- Collection:
- Georgia Government Publications
- Serial:
- Annual report..
- Title:
- 1996 annual report
- Creator:
- Georgia. Subsequent Injury Trust Fund
- Contributor to Resource:
- Georgia. Subsequent Injury Trust Fund
- Publisher:
- Atlanta, Ga. : Georgia. Subsequent Injury Trust Fund
- Date of Original:
- 1996
- Subject:
- Subsequent Injury Trust Fund (Ga.)--Periodicals.
Workers' compensation claims--Georgia--Statistics--Periodicals.
Workers' compensation claims--Georgia--Finance--Statistics--Periodicals.
Georgia Government Documents--Serial - Location:
- United States, Georgia, 32.75042, -83.50018
- Medium:
- publications (documents)
- Type:
- Text
- Format:
- application/pdf
- Description:
- Some issues may lack title.
2011; title from PDF title page (Georgia Government Publications database, viewed August 21, 2023).
2017 (Harvested on July 19, 2019 from sitf.georgia.gov); (Georgia Government Publications database, viewed August 21, 2023). - External Identifiers:
- Call Number GA I575 .A1 1995-96
- Metadata URL:
- https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bi575-b-pa1-b1995-h96
- Digital Object URL:
- https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bi575-b-pa1-b1995-h96
- Language:
- eng
- Holding Institution:
- University of Georgia. Map and Government Information Library
- Rights:
-
GA
:.L515 . f\ I Iqq:? ._C)G,
GEORGIA
SUBSEQUENT INJURY
TRUST FUND
1996 ANNUAL REPORT
IF YOU ARE AN INDIVIDUAL WITH A DISABILITY AND WISH TO ACQUIRE THIS REPORT IN AN ALTERNATIVE FORMAT, PLEASE CONTACT THE SITF AT THE ADDRESS AND TELEPHONE NUMBERS INSIDE.
GEORGIA SUBSEQUENT INJURY TRUST FUND
SUITE 124 TWO NORTHSIDE 75 ATLANTA, GEORGIA 30318-7784
TELEPHONE NUMBER: (404) 352~060 TOO NUMBER: (404) 352-4881 TELECOPIER: (404) 352-4888
BOARD OF TRUSTEES
EDWARD J. BARTLETT, CHAIRMAN JAMES C. THOMPSON, VICE-CHAIRMAN
JANIS MURRAY, SECRETARY YVONNE JOHNSON LEWIS LOWE
EX-OFFICIO MEMBERS
MS. JENNIFER GREEN JOHN W. OXENDINE
ADMINISTRATOR
ANNE D. BURNETT
DEPUTY ADMINISTRATOR
DAVID L. TAYLOR
ON JULY 1, 1977, THE GEORGIA GENERAL ASSEMBLY ENACTED LEGISLATION ESTABLISHING THE SUBSEQUENT INJURY TRUST FUND. IT IS DESIGNED TO REDUCE THE IMPACT OF SINGULARLYLARGE WORKERS' COMPENSATION CLAIMS IN THE EVENT A WORKER WITH A DISABILITY, INJURED ON THE JOB, AGGRAVATES A PRE-EXISTING IMPAIRMENT.
THE SUBSEQUENT INJURY TRUST FUND IS A SEPARATE STATE AGENCY, GOVERNED BY A FIVEMEMBER BOARD OF TRUSTEES APPOINTED BY THE GOVERNOR FOR SIX-YEAR TERMS. THE ACTUAL ADMINISTRATION OF THE FUND IS CONDUCTED BY AN ADMINISTRATOR AND STAFF CONSISTING OF 23 EMPLOYEES.
THE FUND HELPS WORKERS WITH DISABILITIES BY PROVIDING EMPLOYERS, WHO ARE NOT SUBJECT TO THE AMERICANS WITH DISABILITIES ACT, WITH INCENTIVES TO HIRE OR RETAIN QUALIFIED WORKERS WITH DISABILITIES, ASSISTS INSURED EMPLOYERS BY KEEPING WORKERS' COMPENSATION PREMIUMS UNDER CONTROL, AND IF AN EMPLOYER IS SELF-INSURED, KEEPS THE WORKERS' COMPENSATION EXPOSURE AT THE DEDUCTIBLE LEVELS.
IN ORDER FOR AN EMPLOYER/INSURER TO BE ELIGIBLE FOR REIMBURSEMENT FROM THE FUND, THE EMPLOYEE'S SUBSEQUENT INJURY MUST BE DIRECTLY CAUSED BY THE PRIOR IMPAIRMENT, OR COMBINE WITH A PRIOR IMPAIRMENT TO CREATE GREATER EMPLOYER LIABILITY FOR LOST TIME BENEFITS AND MEDICAL EXPENSES. IN ADDITION, THE EMPLOYEE MUST HAVE A PREEXISTING IMPAIRMENT THAT THE EMPLOYER CONSIDERED TO BE PERMANENT AND LIKELY TO BE A HINDRANCE TO EMPLOYMENT, AND THE EMPLOYER MUST HAVE KNOWLEDGE OF THE PRIOR IMPAIRMENT BEFORE THE SUBSEQUENT INJURY OCCURS.
THE LAW ALSO CONTAINS A LIST OF CONDITIONS WHICH ARE PRESUMED TO BE PERMANENT AND LIKELY TO BE A HINDRANCE TO EMPLOYMENT PROVIDED THE EMPLOYER CAN DEMONSTRATE PRIOR KNOWLEDGE.
EMPLOYERSIINSURERS MAY BE REIMBURSED FOR ALL WEEKLY INCOME BENEFITS PAYABLE AFTER 104 WEEKS, FOR 50% OF ALL MEDICAL AND REHABILITATION EXPENSES BETWEEN $5,000 AND $10,000, AND FOR 100% OF ALL MEDICAL AND REHABILITATION EXPENSES IN EXCESS OF $10,000. IF THE SUBSEQUENT INJURY WAS NOT CAUSED BY OR RELATED TO A PRIOR IMPAIRMENT, THE REIMBURSEMENT FOR MEDiCAL EXPENSES MAY BE REDUCED OR DENIED COMPLETELY. THE EMPLOYERIINSURER FILES A CLAIM FOR REIMBURSEMENT DIRECTLY WITH THE FUND. THE FUND INVESTIGATES THE CLAIM TO DETERMINE ELIGIBILITY FOR REIMBURSEMENT. WHEN A REIMBURSEMENT AGREEMENT IS REACHED BETWEEN THE FUND AND THE EMPLOYER OR INSURER, IT MUST BE APPROVED BY THE STATE BOARD OF WORKERS' COMPENSATION. IF AN AGREEMENT CANNOT BE REACHED, EITHER PARTY MAY REQUEST A MEDIATION CONFERENCE OR A HEARING WITH THE STATE BOARD OF WORKERS' COMPENSATION.
Table of Contents
REIMBURSEMENTS PAID TO INSURANCE COMPANIES REIMBURSEMENTS PAID TO SELF-INSURED EMPLOYERS INSURED EMPLOYERS BENEFITING FROM REIMBURSEMENTS CLAIMS REPORTED BY INSURANCE COMPANIES CLAIMS REPORTED BY SELF-INSURERS REVENUES, EXPENDITURES AND FUND BALANCE 1996 CLAIMS ACTIVITY 1996 SECTION 34-9-358 OF THE OFFICIAL CODE OF GEORGIA CORRECTED 1995 ASSESSMENT CALCULATION ASSESSMENT CALCULATION FOR 1996 ASSESSMENT - INSURANCE COMPANIES
ASSESSMENT-SELF~NSURERS
PAGE 1 5
11 38 43 52 52 53 54 54 55 63
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO INSURANCE COMPANIES
January 1, 1996
THROUGH
December 31, 1996
ACTAVA RISK RETENTION GROUP AETNA CAS & SUR CO OF IL AETNA CASUALTY & SURETY CO ALFA INSURANCE CORPORATION ALLIANZ INSURANCE CO ALLSTATE INDEMNITY COMPANY ALLSTATE INSURANCE COMPANY AMERICAN CAS CO OF READING PA AMERICAN HOME ASSURANCE CO AMERICAN INSURANCE COMPANY AMERICAN INTER INS CO OF GA AMERICAN MANUFACTURERS MDT INS AMERICAN MOTORISTS INS COMPANY AMERICAN RESOURCES INS COMPANY AMERICAN STATES INSURANCE CO AMERISURE INSURANCE COMPANY ARGONAUT INSURANCE COMPANY ASSOCIATED INDEMNITY CORPORATN ATLANTIC MUTUAL INSURANCE CO AUTO OWNERS INSURANCE COMPANY BIRMINGHAM FIRE INS CO OF PA BITUMINOUS CASUALTY CORP BITUMINOUS FIRE AND MARINE INS CASUALTY RECIPROCAL EXCHANGE CENTENNIAL INSURANCE CO CHURCH MUTUAL INS CO CIGNA INSURAlICE COMPANY CIGNA PROPERTY & CASUALTY CINCINNATI CASUALTY COMPANY CINCINNATI INDEMNITY COMPANY CINCINNATI INSURANCE COMPANY COLUMBIA NATIONAL INSURANCE CO COMMERCE & INDUSTRY INS CO COMMERCIAL MUTUAL INSURANCE CO COMMERCIAL UNION INSURANCE CO COMPANION PROPERTY & CASUALTY CONNECTICUT INDEMNITY CO CONTINENTAL CASUALTY COMPANY CONTINENTAL INSURANCE COMPANY CREDIT GENERAL INSURANCE CO ELECTRIC MUTUAL LIAB. INS. LTD EMPLOYERS INSURANCE OF WAUSAU FARMINGTON CASUALTY COMPANY FEDERAL INSURANCE COMPANY
16,676.70 13,353.98 2,363,680.49 46,834.93 104,802.80 14,906.78 137,112.63 94,027.02 42,928.60 130,677.45 35,078.55 180,768.39 756,723.78 36,251.74 92,140.15 8,882.18 97,614.96 77,372.37 100,063.19 446,346.10 24,702.80 297,017.01 7,263.02 171,842.57 35,523.84 121,299.34 144,975.50 85,555.38 158,795.78 46,918.05 444,451.16 29,935.67 36,118.29 4,334.31 481,763.78 456,494.70 43,646.25 202,391. 39 392,887.37 193,548.36 87,501. 58 1,414,812.88 95,432.90 67,958.16
1
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO INSURANCE COMPANIES
January 1, 1996
THROUGH
December 31, 1996
FEDERATED MUTUAL INSURANCE CO FIDELITY & CASUALTY CO OF NY FIRE & CASUALTY INS CO OF CT FIREMAN'S FUND INS CO OF GA FIREMAN'S FUND INSURANCE CO GA INSURERS INSOLVENCY POOL GENERAL ACCIDENT INS OF AMERIC GENERAL INSURANCE CO OF AMERIC GEORGIA CASUALTY & SURETY CO GEORGIA INSURANCE COMPANY GLENS FALLS INSURANCE COMPANY GRANITE STATE INSURANCE CO GREAT AMERICAN INSURANCE CO GREATER NEW YORK MUTUAL INS CO GUARANTEE MUTUAL LIFE COMPANY GULF INSURANCE COMPANY HANOVER INSURANCE COMPANY HARBOUR SPECIALITY INSURANCE HARTFORD ACC:IDENT & INDEMNITY HIGHLANDS INSURANCE COMPANY HOME INDEMNITY COMPANY HOME INSURANCE COMPANY HOUSTON GENERAL INSURANCE CO INDUSTRIAL INDEMNITY COMPANY INSURANCE CO OF NORTH AMERICA INSURANCE CO OF STATE OF PA INTERNATIONAL INDEMNITY CO KANSAS CITY FIRE & MARINE INS LEGION INSURANCE COMPANY LIBERTY MUTUAL INSURANCE CO LMI INSURANCE COMPANY LUMBERMEN'S UNDERWRITING ALLIA LUMBERMENS MUTUAL CASUALTY CO MANAGEDCARE MUT CAPTIVE INS MARYLAND CASUALTY COMPANY MASSACHUSETTS BAY INSURANCE CO MICHIGAN MUTUAL INSURANCE CO NATIONAL AMERICAN INSURANCE CO NATIONAL FIRE INS CO HARTFORD NATIONAL SURETY CORPORATION NATIONAL TRUST INSURANCE CO NATIONAL UNION FIRE OF PITT PA NATIONWIDE MUTUAL INSURANCE CO NEW HAMPSHIRE INSURANCE CO
449,814.21 933,997.93
24,611.93 274,108.74 1,260,023.97 284,289.29 496,346.02
1,471. 73 127,930.82
98,615.55 218,184.14
14,176.20 289,908.49 131,078.51 361,237.70 669,099.23 120,047.65
58,963.00 1,805,535.16
50,400.56 82,174.10 1,369,915.96 80,326.49 20,361.19 507,264.09 436,353.19 48,768.33 4,238.01 111,560.50 3,648,190.16 5,020.62 219,788.76 919,425.64 10,033.15 810,689.96 6,125.00 368,455.75 110,960.00 29,718.68 210,302.27 59,329.13 1,064,283.30 367,196.92 173,322.37
2
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO INSURANCE COMPANIES
January 1, 1996
THROUGH
December 31, 1996
NORTH RIVER INSURANCE COMPANY NORTHBROOK NATIONAL INSURANCE NORTHBROOK PROP & CAS INS CO OCCIDENTAL FIRE & CAS CO OF NC OHIO CASUALTY INSURANCE CO OLD REPUBLIC INSURANCE COMPANY PACIFIC EMPLOYERS INSURANCE CO PACIFIC INDEMNITY COMPANY PREFERRED RISK MUTUAL INS CO PROGRESSIVE CASUALTY INS CO PROTECTIVE INSURANCE COMPANY RANGER INSURANCE COMPANY RELIANCE INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY CO RELIANCE SURETY COMPANY ROYAL INSURANCE CO OF AMERICA SAFECO INSURANCE CO AMERICA SECURITY INS CO OF HARTFORD SELECTIVE INS CO OF AMERICA SELECTIVE INS CO OF SOUTHEAST SELECTIVE INSURANCE CO OF SC SENTRY INSURANCE A MUTUAL CO SHELBY INSURANCE COMPANY SOUTH CAROLINA INSURANCE CO SOUTHERN FIRE & CASUALTY CO SOUTHERN GUARANTY INSURANCE CO SOUTHERN PILOT INSURANCE CO. ST PAUL FIRE & CASUALTY INS CO ST PAUL FIRE & MARINE INS CO ST PAUL MERCURY INSURANCE CO STANDARD FIRE INSURANCE CO STATE AUTO PROPERTY & CASUALTY STATE AUTOMOBILE MUTUAL INS STATE FARM FIRE & CASUALTY CO SUMITOMO MARINE & FIRE INS CO TIG PREMIER INSURANCE COMPANY TOKIO MARINE & FIRE INS CO TRANSCONTINENTAL INSURANCE CO TRANSPORT INSURANCE COMPANY TRANSPORTATION INSURANCE CO TRAVELERS INDEMNITY CO OF IL TRAVELERS INSURANCE COMPANY TWIN CITY FIRE INSURANCE CO U. S. FIDELITY & GUARANTY INS
8.38 91,409.18 288,491. 06 104,518.02 228,168.04 363,867.58 803,991.91
9,577.11 159,619.84
12,516.67 9,422.25 4,340.00
140,395.33 143,829.19
506.32 294,816.36 146,980.90 192,663.99
20,061. 04 41,662.74 41,557.72 431,617.09 51,870.30 70,330.39
8,836.58 11,501. 58 44,025.96 12,387.70 276,555.64 93,122.18 23,177.76 4,261.12 29,005.75 91,465.25 72,927.24 17,309.55 311,980.01 4,431.52 17,975.42 2,135,360.42 1,169.96 1,691,097.46 41,301. 89 348,580.24
3
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO INSURANCE COMPANIES
January I, 1996
THROUGH
December 31, 1996
UNISUN INSURANCE COMPANY UNITED COMMUNITY INSURANCE CO UNITED PACIFIC INSURANCE CO UNITED STATES FIRE INSURANCE UNIVERSAL UNDERWRITERS INS CO UTICA MUTUAL INSURANCE COMPANY VALLEY FORGE INSURANCE COMPANY VIGILANT INSURANCE COMPANY VIRGINIA INSURANCE RECIPROCAL WESTFIELD INSURANCE COMPANY ZURICH AMERICAN INS CO OF IL ZURICH INSURANCE COMPANY
80,211.66 16,281.27
7,381.40 10,642.41 30,695.17 12,689.46 211,243.79
4,864.04 55,015.90 23,071.70 431,678.46 97,761. 55
4
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO SELF-INSURED EMPLOYERS
January 1, 1996
THROUGH
December 31, 1996
AGL RESOURCES, INC. ALADDIN MILLS INC ALBANY, CITY OF ALLIED SYSTEMS LTD AMERICAN APPAREL CONT. ASSOC AMSTED INDUSTRIES INC ARCHBOLD MEDICAL CENTER ARMSTRONG WORLD INDUSTRIES INC ASPLUNDH TREE EXPERT CO ASSOCIATION CTY COM GA SI ATHENS-CLARKE COUNTY ATLANTA BOARD OF EDUCATION ATLANTA CITY OF ATLANTA HOUSING AUTHORITY ATLANTIC STEEL INDUSTRIES INC AUGUSTA, CITY COUNCIL OF AUTOMOTIVE MOULDING COMPANY AVONDALE MILLS INC BANKHEAD ENTERPRISES, INC BAPTIST VILLAGE INC BELLSOUTHCORPORATION BENTON-GEORGIA INC BIB:! COMPANY B_2. INCORPORATED B~L~ BIRD BODY COMPANY BLUE CIRCLE AMEP1CA BOBS CAND~Zd, INC. BORDEN INC BREMEN BOWDON INVESTMENT CO. BRUNO'S INC & SUBSIDIARIES C T HARRIS INC CAGLE'~ INC, & SUBSIDIARIES CANDLER HEALTH SERVICE INC CARADON, INC. CAREMORE INC CARGILL INCORPORATED CARROLL CO. BOARD OF EDUCATION CERTAINTEED CORPORATION CHAMPION INTERNATIONAL CORP CHATHAM COUNTY BD OF EDUCATION CHATHAM COUNTY GEORGIA CHEROKEE BRICK & TILE CHEROKEE CO BD OF EDUCATION CLAYTON COUNTY BD OF EDUCATION
144,955.64 190,574.65 262,846.11
62,211.46 2,826.03 8,429.35 5,288.30
15,696.74 3,750.00
897,517.64 170,545.93 190,716.74 457,642.30
3,000.00 62,189.61
1,759.74 65,694.76 88,814.00 57,547.34
8,097.14 40,945.43
5,04'.00 6,706.45 11,500.00 189,977.70 39,579.06 1,669.76 1,352.50 36,146.87 109,428.75 3,497.88 8,143.42 76,194.40 237,866.58 24,798.24 8,648.04 11,302.83
152.30 23,571. 52 312,508.51 203,469.15
2,349.10 77,118.85 13,740.00
5
TOTAL OOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO SELF-INSURED EMPLOYERS
January 1, 1996
THROUGH
December 31, 1996
CLAYTON COUNTY COMMISSIONERS COACHMEN INDUSTRIES INC COATS & CLARK, INC. COBB COUNTY BD/COMMISSIONERS COBB COUNTY SCHOOL SYSTEM COCA-COLA COMPANY COCA-COLA ENTERPRISES INC COLQUITT REGIONAL MEDICAL CENT COLUMBIA/HCA HEALTHCARE CORP. COLUMBUS FOUNDRIES INC COLUMBUS WATER WORKS COMPTRUST AGC OF GEORGIA CONAGRA INC CONDITIONED AIR ASSOCIATION GA CONOCO INC CONSTRUCTION SUPPLIERS' ASSOC CONTINENTAL GENERAL TIRE INC CONTINENTAL GRAIN COMPANY CORONET INDUSTRIES CORONET INDUSTRIES INC COVINGTON, CITY OF COX ENTERPRISES INC CRACKER BARREL OLD CNTRY STORE CROWN CENTRAL PETROLEUM CORP CROWNAMERICA/TEXTURE TEX, INC DALTON CITY OF DALTON FLOOR COVERING MARKET DAVIDSON MINNERAL PROPERTIES DEKALB COUNTY DEKALB GENERAL HOSPITAL DELTA AIRLINES, INC. DIXIE YARNS DOUGLAS COUNTY SCHOOLS DOUGLAS, CITY OF DRY BRANCH KAOLIN COMPANY DURAND-WAYLAND, INC E I DUPONT DE NEMOURS & CO EATON CORPORATION ELBERTON GRANITE ASSOCIATION EMORY UNIVERSITY ENGELHARD CORPORATION FAYETTE COUNTY BD OF COMM FAYETTE COUNTY BD OF EDUCATION FEDERAL EXPRESS
57,643.07 5,382.42
81,946.40 244,130.32
42,718.52 3,895.47
46,273.29 14,952.91 119,705.25
8,000.37 42,963.95 726,662.19 350,946.47 29,071.59 16,034.15 36,759.69 16,450.00
238.57 60,711. 08 16,155.17 21,439.86 265,752.08 22,025.05 46,448.22 95,556.93 50,536.99
7,788.08 27,430.92 238,662.17
1,374.91 253,946.17
7,060.47 69,802.98
5,226.36 70,338.51 10,050.00 27,988.40
2,212.21 12,748.88 157,943.68
3,015.09 66,149.21 12,112.52 48,203.88
6
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO SELF-INSURED EMPLOYERS
January I, 1996
THROUGH
December 31, 1996
FIELDALE FARMS CORPORATION FIELDCREST CANNON INC FLEETWOOD HOMES OF GA INC FLOWERS INDUSTRIES INC FORD MOTOR COMPANY FOREST PARK, CITY OF FULTON COUNTY, GEORGIA FUQUA INDUSTRIES INC GA AUTO DEALERS ASSOCIATION SI GA CONCRETE & PRODUCTS ASSOC GA EDUCATION & GOVERNMENT GA HIGHWAY CONTRACTORS SITF GA HOSPITAL ASSOC WCSI FUND GA MEDCORP, INC. GA MOVERS ASSOCIATION GA MUNICIPAL ASSN WCSIF GA OILMEN'S WORKERS COMP FUND GA OPERATORS SELF-INSURERS GA SCHOOL BD ASSOC W C FUND GAINESVILLE CITY OF GALAXY CARPET MILLS INC GEIGER INTERNATIONAL GEMC WORKERS' COMP FUND GENERAL MOTORS CORPORATION GENUINE PARTS COMPANY GEORGIA DUCK & CORDAGE MILL GEORGIA POWER CO GEORGIA SELF-INSURERS GUARANTY GEORGIA STATE OF GEORGIA-PACIFIC CORPORATION GERIATRIC HEALTH SERVICES GOLD KIST INC GRAND UNION COMPANY GREAT ATLANTIC & PACIFIC TEA GREAT DANE TRAILER GULFSTREAM AEROSPACE CORP GWINNETT CO BD OF EDUCATION GWINNETT COUNTY BD OF COMMISS GWINNETT HOSPITAL SYSTEM HALL COUNTY BOARD OF EDUCATION HAMILTON HEALTH CARE SYSTEM HARRELL EQUIPMENT COMPANY INC HILTON HOTELS CORPORATION HOME BUILDERS ASSOC GA SI FUND
93,891.68 213,647.57
34,394.33 20,919.20 287,375.37 14,779.74 107,437.16 109,990.00 434,989.76 16,992.75 130,615.41 244,295.52 421,455.80 72,588.70 33,239.48 1,296,395.72 407,200.46 23,228.20 283,108.40 74,299.33 103,443.15 23,579.79 228,172.24 137,880.66 123,539.59 13,725.00 226,947.50 83,261. 34 3,250,357.47 411,268.41 24,581. 81 148,150.50 234,589.00 24,213.92 52,138.15 185,135.27 70,238.99 1,128.59 3,680.64 19,524.13 15,451. 53 7,552.38 79,589.02 677,230.17
7
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO SELF-INSURED EMPLOYERS
January 1, 1996
THROUGH
December 31. 1996
HOME DEPOT INC/HOME DEPOT USA HOSPITAL AUTHORITY HOUSTON ~ HOSPITAL AUTHORITY OF FLOYD CO HOSPITALITY SELF-INSURER'S HOUSE OF RONNIE, INC HOUSTON COUNTY BD OF EDUCATION HYATT CORPORATION INGLES MARKETS INC INTERNATIONAL PAPER COMPANY J & J INDUSTRIES INC J. C. PENNEY COMPANY, INC. JAMES RIVER CORPORATION JEFFERSON SMURFIT CORP. U. S. K-MART CORP & SUBSIDIARIES KEEBLER COMPANY KENNESTONE REGIONAL HEALTH KLEEN-TEX INDUSTRIES LINDALE MANUFACTURING INC LOUISlfu~A-PACIFIC CORP LOWE'S HOME CENTERS, INC MACON CITY OF MACON/BIBB CO WATER & SEWERAGE MANVILLE/SCHULLER INTERNATIONA MARGLEN INDUSTRIES INC MARMON CORP & SUBS MARTA MCKESSON CORPORATION MEAD CORPORATION MEDUSA CEMENT COMPANY MEMORIAL MEDICAL CENTER, INC. METROMEDIA INTERNATIONAL GRP MOHAWK CARPET CORPORATION MUSCOGEE COUNTY SCHOOL DIST NABISCO, INC NATIONAL SERVICES INDUSTRIES NATIONS BANK/BANK SOUTH NORTHEAST GEORGIA HEALTH SVCS NORTHSIDE HOSPITAL NORTHWEST GA HEALTH SYS OAKWOOD HOMES CORP/DESTINY IND OLD DOMINION FREIGHT LINES INC OLIN WOOTEN TRANSPORT OLIVER RUBBER CO OVERNITE TRANSPORTATION CO
14.417.92 77,953.61
5,250.00 39.276.66 38,007.48
8.569.86 57,195.55 147.452.34 22,058.02 78,778.96 35,410.35 22,312.10 13,449.32 245,645.12 171.265.91 27,976.87
9,695.34 376.473.70
4,165.70 192,834.30 422.987.81
39,039.70 64,170.00 34,774.08 53,234.70 49,026.97
8,609.42 87,910.25 38,853.30 75,510.32 24,975.14 274,150.73 19,647.20 10,366.20 167,933.33
6,866.37 36,461. 24 395,337.31
7,520.65 52,632.53 11,410.60
1,963.01 43,227.99 32,067.08
8
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO SELF-INSURED EMPLOYERS
January I, 1996
THROUGH
December 31, 1996
