prior cert # self-insured employer name nv cert of auth wc ...dir.nv.gov › uploadedfiles ›...
TRANSCRIPT
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
ACCUSTAFF INCORPORATED 261 Inactive 2/1/1996 6/30/1998
AETNA LIFE & CASUALTY 26 Inactive 4/1/1981 4/1/2001
AFFINITY GAMING 122977 397 Inactive 1/1/2011 1/31/2017
AFFINITY GAMING (ACTIVE) 142274 Active 1/31/2017
ALADDIN GAMING HOLDINGS LLC 360 Inactive 8/17/2000 9/1/2004
ALLIANCE GAMING CORPORATION 145 Inactive 8/1/1992 5/31/1998
ALUSUISSE-LONZA AMERICA INC 276 Inactive 5/1/1996 3/11/1998
AMERICA WEST HOLDINGS CORP 277 Inactive 6/1/1996 1/1/2001
AMERICAN ASPHALT & GRADING COMPANY 146 Inactive 8/1/1992 9/1/2003
AMERICAN BUILDINGS COMPANY 337 Inactive 3/1/1998 8/1/2004
AMERICAN CASINO & ENTERTAINMENT PROPERTIES LLC 279 Inactive 6/1/1996 2/20/2008
AMERICAN CASINO AND ENTERTAINMENT PROPERTIES LLC 125420 Inactive 2/20/2014 10/20/2017
AMERICAN STORES COMPANY 54 Inactive 8/1/1982 6/23/1999
AMERISTAR CASINOS INC 123142 106 Inactive 10/1/1990 8/13/2013
AMOCO MINERALS COMPANY 50 Inactive 6/1/1982 7/1/1985
ANDERSON DAIRY INC 269 Inactive 4/1/1996 6/1/2010
ANGLOGOLD USA INC & ITS NV SUB 151 Inactive 12/1/1992 12/18/2003
APL HEALTHCARE GROUP INC 231 Inactive 1/1/1995 3/1/2001
AQUATIC CO 225 Inactive 10/1/1994 6/1/2005
ARC AMERICA CORPORATION 31 Inactive 5/24/1981 5/23/1990
ARC MATERIALS CORPORATION 102 Inactive 5/24/1990 11/1/1991
ARCBEST CORPORATION 122997 45 Active 12/15/1981
ARCHON CORPORATION & ITS SUB PIONEER HOT 55 Inactive 8/15/1982 9/30/2014
ARIZONA CHARLIE'S INC 367 Inactive 2/1/2002 7/1/2004
ARMSTRONG BROTHERS HOLDING CO 297 Inactive 11/1/1996 10/1/2003
ASPLUNDH TREE EXPERT CO 329 Inactive 1/1/1998 8/1/1999
AT&T CORPORATION 71 Inactive 10/1/1984 7/1/2005
AT&T TECHNOLOGIES 64 Inactive 12/1/1983 1/1/1990
ATLANTIC RICHFIELD COMPANY 61 Inactive 1/15/1983 7/1/2000
AUTONATION INC 353 Inactive 8/27/1997 1/1/2000
B F GOODRICH COMPANY THE 32 Inactive 6/1/1981 7/1/1986
BABY GRAND CORPORATION 66 Inactive 5/1/1984 4/30/1998
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 1
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
BAKER HUGHES INCORPORATED 100 Inactive 5/1/1990 8/20/1990
BALLY'S GRAND INC 14 Inactive 10/1/1980 12/19/1996
BANK OF AMERICA CORPORATION 234 Inactive 2/1/1995 8/1/1999
BARBARY COAST HOTEL & CASINO 156 Inactive 1/1/1993 1/1/1996
BARRICK GOLD CORP/BARRICK GOLDSTRIKE MIN 149 Inactive 10/1/1992 6/1/2004
BARRICK GOLDSTRIKE MINES INC 175 Inactive 7/1/1993 7/31/1999
BATTLE MOUNTAIN GOLD CO 21 Inactive 1/1/1981 1/10/2001
BBB OPERATING COMPANY 20 Inactive 12/16/1980 8/1/2004
BEATRICE COMPANIES INC 1 Inactive 7/1/1980 7/3/1986
BECHTEL NEVADA CORP 259 Inactive 1/1/1996 7/1/2006
BENTLY PRESSURIZED BEARING COMPANY 48 Inactive 3/1/1982 1/24/2002
BERRY-HINCKLEY COMPANIES INC 254 Inactive 11/1/1995 4/1/2003
BEST BUY CO INC 123211 326 Active 12/1/1997
BLACK GAMING LLC 237 Inactive 4/1/1995 8/1/2011
BOARDWALK CASINO INC 315 Inactive 6/1/1997 6/30/1998
BOEING COMPANY (THE) 328 Inactive 1/1/1998 12/31/1999
BOOMTOWN INC 257 Inactive 1/1/1996 6/30/1997
