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Feb. 23, 2021 To: All Companies Listed in Appendix A of This Call Letter Re: 2020 Wildfire Catastrophe Claims and Fire Marshal Premium Assessment Data Call Background and Data Call Structure On Oct. 15, 2020, the Oregon Division of Financial Regulation (DFR) issued the “2020 Wildfire and Wind Data Call” to collect information about fire and wind losses in the state, beginning on Aug. 20, 2020. DFR rescinds this data call and replaces it with the 2020 Wildfire Catastrophe Claims and Fire Marshal Premium Assessment Data Call. This data call contains two reporting requirements for which two templates have been provided. The instructions in this call letter are split into two parts. Part 1 focuses on the Wildfire Catastrophe Claims reporting requirement. Part 2 focuses on the Fire Marshal Premium Assessment reporting requirement. All companies listed in Appendix A of this call letter must report. Reports may be submitted by individual companies or at the group level. Additional details are below. Both reports must be submitted using the provided templates. All reports must be submitted through an online portal managed by the NAIC. Use Google Chrome to access the online portal with the following website link: https://content.naic.org/industry_state_disaster_reporting_data_calls.htm Part 1 must be submitted by logging into the NAIC reporting portal, selecting “PAC” as the “datacall group,” and selecting “OR_CLAIMSBYZIPCODE.” Part 2 must be submitted by logging into the NAIC reporting portal, selecting “PAC” as the “datacall group,” and selecting “OR_FIREBYLINEDETAIL.” DFR will provide updated frequently asked questions as needed based on questions received. Please submit questions promptly to <[email protected]>. Completed templates for Part 1 and Part 2 are due by end of day March 23, 2021. Extension requests will not be granted. Before attempting to submit a file, please review the “File Submission Guide” available at https://content.naic.org/industry_state_disaster_reporting_data_calls.htm. Group or individual company reporting will be accepted
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DFR will accept submissions at either the group or individual company level. If you submit at the group level, the submission must cover all companies within the group. The full list of companies required to report can be found in Appendix A following this call letter. DFR will not accept a group submission for a portion of the companies required to report for the group. If DFR receives multiple acknowledgments for the same group or company, we will notify the involved parties, who then must determine how the group/company will proceed. Acknowledgment Required Please note: Your email acknowledgement of this call letter is due by end of day on Mar. 2, 2021. Your acknowledgment must be submitted using the provided “Data Call Acknowledgment Form.” The acknowledgment must include two contacts. These contacts will also be set up to access the NAIC reporting portal and submit the data call responses. If submitting an acknowledgment for a group, all companies within the group must be listed, by name and NAIC cocode, otherwise the acknowledgment will be rejected. Please submit your acknowledgment to <[email protected]>. Group or individual companies with no information to report A group or individual company that determines it has no information to report, based on what is required, may submit the provided “Attestation of no information to report” form. Separate attestation forms must be submitted for Part 1 and Part 2 reporting requirements. DFR will not accept a group submission for a portion of the companies required to report for the group. If DFR receives multiple attestations for the same group or company, we will notify the involved parties, who then must determine how the group/company will proceed. Attestation forms must be submitted to DFR at <[email protected]>. Attestations are due by end of day Mar. 9, 2021. A notice will be sent by DFR in response to the submitted form confirming receipt and will state whether an exemption has been approved or denied. DFR staff may seek more information before granting the exemption. Exemption requests for all other reasons will not be accepted. Group and company information to be provided on the reporting template Each template will require information on the group, company, or both. This information must align across both templates. Each template will also require contact information. This may be the primary or secondary contact established through the acknowledgment process. If a company is submitting an individual report, input the NAIC code and company name wherever the template requests the group code or group name. Group submissions must list all companies in the response on the reporting template. If this list of companies does not align with the list of companies provided in Appendix A, and provided through the acknowledgment process, the submission may be accepted by the NAIC’s reporting portal but will be rejected after review with the group contacts being notified by DFR.