OWENS-CORNING FIBERGLASS PCC AIRFOILS INC PEPSICO, INC PIGGLY WIGGLY SOUTHERN QUEEN CARPET CORPORATION RALSTON PURINA COMPANY RICHMOND COUNTY BD OF COMMISS RICHMOND CTY BD OF EDUCATION RMC INDUSTRIES ROLLINS INC ROOFING & SHEET METAL ASSOC ROPER CORPORATION RUBY TUESDAY, INC. RYAN'S FAMILY STEAK HOUSES RYDER SYSTEMS INC SAINT JOSEPH'S HEALTH SYSTEM SAINT JOSEPH'S HOSPITAL INC SAINT MARY'S HEALTH CARE SARA LEE CORPORATION SAVANNAH CITY OF SAVANNAH ELECTRIC & POWER CO SCIENTIFIC ATLANTA INC SCOTTISH RITE CHILDREN'S SEARS, ROEBUCK & CO SHAW INDUSTRIES INC SHONEY'S SOUTHEAST GA REG MED CENTER SOUTHEASTERN LUMBER MFR ASSOC SOUTHERN BELL TEL & TEL SOUTHERN MILLS INC SOUTHWIRE COMPANY SPALDING & EVENFLO COMPANIES SPRINGS INDUSTRIES INC ST FRANCIS HOSPITAL ST JOSEPH HOSPITAL STONE SAVANNAH PULP/PAPER SUPER DISCOUNT MARKETS SUPERIOR RIGGING & ERECTING CO SUWANNEE SWIFTY STORES INC TEXTILE RUBBER & CHEMICAL TEXTRON, INC THERMAL CERAMICS THOMASTON MILLS INC TIP TOP POULTRY INC
9,353.22 13,594.29 19,009.18 109,428.75 235,700.14 15,333.43 19,336.54 32,128.67
160.00 21,342.51 38,359.61
9,625.00 112,517.13
10,459.49 185,032.58 150,407.54
22,962.35 217,586.68
81,650.00 8,550.00
12,753.20 19,941.24 81,148.75 35,104.99 593,254.56
8,976.21 10,039.55 150,257.67 10, OIl. 53 89,534.18 588,270.64
602.97 6,416.89 57,291.40 20,556.37 3,813.06 7,521. 95 31,345.04 15,408.66 9,831.28 25,879.85 110,970.62 36,260.19 12,375.00
9
TOTAL DOLLARS PAID BY THE SUBSEQUENT INJURY TRUST FUND TO SELF-INSURED EMPLOYERS
January 1, 1996
THROUGH
December 31, 1996
TRANSUS , INC. U S EMPLOYER CONSUMER UNION CAMP CORPORATION UNITED HEALTH SERVICES INC US GYPSUM/L & W SUPPLY & SUBS VERMONT AMERICAN CORPORATION VF CORPORATION VULCAN MATERIALS COMPANY W T MAYFIELD SONS TRUCKING W. C. FUND FOR HEALTH CARE WACHOVIA BANK OF GEORGIA WAFFLE HOUSE WALKER/DADE/CATOOSA HOSP AUTH WAREHOUSE HOME FURNISHINGS WARNER ROBINS CITY OF WATKINS ASSOCIATED INDUSTRIES WATKINS ENGINEERS & CONST. WAYCROSS MOLDED PRODUCTS INC WAYCROSS, CITY OF WELLINGTON LEISURE PRODUCTS WEST GEORGIA MEDICAL CENTER WESTPOINT STEVENS, INC. WESTVACO CORPORATION & SUBS WEYERHAEUSER COMPANY WHITFIELD COUNTY PUBLIC SCHOOL WINN-DIXIE STORES INC WORLD CARPETS INC YELLOW FREIGHT SYSTEM INC ZARTIC INC
11,406.44 15,255.89 327,511.70 69,453.94
2,394.97 120.00 435.50
20,174.27 53,784.05 35,090.04 31,941.95 32,032.58 14,146.00 20,540.34 99,085.86 130,087.88
486.37 13,067.82
1,836.30 48,330.61 50,236.69 143,319.54 11,107.65
3,586.35 4,270.75 203,151. 50 490,107.25 113,212.22 72,244.34
10
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
A & B PAINTING SERVICE A & E MECHANICAL CONTRACTORS A-I AUTO PARK INC A. G. SPANOS A.A. FRIEDMAN, INC. AAA COOPER TRANSPORTATION AAA FLORIDA/GEORGIA, INC. MerION AUTO PARTS AAMCO PAVING CO~rRACTORS, INC ABB POWER T & D COMPANY ABC HOME HEALTH CARE ACJ'S PLUMBING INC ACOUSTI, INC. ACTION ELECTRIC COMPANY, INC. ACTION STAFFING, INC ACTIVE MANUFACTURING ADAIRSVILLE 76 TRUCK STOP ADAMS BROTHERS CONSTRUCTION CO ADAMS-WARNOCK INC ADCOX SERVICE CO. INC ADEL FEED & SEED, INC. ADVANCE AUTO PARTS ADVANCE SECURITY ADVANCED METAL & WELDING ADVANCED SVCS FOR PEST CONTROL AEROQUIP CORP. AFFILIATED BUILDING SERVICE AGGRECON OF GEORGIA, INC. AGRI CONN, INC. AIR COMFORT HEATING AND AIR COMFORT OF GRAY AIR CONDITIONING TECHNOLOGY AIR SPECIALISTS, INC ALBANY BEVERAGE CO ALBANY HERALD PUBLISHING CO. ALBANY NEON SIGNS ALBANY UROLOGY CLINIC, P.C. ALCAN EXTRUSIONS USA ALDWORTH CO INC ALENCO ALEX FOODS INC ALEXANDER & ALEXANDER SVC INC ALKAHN LABLES, INC ALL AMERICAN QUALITY FOODS INC ALL CLAIMS, INC. ALL-SOUTH WAREHOUSE ALLATooNA LANDING SUBSIDIARY ALLIED ASPHALT CO ALLIED WHEELER CORP. ALLISON LEASING INC ALLISON SMITH COMPANY ALLSTATE INSURANCE COMPANY
LAWRENCEVILLE
GA
LAWRENCEVILLE
GA
ATLANTA
GA
NORCROSS
GA
AUGUSTA
GA
DOTHAN
AL
ATLANTA
GA
SAVANNAH
GA
LILBURN
GA
ATHENS
GA
WARNER ROBINS
GA
CONYERS
GA
ATLANTA
GA
SMYRNA
GA
TAMPA
FL
WAYCROSS
GA
ADAIRSVILLE
GA
BAINBRIDGE
GA
SAVANNAH
GA
LAKE CITY
GA
ADEL
GA
VALDOSTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
FITZGERALD
GA
ATLANTA
GA
MARIETTA
GA
CAMILLA
GA
ALPHARETTA
GA
GRAY
GA
THOMASVILLE
GA
MARIETTA
GA
ALBANY
GA
ALBANY
GA
ADEL
GA
ALBANY
GA
ROME
GA
DECATUR
GA
PEACHTREE CITY
GA
ATLANTA
GA
ATLANTA
GA
COCHRAN
GA
STOCKBRIDGE
GA
MACON
GA
ATLANTA
GA
CARTERSVILLE
GA
MACON
GA
DOUGLASVILLE
GA
CLEVELAND
GA
ATLANTA
GA
ATLANTA
GA
11
30,332.51 6,238.45 843.44
55,033.46 13,880.10 29,579.07
5,028.78 27,737.33 14,638.53
5,588.63 14,572.56
1,020.00 354.19
11,963.90 121,562.77
61,398.58 11,752.96 82,316.34
4,372.75 13,714.80
2,691.25 4,349.03 10,101.30 1,449.46 7,578.00 107,571.15 6,976.06 15,200.29 15,934.88 22,879.33 3,093.61 5,932.44
989.41 8,676.18 11 ,941. 48
186.97 22,986.26 13,878.87 131,078.51 175,422.33
80.00 19,195.58 40,981. 37
9,965.11 270.00
1,415.29 4,423.14 7,315.00 9,100.00 9,608.05 7,773.20 15,915.69
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
ALLTEK, INC ALLWASTE SERVICES OF ATLANTA ALPHA PRODUCTS, INC. ALPHARETTA FOUNDATION, INC. ALTAMA DELTA CORPORATION ALTON PACKAGING DIVISION AMARLITE ARCHITECTURAL PRODT AMERCORD INC AMERICAN CAN COMPANY AMERICAN DEHYDRATED FOODS AMERICAN EGG PRODUCTS AMERICAN HI-LIFT AMERICAN INTERNATIONAL GROUP AMERICAN MAIZE PRODUCTS CORP. AMERICAN MAIZE/SWISHER & SONS AMERICAN NATIONAL CAN AMERICAN PECCO CORP AMERICAN RUG CRAFTSMAN AMERICAN SECURITY INSURANCE CO AMERICAN SOFTWARE AMERICAN SUZUKI MOTOR CORP. AMERICAN VENDING CO., INC. AMERICAN WooDMARK CORPORATION AMERSON COMPANY AMI SPALDING REGIONAL HOSPITAL ANCHOR GLASS CONTAINER CORP. ANDERSON & ASSOCIATES ANGELICA HEALTHCARE ANNING JOHNSON COMPANY APACHE TRANSPORT, INC. APARTMENT INN APARTMENT MASTERS, INC. APB, INC. APPLIANCE CONTROL TECHNOLOGY ARA SERVUCES/CORY REFRESHMENTS ARCHER DANIELS MIDLAND CO. ARROW COMPANY ARROW RENTALS, INC. ARROW TIRE CO. ARROWHEAD NURSING CENTER ARTHUR ANDERSEN & COMPANY ARTHUR PEW CONSTRUCTION ARTISTIC JANITORIAL SERVICES ASBESTOS ABATEMENT TECHNOLOGY ASSOCIATED RUBBER COMPANY ATLANTA COMMERCIAL COURIER ATLANTA COMMERCIAL SERVICES ATLANTA DECORATIVE ARTS CENTER ATLANTA DISPLAY MART, INC ATLANTA ooWNTOWN TRAVELOOGE ATLANTA ECONOMY DRUG COMPANY ATLANTA FALCONS FOOTBALL CLUB
KENNESAW
GA
FOREST PARK
GA
ATLANTA
GA
ALPHARETTA
GA
DARIEN
GA
CEDARTOWN
GA
ATLANTA
GA
LUMBER CITY
GA
NEWNAN
GA
SOCIAL CIRCLE
GA
BLACKSHEAR
GA
DECATUR
GA
ATLANTA
GA
WAYCROSS
GA
WAYCROSS
GA
FOREST PARK
GA
MABLETON
GA
SUGAR VALLEY
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
EAST POINT
GA
MARIETTA
GA
MACON
GA
GRIFFIN
GA
WARNER ROBINS
GA
ALBANY)
GA
ROME
GA
ATLANTA
GA
MONROE
GA
LAWRENCEVILLE
GA
MARIETTA
GA
ELLENWOOD
GA
ADDISON
IL
NORCROSS
GA
MACON
GA
ATLANTA
GA
STATESBORO
GA
GAINESVILLE
GA
JONESBORO
GA
ATLANTA
GA
CHAMBLEE
GA
MARIETTA
GA
ATLANTA
GA
TALLAPOOSA
GA
ATLANTA
GA
GAINESVILLE
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
SUWANEE
GA
12
8,070.61 8,054.50 6,365.90 66,368.58 57,284.67 11,315.00 48,960.00 185,779.24 24,660.22 1,371.63 46.968.78 6,061.09 1,824.69 14,460.30 13,955.76 13,045.00 18,817.34 126,873.49 1,957.50
374.26 126,760.69
10,023.68 37,900.61
7,360.12 15,478.97 22,722.76 12,044.51 80,951. 82 14,691.32 63,036.42 12,651. 86
8,520.23 131,850.12
18,235.81 24,674.52 14,067.63
9,274.74 6,044.23 14,188.45 5,903.82 103,210.00 9,004.40 10,700.05 3,744.40 125,693.96 44,247.70 14,963.76 43,832.77 6,351. 08 4,659.19 5,830.00 137,077.81
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
ATLANTA FENCE COMPANY ATLANTA FILM CONVERTING CO, INC ATLANTA FURNITURE ATLANTA HILTON & TOWERS ATLANTA INTERNATIONAL SCHOOLS ATLANTA MOTOR LINES, INC ATLANTA NEWS AGENCY ATLANTA PROCESSING COMPANY ATLANTA PROVISION COMPANY ATLANTA STEEL ERECTORS, INC. ATLANTA STRUCTURAL CONCRETE CO ATLANTA WIRE WORKS, INC. AUSTELL BOX BOARD CORP AUSTIN INDUSTRIAL, INC AUTOMOBILE GLASS CO./ AUTOZONE, INC. AVERY INTERNATIONAL AVERY LABEL COMPANY AVON PRODUCTS INC AWH CORPORATION B & B PULPWOOD B & E HEATING & A/C, INC. B & G BINDERS B-H TRANSFER COMPANY B-S HOLDINGS/BROCKWAY STANDARD B. ALLISON, INC. B. C. MOORE & SONS B.L.I. CONSTRUCTION CO. BABB'S AUTO & TRUCK SERVICE BABCOCK & WILCOX COMPANY BACE STAFFING CORPORATION BACON COUNTY BD OF EDUCATION BAGCRAFT - ATLANTA, INC. BAGCRAFT CORP. OF AMERICA BAKE MASTERS OF ATLANTA BAKER IMPORT AUTO PARTS BANK SOUTH BARGE WAGENER, INC. BARRETT & ASSOCIATES BARTENFELD ELECTRIC COMPANY BASSETT FURNITURE BATES ROOFING & WATERPROOFING BATSON-COOK COMPANY BATTEN FORD TRACTOR, INC. BATTLE LUMBER COMPANY, INC. BAX-STEEL BAXTER INTERNATIONAL, INC. BAY MARINE, INC. BEA FOUNDRY, INC. BEALL'S 1860 RESTAURANT BEAULIEU OF AMERICA, INC. BEAVER STREET FISHERIES, INC.
LITHONIA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
CONLEY
GA
ATLANTA
GA
CONLEY
GA
ATLANTA
GA
SMYRNA
GA
POWDER SPRINGS
GA
JONESBORO
GA
AUSTELL
GA
GARDEN CITY
GA
ATLANTA
GA
ALBANY
GA
FLOWERY BRANCH
GA
FLOWERY BRANCH
GA
ATLANTA
GA
ROYSTON
GA
ROBERTA
GA
ROSWELL
GA
DALTON
GA
SANDERSVILLE
GA
HOMERVILLE
GA
GAINESVILLE
GA
CORDELE
GA
ATLANTA
GA
DALTON
GA
BRUNSWICK
GA
CHARLOTTE
NC
ALMA
GA
FOREST PARK
GA
FOREST PARK
GA
NORCROSS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
MACON
GA
WEST POINT
GA
DOUGLAS
GA
WADLEY
GA
BAXLEY
GA
MORROW
GA
KENNESAW
GA
CAIRO
GA
MACON
GA
DALTON
GA
JACKSONVILLE
FL
13
5,404.00 7,000.00 14,321.00 29,195.00 19,601. 54 30,251.73
922.37 15,154.91 12,650.85 24,687.73
77.25 1,765.03 28,161. 42 29,587.36 68,037.47 30,615.31 2,573.53 17,377.00 62,364.42
300.00 45,831.96 42,398.42 12,150.00
9,691. 74 15,544.69
338.68 8,277.00 13,436.26 1,187.90 12, OIl. 70 53,638.26 1,245.67
8.38 7,545.54 73,121.03 7,085.43 74,618.07 100,742.51 21,928.10 6,475.00 7,700.00 33,093.44
906.47 66,739.09 11,700.00 19,427.53 28,271.11 66,755.00
1,796.68 42,740.52 24,702.80
7,151.50
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
BEDWAY SECURITY AGENCY, INC. BEKAERT CORPORATION BELK OF SAVANNAH BELK SIMPSON COMPANY BELK'S BELL-KENNON TRACTOR COMPANY BENJAMIN F. PIKE BEST BUY COMPANY, INC. BEST INNS AMERICA BEST MANUFACTURING, INC. BEST WESTERN - SAVANNAH BETTER BACKERS, INC. BEVIS ROPE MANUFACTURING INC BGR TRANSPORTATION COMPANY BI-LO, INC. BICKERSTAFF CLAY PRODUCTS CO BILL SMITH GRADING CO., INC. BISHOP CLEAN CARE BLAKE CONSTRUCTION CO. BLUE GOOSE RESTAURANT BLUESTONE FIBERGLASS, INC. BOB EVANS FARM RESTAURANT BOB'S CANDIES, INC. BOBBY SIKES BODY SHOP BODDY NURSING CENTER BOEING GEORGIA, INC. BORAL BRICK INC BOWMAN TRANSPORTATION INC BOY SCOUTS OF AMERICA BOYD'S PEST CONTROL, INC. BRADFORD INVESTMENT COMPANY BREMEN MACHNE & WELDING BRENT WALKER FORD INC BRINSON BUILDERS, INC BROCK & BLEVINS BROCKWAY STANDARD INC BROOKS INSTRUMENTS DIVISION BROWN & WEBB BUILDERS BROWN & WILLIAMSON BROWN GROUP, INC. BROWN STEEL CONTRACTORS, INC. BROWN TRANSPORT CORPORATION BRUCE ALBEA CONTRACTING, INC BUCKEYE GAS PRODUCTS CO. BUILDING TECHNOLOGY BULK DISTRIBUTION CENTERS INC BURGESS CARPET, INC BURLEN CORPORATION BURLINGTON INDUSTRIES BURLINGTON NORTHERN BURNS BRICK-DIV BURNS JANITOR SERVICE
VALDOSTA
GA
ROME
GA
SAVANNAH
GA
BAINBRIDGE
GA
GRIFFIN
GA
MOULTRIE
GA
COLUMBUS
GA
MINNEAPOLIS
MN
DALTON
GA
MENLO
GA
SAVANNAH
GA
CHATSWORTH
GA
ROSSVILLE
GA
CALHOUN
GA
MAULDIN-GREENVILLE
SC
SMYRNA
GA
NORCROSS
GA
VALDOSTA
GA
ST. MARYS
GA
ELLENWOOD
GA
DANIELSVILLE
GA
MORROW
GA
ALBANY
GA
LAWRENCEVILLE
GA
WOODSTOCK
GA
MACON
GA
AUGUSTA
GA
CONELY
GA
ATLANTA
GA
COLUMBUS
GA
MARIETTA
GA
BREMEN
GA
GLENVILLE
GA
STOCKBRIDGE
GA
ROSSVILLE
GA
HOMERVILLE
GA
STATESBORO
GA
ATLANTA
GA
MACON
GA
SAVANNAH
GA
NEWNAN
GA
TIFTON
GA
ROCKMART
GA
THOMASVILLE
GA
TALLAPOSSA
GA
ATLANTA
GA
MACON
GA
TIFTON
GA
SHANNON
GA
ALBANY
GA
MACON
GA
MACON
GA
14
28,276.20 150,406.74
4,891.31 6,168.55 140,643.86 29,758.79
122.00 1,506.00 1,802.32 9,908.05 39,642.78 13,685.35 6,570.64 18,450.00 126,420.62 17,150.94
50.00 6,125.55 7,595.00 15,200.97 8,904.12 15,473.56 1,607.85 37,417.50 2,474.51 97,840.93 2,576.59 16,126.67 7,700.00 4,447.40 6,660.19 12,662.43 5,720.00 169,127.60 3,110.94 28,136.91 18,692.86 15,656.18 67,515.95 15,049.61 8,562.49 8,112.64
455.38 12,183.10
3,060.00 1,055.00 44,283.49 56,212.31 8,583.59 8,998.88 12,577.25 15,873.32
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
BUTTS COUNTY BD OF EDUCATION C & D CHARTER POWER SYSTEMS C & H MECHANICAL & PLUMBING C & J COMPANY C & S WHOLESALE MEAT COMPANY C. E. MINERALS CABLE CONSULTANTS, INC. CAGLE'S, INC. CALHOUN DISTRIBUTING COMPANY CALSILITE/SPROULE CAMPBELL DECORATING CO. CAMPBELL TECHNOLOGIES, INC CANDY USA, INC CAPITAL CITY CLUB CAPITAL CITY GLASS CAPTIAL SECURITY INSURANCE CO. CARD CAGE-SUMMIT CORP CARDINAL INDUSTRIES CAREHAVEN NURSING HOME/CEBCOR CARL E. SMITH & SONS CAROLE FABRICS CARPENTER INSULATION CARPET TRANSPORT INC CARRIAGE INDUSTRIES, INC. CARROLL CO BD OF EDUCATION CARTEL RESTAURANTS, INC. CARTER CUSTOM CARPETS, INC. CARTER/SOUTHLAKE MALL MGMT CARWooD MANUFACTURING COMPANY CASUAL CORNER CATER AIR INTERNATIONAL CATO CORPORATION CATO ELECTRIC COMPANY, INC. CATOOSA COUNTY BD OF COMMISION CATOOSA UTILITY DISTRICT CBS RECORDS, INC CDI CORP. SE CECIL MALONE COMPANY CEDARTOWN PAPER BOARD CO CENTRAL FOOD MANAGEMENT CENTRAL GA HOME HEALTH AGENCY CENTRAL HOME HEALTH CENTURION IND INC DBA A-LERT CHAMBERS DEVELOPMENT CO. CHAMPION INTERNATIONAL CORP CHAPARRAL BOATS INC CHARLES E LEWIS CONSTRUCTION CHARTER LAKE HOSPITAL CHARTER MOBILE HOME, INC. CHATHAM NURSING HOME CHATHAM STEEL CORPORATION CHATTOOGA CNTY BD OF EDUCATION
JACKSON
GA
CONYERS
GA
DEMOREST
GA
DALTON
GA
ATLANTA
GA
ANDERSONVILLE
GA
ATLANTA
GA
MACON
GA
DECATUR
GA
BRUNSWICK
GA
ATLANTA
GA
NORCROSS
GA
ATLANTA
GA
ATLANTA
GA
LAWRENCEVILLE
GA
GRIFFIN
GA
COLUMBUS
GA
COLLEGE PARK
GA
LAKE CITY
GA
TURIN
GA
AUGUSTA
GA
CONYERS
GA
CALHOUN
GA
CALHOUN
GA
CARROLLTON
GA
ATLANTA
GA
ROME
GA
MORROW
GA
WINDER
GA
ATLANTA
GA
EAST POINT
GA
CHARLOTTE
NC
CHAMBLEE
GA
RINGGOLD
GA
RINGOLG
GA
CARROLLTON
GA
ATLANTA
GA
ATLANTA
GA
CEDARTOWN
GA
ATLANTA
GA
MACON
GA
NEWNAN
GA
FREDONIA
KS
ATLANTA
GA
WAYCROSS
GA
NASHVILLE
GA
DOUGLAS
GA
MACON
GA
HINESVILLE
GA
SAVANNAH
GA
SAVANNAH
GA
SUMMERVILLE
GA
15
582.20 18,435.54 25,489.58 17,801.73 11,671.24 54,771.30
5,548.07 37,872.62 17,320.94
8,912.17 45,970.06 25,994.18
3,114.91 1,120.98
20.00 3,067.14 37,650.17 12,079.86 56,527.04 12,190.30 18.777.45 12,565.00 2,807.66 12,290.00 45,406.56 52,386.89 9,760.99 14,395.50 12,055.63 78,130.19 7,649.55 1,357.97 71,705.68 10,029.70 88,642.22 45,703.36 41,310.51 47,344.71 11,346.00 6,948.09 15,772.38 31,182.83 29,907.33 97,863.05 9,625.00 7,700.00
154.98 9,015.65
427.00 781.07 4.137.87 22,655.22
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
CHATUGE SHEET METAL CHEM-TEX MACHINERY, INC. CHEMCO, INC. CHEMICAL LEAMAN TRUCK LINES CHEMICAL PRODUCTS CORP. CHEROKEE METALS CO CHEROKEE TOWN & COUNTRY CLUB CHICK-FIL-A, INC CHICOPEE MANUFACTURING CO CHOICE SYSTEMS, INC./DSI CHUMLEY'S PAVING & GRADING INC CHURCHWELL'S DRYWALL CIBA VISION CIGNA CIMCO CIRCLE K CIRCUIT TECHNOLOGIES, INC CISCO FRIENDLY FORD CITY ICE CO. CITY OF ATLANTA HOUSING AUTH CITY OF BRUNSWICK CITY OF COVINGTON CITY OF DALTON FIRE DEPARTMENT CITY OF DECATUR CITY OF EAST POINT POLICE DEPT CITY OF FORT VALLEY CITY OF LAGRANGE CITY OF LINWOOD CITY OF ROME CITY OF ROSWELL CITY OF WAYCROSS CITY OF WINDER CLAIRON RESORT BUCCANEER CLARK SCHWEBEL FIBRE GLASS CLARK'S SUPER MARKET CLARKE COUNTY SCHOOL DISTRICT CLARKLIFT SOUTH, INC CLASSIC CITY BEVERAGES INC CLAUSSEN PAVING CO CLAXTON NURSING HOME CLAY-RIC, INC. CLAYTON LEARNING CENTER, INC. CLEM ENVIRONMENTAL CORP. CLEVELAND CONSOLIDATED, INC. CLUETT PEABODY D/B/A ARROW CO COACH & SIX RESTURANT COASTAL CHEMICAL CO COASTAL PLAIN AREA EOA, INC. COASTAL REFINING CORP. COASTAL STATES EQUIPMENT CO COBB COUNTY TRACTOR CO. COBLE DAIRY PRODUCTS CORP
HIAWASSEE
GA
DALTON
GA
ATLANTA
GA
JONESBORO
GA
CARTERSVILLE
GA
NORCROSS
GA
ATLANTA
GA
ATHENS
GA
GAINESVILLE
GA
DOTHAN
AL
ACWORTH
GA
COCHRAN
GA
DULUTH
GA
ATLANTA
GA
WAYNESBORO
GA
PHOENIX
AZ
ATLANTA
GA
FOLKSTON
GA
GAINESVILLE
GA
ATLANTA
GA
BRUNSWICK
GA
COVINGTON
GA
DALTON
GA
DECATUR
GA
EAST POINT
GA
FT VALLEY
GA
LAGRANGE
GA
LINWOOD
GA
ROME
GA
ROSWELL
GA
WAYCROSS
GA
WINDER
GA
JEKYLL ISLAND
GA
WASHINGTON
GA
GRIFFIN
GA
ATHENS
GA
ALBANY
GA
ATHENS
GA
AUGUSTA
GA
CLAXTON
GA
SAVANNAH
GA
JONESBORO
GA
FAIRMOUNT
GA
WAYNESBORO
GA
ATLANTA
GA
ATLANTA
GA
HAMPTON
GA
VALDOSTA
GA
SAVANNAH
GA
ATLANTA
GA
MARIETTA
GA
ATHENS
GA
16
976.25 12,110.55
2,715.34 10,092.08 21,018.22 11,837.32
5,232.83 18,530.70
4,950.00 219,788.76
10,054.07 8,750.00
11,224.53 13.442.04
8,400.00 55,082.20 108,207.89 75,337.04 15,830.10
5,980.00 4,533.12 54,820.08 7,780.00 3,690.59 8,263.50 46,484.99 1,014 .64 10.603.36 92,717.25 8,750.00 4,620.97 3,321.68 10,556.41
328.92 4,825.23 9,291.86
264.59 4.600.00
550.00 486.16 66,146.81 704.95 90,549.95 37,295.33 5,180.45 25,725.95 92,291.39 529.89 5,035.19 29,373.84 3,445.48 11,540.00
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
COCHRAN CEILING COMPANY. INC. COCHRAN'S UNION 76 TRUCK CITY CODY ROAD WORKSHOPS COHEN BROTHERS DRESS CORP COLCRAFT. INC. COLEMAN AMERICAN 1114 COLONIAL OIL INDUSTRIES COLONIAL PAINTING COMPANY COLOR SPECTRUM. INC. COLORMASTER COLUMBUS SPRING COLWELL CONSTRUCTION COMPANY COMBINED INSURANCE COMBUSTION ENGINEERING COMBUSTION TECHNOLOGIES INC COMFORT INN 1-95 COMMERCIAL TESTING COMMUNICATIONS GENERAL. INC. COMMUNITY NEWSPAPER. INC. CONCORD FABRICS CONDITIONED AIR. INC. CONDOR PROPERTY MANAGEMENT INC CONNOR-HARBEN CONSTRUCTION CO CONQUEST CARPET MILL CONSET. INC. CONTAINER GENERAL CORPORATION CONTINENTAL BAKING COMPANY CONTINENTAL CAN CO CONTINENTAL GRAIN CONTINENTAL TELEPHONE CO. CONWooD CORPORATION COOPERATIVE PURCHASING AGENCY COOSA STEEL CORPORATION. INC. CORBETT PLYWOOD CORNELIA VENEER CORNING, INC./METPATH, INC CORONET INDUSTRIES COUNTRY CUPBOARD COUNTRY PLACE BBQ COUNTRY PRIDE FOODS, INC. COWETA COUNTY BD OF EDUCATION CREATIVE CORRECTIONAL FOOD CREDITTHRIFT OF AMERICA INC CROSSINGS RESTAURANT/ CROWN CANDY CORPORATION CROWN CRAFTS CROWN LEASING CORPORATION CRYSTAL FARMS INC CULPEPPER EDWARDS & PALMER INC CURTIS 1000 CURTIS WILSON & ROBERT WILSON CUSTOM TRIM PRODUCTS
COCHRAN
GA
RINGGOLD
GA
MT AIRY
GA
WAYCROSS
GA
STILLMORE
GA
RICHMOND HILL
GA
SAVANNAH
GA
CHAMBLEE
GA
LAFAYETTE
GA
CALHOUN
GA
COLUMBUS
GA
BLAIRSVILLE
GA
CHICAGO
IL
JULIETTE
GA
FLOWERY BRANCH
GA
BRUNSWICK
GA
DALTON
GA
ROSWELL
GA
DAHLONEGA
GA
MILLEDGEVILLE
GA
MCON
GA
GAINESVILLE
FL
JACKSONVILLE
FL
ROSSVILLE
GA
LAFAYETTE
GA
FOREST PARK
GA
ROME
GA
PERRY
GA
CORDELE
GA
ATLANTA
GA
MEMPHIS
TN
CLEVELAND
GA
ROME
GA
TENNILLE
GA
CORNELIA
GA
ATLANTA
GA
DALTON
GA
DAWSONVILLE
GA
CARTERSVILLE
GA
GAINESVILLE
GA
NEWNAN
GA
CONYERS
GA
EVANSVILLE.