BOYD GAMING CORPORATION 123005 52 Active 7/1/1981
BRINKER INTERANTIONAL INC 322 Inactive 10/1/1997 7/1/1999
BRT INC 86 Inactive 8/17/1987 7/6/1992
BRUCE INDUSTRIES INC 155 Inactive 1/1/1993 1/1/2000
BUILDERS SQUARE INC 250 Inactive 11/1/1995 9/25/1997
BUILDING MATERIALS HOLDING CORP 242 Inactive 7/1/1995 11/11/2003
CAESARS ENTERTAINMENT CORPORATION 123146 11 Active 8/15/1980
CAESARS ENTERTAINMENT INC 7 Inactive 7/12/1980 4/21/2008
CAESARS GROWTH PROPERTIES HOLDINGS LLC 125980 Inactive 5/5/2014 10/6/2017
CAESARS WORLD INC (PARENT) 2 Inactive 7/1/1980 12/30/1999
CAMCO INTERNATIONAL INC 252 Inactive 11/1/1995 7/1/1999
CAMDEN PROPERTY TRUST 296 Inactive 11/1/1996 4/15/2000
CANTEX INC 176 Inactive 7/1/1993 7/1/1999
CARSON CITY 122973 393 Active 7/1/2010
CARSON CITY 131 131 Inactive 7/1/1992 7/1/2003
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 2
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
CARSON CITY SCHOOL DISTRICT 122974 394 Active 7/1/2010
CARSON NUGGET INC 316 Inactive 6/1/1997 7/1/2009
CARTER HAWLEY HALE STORES INC 24 Inactive 2/1/1981 12/31/1987
CASHMAN CADILLAC INC 198 Inactive 1/1/1994 8/8/2000
CASHMAN EQUIPMENT COMPANY 135 Inactive 7/1/1992 6/1/2010
CATHOLIC CHARITIES OF SOUTHERN NEVADA 122963 383 Active 1/1/2006
CDS US INTERMEDIATE HOLDINGS INC 132789 Active 7/8/2015
CEDAR ENTERPRISES INC 123157 199 Inactive 1/1/1994 3/13/2017
CEMEX 121 Inactive 5/24/1981 10/15/2007
CENTURY STEEL INC 258 Inactive 1/1/1996 4/1/2008
CHURCHILL COUNTY SCHOOL DISTRICT 130131 Active 7/1/2015
CITICORP 158 Inactive 1/1/1993 7/1/1999
CITY OF HENDERSON 123103 169 Active 4/1/1993
CITY OF LAS VEGAS 123239 78 Active 12/29/1985
CITY OF NORTH LAS VEGAS 123155 197 Active 1/1/1994
CITY OF RENO 123079 147 Active 9/1/1992
CITY OF SPARKS 123097 163 Active 2/1/1993
CITYCENTER HOLDINGS LLC 122979 399 Active 3/23/2015
CLARK COUNTY 123236 75 Active 7/15/1985
CLARK COUNTY SCHOOL DISTRICT 123140 104 Active 7/1/1990
CLARK COUNTY WATER RECLAMATION DISTRICT 123152 115 Active 4/1/1992
CLEARWATER PAPER CORP 213 Inactive 5/1/1994 12/16/2008
CMS INTERNATIONAL 187 Inactive 9/1/1993 1/1/2004
COAST CASINOS INC 95 Inactive 2/1/1989 1/1/2010
COCA-COLA COMPANY AND/OR COCA-COLA REFRESHMENTS USA INC 330 Inactive 1/1/1998 5/1/2014
COEUR D'ALENE MINES CORP 235 Inactive 3/1/1995 7/1/2011
COMSTOCK HOTEL CASINO 132 Inactive 7/1/1992 8/4/1999
CONSOLIDATED FREIGHTWAYS CORP 354 Inactive 8/1/1999 12/2/2002
COOPER INDUSTRIES INC 137 Inactive 7/1/1992 7/1/1999
CORRECTIONS CORPORATION OF AMERICA 308 Inactive 4/1/1997 5/1/2000
COSTCO WHOLESALE CORP 123087 154 Active 1/1/1993
CPS SECURITY (USA), INC 122988 381 Inactive 6/1/2004 5/26/2013
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 3
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
CREATION MEANDRES INC 347 Inactive 2/1/1999 7/8/2015
CROWN ZELLERBACK CORPORATION 3 Inactive 7/1/1980 7/1/1986
CUMMINS ENGINE COMPANY INC 306 Inactive 3/1/1997 7/1/1999
CVIM, INC. 278 Inactive 6/1/1996 1/14/2010
D I SUB II INC 128 Inactive 6/1/1992 3/21/1994
DEAN FOODS COMPANY 101 Inactive 5/1/1990 9/30/2006