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Part 1 – Wildfire Catastrophe Claims for Named Fires by ZIP Code Information regarding claims associated with the named fire events that took place in Oregon, starting in September 2020, must be provided for all ZIP codes in Appendix B of this document. The provided template includes the full list of ZIP codes on submitted reports. Note: This list must not be edited unless directed by DFR staff. All claims reported should be for damages that occurred as a result of one of the named fire events that took place in Oregon starting in September 2020. List of named fires
1. Almeda Glendower 2. Archie Creek 3. Beachie Creek Lionshead Complex
a. Includes Beachie Creek and Lionshead fires 4. Brattain 5. Chehalem Mountain Bald Peak 6. Clackamas County Fire Complex
a. Includes Dowty Road, Unger Road, and Whilhoit Road fires 7. Echo Mountain Fire Complex
a. Includes Echo Mountain and Kimberling Mountain fires 8. Holiday Farm 9. Pike Road 10. Powerline 11. Riverside 12. Slater 13. South Obenchain 14. Two Four Two
Information on the named fire events can be found at https://www.fema.gov/disasters and https://wildfire.oregon.gov/. For Part 1, all information is to be reported as of Dec. 31, 2020. Fields that must be reported Number of Claims Reported – Provide the total number of claims reported, as of Dec. 31, 2020, associated with, or as a result of, the named fire events in Oregon.
Number of Claims Closed With Payment – Provide the total number of claims closed with payment, as of Dec. 31, 2020, that were associated with, or as a result of, the named fire events in Oregon.
Number of Claims Closed Without Payment – Provide the total number of claims closed without payment, as of Dec. 31, 2020, that were associated with, or as a result of, the named fire events in Oregon.
Number of Total Loss Claims – Provide the total number of total loss claims, as of Dec. 31, 2020, that are associated with, or as a result of, the named fire events in Oregon.
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Number of Pending Claims – Provide the total number of pending claims, as of Dec. 31, 2020, that are associated with, or as a result of, the named fire events in Oregon.
Paid Loss – Provide the total dollar amount in paid loss, as of Dec. 31, 2020, associated with, or as a result of, the named fire events in Oregon.
Case Incurred Loss – Provide the total dollar amount in case incurred loss, as of Dec. 31, 2020, associated with, or as a result of, the named fire events in Oregon.
Definitions Adjustment expenses – Refer to the annual statement reporting blank definition.
Loss – Indemnity payments, but excludes adjustment expenses. Payments should be net of actual
salvage and subrogation recoveries. For applicable lines, include losses associated with loss of use,
additional living expense, fair rental value, etc.
Case incurred loss – Indemnity case reserves plus claim payments made to date. Estimates of IBNR
should not be included.
Payment – Loss payment and does not include adjustment expenses.
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Part 2 – Fire Marshal Premium Assessment Template Information must be reported for each line of business listed below.
1. Fire – Personal business 2. Fire – Commercial business 3. Farmowners Multiple Peril 4. Homeowners Multiple Peril – Excluding Tenant Homeowners Policies 5. Tenant Homeowners (Renters Policies) 6. Commercial Multiple Peril (non-liability portion) 7. Commercial Multiple Peril (liability portion) 8. Inland Marine 9. Private Passenger Auto Physical Damage 10. Commercial Auto Physical Damage 11. Aircraft (all perils)
The template provided includes separate tabs for each line of business. Information to be reported has been segmented into ranges based on yearly premium. These premium ranges will vary depending on the lines of business. All information will be reported at the state level; only Oregon business should be included. Please note: Only one record per line of business will be accepted. Fields that must be reported Number of Policies – Total count of all policies for which coverage was in effect as of Dec. 31, 2019, for the specific premium range being reported.
Aggregate Yearly Premium – Total dollar amount of yearly premium charged for all policies for which coverage was in effect as of Dec. 31, 2019, for the specific premium range being reported.
