Workers' Compensation Insurance Company Listing

1 1/12/2018 Workers Compensation Agency Page 1 Insurance Company Listing Insurance Company AIG Domestic Claims Box 25908 Shawnee Mission, KS 66225 NAIC Number: 193990012 Acadia Insurance Company Box 1594 Des Moines, IA 50306 NAIC Number: 313250098 Acceptance Insurance Company 535 W. Broadway Box 1574 Council Bluffs, IA 51502-1574 NAIC Number: 379580329 Accident Fund General Insurance Co. Box 40790 Lansing, MI 48901 NAIC Number: 123040572 Accident Fund Insurance Co. of America Box 40790 Lansing , MI 48901 NAIC Number: 101660572 Accident Fund National Insurance Co. Box 40790 Lansing, MI 48901 NAIC Number: 123050572 Ace American Insurance Company 525 W Monroe Chicago, IL 60661 NAIC Number: 226670626 Ace Fire Underwriters Insurance Company 525 W Monroe Chicago, IL 60661 NAIC Number: 207020626 Ace Property & Casualty Insurance Company 525 W Monroe Chicago, IL 60661 NAIC Number: 206990626 ACIG Insurance Company 2600 N Central Expy Ste 800 Richardson, TX 075080-2064 NAIC Number: 199840594 Acuity, A Mutual Insurance Company 2800 S.

2 Taylor Drive Box 58 Sheboygan, WI 53081 NAIC Number: 141840289 Advantage Workers Compensation Insurance Company Box 571918 Salt Lake City, UT 84157-1918 NAIC Number: 405170000 Affiliated F M Insurance Company Allendale Park Box 7500 Johnston, RI 02919 NAIC Number: 100140065 AIG Property Casualty Company AIG Domestic Claims Box 25908 Shawnee Mission, KS 66225 NAIC Number: 194020012 Alea North America Insurance Company 55 Capital Blvd. Rocky Hill, CT 06067 NAIC Number: 248991325 All America Insurance Company 800 S. Washington Street Vanwert, OH 45891 NAIC Number: 202220036 Alliance Assurance Company , Ltd.

3 3600 Arco Corporate Drive Charlotte, NC 28273 NAIC Number: 202730553 Allianz Insurance Company 2995 Prospect Park Drive, Suite 200 Rancho Cordova, CA 95670 NAIC Number: 353000761 Allied Eastern Indemnity Company 25 Race Avenue Box 83777 Lancaster, PA 17608-3777 NAIC Number: 112423158 Allied Insurance Company 525 W Monroe Chicago, IL 60661 NAIC Number: 365280626 Allied Property & Casualty Insurance Company One Nationwide Gateway Dept 5570 DesMoines, IA 50391-5570 NAIC Number: 425790140 Allmerica Financial Benefits Insurance Company Box 15144 Worcester, MA 01615 NAIC Number: 418400088 1/12/2018 Workers Compensation Agency Page 2 Insurance Company Listing Allmerica Financial Alliance Insurance Company Box 15144 Worcester, MA 01615 NAIC Number: 102120088 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 Gateway Dept 5570 Des Moines, IA 50391-5570 NAIC Number: 191000140 American & Foreign Insurance Company 3600 Arco Corporate Drive Charlotte, NC 28273 NAIC Number.

4 245890553 American Alternative Insurance Company American RE Plaza 555 College Road East Princeton, NJ 08543 NAIC Number: 197200957 American Automobile Insurance Company Box 740174 Atlanta, GA 30374-0174 NAIC Number: 218490761 American Casualty Company of Reading, PA Box 8317 Chicago, IL 60680-8317 NAIC Number: 204270218 American Commercial Liability Insurance Co. c/o MI Property & Casualty 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 Box 50472 Indianapolis, IN 46250-0472 NAIC Number: 122460164 American Country Insurance Company 150 N.

5 W. Point Blvd., Suite 300 Elk Grove Village, IL 60007-1015 NAIC Number: 382370000 American Druggists Insurance Company c/o MI Property & Casualty Box 531266 Livonia, MI 48153-1266 NAIC Number: 101540143 American Economy Insurance Company 2000 Westwood Drive Box 8016 Wausau, WI 54402-8016 NAIC Number: 196900163 American European Insurance Company 250 Main Street 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 350 E 96th Street Indianapolis, IN 46240 NAIC Number.

