page 1 of 26 · 2015-12-17 · workers' compensation payer list 12/15/2015 payer id tx mn ca...

WORKERS' COMPENSATION PAYER LIST

12/15/2015Payer ID TX MN CA IL LA NY OR WI NC NM OK

All

States 1500 UB04 835

1st Auto & Casualty J1585 x x x x

21st Century Insurance 41556 x x x Rejects Only

22125 Roscoe Corp. 41556 x x x Rejects Only

AAA Northern California, Nevada & Utah Insurance Exchange 41556 x x x Rejects Only

ABC Const. Company 41556 x x x Rejects Only

Acadia Insurance Company J1477 x x x x

Accident Fund Insurance Co of America J1790 x x x x

Accuride Corporation J1024 x x x x x

Ace Property & Casualty Ins Co 41556 x x x Rejects Only

ACIG Insurance Company J1578 x x x x x

Acuity, A Mutual Insurance Company J1240 x x x Rejects Only

AD-COMP J1667 x x x x

Adelanto Correctional Facility (CA) J1798 x x x x

Adelanto School District (CA) J1690 x x x x

Administaff J1241 x x x x x x x x x

Administrative Claim Service, Inc J1005 x x x Rejects Only

ADP Total Source Inc. J1242 x x Rejects Only

Advance America Cash Advance Centers J1843 x x x x

Advance Services, Inc. J1608 x x x x

Advocare MCO, Inc J1896 x x x x

AG Facilities Operations, LLC 41556 x x x Rejects Only

Agri Beef Co. 41556 x x x Rejects Only

AIG-Chartis 19402 x x x Rejects Only

Air Liquide USA LLC J1516 x x x x

Alaska National Insurance J1577 x x x x

Alcoa Fasteners Systems J1244 x x Rejects Only

Allegheny Technologies J1245 x x Rejects Only

Allen Canning J1740 x x x x

Alliant Energy J1619 x x x x x

Allianz J1452 x x x x

Allied Claims Administration, Inc. J1733 x x x x

Allied Construction (via EMC Risk Services) J1118 x x x x x x

Allied Insurance Companies J1550 x x x x x x x x

Allied Property and Casualty Ins Co J1550 x x x x x x x x

Allmerica Financial Benefits Insurance Company J1589 x x x x x x x x

Alta Healthcare 41556 x x x Rejects Only

Alvey Systems (AON Risk) J1025 x x x x x

AMCO Ins Co J1550 x x x x x x x x

America First J1427 x x x Rejects Only

American Claims Management (ACM) J1236 x x x Rejects Only

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American Coin Merchandising, Inc J1026 x x x x x

American Cyanamid J1027 x x x x x

American Furniture Warehouse 41556 x x x Rejects Only

American Home Craft J1250 x x x Rejects Only

American Interstate - TX only J1852 x x Rejects Only

American Liberty Insurance Company 41556 x x x Rejects Only

American Mining Insurance Group, LLC J1524 x x x x

American Specialty Companies J1028 x x x x x

American Specialty Ins. / MIB J1029 x x x x x

Amerisafe J1447 x x x x x x x x x x

Amerisafe Risk Services J1447 x x x x x x x x x x

Amerisure Insurance J1206 x x x Rejects Only

AmGuard Insurance Company - Guard DBA J1453 x x x x

Amtrust Insurance Company of Kansas J1868 x x x x x x

ANACO 41556 x x x Rejects Only

ANAIC Cibus 41556 x x x Rejects Only

Anchor Claims Management J1919 x x x Rejects Only

Anheuser Busch J1620 x x x x

Antelope Valley Ret. 41556 x x x Rejects Only

Applied Underwriters J1775 x x x Rejects Only

Aramark J1502 x x x x

Archer Daniels Midland Company J1735 x x x x

Areas USA, Inc. J1944 x x x x

Argent (Subsidiary of West Bend but this route is Argent only) J1420 x x x x

Argonaut Insurance Company(ARGO) 19801 x x x x

Arizona & 21st Corp. DBA Berkley East Conv. Hospital 41556 x x x Rejects Only

Arrowpoint J1564 x x x x

Association County Commissioners of Georgia (ACCG). J1869 x x x Rejects Only

Athens J1914 x x x Rejects Only

Austin Mutual Ins J1682 x x x x

Automobile Dealers Insurance Company Inc J1861 x x x Rejects Only

Auto-Owners \ Home-Owners Insurance Company J1580 x x x x

Auto-Owners \ Owners Insurance Company J1583 x x x x

Auto-Owners \ Property-Owners Insurance Co J1699 x x x x

Auto-Owners \ Southern-Owners Company J1688 x x x x

Auto-Owners Insurance Company J1556 x x x x

Auto-Owners Life Insurance Company J1596 x x x x

AVIR Inc. 41556 x x x Rejects Only

Avizent J1415 x x x Rejects Only

Ayers Trucking J1018 x x x x

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Baker Tanks, Inc. 41556 x x x Rejects Only

Bank of America J1729 x x x x

Barnes J1503 x x x x

Barrett Business Services Inc (BBSI) J1686 x x x x

BART - San Francisco Bay Area Rapid Transit J1770 x x x x

Basic Resources, Inc. 41556 x x x Rejects Only

Bass Pro Group, LLC J1958 x x x x

Beacon Mutual J1234 x x x x

Beall's Inc / Midwest Employers J1030 x x x x x

Bear Valley Unified School District (CA) J1690 x x x x

Beeville ISD 41556 x x x Rejects Only

Benchmark Insurance J1257 x x x Rejects Only

Berkley Agribusiness Risk Specialists J1477 x x x x

Berkley National Insurance Company J1477 x x x x

Berkley Net Underwriters, LLC J1523 x x x x

Berkley Regional Insurance Company J1477 x x x x

Berkley Risk Administrators Company, LLC J1526 x x x x

Berkley Specialty Underwriters TP019 x x x x

Berkley Valley Conv Hospital 41556 x x x Rejects Only

Berkshire Hathaway Homestate Companies (BHHC) 20044 x x x x x x x x

Bernardo H. Co. Club 41556 x x x Rejects Only

Berwind Corporation J1031 x x x x x

Beverly Hills Carmel 41556 x x x Rejects Only

Big 5 Corp J1738 x x x x

Bighorn Construction 41556 x x x Rejects Only

Bituminous Fire and Marine J1691 x x x x

Bituminous Insurance Company J1579 x x x x

Bloomingdale's J1347 x x x x

BMW Manufacturing Corp. J1258 x x Rejects Only

BMW North America J1259 x x Rejects Only

Bobrick Washroom 41556 x x x Rejects Only

Boeing Company J1964 x x x x x x x x x x

Boeing Company - WC ONLY J1964 x x x x x x x x x x

Boise Cascade Company J1801 x x x x

Boler Company J1870 x x x x

Boulder Community Hospital 41556 x x x Rejects Only

Bremco Construction 41556 x x x Rejects Only

Brickstreet J1761 x x x x

Broadspire, a Crawford Company TP021 x x x x

Brotherhood Mutual Insurance J1445 x x x x x x x x x x

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Brownsville Independent School District 41556 x x x Rejects Only

Brownyard Group Inc. (Arch Insurance) 11150 x x x x x

Brunswick Corporation J1032 x x x x xBuffets Inc (Old Country Buffett, Ryan's, HomeTown Buffet, Fire Mountain, Country

