RISK RETENTION GROUPS DECEMBER 31, 2011

(1)

RISK RETENTION GROUPS

DECEMBER 31, 2011

NAME & ADDRESS NE ID# NAIC # STATE OF

DOMICILE

NEBRASKA PREMIUMS WRITTEN Affliates Insurance Reciprocal, A Risk Retention Group

C/O Marsh Management Services, Inc. P. O. Box 530

Burlington, VT 05402-0530

387655 13677 Vermont $7,706

Alliance of NonProfits for Insurance, Risk Retention Group

P. O. Box 306

Montpelier, VT 05601

271162 10023 Vermont $55,565

Allied Professionals Insurance Company, A Risk Retention Group, Inc.

1100 W Town & Country Road, Suite 144 Orange, CA 92868

306606 11710 Arizona $7,683

American Association of Orthodontists Insurance Company (A Risk Retention Group)

15615 North 71st Street, Suite 103 Scottsdale, AZ 85254

208014 10232 Arizona $23,498

American Builders Insurance Company Risk Retention Group, Inc.

C/O Risk Services,

2233 Wisconsin Ave., NW, Suite 310 Washington, DC 20007

344294 12631 Montana -0-

American Contractors Insurance Company Risk Retention Group

12222 Merit Drive, Suite 1660 Dallas, TX 75251

2585 12300 Texas $54,158

American Excess Insurance Exchange, Risk Retention Group

140 Kennedy Drive, P. O. Box 2127 South Burlington, VT 05407-2127

223526 10903 Vermont -0-

American Safety Risk Retention Group, Inc.

100 Galleria Parkway, S.E., Suite 700 Atlanta, GA 30339

7035 25448 Vermont $59,193

American Trucking and Transportation Insurance Company, A Risk Retention Group (Attic)

111 North Higgins Avenue, 4th Floor

Missoula, MT 59802 311576 11534 Montana -0-

Ameriguard Risk Retention Group, Inc.

P. O. Box 306

Montpelier, VT 05601

350387 12171 Vermont -0-

Applied Medico Legal Solutions Risk Retention Group, Inc.

1850 N Central Ave, Suite 1700 Phoenix, AZ 85004

409455 11598 Arizona -0-

Architects & Engineers Insurance Company, A Risk Retention Group

2056 Westings Avenue, Suite 20 Naperville, IL 60563

8185 44148 Delaware -0-

ARCOA Risk Retention Group, Inc.

c/o Risk Services

2233 Wisconsin Ave, NW, Suite 310 Washington, D.C. 20007

372867 13177 Nevada $22,921

ARISE Boiler Inspection and Insurance Company Risk Retention Group

P. O. Box 23790

Louisville, KY 40223-0790

381321 13580 Kentucky $2,282

Attorneys’ Liability Assurance Society, Inc., A Risk Retention Group

311 South Wacker Drive, Suite 5700 Chicago, IL 60606-6629

(2)

RISK RETENTION GROUPS

DECEMBER 31, 2011

DOMICILE

NEBRASKA PREMIUMS WRITTEN Attorneys Liability Protection Society, Inc., A Risk Retention Group

P. O. Box 9169

Missoula, MT 59807-9169

290443 32450 Montana -0-

Automotive Underwriters Insurance Company, Inc. A Risk Retention Group

C/O Risk Services

262768 11033 Nevada -0-

Capital Assurance Risk Retention Group, Inc.

(Risk Retention Group placed in Rehabilitation by State of Domicile. Annual Statement for 12/31/2010 was not filed)

287521 11194 South

Carolina

Not Available

Caring Communities, a Reciprocal Risk Retention Group

1850 W. Winchester Rd, Ste 109 Libertyville, IL 60048

371293 12373 District of Columbia

$10,405

Cattleman’s Insurance Company Risk Retention Group

P.O. Box 9169

Missoula, MT 59807-9169

402050 13784 Montana $16,840

CHC Casualty Risk Retention Group, Inc.

P. O. Box 530

Burlington,VT 05402-0530

298513 11531 Vermont $348,597

Claim Professionals Liability Insurance Company (A Risk Retention Group)

P. O. Box 306

Montpelier, VT 05601-0306

318941 12172 Vermont $7,901

College Risk Retention Group, Inc.