IN
SAVANNAH
GA
MACON
GA
CALHOUN
GA
SAVANNAH
GA
CHESTNUT MOUNTAIN
GA
PELHAM
GA
ROSWELL
GA
LAWRENCEVILLE
GA
ATLANTA
GA
17
18.578.90 9.230.12
31.669.40 28.145.69 72.549.25 53,574.77 21.471.91 10.552.47 15.041.99
5,720.00 18.857.01 21.789.96 25.650.00
6.639.23 12.446.17
2,089.69 1.746.51 1.013.30
582.20 4.067.98
233.98 23.837.35
6.707.33 16.937.45 13,235.41 37,225.75 25,433.93
5.054.70 19,542.30 10.289.10 11,511.90 65.879.13
116.41 11,765.45
3,509.87 2,538.75 119,828.27 158,053.55 2.211.70 21,747.12 24.296.94 4,743.02
600.70 1,698.71 1,888.25 18.610.91 1,241.93 60.058.71 73,514.17
730.00 4.987.54 12.891.01
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
CYPRESS MULCH INC D & L APPLIANCE PARTS, INC. D & W CARPETS D L LEE & SONS DADE COUNTY BD OF EDUCATION DALTON SUPPLY COMPANY DAMON CLINICAL LABORATORY DANIEL LUMBER COMPANY DANNY MCGRAW LOGGING CO DAVE & SONS, INC. DAVEY TREE EXPERT COMPANY DAVID TURNER TRUCKING DAVIDSON-KENNEDY CO. DAVIS & HEARN, INC. DAVIS HAULING COMPANY, INC. DAVIS WATER & WASTE IND INC DAVIS, JAMES A. DAY PLYWOOD, INC. DAYS CHEVROLET INC DAYS INN DECATUR FEDERAL SAVINGS DEERFIELD SPECIALTY PAPERS INC DEKALB GENETICS CORPORATION DELTA AIR LINES, INC. DELTA COLLEGE, INC. DENNIS TAYLOR & COMPANY DERST BAKING COMPANY DESOTO ENTERPRISES DIAMOND SHAMROCK CORP. DIGITAL TRANSMISSION SYSTEM DILLARD SMITH CONSTRUCTION CO. DITTLER BROTHERS, INC DIXIE INDUSTRIAL FINISHING CO. DOBBS HOUSES, INC. DODGE COUNTY HOSP AUTHORITY DOMINION ENGINEERED TEXTILES, DOMINO'S PIZZA DONNAMARK, INCORPORATED DONNIE L. WATERS DONNIE TUTEN PLUMBING CO, INC. DOOLEY CO. BOE DORSETT CARPET MILLS INC DOUGLAS & LOMASON DOUGLAS GENERAL HOSPITAL DOWNTOWN MOTOR INN, INC. DRUMHELLER BAG & SUPPLY DRYDEN ENTERPRISES, INC DSI TRANSPORTS, INC. DUBLIN EYE ASSOC DUBLIN INDUSTRIAL SERVICES DUBLINAIR NURSING HOME DUFFEY'S DELI
FARGO
GA
ATLANTA
GA
CHATSWORTH
GA
ALMA
GA
TRENTON
GA
DALTON
GA
SMYRNA
GA
LAGRANGE
GA
SUMMERVILLE
GA
ALBANY
GA
CHAMBLEE
GA
MACON
GA
ATLANTA
GA
RICHMOND HILL
GA
AUGUSTA
GA
THOMASVILLE
GA
TUCKER
GA
ClITHBERT
GA
ACWORTH
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
LEESBURG
GA
ATLANTA
GA
LILBURN
GA
DULUTH
GA
SAVANNAH
GA
TYBEE ISLAND
GA
CEDARTOWN
GA
DULUTH
GA
SMYRNA
GA
OAKWOOD
GA
TUCKER
GA
ATLANTA
GA
EASTMAN
GA
THOMASTON
GA
DALTON
GA
ROME
GA
CUMMING
GA
BLOOMINGDALE
GA
VIENNA
GA
DALTON
GA
COLUMBUS
GA
DOUGLASVILLE
GA
DALTON
GA
VALDOSTA
GA
WALTHERVILLE
GA
FAIRBURN
GA
DUBLIN
GA
DUBLIN
GA
DUBLIN
GA
ROME
GA
18
48,526.93 7,771.17
12,279.31 12,454.06 11,885.77
2,957.84 3,035.34 47,421.72 10,462.60 8,676.54 9,987.39
75.00 13,782.24 83,915.00 10,757.36 13,300.00 46,918.05
445.00 333.47 37,475.76 1,991.89 24,748.96 14,046.00 261,511. 80 10,206.91 7,503.82 4,648.34 11,056.87 19,251.86 16,329.70 42,197.93 29,958.30 5,448.55 14,546.45 9,981.03 23,249.95 4,548.00 25,409.88 16,600.00 6,834.26 271.50 7,263.02 8,882.18 174,595.64 13,325.22 14,172.64 44,301. 32 59.697.50 15,654.86 40,108.06 23,236.49 12,944.17
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
DUNAGAN & SONS, INC. DUNCAN WHOLESALE, INC. DUPLEX PRODUCTS DURAND GRACE REALTY DWARF HOUSE DYER AND DYER, INC. DYKES PAVING & CONSTRUCTION DYNAMIC METALS, INC. DYSON-KISSNER-MORAN CORP. E & H HAULING, INC. E-Z BORE CONSTRUCTION E. COBB LAND DEVELOPMENT CO. E.D. LACEY MILLS, INC. EASON PUBLICATIONS, INC. EAST POINT POLICE DEPT. EASTERN AIRLINES, INC. EASTERN-ITS EASY RENTAL ECKERD DRUGS EDENFIELD FOOD SERVICE EDWARDS BAKING CO EDWARDS-WARREN TIRE CO. ELAN PHARMACEUTICAL RESEARCH ELECTROMAGNETIC SERVICES INC ELLENWOOD MACHINERY, INC ELLIOTT MACHINE SHOP ELLIS CROOKS, INC. EMPIRE GAS EMRO MARKETING/MARATHON EMS VENTURES, INC. ENGELHARD KAOLIN CORP ENGINEERED FABRICS CORP ENGLEHARD MINERALS & CHEMICAL ENICHEM OF AMERICA ENSR OPERATIONS EPICURE MANAGEMENT SERVICES EQUlMARK, INC. ERO INDUSTRIES, INC. ESCOE INDUSTRIAL CONTRACTORS ESSEX GROUP ETCON CORPORATION ETHICON, INC. ETOWAH CONTRACTION CO, INC. EUBANKS CUSTOM BUILDERS EXCELSO COFFEE COMPANY EXEL LOGISTICS EXPRESS AUTO FINANCE, INC. F & W FARM SERVICE, INC F & W FORESTRY F R GRANTHAM CONTRACTING F.A. SIMS OIL CO. FAMILY DOLLAR, INC.
ROME
GA
CATERSVILLE
GA
TUCKER
GA
LAGRANGE
GA
STOCKBRIDGE
GA
CHAMBLEE
GA
NORCROSS
GA
ATLANTA
GA
NORCROSS
GA
SMYRNA
GA
TOCCOA
GA
MARIETTA
GA
FAIRMONT
GA
ATLANTA
GA
EAST POINT
GA
ATLANTA
GA
FORTSON
GA
FOREST PARK
GA
PEACHTREE CITY
GA
HAZLEHURST
GA
ATLANTA
GA
CONYERS
GA
GAINESVILLE
GA
NORCROSS
GA
ELLENWOOD
GA
MACON
GA
SENOIA
GA
JASPER
GA
SPRINGFIELD
OH
GAINESVILLE
GA
GORDON
GA
ROCKMART
GA
MCINTYRE
GA
CONYERS
GA
CANTON
OH
MACON
GA
ROSWELL
GA
HAZLEHURST
GA
ATHENS
GA
LITHONIA
GA
GAINESVILLE
GA
CORNELIA
GA
DALLAS
GA
BUTLER
GA
NORCROSS
GA
MORROW
GA
MARIETTA
GA
THOMASVILLE
GA
ALBANY
GA
DECATUR
GA
LAWRENCEVILLE
GA
CHARLOTTE
NC
19
22,571.16 234.52
6,750.00 13,571.14
1,145.53 48,588.95 47,881.84
9,831.42 5,250.00 59,010.94 5,244.32 9,945.00 80,248.55 34,653.62 53,397.30 223,244.90 7,236.74 8,741.52 14,013.34 1,711.03 7,440.00
498.75 7,872.71 7,174.38 8,220.00 20,518.51 12,295.32 7,452.05 65,864.30 32,748.55 12,360.00 201,130.24
222.84 7,875.00 104,802.80 6,768.84 88,629.89 16,523.53
781.78 339.90 300.62 15,913.80 78,464.86 16,695.08
97.53 113,379.44
21,628.07 16,178.51
272.00 23,897.51 51,572.73 108,985.58
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
FANNIN COUNTY BD. OF EDUCATION FASHION APPAREL FAYETTE CO BD OF COMMISSIONERS FAYETTE COUNTY BD OF EDUCATION FEDERAL ARMORED EXPRESS FEDERAL EXPRESS FEDERAL PAPER BOARD CO., INC FEDERAL STATE INSPECTION FEDERATED MUTUAL INSURANCE FEIMSTER-PATERSON, INC. FELDSPAR CORPORATION FIRESTONE TIRE COMPANY FIRST FEDERAL S & L ASSOC FIRST UNION NAT' L BANK OF GA FIRSTLINE CORPORATION FITZGERALD UNDERWEAR CORP FLANDERS PROVISION CO. FLAVO RICH/DAIRYMEN INC FLIGHT SAFETY INTERNATIONAL FLINT CONSTRUCTION CO. FLINT LAND & CATTLE FLINT RIVER BAPTIST ASSOC FLINT RIVER TEXTILE FLOWERS, INC. BALLONS FLOYD CO. BD OF EDUCATION FLOYD TRAINING & SVC CTR INC FOLGER POULTRY FARMS FORBES PRODUCTS CORPORATION FORSTMANN & COMPANY INC FORSYTH CO BD OF EDUCATION FORSYTH CONCRETE, INC. FORSYTH COUNTY FOSTER INDUSTRIES FOUNTAIN CONTRACTING CO. FRANK M. DARBY CO. FRANKLIN INDUSTRIES FREEPORT KAOLIN CO FRIENDSHIP NURSING HOME FRITO LAY, INC. FULTON CONCRETE COMPANY FULTON PAPER COMPANY GAINESVILLE IRON WORKS GAINESVILLE MFG CO GALAXY CARPET MILLS, INC. GARY C. MOSLEY, INC. GATEWAY SERVICES INC GATX P 0 GAY & TAYLOR, INC. GAY CONSTRUCTION COMPANY GEICO GEM CLEANERS DBA EASY WASH GENE BUSH
BLUE RIDGE
GA
JESUP
GA
FAYETTEVILLE
GA
FAYETTEVILLE
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
ALBANY
GA
ATLANTA
GA
ATHENS
GA
MONTICELLO
GA
ALBANY
GA
ATLANTA
GA
AUGUSTA
GA
VALDOSTA
GA
TIFTON
GA
WAYCROSS
GA
ATLANTA
GA
SAVANNAH
GA
LAWRENCEVILLE
GA
WOODBURY
GA
GRIFFIN
GA
ALBANY
GA
BOGART
GA
ROME
GA
ROME
GA
DAHLONEGA
GA
RUSH
NY
TIFTON
GA
CUMMING
GA
CUMMING
GA
CUMMING
GA
CORNELIA
GA
MACON
GA
ATLANTA
GA
LAVONIA
GA
GORDON
GA
CLEVELAND
GA
NORCROSS
GA
KENNESAW
GA
ATLANTA
GA
GAINESVILLE
GA
GAINESVILLE
GA
CHATSWORTH
GA
COVINGTON
GA
ATLANTA
GA
WAYCROSS
GA
CARTERSVILLE
GA
ATLANTA
GA
MACON
GA
MACON
GA
THOMASVILLE
GA
20
1,345.80 7,461.75
951.74 15,979.28 219,616.34 24,057.50 16,775.00 66,112.65
2,169.08 16,485.06
8,750.00 1,994.65 10,732.04 12,387.70 48,000.00 3,099.01 51,133.54 13,264.75 12,150.00 10,217.60 1,404.34. 19,936.39 7,415.78
678.57 21,762.68
9,249.00 7,416.09 1,381.31 48,086.10 1,682.53
82.60 693.09 308,526.48 1,127.24 5,651.21 6,400.58 8,970.00 11,003.10 7,800.00 107,406.86 6,121.42 16,620.13 5,937.83 7,155.00 1,208.31 19,119.16 25,024.39 31,049.26 38,605.99 8,731.91 4,132.83 9,333.10
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
GENE STEPHENS COMPANY, INC GENERAL ELECTRIC CO GENERAL FOODS CORP GENERAL MANUFACTURED HOUSING GENERAL MILLS GENERAL ~CITRITION CTRS GENERAL RENTAL CENTER GENPRO TRUCKING CORPORATION GEORGE M. WATTS, JR. CPA, PC GEORGE MUSE CLOTHING COMPANY GEORGIA BAPTIST CONVENTION GEORGIA BOOT INC GEORGIA CROWE PAINT CONTRACTOR GEORGIA DISPLAYS, INC. GEORGIA FARM BUREAU MUTUAL GEORGIA MESSENGER SVC, INC. GEORGIA STATE PLUMBING CO. GEORGIA SYNTHETICS GEORGIA TECH ATHLETIC ASSOC. GEORGIA WASTE SYSTEMS, INC GERALD N. WILKERSON GFA TRANSPORTATION COMPANY GIANT RECREATION WORLD GIBBS LANDSCAPE COMPANY GIBSON GREETINGS, INC. GILBERT & BENNETT GILMAN BUILDING PRODUCTS CO GILMAN PAPER COMPANY GILMER COUNTY BD OF EDUCATION GILMORE PAPER COMPANY GLASS OOCTOR GLOBE SECURITY GLOBE UNION INC GLYNN BRUNSWICK MEMORIAL HOSP. GLYNN COUNTY GLYNN CTY BD. OF COMMISSIONERS GMI GLASSTREAM DIVISION GNB BATTERY TECHNOLOGIES GNB, INC GNR OF ALBANY, INC GODBEE AND CO., INC. GOLD CITY CONVALESCENT CENTER GOLDBERG BROTHERS GOLDEN AGE PROPERTIES GOLDEN GALLON, INC. GOODMAN DECORATING CO. INC. GOODWILL INDUSTRIES GOODY PRODUCTS, INC. GOODYEAR AEROSPACE GOODYEAR TIRE & RUBBER CO GOOLSBY'S FOODS #3 GORDON COUNTY FARM COMPANY
REX
GA
ROME
GA
DORAVILLE
GA
WAYCROSS
GA
COVINGTON
GA
PITTSBURG
PA
VALDOSTA
GA
GAINESVILLE
GA
CORDELE
GA
ATLANTA
GA
ATLANTA
GA
BLAIRSVILLE
GA
STONE MOUNTAIN
GA
FITZGERALD
GA
MACON
GA
ATLANTA
GA
LAKE PARK
GA
ELBERTON
GA
ATLANTA
GA
NORCROSS
GA
STELLMAN
GA
FOREST PARK
GA
LAKE PARK
GA
SMYRNA
GA
CINCINNATI
OH
TOCCOA
GA
DUDLEY
GA
BLACKSHEAR
GA
ELLIJAY
GA
ST. MARY'S
GA
NORCROSS
GA
NORCROSS
GA
ATLANTA
GA
BRUSNSWICK
GA
BRUNSWICK
GA
BRUNSWICK
GA
NASHVILLE
GA
COLUMBUS
GA
COLUMBUS
GA
ALBANY
GA
SAVANNAH
GA
DAHLONEGA
GA
AUGUSTA
GA
BARNESVILLE
GA
CHATTANOOGA
TN
ATLANTA
GA
SAVANNAH
GA
EASTI-IAN
GA
ROCKMART
GA
CEDARTOWN
GA
COLUMBUS
GA
CALHOUN
GA
21
1,614.01 87,501. 58
8,996.68 1,468.21 87,836.19 18,051.59 9,085.60 33,232.08 15,975.00 8,752.19 21,610.44 4,321.67 290,714.16 4,866.61 213,326.84 22,421.95 26,062.33 7,155.00 9,500.00 2,047.50 3,891.68 6,261.56 15,840.85 2,139.66 4,971.36 12,354.14 72,688.00 14,000.00 4,043.76 37,128.58 14,000.00 2,334.43 11,971. 70 11,725.00 36,973.01
685.70 706.90 1,861.72 23,828.69 100.00 210.00 1,541.06 36,679.96 12,785.79 70,235.00
59.74 28,133.44 23,122.82 50,448.14 45,161.93
170.60 22,750.00
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
GORDY CONSTRUCTION COMPANY GRACE SHEET METAL GRACON CORPORATION GRAHAM & STUDSTILL GENERAL GRAHAM BROTHERS CONSTRUCTION GRANDE CARPET COMPA1<Y, INC GRANNY'S KITCHEN, INC. GRAYLINE OF ATLANTA GREAT OAKS NURSING HOME GREAT SOUTHERN PAPER COMPANY GREENSPHERE LANDSCAPING, INC GRESS FOODS, INC. GREYHOUND LINES, INC. GRIEF BROTHERS CORPORATION GRUMMAN AIRCRAFT SYSTEMS GTE TELEPHONE OPERATIONS GUARDSMARK, INC. GULF LIFE INSURANCE COMPANY GWCC FOOD SERVICES GWINNETT CENTER FOR OUTPATIENT GWINNETT SPRINKLER CO. H & J ERECTORS, INC. H & W CONTRACTING COMPANY HAGAN STOCKYARD, INC. HALEY FARMS, INC. HALL CONTRACTING CORPORATION HALL COUNTY BD OF EDUCATION HAMBY CONSTRUCTION CO. HAMES TRUCKING, INC. HAMMOCK MACHINE & WELDING CO. HANCOCK COUNTY BD OF EDUCATION HANCOCK FABRICS HANCOR, INC HANES HOSIERY, INC. HANNAH HOME CONTRACTING HARALSON CNTY BD OF EDUCATION HARBIN CLINIC, INC. HARBISON WALKER REFRACTORIES HARDEE MANUFACTURING CO. INC. HARDEE'S OF JESUP/ HARDEES OF WASHINGTON HARRIS CALORIFIC HARRIS GROUP HARRIS INSULATION HARRIS SERVICE CENTER HARRIS WHOLESALE HARRY MOSES CONSTRUCTION CO. HARTFORD STEAM BOILER HARTWELL COMPANY WAREHOUSE HATCHER PRODUCE COMPANY, INC HAWKINS SERVICE CLEANERS HAYCLIF GREENS, INC
FORTSON
GA
FORT VALLEY
GA
ARMUCHEE
GA
EASTMAN
GA
DUBLIN
GA
ATLANTA
GA
CRAWFORD
GA
ATLANTA
GA
ROSWELL
GA
CEDAR SPRINGS
GA
ATLANTA
GA
GAINESVILLE
GA
ATLANTA
GA
TUCKER
GA
MILLEDGEVILLE
GA
FITZGERALD
GA
ATLANTA
GA
ALBAl<Y
GA
ATLANTA
GA
SNELLVILLE
GA
LAWRENCEVILLE
GA
LIBURN
GA
COLUMBUS
GA
HAGAN
GA
CANTON
GA
CHARLOTTE
NC
GAINESVILLE
GA
LAWRENCEVILLE
GA
EAST POINT
GA
PERRY
GA
SPARTA
GA
SAVANNAH
GA
CORDELE
GA
LAGRANGE
GA
FAIRBURN
GA
BUCHANAN
GA
ROME
GA
CALHOUN
GA
PLANT CITY
FL
BAXLEY
GA
WASHINGTON
GA
GAINESVILLE
GA
BAXLEY
GA
ATLANTA
GA
DALTON
GA
ATLANTA
GA
VIDALIA
GA
ATLANTA
GA
HARTWELL
GA
FOREST PARK
GA
DUBLIN
GA
JONESBORO
GA
22
11,917.17 6,363.13 826.29
19,205.03 14,106.51
2,637.16 4,441.90 65,719.77 9,371.16 6,697.00
588.27 5,208.82 39,078.65
36.25 8,400.00 1,911.92 76,582.23 20,434.39 7,605.60 3,196.30
765.00 71,027.58 53,448.12 13,783.41
5,400.00 4,185.00 14,241.04 9,952.18 1,347.67 8,467.97 2,648.52 65,920.83 7,645.00 12,690.45
821.53 2,080.08 17,112.55 2,327.89 17,716.20 10,740.31 2,807.05 15,660.57 47,497.57 20,094.41 43,646.25 16,847.09 7,234.40 4,460.44 23,767.74 7,048.22
568.44 14,130.40
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
HAYES MICRO COMPUTER PRODUCTS HAYES TRUCKING COMPANY HAYGOOD CONTRACTING HCA COLISEUM MEDICAL CENTER HCA COLISEUM PSYCHIATRIC HOSP. HCA REDMOND REGIONAL MEDICAL HEADRICK MFG. CO. HEALTHCARE SERVICES HEALTHDYNE TECHNOLOGIES HEALTHMASTER HELEN'S ENTERPRISES, INC. HELENA CHEMICAL COMPANY HENDRICKS CONTRACTING HENKEL OF AMERICA CORPORATION HENRY COUNTY MOOSE LODGE #2170 HENRY ELECTRIC COMPANY, INC. HERITAGE HOUSE SUMMERVILLE HERMAN JONES CONSTRUCTION HERTZ PENSKE/GEICO TRUCK LSING HHI HOLDINGS, INC. HI BRAND FOODS HI-TEK ASSOCIATES, INC HIGGINS GENERAL HOSPITAL HIGH POINT LTD A GA LIMITED HIGHTOWER TV HILL TIRE COMPANY HILLIARD, INC. HINESVILLE RED & WHITE HINMAN POOL & PATIO HLC HOTELS, INC. HOLCOMBE ARMATURES HOLIDAY INN HOLLINGSWORTH & VOSE COMPANY HOLLINGSWORTH AUTO SERVICE INC HOLLIS TRANSPORT AGENCY HOLLOWAY CONSTRUCTION CO. HOLLYE EQUIPMENT CO., INC. HOLMES AND COMPANY HOME INSURANCE COMPANY HON INDUSTRIES HOUSING AUTHORITY OF MACON HOUSING AUTHORITY OF THE CITY HOUSTON CO. ASSOCIATION FOR HOUSTON COUNTY BD OF EDUCATION HOUSTON STEEL, INC. HOWARD'S LANDSCAPING & GRADING HUB INC. HUBBARD MILLING COMPANY HUBERT MOORE LUMBER HUDDLE HOUSE HUNTSMAN FILMS PRODUCTS CORP HYPONEX CORP
NORCROSS
GA
WINTERVILLE
GA
WOODSTOCK
GA
MACON
GA
MACON
GA
ROME
GA
ALPHARETTA
GA
CUMMING
GA
MARIETTA
GA
AUGUSTA
GA
ATHENS
GA
CORDELL
GA
VALDOSTA
GA
CEDARTOWN
GA
MCDONOUGH
GA
ATLANTA
GA
AUGUSTA
GA
GAINESVILLE
GA
FOREST PARK
GA
VIENNA
GA
PEACHTREE CITY
GA
BRUNSWICX
GA
BREMAN
GA
LAWRENCEVILLE
GA
ROME
GA
FOREST PARK
GA
EASTMAN
GA
HINESVILLE
GA
ALBANY
GA
BYRON
GA
VILLA RICA
GA
KINGSLAND
GA
HAWKINSVILLE
GA
SAVANNAH
GA
GAINESVILLE
GA
BALLGROUND
GA
GAINESVILLE
GA
EATONTON
GA
ATLANTA
GA
CEDARTOWN
GA
MACON
GA
MONROE
GA
WARNER ROBINS
GA
PERRY
GA
BYRON
GA
LILBURN
GA
TUCKER
GA
CARTERSVILLE
GA
ALAPAHA
GA
KENNESAW
GA
CALHOUN
GA
JACKSON
GA
23
17,882.09 38.23
93,122.18 31,250.00 142,421.90 21,396.39
4,871.66 16,990.43 39,553.32 16,735.39 14,712.56
194.65 38,534.67
3,312.73 95,162.63 22,898.59 14,546.70
73.75 46,695.12 23,376.14
8,544.00 72,430.91 10,682.15
9,305.95 22,099.85
3,249.90 17,189.55
3,988.00 6,184.70 12,119.32 34,895.37 51,363.13 17,638.82 2,114.37 38,265.37 7,381.40 7,925.00 16,401.68 31,870.22 78,713.53 34,096.00
437.17 5,335.56 4,619.36 59,191. 88 9,145.97
110.00 14,358.82 24,443.58 68,663.30 40,189.51 42,508.54
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
I D THOMAS GENERAL CONTRACTORS I-MEDEX USA, INC. I. PEARLIS & SONS IDEAL HEALTH CARE IDEAS, INC. IMAGE CARPET DYEHOUSE INDEPENDENT LIFE INDUSTRIAL PLASTICS CORP INDUSTRIAL TOOL & SUPPLY INGERSOLL-RAND INGLESIDE ELECTRIC INGLETT & STRUBBS, INC. INGRAM SHEET METAL INLAND CONTAINER CORP. INLAND CONTAINER CORPORATION INLAND ROME INC INTERNATIONAL AUTO PROCESSING INTERSTATE BRANDS CORPORATION ITHACA INDUSTRIES INC ITHACA-QUITMAN ITT CORPORATION ITT CPC ITT HARTFORD ITT LESTER INDUSTRIES, INC. ITT THOMPSON ITT-RAYONIER INC J & E SALES CO J M TOLL METALS COMPANY INC J P KING MANUFACTURING J. C. PENNEY COMPANY J. ROBERT MAULDIN J.P. STEVENS & COMPANY, INC. JACK A. TANNER TRUCKING JACK'S JEWELERS, INC. JACKSON LOGGING JACKSON SERVICES, INC. JAMES GAMBLE MASONARY JAMES HILL CONTRACTOR JAN R. SMITH CONSTRUCTION JASPER COUNTY BD OF EDUCATION JEAN THOMAS JENKINS TRANSPORT, INC. JENKINS WRECKER SERVICE JERVIS B. WEBB JILLYS - THE PLACE FOR RIBSJIM WALLACE SERVICE STATIONS JOCK'S AUTO PARTS/ JOE DAVIS TRANSPORT, INC. JOHN D. STEPHENS, INC. JOHN DEMORE LOCK & KEY SERVICE JOHN LLOYD CONSTRUCTION JOHN O. COOK, INC.