Buffett, Granny's Buffett) J1501 x x x x

Builders Group of MN J1391 x x x Rejects Only

Builders Mutual Insurance J1968 x x x x

Bunch and Associates J1435 x x x x

Burlington Coat Factory Wareho J1033 x x x x x

Burton Way Carmel 41556 x x x Rejects Only

Bycor Gen Contract 41556 x x x Rejects Only

Cadet Uniform Supply 41556 x x x Rejects Only

California Fair Services Authority J1535 x x x x

California Water Service Company 41556 x x x Rejects Only

Callahan, McCune 41556 x x x Rejects Only

Cambridge Integrated Services J1819 x x x Rejects Only

Campbell Union School District 41556 x x x Rejects Only

Capistrano Unified School District (CA) J1637 x x x x

Capitol Indemnity J1262 x x x Rejects Only

Capitol Insurance Companies J1809 x x x x

CAPS-SIG 41556 x x x Rejects Only

CareWorks Consultants, Inc. (aka CareWorks USA and CCI) - OHIO ONLY J1866 NOTE x x x

Carhartt J1931 x x x x

Carl Warren - Carolina United National Labor J1932 x x x x

Carl Warren - Universal Limousine & Trans J1932 x x x x

Casitas Municipal Water District (CA) J1630 x x x x

Catholic Diocese of San Diego 41556 x x x Rejects Only

Catholic Mutual - Preferred Professional Insurance Company 41556 x x x Rejects Only

Catholic Mutual - Virginia Surety Company, Inc. 41556 x x x Rejects Only

CC-Development Group, Inc. J1900 x x x x

CCMSI J1010 x x x Rejects Only

Cedars-Sinai Health System 41556 x x x Rejects Only

Cendant Corporation J1034 x x x x x

Centennial Insurance Company 19895 x x x x x

Central Contra Costa Transit Authority J1605 x x x x

Central Hockey League J1035 x x x x x

Chaffey Joint Union H. S. District (CA) J1646 x x x x

Chandler's P. Verdes 41556 x x x Rejects Only

Chapman Convalescent 41556 x x x Rejects Only

Charming Shoppes, Inc. J1036 x x x x x

Chesapeake Insurance J1908 x x x Rejects Only

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Chesterfield Services, Inc. J1479 x x x x x x x

Children's Hospital Colorado 41556 x x x Rejects Only

Children's Hospital of Orange County - First Aid 41556 x x x Rejects Only

Chubb & Son (Work Comp Only) J1554 x x x x

Chubb Services J1561 x x x x

Chula Vista Elementary School District 41556 x x x Rejects Only

Church Mutual Insurance Company (WC ONLY) J1265 / J1725 x x x x

CIGA J1532 x x x Rejects Only

Cincinnati Insurance J1562 x x x Rejects Only

Citizens Insurance Company of America J1582 x x x x x x x

Citrus Valley Health Partners J1613 x x x x

Citrus World, Inc. J1945 x x x x

City and County of San Francisco (CCSF) J1885 x x x x

City of Ames (via EMC Risk Services) J1118 x x x x x x

City of Arlington A0033 x x x x

City of Ashland 41556 x x x Rejects Only

City of Atlanta J1516 x x x x

City of Banning (CA) J1792 x x x x

City of Barstow (CA) J1793 x x x x

City of Beaverton 41556 x x x Rejects Only

City of Belmont (Self Insured) 41556 x x x Rejects Only

City of Blythe (CA) J1794 x x x x

City of Brea J1880 x x x Rejects Only

City of Campbell 41556 x x x Rejects Only

City of Carlsbad 41556 x x x Rejects Only

City of Carmel By The Sea 41556 x x x Rejects Only

City of Carson 41556 x x x Rejects Only

City of Charlotte J1928 x x x Rejects Only

City of Chula Vista 41556 x x x Rejects Only

City of Colton 41556 x x x Rejects Only

City of Coronado 41556 x x x Rejects Only

City of Dallas J1441 x x x Rejects Only

City of Del Mar 41556 x x x Rejects Only

City of Des Moines (via EMC Risk Services) J1118 x x x x x x

City of Desert Hot Springs (CA) J1799 x x x x

City of Edinburg, Texas 41556 x x x Rejects Only

City of El Paso A0046 x x x x

City of Encinitas 41556 x x x Rejects Only

City of Escondido 41556 x x x Rejects Only

City of Fort Worth (TX) J1680 x x x x

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City of Fountain Valley (CA) J1632 x x x x

City of Gardena (CA) J1634 x x x x

City of Glendale (AZ) J1800 x x x x

City of Grand Junction 41556 x x x Rejects Only

City of Hillsboro 41556 x x x Rejects Only

City of Houston J1444 x x x Rejects Only

City of Imperial Beach 41556 x x x Rejects Only

City of Imperial Beach (Voucher) 41556 x x x Rejects Only

City of Irving 41556 x x x Rejects Only

City of Jacksonville J1504 x x x x

City of La Mesa 11 (CA) J1711 x x x x

City of Laguna Hills (CA) J1653 x x x x

City of Lemon Grove 41556 x x x Rejects Only

City of Los Altos 41556 x x x Rejects Only

City of Los Angeles J1536 x x x Rejects Only

City of Merced 41556 x x x Rejects Only

City of Miami Beach (FL) J1946 x x x x

City of Minneapolis J1269 x x x x

City of Monrovia (CA) J1714 x x x x

City of Murieta (CA) J1797 x x x x

City of National City 41556 x x x Rejects Only

City of Oceanside 41556 x x x Rejects Only

City of Omaha (NE) J1721 x x x x

City of Ontario 41556 x x x Rejects Only

City of Orange J1881 x x x Rejects Only

City of Perris (CA) J1795 x x x x

City of Pompano Beach (FL) J1947 x x x x

City of Redding (CA) J1617 x x x x

City of Rialto, CA J1901 x x x x

City of Richardson 41556 x x x Rejects Only

City of Salinas J1849 x x x x

City of San Diego J1497 x x x x

City of San Jacinto (CA) J1796 x x x x

City of San Mateo (CA) J1727 x x x x

City of Santee 41556 x x x Rejects Only

City of Snyder (TX) J1598 x x x x x

City of Solana Beach 41556 x x x Rejects Only

City of South San Francisco 41556 x x x Rejects Only

City of St. Paul (MN) J1602 x x x x

City of Stanton (CA) J1636 x x x x

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City of Stockton (CA) J1664 x x x x

City of Topeka (KS) J1607 x x x x

City of Upland (CA) J1645 x x x x

City of Vista 41556 x x x Rejects Only

City of Waco 41556 x x x Rejects Only

City of West Des Moines (via EMC Risk Services) J1118 x x x x x x

City of West Palm Beach (FL) J1948 x x x x

City of Yorba Linda (CA) J1708 x x x x

City of Yuma 41556 x x x Rejects Only

Civil Constructors 41556 x x x Rejects Only

Claims Administrative Services (CAS) J1271 x x x x

Classic Residence By Hyatt J1037 x x x x x

Clougherty Packing, LLC J1739 x x x x

CNA Insurance 20443 x x x x

Co Grande Casino 41556 x x x Rejects Only

Coach USA J1272 x x Rejects Only

Coachella Valley Water District (CA) J1902 x x x x

Coast Converters 41556 x x x Rejects Only

Coca-Cola Enterprises Inc. J1038 x x x x x

Collin County 41556 x x x Rejects Only

Colorado Casualty J1428 x x x Rejects Only

Colorado Contractors Program 41556 x x x Rejects Only

Colorado HealthCare Assoc. - Safety National Casualty Corp. 41556 x x x Rejects Only

