Change of Physician # Right To Change # DENIED Excercised # Written Written Insurance Company 8-43-404(5)(a)(III) Requests Requests Ace American Ins. Co. 4 3 1 Ace Fire Underwriters Ins. Co. 0 0 0 Ace Property & Casualty Ins. 0 0 0 Acuity, A Mutual Ins. Co. 2 0 0 Adams County BOCES Worker's Co. 1 1 0 Advantage Workers Comp Ins. Co. 0 0 0 Adventist Health Systems 2 2 0 Adventist Health Systems 2 2 0 Agilent Technologies, Inc. 0 0 0 AIU Ins. Co. 0 0 0 AIX Group/Nova Casualty 0 0 0 Albertsons 0 0 0 Allmerica Financial Alliance Insurance Co 0 0 0 Allmerica Financial Benefit 0 0 0 Allmerica Financial Benefit Insurance Co 0 0 0 Allmerical Financial Alliance 0 0 0 Amco Ins. Co. 0 0 0 American Alternative Ins. Corp. 0 0 0 American Automobile Ins. Co. 0 0 0 American Cas. Co. of Reading, PA 0 0 0 American Comp. Ins. Co. 0 0 0 American Guarantee & Liability 0 0 0 American Guarantees & Liability 0 0 0 American Guarantees & Liability 0 0 0 American Home Assurance Co. 0 0 0 American Ins. Co. 0 0 0 American Interstate Ins. Co. 0 0 0 American Mining Ins. Co. 1 1 0 American Modern Home Ins Co. 0 0 0 American Risk Funding Ins CO 0 0 0 American Risk Funding Ins CO 0 0 0 American Select Ins. Co. 0 0 0 American Zurich Ins. 1 1 0 Amerisure Ins. Co. 0 0 0 Amerisure Mutual Ins. Co. 0 0 0 Amerisure Partners Ins. Co. 0 0 0 Amguard Ins. Co. 0 0 0 Arapahoe County 0 0 0 Arch Ins. Co. 1 1 1 Argonaut Great Central Ins. Co. 0 0 0 Argonaut Ins. Co. 0 0 0 Argonaut Midwest Ins. Co. 0 0 0 Aspen Skiing Co. 0 0 0 Associated Indemnity Corp. 0 0 0 Assurance Co. of America 0 0 0 Athena Assurance Co. 0 0 0 Atlantic Specialty Ins. Co. 0 0 0 Auto-Owners Ins. Co. 1 1 0 Baker Concrete Constructions 0 0 0 Baker Concrete Constructions 0 0 0 Ball Corp. 0 0 0 Bancinsure, Inc. 0 0 0 Bankers Standard Ins. Co. 0 0 0 Banner Health Systems 0 0 0 Barrett Business Svcs., Inc. 0 0 0 Benchmark Ins. Co. 0 0 0 Berkshire Hathaway Homestate Ins. Co. 0 0 0 Bloomington Comp. Ins. 0 0 0 Boulder County 2 0 0 Brotherhood Mutual Insurance Company 0 0 0 Brotherhood Mutual Insurance Company 0 0 0 CastlePoint National Insurance Co 0 0 0 Central Mutual Ins. Co. 0 0 0 Charter Oak Fire Ins. Co. 0 0 0 Chartis Casualty Co. 0 2 0 Chartis Casualty Property Co. 0 0 0 Chevron USA, Inc. 0 0 0 Chubb Indemnity Ins. Co. 0 0 0 Chubb National Ins. Co. 0 0 0 Church Mutual Ins. Co. 0 0 0 Cincinnati Casualty Ins. 0 0 0 Cincinnati Indemnity 0 0 0 Cincinnati Ins. Co. 0 0 0 Citizens Ins. Co. of America 0 0 0 Citizens Insurance Company of America 0 0 0 City & County of Denver 9 0 0 City of Arvada 0 0 0 City of Aurora 0 0 0 City of Aurora There have been no requests in 201 0 0 0 City of