DEAN FOODS COMPANY 358 Inactive 5/1/2000 12/21/2001
DEL WEBB CORPORATION 28 Inactive 4/1/1981 10/1/1988
DELTA AIR LINES INC 284 Inactive 7/1/1996 2/1/2004
DELTA CALIFORNIA INDUSTRIES 51 Inactive 7/1/1982 8/30/1985
DENNY'S INC 4 Inactive 7/1/1980 4/20/1990
DI GIORGIO CORPORATION INC 27 Inactive 3/9/1981 3/9/1981
DIAMOND RESORTS SERVICES LLC 224 Inactive 9/1/1994 12/1/2007
DIGNITY HEALTH 123026 361 Active 10/1/2000
DILLARD'S INC 142 Inactive 8/1/1992 2/1/2000
DOUGLAS COUNTY 143601 Active 7/1/2017
DOUGLAS COUNTY SCHOOL DISTRICT 123176 216 Active 7/1/1994
DR HORTON INC 247 Inactive 10/1/1995 7/1/1999
E G & H INC 67 Inactive 7/1/1984 7/1/2001
EAGLE-PICHER HOLDINGS INC 74 Inactive 7/1/1985 2/15/2003
EBSCO INDUSTRIES INC 123208 323 Inactive 10/1/1997 12/29/2017
ECHO BAY MINERALS COMPANY 363 Inactive 12/1/1991 3/31/2004
ECKER ENTERPRISES INC 287 Inactive 9/1/1996 8/1/2000
EG&G INC 183 Inactive 8/1/1993 1/1/1996
ELDORADO RESORTS LLC 123011 58 Active 11/1/1982
ELKO COUNTY SCHOOL DISTRICT 123129 192 Active 11/1/1993
ENCOMPASS HEALTH CORPORATION 123143 107 Active 10/1/1990
ENTERPRISE RENT-A-CAR CO. 346 Inactive 11/1/1998 9/1/2008
ESQUIRE LTD INC 189 Inactive 10/1/1993 9/23/2006
ETHEL M CHOCOLATES INC 196 Inactive 12/1/1993 7/1/1999
F & D ENTERPRISES & WESTWARD HO CASINO 113 Inactive 6/1/1991 11/17/2005
FEDERAL SIGNAL CORPORATION 282 Inactive 7/1/1996 11/1/2000
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 4
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
FEDEX CORP FOR FEDEX GROUND PACKAGE SYSTEM INC 122931 285 Active 8/1/1996
FEDEX CORPORATION FOR FEDERAL EXPRESS CORPORATION 122936 29 Active 4/1/1981
FEDEX CORPORATION FOR FEDEX FREIGHT INC 123050 120 Active 11/1/1991
FIESTA PALMS LLC PALMS CASINO RESORT 241 Inactive 6/1/1995 12/23/2011
FITZGERALDS RENO INC 89 Inactive 7/1/1988 11/1/2007
FLETCHER GENERAL INC 173 Inactive 6/1/1993 9/15/1993
FLYING J INC 255 Inactive 12/1/1995 3/15/2010
FOCUS PLUMBING 122964 384 Active 8/18/2003
FOUR QUEENS LLC 123109 174 Active 6/1/1993
FP HOLDINGS LLP 122980 400 Inactive 11/30/2011 10/1/2016
FR INC 245 Inactive 9/1/1995 9/1/2003
FREEMAN DECORATING CO 206 Inactive 1/1/1994 1/1/2000
FREEPORT MINERALS CORPORATION 98 Inactive 8/1/1989 7/1/2001
FRESCA LLC 368 Inactive 2/1/2002 7/1/2004
FRIAS HOLDING COMPANY LLC 123073 141 Active 7/1/1992
GARRETT FREIGHTLINES INC 68 Inactive 7/1/1984 4/19/1986
GAUGHAN SOUTH LLC 122965 386 Active 10/25/2006
GEMINI INC 150 Inactive 10/1/1992 9/12/2000
GENERAL BINDING CORPORATION 127 Inactive 3/1/1992 5/1/1998
GENERAL DYNAMICS CORPORATION 123 Inactive 12/1/1991 6/30/1993
GEORGIA PACIFIC CORPORATION 49 Inactive 3/1/1982 12/19/2005
GETCHELL GOLD 240 Inactive 6/1/1995 10/1/2003
GOLDEN ENTERTAINMENT INC 145691 Active 10/20/2017
GOLDEN NUGGET INC 122987 380 Active 1/23/2004
GORDON GAMING CORP 249 Inactive 11/1/1995 8/1/2007
GREYHOUND LINES INC 60 Inactive 11/22/1982 3/19/1987
H & O FOODS INC 148 Inactive 10/1/1992 11/1/1995
HAMILTON HOLDING MANAGEMENT CORP 123118 182 Active 7/1/1993
HANCOCK TEXTILE CO INC 53 Inactive 8/1/1982 5/4/1987
HANSEN MECHANICAL CONTRACTORS, INC. 335 Inactive 2/1/1998 2/1/2005