Aggregate Total Insured Value – Total dollar amount of total insured value for all policies for which coverage was in effect as of Dec. 31, 2019, for the specific premium range being reported.
1. Total Insured Value definition — A property insurance term referring to the sum of the full value of the insured's covered property, business income values, and any other covered property interests.
2. Total Insured Value information is not required for these lines of business. a. Private Passenger Auto Physical Damage b. Commercial Auto Physical Damage c. Aircraft (All Perils)
For more information on the Fire Marshal Premium Assessment, please refer to Oregon Revised Statute (ORS) 731.820.
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Key information recapped Acknowledgment form is due by end of day Mar. 2, 2021 and must be sent, using the provided form, to <[email protected]>. Attestations to report a group or company has no information to submit are due by end of day Mar. 9, 2021. A group or individual company that determines it has no information to report based on what is required may submit the provided “Attestation of no information to report” form. A separate attestation must be submitted for Part 1 and Part 2. Attestation forms must be submitted to DFR at <[email protected]>. For Part 1, all information is to be reported as of Dec. 31, 2020. For Part 2, all information is to be reported as of Dec. 31, 2019. Completed templates for Part 1 and Part 2 are due by end of day March 23, 2021. Extension requests will not be granted. Both reports must be submitted using the provided templates. All reports must be submitted through an online portal managed by the NAIC. Use Google Chrome to access the online portal with the following website link: https://content.naic.org/industry_state_disaster_reporting_data_calls.htm. Please submit questions promptly to <[email protected]>. All information outlined in this data call (both Part 1 and Part 2) is required under ORS 731.296. All information submitted in response to this request shall be confidential and shall not be disclosed except as provided in ORS 705.137. Failure to respond or delay in responding or incompletely responding to this letter within the time allowed is in violation of ORS 731.296 and may be subject to enforcement action. Sincerely,
Brian J. Fordham Insurance Product Regulation P&C Manager Division of Financial Regulation
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Appendix A – Companies Required to Report
Group Name Group Code Company Name Cocode
NO GROUP N/A Wawanesa Gen Ins Co 10683
NO GROUP N/A Federated Rural Electric Ins Exch 11118
NO GROUP N/A Rural Trust Ins Co 11134
NO GROUP N/A Generali Us Branch 11231
NO GROUP N/A CGB Ins Co 11445
NO GROUP N/A American Pet Ins Co 12190
NO GROUP N/A Brotherhood Mut Ins Co 13528
NO GROUP N/A National Fire & Ind Exch 15679
NO GROUP N/A Metromile Ins Co 16187