Boulder 0 0 0 City of Fort Collins 2 2 0 City of Lakewood 0 0 City of Littleton 0 0 0 City of Longmont 0 0 0 City of Pueblo 2 5 3 City of Thornton 1 1 0 City of Westminster 0 0 0 Colonial Amer Cas & Sur Co. 0 0 0 Colorado Hospital Association 0 0 0 Colorado Intergovermental Risk Sharing Agency 3 1 1 Colorado Permanente Medical Group 0 0 0 Colorado Springs School District 11 1 0 0 Colorado State University 0 0 0 Commerce & Industry Ins. Co. 0 0 0 Companion Property & Casualty 0 0 0 Companion Property & Casualty 0 0 0 Conagra Foods, Inc. 0 0 0 Continental Casualty Co. 0 0 0 Continental Divide Ins. Co. 0 0 0 Continental Indemnity Co. 0 0 0 Continental Ins. Co. 0 0 0 Coorstek, Inc. 0 0 0 Costco Wholesale Corp. 0 0 0 County Workers' Comp Pool 2 0 0 Crum & Forster Indemnity Co. 0 0 0 Dakota Truck Underwriters 0 0 0 Dallas National Insurance CO 0 0 0 Dallas National Insurance CO 0 0 0 Deerfield Ins. Co. 1 1 1 Denver Health & Hospital Auth 0 0 0 Denver Public Schools 2 2 0 Depositors 0 0 0 Discover Property & Casualty, Ins. 0 0 0 Douglas County 1 1 0 Douglas County School District Re1 1 1 0 E I Dupont Denemours & Co. 0 0 0 Eastguard Ins. Co. 0 0 0 El Paso County 1 1 0 Electric Ins. Co. 0 0 0 EMCASCO Ins. Co. 0 0 0 Employers Assurance Co. 1 1 0 Employers Comp. Ins. Co. 0 0 0 Employers Mutual Casualty Co. 0 0 0 Employers Preferred Ins. Co. 2 2 0 Everest 0 0 0 Farmers Ins. Exchange 3 3 1 Farmington Casualty Co. 0 0 0 Federal Ins. Co. 0 0 0 Federated Mutual Ins. Co. 1 1 0 Federated Rural Elec Ins. Corp. 0 0 0 Federated Rural Elec Ins. Corp. 0 0 0 Federated Service Ins. Co. 0 0 0 FedEx Corp. 0 0 0 FedEx Freight 0 0 0 Fidelity & Deposit Co-Maryland 0 0 0 Fidelity & Guaranty Ins. Co. 0 0 0 Fidelity & Guaranty Ins. Underwriters 0 0 0 Firemans Fund Ins. Co. 0 0 0 Firemen's Fund Insurance Co 0 0 0 Firemen's Fund Insurance Co 0 0 0 First Dakota Indemnity Co. 0 0 0 Ford Motor Co. 0 0 0 Foremost Ins. Co. (Grand Rapids, MI) 0 0 0 Foremost Prop & Cas. Ins. Co. 0 0 0 Foremost Signature Ins. Co. 0 0 0 Gates Corporation 0 0 0 Gates Corporation 0 0 0 Gateway Ins. Co. 0 0 0 General Casualty Co. of Wisconsin 0 0 0 Goodrich Corp. 0 0 0 Granite State Ins. Co. 0 0 0 Great American Alliance Ins. Co. 0 0 0 Great American Ins. Co. 0 0 0 Great American Ins. Co. of NY 0 0 0 Great American Insurance CO of NY 0 0 0 Great American Insurance CO of NY 0 0 0 Great Divide Ins. Co. 0 0 0 Great Northern Ins. Co. 0 0 0 Greenwich Ins. Co. 0 0 0 Guarantee Ins. Co. 1 2 1 Guideone Mutual Ins. Co. 0 0 0 Hanover American Ins Co. 0 0 0 Hanover American Insurance Company 0 0 0 Hanover Ins. Co. 0 0 0 Hartford Accident & Indemnity 0 0 0 Hartford Casualty