2004 annual report [2004]

Georgia Department of Insurance John W. Oxendine, Commissioner
2004
Annual Report

OFFICE OF INSURANCE AND SAFETY FIRE COMMISSIONER

JOHN W. OXENDINE COMMISSIONER OF INSURANCE SAFETY FIRE COMMISSIONER INDUSTRIAL LOAN COMMISSIONER
COMPTROLLER GENERAL

SEVENTH FLOOR, WEST TOWER FLOYD BUILDING
2 MARTIN LUTHER KING, JR. DRIVE ATLANTA, GEORGIA 30334
404-656-2056 TTD# 404-656-4031

Members of the General Assembly:
Pursuant to O.C.G.A. 33-2-8, it is my pleasure to submit this Annual Report of the Georgia Commissioner of Insurance. Herein are summarized events and activities for calendar year 2004. A Supplement Report on Property and Casualty Insurance and a Report of Private Review Agents are also included.
It is my hope that these reports will provide you with valuable insight into the operations of the Office of Commissioner of Insurance. I look forward to working with you to serve the needs of the citizens of Georgia.
With warmest personal regards, I remain
Sincerely,

John W. Oxendine Commissioner of Insurance

THE OFFICE OF INSURANCE AND SAFETY FIRE COMMISSIONER DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR DISABILITY IN EMPLOYMENT OR THE PROVISION OF PROGRAMS OR SERVICES

Our Mission

Our Vision

The mission of the Office of Commissioner of Insurance is to ensure that the public's interests are served through professional oversight of regulated industries, consumer protection, and broad-based educational activities.

John W. Oxendine Insurance and Safety Fire Commissioner

Our vision is to have a well-trained workforce using state-of-the-art technology to facilitate professional regulation, greater coordination and uniformity among state regulators, and greater public access to services and information that result in a more firesafe environment and a consumerfriendly, competitive marketplace for insurance and small loan products.

Georgia Department of Insurance

2004 Annual Report

Table of Contents
Department Budget ................................................................................................................................... 5 Division Functions/Responsibilities ....................................................................................................... 6
Agents Licensing Division ...................................................................................................................... 6 Consumer Services Division ................................................................................................................... 6 Enforcement Division ............................................................................................................................. 7 Industrial Loan Division .......................................................................................................................... 7 Life and Health Division ......................................................................................................................... 8 Property and Casualty Division .............................................................................................................. 8 Regulatory Services Division ................................................................................................................. 8 Examinations Section ............................................................................................................................. 9 Premium Tax .......................................................................................................................................... 9 Safety Fire Division, Office of State Fire Marshal ................................................................................ 9 Public Education ....................................................................................................................................10 2004 Legislation Summary ...................................................................................................................... 11 Property and Casualty Supplemental Report .......................................................................................12 Private Review Agents Report ...............................................................................................................15 Regulatory Data ........................................................................................................................................18 Provider-Sponsored Health Care Corporations, as of December 31, 2004 ..........................................19 HMO Financials, as of December 31, 2004 ..........................................................................................20 Hospitals, Medical and Dental Service or Indemnity Corporations, as of December 31, 2004 ............21 Automobile Self-Insurers, as of December 31, 2004 ............................................................................22 Licensed Farmers' Mutual Fire Insurance Companies, as of December 31, 2004 ...............................23 Licensed Workers' Compensation Group Self-Insurance Funds, as of December 31, 2004 ................24 Domestic Life and Health Companies, as of December 31, 2004 ........................................................26 Foreign Life and Health Companies, as of December 31, 2004 ...........................................................27 Domestic Property and Casualty Companies, as of December 31, 2004 .............................................41 Foreign Property and Casualty Companies, as of December 31, 2004 .................................................43 Premium Finance Companies, as of December 31, 2004 .....................................................................64 Licensed Interlocal Risk Management Agencies, as of December 31, 2004 ........................................66 Risk Purchasing Groups, as of December 31, 2004 ..............................................................................67 Risk Retention Groups,as of December 31, 2004 .................................................................................73 Licensed Georgia Captives, as of December 31, 2004 .........................................................................75 Third Party Administrators, as of December 31, 2004 ..........................................................................76 Licensed Title Insurers, as of December 31, 2004 ................................................................................81

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Departmental Budget
Statement of Funds Available and Expenditures
Compared to Budget Fund Year Ended June 30, 2004

Funds Available

Budget

Actual

Variance

Revenues State Appropriation Federal Revenues Other Revenues Retained
Total revenues

$16,427,511.00 $952,607.00 $165,650.00
$17,545,768.00

$16,427,511.00 $853,032.57 $129,428.05
$17,409,971.62

$0.00 ($99,574.43) ($36,221.95) ($135,796.38)

Carryover from Prior Year Transfer from Reserved Fund Balance

$0.00

$38,001.22

$38,001.22

Total Funds Available

$17,545,768.00 $17,447,972.84 ($97,795.16)

Expenditures Personal Services Regular Operating Expenses Travel Motor Vehicle Purchases Equipment Computer Charges Real Estate Rental Telecommunications Per Diem, Fees and Contracts

$14,968,455.00 $745,005.00 $433,030.00 $80,176.00 $33,331.00 $224,001.00 $622,028.00 $353,700.00 $86,042.00

$14,343,375.27 $707,227.21 $370,160.13 $51,422.36 $33,170.00 $225,409.43 $622,027.44 $257,691.26 $54,753.91

$625,079.73 $37,777.79 $62,869.87 $28,753.64 $161.00 ($1,408.43) $0.56 $96,008.74 $31,288.09

Total Expenditures

$17,545,768.00 $16,665,237.01 $880,530.99

Excess of funds available over expenditures

$782,735.83

782,735.83

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Division Functions & Responsibilities

AGENTS LICENSING DIVISION
The Agents Licensing Division is responsible for the licensure, maintenance, and renewal of licenses for:
resident and nonresident agents (for any line or subline of life, accident and sickness, property, casualty, surety and allied lines, variable annuity, and variable life) and counselors;
adjusters (crop, hail, company, independent, and public), limited subagents (for any line or sub-line of life, accident and sickness, property, casualty, surety and allied lines); and
surplus line brokers.
The division received 22,933 applications for resident licenses and 17,781 applications for non-resident licenses in 2004. Resident applicants for licensure are reviewed to determine if the appropriate prelicensing education has been completed. Non-resident applicants are reviewed for proper documentation of licensure in their state of residence and for reciprocity with that state.
All applicants for licensure are screened through the National Association of Insurance Commissioners' database to determine if the applicant has had regulatory action taken in another state. If regulatory action is discovered, the applicant is referred to the Enforcement Division for further investigation.
The division maintains licenses for more than 86,624 licensees, each of whom is required to file for renewal annually. Resident renewals are reviewed to determine if the continuing education requirement has been satisfied; non-residents are reviewed for proper documentation of continued licensure in their home state.
All entities wishing to offer pre-licensing and continuing education courses must be preapproved by the Agents Licensing Division, and all courses and instructors are required to file for approval annually. The department

approved 90 new education providers and renewed 496 providers. In addition, the department approved 7,193 instructors and approved 1,862 courses. In accordance with Georgia law, all agents are required to be appointed by each insurance company with which they conduct business. The section receives, reviews, and issues more than 128,760 new certificates of authority each year. Each certificate of authority must be renewed by the insurance company annually. The section processes more than 440,000 certificate of authority renewals each year.
All insurance agencies domiciled in Georgia are required to register annually with theAgents Licensing Division. Currently, there are 6,523 registered agencies. All insurers are required to register their staff adjusters each year. Currently 10,743 staff adjusters are on file with the section. The division also provides status/clearance letters to individuals who are applying for licensure in another state. The section receives, reviews, and processes more than 13,800 letters annually.
Agents Licensing coordinates testing activities with private companies contracted to administer the state insurance examinations. All examination results are submitted to the section for review (to determine if proper licensing paperwork has been received), conversion, and processing. The division reviews and processes an average of 10,000 examination records each year. It communicates with the public and insurance industry regarding laws, regulations, reciprocal agreements, license status, and provides license data in the form of printouts and computer tapes. The division also works with other states to provide licensing reciprocity where applicable.
CONSUMER SERVICES DIVISION
The Consumer Services Division is the investigative arm of the Department of Insurance and attempts to ensure fair and equitable dealings between insurers, agents, and policyholders regarding all insurance transactions. This division receives all complaints against agents or insurers.

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Action by this division can be initiated by a written complaint, a personal visit to the Atlanta office, or a meeting with one of the division's field insurance investigators who travel throughout the state. Any inquiry that requires additional information or that appears to be a complaint is made into an investigation file. The file is then assigned to an insurance investigator qualified to conduct the particular type of investigation involved. The investigator gathers all available data necessary to properly analyze and evaluate the problem or claim. The division frequently holds an informal conference between complainants and company adjusters, agents, or underwriters regarding the problem in question. These conferences often bring about an amiable settlement.

administrative actions against licensees and unauthorized entities which are believed to be in violation of the Georgia Insurance Code, the Safety Fire Code, and the Industrial Loan Code.
The Legal section represents the Department in administrative hearings.
In addition to hearings related to proposed administrative actions, the Division represents the Department in administrative challenges to actions taken, including but not limited to, license applicants, rate and form filings made by companies, and insurance company holding act hearings.

The division strives to assist every citizen with every kind of problem or question he or she might encounter in reference to insurance. An honest and frank opinion is furnished every policyholder as to his or her rights and responsibilities under the insurance contract.
The Consumer Services Division actively participates in thirdparty liability claims in order to ascertain whether the insurance company has conducted its affairs within good businesslike insurance principles and has acted in good faith. It attempts to verify that all insurance matters handled by insurance company personnel, independent adjusters, and insurance agents have been handled fairly and equitably.
The division must be constantly alert for violations of the Unfair Trade Practices Act and investigate any apparent violations of this law. If an investigation discloses misrepresentation or any other unfair trade practice, the facts are submitted to the Commissioner for his decision as to the course of action that the department will take.

The Investigations section is responsible for investigations related to suspected insurance fraud and arson. The fraud unit's special agents actively pursue suspects who misappropriate insurance premiums, who obtain insurance proceeds by fraud, or who sell fake insurance. The arson unit's criminal investigators investigate crimes against persons and property damaged by fire.
Investigations works closely with district attorneys across the State to prosecute insurance crimes. They have beensuccessful in obtaining restitution for victims of insurance crimes and for incarceration of criminals.
INDUSTRIAL LOAN DIVISION
The Industrial Loan Division is responsible for licensing and regulating the small loan industry in Georgia. These businesses are licensed under the Georgia Industrial Loan Act to lend cash to consumers in amounts not exceeding $3,000 and for a period not exceeding 36 months, and 15 days.

Last year the division's representatives helped consumers and businesses recover almost $15 million in claims and premium refunds. The division takes calls Monday through Friday from 8 a.m. to 7 p.m.
THE ENFORCEMENT DIVISION
The Enforcement Division includes an Investigations section and Legal section.
The Legal section is responsible for advising the Department on legal issues related to Georgia's insurance, safety fire, and industrial loan laws and regulations. The Legal section makes recommendations and drafts orders for proposed

An industrial loan company applicant must meet three requirements to be licensed: (1) possess a net worth of at least $75,000; (2) be of good character; (3) meet the convenience and advantage criteria of the Industrial Loan Act (i.e., prove that the community needs this service). There are more than 1,000 industrial loan offices licensed in the state.
Loan offices are audited by the Industrial Loan Division to ensure that lenders are in compliance with the laws and rules and regulations. These examinations, as required by statute, are purely for the benefit of the borrowers and are not directed toward examining the financial stability of the lender. However, the division does require that each loan office file

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an annual financial statement.
The division also furnishes a complaint service to the citizens of Georgia. Complaints may be lodged in writing, in person, or by phone. Each complaint is answered or investigated, and action is taken where appropriate.
LIFE AND HEALTH DIVISION
The Life and Health Division works directly with insurers and insurance company product rate filings. It is responsible for solving both technical and practical problems in regulation of insurers through oversight of life and health insurance policy contracts issued in Georgia.
The Life and Health Division also contains a Utilization Review Section and a Managed Care Section. These two sections deal with managed care utilization review, help resolve medical provider and payor claims issues, and conduct educational and outreach programs regarding claims filing and paying practices.
The Division's responsibilities include, but are not limited to: Analysis of life insurance, annuity, credit insurance and health insurance policy forms to determine compliance with applicable insurance law, rules and regulations; Disapproval of policy forms which contain inconsistent, ambiguous, misleading, deceptive, unfair, or inequitable provisions; Review and approval of new or revised premium rates for certain categories of health insurance or credit insurance products and advertisements for Long Term Care and Medicare Supplement Insurance as required by laws or regulations; Certification of managed care insurers under the Patient Protection Act.
The Division's Utilization Review Section is responsible for licensure of Private Review Agents which perform utilization review activities related to health benefit plans covering Georgia residents.
The Division's Managed Care Section works to resolve complex claims problems between health care providers and managed care insurers. This section conducts educational outreach programs to promote better awareness of appropriate claims filing and claims paying practices between respective groups.

PROPERTY AND CASUALTY DIVISION
The primary responsibility of the Property and Casualty Division is to ensure that all property and casualty insurance rates, rules, and forms used in Georgia comply with state law. All property and casualty insurers licensed to operate in Georgia must file all their premium rates, underwriting rules, and policy forms with the Property and Casualty Division. Each year the Property and Casualty Division receives an average of 500 rate and rule filings per month from insurance companies, self-insured trust funds, or rating organizations. Rate filings are evaluated to determine if they meet Georgia's legal standards prohibiting rates that are excessive, inadequate, or unfairly discriminatory.
Georgia licensed insurers must file with the Department of Insurance most property and casualty insurance policy forms and endorsements at least 90 days prior to their effective dates. The Property and Casualty Division receives a monthly average of 365 form and endorsement filings from insurance companies and rating organizations. All property and casualty insurance forms and endorsements are subject to prior approval before they can be used by any licensed Georgia insurer.
The division also regulates a number of residual market insurance plans designed to provide coverage to insureds unable to obtain insurance voluntarily from licensed insurers writing certain lines of insurance in Georgia. Every Georgia licensed insurer writing automobile, property, or workers' compensation insurance must participate in the applicable residual market plan.
REGULATORY SERVICES DIVISION
The Regulatory Services Division is responsible for licensing insurance companies and ensuring that the licensed companies remain solvent and compliant with all the requirements of Georgia laws and regulations. The division receives and reviews license applications from insurers and other entities and makes recommendations to the Commissioner as to whether the applicant satisfies the necessary requirements. Additionally, any changes to a company's certificate of authority, such as an addition or deletion of a class of business, name change, etc., is performed in the Regulatory Services Division.

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The Regulatory Services Division is also responsible for the financial regulation of licensed insurers and other related entities as prescribed by Georgia law.Accordingly, the division receives and reviews quarterly and annual financial statements and related filings, financial examinations, CPA audits, actuarial opinions, and the holding company disclosure filings. Based on the results of the information provided, the division then makes necessary recommendations to the Commissioner. In some cases, the financial review may also trigger the division to make recommendations for a targeted examination or regulatory action.
Another responsibility of the division is to advise the Commissioner on any proposed mergers, acquisitions, and extraordinary dividend payment requests. The division is also responsible for approving any management, services, accounting, or other type of agreement that an insurer may wish to put into place. Lastly, this division is responsible for the record keeping of more than $200 million in assets that licensed insurers have pledged to the state in the form of security deposits. In addition to the above, the division assists consumers by providing them with financial and licensure information regarding companies doing business in Georgia.

licensed in Georgia. Currently, processing includes the collection of over $300 million in state premium tax revenue and the assessment, collection and distribution of over $350 million in local premium tax revenue. The Premium Tax Division is also responsible for the assessment and collection of the Special Insurance Fraud Fund, which varies with the annual appropriation. In addition, the Premium Tax Division responds to inquiries from various sources regarding tax laws and regulation as well as questions regarding the administration of various tax programs.
OFFICE OF THE SAFETY FIRE COMMISSIONER
As a direct result of the 1946 Winecoff Hotel fire in which 119 people lost their lives, the Georgia Safety Fire Law came into being. The General Assembly enacted legislation relating to fire safety in public buildings and assigned the responsibility for executing the law to the Commissioner of Insurance, who was named ex-officio Safety Fire Commissioner. The law further authorized the appointment of a State Fire Marshal and the creation of the Safety Fire Division of the Office of the Commissioner of Insurance.

THE EXAMINATIONS SECTION
The Examinations Section is comprised of the Market Conduct and Financial Units. The Financial Unit is responsible for conducting examinations on a variety of insurers licensed in Georgia. The focus of each examination is to test their compliance with Georgia law and related rules and regulations of the Department of Insurance, to verify the financial solvency of the insurance companies, and to report on any items of non-compliance or other problems noted.
The Market Conduct Unit is responsible for conducting examinations on a variety of insurers licensed in Georgia. The focus of each examination is to determine the company's compliance with Georgia law and the rules and regulations of the Department of Insurance. The examiners review the company records and market activities and report on any items of non-compliance or other problems noted.
PREMIUM TAX DIVISION
The Premium Tax Division is responsible for ensuring compliance with the insurance premium tax laws, rules and regulations, collecting taxes and processing premium tax returns for all insurance companies and surplus lines brokers

The current responsibilities of the Safety Fire Division also know as the Fire Marshal's Office fall into five main categories: building construction, manufactured housing, hazardous materials, fire investigations and education.
The office enforces fire safety rules and regulations for hotels, multi-family dwellings, schools, day care centers, personal care homes, churches, hospitals, nursing homes, mercantile occupancies, race tracks, and other buildings throughout the state defined in O.C.G.A. 25-2-13. The engineering staff evaluates buildings in the planning and construction stages by reviewing and approving plans. Fire Safety Compliance Officers examine new and existing structures for compliance with safety fire laws, codes and standards.
In conjunction with the federal Department of Housing and Urban Development, the office monitors the Georgia manufactured housing industry to ensure federal HUD compliance for construction and installation of new manufactured homes. Also, this office performs consumer complaint inquiries to assist citizens who are experiencing problems and are unable to secure help from the manufacturer, retailer or installer. Retail lot facilities are inspected to prevent dealer tampering and alterations to manufactured homes.

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Under contract with the Georgia Department of Human Resources, the office conducts the Centers for Medicare & Medicaid Services life safety surveys.
The office issues licenses to traveling carnivals and circuses, sprinkler contractors, racetracks, fire extinguisher companies, special hazard suppression system companies.
The Fire Marshal's Office also regulates the storage, transportation, and handling of various hazardous materials and enforces the blasting act. Regulatory licenses are issued annually for blasters who use explosives, liquefied petroleum gas companies, bulk plant locations, fireworks manufacturing facilities and pyrotechnics companies. Permits are issued for control of anhydrous ammonia, self-service dispensing of motor fuels.
The office requires fire drills in the local school systems and encourages schools, fire departments and community groups to participate in fire prevention education.
PUBLIC SAFETY EDUCATION DIVISION
The Public Safety Education Division is responsible for promoting fire safety education. The division coordinates fire prevention education programs throughout the state such as Junior Fire Marshal, and two Fire Safety Houses. The division coordinates statewide participation in the National Fire Prevention Week activities each October. The Fire Prevention Week activities include a statewide fire drill, statewide poster and essay contests, and annual Fire & Life Safety Awards Luncheon for all winners to be recognized. Additionally, the division has established programs to promote citizen involvement in fire safety education through programs such as Child Day Care Professional fire safety training, Operation Safe Home Smoke Alarm programs and statewide seminars. To assist those individuals working in the fire service or related fields as well as insurance providers and agents, the Public Safety Education Division publishes "Fire Wire" and the "Insurance Facts," which contain valuable educational and informational materials.

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2004 Legislative Summary

SB 608

HB 1499

This Act authorizes the use of national standards for quality certification in the granting, maintenance, denial, and revocation of certificates of authority of health maintenance organizations. This Act amends O.C.G.A. Sections 33-21-3, 33-21-5, 3321-9, 33-21-17, 33-21-18, and 33-21-20 and enacts O.C.G.A. Section 33-21-20.1.

This Act reduces the amount of advance payment for motor vehicle liability insurance from the first 60 days of coverage to the first 30 days of coverage.
The Act amends O.C.G.A. Section 33-34-3.
Effective January 1, 2005.

Effective May 13, 2004.

HB 539

This Act revises the method of calculating the minimum nonforfeiture amounts for individual deferred annuities, authorizes the Commissioner of Insurance to set rates by rule and regulation, and provides for a range for such interest rates.
The Act amends O.C.G.A. Sections 33-28-3.
Effective July 1, 2005.

HB 547

ThisAct removes certain limitations and conditions concerning the prohibition on insurance premium surcharges for public safety employees who are involved in automobile accidents.
The Act amends O.C.G.A. Section 33-9-39.
Effective May 13, 2004.

HB 1263

This Act provides for service by electronic mail of certain orders and notices of the Commissioner of Insurance, corrects a penalty provision concerning insurance fraud, and defines the term "claim against a policy." The Act amends O.C.G.A. Sections 33-1-9, 33-2-10, and 33-24-46.
Effective May 13, 2004.

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Property & Casualty Supplemental Report

SECTION XVI: SUPPLEMENTAL REPORT ON PROPERTY AND CASUALTY INSURANCE
Pursuant to O.C.G.A. 33-2-8.1, the following is the Office of Commissioner of Insurance Supplemental Report on Property and Casualty Insurance. Included in this report is an evaluation of insurance coverages considered by the Commissioner to be unavailable or unaffordable and consumer information regarding market assistance programs and joint underwriting associations. The report also includes a summary of actions taken by the Department on personal lines property and casualty insurance rate filings that resulted in the filing of lower rates by insurance companies and an estimate of the amount of money saved by consumers as a result of such actions. Lastly, the Supplement Report provides a listing of those insurers which are in formal rehabilitation, liquidation, or conservatorship.
UNAVAILABILITY AND UNAFFORDABILITY
Commercial Lines
Insurance coverage continues to be available and affordable for most of the commercial lines or classes of business listed in O.C.G.A. 33-2-8.1(d), with the exception of the medical malpractice line.
The commercial lines market stabilized during the 2004 calendar year. Competition for specific accounts, pricing stability, and an increased appetite for risk became more evident during the progression of the year. In fact, the extended hard market may be at an end. The hard market began as a market correction to reduce deficiencies caused by rising reinsurance costs, falling returns on invested assets, and an inattention to prudent underwriting practices. The impact of the market correction was significantly compounded by the magnitude of the September 11, 2001 tragedy and the uncertainty that followed.
The Terrorism Risk Insurance Act of 2002 (Act) is one factor associated with the market's recovery. This bill provided for

a temporary federal program for public and private compensation for insured commercial property and casualty losses resulting from terrorism as defined by the Act. The Act mandated the offering of terrorism coverage to commercial risks with the insureds option to decline coverage. Workers' compensation coverage was not included in the Act since terrorism cannot be excluded in that particular line of insurance. The Act provided for reimbursement for terrorism losses after certain deductibles are met and also established a maximum cap on terrorism losses for the industry.
The Act provided insurers with the means to predict the probable maximum loss and to continue to provide coverage that was vital to economic growth. Unless renewed, the Act will expire on December 31, 2005. At this time, there does not appear to be sufficient capacity or appetite for the private markets to assume the terrorism exposure.
The reason insurers are becoming more competitive can be attributed to the return to basic underwriting fundamentals and pricing for the exposure assumed. This discipline helped produce the first underwriting profit for the United States property and casualty industry since 1978. More competitive pricing and coverage options are expected in the near future unless catastrophic losses, both man-made and natural, erode the potential for profits and reduce the capacity in the insurance and reinsurance markets.
The cause of the availability and affordability problems for medical malpractice is not attributed to the September 11, 2001 tragedy, although these events may have had an impact on the countrywide magnitude of the problem. The primary cause of the problem is loss experience in Georgia and countrywide. The erosion in loss experience has been attributed to larger legal judgments or settlements along with minimum changes in frequency. Experience for medical malpractice had deteriorated from a 51.6 percent loss ratio in 1996 to a loss ratio of 133.79 percent in 2001 and 122.79 percent in 2002. 2003 and 2004 Georgia loss ratios of 84.5 percent and 70.4 percent, respectively, represent a

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substantial improvement in loss experience. Unfortunately, the improvements are primarily attributed to significant pricing changes that affected the affordability of the products.
Another contributing factor causing availability and affordability problems for medical malpractice was the departure of carriers from the market. One particular carrier, Phico, is currently in receivership, and Georgia's second largest writer in previous years, St. Paul, elected to totally exit the medical malpractice market countrywide. This left many physicians and hospitals searching for coverage. Doctors who were able to remain with their current medical malpractice provider saw modest premium increases. Doctors that had to change carriers experience large premium increases due to the cost of extended reporting endorsements coupled with the effect of the new pricing with the new carrier. Many doctors who had coverage with Phico, St. Paul or other companies no longer writing were absorbed in the non-regulated Surplus Lines market at a tremendous increase in pricing with probably less coverage. Hospitals were especially hard hit by St. Paul's departure as St. Paul insured the majority of the smaller rural hospitals as well as a few large hospitals. It is difficult for doctors with a prior claim to find coverage (as new business) in the admitted markets due to the reduction in capacity and competition. Twelve of the top twenty medical malpractice writers in calendar year 2004 were non-regulated insurers.
Market Assistance Programs and Joint Underwriting Associations
The Market Assistance Program is virtually inactive due to current market conditions according to Mr. Michael Valdez, General Manager of the Georgia Underwriting Association. He estimates there are approximately two or three inquiries a quarter requesting help to find insurance.
Residual market mechanisms exist to assist consumers who are unable to purchase coverage through the voluntary market. Generally, this business is shared among insurance companies in two ways: (1) through direct assignment of individual applicants or (2) through insurance pooling agreements. There are three major residual market mechanisms operating in Georgia to assist consumers in obtaining coverage: The Georgia Automobile Insurance Plan, The Workers' Compensation Assigned Risk Plan, and the Fair Plan for property insurance.

The Georgia Automobile Insurance Plan
The Georgia Automobile Insurance Plan provides coverage for private passenger risks on an assigned risk basis and for commercial risks under a pooling arrangement with servicing carriers. Individuals may have difficulty obtaining automobile coverage for a variety of reasons, such as a poor driving record. Because obtaining auto liability insurance is mandated by law, the Georgia Automobile Insurance Plan is essential to ensure that individuals can find this coverage. A growing number of nonstandard automobile writers entered the voluntary automobile market in Georgia during the last decade. Consequently, individuals can now find coverage easily and the Automobile Insurance Plan's written premiums are decreasing. In 1989, residual market automobile premium totaled $30,014,000. By 1996, premium had decreased to approximately $3,000,000. Another decrease in premium for calendar year 2001 resulted in premium of approximately $1,225,000. Plan premium experienced a slight increase to $1,657,000 in 2002. Plan premium for 2003 was down to $1,125,513 which is less than 0.1 percent of the market.
The Georgia Workers' Compensation Assigned Risk Plan
The Georgia Workers' Compensation Assigned Risk Plan (Plan) is the residual market for workers' compensation coverage in Georgia. The plan is administered by the National Council on Compensation Insurance, Inc. (NCCI) which is appointed by the Commissioner. NCCI has the responsibility to ensure equity among carriers, conduct a bid process for servicing carriers, make random assignments based on Plan quotas, apply consistent rules, and oversee all financial accounting and reserving functions. Both direct assignment carriers and servicing carriers write workers' compensation insurance in the Plan. If an insurer writes workers' compensation insurance in Georgia, it must participate in the Plan. Participation is based on market share or percentage of written premium.
The Plan is reinsured by all the workers' compensation carriers through a pooling arrangement. This can be accomplished by one of two ways. Carriers, prior to each calendar year, may elect to either request to be a direct assignment carrier, subject to the Commissioner's approval, or companies may participate in the pooling arrangement, where they could be subject to assessments if the business produced through the pooling arrangement operates at an ultimate loss. The business produced through the pooling

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arrangement is written by servicing carriers, which are chosen through a bid process conducted by NCCI and approved by the Commissioner. The servicing carriers are subject to predetermined service levels and are audited by NCCI to ensure compliance. A carrier may choose to be a direct assignment carrier, receiving quota requirements straight from NCCI, and then writing the policy as if it was one of their own. There is no reinsurance provided through the Plan to direct assignment carriers. The company is responsible for this policy just as if it were written voluntarily.
The Georgia Workers' Compensation Assigned Risk Plan (GWCARP) experienced an increase in volume during the past few calendar years until 2004 when premium volume began to decrease. For plan years 2002 and 2003, the volume rose from $62 million to $72 million, respectively. The Plan volume reached a maximum during 2004 with $83 million, but volume has been steadily declining since March of 2004 and is currently at $78 million. The plan grew rapidly during Plan years 2001 and 2002. This can be directly attributed to the insolvency of Legion and Reliance, both Pennsylvania domestics. In spite of the past growth in volume in the GWCARP, Georgia is still below the national average in residual market marketshare, as Georgia's share is 7.8 percent compared to the national average of 12.2 percent.
The Fair Plan
The Fair Plan assists consumers who may have difficulty in obtaining insurance for their homes or commercial property. Since lienholders require insurance coverage to protect their interests, the Fair Plan is essential to these individuals. The Fair Plan grew steadily from 1991 to 1998, with written premium increasing from $2,657,556 to $10,684,277, respectively. For the period 1998 to 2002, the premium volume stabilized as demonstrated by the calendar year 2000 premium volume of $10,201,713 and calendar year 2001 premium volume of $10,542,309. For the 2002 and 2003 Plan years, premium rose to $13,144,818 and $16,136,000, respectively. 2004 premiums only grew by 4 percent. While the market share of the Fair Plan, as compared to total market, is negligible, it continues to be an important source of insurance coverage.

coverage to the benefit of consumers. The 2002 Homeowners premium made up 44% of the Plan's volume.
Actions resulting in the filing of lower rates
O.C.G.A. 33-2-8.1(f) requires a summary of "actions taken by the department on personal lines property and casualty filings that result in the filing of lower rates by insurance companies and estimates of the amount of money saved by consumers as a result of such actions." Personal lines coverages include private passenger automobile, homeowners, dwelling fire, personal umbrella and other miscellaneous coverages. Actions on filings may be separated into three (3) categories: (1) approval/ acknowledgement of rate decreases, (2) negotiating with companies to lower the amount of requested rate increase or increase the amount of a requested decrease, and (3) disapproval of increases.
Of the personal lines filings received during 2004, the Department approved or acknowledged twenty-seven (27) rate decreases, resulting in savings of $22,743,921 for Georgia consumers when compared to previously filed rates. The department negotiated rate changes lower than companies requested on thirty-one (31) filings, resulting in savings of $12,929,806 when compared to requested rate changes. The Department disapproved four (4) filings saving the consumers an additional $1,629,393. The personal lines savings resulting from the actions of this Department for 2004 was $37,303,120.

Prior to 1995, the Fair Plan issued only Dwelling Fire and Extended Coverage policies for residential property. These policies offer substantially less coverage than standard Homeowners policies. In 1995, the Fair Plan made a Homeowners policy available which has provided broader

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Private Review Agents Report

2004 Report of Private Review Agents Operating under O.C.G.A. Chapter 33-46

This Report is prepared in order to comply with O.C.G.A. Section 33-46-14 which requires the Commissioner of Insurance to issue an Annual Report to the Governor and the General Assembly concerning the conduct of utilization review in the state.

Description of Utilization Review Programs For the reporting year of 2004 one hundred eighteen (118) entities were certified in Georgia under the supervision of the Commissioner of Insurance as Private Review Agents, as defined in O.C.G.A. Section 33-46-2(9), performing utilization review activities relating to the provision of medical care. In 2004, Private Review Agents reported that their utilization review services were either performed for or available to plans covering some 9,769,064 lives, including an estimated 7,200,000 Georgians.
Utilization review programs within the state are classified into six (6) major categories i.e., Medical, Surgical, Chiropractic, Maternity, Chemical Dependency/Substance Abuse, Mental Health, and Other. Within these six (6) categories, Private Review Agents provided such utilization review services as:

"Prospective Review, in which a proposed schedule of treatment, including patient care, discharge plans, policies, or procedures that specify how care will be provided, is evaluated;
Concurrent Review, in which routine medical procedures are monitored during the course of hospitalization or treatment to ensure that appropriate care is delivered; and
Retrospective Review, in which audits of selected medical records help payers assure that appropriate care was provided and billed. " 1
There is one more utilization review service type entitled "other" which includes those reviews which may not be directly related to medical necessity or appropriateness, such as benefit determination reviews.
2004 Report of Private Review Agents Page two

An analysis of these utilization review programs is detailed below:

BENEFITREVIEWPROGRAM TYPE
MEDICAL SURGERY CHIROPRACTIC MATERNITY CHEMICAL DEPENDENCY MENTAL HEALTH OTHER

%OFPRIVATE REVIEWAGENTS OFFERINGTHISTYPE OFREVIEWPROGRAM

% CASES OF THIS TYPE REVIEWED

74%

30%

72%

22%

23%

3%

56%

3%

57%

2%

60%

15%

55%

25%

An analysis of the utilization review services performed are detailed below:

Georgia Department of Insurance

15

2004 Annual Report

SERVICE PERFORMED
PROSPECTIVE REVIEW CONCURRENT REVIEW RETROSPECTIVE REVIEW OTHER

% OF PRIVATE REVIEWAGENTS PERFORMING SERVICE 93% 83% 71% 13%

NUMBER OF REVIEW SERVICES PERFORMED IN 2004
562,265 408,760 225,073
4,996

Private Review Agents operating in the state reported authorization of 324,843 hospital admissions for acute care in 2004.
Analysis of Complaints Filed Against Private Review Agents Reporting required by Private Review Agents on non-clinical (administrative or paperwork rather than medical issues) consumer complaints regarding utilization review indicates that complaints are few in relation to the 7.2 million reported Georgians covered and the 1,201,094 review services performed. A separate review of actual consumer complaint records handled through the Consumer Services Division of the Office of Commissioner of Insurance indicates that there is no statistically significant level of amounts or types of complaints regarding utilization review as administered by Private Review Agents. These findings are consistent with our analysis of the last few years.
Evaluation of Impact of Utilization Review Programs on Patient Access to Care Private Review Agents who provide utilization review programs in the state continue to perform services for health care insurers involving significant numbers of Georgia insureds in the administration of health insurance plans in Georgia in compliance with the legislative purposes and intent as stated in O.C.G.A. Section 33-46-1(a).
The number of covered lives, the frequency of most review types performed, the diversity of utilization review programs offered, and the extremely low levels of consumer complaints in relation to these indicate that utilization review activities in this state are being administered by Private Review Agents in compliance with O.C.G.A. Chapter 33-46 and the Rules and Regulations promulgated by the Commissioner of Insurance. According to the data reviewed in the annual reports filed by Private Review Agents, we conclude that utilization review programs do not impair patient access to care.