6 240660148 American Fuji Fire & Marine Insurance Company 3880 RFD Salem Lake Road Long Grove, IL 60047 NAIC Number: 403980000 American Guarantee & Liability Insurance Co. 66941 Chicago, IL 60666-6941 NAIC Number: 262470212 American Hardware Mutual Insurance Company Box 435 Minneapolis, MN 55440 NAIC Number: 133310291 American Home Assurance Company AIG Domestic Claims Box 25908 Shawnee Mission, KS 66225 NAIC Number: 193800012 American Insurance Company Box 740174 Atlanta, GA 30374-0174 NAIC Number: 218570761 American Interstate Insurance Company 2301 Highway 190 West Deridder, LA 70634 NAIC Number: 318950680 1/12/2018 Workers Compensation Agency Page 3 Insurance Company Listing American Manufacturers Mutual Insurance Co.

7 C/o MI Property & Casualty Fund Box 531266 Livonia, MI 48153-1266 NAIC Number: 305620108 American Mining Insurance Company 1250 E Diehl Rd., Ste 200 Naperville, IL 60563 NAIC Number: 159110098 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 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 Physicians Assurance Corporation 1301 N.

8 Hagadorn Box 1471 East Lansing, MI 48826 NAIC Number: 330060966 American Policyholders Insurance Co. 100 Unicorn Park Drive Woburn, MA 01801 NAIC Number: 195770015 American Protection Insurance Company c/o MI Property & Casualty Fund Box 531266 Livonia, MI 48153-1266 NAIC Number: 189100108 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 Box 5001 Westfield Center, OH 44251-5001 NAIC Number: 199920228 American States Insurance Company 2000 Westwood Drive Box 8016 Wausau, WI 54402-8016 NAIC Number: 197040163 American Universal Insurance Company c/o MI Property & Casualty Box 531266 Livonia, MI 48153-1266 NAIC Number: 197470021 American Zurich Insurance Company Box 66941 Chicago, IL 60666-6941 NAIC Number: 401420212 Amerisure Insurance Company Box 1515 Canonsburg, PA 15317 NAIC Number.

9 194880124 Amerisure Mutual Insurance Company Box 1515 Canonsburg, PA 15317 NAIC Number: 233960124 Amerisure Partners Insurance Company Box 1515 Canonsburg, PA 15317 NAIC Number: 110500124 AmGuard Insurance Company Box A-H Wilkes-Barre, PA 18703 NAIC Number: 423900828 Ansur America Insurance Company One Mutual Avenue Frankenmuth, MI 48787 NAIC Number: 109841309 AP Specialty Insurance Corp. 1301 N. Hagadorn Road East Lansing, MI 48823-2320 NAIC Number: 102290966 Arch Insurance Company 1 Liberty Plz Ste 5300 New York, NY 10006 NAIC Number: 111500000 Argonaut Great Central Insurance Company Box 469012 San Antonio, TX 78246-9012 NAIC Number: 198600457 Argonaut Insurance Company Box 469012 San Antonio, TX 78246-9012 NAIC Number: 198010457 1/12/2018 Workers Compensation Agency Page 4 Insurance Company Listing Argonaut Midwest Insurance Company Box 469012 San Antonio, TX 78246-9012 NAIC Number: 198280457 Arrowood Indemnity Company 3600 Arco Corporate Drive Charlotte, NC 28273 NAIC Number.

10 246780553 Associated Indemnity Corporation Box 740174 Atlanta, GA 30374-0174 NAIC Number: 218650761 Assurance Company of America Box 66941 Chicago, IL 60666-6941 NAIC Number: 193050212 Athena Assurance Company Box 50472 Indianapolis, IN 46250-0472 NAIC Number: 417690164 Atlantic Mutual Insurance Company c/o MI Property & Casualty Box 531266 Livonia, MI 48153-1266 NAIC Number: 198950024 Atlantic Specialty Insurance Company 1051 Texas Street Salem, VA 24153 NAIC Number: 271541129 Atlantic States Insurance Company Box 152120 Grand Rapids, MI 49515 NAIC Number: 225860250 Auto Owners Insurance Company Michigan Workers' Comp.