State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 44245 21st Century Assurance Company DE 21st Century Plaza 3 Beaver Valley Road Wilmington DE 198031115 (302) 252‐2000 34789 21st Century Centennial Insurance Company PA 21st Century Plaza 3 Beaver Valley Road Wilmington DE 19803 (302) 252‐2000 36587 21st Century National Insurance Company NY 21st Century Plaza 3 Beaver Valley Road Wilmington DE 198031115 (302) 252‐2000 32220 21st Century North America Insurance Company NY 21st Century Plaza 3 Beaver Valley Road Wilmington DE 198031115 (302) 252‐2000 23833 21st Century Security Insurance Company PA 21st Century Plaza 3 Beaver Valley Road Wilmington DE 17110 (302) 252‐2000 12304 Accident Fund General Insurance Company MI P.O. Box 40790 Lansing MI 48933 (517) 342‐4200 10166 Accident Fund Insurance Company of America MI P. O. Box 40790 Lansing MI 489017990 (517) 342‐4200 12305 Accident Fund National Insurance Company MI P.O. Box 40790 Lansing MI 48901 (517) 342‐4200 11573 Accident Insurance Company, Inc. SC 131 Dutchman Boulevard Irmo SC 29063 (803) 754‐2942 22667 ACE AMERICAN INSURANCE COMPANY PA P.O. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 640‐1000 20702 ACE FIRE UNDERWRITERS INSURANCE COMPANY PA P.o. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 640‐1000 10030 ACE INDEMNITY INSURANCE COMPANY PA P.o. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 640‐1000 20699 ACE PROPERTY AND CASUALTY INSURANCE COMPANY PA P.o. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 604‐1000 19984 ACIG Insurance Company IL 12222 Merit Drive Suite 1660 Dallas TX 75251 (972) 687‐9450 40517 ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY IN P. O. Box 571918 Salt Lake City UT 841571918 (801) 288‐8750 19399 AIU Insurance Company NY 70 Pine Street New York NY 10270 (212) 770‐7000 38733 ALASKA NATIONAL INSURANCE COMPANY AK 7001 Jewel Lake Road Anchorage AK 99502 (907) 248‐2642 24899 ALEA NORTH AMERICA INSURANCE COMPANY NY 55 Capital Boulevard Rocky Hill CT 6067 (860) 513‐4180 35300 Allianz Global Risks US Insurance Company CA 225 W. Washington St. Ste. 2000 Chicago IL 60606 (818) 260‐7500 22730 Allied World Reinsurance Company NH 199 Water Street, 16th Floor New York NY 10038 (646) 794‐0500 41840 ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY MI 440 Lincoln Street Worcester MA 1653 (508) 853‐7200 x4476 29688 ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY IL 3075 Sanders Road, Suite H1a Northbrook IL 600627127 (847) 402‐5000 19240 ALLSTATE INDEMNITY COMPANY IL 3075 Sanders Road, Suite H1a Northbrook IL 600627127 (847) 402‐5000 19232 ALLSTATE INSURANCE COMPANY IL 3075 Sanders Road, Suite H1a Northbrook IL 600627127 (847) 402‐5000 17230 ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY IL 3075 Sanders Road Suite H1a Northbrook IL 600627127 (847) 402‐5000 12696 America First Insurance Company NH 175 Berkeley Street Boston MA 2117 (617) 357‐9500 19720 AMERICAN ALTERNATIVE INSURANCE CORPORATION DE 555 College Road East P. O. Box 5241 Princeton NJ 8543 (609) 243‐4200 21849 AMERICAN AUTOMOBILE INSURANCE COMPANY MO 777 San Marin Drive Novato CA 94998 (415) 899‐2000 10111 AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA FL 11222 Quail Roost Drive Miami FL 33157 (305) 253‐2244 20427 AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA PA 333 S. Wabash Ave Chicago IL 60604 (312) 822‐5000 10391 AMERICAN CENTENNIAL INSURANCE COMPANY DE 3501 Silverside Road 203 Naamans Bldg. Wilmington DE 19810 (302) 479‐2100 x12 19690 AMERICAN ECONOMY INSURANCE COMPANY IN Safeco Plaza Seattle WA 98185 (206) 545‐5000 37990 AMERICAN EMPIRE INSURANCE COMPANY OH P O Box 5370 Cincinnati OH 45201 (513) 369‐3000 24066 AMERICAN FIRE AND CASUALTY COMPANY OH 175 Berkeley Street Boston MA 2116 (513) 603‐2400 40398 AMERICAN FUJI FIRE AND MARINE INSURANCE COMPANY IL C/o Rsi, Llc Two Logan Square, Suite 600 Philadelphia PA 19103 (877) 514‐3542 31208 AMERICAN GENERAL PROPERTY INSURANCE COMPANY TN 458n American General Center Nashville TN 37250 (615) 749‐1000 26247 AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY NY 1400 American Lane Tower 1, 19th Floor Shcaumburg IL 60196 (847) 605‐6000 13331 AMERICAN HARDWARE MUTUAL INSURANCE COMPANY OH 471 East Broad Street Colombus OH 43215 (614) 225‐8211 19380 American Home Assurance Company NY 70 Pine Street New York NY 10270 (212) 770‐7000 21857 AMERICAN INSURANCE COMPANY, THE OH 777 San Marin Drive Novato CA 94998 (415) 899‐2000 31895 AMERICAN INTERSTATE INSURANCE COMPANY LA 2301 Highway 190 West Deridder LA 706346005 (337) 460‐3223 12228 AMERICAN INTERSTATE INSURANCE COMPANY OF TEXAS TX 2301 Highway 190 West DeRidder LA 70634 (337) 463‐9052 30562 AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY IL 1 Corporate Drive, Suite 200 Lake Zurich IL 60047 (847) 320‐2000 15911 AMERICAN MINING INSURANCE COMPANY, INC. AL P. O. Box 660847 Birmingham AL 352660847 (205) 874‐8230 23469 AMERICAN MODERN HOME INSURANCE COMPANY OH P.O. Box 5323 Cincinnati OH 45201 (800) 759‐9008 x5771 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 22918 AMERICAN MOTORISTS INSURANCE COMPANY IL 1 Corporate Drive, Suite 200 Lake Zurich IL 60047 (847) 320‐2000 12084 AMERICAN PROFESSIONALS INSURANCE COMPANY IN 275 Phillips Boulevard Trenton NJ 86181426 (713) 267‐8187 19631 AMERICAN ROAD INSURANCE COMPANY, THE MI One American Road, MD 7600 Dearborn MI 481262701 (313) 337‐1102 39969 AMERICAN SAFETY CASUALTY INSURANCE COMPANY OK 100 Galleria Pkwy, S.E. Suite 700 Atlanta GA 30339 (770) 916‐1908 19704 AMERICAN STATES INSURANCE COMPANY IN Safeco Plaza Seattle WA 98185 (206) 545‐5000 19712 AMERICAN STATES INSURANCE COMPANY OF TEXAS TX Safeco Plaza Seattle WA 98185 (206) 545‐5000 37214 AMERICAN STATES PREFERRED INSURANCE COMPANY IN Safeco Plaza Seattle WA 98185 (206) 545‐5000 40142 AMERICAN ZURICH INSURANCE COMPANY IL 1400 American Lane Tower I, 19th Floor Schaumburg IL 601961056 (847) 605‐6000 27898 AMERICAS INSURANCE COMPANY LA 400 Poydras Street Suite 1990 New Orleans LA 70130 (504) 528‐9555 19488 Amerisure Insurance Company MI P.O. Box 2060 Farmington HIlls MI 483313586 (248) 426‐7939 23396 AMERISURE MUTUAL INSURANCE COMPANY MI P.o. Box 2060 Farmington Hills MI 483332060 (248) 615‐9000 42390 AmGUARD Insurance Company