.............................. 1 Fazen, Ph.D., Marianne F. Managed Care Desk Reference: The Complete Guide to Terminology and Resources. Reston: St. Anthony's Publishing, Inc., 1996.
Appendix A

Comparison of Selected Private Review Agent Data by Years 1996 through 2004

SERVICE PERFORMED

Prospective Review Concurrent Review Retrospective Review Other

1996 156,999 144,872 10,309 11,575

Prospective Review Concurrent Review Retrospective Review Other

2001 27,756 304,086 109,734 6,472

NUMBER OF REVIEW SERVICES PERFORMED IN YEAR

1997 276,190 232,230 13,134 17,054

1998 420,266 330,781 21,723 61,693

1999 671,268 334,961 43,933 8,336

2000 1,197,281 209,754 33,970 10,236

2002 777,168 545,846 119,949 18,352

2003 626,714 583,447 76,673 6,524

2004 562,265 408,760 225,073 4,996

Georgia Department of Insurance

16

2004 Annual Report

GEORGIA- COVERED LIVES

1996 1,265,083

1997 2,189,910

1998 4,629,058

2003 7,100,000

2004 7,200,000

HOSPITAL ADMISSIONS

1996 158,795

1997 132,608

1998 254,222

2003 270,091

2004 327,843

1999 4,480,731
1999 342,944

2000 5,331,792
2000 257,644

2001 6,161,702
2001 253,782

2002 6,800,000
2002 269,698

REVIEW SERVICES PERFORMED

1996 323,755

1997 538,608

1998 834,463

2003 1,293,119

2004 1,201,094

1999 1,058,498

2000 1,451,241

2001 1,148,048

2002 1,461,315

Georgia Department of Insurance

17

2004 Annual Report

Regulatory Data
Provider-sponsored Health Care Corporations, as of December 31, 2004 HMO Financials, as of December 31, 2004 Hospitals, Medical and Dental Service or Indemnity Corporations, as of December 31, 2004 Automobile Self-insurers, as of December 31, 2004 Licensed Farmers' Mutual Fire Insurance Companies, as of December 31, 2004 Licensed Workers' Compensation Group Self-insurance Funds, as of December 31, 2004 Domestic Life and Health Companies, as of December 31, 2004 Foreign Life and Health Companies, as of December 31, 2004 Domestic Property and Casualty Companies, as of December 31, 2004 Foreign Property and Casualty Companies, as of December 31, 2004 Premium Finance Companies, as of December 31, 2004 Licensed Interlocal Risk Management Agencies, as of December 31, 2004 Risk Purchasing Groups, as of December 31, 2004 Risk Retention Groups, as of December 31, 2004 Licensed Georgia Captives, as of December 31, 2004 Third Party Administrators, as of December 31, 2004 Licensed Title Insurers, as of December 31, 2004

Georgia Department of Insurance

18

2004 Annual Report

Georgia Department of Insurance

Provider-Sponsored Health Care Corporations

(Source: 2004 Health Annual Statements, Reporting Entities Only)

COMPANY NAME
ALLIANT HEALTH PLANS, INC. EVERGREEN HEALTH PLAN, INC. MEMORIAL PROHEALTH, INC. TOTALS

Assets
10,566,400 7,759,496 0 $18,325,896

Liabilities
4,943,461 3,631,895 0 $8,575,356

Net Worth
5,622,939 4,127,601 0 $9,750,540

Premium Revenue
28,114,960 27,301,585 0 $55,416,545

Total Revenues
28,114,960 27,301,585 0 $55,416,545

Net Income (Loss)
1,508,595 1,320,787 0 $2,829,382

19

2004 Annual Report

Georgia Department of Insurance

HMO Financials

COMPANY NAME
AETNA HEALTH, INC. ATHENS AREA HEALTH
PLAN SELECT, INC. BLUE CROSS & BLUE SHIELD
HEALTHCARE OF GA CIGNA HEALTHCARE OF
HEALTHCARE, INC. COVENTRY HEALTH CARE OF GA, INC. HEALTHCARE, INC. HUMANA EMPLOYERS HEALTH
PLAN OF GA, INC. KAISER FOUNDATION HEALTH PLAN OF GEORGIA ONE HEALTH PLAN OF GEORGIA, INC. PROMINA HEALTH PLAN, INC. UNITED HEALTHCARE OF GA, INC.
TOTALS

Assets
110,156,709 12,895,156
235,115,990
44,773,415
24,596,159 12,852,421 21,658,101
163,080,091
14,390,674 4,028,712 59,891,174 $703,438,602

Liabilities
53,816,741 5,250,265
148,484,077
27,595,225
12,352,191 7,175,751 16,662,961
102,031,186
3,260,609 833,273 26,188,262 $403,650,541

Net Worth
56,339,968 7,644,891
86,631,914
17,178,190
12,243,969 5,676,670 4,995,141
61,048,905
11,130,065 3,195,439 33,702,912 $299,788,064

Premium Revenue
323,946,156 34,461,013
1,304,781,190
105,831,797
75,757,025 44,332,779 43,500,924
544,960,082
12,080,996 0 199,401,055 $2,689,053,017

Total Revenues
323,946,156 35,951,366
1,302,423,050
105,870,631
76,603,757 44,690,166 43,500,924
675,038,860
12,080,996 0 199,444,393 $2,819,550,299

Net Income (Loss)
5,366,266 (5,378,878)
19,047,647
3,716,374
2,450,871 1,137,637 (10,547,295)
8,219,038
1,031,208 (384,758) 7,572,513 $32,230,623

20

2004 Annual Report

Georgia Department of Insurance

Hospitals, Medical & Dental Service or Indemnity Corps

COMPANY NAME

Assets

Liabilities Net Worth Premium Revenue Total Revenues

Blue Cross and Blue Shield of Georgia, Inc. 1,022,036,896 615,062,828

406,974,068

2,259,215,710

2,260,160,387

TOTALS

$1,022,036,896 $615,062,828 $406,974,068 $2,259,215,710

$2,260,160,387

Net Income (Loss)
151,262,977 $151,262,977

21

2004 Annual Report

Georgia Department of Insurance

Automobile Self Insurers

NAME 1 ABETTERWAY RENTACAR 2 ALAMO RENTA CAR 3 ATLANTAGAS LIGHT (AGL Resources, Inc.) 4 ATLANTA METRO TAXICAB GROUP** 5 AVIS, INC. 6 BELLSOUTH TELECOMMUNICATIONS 7 C.W. MATTHEWS CONTRACTING 8 ENTERPRISE RENTA CAR - TENNESSEE 9 ENTERPRISE LEASING CO. - A FLORIDA CORP 10 ENTERPRISE LEASING CO. - SOUTH CENTRAL 11 ENTERPRISE LEASING CO. - SOUTHEAST 12 ENTERPRISE LEASING CO. OF GA 13 GEORGIA POWER COMPANY 14 HERTZ CORPORATION 15 HERTZ VEHICLES LLC 16 LIGHTNIN'TRUCK RENTALS 17 MARTA 18 MORGAN AUTO PARTS 19 NATIONAL CAR RENTAL SYSTEM * 20 NATIONAL SERVICE INDUSTRIES 21 PRIME SALES AND LEASING, INC. 22 RENTAL CAR FINANCE CORP. 23 SAVANNAH ELECTRIC & POWER 24 WINN-DIXIE STORES, INC.
TOTALS

LICENSED 1987 1992 1932 1968 1987 1992 1980 2000 2001 2000 2000 1987 1970 1974 2002 1986 1973 1989 1986 1979 1989 2004 1996 1975

VEHICLES 2,549 5,713 921 303 6,606 5,686 516 44 41 2,001 2,039 17,710 4,618 6,016 6,671 325 1,106 15 24 97 39 3,354 194 278 66,866

INSURER No No No Yes No No No No No No No No No No No No No No No No No No No No

22

2004 Annual Report

Georgia Department of Insurance

Licensed Farmers' Mutual Fire Insurance Companies

GID#

1

1285

2

2645

3

2655

4

2695

5

2715

6

2725

7

3145

8

3435

9

3895

10

5495

11

6395

12

6715

13

6735

TOTALS

DATE

NAME

LICENSED

Bartow Mutual Insurance Company

4/2/35

Farmers Co-Operative Insurance Association

2/29/32

Farmers Fire Insurance Co. of Morgan County

11/21/74

Farmers Mutual Insurance Co. of GA

1/5/74

Farmers Mutual Insurance Asso. of GA

6/18/47

Farmers Mutual Insurance Assoc. of Walker County 1/3/74

Free State Cooperative Fire Insurance Co.

1/5/74

Gordon County Mutual Fire & Storm Insurance Co. 1/1/09

Henry County Mutual Fire Insurance Co.

2/4/24

Mutual Menonite Union Aid of GA

10/3/57

Peach Belt Farmers' Mutual Insurance Co.

9/29/64

Planter's Co-Operative Fire Insurance Assoc.

11/27/22

Planters & Peoples Mutual Fire Assoc./ Fulton

8/26/35

ASSETS
706,630 608,827 625,950 197,413 105,503 287,936 293,158 * 253,112 310,164 205,989 273,638
228,186
4,096,506

LIABILITIES
30,958 59,181 44,210 0 16,827 17,033 1,899 * 17,035 44,301 70,466 0
0
301,910

SURPLUS
675,672 549,646 581,740 197,413 88,676 270,903 291,259 * 236,077 265,863 135,523 273,638
228,186
3,794,596

GEORGIA
PREM. WRITTEN
73,667 71,046 53,132 6,438 0 193,696 2,142 * 21,563 69,148 153,261 0
77,492
721,585

23

* The 2004 financial data for this entity is forthcoming

2004 Annual Report

Georgia Department of Insurance

Licensed Workers' Comp Group Self-Insurance Funds

24

SELF INSURED FUND
1 Agri-Trust of GA 2 American Apparel (Administrative Supervision) 3 Association of County Commissioners/GA 4 CompTrust Associated General Contractors 5 ConditionedAirAssociation of GA 6 Construction SuppliersAssociation 7 Dalton Floor Covering Market 8 GEMC WCF 9 GeorgiaAssociation of Convenience Stores 10 GeorgiaAssociation of Petroleum Retailers 11 GeorgiaAutomobile DealersAssociation of GA 12 Georgia Beverage Wholesalers 13 Georgia Education WC Trust 14 Georgia Highway ContractorsAssociation 15 Georgia Hospital Association WCF 16 Georgia Manufacturer WCF 17 Georgia Motor TruckingAssociation WCF 18 Georgia MoversAssociation WCF 19 Georgia MunicipalAssociation WCF 20 Georgia Nursing Home Selective WCF 21 Georgia Oilmen's WCF 22 Georgia Operators' SIF 23 Georgia Retail Merchants' WCF

ADMINISTRATOR

DATE

GA Premium

LICENSED As of 12/31/04

Key Risk Management

11/1/93

AON Risk Services, Inc. 3/11/92

Self

7/1/82

Sedgwick James & Co. of GA 6/8/82

Self

5/1/92

Self

10/1/82

GAAdmin. Svcs, Inc.

12/15/92

Sedgwick James & Co. of GA 10/1/82

First Oglethorpe Company 4/1/92

Program Admin. Specialists, Inc.7/1/92

Stowe Associates

5/1/82

Self

8/1/92

Sedgwick James & Co. of GA 12/1/92

AON Risk Services, Inc. 7/1/90

Allied ClaimsAdmin., Inc. 8/1/86

First Oglethorpe Company 6/30/95

TRM International, Inc.

11/15/90

Sedgwick James & Co. of GA 9/1/92

Self

10/1/82

TIS Healthcare Services

11/1/92

GAAdmin. Services, Inc. 2/1/91

Arthur J Gallagher & Co. 1/1/93

Cannon Cochran

12/1/91

Management Services, Inc.

6,311,528 0 22,055,971 9,013,292 0 4,300,766 0 4,568,644 0 N/A 13,966,456 n/a 6,989,147 0 9,013,931 0 n/a 0 18,387,387 3,540,327 5,884,952 3,340,893 0

SURPLUS
4,209,600 83,357 57,614,670 10,735,465 200,000 2,778,231 64,978 2,149,347 955,562 N/A 13,027,749 Self Dissolved 2,857,956 (20,924) 5,789,445 (171,365) Self Dissolved 252,225 58,031,522 568,563 359,695 1,655,840 716,970

2004 Annual Report

2004 Annual Report

25

Georgia Department of Insurance

24 Georgia School Boards Association WCF 25 Georgia Wholesalers and Retailers WCF 26 GTMA/ AYSA SIWCF 27 MetroAtlanta Landscape & TurfAssociation 28 Printing IndustryAssociation of GA 29 Roofing & Sheet Metal ContractorsAssociation
30 Southeastern Lumber Manufacturers SIF TOTALS

Self

7/1/92

First Oglethorpe Company 12/29/92

Hewitt Coleman &Assoc., Inc. 4/1/92

O'Neal & Routson, Inc.

6/1/94

O'Neal & Routson, Inc.

1/1/93

American Professional

5/1/94

Risk Services, Inc.

Self

10/1/89

3,393,627 0 1,408,621 0 0 2,351,058
0 114,526,600

1,358,423 2,571,096 212,203 156,559 365,965 1,578,391
1,723,049 169,824,572

Georgia Department of Insurance

Domestic Life and Health Companies

COMPANY NAME

Assets

Liabilities

Net Worth

Premium Revenue

ATLANTA LIFE INSURANCE COMPANY

76,389,197

55,083,629

21,305,568

49,242,380

BANKERS FIDELITYLIFE INSURANCE COMPANY 116,206,759

80,714,622

35,492,137

66,784,907

CHEROKEE NATIONALLIFE INSURANCE CO. 36,102,886

27,872,706

8,230,180

24,007,610

COTTON STATES LIFE INSURANCE COMPANY 226,747,690

201,512,024

25,235,666

46,842,218

DELTA LIFE INSURANCE COMPANY

85,279,651

55,760,330

29,519,321

3,794,624

DIRECT LIFE INSURANCE COMPANY

24,485,494

10,086,655

14,398,839

17,825,139

FINANCIALLIFE INSURANCE COMPANYOF GA 11,778,487

4,337,581

7,440,905

0

FRANDISCO LIFE INSURANCE COMPANY

32,528,811

1,475,392

31,053,419

8,319,842

GREATER GEORGIALIFE INSURANCE COMPANY 41,642,844

16,611,244

25,031,600

25,249,710

LIFE INSURANCE COMPANY OF GEORGIA

1,914,821,700 1,804,715,548 110,106,152

118,731,301

LIFE OF THE SOUTH INSURANCE COMPANY 46,024,194

33,355,955

12,668,239

30,741,254

MUNICHAMERICAN REASSURANCE COMPANY 3,344,700,563 2,848,921,399 495,779,164

733,295,134

SENIOR LIFE INSURANCE COMPANY

9,658,225

4,928,044

4,730,181

7,994,205

STATE MUTUAL INSURANCE COMPANY

335,066,765

312,147,492

22,919,273

20,402,730

STERLING INVESTORS LIFE INSURANCE CO.

21,792,897

16,292,046

5,500,851

1,013,869

UNITED FAMILYLIFE INSURANCE COMPANY 981,395,464

128,825,467

852,569,997

1,075,147

TOTALS

$7,304,621,627 $5,602,640,134 $1,701,981,492 $1,155,320,070

Total Revenues Net Income (Loss)

55,067,916

156,016

72,277,733

4,616,441

27,610,815

1,605,805

59,127,170

(6,373,493)

4,687,223

(204,564)

18,404,447

5,234,536

887,502

946,595

9,372,947

3,561,027

26,761,676

4,265,748

234,460,825

8,177,398

50,373,429

271,304

1,089,089,363 1,406,616

8,837,149

7,686

70,912,155

3,282,834

3,329,304

(1,420,317)

10,410,858

8,224,153

$1,741,610,512 $33,757,785

26

2004 Annual Report

Georgia Department of Insurance

Foreign Life and Health Companies

27

COMPANY NAME

GA Premium Revenue

5 Star Life Ins Co

3,299,868

AAA Life Ins Co

968,236

Acacia Life Ins Co

1,111,167

Academy Life Ins Co

2,639,349

Admiral Life Ins Co of America

0

Advance Ins Co

264,798

Advanta Life Ins Co

0

Aetna Health & Life Ins Co

0

Aetna Life Ins Co

236,034,155

AF&L Ins Co

1,273,062

AGL Life Assur Co

280,246

AIG Annuity Ins Co

137,675,127

AIG Life Ins Co

10,211,783

AIG SunAmerica Life Assur Co

49,280,719

Alfa Life Ins Corp

5,196,632

All Savers Ins Co

0

Allianz Life Ins Co Of NorthAmer 386,003,166

Allmerica Financial Life &Annuity 7,177,050

Allstate Assur Co

0

Allstate Life Ins Co

71,852,363

Alta Health & Life Ins Co

3,634,175

AmericanAmicable Life Ins Co Of TX 2,194,817

American Bankers Life Assur Co Of FL19,767,508

American Capitol Ins Co

31,141

American Comm Mut Ins Co

19,869

American Enterprise Life Ins Co

39,777,911

American Equity Invest Life Ins Co 47,901,308

American Family Life Asr Co Columbus140,193,596

American Fidelity Assur Co

22,095,199

Total Assets
138,423,187 246,179,243 1,647,321,330 456,475,034 8,839,602 7,442,341 5,323,756 1,261,186,369 27,017,720,427 138,950,604 1,935,594,520 50,842,157,593 13,584,991,500 29,749,409,623 904,589,275 3,924,600 41,676,313,533 11,533,971,274 11,397,576 72,004,933,498 185,106,084 269,584,953 895,439,784 72,962,851 158,915,014 8,701,154,730 7,960,767,070 49,277,784,452 2,736,842,510

Total Cap. & Surplus
49,318,833 34,482,890 237,312,371 53,234,617 8,700,584 6,589,245 4,786,651 123,980,928 2,448,149,572 (728,622) 11,949,440 3,532,026,966 739,951,211 840,000,528 161,992,040 3,423,400 2,233,968,924 555,629,177 7,626,400 3,655,913,764 68,271,236 40,267,278 131,125,383 5,848,929 87,883,217 525,884,889 608,930,298 2,795,377,172 176,507,508

Net Income (Loss)
1,142,354 (680,618) 50,973,027 5,328,147 135,171 1,230,830 705,248 (4,301,344) 566,362,236 (10,733,600) (443,714) 341,343,385 131,585,076 99,287,985 24,577,418 171,174 502,037,722 79,811,357 512,665 261,879,338 27,502,350 10,577,536 13,206,959 1,497,993 5,761,827 47,380,383 47,041,266 1,174,970,418 25,579,706

2004 Annual Report

2004 Annual Report

28

Georgia Department of Insurance

American Fidelity Life Ins Co

1,226,302

American Financial Security Life

0

American Founders Life Ins Co

616,896

American Gen Assur Co

2,883,418

American Gen Life & Acc Ins Co 122,934,830

American Gen Life Ins Co

76,266,603

American Health & Life Ins Co

6,167,883

American Heritage Life Ins Co

25,458,969

American Income Life Ins Co

5,627,048

American Ins Co Of TX

44,096

American Intl Life Assr Co NY

4,870,242

American Investors Life Ins Co

14,351,240

American Life & Acc Ins Co Of KY 0

American Life Ins Co of NY

197,955

American Maturity Life Ins Co

0

American Medical & Life Ins Co 0

American Medical Security Life InsCo 19,756,720

American Memorial Life Ins Co

9,372,003

American Modern Life Ins Co

374

American Natl Ins Co

24,838,290

American Natl Life Ins Co Of TX 1,578,377

American Network Ins Co

21,754

American Partners Life Ins Co

3,178,032

American Phoenix Life & Reassur Co 0

American Pioneer Life Ins Co

11,633,938

American Public Life Ins Co

1,647,273

American Republic Ins Co

713,871

American Retirement Life Ins Co 0

American Skandia LifeAssur Corp 147,996,786

American Specialty Hlth Ins Co

(6,981)

American States Life Ins Co

898,319

American Travelers Assur Co

4,990,150

American United Life Ins Co

56,470,532

Americo Financial LifeAnnunity Ins 4,987,851

Americom Life &Annuity Ins Co 402,703

Ameritas Life Ins Corp

30,859,130

Ameritas Variable Life Ins Co

5,248,108

452,927,578 2,028,688 503,254,025 1,377,156,007 8,803,379,296 28,386,365,073 1,859,697,518 1,845,260,294 1,295,262,088 5,608,755 8,344,160,309 8,415,201,942 269,879,908 91,484,283 74,234,711 14,008,894 373,348,863 1,344,868,042 60,340,855 12,102,843,152 142,871,452 12,996,449 496,384,559 59,757,511 163,564,634 71,679,399 457,688,426 6,869,341 29,302,347,803 7,869,869 565,443,654 13,362,470 11,548,943,028 2,770,962,799 294,829,433 2,838,688,091 2,441,657,376

74,010,411 3,036,086 1,931,372 (48,313) 31,637,770 (1,529,230) 155,031,895 1,647,680 570,676,202 309,250,157 4,705,496,866 567,252,545 933,714,875 172,991,524 148,551,998 11,240,559 182,032,871 75,153,108 1,949,371 (49,402) 565,892,517 94,673,227 393,320,767 53,893,809 157,094,731 8,264,164 15,925,456 (8,898,529) 37,348,258 877,357 8,164,781 255,343 200,408,720 15,362,659 113,659,324 37,590,571 20,320,532 3,226,582 1,867,665,332 142,022,548 47,995,361 (1,627,912) 8,414,037 226,217 54,987,671 10,650,854 39,329,733 710,140 27,361,994 (6,331,034) 13,119,921 354,202 210,636,404 19,207,184 5,819,662 21,089 399,008,349 101,074,039 7,741,711 (12,224) 81,973,955 23,237,220 8,449,073 (4,183,756) 644,013,638 26,330,000 174,663,481 26,942,478 14,837,482 (2,817,659) 703,776,495 56,618,234 110,884,748 13,054,220

2004 Annual Report

29

Georgia Department of Insurance

Amerus Life Ins Co Amica Life Ins Co Annuity & Life Reassur Amer Inc Annuity Investors Life Ins Co Anthem Life Ins Co Assurity Life Ins Co Aurora Natl Life Assur Co Auto Owners Life Ins Co Aviva Life Ins Co AXA Corp Solutions Life Reins Co AXA Equitable Life Ins Co AXA Life & Annuity Co Balboa Life Ins Co Baltimore Life Ins Co Bankers Life & Cas Co Bankers Life Ins Co Banner Life Ins Co BCS Life Ins Co Beneficial Life Ins Co Benicorp Ins Co Berkshire Hathaway Life Ins Co NE Berkshire Life Ins Co of Amer Best Life And Health Ins Co Boston Mut Life Ins Co Brokers Natl Life Assur Co Business Mens Assur Co Of Amer Canada Life Ins Co Of Amer Capitol Life Ins Co Caterpillar Life Ins Co Celtic Ins Co Central Natl Life Ins Co Omaha Central Reserve Life Ins Co Central Security Life Ins Co Central States H & L Co Of Omaha Central United Life Ins Co Centre Life Ins Co

18,164,969 1,495,830 107,819 786,093 475,171 1,451,849 1,433,655 5,698,275 4,580,219 0 409,826,312 2,338,870 545,991 2,151,621 28,301,339 663,450 13,484,221 114,007 795,633 5,688,684 440,964 4,314,703 432,655 7,645,128 3,887,798 5,677,977 111,705 0 0 5,327,645 32,239 1,297,647 36,529 3,100,794 4,002,824 398,308

6,785,025,168 800,880,223 58,919,695 1,288,150,992 252,461,462 1,103,232,322 3,524,209,732 1,508,270,415 5,210,559,788 640,456,087 105,307,513,612 525,711,549 114,168,160 795,244,533 7,864,419,522 118,828,271 1,172,483,792 155,049,034 2,856,669,693 32,839,420 3,495,458,566 1,772,413,340 18,428,104 747,124,777 24,071,871 2,152,237,178 2,638,027,198 275,698,322 148,451,942 102,112,719 12,111,243 82,894,132 74,884,547 338,323,229 380,512,699 1,696,084,564

351,504,883 79,437,896 128,457,002 10,317,643 10,765,664 (605,806) 48,199,562 (200,847) 63,654,345 5,016,105 107,281,900 10,414,378 263,628,674 (70,318,671) 172,959,240 9,833,632 346,995,724 (6,861,096) 329,784,485 46,735,844 4,331,497,888 564,137,043 85,748,918 7,250,659 84,490,869 7,683,007 46,078,057 8,638,574 418,701,305 27,789,735 7,459,917 984,726 321,428,435 (8,555,477) 69,873,900 5,332,611 233,211,163 26,263,960 18,801,171 4,160,182 566,904,608 (93,663,451) 259,701,525 (172,896) 9,663,765 582,205 67,238,093 4,230,492 13,438,168 2,216,169 146,395,306 14,298,245 173,427,570 (2,489,384) 7,265,337 (4,742,814) 43,095,001 (2,357,814) 48,537,488 5,963,039 11,799,507 189,285 38,319,608 310,743 6,120,560 1,890,719 65,750,646 (15,351,677) 35,436,948 (7,725,188) 70,091,332 (2,736,620)

2004 Annual Report

30

Georgia Department of Insurance

Centurion Life Ins Co Charter Natl Life Ins Co Chase Ins Life and Annuity Co Chase Ins Life Co Chase Life & Annuity Co Chesapeake Life Ins Co Christian Fidelity Life Ins Co Cincinnati Life Ins Co Citicorp Life Ins Co Citizens Security Life Ins Co CM Life Ins Co Colonial Life & Accident Ins Co Colonial Penn Life Ins Co Colorado Bankers Life Ins Co Columbia Universal Life Ins Co Columbian Life Ins Co Columbian Mut Life Ins Co Columbus Life Ins Co Combined Ins Co Of Amer Commercial Travelers Mut Ins Co Commonwealth Dealers Life Ins Co Companion Life Ins Co Compbenefits Ins Co Concord Heritage Life Ins Co Inc Connecticut General Life Ins Co Conseco Health Ins Co Conseco Ins Co Conseco Life Ins Co Conseco Senior Health Ins Co Constitution Life Ins Co Continental American Ins Co Continental Assur Co Continental General Ins Co Continental Life Ins Co Brentwood Corporate Health Ins Co Coventry Health & Life Ins Co Cuna Mut Ins Society

424,586 49,890 11,771,048 7,694,895 4,678 2,511,478 70,851 8,059,943 36,250 1,179,128 25,529,157 36,898,945 5,422,037 653,882 357,327 5,537,827 223,486 1,633,315 24,544,936 662,290 47,129 4,352,604 9,574,987 10,885 106,169,039 5,953,607 997,402 11,847,465 6,538,151 496,056 813,175 13,384,027 19,333,115 11,084,684 4,359,321 8,984,474 49,274,628

1,051,376,093 288,283,390 5,370,134,221 356,850,209 384,564,664 90,201,233 79,602,507 2,155,577,464 1,076,687,776 109,733,414 8,992,243,473 1,504,904,207 774,680,564 114,933,707 26,345,807 231,251,664 318,261,884 2,326,784,630 2,667,827,015 35,161,938 29,750,755 88,379,566 31,056,684 38,828,680 50,665,306,025 1,980,546,226 4,899,708,339 3,951,266,862 3,001,956,606 85,516,848 62,537,226 6,037,735,773 444,667,179 113,166,490 98,055,972 125,863,686 3,124,014,741

854,231,914 8,604,115 399,749,675 96,579,207 104,224,376 25,926,229 20,981,028 438,669,875 863,241,356 10,755,568 396,785,970 294,909,886 36,506,738 14,041,287 11,498,731 24,331,324 39,263,129 261,659,983 839,419,795 10,524,028 5,986,848 51,045,564 20,634,757 5,033,634 2,430,686,215 110,929,112 352,014,320 219,043,150 126,325,798 10,828,788 15,890,128 1,176,699,688 68,966,059 36,611,397 64,348,769 56,348,324 724,660,136

43,910,619 775,400 44,698,325 (2,063,857) 14,481,374 (2,683,241) 2,409,935 28,272,381 29,489,252 1,636,500 24,692,332 104,483,370 13,176,853 2,491,035 3,541,718 (6,911,240) 506,633 6,479,349 166,845,159 1,962,258 1,691,734 6,128,812 7,395,101 (322,690) 815,650,615 3,277,810 18,853,191 20,582,620 (16,395,725) (1,457,695) 2,697,864 629,079,014 10,259,127 5,218,253 66,667,961 21,899,680 37,565,225

2004 Annual Report

31

Georgia Department of Insurance

Cuna Mut Life Ins Co Delaware American Life Ins Co Delta Dental Ins Co Direct General Life Ins Co Dixie Natl Life Ins Co Educators Mut Life Ins Co EMC Natl Life Co Emphesys Ins Co Empire General Life Assur Corp Employees Life Co Mut Employers Life Ins Corp Employers Reassur Corp Equitrust Life Ins Co Family Heritage Life Ins Co Of Amer Family Life Ins Co Family Service Life Ins Co Farmers & Traders Life Ins Co Farmers New World Life Ins Co Federal Home Life Ins Co Federal Life Ins Co Federated Life Ins Co Fidelity & Guaranty Life Ins Co Fidelity Investments Life Ins Co Fidelity Life Assn Fidelity Life Ins Co Fidelity Security Life Ins Co Financial American Life Ins Co Financial Benefit Life Ins Co First Allmerica Fin Life Ins Co First Colony Life Ins Co First Continental Life & Acc First Dominion Mut Life Ins Co First Health Life & Health Ins Co First Investors Life Ins Co First Penn Pacific Life Ins Co Florida Combined Life Ins Co Inc Forethought Life Assur Co Forethought Life Ins Co

25,781,144 312,251 20,721,478 0 228,575 214,219 2,722,492 0 11,323,005 92,434 10,613,806 0 7,385,731 2,334,681 721,711 7 723,784 1,363,044 414,038 68,753 3,536,081 267,468,996 11,178,560 906,056 0 9,504,830 0 0 886,187 36,560,450 3,447 0 705,676 1,211,661 6,186,399 162,890 (35) 8,827,481

7,551,504,780 97,006,132 76,386,640 6,547,804 35,464,428 83,340,384 652,214,580 3,762,966 219,131,852 288,449,187 12,126,140 6,043,342,396 2,849,313,558 150,313,085 111,561,858 609,683,845 488,779,646 6,828,278,964 1,766,310,628 233,580,022 762,922,272 14,974,755,860 11,548,929,163 586,601,503 8,913,821 454,644,122 36,628,999 204,068,400 3,851,124,159 7,232,804,362 3,832,712 15,149,225 88,236,914 1,208,907,369 1,797,042,004 74,829,067 3,053,407,761 310,510,810

287,272,239 39,187,880 34,971,517 5,942,955 3,282,756 56,459,437 73,354,674 3,742,280 68,060,086 14,602,587 1,999,449 259,933,735 165,770,570 17,145,178 21,900,477 73,542,593 34,447,719 1,094,581,233 1,187,903,887 39,126,190 189,991,994 720,607,196 512,901,859 263,891,303 8,821,097 54,460,025 7,728,976 12,246,107 183,644,126 914,410,562 3,055,103 5,173,945 23,791,471 82,997,459 161,786,153 37,995,400 175,352,516 101,973,676

23,214,532 3,657,048 391,927 23,241 75,628 2,192,553 9,200,442 2,730 (16,624,016) 3,901,137 (3,842,836) (144,100,181) 22,942,681 5,235,779 (1,630,302) 17,970,958 2,246,600 164,163,783 498,324,512 (1,789,699) 22,550,396 (39,573,751) 56,445,798 16,368,013 172,204 4,976,414 (6,086,202) (836,972) 124,766,769 171,488,369 452,924 97,289 5,868,029 7,526,947 46,843,423 2,659,284 30,073,812 6,542,457

2004 Annual Report

32

Georgia Department of Insurance

Fort Dearborn Life Ins Co Fortis Benefits Ins Co Fortis Ins Co Freedom Life Ins Co Of Amer Funeral Directors Life Ins Co Garden State Life Ins Co GE Grp Life Assur Co GE Life And Annuity Assur Co General American Life Ins Co General Electric Capital Assur Co General Fidelity Life Ins Co General Re Life Corp Generali USA Life Reassurance Co Gerber Life Ins Co Glenbrook Life & Annuity Co Globe Life & Accident Ins Co Golden Rule Ins Co Golden State Mut Life Ins Co Government Personnel Mut Life Ins Co Grange Life Ins Co Great American Life Assur Co Great American Life Ins Co Great Fidelity Life Ins Co Great Southern Life Ins Co Great West Life & Annuity Ins Co Great West Life Assur Co Great Western Ins Co Guarantee Trust Life Ins Co Guaranty Income Life Ins Co Guardian Ins & Annuity Co Inc Guardian Life Ins Co Of Amer Harleysville Life Ins Co Hart Life Ins Co Hartford Life & Accident Ins Co Hartford Life & Annuity Ins Co Hartford Life Grp Ins Co Hartford Life Ins Co

3,058,865 62,013,241 45,656,387 2,136,863 15,000 1,640,941 26,491,097 44,927,076 29,395,061 61,818,665 (304) 0 0 8,452,451 37,393,646 17,457,924 19,610,737 9,411 3,038,312 4,016,700 0 8,310,686 0 3,171,370 71,301,971 585,925 1,969,482 5,031,667 1,308,177 43,722,563 209,651,489 407,660 0 72,430,717 334,264,475 7,567,668 320,587,635

1,595,342,450 8,129,826,416 827,250,892 35,849,667 378,366,339 100,436,683 843,518,682 17,256,635,797 14,452,851,535 31,489,852,321 307,539,895 2,042,484,840 635,154,983 937,796,799 1,333,998,307 2,103,377,337 2,369,025,795 112,836,323 711,502,796 190,317,384 22,181,224 7,788,684,010 3,695,919 75,532,029 32,157,724,120 188,926,028 337,084,285 211,245,926 370,705,294 9,904,832,349 23,336,264,101 351,260,800 11,287,828 10,838,224,006 69,726,526,882 2,698,416,709 112,861,251,582

331,674,098 584,176,678 246,037,906 9,362,773 37,094,469 33,258,517 212,973,404 817,203,169 1,297,257,923 3,183,915,298 241,856,396 355,873,465 239,771,587 148,602,792 174,508,528 326,531,817 274,635,709 8,308,882 78,287,677 19,974,034 7,598,134 577,939,451 2,521,317 26,888,315 1,477,424,716 51,142,675 24,023,179 31,477,644 15,981,043 230,832,831 2,905,286,423 24,389,066 11,265,098 5,117,927,796 1,307,991,961 516,643,490 3,191,896,439

24,560,458 123,809,867 127,774,141 790,098 3,352,985 (1,436,916) 19,980,382 105,825,952 (80,300,762) 1,052,772,409 15,302,986 39,730,945 (1,084,989) 25,286,258 6,578,470 131,086,016 106,133,256 473,411 8,377,287 482,866 214,798 80,983,555 (12,912) (784,860) 402,340,751 2,336,081 5,151,028 (1,789,525) (185,998) 13,823,937 285,525,308 2,103,298 235,881 771,874,691 256,679,307 44,185,570 535,640,215

2004 Annual Report

33

Georgia Department of Insurance

HCC Life Ins Co HCSC Ins Services Co Health Net Life Ins Co Heritage Life Ins Co Highmark Life Ins Co Home Owners Life Ins Co Homesteaders Life Co Horace Mann Life Ins Co Household Life Ins Co Humana Ins Co Humanadental Ins Co Idealife Ins Co IDS Life Ins Co Illinois Mut Life Ins Co Independence Life & Annuity Co Indianapolis Life Ins Co Individual Assur Co Life Hlth & Acc ING Ins Co Of America Ing Life Ins & Annuity Co ING USAAnnuity and LIfe Ins Co Integrity Life Ins Co Investors Consolidated Ins Co Investors Guaranty Life Ins Co Investors Heritage Life Ins Co Investors Ins Corp Investors Life Ins Co North Amer Jackson Natl Life Ins Co Jefferson Natl Life Ins Co Jefferson Pilot Financial Ins Co Jefferson Pilot Life Ins Co Jefferson Pilot Lifeamerica Ins Co Jefferson Standard Life Ins Co JMIC Life Ins Co John Alden Life Ins Co John Hancock Life Ins Co John Hancock Variable Life Ins Co Kaiser Permanente Ins Co Kanawha Ins Co

22,672,973 0 0 (3,525) 19,705,761 0 3,495,069 12,325,026 4,108,420 102,299,320 8,650,087 136,453 135,466,626 4,232,605 0 7,594,789 1,115 12,700 98,679,639 127,445,988 3,027,329 23,822 17,233 3,269,219 27,966 908,859 96,322,817 3,930,501 55,023,109 86,287,192 156,822 0 5,020,652 22,966,495 33,298,333 46,075,468 7,409,297 3,129,311

240,886,137 19,228,729 344,114,747 60,996,039 366,005,021 34,069,349 1,070,228,883 4,163,229,765 1,064,060,860 928,892,069 77,088,949 20,706,873 53,108,473,672 1,116,233,616 172,037,977 3,657,202,627 47,669,351 737,841,275 53,114,988,995 48,007,142,135 4,020,823,063 14,747,780 7,607,068 323,858,388 230,214,774 1,060,055,315 53,721,692,773 1,699,317,858 12,610,163,973 15,565,508,215 1,431,727,116 8,989,494 235,850,631 667,419,495 73,282,666,721 13,399,903,770 76,248,912 539,002,080

129,984,712 18,214,300 168,595,770 51,602,743 116,817,784 9,437,840 60,454,539 230,108,022 452,843,034 375,784,333 57,375,482 11,866,248 2,276,724,003 122,455,429 45,750,849 235,589,713 11,990,670 75,188,512 1,346,998,483 1,668,309,773 244,995,637 5,577,044 7,352,637 17,481,020 25,535,138 34,094,568 3,140,683,432 51,821,869 1,037,405,297 892,633,536 107,795,391 8,215,974 76,057,251 149,967,545 4,084,516,184 810,793,775 36,952,326 83,707,749