HANSON PLC 167 Inactive 4/1/1993 9/14/2001
HARD ROCK HOTEL & CASINO INC 324 Inactive 11/1/1997 3/1/2011
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 5
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
HARVEY'S CASINO RESORTS 34 Inactive 7/1/1981 7/31/2001
HAT LTD DBA MANPOWER TEMPORARY SERVICES 123151 114 Active 3/1/1992
HBR COMPANIES 274 Inactive 5/1/1996 12/31/2000
HCA HEALTHCARE INC 123099 165 Active 1/1/1986
HCR MANORCARE INC 123067 136 Active 7/1/1992
HECLA MINING COMPANY 293 Inactive 11/1/1996 2/15/2002
HERBST GAMING LLC 387 Inactive 8/1/2007 1/1/2011
HOLIDAY INNS INC 22 Inactive 1/1/1981 3/15/1990
HOME DEPOT USA INC 123059 129 Active 8/1/1992
HOME SHOPPING NETWORK INC 112 Inactive 6/1/1991 7/1/1995
HOUSEHOLD INTERNATIONAL, INC. 332 Inactive 1/1/1998 1/1/2003
HOWARD HUGHES CORPORATION 40 Inactive 8/1/1981 10/1/1988
HRHH GAMING SENIOR MEZZ LLC 122982 402 Inactive 3/1/2011 3/30/2018
HUMANA INC 12 Inactive 9/1/1980 2/28/1993
HUMBOLDT COUNTY SCHOOL DISTRICT 122983 403 Active 7/1/2012
HYATT HOTELS CORPORATION 122842 338 Active 2/1/1998
HYDRO CONDUIT CORPORATION 103 Inactive 5/24/1990 11/1/1991
IKE GAMING INC 123017 63 Active 10/9/1983
IMPERIAL PALACE CASINO INC 25 Inactive 2/8/1981 4/21/2008
INCLINE VILLAGE GEN IMPROVEMENT DISTRICT 138 Inactive 7/1/1992 7/1/2013
INTEGRATED HEALTH SERVICES INC 350 Inactive 4/1/1999 9/1/2003
INTERNATIONAL GAME TECHNOLOGY 99 Inactive 9/15/1989 6/30/2014
INTERNATIONAL PAPER COMPANY 152 Inactive 1/1/1993 7/1/2014
JACK B KELLEY INC 233 Inactive 1/1/1995 2/9/1998
JACKPOT ENTERPRISES INC 201 Inactive 1/1/1994 1/2/2001
JC PENNEY COMPANY INC 162 Inactive 2/1/1993 2/1/2001
JERRY'S NUGGET INC 270 Inactive 4/1/1996 4/1/2009
JIM'S ENTERPRISES INC 289 Inactive 10/1/1996 8/1/2004
JOHN H BURROWS INC 143 Inactive 8/1/1992 4/1/2000
JOHNSON GROUP INC 157 Inactive 1/1/1993 11/30/2001
JOURNAL COMMUNICATIONS INC 356 Inactive 10/1/1999 4/1/2015
K & D CONSTRUCTION LLC 385 Inactive 5/1/2007 9/17/2009
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 6
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
KAL KAN FOODS INC 265 Inactive 3/1/1996 7/1/1999
KENNAMETAL INC (PARENT) 123048 119 Active 10/1/1991
KENNECOTT HOLDINGS CORP 171 Inactive 4/1/1993 2/1/2006
KIEWIT CORPORATION 123021 357 Active 11/1/1999
KINROSS GOLD CORPORATION 123052 122 Active 12/1/1991
KNIGHT TRANSPORTATION INC 122989 382 Inactive 10/1/2004 9/8/2017
KNIGHT TRANSPORTATION, INC (ACTIVE) 146761 Active 9/8/2017
KROGER COMPANY 122996 44 Active 11/1/1981
L BRANDS INC 193 Inactive 11/1/1993 2/1/2007
LAIDLAW INC 211 Inactive 4/1/1994 9/1/2001
LAKEVIEW COMPANY 134 Inactive 7/1/1992 4/1/2001
LANDSTAR SYSTEM INC 286 Inactive 9/1/1996 7/1/1999
LAS VEGAS CONVENTION & VISITORS AUTHORITY 123034 369 Active 7/1/2002
LAS VEGAS CONVENTION HOTEL LLC 362 Inactive 11/1/2000 7/1/2001
LAS VEGAS METRO POLICE DEPARTMENT 123092 159 Active 1/1/1993
LAS VEGAS PAVING CORP 272 Inactive 5/1/1996 6/1/2013
LAS VEGAS SANDS 122959 96 Active 4/28/1989
LAS VEGAS VALLEY WATER DISTRICT 123037 371 Active 1/1/2003