PA PO Box AH Wilkes Barre PA 18703 (570) 825‐9900 x3071 15954 AmTrust Insurance Company of Kansas, Inc. KS 5800 Lombardo Center, Suite 200 Cleveland OH 44313 (214) 360‐8000 28207 ANTHEM INSURANCE COMPANIES, INC. IN 120 Monument Circle Indianapolis IN 46204 (317) 488‐6000 30830 Arch Indemnity Insurance Company NE 300 Plaza Three, 3rd Floor Jersey City NJ 73111107 (201) 743‐4000 11150 Arch Insurance Company MO Harborside Financial Center 300 Plaza Three, Jersey City NJ 73111107 (201) 743‐4000 19860 ARGONAUT GREAT CENTRAL INSURANCE COMPANY IL 3625 N. Sheridan Road Peoria IL 616330001 (309) 688‐8571 19801 ARGONAUT INSURANCE COMPANY IL 10101 Reunion Place Suite 500 San Antonio TX 78216 (312) 201‐7510 19828 ARGONAUT MIDWEST INSURANCE COMPANY IL 10101 Reunion Place Suite 500 San Antonio TX 78216 (312) 201‐7510 19844 ARGONAUT‐SOUTHWEST INSURANCE COMPANY IL 10101 Reunion Place Suite 500 San Antonio TX 78216 (312) 201‐7510 24678 Arrowood Indemnity Company DE 3600 Arco Corporate Drive Charlotte NC 28273 (704) 522‐2000 21865 Associated Indemnity Corporation CA 777 San Marin Drive Novato CA 94998 (415) 899‐2000 19305 ASSURANCE COMPANY OF AMERICA NY 1400 American Lane, Tower 1, 19th Fl Schaumburg IL 601961056 (847) 605‐6000 41769 ATHENA ASSURANCE COMPANY MN 385 Washington Street St. Paul MN 55102 (651) 310‐7911 20931 ATLANTA INTERNATIONAL INSURANCE COMPANY NY 3024 Harney Street Omaha NE 681313580 (402) 916‐3000 27154 ATLANTIC SPECIALTY INSURANCE COMPANY NY One Beacon Lane Canton MA 2021 (781) 332‐7000 19933 Audubon Insurance Company LA P.O. Box 15989 Baton Rouge LA 70895 (225) 293‐5900 19062 AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT, THE CT One Tower Square Hartford CT 61836014 (860) 277‐0111 33022 AXA INSURANCE COMPANY NY 17 State Street New York NY 100041501 (212) 493‐9300 16187 AXA RE PROPERTY AND CASUALTY INSURANCE COMPANY DE 17 State Street New York NY 100041501 (212) 493‐9300 37273 AXIS Insurance Company IL 11680 Great Oaks Way Suite 500 Alpharetta GA 30022 (678) 746‐9400 20370 AXIS Reinsurance Company NY 11680 Great Oaks Way Suite 500 Alpharetta GA 30022 (678) 746‐9400 18538 BANCINSURE, INC OK P. O. Box 26104 Oklahoma City OK 73216 (405) 290‐5678 33162 BANKERS INSURANCE COMPANY FL 11101 Roosevelt Boulevard North St. Petersburg FL 33716 (727) 823‐4000 20591 BANKERS STANDARD FIRE AND MARINE COMPANY PA P.o. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 640‐1000 18279 BANKERS STANDARD INSURANCE COMPANY PA 436 Walnut Street P. O. Box 1000 Philadelphia PA 19106 (215) 640‐1000 38245 BCS INSURANCE COMPANY OH 2 Mid America Plaza, Suite 200 Oakbrook Terrace IL 601814712 (630) 472‐7700 32603 BERKLEY INSURANCE COMPANY DE 475 Steamboat Road Greenwich CT 6830 (203) 542‐3800 38911 Berkley National Insurance Company IA P O Box 152180 Irving TX 75015 (972) 719‐2400 29580 BERKLEY REGIONAL INSURANCE COMPANY DE 11201 Douglas Avenue Urbandale IA 50322 (203) 629‐3000 20095 BITUMINOUS CASUALTY CORPORATION IL 320 18th Street Rock Island IL 61201 (309) 786‐5401 20109 BITUMINOUS FIRE AND MARINE INSURANCE COMPANY IL 320 18th Street Rock Island IL 61201 (309) 732‐0409 10335 BRIDGEFIELD CASUALTY INSURANCE COMPANY FL 175 Berkeley Street Boston MA 2116 (863) 665‐6060 10701 Bridgefield Employers Insurance Company FL 175 Berkley Street Boston MA 2116 (863) 665‐6060 13528 BROTHERHOOD MUTUAL INSURANCE COMPANY IN P. O. Box 2227 6400 Brotherhood Way Fort Wayne IN 46801 (260) 482‐8668 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 23620 BURLINGTON INSURANCE COMPANY NC 238 International Road Burlington NC 27215 (336) 586‐2500 21946 CAMDEN FIRE INSURANCE ASSOCIATION, THE NJ One Beacon Lane Canton MA 20211030 (781) 332‐7000 30589 CAPITAL CITY INSURANCE COMPANY, INC SC P O Box 212157 Columbia SC 292212157 (248) 359‐9949 21075 Cardif Property and Casualty Insurance Company TX P.O. Box 77‐0250 Miami FL 331770250 (305) 234‐1771 10510 CAROLINA CASUALTY INSURANCE COMPANY IA P.O. Box 2575 Jacksonville FL 32203 (904) 363‐0900 40134 CastlePoint National Insurance Company IL 222 S. Riverside Plaza Suite 1600 Chicago IL 60606 (312) 277‐1600 24937 CATAWBA INSURANCE COMPANY SC P.O. Box 1 Columbia SC 29202 (803) 748‐2000 11255 CATERPILLAR INSURANCE COMPANY MO P.o. Box 340001 Nashville TN 372030001 (615) 341‐8147 19518 Catlin Insurance Company, Inc. TX 3340 Peachtree Road, NE Suite 2950 Atlanta GA 30326 (404) 443‐4910 19909 Centennial Insurance Company NY 100 Wall Street, 28th Floor New York NY 100053743 (212) 943‐1800 34649 CENTRE INSURANCE COMPANY DE One Liberty Plaza 165 Broadway, 33rd Floor New York NY 100061404 (212) 859‐2600 20710 CENTURY INDEMNITY COMPANY PA 436 Walnut Street, P.O. Box 1000 Philadelphia PA 19106 (215) 640‐1000 25615 CHARTER OAK FIRE INSURANCE COMPANY, THE CT One Tower Square Hartford CT 6183 (860) 277‐0111 40258 CHARTIS CASUALTY COMPANY PA 70 Pine Street New York NY 10270 (212) 770‐7000 19402 Chartis Property Casualty Company PA 70 Pine Street New York NY 10270 (212) 770‐7000 10642 CHEROKEE INSURANCE COMPANY MI 34200 Mound Road Sterling Heights MI 48310 (800) 201‐0450 x3474 10499 CHRYSLER INSURANCE COMPANY MI P.O. Box 9217 Farmington Hills MI 48334 (248) 427‐4224 12777 CHUBB INDEMNITY INSURANCE COMPANY NY 15 Mountain View Road P.o. Box 1615 Warren NJ 70611615 (908) 903‐2000 10052 CHUBB NATIONAL INSURANCE COMPANY IN 15 Mountain View Road P.o. Box 1615 Warren NJ 70611615 (908) 903‐2000 18767 CHURCH MUTUAL INSURANCE COMPANY WI P. O. Box 357 Merrill WI 54452 (715) 536‐5577 28665 CINCINNATI CASUALTY COMPANY THE OH 6200 S. Gilmore Road Fairfield OH 450145141 (513) 870‐2000 23280 CINCINNATI INDEMNITY COMPANY THE OH 6200 S. Gilmore Road Fairfield OH 450145141 (513) 870‐2000 10677 CINCINNATI INSURANCE COMPANY, THE OH P. O. Box 145496 Cincinnati OH 45250 (513) 870‐2000 20532 CLARENDON NATIONAL INSURANCE COMPANY NJ 196 Princeton‐Highstown Road, Building 2, SuPrinceton Jct. NJ 8850 (609) 378‐5482 20532 CLARENDON NATIONAL INSURANCE COMPANY NJ 196 Princeton‐Highstown Road, Building 2, SuPrinceton Jct. NJ 8850 (609) 378‐5482 25070 Clearwater Insurance Company DE 300 First Stamford Place Stamford CT 6902 (203) 977‐8000 10019 Clearwater Select Insurance Company DE 300 First Stamford Place Stamford CT 6902 (203) 977‐8000 33197 COLOGNE REINSURANCE COMPANY OF AMERICA