27,155,197 170,984 16,647,777 3,185,705 11,470,891 (1,428,528) 5,916,994 19,736,456 103,176,360 57,352,666 17,721,029 2,436,374 379,950,237 6,465,322 3,302,166 27,320,132 (1,058,383) 6,168,882 217,171,124 96,097,684 29,274,906 (538,305) 125,277 1,117,246 (901,036) (1,560,242) 616,298,608 6,224,462 205,531,454 93,598,538 (4,675,914) 126,333 7,173,824 47,505,868 481,902,299 162,234,673 2,973,439 (1,745,291)

2004 Annual Report

34

Georgia Department of Insurance

Kansas City Life Ins Co Kemper Investors Life Ins Co Lafayette Life Ins Co Liberty Bankers Life Ins Co Liberty Life Assur Co Of Boston Liberty Life Ins Co Liberty Natl Life Ins Co Life Ins Co Of AL Life Ins Co Of North Amer Life Ins Co Of The Southwest Life Investors Ins Co Of Amer Lincoln Benefit Life Co Lincoln Heritage Life Ins Co Lincoln Memorial Life Ins Co Lincoln Natl Life Ins Co London Life Reins Co Loyal American Life Ins Co Madison Natl Life Ins Co Inc Magellan Life Ins Co Magna Ins Co Manhattan Life Ins Co Manhattan Natl Life Ins Co Manufacturers Life Ins Co Of Amer Manufacturers Life Ins Co USA Manulife Ins Co Massachusetts Mut Life Ins Co Mayflower Natl Life Ins Co Medamerica Ins Co Medco Containment Life Ins Co Medical Savings Ins Co Medico Life Ins Co Mega Life & Health Ins Co The Members Life Ins Co Merit Life Ins Co Merrill Lynch Life Ins Co MetLIfe Investors Ins Co MetLife Investors USA Ins Co Metropolitan Life Ins Co

8,599,204 5,495,260 2,552,335 75,608 18,169,877 5,538,215 96,035,106 3,827,968 69,605,421 17,763,353 23,570,660 106,880,225 7,572,653 269,906 327,677,194 336,085 1,177,790 2,410,304 0 48,220 421,489 1,212,701 0 294,622,565 119,067 224,296,478 6,980,952 92,182 0 0 180,400 35,664,542 19,368 4,440,305 23,826,502 13,960,624 45,867,379 891,225,040

3,310,950,331 16,758,957,945 1,672,672,230 239,659,587 8,228,430,361 1,572,075,098 4,340,420,773 64,840,370 5,321,939,592 4,043,196,912 10,816,945,853 2,683,302,879 485,846,206 91,937,517 87,081,133,226 849,796,747 501,782,702 601,350,537 5,356,400 72,170,968 350,442,258 275,648,924 8,464,489 73,775,899,932 561,586,898 95,586,708,231 220,419,112 276,895,375 40,563,870 56,830,064 136,678,131 1,269,139,851 807,112,686 1,024,135,760 14,320,158,984 8,480,255,618 14,589,557,733 244,236,104,468

290,288,508 384,463,667 110,208,772 14,806,293 302,619,427 298,025,779 443,415,509 10,940,253 660,301,137 219,316,435 606,261,189 255,471,227 72,595,443 10,912,656 2,961,191,719 68,016,164 94,100,632 135,681,948 4,482,482 14,105,661 40,047,856 42,966,358 8,231,799 1,164,925,136 115,966,813 6,290,174,025 45,960,325 21,218,927 38,988,122 8,416,817 16,221,194 307,527,390 46,613,978 613,502,325 284,765,441 182,442,119 381,550,307 8,804,494,863

79,393,800 34,065,877 1,328,303 6,437,855 (20,329,676) 16,048,284 148,515,885 1,600,940 96,270,103 35,486,299 91,520,545 7,352,743 6,380,446 1,543,001 242,089,768 4,031,274 14,267,040 4,939,457 979,578 (326,564) 4,718,644 7,968,863 255,256 304,136,012 10,562,760 296,619,469 52,337,278 (4,630,467) 3,003,511 631,633 588,643 80,467,988 448,203 56,871,735 79,115,314 (168,432,643) (200,656,027) 2,648,195,131

2004 Annual Report

35

Georgia Department of Insurance

Metropolitan Tower Life Ins Co MIC Life Ins Corp Mid Continent Preferred Life Ins Co Mid South Ins Co Mid West Natl Life Ins Co Of TN Midamerica Life Ins Co Midland Natl Life Ins Co Midwestern United Life Ins Co Minnesota Life Ins Co MML Bay State Life Ins Co Monarch Life Ins Co Monumental Life Ins Co Mony Life Ins Co Mony Life Ins Co Of Amer Motorists Life Ins Co Mountain Life Ins Co MS Life Ins Co MTL Ins Co Mutual Of Amer Life Ins Co Mutual Of Omaha Ins Co Mutual Protective Ins Co Mutual Savings Life Ins Co Mutual Service Life Ins Co National Benefit Life Ins Co National Financial Ins Co National Foundation Life Ins Co National Guardian Life Ins Co National Health Ins Co National Life Ins Co National Security Ins Co National States Ins Co National Teachers Assoc Life Ins Co National Western Life Ins Co Nationsbanc Ins Co Inc Nationwide Life & Ann Co of Amer Nationwide Life And Annuity Ins Co Nationwide Life Ins Co

4,281,886 24,160 0 833,593 13,435,911 0 78,272,533 55,741 64,860,135 2,195,764 522,718 48,009,267 11,577,669 13,729,174 70,107 962,223 (3,644) 5,143,497 31,747,215 45,435,905 1,546,781 2,419,501 8,169 1,073,196 381,261 911,490 742,714 3,185,559 33,084,687 1,161,513 5,033,220 927,369 15,027,614 919,881 285,921 13,257,559 208,889,060

6,537,902,128 17,589,788 5,380,754 22,420,224 433,581,096 8,770,095 16,123,539,373 259,117,117 20,014,427,919 4,307,213,112 1,010,615,830 19,261,229,829 11,019,419,361 6,362,551,518 293,212,622 12,295,026 32,672,961 1,177,404,466 11,486,923,257 4,012,021,304 277,619,012 417,923,356 371,460,457 781,393,729 13,347,371 48,645,649 1,295,290,809 33,815,753 7,584,802,277 42,178,507 118,484,132 105,994,136 5,293,472,472 286,283,484 1,052,411,277 8,319,171,061 90,735,077,068

1,195,180,507 14,809,570 3,119,310 20,339,964 140,941,092 8,529,822 811,178,738 83,575,277 1,419,448,755 222,521,889 11,823,339 936,702,602 830,885,819 231,490,153 49,498,061 3,375,548 15,236,437 96,642,254 676,716,523 1,737,848,716 21,475,387 21,422,857 43,639,809 295,402,374 1,658,061 9,006,860 135,294,069 11,368,164 542,436,617 10,298,012 13,993,529 16,970,919 526,083,964 176,389,479 54,532,692 230,186,196 2,391,018,563

143,972,596 2,111,556 (472,419) 2,588,235 64,847,842 61,066 180,807,899 5,668,440 155,796,105 47,285,400 3,903,601 328,012,327 (307,218,903) (83,362,343) 1,402,238 106,488 1,076,158 7,606,341 18,170,986 93,485,575 (2,022,437) 10,084,415 2,269,298 34,879,363 258,319 1,569,300 13,903,765 (3,853,665) 65,974,537 291,961 (2,792,341) 3,206,300 54,215,847 23,079,419 12,130,018 12,549,474 317,724,294

2004 Annual Report

36

Georgia Department of Insurance

Nationwide Life Ins Co of Amer

8,115,075

New England Life Ins Co

31,710,273

New Era Life Ins Co

8,479,563

New York Life Ins & Annuity Corp 116,109,321

New York Life Ins Co

113,186,130

NGL American Life Co

10,197

Nippon Life Ins Co Of Amer

4,351,430

NorthAmerican Co Life & Hlth Ins 16,177,084

North Carolina Mut Life Ins Co

842,423

Northwestern Long Term Care Ins Co 1,806,136

Northwestern Mut Life Ins Co

266,114,147

Nutmeg Life Ins Co

0

NYLife Ins Co Of AZ

2,249,891

Occidental Life Ins Co Of NC

1,599,331

Ohio Natl Life Assur Corp

10,404,133

Ohio Natl Life Ins Co

10,032,737

Ohio State Life Ins Co

1,067,151

Old American Ins Co

1,583,298

Old Dominion Life Ins Co

0

Old Republic Life Ins Co

1,128,563

Old Spartan Life Ins Co Inc

4,030,962

Old United Life Ins Co

581,208

Optimum Re Ins Co

0

Oxford Life Ins Co

224,755

Ozark Natl Life Ins Co

112,258

Pacific Life & Annuity Co

25,202,624

Pacific Life Ins Co

241,030,166

Pacificare Life & Health Ins Co

22,320

Pan American Assur Co

1,214,561

Pan American Life Ins Co

1,238,014

Paragon Life Ins Co

2,980,344

Park Avenue Life Ins Co

48,520

Parker Centennial Assur Co

(1,834)

Paul Revere Life Ins Co

16,086,610

Paul Revere VariableAnnuity Ins Co 88,925

Peninsular Life Ins Co

9,961

Penn Ins & Annuity Co

229,108

6,657,766,745 10,034,091,644 202,245,023 56,282,521,849 101,303,785,470 124,793,604 158,593,639 4,568,701,054 161,465,492 114,430,891 123,906,728,557 9,427,514 124,988,925 259,667,272 1,982,843,717 9,659,737,037 14,218,279 264,354,566 7,659,956 109,178,465 23,898,821 64,698,753 46,306,396 689,351,599 493,835,684 1,348,980,986 68,467,250,951 206,237,080 22,542,666 1,607,494,374 528,163,916 494,395,239 37,246,926 5,281,316,160 147,639,557 5,945,004 1,222,624,103

576,526,417 372,376,791 33,614,576 2,008,845,401 9,707,782,261 22,437,581 105,908,394 401,281,419 19,977,432 55,343,729 8,933,951,113 9,415,893 36,179,771 23,567,362 138,327,269 686,364,513 6,215,714 23,823,481 7,591,232 23,825,993 17,069,148 30,014,354 21,825,535 85,641,010 65,718,275 308,125,894 2,814,156,600 93,182,940 12,294,706 222,861,397 24,857,628 162,328,085 37,174,166 1,117,770,876 121,174,807 5,858,413 111,845,766

126,351,883 72,612,708 441,393 224,439,710 984,212,920 3,299,406 6,654,900 55,254,934 (649,898) (7,019,538) 823,687,377 151,073 (11,635,711) 4,129,691 6,718,270 73,471,789 (262,376) 6,660,812 159,953 (2,806,917) 1,444,789 4,227,181 91,820 12,980,971 16,779,451 34,652,619 507,656,676 151,520,269 (384,934) 14,981,658 (2,714,817) 29,442,245 291,824 91,141,338 8,711,448 65,424 23,752,209

2004 Annual Report

37

Georgia Department of Insurance

Penn Mut Life Ins Co

16,557,690

Penn Treaty Network Amer Ins Co 4,061,770

Pennsylvania Life Ins Co

996,449

Peoples Benefit Life Ins Co

17,434,201

Pharmacists Life Ins Co

23,515

PhiladelphiaAmerican Life Ins Co 2,312,085

PHL Variable Ins Co

16,522,454

Phoenix Life Ins Co

27,525,455

Phoenix Natl Ins Co

29,053

Physicians Life Ins Co

7,374,570

Physicians Mut Ins Co

8,474,484

Pioneer American Ins Co

206,803

Pioneer Mut Life Ins Co

24,473

Pioneer Security Life Ins Co

203,168

Plateau Ins Co

11,377

Presidential Life Ins Co

2,051,898

Primerica Life Ins Co

61,171,771

Principal Hlth Ins Co

0

Principal Life Ins Co

454,740,377

Professional Ins Co

5,231,288

Protective LifeAndAnnuity Ins Co 38,517

Protective Life Ins Co

42,547,125

ProvidentAmer Life & Hlth Ins Co 913,912

Provident Life & Accident Ins Co 59,795,423

Provident Life & Cas Ins Co

314,710

Pruco Life Ins Co

86,336,509

Prudential Ins Co Of Amer

246,213,429

Prudential Retirement Ins &Anuty Co 164,466

Prudential Select L I C Of Amer

0

Pyramid Life Ins Co

1,132,685

Reassure America Life Ins Co

14,190,489

Reliable Life Ins Co

29,248

Reliance Life Ins Co

(733)

Reliance Standard Life Ins Co

41,689,913

Reliastar Life Ins Co

95,405,758

Reliastar Life Ins Co Of NY

1,810,834

Renaissance Life & Health Ins Co 0

8,709,472,657 108,413,901 544,847,431 14,323,126,040 29,273,943 90,945,713 5,567,295,725 16,704,928,306 14,054,336 1,301,485,947 1,202,193,014 39,747,772 464,061,806 78,179,815 20,579,494 4,329,443,889 5,553,177,659 13,785,298 101,495,612,634 67,288,388 671,991,176 17,517,151,706 6,244,479 7,850,589,659 639,961,469 22,252,441,940 207,012,442,219 22,876,731,990 9,351,050 127,966,865 11,413,596,912 688,989,536 9,336,035 2,420,889,843 21,563,437,671 2,679,545,380 5,915,360

1,157,588,840 23,812,130 61,210,386 615,052,295 6,864,957 13,278,169 245,830,598 809,215,796 13,481,388 78,926,121 668,541,850 10,200,480 31,703,414 62,719,413 9,953,684 215,390,824 1,817,879,049 10,823,018 3,046,767,837 15,712,208 105,382,771 1,315,719,182 3,857,206 1,419,556,999 84,572,953 571,506,751 8,420,497,893 1,027,388,677 9,351,050 27,469,306 579,249,910 79,333,149 9,180,578 325,399,398 1,538,492,277 260,863,379 5,211,183

79,791,052 (6,114,560) 12,679,797 138,731,574 20,628 949,358 (3,254,009) 47,093,498 468,232 1,138,189 49,073,265 1,108,899 2,482,362 13,096,820 198,601 (43,564,539) 262,968,089 156,866 512,654,458 (764,490) 14,668,506 235,756,369 (1,571,909) 329,869,654 (3,222,295) (4,241,676) 1,877,636,971 122,232,666 400,893 2,111,939 154,815,128 9,731,286 89,175 27,501,930 185,523,089 18,574,453 (466,898)

2004 Annual Report

38

Georgia Department of Insurance

Republic American Life Ins Co Reserve Natl Ins Co Resource Life Ins Co Revios Reins US Inc RGA Reins Co S USA Life Ins Co Inc Safehealth Life Ins Co Sage Life Assur Of Amer Inc Scor Life Ins Co SCOR Life US Re Ins Co Scottish Re Life Corp Scottish Re Us Inc Sears Life Ins Co Securian Life Ins Co Security Benefit Life Ins Co Security Financial Life Ins Co Security Life Ins Co Of Amer Security Life Of Denver Ins Co Security Mut Life Ins Co Of NY Sentry Life Ins Co Servus Life Ins Co Settlers Life Ins Co Shenandoah Life Ins Co Sierra Health & Life Ins Co Inc Southern Capital Life Ins Co Southern Farm Bureau Life Ins Co Southern Pioneer Life Ins Co Southern Security Life Ins Co Southland Natl Ins Corp Southwestern Life Ins Co Standard Ins Co Standard Life & Accident Ins Co Standard Life & Cas Ins Co Standard Life Ins Co Of IN Standard Security Life Ins Co Of NY Starmount Life Ins Co State Farm Annuity & Life Ins Co

159,502 327,416 2,973,069 0 0 4,492 110,956 0 5,533 0 0 0 56,524 29,239 64,966,679 313,825 4,041,054 40,038,338 3,586,289 6,326,972 2,370 629,378 22,454,296 0 0 79,688,415 0 1,035,242 3,720,878 10,934,059 58,278,355 4,140,378 271,193 7,096,423 4,454,016 147,449 0

3,634,907 96,783,635 145,946,493 317,594,649 8,973,224,452 12,313,846 25,057,286 127,236,312 422,938,514 2,218,386,174 630,787,413 2,244,814,903 72,213,891 15,884,840 10,242,646,155 765,124,230 74,006,821 21,150,022,452 1,864,709,073 2,623,417,574 11,579,840 241,392,876 1,406,524,689 74,749,232 5,926,560 8,776,886,065 23,057,161 56,118,640 124,692,823 1,745,509,439 9,688,685,604 486,577,493 19,447,053 1,699,028,111 273,640,261 13,416,689 7,781,458

2,779,785 36,277,558 33,133,431 37,439,355 869,442,804 11,550,849 12,323,148 12,172,858 18,961,619 60,077,269 75,511,410 253,685,489 58,987,176 13,118,918 591,118,228 78,172,480 11,802,359 1,069,745,869 94,296,885 214,512,191 10,983,241 21,143,681 117,356,349 38,389,015 5,799,460 1,116,381,790 5,772,281 10,877,112 9,439,004 162,554,459 926,196,550 187,726,397 3,389,940 69,907,499 105,489,693 6,501,520 7,759,818

(259,068) 8,843,507 310,066 (28,339,374) 117,378,054 (936,094) (128,915) 1,558,310 1,962,015 (7,168,472) (61,592,883) (15,188,540) (1,535,808) (266,994) 73,950,935 5,625,499 3,216,289 41,278,843 (3,063,031) 23,173,249 147,957 2,952,690 778,836 12,915,430 186,365 136,308,101 1,463,749 (525,237) (1,076,510) 31,687,723 195,572,583 20,546,823 73,177 2,793,745 12,123,074 1,688,982 90,823

2004 Annual Report

39

Georgia Department of Insurance

State Farm Life Ins Co State Life Ins Co Sterling Life Ins Co Stonebridge Life Ins Co Sun Life Assur Co Of Canada US Sunamerica Life Ins Co Sunset Life Ins Co Of Amer Suntrust Ins Co Surety Life Ins Co Swiss Re Life & Health Amer Inc Symetra Life Ins Co Symetra Natl Life Ins Co Teachers Ins & Ann Assoc Of Amer Templeton Funds Annuity Co Texas Life Ins Co The Travelers Ins Co TIAA Cref Life Ins Co Trans World Assur Co Transamerica Financial Life Ins Co Transamerica Life Ins & Annuity Co Transamerica Life Ins Co Transamerica Occidental Life Ins Co Travelers Life & Annuity Co Trigon Health And Life Ins Co Trustmark Ins Co Trustmark Life Ins Co UBS PaineWebber Life Ins Co Ullico Life Ins Co Unicare Life & Health Ins Co Unified Life Ins Co Unimerica Ins Co Union Bankers Ins Co Union Central Life Ins Co Union Fidelity Life Ins Co Union Labor Life Ins Co Union Natl Life Ins Co Union Security Life Ins Co

117,018,993 3,169,802 0 20,593,622 54,843,750 533,599 232,103 0 981,334 0 13,917,590 16,458 133,496,456 0 1,428,849 98,784,658 11,090,593 331,766 30,521,774 161,029,453 45,886,183 41,123,838 80,254,079 0 4,863,702 3,115,900 0 16,481 23,449,050 914,251 149,829 972,487 11,967,960 2,237,953 2,833,735 0 4,424,856

37,501,082,364 424,432,284 115,361,432 1,860,350,570 39,173,875,856 68,080,447,356 485,129,358 19,388,790 37,100,175 11,823,431,178 18,887,872,681 17,190,355 163,564,354,330 22,217,714 874,171,202 67,958,043,231 3,376,040,795 295,894,029 15,790,315,892 25,543,641,194 44,084,751,627 28,200,020,480 19,055,741,583 13,388,585 1,285,202,113 597,114,288 38,033,145 10,757,677 1,254,378,878 61,974,265 44,634,288 95,879,911 6,499,383,676 19,298,776,599 3,075,714,825 420,792,529 146,237,991

4,099,792,353 46,819,211 51,010,209 111,846,690 1,584,930,854 5,014,619,900 35,842,857 11,731,782 10,905,042 2,006,560,592 1,138,437,319 10,802,309 11,177,399,991 11,579,844 32,215,504 7,885,780,496 300,077,900 57,859,839 690,699,368 877,758,455 1,864,334,204 2,742,060,503 942,400,995 12,468,160 174,218,625 74,353,697 21,744,499 8,850,892 300,622,086 11,747,041 26,659,728 7,743,893 337,729,578 784,975,162 88,275,980 85,100,577 35,988,077

237,788,642 947,244 14,068,062 133,511,317 230,901,563 713,517,740 8,461,387 2,331,760 1,186,905 177,742,667 222,103,584 119,186 540,456,620 373,310 4,896,491 975,285,072 25,476,059 1,832,375 79,321,965 138,389,100 128,775,461 530,848,311 (211,385,813) 492,313 25,795,991 6,898,631 2,212,836 (1,589,589) 32,541,833 2,045,469 4,999,007 (10,338,115) 10,391,677 (1,765,264,864) 16,623,133 16,287,653 6,614,087

2004 Annual Report

40

Georgia Department of Insurance

United American Ins Co United Benefit Life Ins Co United Fidelity Life Ins Co United Healthcare Ins Co United Home Life Ins Co United Ins Co Of Amer United Investors Life Ins Co United Of Omaha Life Ins Co United States Life Ins Co In NYC United Teacher Assoc Ins Co United World Life Ins Co Unity Financial Life Ins Co Unity Mut Life Ins Co Universal Guaranty Life Ins Co Universal Underwriters Life Ins Co Unum Life Ins Co Of Amer US Branch SunLife Assur Co Of Canada US Bus of Crown Life Ins Co US Bus of the Canada Life Assur Co US Financial Life Ins Co USAA Life Ins Co USAble Life Valley Forge Life Ins Co VantisLife Ins Co Variable Annuity Life Ins Co Veterans Life Ins Co Vista Life Ins Co Washington Natl Ins Co Wateree Life Ins West Coast Life Ins Co Western & Southern Life Ins Co Western Reserve Life Assur Co of OH Western Southern Life Assur Co World Ins Co XL Life Ins and Annuity Co
TOTAL

50,011,980 0 1,166,966 415,540,139 745,805 18,929,149 7,466,884 43,652,123 15,521,639 2,741,290 154,763 1,189,036 111,518 232,293 1,822,115 170,046,981 45,137,340 1,814,810 11,213,374 6,711,715 36,943,044 0 18,314,134 41,978 323,856,974 2,381,780 0 9,368,584 71 17,520,730 1,037,735 30,669,649 17,471,176 4,897,815 (20,629)
12,885,565,723

1,079,961,249 5,714,807 601,775,406 6,308,359,384 46,482,948 2,025,667,476 2,966,323,498 12,937,154,529 3,775,218,273 387,000,419 64,184,041 28,545,838 379,871,275 258,909,112 344,806,247 12,680,887,845 12,237,470,616 385,239,638 2,345,059,039 303,536,801 10,117,298,329 148,865,073 3,185,965,567 691,373,777 55,765,852,986 309,364,655 27,260,458 2,768,852,326 10,346,325 2,497,355,225 8,055,203,022 10,099,002,779 8,898,574,141 211,637,759 705,538,666

175,459,504 2,982,192 173,567,043 1,293,438,200 9,956,399 326,144,204 194,504,702 1,226,275,098 401,357,417 60,582,220 17,479,993 5,708,375 21,908,308 21,860,401 101,634,987 1,201,448,926 669,994,678 45,913,064 98,447,754 36,078,210 787,152,252 72,124,336 553,451,042 63,469,165 2,677,256,872 66,186,780 16,513,521 775,990,451 4,983,684 185,937,164 2,924,503,156 277,921,320 492,903,545 77,367,113 86,521,275

4,003,707,922,882 256,195,434,518

68,648,117 (1,968,297) 48,034,461 1,451,531,067 725,191 63,089,649 54,361,548 (50,667,449) (147,068,077) 7,163,757 2,237,344 (19,195) 7,044,455 (762,152) 4,423,598 63,094,695 173,913,725 11,618,745 1,732,886 (44,866,439) 129,706,414 5,379,036 (166,559,644) 1,214,052 644,743,791 32,420,604 2,018,893 101,930,537 1,157,665 (22,345,269) 182,232,036 121,442,485 114,002,244 2,961,686 (670,365)
33,871,377,408

Georgia Department of Insurance

Domestic Property and Casualty Companies

41

NAIC COMPANY NAME NO. 33103 American Safety Insurance Company 11240 Association Insurance Company 30112 CNL/ Insurance America, Inc. 10917 Century Casualty Company 21560 Cornerstone Mutual Insurance Co
(Administrative Supervision) 20966 Cotton States Mutual Insurance Co. 10898 Delta Fire & Casualty Insurance Co 10802 Ethio-American Insurance Company 22110 Everest Security Insurance Company 38482 Fireman's Fund Insurance Co. of GA 42536 Frandisco Property & Casualty Insurance Co 11258 Georgia Casualty & Surety Company 34436 Georgia Farm Bureau Casualty Insurance Co 14001 Georgia Farm Bureau Mutual Insurance Co 26409 Georgia Insurance Company 11501 Georgia Lawyers Insurance Company 14028 Georgia Mutual Insurance Co
(Administrative Supervision) 20168 Global Insurance Company
(Rehabilitation) 13382 Harleysville-Atlantic Insurance Company 11162 Insurance Company of the South 10702 Madison Insurance Company 42617 MAG Mutual Insurance Company 10784 Maxum Casualty Insurance Company 10015 Mercury Indemnity Company of GA 34410 Mercury Insurance Company of GA 14524 Middle Georgia Mutual Insurance Company 11040 Ontario Reinsurance Company, Ltd. 25640 Safeway Insurance Company of GA 20974 Shield Insurance Company 37141 Southern General Insurance Company

DATE LICENSED 3/9/88 2/18/86 12/15/87 6/18/98 10/26/92
3/12/42 3/4/65 4/30/03 1/1/88 5/1/80 12/19/89 2/20/48 5/19/89 11/24/58 8/25/73 7/18/02 5/9/42
4/19/90
1/5/15 10/16/01 12/19/96 6/1/82 4/1/97 7/2/93 8/1/89 10/8/49 1/15/99 6/30/87 6/21/63 7/27/79

TOTAL ASSETS 21,528,937 49,598,811 16,951,307 13,923,614 29,124,919

SURPLUS DIRECT

WRITINGS

20,906,085 5,758,357

15,763,624 23,633,979

8,494,497

14,306,878

3,388,548

2,355,363

248,740 535,836 10,881,240

NET WRITINGS 0 20,990,725 14,432,826 6,534,376 (2,857,568)

NET INCOME 907,876 (1,299,684) (1,031,061) 13,758

184,801,990 15,372,490 4,453,020 30,957,797 6,649,880 46,926,250 99,674,087 4,219,537 712,320,055 18,060,498 5,806,413 4,228,413

53,551,183 11,144,447 3,185,411 23,001,702 6,537,506 30,889,342 22,260,840 4,073,612 337,904,111 17,116,384 3,163,449 3,257,136

282,450,823 3,694,511 1,738,016 27,897,468 164 0 41,458,104 40,483,458 457,483,015 1,453,432 3,288,494 14

114,454,541 1,984,633 1,738,016 4,279,985 0 20,949,599 41,952,952 0 481,293,365 239,975 1,658,369 (162)

(5,847,035) 49,146 (72,524) 1,475,227 111,721 3,860,565 (4,773,359) 457,091 13,148,687 388,764 (370,573) (2,218)

3,367,134

3,327,986

0

0

(42,309)

146,973,965 7,778,907 94,819,600 777,129,564 5,925,180 9,373,559 16,681,066 20,211,713 15,179,619 60,029,327 58,950,077 79,922,957

37,048,783 3,770,089 194,947,740 70,920,880 5,815,249 6,356,921 10,208,183 14,926,986 11,116,768 24,660,778 33,889,325 35,060,157

16,950,772 25,629,381 1,358,123 361,032,159 110,000 4,036,359 7,304,736 6,953,959 0 36,654,294 11,453,716 69,802,759

58,312,742 3,369,441 258,835,779 7,733,622 0 3,915,251 7,082,864 5,909,098 710,341 36,987,302 6,028,230 51,910,607

3,250,680 (128,892) 2,175,081 7,858,707 31,369 491,596 723,162 1,423,154 (37,996) 5,158,409 586,664 2,827,053

2004 Annual Report

2004 Annual Report

42

Georgia Department of Insurance

40762 15172 12610 11508 40428 19003 10172

Southern Guaranty Insurance Company of GA Southern Mutual Insurance Company Southern Trust Insurance Company Village Auto Insurance Company, inc. Voyager Indemnity Insurance Co Waco Fire & Casualty Insurance Company Westchester Surplus Lines Insurance Co

11/12/81 01/01/1848 5/27/68 9/17/02 12/30/81 7/15/73 11/30/94

TOTALS

13,724,234 25,679,396 48,624,928 55,159,283 78,753,041 63,661,602 367,023,177

13,722,699 12,702,923 16,198,755 19,489,200 28,990,917 15,025,565 65,420,482

36,842,122 17,105,795 22,385,978 61,056,855 88,581,633 23,830,149 644,559,855

0 14,936,435 20,212,735 49,387,284 37,758,466 24,397,183 45,784,311

430,100 180,023 1,642,834 5,106,910 3,764,172 589,799 12,038,354

3,213,566,347 1,188,487,003 2,342,186,557 1,354,662,131 52,227,683

Georgia Department of Insurance

Foreign Property and Casualty Companies

43

COMPANY NAME

GA Premium Revenue Total Assets

Aca Financial Guaranty Corp Acadia Ins Co Acceptance Ins Co Access Ins Co Accident Fund Ins Co of Amer Accredited Surety & Cas Co Inc Ace Amer Reins Co Ace American Ins Co Ace Fire Underwriters Ins Co Ace Ind Ins Co Ace Prop & Cas Ins Co ACIG Ins Co Acstar Ins Co Acuity A Mut Ins Co Admiral Ind Co Advantage Workers Comp Ins Co Aegis Security Ins Co Aetna Ins Co of CT Affiliated Fm Ins Co Affirmative Ins Co Agri General Ins Co AIG Centennial Ins Co AIG Ind Ins Co AIG Natl Ins Co Inc AIG Premier Ins Co AIU Ins Co Alamance Ins Co Alea North America Ins Co Alfa General Ins Corp Alfa Ins Corp Alfa Mut General Ins Co Alfa Mut Ins Co Alfa Specialty Ins Corp All Amer Ins Co Allianz Global Risks US Ins Co Allied Prop & Cas Ins Co Allmerica Financial Benefit Ins Co

6,087,572 7,801 801,915 120,424 114,547,653 3,546,491 11,415 24,769,461 4,160 269,810 160,011 856,451 334,054 6,658,560 4,112,955 281 6,916 531,127 7,256,685 2,545,977 6,382,728 38,841,172 5,425,748 13,853,976 22,643,944 3,118,973 -

540,456,581 165,290,441 53,019,610 5,108,340 1,636,671,645 41,861,682 277,749,173 5,374,011,925 77,246,419 23,829,457 4,495,745,741 194,222,392 86,200,183 1,280,764,695 54,910,257 49,937,604 68,151,402 45,657,746 949,589,557 319,381,176 315,385,586 558,134,495 55,587,210 54,466,613 341,387,412 2,999,953,661 260,085,223 622,984,672 399,292,059 410,703,162 79,325,083 1,273,824,047 18,943,900 174,569,892 4,598,790,897 85,301,253 14,301,145

Total Cap. & Surplus
290,002,606 60,135,100 (35,095,279) 5,047,616 483,057,035 15,605,908 81,339,107 881,559,111 52,054,924 11,233,838 797,714,168 59,420,990 27,370,052 414,284,489 26,702,194 37,499,556 31,469,488 29,408,978 420,013,967 139,315,541 202,596,097 245,029,633 21,436,095 13,356,678 116,935,715 733,512,527 155,655,842 261,269,443 182,293,002 179,088,489 52,524,437 871,694,985 10,304,405 66,190,257 3,475,623,369 84,024,322 14,292,093

Net Income (Loss)
5,885,069 6,650,214 (14,342,827) (31,163) 76,502,776 3,398,205 (27,222,287) 74,049,146 1,499,493 317,937 69,910,870 2,684,113 2,547,762 67,818,194 2,141,352 (521,682) 2,042,206 10,714,782 40,993,432 7,697,953 56,537,260 9,497,816 8,708,951 (2,175,164) 18,521,630 128,985,207 6,315,653 6,436,666 31,151,798 28,790,524 798,970 36,261,413 (2,948,151) 4,159,272 30,385,724 3,559,745 478,234

2004 Annual Report

2004 Annual Report

44

Georgia Department of Insurance

Allmerica Fncl Alliance Ins Co -

Allstate Fire and Cas Ins Co

-

Allstate Ind Co

145,795,808

Allstate Ins Co

507,916,421

Allstate Prop & Cas Ins Co

80,228,017

Alpha Prop & Cas Ins Co

12,504,396

Ambac Assur Corp

2,284,126

Amco Ins Co

6,089,466

Amcomp Assur Corp

14,928,060

Amcomp Preferred Ins Co

2,944,568

America First Ins Co

-

American Agri Business Ins Co 12,622,021

American Agricultural Ins Co

-

American Alt Ins Corp

9,839,575

American Ambassador Cas Co -

American Automobile Ins Co

10,942,733

American Bankers Ins Co Of FL 23,894,446

American Bus & Personal Ins Mut I -

American Cas Co Of Reading PA 28,939,528

American Centennial Ins Co

656

American Central Ins Co

1,926

American Century Cas Co

33,868,715

American Colonial Ins Co Inc

-

American Commerce Ins Co

-

American Compensation Ins Co -

American Contractors Ind Co

735,899

American Dep Ins Co

655,808

American Economy Ins Co

15,064,667

American Empire Ins Co

-

American Employers Ins Co

(4,221)

American Equity Specialty Ins Co -

American Family Home Ins Co 22,848,403

American Fire & Cas Co

733,736

American Fuji Fire & Marine Ins Co -

American General Ind Co

1,318,035

American General Prop Ins Co Of FL -

American General Property Ins Co 3,640,742

American Guarantee & Liability Ins 18,283,827

American Hardware Mut Ins Co (600)

American Healthcare Ind Co

76,270

American Home Assur Co

72,988,426

American Ind Co

-

American Ins Co

16,294,939

American Interstate Ins Co

25,114,296

American Intl Ins Co

3,649,149

15,091,207 14,814,692 98,913,094 44,711,745,721 19,084,583 15,438,284 8,329,130,728 969,699,982 178,588,521 268,267,115 13,218,324 130,213,990 985,768,590 422,576,237 29,803,549 347,287,563 1,112,978,795 39,249,943 102,776,737 36,946,360 40,631,026 77,235,050 4,461,568 295,447,380 135,860,987 91,509,428 31,981,702 1,567,935,175 60,699,370 123,588,651 42,861,570 370,883,141 307,249,967 104,837,217 80,494,836 15,576,167 62,116,598 213,769,661 278,916,133 117,071,544 19,477,874,463 52,589,384 1,324,077,060 499,057,390 1,170,573,954

15,080,174 14,585,614 94,529,169 16,766,721,895 18,931,945 14,986,715 3,198,698,732 390,849,919 47,720,643 80,495,361 9,908,595 3,614,434 331,897,686 147,871,673 27,621,442 124,404,188 241,493,741 20,772,861 102,425,375 22,850,574 40,531,617 23,688,597 4,141,599 94,396,913 38,503,398 39,182,272 16,726,991 491,282,942 28,815,241 122,836,649 16,088,124 105,220,470 115,637,920 81,515,058 34,978,268 11,304,114 45,280,552 128,139,533 100,269,862 39,517,514 4,315,648,214 49,829,209 418,588,132 112,333,599 299,967,887