LEISURE HOMES CORPORATIONS 191 Inactive 11/1/1993 7/25/2003
LES SCHWAB WAREHOUSE CENTER INC 123210 325 Active 12/1/1997
LETICA CORPORATION 336 Inactive 2/1/1998 9/1/1999
LEVI STRAUSS & COMPANY 56 Inactive 10/1/1982 12/1/2008
LIFE CARE CENTERS OF AMERICA INC 341 Inactive 7/1/1998 10/1/2006
LOUISIANA PACIFIC CORPORATION 161 Inactive 2/1/1993 10/1/2001
LVI ENVIRONMENTAL SVCS GROUP INC 283 Inactive 7/1/1996 6/30/1998
LYNCH COMMUNICATIONS SYSTEMS 65 Inactive 3/1/1984 7/2/1987
LYON COUNTY SCHOOL DISTRICT 123040 374 Active 7/1/2003
M & R INVESTMENTS CO 38 Inactive 7/9/1981 9/15/1983
M A HANNA COMPANY 205 Inactive 1/1/1994 6/27/1996
M S CONCRETE CO INC 223 Inactive 9/1/1994 12/1/2009
MACYS INC 122854 349 Active 4/1/1999
MANDALAY RESORT GROUP 19 Inactive 11/15/1980 6/30/2006
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 7
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
MANPOWER HOLDING COMPANY 109 Inactive 1/1/1991 3/1/2013
MARNELL CORRAO ASSOCIATES INC 219 Inactive 8/1/1994 2/1/2001
MARNELL GAMING LLC 135181 Active 4/15/2016
MARRIOTT INTERNATIONAL, INC. 122999 47 Active 2/1/1982
MASCO CORPORATION 309 Inactive 3/27/1997 6/30/2016
MAX GAMING LLC 339 Inactive 5/1/1998 6/5/2000
MAX RIGGS CONSTRUCTION COMPANY INC 275 Inactive 5/1/1996 11/2/1999
MAY DEPARTMENT STORES COMPANY 238 Inactive 5/1/1995 8/30/2005
MCCLASKEY HOLDINGS LLC 170 Inactive 4/1/1993 10/1/2006
MCDONALD'S CORPORATION 123131 194 Active 12/1/1993
MCKESSON CORPORATION 123082 15 Active 10/1/1980
MESQUITE GAMING LLC 122978 398 Active 8/1/2011
MEXICO PLASTIC COMPANY 364 Inactive 9/1/2001 2/1/2003
MGM DESERT INN INC 118 Inactive 2/1/1988 3/1/1992
MGM GRAND INC (SANDS) 88 Inactive 2/1/1988 4/28/1989
MGM MIRAGE FOR NEW YORK-NEW YORK HOTEL 298 Inactive 12/1/1996 5/1/2004
MGM MIRAGE FOR THE MGM GRAND HOTEL INC 195 Inactive 12/1/1993 1/1/2004
MGM MIRAGE FOR THE PRIMADONNA COMPANY LL 144 Inactive 8/1/1992 8/1/2007
MGM RESORTS INTERNATIONAL 122995 43 Active 10/26/1981
MICHELIN NORTH AMERICA INC 310 Inactive 4/1/1997 8/1/2000
MIKOHN GAMING CORPORATION 228 Inactive 12/1/1994 7/15/2003
MISSION OF NEVADA INC 301 Inactive 1/1/1997 9/30/2011
MONARCH CASINO & RESORT INC 123160 200 Active 1/1/1994
MONTGOMERY WARD LLC 57 Inactive 10/15/1982 6/23/2000
MORRISON KNUDSEN CORP 248 Inactive 10/1/1995 7/1/1999
MOTOR CARGO 267 Inactive 3/1/1996 3/1/2002
MYR GROUP 273 Inactive 5/1/1996 9/30/1999
NEIMAN MARCUS GROUP INC 251 Inactive 11/1/1995 8/1/1999
NEVADA BELL 23 Inactive 1/1/1981 7/1/1999
NEVADA READY MIX CORPORATION 123170 210 Active 3/1/1994
NEVADA SYSTEM OF HIGHER EDUCATION 123045 379 Active 1/1/2004
NEW ALBERTSON'S INC 6 Inactive 7/4/1980 3/21/2013
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 8
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
NEW-COM INC AND ITS LISTED SUBSIDIARIES 123039 373 Active 7/29/2003
NEWMONT MINING CORPORATION (ACTIVE) 122968 388 Active 4/29/2008
NEWMONT MINING CORPORATION 139 Inactive 7/1/1992 4/29/2003
NORTHERN PIPELINE CONSTRUCTION COMPANY 313 Inactive 5/1/1997 4/1/2002
NV ENERGY INC 123064 133 Active 7/1/1992
