95670
NAIC Number: 353000761
Ace American Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 226670626
Allied Eastern Indemnity Company
25 Race Avenue
P.O. Box 83777
Lancaster, PA 17608-3777
NAIC Number: 112423158
Ace Fire Underwriters Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 207020626
Ace Property & Casualty Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 206990626
ACIG Insurance Company
12222 Merit Drive Suite 1660
Dallas, TX 75251
NAIC Number: 199840594
Acuity, A Mutual Insurance Company
2800 S. Taylor Drive
P.O. Box 58
Sheboygan, WI 53081
NAIC Number: 141840289
Page 1
Allied Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 365280626
Allied Property & Casualty Insurance Company
3820 109th
DesMoines, IA 50391
NAIC Number: 425790140
Allmerica Financial Benefits Insurance Company
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 418400088
Allmerica Financial Alliance Insurance Company
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 102120088
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Allstate Indemnity Company
3075 Sanders Road, Suite H1A
Northbrook, IL 60062-7127
NAIC Number: 192400008
Allstate Insurance Company
3075 Sanders Road, Suite H1A
Northbrook, IL 60062-7127
NAIC Number: 192320008
Amco Insurance Company
One Nationwide Plaza
Columbus, OH 43216
NAIC Number: 191000140
American & Foreign Insurance Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 245890553
American Alternative Insurance Company
American RE Plaza
555 College Road
East Princeton, NJ 08543
NAIC Number: 197200957
American Automobile Insurance Company
P.O. Box 740174
Atlanta, GA 30374-0174
NAIC Number: 218490761
American Casualty Company of Reading, PA
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 204270218
American Commercial Liability Insurance Co.
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 303920713
American Compensation Insurance Company
8500 Normandale Lake Blvd. Ste. 1400
Bloomington, MN 55437
NAIC Number: 459344463
American Continental Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 122460164
American Country Insurance Company
150 N. W. Point Blvd., Suite 300
Elk Grove Village, IL 60007-1015
NAIC Number: 382370000
Page 2
American Druggists Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 101540143
American Economy Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 196900163
American European Insurance Company
250 Main Street
P.O. Box 903
Buffalo, NY 14240-9974
NAIC Number: 233370226
American Family Home Insurance Company
555 College Road East
Princeton, NJ 08543
NAIC Number: 234500957
American Fire & Casualty Company
N14 W24200 Tower Place
P.O. Box 815
Pewaukee, WI 53072
NAIC Number: 240660148
American Fuji Fire & Marine Insurance Company
3880 RFD Salem Lake Road
Long Grove, IL 60047
NAIC Number: 403980000
American Guarantee & Liability Insurance Co.
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 262470212
American Hardware Mutual Insurance Company
P.O. Box 435
Minneapolis, MN 55440
NAIC Number: 133310291
American Home Assurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 193800012
American Insurance Company
P.O. Box 740174
Atlanta, GA 30374-0174
NAIC Number: 218570761
American Interstate Insurance Company
2301 Highway 190 West
Deridder, LA 70634
NAIC Number: 318950680
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
American Manufacturers Mutual Insurance Co.
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 305620108
American States Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 197040163
American Mining Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 159110098
American Universal Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 197470021
American Modern Home Insurance Company
555 College Road East
Princeton, NJ 08543
NAIC Number: 234690957
American Motorists Insurance Company
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 229180108
American Mutual Insurance Company of Boston
100 Unicorn Park Drive
Woburn, MA 01801
NAIC Number: 195500015
American Mutual Liability Insurance Company
100 Unicorn Park Drive
Woburn, MA 01801
NAIC Number: 195690015
American Zurich Insurance Company
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 401420212
Amerisure Insurance Company
P.O. Box 33478
Detroit, MI 48232-5478
NAIC Number: 194880124
Amerisure Mutual Insurance Company
P.O. Box 33478
Detroit, MI 48232-5478
NAIC Number: 233960124
Amerisure Partners Insurance Company
P.O. Box 33478
Detroit, MI 48232-5478
NAIC Number: 110500124
American Physicians Assurance Corporation
1301 N. Hagadorn
P.O. Box 1471
East Lansing, MI 48826
NAIC Number: 330060966
AmGuard Insurance Company
P.O. Box A-H
Wilkes-Barre, PA 18703
NAIC Number: 423900828
American Policyholders Insurance Co.
100 Unicorn Park Drive
Woburn, MA 01801
NAIC Number: 195770015
Ansur America Insurance Company
One Mutual Avenue
Frankenmuth, MI 48787
NAIC Number: 109841309
American Protection Insurance Company
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 189100108
AP Specialty Insurance Corp.
1301 N. Hagadorn Road
East Lansing, MI 48823-2320
NAIC Number: 102290966
American Safety Casualty Insurance Company
100 Galleria Pkwy SE, Ste. 700
Atlanta, GA 30339-5947
NAIC Number: 399691346
American Select Insurance Company
One Park Circle
P.O. Box 5001
Westfield Center, OH 44251-5001
NAIC Number: 199920228
Arch Insurance Company
330 Post Road #200
Darien, CT 06820-3600
NAIC Number: 111500000
Argonaut Great Central Insurance Company
P.O. Box 469012
San Antonio, TX 78246-9012
NAIC Number: 198600457
Page 3
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Argonaut Insurance Company
P.O. Box 469012
San Antonio, TX 78246-9012
NAIC Number: 198010457
Badger Mutual Insurance Company
1635 W National Ave
Milwaukee, WI 53204
NAIC Number: 134200000
Argonaut Midwest Insurance Company
P.O. Box 469012
San Antonio, TX 78246-9012
NAIC Number: 198280457
Balboa Insurance Company
3349 Michelson Drive
Irvine, CA 92713
NAIC Number: 248130165
Arrowood Indemnity Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 246780553
Bancinsure, Inc.