Ins. Co. 0 0 0 Hartford Fire Ins. Co. 0 0 0 Hartford Ins. Co. Midwest 0 0 0 Hartford Underwriters Ins. 0 0 0 Home Depot USA, Inc. 0 0 0 Home-Owners Ins. Co. 0 0 0 Hyatt Corporation 0 0 0 Hyatt Corporation 0 0 0 Illinois National Ins. Co. 0 0 0 Indemnity Ins. Co. of North America 2 2 2 Ins Co. of North America 0 0 0 Ins Co. of The State of Pennsylvania 0 1 0 International Paper Co. 0 0 0 Jefferson County 0 0 0 Joint School District Self Ins. 0 0 0 Kaiser Permanente 0 0 0 Keysight Technologies, Inc. 0 0 0 Kroger Co., The 0 0 0 Less Schwab Tire Center 0 0 0 Lowe's Home Centers, LLC 0 0 0 Lumbermen's Underwriting Alliance 0 0 0 MAICO 0 0 0 Markel American Ins. Co. 0 0 0 Markel Ins. Co. 1 1 0 Maryland Casualty Co. 0 0 0 Massachusetts Bay Ins. Co. 0 0 0 Massachusetts Bay Insurance Company 0 0 0 McLane Co., Inc. 0 0 0 Mid-Century Ins. Co. 0 0 0 Midwest Employers Casualty Co. 0 0 0 Midwest Family Mutual Ins Co. 2 2 2 Milbank Ins. Co. 0 0 0 Misc 0 0 0 Misc 0 0 0 Mitsui Sumitomo Insurance 0 0 0 Mitsui Sumitomo Insurance 0 0 0 Mountain States Indemnity Co. 0 0 0 Mountain States Mutual Casualty 0 0 0 National Fire Ins. Co. of Hartford 0 0 0 National Interstate Ins. Co. 0 0 0 National Jewish Med. & Research 0 0 0 National Liability & Fire 0 0 0 National Liability & Fire Insurance Company 0 0 0 National Surety Corp. 0 0 0 National Union Fire Ins. of Pittsburgh 0 0 0 Nationwide Mutual Ins. Co. 0 0 0 New Hampshire Ins. Co. 1 2 1 Nipponkoa Ins. Co., LTD. 0 0 0 Norguard Ins. Co. 1 1 1 North Pointe Ins. Co. 0 0 0 North River Ins. Co. 0 0 0 Northbrook Property & Casualty 0 0 0 Northern Ins. Co. of NY 0 0 0 Oak River Ins. Co. 0 0 0 OBI National Insurance Co. 0 0 0 Old Republic General Ins. Co. 1 1 0 Old Republic Ins. Co. 4 4 1 Oregon Steel Mills, Inc. 0 0 0 Owners Ins. Co. 0 0 0 Pacific Employers Ins. Co. 0 0 0 Pacific Indemnity Co. 0 0 0 PCC Advanced Forming Technology 0 0 0 Peter Kiewit & Sons 0 0 0 Petroleum Casualty Co. 0 0 0 Pharmacists Mutual Companies 0 0 0 Phoenix Ins. Co. 0 2 0 Pitkin County 0 0 0 PMAIC 0 0 0 PMI 0 0 0 Poudre School District R-1 0 0 0 Praetorian Ins. Co. 1 1 0 Preferred Professional Ins. Co. 0 0 0 Principal Financial Group, Inc. 0 0 0 Property & Casualty of Hartford 0 0 0 Protective Ins. Co. 0 0 0 Public Service Mutual 0 0 0 Pueblo City Schools 2 2 0 QBE Ins. Co. 0 0 0 Redwood Fire & Casualty Ins. 0 0 0 Regent Ins. Co. 0 0 0 Regional Transportation District 1 1 0 Republic Fire & Cas Ins. Co. 0 0 0 Republic Indemnity Co. of America 0 0 0 Republic Indemnity Co. of California 0 0 0 Rockwood Casualty Ins. Co. 0 0 0 Safety First Ins. Co. #REF! #REF! #REF! Safety National Casualty