P. O. Box 530

Burlington, VT 05402-0530

385653 13613 Vermont $111,341

Consumer Specialties Insurance Company Risk Retention Group

P. O. Box 306

Montpelier, VT 05601-0306

299891 10075 Vermont -0-

Continuing Care Risk Retention Group, Inc.

C/O Risk Services

2233 Wisconsin Ave., NW, Suite 310 Washington, DC 20007

307435 11798 South

Carolina

-0-

CPA Mutual Insurance Company of America Risk Retention Group

40 Main Street, Suite 200 Burlington, VT 05401-000

11422 10164 Vermont $154,714

CrossFit Risk Retention Group

C/O Pacific Risk Solutions, LLC 2897 Kalawao Street

Honolulu, HI 96822

390095 13720 Montana $1,550

Emergency Medicine Professional Assurance Company Risk Retention Group

C/O Risk Services

1800 Second Street, Suite 909E Sarasota, FL 34236

331859 12003 Nevada -0-

Global International Insurance Company, Inc., A Risk Retention Group

C/O Risk Services

(3)

RISK RETENTION GROUPS

DECEMBER 31, 2011

DOMICILE

NEBRASKA PREMIUMS WRITTEN Golden Insurance Company, A Risk Retention Group

8390 E. Crescent Pkwy, Suite 200 Greenwood Village, CO 80111

282475 11145 Nevada -0-

Green Hills Insurance Company, A Risk Retention Group

100 Bank Street, Suite 610 Burlington, VT 05401

311577 11941 Vermont $4,086

Health Care Industry Liability Reciprocal Insurance Company, A Risk Retention Group

201 S. Main Street, Suite 200 Ann Arbor, MI 48104

$589,887

Healthcare Safety & Protection Risk Retention Group, Inc.

c/o Kane (USA), Inc.

1180 Sam Rittenberg Blvd, Suite 235 Charleston, SC 29407

333163 10752 South

Carolina

-0-

Healthcare Underwriting Company, A Risk Retention Group/The

100 Bank Street, Suite 610 Burlington, VT 05401

333257 10152 Vermont $753,443

Heritage Warranty Insurance Risk Retention Group, Inc.

1327 Ashley River Road, Building C, Suite 200 Charleston, SC 29407

289841 11097 South

Carolina

-0-

Housing Authority Risk Retention Group, Inc.

P. O. Box 189

Cheshire, CT 06410-0189

35875 26797 Vermont $176,140

ICI Mutual Insurance Company, A Risk Retention Group

126 College Street, Suite 400 Burlington, VT 05401

381261 11268 Vermont $252,020

Jamestown Insurance Company, A Risk Retention Group

315788 11589 South

Carolina

-0-

Lewis & Clark LTC Risk Retention Group, Inc.

3655 Brookside Parkway, Suite 200

Alpharetta, GA 30022 311570 11947 Nevada -0-

Livestock Market Enhancement Risk Retention Group

5430 W Sahara Ave Las Vegas, NV 89146

413413 14084 Nevada -0-

Marathon Financial Insurance Company, Inc., A Risk Retention Group

1710 Corporate Crossing, Suite 1 O’Fallon, IL 62269

291669 11117 Delaware -0-

Mental Health Risk Retention Group, Inc.

44465 44237 Vermont -0-

Mountain States Healthcare Reciprocal Risk Retention Group

40 Main Street, Suite 200 Burlington, VT 05401

302463 11585 Montana $997,124

National Catholic Risk Retention Group/The

50450 10083 Vermont -0-

National Contractors Insurance Company, Inc., A Risk Retention Group

P.O. Box 510 Bigfork, MT 59911

(4)

RISK RETENTION GROUPS

DECEMBER 31, 2011

DOMICILE

NEBRASKA PREMIUMS WRITTEN National Home Insurance Company A Risk Retention Group

10375 E. Harvard Avenue, Suite 100 Denver, CO 80231

51475 44016 Colorado -0-

National Independent Truckers Insurance Company, A Risk Retention Group

1327 Ashley River Road, Building C, Suite 200 Charleston, SC 29407

287555 11197 South

Carolina

-0-

National Service Contract Insurance Company Risk Retention Group, Inc.