5005 N. Lincoln Blvd.
Oklahoma City, OK 73105
NAIC Number: 185380000
Associated Indemnity Corporation
P.O. Box 740174
Atlanta, GA 30374-0174
NAIC Number: 218650761
Bankers Standard Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 182790626
Assurance Company of America
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 193050212
Benchmark Insurance Company
775 Prairie Center Dr, Suite 420
Eden Prairie, MN 55344
NAIC Number: 413940000
Athena Assurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 417690164
Atlantic Mutual Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 198950024
Atlantic Specialty Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 271541129
Auto Owners Insurance Company
Michigan Workers' Comp. Claims
P.O. Box 30510
Lansing, MI 48909
NAIC Number: 189880280
Automobile Insurance Company of Hartford, CT
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 190620041
Axa Corporate Solutions Insurance Company
17 State Street
New York, NY 10004-1501
NAIC Number: 330220968
Page 4
Berkley National Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 389110098
Berkley Regional Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 295800098
Berkshire Hathaway Homestate Insurance Company
P.O. Box 881716
San Francisco, CA 94188
NAIC Number: 200440031
Bituminous Casualty Corporation
31555 W. 14 Mile Road, Suite 211
Farmington Hills, MI 48334
NAIC Number: 200950150
Bituminous Fire & Marine Insurance Company
31555 W. 14 Mile Road, Suite 211
Farmington Hills, MI 48334
NAIC Number: 201090150
Bloomington Compensation Insurance Company
8500 Normandale Lake Blvd. Ste. 1400
Bloomington, MN 55437
NAIC Number: 123114463
Boston Insurance Company
1717 E. 9th Street
Cleveland, OH 44114
NAIC Number: 333330000
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Boston Old Colony Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 207610218
Central Mutual Insurance Company
800 S. Washington Street
Vanwert, OH 45891
NAIC Number: 202300036
Brotherhood Mutual Insurance Company
P.O. Box 2227
Fort Wayne, IN 46801
NAIC Number: 135280000
Central National Insurance Co. of Omaha
105 S. 17th Street
Omaha, NE 68102
NAIC Number: 202490217
Buckeye Union Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 207880218
Century Indemnity Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 207100626
Camden Fire Insurance Association Co. of NJ
1051 Texas Street
Salem, VA 24153
NAIC Number: 219461129
Charter Oak Fire Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 256150041
Capitol Indemnity Corporation
P.O. Box 5900
Madison, WI 53705
NAIC Number: 104720501
AIG Property Casualty Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 194020012
Carolina Casualty Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 105100098
Cherokee Insurance Company
34200 Mound Road
Sterling Heights, MI 48310
NAIC Number: 106420000
Carriers Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 105290338
Chrysler Insurance Company
P.O. Box 9220
Farmington Hills, MI 48333-9220
NAIC Number: 104990240
Castlepoint National Insurance Company
222 S. Riverside Plaza
Chicago, IL 60606
NAIC Number: 401343703
Chubb Indemnity Company
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 127770038
Casualty Reciprocal Exchange
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 212370056
Chubb Nationial Insurance Company
202 Halls Mill Road
Whitehouse Station, NJ 08889
NAIC Number: 100520038
Celina Mutual Insurance Company
1 Insurance Square
Celina, OH 45822
NAIC Number: 201760035
Centennial Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 199090024
Church Mutual Insurance Company
3000 Schuster Lane
P.O. Box 357
Merrill, WI 54452
NAIC Number: 187670000
Cincinnati Casualty Company
P.O. Box 150376
Grand Rapids, MI 49515
NAIC Number: 286650244
Cincinnati Indemnity Company
P.O. Box 150376
Grand Rapids, MI 49515
NAIC Number: 232800244
Page 5
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Cincinnati Insurance Company
P.O. Box 150376
Grand Rapids, MI 49515
NAIC Number: 106770244
Citizens Insurance Company of America
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 315340088
Citizens Insurance Company of Ohio
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 101760088
Citizens Insurance Company of the Midwest
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 103950088
City Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 225000095
Clarendon National Insurance Company
411 5th Ave. FL 5
New York, NY 10016-2221
NAIC Number: 205320517
Colonial American Casualty & Surety Company
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 343470212
Colonial Penn Insurance Company
P.O. Box 1998
Valley Forge, PA 19482
NAIC Number: 347890239
Companion Property & Casualty Insurance
Company
51 Clemson Road
Columbia, SC 29229
NAIC Number: 121570661
Compass Insurance Company
9277 Centre Pointe Drive, Suite 140
West Chester, OH 45069
NAIC Number: 219890143
Conifer Insurance Company
P.O. Box 3003
Birmingham, MI 48012
NAIC Number: 297344720
Connecticut Indemnity Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 248720553
Consolidated American Insurance Company
P.O. Box 1
Columbia, SC 29202
NAIC Number: 249450168
Consolidated Insurance Company
WC Processing Center
P.O. Box 515099
Los Angeles, CA 90051-5099
NAIC Number: 226400111
Consolidated Underwriters
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: WC0080000
Continental Casualty Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 204430218
Commerce & Industry Insurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 194100012
Continental Indemnity Company
P.O. Box 881716
San Francisco, CA 94188
NAIC Number: 282580031
Commercial Insurance Company of Newark
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 208180218
Continental Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 352890218
Companion Commercial Insurance Company
51 Clemson Road
Columbia, SC 29229
NAIC Number: 107940661
Continental National American Casualty Co.
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 204350218
Page 6
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Continental National Indemnity Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 282580218
Continental Western Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 108040098
Crum & Forster Indemnity Company
305 Madison Avenue
Morristown, NJ 07962
NAIC Number: 313480158
CUMIS Insurance Society, Inc.
Workers' Compensation Claims
P.O. Box 1221
Madison, WI 53701
NAIC Number: 108470306
Dallas National Insurance Company
5501 L.B. J. Freeway
Dallas, TX 75240
NAIC Number: 322711631
Depositors Insurance Company
1100 Locust Street
Des Moines, IA 50391
NAIC Number: 425870140
Discover Property & Casualty Insurance Co
Discover Re Managers, Inc. 5 Batterson Pk
Farmington, CT 06032
NAIC Number: 364630164
Dorinco Reinsurance Company
1320 Waldo Avenue, Suite 200
Midland, MI 48642
NAIC Number: 334990000
Eagle Pacific Insurance Company
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 369860108
Eagle Star Insurance Company
111 John Street
New York, NY 10038
NAIC Number: 222220000
Eastern Advantage Assurance Company
25 Race Avenue
P.O. Box 83777
Lancaster, PA 17608-3777
NAIC Number: 130193158
Eastern Alliance Insurance Company
25 Race Avenue
P.O. Box 83777
Lancaster, PA 17608-3777
NAIC Number: 107243158
Eastguard Insurance Company
16 S. River Street
Wilkes Barre, PA 18703
NAIC Number: 147020828
Edison Insurance Company
222 Merchandise Mart Plaza Ste. 1450
Chicago, IL 60654
NAIC Number: 242870000
Electric Insurance Company
260 Washington Avenue
P.O. Box 15065
Albany, NY 12212
NAIC Number: 212610057
Electric Mutual Liability Insurance Company
4 Corporate Plz #425
Albany, NY 12203
NAIC Number: 212880057
Emcasco Insurance Company
P.O. Box 30546
Lansing, MI 48909
NAIC Number: 214070062
Employers Casualty Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 213690061
Employers Fire Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 206481129
Employers Insurance of Wausau
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 214580111
Employers Mutual Casualty Company
P.O. Box 30546
Lansing, MI 48909
NAIC Number: 214150062
Everest National Insurance Company
P.O. Box 830
Liberty Corner, NJ 07938-0830
NAIC Number: 101201120
Page 7
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Evergreen National Indemnity Company