CT 120 Long Ridge Road Stamford CT 6902 (203) 328‐5000 34347 COLONIAL AMERICAN CASUALTY AND SURETY COMPANY MD 1400 American Lane Tower 1, 19th Floor Schaumburg IL 601961056 (847) 605‐6000 27812 COLUMBIA INSURANCE COMPANY NE 3024 Harney Street Omaha NE 681313580 (402) 916‐3000 40371 COLUMBIA MUTUAL INSURANCE COMPANY MO P. O. Box 618 Columbia MO 65205 (573) 474‐6193 19410 Commerce and Industry Insurance Company NY 70 Pine Street New York NY 10270 (212) 770‐7000 10794 Companion Commercial Insurance Company SC P.O. Box 100165 Columbia SC 29202 (803) 735‐0672 12157 Companion Property and Casualty Insurance Company SC P.O. Box 100165 Columbia SC 29202 (803) 735‐0672 21989 COMPASS INSURANCE COMPANY NY 9277 Centre Point Drive Suite 140 West Chester OH 45069 (513) 425‐5899 32190 CONSTITUTION INSURANCE COMPANY NY P.O. Box 8424 Omaha NE 68108 (402) 330‐6800 20443 CONTINENTAL CASUALTY COMPANY IL 333 S. Wabash Ave Chicago IL 60604 (312) 822‐5000 28258 Continental Indemnity Company IA P.O. Box 3646 Omaha NE 68103 (402) 827‐3434 35289 CONTINENTAL INSURANCE COMPANY, THE PA 333 S. Wabash Avenue Chicago IL 60604 (312) 822‐5000 10804 Continental Western Insurance Company IA P.O. Box 1594 Des Moines IA 50306 (515) 473‐3000 37206 CONTRACTORS BONDING AND INSURANCE COMPANY WA P.o. Box 9271 Seattle WA 981090271 (206) 628‐7200 16411 Cooperative Mutual Insurance Company NE 3905 South 148th St., Ste. 100 Omaha, NE 68144 (402) 408‐2177 20044 Cornhusker Casualty Company NE 3333 Famam Street, Suite 300 Omaha NE 68131 (402) 393‐7255 31348 CRUM & FORSTER INDEMNITY COMPANY DE 305 Madison Avenue Morristown NJ 7962 (973) 490‐6600 10847 CUMIS INSURANCE SOCIETY, INC. IA Post Office Box 1084 Madison WI 53701 (608) 238‐5851 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 32271 Dallas National Insurance Company TX 14160 Dallas Parkway, Ste. 500 Dallas TX 75254 (972) 233‐0178 x228 16624 Darwin National Assurance Company DE 9 Farm Springs Road Farmington CT 6032 (860) 284‐1300 37907 DEERBROOK INSURANCE COMPANY IL 3075 Sanders Road, Suite H1a Northbrook IL 600627127 (847) 551‐2000 37184 DEERFIELD INSURANCE COMPANY IL Ten Parkway North Deerfield IL 60015 (847) 572‐6000 35408 Delos Insurance Company DE 120 West 45th Street 36th Floor New York NY 10036 (212) 702‐3700 42048 Diamond State Insurance Company IN Three Bala Plaza, East Suite 300 Bala Cynwyd PA 19004 (610) 664‐1500 14630 DIRECT GENERAL INSURANCE COMPANY OF LOUISIANA LA 1281 Murfreesboro Road Nashville TN 372172432 (504) 275‐5000 36463 DISCOVER PROPERTY & CASUALTY INSURANCE COMPANY IL 385 Washington Street St. Paul MN 55102 (651) 310‐7911 34495 DOCTORS' COMPANY, AN INTERINSURANCE EXCHANGE, THE CA 185 Greenwood Road Napa CA 94558 (707) 226‐0100 33499 DORINCO REINSURANCE COMPANY MI 1320 Waldo Avenue Suite 200 Midland MI 48642 (989) 636‐0047 19011 Driver's Insurance Company OK 1855 Satellite Boulevard, Suite 100 Duluth GA 30097 (678) 474‐9004 14702 EastGUARD Insurance Company PA P. O. Box A‐H Wilkes‐Barre PA 18703 (570) 825‐9900 x3071 22926 ECONOMY FIRE AND CASUALTY COMPANY IL PO Box 350 700 Quaker Lane Warwick RI 28870350 (401) 827‐2400 38067 ECONOMY PREFERRED INSURANCE COMPANY IL P O Box 350, 700 Quaker Lane Warwick RI 28870350 (401) 827‐2400 21261 ELECTRIC INSURANCE COMPANY MA 75 Sam Fronzo Drive Beverly MA 1915 (978) 921‐2080 25186 EMC PROPERTY & CASUALTY COMPANY IA P.O. Box 712 Des Moines IA 503030712 (515) 280‐2511 21407 EMCASCO INSURANCE COMPANY IA P.o. Box 712 Des Moines IA 503033872 (515) 280‐2511 20648 EMPLOYERS FIRE INSURANCE COMPANY MA One Beacon Lane Canton MA 20211030 (781) 332‐7000 21458 EMPLOYERS INSURANCE COMPANY OF WAUSAU WI 175 Berkeley Street Boston MA 2116 (617) 357‐9500 21415 EMPLOYERS MUTUAL CASUALTY COMPANY IA P.o. Box 712 Des Moines IA 503093872 (515) 280‐2511 37915 Essentia Insurance Company MO One Beacon Street Boston MA 21083100 (781) 332‐7000 25712 ESURANCE INSURANCE COMPANY WI 650 Davis Street San Francisco CA 94111 (415) 875‐4500 10120 EVEREST NATIONAL INSURANCE COMPANY DE P.O. Box 830 Liberty Corner NJ 79380830 (908) 604‐3000 26921 EVEREST REINSURANCE COMPANY DE P.o. Box 830 Liberty Corner NJ 7938 (908) 604‐3000 12750 EVERGREEN NATIONAL INDEMNITY COMPANY OH 6140 Parkland Boulevard Suite 321 Mayfield Heights OH 44124 (440) 229‐3420 39675 Excalibur Reinsurance Corporation PA 1735 Market Street Philadelphia PA 19103 (215) 665‐5000 35181 EXECUTIVE RISK INDEMNITY INC. DE P.o. Box 1615 Warren NJ 70611615 (908) 903‐2000 21482 Factory Mutual Insurance Company RI 270 Central Avenue P. O. Box 7500 Johnston RI 29190500 (401) 275‐3000 x1077 44784 FAIRFIELD INSURANCE COMPANY CT 120 Long Ridge Road Stamford CT 6902 (203) 328‐5000 18864 FAIRMONT INSURANCE COMPANY CA 250 Commercial Street, Suite 5000 Manchester NH 3101 (603) 656‐2233 25518 Fairmont Premier Insurance Company CA 250 Commercial Street, Suite 5000 Manchester NH 3101 (603) 656‐2233 24384 Fairmont Specialty Insurance Company CA P.O. Box 2807 250 Commercial Street, Suite 5Manchester NH 3101 (603) 656‐2233 21652 FARMERS INSURANCE EXCHANGE CA P.O. Box 2478 Terminal Annex Los Angeles CA 90051 (323) 932‐3200 41483 FARMINGTON CASUALTY COMPANY CT One Tower Square Hartford CT 6183 (860) 277‐0111 20281 FEDERAL INSURANCE COMPANY IN P.O. Box 1615 Warren NJ 70611615 (908) 903‐2000 13935 FEDERATED MUTUAL INSURANCE COMPANY MN 121 East Park Square Owatonna MN 55060 (507) 455‐5200 11118 FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE KS P.O. Box 15147 Lenexa KS 662855147 (913) 541‐0150 28304 FEDERATED SERVICE INSURANCE COMPANY MN 121 East Park Square Owatonna MN 55060 (507) 455‐5200 39306 FIDELITY AND DEPOSIT COMPANY OF MARYLAND MD 1400 American Lane Tower 1, 19th Floor Schaumburg IL 601961056 (847) 605‐6000 35386 FIDELITY AND GUARANTY INSURANCE COMPANY IA 385 Washington Street St. Paul MN 55102 (651) 310‐7911 25879 FIDELITY AND GUARANTY INSURANCE UNDERWRITERS, INC. WI 385 Washington Street St. Paul MN 55102 (651) 310‐7911 11134 FIDELITY FIRST INSURANCE COMPANY TX P.o. Box 548801 Oklahoma City OK 731548801 (817) 255‐3100 16578 Fidelity National Property and Casualty Insurance Company NY 4905 Belfort Road Suite 110 Jacksonville FL 32256 (805) 569‐6645 19852 FINANCIAL INDEMNITY COMPANY CA P O Box 223687 Dallas TX 752223687 (972) 690‐5500 39136 Finial