NO GROUP N/A Pemco Mut Ins Co 24341
NO GROUP N/A Spinnaker Ins Co 24376
NO GROUP N/A Ohio Ind Co 26565
NO GROUP N/A Amex Assur Co 27928
NO GROUP N/A Sutter Ins Co 32107
NO GROUP N/A Dentists Ins Co 40975
NO GROUP N/A Armed Forces Ins Exch 41459
FEDERATED MUT GRP 7 Federated Mut Ins Co 13935
Federated Serv Ins Co 28304
ALLSTATE INS GRP 8
Encompass Ins Co Of Amer 10071
Encompass Ind Co 15130
Allstate Prop & Cas Ins Co 17230
Allstate Ins Co 19232
Allstate Ind Co 19240
Esurance Ins Co 25712
Allstate Fire & Cas Ins Co 29688
Esurance Prop & Cas Ins Co 30210
Allstate Vehicle & Prop Ins Co 37907
AMERICAN INTL GRP 12
American Home Assur Co 19380
AIG Prop Cas Co 19402
Commerce & Industry Ins Co 19410
Insurance Co Of The State Of PA 19429
National Union Fire Ins Co Of Pitts 19445
Granite State Ins Co 23809
Illinois Natl Ins Co 23817
New Hampshire Ins Co 23841
Blackboard Ins Co 26611
Assurant Inc Grp 19
American Bankers Ins Co Of FL 10111
American Security Ins Co 42978
Standard Guar Ins Co 42986
BCS INS GRP 23 BCS Ins Co 38245
AMICA MUT GRP 28 Amica Mut Ins Co 19976
BERKSHIRE HATHAWAY GRP 31
Berkshire Hathaway Direct Ins Co 10391
National Liab & Fire Ins Co 20052
National Ind Co 20087
General Reins Corp 22039
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Geico Ind Co 22055
Government Employees Ins Co 22063
Berkshire Hathaway Specialty Ins Co 22276
United States Liab Ins Co 25895
Central States Ind Co Of Omaha 34274
Geico Gen Ins Co 35882
Continental Divide Ins Co 35939
Geico Cas Co 41491
Amguard Ins Co 42390
CALIFORNIA CAS MGMT GRP 33
California Cas Ind Exch 20117
California Cas Ins Co 20125
California Cas Gen Ins Co of OR 35955
Country Ins & Fin Serv Grp 50
Country Cas Ins Co 20982
Country Mut Ins Co 20990
Country Pref Ins Co 21008
EMC INS CO GRP 62 Emcasco Ins Co 21407
Employers Mut Cas Co 21415
FM GLOBAL GRP 65 Affiliated Fm Ins Co 10014
Factory Mut Ins Co 21482
FARMERS INS GRP 69
Foremost Ins Co Grand Rapids MI 11185
Foremost Prop & Cas Ins Co 11800
Farmers Ins Co Of OR 21636
Farmers Ins Exch 21652
Mid Century Ins Co 21687
Truck Ins Exch 21709
Coast Natl Ins Co 25089
21st Century Assur Co 44245
FIRST AMER TITLE GRP 70 First Amer Prop & Cas Ins Co 37710
UNIVERSAL INS CO GRP 71 Universal N Amer Ins Co 10759
Ally Ins Holdings Grp 79 Motors Ins Corp 22012
GRANGE INS GRP 83 Grange Ins Assn 22101
American Financial Grp 84
Great Amer Ins Co 16691
Vanliner Ins Co 21172
Great Amer Ins Co of NY 22136
Mid Continent Cas Co 23418
Great Amer Assur Co 26344
Great Amer Alliance Ins Co 26832
National Interstate Ins Co 32620
Great Amer Spirit Ins Co 33723
The Hanover Ins Grp 88
Verlan Fire Ins Co MD 10815
Hanover Ins Co 22292
Massachusetts Bay Ins Co 22306
Hanover Amer Ins Co 36064
Allmerica Fin Benefit Ins Co 41840
Nova Cas Co 42552
HARTFORD FIRE & CAS GRP 91
Sentinel Ins Co Ltd 11000
Hartford Fire Ins Co 19682
Hartford Accident & Ind Co 22357
Trumbull Ins Co 27120