6140 Parkland Blvd.
Mayfield, OH 44124-6106
NAIC Number: 127503592
Fairfield Insurance Company
P.O. Box 881716
San Francisco, CA 94188
NAIC Number: 447840031
Fairmont Insurance Company
250 Commercial Street Suite 5000
Manchester, NH 03101
NAIC Number: 188641111
Farm Bureau General Insurance Company
Medical Maintenance Unit
P.O. Box 30100
Lansing, MI 48909
NAIC Number: 215470067
Farm Bureau Mutual Insurance Company
Medical Maintenance Unit
P.O. Box 30100
Lansing, MI 48909
NAIC Number: 215550067
Farmers Automobile Insurance Association
2505 Court Street
Pekin, IL 61558-001
NAIC Number: 242010153
Farmers Insurance Exchange
P.O. Box 108843
Oklahoma City, OK 73101-8843
NAIC Number: 216520212
Farmington Casualty Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 414830041
Farmland Mutual Insurance Company
1100 Locust Street, Dept. 3010
Des Moines, IA 50391-3010
NAIC Number: 138380140
FCCI Insurance Company
P.O. Box 58004
Sarasota, FL 34232-0800
NAIC Number: 101780474
Federal Insurance Company
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 202810038
Page 8
Federal Kemper Insurance Company
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 305030108
Federated Mutual Insurance Company
P.O. Box 390850
Minneapolis, MN 55439
NAIC Number: 139350007
Federated Rural Electric Insurance Corp.
P.O. Box 15147
Lenexa, KS 66215
NAIC Number: 111180000
Federated Service Insurance Company
P.O. Box 390850
Minneapolis, MN 55439
NAIC Number: 283040007
Fidelity & Casualty Company of New York
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 352700218
Fidelity & Deposit Company of Maryland
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 393060212
Fidelity & Guaranty Insurance Company
Discover Re Managers, Inc.
5 Batterson Park
Farmington, CT 06032
NAIC Number: 353860164
Fidelity & Guaranty Insurance Underwriters
Discover Re Managers, Inc.
5 Batterson Park
Farmington, CT 06032
NAIC Number: 258790164
Fire & Casualty Insurance Company of Ct
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 248800553
Firemans Fund Insurance Company
P.O. Box 740174
Atlanta, GA 30374-0174
NAIC Number: 218730761
Firemans Fund Insurance Company of Wisconsin
P.O. Box 740174
Atlanta, GA 30374-0174
NAIC Number: 372730761
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Firemens Insurance Company of Newark, N.J.
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 208500218
Firemens Insurance Company of Washington, D.C.
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 217840098
First Liberty Insurance Corporation
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 335880111
Fremont Compensation Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 377610790
Fremont Indemnity Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 210400790
Fremont Insurance Company
933 E. Main Street
Fremont, MI 49412
NAIC Number: 139940000
First National Insurance Company of America
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 247240163
Frontier Insurance Company
195 Lake Louise Marie Rd.
Rock Hill, NY 12775
NAIC Number: 342660961
Florists Mutual Insurance Company
1 Horticultural Lane
Edwardsville, IL 62025
NAIC Number: 139780349
Gateway Insurance Company
1401 S. Brentwood Blvd., Ste. 1000
St.Louis, MO 63144
NAIC Number: 283390000
Foremost Insurance Company
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 111850212
General Casualty Insurance Company
P.O. Box 975
Sun Prairie, WI 53590
NAIC Number: 188210796
Foremost Property & Casualty Insurance Company
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 118000212
General Casualty Company of Wisconsin
P.O. Box 975
Sun Prairie, WI 53590
NAIC Number: 244140796
Foremost Signature Insurance Company
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 415130212
General Insurance Company of America
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 247320163
Frankenmuth Mutual Insurance Company
One Mutual Avenue
Frankenmuth, MI 48787
NAIC Number: 139861309
Frank Winton Crum Insurance Company
100 S Missouri Ave
Clearwater, FL 33756
NAIC Number: 116000000
Fremont Casualty Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 105450790
Genesis Insurance Company
P.O. Box 881716
San Francisco, CA 94188
NAIC Number: 389620031
Glens Falls Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 346220218
Globe Indemnity Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 246000553
Page 9
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Page 10
Grange Insurance Company of Michigan
400 Galleria Officentre, Suite 115
Southfield, MI 48034
NAIC Number: 111360267
Greater New York Mutual Insurance Company
200 Madison Avenue
New York, NY 10016
NAIC Number: 221870222
Granite State Insurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 238090012