Reinsurance Company CT 3024 Harney St. Omaha NE 68131 (402) 916‐3000 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 21873 Fireman's Fund Insurance Company CA 777 Marin Drive Navato CA 94998 (415) 899‐2000 40681 Fireman's Fund Insurance Company of Louisiana LA 777 San Marin Drive Novato CA 94998 (504) 734‐2221 21784 Firemen's Insurance Company of Washington, D.C. DE 4820 Lake Brook Dr. Ste. 300 Glen Allen VA 23060 (804) 285‐2700 33588 FIRST LIBERTY INSURANCE CORPORATION, THE IL 175 Berkeley Street Boston MA 2117 (617) 357‐9500 24724 FIRST NATIONAL INSURANCE COMPANY OF AMERICA WA Safeco Plaza Seattle WA 98185 (206) 545‐5000 13978 Florists' Mutual Insurance Company IL P. O. Box 428 #1 Horticultural Lane Edwardsville IL 62025 (618) 656‐4240 x1818 11185 FOREMOST INSURANCE COMPANY MI P.O. Box 2450 Grand Rapids MI 495012450 (616) 942‐3000 11800 FOREMOST PROPERTY AND CASUALTY INSURANCE COMPANY MI P.o. Box 2450 Grand Rapids MI 495012450 (616) 956‐8476 41513 FOREMOST SIGNATURE INSURANCE COMPANY MI P. O. Box 2450 Grand Rapids MI 495012450 (616) 942‐3000 13986 FRANKENMUTH MUTUAL INSURANCE COMPANY MI One Mutual Avenue Frankenmuth MI 487870001 (989) 625‐6121 21253 Garrison Property and Casualty Insurance Company TX 9800 Fredericksburg Road San Antonio TX 78288 (210) 498‐8000 28339 GATEWAY INSURANCE COMPANY MO 1401 S. Brentwood Blvd. Suite 1000‐10th FlooSt. Louis MO 63144 (314) 373‐3333 24414 GENERAL CASUALTY COMPANY OF WISCONSIN WI One General Drive Sun Prairie WI 53596 (608) 837‐4440 24732 GENERAL INSURANCE COMPANY OF AMERICA WA Safeco Plaza Seattle WA 98185 (206) 545‐5000 22039 GENERAL REINSURANCE CORPORATION DE 120 Long Ridge Road Stamford CT 6902 (203) 328‐5000 39322 General Security National Insurance Company NY One Seaport Plaza 199 Water Street 21st FlooNew York NY 10038 (212) 480‐1900 11231 GENERALI ‐ U.S. BRANCH 7 World Trade Center, 33rd Floor 250 GreenwNew York NY 10007 (212) 602‐7600 38962 GENESIS INSURANCE COMPANY CT 120 Long Ridge Road Stamford CT 6902 (203) 328‐5000 11258 GEORGIA CASUALTY AND SURETY COMPANY GA P.O. Box 105480 Atlanta GA 303485480 (573) 474‐6193 11266 GLOBAL REINSURANCE CORPORATION NY 7 Times Square, 37th Floor New York NY 10036 (212) 754‐7525 23809 Granite State Insurance Company PA 70 Pine Street New York NY 10270 (212) 770‐7000 10671 Gray Casualty & Surety Company, The LA P.O. Box 6202 Metairie LA 700096202 (504) 888‐7790 36307 GRAY INSURANCE COMPANY, THE LA P.O. Box 6202 Metairie LA 700096202 (504) 888‐7790 26832 GREAT AMERICAN ALLIANCE INSURANCE COMPANY OH 580 Walnut Street Cincinnati OH 45202 (513) 369‐5000 26344 GREAT AMERICAN ASSURANCE COMPANY OH 580 Walnut Street Cincinnati OH 45202 (513) 369‐5000 16691 GREAT AMERICAN INSURANCE COMPANY OH 580 Walnut Street Cincinnati OH 45202 (513) 369‐5000 22136 GREAT AMERICAN INSURANCE COMPANY OF NEW YORK NY 580 Walnut Street Cincinnati OH 45202 (513) 369‐5000 31135 GREAT AMERICAN SECURITY INSURANCE COMPANY OH 580 Walnut Street Cincinnati OH 45202 (513) 369‐5000 33723 GREAT AMERICAN SPIRIT INSURANCE COMPANY OH 580 Walnut Street Cincinnati OH 45202 (513) 369‐5000 25224 Great Divide Insurance Company ND 7233 East Butherus Dr. Scottsdale AZ 85260 (480) 951‐0905 40193 GREAT LAKES REINSURANCE COMPANY, THE NY Seaview House 70 Seaview Avenue Stamford CT 9602 (203) 964‐5200 18694 GREAT MIDWEST INSURANCE COMPANY MI 800 Gessner, Suite 600 Houston TX 77024 (713) 935‐7400 20303 GREAT NORTHERN INSURANCE COMPANY IN P.O. Box 1615 Warren NJ 70611615 (908) 903‐2000 11371 GREAT WEST CASUALTY COMPANY NE P.O. Box 277 South Sioux City NE 687760277 (402) 494‐2411 22187 GREATER NEW YORK MUTUAL INSURANCE COMPANY NY 200 Madison Avenue New York NY 100163903 (212) 683‐9700 x306 22322 Greenwich Insurance Company DE 70 Seaview Avenue Stamford CT 69026040 (203) 964‐5200 11398 GUARANTEE INSURANCE COMPANY FL 401 E. Las Olas Blvd. Suite 1540 Fort Lauderdale FL 33301 (954) 670‐2900 15032 GUIDEONE MUTUAL INSURANCE COMPANY IA 1111 Ashworth Road West Des Moines IA 502653538 (515) 267‐5000 14559 GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY IA 1111 Ashworth Road West Des Moines IA 502653538 (515) 267‐5000 36064 HANOVER AMERICAN INSURANCE COMPANY, THE NH 440 Lincoln Street Worcester MA 1653 (508) 853‐7200 x4476 22292 HANOVER INSURANCE COMPANY, THE NH 440 Lincoln Street Worcester MA 1653 (508) 853‐7200 x4476 10829 Harbor Point Reinsurance U.S., Inc. CT 4 Essex Avenue Bernardsville NJ 7924 (908) 630‐2700 21806 HARBOR SPECIALTY INSURANCE COMPANY NJ 466 Lexington Avenue, Suite 1900 New York NY 10017 (212) 790‐9700 26433 Harco National Insurance Company IL P. O. Box 68309 Schaumburg IL 60168 (847) 321‐4800 23582 HARLEYSVILLE INSURANCE COMPANY PA 355 Maple Avenue Harleysville PA 19438 (215) 256‐5000 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 14168 HARLEYSVILLE MUTUAL INSURANCE COMPANY PA 355 Maple Avenue Harleysville PA 194382297 (215) 256‐5000 22357 HARTFORD ACCIDENT AND INDEMNITY COMPANY CT One Hartford Plaza Hartford CT 61150000 (860) 547‐5000 29424 HARTFORD CASUALTY INSURANCE COMPANY IN Hartford Plaza Hartford CT 61150000 (860) 547‐5000 19682 HARTFORD FIRE INSURANCE COMPANY CT Hartford Plaza Hartford CT 61150000 (860) 547‐5000 37478 HARTFORD INSURANCE COMPANY OF THE MIDWEST IN Hartford Plaza Hartford CT 6115 (860) 547‐5000 38261 HARTFORD INSURANCE COMPANY OF THE SOUTHEAST CT Hartford Plaza Hartford CT 6155 (860) 547‐5000 30104 HARTFORD UNDERWRITERS INSURANCE COMPANY CT One Hartford Plaza Hartford CT 6155 (860) 547‐5000 41343 HDI‐Gerling America Insurance Company IL 150 North Wacker Drive Chicago IL 60606 (312) 580‐1900 32077 Heritage Casualty Insurance Company IL 200 North Martingale Road Schaumburg IL 60173 (847) 706‐6805 17221 HOMESITE INSURANCE COMPANY CT 99 Bedford Street Boston MA 21112217 (617) 832‐1300 11460 HOMESTEAD INSURANCE COMPANY PA 412 West Avon Road Avon CT 60012500 (860) 673‐4040 22578 HORACE MANN INSURANCE COMPANY IL #1 Horace Mann Plaza Springfield IL 62715 (217) 789‐2500 38849 HOUSTON GENERAL INSURANCE COMPANY TX One Beacon Lane Canton MA 20211030 (781) 332‐7000 23817 Illinois National Insurance Company IL 70 Pine Street New York NY 10270 (312) 930‐5400 44369 IMPERIAL FIRE AND CASUALTY INSURANCE COMPANY LA 4670 I‐49 North Service Road Opelousas LA 70570 (337) 942‐5691 43575 INDEMNITY INSURANCE COMPANY OF NORTH AMERICA PA P. O. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 640‐1000 18468 INDEMNITY NATIONAL INSURANCE COMPANY MS 4800 Old Kingston Pike Knoxville TN 37919 (865) 934‐4360 14265 INDIANA LUMBERMENS MUTUAL INSURANCE COMPANY IN 3600 Woodview Trace Indianapolis IN 462680600 (317) 875‐3606 22713 INSURANCE COMPANY OF NORTH AMERICA PA P.O. Box 1000 436 Walnut Street, WA04R Philadelphia PA 19106 (215) 640‐1000 19429 Insurance Company of the State of Pennsylvania, The PA 70 Pine Street New York NY 10270 (212) 770‐7000 27847 INSURANCE COMPANY OF THE WEST CA P.O. Box 85563 San Diego CA 921865563 (858) 350‐2400 x2550 22772 INTEGON INDEMNITY CORPORATION NC P.o. Box 3199 Winston‐Salem NC 27152 (336) 435‐2000 29742 INTEGON NATIONAL INSURANCE COMPANY NC P. O. Box 3199 Winston‐Salem NC 271023199 (336) 435‐2000 27138 KEMPER CASUALTY INSURANCE COMPANY IL 1 Kemper Drive Long Grove IL 600490001 (847) 320‐2000 18295 LAFAYETTE INSURANCE COMPANY LA 118 Second Avenue Se P. O. Box 73909 Cedar Rapids IA 524073909 (319) 399‐5700 26077 LANCER INSURANCE COMPANY IL 370 West Park Avenue P. O. Box 9004 Long Beach NY 11561 (516) 431‐4441 x3352 10708 LEMIC INSURANCE COMPANY LA 9543 Fenway Avenue Baton Rouge LA 708091411 (225) 201‐0107 x238 42404 LIBERTY INSURANCE CORPORATION IL 175 Berkeley Street Boston MA 2117 (617) 357‐9500 19917 LIBERTY INSURANCE UNDERWRITERS INC. NY 55 Water Street New York NY 10041 (212) 208‐2802 23035 Liberty Mutual Fire Insurance Company WI 175 Berkeley Street Boston MA 2117 (617) 357‐9500 23043 Liberty Mutual Insurance Company MA 175 Berkeley Street Boston MA 2117 (617) 357‐9500 11746 LIBERTY PERSONAL INSURANCE COMPANY NH 175 Berkeley Street Boston MA 2117 (617) 357‐9500 33634 LLOYD'S ASSURANCE OF LOUISIANA (A LA. PARTNERSHIP) LIQUID. LA 909 Poydras Street; Suite 2000 P. O. Box 5330New Orleans LA 70153 (504) 592‐0355 36447 LM General Insurance Company IL 175 Berkeley Street Boston MA 2117 (617) 357‐9500 33600 LM INSURANCE CORPORATION IL 175 Berkeley Street Boston MA 2117 (617) 357‐9500 32352 LM Property and Casualty Insurance Company IN 175 Berkeley Street Boston MA 2117 (617) 357‐9500 14427 LOUISIANA FARM BUREAU MUTUAL INSURANCE COMPANY LA P. O. Box 95005 Baton Rouge LA 708959005 (225) 922‐6200 22900 LOUISIANA PEST CONTROL INSURANCE COMPANY LA P. O. Box 80663 Baton Rouge LA 70898 (225) 927‐3283 x7009 22350 Louisiana Workers' Compensation Corporation LA 2237 S. Acadian Thryway Suite 400 Baton Rouge LA 70808 (225) 924‐7788 12472 LUBA Casualty Insurance Company LA P. O. Box 98082 Baton Rouge LA 70898 (225) 389‐5822 23108 LUMBERMEN'S UNDERWRITING ALLIANCE MO 1905 N.W. Corporate Boulevard Boca Raton FL 33431 (561) 994‐1900 22977 LUMBERMENS MUTUAL CASUALTY COMPANY IL 1 Corporate Drive, Suite 200 Lake Zurich IL 60047 (847) 320‐2000 11054 MAIDEN REINSURANCE COMPANY MO 6000 Midlantic Drive Mt. Laurel NJ 8054 (856) 359‐2400 36897 MANUFACTURERS ALLIANCE INSURANCE COMPANY PA P.o. Box 3031 Blue Bell PA 194220754 (610) 397‐5000 38970 MARKEL INSURANCE COMPANY IL 4600 Cox Road Glen Allen VA 23060 (804) 527‐7992 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 19356 MARYLAND CASUALTY COMPANY MD 1400 American Lane, Tower 1, 19th Fl Schaumburg IL 601961056 (847) 605‐6000 19348 MARYLAND INSURANCE COMPANY TX 1400 American Lane, Tower 1‐19th Fl Schaumburg IL 601961056 (847) 605‐6000 22306 MASSACHUSETTS BAY INSURANCE COMPANY NH 440 Lincoln Street Worcester MA 1653 (508) 853‐7200 x4476 22241 MEDMARC CASUALTY INSURANCE COMPANY VT P.o. Box 10809 Chantilly VA 201512219 (703) 652‐1300 11030 MEMIC Indemnity Company NH 1750 Elm St., Ste. 500 Manchester NH 3104 (603) 314‐0600 39357 Metlife Insurance Company of Connecticut (ACCIDENT DEPT.) CT 18210 Crane Nest Drive, 3rd Floor Tampa FL 33647 (860) 277‐0111 25321 METROPOLITAN DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY RI PO Box 350 700 Quaker Lane Warwick RI 28870350 (401) 827‐2400 34339 METROPOLITAN GROUP PROPERTY AND CASUALTY INSURANCE CO. RI PO Box 350 700 Quaker Lane Warwick RI 2887350 (401) 827‐2400 26298 METROPOLITAN PROPERTY AND CASUALTY INSURANCE COMPANY RI P.O Box 350 Quaker Lane Warwick RI 28870350 (401) 827‐2400 38660 MIC GENERAL INSURANCE CORPORATION MI P O Box 3199 500 West Fifth Street Winston‐Salem NC 27102 (336) 435‐2000 38601 MIC PROPERTY AND CASUALTY INSURANCE CORPORATION MI 300 Galleria Officentre, Suite 200 Mail Stop 4 Southfield MI 48034 (248) 263‐6900 21687 MID‐CENTURY INSURANCE COMPANY CA P.O. Box 2478 Terminal Annex Los Angeles CA 90005 (323) 932‐3200 23434 MIDDLESEX INSURANCE COMPANY WI 1800 North Point Drive Stevens Point WI 54481 (715) 346‐6000 20451 MIDSTATES REINSURANCE CORPORATION IL 10560 Success Lane, Suite A Dayton OH 45458 (937) 428‐6218 23612 MIDWEST EMPLOYERS CASUALTY COMPANY DE 14755 North Outer Forty Drive Suite 300 Maryland Heights MO 63017 (636) 449‐7000 14583 Millers First Insurance Company IL 111 East Fourth Street Alton IL 62002 (618) 463‐3636 26662 Milwaukee Casualty Insurance Co. WI 5800 Lombardo Center, Suite 200 Cleveland OH 44313 (262) 207‐8500 20362 Mitsui Sumitomo Insurance Company of America NY P.o. Box 4602 Warren NJ 7059 (908) 604‐2900 22551 Mitsui Sumitomo Insurance USA Inc. NY P.o. Box 4602 Warren NJ 70594602 (908) 604‐2900 10227 Munich Reinsurance America, Inc. DE 555 College Road East P.o. Box 5241 Princeton NJ 8543 (609) 243‐4200 23663 NATIONAL AMERICAN INSURANCE COMPANY OK 1010 Manvel Avenue Chandler OK 74834 (405) 258‐0804 11991 NATIONAL CASUALTY COMPANY WI P.O. Box 4110 Scottsdale AZ 852614110 (480) 365‐4000 16217 NATIONAL FARMERS UNION PROPERTY AND CASUALTY COMPANY CO 5619 Dtc Parkway, Ste. 300 Greenwood Village CO 801113136 (303) 337‐5500 15679 NATIONAL FIRE AND INDEMNITY EXCHANGE MO P. O. Box 39903 St. Louis MO 63139 (314) 832‐1118 x319 20478 National Fire Insurance Company of Hartford IL 333 S. Wabash Ave Chicago IL 60604 (312) 822‐5000 23728 NATIONAL GENERAL INSURANCE COMPANY MO P.O. Box 3199 500 West Fifth Street Winston‐Salem NC 27102 (336) 435‐2000 20087 NATIONAL INDEMNITY COMPANY NE 3024 Harney Street Omaha NE 68131 (402) 916‐3000 32620 NATIONAL INTERSTATE INSURANCE COMPANY OH 3250 Interstate Drive Richfield OH 44286 20052 NATIONAL LIABILITY & FIRE INSURANCE COMPANY CT 3024 Harney Street