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 .

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 .

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 .

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 .

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 .

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 .

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 Ins Co 13935 FEDERATED MUT GRP 7 Federated Serv Ins Co 28304 Encompass Ins Co Of Amer 10071 Encompass Ind Co 15130 Allstate Prop & Cas Ins Co 17230 Allstate Ins Co 19232 ALLSTATE INS GRP 8 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 Home Assur Co 19380 AIG Prop Cas Co 19402 Commerce & Industry Ins Co 19410 Insurance Co Of The State Of PA 19429 AMERICAN INTL GRP 12 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 American Bankers Ins Co Of FL 10111 Assurant Inc Grp 19 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 Direct Ins Co 10391 National Liab & Fire Ins Co 20052 BERKSHIRE HATHAWAY GRP 31 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 Ind Exch 20117 CALIFORNIA CAS MGMT GRP 33 California Cas Ins Co 20125 California Cas Gen Ins Co of OR 35955 Country Cas Ins Co 20982 Country Ins & Fin Serv Grp 50 Country Mut Ins Co 20990 Country Pref Ins Co 21008 Emcasco Ins Co 21407 EMC INS CO GRP 62 Employers Mut Cas Co 21415 Affiliated Fm Ins Co 10014 FM GLOBAL GRP 65 Factory Mut Ins Co 21482 Foremost Ins Co Grand Rapids MI 11185 Foremost Prop & Cas Ins Co 11800 Farmers Ins Co Of OR 21636 Farmers Ins Exch 21652 FARMERS INS GRP 69 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 Great Amer Ins Co 16691 Vanliner Ins Co 21172 Great Amer Ins Co of NY 22136 Mid Continent Cas Co 23418 American Financial Grp 84 Great Amer Assur Co 26344 Great Amer Alliance Ins Co 26832 National Interstate Ins Co 32620 Great Amer Spirit Ins Co 33723 Verlan Fire Ins Co MD 10815 Hanover Ins Co 22292 Massachusetts Bay Ins Co 22306 The Hanover Ins Grp 88 Hanover Amer Ins Co 36064 Allmerica Fin Benefit Ins Co 41840 Nova Cas Co 42552 Sentinel Ins Co Ltd 11000 Hartford Fire Ins Co 19682 HARTFORD FIRE & CAS GRP 91 Hartford Accident & Ind Co 22357 Trumbull Ins Co 27120 Hartford Cas Ins Co 29424

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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 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 WR Berkley Corp GRP 98 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 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 LIBERTY MUT GRP 111 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 Partners Ins Co 11050 AMERISURE CO GRP 124 Amerisure Mut Ins Co 23396 Allied Ins Co of Amer 10127 National Cas Co 11991 NATIONWIDE CORP GRP 140 Scottsdale Ind Co 15580 Crestbrook Ins Co 18961

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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 Great West Cas Co 11371 Pennsylvania Manufacturers Assoc Ins 12262 BITCO Gen Ins Corp 20095 BITCO Natl Ins Co 20109 OLD REPUBLIC GRP 150 Old Republic Gen Ins Corp 24139 Old Republic Ins Co 24147 Manufacturers Alliance Ins Co 36897 Pennsylvania Manufacturers Ind Co 41424 Artisan & Truckers Cas Co 10194 American Strategic Ins Corp 10872 PROGRESSIVE GRP 155 Progressive Universal Ins Co 21727 Progressive Northern Ins Co 38628 Progressive Classic Ins Co 42994 Allied World Natl Assur Co 10690 Seneca Ins Co Inc 10936 Allied World Specialty Ins Co 16624 North River Ins Co 21105 FAIRFAX FIN GRP 158 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 Viking Ins Co Of WI 13137 Florists Mut Ins Co 13978 Dairyland Ins Co 21164 SENTRY INS GRP 169 Sentry Select Ins Co 21180 Middlesex Ins Co 23434 Sentry Ins A Mut Co 24988 State Farm Fire & Cas Co 25143 STATE FARM GRP 176 State Farm Mut Auto Ins Co 25178 North Amer Elite Ins Co 29700 SWISS RE GRP 181 North Amer Specialty Ins Co 29874 Westport Ins Corp 39845 USAA Gen Ind Co 18600 UNITED SERV AUTOMOBILE ASSN Garrison Prop & Cas Ins Co 21253 200 GRP 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 Valley Prop & Cas Ins Co 10698 Unitrin Direct Prop & Cas Co 10915 Unitrin Auto & Home Ins Co 16063 Financial Ind Co 19852 Kemper Corp Grp 215 Infinity Ins Co 22268 Alpha Prop & Cas Ins Co 38156 Unitrin Safeguard Ins Co 40703 Response Ins Co 43044 American Cas Co Of Reading PA 20427 Continental Cas Co 20443 National Fire Ins Co Of Hartford 20478 CNA INS GRP 218 Transportation Ins Co 20494 Valley Forge Ins Co 20508 Continental Ins Co 35289 Wilshire Ins Co 13234 Acceptance Ind Ins Co 20010 IAT Reins Co Grp 225 Occidental Fire & Cas Co Of NC 23248 Harco Natl Ins Co 26433 Transguard Ins Co Of Amer Inc 28886 Economy Fire & Cas Co 22926 Metropolitan Drt Prop & Cas Ins Co 25321 Metropolitan Prop & Cas Ins Co 26298 METROPOLITAN GRP 241 Economy Preferred Ins Co 38067 Metropolitan Gen Ins Co 39950 Metropolitan Cas Ins Co 40169 Economy Premier Assur Co 40649 The Cincinnati Ins Co 10677 CINCINNATI FIN GRP 244 The Cincinnati Ind Co 23280 The Cincinnati Cas Co 28665 PENNSYLVANIA LUMBERMENS GRP 246 Pennsylvania Lumbermens Mut Ins 14974 United Fire & Cas Co 13021 UNITED FIRE & CAS GRP 248 Financial Pacific Ins Co 31453 ProSight GRP 256 New York Marine & Gen Ins Co 16608 CANAL GRP 262 Canal Ins Co 10464 Eagle W Ins Co 12890 AUTO OWNERS GRP 280 Monterey Ins Co 23540 Horace Mann Ins Co 22578 HORACE MANN GRP 300 Teachers Ins Co 22683 Horace Mann Prop & Cas Ins Co 22756 Guideone Specialty Mut Ins Co 14559 Guideone Mut Ins Co 15032 GUIDEONE INS GRP 303 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 Ins Co 15377 WESTERN NATL MUT GRP 309 Western Natl Assur Co 24465 Pioneer Specialty Ins Co 40312 AEGIS GRP 313 Aegis Security Ins Co 33898 Enumclaw Prop & Cas Ins Co 11232 MUTUAL OF ENUMCLAW GRP 333 Mutual Of Enumclaw Ins Co 14761 General Electric Grp 350 Electric Ins Co 21261 American Alt Ins Corp 19720 American Family Home Ins Co 23450 Munich Re Grp 361 American Modern Home Ins Co 23469 American Modern Select Ins Co 38652 American Southern Home Ins Co 41998 American Natl Prop & Cas Co 28401 AMERICAN NATL FIN GRP 408 American Natl Gen Ins Co 39942 Commerce W Ins Co 13161 MAPFRE INS GRP 411 American Commerce Ins Co 19941 GENEVE HOLDINGS INC GRP 450 Independence Amer Ins Co 26581 LANCER FINANCIAL GRP 456 Lancer Ins Co 26077 Argonaut Ins Co 19801 Argo Grp US Inc GRP 457 Argonaut Midwest Ins Co 19828 Argonaut Great Central Ins Co 19860 Aegon US Holding Grp 468 Transamerica Cas Ins Co 10952 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 INS GRP 473 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 Capitol Ind Corp 10472 Alleghany Grp 501 RSUI Ind Co 22314 HANNOVER GRP 517 HDI Global Ins Co 41343 Farmers Mut Hail Ins Co Of IA 13897 FARMERS MUT HAIL INS GRP 569 FMH Ag Risk Ins Co 36781 AMERCO CORP GRP 574 Repwest Ins Co 31089 ATLANTIC AMER GRP 587 American Southern Ins Co 10235 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 Chubb Ltd Grp 626 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