Greenwich Insurance Company
505 Eagleview Blvd.
Exton, PA 19341-0636
NAIC Number: 223221285
Great American Alliance Insurance Company
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 268320084
Great American Assurance Company
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 263440084
Great American Insurance Co of NY
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 221360084
Great American Insurance Company
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 166910084
Great American Security Insurance Company
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 311350084
Grocers Insurance Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 405410553
Guarantee Insurance Company
401 E Las Olas Blvd
Fort Lauderdale, FL 33301
NAIC Number: 113980000
Guideone Mutual Insurance Company
1025 Ashworth Road, Suite 101
West DesMoines, IA 50265
NAIC Number: 150320303
Gulf Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 222170041
Hamilton Mutual Insurance
717 Mulberry Street
Des Moines, IA 50309
NAIC Number: 141250062
Great American Spirit Insurance Company
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 337230084
Hamilton Mutual Insurance Company
John Keller, Asst. VP
1520 Madison Road
Cincinnati, OH 45206
NAIC Number: 141250000
Great Divide Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 252240098
Hanover American Insurance Company
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 360640088
Great Midwest Insurance Company
800 Gessner, Suite 600
Houston, TX 77024
NAIC Number: 186940000
Hanover Insurance Company
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 222920088
Great Northern Insurance Company
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 203030038
Harco National Insurance Company
P.O. Box 68309
Schaumburg, IL 60168
NAIC Number: 264330000
Great West Casualty Company
P.O. Box 277
S. Sioux City, NE 68776
NAIC Number: 113710150
Harleysville Insurance Company
355 Maple Avenue
P.O. Box 244
Harleysville, PA 19438-9950
NAIC Number: 235820253
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Page 11
Harleysville Lake States Insurance Company
355 Maple Avenue
P.O. Box 244
Harleysville, PA 19438-9950
NAIC Number: 145160253
HDI - Gerling America Insurcance Company
150 N. Wacker Drive
29th Floor
Chicago, IL 60606
NAIC Number: 413430517
Harleysville Mutual Insurance Company
355 Maple Avenue
P.O. Box 244
Harleysville, PA 19438-9950
NAIC Number: 141680253
Highlands Insurance Company
10200 Richmond Avenue, Suite 175
Houston, TX 77042-4132
NAIC Number: 224891116
Harleysville Preferred Insurance Company
355 Maple Avenue
P.O. Box 244
Harleysville, PA 19438-9950
NAIC Number: 356960253
Harleysville Worcester Insurance Company
355 Maple Avenue
P.O. Box 244
Harleysville, PA 19438-9950
NAIC Number: 261820253
Hartford Accident & Indemnity Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 223570091
Hartford Casualty Insurance Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 294240091
Hartford Fire Insurance Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 196820091
Hartford Insurance Company of the Midwest
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 374780091
Hartford Underwriters Insurance Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 301040091
Hastings Mutual Insurance Company
Peggy Surma
404 E. Woodlawn Avenue
Hastings, MI 49058
NAIC Number: 141760000
Hawkeye Security Insurance Company
P.O. Box 1848
Des Moines, IA 50306
NAIC Number: 217410072
HIH America Compensation & Liability Ins. Co.
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 206561264
Home Indemnity Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 225190095
Home Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 225270095
Home Owners Insurance Company
Michigan Workers Comp. Claims
P.O. Box 30510
Lansing, MI 48909
NAIC Number: 266380280
Housing Authority Property Insurance Company
189 Commerce Court
P.O. Box 189
Cheshire, CT 06410-0189
NAIC Number: 100690000
Houston General Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 388491129
Hudson Insurance Company
305 Madison Avenue
Morristown, NJ 07962
NAIC Number: 250570158
Ideal Mutual Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 142300803
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Illinois National Insurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 238170012
Intercontinental Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 380910000
Imperial Casualty & Indemnity Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 114870000
International Insurance Company
305 Madison Avenue
Morristown, NJ 07962
NAIC Number: 210830158
Imperium Insurance Company
600 Galleria Parkway Suite 770
Atlanta, GA 30339
NAIC Number: 354080000
Indemnity Insurance Company of North America
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 435750626
Indiana Insurance Company
WC Processing Center
P.O. Box 515099
Los Angeles, CA 90051-5099
NAIC Number: 226590111
Indiana Lumbermens Mutual Insurance Company
3600 Woodview Trace
P.O. Box 68600
Indianapolis, IN 46268
NAIC Number: 142650246
Insurance Co. of the State of Pennsylvania
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 194290012
Ironshore Indemnity, Inc.
P.O. Box 64035
St. Paul, MN 55164
NAIC Number: 236474509
Kansas City Fire & Marine Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 208850218
Legion Insurance Company
Attn: Dean Bender
P.O. Box 59239
Philadelphia, PA 19102
NAIC Number: 244221172
Liberty Insurance Corporation
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 424040111
Liberty Mutual Fire Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 230350111
Insurance Company of Greater New York
200 Madison Avenue
New York , NY 10016
NAIC Number: 221950222
Liberty Mutual Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 230430111
Insurance Company of North America
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 227130626
Lincoln General Insurance Company
P.O. Box 3709
York, PA 17402
NAIC Number: 338551326
Insurance Company of the West
11455 El Camino Real
San Diego, CA 92130
NAIC Number: 278470922
LM Insurance Corporation
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 336000111
Insurance Corporation of America
1301 N. Hagadorn
P.O. Box 1471
East Lansing, MI 48826-1471
NAIC Number: 109270966
Page 12
LMI Insurance Company
P.O. Box 27257
Raleigh, NC 27611
NAIC Number: 230860297
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Page 13
London Guarantee & Accident Company of NY
25 Independence Boulevard
Warren, NJ 07059
NAIC Number: 346490553
Massachusetts Bonding & Insurance Company
10 Post Office Square
Boston, MA 00000
NAIC Number: Wc0050000
Lumber Mutual Insurance Company
P.O. Box 9165
Framingham, MA 01701-9165
NAIC Number: 144350946
Medallion Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 232800000
Lumbermens Mutual Casualty Company
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 229770108
Lumbermens Underwriting Alliance
P.O. Box 3061
Boca Raton, FL 33431-3061
NAIC Number: 231080000
M L B A Mutual Insurance Company
P.O. Box 4067
East Lansing, MI 48826-4067
NAIC Number: 301390000
Manufacturers & Merchants Mutual Insurance Co
P.O. Box 514
Concord, NH 03302
NAIC Number: 231670116
Manufacturers Alliance Insurance Co.
P.O. Box 5231
Janesville, WI 53547-5231
NAIC Number: 368970767
Manufacturing Technology Mutual Insurance
Company
P.O. Box 9150
Farmington Hills, MI 48333-9150
NAIC Number: 128240000
Markel Insurance Company
4600 Cox Rd.
Glen Allen, VA 23060
NAIC Number: 389700785
Maryland Casualty Company
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 193560212
Massachusetts Bay Insurance Company
P.O. Box 15144
Worcester, MA 01615
NAIC Number: 223060088
Memic Indemnity Company
1750 Elm Street, Suite 500
Manchester, NH 03104
NAIC Number: 110301332
Merchants Mutual Insurance Company
250 Main Street
P.O. Box 903
Buffalo, NY 14240-9974
NAIC Number: 233290226
Merchants Preferred Insurance Company
250 Main Street
P.O. Box 903
Buffalo, NY 14240-9974
NAIC Number: 129010226
Meridian Citizens Mutual Insurance Co.
