OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 INSURER GROUP AFFILIATIONS B C G H 3 NAIC Group Code Insurer Group Name 3 Total 2019 Policyholder Surplus 4 4 Total 2019 TRIP-Eligible DEP (all lines) B C D 8 NAIC Company Code Insurance Company Name Type of Insurer 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Affiliations Page 1 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 POLICIES AND DIRECT EARNED PREMIUM BY JURISDICTION Jurisdiction: 2 B C D E F G H I J K L Direct Earned Premium Number of Policies Total 2020 Number of Total 2020 TRIP- Total 2020 TRIP-Eligible Total 2020 TRIP-Eligible Total 2020 Number of Policies by Line Total 2020 TRIP- Eligible DEP DEP (Terrorism Risk DEP (Terrorism Risk Total 2020 DEP Charged Total 2020 Number of Policies (Terrorism Risk (Terrorism Risk NAIC Line Eligible DEP (all (Terrorism Risk Coverage Provided for Coverage Provided with for Terrorism Risk Policies (Terrorism Risk Coverage Provided for Coverage Provided with Total 2020 Number of 6 TRIP-Eligible Line of Coverage (Commercial Only) policies) Coverage Declined) Disclosed $0 Charge) a Premium Charged) Coverage Coverage Declined) Disclosed $0 Charge) a Premium Charged) Policies 7 Fire 1 $ - 0 8 Allied Lines 2.1 $ - 0 9 Commercial Multiple Peril (non-liability portion) 5.1 $ - 0 10 Commercial Multiple Peril (liability portion) 5.2 $ - 0 11 Ocean Marine 8 $ - 0 12 Inland Marine 9 $ - 0 13 Workers' Compensation 16 $ - 0 14 Excess Workers' Compensation 17.3 $ - 0 15 Other Liability 17 $ - 0 16 Products Liability 18 $ - 0 17 Aircraft (all perils) 22 $ - 0 18 Boiler and Machinery 27 $ - 0 19 TOTALS $ - $ - $ - $ - $ - 0 0 0 0 Total 2020 Number of Policies Containing 21 TRIP-Eligible Coverage Policies and DEP (Juris.) Page 2 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 STANDALONE TERRORISM (NATIONWIDE) B C 2 Element Amount 3 2020 DEP for Standalone Terrorism Policies 4 Portion of 2020 DEP Providing Coverage for Losses for Certified Acts of Terrorism under TRIP Portion of 2020 DEP Providing Coverage for Losses Arising from Other (Non-Certified) Acts of 5 Terrorism 6 2020 Number of Standalone Terrorism Policies Issued 2020 Number of Standalone Terrorism Policies Issued Providing Coverage for Losses for Certified Acts 7 of Terrorism under TRIP Total 2020 Property Insurance Exposure for Standalone Terrorism Policies Providing Coverage for 8 Losses for Certified Acts of Terrorism under TRIP Total 2020 Limits of Liability for Standalone Terrorism Policies Providing Coverage for Losses for 9 Certified Acts of Terrorism under TRIP Standalone Terrorism (US) Page 3 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 CYBER (NATIONWIDE) B C D E Cyber Coverage Provided as Part of a 2 Element Standalone Cyber Package Policy Totals 3 Total 2020 TRIP-Eligible DEP (All Cyber Policies) 4 Total 2020 TRIP-Eligible DEP for Cyber Policies (Terrorism Risk Coverage Declined) $ - 5 Total 2020 TRIP-Eligible DEP for Cyber Policies (Terrorism Risk Coverage Provided) $ - 6 Total 2020 DEP Charged for Terrorism Risk Coverage Under Cyber Policies 0 7 Total 2020 Number of Cyber Policies Issued 0 8 Total 2020 Number of Cyber Policies Issued (Terrorism Risk Coverage Provided) 0 Total 2020 Limits of Liability for Cyber Policies Providing Coverage for Losses for Certified Acts 9 $ - of Terrorism Under TRIP Cyber (US) Page 4 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 EXPOSURE BASES BY JURISDICTION Jurisdiction: 2 B C D E F G H I J K L M N Total 2020 TRIP- Total 2020 Total 2020 Total 2020 TRIP- Total 2020 Total 2020 Total 2020 TRIP- Eligible Property Policyholder Total 2020 TRIP- Policyholder Total 2020 Limits of Eligible Limits of Policyholder Total 2020 Limits of Policyholder Eligible Property Exposure (Terrorism Deductibles for TRIP- Eligible Property Deductibles for TRIP- Liability for TRIP- Liability (Terrorism Deductibles for TRIP- Liability for TRIP- Deductibles for TRIP- Total 2020 Payroll for NAIC Line Exposure (Terrorism Risk Coverage Eligible Property Exposure (Terrorism Eligible Property Eligible Policies Risk Coverage Eligible Liability Eligible Policies Eligible Liability TRIP-Eligible Policies (Commercial Risk Coverage Provided and NBCR Policies (Terrorism Risk Risk Coverage Policies (Terrorism Risk (Terrorism Risk Provided and NBCR Policies (Terrorism Risk (Terrorism Risk Policies (Terrorism Risk (Terrorism Risk 5 TRIP-Eligible Line of Coverage Only) Provided) Risks Not Excluded) Coverage Provided) Declined) Coverage