Colorado Prime Corp. 41556 x x x Rejects Only

Columbia Sussex Corporation J1039 x x x x x

Columbine Health Systems 41556 x x x Rejects Only

Community Development Commission (CA) J1655 x x x x

Comp West J1925 x x x Rejects OnlyCompanion Property and Casualty Insurance Company (dba Sussex Insurance

Company) J1829 x x x x

Compass Group Usa, Inc. J1040 x x x x x

Compton Unified School District (CA) J1652 x x x x

Contech Construction Products J1041 x x x x x

Continental Airlines J1042 x x x x x

Continental Western Insurance Co (CWG) J1274 x x x x

Contra Coastal County Schools Insurance Group (CCCSIG) J1715 x x x Rejects Only

Convergys Corporation J1043 x x x x x

Con-Way Inc. J1844 x x x x

Cook & Solis Const. 41556 x x x Rejects Only

Correctional Management Service J1044 x x x x x

Corrections Corp of America J1045 x x x x x

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Corrections Corporation of America (CCA) J1942 x x x x

Cottingham & Butler Claim Services, Inc. J1683 x x x x

Country Casualty Insurance Company J1684 x x x x x x x x

Country Insurance \ Modern Service Casualty Insur Co J1712 x x x x x x x x

Country Insurance \ Mountain States Insurance J1572 x x x x x x x x

Country Insurance \ MSI Preferred Insurance Company J1591 x x x x x x x x

Country Mutual Insurance Company J1702 x x x x x x x x

Country Preferred Insurance Company J1705 x x x x x x x x

Country Villa Health Services - SNCC 41556 x x x Rejects Only

Country Villa Ox Hlth 41556 x x x Rejects Only

County Of Alameda/AIG 41556 x x x Rejects Only

County of Chesterfield J1525 x x x x

County of Humboldt (CA) J1603 x x x x

County of Imperial J1960 x x x Rejects Only

County of Kern J1935 x x x x

County of Los Angeles (1000) J1625 x x x x

County of Los Angeles (2000) J1722 x x x Rejects Only

County of Los Angeles (3000) J1967 x x x Rejects Only

County of Los Angeles (4000/5000) J1723 x x x Rejects Only

County Of Marin 41556 x x x Rejects Only

County of San Diego J1513 x x x x

County of Santa Barbara (CA) J1631 x x x x

County of Santa Barbara-CSAC (CA) J1631 x x x x

County of Santa Barbara-Non-CSAC (CA) J1631 x x x x

County of Shasta (CA) J1616 x x x x

County of Sonoma (CA) J1662 x x x x

County of Tulare (CA) J1666 x x x x

Courtyard Health C. 41556 x x x Rejects Only

Coworx Staffing, LLC J1046 x x x x x

Cox Construction Co 41556 x x x Rejects Only

CPS Security Solutions 41556 x x x Rejects Only

CR&R J1516 x x x x

Crescent Crown Distributing J1965 x x x x

Crescent Crown Distributing J1965 x x x x

Crestbrook Insurance Company J1550 x x x x x x x x

Crum & Forster Indemnity Co 31348 x x x x

Cucamonga School District (CA) J1690 x x x x

Cypress Insurance Company (Member of BHHC) 20044 x x x x x x x x

Dahl's Foods (via EMC Risk Services) J1118 x x x x x x

DaimlerChrysler Corporation 41556 x x x Rejects Only

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Dakota Fire 21415 x x x x

Dallas County Community College District 41556 x x x Rejects Only

Dallas Independent School District J1494 x x x x

Danaher Corporation J1051 x x x x x

Darigold J1936 x x x x

Davis Mech Systems 41556 x x x Rejects Only

Daylight Transport 41556 x x x Rejects Only

De Bartolos, Inc J1058 x x x x x

Del Taco, LLC J1681 x x x x

Denver Public Schools 41556 x x x Rejects Only

Department of Energy J1449 x x x x

Department of Labor J1438 x x x x

Department of Labor Black Lung J1448 x x x x

Department of Water and Power of the City of Los Angeles (LADWP) J1514 x x x x

Depositors Ins Co J1550 x x x x x x x x

Desert Hospital District 41556 x x x Rejects Only

Desert Princess 41556 x x x Rejects Only

Diamond Farming Company 41556 x x x Rejects Only

Directory Distributing Assoc. J1059 x x x x x

Discount Tire J1611 x x x x

Discover Re (Burger King) J1060 x x x x x

Discovery Hy-Vee (via EMC Risk Services) J1118 x x x x x x

Disneyland Resorts (Bunch) J1933 x x x x

Douglas County 41556 x x x Rejects Only

Dunn-Edwards Corporation J1061 x x x x x

Durango Coffee Co. 41556 x x x Rejects Only

Dustrol (via EMC Risk Services) J1118 x x x x x

Dynamex, Inc. J1062 x x x x x

Eagle Claims J1934 x x x x

Eagle Pass ISD 41556 x x x Rejects Only

East San Gabriel Valley ROP (CA) J1690 x x x x

EastGUARD Insurance Company - Guard DBA J1453 x x x x

Eastman Kodak Company J1903 x x x x

Echo Pacific Develop 41556 x x x Rejects Only

EDIC J1289 x x Rejects Only

Edinburg Consolidated Independent School District 41556 x x x Rejects Only

Edwards Claim Administration (SEE TAB) J1204 x x x x

El Paso Community College (TX Jur) A0106 x x x x

El Paso Water Util TX Jur J1017 x x x x

El Pollo Loco J1737 x x x x

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ELC Electric Inc 41556 x x x Rejects Only

Elite Comp 41556 x x x Rejects Only

EMC Property and Casualty - WC ONLY 21415 x x x x

Emeritus Corporation J1679 x x x x

Employer Insurance Group (EIG) J1232 x x x x x x x

Employers Assurance Company J1232 x x x x x x x

EMPLOYER'S CLAIM SERVICE, INC - City of Naperville J1559 x x x x

Employers Compensation Insurance Company J1232 x x x x x x x

Employers General Insurance Group J1696 x x x x

Employers Insurance (BUNCH) J1912 x x x Rejects Only

Employers Mutual Casualty - WC ONLY 21415 x x x x

Employers Preferred Insurance Company J1232 x x x x x x x

Envirosource J1063 x x x x x

Envision Radiology, LLC 41556 x x x Rejects Only

Eplica, Inc. 41556 x x x Rejects Only

Ergon, Inc. J1952 x x x x

Erickson-Hall Constr 41556 x x x Rejects Only

ERMC J1022 x x x x

ESIS TP043 x x x Rejects Only

ESIS - First American Insurance Co J1064 x x x x x

ESIS - Kelly Services J1451 x x x x

ESIS - Lockheed Martin Corporation J1454 x x x x

Evolution Insurance Company J1065 x x x x x

ExxonMobil Corporation J1606 x x x x

F&G Guaranty Ins Co/Main Street Program Colorado 41556 x x x Rejects Only

Factory 2 U J1019 x x x x

Fairchild Fasteners J1624 x x x x

Fairfax County Government J1884 x x x x

Fairmont Specialty Insurance Company - TX J1697 x x x x

Fairview Health Services J1618 x x x x

Family Health & Housing 41556 x x x Rejects Only

FAMSA, Inc. J1807 x x x x

Farm Bureau Mutual Insurance Company (MN Only) J1853 x x x x

Farmers \ Civic Property and Casualty Company J1687 x x x x

Farmers \ Exact Property and Casualty Company J1703 x x x x

Farmers \ Fire Insurance Exchange J1706 x x x x

Farmers \ Mid-Century Insurance Company J1710 x x x x

Farmers \ Neighborhood Spirit Property and Casualty Company J1701 x x x x

Farmers \ Truck Insurance Exchange J1713 x x x x

Farmers Insurance Exchange (WC ONLY) J1563 x x x x

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Farmland Mutual Ins Co J1551 x x x x x x x x