P.O. Box 1980
Indianapolis, IN 46206
NAIC Number: 105020175
Meridian Mutual Insurance Company
2955 N. Meridian Street
P.O. Box 7183
Indianapolis, IN 46206
NAIC Number: 233450175
Meridian Security Insurance Company
2955 N. Meridian Street
P.O. Box 7183
Indianapolis, IN 46206
NAIC Number: 233530175
MHA Insurance Company
3100 West Road, Building 1, Suite 200
East Lansing, MI 48823
NAIC Number: 331110000
MIC Property & Casualty Insurance Company
Corporate Compliance Dept.
3044 W. Grand Blvd. 482‑1x3301
Detroit, MI 48202
NAIC Number: 386010079
Michigan Commercial Insurance Mutual
P.O. Box 19769
Sarasota, FL 34276-2769
NAIC Number: 109980000
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Page 14
Michigan Insurance Company
P.O. Box 152120
Grand Rapids, MI 49515
NAIC Number: 108571243
Mitsui Sumitomo Insurance Company of America
P.O. Box 5435
Cincinnati, OH 45201-5435
NAIC Number: 203622978
Michigan Millers Mutual Insurance Company
Claims Department
P.O. Box 30060
Lansing, MI 48909
NAIC Number: 145080000
Mitsui Sumitomo Insurance USA, Inc.
P.O. Box 5435
Cincinnati, OH 45201-5435
NAIC Number: 225512978
Mid-Century Insurance Company
P.O. Box 108843
Oklahoma City, OK 73101-8843
NAIC Number: 216870212
Monroe Guaranty Insurance Company
9025 River Road
Suite 300
Indianapolis, IN 46240-6443
NAIC Number: 325060000
Middlesex Insurance Company
P.O. Box 8032
Stevens Point, WI 54481
NAIC Number: 234340169
Motorists Mutual Insurance Company
471 E. Broad Street
Columbus, OH 43215
NAIC Number: 146210291
Middlesex Mutual Assurance Company
213 Court Street
P.O. Box 891
Middletown, CT 06457
NAIC Number: 145320050
N N Insurance Company
P.O. Box 6426
Lawrenceville, NJ 08648
NAIC Number: 297851116
Midland Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 234930128
Midland National Insurance Company
173 W. Madison Street
Chicago, IL 60602
NAIC Number: Wc0090000
Midwest Employers Casualty Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 236120098
Millers Mutual Insurance Association
111 E. Fourth Street
P.O. Box 9006
Alton, IL 62002
NAIC Number: 145830855
Millers National Insurance Company
850 Warrenville Road 3rd Floor
Lisle, IL 60532
NAIC Number: 235660131
Mission Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 236040133
National American Insurance Company
1006 Manval Avenue
P.O. Box Drawer 9
Chandler, OK 74834
NAIC Number: 236630000
National Ben Franklin Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 208930218
National Casualty Company
P.O. Box 4110
Scottsdale, AZ 85261
NAIC Number: 119910140
National Continental Insurance Company
P.O. Box 5070
Cleveland, OH 44101
NAIC Number: 102430155
National Farmers Union Property & Casualty
1051 Texas Street
Salem, VA 24153
NAIC Number: 162171129
National Farmers Union Standard Insurance Co.
1051 Texas Street
Salem, VA 24153
NAIC Number: 237521129
National Fire Insurance Company of Hartford
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 204780218
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Page 15
National General Insurance Company
Corporate Compliance Dept
3044 W. Grand Blvd. 482-1x3301
Detroit, MI 48202
NAIC Number: 237280079
Nationwide Mutual Fire Insurance Company
1000 Nationwide Drive
P.O. Box 69080
Harrisburg, PA 17106-9080
NAIC Number: 237790140
National Indemnity Company
P.O. Box 881716
San Francisco, CA 94188
NAIC Number: 200870031
Nationwide Mutual Insurance Company
1000 Nationwide Drive
P.O. Box 69080
Harrisburg, PA 17106-9080
NAIC Number: 237870140
National Interstate Insurance Company
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 326200084
National Interstate Insurance Company of Hawaii
P.O. Box 5432
Cincinnati, OH 45201
NAIC Number: 110510084
National Liability & Fire Insurance Company
P.O. Box 881716
San Francisco, CA 94188 NAIC Number:
200520031
National Mutual Insurance Company
One Insurance Square
Celina, OH 45822
NAIC Number: 201840035
National Reinsurance Corporation
P.O. Box 881716
San Francisco, CA 94188
NAIC Number: 348350031
National Specialty Insurance Company
1900 L Don Dodson Drive
Bedford, TX 76021
NAIC Number: 226080093
National Surety Corporation
P.O. Box 740174
Atlanta, GA 30374-0174
NAIC Number: 218810761
National Trust Insurance Company
P.O. Box 58004
Sarasota, FL 34232-0800
NAIC Number: 201410474
Nationwide Property & Casualty Insurance
Company
1000 Nationwide Drive
P.O. Box 69080
Harrisburg, PA 17106-9080
NAIC Number: 378770140
Netherlands Insurance Company
WC Processing Center
P.O. Box 515099
Los Angeles, CA 90051-5099
NAIC Number: 241710111
New Hampshire Indemnity Company, Inc.