570,962 700,266 5,390,020 3,863,547,441 924,351 734,819 693,175,913 19,434,006 (2,017,087) (5,567,511) 558,771 411,154 11,498,752 2,970,376 926,000 12,775,241 26,850,509 (2,008,853) 1,685,652 (38,480) 1,253,862 8,124,206 (290,994) 16,683,179 7,539,887 5,013,836 866,763 108,268,916 5,833,898 11,889,196 1,043,799 19,837,854 10,723,732 1,613,311 (6,670,959) (1,808,716) 3,689,121 4,570,471 7,425,455 1,492,627 263,237,520 4,554,896 57,985,901 7,131,943 50,406,856

2004 Annual Report

45

Georgia Department of Insurance

American Intl South Ins Co

101,338,529

American Live Stock Ins Co

84,538

American Manufacturers Mut Ins Co 1,696,366

American Merchants Cas

-

American Mercury Ins Co

21,748,612

American Modern Home Ins Co 11,828,402

American Motorists Ins Co

(133,840)

American Natl General Ins Co

4,487,767

American Natl Prop & Cas Co

13,202,385

American Premier Ins Co

1,957,721

American Rein Co

-

American Reliable Ins Co

14,011,340

American Resources Ins Co Inc 4,493,922

American Road Ins Co

4,738,837

American Safety Cas Ins Co

586,510

American Security Ins Co

23,889,836

American Select Ins Co

-

American Southern Ins Co

6,980,152

American States Ins Co

20,317,536

American States Ins Co Of TX 3,281,176

American States Preferred Ins Co 2,149,835

American Surety Co

81,679

American Zurich Ins Co

52,586,651

Americas Ins Co

-

Amerin Guaranty Corp

-

Amerisure Ins Co

365,823

Amerisure Mut Ins Co

3,608,321

Amex Assur Co

22,145,248

Amguard Ins Co

3,433,387

Amica Mut Ins Co

28,827,736

Anesthesiologists Pro Assur Co 2,341,287

Ansur America Ins

1,063,109

Anthem Ins Co Inc

-

Arag Ins Co

2,624,142

Arch Ins Co

20,072,127

Arch Reins Co

13,852

Architects & Engineers Ins Co RRG -

Argonaut Great Central Ins Co 19,450,187

Argonaut Ins Co

3,470,015

Argonaut-Midwest Ins Co

151,820

Armed Forces Ins Exchange

3,075,677

Associated Ind Corp

2,265,982

Associated Industries Ins Co Inc 435,468

Association Cas Ins Co

10,534,573

Assurance Co Of Amer

29,643,323

32,470,426 68,932,333 25,987,742 24,292,437 230,312,711 743,979,959 83,342,910 103,166,069 1,005,324,052 12,239,093 15,486,057,926 375,831,354 49,442,006 706,279,080 141,584,918 656,292,093 139,935,435 102,344,799 2,267,842,270 17,816,736 226,023,987 10,486,671 188,759,364 21,337,919 311,396,935 498,838,512 1,391,355,585 283,613,273 174,835,055 3,384,386,618 83,580,840 13,285,921 4,166,153,521 37,149,783 807,190,130 887,024,120 15,395,474 190,335,448 1,195,882,685 97,062,877 148,699,948 146,697,885 199,318,786 67,031,844 75,016,433

32,361,152 45,305,163 10,409,017 12,698,366 72,582,786 218,247,664 30,819,288 54,404,691 380,196,260 6,528,367 3,304,677,995 77,944,527 13,648,099 396,101,697 46,465,796 225,109,642 45,129,445 34,628,951 801,498,809 17,737,336 71,185,498 8,460,411 171,985,798 13,189,726 189,700,763 124,448,598 405,056,329 216,752,993 47,270,260 1,602,269,398 14,839,829 10,920,864 2,784,328,560 23,565,468 337,017,102 479,443,062 7,223,101 51,395,010 372,403,614 38,741,384 80,590,554 54,636,992 20,731,625 19,146,433 18,523,429

1,462,346 2,408,974 409,017 1,779,243 (6,352,391) 28,197,571 19,417,481 6,478,894 63,479,071 512,989 259,046,882 5,686,093 (680,676) 63,939,365 (9,745,645) 46,396,123 5,656,187 4,336,203 192,095,030 774,263 14,356,306 1,085,646 4,689,720 577,517 8,432,679 8,830,027 26,674,271 98,005,092 2,691,449 84,601,247 (45,088) 97,075 503,369,328 3,204,495 9,351,763 31,385,330 72,991 2,659,287 20,370,878 1,309,845 (6,662,587) 6,676,464 (1,672,752) 1,220,847 949,907

2004 Annual Report

46

Georgia Department of Insurance

AssuranceAmerica Ins Co

24,012,854

Assured Guaranty Corp

-

Athena Assur Co

699,253

Atlanta Cas Co

11,867,069

Atlanta Intl Ins Co

-

Atlanta Reserve Ins Co

12,883,557

Atlanta Specialty Ins Co

13,295,668

Atlantic Ins Co

307,758

Atlantic Mut Ins Co

24,581,870

Atlantic Specialty Ins Co

5,916,489

Atradius Trade Credit Ins Co

2,538,721

Audubon Ins Co

1,851,598

Auto Club South Ins Co

784,325

Automobile Ins Co Of Hartford CT 4,778,576

Auto-Owners Ins Co

143,446,916

Avemco Ins Co

1,577,582

AXA Art Ins Corp

292,592

AXA Corp Solutions Ins Co

1,045,022

AXA Corp Solutions Reins Co -

AXA Re Amer Ins Co

-

AXA Re Prop & Cas Ins Co

1,195,959

AXIS Reins Co

11,925,086

AXIS Surplus Ins Co

3,123,024

Balboa Ins Co

8,791,655

Bancinsure Inc

1,108,313

Bankers Ins Co

336,613

Bankers Multiple Line Ins Co

-

Bankers Standard Ins Co

690,829

Bankers Std Fire & Marine Co

-

Bay State Ins Co

-

BCS Ins Co

931,358

Benchmark Ins Co

18,472,080

Berkley Ins Co

-

Berkley Regional Ins Co

12,295

Birmingham Fire Ins Co Of PA

1,064,966

Bituminous Cas Corp

10,726,791

Bituminous Fire & Marine Ins Co 133,592

Blue Ridge Ins Co

-

Boston Old Colony Ins Co

9

Bridgefield Cas Ins Co

17,033,641

Bristol West Ins Co

13,491,163

Brotherhood Mut Ins Co

5,259,678

California Cas Ind Exch

1,802,275

California Ind Ins Co

-

16,383,716 1,278,208,171 189,871,077 38,552,174 19,709,735 11,616,909 18,198,799 31,690,991 964,391,142 70,709,737 63,500,441 143,570,021 53,345,079 900,691,514 7,715,691,846 182,825,463 60,313,837 225,369,248 994,644,192 64,079,560 185,557,463 973,066,104 272,772,068 896,533,881 99,722,002 84,793,630 7,648,778 179,353,205 104,895,504 231,178,094 216,036,737 103,122,831 4,777,872,294 1,946,762,364 2,893,279,970 659,697,449 302,776,671 163,438,329 32,986,960 48,977,000 107,165,100 251,123,906 398,842,252 14,311,746

3,526,898 236,744,613 44,819,203 31,512,296 7,062,130 5,768,392 12,381,093 23,097,362 241,230,721 48,423,504 37,344,412 56,654,275 25,835,488 254,384,410 3,519,925,699 103,784,711 31,163,759 86,680,247 571,583,258 48,416,991 63,991,965 517,039,937 68,189,973 336,444,372 34,497,391 27,229,912 7,583,625 43,627,935 16,196,475 140,575,566 123,768,606 29,107,658 1,511,628,362 632,048,622 860,149,076 213,973,861 80,046,441 52,265,515 32,539,613 19,401,232 34,819,426 94,336,805 259,980,785 14,311,746

357,112 103,179,095 833,990 19,707,580 (2,861,352) 415,473 896,415 3,863,371 (64,486,063) 928,583 2,613,644 5,674,346 2,253,911 47,517,256 44,480,576 12,276,791 4,902,256 10,558,144 36,168,458 1,367,801 (37,341,348) (13,957,065) 366,204 35,840,241 3,660,397 (2,457,087) (403,648) 3,816,676 3,674,466 7,862,918 8,558,372 1,752,979 154,796,633 114,544,603 32,515,787 28,087,922 10,053,020 8,652,247 1,759,433 1,530,966 8,259,839 12,723,460 656,556 (10,147,821)

2004 Annual Report

47

Georgia Department of Insurance

California Ins Co

-

Cambridge Mut Fire Ins Co

-

Camden Fire Ins Assoc

-

Camico Mut Ins Co

1,944,260

Canal Ins Co

42,759,091

Capital City Ins Co Inc

12,908,390

Capital Markets Assr Corp

-

Capitol Ind Corp

2,564,891

Capitol Preferred Ins Co

666,024

Carolina Cas Ins Co

16,367,735

Catawba Ins Co

2,018,635

Caterpillar Ins Co

10,770,959

CDC Ixis Fin Guaranty N Amer Inc 1,062,742

Centennial Ins Co

5,085,976

Central Mut Ins Co

54,783,078

Central Natl Ins Co Of Omaha

-

Central States Ind Co Of Omaha 4,711,756

Centre Ins Co

672,726

Century Ind Co

-

Century Rein Co

-

Century-Natl Ins Co

14,011

Charter Ind Co

3,993,089

Charter Oak Fire Ins Co

33,486,179

Cherokee Ins Co

-

Chicago Ins Co

2,426,590

Chubb Ind Ins Co

296,790

Chubb Natl Ins Co

-

Church Ins Co

14,112

Church Mut Ins Co

20,954,331

CIM Ins Corp

41,612

Cincinnati Cas Co

5,139,495

Cincinnati Ins Co

125,864,867

Citizens Ins Co Of Amer

11,801,072

Civic Property & Cas Co

4,004,527

Clarendon Natl Ins Co

21,211,161

Clearwater Ins Co

-

Clearwater Select Ins Co

-

CMG Mortgage Assur Co

-

CMG Mortgage Ins Co

1,418,336

Coface North Amer Ins Co

-

Cologne Reins Co Of Amer

-

Colonial American Cas & Surety Co 116,497

Colony Specialty Ins Co

-

Colorado Cas Ins Co

-

Columbia Mut Ins Co

-

14,017,204 429,205,113 92,340,655 111,536,589 1,123,037,115 119,877,717 99,375,326 429,825,165 26,517,760 689,942,672 15,676,803 102,602,864 152,361,886 359,342,703 902,771,418 32,912,571 246,835,998 674,260,255 845,128,880 103,053,926 495,115,962 13,281,354 796,643,431 138,594,796 284,250,381 171,857,069 143,142,435 65,553,071 836,237,877 36,465,101 323,531,980 9,820,123,386 1,765,036,423 169,143,205 2,022,935,923 1,102,497,699 117,983,491 8,855,265 265,610,765 19,694,369 73,639,530 25,948,203 110,820,807 22,392,708 255,956,933

7,941,254 214,848,340 69,899,358 34,263,894 487,549,554 27,778,427 97,792,445 138,491,643 5,240,774 189,627,774 7,030,394 37,593,991 113,627,916 106,440,829 329,433,391 8,044,094 183,141,732 121,545,171 25,000,000 78,986,038 133,025,705 8,826,161 194,419,202 53,130,100 108,749,203 37,644,965 37,531,621 19,746,490 231,353,930 15,013,284 259,323,276 4,191,158,947 609,715,096 54,331,441 564,566,243 583,407,188 61,837,429 8,308,521 103,831,593 11,848,483 36,840,468 21,017,373 27,393,316 12,958,733 125,550,035

207,677 14,734,151 105,858,747 1,074,830 31,062,082 (4,752,649) (7,644,005) 16,096,069 (8,753,021) 17,210,132 (2,975,058) (3,251,281) (5,231,738) (16,983,703) 22,646,319 (847,517) 3,499,751 (9,025,325) (282,778,204) 6,519,222 17,729,293 665,664 48,526,090 6,677,359 10,999,404 5,664,495 5,693,375 (5,994,592) 21,544,717 254,642 9,120,049 587,674,971 89,825,731 4,625,228 (120,804,878) (52,052,374) (3,056,992) 44,061 11,369,976 (2,316,529) (777,088) 917,246 4,377,420 1,237,866 13,012,077

2004 Annual Report

48

Georgia Department of Insurance

Columbia Natl Ins Co Commerce & Industry Ins Co Commercial Cas Ins Co Commercial Guaranty Cas Ins Co Commercial Guaranty Ins Co Commercial Ins Co Of Newark NJ Commercial Loan Ins Corp Commonwealth Ins Co Of Amer Companion Commercial Ins Co Companion Prop & Cas Ins Co Compass Ins Co Computer Ins Co Connie Lee Ins Co Consolidated American Ins Co Constitution Ins Co Continental Cas Co Continental Ins Co Continental Natl Ind Co Continental Rein Corp Continental Western Ins Co Contractors Bonding & Ins Co Converium Ins North Amer Inc Converium Reins North Amer Inc Core Ins Co Coregis Ins Co Courtesy Ins Co Coventry Ins Co Crum & Forster Ind Co Cumberland Cas & Surety Co Cumis Ins Society Inc Cypress Ins Co Daily Underwriters Of Amer DaimlerChrysler Ins Co Dairyland Ins Co Darwin Natl Assur Cp Dealers Assur Co Deerbrook Ins Co Deerfield Ins Co Dentists Ins Co Depositors Ins Co Developers Surety And Ind Co Diamond State Ins Co Direct General Ins Co Discover Prop & Cas Ins Co Distinguished Programs RRG

29,477,646 79,761,299 (53,621) 20 329,398 1,492,827 34,057,342 182,277 839,033 142,000,034 2,890,283 26,720 142,245 3,503,050 5,065,830 876,947 2,602,110 1,003,769 234,606 5,599,107 11,296,094 276,483 2,345,340 3,839,929 77,399 280 (362) 12,858 111,124 344,494 1,693,424 32,072,554 10,516,865 -

71,733,433 5,687,685,313 274,082,460 172,477,581 32,821,892 50,327,566 9,931,604 44,270,813 11,033,443 302,794,085 13,984,592 25,462,955 217,794,520 3,669,339 50,514,030 34,211,782,318 3,896,598,743 18,120,911 100,203,643 240,399,760 142,763,807 85,085,064 2,545,428,913 33,513,774 530,820,576 253,534,634 8,760,910 33,963,451 8,295,373 973,171,812 347,585,474 22,212,002 395,232,790 1,042,665,365 47,277,807 30,965,750 32,207,763 119,044,825 203,086,000 43,198,020 84,575,749 151,802,354 317,855,826 101,870,133 705,094

23,110,219 1,543,207,791 57,291,941 116,291,442 31,161,669 48,276,641 9,148,740 20,831,622 7,855,757 86,140,537 10,647,786 22,170,793 106,988,795 3,453,146 36,175,772 6,815,290,687 1,685,767,964 16,655,299 97,195,571 71,922,547 38,111,028 59,335,125 349,255,150 33,032,322 200,240,482 78,725,823 5,673,527 9,871,241 (12,944,393) 402,785,691 203,027,374 14,506,214 202,476,377 331,154,371 30,951,278 13,835,242 31,985,434 42,269,817 116,329,076 42,523,601 36,704,098 105,843,148 106,989,455 30,446,635 528,446

3,803,675 46,648,973 (730,132) 11,660,337 1,797,287 1,342,775 500,642 (333,476) 98,104 2,048,202 (1,425,991) 5,436,811 (16,473,199) (519,805) (681,284) 521,443,513 51,349,810 445,604 3,814,493 3,887,984 6,362,750 (3,161,017) (355,698,086) 908,138 6,732,055 9,802,260 353,543 (752) (9,241,413) 40,964,872 1,948,994 2,138,462 30,902,858 31,276,126 (1,098,028) 646,654 1,478,135 1,620,826 15,272,534 1,950,720 1,721,592 2,666,546 5,906,370 553,080 17,450

2004 Annual Report

49

Georgia Department of Insurance

Doctors Co An Interins Exchn

11,250,374

Dorinco Rein Co

-

Eastguard Ins Co

265,981

Economy Fire & Cas Co

-

Economy Preferred Ins Co

-

Economy Premier Assur Co

20,560,310

Electric Ins Co

10,771,926

Emc Prop & Cas Ins Co

1,550,046

Emc Rein Co

-

Emcasco Ins Co

1,549,644

Emergency Physicians Ins Co RRG -

Empire Fire & Marine Ins Co

20,080,638

Employers Fire Ins Co

878,074

Employers Ins of Wausau

19,789,809

Employers Mut Cas Co

7,999,353

Employers Reins Corp

3,702,569

Encompass Home and Auto Ins Co 998,129

Encompass Ind Co

3,511,739

Encompass Independent Ins Co 1,908,197

Encompass Ins Co

-

Encompass Ins Co Of America 58,217,025

Encompass Property & Cas Co 2,863,580

Equity Insurance Co

4,243,636

Esurance Ins Co

813,164

Euler American Credit Ind Co

4,302,654

Everest Natl Ins Co

4,111,789

Everest Reins Co

-

Evergreen Natl Ind Co

152,960

Excelsior Ins Co

6,779,430

Excess Rein Co

-

Excess Share Ins Corp

15,824

Executive Risk Ind Inc

11,879,413

Factory Mut Ins Co

53,532,933

Fairfield Ins Co

215,728

Fairmont Ins Co

-

Fairmont Premier Ins Co

102,088

Fairmont Specialty Ins Co

4,205,806

Farmers Ins Exch

22,350,070

Farmers Mut Hail Ins Co Of IA -

Farmington Cas Co

244,208

Farmland Mut Ins Co

3,420,416

FCCI Ins Co

31,857,057

Federal Ins Co

154,659,384

Federated Mut Ins Co

31,367,633

Federated Rural Electric Ins Exch 7,674,198

1,559,571,942 1,671,292,100 43,105,814 372,773,765 9,334,805 37,984,628 1,144,329,169 104,345,424 226,982,575 222,822,351 10,052,827 672,213,861 109,468,117 4,423,248,464 1,837,475,749 16,759,214,095 5,678,338 22,578,133 5,893,265 11,234,330 88,135,431 15,784,768 50,678,785 102,706,212 268,143,014 764,412,799 8,572,712,312 48,013,623 77,223,021 58,861,976 41,682,295 2,225,388,669 6,974,548,101 38,034,797 42,564,369 168,486,708 235,722,443 10,117,191,154 272,706,095 944,515,823 317,055,389 1,052,121,475 23,128,725,086 3,359,839,571 220,792,419

405,582,912 415,777,440 14,486,453 362,266,579 9,332,260 35,183,317 274,952,162 40,842,661 69,572,412 59,000,440 3,125,825 125,780,499 54,710,824 995,148,967 577,003,528 5,513,120,691 5,328,887 18,359,893 5,838,498 11,105,833 78,302,226 14,175,996 19,636,816 34,747,568 128,837,504 115,771,716 2,093,152,095 30,052,438 62,164,120 34,231,346 11,794,090 585,217,621 3,532,790,725 17,383,352 14,973,901 119,915,917 86,988,899 2,401,175,573 168,509,996 228,042,718 108,729,326 327,164,886 7,764,665,194 1,293,944,023 68,264,979

32,395,607 8,453,751 638,050 19,347,231 405,288 1,394,473 11,176,616 (155,578) 17,502,521 (2,137,005) (1,311,670) 1,935,974 2,875,390 100,463,545 (22,790,206) (110,291,287) 75,725 926,684 83,143 395,610 226,495 108,060 6,317,890 148,991 17,521,811 13,652,734 175,821,371 1,966,295 3,368,042 1,736,469 1,197,150 106,973,368 501,479,469 (3,098,056) 1,012,884 (661,723) 10,941,363 63,328,677 29,389,886 55,927,482 13,555,738 7,108,581 1,055,992,677 109,448,651 5,888,687

2004 Annual Report

50

Georgia Department of Insurance

Federated Service Ins Co

695,152

FFG Ins Co

101,705

FFVA Mut Ins Co

7,665,928

Fidelity & Cas Co Of NY

180,294

Fidelity & Deposit Co Of MD

15,399,039

Fidelity & Guaranty Ins Co

8,239,465

Fidelity & Guaranty Ins Underwriters 5,476,943

Fidelity First Ins Co

-

Fidelity Natl Ins Co

-

Fidelity Natl Prop and Cas Ins Co 6,823,630

Financial Guaranty Ins Co

5,284,734

Financial Security Assur Inc

22,164,406

Fire Ins Exch

-

Firemans Fund Ins Co

30,544,850

Firemans Fund Ins Co Of NE

(2,433)

Firemans Fund Ins Co Of WI

1

Firemens Ins Co Of Newark NJ 1,229,220

First American Prop & Cas Ins Co 211,840

First Colonial Ins Co

8,450,592

First Dakota Ind Co

-

First Financial Ins Co

557,818

First Guard Ins Co

529,728

First Ind Of Amer Ins Co

-

First Liberty Ins Corp

15,654,830

First Natl Ins Co Of Amer

12,903,697

First Professionals Ins Co

9,984,228

First Sealord Surety Inc

449,256

Firstcomp Ins Co

-

Florists Ins Co

288,380

Florists Mut Ins Co

1,829,547

Folksamerica Rein Co

-

Foremost Ins Co

39,318,387

Foremost Property & Cas Ins Co 2,005,265

Foremost Signature Ins Co

3,539,616

Fort Wayne Hlth & Cas Ins Co -

Fortress Ins Co

23,833

Frankenmuth Mut Ins Co

(38,597)

Gateway Ins Co

885,943

Ge Reins Corp

-

Ge Residential Mortgage Ins Corp N 2,630

Geico Cas Co

13,963,338

Geico General Ins Co

124,043,369

Geico Ind Co

51,181,618

Gen Elec Home Equity Ins Corp Of N -

Gen Elec Mortgage Ins Corp Of NC 3,448

320,363,406 46,352,377 183,096,083 140,186,079 216,503,315 14,382,528 32,007,247 7,285,296 116,158,268 59,343,862 3,115,766,580 3,479,996,093 1,623,512,091 9,913,244,552 61,371,522 18,916,683 529,968,183 83,665,239 178,425,097 20,898,676 410,883,508 6,511,379 6,614,618 40,250,068 217,565,585 659,990,796 10,713,197 113,144,870 16,119,628 178,026,022 2,746,039,010 1,441,611,600 32,678,256 58,569,728 321,230,922 32,217,573 738,093,349 39,032,572 2,763,483,451 34,906,094 261,923,233 125,939,489 3,409,349,908 5,817,111 213,314,114

84,575,551 29,243,624 70,744,089 137,991,798 178,739,802 14,321,989 31,851,517 6,533,123 54,522,323 22,615,085 1,172,595,082 1,144,699,725 404,467,439 2,930,106,207 46,510,121 18,378,629 505,636,241 29,095,955 30,909,450 4,460,965 197,599,314 5,921,016 4,514,298 19,666,529 66,713,980 145,402,294 8,523,990 29,326,706 7,020,331 42,805,848 917,403,619 410,926,566 13,916,601 16,091,409 157,760,904 15,003,223 253,515,863 8,443,916 689,116,939 12,035,167 85,069,826 56,094,939 1,409,249,614 5,746,149 89,763,968

7,008,084 3,328,621 9,094,042 5,361,400 6,856,985 722,879 3,043,930 (340,615) (284,275) 9,231,972 144,107,117 175,774,414 27,321,935 231,008,000 (188,994) 602,995 7,827,090 2,105,883 (11,326,698) 58,130 (8,748,877) 500,461 (890,376) 702,295 14,738,129 9,062,745 431,877 1,467,776 (310,346) 692,886 (958,732) 36,529,202 395,914 515,190 22,006,224 (197,426) 24,051,548 53,573 (109,778,585) 1,429,378 10,626,922 4,231,947 201,338,616 140,789 21,069,261

2004 Annual Report

51

Georgia Department of Insurance

General Cas Co Of WI

233,045

General Electric Mortgage Ins Corp 21,003,918

General Fidelity Ins Co

-

General Fire & Cas Co

-

General Ins Co Of Amer

10,089,087

General Rein Corp

1,873,236

General Security Natl Ins Co

-

General Star Natl Ins Co

477,732

Generali Us Branch

9

Genesis Ins Co

1,271,411

Gerling Amer Ins Co

883,530

Gerling Global Reins Corp Of Americ -

Germantown Ins Co

1,255

Glens Falls Ins Co

991,608

Globe American Cas Co

-

GMAC Direct Ins Co

-

GMAC Ins Co Online Inc

-

Government Employees Ins Co 108,653,331

Gramercy Ins Co

817,178

Granada Ins Co

-

Grange Indemnity Ins Co

5,275,041

Grange Mut Cas Co

102,801,623

Granite State Ins Co

16,211,063

Graphic Arts Mut Ins Co

10,077,382

Gray Ins Co

365,459

Great American Alliance Ins Co 2,188,246

Great American Assur Co

10,662,556

Great American Ins Co

23,576,894

Great American Ins Co of NY

23,296,722

Great American Security Ins Co 44,068

Great American Spirit Ins Co

17,353

Great Divide Ins Co

120,104

Great Midwest Ins Co

-

Great Northern Ins Co

31,168,060

Great River Ins Co

250

Great West Cas Co

7,892,610

Greater NY Mut Ins Co

616,486

Greenwich Ins Co

11,243,301

Grocers Ins Co

-

Guarantee Co Of N. America USA 915,753

Guarantee Ins Co

1,957,551

Guaranty Natl Ins Co

4,035,578

Guic Ins Co

-

Guideone America Ins Co

4,463,566

Guideone Elite Ins Co

13,443,372

1,527,956,567 2,724,042,933 166,785,419 47,696,875 2,455,673,693 19,614,060,601 367,254,512 529,973,099 88,522,203 267,346,019 141,493,064 1,058,772,445 51,268,033 146,663,492 19,400,754 8,920,866 17,003,367 11,160,614,074 18,997,598 27,532,444 40,976,689 1,346,922,024 33,473,970 117,701,159 235,899,182 24,650,115 14,354,213 5,084,577,208 52,791,265 15,837,919 17,281,924 82,253,847 30,275,424 1,297,347,428 12,626,555 1,229,965,493 652,683,870 674,629,622 9,516,321 62,984,506 42,002,075 372,797,836 29,314,061 11,481,467 26,941,368

530,394,569 186,207,253 154,394,563 9,556,818 721,029,276 7,158,986,446 85,101,140 173,245,431 45,963,529 90,292,667 80,433,991 65,068,177 22,395,581 145,305,955 16,653,590 8,596,567 10,429,487 4,796,839,271 7,528,939 8,060,915 21,980,772 551,777,717 29,814,673 33,204,705 74,602,944 24,618,684 14,334,918 1,445,292,851 52,261,698 15,818,371 17,260,328 36,782,102 12,658,497 254,958,833 12,970,207 355,639,008 249,354,909 292,663,501 8,014,599 52,394,790 8,405,768 92,524,449 18,348,516 7,711,944 15,645,405

121,690,459 195,928,830 8,578,376 (3,424,979) 148,857,302 485,835,702 (2,749,097) 7,716,800 (9,047,552) (6,271,718) 108,235 (11,389,065) 536,094 6,233,403 679,559 48,090 (94,180) 814,529,172 996,779 (823,826) 3,150,961 66,921,934 1,252,187 3,465,304 6,775,239 552,237 297,818 488,922,772 2,064,850 340,977 641,287 3,749,185 794,936 56,084,447 362,609 40,717,527 14,795,215 12,385,609 (3,048,705) (9,628,923) (2,129,097) (23,331,890) 738,439 237,793 567,861

2004 Annual Report

52

Georgia Department of Insurance

Guideone Mut Ins Co

16,247,548

Guideone Specialty Mut Ins Co 3,712,355

Gulf Ins Co

13,327,294

Hanover Ins Co

14,602,003

Harbor Specialty Ins Co

139,486

Harco Natl Ins Co

4,316,985

Harleysville Ins Co

-

Harleysville Mut Ins Co

7,031,476

Hartford Accid & Ind Co

8,989,262

Hartford Cas Ins Co

23,002,765

Hartford Fire In Co

82,793,411

Hartford Ins Co Of The Midwest 34,058,989

Hartford Ins Co Of The Southeast 8,765,923

Hartford Steam Boil Inspec & Ins 4,866,803

Hartford Steam Boil Inspec Ins Co C-

Hartford Underwriters Ins Co

29,469,043

HCC Ins Co

-

Heritage Casualty Ins Co

1,062,602

Heritage Ind Co

1,099,307

Hermitage Ins Co

1,506,807

Highmark Cas Ins Co

-

Homesite Ins Co

-

Homesite Ins Co Of The Midwest 2,564,588

Homestead Ins Co

-

Horace Mann Ins Co

14,977,673

Houston General Ins Co

-

Hudson Ins Co

408,500

Illinois Natl Ins Co

1,905,780

Imperial Cas & Ind Co

-

Imperial Fire & Cas Ins Co

-

Independent Mut Fire Ins Co

362,428

Indiana Lumbermens Mut Ins Co 319,286

Infinity Ins Co

6,022,934

Infinity Select Ins Co

93,554

Ins Co Of The Americas

-

Insura Prop & Cas Ins Co

(744)

Insurance Co Of North Amer

953,801

Insurance Co Of The State Of PA 15,184,104

Insurance Co Of The West

225,743

Insurance Corp Of Amer

-

Insurance Corp Of Hannover

7,132,732

Insurance Corp Of NY

(97,202)

Integon General Ins Corp

1,075,591

Integon Ind Corp

2,427,494

Integon Natl Ins Co

1,597,810

686,708,080 143,837,765 2,685,905,231 3,448,559,485 262,018,299 375,845,432 91,013,680 1,261,820,380 9,280,269,530 1,760,160,801 20,101,633,150 241,931,966 153,603,328 1,180,371,754 65,918,525 1,236,580,922 16,759,313 162,625,543 198,019,078 114,274,495 144,867,748 35,764,575 41,135,675 8,908,980 452,477,044 43,610,245 219,950,975 50,608,973 11,356,877 49,840,501 28,002,078 112,703,916 901,858,111 23,919,378 44,070,403 39,399,588 508,398,418 3,156,974,864 630,029,800 65,327,573 732,545,148 223,834,741 74,015,706 80,662,243 221,654,950

248,121,162 38,695,778 862,797,763 1,098,811,533 34,025,528 144,320,748 22,735,392 521,653,345 2,838,945,879 754,187,889 9,754,359,522 147,202,760 62,197,491 604,532,544 32,173,422 504,893,156 16,373,922 37,549,296 84,718,393 25,903,270 56,953,942 11,517,933 13,017,011 3,591,929 141,880,222 20,616,901 79,076,284 50,518,060 10,402,142 19,741,755 24,001,735 29,330,802 322,453,733 17,249,624 9,285,419 23,516,200 68,285,235 1,094,887,196 293,453,464 10,794,166 179,850,532 (39,738,315) 39,835,173 42,877,336 87,679,314

4,146,896 813,204 (162,325,709) 20,460,715 (20,598,958) 4,331,938 3,046,731 53,648,425 358,948,919 75,026,913 390,800,522 17,248,585 7,158,916 107,684,976 6,309,784 111,756,195 1,351,455 (10,813,793) 12,799,909 3,132,703 (1,588,022) (1,089,748) 1,231,856 (13,087,289) 33,101,684 398,694 3,670,164 2,142,788 38,787 1,414,960 428,079 605,444 62,664,056 2,952,900 1,364,242 202,679 16,911,571 54,244,122 7,054,496 (8,313,957) 19,394,637 (66,452,964) 2,348,032 3,088,828 6,153,647

2004 Annual Report

53

Georgia Department of Insurance

Integon Specialty Ins

3,654,161

Internat'l Bus & Merc Reassur C 49,137

International Fidelity Ins Co

2,313,265

Interstate Ind Co

7,086,476

Jefferson Ins Co

2

Jewelers Mut Ins Co

2,811,315

Kansas City Fire & Marine Ins Co 831

Kemper Cas Ins Co

135,276

Kemper Independence Ins Co -

Key Risk Ins Co

20,726,588

Lancer Ins Co

3,435,598

Laurier Ind Co

-

Leader Ins Co

-

Lewis & Clark LTC RRG Inc

-

Lexington Natl Ins Corp

-

Lexon Ins Co

694,860

Liberty Ins Corp

29,314,285

Liberty Ins Underwriters Inc

5,399,423

Liberty Mut Fire Ins Co

174,379,343

Liberty Mut Ins Co

31,496,728

Lincoln General Ins Co

18,365,796

Lion Ins Co

-

LM General Ins Co

109,927

LM Ins Corp

13,795,612

LM Personal Ins Co

-

LM Property and Casualty Ins. Co. 6,761,007

Lumber Mut Ins Co

-

Lumbermens Mut Cas Co

291,483

Lumbermens Underwriting Alliance 2,016,870

Lyndon Property Ins Co

1,729,674

Main St Amer Assur Co

1,051

Mainland Ins Co

-

Manufacturers Alliance Ins Co 2,021,898

Marathon Financial Ins

-

Marine Ind Ins Co Of Amer

-

Markel American Ins Co

2,851,289

Markel Ins Co

4,847,254

Maryland Cas Co

35,703,047

Massachusetts Bay Ins Co

17,310,222

Mayflower Ins Co Ltd

-

MBIA Ins Corp

6,360,677

MBIA Ins Corp Of IL

-

Medical Assur Co Inc

6,248,761

Medical Liability Mut Ins Co

(94)

Medical Mut Ins Co Of NC

4,537,721

48,744,206 546,301,091 89,542,550 148,334,315 146,218,003 166,367,491 24,191,422 27,302,670 35,142,458 69,263,164 481,044,558 22,648,138 271,429,331 1,288,499 23,946,894 44,239,411 1,639,778,256 115,988,754 2,774,088,615 23,956,964,668 513,450,626 144,604,175 28,325,261 61,479,987 19,481,622 906,705,762 54,387,433 3,776,440,507 352,451,035 393,909,119 728,002,752 4,593,899 186,247,311 9,535,771 12,834,211 351,073,402 485,034,573 417,137,564 22,778,562 25,705,269 10,380,151,128 171,510,311 1,391,536,612 5,051,358,870 272,327,638

19,429,685 150,707,322 48,094,364 55,496,689 93,952,563 93,255,640 23,906,984 22,125,864 10,273,551 15,077,018 72,466,154 12,355,079 52,389,829 616,120 7,281,972 24,889,430 270,237,122 61,893,071 672,744,542 7,255,349,918 160,380,582 10,339,599 14,374,803 17,643,949 15,166,195 670,010,242 6,645,313 171,434,880 87,243,131 159,327,843 213,692,941 4,254,177 54,820,309 1,922,539 12,726,357 81,314,694 120,244,494 371,758,702 22,738,514 25,591,691 3,394,675,804 170,545,949 276,908,603 478,124,467 76,133,770

755,951 38,492,149 2,208,413 4,752,521 (490,937) 5,594,711 643,962 (359,797) 17,791 444,345 6,424,403 1,730,871 (2,534,891) (369,496) 2,450,470 4,368,087 10,298,240 3,814,068 34,625,764 216,859,590 (6,558,953) 7,826 261,613 872,712 514,875 67,057,329 (1,455,104) (65,968,578) 21,582,781 10,352,795 20,799,465 84,980 3,407,373 715,426 195,730 10,992,856 19,563,775 12,595,105 832,077 907,250 705,424,129 2,924,617 17,554,613 (408,446,320) 6,831,483