FCCI J1830 x x x x x x x

Federated Claims Service Corp. J1297 x x x x

Federated Department Stores, Inc J1297 x x x x

Federated Linen & Uniform 41556 x x x Rejects Only

Federated Mutual Insurance Company 13935 x x x x

Federated Rural Electric (Tx) 11118 x x x x x x x x x x

Federated Services Insurance Company 28304 x x x x

FFVA Mutual Insurance J1909 x x x Rejects Only

Fireman's Fund Insurance Company 21873 x x x x

Firemen's Insurance Company J1274 x x x x

Firstcomp J1011 x x x Rejects Only

FKI Industries, Inc. J1047 x x x x x

Florida Fruit and Vegetable Association J1910 x x x Rejects Only

Forge Industrial Staffing J1529 x x x x

Franciscan Alliance J1883 x x x x

Franco Construction 41556 x x x Rejects Only

Frankenmuth Mutual J1440 x x x x

Fresno County Office of Education 41556 x x x Rejects Only

Fresno County Self Insurance Group 41556 x x x Rejects Only

Fullerton Union High School District (CA) J1633 x x x x

GAB Robbins, Inc. TP117 x x x x x

GAB Robins (For Van Tuyl Companies ONLY) TP117 x x x x x

Gallagher Bassett TP057 x x x x

Garden Grove Unified School District J1519 x x x x

Garden Regional Hospital & Med Center, Inc. 41556 x x x Rejects Only

Gategourmet #836 J1302 x x x Rejects Only

Gates Corp DBA Gates Rubber Co J1066 x x x x x

Gates O'Doherty 41556 x x x Rejects Only

Gates O'Doherty G&G 41556 x x x Rejects Only

Gateway Trans., Inc. 41556 x x x Rejects Only

GE Auto J1557 x x x x

General Parts International J1678 x x x x

Genesis Construction 41556 x x x Rejects Only

Genex Care for Ohio J1895 x x x x

GEO J1461 x x x x

Gillette Childrens Specialty Healthcare J1927 x x x x

Glendale Elementary School District #40 41556 x x x Rejects Only

Golden Corral Corporation J1067 x x x x x

Golden Eagle J1430 x x x Rejects Only

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Golden State Supply J1306 x x x Rejects Only

Good Samaritan Hospital J1647 x x x x

Goodrich J1462 x x x x

Goodwill Industries J1621 x x x x

Gordmans (via EMC Risk Services) J1118 x x x x

Grand River Insurance (WC Only) J1566 x x x x

Grange WC 14060 x x x x

Graphic Arts Mutual 25984 x x x x x x x

Great American Alliance Ins Co. 26832 x x x x x x x x x

Great American Assurance Co. 26344 x x x x x x x x x

Great American Ins. Co. 16691 x x x x x x x x x

Great American Ins. Co. of N.Y. 22136 x x x x x x x x x

Great Divide Insurance 25224 x x x x

Green Diamond WA J1642 x x x x

Greene Rad Maloney 41556 x x x Rejects Only

Greer Constructon CO 41556 x x x Rejects Only

Greif Brothers Corporation 41556 x x x Rejects Only

Greve Clifford Wengel & Paras 41556 x x x Rejects Only

Grimmway Enterprises, Inc. 41556 x x x Rejects Only

Grinnell Reinsurance Company J1571 x x x x x

Grinnell Select J1541 x x x x x

Grundfos Manufacturing Corporation 41556 x x x Rejects Only

GS Metals 41556 x x x Rejects Only

Gse Lining Technology, Inc. J1068 x x x x x

Guard J1453 x x x x

GuideOne Elite Insurance J1590 x x x x

GuideOne Mutual Insurance J1574 x x x x

H & R Block J1672 x x x x

Hamilton Mutual - WC 21415 x x x x

Hannaford J1463 x x x x

Hanover Insurance Company J1693 x x x x x x x x

Hanover Lloyd's Insurance Company J1588 x x x x x x x

Harleysville Insurance Company J1595 x x x x

Hartford Dealership Advantage Program - WC 41556 x x x Rejects Only

Hastings College of the Law 41556 x x x Rejects Only

Hawkeye J1426 x x x Rejects Only

Hayhoe Construction 41556 x x x Rejects Only

HCA-Hosptial Corporation of America J1450 x x x x

HealthPartners 44547 x x x x x

Healthsmart J1481 x x x x

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Heartland Employment Services, LLC 41556 x x x Rejects Only