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 238330012
New Hampshire Insurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 238410012
New York Marine & General Insurance Company
59 Maiden Lane #2700
New York, NY 10038
NAIC Number: 166080256
New York Underwriters Insurance Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 223730091
Newark Insurance Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 246430553
National Union Fire Insurance Company
AIG Domestic Claims
P.O. Box 4230
Alpharetta, GA 30023-4230
NAIC Number: 194450012
NGM Insurance Company
220 Salina Meadows, Suite 200
Syracuse, NY 13212
NAIC Number: 147880311
Nationwide Agribusiness Insurance Company
1100 Locust Street, Dept. 3010
Des Moines, IA 50391-3010
NAIC Number: 282230140
Niagara Fire Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 351060218
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Nipponkoa Insurance Company, LTD
14 Wall Street, Suite 812
New York, NY 10005
NAIC Number: 270732558
NLC Mutual Insurance Company
1301 Pennsylvania Avenue, NW
Washington, DC 20004
NAIC Number: 279050000
Nordia Insurance Company
P.O. Box 886
Shelton, CT 06484
NAIC Number: 261070000
NorGuard Insurance Company
P.O. Box A-H
Wilkes-Barre, PA 18703
NAIC Number: 314700828
North American Elite Insurance Company
650 Elm Street, Suite 600
Manchester, NH 03101
NAIC Number: 297000181
North American Specialty Insurance Company
650 Elm Street, Suite 600
Manchester, NH 03101
NAIC Number: 298740181
North Pointe Casualty Company
P.O. Box 975
Sun Prairie, WI 53590
NAIC Number: 394621141
North Pointe Insurance Company
P.O. BOX 975
Sun Prairie, WI 53590
NAIC Number: 277401141
North River Insurance Company
305 Madison Avenue
Morristown, NJ 07962
NAIC Number: 211050158
Northbrook Indemnity Company
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 364550038
Northern Assurance Company of America
1051 Texas Street
Salem, VA 24153
NAIC Number: 383691129
Northern Insurance Company of New York
c/o Maryland Casualty
1400 American Lane, P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 193720212
Page 16
Northwestern National Casualty Company
c/o Highlands Insurance Co
10200 Richmond Avenue, Suite 175
Houston, TX 77042-4132
NAIC Number: 239061116
Northwestern National Insurance Company
9277 Centre Pointe Drive, Suite 140
West Chester, OH 45069
NAIC Number: 239140143
Nova Casualty Company
2 Waterside Crossing, Suite 400
Windsor, CT 06095
NAIC Number: 425524257
OBI National Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 141901129
Occidental Fire & Casualty Company of NC
John Mininger
702 Oberlin Road, Box 10800
Raleigh, NC 27605
NAIC Number: 232480225
Ohio Casualty Insurance Company
N14 W24200 Tower Place
P.O. Box 815
Pewaukee, WI 53072
NAIC Number: 240740148
Ohio Farmers Insurance Company
38695 7 Mile Road, Suite 110
Livonia, MI 48152
NAIC Number: 241040228
Ohio Security Insurance Company
N14 W24200 Tower Place
P.O. Box 815
Pewaukee, WI 53072
NAIC Number: 240820148
Old Republic General Insurance Corporation
P.O. Box 2200
Greensburg, PA 15601
NAIC Number: 241390150
Old Republic Insurance Company
P.O. Box 2200
Greensburg, PA 15601
NAIC Number: 241470150
OneBeacon America Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 206211129
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
OneBeacon Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 219701129
Pacific Employers Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 227480626
Pacific Indemnity Company
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 203460038
Pacific Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 373380218
Park Avenue Property & Casualty
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 287113499
Partners Mutual Insurance Company
20935 Swenson
Waukesha, WI 53186
NAIC Number: 134390000
Patriot General Insurance Company
P.O. Box 8032
Stevens Point, WI 54481
NAIC Number: 234420169
Peerless Indemnity Insurance Company
WC Processing Center
P.O. Box 515099
Los Angeles, CA 90051-5099
NAIC Nunber: 183330111
Page 17
Pennsylvania Lumbermens Mutual Insurance
1 Commerce Square
2005 Market St., Ste. 1200
Philadelphia, PA 19103-7008
NAIC Number: 149740000
Pennsylvania Manufacturers Assn. Insurance Co
P.O. Box 5231
Janesville, WI 53547-5231
NAIC Number: 122620767
Pennsylvania Manufacturers Indemnity Co.
P.O. Box 5231
Janesville, WI 53547-5231
NAIC Number: 414240767
Pennsylvania National Mutual Casualty Ins.
P.O. Box 2361
Harrisburg, PA 17105
NAIC Number: 149900271
Petroleum Casualty Company
P.O. Box 3342
Houston, TX 77253
NAIC Number: 122970000
Pharmacists Mutual Insurance Company
808 Hwy. 18 West
P.O. Box 370
Algona, IA 50511
NAIC Number: 137140775
Phico Insurance Company
5875 Castle Creek Pkwy N Dr. Ste. 300
P.O. Box 50465
Indianapolis, IN 46250
NAIC Number: 357180711
Phoenix Assurance Company of New York
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 352620553
Peerless Insurance Company
WC Processing Center
P.O. Box 515099
Los Angeles, CA 90051-5099
NAIC Number: 241980111
Phoenix Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 256230041
Penn Millers Insurance Company
72 N. Franklin Street
Wilkes-Barre, PA 18773
NAIC Number: 149820125
Pioneer State Mutual Insurance Company
1510 N. Elms Road
Flint, MI 48532
NAIC Number: 183090000
Pennsylvania General Insurance Company
1051 Texas Street
Salem, VA 24153
NAIC Number: 219621129
Plaza Insurance Company
P.O. Box 7183
Indianapolis, IN 46206-7183
NAIC Number: 309450175
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Potomac Insurance Company of Illinois
1051 Texas Street
Salem, VA 24153
NAIC Number: 401341129
Ranger Insurance Company
250 Commercial Street Suite 5000
Manchester, NH 03101
NAIC Number: 243840158
Praetorian Insurance Company
88 Pine Street, 4th Floor
New York, NY 10005
NAIC Number: 372570517
Regent Insurance Company
P.O. Box 975
Sun Prairie, WI 53590
NAIC Number: 244490796
Preferred Professional Insurance Company
P.O. Box 540658
Omaha, NE 68154
NAIC Number: 362340000
Reliance Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 244570159
Preserver Insurance Company
120 Broadway, 31st Floor
New York, NY 10271-3199
NAIC Number: 155863703
Princeton Insurance Company
746 Alexander Road
Princeton, NJ 08543
NAIC Number: 422260924
Progressive Casualty Insurance Company
P.O. Box 5070
Cleveland, OH 44101
NAIC Number: 242600155
Property & Casualty Insurance Company of
Hartford
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 346900091
Protective Insurance Company
1099 N. Meridian Street
Indianapolis, IN 46204
NAIC Number: 124160867
Providence Washington Insurance Company
1275 Wampanoag Trail