NV YELLOW NV CHECKER & NV STAR CAB CO 122873 232 Active 1/1/1995
NYE COUNTY SCHOOL DISTRICT 122969 389 Active 7/1/2008
OCEAN SPRAY CRANBERRIES INC 123688 221 Active 9/1/1994
OFFICEMAX INCORPORATED 319 Inactive 8/1/1997 1/1/2014
OFFICEMAX INCORPORATED 320 Inactive 8/1/1997 4/20/2000
OGDEN CORPORATION 304 Inactive 2/1/1997 8/31/1999
OLSTEN CORPORATION 227 Inactive 12/1/1994 3/15/2000
PACCAR INC 122871 230 Active 1/1/1995
PARKER HANNIFIN CORP 355 Inactive 8/1/1999 4/1/2009
PAY 'N SAVE CORPORATION 18 Inactive 11/1/1980 5/21/1986
PAYLESS CASHWAYS INC 69 Inactive 7/1/1984 12/10/2001
PEGASUS GOLD CORPORATION 215 Inactive 6/1/1994 7/1/1999
PEP BOYS: MANNY MOE & JACK OF CALIFORNIA 264 Inactive 3/1/1996 3/1/2009
PEPPERMILL CASINOS INC 122953 90 Active 7/1/1988
PEPSI BOTTLING GROUP INC (THE) 321 Inactive 9/1/1997 1/1/2007
PERINI CORPORATION (PARENT) 108 Inactive 10/1/1990 10/1/2005
PETE KING CORP 268 Inactive 3/1/1996 3/1/2002
PETE KING NEVADA CORPORATION 366 Inactive 1/1/2002 12/1/2010
PETE WHITE CONCRETE INC 281 Inactive 7/1/1996 11/22/2002
PIE NATIONWIDE INC 72 Inactive 2/1/1985 12/1/1986
PILOT TRAVEL CENTERS LLC 122981 401 Active 3/1/2012
PINKERTONS INC 220 Inactive 8/1/1994 8/1/2000
PINNACLE ENTERTAINMENT INC 318 Inactive 6/30/1997 7/4/2003
PITTWAY CORPORATION 343 Inactive 7/1/1998 4/1/2000
PLACER DOME INC 303 Inactive 1/1/1997 4/1/2006
PLANET HOLLYWOOD INTERNATIONAL INC 344 Inactive 9/1/1998 7/1/2002
PLAYERS INTERNATIONAL INC 243 Inactive 7/1/1995 9/1/1997
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 9
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
POLY-AMERICA FOR POLY-WEST INC 122971 391 Active 2/1/2009
PRATTE BUILDING SYSTEMS LLC 253 Inactive 11/1/1995 1/1/2006
PRECISION CONCRETE 256 Inactive 1/1/1996 6/13/2009
PRIMEX PLASTICS CORPORATION 181 Inactive 7/1/1993 7/1/1999
PURCELL TIRE & RUBBER COMPANY 123219 333 Active 1/1/1998
QUALITY MECHANICAL CONTRACTORS, LLC 179 Inactive 7/1/1993 3/31/2013
QUEBECOR PRINTING (USA) HOLDINGS 342 Inactive 7/1/1998 7/1/2000
QUEENSTAKE RESOURCES LTD 372 Inactive 7/1/2003 8/12/2008
QUORUM HEALTH GROUP 203 Inactive 1/1/1994 2/1/1998
RAINFOREST CAFE INC 348 Inactive 4/1/1999 1/4/2001
RALCORP HOLDINGS INC 212 Inactive 4/1/1994 10/1/2004
RALEY'S INC 123242 80 Active 7/1/1986
RALSTON PURINA COMPANY 13 Inactive 9/30/1980 10/1/1995
RBT HELMS CONSTRUCTION & DEVEL CO 84 Inactive 2/15/1987 2/11/1991
RENO-SPARKS CONVENTION & VISITORS AUTHORITY 123141 105 Inactive 7/1/1990 7/1/2018
RENOWN HEALTH 123237 76 Active 8/1/1985
REPUBLIC SERVICES INC 97 Inactive 7/1/1989 6/29/2001
RIO HOTEL & CASINO INC AND IT'S NV SUB 130 Inactive 6/1/1992 4/21/2008
RIVERBOAT HOTEL & CASINO (THE) CARNIVAL 204 Inactive 1/1/1994 11/30/1998
RIVERSIDE RESORT HOTEL CASINO 123238 77 Active 9/28/1985
RIVIERA OPERATING CORPORATION 218 Inactive 7/1/1994 5/16/2015
ROBROY INDUSTRIES INC 226 Inactive 11/1/1994 7/1/1999
ROCKY MOUNTAIN FABRICATION INC 260 Inactive 2/1/1996 10/28/2003
ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVIC 345 Inactive 9/1/1998 1/1/2006
RR DONNELLEY & SONS CO 85 Inactive 3/1/1987 5/1/2001