Hartford Cas Ins Co 29424
Page 9 of 16
Twin City Fire Ins Co Co 29459
Hartford Underwriters Ins Co 30104
Property & Cas Ins Co Of Hartford 34690
Hartford Ins Co Of The Midwest 37478
Navigators Ins Co 42307
WR Berkley Corp GRP 98
Carolina Cas Ins Co 10510
Intrepid Ins Co 10749
Continental Western Ins Co 10804
Key Risk Ins Co 10885
Firemens Ins Co Of Washington DC 21784
Great Divide Ins Co 25224
Union Ins Co 25844
Berkley Regional Ins Co 29580
Tri State Ins Co Of MN 31003
Berkley Ins Co 32603
Riverport Ins Co 36684
Berkley Natl Ins Co 38911
Starnet Ins Co 40045
LIBERTY MUT GRP 111
Safeco Ins Co of OR 11071
Peerless Ind Ins Co 18333
American Economy Ins Co 19690
American States Ins Co 19704
American States Ins Co Of TX 19712
Liberty Ins Underwriters Inc 19917
Employers Ins Co of Wausau 21458
Liberty Mut Fire Ins Co 23035
Liberty Mut Ins Co 23043
Ironshore Ind Inc 23647
North Pacific Ins Co 23892
Oregon Automobile Ins Co 23922
American Fire & Cas Co 24066
Ohio Cas Ins Co 24074
Ohio Security Ins Co 24082
First Natl Ins Co Of Amer 24724
General Ins Co Of Amer 24732
Safeco Ins Co Of Amer 24740
First Liberty Ins Corp 33588
LM Ins Corp 33600
LM Gen Ins Co 36447
Safeco Ins Co Of IL 39012
Liberty Northwest Ins Corp 41939
Liberty Ins Corp 42404
West Amer Ins Co 44393
SHELTER INS GRP 123 AmShield Ins Co 15590
AMERISURE CO GRP 124 Amerisure Partners Ins Co 11050
Amerisure Mut Ins Co 23396
NATIONWIDE CORP GRP 140
Allied Ins Co of Amer 10127
National Cas Co 11991
Scottsdale Ind Co 15580
Crestbrook Ins Co 18961
Page 10 of 16
Amco Ins Co 19100
Freedom Specialty Ins Co 22209
Harleysville Ins Co 23582
Nationwide Gen Ins Co 23760
Nationwide Mut Fire Ins Co 23779
Nationwide Mut Ins Co 23787
Nationwide Ins Co Of Amer 25453
Nationwide Affinity Co of Amer 26093
Nationwide Agribusiness Ins Co 28223
Allied Prop & Cas Ins Co 42579
Depositors Ins Co 42587
OLD REPUBLIC GRP 150
Great West Cas Co 11371
Pennsylvania Manufacturers Assoc Ins 12262
BITCO Gen Ins Corp 20095
BITCO Natl Ins Co 20109
Old Republic Gen Ins Corp 24139
Old Republic Ins Co 24147
Manufacturers Alliance Ins Co 36897
Pennsylvania Manufacturers Ind Co 41424
PROGRESSIVE GRP 155
Artisan & Truckers Cas Co 10194
American Strategic Ins Corp 10872
Progressive Universal Ins Co 21727
Progressive Northern Ins Co 38628
Progressive Classic Ins Co 42994
FAIRFAX FIN GRP 158
Allied World Natl Assur Co 10690
Seneca Ins Co Inc 10936
Allied World Specialty Ins Co 16624
North River Ins Co 21105
United States Fire Ins Co 21113
Allied World Ins Co 22730
Hudson Ins Co 25054
Crum & Forster Ind Co 31348
Vantapro Specialty Ins Co 44768
SENTRY INS GRP 169
Viking Ins Co Of WI 13137
Florists Mut Ins Co 13978
Dairyland Ins Co 21164
Sentry Select Ins Co 21180
Middlesex Ins Co 23434
Sentry Ins A Mut Co 24988
STATE FARM GRP 176 State Farm Fire & Cas Co 25143
State Farm Mut Auto Ins Co 25178
SWISS RE GRP 181
North Amer Elite Ins Co 29700