2004 Annual Report

54

Georgia Department of Insurance

Medical Protective Co

22,963,642

Medmarc Cas Ins Co

1,237,833

Medmarc Mut Ins Co

-

Mendakota Ins Co

-

Mendota Ins Co

5,369,566

Merastar Ins Co

10,725,778

Merchants & Business

-

Mens Mut Ins

Merchants Bonding Co (Mutual) 540,620

Meridian Security Ins Co

-

Meritplan Ins Co

2,195,133

Merrimack Mut Fire Ins Co

-

Metropolitan Cas Ins Co

4,161,031

Metropolitan Drt Prop & Cas Ins 1,640,690

Metropolitan General Ins Co

1,843,336

Metropolitan Grp Prop & Cas Ins 22,411,997

Metropolitan Property & Cas Ins 27,102,950

MGA Ins Co Inc

-

MGIC Assur Corp General Account -

MGIC Assur Corp

-

Segregated Account

MGIC Ind Corp

8,060

MIC General Ins Corp

4,705,637

MIC Prop & Cas Ins Corp

401,523

Mid-Century Ins Co

-

Middlesex Ins Co

2,753,092

Midwest Employers Cas Co

11,033,577

Midwestern Ind Co

1,671,138

Millers Capital Ins Co

-

Millers First Ins Co

-

Minnesota Lawyers Mut Ins Co 565,797

Mitsui Sumitomo Ins Co of Amer 4,236,937

Mitsui Sumitomo Ins USA Inc 4,383,390

Monumental General Cas Co

32,865

Mortgage Guaranty Ins Corp

42,339,872

Motors Ins Corp

3,470,830

MS Cas Ins Co

4,460

Mutual Savings Fire Ins Co

99,553

Mutual Service Cas Ins Co

-

National Alliance Ins Co

-

National American Ins Co

123,043

National Cas Co

10,596,711

National Continental Ins Co

-

National Farmers Union Prop & Cas 1,727,112

National Fire & Ind Exch

371,502

2,172,578,737 93,290,414 216,814,682 21,324,446 96,623,392 105,090,202 13,971,605
53,240,634 150,438,619 41,766,659 701,442,084 42,386,993 25,572,518 27,211,421 364,497,788 5,192,195,854 43,184,748 8,683,483 -
21,317,083 69,081,551 372,621,054 2,900,573,177 529,668,970 227,301,111 34,196,414 87,326,739 45,591,509 77,640,967 621,451,129 92,166,731 7,946,981 7,022,545,443 7,780,726,586 34,969,184 3,143,621 57,048,505 27,331,624 127,510,366 98,918,852 102,385,823 288,439,690 14,622,869

510,821,586 36,105,317 101,543,989 8,919,254 35,970,240 21,823,404 12,466,216
36,952,764 68,096,459 15,523,104 386,424,191 41,324,239 21,886,729 26,456,576 198,641,215 1,874,998,801 17,560,376 8,616,101 -
20,887,350 14,389,660 52,320,011 558,360,716 165,652,482 112,388,141 28,367,949 35,494,649 18,104,155 43,934,530 131,865,214 38,603,886 7,795,132 1,776,805,205 2,073,786,931 15,212,297 1,985,530 35,854,496 20,979,900 41,458,189 93,049,957 43,402,912 90,905,039 7,107,196

89,226,293 3,914,353 4,238,861 557,974 2,711,952 (5,292,076) 1,040,521
2,050,710 4,895,445 591,695 18,778,853 2,995,867 1,396,051 2,083,831 12,199,590 355,685,055 863,915 182,586 4,278,102
504,889 603,999 1,328,890 (83,881,910) 15,202,910 6,269,569 594,757 3,096,044 (91,835) 2,408,640 (1,192,418) (264,564) (458,187) 163,976,698 366,251,684 (425,344) (1,571,116) 1,686,061 1,047,055 (7,481,856) 3,409,356 15,349,962 19,587,184 84,009

2004 Annual Report

55

Georgia Department of Insurance

National Fire Ins Co Of Hartford 13,689,447

National General Assur Co

-

National General Ins Co

10,044,973

National Ind Co

11,578,062

National Ins Assn

-

National Ins Co Of WI Ins

-

National Ins Underwriters

-

National Interstate Ins Co

3,510,698

National Liab & Fire Ins Co

3,144,781

National Lloyds Ins Co

267,749

National Reins Corp

-

National Security Fire & Cas Co 3,366,776

National Specialty Ins Co

866,314

National Surety Corp

7,683,272

National Trust Ins Co

21,253,493

National Union Fire Ins Co Of LA 348,072

National Union Fire Ins Co Of Pitts 86,803,729

Nationwide Affinity Co of Amer -

Nationwide Agribusiness Ins Co 2,410,723

Nationwide Assur Co

20,875,922

Nationwide General Ins Co

1,073,864

Nationwide Ins Co Of Amer

-

Nationwide Mut Fire Ins Co

188,082,493

Nationwide Mut Ins Co

39,858,044

Nationwide Prop & Cas Ins Co 3,568,972

Natl Grange Mut Ins Co

447,859

Navigators Ins Co

519,048

NCMIC Ins Co

2,348,886

Netherlands Ins Co The

9,942,202

New England Ins Co

-

New England Rein Corp

-

New Hampshire Ins Co

6,196,481

New South Ins Co

4,147,336

New York Marine & Gnrl Ins Co 1,060,610

Newark Ins Co

-

Niagara Fire Ins Co

-

Nipponkoa Ins Co Ltd U.S. Branch 162,074

NIPPONKOA Ins Co of America 174,968

NLC Mut Ins Co

-

Norguard Ins Co

6,667,841

North American Elite Ins Co

-

North American Lumber Ins Co -

North American Specialty Ins Co 3,904,428

North River Ins Co

2,932,299

North Star Rein Corp

-

159,635,925 48,091,895 130,278,168 50,959,623,242 22,049,900 33,200,277 6,478,240 297,898,153 654,764,359 135,325,973 1,065,840,451 52,502,853 17,037,119 465,097,020 29,442,044 6,855,498 26,389,125,641 13,741,648 92,247,964 70,630,528 21,708,220 78,242,646 4,279,315,119 24,183,383,266 25,961,535 723,120,585 804,920,727 445,665,659 182,028,229 281,577,238 124,408,743 3,095,053,479 74,726,673 530,150,656 23,965,821 56,291,905 178,927,891 59,875,558 191,075,630 236,813,283 38,085,567 9,391,039 285,042,566 844,850,943 17,473,718

159,227,096 8,814,763 37,252,501 27,224,758,839 9,330,959 12,215,774 5,981,002 92,124,127 278,812,224 71,714,634 722,092,484 23,766,134 9,180,234 143,121,760 8,041,959 5,919,162 8,553,964,180 13,084,401 47,666,896 66,652,856 21,304,498 71,764,343 1,490,739,240 7,581,203,308 25,563,709 358,307,326 235,561,311 131,123,717 45,867,800 253,343,617 107,837,829 993,229,379 30,265,530 167,010,170 3,647,983 55,894,626 51,281,764 43,918,395 45,846,242 56,503,138 35,587,785 5,928,706 185,292,273 304,373,911 17,430,817

2,853,192 105,453 3,438,406 2,185,998,512 813,531 (306,372) (20,071) 20,450,215 35,000,283 13,154,370 42,898,666 2,163,508 583,693 19,890,832 (1,961,926) 253,103 661,875,397 492,199 2,001,973 2,813,174 827,716 3,838,077 188,585,607 1,028,219,273 1,019,277 14,762,292 30,282,487 8,920,648 4,244,383 7,149,274 4,045,224 97,695,196 1,445,133 5,567,578 (4,514,203) 2,872,906 1,314,322 2,376,082 (3,305,497) 2,323,790 613,075 (165,613) 8,128,334 27,702,124 342,272

2004 Annual Report

56

Georgia Department of Insurance

Northbrook Ind Co Northern Assur Co Of Amer Northern Ins Co Of NY Northland Cas Co Northland Ins Co Northwestern Natl Ins
Co Milwaukee Northwestern Natl Ins Co
Seg Accnt Nova Cas Co Occidental Fire & Cas Co Of NC Odyssey America Reins Co Ohic Ins Co Ohio Cas Ins Co Ohio Farmers Ins Co Ohio Ind Co Ohio Security Ins Co Old Dominion Ins Co Old Republic Ins Co Old Republic Security Assur Co Old Republic Surety Co Old Republic Union Ins Co Old United Cas Co Omaha Ind Co Omaha Prop & Cas Ins Co Omega Ins Co Omni Ind Co Omni Ins Co OneBeacon America Ins Co OneBeacon Ins Co OneBeacon Midwest Ins Co Oriska Ins Co Owners Ins Co Pacific Employers Ins Co Pacific Ind Co Pacific Specialty Ins Co PACO Assur Co Inc Partner Reins Co Of The US Partnerre Ins Co Of NY Pathfinder Ins Co Patriot General Ins Co Peachtree Cas Ins Co Peak Prop & Cas Ins Corp Peerless Ind Ins Co Peerless Ins Co

3,277,341 402,603 11,354,149 491,800 5,125,222 -
14,918
3,709,623 15,804,330 5,545 12,655,019 230,506 191,232 191,896 9,476,737 16,686,201 (9,349) 1,102,108 841,149 (18,184) 53,567 8,029,300 2,328,564 1,112,501 1,168,070 (65,121) 58,097,781 (1,185,208) 13,743,896 8,074,312 393 203,371 16,443,730 1,763,500 4,295,502 260 22,569,390

97,583,070 345,033,192 63,726,233 98,781,611 1,100,314,135 74,388,972
69,404,248
70,893,629 257,884,876 4,855,108,622 322,045,210 2,595,541,693 1,202,049,684 101,167,792 65,736,796 74,204,968 1,847,752,460 89,493,716 88,208,738 30,438,347 252,979,678 28,267,565 26,017,940 40,115,194 63,445,265 344,385,170 1,299,574,612 3,849,875,366 40,380,913 15,920,155 1,642,375,010 1,561,607,108 4,612,460,408 231,026,311 16,000,793 2,717,642,330 114,708,640 11,474,905 20,579,260 12,585,177 13,479,925 1,579,863,464 2,541,989,714

97,280,405 163,926,535 28,328,219 26,042,768 434,703,081 (46,760,159)
5,713,858
18,758,112 118,655,267 1,675,858,314 63,004,502 972,040,019 919,714,648 30,879,673 33,913,427 18,810,086 676,747,282 17,165,928 38,234,334 21,605,624 69,768,635 20,911,734 11,663,682 4,980,791 28,888,055 115,612,303 596,566,817 1,361,450,908 39,756,191 5,302,546 538,196,688 315,291,970 1,151,862,187 74,835,413 10,019,795 586,542,837 99,139,982 7,078,004 18,830,017 5,613,537 10,035,307 544,638,895 862,051,773

1,559,065 11,145,475 1,138,996 3,796,749 38,132,738 (11,277,446)
(1,131,570)
877,554 1,788,837 159,367,758 5,059,610 138,316,530 24,209,876 (11,300,632) 1,724,405 1,988,522 94,220,358 1,942,254 5,527,652 1,538,667 17,492,327 1,436,047 8,100,829 (13,484,671) (786,519) (6,576,987) 45,845,846 266,740,639 2,643,931 (1,132,513) 59,158,636 34,917,724 254,838,510 9,312,555 255,751 7,270,968 6,705,186 999,112 634,315 424,466 887,081 33,788,076 63,005,058

2004 Annual Report

57

Georgia Department of Insurance

Penn Millers Ins Co

7,342,405

Penn-Star Ins Co

116,075

Pennsylvania General Ins Co

133,790

Pennsylvania Lumbermens Mut Ins 7,592,714

PA Manufacturers Asn Ins

7,378,285

PA Manufacturers Ind Co

(154,137)

Pennsylvania Ntl Mut Cas Ins Co 457,855

Permanent Gen Assur Corp Of OH 8,086,450

Permanent General Assur Corp 9,856,975

Petroleum Cas Co

23,876

Pharmacists Mut Ins Co

797,481

Philadelphia Ind Ins Co

12,516,609

Philadelphia Rein Corp

-

Phoenix Ind Ins Co

-

Phoenix Ins Co

63,549,413

Plateau Cas Ins Co

-

Platinum Underwriters Reins Co. -

Platte River Ins Co.

1,633,985

PMA Capital Ins Co

-

PMI Mortgage Ins Co

31,867,883

Podiatry Ins Co Of Amer A Mut Co 1,995,750

Preferred Professional Ins Co

1,786

Pre-Paid Legal Cas Inc

14,529,208

Princeton Ins Co

(40,101)

Private Residential Mortgage Ins -

Producers Lloyds Ins Co

19,590,595

Professional Liab Ins Co Of Amer -

Professional Solutions Ins Co

5,136

Professionals Advocate Ins Co -

Professionals Direct Ins Co

287,241

Progressive American Ins Co

62,609,270

Progressive Bayside Ins Co

102,350,672

Progressive Cas Ins Co

8,738,526

Progressive Choice Ins Co

-

Progressive Classic Ins Co

83,206,805

Progressive Gulf Ins Co

35,452,820

Progressive Halcyon Ins Co

99,710,659

Progressive Home Ins Co

1,241

Progressive Max Ins Co

79,598,548

Progressive Northern Ins Co

8,669,594

Progressive Northwestern Ins Co 44,466,567

Progressive Preferred Ins Co

183,821,938

Progressive Southeastern Ins Co 26,037,209

Progressive Specialty Ins Co

-

Pronational Ins Co

528,721

152,172,349 153,824,324 627,884,251 241,265,227 598,171,292 187,083,693 833,905,757 79,735,092 179,860,977 15,206,951 145,288,276 1,706,938,737 228,334,186 27,683,590 3,371,332,931 9,559,377 1,421,278,625 63,839,269 928,263,456 3,421,678,942 176,983,633 186,783,125 21,854,148 976,378,364 19,955,592 9,499,735 16,767,214 11,397,622 85,128,771 40,430,322 312,072,265 116,686,282 6,508,115,130 235,523,515 393,541,845 278,664,655 1,841,277,675 147,959,415 208,726,652 1,426,094,929 1,393,365,724 692,937,261 128,348,771 987,007,278 1,012,971,631

45,444,878 48,410,156 220,615,709 83,690,325 183,794,972 61,418,753 304,593,441 21,383,092 63,732,313 10,811,416 50,885,291 417,779,814 138,764,177 14,037,966 995,749,290 4,991,269 403,121,410 29,668,909 224,510,897 645,481,428 55,804,333 49,884,177 19,910,855 166,634,616 10,891,754 7,691,899 7,063,463 8,523,802 16,814,968 16,823,166 109,326,603 35,814,229 1,773,858,286 86,199,154 109,558,152 114,212,818 683,556,253 56,953,206 55,192,100 435,872,284 438,470,765 198,107,769 35,803,822 427,401,132 241,824,698

781,528 5,449,744 10,472,488 8,812,707 10,963,786 4,629,064 10,702,307 3,273,889 9,004,319 1,263,542 (120,097) 35,554,982 20,069,047 3,414,034 237,831,722 (327,728) 20,574,244 899,461 40,803,887 273,776,415 4,211,658 108,252 4,148,526 18,203,976 629,413 9,090 1,258,457 (280,266) 1,935,114 802,883 28,960,228 15,132,515 727,574,853 20,282,450 44,243,614 30,729,009 80,230,991 6,388,933 9,888,489 182,813,145 174,211,304 86,987,109 14,520,666 107,128,975 32,448,499

2004 Annual Report

58

Georgia Department of Insurance

Property & Cas Ins Co Of Hartford 493,125

Proselect Natl Ins Co Inc

-

Protective Ins Co

292,974

Providence Property & Cas Ins Co 1,971,167

Providence Washington Ins Co 2,838,846

Providence Washington

2,096,784

Ins Co Of NY

Public Service Mut Ins Co

62,156

Putnam Rein Co

-

PXRE Reins Co

-

QBE Ins Corp

8,543,851

QBE Reins Corp

-

Quadrant Ind Co

37,660

Quanta Ind Co

798,671

Radian Asset Assur Inc

362,825

Radian Guaranty Inc

37,127,193

Rampart Ins Co

-

Realm Natl Ins Co

(58,038)

Redland Ins Co

6,997,126

Regal Ins Co

6,865,783

Regent Ins Co

31,493

Republic Ind Co Of Amer

-

Republic Ind Co of CA

-

Republic Ins Co

-

Republic Mortgage Ins Co

30,839,324

Republic Mortgage Ins Co Of FL -

Republic Mortgage Ins Of NC -

Republic Western Ins Co

548,222

Republic-Franklin Ins Co

6,441,166

Residential Guaranty Co

-

Response Ins Co

24,050

Response Worldwide Ins Co

2,029,766

Riverport Ins Co

2,119,951

RLI Ind Co

44,664

RLI Ins Co

8,275,505

Rochdale Ins Co Of NY

4,575,498

Roche Surety And Cas Inc

2,665

Royal Ind Co

727,480

RSUI Ind Co

10,510,379

Rural Community Ins Co

16,512,340

Rvi Amer Ins Co

170,486

Safe Auto Ins Co

20,304,336

Safeco Ins Co Of Amer

16,722,576

Safeco Ins Co Of IL

20,734,911

Safeco Ins Co Of IN

4,917,532

160,059,788 10,850,403 525,494,726 54,051,228 260,382,480 30,423,965
629,519,474 404,656,007 504,763,561 357,534,197 1,010,836,153 135,872,509 229,097,854 2,070,002,371 3,249,765,091 119,762,924 24,157,948 118,627,274 41,206,620 223,994,748 797,778,706 36,926,208 73,293,014 1,660,956,496 35,845,378 400,811,055 285,292,447 78,557,752 358,296,329 87,953,216 62,040,133 65,710,263 33,773,198 1,216,033,560 54,802,853 11,932,571 4,774,041,704 1,471,896,849 2,166,989,030 80,170,306 294,272,358 3,785,601,534 542,479,691 11,457,634

66,837,515 10,735,112 318,181,776 17,679,794 22,160,799 5,391,104
172,742,953 125,637,737 224,926,041 130,803,504 435,588,093 36,795,794 34,662,283 1,003,747,907 426,623,014 48,102,716 (5,520,350) 25,857,977 13,960,840 74,140,611 242,555,602 14,697,415 14,636,399 138,580,663 10,464,375 75,498,248 64,789,226 29,067,899 94,850,670 68,751,074 24,417,585 29,117,478 32,881,474 605,966,803 12,037,665 5,028,255 893,538,458 647,279,811 122,330,937 24,226,200 92,996,714 1,043,397,228 166,377,872 11,346,684

10,340,609 340,890 14,384,410 543,984 (28,382,922) (2,917,995)
21,177,227 8,478,994 3,206,478 2,147,460 28,563,732 4,752,372 (8,806,427) 42,416,028 329,797,181 4,511,042 (15,157,170) 49,273 1,150,874 8,746,634 40,038,304 917,919 1,245,318 152,519,223 3,294,756 52,636,085 (5,261,694) 2,150,302 48,549,025 1,957,669 234,331 1,535,128 1,084,018 35,867,725 1,636,902 72,164 (625,738,432) 83,278,491 15,837,432 4,386,156 18,791,843 232,066,903 37,729,143 259,375

2004 Annual Report

59

Georgia Department of Insurance

Safeco Natl Ins Co

13,946,030

Safety First Ins Co

49,676

Safety Natl Cas Corp

7,581,727

Safeway Ins Co

-

Sagamore Ins Co

832,225

San Francisco Reins Co

-

Scor Reins Co

-

Scottsdale Ind Co

448,866

Sea Ins Co Of Amer

-

Seaboard Surety Co

802,364

SeaBright Ins Co

-

Seaworthy Ins Co

-

Security Ins Co Of Hartford

(152,628)

Security Natl Ins Co

4,441,584

Select Ins Co

70,881

Selective Ins Co Of Amer

2,365,917

Selective Ins Co Of SC

18,035,538

Selective Ins Co Of The Southeast 9,348,111

Selective Way Ins Co

13,608,158

Seneca Ins Co Inc

1,120,771

Senior Citizens Mut Ins Co

-

Sentinel Ins Co Ltd

96,994

Sentry Ins A Mut Co

10,595,979

Sentry Select Ins Co

30,958,302

Service Ins Co

217,395

Shelby Cas Ins Comp

-

Shelby Ins Co

(3,597)

Sirius Amer Ins Co

1,116,273

Sompo Japan Fire & Mar Ins Co Am -

Sompo Japan Ins Co of Amer

2,175,207

South Carolina Ins Co

(16,671)

Southern Fire & Cas Co

1,525,984

Southern General Underwriters Ins 2,412,337

Southern Gty Ins Co

1,433

Southern Ins Co

59,833

Southern Ins Co Of VA

17,568,694

Southern Mut Church Ins Co

5,184,400

Southern Pilot Ins Co

1,885,769

Southern States Ins Exch

1,340,633

Southern United Fire Ins Co

2,197,067

Spartan Prop Ins Co

4,040,229

St Paul Fire & Cas Ins Co

1,533,833

St Paul Fire & Marine Ins Co

86,555,122

St Paul Guardian Ins Co

7,728,139

St Paul Medical Liability Ins Co 2,200

223,266,068 15,345,755 1,095,482,630 360,459,333 157,154,523 279,505,164 1,970,167,532 14,782,941 634,152,260 265,697,215 183,523,406 38,681,384 1,235,216,750 18,617,751 66,499,972 1,924,326,544 320,427,240 245,428,804 721,669,962 255,473,772 19,542,015 343,261,181 4,667,634,521 556,728,291 40,240,374 29,390,836 28,298,604 287,899,980 23,531,331 518,103,814 18,082,171 9,914,742 13,471,035 311,636,156 9,171,262 108,244,346 27,898,479 49,250,323 31,517,847 34,109,192 21,412,079 9,585,823 19,049,272,602 14,494,219 189,670,554

72,298,698 10,891,062 286,173,706 220,187,222 88,967,140 248,916,798 505,761,395 14,602,556 70,615,482 121,035,631 54,499,521 18,263,378 166,909,409 18,288,039 57,091,492 463,502,771 70,146,367 53,649,602 161,699,453 82,471,788 5,385,256 286,038,180 2,366,714,920 152,500,671 12,000,000 21,685,104 26,838,578 82,197,309 22,732,576 198,288,376 (2,324,696) 9,905,824 5,524,545 88,720,312 8,722,159 50,253,802 15,378,704 48,519,034 14,541,000 21,440,066 11,369,543 9,480,473 5,508,658,245 14,358,714 44,618,696

15,557,043 782,578 34,094,452 16,166,782 5,630,918 8,314,774 (32,891,840) 475,049 (51,671,468) 36,665,717 (1,735,556) 1,264,963 (183,366,393) 552,113 7,697,475 83,679,267 10,621,941 8,571,131 25,152,803 6,834,348 (1,783,712) 12,185,571 125,865,410 16,060,016 (9,924,230) 2,702,344 22,551,673 2,536,247 328,015 (10,202,000) (6,230,202) 257,850 425,928 (3,792,308) 246,309 2,868,102 1,887,677 616,725 940,059 2,420,723 334,710 1,046,152 190,468,451 3,187,235 1,224,619

2004 Annual Report

60

Georgia Department of Insurance

St Paul Mercury Ins Co

22,428,698

St. Paul Protective Ins Co

211,857

Standard Cas Co

76,008

Standard Fire Ins Co

12,861,074

Standard Guaranty Ins Co

178,299

Star Ins Co

1,835,025

Starnet Ins Co

-

State Auto Natl Ins Co

1,165,175

State Auto Prop & Cas Ins Co 21,720,691

State Automobile Mut Ins Co

12,621,229

State Farm Fire And Cas Co

678,591,013

State Farm General Ins Co

1,588,613

State Farm Mut Auto Ins Co

1,151,768,899

State Natl Ins Co Inc

1,487,487

State Volunteer Mut Ins Co

2,729,918

Steward RRG

-

Stonebridge Casualty Ins Co

3,746,723

Stonewall Ins Co

-

Stonington Ins Co

6,835,442

Stratford Ins Co

7,406,145

SUA Ins Co

-

Suecia Ins Co

-

Surety Bonding Co Of Amer

15,448

Swiss Rein America Corp

-

T.H.E. Ins Co

636,799

Teachers Ins Co

2,854,985

Technology Ins Co Inc

15,583,671

The Bar Plan Mut Ins Co

22,409

The Cincinnati Indemnity Co

3,492,181

TIG Ind Co

-

TIG Ins Co

(19,121)

Titan Ind Co

-

TNUS Ins Co

-

Toa-Re Ins Co Of Amer

-

Tokio Marine & Nichido Fire Ins Co 12,509,516

Toyota Motor Ins Co

80,660

Traders & General Ins Co

-

Trans Pacific Ins Co

141,217

Transatlantic Rein Co

-

Transcontinental Ins Co

9,238,268

Transguard Ins Co Of Amer Inc 2,221,750

Transport Ins Co

-

Transportation Cas Ins Co

4,044,781

Transportation Ins Co

15,168,538

Travco Ins Co

27,579,853

25,711,916 369,393,744 21,075,005 3,243,996,606 109,337,587 410,095,198 39,660,923 124,870,199 1,343,492,669 1,654,197,514 20,636,268,908 3,492,482,742 84,405,164,872 148,583,283 765,612,145 1,920,611 176,731,615 96,540,478 233,066,890 157,344,444 102,807,638 64,795,506 8,640,953 11,467,287,733 139,050,281 306,233,324 98,427,677 47,335,755 71,598,858 25,724,673 2,148,705,604 116,883,990 114,493,589 1,175,960,181 1,349,877,977 111,939,287 7,851,918 43,030,380 7,482,980,176 92,384,822 206,139,267 60,641,705 85,483,326 80,024,640 194,031,455

25,435,132 225,764,645 15,699,841 924,701,700 46,693,192 120,726,543 22,796,406 59,318,027 419,743,123 1,089,281,968 6,519,567,405 1,080,105,073 46,144,210,960 77,106,072 167,868,110 1,395,185 71,541,200 61,653,811 55,316,888 45,937,368 100,724,927 26,425,490 6,686,834 2,647,733,082 38,154,779 61,927,042 31,692,203 20,787,405 60,170,312 23,735,323 742,027,190 94,119,674 44,515,658 330,037,299 409,666,340 26,336,458 7,816,252 31,943,616 1,944,450,139 88,776,611 64,076,265 17,491,293 28,213,507 79,740,730 61,915,897

7,620,464 8,933,494 2,006,102 184,779,488 23,225,579 7,039,794 1,296,325 5,798,448 74,234,638 31,468,124 2,031,797,262 326,914,522 3,075,871,993 5,258,826 10,819,382 (88,744) 5,521,202 (1,779,877) (11,205,159) 2,755,028 (3,382,667) 1,359,059 859,846 (100,251,577) 2,477,356 (12,156,767) 3,294,907 252,727 2,298,502 1,328,389 (139,926,482) 8,939,805 1,226,715 3,315,890 32,785,991 (2,102,533) 184,861 498,855 141,830,214 2,411,075 (3,555,552) (36,330,467) (766,622) 3,199,889 7,244,040

2004 Annual Report

61

Georgia Department of Insurance

Travelers Commercial Cas Co -

Travelers Cas & Surety Co

8,313,726

Travelers Cas & Surety Co Of Amer 27,813,047

Travelers Cas Co Of CT

-

Travelers Cas Ins Co Of Amer -

Travelers Commercial Ins Co

-

Travelers Home & Marine Ins Co -

Travelers Ind Co

46,274,664

Travelers Ind Co Of Amer

78,387,365

Travelers Ind Co Of CT

15,284,956

Travelers Ins Co Accident Dept (543,459)

Travelers Prop Cas Ins Co

9,653,706

Travelers Property Cas Co Of Amer 128,232,472

Trenwick Amer Reins Corp

(2,818)

Triad Guaranty Ins Corp

5,190,529

Trinity Universal Ins Co

1,032,041

Trinity Universal Ins Co Of KS 1,833,508

Triton Ins Co

2,411,991

Triumphe Cas Co

(1,000)

Truck Ins Exch

403,131

Trumbull Ins Co

6,316,612

Trustgard Ins Co

131,337

Twin City Fire Ins Co Co

48,030,469

Ulico Cas Co

194,094

Underwriter For The Professions Ins -

Union Ins Co

100,872

Union Standard Ins Co

-

United Americas Ins Co

-

United Automobile Ins Co

4,436,954

United Cas Ins Co Of Amer

4,431,635

United Fire & Cas Co

23,986

United Fire & Indemnity Co

-

United Fncl Cas Co

(19,029)

United Gty Residential Ins Co 27,188,990

United Gty Residential

454,699

Ins Co Of NC

United Guaranty Mtg Indem Co 2,387,205

United Natl Cas Ins Co

-

United Natl Specialty Ins Co

433,719

United Services Auto Assoc

186,245,980

United States Fire Ins Co

18,791,533

United States Liability Ins Co

2,893,740

United States Surety Co

-

United WI Ins Co

-

Unitrin Auto & Home Ins Co

11,031,954

307,132,545 13,576,189,533 2,295,233,475 301,024,863 1,716,694,880 303,605,016 189,222,931 13,847,003,555 493,107,796 944,884,031 67,958,043,231 200,114,015 254,845,869 440,238,995 572,412,541 3,271,968,256 11,811,061 679,979,932 23,684,445 1,215,272,417 381,801,569 54,840,503 508,805,319 133,290,179 160,238,755 60,298,811 22,122,921 10,094,503 401,890,976 17,494,507 991,560,899 32,412,352 144,998,399 1,886,679,806 288,831,876

71,909,933 3,343,509,864 870,472,452 75,126,126 424,000,131 78,459,103 62,406,392 4,639,341,956 132,717,507 293,709,991 7,885,780,496 59,382,653 86,613,114 62,378,173 135,661,498 1,061,208,341 11,614,974 377,353,794 11,735,789 349,244,684 288,934,502 18,423,360 231,053,615 45,311,083 77,205,274 22,877,989 20,642,948 9,006,030 97,382,602 15,193,160 383,971,011 10,032,614 56,741,391 481,788,842 122,173,806

108,440,974 30,071,141 85,923,803 14,383,719,578 2,934,247,259 635,171,449 14,675,504 153,776,041 46,871,977

21,276,969 21,913,614 53,406,567 9,060,159,157 885,280,943 364,410,481 5,302,494 55,162,812 22,702,083

15,799,887 777,939,836 198,739,196 14,188,128 89,934,819 14,309,556 7,560,119 1,097,538,514 28,791,754 54,278,922 3,669 9,646,482 14,591,146 10,231,849 77,076,521 100,506,741 556,690 17,173,286 2,204,836 31,446,896 12,148,445 3,606,860 26,939,811 (3,755,323) 9,307,039 3,091,297 1,177,910 744,678 27,024,405 13,533 49,992,603 1,942,776 16,532,243 210,134,259 121,340,518
6,923,397 1,018,019 2,851,670 643,465,819 43,569,669 9,717,303 645,965 10,184,242 (1,133,625)

2004 Annual Report

62

Georgia Department of Insurance

Unitrin Direct Property & Cas Co Universal Cas Co Universal Ins Co Universal Surety Of Amer Universal Underwriters Ins Co US Fidelity & Guaranty Co US Specialty Ins Co USAA Cas Ins Co USAA General Ind Co Usauto Ins Co Usf&G Ins Co Of Ms Usplate Glass Ins Co Utica Mut Ins Co Utica Natl Assur Co Valiant Ins Co Valley Forge Ins Co Vanliner Ins Co Verex Assure Inc Vesta Fire Ins Corp Vesta Ins Corp Victoria Fire & Cas Co Victoria Select Ins Co Vigilant Ins Co Vinings Ins Co Virginia Mut Ins Co Virginia Surety Co Inc Vision Service Plan Ins Co Voyager Property & Cas Ins Co Warner Ins Co Washington Intl Ins Co Wausau Business Ins Co Wausau General Ins Co Wausau Underwriters Ins Co Wesco Ins Co West American Ins Co Westchester Fire Ins Co Western Diversified Cas Ins Co Western General Ins Co Western Surety Co Westfield Ins Co Westfield Natl Ins Co Westport Ins Corp Williamsburg Natl Ins Co Windsor Ins Co Workmens Auto Ins Co

11,960 27,232,233 17,500,306 6,094,053 126,577,676 13,797,581 3,990,554 14,313,821 2,439,123 88,241 9,793,253 4,264,696 6,661 17,206 2,511,916 8,248,904 94,645 6,877,190 5,108,216 7,887,979 7,246,677 345,382 667,837 2,123,887 227,482 7,179,627 1,377,615 2,896,487 9,761,088 (2,371) 9,223,074 42,724,326 1,843 34,112,523 4,926 239,576 2,056,019

30,944,797 74,902,341 19,542,481 25,281,185 608,597,750 4,842,602,931 465,798,205 4,721,087,571 394,604,786 56,005,758 20,036,361 9,706,604 1,994,746,341 52,269,514 19,093,532 49,665,836 345,430,570 29,010,662 505,954,048 11,707,797 117,023,748 7,306,137 367,326,514 5,961,667 28,705,043 1,927,446,396 49,856,335 83,061,205 24,312,738 100,092,487 145,788,314 141,579,915 202,355,392 310,110,552 1,884,055,545 1,892,152,803 10,392,339 77,247,937 786,746,041 1,825,649,494 376,154,724 1,216,167,614 28,310,878 390,774,069 66,193,111

14,991,540 29,659,698 8,142,820 10,279,601 481,294,512 1,741,364,927 139,692,804 1,702,477,549 146,374,868 20,046,192 19,256,933 5,789,474 510,286,749 19,843,070 15,220,001 49,642,898 104,922,753 9,300,147 145,480,164 10,511,363 42,699,824 7,201,896 119,469,655 5,886,513 9,241,107 461,555,129 42,127,999 30,287,884 16,463,048 39,371,649 42,137,228 51,389,043 99,813,304 225,397,104 484,609,046 500,179,816 10,236,060 24,945,421 252,413,957 517,568,247 129,129,483 340,664,815 15,579,099 131,838,972 16,317,276

725,296 861,483 1,759,395 1,756,432 20,233,155 (495,771,583) 13,723,511 308,173,571 21,188,179 1,995,879 1,024,239 484,971 74,154,060 1,612,999 610,329 2,230,327 3,615,588 2,293,236 1,776,377 148,016 4,855,983 241,194 15,983,056 130,238 1,511,969 97,996,589 4,431,024 23,837 (454,893) 2,921,205 2,198,543 2,731,956 5,726,197 61,854,226 71,320,486 13,092,170 155,435 1,141,776 49,203,819 64,095,753 12,170,403 (55,857,178) 2,544,286 8,903,643 267,232

2004 Annual Report

63

Georgia Department of Insurance

XL Capital Assurance Inc XL Ins Amer Inc XL Reins America Inc XL Specialty Ins Co York Ins Co Yosemite Ins Co Zenith Ins Co Zurich American Ins Co Zurich American Ins Co Of IL Totals

2,675,418 20,647,304 36,014,531 920,938 1,343,349 12,529,077 142,375,674 929,213 10,417,197,526

341,937,445

197,705,294

482,264,827

165,340,292

4,415,380,226 1,775,406,849

633,571,803

140,159,899

40,454,198

3,165,917

445,313,477

348,785,461

1,971,228,945 573,270,150

25,058,754,305 4,924,606,959

45,425,011

44,477,836

1,151,608,601,731 392,196,031,474

(6,473,221) 18,945,696 134,967,918 17,217,757 (4,724,426) 33,238,249 111,501,704 (1,082,848,157) 1,543,085 35,260,464,588

Georgia Department of Insurance

Premium Finance Companies

64

GID # 80168 80157 80182 80156 80145 80149 80186 80144 80155 80151 80148 80162 80254
80227
81376 80276 80284 80456 80461 80482 80481 80487 80489 80502
80507 80516 80517 80542 80558 80553 80576 80615 80617 80647 80654 80694 80697 80824 80827 80851 80876 80902 81003 80998

PREMIUM FINANCE COMPANY

ADDRESS

CITY

Insurance House, Inc. (The)

1904 Leland Drive

Marietta

Casualty Underwriters, Inc.

2900 Chamblee Tucker Rd, Bldg #14 Atlanta

SIUPREM, Inc.

4500 Mansell Road

Alpharetta

Capitol Premium Plan, Inc.

3816 Latrobe Drive, Suite C

Charlotte

AFCO Credit Corporation

2951 Flowers Road, Suite 132

Atlanta

Assigned Risk Acceptance Corporation 555 Arlington Place

Macon

AICCO, Inc.

101 Hudson Street

Jersey City

A.I. Credit Corporation

101 Hudson Street

Jersey City

Cananwill, Inc.

1234 Market Street, Suite 340

Philadelphia

Taylor &Towson Ins. Finance Co., Inc. 10 Hills Midtown Mall, P.O. Box 365 Fitzgerald

AMGRO, Inc.

100 North Parkway

Worcester

Georgia Farm Bureau Investment Co. 1620 Bass Road - P.O.Box 7127

Macon

Old South Enterprises, Inc.

6575 Peachtree Industrial Blvd

Norcross

dba Old South PFC

CIA Premium Finance

1

30 Dempsey Avenue

Jackson

M.W. Carmichael, Inc.

Snellings Walters Insurance Agency

1117 Perimeter Center, Suite W101 Atlanta

Allen Insurance & Realty Company 304 Martin Luther King Jr. Blvd

Ft. Valley

Williams Ins. Agency & Realty Sales 127 Temple Avenue

Newnan

Easy-Pay Premium Finance

202 East Fifth Street

Louisville

M. Premium Finance Corporation

2180 N. Ashley Street

Valdosta

Network Premium Finance, Inc.