RYKOFF-SEXTON INC 266 Inactive 3/1/1996 4/1/1998
SAFEWAY INC 311 Inactive 4/8/1997 1/30/2015
SAFEWAY STORES, INCORPORATED 5 Inactive 7/1/1980 3/6/1987
SAINT MARY'S HEALTH CARE CORPORATION 17 Inactive 10/24/1980 1/1/2007
SAND REGENT THE (PARENT) 83 Inactive 10/5/1986 1/1/2008
SANTA FE PACIFIC GOLD CORPORATION 209 Inactive 3/1/1994 5/5/1997
SAXTON INCORPORATED 340 Inactive 6/1/1998 9/25/2000
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 10
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
SCHNEIDER NATIONAL INC 123217 331 Active 1/1/1998
SCOLARI'S WAREHOUSE MARKETS INC 91 Inactive 7/1/1988 4/16/2012
SEARS HOLDINGS CORPORATION 30 Inactive 5/1/1981 4/1/2007
SEARS ROEBUCK AND CO 16 Inactive 10/15/1980 10/1/1999
SEASHORE HOLDINGS INC 359 Inactive 8/1/2000 8/1/2006
SEQUA CORPORATION 202 Inactive 1/1/1994 9/14/2009
SERVICEMASTER COMPANY THE 302 Inactive 1/1/1997 7/1/1999
SHELTIE OPCO LLC 124440 Inactive 12/16/2013 5/6/2016
SHERWIN-WILLIAMS COMPANY 123154 117 Active 7/1/1991
SHOWBOAT OPERATING COMPANY 10 Inactive 8/2/1980 3/30/2000
SIERRA DEVELOPMENT COMPANY 62 Inactive 10/3/1983 12/31/2012
SIERRA HEALTH SERVICES INC 153 Inactive 1/1/1993 1/1/2009
SIGMA-ALDRICH CORPORATION 186 Inactive 9/1/1993 5/1/2000
SILVER LEGACY RESORT CASINO 122886 244 Inactive 7/1/1995 12/1/2015
SILVERTON CASINO LLC & MAJESTIC NEVADA PROPERTY HO 123201 317 Active 7/1/1997
SIZZLER INTERNATIONAL INC 172 Inactive 4/1/1993 7/1/1999
SKYLINE RESTAURANT & CASINO 217 Inactive 7/1/1994 7/1/2003
SMITH-CHRISTENSEN ENTERPRISES INC 314 Inactive 6/1/1997 4/1/2012
SOUTHERN CALIFORNIA EDISON 39 Inactive 8/1/1981 5/1/1983
SOUTHERN NEVADA HARLEY DAVIDSON SALES INC & RED RO 123041 375 Active 8/1/1996
SOUTHERN NEVADA HEALTH DISTRICT 376 Inactive 7/1/2005 8/1/2015
SOUTHERN NEVADA TBA SUPPLY CO 263 Inactive 3/1/1996 7/15/2016
SOUTHWEST AIRLINES CO 123167 208 Active 3/1/1994
SOUTHWEST GAS CORPORATION 122955 92 Active 7/1/1988
SPARKS NUGGET INC 42 Inactive 10/1/1981 12/16/2013
SPRINT CORPORATION (PARENT) 9 Inactive 8/1/1980 7/1/1999
STANLEY WORKS (THE) 305 Inactive 4/1/1997 7/1/2008
STATE LINE HOTEL INC 290 Inactive 10/1/1996 8/1/2004
STATION CASINOS INC & ITS AFFL GV RANCH GAMING LLC 87 Inactive 11/2/1987 6/14/2011
STATION CASINOS LLC 122976 396 Active 6/14/2011
STEEL ENGINEERS INC 185 Inactive 9/1/1993 11/1/2007
STOCKMAN'S BAR RESTAURANT & CASINO 292 Inactive 11/1/1996 1/31/2007
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 11
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
SUPER SHOPS INC & ITS NEVADA SUBSIDIARY 166 Inactive 3/1/1993 4/23/1998
T&R CONSTRUCTION GROUP 327 Inactive 12/1/1997 12/9/2011
T&R CONSTRUCTION GROUP 135224 Active 4/15/2016
TARGET CORPORATION (MERVYNS) 126 Inactive 2/1/1992 8/28/2004
TARGET CORPORATION (TARGET STORES) 123055 125 Active 2/1/1992
TEGNA INC 288 Inactive 10/1/1996 6/29/2015
THI OF BALTIMORE INC & THI OF NEVADA II 377 Inactive 9/1/2003 1/1/2007
THRIFTY CORPORATION 8 Inactive 7/21/1980 7/1/1992
TITANIUM METALS CORPORATION OF AMERICA 124 Inactive 1/1/1992 12/21/2012
TJX COMPANIES INC (THE) 180 Inactive 7/1/1993 7/1/1999