North Amer Specialty Ins Co 29874
Westport Ins Corp 39845
UNITED SERV AUTOMOBILE ASSN GRP
200
USAA Gen Ind Co 18600
Garrison Prop & Cas Ins Co 21253
United Serv Automobile Assn 25941
USAA Cas Ins Co 25968
UTICA GRP 201 Utica Mut Ins Co 25976
ZURICH INS GRP 212 Zurich Amer Ins Co 16535
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Empire Fire & Marine Ins Co 21326
American Guar & Liab Ins 26247
Zurich Amer Ins Co Of IL 27855
Rural Comm Ins Co 39039
Fidelity & Deposit Co Of MD 39306
American Zurich Ins Co 40142
Kemper Corp Grp 215
Valley Prop & Cas Ins Co 10698
Unitrin Direct Prop & Cas Co 10915
Unitrin Auto & Home Ins Co 16063
Financial Ind Co 19852
Infinity Ins Co 22268
Alpha Prop & Cas Ins Co 38156
Unitrin Safeguard Ins Co 40703
Response Ins Co 43044
CNA INS GRP 218
American Cas Co Of Reading PA 20427
Continental Cas Co 20443
National Fire Ins Co Of Hartford 20478
Transportation Ins Co 20494
Valley Forge Ins Co 20508
Continental Ins Co 35289
IAT Reins Co Grp 225
Wilshire Ins Co 13234
Acceptance Ind Ins Co 20010
Occidental Fire & Cas Co Of NC 23248
Harco Natl Ins Co 26433
Transguard Ins Co Of Amer Inc 28886
METROPOLITAN GRP 241
Economy Fire & Cas Co 22926
Metropolitan Drt Prop & Cas Ins Co 25321
Metropolitan Prop & Cas Ins Co 26298
Economy Preferred Ins Co 38067
Metropolitan Gen Ins Co 39950
Metropolitan Cas Ins Co 40169
Economy Premier Assur Co 40649
CINCINNATI FIN GRP 244
The Cincinnati Ins Co 10677
The Cincinnati Ind Co 23280
The Cincinnati Cas Co 28665
PENNSYLVANIA LUMBERMENS GRP 246 Pennsylvania Lumbermens Mut Ins 14974
UNITED FIRE & CAS GRP 248 United Fire & Cas Co 13021
Financial Pacific Ins Co 31453
ProSight GRP 256 New York Marine & Gen Ins Co 16608
CANAL GRP 262 Canal Ins Co 10464
AUTO OWNERS GRP 280 Eagle W Ins Co 12890
Monterey Ins Co 23540
HORACE MANN GRP 300
Horace Mann Ins Co 22578
Teachers Ins Co 22683
Horace Mann Prop & Cas Ins Co 22756
GUIDEONE INS GRP 303
Guideone Specialty Mut Ins Co 14559
Guideone Mut Ins Co 15032
Guideone Amer Ins Co 42331
Guideone Elite Ins Co 42803
CUNA MUT GRP 306 Cumis Ins Society Inc 10847
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WESTERN NATL MUT GRP 309
Western Natl Mut Ins Co 15377
Western Natl Assur Co 24465
Pioneer Specialty Ins Co 40312
AEGIS GRP 313 Aegis Security Ins Co 33898
MUTUAL OF ENUMCLAW GRP 333 Enumclaw Prop & Cas Ins Co 11232
Mutual Of Enumclaw Ins Co 14761
General Electric Grp 350 Electric Ins Co 21261
Munich Re Grp 361
American Alt Ins Corp 19720
American Family Home Ins Co 23450
American Modern Home Ins Co 23469
American Modern Select Ins Co 38652
American Southern Home Ins Co 41998
AMERICAN NATL FIN GRP 408 American Natl Prop & Cas Co 28401
American Natl Gen Ins Co 39942
MAPFRE INS GRP 411 Commerce W Ins Co 13161
American Commerce Ins Co 19941
GENEVE HOLDINGS INC GRP 450 Independence Amer Ins Co 26581
LANCER FINANCIAL GRP 456 Lancer Ins Co 26077
Argo Grp US Inc GRP 457