2889 Elmwood Drive

Smyrna

Liberty Hill Mutual Inc.

12 N. Layfayette Square

LaGrange

Professional Insurance Agency, Inc. 509 West Ogeechee Street

Sylvania

Maxey Insurance Agency, Inc.

1608 Lake Harbin Road

Morrow

Central Georgia Ins. ,Inc.

3199 Pio Nono Avenue

Macon

C.G.I. Budget Pay

Baldwin Acceptance Corporation

1531 North Columbia Street

Milledgeville

Premium Assignment Corporation

3522 Thomasville Rd., Ste. 400

Tallahassee

Ace Auto Insurance #1022

3737 Main Street - P.O. Box 87455 College Park

Brokers Premium Finance Company, Inc.Post Office Box 81464

Conyers

Insurance Payment Company

1220 Old Alpharetta Road, Suite 300 Alpharetta

Town Ins. Agency Premium Finance Co. 4800 River Green Parkway

Duluth

Joe McCart Ins Premium Service Co. 2405 Satellite Boulevard, Suite 200

Duluth

Tanner Ins Express Premium Finance Co.709 N. Main Street - P.O. Box 1155 Pearson

Thomco Finance, Inc.

3380 Chastain Meadows Pkwy, Suite 100 Kennesaw

Continental Premium Finance Corp. 1329 North Meadow Pkwy

Roswell

Payment Outlets, Inc.

2440 Sandy Plains Rd., Bldg #5

Marietta

PAM Finance Company

1990 Vaughn Road, Suite 350

Kennesaw

Alfa Financial Corporation

2108 East South Boulevard

Montgomery

Hickory Premium Plan

434 Green Street

Gainesville

B & C Premium Finance Company

116 East Broad Street

Camilla

Charleston Premium Finance Co., Inc. 3060 South Church Street

Burlington

Advantage Premium Plan, Inc.

4340 Georgetown Square, Suite 615

Atlanta

First Insurance Funding Corp.

450 Skokie Blvd, Suite 1000

Northbrook

Premium Financing Specialists, Inc.

427 West 12th Street, Suite 100

Kansas City

Medical Protective Finance Corporation 5814 Reed Road

Ft. Wayne

STATE GA GA GA NC GA GA NJ NJ PA GA MA GA GA

ZIP 30067 30341 30022 28211 30341 31201 7302 7302 19107 31750 1605 31209 30092

POWERS LICENSED NAME

FP

7/31/69 Jill Jinks

IN

8/25/69 J. Thomas Brooks

FP

8/25/69 Wesley Duesenberg, Jr.

FP

8/28/69 John Wooldridge, Jr.

FP

10/20/69 Janine Farr

FP

1/19/70 Dele Reichert

FP

5/7/71 Gerald Vitkauskas

FP

10/23/73 Amina Perry

FP

2/4/76 John Zimitski

FP

2/6/79 Patricia Taylor

FP

5/11/79 Linda Lebel

FP

9/3/81 John Dollar

FP

11/23/82 Bruce Boerner

GA

30233 IN

12/16/82 Candace Carmichael

GA

30338 IN

GA

31030 IN

GA

30263 IN

GA

30434 IN

GA

31602 IN

GA

30080 IN

GA

30240 IN

GA

30467 IN

GA

30260 IN

GA

31206 IN

1/18/83 William Snellings 2/21/83 Jeanette Allen 4/13/83 C.J. Williams 7/1/83 William R. Toulson 7/27/83 Janet Carter 8/19/83 William Dial, Jr. 9/7/83 John C. Thompson 11/15/83 Exodyne Johnson 11/23/83 Myron Maxey 3/6/84 Rebecca Ward

GA

31061 IN

FL

32308 FP

GA

30337 IN

GA

30013 FP

GA

30005 FP

GA

30096 FP

GA

30096 IN

GA

31642 IN

GA

30144 IN

GA

30076 IN

GA

30066 IN

GA

30144 IN

AL

36191 FP

GA

30501 IN

GA

31730 IN

NC

27215 FP

GA

30338 IN

IL

60062 FP

MO

64105 FP

IN

46835 IN

5/2/84 Robert E. Brown 5/22/84 Kimberly Lee 7/1/84 Paul L. Doan, Jr. 8/6/84 Winna Phillips 1/1/85 James Stringer, Jr. 3/25/85 Neil Strickland 1/1/86 Nancy McCart 7/14/86 Thomas McGovern 7/14/86 Gary Vaughn 5/1/87 Robert Schacher 7/1/87 Keith Maini 1/1/88 Diane Brisco 1/20/88 Jerry Newby 9/26/89 Strother Randolph 10/30/89 Patricia Robinson 3/6/90 Tap Johnson III 7/1/90 Hal S. Foster 12/12/90 David Dykstra 5/20/92 Bryan Andres 7/1/92 William Daley

PHONE (770) 952-0080 (770) 458-4963 (678) 498-4700 (704) 364-0133 (770) 455-4850 (478) 745-8681 (201) 631-5400 (201) 631-5400 (215) 496-0607 (229) 423-4069 (508) 757-1628 (478) 474-0679 (770) 448-1667
(770) 775-3105
(770) 396-9600 (478) 825-5566 (770) 253-2341 (478) 625-7285 (229) 242-5660 (770) 436-7575 (706) 884-5792 (912) 564-7831 (770) 961-5620 (478) 784-1611
(478) 453-9496 (800) 342-0991 (404) 767-0914 (770) 833-3736 (770) 396-1600 (678) 259-3700 (770) 232-0202 (912) 422-3272 (678) 290-2116 (770) 442-8727 (770) 971-9975 (770) 590-4950 (334) 613-4353 (770) 534-5248 (229) 336-8631 (800) 922-4178 (770) 455-4458 (800) 837-3707 (816) 627-0500 (219) 486-3622

2004 Annual Report

2004 Annual Report

65

Georgia Department of Insurance

81006 81271 81378 81380 81379 80541 80419 80644 81532 81475 81531 81577
81650 81431
81740 81606 81656 81429 85623 81174 87003 87007 87008 87010 87012 87013 87015 87017
87018 87020
87021
87022
87023
87025 87026 87027 87028 87030 87031 87032 87034 87033 87036 87035 87029 87037 87038

Flatiron Capital Corp.

950 17th Street, Suite 1300

Denver

CO

E.T.I. Financial Corporation

2393 South Congress Avenue

West Palm Beach FL

Universal Premium Acceptance Corp. 8245 Nieman Road, Suite 100

Lenexa

KS

ATI/Scott Premium Finance Plan, Inc. 1874 Piedmont Road, Bldg.A

Atlanta

GA

Yorktowne Premium Finance Company 3915 Biscayne Boulevard

Miami

FL

Ranger Insurance Finance Co. (Rifco) 10777 Westheimer, 4th Floor

Houston

TX

Unique Premium Finance

420 Hawthorne Avenue

Athens

GA

PGA Service Corporation

2636 Elm Hill Pike, Suite 510

Nashville

TN

FINCO

618 West Friendly Avenue

Greensboro

NC

Royal Premium Budget, Inc.

30833 Northwestern Hwy., #220

Farmington Hills MI

Zurich Premium Finance Company

13810 FNB Parkway

Omaha

NE

Funding Plus of America

One Southern Way

Mobile

AL

Time Payment Plan

Direct General Financial Services, Inc. 1281 Murfreesboro Road

Nashville

TN

Southern Harvest Premium

1515 South 7th Street

Cordele

GA

Finance Co., Inc.

Premium Funding Associates, Inc.

4951 Lake Brook Drive, Suite 500

Glen Allen

VA

Gaskins Premium Finance Company 108 North Dogwood Drive

Nashville

GA

FPF, Inc.

950 Seventeenth Street, Suite 1300

Denver

CO

Lanier Premium Finance Company, Inc. 703 Medical Park Lane

Gainseville

GA

MEPCO Ins. Premium Financing, Inc. 174 North Michigan Avenue

Chicago

IL

Signature Premium Finance, Inc.

One International Plaza, Suite 450

Philadelphia

PA

Access Premium Finance, Inc.

2830 Dresden Drive

Atlanta

GA

ISOP Financing Co. Limited Partnership 200 Hopmeadow Street

Simsbury

CT

Standard Funding Corp.

335 Crossways Park Drive

Woodbury

NY

Prime Rate Premium Finance Corp., Inc. 2141 Enterprise Drive

Florence

SC

Swift Premium Finance Company

2200 Century Parkway, Suite 600

Atlanta

GA

Sunbelt General Agency, Inc.

1020 Monticello Court

Montgomery

AL

IIAG Premium Finance, Inc.

3186 Chestnut Drive Connector

Doraville

GA

Premium Payment Plan

One Hudson City Ctr,

Hudson

NY

Corner of State & Green

AFCO Premium Credit, LLC

110 William Street

New York

NY

Credit Suisse First

Eleven Madison Avenue, Fourth Floor New York

NY

Boston Premium Finance LLC

Reliant American Premium

777 Main Street, Suite 900

Fort Worth

TX

Finance Company, Inc.

Distinct Advantage

12550 Biscayne Boulevard, #207

Miami

FL

Premium Finance, Inc.

Lytton-James, Inc. American

5280-J Buford Highway

Doraville

GA

Premium Finance

FTN Premium Finance Services, Inc. 3401 West End Avenue, Suite 180

Nashville

TN

FEFCO, Inc.

710 North Second Street, Suite 300 N St. Louis

MO

First Georgia Premium Financing, Inc. 11770 Haynes Bridge Road, Suite 105 Alpharetta

GA

NFC Finance Corporation

14001 University Avenue

Clive

IA

Standard Premium Finance Mngt Corp. 16155 SW 117th Street, Suite B-15

Miami

FL

Southern Premium Finance, Inc.

P.O. Box 8913

St. Louis

MO

American Premium Finance Corp.

8725 Roswell Road, Suite O

Atlanta

GA

U. S. Insurance Services, Inc.

2000 Art Museum Boulevard

Jacksonville

FL

Safeway Premium Finance Co.

6575 Peachtree Industrial Boulevard Norcross

GA

United Brokers, Inc. UBOPP

3216 Ballard Lane

New Albany

IN

Direct General Premium Finance Co. 1281 Murfreesboro Road, 5-50

Nashville

TN

Mid-America Premium Finance Co.

710 N. 2nd Street, Suite 300 N

St. Louis

MO

APEX Finance, Inc.

P.O. Box 156

Carrollton

GA

FINCO Financial Corp.

480 Sawgrass Corporate Pkwy, Ste 220 Sunrise

FL

80202 FP 33406 FP 66214 FP 30324 IN 33137 FP 77042 FP 30606 IN 37214 IN 27401 FP 48334 IN 68154 IN 36619 FP
37217 FP 31015 IN
23060 IN 31639 FP 80202 FP 30501 IN 60601 FP 19113 FP 30341 FP 6089 IN 11797 FP 29501 FP 30345 FP 36117 IN 30340 FP 12534 FP
10038 FP 10019 IN
76102 IN
33181 FP
30340 IN
37202 IN 63102 IN 30004 IN 50325 FP 33177 FP 63101 IN 30350 FP 32207 FP 30092 IN 47150 IN 37217 FP 63101 IN 30112 IN 33332 FP

7/31/92 Robert Pinkerton 12/14/93 James Blake 8/31/94 Randall Hickman 9/12/94 Albert Levenstein 9/14/94 Gary J. Orndorff 1/1/95 Eileen McCollum 2/20/95 Janis Sullivan 5/10/95 Randy Parker 8/1/95 Jeanette Finn 12/11/95 Nancy Morrison 12/11/95 Traci Ribick 12/15/95 Richard Murray
2/29/96 Christine Cohee 4/30/96 Wanda J. Owens
4/30/96 Michael Pollard 7/1/96 Robert Gaskins, Jr. 10/24/96 Robert A. Pinkerton 2/11/97 David Benton 7/1/97 Ed Walder 7/20/97 Joseph E.Wilson, Jr. 5/21/98 Michael McMenamin 5/25/99 Beverly Newberg 6/30/99 Angelo Mangia 6/5/00 James Lingle, Jr. 10/2/00 Jack Ikenaga 10/2/00 Ray J. Johnston 3/30/01 Aubie Knight 1/8/02 Joseph Klimas
5/15/02 Janine Farr 10/11/02 Caitlin Long
12/6/02 Joseph Macchia
12/31/02 Gloria Friedman
2/26/03 Derrick James
4/21/03 David Haynes 10/8/03 William Richard, Jr. 10/8/03 Brian Evans 5/5/04 Patrick McNerney 6/17/04 William Koppelmann 7/12/04 James Moore 9/27/04 Arnold Blumberg 9/27/04 David Ball 9/27/04 Richard Parrillo, Jr. 11/2/04 Anthony Glotzbach 11/2/04 Greg Grissom 11/2/04 Jamie Sloan 12/21/04 Gary Hewitt 12/21/04 Robert Gardner

(800) 832-9117 (561) 968-9102 (913) 894-6150 (404) 875-4700 (305) 572-1974 (713) 954-8100 (678) 227-0260 (615) 242-1961 (336) 373-1735 (248) 932-9020 (402) 963-5082 (251) 662-6520
(615) 399-4700 (229) 273-7262
(804) 747-6500 (912) 686-2011 (800) 832-9117 (770) 536-8340 (312) 853-2777 (610) 833-2400 (770) 234-3600 (860) 843-8293 (516) 364-0200 (843) 669-0937 (404) 929-9157 (334) 273-0080 (770) 458-0093 (518) 822-1000
(412) 234-2660 (212) 325-5433
(817) 885-8691
(305) 892-0575
(770) 645-1000
(800) 229-9822 (314) 421-3637 (770) 639-3354 (800) 503-0954 (800) 592-7753 (314) 421-3637 (770) 656-7609 (904) 396-6646 (305) 940-7299 (812) 945-2720 (615) 399-4700 (314) 421-3637 (770) 834-7631 (888) 883-4626

Georgia Department of Insurance

Licensed Interlocal Risk Management Agencies

INTERLOCAL AGENCIES

ADMINISTRATOR

DATE LICENSED

Association of County Commissioners (ACCG) Georgia Municipal Association (GIRMA) Georgia School Board Association (RIMS) TOTALS

Marsh USA

10/1/87

Caims handled in house-eff. 2002 5/1/87

Marsh USA

7/20/94

ACCG NOTES:

1,539,187 13,852,682 4,748,310 18,600,992

Contributions 10/03-9/04 divided by 12 one twelth times 9 months Contributions for 10/04-12/04

12,606,676

ASSETS
54,497,819 75,028,725 16,325,128

LIABILITIES
35,029,830 52,710,855 12,891,472

SURPLUS
19,467,989 22,317,870 3,433,656

GEORGIA PREM. WRITTEN
18,600,992 27,686,237 12,606,676

66

2004 Annual Report

Georgia Department of Insurance

Risk Purchasing Groups

67

Risk Purchasing Group

Address

City

A.A.L.D., Inc. dba RE/MAX Risk Purchasing Group, Inc. 8390 E. Crescent Parkway; Suite 500

Greenwood Village

Accountants Insurance Purchasing Group Association

75 Second Avenue; Suite 410

Needham

Actuaries and Pension Administrators Purchasing Group

681 S. Parker Street Suite 200

Orange

Adults & Children Alliance, Inc.

Mandell Menkes & Surdyk, LLC; 333 W. Wacker Dr., Ste 300 Chicago

Advocacy Protection Plus PG Association

33 West Monroe

Chicago

Affiliated Preferred Property Group, LLC

26 Columbia Turnpike; P.O. Box 679

Florham Park

AFG Pro Purchasing Group, Inc.

c/o Ohrenstein & Brown, LLP; 1050 Franklin Avenue

Garden City

Agents Professional Liability Service Organization

100 Colony Square, Suite 780; 1175 Peachtree Street

Atlanta

All American Purchasing Group, Inc.

10210 N. Central Expressway, Suite 500

Dallas

Allied Health Purchasing Group Association

33 West Monroe Street

Chicago

Ambulatory Care Emergency Purchasing Group, Inc.

One BriarLake Plaza; 2000 W. Sam Houston Pkwy., Ste 2000 Houston

American Acupuncture Council

1851 E.First Street; Suite 1160

Santa Ana

American Ambulatory Surgery Purchasing Group, Inc.

820 Gessner; Suite 1000

Houston

American Anesthesiologists Prof'l Liablility Group(TX)

1301 Capital of Texas Hwy; Suite B - 220

Austin

American Association of Advertising Agencies

c/o Captive Insurance Services, Inc., 44500 Potter Terrace Ashburn

American Association of Professional Agents & Brokers, Inc. 35 Tower Lane

Avon

American Bankers Association

1120 Connecticut Avenue

Washington

American Collectors Association

4323 Warren Street., NW

Washington

American Contractors Risk Purchasing Group, Inc.

12222 Merit Drive; Suite 1660

Dallas

American Federation of Daily-Care Services, Inc.

4323 Warren Street

Washington

American Health Care Professions Purchasing Group Assoc. c/o Doak Foster; 425 West Capitol Avenue, Suite 1800

Little Rock

American Massage Council

1851 E. First Street Suite 1160

Santa Ana

American Medical Professional Alliance, Inc.

c/o Ohrenstein & Brown, LLP; One Penn Plaza

New York

American Psychotherapist Professional Liability Ins. Program100 Colony Square, Suite 780; 1175 Peachtree Street

Atlanta

American Safety Purchasing Group, Inc.

1845 The Exchange Suite 200

Atlanta

American Society of Health System

c/o Doak Foster; 425 West Capitol Avenue, Suite 1800

Little Rock

Pharmacists Risk Purchasing Group

American Tax Preparers Purchasing Group

35 Tower Lane

Avon

American World Accounting Service

P.O. Box 526148

Salt Lake City

Providers Liability Assoc., Inc.

AMMIA, Inc.

401 E. Jackson Street; Suite 1700

Ta m p a

Amusement Industry Operators and

1250 NE Loop 410 Suite # 920

San Antonio

Owners Risk Purchasing Group, Inc.

ANA/SNA Purchasing Group Association

1440 Renaissance Drive

Park Ridge

Marsh Affinity Group Services

APGA(American Public Gas Association)

11094-D Lee Highway; Suite 102

Fairfax

Appraisers Liability Insurance Trust Purchasing Group

c/o Liability Insurance Administrators; P.O. Box 1319

Santa Barbara

AquaSure Risk Purchasing Group, Inc.

7901 Professional Circle

Huntington Beach

ASHA Purchasing Group Association

33 West Monroe Street

Chicago

Association of Responsible Tanning Salon Operators, Inc. P.O. Box 40079

Phoenix

Associations & Professional General

c/o Doak Foster; 425 West Capitol Avenue, Suite 1800

Little Rock

Liability Purchasing Group

Associations Purchasing Group

33 West Monroe Street

Chicago

Athletic Alliance Risk Purchasing Group

1712 Magnavox Way

Fort Wayne

dba Sports Leisure & Entertainment Risk Purchasing Group

Atlantic Risk Specialty, LLC

2100 Parklake Drive

Atlanta

d/b/a Affiliated Senior Citizens Insurance Group

Automotive Insurance Purchasing Group, Inc.

P.O. Box 130745

Dallas

AVMA (American Veterinary Medical

P.O. Box 1629

Chicago

State CO MA CA IL IL NJ NY GA TX IL TX CA TX TX VA CT DC DC TX DC AR CA NY GA GA AR
CT UT
FL TX
IL
VA CA CA IL AZ AR
IL IN
GA
TX IL

Zip 80111 02494 92868 60606 60603 07932 11530 30361 75231 60603 77042 92705 77024 78746 20147 06001 20036 20016 75251 20016 72201 92705 10119 30361 30339 72201

Phone 303-796-3604 781-449-7711 714-939-7448 312-251-1000 856-216-0220 973-549-1818 212-266-0206 404-879-2179 214/265-7090 856-216-0220 713/461-4000 714-571-1855 713-461-4000 800-252-3620 703-723-9795 860-284-0088 800-688-2820 202-966-3934 972-702-9004 202-966-3934 501-688-8841 714-571-1850 212-233-8911 404-879-2179 770-485-4355 501-688-8841

6001 860-284-0088 84152 801-304-3816

33602 800-527-4953 78209 210-829-7634

60068 847-803-3100

22030 93102 92648 60603 85067 72201

703-352-3890 800-334-0652 714-842-7272 856-216-0220 800-844-2101 501-688-8841

60603 856-216-0220 46804 800-426-2889

30345 678-281-0395

75313 214-969-6200 60690 312-279-4674

Name Fred Young Betsy Magnuson Maryann Rimoin Daniel O'Leary Wesley Pohler Maro Waldor Terence Cummings Stacey Kalberman Janice Buroughs Wesley Pohler Melissa Mitchell Deanna Deckert William Galtney Timothy J. O'Toole Diane Sheakley Valerie McDonald Deborah Zaccaro Beth Kravetz Mandy LaForge Beth Kravetz Doak Foster Deanna Deckert Richard J.J. Sullivan Stacey Kalberman Tom Rudd Doak Foster
Vallerie McDonald Shellie McLachlin
Katherine Reimann Mitchell Kaliff
Diane Dal Corobbo
Robert Cave Karlene Deinhard Jeffrey Fausett Wesley Pohler Randy Tipton Doak Foster
Wesley Pohler Stacie Richardson
Jack Bailey
James Newman Sheila Roberts

2004 Annual Report

2004 Annual Report

68

Georgia Department of Insurance

Association/Professional Liability Insurance Trust

BCC Purchasing Group, LLC

70 Ellis Street

Atlanta

GA

Behavioral Health Purchasing Group, Inc.

c/o Van Wagner Group; 21 Maple Avenue, P.O. Box 5710 Bay Shore

NY

Brokers Network Purchasing Group

1850 Woodmoor Drive, #201; P.O. Box 146

Monument

CO

Case Management Risk Purchasing - USA, Inc.

P.O. Box 251510

Little Rock

AR

Cendent Corporation Member Broker Purchasing Group

8300 Norman Center Drive; Suite 400

Minneapolis

MN

Certified Nurse Midwife RPG, Inc.

11301 Amherst Ave., Ste. 202

Silver Springs,

MD

Contemporary Insurance Services

Chemical Professionals Purchasing Group

c/o Hays Companies 1250 24th Street, Suite 725

Washington

DC

Chiropractic Benefit Services, Inc.

Low & Childers, P.C.; 2950 N. Dobson Road, #1

Chandler

AZ

Christmas Tree Liability Purchasing Group

1220 SW Morrison Suite 400

Portland

OR

Clearwater Transportation Insurance Program

c/oGrenbaum Doll & McDonald, PLLC

Atlanta

GA

100 Colony Square, Ste 780, 1175 Peachtree Street

Coca-Cola Bottlers Association (The)

3282 Northside Parkway; Suite 200

Atlanta

GA

Combined Real Estate Purchasing Enterprise, Inc.

45 Crossways Park Drive

Woodbury

NY

Commercial For Hire Transportation Purchasing Group

3250 Interstate Drive

Richfield

OH

Community and Medical Transportation Purchasing Group 4323 Warren Street, N.W

Washington

DC

Community Associations PG, Inc.

20595 Lorain Road

Fairview

OH

Construction Industry Risk Purchasing Group, Inc.

120 Mineola Boulevard; Suite 200

Mineola

NY

Consultants, Sales Representatives &

681 S. Parker Street, Suite 200

Orange

CA

Administrators Purchasing Group

Consumer Data Industry Association, Inc.

c/o Ohrenstein & Brown; 1 Penn Plaza, 46th Floor

New York

NY

Continental Risk Services, Inc.

270 Sylvan Avenue; P.O. Box 1218

Englewood Cliffs NJ

Court Reporters Purchasing Group Association

33 West Monroe Street

Chicago

IL

Custom Reality Purchasing Group Association

c/o Mandell Menkes & Surdyk, LLC

Chicago

IL

333 W. Wacker Dr., Ste 300

Dental Professionals Purchasing Group

c/o Captive Insurance Services, Inc.; 44500 Potter's Terrace Ashburn

VA

Design Professionals Risk Control Group

1201 North Market Street; Suite 501

Wilmington

DE

DesignPro Purchasing Group

100 Colony Square, Suite 780; 1175 Peachtree Street

Atlanta

GA

Distinguished Properties Associates, Inc.

100 Colony Square, Suite 780; 1175 Peachtree Street, NE Atlanta

GA

Distinguished Properties Umbrella Managers, Inc.

100 Colony Square, Suite 780; 1175 Peachtree Street, NE Atlanta

GA

DME / OP Purchasing Group, Inc.

6701 W. 64th Street; Suite 125

Shawnee Mission KS

DRI Purchasing Group, Inc. (IL)

c/o Westmont Associates, Inc.

Chicago

IL

150 N. Michigan Avenue, Suite 300

Educational Institutions PG, Inc.(CT)

41 North Main Street

West Hartford

CT

Educators Protection Group

4323 Warren Street

Washington

DC

Educators Purchasing Group Association

33 West Monroe Street

Chicago

IL

Electric Public Power Insurance Consortium

EPPIC Management Services; P.O. Box 22767

Charlotte

NC

Entertainment Services, Inc.

P.O. Box 2946

Shawnee Mission KS

Environmental Professionals Insurance Trust

c/o Liability Insurance Administrators; P.O. Box 1319

Santa Barbara

CA

ERS Risk Purchasing Group Association, Inc.

333 Wacker Drive; Suite 300

Chicago

IL

F.P. Purchasing Group

1357 E. Lassen Avenue; Suite 100

Chico

CA

Face & Body Professionals, Risk Purchasing Group

1701 Novato Boulevard, #101

Novato

CA

(formly Society of Permanent Cosmetic Professionals)

Financial Sales Professionals Purchasing Group

681 S. Parker Street Suite 200

Orange

CA

Financial Services Professional Liability

2685 Marine Way Suite 1408

Mountain View CA

Purchasing Group, Inc.

Fitness and Wellness Purchasing Group

380 Stevens Avenue Suite 206

Solana Beach

CA

Five Star Agents, Inc. Purchasing Group

118 South Clinton Street, Suite 450

Chicago

IL

FREA Purchasing Group

100 Colony Square, Suite 780; 1175 Peachtree Street

Atlanta

GA

Funeral Directors Planning Group, Inc.

c/o Program Brokerage Corporation; 100 Sunnyside Blvd Woodbury

NY

Gallagher Steel Courier RPG, Inc.

1501 Hamburg Turnpike

Wayne

NJ

Garage Services & Equipment Dealers Liability

P.O. Box 526148

Salt Lake City

UT

Association of America, Inc.

Global Anesthesiologists Specialty Services

502 Evergreen Place Court

Louisville

KY

Glynn General Purchasing Group, Inc.

100 Colony Square, Suite 780; 1175 Peachtree Street

Atlanta

GA

30303 11706 80132 72225 55437 20902

404-659-1970 631-666-1588 719-488-5502 501-664-7705 952-656-8000 301-933-3373

20037 85224 97205 30361

888/309-4297 602-266-1166 404-879-2179 404-879-2170

30327 11797 44286 20016 44126 11501 92868

404-949-1099 516-773-8602 330-659-8900 202-966-3934 440-333-6300 516-294-7752 714-939-7448

10119 07032 60603 60606

201-569-3700 856-216-0220 312-251-1000

20147 19801 30361 30361 30361 66202 60601

703-723-9795 302-661-7052 404-879-2170 404-879-2170 404-879-2170 800-778-8100 856-216-0220

06107 20016 60603 28222 66201 93102 60606 95973 94947

860-561-3600 202-966-3934 856-216-0220 704-367-7124 913/676-9202 800-334-0652 312-251-1000 800-873-3725 415-898-4212

92868 714-939-7448 94043 650-428-0818

92075 60661 30361 11797 7474 84152

800-395-8075 312-879-7136 404-879-2179 516-496-1341 973-686-2324 801-304-3771

40223 502-244-2056 30361 404-879-2179

Chuck Weisblum Tina Keppie Gene Ladd F. Tad Krug Donald Bierbaum Israel Teitelbaum
Barry Peters Kathy Newcomb Thomas Wilkins Stacey Kalberman
Josiah J. Whitfield Ann Frantzen Michael Schroeder Beth Kravetz Thomas McGowan Katherine Buck Maryann Rimoin
Terrance Cummings Lavetta McCollum Wesley Pohler Daniel O'Leary
Diane Sheakley Boyd Adams Stacey Kalberman Stacey Kalberman Stacey Kalberman Karen Bronson Wesley Pohler
Neil Cross Beth Kravetz Wesley Pohler Nancy Willingham J. Philip Coulson Karlene Deinhard Daniel O'Leary James Foley Susan Preston
Maryann Rimoin John Wagner
Aimee Davis Kevin Ottley Stacey Kalberman Frederica O'Connor Gayle Czeizler Brenda Wilson
Jack Smith Stacey Kalberman

2004 Annual Report

69

Georgia Department of Insurance

Great American Cities Purchasing Group, Inc.

20595 Lorain Road; Old Forge Centre

Guardian Professional Liability Risk Purchasing Group

4001 Miller Road

Habitat for Humanity Purchasing Group, Inc.

121 Habitat Street

Hartan Hospitality and Leisure Program Purchasing Group 100 Colony Square, Suite 780; 1175 Peachtree Street

Health and Beauty Purchasing Group

4323 Warren Street

Health and Education Liability Program, Inc.

c/o Program Brokerage Corporation; 100 Sunnyside Blvd

Health Care Professions Purchasing Group Association

c/o Doak Foster; 425 West Capitol Avenue, Suite 1800

Health Care Purchasing Group, Inc.

One Briarlake Pl, Ste 2000; 2000 W. Sam Houston Pkwy S.

Healthcare Advantage Risk Purchasing Group, Inc.

1849 W. North Temple, Building D

Healthcare Insurance Group

155 - 108th Avenue NE; Suite 800

Healthcare Providers Service Organization Purchasing Group 100 Colony Square, Suite 780; 1175 Peachtree Street

Healthcare Purchasing Group Association

33 West Monroe Street

Home Inspection Liability Group, Inc.

35 Tower Lane

Horsemen of North America Safety Control RPG

P.O. Box 223

Hospitality & Leisure Services, Inc.

3333 New Hyde Park Road; Suite 400

HUD-CHEM Insurance Program

100 Colony Square, Suite 780; 1175 Peachtree Street

Hunt Club Leases of America

8501 Turnpike Drive; Suite 200

IG, Inc. d.b.a Recovery Specialist Insurance Group

100 Colony Square, Suite 780; 1175 Peachtree Street, NE

Impact Medical Malpractice Alliance, Inc.

148 Hammond Drive

Independent Garage and Towing Contractors Services, Inc. 237 Main Street; Suite 820

Independent Insurance Agents of Georgia, Inc.

Post Office Box 48386

Integrated Poultry Processors Association

4323 Warren Street, NW

Integrated Risk Facilities Inc., RPG

40 Fulton Street; 12th Floor

International Hole-in-One Association

100 Colony Square, Suite 780; 1175 Peachtree Street

International Hospitality Purchasing Group

681 S. Parker Street Suite 200

International Special Events & Recreation Association, Inc. P.O. Box 526148

International Website Insurance Group

2365 Woodlake Drive; Suite 100

IRF Construction Group, Inc.

40 Fulton Street, 12th Floor

IRF Hospitality Group, Inc.

40 Fulton Street, 12th Floor

IRF Manufacturing Group, Inc.

40 Fulton Street, 12th Floor

IRF Real Estate Operations Group, Inc.

40 Fulton Street, 12th Floor

IRF Restaurant Group, Inc.

40 Fulton Street, 12th Floor

IRF Retail Group, Inc.

40 Fulton Street, 12th Floor

IRF Service Group, Inc.

40 Fulton Street, 12th Floor

IRF Wholesale Group, Inc.

40 Fulton Street, 12th Floor

JamisonPro Allied Health Purchasing Group

100 Colony Square, Suite 780; 1175 Peachtree Street

JamisonPro Purchasing Group Ltd.

100 Colony Square, Suite 780; 1175 Peachtree Street

KIS Hospitality Program, Inc.

40 Fulton Street; 15th Floor

Lawyers Direct Risk Purchasing Group, Inc.

161 Ottawa NW; Suite 607

Legal Professional RPG, Inc.

339 Northern Avenue

Little League Baseball PG, Inc.

539 U. S. Highway Route 15

LTC Risk Purchasing Group, Inc.

24165 Detroit Road

MAGAW Healthcare Professionals Purchasing Group Assoc. 222 S. Prospect Avenue

MAI Hospital and Medical Facility Purchasing Group

P.O. Box 590009

MAI Managed Care Organization Purchasing Group

P.O. Box 590009

MAI Physicians and Surgeons Purchasing Group

P.O. Box 590009

Main Street Insurance Purchasing Group

1402 Third Avenue Suite 520

Managed Care Insurance Purchasing Group

100 Colony Square, Suite 780; 1175 Peachtree Street

MedAlliance Professional Liability PG

676 North St Clair Street; Suite 1600

Medical Data & Billing Insurance Liability

330 E. Kilbourn Ave.; Suite 1085

Risk Purchasing Group, Inc.

Medical Malpractice Coverage for Physicians

c/o Beth Kravetz, Esq.; 4323 Warren Street

Medical Professionals Program

110 Westwood Place; Suite 100

Medical Related Professional Services

33 West Monroe Street

Purchasing Group Association

MGMA Purchasing Group - East, Inc.

1849 W. North Temple; Building D

Fairview Park

OH

Wilmington

DE

Americus

GA

Atlanta

GA

Washington

DC

Woodbury

NY

Little Rock

AR

Houston

TX

Salt Lake City

UT

Bellevue

WA

Atlanta

GA

Chicago

IL

Avon

CT

Paynesville

MN

New Hyde Park NY

Atlanta

GA

Westminister

CO

Atlanta

GA

Altanta

GA

Buffalo

NY

Atlanta

GA

Washington

DC

New York

NY

Atlanta

GA

Orange

CA

Salt Lake City

UT

Okemos

MI

New York

NY

New York

NY

New York

NY

New York

NY

New York

NY

New York

NY

New York

NY

New York

NY

Atlanta

GA

Atlanta

GA

New York

NY

Grand Rapids

MI

Boston

MA

South Williamsport PA

Cleveland

OH

Park Ridge

IL

Birmingham

AL

Birmingham

AL

Birmingham

AL

Seattle

WA

Atlanta

GA

Chicago

IL

Milwaukee

WI

Washington

DC

Brentwood

TN

Chicago

IL

Salt Lake City

UT

44126 19802 31709 30361 20016 11797 72201 77042 84116 98004 30361 60603 6001 56362 11042 30361 80031 30361 30328 14203 30362 20016 10038 30361 92868 8415248864 10038 10038 10038 10038 10038 10038 10038 10038 30361 30361 10038 49503 2210 17702 44145 60068 35259 35259 35259 98101 30361 60611 53202

440-333-6300 302/765-6001 912-924-6935 404-879-2179 202-966-3934 212/338-2905 501-688-8841 713-461-4000 801-990-2400 425-450-1090 404-879-2179 856-216-0220 630-961-9605 320-243-7250 212/682-4500 404-879-2170 303-428-5400 404-879-2179 404-252-9094 716-856-6600 404-458-0093 202-966-3934 212-608-9400 404-879-2179 714-939-7448 801-304-3816 517-347-0386 212-608-9400 212-608-9400 212-608-9400 212-608-9400 212-608-9400 212-608-9400 212-608-9400 212-608-9400 404-879-2179 4047-879-2179 973-773-5101 616-456-8899 856/216-0220 570-326-6555 440-250-3577 800-343-1368 205-877-4426 205-877-4426 205-877-4426 206-583-0877 404-879-2179 312-951-7700 414-273-4200

20016 37027 60603

208-338-6423 800-251-5727 856-216-0220

84116 801-990-2400

Elizabeth Murray Glenn Clark Elizabeth Parks Stacey Kalberman Beth Kravetz Marc Cohen Doak Foster Melissa Mitchell Jeffrey Brunken Jeanne Burke Stacey Kalberman Wesley Pohler Valerie McDonald Linda Liestman Terence Cummings Stacey Kalberman Tom Gillingham Stacey Kalberman Sheila Sylvan Patrick Comerford Robert C. Bock Beth Kravetz Stuart Farber Stacey Kalberman Maryann Rimoin Shellie McLachlan John Wurzler Stuart Farber Stuart Farber Stuart Farber Stuart Farber Stuart Farber Stuart Farber Stuart Farber Stuart Farber Stacey Kalberman Stacey Kalberman J. Scott Klein Mary Kraut Wesley Pohler Thomas Marshall John Russell John Fetcho Laquita Goodwin LaQuita Goodwin LaQuita Goodwin HannahTindal Stacey Kalberman David Huske Michael Bamberger
Richard Johnson Rebecca Collins Wesley Pohler
Jeffrey Brunken

2004 Annual Report

70

Georgia Department of Insurance

Mid American Association of Physicians & Surgeons

502 Evergreen Place Court

Midwestern Association of Obstetricians & Gynecologists 502 Evergreen Place Court

Motors Insurance Purchasing Group, Inc.