Omaha NE 68131 (402) 916‐3000 34835 NATIONAL REINSURANCE CORPORATION, THE DE 120 Long Ridge Road Stamford CT 6902 (203) 328‐5000 21881 NATIONAL SURETY CORPORATION IL 777 San Marin Drive Novato CA 94998 (312) 346‐6400 20141 NATIONAL TRUST INSURANCE COMPANY IN 6300 University Parkway Sarasota FL 34240 (802) 229‐3333 32298 National Union Fire Insurance Company of Louisiana LA P. O. Drawer 15989 Baton Rouge LA 70895 (225) 293‐5900 19445 National Union Fire Insurance Company of Pittsburgh, PA PA 70 Pine Street New York NY 10270 (212) 770‐7000 26093 Nationwide Affinity Insurance Company of America OH One West Nationwide Plaza Columbus OH 43215 (614) 249‐7111 28223 Nationwide Agribusiness Insurance Company IA 1100 Locust Street, Dept 2007 Des Moines IA 503912007 (515) 508‐3300 23779 Nationwide Mutual Fire Insurance Company OH One West Nationwide Blvd, DSPF‐76 Columbus OH 43215 (614) 249‐7111 23787 Nationwide Mutual Insurance Company OH One West Nationwide Blvd, DSPF‐76 Columbus OH 43215 (614) 249‐7111 24171 Netherlands Insurance Company The NH 175 Berkeley Street Boston MA 2117 (617) 357‐9500 41629 NEW ENGLAND REINSURANCE CORPORATION CT 100 High Street Boston MA 2110 (617) 526‐8500 23841 New Hampshire Insurance Company PA 70 Pine Street New York NY 10270 (212) 770‐7000 27073 Nipponkoa Insurance Company, Limited NY U.S. Branch; 14 Wall St., 8th Floor New York NY 10005 (212) 405‐1650 31470 NorGUARD Insurance Company PA P.o. Box A‐H Wilkes‐Barre PA 18703 (570) 825‐9900 x3071 29700 NORTH AMERICAN ELITE INSURANCE COMPANY NH 650 Elm Street Manchester NH 3101 (603) 644‐6600 29874 NORTH AMERICAN SPECIALTY INSURANCE COMPANY NH 650 Elm Street Manchester NH 3101 (603) 644‐6600 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 39462 North Pointe Casualty Insurance Company FL P. O. Box 2223 Southfield MI 18037 (248) 358‐1171 21105 NORTH RIVER INSURANCE COMPANY, THE NJ 305 Madison Avenue Morristown NJ 7962 (973) 490‐6600 22047 NORTH STAR REINSURANCE CORPORATION DE 120 Long Ridge Road Stamford CT 6902 (203) 328‐5000 36455 NORTHBROOK INDEMNITY COMPANY IL 3075 Sanders Road Suite H1a Northbrook IL 60062 (847) 402‐5000 38369 NORTHERN ASSURANCE COMPANY OF AMERICA, THE MA One Beacon Street Boston MA 21083100 (781) 332‐7000 19372 NORTHERN INSURANCE COMPANY OF NEW YORK NY 1400 American Lane, Tower 1, 19th Fl 1 Schaumburg IL 601961056 (847) 605‐6000 42552 NOVA CASUALTY COMPANY NY 726 Exchange Street Suite 1020 Buffalo NY 14210 (508) 853‐7200 x4476 23248 Occidental Fire & Casualty Company of North Carolina NC P.O. Box 10800 702 Oberlin Road Raleigh NC 27605 (919) 833‐1600 41076 OCEAN MARINE INDEMNITY COMPANY LA 2626 N. Arnoult Road Metairie LA 70002 (504) 883‐2600 23680 ODYSSEY AMERICA REINSURANCE CORPORATION CT 300 First Stamford Place Stamford CT 6902 (203) 977‐8000 24074 OHIO CASUALTY INSURANCE COMPANY, THE OH 175 Berkeley Street Boston MA 2116 (513) 603‐2400 24104 OHIO FARMERS INSURANCE COMPANY OH P.o. Box 5001 Westfield Center OH 442515001 (330) 887‐0101 24082 OHIO SECURITY INSURANCE COMPANY OH 175 Berkeley Street Boston MA 2116 (513) 603‐2400 11579 Old Glory Insurance Company TX PO Box 6456 Tyler TX 757116456 (903) 509‐4929 24139 Old Republic General Insurance Corporation IL 307 North Michigan Avenue Chicago IL 60601 (312) 346‐8100 24147 OLD REPUBLIC INSURANCE COMPANY PA P.O. Box 789 Greensburg PA 156010789 (724) 834‐5000 12254 OMAHA INDEMNITY COMPANY, THE WI Mutual of Omaha Plaza Omaha NE 68175 (402) 351‐5468 20621 ONEBEACON AMERICA INSURANCE COMPANY MA One Beacon Street Boston MA 2108 (781) 332‐7000 21970 ONEBEACON INSURANCE COMPANY PA One Beacon Street Canton MA 20211030 (781) 332‐7000 22748 PACIFIC EMPLOYERS INSURANCE COMPANY PA P.o. Box 1000 436 Walnut Street Philadelphia PA 19106 (215) 640‐1000 20346 PACIFIC INDEMNITY COMPANY WI P.O. Box 1615 Warren NJ 7061 (908) 903‐2000 40550 PACIFIC PIONEER INSURANCE COMPANY CA 6363 Katella Avenue Cypress CA 90630 (714) 228‐7888 x1111 10006 PARTNER REINSURANCE COMPANY OF NEW YORK NY One Greenwich Plaza Greenwich CT 68306352 (203) 485‐4200 38636 PARTNER REINSURANCE COMPANY OF THE U.S. NY One Greenwich Plaza Greenwich CT 68306352 (203) 485‐4200 18333 Peerless Indemnity Insurance Company IL 175 Berkely Street Boston MA 2116 (617) 357‐9500 24198 Peerless Insurance Company NH 175 Berkeley Street Boston MA 2117 (617) 357‐9500 14982 PENN MILLERS INSURANCE COMPANY PA P. O. Box P Wilkes‐Barre PA 187730016 (570) 822‐8111 21962 PENNSYLVANIA GENERAL INSURANCE COMPANY PA One Beacon Street Canton MA 20211030 (781) 332‐7000 14974 PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY PA 2005 Market Street, Suite 1200 One Commer Philadelphia PA 191037008 (267) 825‐9206 41424 PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY PA P. O. Box 3031 Blue Bell PA 194220754 (610) 397‐5000 12262 PENNSYLVANIA MANUFACTURERS' ASSOCIATION INSURANCE COMPANY PA P.O. Box 3031 Blue Bell PA 194220754 (610) 397‐5000 14990 PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY PA P. O. Box 2361 Harrisburg PA 171052361 (717) 234‐4941 x2288 37648 PERMANENT GENERAL ASSURANCE CORPORATION TN PO Box 305054 Nashville TN 372305054 (615) 242‐1961 12297 PETROLEUM CASUALTY COMPANY TX Corp Bh4 1177b P.o. Box 3342 Houston TX 77253 (713) 680‐7148 13714 Pharmacists Mutual Insurance Company IA P. O. Box 370 Algona IA 50511 (515) 395‐7255 25623 PHOENIX INSURANCE COMPANY, THE CT One Tower Square Hartford CT 6183 (860) 277‐0111 10357 Platinum Underwriters Reinsurance, Inc. MD 2 World Financial Center 225 Liberty Street, 2New York NY 102811008 (212) 238‐9600 18619 Platte River Insurance Company NE P. O. Box 5900 Madison WI 537050900 (608) 829‐4200 37257 PRAETORIAN INSURANCE COMPANY PA 88 Pine Street, 16th Floor Wall Street Plaza New York NY 10005 (212) 805‐9700 36234 PREFERRED PROFESSIONAL INSURANCE COMPANY NE PO Box 540658 Omaha NE 681544467 (402) 392‐1566 25704 PRIDE NATIONAL INSURANCE COMPANY OK One Beacon Street Canton MA 20211030 (617) 370‐4440 33391 ProAssurance Indemnity Company, Inc. AL P.O. Box 590009 Birmingham AL 352590009 (205) 877‐4400 34690 PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD IN Hartford Plaza Hartford CT 6115 (860) 547‐5000 12416 PROTECTIVE INSURANCE COMPANY IN 1099 North Meridian Street Indianapolis IN 46204 (317) 636‐9800 x356 