Argonaut Ins Co 19801
Argonaut Midwest Ins Co 19828
Argonaut Great Central Ins Co 19860
Aegon US Holding Grp 468 Transamerica Cas Ins Co 10952
AMERICAN FAMILY INS GRP 473
American Family Ins Co 10386
Austin Mut Ins Co 13412
The Gen Automobile Ins Co Inc 13703
Homesite Ins Co Of The Midwest 13927
American Family Mut Ins Co SI 19275
American Standard Ins Co of WI 19283
Midvale Ind Co 27138
American Family Connect Prop & Cas I 29068
Alleghany Grp 501 Capitol Ind Corp 10472
RSUI Ind Co 22314
HANNOVER GRP 517 HDI Global Ins Co 41343
FARMERS MUT HAIL INS GRP 569 Farmers Mut Hail Ins Co Of IA 13897
FMH Ag Risk Ins Co 36781
AMERCO CORP GRP 574 Repwest Ins Co 31089
ATLANTIC AMER GRP 587 American Southern Ins Co 10235
Chubb Ltd Grp 626
Westchester Fire Ins Co 10030
Chubb Natl Ins Co 10052
Penn Millers Ins Co 14982
Bankers Standard Ins Co 18279
Federal Ins Co 20281
Great Northern Ins Co 20303
Pacific Ind Co 20346
Vigilant Ins Co 20397
Ace Prop & Cas Ins Co 20699
Ace Fire Underwriters Ins Co 20702
Ace Amer Ins Co 22667
Pacific Employers Ins Co 22748
Agri Gen Ins Co 42757
Page 13 of 16
Indemnity Ins Co Of North Amer 43575
PLATEAU GRP 629 Plateau Cas Ins Co 10817
OREGON MUT GRP 645 Oregon Mut Ins Co 14907
AmeriTrust Grp Inc Grp 748 Star Ins Co 18023
SCOR GRP 749 General Security Natl Ins Co 39322
ALLIANZ INS GRP 761
Jefferson Ins Co 11630
American Automobile Ins Co 21849
American Ins Co 21857
Associated Ind Corp 21865
Firemans Fund Ins Co 21873
National Surety Corp 21881
AGCS Marine Ins Co 22837
Allianz Global Risks US Ins Co 35300
PHARMACISTS MUT GRP 775 Pharmacists Mut Ins Co 13714
RLI INS GRP 783 RLI Ins Co 13056
Contractors Bonding & Ins Co 37206
MARKEL CORP GRP 785
State Natl Ins Co Inc 12831
National Specialty Ins Co 22608
Markel Amer Ins Co 28932
Essentia Ins Co 37915
Markel Ins Co 38970
QBE INS GRP 796
General Cas Co Of WI 24414
Regent Ins Co 24449
NAU Country Ins Co 25240
Unigard Ins Co 25747
Praetorian Ins Co 37257
QBE Ins Corp 39217
Protective Ins Corp Grp 867 Protective Ins Co 12416
MINNESOTA MUT GRP 869 Securian Cas Co 10054
Global Ind Grp 920 American Reliable Ins Co 19615
Diamond State Ins Co 42048
ICW Grp Assets Inc Grp 922 Insurance Co Of The West 27847
AXA INS GRP 968
T H E Ins Co 12866
Catlin Ins Co 19518
Greenwich Ins Co 22322
Catlin Ind Co 24503
XL Ins Amer Inc 24554
AXA Ins Co 33022
XL Specialty Ins Co 37885
EVEREST REINS HOLDINGS GRP 1120 Everest Natl Ins Co 10120
CSAA Ins Grp 1278 CSAA Fire & Cas Ins Co 10921
CSAA Gen Ins Co 37770
Arch Ins Grp 1279 Arch Ins Co 11150
KnightBrook Ins Grp 1316 Knightbrook Ins Co 13722
AmTrust Financial Serv Grp 2538
CorePointe Ins Co 10499
First Nonprofit Ins Co 10859
Developers Surety & Ind Co 12718
AmTrust Ins Co of KS Inc 15954
Security Natl Ins Co 19879
Sequoia Ins Co 22985
Page 14 of 16
Wesco Ins Co 25011
Technology Ins Co Inc 42376
United Heritage Mut Grp 2878 United Heritage Prop & Cas Co 18939
Sublimity Ins Co 26824