300 Galleria Officentre; Suite 200

NASW Purchasing Group, Inc.

750 First Street N.E.; Suite724

National Alliance of Nonprofit Organizations, Inc.

P.O. Box 307

National Association of Broadcasters

Captive Ins. Svcs., Inc.; 44500 Potter Terrace

National Association of Independent Healthcare Professionals 4835 East Cactus Road; Suite 440

National Association of Independent Life Brokerage Agencies 681 S. Parker Street Suite 200

National Association of Insurance and Financial Advisors 100 Colony Square, Suite 780; 1175 Peachtree Street

National Association of Residential Real Estate

304 Martin Luther King Drive; P.O. Box 1439

Professionals, Inc. of Georgia

National Association of Salaried Professionals

1098 South Milwaukee Avenue Suite 200

Purchasing Group, Inc.

National Chiropractic Council

1851 E. First Street; Suite 1160

National CPA Risk Purchasing Group, Inc.

84 Chalet Circle

National Dental Student Risk Purchasing Group

P.O. Box 1348; 401 E. Jackson Street, Suite 1700

National Franchise Cleaners Risk Purchasing Group, Inc.

2018 State Road; P.O. Box 1446

National Health Club Purchasing Group

100 Colony Square, Suite 780; 1175 Peachtree Street

National Legal Aid and Defender Association

100 Colony Square, Suite 780; 1175 Peachtree Street

National Newspaper Association (PG)

333 W. Wacker Drive; Suite 300

National Nurses Purchasing Group Association

33 West Monroe Street

National Professional Purchasing Group Association, Inc. c/o Mandell Menkes & Surdyk, LLC

333 West Wacker Drive, Suite 300

National Purchasing Group for Pest Control Operators, Inc. c/o Capital Risk Underwriters, Inc.; P.O. Drawer 1793

National School Leaders Risk Purchasing Group

100 Colony Square, Suite 780 1175 Peachtree Street

National Society of Dental Practitioners, Inc.

210 University Drive, Suite 600

NCMIC Alternative Health RPG

P.O. Box 9118

NCMIC Diversifed Health RPG Association

P.O. Box 9118

NHO Purchasing Group, Inc.

1700 Diagonal Road; Suite 625

Non Profit Unemployment Compensation

1098 South Milwaukee Avenue

Risk Purchasing Group, Inc.

North America Chemical Users & Applications, Inc.

P.O. Box 526148

North American Retail Risk Purchasing Group, Inc.

6700 North Oracle Road; Suite 323

Outdoor & Recreation Insurance Program

c/o Beth Kravetz 4323 Warren Street

Owner Operator Independent Drivers Association, Inc.

P.O. Box 1000

Palladian Risk Purchasing Group, Inc.

c/o United Corporate Services, Inc.; 15 East North Street

Petroleum Distributors Purchasing Group, Inc.

c/o PG Administrators, LLC; 65 Westway

Petroleum Marketers Purchasing Group, Inc.

41 North Main Street

Phoenix Physicians Insurance Risk Purchasing Group, Inc. 2604 - 33rd Avenue S.E.

Physicans Corps, L.L.C. (The)

960 Johnson Ferry Road; Suite 235

Physicians Alternative Purchasing Group, Inc.

One Briarlake Pl, Ste 2000; 2000 W. Sam Houston Pkwy S.

Physicians Excess Liability Cooperative Assurance Network 502 Evergreen Place Court

Preferred Apartment Owners Purchasing Group

100 Colony Square, Suite 780; 1175 Peachtree Street

Preferred Professional Purchasing Group

1098 South Milwaukee Avenue

Preferred Property Group, LLC

P.O. Box 679; 26 Columbia Turnpike

Preferred Property Program, Inc.

960 Holmdel Road

Premier Attorneys Purchasing Group, Inc.

520 U.S. Highway 22; P.O. Box 6920

Premier Hotel Insurance Group

155, 108th Avenue; Suite 800

Primerus Risk Purchasing Group, Inc.

161 Ottawa NW; Suite 607

Professional Advisers Purchasing Group, Inc.(The)

Parkview Plaza West; 1200 East Ridgewood Avenue

Professional Counselors Purchasing Group

95 Broadway

Professional Design Purchasing Group Association

33 West Monroe Street

Professional Liability Assurance Society, Inc.

c/o Captive Insurance Services, Inc.; 44500 Potters Terrace

Professional Nursing Organizations Purchasing Group Assoc. c/o Doak Foster; 425 West Capitol Avenue, Suite 1800

Professional Warranty Purchasing Group

4443 Brookfield Corp. Drive; Suite 300

Professionals Premier Risk Purchasing Group Association 333 W. Wacker Drive; Suite 300

Louisville Louisville Southfield Washington Fawnskin Asburn Scottsdale Orange Atlanta Fort Valley
Wheeling
Santa Ana Dawsonville Ta m p a La Crosse Atlanta Atlanta Chicago Chicago Chicago
Orlando Atlanta Coral Springs Des Moines Des Moines Alexander Wheeling
Salt Lake City Tucson AZ Washington Grain Valley Dover Wethersfield West Hartford Puyallup Atlanta Houston Louisville Atlanta Wheeling Florham Park Holmdel Bridgewater Bellevue Grand Rapids Ridgewood Amityville Chicago Asburn Little Rock Chantilly Chicago

KY

40223 502-244-2056

KY

40223 502-244-2056

MI

48034 248-263-6914

DC

20002 202-336-8202

CA

92333 909-866-8120

VA

21047 703-723-9795

AZ

85254 800-695-0219

CA

92868 714-939-7448

GA

30361 404-879-2179

GA

31030 478-825-5566

IL

60090 847-541-0900

CA

92705 714-571-1850

GA

30534 706-216-6698

FL

33601 813-222-4100

WI

54602 608-788-6160

GA

30361 404-879-2179

GA

30361 404-879-2179

IL

60606 312-251-1000

IL

60603 856-216-0220

IL

60606 312-251-1000

FL

32802 877-799-1400

GA

30361 404-879-2179

FL

33071 800-237-9429

IA

50306 800-321-7015

IA

50306 800-321-7015

VA

22314 717-741-0911

IL

60090 847-541-0900

UT

84152

85704-7739

DC

20016

MO

64029

DE

19901

CT

6109

CT

6107

WA

98374

GA

30342

TX

77042

KY

40223

GA

30361

IL

60090

NJ

7932

NJ

7733

NJ

8807

WA

98004

MI

49503

NJ

7450

NY

11701

IL

60603

VA

20147

AR

72201

VA

20151

IL

60606

801-304-3816 520-742-9200 202-966-3934 816-229-5791 212-877-2877 860-563-7797 860-561-3600 253-770-0283 404-257-9977 713-935-8807 502-244-1056 404-879-2179 847-541-0900 973-549-1818 732-834-9800 908-685-7650 425-450-1090 616-456-8899 201-447-4400 631-691-6400 856-216-0220 703-723-9795 501-688-8841 703-803-8230 312-251-1000

Jack Smith Jack W. Smith Patricia Breslin Loretta Robinson Robert Nuccio Diane Sheakley Danielle Basile Maryann Rimoin Stacey Kalberman Robert Pearson
Tammy Weinert
Deanna Deckert Betty Harder Hailey Stefan James McDonald Stacey Kalberman Stacey Kalberman Daniel O'Leary Wesley Pohler Daniel O'Leary
Michael Schmidt Stacey Kaberman Virginia Verduin Mark Raymie Mark Raymie Sharon Ayres Paula Decker
Shellie McLachlan Randy Jumper Beth Kravetz Toni Vincent James Mancuso Jodie Heimgartner Neil Cross Gina M. Burrow Susan Armbrester Melissa Mitchell Jack Smith Stacey Kalberman Tammy Weinert Mark Waldor Stephen Kane Gerald Brennen-Brooks Jeanne Burke Mary Kraut Rickard Jorgensen Richard Imbert Wesley Pohler Dede Van Slambrouck Doak Foster Thomas Hitselberger D.V. O'Leary, Jr.

2004 Annual Report

71

Georgia Department of Insurance

Property Owners Purchasing Group

5929 Balones Drive Suite 301

Austin

TX

Prosecure Lawyers Purchasing Group

c/o Doak Foster; 425 West Capitol Avenue, Suite 1800

Little Rock

AR

Protectors Purchasing Group, Inc.

40 Fulton Street, 12th Floor

New York

NY

Psychiatrists' Purchasing Group, Inc.

1515 Wilson Road, Suite 800

Arlington

VA

Psychologists Purchasing Group Association

c/o CT Corporation System; 208 South LaSalle Street

Chicago

IL

Public Broadcasters Purchasing Group

c/o Captive Insurance Services, Inc., 44500 Potter Terrace Ashburn

VA

Real Estate Appraisers Liability Association

c/o Intercorp, Inc. 1438-F West Main Street

Ephrata

PA

Real Estate Apprasiers Professional Liability

6640 Shady Oak Road, Suite 500

Eden Prairie

MN

Insurance Purchasing Group

Real Estate Associations Purchasing Group

Ohrenstein & Brown; 1Penn Plaza, 46th Floor

New York

NY

Real Estate Professionals Risk Purchasing Group Association 1200 E. Glen Avenue

Peoria Heights

IL

Real Estate Sales Professionals Program Purchasing Group 681 S. Parker Street, Suite 200

Orange

CA

Real Property, Inc., A Risk Purchasing Group

Realtors Insurance Purchasing Group Association

75 Second Avenue, Suite 410

Needham

MA

Rental Equipment Dealers, Inc.

c/o Program Brokerage Corporation, 100 Sunnyside Blvd Woodbury

NY

Resort Hotel Purchasing Group

461 McLaw's Circle Suite 4

Williamsburg

VA

Right of Way Risk Purchasing Group, Limited

18550 West Capitol Drive

Brookfield

WI

Rockwood Guardian Agents PG

228 Philadelphia Pike

Wilmington

DE

Roofing Contractors Purchasing Group, Inc.

c/o Ninigret Management Company, LLC, 41 North Main St. W. Hartford

CT

School Leaders Risk Management

525 W. Monroe Street, Suite 2400

Chicago

IL

Association Risk Purchasing Group

Select Auto Dealer Purchasing Group, LLC

P.O. Box 650

Winterville

GA

Select Hotel Insurance Group

155 - 108th Avenue, NE, Suite 800

Bellevue

WA

Select Professional Purchasing Group, LLC

4725 Peachtree Corners Circle, Suite 230

Norcross

GA

Service Station Insurance Program Services, Inc.

1700 Route 3 West

Clifton

NJ

Short Term Special Events, Inc.

10451 Gulf Boulevard

Treasure Island FL

SNDA Purchasing Group, Inc.

9839 North Hayden Road, #103 Scottsdale

Scottsdale

AZ

Society of Habitational Insurance Participants, Inc.

5950 Hazeltine National DriveSuite 650

Orlando

FL

Southeastern Liability Purchasing Group

P.O. Box 85058

Richmond

VA

Southwest Real Estate Purchasing Group, Inc.

P.O. Box 15001

Casa Grande

AZ

Sports & Fitness Insurance Purchasing Group Assoc., Inc. 212 Key Drive

Madison

MS

Sports & Recreation Providers Association

100 Colony Square, Suite 780; 1175 Peachtree Street

Atlanta

GA

Sports & Special Events Risk Puchasing Group, Inc.

P.O. Box 1250

Mialothian

VA

Sports and Entertainment Events Risk Purchasing Group 10940 Wilshire Boulevard, 17th Floor

Los Angeles

CA

Staff Physicians Purchasing Group, Inc.

One Briarlake Pl, Ste 2000; 2000 W. Sam Houston Pkwy S. Houston

TX

Steelhead Insurance Purchasing Group, Inc.

3109 Knox Street, Suite 201

Dallas

TX

Structual Engineers Risk Management Council

2959 Monterey-Salinas Highway

Monterey

CA

T.V. and Radio Purchasing Group, Inc.

c/o Mandell Menkes & Surdyk; 333 W. Wacker Dr., Ste 300 Chicago

IL

The Aegis Service Contract Liability PG, Inc.

6010 Atlantic Boulevard

Norcross

GA

The American Dietetic Association Risk Purchasing Group 33 West Monroe Street

Chicago

IL

The Premium Risk Purchasing Group

3060 Bainbridge Road

Cleveland

OH

The Professional AdvisersPurchasing Group, Inc.

25 East Spring Valley Avenue, Suite 270

Maywood

NJ

The Schneider Group, Inc. d/b/a Protek Risk Purchasing Group281 S. Scott

Tucson

AZ

Title Agents of America

4323 Warren Street, NW

Washington

DC

Transworld Building Trades & Contractors

P.O. Box 526148

Salt Lake City,

UT

Liability Association, Inc.

Truckers' Purchasing Group, Inc.

P.O. Box 489

Kenosha

WI

Trust for Insuring Educators Purchasing Group Trust

100 Colony Square, Suite 780, 1175 Peachtree Street

Atlanta

GA

TSI Sports Incorporated

P.O. Box 1320

Flowery Branch GA

U.S. Military Family Day Care Home PG (AZ)

c/o Secure SW Brokerage, Ltd., 540 West Iron Ave., Ste 104 Mesa

AZ

U.S. Port Terminal Operators Risk Purchasing Group

1420 Fifth Avenue, Suite 1200

Seattle

WA

United America Legal Service Providers

P.O. Box 526148

Salt Lake City

UT

Professional Liability Association, Inc.

United Chiropractic Group, Inc.

P.O. Box 188

WinterSet

IA

United Food and Lodging Association

1107 South Tillotson Avenue

Muncie

IN

United Professional Liability Purchasing Group, Inc.

P.O. Box 1809

Rockport

TX

78731 72201 10038 22209 60604 20147 17522 55344

512-467-7299 501-688-8841 212-608-9400 703-907-3800 856-216-0220 816/292-7263 717-721-3500 952-944-8790

10119 61616 92868

212-682-4500 309-679-0261 714-939-7448

02494 11797 23185 53045 19809 06107 60661

781-449-7711 516-496-1341 757-220-7186 414-781-7020 302-765-6000 860-561-3600 312-906-8111

30683 98004 30092 7013 33706 85258 32822 23285 85230 39110 30361 23113 90024 77042 75205 93940 60606 30071 60603 44139 7607 85701 20016 84152

706-742-5008 425-450-1090 678-969-9152 973-777-4747 727-367-6900 937-586-3720 973-777-4747 804-649-9333 480-730-4920 601-898-8464 404-879-2179 804-754-7610 310-418-4772 713-935-8807 214-360-3642 800-227-8533 312-251-1000 678-225-1001 856-216-0220 440-542-5020 201-226-1200 520-670-1111 800-331-9759 801-304-3816

53141 30361 30542 85210 98101 84152

262-697-9600 404-879-2179 770-534-6409 602-464-2288 206-749-4893 801-304-3816

50273 47304 78381

888-824-4234 765-284-4443 361-790-9043

Gregory Crouch Doak Foster Stuart Farber Martin Tracy Wesley Pohler Mary Schust Elaine Matternas Rodney L. Olsen
Terrance Cummings Mary Helms Maryann Rimoin
Betsy Magnuson Frederica O'Connor Lynn Damewood Paul Gurtler Glenn Clark Neil Cross Stephanie Giggetts
William H. Harris Jeanne Burke Jack Fox Karen Gormley Marguerite Robinson Fran Rickenbach James McCahill John Williams Crews Sharon Johnson Donna Carter Stacey Kalberman John W. Frazier Martin Ridges Melissa Mitchell Rod Going Kristi Malone Daniel O'Leary Carliss Shepherd Wesley Pohler David Martin Richard Jorgenson Daniel Schneider Mark Pearson Shellie McLachlan
Bonnie Kroedler Stacey Kalberman Jennifer Sanders Jill Wilcock Thomas Long, Jr. Shellie McLachlan
Robert A. Nelson Ronald L. Thomas, III Lisa P. Evans

2004 Annual Report

72

Georgia Department of Insurance

United Risk Purchasing Group, Inc. United States Contractors Associstion, Inc.(GA) Vanderbilt Properties Associates, Inc. Volunteers Insurance Service Association, Inc. Worldwide Outfitter & Guides Association, Inc. McLachlan

P.O. Box 5910 2899 Elmwood Drive 770 Lexington Ave. 7th Floor 216 South Peyton Street P.O. Box 526148

Carefree

AZ

85377 480-595-9100

Michele Wilson

Smyrna

GA

30080 770-436-7575

William Dial

New York

NY

10021 212-546-1010

Alnoor Ladha

Alexandria

VA

22314 703-739-9300

Lauren Coleman

Salt Lake City

UT

84152 801-304-3816

Shellie

Georgia Department of Insurance

Risk Retention Groups

73

GID#
80754 81081 80673 80757 42000 80909 80419 80741 81076 42008 81074 81400 80701 81309 80723 80752 80781 81078 81065 81085 80423 81595 81597 81421 80421 81491 80001 81088 80002 42003 42007 42011 42012 42013 42014 42015 42016 42017

Risk Retention Group
American Contractors Insurance Company, RRG United Educators Ins. Risk Retention Group, Inc. National Home Insurance Company, A RRG Housing Authority Risk Retention Group, Inc. Ophthalmic Mutual Insurance Company, A RRG Western Pacific Mutual Insurance Company, A RRG Architects & Engineers Insurance Company, A RRG Preferred Physicians Medical Risk Retention Group National Catholic Risk Retention Group, Inc. States Self-Insurers Risk Retention Group, Inc. Mental Health Risk Retention Group, Inc. OMS National Insurance Company Risk Retention Group American Feed Industry Ins. Company, RRG, Inc. Consumer Specialities Insurance Company RRG CPA Mutual Insurance Company of America, RRG Title Industry Assurance Co. Risk Retention Group American Safety Risk Retention Group, Inc. Paratransit Insurance Company, a Mutual RRG Premier Insurance Exchange, Risk Retention Group Terra Insurance Agency National Guardian Risk Retention Group, Inc. OOIDA Risk Retention Group Attorneys' Liability Assurance Society, Inc. A RRG American Association of Orthondontists Ins. Co. RRG Community Blood Centers' Exchange RRG National Service Contract Insurance Company RRG, Inc. Columbia National Risk Retention Group, Inc. United Home Insurance Company, A Risk Retention Group Residential Insurance Company, Inc. (A RRG) (The) Primeguard Insurance Company, Inc., A RRG Global International Insurance Company, Inc., A RRG Attorneys Liability Protection Society, A Mutual RRG Automotive Underwriters Insurance Company, INC. RRG Alliance of Nonprofits for Insurance, Risk Retention Group First Automotive Insurance Risk Retention Group, Inc. St. Charles Insurance Company, Inc., A RRG Heritage Warranty Insurance RRG, Inc. (SC) Capital Assurance Risk Retention Group, Inc.

Address
12222 Merit Drive, Suite 1660 2 Wisconsin Circle, Suite 1040 2675 South Abilene, Suite 100 189 Commerce Court 655 Beach Street 1655 Lafayette Street, Suite 200 2056 Westings Avenue, Suite 150 9000 West 67th Street, Suite 201 140 Kennedy Drive (05403) 222 South Ninth Street, Suite 1300 388 Pompton Avenue 6133 N. River Road, Suite 650 4685 Merle Hay Road P.O. Box 306 112 Lake Street 40 Main Street, Suite 500 1845 The Exchange, Suite 200 1000 Ridgeway Loop Road 12225 El Camino Real P.O. Box 306 2240 South Airport Road, Suite 800 P O Box 306 311 South Wacker Drive, Suite 5700 P. O. Box 306 2345 Grand Blvd., Suite 800 5101 Wisconsin Ave., NW, Ste 500 100 Bank Street, Suite 610 100 Bank Street 2675 S. Abilene Street 1225 17th Street, Suite 1700 1501 Wilson Boulevard, Suite 1110 Post Office Box 9169 1001 Bishop St, Pacific Tower, Ste 2788 P.O. Box 306 900 Fort Street Mall, Suite 500 #3 Lockwood Drive, Suite 303A #3 Lockwood Drive, Suite 303A #3 Lockwood Drive, Suite 303A

City

State

Dallas

TX

Chevy Chase MD

Aurora

CO

Cheshire

CT

San Francisco CA

Denver

CO

Naperville

IL

Shawnee MissionKS

South Burlington VT

Minneapolis MN

Cedar Grove NJ

Rosemont

IL

Des Moines IA

Montpelier

VT

Burlington

VT

Burlington

VT

Atlanta

GA

Memphis

TN

San Diego

CA

Montpelier

VT

Traverse City MI

Montpelier

VT

Chicago

IL

Montpelier

VT

Kansas City MO

Washington DC

Burlington

VT

Burlington

VT

Aurora

CO

Denver

CO

Arlington

VA

Missoula,

MT

Honolulu

HI

Montpelier

VT

Honolulu

HI

Charleston

SC

Charleston

SC

Charleston

SC

ZIP
75251 20815 80014 6410 94109 80218 60563 66202 5407 55402 7009 60018 50322 5601 5401 5401 30339 38120 92130 5601 49684 5601 60606 5601 64108 20015 5401 5401 80014 80202 22209 59807 96813 5601 96813 29401 29401 29401

Date
5/20/87 5/26/87 10/21/87 10/26/87 12/31/87 1/1/88 1/1/88 2/18/88 4/18/88 7/20/88 7/28/88 7/28/88 8/15/88 8/15/88 8/22/88 11/1/88 12/8/89 12/31/89 5/30/90 11/2/90 11/23/94 12/22/95 2/23/96 4/18/96 4/18/96 2/28/97 6/28/97 7/22/97 8/29/97 7/14/98 9/29/99 1/12/00 6/16/00 3/1/01 7/24/01 10/4/01 12/27/01 1/17/02

2004 Annual Report

2004 Annual Report

74

Georgia Department of Insurance

42018 42020 42021 42022 42024 42023 42025 42026 42027 42028 42029 42031
42030 42044 42032 42033 42034 42035 42037 42036 42038 42039 42040 42041 42042 42043 42045 42046 42047 42048 42050 42049 42051 42052

National Independent Truckers Insurance Company,A RRG #3 Lockwood Drive, Suite 303A

Titan Insurance Company, Inc., a RRG

#3 Lockwood Drive, Suite 303A

Marathon Financial Insurance Company, Inc. RRG

1722 Corporate Crossing, Suite 2

Steel Tank Insurance Company, RRG

76 St. Paul Street, Suite 500

GSFS Risk Retention Group, Inc.

#3 Lockwood Drive, Suite 303A

CHC Casualty Risk Retention Group, Inc.

100 Bank Street, Suite 610

American Trucking and Transportation Insurance Co., A RRG 111 North Higgins Ave., 4h Floor

Lenders Protection Assurance Company Risk Retention Group 1212 N 96th Street

American Eagle Insurance Company, RRG

40 Main Street, Suite 500

Jamestown Insurance Company, a Risk Retention Group

P.O. Box 937

High Tech Services Risk Retention Group, Inc.

76 St Paul Street, Suite 500

ProBuilders Specialty Ins.Co

.

1900 Overlook III, 2859 Paes Ferry Rd.

RRG/NationalsBuilders Ins. Svcs., Inc

Emergency Physicians Insurance Co. Risk Retention Group 1135 Terminal Way, Suite 107

Consortium (A Reciprocal Risk Retention Group)

112 Lake Street

Security America Risk Retention Group, Inc.

100 Bank Street, Suite 610

Allied Professionals Insurance Company, A RRG, Inc.

1851 East First Street, Suite 1160

Continuing Care Risk Retention Group, Inc.

1414 Lady Street

Transurance Risk Retention Group, Inc.

2999 North 44th Street, Suite 250

Circle Star Insurance Company, A Risk Retention Group

3336 Airport Road, Suite 201

Eldercare Mutual Insurance Risk Retention Group, Inc.

2999 North 44th Street, Suite 250

Pinnacle Risk Retention Group, Inc.

1501 Wilson Boulevard, Suite 1110

CARE Risk Retention Group, Inc.

1501 Wilson Boulevard, Suite 1110

Green Hills Insurance Company, RRG

c/o RiskCap, Inc. 1655 Lafayette St.

Steward Risk Retention Group

1401 H Street, Suite 760

Contractors Liability Insurance Company, A RRG

1210 S. Valley View Blvd, Ste 114

Golden Insurance Company, A RRG

1655 LaFayette Street, Suite 200

Emergency Medicine Professional Assurance Company, RRG 1210 S. Valley View Blvd, Ste 114

Capitol Specialty Insurance Company, RRG

300 Redland Court, Suite 105

Health Care Industry Liability Reciprocal Insurance Co., A RRG 103 E. Liberty, Suite 201

SIA Insurance Company (Risk Retention Group), Ltd.

5050 Quorum Drive, Suite 500

Oceanus Insurance Company, A Risk Retention Group

P. O. Box 937

Claims Professional Liability Insurance Company, A RRG

P.O. Box 306

AmeriGuard Risk Retention Group, Inc.

P.O. Box 937

Lewis & Clark LTC Risk Retention Group, Inc.

1200 Ashwood Parkway

Charleston Charleston O'Fallon Burlington Charleston Burlington Missoula Omaha Burlington Charleston Burlington Atlanta, GA
Reno Burlington Burlington Santa Ana Columbia Phoenix Barre Phoenix Arlington Arlington Denver Washington Las Vegas Denver Las Vegas Owings Mills Ann Arbor Dallas Charleston Montpelier Charleston Atlanta

SC SC IL VT SC VT MT NE VT SC VT 30339

29401 29401 62269 5401 29401 5401 59802 68114 5402 29402 5401 9/9/03

1/31/02 4/12/02 4/16/02 9/18/02 10/16/02 1/17/03 3/20/03 3/27/03 4/29/03 7/3/03 7/30/03

NV 89502 9/9/03 VT 5401 9/15/03 VT 5401 9/24/03 CA 92705 10/23/03 SC 29211 12/5/03 AZ 85018 12/16/03 VT 5641 12/30/03 AZ 85018 12/30/03 VA 22209 1/27/04 VA 22209 3/19/04 CO 80218 4/21/04 DC 20005 6/3/04 NV 89102 7/2/04 CO 80218 8/5/04 NV 89102 9/16/04 MD 21117 9/17/04 MI 48104 9/17/04 TX 75254 11/1/04 SC 29402 11/3/04 VT 5601 11/9/04 SC 29402 12/20/04 GA 30338 12/27/04

Georgia Department of Insurance

Licensed Georgia Captives

NAIC NO. 10704
10000
10874 10039 11091 12159
11154 10705
11184 10016 10211 11263 10894 10798 Totals

CAPTIVE

ADMINISTRATOR

DATE

LICENSED

Builders Insurance Co

Association Services, Inc. 7/1/96

(A Mutual Captive Co)

Commercial Mutual Insurance Co.

Covenant Management Inc. 6/10/93

(A Captive Co.) (Administrative Supervision)

Ga Restaurant Mutual Captive Insurance Co Program Admin. Services 12/31/96

Georgia Timber Harvester's Mutual Captive Forestry Ins. Services Inc. 12/10/93

Health Care Mutual Captive Insurance Co. Ga Admin. Services Inc. 12/28/00

Joliet Area Risk Retention

Physicians Captive, LLC 7/1/04

Group Captive Ins. Co.

Hospitality Captive Insurance Co., Inc. Hospitality Ins. Services 3/30/01

Southeast Employers Mutual Captive

N/A

12/31/96

Insurance Co. (Administrative Supervision)

Southeastern U.S. Captive Insurance, Inc. Employers'WorkComp 11/15/01

Tift Area Captive Insurance Company

Physicians Captive, LLC 6/30/00

TPA Captive Insurance Company

Physicians Captive, LLC 6/15/91

United Business Insurance Co

USAdministrators, Inc. 6/19/02

United Group Captive Insurance Company N/A

8/26/97

VFH Captive Insurance Company

Addis, Inc.

3/28/97

TOTAL ASSETS 286,189,116
18,049,552
4,240,952 5,732,468 10,291,071 2,951,209
3,071,583 1,387,699
34,092,796 2,124,983 7,318,644 3,847,123 2,353,342 5,531,416 387,181,954

SURPLUS
97,932,007
349,345
1,419,219 1,414,477 2,165,750 1,395,593
616,480 134,262
8,937,371 1,203,714 5,601,381 741,985 1,426,757 1,360,856 124,699,197

DIRECT WRITING 121,053,447
595,062
2,226,145 5,852,813 6,298,586 1,209,473
2,811,547 213,796
28,058,419 975,732 1,681,022 2,777,634 790,707 2,738,645 177,283,028

NET WRITING 114,344,185
5,668,175
2,967,599 3,948,598 5,531,963 878,973
2,515,370 36,106
23,875,014 557,686 1,308,154 2,299,557 790,707 2,738,645 167,460,732

NET INCOME 8,029,380
(1,528,811)
95,830 (242,188) 634,435 (19,712)
(993,247) (121,151)
495,962 155,169 691,482 (438,064) 119,008 132,593 7,010,686

75

2004 Annual Report

2004 Annual Report

76

Georgia Department of Insurance

Third Party Administrators

GID # 94003 94007 94009 94010 94012 94011 94013 94016 94006 94018 94020 94021 94023 94026 94029 94030 94032 94005 94031 94027 94037 94041 94040 94042 94045 94043 94044 94046 94048 94047 94056 94059 94051 94060 94061 94053 94065 94067 94071 94069 94068 94077 94079 94080 94081 94084 94082 94090 94091

THIRD PARTY ADMINISTRATOR American Professional Risk Services, Inc Hewitt, Coleman & Associates, Inc. Claims Management Services, Inc. Sedgwick Claims Management Services, Inc. Trip Mate, Inc. American Insurance Administrators Health Plan Administrators, Inc. Direct Response Ins. Admin. Services, Inc. Protegrity Services, Inc. Baker Agency, Inc. (The) American Trust Administrators, Inc. Affinity Insurance Services, Inc.f/k/a Aon Direct FCCI Services, Inc. AMA Insurance Agency, Inc. Allied National, Inc. Group Ins. Admin. Of Ga, Inc. AGIA, Inc. Allen Medical Claims Administrators EBC MidAmerica, Inc. Brentwood Services Administration, Inc. F.A. Richard &Associates, Inc. Progeny Marketing Innovations, Inc. CBCA Administrators, Inc. Ward North America, LP BoonChapman Benefit Administrators Allied Claims Administration, Inc. Covenant Administrators, Inc. North American Benefits Network, Inc. Underwriters Safety & Claims, Inc. Lewer Agency, Inc. (The) Palmer & Cay of Georgia, LLC AllianceOne Services, Inc. Kelsey National Corporation First Oglethorpe Company IBM Business Transformation Outsourcing Ins. Svc. Corp. Massmark Administrative Services, Inc. Coverdell & Company, Inc. North American Benefits Company McCamish Systems, LLC Pittman & Associates, Inc. Stowe Associates Paragon Benefits, Inc. ACS Benefit Services, Inc. Hilb, Rogal & Hamilton Co. Of Savannah, Inc. Selman And Company Private MedicalCare, Inc. O'Steen Adjusting Services, Inc. Healthplan Services, Inc. Georgia Administrative Services, Inc.

ADDRESS 1255 McFarland 400 Drive 850 South Pleasantburg Dr. 360 Market Place 1000 Ridgeway Loop Road 9225 Ward Parkway, Suite 2 3070 Riverside Dr., P.O. Box 21090 3703 North Main Street 7930 Century Boulevard 260 Wekiva Springs Road P. O. Box 390, 962 Industrial Pkwy. P. O. Box 87 159 E. County Line Road 6300 University Parkway 200 North Lasalle St, Ste 400 P. O. Box 419257 200 WestAdams Street, Suite 1203 1155 Eugenia Place 14801 Quorum Drive, Suite 605 9275 North 49th Street, Suite 300 Post Office Box 1125 1625 West Causeway Approach 400 Duke Drive 4150 International Plz, Ste 900 610 West Ash Street, Suite 1900 12301 Research Boulevard, Suite 400 P. O. Box 674869 Suite 100, 11330 Lakefield Drive 19800 Detroit Road 1700 Eastpoint Parkway 4534 Wornall Road 25 Bull Street CSC Building, M/S 400, 114 W. 11th St 3030 South Bundy Drive P.O. Box 4086 P. O. Box 789 Post Office Box 770 1718 Peachtree Street 530 East Swedesford Rd, Suite 100 6425 Powers Ferry Road, 3rd Floor P. O. Box 111047 2951 Flowers Road South, Suite 217 P.O. Box 12288 8025 North Point Boulevard, Suite 100E 2101 6th Avenue, North, Suite 1200 6110 Parkland Boulevard 12898 Towne Center Drive P.O.Box 4088 P. O. Box 30098 1775 Spectrum Dr., Suite 100

CITY Alpharetta Greenville Roswell Memphis Kansas City Columbus Rockford Chanhassen Longwood Plain Well Shawnee Mission Hatboro Sarasota Chicago Kansas City Chicago Carpinteria Dallas Milwaukee Brentwood Mandeville Franklin Ft. Worth San Diego Austin Marietta Duluth Cleveland Louisville Kansas City Savannah Kansas City Los Angeles Duluth Greenville Concord Atlanta Wayne Atlanta Memphis Atlanta Columbus WinstonSalem Birmingham Cleveland Cerritos Duluth Tampa Lawrenceville

STATE ZIP

GA

30004

SC

29657

GA

30077

TN

38120

MO

64114

OH

43221

IL

61103

MN

55317

FL

32779

MI

49080

KS

66201

PA

19040

FL

34240

IL

60601

MO

64141

IL

60606

CA

93013

TX

75254

WI

53223

TN

37024

LA

70471

TN

37067

TX

76109

CA

92101

TX

78759

GA

30006

GA

30097

OH

44116

KY

40223

MO

64111

GA

31402

MO

64105

CA

90066

GA

30096

SC

29602

NC

28026

GA

30309

PA

19087

GA

30339

TN

38111

GA

30341

GA

31917

NC

27106

AL

35203

OH

44124

CA

90703

GA

30096

FL

33630

GA

30043

TYPE Comm. Self Ins. Comm. Self, L & H Comm. Self Ins. Comm. Self, L & H L, A & S L & H L & H L & H Comm. Self, L & H L & H Comm. Self, L & H L & H Comm. Self Ins. Fully Ins. Group L & H Comm. Self, L & H L & H Comm. Self, L & H Comm. Self, L & H Comm. Self, L & H Prop, Cas, L & H L & H L & H L & H, Student, A&S L & H L & H Comm. Self, L & H Comm. Self, L & H ComSelf, Med&Den Comm. Self, L & H Comm. Self, L & H Life & Annuity 6/29/95 L & H GroupSelfIns . L & H L & H L & H L & H Life Comm. Self, L & H Comm. Self, L & H Health & Dental Comm. Self, L & H Comm. Self Ins. L & H L & H Comm. Self Ins. Comm. Self, L & H Comm. Self Ins.