NORCROSS
GA
ALPHARETTA
GA
TIFTON
GA
IDEAL
GA
ATLANTA
GA
ROME
GA
SAVANNAH
GA
FITZGERALD
GA
SAVANNAH
GA
CALHOUN
GA
MACON
GA
ATLANTA
GA
ATHENS
GA
ROME
GA
MACON
GA
ROME
GA
BRUNSWICK
GA
COLUMBUS
GA
SWAINSBORO
GA
QUITMAN
GA
JESSUP
GA
NORCROSS
GA
HARTFORD
CT
ROME
GA
ADEL
GA
MIDVILLE
GA
DUBLIN
GA
NORCROSS
GA
AUGUSTA
GA
STONE MOUNTAIN
GA
HARTWELL
GA
LOUISVILLE
GA
LINCOLNTON
GA
COLUMBUS
GA
SYLVANIA
GA
MARIETTA
GA
VALDOSTA
GA
ACWORTH
GA
ALPHARETTA
GA
MONTICELLO
GA
COMMERCE
GA
ADAIRSVILLE
GA
LITHONIA
GA
MARIETTA
GA
STONE MOUNTAIN
GA
SMYRNA
GA
TIFTON
GA
THOMASVILLE
GA
STONE MOUNTAIN
GA
NEWNAN
GA
FERNANDINA
FL
FITZGERALD
GA
24
6.955.00 10.136.78
2,827.00 86,081.35
3,095.70 250.00
65.459.57 12,249.00 20,062.76
1,082.50 1,316.50 7,695.00 6,275.55 13.613.60 55,311.16
29.40 14,438.61 89,625.43 148,607.00
9,179.66 62,592.64 102,183.25
6,086.42 33,406.93
7,648.56 9,759.47 16,833.64 14,967.69 12,766.72 17,021.15 4,927.29 25,461.15
801.15 4,989.46 13,516.07 2,626.50 9,261.18 10,253.44 8,703.31 1,656.04 4,709.67 79,755.00 60,204.07 45,545.00 5,494.40
569.87 5,044.22 39,372.13 32,245.65 34,172.50 22,747.36
50.00
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
JOHN SEXTON & CO JOHNNY JONES TIMBER CO JOHNNY PHILLIP HEATING JOHNSON CONTROLS, INC. JONES OPERATIONS & MAINTENANCE JOY CARPETS INC JOY TRUCK LINES K & C MACHINE DEVELOPMENT, INC K & F INDUSTRIES K.M.T. CONSTRUCTION K.R. WITWER INC. KAISER AGRICULTURAL CHEMICAL KAISER/ESTECH KASON INDUSTRIES, INC KAWNEER COMPANY KEBO TRANSPORTATION SVC. KELLER LADDERS OF GEORGIA KELLWooD COMPANY KEMIRA INC KENDALL COMPANY KENT MECHANICAL KENTUCKY-TENNESSEE CLAY CO. KERN'S BAKERIES KEY SERVICES, INC KIDDIES HAVEN DAY CARE CENTER KIME PLUS, INC. KING SPRINGS VILLAGE/GWINNETT KLIKLOK CORPORATION KNIGHT RIDER NEWSPAPER/MACON KNOLL PHARMACEUTICALS KRAFT FOOD SERVICE KRAFT GENERAL FOODS KRISPY KREME DOUGHNUTS CO. KROGEL FREIGHT SYSTEMS OF GA KROGER CO LADY MADISON INDUSTRIES LAGRANGE COLLEGE LAGRANGE SCHOOL SYSTEM LAMAR COUNTY BD OF EDUCATION LANCE, INC. LANCO PAINT & DRYWALL LAND 0 SUN DAIRIES LANDIS & GYR POWER, INC. LANIER ENGLETT ELECTRICAL CONT LANPORT, INC. LARIBEE WIRE COMPANY LARRY G. MCDONALD LOGGING LARSON & JUHL LAURENS CTY PUBLIC WORKS DEPT. LAW ENGINEERING CO LAWLER HOSIERY MILL LEER SOUTH EAST
FOREST PARK
GA
LOUISVILLE
GA
CHAMBLEE
GA
ATLANTA
GA
WARENR ROBINS
GA
FT OGLETHORPE
GA
DALTON
GA
BUFORD
GA
ROCKMART
GA
CEDAR SPRINGS
GA
DULUTH
GA
SAVANNAH
GA
ATHENS
GA
SHENANDOAH
GA
JONESBORO
GA
ATLANTA
GA
SWAINSBORO
GA
PERRY
GA
SAVANNAH
GA
ATHENS
GA
MACON
GA
SANDERSVILLE
GA
KNOXVILLE
TN
TUCKER
GA
CARROLLTON
GA
HINESVILLE
GA
LAWRENCEVILLE
GA
DECATUR
GA
MACON
GA
WHIPPONY
NJ
NORCROSS
GA
DECATUR
GA
MACON
GA
MACON
GA
LAGRANGE
GA
DALTON
GA
LAGRANGE
GA
LAGRANGE
GA
MILNER
GA
CHARLOTTE
NC
CLARKSTON
GA
WAYCROSS
GA
TUCKER
GA
MABLETON
GA
GARDEN CITY
GA
CHAMBLEE
GA
CUTHBERT
GA
ADAIRSVILLE
GA
DUBLIN
GA
ATLANTA
GA
CARROLLTON
GA
CONYERS
GA
25
14,267.85 64,825.00 68,432.81 13,868.26 49,317.08 89,484.33
2,045.76 29,852.40 74,642.38
6,982.85 10,209.88 11,581. 24
1,080.12 9,948.09 13,080.03 15,838.36 1,666.97 73,018.37 25,436.72 60,705.65 6,830.51 35,350.02 63,680.14 58,963.00 2,768.72 13,075.64 26,847.41 32,073.62 291,923.69 10,125.00 13,438.93
896.19 5,830.89 26,910.81 621,540.70 49,230.56 2,967.92 12,329.60 2,981.78 46,246.27 6,618.28 72,625.00 1,631.38
609.80 1,259.42 4,116.21 1,360.39 62,416.93 7,155.00 15,148.00 12,977.19 28,372 .49
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
LEGGETT & PLATT INC LEGION INDUSTRIES, INC. LELAND BOHANNON LOGGING, INC. LENBRooK SQUARE LEON JONES FEED & GRAIN LESHNER MILLS, INC LESLIE FAY SPORTSWEAR LEVI STRAUSS & COMPANY LEW ELECTRIC LIBERTY MUTUAL INSURANCE CO. LIFELIKE, INC. LIFELINE MFG. INC LILBURN HEALTH CARE LIONEL CORPORATION LOCKHEED LOGAN PAVING COMPANY LOMBARDI'S LONDON IRON & META LOOK PRODUCTS LOOKOUT MTN FAIRYLAND CLUB INC LORAL ENGINEERED FABRICS LOWE'S COMPANIES LOWELL PACKING COMPANY LUFKIN TRAILER LULABELLE'S GOURMENT COOKIES LUMBER TRANSPORT INC M & M SUPERMARKETS INC M C ANDERSON CONSTRUCTION CO M. GOLDSTEIN & SONS, INC. MACGREGOR GOLF COMPANY MACON HEALTH CARE CENTER MACON HILTON HOTEL MACON KRAFT MACON NORTHSIDE HOSPITAL MACON RECYCLING MACON TRADING POST INC MACON-BIBB CTY WATER & SEWAGE MACS-USA, INC. MACY'S MACY'S EAST FINANCIAL MAGIC TUFT, INC. MAIN STREET 66, INC. MAIN STREET HOMES, INC. MAIR ASTLEY CARPETS, INC. MAJESTIC SHOE SERVICE MAKITA CORPORATION OF AMERICA MANAGEMENT & TRAINING CORP. MANN MECHANICAL CO MANNINGTON CARPETS, INC. MANSFIELD OIL/KANGAROO MANVILLE/SHULLER CORP MARCAL PAPER MILLS, INC.
SOCIAL CIRCLE
GA
WAYNESBORO
GA
HAZELHURST
GA
ATLANTA
GA
CUMMING
GA
HAWKINSVILLE
GA
MORROW
GA
VALDOSTA
GA
COLUMBUS
GA
NORCROSS
GA
KENNESAW
GA
SWAINSBORO
GA
LILBURN
GA
DORAVILLE
GA
MARIETTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
MILLEN
GA
LOOKOUT MOUNTAIN
TN
ROCKMART
GA
ALBANY
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
COCHRAN
GA
SAVANNAH
GA
GARDEN CITY
GA
GRIFFIN
GA
ALBANY
GA
MACON
GA
MACON
GA
MACON
GA
MACON
GA
MACON
GA
MACON
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
DALTON
GA
BLAKELY
GA
KENNESAW
GA
CARTERSVILLE
GA
ATLANTA
GA
BURFORD
GA
ALBANY
GA
AVONDALE ESTATES
GA
CALHOUN
GA
GAINESVILLE
GA
WINDER
GA
AUGUSTA
GA
26
12,555.11 13,017.74 12,458.03
2,365.02 33,922.59 39,422.17 39,712.00
9,030.81 80,364.56 53,741.48 14,553.99 46,000.93 117,466.16
512.85 687,394.32
11,925.00 14,450.14 76,710.00 32,837.43 10,397.74 38,454.41
4,456.00 954.35
37,331.00 8,485.12 6,825.00
10,494.67 4,238.01
12,802.96 13,050.00 47,948.25 25,697.07 18,312.32
1,695.91 206.38
2,945.00 6,081.78 103,536.04 77,082.38 1,216.69 109,360.67 21,609.99
90.00 21,536.34
644.87 6,630.35 9,972.15 7,008.52 122,148.74 22,364.01 31,113.42 12,705.18
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
MARCUS, MOSKOWITZ & ASSOCIATES MARELL POULTRY COMPANY INC MARIETTA CITY SCHOOLS MARKET PRODUCE GROUP, INC MARTIN CONSTRUCTION COMPANY MARTIN HOME & FARM MARTIN SPROCKET & GEAR MASADA BAKERY MASTER PROMOTIONS MASTERS ECONOMY INN MATHEWS CONVEYOR/BOBCOCK IND. MATHIS DAIRY MAURICE SPORTING GOODS MAXELL CORPORATION OF AMERICA MAXEY BROTHERS, INC MAYO CHEMICAL CO., INC. MAZZIO'S CORPORATION MBB PAINTING CONTRACTORS MC'S PAINTING & DECORATING CO. MCC PANASONIC MCCLESKY MILLS MCCONNELL DRUM SERVICE, INC. MCDONALD GROUP/LAKE DIVISION MCDONALDS MCKENNEY'S MCLEROY PLUMBING SERVICE INC MCMASTER-CARR SUPPLY COMPANY MCRAE MANOR NURSING HOME MEAD CORPORATION MEADOWDALE LEARNING CENTER MECHAN I CALS , INC. MED CARE INC/ COOSA VALLEY MEINEKE DISCOUNT MUFFLERS/ MELVIN'S, INC. MERCER AUTO PARTS METRO READY MIX, INC. METTER NURSING HOME MGR HOMECARE , INC. MICHAEL'S STORES, INC. MIDDLE ATLANTIC WDI MILES MOTES ELECTRIC MILlMAC LIMITED MILLER BREWING CO MILLER ELECTRIC COMPANY MILLIKEN & COMPANY MILTON'S INSTITUTIONAL FOODS MISCELLANEOUS ERECTORS, INC. MISTLETOE PARTNERSHIP MITSUBISHI CONSUMER ELEC. MOBIL CHEMICAL COMPANY MOBILE TECHNOLOGY INC MODERN FIBERS
DECATUR
GA
MURRAYVILLE
GA
MARIETTA
GA
FOREST PARK
GA
SYLVESTER
GA
CARROLLTON
GA
SCOTTSDALE
GA
ATLANTA
GA
LITHIA SPRINGS
GA
BYRON
GA
DANVILLE
KY
COLUMBUS
GA
MORROW
GA
CONYERS
GA
BISHOP
GA
SMYRNA
GA
TULSA
OK
COLUMBIA
SC
HIRAM
GA
PEACHTREE CITY
GA
SMITHVILLE
GA
DONAVILLE
GA
GAINESVILLE
GA
CUMMING
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
MACRAE
GA
ATLANTA
GA
PERRY
GA
ATLANTA
GA
ROME
GA
MACON
GA
ATLANTA
GA
MCDONOUGH
GA
CANTON
GA
METTER
GA
GRIFFIN
GA
TUCKER
GA
AUSTELL
GA
ACWORTH
GA
SNELLVILLE
GA
ALBANY
GA
BRUNSWICK
GA
LAGRANGE
GA
OAKWOOD
GA
POWDER SPRINGS
GA
THOMASVILLE
GA
BRASELTON
GA
COVINGTON
GA
LOS ANGELES
CA
FITZGERALD
GA
27
688.59 5,441. 95 8,525.00 38,648.44 3,983.10 29,113.96 9,975.00 84,093.97 7,070.00 2,746.42 9,000.00 60,474.91 2,942.74 63,400.40 12,856.04 7,000.00 17,716.69 123,344.09 15,596.24 38,236.79 7,407.88 1,452.61 19,405.88
454.25 4,434.00 101,126.79 17,309.55 5,019.12 15,183.66 10,084.26 76,631. 27 10,116.96 40,004.46 1,491.60 9,936.67 23,640.94 55,015.90 61,764.27 50,773.78
412.51 6,462.01
355.00 106,130.75
24.00 75,845.00
2,035.76 3,563.18 75,128.32 7,650.00 11,285.42 130,013.69 23,476.94
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
MONROE AUTO EQUIPMENT MONROE COUNTY HOSPITAL MOODY'S MOBILE HOME SALES MOORE'S PAINT COMPANY MOORMAN MANUFACTURING COMPANY MORRIS-BRIDGE PROPANE GAS MORRISON PRODUCTS, INC. MR. SWEEPER STORES, INC. MSC INDUSTRIAL SUPPLY COMPANY MTC-TURNER JOB CORPS CENTER MUNCH KING INC MUNEKATA AMERICA MURPHY WELL DRILLING MURRAY LOGGING COMPANY, INC MUSCOGEE MANOR NURSING HOME N G GILBERT CORPORATION N.A. WEST BLOCK COMPANY NABISCO BRANDS, INC. NASH CHEVROLET NASHVILLE TEXTILE CORP NATIONAL DATA CORPORATION NATIONAL DISTRIBUTING COMPANY NATIONAL ENVELOPE CORPORATION NATIONAL GYPSUM COMPANY NATIONAL HEALTH LABORATORIES NATIONWISE AUTOMOTIVE, INC. NE-RO TIRE & BRAKE NEAL FOODS INC NEC INFORMATION SYSTEMS NEW HOPE BAPTIST CHURCH NEWMARK RUGS NICHOLS EXXON NICOLON CORPORATION NOLAND COMPANY NORD KAOLIN COMPANY NORTH AMERICAN VAN LINES, INC. NORTH GEORGIA FOODS, INC. NORTH GEORGIA HOME HEALTH NORTHERN TELECOM NORTHLAKE REGIONAL MEDICAL CNT NORTHSIDE BAPTIST CHURCH NORTHSIDE PACKING CO OF GA NORTHWEST AIRLINES, INC. NORTON WELDING SUPPLY NOVI AMERICAN, INC NURSECARE OF BUCKHEAD NY ZOOLOGICAL SOCIETY OB-GYN ASSOCIATES OF VIDALIA OCONEE CONUNTY BD OF EDUCATION OCONEE HEALTH CARE CENTER ODYSSEY SERVICES/WARREN SCOTT OFFICE FURNITURE CENTER INC
HARTWELL
GA
FORSYTH
GA
JESUP
GA
LAKE PARK
GA
CORDELE
GA
DOUGLAS
GA
CANTON
GA
ATLANTA
GA
MABLETON
GA
ALBANY
GA
FOREST PARK
GA
DALTON
GA
GAINESVILLE
GA
BRUNSWICK
GA
COLUMBUS
GA
MUNCIE
IN
EAST ELLIJAY
GA
MORROW
GA
LAWRENCEVILLE
GA
NASHVILLE
GA
ATLANTA
GA
BRUNSWICK
GA
AUSTELL
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
VALDOSTA
GA
MACON
GA
MCDONOUGH
GA
FAYETTEVILLE
GA
DALTON
GA
THOMSON
GA
CORNELIA
GA
MACON
GA
JEFFERSONVILLE
GA
MACON
GA
CORNELIA
GA
FORT OGLETHORPE
GA
STONE MOUNTAIN
GA
TUCKER
GA
FITZGERALD
GA
CUMMING
GA
ATLANA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
MIDWAY
GA
VIDALIA
GA
WATKINSVILLE
GA
OCONEE
GA
FT WORTH
TX
SAVANNAH
GA
28
7,102.91 12,782.23
6,648.53 98,542.74
4,142.99 103,333.74
22,566.17 2,783.38
12,194.80 9,414.74 7,568.54
38,777.98 96,550.00 21,562.48
4,872.11 14,000.00 14,096.81 19,720.67
6,825.00 9,923.23 17,768.06 14,655.44 27,318.20 5,520.00 15,727.98
622.23 43,990.95 50,473.23 34,149.26 107,923.21
1,185.86 11,681. 97 27,229.07 15,887.55
5,454.40 1,216.67 5,051.74 52,384.78 56,177.79 14,011.61 6,491.13 10,422.18 6,762.13
821.71 13,845.26
9,377.78 6,057.92 24,598.66 12,641. 06 1,164.58 193,548.36
98.00
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
OGLETHORPE UNIVERSITY OJAY MILLS, INC. OLAN MILLS OLIN WOOTEN TRANSPORT CO. INC. OLSON INDUSTRIES/ OLSONITE CORPORATION/ OLSTEN, INC. OMNI INSURANCE COMPANY OOCL USA, INC. OPTI - WORLD, INC. OUTBOARD MARINE CORPORATION OVERHEAD DOOR CORPORATION OWEN'S FARM SUPPLIES OWENS & PRIGDEN, INC. OXFORD INDUSTRIES INC OXFORD OF DUBLIN OXFORD SECURITY P & L TRANSPORTATION, INC. PACKAGING CORP OF AMERICA PALMYRA NURSING HOME, INC. PARAMONT GRADING, INC. PARK-N-FLY ATLANTA PARKING COMPANY OF AMERICA INC PARSONS BRINCKERHOFF/TUDOR PATRIA PACKAGING COMPANY, INC. PDS MECHANICAL PEACH COUNTY BD OF EDUCATION PEACH COUNTY HOSPITAL PEACH STATE MACHINERY PEACHTREE CENTER SECURITY PEACHTREE EXEC. CONFERENCE CTR PEACHTREE FABRICS. INC PEACHTREE PATIENT CENTER PEAVY SPREADER PENNINGTON ENTERPRISES PEPSI-COLA COMPANY PERRY COMMUNICATIONS, INC PET, INC., PET, INC., BAKERY DIVISION PETROLANE GAS SERVICE PETROLANE - AMERIGAS PHILLIP G. RUST, JR. PHILLIPS & BROOKS PHILLIPS, INC. PHILPOT CONTRACTING CO INC PHOTOCIRCUITS PICKARD TILE COMPANY PICKENS COUNTY BD OF EDUCATION PICKENS FOOTWEAR COMPANY PIER 1 IMPORTS PIERCE HAYNIE GEN. CONTRACTING PIGGLY WIGGLY SOUTHERN
ATLANTA
GA
CALHOUN
GA
CHATTANOOGA
TN
HAZLEHURST
GA
LAWRENCEVILLE
GA
NEWNAN
GA
DALTON
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
CALHOUN
GA
ATHENS
GA
REBECCA
GA
BRUNSWICK
GA
ALMA
GA
DUBLIN
GA
ATLANTA
GA
PORT WENTWORTH
GA
MACON
GA
ALBANY
GA
ALPHARETTA
GA
COLLEGE PARK
GA
CINCINNATI
OH
ATLANTA
GA
VALDOSTA
GA
JESSUP
GA
FORT VALLEY
GA
FORT VALLEY
GA
DORAVILLE
GA
ATLANTA
GA
PEACHTREE CITY
GA
ATLANTA
GA
ATLANTA
GA
PINEHURST
GA
MADISON
GA
ATLANTA
GA
ATLANTA
GA
LITHONIA
GA
ROME
GA
MADISON
GA
DORAVILLE
GA
THOAMSVILLE
GA
CUMMING
GA
SAVANNAH
GA
ATLANTA
GA
PEACHTREE CITY
GA
MACON
GA
JASPER
GA
JASPER
GA
GARDEN CITY
GA
HAPEVILLE
GA
VIDALIA
GA
29
25,603.96 903.07
25,899.00 14,048.00 74,843.62
6,033.21 5,720.13 6,867.31 25,970.80 15,049.70 57,415.18 10,292.40 12,666.92 42,015.88 81,667.83 8,765.52 2,623.69 8,000.00
389.04 35,972.93 141,702.04 36,543.71
493.97 10,425.85 20,894.33 25,971. 15 11,987.16 93,835.87
152.28 15,873.11 23,339.73 23,510.00 12,343.17 41,732.61 19,127.04 28,912.16 17,479.68 31,887.36
6,995.00 2,990.70 6,077.02 7,088.47
595.84 44.45
90,274.52 56,959.12 41,596.54 14,047.66
3,782.08 55,470.00 10,665.00 23,421. 07
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
PIKE TRANSFER CO., INC. PILKINGTON HOLDINGS INC. PINE CROSSING APARTMENTS PINE TREE INVESTMENTS PINEHILL NURSING CENTER PINNER TRANSPORTATION, INC. PIPING SERVICES, INC. PIZZA HlIT PLANT CONTRACTORS INC PLANT SYSTEMS, INC. PLASTlCAN, INC PLAYTEX APPAREL, INC. PLUNKETT HEATING AND AIR PLYMARTS , INC. POETIC LICENSE, INC. POLLUTION EQUI PMENT MGMT. CO. POPE PLUMBING POPHAM MECHANICAL CONTRACTORS POREX TECHNOLOGIES PORTEC INC PORTER MEYER, INC PRECISE MAINTENANCE, INC. PRECISION TUNE PREMIER DESIGNS PREMIUM BUILDERS. INC. PREMIUM PORK. INC. PRICNETON CARPETS PRINTED FABRICS. INC PRO GAS COMPANY. INC. PRODIGY CHILD DEVELOPMENT CNTR PRODUCTION ANODIZING CORP. PROFESSIONAL MEDICAL SERVICES PROFILE HOMES. INC. PROPERTY CONTROL. INC PUBLIC SAF-T OIL PUMPING SYSTEMS, INC. PUTZEL ELECTRICAL CONTRACTORS PYE-BARKER WELDING SUPPLY QUALITY FINISHERS R.L. HAWKINS CONSTRUCTION CO R. W. ALEXANDER CONTRACTORS INC RADIOLOGY ASSOCIATION OF N GA RADISSON INN RAFFIELD TIRE MASTERS. INC RALPH W SMITH CONSTRUCTION CO RAMADA INN RAMADA INN OF ALBANY RANICK, LTD RAY GALLOPS PLUMBING HEATING & RAY'S BUTHER SHOP, INC. RAYLOC/DIV OF GENUINE PARTS CO REAMES CONCRETE CO.