Riverside, RI 02915
NAIC Number: 242950156
Prudential Commercial Insurance Company
P.O. Box 6426
Lawrenceville, NJ 08648
NAIC Number: 364390304
QBE Insurance Corporation
P.O. Box 975
Sun Prairie, WI 53590
NAIC Number: 392170796
Rampart Insurance Company
20 Exchange Place, 11th Floor
New York, NY 10005
NAIC Number: 385120686
Reliance National Indemnity Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 244300159
Reliance National Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 405920159
Republic Western Insurance Company
2721 N. Central Avenue
Phoenix, AZ 85004
NAIC Number: 310890574
Republic-Franklin Insurance Company
P.O. Box 530
Utica, NY 13503
NAIC Number: 124750201
Retailers Mutual Insurance Company
603 S. Washington Avenue
Lansing, MI 48933
NAIC Number: 124710000
Riverport Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 366840098
RLI Insurance Company
P.O. Box 3736
Peoria, IL 61612
NAIC Number: 130560783
Rockwood Casualty Insurance Company
P.O. Box 22146
Portland, OR 97269-2146
NAIC Number: 355050457
Page 18
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Royal Insurance Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 269800553
Selective Insurance Company of America
40 Wantage Avenue
Branchville, NJ 07894
NAIC Number: 125720242
Sable Insurance Company
433 California Street, 11th Floor
San Francisco, CA 94104
NAIC Number: 108230000
Selective Insurance Co of South Carolina
40 Wantage Avenue
Branchville, NJ 07894
NAIC Number: 192590242
Safeco Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 247400163
Selective Insurance Co of the Southeast
40 Wantage Avenue
Branchville, NJ 07894
NAIC Number: 399260242
Safeguard Insurance Company
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 246940553
Safety First Insurance Company
1832 Schuetz Road
St. Louis, MO 63146
NAIC Number: 111230074
Safety National Casualty Corporation
1832 Schuetz Road
St. Louis, MO 63146
NAIC Number: 151050074
Sagamore Insurance Company
1099 N. Meridian Street
Indianapolis, IN 46204
NAIC Number: 404600867
SeaBright Insurance Company
P.O. Box 91100
Seattle, WA 98111
NAIC Number: 155630000
Secura Insurance Company
P.O. Box 819
Appleton, WI 54912
NAIC Number: 225430096
Security Casualty Company
222 S. Riverside Plaza
Chicago, IL 60606
NAIC Number: 249290000
Security Insurance Company of Hartford
3600 Arco Corporate Drive
Charlotte, NC 28273
NAIC Number: 249020553
Select Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 222330041
Selective Way Insurance Company
40 Wantage Avenue
Branchville, NJ 07894
NAIC Number: 263010242
Seneca Insurance Company
305 Madison Avenue
Morristown, NJ 07962
NAIC Number: 109361271
Sentinel Insurance Company, Ltd.
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 110000091
Sentry Casualty Company
P.O. Box 8032
Stevens Point, WI 54481
NAIC Number: 284600169
Sentry Insurance a Mutual Company
P.O. Box 8032
Stevens Point, WI 54481
NAIC Number: 249880169
Sentry Select Insurance Company
P.O. Box 8032
Stevens Point, WI 54481
NAIC Number: 211800169
Sequoia Insurance Company
10091 Park Run Drive, Suite 170
LasVegas, NV 89145
NAIC Number: 229850009
SFM Mutual Insurance Company
3500 American Blvd. West, Suite 700
Bloomington, MN 55431
NAIC Number: 113470000
Shelby Insurance Company
Central Service Center
175 Mansfield Avenue
Shelby, OH 44875
NAIC Number: 151560269
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Workers’ Compensation Agency
Insurance Company Listing
Society Insurance
P.O. Box 1029
Fond Du Lac, WI 54936
NAIC Number: 152610000
St. Paul Protective Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 192240164
Sompo Japan Fire & Marine Insurance Company of
America
11405 North Community House Rd
Hayes Building Suite 600
Charlotte, NC 28277
NAIC Number: 389973219
Standard Fire Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 190700041
Sompo Japan Insurance Company of America
11405 North Community House Rd
Hayes Building Suite 600
Charlotte, NC 28277
NAIC Number: 111263219
South Carolina Insurance Company
P.O. Box 1
Columbia, SC 29202
NAIC Number: 249530168
Southern Insurance Company
222 S 15th St Ste 1500 North
Omaha, NE 68102
NAIC Number: 192163489
Sparta Insurance Company
City Place II
185 Asylum Street, 9th Floor
Hartford, CT 06103
NAIC Number: 206130000
St. Paul Fire & Marine Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 247670164
St. Paul Guardian Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 247750164
St. Paul Medical Liability Insurance Co.
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 417500164
St. Paul Mercury Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 247910164
St. Paul Property & Casualty Insurance Co.
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 415210164
Page 20
Star Insurance Company
c/o Meadowbrook Claims Service
26255 American Drive
Southfield, MI 48034-6112
NAIC Number: 180230748
StarNet Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 400450098
Starr Indemnity & Liability Co
399 Park Ave. 8th Floor
New York, NY 10022
NAIC Number: 383184670
State Auto Property & Casualty Insurance Company
P.O. Box 7183
Indianapolis, IN 46206-7183
NAIC Number: 251270175
State Automobile Mutual Insurance Company
P.O. Box 7183
Indianapolis, IN 46206-7183
NAIC Number: 251350175
State Farm Fire & Casualty Company
Workers Compensation Claims
P.O. Box 661012
Dallas, TX 75266-1012
NAIC Number: 251430176
State Farm General Insurance Company
Workers Compensation Claims
P.O. Box 661012
Dallas, TX 75266-1012
NAIC Number: 251510176
State Mutual Insurance Company
P.O. Box 280
Lapeer, MI 48446
NAIC Number: 152020000
State National Insurance Company, Inc.
1900 L Don Dodson Drive
Bedford, TX 76021
N AIC Number: 128310093
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Page 21
Stonington Insurance Company
P.O. Box 975
Sun Prairie, WI 53590
NAIC Number: 103400796
Tower National Insurance Company
120 Broadway
New York, NY 10271-3199
NAIC Number: 437023703
Strathmore Insurance Company
200 Madison Avenue
New York, NY 10016
NAIC Number: 110240222
Toyota Motor Insurance Company
19001 S. Western Ave., FS 21
Torrance, CA 90509
NAIC Number: 376210372
Sun Insurance Office, Ltd.
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 203700038
Trans Pacific Insurance Company
P.O. Box 3347
New York, NY 10163-3347
NAIC Number: 412380950
T H E Insurance Company
10451 Gulf Blvd.
Treasure Island, FL 33706
NAIC Number: 128660000
Transcontinental Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 204860218
Technology Insurance Company, Inc.
P.O. Box 105074
Atlanta, GA 30348
NAIC Number: 423762538
Transguard Insurance Company of America, Inc.