C/O Risk Services

$5,021

New Home Warranty Insurance Company, A Risk Retention Group

Compliance Specialist

10375 E Harvard Ave, Suite 100 Denver, CO 80231

$104,799

Novus Insurance Company (Risk Retention Group)

C/O HSBC Insurance Management (USA) 1180 Sam Rittenberg Blvd., Suite 235 Charleston, SC 29407

333163 10752 South

Carolina

-0-

OMS National Insurance Company, Risk Retention Group

6133 North River Road, Suite 650 Rosemont, IL 60018-5173

17 44121 Illinois $295,330

OOIDA Risk Retention Group

C/O Risk Services

208256 10353 Vermont $145,509

Ophthalmic Mutual Insurance Company, A Risk Retention Group

58466 44105 Vermont $37,272

Paratransit Insurance Company, A Mutual Risk Retention Group

P.O. Box 1330 Montpelier, VT 05601

59175 44130 Tennessee $351,823

PCH Mutual Insurance Company, Inc., A Risk Retention Group

C/O Risk Services

$12,677

PROAIR Risk Retention Group, Inc.

1800 Second Street, Suite 909E Sarasota, FL 34236-5998

374424 13179 Nevada $7,393

Probuilders Specialty Insurance Company, RRG, A Risk Retention Group

C/O NationsBuilders Ins. Svcs., Inc. 2859 Paces Ferry Rd., Suite 1900 Atlanta, GA 30339

-0-

Residential Insurance Company, Inc., A Risk Retention Group

10375 E. Harvard Avenue, Suite 100 Denver, CO 80231

217678 10691 Hawaii $3,444

Restoration Risk Retention Group, Inc.

C/O Risk Services

(5)

RISK RETENTION GROUPS

DECEMBER 31, 2011

DOMICILE

NEBRASKA PREMIUMS WRITTEN Scaffold Industry Insurance Company Risk Retention Group, Inc.

1620 Providence Road Towson, MD 21286

-0-

Security America Risk Retention Group, Inc.

P. O. Box 530

Burlington, VT 05402-0530

307334 11267 Vermont $5,348

Spirit Mountain Insurance Company Risk Retention Group, Inc.

C/O Risk Services

$24,053

St. Charles Insurance Company Risk Retention Group

280384 11114 South

Carolina

$10,727

State Capitol Insurance Risk Retention Group, Inc.

5430 W Sahara Ave Las Vegas, NV 89146

407085 13993 Nevada $4,228

States Self-Insurers Risk Retention Group, Inc.

222 South Ninth Street, Suite 1300 Minneapolis, MN 55402-3332

71435 44075 Vermont $624,119

STICO Mutual Insurance Company, A Risk Retention Group

76 St. Paul Street, Suite 500 Burlington, VT 05401-4477

295779 10476 Vermont -0-

Terra Insurance Company, A Risk Retention Group

P.O. Box 306

Montpelier, VT 05601

72579 10113 Vermont -0-

Titan Insurance Company, Inc., A Risk Retention Group

287537 11153 South

Carolina

$3,747,314

Title Industry Assurance Company, A Risk Retention Group

C/O Aon Insurance Managers (USA), Inc. 76 St. Paul Street, Suite 500

Burlington, VT 05401

72675 10084 Vermont $84,437

United Educators Insurance, A Reciprocal Risk Retention Group

2 Wisconsin Circle, 4th Floor Chevy Chase, MD 20815

76240 10020 Vermont $916,864

Urgent Care Assurance Company Risk Retention Group

1800 Second Street, 900 E Sarasota, FL 34236

405876 12915 Nevada -0-

Vehicular Service Insurance Company, Risk Retention Group

2007 Poole Drive, Suite D Huntsville, AL 35810

333752 11063 Oklahoma -0-

Western Pacific Mutual Insurance Company Risk Retention Group

9265 Madras Court Littleton, CO 80130

80575 40940 Colorado $2,567