NEWNAN
GA
COLLEGE PARK
GA
COLLEGE PARK
GA
ALBANY
GA
BYROMVILLE
GA
DALTON
GA
BYRON
GA
WOODSTOCK
GA
AUGUSTA
GA
CLEVELAND
OH
MACON
GA
NEWNAN
GA
AUGUSTA
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
COLLEGE PARK
GA
SYLVESTER
GA
FAIRBURN
GA
WINDER
GA
CEDARTOWN
GA
DOUGLASVILLE
GA
MABELTON
GA
TUCKER
GA
FAYETTEVILLE
GA
MOULTRIE
GA
ADAIRSVILLE
GA
CARROLLTON
GA
WAYNESBORO
GA
ATLANTA
GA
ADEL
GA
ORLANDO
FL
ATLANTA
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
MACON
GA
CHAMBLEE
GA
CALHOUN
GA
ATHENS
GA
VALDOSTA
GA
CANTON
GA
ATLANTA
GA
MACON
GA
DECATUR
GA
JEKYLL ISLAND
GA
ALBANY
GA
ATHENS
GA
COLUMBUS
GA
SAVANNAH
GA
ATLANTA
GA
VALDOSTA
GA
30
10,249.84 33,643.00 47,265.26 10.400.00 56.336.90
2,110.23 146.20
19,707.64 7,929.38 184.55
63.177.83 391.14
1,463.74 149,221. 94
87.438.58 24.669.21
5,250.00 85,475.00
134.91 7.940.00 104,234.58 5.878.74 20.985.27 5,145.00 1.298.70 17,014.96 19.336.78 9,062.78 4,340.00 125,368.59 44.339.69 5,227.43 202,436.58
560.00 42,242.69 69.180.30 12.015.57
3,638.85 613.50 40.00
5.515.50 2.035.80
345.61 2,429.59 13.525.00 6,406.75 29,933.68
452.58 14,801.34 13,769.08 57,400.00 19,268.96
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
REBEL PANTRY, INC. RECK ITT & COLEMAN, INC. REDDINGS HEATING REDMOND PARK HOSPITAL REECE CONSTRUCTION, INC. REED DRUG CO. REEDER AND MCGAUGHEY, INC. REEVES & WAGNER CONSTRUCTION RELIABLE INVESTORS RELIABLE SUPPLY COMPANY RELIANCE ELECTRIC COMPANY REMEDIATION SERVICES, INC. RENTAL UNIFORM SERVICE RENTOKIL CONTRACT SVC., INC. REPUBLIC - CROWDER, RESOURCES TECHNOLOGIES RESTHAVEN I. C. HOME RHONE POULNEC, INC. RICH'S RICHFIELD HOTEL MANAGEMENT RIDDLE OFFICE SUPPLY RIGID BUILDING SUPPLIES RIVERSIDE MANUFACTURING RIVERSIDE MILITARY ACADEMY ROBBINS PACKING COMPANY ROBERDS OF ATLANTA, INC. ROBERT INGRAM ROBERT SHAW CONTROLS ROCK TENN COMPANY ROCKWELL INTERNATIONAL ROGER'S DELIVERY SERVICE ROGERS CASH & CARRY ROME COUNTY SCHOOLS ROME MANUFACTURING COMPANY ROME TOOL & DIE COMPANY RON'S PRODUCE COMPANY, INC RONLYN CORPORATION ROOKS GARAGE DOORS ROSCOE LAIRCEY COMPANY INC ROSEDALE GROUP/NORTH GEORGIA ROSES DEPARTMENT STORE # 235 ROUNTREE TRUCKING COMPANY ROYAL CREATIONS INC ROYAL CROWN COLA ROYAL CUP, INC. RUSSELL & YOUNG BUILDERS RYAN HOMES INC S & S GRILL D/B/A S P RICHARDS COMPANY SABO VENTURES SAFT AMERICA INC SAIA MOTOR
BLUE RIDGE
GA
ATLANTA
GA
DORAVILLE
GA
ROME
GA
DALTON
GA
ATLANTA
GA
EAST POINT
GA
LAGRANGE
GA
THOMASVILLE
GA
ATLANTA
GA
ATHENS
GA
FITZGERALD
GA
GRIFFIN
GA
DULUTH
GA
ELBERTON
GA
CAIRO,
GA
BUCHANAN
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
ROME
GA
VALDOSTA
GA
MOULTRIE
GA
GAINESVILLE
GA
STATESBORO
GA
NORCROSS
GA
ACWORTH
GA
ELLIJAY
GA
NORCROSS
GA
DULUTH
GA
SMYRNA
GA
THOMASTON
GA
ROME
GA
ROME
GA
ROME
GA
JONESBORO
GA
AUGUSTA
GA
NEWMAN
GA
STATESBORO
GA
DALTON
GA
ALBANY
GA
SWAINSBORO
GA
VILLA RICA
GA
COLUMBUS
GA
BIRMINGHAM
AL
MARIETTA
GA
JEFFERSON
GA
ELBERTON
GA
ATLANTA
GA
DUNWOODY
GA
VALDOSTA
GA
ELLENWOOD
GA
31
7,669.09 65,092.84 11,119.78 18,609.39 90,119.39
4,073.65 3,113.42 3,515.24 11,107.51 11,498.14 17,579.72 16,086.63 84,432.62 115,014.82
187.43 695.46 6,445.94 13,130.00 51,837.79 42,028.88 5,064.55 8,959.86 14,521.10 799.10 12,572.59 81,991.36 181,371.16 51,920.54 3,928.39 1,169.96 433.53 9,450.00 86,590.78 90,118.58 11,604.62 154,354.83 41,020.29 12,709.60 51,870.30 9,453.85 14,946.87 8,955.53 169,388.58 17,893.34 50,983.50 22,220.53 2,821. 70 14,397.12 14,710.78 71,009.92 59,379.77 50,900.00
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
SAKS FI FTH AVENUE SALEM CARPET MILLS SAVANNAH COCA-COLA BOTTLING CO SAVANNAH COCOA, INC. SAVANNAH COUNTRY DAY SCHOOL SAVANNAH DOUGHNUI' COMPANY SAVANNAH FLOOR COVERING CO. SAVANNAH NEWS PRESS SAVANNAH SUGAR REFINERY SAVANNAH VALLEY EGG SCAPA, INC. SCOVILL, INC. SEA ISLAND COMPANY SEABOARD FARMS HATCHERY SEABOARD FARMS OF ATHENS SEARS, ROEBUCK & COMPANY SECURITY FORCES INC SELIG ENTERPRISES, INC. SELLERS BROS. CONSTRUCTION CO. SENIOR CITIZENS SAVANNAH, SENIOR CITIZENS SERVICES SERVPRO OF EAST COBB/ SEVANANDA NATURAL FOODS, INC SEWELL MANUFACTURING COMPANY SHAW INVESTMENTS INC SHC ASSOCIATES SHOE CITY, INC. SHOEMAKER IRRIGATION COMPANY SIEMENS ENERGY & AUTOMATION SIGMAN & SIGMAN GUTTERS, INC SIGNAL DELIVERY SERVICE, INC SIKES CONSTRpCTION CO. SILVER ENTERPRISES INC. SIMCO INTERIORS SIMKINS INDUSTRIES, INC. SIMS & SONS CONSTRUCTION INC SIMS FUNERAL HOME, INC. SINGLETON FURNITURE CO SIPCO, INC. SITE ENGINEERING SMALLEY TRANSPORTATION SMI SPALDING REGIONAL HOSPITAL SMITH INDUSTRIES SMITH KLINE BIOSCIENCE LAB SMITHKLINE BEECHUM SMOKER - CRAFT SMYRNA HOSPITAL SNAPPER SOLOMON WHITE SOLOMONS COMPANY SONOCO PRODUCTS CO. SONY MUSIC
ATLANTA
GA
RINGGOLD
GA
POOLER
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
HARTWELL
GA
WAYCROSS
GA
CLARKESVILLE
GA
SEA ISLAND
GA
ATHENS
GA
ATHENS
GA
ATLANTA
GA
CHARLOTTE
NC
ATLANTA
GA
MACON
GA
SAVANNAH
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
BREMEN
GA
ROCKY FACE
GA
BUFORD
GA
MONTGOMERY
AL
ATHENS
GA
TUCKER
GA
POWDER SPRINGS
GA
ATLANTA
GA
GLENVILLE
GA
CARTERSVILLE
GA
CLEVELAND
GA
MARIETTA
GA
SMYRNA
GA
DOUGLAS
GA
WAYCROSS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
GRIFFIN
GA
CUMMING
GA
TUCKER
GA
TUCKER
GA
LAGRANGE
GA
SMYRNA
GA
MCDONOUGH
GA
DALTON
GA
SAVANNAH
GA
TEMPLE
GA
CARROLLTON
GA
32
8,921. 94 86,017.98 15,258.58 24,293.81 37,816.20
7,756.84 35,638.41
9,286.67 110,794.22
13,353.98 43,635.30 58,183.25
938.60 25,993.88
5,712.41 152,945.53
48,069.06 13,686.51 108.419.90 23,669.94 30,594.98 11.025.00
987.51 41,653.45 11. 354 . 58 10,367.32
6,150.00 11,502.86 12,356.20 16,185.99 51.921.72
1,830.37 16,491. 51
9,800.00 40,752.90
666.56 751.95 9,487.33 15,565.40 59,050.00 95,445.67 82,421. 27 18,097.66 13,802.55 55,546.27 21,324.24 118,618.35 16,676.70 6,106.65 22,978.72 9,000.00 210.589.88
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
SOSSNER TAP & TOOL SOUTH FREIGHT SERVICE, INC.' SOUTH GEORGIA PECAN COMPANY SOUTHEASTERN MEAT CO INC SOUTHEASTERN UTI LITES SOUTHERN AGGREGATES CO. SOUTHERN AMBULANCE BUILDERS SOUTHERN BRAKE, INC SOUTHERN CELLULOSE, INC. SOUTHERN COPY MACHINE SOUTHERN ELECTRONIC DIST. SOUTHERN EMPIRE EGG FARM, INC SOUTHERN ICE CREAM SOUTHERN PROGRESS SOUTHERN SAW SERVICE INC SOUTHERN STATES, INC SOUTHERN TIMBER PRODUCTS SOUTHLAND ASSOCIATES, INC. SOUTHLAND BUILDERS SOUTHSIDE SEAFOOD SOVRAN MANAGEMENT, INC. SPALDING FORD-LINCOLN-MERCURY SPALDING REGIONAL HOSPITAL SPARTAN EXPRESS, INC. SPC COMPANY SPECIALTY FIXTURES, INC SPECTRUM CONTRACTING CO. SPICED RIGHT BBQ SPORTSTOWN # 29 SPRINGS INDUSTRIES, INC. SQUARE D COMPANY ST. JOSEPH HOSPITAL STALNAKER PLASTICS, INC STANDARD CONTAINER CO. STANDARD PRODUCTS COMPANY STAR BUILDING SYSTEMS STAR MANUFACTURING COMPANY STATE FARM INSURANCE STEP-CON CONSTRUCTION INC STEPHENS COUNTY SCHOOLS STERCHI BROTHERS STORES INC STERLING ENGINEERED PRODUCTS/ STEVE DILLARD D/B/A STEVENS GRAPHICS, INC. STEWART FOODS, INC. STONE'S PAINT CONTRACTING STONECREST, INC. STONEY'S FAMILY RESTAURANT STOREHOUSE; INC. STORK GAMCO STRAIN POULTRY STRAN I3,.UILDING
BRUSNWICK
GA
CONLEY
GA
VALDOSTA
GA
ATLANTA
GA
STATHAM
GA
MACON
GA
LAGRANGE
GA
RIVERDALE
GA
ATLANTA
GA
NORCROSS
GA
TUCKER
GA
SHADY DALE
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
HAMPTON
GA
FITZGERALD
GA
THOMASVILLE
GA
MACON
GA
LAKE CITY
GA
WILLIAMSVILLE
NY
GRIFFIN
GA
GRIFFIN
GA
ATLANTA
GA
LAGRANGE
GA
LAWRENCEVILLE
GA
SMYRNA
GA
LILBURN
GA
ALPHARETTA
GA
CALHOUN
GA
ATLANTA
GA
AUGUSTA
GA
WARNER ROBINS
GA
HOMERVILLE
GA
ATHENS
GA
CEDARTOWN
GA
CEDARTOWN
GA
MACON
GA
VILLA RICA
GA
TOCCOA
GA
ATLANTA
GA
FITZGERALD
GA
MORROW
GA
ATLANTA
GA
LAWRENCEVILLE
GA
GRAY
GA
BUFORD
GA
CLARKSVILLE
GA
CHAMBLEE
GA
GAINESVILLE
GA
GAINSVILLE
GA
LAGRANGE
GA
33
17,719.68 21,098.31 78,316.11 12,564.18
4,413.24 16,531. 97 14,713.37
973.64 25,174.40 89,998.14
49.28 5,291.88
952.47 9,800.00 20,386.79 4,779.54 81,293.04 24,806.66 10,162.44 9,188.92 20,080.00 2,424.45 132,639.97 9,422.25 41,562.05 10,177.54 6,130.08 13,583.39 4,859.63 1,240.19 17,186.09 12,218.13 23,538.37 4,656.43 7,750.00 63,784.66 108,204.31 3,512.27 2,183.21 8,327.18 2,541.95 36,792.85 16,135.91 1,104.56 3,047.66 9,196.36 21,347.95 38,259.36 18,610.85 16,256.76 7,830.00 87,025.00
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
STROTHERS BODY SHOP SUITT CONSTRUCTION COMPANY SUMMIT/BEERS CONSTRUCTION CO. SUN DATA, INC. SUNDANCE PLUMBING, INC. SUNGLASS HUT CORPORATION SUNNYLAND FARMS INC SUNNYLAND FOODS, INC. SUNRISE CARPET SUNSHINE BISQUITS, INC SUPERIOR ELECTRIC SUPERIOR PANTS CO. SUPERIOR SYSTEMS, INC. SUPREME CARPET, INC. SUPREME CORPORATION SURFACING SOLUTIONS, INC. SURPERIOR INSURANCE COMPANY SWEETHEART CUP CO., INC. SWIFT INDEPENDENT PACKING CO SWIFT TRANSPORTATION COMPANY SWINFORD CARPETS SYNOVUS FINA."<CIAL CORP. SYNTEC SYSTEM SERVICES AND INDUSTRIAL T & R CUSTOM, INC. T.M. POLYFILM, INC. TALON, INC. TAN SYSTEMS, INC TANDEM COMPUTERS TARA CORP/EVANS, INC TARA MATERIALS, INC. TARGET CONTAINER COMPANY TAYLOR'S DRAPERIES TDK ELECTRONICS CORP. TDK MAGNETIC TAPE CORPORATION TECH CON, INC. TEETS INTERNATIONAL TRUCKS INC TEMPO REAL ESTATE TEMPORARY ALTERNATIVES TENNECO AUTOMOTIVE BRAKE TENNECO OIL CO TERMlNEX-BRANCH 2452 THE ARROW COMPANY/BIDERMANN US THE ATHLETE'S FOOT GROUP INC THE BOOK WAREHOUSE THE CITY CONTRACT BUS SVC INC. THE DAVEY TREE EXPERT CO. THE DEVEREUX CENTER THE FAIRBANKS COMPANY THE JENDYK CO. THE LOXCREAU COMPANY, INC THE MARLEY COMPANY
THOMSON
GA
ALBANY
GA
SCOTTDALE
GA
NORCROSS
GA
MARIETTA
GA
MIAMI
FL
ALBANY
GA
THOMASVILLE
GA
CHATSWORTH
GA
COLUMBUS
GA
JULIETTE
GA
ATHENS
GA
MARIETTA
GA
CHATSWORTH
GA
GRIFFIN
GA
DALLAS
GA
ATLANTA
GA
CONYERS
GA
MOULTRIE
GA
PHOENIX
AZ
ATHENS
GA
COLUMBUS
GA
ROME
GA
SAVANNAH
GA
ELLAVILLE
GA
VALDOSTA
GA
CLEVELAND
GA
LOCUST GROVE
GA
ATLANTA
GA
ATLANTA
GA
LAWRENCEVILLE
GA
ALBANY
GA
THOMASVILLE
GA
PEACHTREE CITY
GA
PEACHTREE CITY
GA
BLUE RIDGE
GA
AUGUSTA
GA
ATLANTA
GA
COLUMBUS
GA
CEDARTOWN
GA
MOULTRIE
GA
LAGRANGE
GA
BUCHANAN
GA
COLUMBUS
GA
KNOXVILLE
TN
ATLANTA
GA
KENT
OH
KENNESAW
GA
ROME
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
34
50.00 7,267.72 2,010.63 11,322.40 93,799.26 10,345.15 43,503.18 78,973.44 6,034.52 16,286.50 5,670.00 7,320.76 1,255.86 49,967.95 123,444.91 33,322.39 9,633.68 51,012.38 16,027.96 42,928.60 23,102.80 9,577.11 35,456.28 53,904.48 9,452.41 15,175.96 10,745.96 24,392.06 1,521.95 61,636.13 11,193.14 1,409.79 63,778.21 67,534.51 13,205.03 10,292.06 3,070.59 14,176.20 9,193.59
263.15 12,598.80 14,933.20 16,188.75 13,881.88 25,784.46
8,854.79 15,929.58 60,776.00 78,615.28
30.18 10,245.00
193.99
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
THE MOTOR CONVOY, INC. THE O'NEILL BROTHERS THE PRESERVATION COMPANY THE RAYMOND KING CO., INC. THE TAPPAN COMPANY THE TIMBERMEN INC THE TRANSERVICE CORPORATION THE WILLIAM L BONNELL CO., INC THOMAS & BETTS THOMAS R. HOPSON THOMPSON CONSTRUCTION CO. THOMPSON HARDWOODS THOMPSON INTERNATIONAL THOMPSON OAK FLOORING CO. THOMPSON'S FARM SUPPLY THORNWOOD BUILDERS INC THREE RIVERS HOME HEALTH CARE TIMBER RIDGE CONFERENCE CENTER INK PRECISION (USA) CORP. TNT MOTORS, INC. TOCCOA TIRE & RECAPPING CO. TOGA/ADV. FORM TOM MCNEAL CONSTRUCTION TOM'S FOOD, INC. TONYS UNION 76/WEST GA MUFFLER TOP PACKAGING, INC TORRINGTON TOWN OF TRION POLICE DEPARTMNT TOWNS COUNTY BD OF EDUCATION TRAILWAY SOUTHEASTERN LINES TRANS WORLD AIRLINES, INC. TRANSCO RAILWAY PRODUCTS, INC TRANSPOWER TREDEGAR FILM PRODUCTS TRENT TUBE DIVISION TRI STATE CULVERT CORP TRI-COUNTY TRUCKING TRlLOCK INDUSTRIES TRINOVA CORPORPATION/ TRINTEX CORPORATION TROY L. BISHOP, DDS TROY M. ROGERS PLUMBING CO INC TRUCK & TRAILER PARTS, INC. TRUCK TRANSPORT EQUIPMENT CO. TUGALO DIVISION OF TULIP GARDEN PERSONAL CARE TURNER BROADCASTING SYS., INC. TURNER FOOD SYSTEMS, INC. TURNING POINT CARE CENTER TURNING POINT HOSPITAL TUSCARORA, INC. TWIGGS COUNTY BD OF EDUCATION
ATLANTA
GA
VILLA RICA
GA
ATLANTA
GA
CALHOUN
GA
DALTON
GA
THOMSON
GA
BOURBONNAIS
IL
NEWNAN
GA
VIDALIA
GA
MARIETTA
GA
CHAMBLEE
GA
HAZLEHURST
GA
ADEL
GA
THOMPSON
GA
VIDALIA
GA
LILBURN
GA
EASTMAN
GA
MABLETON
GA
CARROLLTON
GA
MACON
GA
TOCCOA
GA
JACKSON
GA
ST. SIMONS
GA
COLUMBUS
GA
CARROLTON
GA
LITHONIA
GA
SYLVANIA
GA
TRION
GA
HIAWASSEE
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
ALBANY
GA
LAGRANGE
GA
CARROLLTON
GA
LAWRENCEVILLE
GA
LILBURN
GA
MARIETTA
GA
ATLANTA
GA
BOWDON,
GA
ALBANY
GA
LOGANVILLE
GA
CONLEY
GA
ATLANTA
GA
TOCCOA
GA
DECATUR
GA
ATLANTA
GA
ROME
GA
MOULTRIE
GA
MOULTRIE
GA
CONYERS
GA
JEFFERSON
GA
35
24.640.42 55,404.80
24.00 119,008.21
13,514.90 766.59
7,594.52 37,728.30
9,474.87 884.99
15,818.76 65,775.00 60,107.81 17,494.41 53,740.91
9,829.38 78,489.08 55,373.54 22,473.71
644.77 63,349.00
685.10 1.592.81 6,971.02 4,021.50 12,302.78 304,444.88 28,916.66 2.357.30 9,905.74 3,825.00 25,129.57
957.84 51, 597.97
9,996.05 73,218.11 50,588.57
6,127.36 13,582.80 41, 079.42
1,598.83 80,756.00
3,535.63 4,872.00
672.88 19,421. 28 15,457.76
7,114.01 4,796.74 2,012.59 7,787.38 3,287.20
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
TWIN CITY MANUFACTURING CO U.S. CAN CO UHAUL CO. ULTRA VEND, INC. UNDERGROUND UTILITIES CONTRACT UNDERWOOD ADMINISTRATIVE SVCS UNICOI SPRINGS UNION STATION APARTMENTS UNIROYAL/GOODRICH TIRE CO UNITED CITIES PROPANEN UNITED PARCEL SERVICE UNITED PLASTIC FILMS UNIVERSAL CERAMICS, INC. UNIVERSAL FURNITURE UPTON'S US AIR, INC. UTILITIES CONST. CO OF SC UVALDA MANUFACTURING COMPANY V.F. CORPORATION/LEE CO. VALLEY VEND FOOD SERVICE IN VAUGHAN CONSTRUCTION VENDOR'S SUPPLY OF GEORGIA VIACON, INC VICTORY SIGN INDUSTRIES, LTD VILLAGE MEATS/BIRCHWOOD MEATS VINCE HOSIERY MILL VINING FUNERAL HOME VIRGINIA WELL CO., INC VISITING NURSES ASSOCIATION W & J INC W. C. MCCURLEY GULF SERVICE W. DUKES BUILDERS W.B. RODDENBERRY CO., INC. W.C. KEESEE AND COMPANY W.D. ROACH, INC. W.T. MAYFIELD & SONS TRUCKING WADE & SONS INC WAL-MART STORES, INC. WALDROP CONSTRUCTION CO. WALKER COUNTY BD OF EDUCATION WALTON MONROE MILLS, INC. WARD MACHINERY SERVICES WARE COUNTY B.O.E. WASTE MANAGEMENT OF AUGUSTA/ WASTE MANAGEMENT OF SAVANNAH WATER GAS & LIGHT CO OF ALBANY WATER, GAS & LIGHT COMMISSION WATKINS ENGINEER & CONSTRUCTOR WAYCROSS COCA-COLA WAYCROSS HOMES WAYNE BLACKWOOD FORD-LINCOLNWAYNE COUNTY SCHOOLS
TWIN CITY
GA
TALLOPooSA
GA
COLUMBUS
GA
COLLEGE PARK
GA
KINGSLAND
GA
ATLANTA
GA
HELEN
GA
UNION CITY
GA
HOGANSVILLE
GA
COLQUITT
GA
ATLANTA
GA
CARTERSVILLE
GA
ADAIRSVILLE
GA
CARROLLTON
GA
SUWANEE
GA
GARDEN CITY
GA
CHARLESTON
SC
UVALDA
GA
JASPER
GA
ROME
GA
LAWRENCEVILLE
GA
LITHONIA
GA
NORCROSS
GA
RINGGOLD
GA
NORCROSS
GA
VILLA RICA
GA
EATON
GA
THOMASTON
GA
TIFTON
GA
SMYRNA
GA
CHAMBLEE
GA
MARIETTA
GA
CAIRO
GA
MCDONOUGH
GA
BALL GROUND
GA
MABLETON
GA
MACON
GA
GAINESVILLE
GA
TIFTON
GA
LAFAYETTE
GA
MONROE
GA
CORDELE
GA
WAYCROSS
GA
AUGUSTA
GA
SAVANNAH
GA
ALBANY
GA
ALBANY
GA
OGLETHORPE
GA
WAYCROSS
GA
WAYCROSS
GA
ROME
GA
JESSUP
GA
36
5,798.42 31,758.92
8,050.00 5,206.26 146,828.44
142.50 7,387.77 5,020.62 2,156.90 1,077.35 120,395.30 2,000.00 10,642.41 4,261.12 23,097.90
506.32 20,736.56 14,029.58 10,199.00
3,998.30 42,790.45
9,112.50 31,674.98
6,196.34 8,015.92 17,461.14 4,006.09
43.65 29,013.76
2,054.40 5,098.42 51,580.19 9,053.20 87,095.44 43,936.60
40.00 8,390.36 32,558.93 40,824.45 15,246.51 7,982.51 9,975.00 9,087.58 13,576.57 50,750.00 17,325.00 5,600.12 65,418.95 15,673.72 34,000.00
602.91 14,416.54
INDIVIDUAL EMPLOYERS BENEFITING FROM REIMBURSEMENTS PAID TO INSURANCE COMPANIES BY THE SUBSEQUENT INJURY TRUST FUND
01/01/96 THROUGH 12/31/96
WAYNE E LEACH SAND & GRAVEL IN WAYNE POULTRY WEEKS TEXTILE WELDON MASONRY INC WELLCO CARPET CORPORATION WELLS ALUMINUM CORP. WELLS FARGO WENCO INDUSTRIES WENDY'S WESLEYAN COLLEGE WEST GEORGIA AUTO PARTS INC WEST GEORGIA BANDAG WEST PACES MEDICAL CENTER WESTERN SIZZLIN' WESTVALE MANUFACTURING CO WHEELER COUNTY BD OF EDUCATION WHITE & WRIGHT GRADING INC WHITE CONSOLIDATED INDUSTRIES WHITE COUNTY BD OF EDUCATION WIGGINS ENTERPRISE WILDES VENDING COMPANY, INC WILLIAM CARTER CO WILLIAM LLOYD SMITH WILLIAMS & ASSOCIATES WILLIAMS ELECTRIC, INC. WILLIAMSON OIL COMPANY, INC. WILSEY FOODS, INC. WINDER POLICE DEPT WINGATE TAYLOR MAID/ WINNER'S CORPORATION WOMACK HEAVY EQUIPMENT SERVICE WOODCRAFT MOULDINGS, INC. WOOLRICH, INC. WORLD FINANCE COMPANY WRIGHT PLASTICS COMPANY YKK (U.S.A.I, INC. YORK BEE CO ZEIGLER PAINT CONTRACTORS, INC
COLLEGE PARK
GA
PENDERGRASS
GA
QUITMAN
GA
BARNESVILLE
GA
CALHOUN
GA
MOULTRIE
GA
ATLANTA
GA
EAST POINT
GA
TOCCOA
GA
MACON
GA
CARROLLTON
GA
DALLAS
GA
ATLANTA
GA
VALDOSTA
GA
CANTON
GA
ALAMO
GA
ALPHARETTA
GA
NORCROSS
GA
CLEVELAND
GA
BAXLEY
GA
VALDOSTA
GA
BARNESVILLE
GA
CLAYTON
GA
ATLANTA
GA
FT. WALTON BEACH
FL
FT. PAYNE
AL
ATLANTA
GA
WINDER
GA
ALBANY
GA
NORCROSS
GA
CANTON
GA
ADAIRSVILLE
GA
AILEY
GA
MARTINEZ
GA
ATLANTA
GA
MACON
GA
JESUP
GA
DUBLIN
GA
14,433.40 9,273.77
12,900.92 89,105.33 56,674.00 48,845.29 18,593.44
6,369.82 116.04
14,072.20 2,530.00 524.54
23,950.00 13,160.38 14,095.73 45,756.15 24,543.76 34,608.82 61,246.82 15,577.38 13,689.21 25,393.66 2,071.16 5,842.30 5,130.00 81,800.27 5,172.48
41. 50 8,925.00 65,224.82 8,550.00 2,450.35 27,460.68 60,622.57 120,286.32 19,317.54 12,425.00 55,569.19
37
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
INSURERS
January 1, 1996
THROUGH
December 31, 1996
ACTAVA RISK RETENTION GROUP
9
AETNA CAS & SUR OF AMERICA
1
AETNA CASUALTY & SURETY CO
27
ALLIANZ INSURANCE CO
2
ALLSTATE INSURANCE COMPANY
3
AMERICAN AUTOMOBILE INS CO
1
AMERICAN CAS CO OF READING PA
9
AMERICAN FIRE & CASUALTY CO
1
AMERICAN HOME ASSURANCE CO
6
AMERICAN INSURANCE COMPANY
23
AMERICAN INTER INS CO OF GA
5
AMERICAN INTERN. SOUTH INS CO
1
AMERICAN LIBERTY INSURANCE CO
1
AMERICAN MANUFACTURERS MUT INS
15
AMERICAN MOTORISTS INS COMPANY
18
AMERICAN PROTECTION INS CO
2
AMERICAN STATES INSURANCE CO
2
AMERISURE INSURANCE COMPANY
5
ARGONAUT INSURANCE COMPANY
1
ARGONAUT-MIDWEST INS CO
2
ASSOCIATED INDEMNITY CORPORATN
2
ATLANTIC INS CO OF SAVANNAH
1
ATLANTIC MUTUAL INSURANCE CO
9
AUTO OWNERS INSURANCE COMPANY
20
BANKERS STANDARD FIRE & MARINE
9
BANKERS STANDARD INSURANCE CO
25
BIRMINGHAM FIRE INS CO OF PA
1
BUSINESS INSURANCE COMPANY
8
CALIFORNIA COMPENSATION INS CO
19
CAPITAL CITY INSURANCE COMPANY
7
CASUALTY RECIPROCAL EXCHANGE
9
CENTENNIAL INSURANCE CO
1
CENTRAL MUTUAL INSURANCE CO
2
CHRYSLER INSURANCE COMPANY
2
CHUBB INDEMNITY INS. CO.
3
CHURCH MUTUAL INS CO
2
CIGNA INSURANCE COMPANY
119
CIGNA PROPERTY & CASUALTY
15
CINCINNATI INDEMNITY COMPANY
1
CINCINNATI INSURANCE COMPANY
60
CLARENDON NATIONAL INS. CO.
5
COLUMBIA NATIONAL INSURANCE CO
4
COMMERCIAL MUTUAL INSURANCE CO
16
COMMERCIAL UNION INSURANCE CO
44
38
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
INSURERS
January I, 1996
THROUGH
December 31, 1996
COMPANION PROPERTY & CASUALTY
39
CONNECTICUT INDEMNITY CO
6
CONTINENTAL CASUALTY COMPANY
141
CONTINENTAL INSURANCE COMPANY
CORNERSTONE MUTUAL INS CO
23
CREDIT GENERAL INSURANCE CO
5
ELECTRIC INS~~CE CO.