TRANSDEV NORTH AMERICA INC 351 Inactive 4/1/1999 1/1/2006
TRANS-STERLING INC 35 Inactive 7/1/1981 3/1/1985
TREASURE ISLAND LLC 122972 392 Active 8/1/2009
TRONOX LLC 178 Inactive 7/1/1993 1/1/2005
TROPICANA LAS VEGAS HOTEL & CASINO DBA T 395 Inactive 12/2/2010 8/25/2015
TRUE BLUE INC 123180 299 Active 12/1/1996
TYCO INTERNATIONAL LTD 262 Inactive 2/1/1996 7/1/1999
UNBELIEVABLE INC 164 Inactive 3/1/1993 2/1/1998
UNILEVER UNITED STATES INC 184 Inactive 9/1/1993 5/1/2003
UNION PACIFIC CORPORATION 110 Inactive 1/1/1991 1/1/2000
UNION PLAZA HOTEL & CASINO INC 41 Inactive 8/10/1981 3/25/2004
UNITED AIR LINES INC 123234 73 Inactive 3/1/1985 8/1/2018
UNITED FACTORY FURNITURE CORP. 291 Inactive 10/1/1996 11/1/2001
UNITED PARCEL SERVICE INC (OHIO) 140 Inactive 7/1/1992 1/1/2002
UNITEDHEALTH GROUP INC 390 Inactive 1/1/2009 7/1/2009
UNITOG RENTAL SERVICES INC 271 Inactive 5/1/1996 3/25/1999
UNIVERSAL HEALTH SERVICES INC 160 Inactive 1/1/1993 9/29/2000
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA 82 Inactive 8/1/1986 7/1/1990
US FOODS INC 123102 168 Active 4/1/1993
US HOME CORPORATION 295 Inactive 11/1/1996 11/1/1999
USG CORPORATION 81 Inactive 7/1/1986 7/1/2001
VEGAS GENERAL CONSTRUCTION CO 229 Inactive 12/1/1994 7/1/2005
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 12
NEVADA SELF INSURED EMPLOYERS - ACTIVE AND INACTIVE - AS OF AUGUST 1, 2018
SELF-INSURED EMPLOYER NAME NV Cert of AuthPrior Cert #
(Company ID)WC Status Certified Decertified
VENCOR INC 239 Inactive 6/1/1995 11/1/1999
VIAD CORP 123153 116 Active 7/1/1991
VICTORIA PARTNERS 280 Inactive 7/1/1996 6/30/2006
VIKING METALLURGICAL CORP 214 Inactive 6/1/1994 5/30/2002
VONS COMPANIES INC THE 111 Inactive 1/1/1991 4/8/1997
VONS GROCERY COMPANY 59 Inactive 11/15/1982 7/1/1986
WACKENHUT CORPORATION 236 Inactive 4/1/1995 7/1/1999
WASHOE COUNTY 123024 36 Active 7/1/1981
WASHOE COUNTY SCHOOL DISTRICT 123035 37 Active 7/1/1986
WASTE MANAGEMENT INC 93 Inactive 11/2/1988 7/1/2002
WELLS FARGO AND COMPANY 46 Inactive 2/1/1982 7/1/1999
WENDOVER CASINOS INC 123036 370 Active 12/19/2002
WEST EDNA ASSOCIATES LTD 294 Inactive 11/1/1996 3/31/2000
WESTERN CAB COMPANY INC 123030 365 Active 9/1/2001
WESTERN PIPELINE CONSTRUCTION CORPORATION 352 Inactive 4/1/1999 4/1/2002
WESTERN STATES CONTRACTING INC 122888 246 Active 9/1/1995
WESTERN VILLAGE ASSOCIATES 177 Inactive 7/1/1993 3/1/1994
WEYERHAUSER COMPANY 94 Inactive 1/1/1989 11/1/2015
WILLIAMS COMPANIES (THE) 188 Inactive 9/1/1993 9/30/2002
WILLIS ROOF CONSULTING INC 222 Inactive 9/1/1994 10/1/2000
WIMAR OPCO LLC/COLUMBIA SUSSEX 33 Inactive 7/1/1981 1/3/2007
WINCO FOODS INC 378 Inactive 1/1/2004 5/1/2006
WORTHINGTON INDUSTRIES INC 334 Inactive 1/1/1998 12/1/1999
WSR, INC. 312 Inactive 5/1/1997 8/1/2001
WYNN RESORTS LIMITED 190 Inactive 11/1/1993 9/1/2004
YOUNG ELECTRIC SIGN COMPANY (YESCO) 123231 70 Active 7/1/1984
YOUR BEST MANAGEMENT GROUP LLC 307 Inactive 3/1/1997 3/1/2012
YRC INC 123240 79 Active 5/1/1986
YRC WORLDWIDE INC FOR NV SUBSIDIARY YELL 300 Inactive 1/1/1997 10/1/2008
ACTIVE SELF-INSURED EMPLOYERS IN GREEN 13