DATE NAME

4/25/94 HowardDavis

5/10/94 BreckWarne

6/16/94 BarryJ.Lamanno

6/24/94 BrendaCorey

7/21/94 BradleyFinkle

7/21/94 JudyAyala

7/21/94 PamelaGentner

8/17/94 AllenGrigsby

8/31/94 MarshaBrown

8/31/94 PhilBaker

9/12/94 AnnL'Heureux

9/12/94 KimberlyO'Daniel

11/3/94 JonathonKocourek

11/9/94 JudyRobson

11/15/94 DavidW.Ashley

12/20/94 MathildaRose

12/20/94 BonnieWeinberg

12/21/94 ToanNguyen

12/21/94 KathyMcCormick

12/28/94 TracyeMayolo

4/20/95 PaulaTownson

4/20/95 DoylineLloyd

4/20/95 JudyKelley

4/20/95 KevinJasper

5/11/95 JoanOlmstead

5/11/95 BrianWilcox

5/11/95 JamesBallew

5/15/95 MaryJoEucker

5/15/95 JackD.Stewart

5/23/95 StephenBoinski

6/20/95 DonnaBurgstiner

GregoryStites (816)7018424

6/29/95 NicolePerkins

6/30/95 JenniferPrice

7/6/95

Tammy Morris

7/6/95

John King

7/14/95 ElaineB.Dahl

7/14/95 DianeM.Hickey

8/1/95

Adonna Rusk

8/1/95 DebbieHowell

8/24/95 HarveyL.Stowe

8/31/95 CherylGunn

8/31/95 DouglasLemmerman

10/16/95 HenryLevens,III

10/16/95 RosanneStark

11/9/95 JamesCarney

11/29/95 TomO'Steen

12/15/95 JeffBell

2/2/96

Carla Edwards

PHONE (770)7520122 (864) 2405838 (770) 9987411 (901) 4157430 (800) 8880432 (800) 9221245 (815) 6335800 (952) 5565600 (407) 7881717 (800) 2231318 (913) 4514900 (800) 6872273 (800) 2263224 (312) 4193751 (816) 4741200 (312) 7950932 (805) 5669191 (800) 7410185 (800) 5587798 (615) 2631300 (985) 6248383 (800) 2510006 (817) 7371700 (619) 5572777 (512) 4542681 (770) 8508045 (678) 2588300 (440) 3568212 (502) 2441343 (816) 7534390 (912) 2316993
(800) 3665656 (678) 2593799 (864) 6098175 (704) 7823212 (404) 8812227 (610) 9950169 (770) 6901500 (901) 3232140 (770) 4516222 (770) 3279218 (336) 7592013 (205) 8680281 (440) 6469336 (562) 4677795 (678) 4179117 (800) 2377767 (770) 9637732

2004 Annual Report

77

Georgia Department of Insurance

94093

WakelyAndAssociates, Inc.

94098

Benefit Support, Inc.

94100

PacifiCare Health Plan Administrators, Inc.

94097

JLT Services Corporation

94104

Cambridge Inegrated Services Group, Inc.

94103

Administrative Services, Inc.

94109

Cunningham Lindsey Claims Management, Inc.

94108

Core Administrative Services, Inc.

94105

MedAdmin Solutions, Inc.

94110

Olympic Health Management Systems,Inc

94112

Cannon Cochran Management Services, Inc.

94116

Insurers Administrative Corporation

94117

Maskin Management Corporation

94118

Assoc. & Society Insurance Corporation

94121

Beneficial Administration Company, Inc.

94115

BertholonRowland Corporation

94126

Innovative Resource Group, Inc.

94125

Magellan Behavioral Health Systems, LLC

94127

Chesterfield Resources, Inc.

94128

Custard Insurance Adjusters, Inc.

94130

PAS Financial Group, Inc.

94129

Strategic Resource Company

94134

Transaction Applications Group, Inc.

94131

Seabury & Smith, Inc.

94135

Gallagher Bassett Services, Inc.

94137

Total Plan Services, Inc.

94140

Princeton Corporation, The

94141

Vision Financial Corporation

94123

Holden & Company, Inc.

94143

Talcor Services, Inc.

94148

Forrest T. Jones & Company, Inc.

94146

Klais & Company, Inc.

94120 TyNetCorporation

94149 AllenJ.FloodCompanies,Inc.,The

94147

Advance PCS, L.P.

94152 ForrestT.JonesConsultingCompany

94153

Harvey W. Watt & Company, Inc.

94155

Planned Administrators, Inc.

94156

MHF Insurance Administrators, Inc.

94158

AAFP Insurance Services, Inc.

94159

LifeCare Assurance Company

94162

Chickering Claims Administrators, Inc.

94160

Key Risk Management Services, Inc.

94166

Mass Benefits Consultants

94167

National Plan Administrators

94164

Long Term Care Group, Inc., The

94169

First Health Benefits Administrators Corporation

94172

Innovative Claims Management, Inc.

94170

Corporate Benefit Services of America, Inc.

94173

AMERIGROUP Corp. f/k/a AMERICAID, Inc.

94176

The Financial Group, Inc.

44000

ERC Long Term Care Solutions, Inc.

44003

Life of the South Insurance Company

44004

Association Services, Inc.

44005

J. Smith Lanier & Co. Administrators, Inc.

44001

ValueOptions, Inc. f/k/a FHC Options, Inc.

33 North GardenAvenue, Suite 1100 P.O. Box 2977, 305 Green Street P.O. Box 25032 13 Cornell Road 12005 Ford Road, Suite 700 P.O. Box 30098 3910 Brookside Drive 515 Mulberry Street, Suite 300 1995 North Park Place, Suite 150 2219 Rimland Drive 2 E Main Street, Suite 208 2101 W. Peoria Avenue, Suite 100 2500 McClellanAvenue, Suite 160 656 Quince Orchard Road 2505 McCabe Way 100 Broadway # 400 300 N. Executive Drive 6950 Columbia Gateway Drive 3520 Forest Lake Drive 4875Avalon Ridge Parkway 11222 Quail Roost Drive 221 Dawson Road 421 South 9th Street, Suite 222 1776 West Lakes Parkway The Gallagher Centre, Two Pierce Place 14001 Dallas Parkway North, Suite 700 600 Princeton Parkway 17 Church Street, P.O. Box 506 20 East Bay Street, PO Box 8327 2081 North Oak Drive 3130 Broadway 1867 West Market Street 1520 McPherson Street 2 MadisonAvenue 750 W. John Carpenter Fwy, Ste 1200 3130 Broadway P.O. Box 20787 8906 Two Notch Road, Suite 200 Post Office Box 48098 11400 Tomahawk Creek Pkwy, Ste 430 21600 Oxnard Street, Suite 1500 1 Charles Park 7900 McCloud Road, Suite 300 7212 Poplar Street P.O. Box 161630 3780 KilroyAirport Way, Suite 470 3200 HighlandAvenue 302 Martin Luther King, Jr. Drive 400 Highway 169 South, Suite 800 4425 Corporation Lane, Suite 100 2555 Severn Avenue 20 Security Drive, Suite 2 100 West Bay Street P.O. Box 723099 47 Postal Parkway, P.O. Box 71489 240 Corporate Boulevard

Clearwater Gainseville Santa Ana Latham Dallas Tampa Tyler Macon Atlanta Bellingham Danville Phoenix Pennsauken Gaithersburg Irvine New York Brookfield Columbia Uniontown Norcross Miami Columbia Lincoln West Des Moines Itasca Dallas Kentland Keene Savannah Lawrenceville Kansas City Akron Oxford Larchmont Irving Kansas City Atlanta Columbia Jacksonville Leawood Woodland Hills Cambridge Greensboro Annandale Austin Long Beach Downers Grove Fort Valley Minneapolis Virginia Beach Metairie Avon Jacksonville Atlanta Newnan Norfolk

FL

33755

L & H

3/4/96

Darcey Shaffer

(727) 5848128

GA

30503

L & H

3/21/96 LenaAndrews

(770) 5322690

CA

92799

Comm. Self, L & H

5/2/96

Christine Rexford

(800) 2046629

NY

12110

L & H

5/6/96

Jay Scarborough

(518) 7823173

TX

75234

Comm. Self, L & H

5/21/96 KimberlyO'Daniel

(972) 8882411

FL

33630

L & H

5/22/96 JeffBell

(800) 2377767

TX

75701

Comm. Self Ins.

6/20/96 BrendaBlankenship

(903) 5616700

GA

31201

Comm. Self, L & H

6/20/96 TomWagoner

(478) 7413521

GA

30339

Comm. Self, L & H

6/25/96 DebbieShumake

(770) 8103700

WA

98226

L & H

7/1/96

Jennifer Marinas

(360) 6479080

IL

61832 Comm.Self,L&H

7/5/96

Mary Cade

(217) 4461089

AZ

85029 Comm.Self,L&H

8/12/96 LucilleMcGowan

(602) 9066211

NJ

8109

Comm. Self, L & H

8/16/96 PhyllisHeimerl

(800) 5479646

MD

20878 Comm.Self,L&H

8/16/96 SherriThomas

(800) 6382610

CA

92614 Comm.SelfIns.

9/3/96 NettyMansolillo

(949) 7561000

NY

10005 Comm.Self,L&H

9/4/96 StacyKaplan

(212) 9669400

WI

53005 Comm.Self,L&H

9/20/96 PatriciaSlater

(262) 7872200

MD

21046 Comm.Self,L&H

9/20/96 JennineYannocone

(410) 9531000

OH

44685 Comm.Self,L&H

9/23/96 CarissaWilliams

(330) 8969777

GA

30071 Comm.Self,L&H

10/1/96 CharlottePerez

(770) 2636800

FL

33157 Comm.Self,L&H

10/7/96 DonnaMarakas

(800) 8522244

SC

29233 Comm.Self,L&H

10/7/96 KimHooks

(803) 8653765

NE

68508 Comm.Self,L&H

11/15/96 PatriciaWells

(402) 4747612

IA

50398 Comm.Self,L&H

11/21/96 LanceVanVleet

(515) 3656072

IL

60143 Comm.Self,L&H

11/25/96 AngelaEspinoza

(630) 7733800

TX

75240 Comm.Self,L&H

12/16/96 LorettoGermuiller

(469) 7915900

IN

47951 Comm.Self,L&H

12/31/96 MollyJohnson

(219) 4745100

NH

3431

Comm. Self, L & H

1/2/97

James Pettapiece

(603) 3571450

GA

31412 Comm.Self,L&H

1/21/97 RogerHolden

(912) 2311040

GA

30244 Comm.Self,L&H

1/21/97 PamelaTalbert

(770) 9633705

MO

64111 Comm.Self,L&H

2/4/97

Debbie Oestreich

(800) 8217303

OH

44313 Comm.Self,L&H

2/4/97 MarkGiancarli

(330) 8678443

AL

36203 Comm.SelfIns.

2/11/97 AllynTatum

(800) 7108121

NY

10538 Comm.Self,L&H

2/13/97 AllenJ.Flood

(914) 8349326

TX

75039 Comm.Self,L&H

3/3/97

Gina Laredo

(469) 5244758

MO

64141 Comm.Self,L&H

3/5/97

Geri Davies

(800) 6488624

GA

30320 Comm.Self,L&H

4/8/97

Pat Hiebel

(404) 7677501

SC

29223 Comm.Self,L&H

4/16/97 BarbaraWindham

(803) 4620151

FL

32247

L & H

4/16/97 BeverleyBrynda

(904) 7275088

KS

66211 Comm.Self,L&H

4/22/97 ThomasKoch

(800) 3258166

CA

91367 L&H

5/6/97

Clara Gray

(800) 3665463

MA

2142

L & H

5/21/97 ChristopherCarreira

(617) 2188400

NC

27409 Comm.SelfIns.

5/21/97 BeverlyAshley

(336) 6689050

VA

22003 Comm.Self,L&H

6/13/97 LindaS.Walker

(703) 2567800

TX

78716 Comm.Self,L&H

6/18/97 HeatherTreece

(512) 3276481

CA

90806

L & H

6/18/97 BronWlecial

(562) 2764500

IL

60515 MedicalPlans

7/1/97

Neal Pekela

(630) 2417900

GA

31030 Comm.Self,L&H

8/28/97 GaryAllen

(888) 6727249

MN

55426 Comm.Self,L&H

9/10/97 PhilipChristianson

(952) 5460062

VA

23462

Health

10/24/97 KimberlyMcDonald

(757) 4906900

LA

70002

L & H

10/24/97 PatriciaMonjure

(504) 8366861

CT

6001

L & H

12/3/97 DavidBavelas

(860) 6777300

FL

32231

L & H

12/31/97 CathyCrews

(800) 8882738

GA

31139

Comm. Self, L & H

1/23/98 NicolaRutland

(678) 3094000

GA

30271

Comm. Self, L & H

1/26/98 FrankPlan

(706) 6452211

VA

23502

L & H

2/6/98

Matt Miles

(757) 4595200

2004 Annual Report

78

Georgia Department of Insurance

44002

Administrative Concepts, Inc.

44014

APS Healthcare Bethesda, Inc.

44012 AmericanSpecialtyInsuranceServices,Inc.

44009

Dental Network of America, Inc.

44015

General Agency, Inc., The

44016

Secure Health Plans of Georgia, L.L.C

44017 LifeWellLtd.d/b/aLifeWellHealthPlans

44021 FoundationBenefitsAdministrators,Inc.

44026

MorganWhite Administrators, Inc.

44028

Collins & Company, Inc.

44029 DisabilityReinsuranceManagementServices,Inc.

44030 FringeBenefitsManagementCompany

44036 WorldwideInsuranceServices,Inc.

44038

Insurance Specialists, Inc.

44039 AmericanSpecialRiskManagementCorporation

44040 Cuenca&AssociatesInsuranceAgency,Inc.

44035

The Loomis Company

44042 SykesHealthplanServiceBureau,Inc.

44043

Towers Administrators, Inc.

44047 RiskEnterpriseManagementLimited

44050

Affinity Service Group, Inc.

44045

Preferred Care, Inc.

44053 DisabilityManagementServices,Inc.

44055 InterstateSpecialtyMarketing,Inc.

44032

Administrative Systems, Inc.

44051 CommerceBenefitsGroupAgency,Inc.

44054

MCA Administrators, Inc.

44059 Crawford&Company

44063 FFVAAIM,Inc.d/b/aInnovationEmployerBenefits

44064

Consolidated Billing Company

44062 GroupLink,Inc.

44061 Benesight,Inc.

44068

Cole Vision Services, Inc.

44070 CSCClaimsCompany

44052

Legacy Marketing Group, Inc.

44067 FirstAmericanAdministrators,Inc.

44065

CTI Administrators, Inc.

44071

MedSolutions, Inc.

44159

GeniSystems.ca Services, Inc.

44077

Wausau Benefits, Inc.

44076 OldeSouthInsuranceConsultingServices,Inc.

44082

Student Plans, Inc.

44080

Specialty Benefits, Inc.

44081 CompanionThirdPartyAdministrators,LLC

44072

Health Special Risk, Inc.

44073

Mass Group Marketing, Inc.

44092 AmericanSpecialtyHealthNetworks,Inc.

44094 BenefitPlannersLimited,L.L.P.

44088 JHA,Inc.(Maine)

44095

Student Assurance Services, Inc.

44098

DCG Resource Options, LLC

44097

Medical Mutual Services, LLC

44090

Disability Insurance Specialists, LLC

44105

United Group Programs, Inc. (Florida)

44084

HPS Paradigm, Inc.

44083

ESIS, Inc.

997OldEagleSchoolRoad,Suite215 Wayne

8403 Colesville Road, Suite1600

Silver Springs

142 North Main Street

Roanoke

Two TransAm Plaza Drive, Suite 500

Oakbrook Terrace

1527 Highway 7, P.O. Drawer 30459

Charleston

3920 Arkwright Road, Suite 405

Macon

1701 Barrett Lakes Blvd., Ste. 290

Kennesaw

6300BridgepointParkway,Bldg3,Ste400 Austin

407 Briarwood Drive, Ste. 201

Jackson

928 McCallie Ave.

Chattanooga

One Riverfront Plaza

Westbrook

3101 Sessions Road

Tallahassee

10317 Lynnhaven Place

Oakton

305 Carteret Street

Beaufort

509 South Lenola Road, Building 2

Morristown

2701 Park Marina Drive, 1st Floor

Redding

850 Park Road

Wyomissing

11405 Bluegrass Parkway

Louisville

420 Lexington Avenue, Suite 2031

New York

59 Maiden Lane, 5th Floor

New York

1940 The Exchange, Suite 200

Atlanta

SixNeshaminyInterplexSuite205207 Trevose

300 South State Street

Syracuse

17722 Irvine Boulevard

Tustin

1310 Mercer Street, Suite 200

Seattle

33479 Lake Road

Avon Lake

820 Parish Street

Pittsburgh

5620 Glenridge Drive, N.E.

Atlanta

P.O. Box 948239

Maitland

200 E. Las Olas Boulevard

Fort Lauderdale

6612 E. 75th Street, Suite 200

Indianapolis

6160 Summit Drive, Suite 560

Brooklyn Center

1925 Enterprise Parkway

Twinsburg

345 North Canal Street, Suite 1403

Chicago

2090 MarinaAvenue

Petaluma

P.O. Box 51657

Phoenix

100 Court Avenue, Suite 306

Des Moines

730CoolSpringsBoulevard,Suite800 Franklin

1660 Tech Avenue, Suite 3

Mississauga,

115 Wausau Avenue

Wausau

P.O. Box 491540

Lawrenceville

1730 Park Street, Suite 207

Naperville

1712 Magnavox Way

Fort Wayne

51 Clemson Road

Columbia

4001 North Josey Lane

Carrollton

2121 N. Glenville Drive

Richardson

777 Front Street

San Diego

194 S. Main Street

Boerne

120 Exchange Street, 3rd Floor

Portland

333 North Main Street

Stillwater

145 Commercial Street

Portland

24650CenterRidgeRoad,Bldg.2,Suite400 Westlake

1297A Blue HillsAvenue

Bloomfield

902 Clint Moore Road, Suite 146

Boca Raton

2100 Riveredge Parkway,Suite 100

Atlanta

1601 Chestnut Street

Philadelphia

PA

19087

MD

20910

IN

46783

IL

60181

SC

29417

GA

31210

GA

30144

TX

78730

MS

39206

TN

37403

ME

4092

FL

32303

VA

22124

SC

29902

NJ

8057

CA

96001

PA

19610

KY

40299

NY

10170

NY

10038

GA

30339

PA

19053

NY

13202

CA

92780

WA

98109

OH

44012

PA

15220

GA

30302

FL

32794

FL

33301

IN

46250

MN

55430

OH

44087

IL

60606

CA

94954

AZ

85044

IA

50309

TN

37067

Ontario,Canada L4W5S8

WI

54401

GA

30049

IL

60563

IN

46804

SC

29229

TX

75007

TX

75082

CA

92101

TX

78006

ME

4101

MN

55082

ME

4101

OH

44145

CT

6002

FL

33487

GA

30328

PA

19101

Accident & Sickness L & H Comm. Self, L & H L & H Dental, Legal & Medical Comm. Self, Cas, L & H Health Medical Plans Health & Dental Comm. Self Ins. Prop, Cas, L & H Accident & Sickness Comm. Self, Cas, L & H Prop, Cas, L & H Prop, Cas, L & H L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H CommSelf, Med&Den Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H Comm. Self, Cas, L & H

2/10/98 3/17/98 3/17/98 3/17/98 3/25/98 6/9/98 6/23/98 7/21/98 8/20/98 9/30/98 10/29/98 1/13/99 2/27/99 3/2/99 3/26/99 3/29/99 5/3/99 5/25/99 5/25/99 7/13/99 7/20/99 8/24/99 9/13/99 9/29/99 11/24/99 12/14/99 12/15/99 12/15/99 12/17/99 1/28/00 4/17/00 4/17/00 4/26/00 5/5/00 5/5/00 5/10/00 5/10/00 6/5/00 8/27/00 9/25/00 9/29/00 11/10/00 12/4/00 1/12/01 3/20/01 4/10/01 5/10/01 6/29/01 8/14/01 10/5/01 10/5/01 1/29/02 3/8/02 3/8/02 4/9/02 5/15/02

Marcie Lerch Megan Zatz Nikki Turner Rashawn Davis Donna Cappelmann Tina Pike Pepper Schafer Kristin Goodale Sue Thompson Chris Cain Jennifer S. Riggle Jennifer Murphy Gerald Hopkins Marla Weathington Mark Wegfahrt James Nies James Loomis Cathy Wells Vivian Tudela Thomas Grogan Bonnie Corey Thomas Walsh Robert Bonsall, Jr. Gary S. Hendricks Beth Carroll Thomas J. Patton Lois Nagel Colin Braybrooks Erin Kauffman Real Circe Roger Skinner Joanne Villa Brooke Brady Charles Stevenson RobertPitts,Jr . Shanti Hinsberg Kathleen Mullahey Cynthia Crandall Geoffrey Harrison Michele Kunstmann Charles Jackson Gregory Born Cathy Reynolds Kevin Elmore Linda Chiles John Beesley Carmen LaBomme Thomas Cusick, Jr. Debi Libby Mark Desch Paula Swanson Joyce Goelz Arthur Verney Robert Edelheit Michael Dendy Linda Howell

(610) 2939229 (301) 5635633 (219) 6728800 (630) 6911133 (803) 7669091 (478) 3142400 (770) 4201500 (888) 3687910 (601) 9562028 (423) 2650541 (207) 5913265 (850) 4256200 (703) 2427901 (843) 5219990 (856) 2319100 (800) 3454543 (610) 3744040 (502) 2673184 (212) 6979285 (212) 5307434 (678) 2981880 (215) 6396208 (315) 2344200 (714) 5051100 (206) 3435633 (440) 9307500 (412) 9220780 (404) 8453100 (312) 2145200 (954) 5230306 (317) 5787128 (763) 5493301 (330) 4863000 (312) 8492200 (800) 3951053 (866) 6313145 (515) 2447322 (615) 4684000 (905) 2198014 (715) 8412000 (770) 2771642 (630) 7781900 (800) 6872273 (800) 8452724 (972) 4926474 (972) 8812255 (619) 5782000 (210) 5582100 (888) 7862688 (651) 4397098 (207) 7566215 (440) 4142100 (860) 7696976 (561) 9979892 (770) 2802633 (215) 7616788

2004 Annual Report

79

Georgia Department of Insurance

44101

Excess Risk Underwriters, Inc.

44104

US Administrators, LLC

44107

Kanawha Healthcare Solutions, Inc.

44109

League Inusurance Agency, Inc.

44108 GABRobinsRiskManagementServices,Inc.

44110

MidAmerica National Agency, Inc.

44078 AvesisThirdPartyAdministrators,Inc.

44111

KeyLink Solutions, Inc.

44099

CSC Healthcare, Inc.

44089

Erin Group Administrators, Inc.

44100

CHCS Services, Inc.

44087 TrustmarkVoluntaryBenefitSolutions,Inc.

44112 HillAdministrativeServices,Inc.

44113

Healthscope Benefits, Inc.

44115 PerotSystemsHealthcareServices,LLC

44114

Integrated Disability Resources, Inc.

44116

The Sanford Company

44120

Davis Vision, Inc.

44118 eoscomp,l.l.c.

44117

The Commerce Group Southeast, LLC

44119

Transaction Allotment, Inc.

44121

The Schaffer Companies, Ltd.

44124

Universal Fidelity Administrators Company

44123

Adjustment Services, Inc.

44127

Medical Group Insurance Services, Inc.

44122

Healthcare Assurance Corporation

44128

ACS State Healthcare, LLC

44126

Hunt Insurance Group, Inc. d/b/a HRH TPA Services

44125

The Vanguard Group, Inc.

44129

Disability Management Alternatives, LLC

44130

Key Benefit Administrators, Inc.

44132

Employer Plan Services, Inc.

44135 RebsamenInsurance,Inc.d/b/aCrockettAdjustment

44139 InsuranceAdministrativeSolutions,LLC

44136 AthensAreaHealthPlanSelect,Inc.

44134

Ingenium Benefits, Inc.

44142 CompanionInformationManagementResources,Inc.

44140 HarringtonBenefitServices,Inc.

44133 StarmountFinancialCorporation,Inc.

44144

Policy Studies, Inc.

44145

Avon Long Term Care Leaders, LLC

44138

The Sheffield Group

44143

Automated Benefit Services

44141

Mental Health Network Institutional Services, Inc.

44146

Definity Health Corporation

44149 TowerAdministrativeServices,Inc.

44151

S. B. Howard & Company, Inc.

44147 Foresight,Inc.

44150 DeCareDentalHealthInternational,LLC

44154

American WholeHealth Networks, Inc.

44131

Plan Benefit Services, Inc.

44152

Paylogix, LLC

44157

Physicians Captives, LLC

44153

FARA Benefit Services, Inc.

44155

Lumenos, Inc.

44158

DAN Services, Inc.

255 Alahambra Circle #330 2839 Paces Ferry Road, Suite 440 210 South White Street P.O. Box 1080 9 Campus Drive, Suite 7 P.O. Box 896 3724 North Third Street, Suite 300 216 North Green Bay Road, Suite 109 301 West 11th Street 1871 Santa Barbara Drive 411 North Baylen Street 1035 West Glen Oaks Lane, Suite 200 P.O. Box 36067 27 Corporate Hill Drive 2300 W. Plano Parkway 320 W. Newberry Road 4025 Vineville Avenue 159 Express Street 2141 E. Broadway Road 33479 Lake Road P.O. Box 669 9940 Franklin Square Drive, Suite H 2211 North Highway 81 4200 Perimeter Park East, Suite 209 1849 W. North Temple, Building D P. O. Box 51686 9040 Roswell Road, Suite 700 3606 Maclay Boulevard South 100 Vanguard Boulevard 270 FarmingtonAvenue, Suite 200 8330 Allison Pointe Trail 2180 North Loop West, Suite 400 1500 Riverfront Drive, P.O. Box 3198 33 N. Garden Avenue, Suite 1100 295 West Clayton Street P.O. Box 31488 I20 @ Alpine Road 6160 Summit Drive, Suite 500 7800 Office Park Boulevard 1899 Wynkoop Street, Suite 300 30 Tower Lane 1800 Corporate Drive 8220 Irving Road 9606 North Mopac Expressway, Suite 600 1600 Utica Avenue South, Suite 900 8 Marticville Road 2501 N. 14th Place, # B 2040 N. Highway 360 3560 Delta Dental Drive 45999 Center Oak Plaza, Suite 100 11910 Volente Road 1025 Old Country Road, Suite 310 113 East Jackson Street 1625 West Causeway Approach 1801 N. Beauregard Street, Suite 10 6 West Colony Place, # 200

Coral Gables Atlanta Lancaster Branford Parsippany Shawnee Mission Phoenix Thiensville Kansas City Lancaster Pensacola Mequon Birmingham Little Rock Plano Bloomfield Macon Plainview Tempe Avon Lake Braselton Baltimore Duncan Atlanta Salt Lake City Knoxville Atlanta Tallahassee Malvern Farmington Indianapolis Houston Little Rock Clearwater Athens Omaha Columbia Brooklyn Center Baton Rouge Denver Avon Birmingham Sterling Heights Austin St. Louis Park Lancaster Rogers Grand Prairie Eagan Sterling Austin Westbury Thomasville Mandeville Alexandria Durham

FL

33134 Comm.Self,Cas,L&H 6/20/02 MartinCullen

(305) 4615844

GA

30339 Comm.Self,Cas,L&H 7/8/02 KateMattox

(678) 9214300

SC

29720 Comm.Self,Cas,L&H 7/31/02 StanleyJohnson

(800) 6354252

CT

6405

Comm.Self,Cas,L&H 8/28/02 CarolLashua

(203) 4836311

NJ

7054

Comm.Self,Cas,L&H 8/28/02 AmandaMesa

(800) 4224436

KS

66201 Comm.Self,Cas,L&H 8/30/02 PaulKlein,II

(913) 3817503

AZ

85012 Comm.Self,Cas,L&H 8/30/02 JoelAlperstein

(410) 5818700

WI

53092 Comm.Self,Cas,L&H 8/30/02 JamesWick

(262) 4781020

MO

64105 Comm.Self,Cas,L&H 10/11/02 GregStites

(816) 7018424

PA

17604 Comm.Self,Cas,L&H 10/11/02 KimberlyBraas

(717) 5811300

FL

32501 Comm.Self,Cas,L&H 10/11/02 JaniceBoyce

(850) 4321700

WI

53092 Comm.Self,Cas,L&H 12/6/02 DeborahPritchard

(800) 8779077

AL

35236 Comm.Self,Cas,L&H 12/6/02 TracyCarter

(205) 8027531

AR

72205 Comm.Self,Cas,L&H 12/30/02 JamesCouch

(501) 2251551

TX

75075 Comm.Self,Cas,L&H 1/29/03 CharlesLyles

(972) 5770000

CT

6002

Comm.Self,Cas,L&H 2/14/03 JohnWiggin

(860) 6164039

GA

31210 Comm.Self,Cas,L&H 2/14/03 JohnNeel,Jr.

(478) 7418770

NY

11803 Comm.Self,Cas,L&H 2/27/03 DeniseGoettinger

(800) 3284728

AZ

85282 Comm.Self,Cas,L&H 2/27/03 RichardStandridge,M.D. (480)3773000

OH

44012 Comm.Self,Cas,L&H 2/27/03 StevenSosnowski

(440) 9307500

GA

30517 Comm.Self,Cas,L&H 2/27/03 JohnLyle

(770) 9044010

MD

21236 Comm.Self,Cas,L&H 4/21/03 DawnSchaffer

(410) 9333966

OK

73533 Comm.Self,Cas,L&H 5/5/03 MaryAnneMiller

(580) 2558530

GA

30366 Comm.Self,Cas,L&H 6/26/03 LarryGuzy

(770) 4583996

UT

84116 Comm.Self,Cas,L&H 6/26/03 DianeGatherum

(801) 9902400

TN

37950 Comm.Self,Cas,L&H 7/24/03 WillamBall

(865) 5880177

GA

30350 Comm.Self,Cas,L&H 7/24/03 JeffDishough

(770) 5947799

FL

32312 Comm.Self,Cas,L&H 7/24/03 ThomaGuerin

(850) 3853636

PA

19355 Comm.Self,Cas,L&H 7/24/03 JaniceMoore

(610) 6691000

CT

6032

Comm.Self,Cas,L&H 9/26/03 MichaelDunst

(860) 4097450

IN

46250 Comm.Self,Cas,L&H 9/26/03 KathyEvelo

(317) 2847100

TX

77018 Comm.Self,Cas,L&H 9/26/03 ChrisO'Sullivan

(713) 9328917

AR

72203 Comm.Self,Cas,L&H 9/26/03 DenverFletcher

(501) 6614800

FL

33755 Comm.Self,Cas,L&H 11/7/03 DarceyShaffer

(727) 5848128

GA

30601 Comm.Self,Cas,L&H 12/5/03 AllenGreen

(706) 5490549

NE

68131 Comm.Self,Cas,L&H 2/11/04 StacyScholtz

(402) 3511088

SC

29219 Comm.Self,Cas,L&H 2/11/04 AnnMarieCoval

(803) 2643270

MN

55430 Comm.Self,Cas,L&H 2/26/04 MicheleKunstmann

(763) 5493366

LA

70809 Comm.Self,Cas,L&H 4/2/04 ErichSternberg

(888) 7295433

CO

80202 Comm.Self,Cas,L&H 5/5/04 SonyaMueller

(303) 2264534

CT

6001

Comm.Self,Cas,L&H 5/5/04 GaryCorliss

(860) 6745660

AL

35242 Comm.Self,Cas,L&H 5/5/04 DonaldCapps

(205) 9801332

MI

48312

Comm.Self,Cas,L&H 5/5/04

John O'Brien

(586) 6934300

TX

78759

Comm.Self,Cas,L&H 5/5/04

Stephen Bush

(512) 3477900

MN

55416

Comm.Self,Cas,L&H 5/5/04

Jan Olsson

(952) 2775500

PA

17603 Comm.Self,Cas,L&H 5/12/04 JohnBarrett

(717) 8728576

AR

72756

Comm.Self,Cas,L&H 5/12/04 LeesaDavis

(479) 6360198

TX

75050 Comm.Self,Cas,L&H 5/12/04 KarenRobb

(800) 7330811

MN

55122 Comm.Self,Cas,L&H 5/12/04 MichaelWalsh

(651) 4065994

VA

20166

Comm.Self,Cas,L&H 5/21/04 DouglasByrd

(800) 2747526

TX

78726

Comm.Self,Cas,L&H 5/21/04 DavidFriedrichs

(512) 3494760

NY

11590

Comm.Self,Cas,L&H 6/17/04 SueVasata

(800) 6224131

GA

31792

Comm.Self,Cas,L&H 7/1/04

Carol Dixon

(229) 2261937

LA

70471

Comm.Self,Cas,L&H 7/15/04 PaulaTownson

(985) 6248383

VA

22311

Comm.Self,Cas,L&H 7/15/04 CharltonTooke,III

(703) 2366308

NC

27705

Comm.Self,Cas,L&H 8/27/04 BrianMerritt

(919) 6842948

2004 Annual Report

80

Georgia Department of Insurance

44160

Ancillary Care Management, Inc.

44162

DreamLife Administration, LLC

44163

Benicomp, Inc.

44167 MecuryClaimsandAssistanceofWisconsin,LLC

725 S. Figueroa Street, Suite 2150 6950 East First Street 8310 Clinton Park Drive 1039 Ellis Street

Los Angeles Scottsdale Fort Wayne Stevens Point

CA

90017 Comm.Self,Cas,L&H 9/16/04 RobynHansen

AZ

85251 Comm.Self,Cas,L&H 9/16/04 WayneSchreck

IN

46825

Comm.Self,Cas,L&H 11/2/04 SueEager

WI

54481 Comm.Self,Cas,L&H 12/21/04 JoanKranig

(213) 2132400 (480) 4295735 (260) 4827400 (715) 3460843

Georgia Department of Insurance

Licensed Title Insurers

81

NAIC#

COMPANY NAME

51152 Atlantic Title Insurance Co. 50687 Attorneys Title Insurance Fund, Inc. 50636 Censtar Title Insurance Company 50229 Chicago Title Insurance Co. 50026 Commerce Title Insurance Company 50083 Commonwealth Land Title Insurance Co. 51209 Conestoga Title Insurance Company 51071 Fidelity National Title Company of NY 50814 FirstAmerican Title Insurance Co. 50008 FirstAmerican Title Insurance Co. NC 50369 Investors Title Insurance Co. 50024 Lawyers Title Insurance Corp. 50695 National Title Insurance Co. 51020 National Title Insurance of NY Inc. 50520 Old Republic National Title Insurance Co. 50784 Security Title Guarantee Corp. of Baltimore 50857 Security Union Title Insurance Co. 50792 Southern Title Insurance Corp. 50121 Stewart Title Guaranty Co. 50067 Ticor Title Insurance Co. 51535 Ticor Title Insurance Co. of FL 50245 Title Insurance Company ofAmerica 50012 Transnation Title Insurance Co. 51624 United General Title Insurance Co.

Domicile State SC FL TX MO CA PA PA NY CA NC NC VA FL NY MN MD CA VA TX CA FL TN AZ CO

TOTALS

Date Licensed 8/18/78 12/28/88 10/28/03 10/17/62 10/12/04 5/16/61 9/8/04 8/23/51 4/25/72 3/7/68 7/10/83 6/27/39 11/30/00 10/5/60 2/2/44 6/2/72 12/31/73 11/16/00 2/26/62 8/14/67 9/14/04 10/20/88 10/6/85 8/1/86

Total

Surplus

Assets

9,343,044 5,814,113

250,759,201 112,735,937

17,128,584 16,182,314

1,351,062,584 492,205,285

16,848,772 9,395,147

656,914,457 165,628,246

8,662,868 4,069,068

747,720,495 219,703,840

1,825,722,531 746,045,466

8,508,822 8,200,040

92,015,192 45,928,373

650,343,893 237,640,169

4,636,278 2,767,651

15,547,849 5,324,992

448,781,315 113,986,814

15,110,682 5,100,947

120,269,207 73,297,924

17,751,912 7,663,688

899,998,188 417,905,733

279,982,068 66,081,191

110,353,479 34,342,887

13,410,059 8,866,626

194,572,429 75,561,924

64,126,824 22,784,914

Total Premium 708,790 843,823 73,397 46,015,896 0 20,378,306 0 23,515,863 47,557,309 27,325 91,022 30,668,063 103,064 54,835 32,625,620 30,575 0 128,651 26,419,467 1,958,372 6,330,121 200,099 77,949 6,979,280

Georgia Market Share 0.29% 0.34% 0.03% 18.80% 0.00% 8.32% 0.00% 9.61% 19.43% 0.01% 0.04% 12.53% 0.04% 0.02% 13.33% 0.01% 0.00% 0.05% 10.79% 0.80% 2.59% 0.08% 0.03% 2.85%

7,755,443,909 2,897,233,289 244,787,827 100.00%

2004 Annual Report