3
ELECTRIC MUTUAL LIAB. INS. LTD
2
EMPLOYERS INSURANCE OF WAUSAU
16
FARMINGTON CASUALTY COMPANY
1
FEDERAL INSURANCE COMPANY
30
FEDERATED MUL11AL INSURANCE CO
15
FIDELITY & CASUALTY CO OF NY
3
FIDELITY & DEPOSIT CO OF MD
7
FIRE & CASUALTY INS CO OF CT
1
FIREMAN'S FUND INS CO OF GA
48
FIREMAN'S FUND INS OF GA
1
FIREMAN'S FUND INSURAJ1CE CO
74
FIREMEN'S INS CO OF NEWARK NJ
1
FIRST NATL INS CO OF AMERICA
1
FRONTIER INSURANCE COMPANY
1
GA INSURERS INSOLVENCY POOL
1
GA TIMBER HARVERSTERS' MUTUAL
12
GENERAL ACCIDENT INS OF AMERIC
51
GENERAL INSURANCE CO OF AMERIC
2
GEORGIA CASUALTY & SURETY CO
32
GEORGIA INSURANCE COMPANY
17
GERBER LIFE INSURANCE COMPANY
92
GRANITE STATE INSURANCE CO
8
GREAT AMERICAN INSURANCE CO
16
GREATER NEW YORK MUTUAL INS CO
1
GUARANTEE MUTUAL LIFE COMPANY
43
GULF INSURANCE COMPANY
26
HANOVER INSURANCE COMPANY
18
HARLEYSVILLE MUTUAL INS CO
1
HARTFORD ACCIDENT & INDEMNITY
152
HARTFORD CASUALTY INSURANCE CO
7
HIGHLANDS INSURANCE COMPANY
6
HOME BUILDERS ASSOC GA MDT INS
11
HOME INDEMNITY COMPANY
3
HOME INSURANCE COMPANY
36
HOUSTON GENERAL INSURANCE CO
17
INDEMNITY INS OF NORTH AMERICA
3
INDIANA LUMBERMENS MUTUAL INS
2
39
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
INSURERS
January I, 1996
THROUGH
December 31, 1996
INDUSTRIAL INDEMNITY COMPANY INSURANCE CO OF NORTH AMERICA INSURANCE CO OF STATE OF PA INTERNATIONAL INDEMNITY CO JOHN DEERE INSURANCE COMPANY KANSAS CITY FIRE & MARINE INS LEGION INSURANCE COMPANY LIBERTY LIFE ASSURANCE CO LIBERTY MUTUAL FIRE INS LIBERTY MUTUAL INSURANCE CO LMI INSURANCE COMPANY LUMBER MUTUAL INSURANCE CO LUMBERMEN'S UNDERWRITING ALLIA LUMBERMENS MUTUAL CASUALTY CO MANAGEDCARE MUT CAPTIVE INS MARYLAND CASUALTY COMPANY MICHIGAN MUTUAL INSURANCE CO NATIONAL AMERICAN INSURANCE CO NATIONAL FIRE INS CO HARTFORD NATIONAL SURETY CORPORATION NATIONAL TRUST INSURANCE CO NATIONAL UNION FIRE OF PITT PA NATIONWIDE MUTUAL FIRE INS CO NATIONWIDE MUTUAL INSURANCE CO NATIONWIDE PROPERTY & CAS INS NEW ENGLAND INSURANCE COMPANY NORTH AMERICAN SPECIALTY INS NORTH RIVER INSURANCE COMPANY NORTHBROOK INDEMNITY COMPANY NORTHBROOK NATIONAL INSURANCE NORTHBROOK PROP & CAS INS CO NORTHWESTERN NATIONAL INS CO OHIO CASUALTY INSURANCE CO OLD REPUBLIC INSURANCE COMPANY OLD REPUBLIC UNION INS CO PACIFIC EMPLOYERS INSURANCE CO PACIFIC INDEMNITY COMPANY PACIFIC RIM ASSURANCE COMPANY PENNSYLVANIA LUMBERMENS MUTUAL PREFERRED RISK MUTUAL INS CO PREFERRED SURETY CORPORATION PROVIDENCE WASHINGTON INS CO RELIANCE INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY CO
2 36 175 13
3 1 15 1 1 154 1 7 11 42 38 3 1 28
12 8
78 1
13 4 1 1 1 2 1 6 1 5
33 2
53 7 1 1 8
10 1
43 15
40
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
INSURERS
January 1. 1996
THROUGH
December 31, 1996
RELIANCE NATIONAL INSURANCE CO
38
RENAISSANCE MUTUAL CAPTIVE INS
23
REPUBLIC WESTERN INS CO
1
RISCORP NATIONAL INSURANCE CO.
1
ROYAL INSURANCE CO OF AMERICA
9
SAFECO INSURANCE CO AMERICA
64
SECURITY INS CO OF HARTFORD
8
SELECTIVE INS CO OF AMERICA
2
SELECTIVE INS CO OF SOlITHEAST
14
SENTRY INSURANCE A MUTUAL CO
9
SOlITHERN FIRE & CASUALTY CO
1
SOlITHERN PILOT INSURANCE CO.
2
SOlITHERN TRUST INSURANCE CO
1
ST PAUL FIRE & CASUALTY INS CO
1
ST PAUL FIRE & MARINE INS CO
41
ST PAUL GUARDIAN INSURANCE CO
1
STAR INSURANCE COMPANY
2
STATE AlITO PROPERTY & CASUALTY
3
STATE AlITOMOBILE MUTUAL INS
2
STATE FARM FIRE & CASUALTY CO
4
STATE FARM GENERAL INS COMPANY
1
SUMITOMO MARINE & FIRE INS CO
37
TIG INSURANCE COMPANY
8
TIG PREMIER INSURANCE COMPANY
4
TOKIO MARINE & FIRE INS CO
21
TRANSCONTINENTAL INSURANCE CO
3
TRANSPORT INSURANCE COMPANY
1
TRANSPORTATION INSURANCE CO
68
TRAVELERS INDEMNITY CO OF IL
5
TRAVELERS INDEMNITY COMPANY
13
TRAVELERS INSURANCE
4
TRAVELERS INSURANCE COMPANY
283
TWIN CITY FIRE INSURANCE CO
1
U. S. FIDELITY & GUARANTY INS
6
UNISUN INSURANCE COMPANY
1
UNIVERSAL UNDERWRITERS INS CO
18
lITICA MUTUAL INSURANCE COMPANY
19
VALIANT INSURANCE COMPANY
2
VALLEY FORGE INSURANCE COMPANY
28
VIGILANT INSURANCE COMPANY
4
VIRGINIA SURETY COMPANY INC
4
WAUSAU UNDERWRITERS INS CO
8
WESTFIELD INSURANCE COMPANY
12
ZURICH AMERICAN INS CO OF IL
66
41
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
INSURERS
January 1, 1996
THROUGH
December 31, 1996
ZURICH INSURANCE COMPANY
18
ZURICH/AMERICAN GUARANTEE
3
42
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January 1, 1996
THROUGH
December 31, 1996
ABF FREIGHT SYSTEM, INC
6
AGL RESOURCES, INC.
13
ALADDIN MILLS INC
17
ALBANY, CITY OF
5
ALL AMERICA TERMITE & PEST
1
ALLIED SYSTEMS LTD
ALPHARETIA, CITY OF
1
ALUMAX, INC.
3
AMERICAN APPAREL CONT. ASSOC
10
AMERICAN NATIONAL RED CROSS
3
AMERICAN PROTEINS, INC
1
AMERICAN SUBCONTRACTORS
2
AMOCO CORPORATION
1
ANHEUSER-BUSCH COMPANY, INC.
4
ARCHBOLD MEDICAL CENTER
5
ARMSTRONG WORLD INDUSTRIES INC
1
ASPLUNDH TREE EXPERT CO
4
ASSOCIATION CTY COM GA SI
40
ATHENS REGIONAL MEDICAL CENTER
1
ATHENS-CLARKE COUNTY
4
ATLANTA BOARD OF EDUCATION
2
ATLANTA CITY OF
19
ATLANTA HOUSING AUTHORITY
1
ATLANTIC STEEL INDUSTRIES INC
1
AUGUSTA, CITY COUNCIL OF
12
AVONDALE MILLS INC
10
BANKHEAD ENTERPRISES, INC
1
BAPTIST VILLAGE INC
1
BARTOW COUNTY BD OF EDUCATION
2
BAYLlNER MARINE CORPORATION
13
BEAULIEU OF AMERICA
9
BELLSOUTH CORPORATION
2
BERRY COLLEGE
2
BET USA, INC
1
BIBB COUNTY
1
BLOSSMAN COMPANIES, INC
1
BLUE BIRD BODY COMPANY
17
BLUE CIRCLE AMERICA
5
BOBS CANDIES, INC.
1
BORDEN INC
2
BROWNING-FERRIS IND OF GA INC
1
BRUNO'S INC & SUBSIDIARIES
33
BRUNSWICK, CITY OF
5
BUILDERS TRANSPORT INC
4
43
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January I, 1996
THROUGH
December 31, 1996
BURLEN CORPORATION
2
C T HARRIS INC
1
CAGLE FOODS, JV, LLC
1
CAGLE'S INC, & SUBSIDIARIES
3
CALIBER SYSTEM, INC.
6
CANDLER HEALTH SERVICE INC
23
CARADON, INC.
9
CAREMORE INC
CARGILL INCORPORATED
CAROLINA FREIGHT CARRIERS CORP
2
CARPET TRANSPORT, INC
4
CARROLL CO. BOARD OF EDUCATION
5
CENTRAL GEORGIA HEALTH SYSTEMS
1
CERTAINTEED CORPORATION
1
CHAMPION INTERNATIONAL CORP
7
CHATHAM COUNTY BD OF EDUCATION
56
CHATHAM COUNTY GEORGIA
4
CHECKERS DRIVE-IN RESTAURANTS
2
CHEROKEE CO BD OF COMMISSIONER
1
CHEROKEE CO BD OF EDUCATION
1
CLAYTON COUNTY BD OF EDUCATION
9
CLAYTON COUNTY COMMISSIONERS
3
eMI INDUSTRIES INC.
1
COASTAL TRANSPORT INC
1
COBB COUNTY BD/COMMISSIONERS
5
COBB COUNTY SCHOOL SYSTEM
10
COCA-COLA COMPANY
5
COCA-COLA ENTERPRISES INC
13
COLLINS & AIKMAN PRODUCTS CO.
1
COLONIAL OIL INDUSTRIES
3
COLQUITT CO BD OF EDUCATION
12
COLQUITT REGIONAL MEDICAL CENT
2
COLUMBIA CO BOARD OF EDUCATION
2
COLUMBIA/HCA HEALTHCARE CORP.
5
COMPTRUST AGC OF GEORGIA
64
CONAGRA INC
4
CONCRETE COMPANY
3
CONDITIONED AIR ASSOCIATION GA
6
CONSTRUCTION SUPPLIERS' ASSOC
14
CONTINENTAL GENERAL TIRE INC
3
CONTINENTAL GRAIN COMPANY
4
COOPER INDUSTRIES, INC
1
COOPER TIRE AND RUBBER
1
COSCO, INC
1
44
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January 1, 1996
THROUGH
December 31, 1996
COVINGTON, CITY OF
1
COWETA CO BOARD OF EDUCATION
1
COX ENTERPRISES INC
17
CRAWFORD & COMPANY
7
CRIDER'S POULTRY INC
24
CROWN CORK & SEAL COMPANY INC
1
DALTON CITY OF
7
DALTON FLOOR COVERING MARKET
13
DAYTON HUDSON CORPORATION
7
DEAN FOODS COMPANY
3
DEKALB COUNTY
14
DEKALB GENERAL HOSPITAL
1
DELTA AIRLINES, INC.
102
DIAMOND RUG & CARPET
7
DOUGHERTY COUNTY COMMISSION
2
DOUGHERTY COUNTY SCHOOL SYSTEM
17
DOUGLAS CO BD OF COMMISSIONERS
1
DOUGLAS COUNTY SCHOOLS
3
DOUGLAS, CITY OF
2
DURKAN PATTERNED CARPET
4
E I DUPONT DE NEMOURS & CO
1
EAST POINT, CITY OF
1
EATON CORPORATION
1
EGLESTON CHILDREN'S HLTH CARE
5
ELBERTA CRATE & BOX COMPANY
2
EMORY UNIVERSITY
1
EMRO MARKETING
2
ENGELHARD CORPORATION
2
FEDERAL EXPRESS
17
FEDERATED DEPARTMENT STORES
5
FIELDALE FARMS CORPORATION
8
FIELDCREST CANNON INC
3
FIRST UNION CORPORATION
1
FLEETWOOD HOMES OF GA INC
4
FLOWERS INDUSTRIES INC
12
FLOYD CO. BD. OF COMMISSIONERS
3
FLOYD COUNTY BD OF EDUCATION
3
FLOYD S PIKE ELECTRICAL CONT
28
FOOD LION INC
1
FOOD SERVICE TALLAHASSEE INC
2
FORD MOTOR COMPANY
11
FOREST PARK, CITY OF
1
FORSYTH CO. BD. OF EDUCATION
1
FREUDENBERG-NOK
1
45
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January 1, 1996
THROUGH
December 31, 1996
FRIGIDAIRE CO MICROWAVE PRODS.
1
FULTON COUNTY BD OF EDUCATION
3
FULTON COUNTY, GEORGIA
36
GA ASSOC OF CONVENIENCE STORE
2
GA ASSOC PETROLEUM RETAILERS
3
GA AUTO DEALERS ASSOCIATION SI
80
GA BAPTIST MEDICAL CENTER
14
GA CONCRETE & PRODUCTS ASSOC
6
GA EDUCATION & GOVERNMENT
12
GA FOOD INDUSTRY ASSOCIATION
7
GA HIGHWAY CONTRACTORS SITF
17
GA HOSPITAL ASSOC WCSI FUND
35
GA INTAL HEALTH/SOUTH FULTON
3
GA MEDCORP, INC.
7
GA MFG WORKERS' COMP. FUND
20
GA MOVERS ASSOCIATION
6
GA MUNICIPAL ASSN WCSIF
70
GA NURSING HOME SELECTIVE
3
GA OILMEN'S WORKERS COMP FUND
32
GA OPERATORS SELF-INSURERS
6
GA SCHOOL BD ASSOC W C FUND
18
GA WHOLESALE & RETAIL WC FUND
33
GAC CROP & LIVESTOCK SELF
15
GAC MANUFACTURING/PROCESSING
6
GAC WHOLESALE/RETAIL SELF
1
GAINESVILLE CITY OF
1
GALAXY CARPET MILLS INC
1
GEIGER INTERNATIONAL
6
GEMC WORKERS' COMP FUND
42
GENERAL MOTORS CORPORATION
1
GENUINE PARTS COMPANY
6
GEORGIA CRATE & BASKET CO
1
GEORGIA DUCK & CORDAGE MILL
1
GEORGIA MOTOR TRUCKING ASSOC
2
GEORGIA POWER CO
11
GEORGIA RETAIL MERCHANTS'
5
GEORGIA STATE OF
242
GEORGIA UNITED BUSINESSES
10
GEORGIA-PACIFIC CORPORATION
6
GFF HOLDING CO/GENERAL FIBERS
1
GLYNN COUNTY BOARD OF COMMSNRS
9
GLYNN COUNTY SCHOOLS
10
GOLD KIST INC
3
GOURMET CONCEPTS INTERNATIONAL
1
46
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January I, 1996
THROUGH
December 31, 1996
GRAND METROPOLITAN. INC
6
GREAT ATLANTIC & PACIFIC TEA
8
GREAT DANE TRAILER
6
GTMA/AYSA SELF INSURANCE
3
GUILFORD MILLS INC
2
GWINNETT CO BD OF EDUCATION
36
GWINNETT COUNTY BD OF COMMISS
43
GWINNETT HOSPITAL SYSTEM
1
HALL COUNTY BOARD OF EDUCATION
5
HARDEE'S FOOD SYSTEMS INC
19
HARRISON POULTRY, INC
4
HENRY CO BOARD OF EDUCATION
2
HOME BUILDERS ASSOC GA SI FUND
140
HOME DEPOT INC/HOME DEPOT USA
9
HORMEL FOODS CORPORATION
1
HORTON HOMES, INC
2
HOSPITAL AUTHORITY HOUSTON CTY
3
HOSPITAL AUTHORITY OF FLOYD CO
1
HOSPITALITY SELF-INSURER'S
7
HOUSE OF RONNIE, INC
4
HOUSTON COUNTY BD OF EDUCATION
4
HYATT CORPORATION
1
INBRAND
4
INGLES MARKETS INC
6
INTERFACE, INC
3
INTERSTATE PAPER CORPORATION
1
J & J INDUSTRIES INC
6
J H HARVEY COMPANY
11
J. C. PENNEY COMPANY, INC.
8
JAMES RIVER CORPORATION
2
JEAN HOSIERY MILL, INC
1
JEFFERSON SMURFIT CORP. U. S.
2
JOHN WIELAND HOMES, INC
1
JONES COMPANY
3
K-MART CORP & SUBSIDIARIES
9
KEEBLER COMPANY
27
KELLEY MANUFACTURING COMPANY
2
KING & PRINCE SEAFOOD CORP.
4
LADY MADISON, DIV MADISON INC
1
LAGRANGE, CITY OF
2
LAWRENCEVILLE, CITY OF
10
LEVI STRAUSS & CO
11
LEWIS JONES FOOD MARKETS
3
LIBERTY NATIONAL LIFE INS CO
2
47
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January I, 1996
THROUGH
December 31, 1996
LOVABLE COMPANY
14
LOWE'S HOME CENTERS, INC
6
LOWNDES CO BOARD OF EDUCATION
2
MACON CITY OF
9
MACON/BIBB CO WATER & SEWERAGE
3
MANAGEMENT ANALYSIS & UTILIZAT
2
MANVILLE/SCHULLER INTERNATIONA
2
MAPLEHURST DELI-BAKE STH
3
MAR-JAC PROCESSING
1
MARGLEN INDUSTRIES INC
1
MARIETTA CITY SERVICES
8
MARMON CORP & SUBS
1
MARTA
14
MASTEC, INC SUBSIDIARIES
6
MCDONALD'S OF GEORGIA INC
10
MCLANE COMPANY, INC.
1
MEAD CORPORATION
5
MEMORIAL MEDICAL CENTER, INC.
40
MERCK & CO INC
1
METRO ATLANTA LANDSCAPE/TURF
2
METROMEDIA INTERNATIONAL GRP
18
MILTON J. WOOD COMPANY
6
MOHAWK CARPET CORPORATION
22
MONROE AUTO EQUIPMENT CO
3
MOUNT VERNON MILLS
24
MULLITE CO OF AMERICA
1
MURRAY COUNTY BD OF EDUCATION
1
MUSCOGEE COUNTY SCHOOL DIST
1
NABISCO, INC
6
NATIONAL SERVICES INDUSTRIES
17
NATIONSBANK CORPORATION
23
NATL. ENVELOPE CORP., SOUTH
1
NEWTON COUNTY
3
NEWTON COUNTY BD OF EDUCATION
1
NORDSON CORPORATION
1
NORMAN W FRIES/CLAXTON POULTRY
15
NORTHEAST GEORGIA HEALTH SVCS
3
NORTHSIDE HOSPITAL
3
NORTHWEST GA HEALTH SYS
3
OAKWOOD HOMES CORP/DESTINY IND
5
OLIN WOOTEN TRANSPORT
3
OPELIKA INDUSTRIES, INC
1
ORBIT INDUSTRIES INC
3
OWENS-CORNING FIBERGLASS
8
48
SUBSEQUENT INJURY TRUST fUND
CLAIMS REPORTED BY
SELF-INSURERS
January I, 1996
THROUGH
December 31, 1996
OWENS-ILLINOIS INC
1
PATTERSON PUMP COMPANY
2
PCC AIRFOILS INC
3
PEPSICO, INC
6
PIEDMONT HOSPITAL
1
PIEDMONT LABORATORIES, INC
2
PIGGLY WIGGLY SOUTHERN
33
PRECIPTECH, INC.
1
PREMARK INTERNATIONAL
1
PRINTING INDUSTRY ASSOC OF GA
1
QUEEN CARPET CORPORATION
7
RACETRAC PETROLEUM, INC
7
RANDSTAD STAFFING SERVICES
17
RHODES NURSING HOME
1
RICHMOND COUNTY BD OF COMMISS
3
RICHMOND CTY BD OF EDUCATION
3
RMC INDUSTRIES
1
ROBERDS, INC
1
ROCOR INTERNATIONAL
1
ROGER WOOD FOODS, INC
1
ROLLINS INC
4
ROOFING & SHEET METAL ASSOC
3
ROOKER ADMINISTRATIVE SERVICES
4
ROSWELL CITY OF
1
RUBY TUESDAY, INC.
2
RYAN'S FAMILY STEAK HOUSES
8
RYDER SYSTEMS INC
6
SAINT JOSEPH'S HEALTH SYSTEM
5
SAINT JOSEPH'S HOSPITAL INC
22
SAINT MARY'S HEALTH CARE
3
SARA LEE CORPORATION
1
SATILLA HEALTH SERVICES INC
1
SAVANNAH CITY OF
2
SAVANNAH ELECTRIC & POWER CO
3
SCIENTIFIC ATLANTA INC
6
SCOTTISH RITE CHILDREN'S
8
SEABOARD CORPORATION
9
SHAW I111DUSTRIES INC
45
SHEPHERD SPINAL CENTER
3
SHERWIN-WILLIAMS COMPANY
5
SHONEY'S
5
SIZEMORE SECURITY INTERNATIONL
6
SOUTHEAST GA REG MED CENTER
2
SOUTHEASTERN FREIGHT LINES
2
49
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January I, 1996
THROUGH
December 31, 1996
SOUTHEASTERN LUMBER MFR ASSOC
4
SOUTHEASTERN MILLS, INC
2
SOUTHERN MACHINE & TOOL CO
1
SOUTHERN MILLS INC
3
SPALDING CO BOARD OF COMM
1
SPRINGS INDUSTRIES INC
11
ST FRANCIS HOSPITAL
2
ST MARYS, CITY OF
1
STAFFMARK, INC.
1
STANLEY WORKS & SUBSIDIARIES
1
STONE CONTAINER CORPORATION
4
SUPER DISCOUNT MARKETS
1
SUWANNEE SWIFTY STORES INC
1
SYNTHETIC INDUSTRIES, INC
7
THERMAL CERAMICS
4
THOMASTON MILLS INC
6
TIFT GENERAL HOSPITAL
3
TIP TOP POULTRY INC
TRAVELERS INSURANCE COMPANY
1
TRC STAFFING SERVICES, INC
6
TROUP CO. BOARD OF EDUCATION
2
TYCO INTERNATIONAL LTD.
4
UNION CAMP CORPORATION
9
UNITED HEALTH SERVICES INC
11
UNIVERSITY HEALTH SERVICES
4
VALDOSTA CITY OF
12
VISITING NURSE HEALTH SYSTEM
9
VULCAN MATERIALS COMPANY
3
W T MAYFIELD SONS TRUCKING
1
W. C. FUND FOR HEALTH CARE
11
WACHOVIA BANK OF GEORGIA
1
WAFFLE HOUSE
71
WALKER/DADE/CATOOSA HOSP AUTH
3
WAREHOUSE HOME FURNISHINGS
11
WARNER ROBINS CITY OF
2
WARREN FEATHERBONE COMPANY
1
WARREN SEWELL CLOTHING
4
WATKINS ASSOCIATED INDUSTRIES
6
WAYCROSS, CITY OF
1
WELLINGTON LEISURE PRODUCTS
2
WESLEY WOODS, INC
3
WEST GEORGIA MEDICAL CENTER
1
WESTINGHOUSE ELECTRIC CORP
1
WESTPOINT STEVENS, INC.
2
50
SUBSEQUENT INJURY TRUST FUND
CLAIMS REPORTED BY
SELF-INSURERS
January 1, 1996
THROUGH
December 31, 1996
WESTVACO CORPORATION & SUBS
1
WEYERHAEUSER COMPANY
1
WHITFIELD COUNTY BD OF COMMISS
3
WHITFIELD COUNTY PUBLIC SCHOOL
1
WINN-DIXIE STORES INC
65
WORLD CARPETS INC
4
YELLOW FREIGHT SYSTEM INC
3
ZARTIC INC
5
51
SUBSEQUENT INJURY TRUST FUND FOR YEAR ENDED DECEMBER, 1996
Revenues
Assessment - 1996 and 1995 Corrected Interest Earned Income from Death Cases
with No Dependents Miscellaneous Income
Total Revenues
$70,380,529.65 1,575,832.97
90,500.00 112.91
$72,046,975.53
Expenditures
Operating Cost Prior Year Adjustment Reimbursements
Total Expenditures
Net Income Balance in Fund January 1, 1996 Balance in Fund December 31,1996
$ 1,571,280.62 120.00
64,618,356.86 $66,189,757.48
$ 5,857,218.05 30,583,142.37
$36 440 360 42
Claims Activity 1996
Open Claims Claims Received Previously Closed Claims Reopened Claims Closed
Open Claims
January 1, 1996 1996 1996 1996
December 31,1996
Claims Accepted Claims Denied Notices in Pending Status
1996 1996 January 1, 1996 thru December 31, 1996
10,379 6,179 480 6,206
10,832
1,015 90
2,555
52
SECTION 34-9-358 OF THE OFFICIAL CODE OF GEORGIA
Payment of assessments to fund by insurers and self-insurers.
(a)
Each insurer and self-insurer under this Title shall, under regulations prescribed by
the Board of Trustees, make payments to the fund in an amount equal to that proportion of
175% of the total disbursement made from the fund during the preceding calendar year less
the amount of the net assets in the fund as of December 31 of the preceding calendar year
which the total workers' compensation claims paid by the insurer or self-insurer bears to the
total workers' compensation claims paid by all insurers and self-insurers during the preceding
calendar year. The Administrator is authorized to reduce or suspend assessments for the
fund when a completed actuarial survey shows further assessments are not needed. An
employer who has ceased to be a self-insurer prior to the end of the calendar year shall be
liable to the fund for the assessment of the calendar year. The initial assessment of each
insurer or self-insurer for the purpose of generating revenue to begin operation of the fund
shall be in the amount of one-half of 1 percent of the workers' compensation premiums
collected by the insurer for the preceding calendar years from and employer who is subject
to this Chapter or the equivalent of such in the case of a self-insurer.
53
ASSESSMENT CALCULATIONS
CORRECTED ASSESSMENT FOR CALENDAR YEAR 1995 The Georgia Subsequent Injury Trust Fund Assessment for calendar year 1995 was $74,855,495.41. This is computed in the following manner:
Total Fund disbursements/calendar year 1995 ($60,250,650.16) x 175% minus
= Net Assets ($30,583,142.37) Fund Assessment ($74,855,495.41).
Based on corrected insurers'/self-insurers' assessment reports, the total actual workers' compensation benefits (indemnity and medical) paid in Georgia during calendar year 1995 amounts to $776,555,907.53. This amount ($776,555,907.53) divided into the Fund assessment ($74,855.495.41) yields an assessment rate of .09639421. As a result of this nfNI 1995 assessment rate, an additional amount is due on your 1995 assessment This amount is added to the 1996 assessment
CALENDAR YEAR 1996 The Georgia Subsequent Injury Trust Fund Assessment for calendar year 1996 amounts to $79,391,715.17. This is computed in the following manner.
Total Fund disbursements/calendar year 1996 ($66,189,757.48) x 175% minus
Net Assets ($36,440,360.42) = Fund Assessment ($79,391,715.17).
Based on insurers'/self-insurers' assessment reports, ,the total actual workers' compensation benefits Ondemnityand medical) paid in Georgia dUring calendar year 1996 amounts to $859,015,211.91. This amount ($859,015,211.91) divided into the Fund assessment ($79,391,715.17) yields an assessment rate of 0.09242178. In addition to the assessment ($79,391,715.17) an additional $91,885.69 in penalties for late filing of Assessment Report Forms will be levied.