215 Shurman Blvd., Suite 400
Naperville, IL 60563
NAIC Number: 288860000
TIG Insurance Company
250 Commercial Street Suite 5000
Manchester, NH 03101
NAIC Number: 255341111
Transit Casualty Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 129550337
TIG Insurance Company of Michigan
250 Commercial Street Suite 5000
Manchester, NH 03101
NAIC Number: 255421111
TIG Insurance Corporation of America
250 Commercial Street Suite 5000
Manchester, NH 03101
NAIC Number: 255261111
TIG Premier Insurance Company
250 Commercial Street Suite 5000
Manchester, NH 03101
NAIC Number: 255181111
TNUS Insurance Company
230 Park Avenue
New York NY 10169
NAIC Number: 323013098
Tokio Marine & Nichido Fire Insurance Company
LTD
205 N. Michigan, Suite 830
Chicago, IL 60601
NAIC Number: 129043098
Tower Insurance Company of New York
Claims Department
P.O. Box 907
Paramus, NJ 07635-0907
NAIC Number: 443003703
Transport Indemnity Company
2 Cross Roads of Commerce, Suite 700
Rolling Meadows, IL 60008
NAIC Number: 256070084
Transport Insurance Company
11300 Highland Corporate Drive, Suite 103
Cumberland, RI 02864
NAIC Number: 330140000
Transportation Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 204940218
Travelers Casualty & Surety Co. of America
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 311940041
Travelers Casualty & Surety Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 190380041
Travelers Casualty Company of Connecticut
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 361700041
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Travelers Casualty Insurance Company of America
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 190460041
U S Specialty Insurance Company
13403 Northwest Freeway
Houston, TX 77040
NAIC Number: 295990984
Travelers Commercial Casualty Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 402820041
Ullico Casualty Company
c/o MI Property & Casualty Fund
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 378930781
Travelers Commercial Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 361370041
Travelers Indemnity Co. Of Connecticut
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 256820041
Travelers Indemnity Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 256580041
Travelers Indemnity Company of America
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 256660041
Travelers Insurance Company
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 393570041
Travelers Property Casualty Company of America
P.O. Box 50472
Indianapolis, IN 46250-0472
NAIC Number: 256740041
Tri State Insurance Company of Minnesota
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 310030098
Truck Insurance Exchange
P.O. Box 108843
Oklahoma City, OK 73101-8843
NAIC Number: 217090212
Trumbull Insurance Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 271200091
Twin City Fire Insurance Company
4245 Meridian Pkwy
Aurora, IL 60504-7901
NAIC Number: 294590091
Unigard Security Insurance Company
15805 N.E. 24 Street
Bellevue, WA 98008
NAIC Number: 257630356
Union Insurance Company
1250 E Diehl Rd., Ste 200
Naperville, IL 60563
NAIC Number: 258440098
United Pacific Insurance Company
c/o MI Property & Casualty
P.O. Box 531266
Livonia, MI 48153-1266
NAIC Number: 244730159
United Security Insurance Company
P.O. Box 1848
Des Moines, IA 50306
NAIC Number: 217760072
United States Fidelity & Guaranty
Discover Re Managers, Inc.
5 Batterson Park
Farmington, CT 06032
NAIC Number: 258870164
United States Fire Insurance Company
305 Madison Avenue
Morristown, NJ 07962
NAIC Number: 211130158
United States Liability Insurance Company
190 S. Warner Road
Wayne, PA 19087
NAIC Number: 258950232
United Wisconsin Insurance Company
P.O. Box 3026
Milwaukee, WI 53201
NAIC Number: 291570572
Universal Underwriters Insurance Company
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 411810212
Page 22
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Utica Mutual Insurance Company
2600 Corporate Exchange Drive
Suite 200
Columbus, OH 43231-1672
NAIC Number: 259760201
Western Casualty & Surety Company
c/o American States Ins. Co.
P.O. Box 461
St. Louis, MO 63166-0461
NAIC Number: 260930020
Valiant Insurance Company
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 266110212
Western Continental Insurance Company
20 Exchange Place, 11th Floor
New York, NY 10005
NAIC Number: 257710686
Valley Forge Insurance Company
P.O. Box 8317
Chicago, IL 60680-8317
NAIC Number: 205080218
Vanliner Insurance Company
One United Drive
P.O. Box 26352
Fenton, MO 63026
NAIC Number: 211720000
Vigilant Insurance Company
233 South Wacker Drive, Suite 4700
Chicago, IL 60606
NAIC Number: 203970038
Virginia Surety Company, Inc.
c/o AON Corporation
200 E. Randolph St. Ste. 1800
Chicago, IL 60601
NAIC Number: 408270317
Wausau Business Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 260690111
Wausau Underwriters Insurance Company
2000 Westwood Drive
P.O. Box 8016
Wausau, WI 54402-8016
NAIC Number: 260420111
West American Insurance Company
N14 W24200 Tower Place
P.O. Box 815
Pewaukee, WI 53072
NAIC Number: 443930148
West Bend Mutual Insurance Company
1900 S. 18th Avenue
West Bend, WI 53095
NAIC Number: 153500000
Westchester Fire Insurance Company
20700 Civic Center Drive, Suite 400
Southfield, MI 48076
NAIC Number: 211210626
Western Employers Insurance Company
1400 N. Harbor Boulevard
P.O. Box 5347
Fullerton, CA 92635
NAIC Number: 328830369
Westfield Insurance Company
38695 7 Mile Road, Suite 110
Livonia, MI 48152
NAIC Number: 241120228
Westfield National Insurance Company
38695 7 Mile Road , Suite 110
Livonia, MI 48152
NAIC Number: 241200228
Westport Insurance Corporation
5200 Metcalf
P.O. Box 2991
Overland Park, KS 66201
NAIC Number: 398450181
Williamsburg National Insurance Company
c/o Meadowbrook Claims Service
26600 Telegraph Rd., Box 2054
Southfield, MI 48037
NAIC Number: 257800748
Work First Casualty Company
2636 Biehn Street
Klamath Falls, OR 97601
NAIC Number: 312320000
X L Insurance America, Inc.
505 Eagleview Blvd.
Exton, PA 19341-0636
NAIC Number: 245541285
X L Specialty Insurance Company
505 Eagleview Blvd.
Exton, PA 19341-0636
NAIC Number: 378851285
Zenith Insurance Company
2105 W. White Oaks Drive
Springfield, IL 62074
NAIC Number: 132690336
Page 23
4/15/2014
Workers’ Compensation Agency
Insurance Company Listing
Zurich American Insurance Company of Illinois
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 278550212
Zurich Insurance Company
1400 American Lane
P.O. Box 968070
Schaumburg, IL 60196-8070
NAIC Number: 165350212
Page 24
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