24295 PROVIDENCE WASHINGTON INSURANCE COMPANY RI 1275 Wampanoag Trail Riverside RI 2915 (401) 453‐7000 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 15059 PUBLIC SERVICE MUTUAL INSURANCE COMPANY NY One Park Avenue New Yok NY 100165802 (212) 591‐9500 35157 PUTNAM REINSURANCE COMPANY NY 80 Pine Street New York NY 10005 (212) 365‐2200 29807 PXRE REINSURANCE COMPANY CT 379 Thornall Street, 2nd Floor Edison NJ 8837 (732) 906‐6744 39217 QBE INSURANCE CORPORATION PA 88 Pine Street 16th Floor Wall Street Plaza New York NY 100051801 (212) 894‐7547 10219 QBE REINSURANCE CORPORATION PA Wall Street Plaza 88 Pine Street, 16th Floor New York NY 10005 (212) 894‐7547 22705 R&Q Reinsurance Company PA 2 Central Square Cambridge MA 2139 (617) 715‐7707 23132 R.V.I. National Insurance Company CT 177 Broad Street 9th Floor Stamford CT 6901 (203) 975‐2100 38512 RAMPART INSURANCE COMPANY NY 5 Hanover Square, 10th Floor New York NY 10004 (212) 299‐3139 24449 REGENT INSURANCE COMPANY WI One General Drive Sun Prairie WI 53596 (608) 837‐4440 26549 REINSURANCE COMPANY OF AMERICA, INC. IL P.O. Box 855 Oriskany NY 13424 (315) 768‐2726 10810 REPUBLIC FIRE AND CASUALTY INSURANCE COMPANY OK P. O. Box 809076 Dallas TX 753809076 (972) 788‐6000 22179 REPUBLIC INDEMNITY COMPANY OF AMERICA CA 15821 Ventura Boulevard Suite 370 Encino CA 91436 (818) 990‐9860 43753 REPUBLIC INDEMNITY COMPANY OF CALIFORNIA CA 15821 Ventura Boulevard Suite 370 Encino CA 91436 (818) 990‐9860 24538 REPUBLIC UNDERWRITERS INSURANCE COMPANY TX P.O. Box 809076 Dallas TX 753809076 (972) 788‐6000 31089 REPUBLIC WESTERN INSURANCE COMPANY AZ 2721 North Central Avenue Phoenix AZ 850041163 (602) 263‐6755 26050 Response Worldwide Insurance Company IL One Ease Wacker Drive, Suite 3700 Chicago IL 60601 (312) 661‐4700 10718 Retailers Casualty Insurance Company LA P. O. Box 988 Lakeland FL 33802 (225) 926‐3264 13056 RLI Insurance Company IL 9025 N. Lindbergh Drive Peoria IL 61615 (309) 692‐1000 35505 Rockwood Casualty Insurance Company PA 654 Main St. Rockwood PA 15557 (814) 926‐4661 22314 RSUI Indemnity Company NH 945 E. Paces Ferry Road Atlanta GA 30326 (404) 231‐2366 24740 Safeco Insurance Company of America WA Safeco Plaza Seattle WA 98185 (206) 545‐5000 11123 SAFETY FIRST INSURANCE COMPANY IL 1832 Schuetz Road St. Louis MO 63146 (314) 692‐5783 15105 SAFETY NATIONAL CASUALTY CORPORATION MO 1832 Schuetz Road St. Louis MI 63146 (314) 995‐5300 21911 San Francisco Reinsurance Company CA 777 San Marin Drive Novato CA 94998 (415) 899‐2000 30058 SCOR REINSURANCE COMPANY NY 199 Water Street New York NY 10038 (212) 480‐1900 15563 SeaBright Insurance Company IL P. O. Box 91100 Seattle WA 98111 (206) 269‐8500 x8513 22233 SELECT INSURANCE COMPANY TX One Tower Square Hartford CT 6183 (860) 277‐0111 39926 SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST IN 40 Wantage Avenue Branchville NJ 7890 (973) 948‐3000 10936 SENECA INSURANCE COMPANY, INC. NY 160 Water Street New York NY 100384922 (212) 344‐3000 11000 SENTINEL INSURANCE COMPANY, LTD. CT One Hartford Plaza Hartford CT 6115 (860) 547‐5000 28460 SENTRY CASUALTY COMPANY WI 1800 North Point Dr. Stevens Point WI 54481 (715) 346‐6000 24988 SENTRY INSURANCE A MUTUAL COMPANY WI 1800 North Point Dr. Stevens Point WI 54481 (715) 346‐6000 21180 SENTRY SELECT INSURANCE COMPANY WI 1800 North Point Drive Stevens Point WI 54481 (715) 346‐6000 43389 SERVICE LLOYDS INSURANCE COMPANY TX P. O. Box 26850 Austin TX 787550850 (512) 343‐0600 26869 SILVER OAK CASUALTY, INC. LA 2301 Hwy 190 West De Ridder LA 70634 (337) 460‐3223 11126 Sompo Japan Insurance Company of America NY Two World Financial Center 43rd Floor New York NY 102811058 (212) 416‐1200 19216 SOUTHERN INSURANCE COMPANY TX P O Box 809076 Dallas TX 753809076 (972) 788‐6000 10809 SOUTHERN UNDERWRITERS INSURANCE COMPANY OK P. O. Box 809076 Dallas TX 753809076 (972) 788‐6000 20613 SPARTA Insurance Company CT CityPlace II 185 Asylum Street Hartford CT 6103 (860) 275‐6500 24767 ST. PAUL FIRE AND MARINE INSURANCE COMPANY MN 385 Washington Street St. Paul MN 55102 (651) 310‐7911 24775 ST. PAUL GUARDIAN INSURANCE COMPANY MN 385 Washington Street St. Paul MN 55102 (651) 310‐7911 41750 ST. PAUL MEDICAL LIABILITY INSURANCE COMPANY MN 385 Washington Street St. Paul MN 55102 (651) 310‐7911 24791 ST. PAUL MERCURY INSURANCE COMPANY MN 385 Washington Street St. Paul MN 55102 (651) 310‐7911 19224 St. Paul Protective Insurance Company IL 385 Washington Street St. Paul MN 55102 (860) 277‐0111 19070 STANDARD FIRE INSURANCE COMPANY, THE CT One Tower Square Hartford CT 61836014 (860) 277‐0111 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 18023 STAR INSURANCE COMPANY MI 26255 American Drive Southfield MI 48034 (248) 358‐1100 40045 STARNET INSURANCE COMPANY DE 475 Steamboat Road Greenwich CT 6830 (203) 542‐3800 38318 Starr Indemnity & Liability Company TX 399 Park Avenue, 8th Floor New York NY 10022 (646) 227‐6523 25143 STATE FARM FIRE AND CASUALTY COMPANY IL One State Farm Plaza Bloomington IL 61710 (309) 766‐2311 25151 STATE FARM GENERAL INSURANCE COMPANY IL One State Farm Plaza Bloomington IL 61710 (309) 766‐2311 12831 STATE NATIONAL INSURANCE COMPANY, INC. TX 1900 L. Don Dodson Drive Bedrod TX 76021 (817) 265‐2000 x1222 11042 Stonetrust Commercial Insurance Company LA 5615 Corporate Boulevard, 7th Floor Baton Rouge LA 70808 (225) 923‐1050 x1012 22276 STONEWALL INSURANCE COMPANY, THE RI 3024 Harney Street Omaha NE 68131 (402) 916‐3000 10340 Stonington Insurance Company TX 5801 Tennyson Parkway, Suite 600 Plano TX 75024 (972) 664‐7000 39187 SUECIA INSURANCE COMPANY NY 25 Smith Street Nanuet NY 10954 (845) 624‐7780 34762 SUNZ Insurance Company FL 100 2nd Avenue North, Suite 300 St. Petersburg FL 33701 (727) 497‐1247 25364 SWISS REINSURANCE AMERICA CORPORATION NY 175 King Street Armonk NY 10504 (913) 676‐5200 12866 T.H.E. INSURANCE COMPANY LA P.O. Box 67008 Treasure Island FL 33706 (727) 367‐6900 x1328 22683 TEACHERS INSURANCE COMPANY IL #1 Horace Mann Plaza Springfield IL 62715 (217) 789‐2500 42376 TECHNOLOGY INSURANCE COMPANY, INC. NH 59 Maiden Lane, 16th Floor New York NY 10038 (212) 220‐7120 19526 TEXAS GENERAL INDEMNITY COMPANY CO P O Box 73909 Cedar Rapids IA 524073909 (319) 399‐5700 25534 TIG Insurance Company CA 250 