54
INSURANCE COMPANIES
COMPANY
ACTAVA RISK RETENTION GROUP AETNA CAS & SUR CO OF IL AETNA CAS & SUR OF AMERICA AETNA CASUALTY & SURETY CO AGRICULTURAL INSURANCE CO AIU INSURANCE COMPANY ALFA INSURANCE CORPORATION ALL AMERICA INSURANCE COMPANY ALLIANZ INSURANCE CO ALLSTATE INDEMNITY COMPANY ALLSTATE INSURANCE COMPANY AMERICAN & FOREIGN INS COMPANY AMERICAN ALLIANCE INS CO AMERICAN AUTOMOBILE INS CO AMERICAN CAS CO OF READING PA AMERICAN CENTENNIAL INS CO AMERICAN CENTRAL INS CO AMERICAN ECONOMY INSURANCE CO AMERICAN EMPLOYERS INS CO AMERICAN FIRE & CASUALTY CO AMERICAN GUAR & LIAS INS CO AMERICAN HARDWARE MUT INS CO AMER I CAN HOME ASSURANCE CO AMERICAN INSURANCE COMPANY AMERICAN INTER INS CO OF GA AMERICAN LIBERTY INSURANCE CO AMERICAN MANUFACTURERS MUT INS AMERICAN MOTORISTS INS COMPANY AMERICAN NATIONAL FIRE INS AMERICAN PROTECTION INS CO AMERICAN RESOURCES INS COMPANY AMERICAN STATES INSURANCE CO AMERICAN ZURICH INSURANCE CO AMERISURE INSURANCE COMPANY APAG MUTUAL CAPATIVE ARGONAUT GREAT CENTRAL INS CO ARGONAUT INSURANCE COMPANY ARGONAUT-MIDWEST INS CO
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
92267.51 31193.60
1960.04 1479072 .28
4935.73 949.46
26063.75 0.01
12192.91 3791. 68
84719.97 17892.46
675.87 17298.83 145251. 05 48416.90 131212.37
2101.19 28754.77 16361. 79 243257.90 48013.16
0.00 118769.10 286947.04
8506.88 216605.41 693695.69
50376.10 6575.97
37349.32 112941. 67
12483.49 329.89 0.00
19296.53 1657.60 0.00
CORRECTED 1995 ASSESSMENT
98405.73 33268.80
2090.43 1577469.58
5264.09 1012.62 27797.68
0.00 13004.06
4043.93 90356.08 19082.78
720.84 18449.66 154914 . 07 51637.90 139941.45
2240.97 30667.72 17450.28 25944 0.97 51207.30
0.00 126670.38 306036.58
9072.82 231015.38 739844.74
53727.43 7013.45
39834.04 120455.27
13313.97 351. 84 0.00
20580.26 1767.87 0.00
1996 CLAIMS PAID
236204.70 344964.00
45245.00 15921375.00
40133.00 99016.00 251788.00 34377.00 21993.00 62456.00 455844.00 294721. 70 4834.00 777807.00 1920540.00 497596.00 2454900.00 114474.31 370670.00 2251037.00 1810881.00 216022.00 231533.00 1003617.00 5565472.73 122995.00 3908977.79 6702484.11 1087147.00 675039.59 470317.00 1283242.11 111229.00 17189.00 89473 .45 301619.00 12937.08
559.35
1996 ASSESSMENT
21830.46 31882.19
4181. 62 1471481.82
3709.16 9151.23 23270.70 3177.18 2032.63 5772.29 42129.91 27238.70 446.77 71886.31 177499.73 45988.71 226886.23 10579.92 34257.98 208044.85 167364.85 19965.14 21398.69 92756.07 514370.90 11367.42 361274.69 619455.51 100476.06 62388.36 43467.53 118599.52 10279.98 1588.64 8269.30 27876.16 1195.67
51.70
1995 BALANCE DUE
6138.22 2075.20
130.39 98397.30
328.36 63.16
1733.93 -0.01
811. 15 252.25 5636.11 1190.32
44.97 1150.83 9663.02 3221.00 8729.08
139.78 1912.95 1088.49 16183.07 3194.14
0.00 7901.28 19089.54
565.94 14409.97 46149.05
3351. 33 437.48
2484.72 7513.60
830.48 21. 95 0.00
1283.73 110.27 0.00
1995 AND 1996 TOTAL ASSESSM..>NT
27968.68 33957.39
4312.01 1569879.12
4037.52 9214.39 25004.63 3177.17 2843.78 6024.54 47766.02 28429.02 491.74 73037.14 187162.75 49209.71 235615.31 10719.70 36170.93 209133.34 183547.92 23159.28 21398.69 100657.35 533460.44 11933.36 375684.66 665604.56 103827.39 62825.84 45952.25 126113.12 11110.46 1610.59 8269.30 29159.89 1305.94
51. 70
55
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORREcrED ASSESSMENT 1996 ASSESSMENT
INSURANCE COMPANIES
COMPANY
ASSOCIATED INDEMNITY CORPOAATN ASSURANCE COMPANY OF AMERICA ATLANTIC INS CO OF SAVANNAH ATLANTIC INSURANCE COMPANY ATLANTIC MUTIJAL INSURANCE CO AUTO OWNERS INSURANCE COMPANY AlITOMOBILE INS OF HARTFORD cr BANKERS STANDARD INSURANCE CO BIRMINGHAM FIRE INS CO OF PA BI11JMINOUS CASUALTY CORP BI11JMINOUS FIRE AND MARINE INS BOSTON OLD COLONY INSURANCE CO BROTHERHOOD MUTIJAL INS CO BUSINESS INSURANCE COMPANY CALIFORNIA COMPENSATION INS CO CAMDEN FIRE INSURANCE ASSOC CAPITAL CITY INSURANCE COMPANY CAREAMERlCA COMP LIAS INS CO CASUALTY RECIPROCAL EXCHANGE CENTENNIAL INSURANCE CO CENTRAL MUTIJAL INSURANCE CO CENTURY INDEMNITY COMPANY CHARTER OAK FIRE INSURANCE CO CHRYSLER INSURANCE COMPANY CHURCH MUTIJAL INS CO CIGNA FIRE UNDERWRITERS CIGNA INSURANCE COMPANY CIGNA PROPERTY " CASUALTY CINCINNATI CASUALTY COMPANY CINCINNATI INDEMNITY COMPANY CINCINNATI INSURANCE COMPANY CLARENOON NATIONAL INS. CO. COLONIAL PENN INSURANCE CO COLUMBIA NATIONAL INSURANCE CO COMMERCE &. INDUSTRY INS CO COMMERCIAL INS OF NEWARK NJ COMMERCIAL MUTIJAL INSURANCE CO COMMERCIAL UNION INSURANCE CO
1995 ASSESSMENT
80461.01 235478.50
27665.76 5826.53
125935.72 578731. 29
2658.91 26.39
6036.22 157249.75
21291.72 868.48
2310.15 0.00
8320.07 7969.75 80060.62 8114.81 76963.43 76341.04 36882.60 1129476.67 6240.75 17722.27 90654.25 6661. 66
0.01 13115.25 355384.69 113762.15 326877.02
0.00 15488.40 96570.60 10448.37
2395.02 72821.07 441006.84
CORREcrED 1995 ASSESSMENT
85813.79 251144.03
29506.27 6214.15
134313.76 617232.18
2835.80 28.15
6437.78 167711.01
22708.18 926.25
2463.84 0.00
8873.57 8499.95 85386.76 8654.66 82083.53 81419.73 39336.26 1204616.66 6655.92 18901.27 96685.15 7104.83
0.00 13987.76 379027.14 121330.33 348622.96
0.00 16518.79 102995.09 11143.46
2554.35 77665.59 470345.43
1996 CLAIMS PAID
716328.00 672009.26 1089041. 00
72757.00 1852646.00 5887800.00
31115.00 1418618.00
126866.00 990578.63
84812.45 806.00
26516.00 880424.00 2217418.00
74992.00 1963926.00
84380.00 522714.00 641092.00 345836.49 1182020.00 215980.00 286151.00 863066.00
50032.00 13882818.00
450345.00 2719562.63 1225970.00 3861151.94
200789.00 275.00
776907.23 90930.00 17408.00
2048488.00 2346024.00
1996 ASSESSMENT
66204.31 62108.29 100651.11
6724.33 171224.84 544160.96
2875.70 131111.20
11725.18 91551.04
7838.52 74.49
2450.66 81370.35 204937.72
6930.89 181509.54
7798.55 48310.16 59250.86 31962.82 109244.39 19961. 26 26446.58 79766.10
4624.05 1283074.75
41621.69 251346.82 113306.33 356854.54
18557.28 25.42
71803.15 8403.91 1608.88
189324.91 216823.71
1995 BALANCE DUE.
5352.78 15665.53
1840.51 387.62
8378.04 38500.89
176.89 1. 76
401.56 10461. 26
1416.46 57.77
153.69 0.00
553.50 530.20 5326.14 539.85 5120.10 5078.69 2453.66 75139.99 415.17 1179.00 6030.90 443.17
-0.01 872.51 23642.45 7568.18 21745.94
0.00 1030.39 6424.49
695.09 159.33 4844.52 29338.59
1995 AND 1996 TOTAL ASSESSMENT
71557.09 77773.82 102491. 62
7111.95 179602.88 582661. 85
3052.59 131112.96
12126.74 102012.30
9254.98 132.26
2604.35 81370.35 205491.22
7461.09 186835.68
8338.40 53430.26 64329.55 34416.48 184384.38 20376.43 27625.58 85797.00
5067.22 1283074.74
42494.20 274989.27 120874.51 378600.48
18557.28 1055.81
78227.64 9099.00 1768.21
194169.43 246162.30
56
INSURANCE COMPANIES
COMPANY
COMPANION PROPERTY " CASUALTY CONNECTICUT INDEMNITY CO CONTINENTAL CASUALTY COMPANY CONTINENTAL INSURANCE COMPANY CORNERSTONE MUrUAL INS CO COTION STATES MUrUAL INS CO CREDIT GENERAL INSURANCE CO CUMIS INSURANCE SOCIETY INC ELECTRIC INSURANCE CO. ELECTRIC MUrUAL LIAS. INS. LTD EMPLOYERS FIRE INSURANCE CO EMPLOYERS INSURANCE Of WAUSAU EMPLOYERS MUrUAL CAS INS CO EVEREST NATIONAL INSURANCE E:XCELSIOR INSURANCE COMPANY FARMINGTON CASUALTY COMPANY FEDERAL INSURANCE COMPANY FEDERATED MUrUAL INSURANCE CO FEDERATED RURAL ELECTRIC INS FIDELITY " CASUALTY CO OF NY FIDELITY " DEPOSIT CO OF MD FIDELITY " GUAR UNDERWRITERS FIDELITY " GUARANTY INS CO fIRE " CASUALTY INS CO OF CT FIREMAN'S FUND INS CO OF GA fIREMAN'S FUND INSURANCE CO FIREMAN'S FUND OF WISCONSIN fIREMEN'S INS CO OF NEWARK NJ fIRST LIBERTY INSURANCE CORP fIRST NATL INS CO OF AMERICA FLORISTS' MUTUAL INSURANCE CO FREMONT INDEMNITY COMPANY FRONTIER INSURANCE COMPANY GA FARM BUREAU MUTUAL INS CO GA TIMBER HARVERSTERS' MUrUAL GAN NORTH AMERICAN INS CO GENERAL ACCIDENT INS OF AMERIC GENERAL CASUALTY CO OF WI
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
366325.46 27656.64
288583.93 228647.83 165577 .12
3427.08 64.44
6598.57 92181. 32 46997.91 18394.71 1803284.79
5395.68 0.00
647.58 422149.15 125336.85 133205.01
12789.70 576528.69
14062.27 49069.36 12240.18 11333.93 273312.09 254127.45
1986.04 2489.92
158.71 68201.85 20492.19
0.00 17750.29 86773.34 46143.08
0.00 401178.36
38.23
CORRECTED 1995 ASSESSMENT
390695.76 29496.53
307782.37 243858.94 176592.36
3655.08 68.73
7037.55 98313.80 50124.51 19618.44 1923250.77
5754.64 0.00
690.66 450233.20 133675.06 142066.65
13640.55 614883.05
14997.78 52333.77 13054.48 12087.93 291494.55 271033.62
2118.17 2655.56
169.27 72739.07 21855.46
0.00 18931.15 92546.06 49212.81
0.00 427867.29
40.77
1996 CLAIMS PAID
3569990.00 614235.00
17745962.00 3725325.00 3374776.00 50110.00 4130911.00 84169.00 1234628.00 0.00 53886.00
20209550.76 163007.00 24382.00 7596.00
5550602.00 2139735.00 2217295.00
123460.00 4006523.00
177031.00 844814.00
8642.00 271234.00 2789595.00 2428114.00
71974.00 62221.00 31803.00 728061. 50 96082.46 14767.00 43490.00 959950.62 604656.00
564.29 3781695.00
301.21
1996 ASSESSMENT
329944.83 56768.69
1640113.40 344301.17 311902.81 4631.26 381786.15 7779.05 114106.52 0.00 4980.24
1867802.65 15065.40 2253.43 702.04
512996.52 197758.12 204926.35
11410.39 370289.99
16361.52 78079.21
798.71 25067.93 257819.34 224410.62
6651.97 5750.58 2939.29 67288.74 8880.11 1364.79 4019.42 88720.35 55883.38
52.15 349510.98
27.84
1995 BALANCE DUE.
24370.30 1839.89
19198.44 15211.11 11015.24
228.00 4.29
438.98 6132.48 3126.60 1223.73 119965.98
358.96 0.00
43.08 28084.05
8338.21 8861. 64
850.85 38354.36
935.51 3264.41
814.30 754.00 18182.46 16906.17 132.13 165.64
10.56 4537.22 1363.27
0.00 1180.86 5772.72 3069.73
0.00 26688.93
2.54
1995 AND 1996 TOTAL ASSESSMENT
354315.13 58608.58
1659311.84 359512.28 322918.05 4859.26 381790.44 8218.03 120239.00 3126.60 6203.97
1987768.63 15424.36 2253.43 745.12
541080.57 206096.33 213787.99
12261.24 408644.35
17297.03 81343.62
1613.01 25821. 93 276001.80 241316.79
6784.10 5916.22 2949.85 71825.96 10243.38 1364.79 5200.28 94493.07 58953.11
52.15 376199.91
30.38
57
INSURANCE COMPANIES
COMPANY
GENERAL INSURANCE CO OF AMERIC GEORGIA CASUALTY & SURETY CO GEORGIA INSURANCE COMPANY GERBER LIFE INSURANCE COMPANY GLENS FALLS INSURANCE COMPANY GLOBE INDEMNITY COMPANY GRANGE MlT11JAL CASUALTY COMPANY GRANITE STATE INSURANCE CO GRAPHIC ARTS MlT11JAL INS CO GRAY INSURANCE COMPANY GREAT AMERICAN INSURANCE CO GREAT NORTHERN INSURANCE CO GREAT WEST CASUALTY COMPANY GREATER NEW YORK MlT11JAL INS CO GUARANTEE MlT11JAL LIFE COMPANY GULF INSURANCE COMPANY HANOVER INSURANCE COMPANY HARBOUR SPECIALITY INSURANCE HARCO NATIONAL INS CO HARLEYSVILLE MlT11JAL INS CO HARTFORD ACCIDENT & INDEMNITY HARTFORD CASUALTY INSURANCE CO HARTFORD FIRE INSURANCE CO HARTFORD INS CO OF SOUTHEAST HARTFORD INS OF THE MIDWEST HARTFORD UNDERWRITERS INS CO HIGHLANDS INSURANCE COMPANY HIGHLANDS UNDERWRITERS INS CO HOME BUILDERS ASSOC GA MOT INS HOME INSURANCE COMPANY HOUSTON GENERAL INSURANCE CO INDEMNITY INS OF NORTH AMERICA INDIANA LUMBERMENS MlT11JAL INS INDUSTRIAL INDEMNITY COMPANY INSURA PROPERTY & CASUALTY CO INSURANCE CO OF NORTH AMERICA INSURANCE CO OF STATE OF PA INTERCARGO INSURANCE COMPANY
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
181591.63 353393.86 346026.05
1723.70 196094.60
48737.93 1171.25
237552.12 20925.26 0.00 0.01 642.52 9266.00 26551.63
1784616.45 372433.44 144885.55 45062.57 18681.58 2069.01 88790.57 77227.97 61889.61 84476.12 6725.10 781503.63 46422.18 23.14 0.00 773988.77 115377.54 2234.32 19513.00 29312.52 15187.79 0.01 179826.03 118.40
CORRECTED 1995 ASSESSMENT
193672.26 376903.87 369045.91
1838.37 209140.06
51980.29 1249.17
253355.60 22317.34 0.00 0.00 685.27 9882.43 28318.02
1903340.50 397210.08 154524.26 48060.42 19924.39 2206.66 94697.48 82365.67 66006.90 90096.01 7172.50 833494.23 49510.48 24.68 0.00 825479.43 123053.19 2382.96 20811.12 31262.57 16198.18 0.00 191789.20 126.28
1996 CLAIMS PAID
1732129.06 5129103.00 6933943.08 2900792.51 1339288.00
230669.64 0.00
3454005.00 293739.10 19969.22 425407.00 1858.00 133786.00 281891.00
18100446.00 3117560.00 1503274.11 135137.00 222444.00 45395.00 975745.00 3105154.00 853513.00 416106.00 0.00
10317746.00 458306.77 369.69
8808570.49 4561280.00 4516182.00
14382.00 298410.13 571013.00
60984.00 676958.00 1757819.50
0.00
1996 ASSESSMENT
160086.45 474040.83 640847.36 268096.41 123779.38
21318.90 0.00
319225.29 27147.89 1845.59 39316.87 171. 72 12364.74 26052.87
1672875.44 288130.44 138935.27 12489.60 20558.67 4195.49 90180.09 286983.86 78883.19 38457.26 0.00 953584.45 42357.53 34.17 814103.76 421561.62 417393.58 1329.21 27579.60 52774.04 5636.25 62565.66 162460.81 0.00
1995 BALANCE DUE.
12080.63 23510.01 23019.86
114.67 13045.46
3242.36 77.92
15803.48 1392.08 0.00 -0.01 42.75 616.43 1766.39
118724.05 24776.64 9638.71 2997.85 1242.81 137.65 5906.91 5137.70 4117.29 5619.89 447.40 51990.60 3088.30 1. 54 0.00 51490.66 7675.65 14 8.64 1298.12 1950.05 1010.39 -0.01 11963.17 7.88
1995 AND 1996 TOTAL ASSESSMENT
172167.08 497550.84 663867.22 268211.08 136824.84
24561.26 77.92
335028.77 28539.97 1845.59 39316.86 214 .47 12981.17 27819.26
1791599.49 312907.08 148573.98 15487.45 21801.48 4333.14 96087.00 292121. 56 83000.48 44077.15 447.40
1005575.05 45445.83 35.71
814103.76 473052.28 425069.23
1477.85 28877.72 54724.09
6646.64 62565.65 174423.98
7.88
58
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
INSURANCE COMPANIES
COMPANY
INTERNATIONAL INDEMNITY CO INTERNATIONAL INSURANCE CO JOHN DEERE INSURANCE COMPANY KANSAS CITY FIRE &. MARINE INS LAURIER INDEMNITY COMPANY LEGION INSURANCE COMPANY LIBERTY INSURANCE CORPORATION LIBERTY LIFE ASSURANCE CO LIBERTY MUTUAL FIRE INS LIBERTY MUTUAL INSURANCE CO LM INSURANCE CORPORATION LMI INSURANCE COMPANY LUMBER MUTUAL INSURANCE CO LUMBERMEN'S UNDERWRITING ALLIA LUMBERMENS MUTUAL CASUALTY CO MANAGEDCARE MDT CAPTIVE INS MARKEL INSURANCE COMPANY MARYLAND CASUALTY COMPANY MASSACHUSETTS BAY INSURANCE CO MICHIGAN MUTUAL INSURANCE CO MID-CENTIJRY INSURANCE COMPANY MIDDLESEX INSURANCE COMPANY MIDWEST EMPLOYERS CASUALTY CO MILLERS MUTUAL INS ASSOC OF IL MONUMENTAL GENERAL CASUALTY MT AIRY INSURANCE COMPANY NATIONAL AMERICAN INSURANCE CO NATIONAL CONTINENTAL INSURANCE NATIONAL FARMERS UNION P &. C NATIONAL FARMERS UNION STANDRD NATIONAL FIRE INS CO HARTFORD NATIONAL SURETY CORPORATION NATIONAL TRUST INSURANCE CO NATIONAL UNION FIRE OF PITT PA NATIONWIDE MUTUAL FIRE INS CO NATIONWIDE MUTUAL INSURANCE CO NATIONWIDE PROPERTY &. CAS INS NEW HAMPSHIRE INSURANCE CO
1995 ASSESSMENT
253008.07 5268.15
77468.03 27490.61
379.93 30545.00 176718.53 261516.18 1369830.81 1484311.67
0.00 97652.99 63385.06 44566.65 901039.71 279259.37 10226.03 320009.75
4281.01 108689.04
0.00 18444.33
0.00 149.94
8.50 6572.99 187366.37
0.00 800.15 3314.38 152692.79 523207.88 58643.56 1337314.63 66893.49 374337.95 2138.33 33003.87
CORRECTED 1995 ASSESSMENT
269839.78 5618.63
82621.69 29319.46
405.21 32577.05 188474.97 278913.90 1460960.67 1583057.53
0.00 104149.49
67601. 84 47531. 50 960982.60 297837.48 10906.33 341298.83
4565.81 115919.72
0.00 19671.36
0.00 159.92
9.06 7010.27 199831.17
0.00 853.38 3534.87 162850.88 558015.00 62544.90 1426281.31 71343.67 399241.30 2280.59 35199.50
1996 CLAIMS PAID
2586301.00 8529.00
1064359.00 190801. 00 0.00
2109998.22 2579016.00 1349251.46 24923595.00 18855194.00
11 751.00 696192.88 1095180.00 4021442.00 16200218.90 4104616.00
84793.00 1265377.94
16942.00 808283.00
8534.00 0.00
83296.00 2653.00
47102.00 0.00
2709932.00 8826.00 6587.00
20907.00 2467516.00 4044333.00
543600.00 10427047.00
1406443.00 3879879.00
1070.00 658675.00
1996 ASSESSMENT
239030.54 788.27
98369.95 17634.17
0.00 195009.79 238357.25 124700.22 2303483.01 1742630.59
1086.05 64343.39 101218.49 371668.83 14 97253.07 379355.92
7836.72 116948.48
1565.81 74702.95
788.73 0.00
7698.36 245.19
4353.25 0.00
250456.74 815.71 608.78
1932.26 228052.22 373784.45
50240.48 963686.24 129985.97 358585.32
98.89 60875.92
1995 BALANCE DUE.
16831.71 350.48
5153.66 1828.85
25.28 2032.05 11756.44 17397.72 91129.86 98745.86
0.00 6496.50 4216.78 2964.85 59942.89 18578.11
680.30 21289.08
284.80 7230.68
0.00 1227.03
0.00 9.98 0.56 437.28 12464.80 0.00 53.23 220.49 10158.09 34807.12 3901. 34 88966.68 4450.18 24903.35 142.26 2195.63
1995 AND 1996 TOTAL ASSESSMENT
255862.25 1138.75
103523.61 19463.02 25.28
197041. 84 250113.69 142097.94 2394612.87 1841376.45
1086.05 70839.89 105435.27 374633.68 1557195.96 397934.03
8517.02 138237.56
1850.61 81933.63
788.73 1227.03 7698.36
255.17 4353.81
437.28 262921.54
815.71 662.01 2152.75 238210.31 408591.57 54141. 82 1052652.92 134436.15 383488.67 241.15 63071. 55
59
INSURANCE COMPANIES
COMPANY
NEWARK INSURANCE COMPANY NIAGARA FIRE INSURANCE CO. NIPPON FIRE & MARINE INS CO NN INSURANCE COMPANY NORTH AMERICAN SPECIALTY INS NORTH RIVER INSURANCE COMPANY NORTHBROOK INDEMNITY COMPANY NORTHBROOK NATIONAL INSURANCE NORTHBROOK PROP & CAS INS CO NORTHERN ASSURANCE CO OF AMER NORTHERN INSURANCE CO OF NY NORTHWESTERN NATIONAL CAS CO NORTHWESTERN NATIONAL INS CO OCCIDENTAL FIRE & CAS CO OF NC OHIO CASUALTY INSURANCE CO OHIO FARMERS INSURANCE COMPANY OLD REPUBLIC INSURANCE COMPANY OLD REPUBLIC UNION INS CO PACIFIC EMPLOYERS INSURANCE CO PACIFIC INDEMNITY COMPANY PACIFIC RIM ASSURANCE COMPANY PEERLESS INSURANCE COMPANY PENNSYLVANIA GENERAL INS CO PENNSYLVANIA LUMBERMENS MUTUAL PENNSYLVANIA MANUF ASSOC INS PENNSYLVANIA MILLERS MUTUAL IN PENNSYLVANIA NATIONAL MUT CAS PETROLEUM CASUALTY COMPANY PHICO INSURANCE COMPANY PHOENIX INSURANCE COMPANY POTOMAC INSURANCE CO OF IL PREFERRED RISK MUTUAL INS CO PREFERRED SURETY CORPORATION PROGRESSIVE CASUALTY INS CO PROTECTIVE INSURANCE COMPANY PROVIDENCE WASHINGTON INS CO PRUDENTIAL COMMERCIAL INS CO PUBLIC SERVICE MUTUAL INS CO
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
14322.12 10106.82
413.04 18484.98
7212.26 29720.95
5132.94 42921.52 212745.12
5346.97 33927.39 12063.39 15102.02
8698.58 152531.44
58850.89 400911.19 142647.79 215257.64
40416.06 0.00
12.83 18068.07 24250.16
1700.17 22906.82 17867.96
850.40 0.00
17720.37 12.11
102293.28 31016.48 4167.04 15007.66 25328.68 1653.35 17430.06
CORRECTED 1995 ASSESSMENT
15274.92 10779.19
440.52 19714.72
7692.07 31698.18
5474.42 45776.94 226898.28
5702.68 36184.46 12865.92 16106.70
9277.27 162678.81
62766.03 427582.35 152137.63 229577.95
43104.79 0.00
13 .69 19270.07 25863.43
1813.27 24430.73 19056.65
906.97 0.00
18899.24 12.92
109098.48 33079.89 4444.26 16006.07 27013.71 1763.34 18589.62
1996 CLAIMS PAID
0.00 79162.00 21069.00 108662.10 48750.00 663846.00 32022.00 483112.00 1542561.00 14507.00 309228.45 241446.06 259144.00 149657.00 13464.00 608064.69 5349287.00 1149746.00 12549462.00 664768.00 109308.19
811.00 220203.00 158654.00
25251.00 289327.00
55952.00 12345.00
176.00 42977.00
4948.00 1073333.79
281713.00 55175.00
277000.44 99691.00 0.00 26165.00
1996 ASSESSMENT
0.00 7316.29 1947.23 10042.74 4505.56 61353.83 2959.53 44650.07 142566.23 1340.76 28579.44 22314.87 23950.55 13831.57 1244.37 56198.42 494390.63 106261. 57 1159843.62 61439.04 10102.46
74.95 20351.55 14663.09
2333.74 26740.12
5171.18 1140.95
16.27 3972.01
457.30 99199.42 26036.42
5099.37 25600.87
9213.62 0.00
2418.22
1995 BALANCE DtJ;:
952.80 672.37
27.48 1229.74
479.81 1977.23
341.48 2855.42 14153.16
355.71 2257.07
802.53 1004.68
578.69 10147.37
3915.14 26671.16
9489.84 14320.31
2688.73 0.00 0.86
1202.00 1613.27
113.10 1523.91 1188.69
56.57 0.00
1178.S7 0.81
6805.20 2063.41
277.22 998.41 1685.03 109.99 1159.56
1995 AND 1991, TOTAL ASSESSMEN1
952.80 7988.66 1974.71 11272.48 4985.37 63331.06 3301.01 47505.49 156719.39 1696.47 30836.51 23117.40 24955.23 14410.26 11391. 74 60113.56 521061.79 115751.41 1174163.93 64127.77 10102.46
75.81 21553.55 16276.36
2446.84 28264.03
6359.87 1197.52
16.27 5150.88
458.11 106004.62
28099.83 5376.59
26599.28 10898.65
109.99 3577.78
60
INSURANCE COMPANIES
COMPANY
RANGER INSURANCE COMPANY RELIANCE INSURANCE COMPANY RELIANCE NATIONAL INDEMNITY CO RENAISSANCE MUTUAL CAPTIVE INS REPUBLIC WESTERN INS CO ROYAL INDEMNITY COMPANY ROYAL INSURANCE CO OF AMERICA SAFECO INSURANCE CO AMERICA SAFEGUARD INSURANCE CO SECURITY INS CO OF HARTFORD SELECT INSURANCE COMPANY SELECTIVE INS CO OF AMERICA SELECTIVE INS CO OF SOlJT\lEAST SELECTIVE INSURANCE CO OF SC SENTRY INSURANCE A MUTUAL CO SHELBY INSURANCE COMPANY SOUTH CAROLINA INSURANCE CO SOUTHERN FIRE '" CASUALTY CO SOUTHERN GUARANTY INS CO GA SOUTHERN MUTUAL CHURCH INS CO SOUTHERN PILOT INSURANCE CO. SOUTHERN TRUST INSURANCE CO ST PAUL FIRE '" CASUALTY INS CO ST PAUL FIRE '" MARINE INS CO ST PAUL GUARDIAN INSURANCE CO ST PAUL MERCURY INSURANCE CO STANDARD FIRE INSURANCE CO STAR INSURANCE COMPANY STATE AUTO PROPERTY '" CASUALTY STATE AUTOMOBILE MUTUAL INS STATE FARM FIRE '" CASUALTY CO S!JMITOMO MARINE '" FIRE INS CO SUN INS OFFICE OF AMERICA INC TIG INSURANCE COMPANY TIG PREMIER INSURANCE COMPANY TOKIO MARINE '" FIRE INS CO TRANS PACIFIC INSURANCE CO TRANSCONTINENTAL INSURANCE CO
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
3576.94 190658.24 129129.62
1208.75 0.01
28063.26 233857.51
69066.89 9800.06
232954.51 12425.28 30347.93 59612.45 46665.30
236093.55 6514.24
26719.29 89966.70 137246.33
4155.56 16075.79 35953.56 159686.51 132275.80
7.32 9373.37 131412.84 17854.95 43916.62 68080.47 373337.79 87174.09
0.00 47486.87 37848.68 138737.08 24403.99
8728.32
CORRECTED 1995 ASSESSMENT
3814.90 203342.04 137720.14
1289.17 0.00
29930.21 249415.20
73661. 66 10452.02 248452.12 13251. 89 32366.86 63578.25 49769.78 251799.99
6947.61 28496.83 95951.86 146376.82
4432.01 17145.25 38345.42 170309.87 141075.63
7.81 9996.95 140155.26 19042.77 46838.24 72609.61 398174.60 92973.47
0.00 50646.00 40366.62 147966.75 26027.50
9308.98
1996 CLAIMS PAID
32693.00 2575685.00 8139076.00
614 706.00 374624.00 518135.07 3575043.04 1393243.25 143906.86 3414493.00
67086.00 222583.00 577594.00 315553.00 2725852.05 113524.00 172305.00 766682.00 889139.00
27367.00 168697.00 290586.00 3802634.47 3642273.69
2464.00 86734.20 1107349.00 211468.00 550068.00 296838.00 3698938.00 984100.00
2151.00 307077.00 718245.00 850693.00
87039.00 619051.00
1996 ASSESSMENT
3021. 55 238049.39 752227.89
56812.22 34623.42 47886.97 330411.84 128766.02 13300.13 315573.52 6200.21 20571. 52 53382.27 29163.97 251928.10 10492.09 15924.73 70858.12 82175.81 2529.31 15591. 28 26856.48 351446.25 336625.42
227.73 8016.13 102343.17 19544.25 50838.26 27434.30 341862.43 90952.27 198.80 28380.60 66381.48 78622.56 8044.30 57213.80