Heartland Express J1677 x x x x

Helmsman Management Services 33600 x x x x

Hemet Unified School District (CA) J1654 x x x x

Heritage Group J1069 x x x x x

Highland Golf 41556 x x x Rejects Only

Hillshire Brands J1959 x x x x

Hilmar Cheese Company J1833 x x x x

HMSHost J1612 x x x x

Hogan Motor Leasing 41556 x x x Rejects Only

Hogan Personell 41556 x x x Rejects Only

Holly Farms Corp. J1070 x x x x x

Home Sweet Home 41556 x x x Rejects Only

Hortica Florist Mutual Insurance 13978 x x x x x x x x x x

Household Merch Nni J1071 x x x x x

Housing Authority El Paso (TX) A0107 x x x x

Houston Hunters Patrol, Inc J1020 x x x x

Howard County Government (MD) J1888 x x x x

Hughes Tool Company J1072 x x x x x

Hutchinson Technology J1626 x x x x x

Hy-Vee (via EMC Risk Services) J1118 x x x x x x

ICW (Insurance Co of the West) 27847 x x x x

Illinois Casualty J1575 x x x x

Illinois EMCASCO 21415 x x x x

Imperial Irrigation District 41556 x x x Rejects Only

Inconen Corporation 41556 x x x Rejects Only

Indiana Insurance J1425 x x x Rejects Only

Ingles Markets J1907 x x x x

Inland Valley Hospice 41556 x x x Rejects Only

Innovative Claim Solutions (ICS) - Rancho Cordova J1599 x x x x

Innovative Claim Solutions (ICS) - San Ramon J1601 x x x x

Insilco Corp J1073 x x x x x

Integrity Mutual Insurance Company (WC ONLY) 14303 x x x x

Intercare J1542 x x x Rejects Only

Intercare Holdings Insurance Services, Inc. J1957 x x x x

Intercare Holdings Insurance Services, Inc. J1957 x x x x

Interinsurance Exchange of the Automobile Club J1810 x x x x

IPMG Claims Management Services (Insurance Program Managers Group) J1887 x x x x

Irex Corporation J1074 x x x x x

Ironworking Contract I.P. J1075 x x x x x

of 26



All


iSurity J1911 x x x

J B Hunt Transport Inc. A0138 x x x x

J.H. Mccormack Const 41556 x x x Rejects Only

JD Mechanical 41556 x x x Rejects Only

Jefferson County Texas 41556 x x x Rejects Only

JI Specialty Services J1006 x x x Rejects Only

John Muir Health 41556 x x x Rejects Only

Johnston Schools (via EMC Risk Services) J1118 x x x x x x

Jones Truck Lines,Inc. J1076 x x x x x

Judson ISD 41556 x x x Rejects Only

Juvenile Jail Facility Managem J1077 x x x x x

Kautz Vinyards 41556 x x x Rejects Only

KCI Holdings USA J1078 x x x x x

Keenan and Associates (See note for exclusions) J1498 x x x x

Kellogg Companies J1803 x x x x

Ken Davis Industries Inc. J1079 x x x x x

Key Risk Management Services LLC J1521 x x x x

King Pak Potato Company LLC 41556 x x x Rejects Only

King Ranch 41556 x x x Rejects Only

Kirkland's, Inc. J1614 x x x x

KTA Construction (COSD2) 41556 x x x Rejects Only

L. Arrowhead C. Club 41556 x x x Rejects Only

Laclede Chain 41556 x x x Rejects Only

Laclede Steel 41556 x x x Rejects Only

Lake Elsinore School District 41556 x x x Rejects Only

Lamar Consolidated ISD 41556 x x x Rejects Only

Lamesa ISD 41556 x x x Rejects Only

Landmark Golf Co 41556 x x x Rejects Only

Landmark Grad&Paving 41556 x x x Rejects Only

Landry's J1889 x x x x

Landstar Bco Wc Program J1080 x x x x x

Lane County 41556 x x x Rejects Only

Larimer County - WC 41556 x x x Rejects Only

LB Auto/Pacific Part 41556 x x x Rejects Only

LB Auto/Pacific Supp 41556 x x x Rejects Only

League of Minnesota Cities Insurance Trust J1527 x x x x

Lekos Electric 41556 x x x Rejects Only

Levin Enterprises, Inc. 41556 x x x Rejects Only

LFP Corporation J1650 x x x x

Liberty Mutual 33600 x x x x

of 26



All


Liberty Mutual Middle Markets 33600 x x x x

Liberty Northwest 33600 x x x x

Liberty Wausau 33600 x x x x

Livingston ISD 41556 x x x Rejects Only

Lk Arrowhead Co Club 41556 x x x Rejects Only

Lodi Memorial Hospital 41556 x x x Rejects Only

Long Beach Unified School District J1515 x x x x

Longs Drugs J1464 x x x x

Louisiana State University J1953 x x x x

Louisiana Workers' Compensation Corporation (LWCC) J1547 x x x x

Lowe's J1465 x x x x

Lsg Sky Chefs International J1081 x x x x x

Luba Casualty Insurance Company J1341 x x x x x

Lumbermen's Underwriting Alliance J1540 x x x x x x x x

Lumbermen's Underwriting Alliance J1899 x x x x x

Lynwood Unified School District (CA) J1669 x x x x

LYNX J1949 x x x x

Mackinaw Administrators J1343 x x x x

Macys (Daly City) J1345 x x x x

Macys (Newport Beach) J1346 x x x x

Macys Corporate Services Inc J1347 x x x x

Madera Community Hospital 41556 x x x Rejects Only

Major League Baseball 8 J1082 x x x x x

Manufacturers Alliance Insurance Company 41556 x x x Rejects Only

Marcotte & Hearne 41556 x x x Rejects Only

Maricopa County Community College District 41556 x x x Rejects Only

Mariposa County 41556 x x x Rejects Only

Massachusetts Bay Insurance Company J1689 x x x x x x x x

Matagorda County 41556 x x x Rejects Only

Matheson Trucking J1736 x x x x

Matrix Absence Management TP075 x x x x

Maxim Crane Works J1083 x x x x x

May Department Stores J1347 x x x x

Mayo Clinic/Recovery and Claims Services 41193 x x x x

Mc Donald'S-Mcopco J1084 x x x x x

MDSI Phys Group INC 41556 x x x Rejects Only

Meadowbrook Insurance Group J1478 x x x Rejects Only

Medical Ben Admin 41556 x x x Rejects Only

Meijer Stores J1930 x x x x

Meijer Stores J1930 x x x x

of 26



All


Memorial Health Services 41556 x x x Rejects Only

Meridian Construction Program 41556 x x x Rejects Only

Meritage Corporation 41556 x x x Rejects Only

Mesa County Colorado 41556 x x x Rejects Only

Mesa County Valley School District 51 41556 x x x Rejects Only

Metropolitan Council J1355 x x x x

Metropolitan Transit Authority J1238 x x x x

Mexicana Airlines 41556 x x x Rejects Only

Michael Hogan Assoc 41556 x x x Rejects Only

Midwest Drywall (via EMC Risk Services) J1119 x x x x x

Midwest Family Mutual Insurance Co (Work Comp Only) J1685 x x x x x

Midwest Insurance 10895 x x x Rejects Only

Millard Refrigerated J1482 x x x x x x

Minnesota Counties Ins Trust (MCIT) J1351 x x x xMinnesota Department of Labor & Industry – Claims Services & Investigations

Unit J1436 x x x x

Mission Aviation Fellowship 41556 x x x Rejects Only

Mission Lodge Sanitarium 41556 x x x Rejects Only

Missoula Cart Co, In 41556 x x x Rejects Only

Mitchell Energy & Devel J1085 x x x x x

Mitsui Sumitomo Insurance Group - Toyota Claims Only J1692 x x x x

Mitsui Sumitomo Insurance USA Inc. - Toyota Claim Only J1694 x x x x

MMIC J1622 x x x x

Modesto Irrigation District 41556 x x x Rejects Only

Montgomery J1424 x x x Rejects Only

Montgomery County Self-Insurance Program (MD) J1890 x x x x

Montgomery County Texas A0179 x x x x

Monument Administrators - Cornerstone Comp J1530 x x x x

Monument Administrators - Elite Country Club J1530 x x x x

Morongo Basin Transit Authority (CA) J1651 x x x x

Morris Material Handling J1086 x x x x x

Morrison Health Care, Inc. J1087 x x x x x

Motion Picture & Television Fund 41556 x x x Rejects Only

MTS J1641 x x x x

Munford, Inc. J1088 x x x x x

Musco (via EMC Risk Services) J1118 x x x x x x

Nap Tools (via EMC Risk Services) J1120 x x x x x

National American Insurance Co (NAICO) J1695 x x x x x x x x

National Casualty Company J1551 x x x x x x x x

National Farmers Union Property and Casualty Company - QBE DBA J1484 x x x x x x x

National Interstate 32620 x x x x x x x x x x

of 26



All


National Jewish Health 41556 x x x Rejects Only

National Liability and Fire Insurance Company (DOI before 7/1/2014) 20044 x x x x x x x x

National Liability and Fire Insurance Company (DOI on or after 7/1/2014) J1453 x x x x