Declined) Coverage Provided) Risks Not Excluded) Coverage Provided) Coverage Declined) Coverage Declined) Coverage Provided) 6 Fire 1 7 Allied Lines 2.1 8 Commercial Multiple Peril (non-liability portion) 5.1 9 Commercial Multiple Peril (liability portion) 5.2 10 Ocean Marine 8 11 Inland Marine 9 12 Workers' Compensation 16 13 Excess Workers' Compensation 17.3 14 Other Liability 17 15 Products Liability 18 16 Aircraft (all perils) 22 17 Boiler and Machinery 27 18 TOTALS $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Exposure Bases (Juris.) Page 5 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 POLICYHOLDER INDUSTRY CODE (NATIONWIDE) (NAICS, SIC, or OTHER) B C D E F G H I J K L M N O Property Liability Workers' Compensation All Categories Total 2020 TRIP- Total 2020 DEP Total 2020 TRIP- Eligible DEP Total 2020 DEP Total 2020 TRIP- Total 2020 TRIP- Total 2020 DEP Charged for Eligible DEP (Terrorism Risk Charged for Eligible DEP Eligible DEP Charged for Terrorism Risk (Terrorism Risk Coverage Total 2020 TRIP- Terrorism Risk (Terrorism Risk (Terrorism Risk Total 2020 TRIP- Terrorism Risk Total 2020 TRIP- Total 2020 TRIP- 3 Code Description Coverage Coverage Declined) Provided) Eligible DEP Coverage Coverage Declined) Coverage Provided) Eligible DEP Coverage Eligible DEP Eligible DEP 4 11 Agriculture, Forestry, Fishing & Hunting $ - $ - $ - 5 21 Mining, Quarrying, and Oil & Gas Extraction $ - $ - $ - 6 22 Utilities $ - $ - $ - 7 23 Construction $ - $ - $ - 8 31-33 Manufacturing $ - $ - $ - 9 42 Wholesale Trade $ - $ - $ - 10 44-45 Retail Trade $ - $ - $ - 11 48-49 Transportation & Warehousing $ - $ - $ - 12 51 Information $ - $ - $ - 13 52 Finance & Insurance $ - $ - $ - 14 53 Real Estate and Rental and Leasing $ - $ - $ - 15 54 Professional, Scientific & Technical Service $ - $ - $ - 16 55 Management of Companies and Enterprises $ - $ - $ - NAICS Code NAICS Administrative & Support & Waste 17 56 $ - $ - $ - Management & Remediation Services 18 61 Educational Services $ - $ - $ - 19 62 Health Care & Social Assistance $ - $ - $ - 20 71 Arts, Entertainment & Recreation $ - $ - $ - 21 72 Accommodation & Food Services $ - $ - $ - 22 81 Other Services (except Public Administration) $ - $ - $ - 23 92 Public Administration $ - $ - $ - 24 N/A Unavailable $ - $ - $ - 25 01-09 Agriculture, Forestry & Fishing $ - $ - $ - 26 10-14 Mining $ - $ - $ - 27 15-17 Construction $ - $ - $ - 28 20-39 Manufacturing $ - $ - $ - Transportation, Communications, Electric, Gas deSIC Co 29 deSIC 40-49 $ - $ - $ - & Sanitary Services 30 50-51 Wholesale Trade $ - $ - $ - 31 52-59 Retail Trade $ - $ - $ - 32 60-67 Finance, Insurance & Real Estate $ - $ - $ - 33 70-89 Services $ - $ - $ - 34 91-99 Public Administration $ - $ - $ - 35 N/A Unavailable $ - $ - $ - 36 $ - $ - $ - 37 $ - $ - $ - 38 $ - $ - $ - 39 $ - $ - $ - 40 $ - $ - $ - Other 41 $ - $ - $ - 42 $ - $ - $ - 43 N/A Unavailable $ - $ - $ - 44 TOTALS: $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Industry (NAICS, SIC, or OTHER) Page 6 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 PLACES OF WORSHIP (NATIONWIDE) (NAICS, SIC, ISO, or OTHER) C D E F G H I J K L M N O Property Liability Workers' Compensation All Categories Total 2020 TRIP- Total 2020 TRIP- Total 2020 TRIP- Total 2020 DEP Eligible DEP Eligible DEP Total 2020 DEP Total 2020 TRIP- Eligible DEP Total 2020 DEP Charged for (Terrorism Risk (Terrorism Risk Charged for Eligible DEP (Terrorism Risk Charged for Terrorism Risk Coverage Coverage Total 2020 TRIP- Terrorism Risk (Terrorism Risk Coverage Total 2020 TRIP- Terrorism Risk Total 2020 TRIP- Total 2020 TRIP- 3 Code Description Coverage Declined) Provided) Eligible DEP Coverage Coverage Declined) Provided) Eligible DEP Coverage Eligible DEP Eligible DEP 4 NAICS 813110 Religious Organizations $ - $ - $ - 5 SIC 8661 Religious Organizations $ - $ - $ - 0900 (Property) 6 Religious Organizations $ - $ - $ - ISO 41650 (Liablity) 7 Other Places of Worship $ - $ - $ - 8 TOTALS: $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Places of Worship (US) Page 7 of 13 OMB No. 1505-0257 TERRORISM RISK INSURANCE PROGRAM 2021 DATA CALL: INSURER (NON-SMALL) GROUPS OR COMPANIES Expiration: November 30, 2023 GEOGRAPHIC EXPOSURES (NATIONWIDE) B C D E F G Total 2020 Payroll for Total 2020 Payroll for Total 2020 TRIP-Eligible Total 2020 TRIP-Eligible TRIP-Eligible Primary TRIP-Eligible Excess WC Property Exposure Property Exposure WC Policies (Terrorism WC Policies (Terrorism (Terrorism Risk