Corp. #REF! #REF! #REF! Safeway Inc. 0 0 0 Seabright Ins. Co. 0 0 0 Secura Ins. Co. 0 0 0 Secura Supreme Ins. Co. 0 0 0 Sentinel Ins. Co. Ltd 0 0 0 Sentry Casualty Co. 0 0 0 Sentry Ins. A Mutual Co. 0 0 0 Sentry Select Ins. Co. 0 0 0 SFM Mutual Insurance Company 0 0 0 SFM Mutual Insurance Company 0 0 0 Sompo Japan Ins. Co. of America 0 0 0 Sparta Ins. Co. 0 0 0 St. Paul Fire & Marine Ins. Co. 0 0 0 St. Paul Guardian Ins. Co. 0 0 0 St. Paul Mercury Ins. Co. 0 0 0 Standard Fire Ins. Co. 1 0 0 Starnet Insurance 0 0 0 Starnet Insurance 0 0 0 Starr Indemnity 2 2 0 Starr Indemnity 2 2 0 State Auto Mutual Ins Co 0 0 0 State Auto Mutual Ins Co 0 0 0 State Auto Prop & Casualty Ins. Co. 0 0 0 State Automobile Mutual Ins. 0 0 0 State Farm Ins. 0 0 0 State Farm Insurance 0 0 0 State National Ins. Co., Inc. 0 0 0 State of Colorado 0 0 0 Stonington Ins. Co. 0 0 0 Storington Insurance 0 0 0 Storington Insurance 0 0 0 Technology Insurance Co, Inc,/AM Trust 0 0 0 Technology Insurance Co, Inc,/AM Trust 0 0 0 The Hanover Insurance Company 0 0 0 The Salvation Army 0 0 0 TNUS Ins. Co. 0 0 0 Tokio Marine 0 0 0 Tokio Marine America Ins. Co. 0 0 0 Torus National Ins. Co. 0 0 0 Torus National Ins. Co. 0 0 0 Tower Insurance of New York 1 1 0 Trans Pacific Ins. Co. 0 0 0 Transcontinental Ins. Co. 0 0 0 Transguard Ins. Co. of America, Inc. 0 0 0 Transportation Ins. Compa 0 0 0 Travelers Casualty & Surety Co. 0 0 0 Travelers Casualty Co. of Connecticut 0 0 0 Travelers Casualty Ins. Co. of America 0 1 1 Travelers Indemnity Co. 6 3 2 Travelers Indemnity Co. of America 0 1 1 Travelers Indemnity Co. of Connecticut 0 0 0 Travelers Prop Casual Co. of America 0 1 1 Tri-State Generation & Transmission 0 0 0 Tri-State Generation & Transmission 0 0 0 Truck Ins. Exchange 0 0 0 Trumbull Ins. Co. 0 0 0 Twin City Fire Ins. Co. 0 0 0 United Airlines 4 4 0 United Airlines 4 4 0 United States Fidelity & Guaranty Co. 0 0 0 United States Fire Ins. 0 0 0 Universal Underwriters Group 0 0 0 Vail - Self Insured 1 1 0 Vail - Self Insured 1 1 0 Valley Forge Ins. Co. 0 0 0 Vanliner Insurance Company 1 1 0 Vigilant Ins. Co. 0 0 0 Weld County 0 0 0 Wendy Internation Inc 0 0 0 Wendy Internation Inc 0 0 0 Wendy's 0 0 0 Westchester Fire Ins. Co. 0 0 0 Western Agricultural Ins. Co. 0 0 0 Western Agriculture Ins. Co 0 0 0 Western Agriculture Ins. Co 0 0 0 Westfield Ins. Co. 0 0 0 Westfield National Ins. Co. 0 0 0 XL Ins. America, Inc. 0 0 0 XL Specialty Ins. Co. 0 0 0 Yellow Transportation Inc, DBA YRC, Inc 0 0 0 Yellow Transportation Inc, DBA YRC, Inc 0 0 0 YRC Inc. 0 0 0 Zenith Ins. Co. 0 0 0 Zurich American Ins. Co. 3 3 0 Zurich American Ins. Co. of Illinois 0 0 0