National Loss Prevention, Inc J1021 x x x x

Nationwide Affinity Ins Co Of America (NAICOA) J1552 x x x x x x x x

Nationwide Agribusiness Companies J1551 x x x x x x x x

Nationwide Agribusiness Ins Co J1551 x x x x x x x x

Nationwide Ins Co Of America (NICOA) J1552 x x x x x x x x

Nationwide Insurance Companies J1552 x x x x x x x x

Nationwide Mutual Fire Co J1552 x x x x x x x x

Nationwide Mutual Insurance Company J1552 x x x x x x x x

Nationwide Property And Casualty Ins Co J1552 x x x x x x x x

Navistar, Inc J1558 x x x x

NBC Universal J1359 x x Rejects Only

NCLM - North Carolina League of Municipalities J1772 x x x x

New Jersey Manufacturing 12122 x x x x

New Koosharem Corporation/Select Staffing (DOI after 7/31/2014) J1875 x x x x

Nonprofit Insurance Trust J1845 x x x x

Nordstrom, Inc. J1360 x x Rejects Only

NorGUARD Insurance Company - Guard DBA J1453 x x x x

North Bay Schools Insurance Authority (NBSIA) J1549 x x x x

North Carolina Farm Bureau J1825 x x x x

North Carolina Guarantee Insurance Association J1906 x x x x

North Clackamas School District #12 41556 x x x Rejects Only

North County Transit District 41556 x x x Rejects Only

North East Independent School District (NEISD) J1872 x x x Rejects Only

North River Insurance Company 31348 x x x x x x x

Northern Claims Management J1923 x x x Rejects Only

Northern Colorado School Districts Workers' Compensation Pool 41556 x x x Rejects Only

Northern Kentucky University J1943 x x x x

Northwest Insurance J1361 x x x Rejects Only

Norwood J1089 x x x x x

Nova Dealership Advantage Program - WC 41556 x x x Rejects Only

Nova Elite Comp Program 41556 x x x Rejects Only

Nova Metals Advantage Plus Program - WC 41556 x x x Rejects Only

Nova Pro Risk Solutions J1056 x x x x

Novant Health J1969 x x x Rejects Only

Nuevo Engineering 41556 x x x Rejects Only

NYSIF 45052 x x x Rejects Only

Oak River Insurance Company (Member of BHHC) 20044 x x x x x x x x

of 26



All


Ohio Casualty Group 24074 x x x x

Old Republic Insurance Co 24147 x x x x x

One Beacon 20621 x x x x x x x x x

Orange County Fire Authority J1876 x x x x

Orchard Supply Company (Bunch CareSolutions) J1962 x x x x

Orchard Supply Company (Bunch CareSolutions) J1962 x x x x

Oregon State Accident Insurance Fund (SAIF) Corporation J1720 x x x x

O'Reilly Auto Parts J1670 x x x x

Orica, Inc. J1090 x x x x x

OSI Group, LLC J1904 x x x x

Outrigger Lodging 41556 x x x Rejects Only

Overhill Farms, Inc. 41556 x x x Rejects Only

Pacific Coast Building Products J1808 x x x x

Pacific Compensation Insurance Company J1913 x x x Rejects Only

Pacific Dental Services J1806 x x x x

Pacific Gas & Electric -115 J1916 x x x Rejects Only

Pacific Hydrotech Co 41556 x x x Rejects Only

Pacific Lumber Company (Marathon) 41556 x x x Rejects Only

Pacific Motor Company J1364 x x x Rejects Only

Pacific Specialty Insurance 41556 x x x Rejects Only

Pacific Sunwear J1805 x x x x

Pajaro Vly Comnty Health Trust 41556 x x x Rejects Only

Paladin ISL J1827 x x x x x

Paladin Managed Care Services, Inc. J1475 x x x x

Palo Alto Medical Foundation 41556 x x x Rejects Only

Papa John's International Inc J1091 x x x x x

Paradigm J1001 x x x x

Park District Risk Management Association (PDRMA) J1365 x x x x

Pas Coffee Roasters 41556 x x x Rejects Only

Patterson Bro Light. 41556 x x x Rejects Only

Peerless J1423 x x x Rejects Only

Peg Discover Re J1092 x x x x x

Peg Discover Re( Foood Merchant) J1054 x x x x x

Pegasus Risk Management CA J1924 x x x Rejects Only

Pegi-Family Dining J1093 x x x x x

Penn Millers Insurance Co J1573 x x x x x

Pennsylvania Manufacturers' Association Insurance Company 41556 x x x Rejects Only

Pennsylvania Manufacturers Indemnity Company 41556 x x x Rejects Only

Pennsylvania Manufacturing Associates J1439 x x x x

Penser North America, Inc. J1892 x x x x

of 26



All


People 2.0 J1466 x x x x

Performance Contracting Inc J1940 x x x x

Perma J1623 x x x x

Petaluma Valley Hospital 41556 x x x Rejects Only

Pflugerville ISD 41556 x x x Rejects Only

Pharmacist Mutual Insurance Co. J1570 x x x x x

Phh Fleetamerica J1094 x x x x x

Pier 1 Inc. USA J1369 x x Rejects Only

Pima County 41556 x x x Rejects Only

Plainview ISD 41556 x x x Rejects Only

Plott Health Care 41556 x x x Rejects Only

Poly-America 41556 x x x Rejects Only

Ponderosa Landscape 41556 x x x Rejects Only

Port of Oakland (CA) J1627 x x x x

Prairie Meadows (via EMC Risk Services) J1118 x x x x x x

Preferred Employers J1095 x x x x x

Preferred Employers Group J1096 x x x x x

Preferred Employers Insurance Company (PEI) J1496 x x x x

Prime Healthcare J1673 x x x x

Prince George's County Government (MD) J1891 x x x x

Professional Claims Management J1821 x x Rejects Only

Protective Insurance Co J1568 x x x x

Prudential Overall Supply - AZ, CA 41556 x x x Rejects Only

Publix Super Markets, Inc. J1897 x x x

QBE - General Casualty - Eden Prairie J1485 x x x x x x x

QBE - General Casualty - Farmers Union J1483 x x x x x x x

QBE - General Casualty - Freeport J1486 x x x x x x x

QBE - General Casualty - Indianapolis J1487 x x x x x x x

QBE - General Casualty - Simsbury J1488 x x x x x x x

QBE - General Casualty - Sun Prairie J1489 x x x x x x x

QBE - General Casualty - West Des Moines J1490 x x x x x x x

QBE - General Casualty Co of Wisconsin J1484 x x x x x x x

Quality Care Conv 41556 x x x Rejects Only

Quality Health M. G. 41556 x x x Rejects Only

Queen of Angels - Hollywood 41556 x x x Rejects Only

Raley's Family of Fine Stores J1522 x x x x

Ralph Lauren J1938 x x x x

RAM Mutual Insurance Company J1894 x x x Rejects Only

Rampart Insurance Company 38512 x x x x x

Ramsey County (MN) J1663 x x x x

of 26



All


Rancho Santiago Community College District (CA) J1635 x x x x

RCH Protective - SNCC 41556 x x x Rejects Only

Recology J1675 x x x x

Red Oak Independent School District A0205 x x x x

Redwood Fire and Casualty Insurance Company (Member of BHHC) 20044 x x x x x x x x