Western Serv Contract Grp 2898 Pacific Specialty Ins Co 37850
Tokio Marine Holdings Inc GRP 3098
Avemco Ins Co 10367
Tokio Marine Amer Ins Co 10945
Safety Natl Cas Corp 15105
Philadelphia Ind Ins Co 18058
US Specialty Ins Co 29599
TNUS Ins Co 32301
Producers Agriculture Ins Co 34312
Trans Pacific Ins Co 41238
Sompo Grp 3219
Endurance Amer Ins Co 10641
Sompo Amer Ins Co 11126
American Agri Business Ins Co 12548
Sompo Amer Fire & Mar Ins Co Amer 38997
AXIS Capital Grp 3416 Axis Ins Co 37273
Hallmark Fin Serv Grp 3478 Hallmark Ins Co 34037
American Hallmark Ins Co Of TX 43494
Rothschild Intl Grp 3485 Red Shield Ins Co 41580
Travelers Grp 3548
Travelers Cas Ins Co Of Amer 19046
Automobile Ins Co Of Hartford CT 19062
Standard Fire Ins Co 19070
Northland Ins Co 24015
Charter Oak Fire Ins Co 25615
Phoenix Ins Co 25623
Travelers Ind Co 25658
Travelers Ind Co Of Amer 25666
Travelers Prop Cas Co Of Amer 25674
Travelers Ind Co Of CT 25682
Travelers Home & Marine Ins Co 27998
Travelers Commercial Ins Co 36137
Travelers Personal Ins Co 38130
Caterpillar Grp 3569 Caterpillar Ins Co 11255
American Independent Ins Grp 3678 Omni Ins Co 39098
Housing Authority Prop Grp 4359 Housing Enterprise Ins Co Inc 11206
Houston Intl Ins Grp 4381 Imperium Ins Co 35408
Copperpoint Grp 4485 Alaska Natl Ins Co 38733
Pure Companies Grp 4664 Privilege Underwriters Recp Exch 12873
Hiscox Ins Grp 4666 Hiscox Ins Co Inc 10200
Starr Grp 4670 Starr Ind & Liab Co 38318
MS & AD Ins Grp 4715 Mitsui Sumitomo Ins Co of Amer 20362
Mitsui Sumitomo Ins USA Inc 22551
Tiptree Fin Grp 4718 Lyndon Southern Ins Co 10051
Enstar Grp 4725 StarStone Natl Ins Co 25496
Apollo Global Mgmt Grp 4734 Aspen Amer Ins Co 43460
Clear Blue Financial Grp 4850 Clear Blue Ins Co 28860
Church Mut Grp 4851 Church Mut Ins Co 18767
China Minsheng Grp 4863 Sirius Amer Ins Co 38776
Page 15 of 16
WT Holdings Grp 4869 Stillwater Prop & Cas Ins Co 16578
Stillwater Ins Co 25180
Watford Holdings Grp 4871 Watford Ins Co 25585
Jewelers Mut Grp 4889 Jewelers Mut Ins Co 14354
Intact Financial Grp 4904 Atlantic Specialty Ins Co 27154
Midwest Family Grp 4911 Midwest Family Mut Ins Co 23574
National Gen Grp 4928
National General Ins Online Inc 11044
National Farmers Union Prop & Cas 16217
Integon Ind Corp 22772
National Gen Ins Co 23728
Century Natl Ins Co 26905
Integon Natl Ins Co 29742
National Gen Assur Co 42447
Chandler Ins Grp 4935 National Amer Ins Co 23663
Beazley Grp 4942 Beazley Ins Co Inc 37540
Page 16 of 16
Appendix B – ZIP Codes where claims data must be reported for Part 1
00069 97386
00070 97413
00077 97423
97004 97438
97017 97443
97022 97447
97023 97454
97037 97470
97038 97478
97042 97479
97045 97488
97119 97489
97123 97501
97132 97504
97141 97520
97342 97522
97346 97523
97350 97524
97358 97535
97360 97539
97364 97540
97367 97624
97368 97636
97375 97730
97381 97731
97383 97761
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