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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 Jefferson Ins Co 11630 American Automobile Ins Co 21849 American Ins Co 21857 Associated Ind Corp 21865 ALLIANZ INS GRP 761 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 Co 13056 RLI INS GRP 783 Contractors Bonding & Ins Co 37206 State Natl Ins Co Inc 12831 National Specialty Ins Co 22608 MARKEL CORP GRP 785 Markel Amer Ins Co 28932 Essentia Ins Co 37915 Markel Ins Co 38970 General Cas Co Of WI 24414 Regent Ins Co 24449 NAU Country Ins Co 25240 QBE INS GRP 796 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 American Reliable Ins Co 19615 Global Ind Grp 920 Diamond State Ins Co 42048 ICW Grp Assets Inc Grp 922 Insurance Co Of The West 27847 T H E Ins Co 12866 Catlin Ins Co 19518 Greenwich Ins Co 22322 AXA INS GRP 968 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 Fire & Cas Ins Co 10921 CSAA Ins Grp 1278 CSAA Gen Ins Co 37770 Arch Ins Grp 1279 Arch Ins Co 11150 KnightBrook Ins Grp 1316 Knightbrook Ins Co 13722 CorePointe Ins Co 10499 First Nonprofit Ins Co 10859 Developers Surety & Ind Co 12718 AmTrust Financial Serv Grp 2538 AmTrust Ins Co of KS Inc 15954 Security Natl Ins Co 19879 Sequoia Ins Co 22985

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Wesco Ins Co 25011 Technology Ins Co Inc 42376 United Heritage Prop & Cas Co 18939 United Heritage Mut Grp 2878 Sublimity Ins Co 26824 Western Serv Contract Grp 2898 Pacific Specialty Ins Co 37850 Avemco Ins Co 10367 Tokio Marine Amer Ins Co 10945 Safety Natl Cas Corp 15105 Philadelphia Ind Ins Co 18058 Tokio Marine Holdings Inc GRP 3098 US Specialty Ins Co 29599 TNUS Ins Co 32301 Producers Agriculture Ins Co 34312 Trans Pacific Ins Co 41238 Endurance Amer Ins Co 10641 Sompo Amer Ins Co 11126 Sompo Grp 3219 American Agri Business Ins Co 12548 Sompo Amer Fire & Mar Ins Co Amer 38997 AXIS Capital Grp 3416 Axis Ins Co 37273 Hallmark Ins Co 34037 Hallmark Fin Serv Grp 3478 American Hallmark Ins Co Of TX 43494 Rothschild Intl Grp 3485 Red Shield Ins Co 41580 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 Grp 3548 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 Mitsui Sumitomo Ins Co of Amer 20362 MS & AD Ins Grp 4715 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

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Stillwater Prop & Cas Ins Co 16578 WT Holdings Grp 4869 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 General Ins Online Inc 11044 National Farmers Union Prop & Cas 16217 Integon Ind Corp 22772 National Gen Grp 4928 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

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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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