Regent Insurance Company - QBE DBA J1484 x x x x x x x

Regis Brands J1467 x x x x

Rehab Center of Beverly Hills 41556 x x x Rejects Only

Republic Franklin Insurance 12475 x x x x x x x

Republic Indemnity Company of America J1008 x x x Rejects Only

Republic Western Ins. Co J1597 x x x x x

Rescare, Inc. J1376 x x Rejects Only

Residential Services Group J1097 x x x x x

Resolute Forest Products J1954 x x x x

Restaurant Reinsurance Limited J1098 x x x x x

Restoration Prof 41556 x x x Rejects Only

Return to Work J1202 x x x x

RevMed J1848 x x x x

Rhone-Poulenc,Inc. J1099 x x x x x

Rick Concrete Const. 41556 x x x Rejects Only

Rieth-Riley Construction Compa J1100 x x x x x

Risk Administration Services J1828 x x x Rejects Only

Risk Enterprise Management (REM) (SEE TAB) SEE TAB x x x x x x x

Risk Transfer Technologies, Inc. J1101 x x x x x

Riverport Insurance (MN School Board Association) J1546 x x x x

Riverport Insurance Company (Agricultural ONLY) J1477 x x x x

Robstown ISD 41556 x x x Rejects Only

Rockford Mutual Insurance Company 27065 x x x x x

Rockwall ISD 41556 x x x Rejects Only

Rose Garden Guest Ho 41556 x x x Rejects Only

Rosewoood Equipment 41556 x x x Rejects Only

Rossi Concrete, Inc 41556 x x x Rejects Only

Roth Staffing Companies J1516 x x x x

RSC Insurance Services, Ltd. J1102 x x x x x

Rural Special District Insurance Program 41556 x x x Rejects Only

Ryder Services, Inc. J1009 x x x Rejects Only

SA Recycling, LLC J1728 x x x x

SafeCo Insurance 24740 x x x x

Safety-Kleen Corporation J1103 x x x x x

Saint Louis County (MN) J1658 x x x x

of 26



All


Salt Lake City Corporation J1730 x x x x

Salt Lake City Corporation 41556 x x x Rejects Only

Sam Kane Beef Processors, Inc. 41556 x x x Rejects Only

San Bernardino City Unified School District J1741 x x x x

San Bernardino County Superintendent of Schools (CA) J1690 x x x x

San Diego Community College District (CA) J1638 x x x x

San Diego Hospice and The Institute for Palliative Medicine 41556 x x x Rejects Only

San Diego/Imperial Schools JPA (CA) J1656 x x x Rejects Only

San Diego Metropolitan Transit System 41556 x x x Rejects Only

San Diego Metropolitan Transit System (SCHIP Liability) 41556 x x x Rejects Only

San Diego Transit Corp. 41556 x x x Rejects Only

San Diego Trolley, Inc. 41556 x x x Rejects Only

San Francisco Municipal Transportation Agency (SFMTA) J1886 x x x x

San Joaquin County 41556 x x x Rejects Only

Santa Clara Co Office Of Educ 41556 x x x Rejects Only

Santa Clara Valley Tansportation Authority J1518 x x x x

Schlumberger Technology J1104 x x x x x

Schneider Gain 41556 x x x Rejects Only

Schnuck Market, Inc J1560 x x x x

SCIF AZ J1538 x x x Rejects Only

Scotts Miracle-Gro Company J1049 x x x x x

Seabright (SBIC) J1499 x x x x

SECURA Insurance A Mutual Company J1379 x x Rejects Only

Sedgwick / Cargill, Inc. J1661 x x x x

Sedgwick CMS TP097 x x x x x x x x

Seeno Construction (Chartis) 41556 x x x Rejects Only

Seeno Homes 41556 x x x Rejects Only

Sela Health Care 41556 x x x Rejects Only

Select Energy Services J1937 x x x x

Select Staffing (Koosharem, Real Time Staffing, Remedy, Select/Remedy & Westaff J1446 x x x x

Selective 12572 x x x x

Self-Insured Schools of California (SISC) J1520 x x x x

Selman Breitman 41556 x x x Rejects Only

Sempra Energy/Employee Care Services J1915 x x x Rejects Only

Sentry Insurance J1417 x x x x x x x x

Service Lloyds Insurance Co J1593 x x x xSFN Group (Spherion, Technisource, Tatum, The Mergis Group, SourceRight

Solutions, & Today's Office Professionals J1456 x x x x

Sharyland Independent School District 41556 x x x Rejects Only

Shaws/StarMarket J1468 x x x x

Sierra Nevada Memorial 41556 x x x Rejects Only

of 26



All


Silberberger Engn 41556 x x x Rejects Only

SISCO (RCM&D Self Insured Services Company, Cost Containment Services) J1898 x x x x

SKB Corporation 41556 x x x Rejects Only

Smart and Final J1824 x x x Rejects Only

Snap-On Incorporated J1105 x x x x x

Solvay America Inc J1106 x x x x x

Sonic Automotive Inc. J1381 x x Rejects Only

Sonoma Valley Healthcare District 41556 x x x Rejects Only

Sonoma Valley Hlth 41556 x x x Rejects Only

South Coast Area Transit (CA) J1731 x x x x

Southeast Leasing (legal name is Packard Claims Administration, Inc.) J1865 x x x x x x x x x

Southern California Edison J1817 x x x x

Southern California Risk Management J1690 x x x x

Southern Textile Recycling, Inc. (CA) J1648 x x x x

Southwest Airlines (SWA) J1233 x x x x x x

Southwest Gas Corporation 41556 x x x Rejects Only

Specialty Coffee 41556 x x x Rejects Only

Spooner's Woodworks 41556 x x x Rejects Only

Springfield Insurance Co. J1922 x x x Rejects Only

Sprouts Farmers Market, Inc. J1850 x x x x

St Paul Insurance J1926 x x Rejects Only

St. Rose Hospital 41556 x x x Rejects Only

Standard Forwarding (via EMC Risk Services) J1118 x x x x x x

Standard Fruit & Veg 41556 x x x Rejects Only

Stanley Steemer International Inc J1939 x x x x

Stanley Works, Inc. J1385 x x Rejects Only

Stant Corporation J1107 x x x x x

State Auto Mutual Insurance Company J1966 x x x x

State Auto Mutual Insurance Company J1966 x x x x

State Compensation Insurance Fund (SCIF) 35076 x x x x

State Farm J1548 x x x Rejects Only

State Fund Mutual J1553 x x x x

State of Minnesota - DOER J1555 x x x x

State of North Carolina J1659 x x x x

State Office of Risk Management J1418 x x x Rejects Only

Stimson Lumber Company - MT, OR, WA 41556 x x x Rejects Only

Stonington C. Club 41556 x x x Rejects Only

Summit Health Ltd J1108 x x x x x

Summit Holdings J1437 x x x x

Sun Mar Healthcare J1610 x x x x

of 26



All


Sunrise Country Club 41556 x x x Rejects Only

SUNZ Insurance Company J1584 x x x x

Superior Access Ins Services 41556 x x x Rejects Only

Superior Industries International, Inc. 41556 x x x Rejects Only

Superior Ready Mix 41556 x x x Rejects Only

Supreme Court of California J1804 x x x x

Sussex Insurance Company (formerly Companion Property & Casualty Insurance) J1829 x x x x