Commercial Street, Suite 5000 Manchester NH 3101 (603) 656‐2233 32301 TNUS Insurance Company NY 230 Park Avenue New York NY 10169 (212) 297‐6600 42439 TOA REINSURANCE COMPANY OF AMERICA, THE DE 177 Madison Avenue P. O. Box 1930 Morristown NJ 79621930 (973) 898‐9480 12904 Tokio Marine & Nichido Fire Insurance Co., Ltd. 230 Park Avenue New York NY 10169 (212) 297‐6600 44300 Tower Insurance Company Of New York NY 120 Broadway, 14th Floor New York NY 10271 (212) 655‐2000 43702 Tower National Insurance Company MA 120 Broadway St., 31th Floor New York NY 10271 (212) 655‐2000 37621 TOYOTA MOTOR INSURANCE COMPANY IA 19001 South Western Avenue, Tc22 Torrance CA 90509 (310) 468‐4019 19453 TRANSATLANTIC REINSURANCE COMPANY NY 80 Pine Street New York NY 10005 (212) 365‐2000 28886 TRANSGUARD INSURANCE COMPANY OF AMERICA, INC. IL 702 Oberlin Rd. Raleigh NC 27605 (919) 833‐1600 33014 TRANSPORT INSURANCE COMPANY OH 1300 Highland Corproate Drive, Suite 103 Cumberland RI 2864 (617) 715‐7707 20494 TRANSPORTATION INSURANCE COMPANY IL 333 S. Wabash Ave. Chicago IL 60604 (312) 822‐5000 19038 TRAVELERS CASUALTY AND SURETY COMPANY CT One Tower Square Hartford CT 61836014 (860) 277‐0111 31194 TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA CT One Tower Square Hartford CT 6183 (860) 277‐0111 36170 TRAVELERS CASUALTY COMPANY OF CONNECTICUT CT One Tower Square Hartford CT 6183 (860) 277‐0111 19046 Travelers Casualty Insurance Company of America CT One Tower Square Hartford CT 6183 (860) 277‐0111 36137 TRAVELERS COMMERCIAL INSURANCE COMPANY CT One Tower Square Hartford CT 6183 (860) 277‐0111 25666 TRAVELERS INDEMNITY COMPANY OF AMERICA, THE CT One Tower Square Hartford CT 6183 (860) 277‐0111 25682 TRAVELERS INDEMNITY COMPANY OF CONNECTICUT, THE CT One Tower Square Hartford CT 6183 (860) 277‐0111 25658 TRAVELERS INDEMNITY COMPANY, THE CT One Tower Square Hartford CT 6183 (860) 277‐0111 25674 Travelers Property Casualty Company of America CT One Tower Square Hartford CT 6183 (860) 277‐0111 31003 Tri‐State Insurance Company of Minnesota MN P.O. Box 1594 Des Moines IA 50306 (515) 473‐3000 19887 Trinity Universal Insurance Company TX 12926 Gran Bay Parkway West Jacksonville FL 32258 (904) 245‐5600 21709 TRUCK INSURANCE EXCHANGE CA P.o. Box 2478 Terminal Annex Los Angeles CA 90051 (323) 932‐3200 29459 TWIN CITY FIRE INSURANCE COMPANY IN Hartford Plaza Hartford CT 61150000 (860) 547‐5000 29599 U.S. SPECIALTY INSURANCE COMPANY TX 13403 Northwest Freeway Houston TX 770406094 (713) 462‐1000 37893 ULLICO Casualty Company DE 1625 Eye Street Washington DC 20006 (202) 682‐6925 25844 Union Insurance Company IA P.O. Box 1594 Des Moines IA 503061594 (515) 473‐3000 36048 UNIONE ITALIANA REINSURANCE COMPANY OF AMERICA, INC. NY 3024 Harney Street Omaha NE 681313580 (402) 916‐3000 13021 UNITED FIRE AND CASUALTY COMPANY IA P. O. Box 73909 118 Second Avenue Se Cedar Rapids IA 524073909 (319) 399‐5700 State of Louisiana Admitted Workers' Compensation Insurers As of September 30, 2010

Naic# Company Name Domicile Street City State Zip Phone 11445 United National Casualty Insurance Company IN Three Bala Plaza, East Suite 300 Bala Cynwyd PA 19004 (610) 664‐1500 41335 United National Specialty Insurance Company WI Three Bala Plaza, East Suite 300 Bala Cynwyd PA 19004 (610) 664‐1500 25887 UNITED STATES FIDELITY AND GUARANTY COMPANY CT One Tower Square Hartford CT 6183 (860) 277‐0111 21113 UNITED STATES FIRE INSURANCE COMPANY DE 305 Madison Avenue Morristown NJ 7962 (973) 490‐6600 29157 UNITED WISCONSIN INSURANCE COMPANY WI P O Box 3026 Milwaukee WI 532013026 (262) 787‐7700 16063 Unitrin Auto and Home Insurance Company NY 12926 Gran Bay Parkway West Jacksonville FL 32258 (904) 245‐5600 25909 Unitrin Preferred Insurance Company NY 12926 Gran Bay Parkway West Jacksonville FL 32258 (904) 245‐5600 41181 UNIVERSAL UNDERWRITERS INSURANCE COMPANY KS 7045 College Boulevard Overland Park KS 66211 (847) 605‐6000 25976 UTICA MUTUAL INSURANCE COMPANY NY P.o. Box 530 Utica NY 13503 (315) 734‐2000 26611 VALIANT INSURANCE COMPANY DE 110 William Street, 21st Floor New York NY 10038 (212) 444‐4000 20508 VALLEY FORGE INSURANCE COMPANY PA 333 S. Wabash Ave Chicago IL 60604 (312) 822‐5000 21172 VANLINER INSURANCE COMPANY MO One Premier Drive St. Louis MO 63026 (636) 343‐9889 20397 VIGILANT INSURANCE COMPANY NY P.o. Box 1615 Warren NJ 70611615 (212) 612‐4000 40827 VIRGINIA SURETY COMPANY, INC. IL 175 West Jackson Blvd., 11th Floor Chicago IL 60604 (312) 356‐3000 32778 WASHINGTON INTERNATIONAL INSURANCE COMPANY NH 475 N. Martingale Road schaumburg IL 60173 (603) 644‐6600 26069 WAUSAU BUSINESS INSURANCE COMPANY WI 175 Berkeley Street Boston MA 2116 (715) 845‐5211 26042 WAUSAU UNDERWRITERS INSURANCE COMPANY WI P.o. Box 8017 Wausau WI 544028017 (617) 357‐9500 25011 WESCO INSURANCE COMPANY DE 59 Maiden Lane New York NY 10038 (212) 220‐7120 44393 WEST AMERICAN INSURANCE COMPANY IN 175 Berkeley Street Boston MA 2116 (513) 603‐2400 21121 WESTCHESTER FIRE INSURANCE COMPANY NY P.o. Box 1000 436 Walnut Street Philadelphia PA 19101 (215) 640‐1000 24112 WESTFIELD INSURANCE COMPANY OH P.O. Box 5001 Westfield Center OH 442515001 (330) 887‐0101 39845 WESTPORT INSURANCE CORPORATION MO P. O. Box 2991 Overland Park KS 662011391 (913) 676‐5200 38776 White Mountains Reinsurance Company of America NY One Liberty Plaza, 19th Floor New York NY 100061404 (212) 312‐2500 31232 Work First Casualty Company DE 3411 Silverside Road Baynard Building Suite 1Wilmington DE 19810 (302) 477‐1710 x100 31232 Work First Casualty Company DE 3411 Silverside Road Baynard Building Suite 1Wilmington DE 19810 (302) 477‐1710 x100 24554 XL Insurance America, Inc. DE 70 Seaview Avenue Stamford CT 6902 (203) 964‐5200 20583 XL Reinsurance America, Inc. NY Seaview House 70 Seaview Avenue Stamford CT 6902 (203) 964‐5200 37885 XL Specialty Insurance Company DE 70 Seaview Avenue Stamford CT 69026040 (203) 964‐5200 13269 ZENITH INSURANCE COMPANY CA 21255 Califa Street Woodland Hills CA 91367 (818) 713‐1000 16535 ZURICH AMERICAN INSURANCE COMPANY NY 1400 American Lane Tower I, 19th Floor Schaumburg IL 601961056 (847) 605‐6000 27855 ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS IL 1400 American Lane Tower 1, 19th Floor Schaumburg IL 601961056 (847) 605‐6000