Sutter Health J1512 x x x x

Swift Transportation J1109 x x x x x

Syngenta Corporation J1972 x x x x

T.H.E. Insurance J1791 x x x x

Tan Medical Group 41556 x x x Rejects Only

TD Tile 41556 x x x Rejects Only

Technology Insurance Co J1855 x x x x x

Texas A&M A0235 x x x x

Texas Association of School Boards A0234 x x x x

Texas Builders Insurance Co J1581 x x x x

Texas Mutual Insurance 22945 x x x x

Texas Mutual League (TML) (SEE TAB) - Employees of IEBP Only A0245 x x x x

Texas Political Subdivisions JSIF J1921 x x x Rejects Only

Texas Roadhouse, Inc. J1676 x x x x

Texas Small Business Pool J1110 x x x x x

The Gap, Inc. J1671 x x x x x x x x

The Hartford J1422 x x x x

The Jones Financial Companies, LLP J1846 x x x x

The Main Street America Group / Austin Mutual J1834 x x x x

The Main Street America Group / Grain Dealers Mutual J1835 x x x x

The Main Street America Group / Great Lakes Casualty J1836 x x x x

The Main Street America Group / Main Street America Assurance J1837 x x x x

The Main Street America Group / MSA Insurance Protection J1838 x x x x

The Main Street America Group / MSAIC Surplus/Non-Admitted J1839 x x x x

The Main Street America Group / NGM J1840 x x x x

The Main Street America Group / Old Dominion Insurance Company J1841 x x x x

The Main Street America Group / Spring Valley Mutual J1842 x x x x

The Men's Wearhouse, Inc J1615 x x x x

The Mentor Network (Bunch CareSolutions) J1963 x x x x x x x x x x x x x x

The Mentor Network (Bunch CareSolutions) J1963 x x x x x x x x x x x x x x

The Salvation Army J1472 x x x x

The Scotts Company J1111 x x x x x

The Zenith 13269 x x x x

of 26



All


Therapy Direct Network J1831 x x x x

Thomas McGee J1746 x x x Rejects Only

Thomas Staffing Services, Inc/Venturi Staffing 41556 x x x Rejects Only

Tidewater Marine Western J1392 x x x Rejects Only

TOPA Insurance Company J1537 x x x x

Topanga Roscoe Corp. 41556 x x x Rejects Only

Total Petroleum, Inc. J1112 x x x x x

Tower Energy Group J1604 x x x x

Town of Colma (CA) J1668 x x x x

Tractor Supply Company J1505 x x x x

Travelers 19046 x x x x

Tri-City Healthcare District J1905 x x x x

Tri-City Healthcare District 41556 x x x Rejects Only

Tri-City Linen Suppl 41556 x x x Rejects Only

Tricity Uniform 41556 x x x Rejects Only

Trindel Insurance Fund J1971 x x x Rejects Only

Trillium Staffing Solutions J1674 x x x x

Tri-State Insurance Company J1477 x x x x

Tucson Unified School Dist WC 41556 x x x Rejects Only

Tyson Foods Inc. J1732 x x x x x x

Underwriters Safety and Claims TP108 x x x x x

Unigard Insurance Company - QBE DBA J1484 x x x x x x x

Union Construction Workers' Comp Program J1629 x x x x x

Union Insurance Company J1274 x x x x

Union Insurance Company of Providence 25844 x x x x

United Convalescent 41556 x x x Rejects Only

United Dominion Realty Trust J1048 x x x x x

United Fire J1401 x x x x

United Heartland J1859 x x x x

United Self Insured Services - USIS J1851 x x x Reject only

United States Cold Storage J1113 x x x x x

United States Fire Insurance Company 31348 x x x x x x x

United Wisconsin Insurance Company J1235 x x x Rejects Only

University of Colorado 41556 x x x Rejects Only

University of Kentucky Health Services J1941 x x x x

US Foodservice, Inc. J1114 x x x x x

US Mobile Wireless 41556 x x x Rejects Only

US National Resources (Aigrm) J1115 x x x x x

US Sugar Corporation J1950 x x x x

Utica Mutual Insurance Co 25976 x x x x

of 26



All


Utica National Insurance Co of Texas 43478 x x x x

V&M Restoration 41556 x x x Rejects Only

Valenzuela Eng. Inc 41556 x x x Rejects Only

Valley Casework Inc 41556 x x x Rejects Only

Valley Harvesting & Packing, Inc. 41556 x x x Rejects Only

Valley Health Care Management Services, LLC 41556 x x x Rejects Only

Valley Health System 41556 x x x Rejects Only

Valley Memorial Hospital 41556 x x x Rejects Only

Valley Mills ISD J1873 x x x Rejects Only

Van Diest (via EMC Risk Services) J1118 x x x x

Vanliners Insurance Company 21172 x x x x

Venture Pac Develop 41556 x x x Rejects Only

Vermeer (via EMC Risk Services) J1118 x x x x x x

Vertical Concrete 41556 x x x Rejects Only

Vicorp Restaurants, Inc. J1116 x x x x x

Victor Plastics (via EMC Risk Services) J1118 x x x x x x

Victoria ISD 41556 x x x Rejects Only

Virginia Surety Company, Inc. J1404 x x x Rejects Only

Vista Hills C Club 41556 x x x Rejects Only

Vons / Safeway J1750 x x x x x x x x

Vought Aircraft Industries J1405 x x Rejects Only

W Co Radiology Cntr 41556 x x x Rejects Only

Wal-Mart J1004 x x x Rejects Only

Washington County 41556 x x x Rejects Only

Washington Hospital 41556 x x x Rejects Only

Watkins Manufacturing Corporation 41556 x x x Rejects Only

WATTSHealth Foundation, Inc. (SNCC) 41556 x x x Rejects Only

Wawona Packing 41556 x x x Rejects Only

WE Energies J1406 x x x x x

WE Energies J1406 x x x x x

Werner Enterprises J1856 x x x Rejects Only

Wesco Insurance Company J1857 x x x x x Rejects Only

Weslaco Independent School District 41556 x x x Rejects Only

West Coast Hospitals, Inc. 41556 x x x Rejects Only

West Oso ISD 41556 x x x Rejects Only

West Texas Rural Counties Association Preferred Risk Pool - WC 41556 x x x Rejects Only

Westamerica/Phil Long Dealerships 41556 x x x Rejects Only

Western National Assurance J1569 x x x x

Western National Insurance \ Pioneer Specialties J1586 x x x x

Western National Insurance Group J1495 x x x x

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All


Westfield Insurance J1858 x x x Rejects Only

WestGUARD Insurance Company - Guard DBA J1453 x x x x

Willamette View 41556 x x x Rejects Only

Williams & Sonoma J1473 x x x x

Wilmer-Hutchins ISD/Dallas ISD 41556 x x x Rejects Only

Wilson Mutual Insurance (All States EXCEPT WI/MN) J1893 x x x x

Wilson Mutual Insurance (MN/WI ONLY) J1407 x x x x x

Woodland Park West 41556 x x x Rejects Only

Worldcom Inc J1874 x x x Rejects Only

Wyman-Gordon Companies J1117 x x x x x

Xcel Energy J1628 x x x x x

Xchanging, Inc J1412 x x x Rejects Only

xl Environmental, Inc. J1055 x x x x x

YMCA 41556 x x x Rejects Only

York Claim Services J1421 x x x Rejects Only

Zachry Construction J1409 x x Rejects Only

Z-Nat Insurance (Zenith National) 30120 x x x x

Zurich Farmers J1015 x x x x x x x x x x

Zurich Insurance N.A. 16535 x x x x x x x x x x

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page 1 of 26 · 2015-12-17 · workers' compensation payer list 12/15/2015 payer id tx mn ca...

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