1995 BALANCE DUE.
237.96 12683.80
8590.52 80.42 -0.01
1866.95 15557.69
4594.77 651.96
15497.61 826.61
2018.93 3965.80 3104.48 15706.44
433.37 1777.54 5985.16 9130.49
276.45 1069.46 2391.86 10623.36 8799.83
0.49 623.58 8742.42 1187.82 2921.62 4529.14 24836.81 5799.38
0.00 3159.13 2517.94 9229.67 1623.51
580.66
1995 AND 1996 TOTAL ASSESSMENT
3259.51 250733.19 760818.41
56892.64 34623.41 49753.92 345969.53 133360.79 13952.09 331071.13 7026.82 22590.45 57348.07 32268.45 267634.54 10925.46 17702.27 76843.28 91306.30 2805.76 16660.74 29248.34 362069.61 345425.25
228.22 8639.71 111085.59 20732.07 53759.88 31963.44 366699.24 96751. 65
198.80 31539.73 68899.42 87852.23
9667.81 57794.46
61
INSURANCE COMPANIES
COMPANY
TRANSPORT INSURANCE COMPANY TRANSPORTATION INSURANCE CO TRAVELERS INDEMNITY CO OF CT TRAVELERS INDEMNITY CO OF IL TRAVELERS INDEMNITY COMPANY TRAVELERS INDEMNITY OF AMERICA TRAVELERS INSURANCE COMPANY TRINITY UNIVERSAL INSURANCE CO TRUCK INSURANCE EXCHANGE TWIN CITY FIRE INSURANCE CO U. S. FIDELITY & GUARANTY INS UNISUN INSURANCE COMPANY UNITED PACIFIC INSURANCE CO UNITED STATES FIRE INSURANCE UNIVERSAL UNDERWRITERS INS CO UTICA MUTUAL INSURANCE COMP.>.NY VALIANT INSURANCE COMPANY VALLEY FORGE INSURANCE COMPANY VANLINER INSURANCE COMPANY VIGILANT INSURANCE COMPANY VIRGINIA INSURANCE RECIPROCAL VIRGINIA SURETY COMPANY INC WAUSAU BUSINESS INSURANCE CO. WAUSAU UNDERWRITERS INS CO WEST AMERICAN INSURANCE CO WESTCHESTER FIRE INSURANCE CO WESTFIELD INSURANCE COMPANY YASUDA FIRE & MAR INS OF AMERI YORK INSURANCE COMPANY ZENITIl INSURANCE COMPANY ZURICH AMERICAN INS CO OF IL ZURICH INSURANCE COMPANY
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
6880.20 1108110.14
21875.02 333029.02 146109.95 1449058.56 237208.76
20793.16 4696.35
167154.64 533375.88
31642.46 14362.07 103859.96 160749.57 69031. 86 159188.32 558210.18 20436.15 53023.64 42123.82
3427.08 0.00
99603.59 0.01
1029.72 30680.35 94203.15 12160.01
0.00 4877.25 511621.58
CORRECTED 1995 ASSESSMENT
7337.91 1181828.68
23330.29 355184.23 155830.11 1545459.16 252989.40
22176.45 5008.78
178274.83 568859.44
33747.52 15317.52 110769.38 171443.66 73624.30 169778.54 595345.87 21795.69 56551.11 44926.16
3655.08 0.00
106229.85 0.00
1098.22 32721.40 100470.14 12968.97
0.00 5201.72 545657.16
1996 CLAIMS PAID
305264.00 13974726.00
231985.00 4115722.00 1442532.00 16578106.00 4945248.00
486324.00 7106.00
2081902.00 4049754.00
81173.00 103765.00 3716877.00 1328671.00 1036544.31 1434282.61 6165001.00 232436.00 316344.00 763955.00 349014 . 00
695.95 1530814.98
167396.00 0.00
199880.45 801777.00 403179.00
51.00 28907.00 8551206.00
1996 ASSESSMENT
28213.04 1291569.05
21440.47 380382.35 133321.38 1532178.07 457048.62
44946.93 656.75
192413.09 374285.47
7502.15 9590.15 343520.39 122798.14 95799.27 132558.95 569780.37 21482.15 29237.08 70606.08 32256.50
64.32 141480.65
15471. 04 0.00
18473.31 74101. 66 37262.52
4.71 2671 . 64 790317.68
1995 BALANCE DUE
457.71 73718.54
1455.27 22155.21
9720.16 96400.60 15780.64
1383.29 312.43
11120.19 35483.56
2105.06 955.45
6909.42 10694.09
4592.44 10590.22 37135.69
1359.54 3527.47 2802.34
228.00 0.00
6626.26 -0.01 68.50
2041.05 6266.99
808.96 0.00
324.47 34035.58
1995 AND 1996 TOTAL ASSESSMENT
28670.75 1365287.59
22895.74 402537.56 143041. 54 1628578.67 472829.26
46330.22 969.18
203533.28 409769.03
9607.21 10545.60 350429.81 133492.23 100391.71 143149.17 606916.06 22841.69 32764.55 73408.42 32484.50
64.32 148106.91
15471.03 68.50
20514.36 80368.65 38071.48
4.71 2996 .11 824353.26
TOTAL
38783500.57
41363625.02
519889385.74 48049102.54
2580124.45
TOTALS MAY FLUCTUATE DUE TO COMPUTER ROUNDING
50629226.99
62
SELF-INSURED COMPANIES
COMPANY
AT & T AAA COOPER TRANSPORTATION ABC DRUG CO/BFL CORP/PIC-N-SAV ABF FREIGHT SYSTEM, INC ACOUSTI, INC. AGL RESOURCES, INC. ALBANY, CITY OF ALL AMERICA TERMITE & PEST ALLIED SYSTEMS LTD ALPHARETTA, CITY OF ALTERM.I\N TRANSPORT LINES ALUMAX, INC. AMBULANCE PROVIDERS ASSOC. AMERICAN APPAREL CONT. ASSOC AMERICAN FREIGHTWAYS INC AMERICAN NATIONAL RED CROSS AMERICAN PROTEINS, INC AMERICAN SUBCONTRACTORS AMERICAN YARD PRODUCTS INC AMOCO CHEMICAL COMPANY AMOCO CORPORATION AMOCO FABRICS & FIBERS CO AMOCO FOAM PRODUCTS CO AMOCO OIL COMPANY AMOCO POLYMERS, INC. ANHEUSER-BUSCH COMPANY, INt::. ARCHBOLD MEDICAL CENTER ARCHDIOCESSES OF ATLANTA ARCHER-DANIELS-MIDLAND CO. ARMSTRONG WORLD INDUSTRIES INC ASPLUNDH TREE EXPERT CO ASSOCIATION CTY COM GA SI ATCO RUBBER PRODUCTS. INC. ATHENS REGIONAL MEDICAL CENTER ATHENS-CLARKE COUNTY ATLANTA BOARD OF EDUCATION ATLANTA CITY OF ATLANTA FAMILY RESTAURANTS
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
74791.12 16890.65
0.00 10571. 83
272.95 60026.06 54550.30
7097.11 11298.49
4157.00 1573.28 16623.77 9797.80 122295.69 13221.77 17245.48 41600.21 126239.40 37956.89
10.11 935.94 144806.05 367.29 10191.97 714.48 181296.11 12192.73 37686.85 9258.32 37301.52 42388.88 799965.46 16863.13 11445.36 43861.12 281851. 35 558660.47 103574.72
CORRECTED 1995 ASSESSMENT
79766.70 18014 . 33 10129.42 11275.13
291.11 64019.37 58179.33
7569.26 12050.14
4433.56 1677.94 17729.69 10449.61 130431. 58 14101.37 18392.76 44367.73 134637.65 40482.03
10.78 998.20 154439.47 391. 72 10870.00 762.01 193357.08 13003.87 40194.02 9874.24 39783.05 45208.86 853184.25 17984.97 12206.78 46779.04 300601. 89 595826.12 110465.17
1996 CLAIMS PAID
3276758.42 363125.08 0.00 725052.00 5743.19 345596.17 429459.20 25512.45 197477.06 28029.00 2924.29 59804.79 52728.83
1299682.60 193590.10 208377.69 121131.81
1032252.00 535902.83 0.00 12894.14
1304467.93 10603.69 99571.61 28784.14
463216.34 134070.66 397181.32 303211.00 369187.36 285140.03 10892021.00 123498.00 59635.00 378911. 83 3058037.00 6133672.74 652903.25
1996 ASSESSMENT
302843.85 33560.67 0.00 67010.60 530.80 31940.61 39691.38 2357.91 18251.18 2590.49 270.27 5527.27 4873.29
120118.98 17891. 94 19258.64 11195.22 95402.57 49529.09 0.00 1191.70
120561.25 980.01
9202.59 2660.28 42811. 28 12391.05 36708.20 28023.30 34120.95 26353.15 1006659.97 11413.90 5511.57 35019.71 282629.22 566884.95 60342.48
1995 BALANCE DUE
4975.58 1123.68 10129.42
703.30 18.16
3993.31 3629.03
472.15 751.65 276.56 104.66 1105.92 651. 81 8135.89 879.60 1147.28 2767.52 8398.25 2525.14
0.67 62.26 9633.42 24.43 678.03 47.53 12060.97 811.14 2507.17 615.92 2481.53 2819.98 53218.79 1121. 84 761. 42 2917.92 18750.54 37165.65 6890.45
1995 AND 1996 TOTAL ASSESSMENT
307819.43 34684.35 10129.42 67713.90 548.96 35933.92 43320.41 2830.06 19002.83 2867.05 374.93 6633.19 5525.10
128254.87 18771.54 20405.92 13962.74
103800.82 52054.23 0.67 1253.96
130194.67 1004.44 9880.62 2707.81
54872.25 13202.19 39215.37 28639.22 36602.48 29173.13 1059878.76 12535.74
6272.99 37937.63 301379.76 604050.60 67232.93
63
SELF-INSURED COMPANIES
COMPANY
ATLANTA HOUSING AllI1l0RITY ATLANTIC FORMING COMPANY, INC ATLANTIC STEEL INDUSTRIES INC ATLAS AUTOMOTIVE INC t FLXIBLE AUGUSTA, CITY COUNCIL OF AUTOMOTIVE MOULDING COMPANY AUTOZONE, INC AVERITT EXPRESS, INC AVONDALE MILLS INC BALDWIN COUNTY COMMISSIONERS BANKHEAD ENTERPRISES, INC BAPTIST VILLAGE INC BARNETT BANKS INC BARTOW COUNTY BD OF EDUCATION BAYLlNER MARINE CORPORATION BEAULIEU OF AMERICA BELLSOUTH CORPORATION BELLSOUTH ENTERPRISES INC BENTON-GEORGIA INC BERRY COLLEGE BET USA, INC BIBB COMPANY BIBB COUNTY BIBB COUNTY BOARD OF EDUCATION BIBB YARNS INC BICKERSTAFF CLAY PRODUCTS BIG B, INCORPORATED BLACK & DECKER CORPORATION BLOSSMAN COMPANIES, INC BLUE BIRD BODY COMPANY BLUE CIRCLE AMERICA BLUE CROSS/BLUE SHIELD OF GA BOBS CANDIES, INC. BORDEN INC BOYD BROS TRANS CO BREMEN-BOWDON INVESTMENT CO BROWN INDUSTRIES BROWNING-FERRIS IND OF GA INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
45825.08 2816.66
46123.30 3198.21
24039.28 4157.17 8800.10
21880.54 11349.34
8972.62 34725.82 11680.27
889.33 5617.84 28474.59 168352.46 1614 73.07 14972.06 11398.51 5196.21 52324.71 39963.25 49970.10 31178.64 13026.20 3494.74 26285.71 4749.18 18898.88 145923.51 78146.94 19390.10 9681.24 60220.40 12079.12 31257.25 152.38 32502.38
CORRECTED 1995 ASSESSMENT
48873.65 3004.04
49191.72 3410.98
25638.53 4433.73 9385.54
23336.17 12104.38
9569.54 37036.01 12457.31
948.50 5991.57 30368.90 179552.34 172215.29 15968.10 12156.81 5541.90 55805.69 42621.86 53294.43 33252.84 13892.79 3727.23 28034.40 5065.13 20156.15 155631. 27 83345.77 20680.05 10325.29 64226.65 12882.70 33336.68 162.52 34664.65
1996 CLAIMS PAID
324996.00 36910.08
482929.01 43801.85
414852.62 190425.04 563866.00 283549.73 239743.16 104955.97 361097.00 107441.20
39816.76 71352.33 364707.00 2007560.00 1671913.52 242512.00 58560.80 119604.64 775704.15 220505.36 305200.48 470417.94 38500.91 14 7546.20 199469.76
254.58 52315.01 1592387.92 829263.00 134032.00 229100.35 588572.63 48837.67 256813.74 62905.00 421690.26
1996 ASSESSMENT
30036.71 3411. 30
44633.16 4048.24
38341.42 17599.42 52113.50 26206.17 22157.49
9700.22 33373.23
9929.91 3679.94 6594.51 33706.87 185542.27 154521. 22 22413.39 5412.29 11054.07 71691. 96 20379.50 28207.17 43476.86 3558.32 13636.48 18435.35
23.53 4835.05 14 7171. 33 76641. 96 12387.48 21173.86 54396.93 4513.66 23735.18 5813.79 38973.36
1995 BALANCE DUE
3048.57 187.38
3068.42 212.77
1599.25 276.56 585.44
1455.63 755.04 596.92
2310.19 777.04 59.17 373.73
1894.31 11199.88 10742.22
996.04 758.30 345.69 3480.98 2658.61 3324.33 2074.20 866.59 232.49 1748.69 315.95 1257.27 9707.76 5198.83 1289.95 644.05 4006.25 803.58 2079.43 10.14 2162.27
1995 AND 1996 TOTAL ASSESSMENT
33085.28 3598.68
47701.58 4261.01
39940.67 17875.98 52698.94 27661.80 22912.53 10297.14 35683.42 10706.95 3739.11 6968.24 35601.18 196742.15 165263.44 23409.43 6170.59 11399.76 75172.94 23038.11 31531. 50 45551.06 4424.91 13868.97 20184.04
339.48 6092.32 156879.09 81840.79 13677.43 21817.91 58403.18 5317.24 25814.61 5823.93 41135.63
64
SELF-INSURED COMPANIES
COMPANY
BRUNO'S INC & SUBSIDIARIES BRUNSWICK, CITY OF BUILDERS TRANSPORT INC BULL MOOSE TUBE CO BURLEN CORPORATION C T HARRIS INC C. W. MATTHEWS CONTRACTING INC CAGLE FOODS, JV, LLC CAGLE'S INC, & SUBSIDIARIES CALFEE COMPANY OF DALTON, INC CALIBER SYSTEM, INC. CANDLER HEALTH SERVICE INC CARADON, INC. CAREMORE INC CARGILL INCORPORATED CAROLINA FREIGHT CARRIERS CORP CARPET TRANSPORT, INC CARROLL CO. BOARD OF EDUCATION CARROLL COUNTY BD OF COMM. CARTER FOOTWEAR INC CASCADE CORPORATION CATOOSA CO. BD. OF EDUCATION CENTRAL GEORGIA HEALTH SYSTEMS CERTAINTEED CORPORATION CHAMPION INTERNATIONAL CORP CHATHAM AREA TRANSIT AUTHORITY CHATHAM COUNTY BD OF EDUCATION CHATHAM COUNTY GEORGIA CHECKERS DRIVE-IN RESTAURANTS CHEROKEE BRICK & TILE CHEROKEE CO BD OF COMMISSIONER CHEROKEE CO BD OF EDUCATION CHEVRON USA INC SOU DIV CLAYTON COUNTY BD OF EDUCATION CLAYTON COUNTY COMMISSIONERS CLAYTON COUNTY WATER AUTHORITY 011 INDUSTRIES INC. COACHMEN INDUSTRIES INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
267246.63 26386.59 23204.99 1501. 64 25484.27 43375.46 26423.28 55977.76
200937.33 17944.15 19365.22 33715.82 41262.46 71455.58
102950.50 58805.79 12709.90 5822.74 0.00 8155.66 626.84 6746.89 61215.40 21009.89 10482.43 5530.56 63711.15 36976.60 6569.47 16382.08 11916.24 9048.31 2021.16 38035.89 47324.03 1419.29 0.00 7550.15
CORRECTED 1995 ASSESSMENT
285025.58 28141. 99 24748.73 1601. 54 27179.64 46261.08 28181.12 59701.75
214304.96 19137.91 20653.52 35958.81 44007.51 76209.26
109799.42 62717.93 13555.45 6210.11 0.00 8698.23 668.54 7195.73 65287.83 22407.60 11179.79 5898.49 67949.63 39436.51 7006.51 17471. 92 12708.98 9650.26 2155.62 40566.28 50472.33 1513.71 0.00 8052.44
1996 CLAIMS PAID
2032721.79 150645.94 391933.00 13467.39 338915.00 199781.13 298538.57
1060652.00 2055034.00
302577.95 272146.00 299236.27 526510.00 715722.00 613465.95
0.00 285522.69 204364.14
49997.99 14866.97 15643.15 54166.00 1235722.79 179995.24 223751.30 47660.77 479712.87 332472.34 194348.00 78063.28 162595.57 181385.92 41616.07 392354.17 401265.68 71738.32 36642.00 63571.00
1996 ASSESSMENT
187867.77 13922.97 36223.15 1244.68 31323.13 18464.13 27591. 47 98027.35
189929.90 27964.79 25152.22 27655.95 48660.99 66148.30 56697.62 0.00 26388.52 18887.70 4620.90 1374.03 1445.77 5006.12
114207.70 16635.48 20679.49 4404.89 44335.92 30727.69 17961.99 7214.75 15027.37 16764.01 3846.23 36262.07 37085.69 6630.18 3386.52 5875.34
1995 BALANCE DUE_
17778.95 1755.40 1543.74 99.90 1695.37 2885.62 1757.84 3723.99
13367.63 1193.76 1288.30 2242.99 2745.05 4753.68 6848.92 3912.14 845.55 387.37 0.00 542.57 41. 70 448.84 4072.43 1397.71 697.36 367.93 4238.48 2459.91 437.04 1089.84 792.74 601.95 134.46 2530.39 3148.30 94.42 0.00 502.29
1995 AND 1996 TOTAL ASSESSMENT
205646.72 15678.37 37766.89 1344.58 33018.50 21349.75 29349.31
101751. 34 203297.53
29158.55 26440.52 29898.94 51406.04 70901.98 63546.54
3912.14 27234.07 19275.07
4620.90 1916.60 1487.47 5454.96 118280.13 18033.19 21376.85 4772.82 48574.40 33187.60 18399.03 8304.59 15820.11 17365.96 3980.69 38792.46 40233.99 6724.60 3386.52 6377.63
65
;ELF-INSURED COMPANIES
;DMPANY
:CASTAL TRANSPORT INC :OATS & CLARK. INC. :OBB COUNTY BD/COMMISSIONERS :CBB COUNTY SCHOOL SYSTEM ::c>CA-COLA COMPANY :OCA-COLA ENTERPRISES INC :CLLEGE PARK CITY OF :CLLINS & AIKMAN PRODUCTS CO. :OLLIS FOODS INC :OLONIAL OIL INDUSTRIES :OLONIAL PIPELINE COMPANY :OLQUITT CO BD OF EDUCATION :OLQUITT REGIONAL MEDICAL CENT :OLUMBIA CO BOARD OF EDUCATION :OLUMBIA FARMS. INC :OLUMBIA/HCA HEALTHCARE CORP. :OLUMBUS CITY OF :OLUMBUS FOUNDRIES INC :OLUMBUS REGIONAL HEALTHCARE :OLUMBUS WATER WORKS :OMPTRUST AGC OF GEORGIA :ONAGRA INC CONCRETE COMPANY :ONDITIONED AIR ASSOCIATION GA :ONOCO INC :ONSOLIDATED FREIGHWAYS/DELWAR :ONSOLIDATED STORES CORP. :ONSTRUCTION SUPPLIERS' ASSOC CONTINENTAL GENERAL TIRE INC CONTINENTAL GRAIN COMPANY COOPER INDUSTRIES, INC COOPER TIRE AND RUBBER COSCO. INC COTTRELL INC COURIER DISPATCH GROUP. INC COVINGTON. CITY OF COWETA CO BOARD OF EDUCATION COX ENTERPRISES INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
30394.74 41938.35 114031.71 122497.38 48013.07 105961.42 14923.52 34245.40
3949.58 4384.10 2287.56 1917.87 18308.95 7107.24
682.54 104649.08
41349.06 15706.13 23455.98
4036.68 793835.41 143253.53
7754.74 115711. 47
12770.37 31150.53
0.00 170783.53
16302.48 36625.59 19325.53 17248.96
8323.08 2385.17 7270.72 2394.75 13801.16 131682.98
CORRECTED 1995 ASSESSMENT
32416.79 44728.36 121617.83 130646.68 51207.21 113010.64 15916.32 36523.62
4212.33 4675.76 2439.59 2045.46 19526.98 7580.06
727.95 111611.00
44099.86 16751. 00 25016.42
4305.22 846646.39 152783.67
8270.63 123409.34
13619.94 33222.86
0.00 182145.14
17387.03 39062.16 20611.19 18396.48
8876.78 2543.84 7754.41 2554.06 14719.31 140443.37
1996 CLAIMS PAID
391777.60 522773.98 288432.04 1506949.00 378244.00 1202698.00 254736.00 214448.70
27440.00 37705.83 25250.11 39196.33 133542.48 81913.56 17313.00 1696672.60 427032.12 157736.00 296754.00 186949.55 7171443.18 1488542.00 145902.53 1404828.94 80083.00 987319.34 51219.00 1896654.73 200741.00 345397.90 317460.23 299231.26 241133.00 36623.84
0.00 35898.51 152176.30 1421950.00
1996 ASSESSMENT
36208.78 48315.70 26657.40 139274.91 34957.98 111155.49 23543.15 19819.73
2536.05 3484.84 2333.66 3622.59 12342.23 7570.60 1600.10 156809.50 39467.07 14578.24 27426.53 17278.21 662797.54 137573.70 13484.57 129836.79 7401.41 91249.81 4733.75 175292.21 18552.84 31922.29 29340.24 27655.49 22285.94 3384.84
0.00 3317.80 14064.40 131419.15
1995 BALANCE DUE
2022.05 2790.01 7586.12 8149.30 3194.14 7049.22
992.80 2278.22
262.75 291.66 152.03 127.59 1218.03 472.82
45.41 6961.92 2750.80 1044.87 1560.44
268.54 52810.98
9530.14 515.89
7697.87 849.57
2072.33 0.00
11361.61 1084.55 2436.57 1285.66
,2 1147.
553.70 158.67 483.69 159.31 918.15 8760.39
1995 AND 1996 TOTAL ASSESSMEIIT
38230.83 51105.71 34243.52 147424.21 33152.12 118204.71 24535.95 22097.95 2798.80 3776.50 2485.69 3750.18 13560.26 8043 42 1645.51 163771 42 42217 87 15623 11 28986.97 17546 75 715608.52 147103.84 14000.46 13 7534.66 8250 98 93322.14 4733.75 186653.82 19637.39 34358.86 30625.90 28803.01 22839.64 3543.51
483.69 3477.11 14982.55 140179.54
66
SELF-INSURED COMPANIES
COMPANY
CRACKER BARREL OLD CNTRY STORE CRAWFORD "' COMPANY CRAWFORD W LONG HEM HOSPITAL CRIDER'S POULTRY INC CRISP COUNTY BD OF EDUCATION CROWN CENTRAL PETROLEUM CORP CROWN CORK "' SEAL COMPANY INC CROWNAMERICA/TEXTURE TEX, INC CWW GROUP, INC D L LEE "' SONS INC DALTON CITY OF DALTON FLOOR COVERING MARK..."T DAN RIVER INC DART CONTAINER CORPORATION DAVIDSON MINNERAL PROPERTIES DAVIS WATER "' WASTE INDUSTRIES DAYTON HUDSON CORPORATION DEAN FOODS COMPANY DECATUR, CITY OF DEKALB COUNTY DEKALB COUNTY SOlOOL SYSTEM DEKALB FARMERS MARKET DEKALB GENERAL HOSPITAL DELTA AIRLINES, INC. DELTA WOODSIDE INDUSTRIES INC DIAMOND RUG "' CARPET DILLARD DEPARTMENT STORES INC DIXIE YARNS DOLLAR GENERAL CORP DOUGHERTY COUNTY COMMISSION DOUGHERTY COUNTY SOlooL SYSTEM DOUGLAS ASPHALT COMPANY DOUGLAS CO BD OF COMMISSIONERS DOUGLAS COUNTY SOlooLS DOUGLAS, CITY OF DOUGLASVILLE-DOUGLAS COUNTY DOWLING TEXTILE MANUFACTURING DRY BRANOl KAOLIN COMPANY
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
67643.29 9594.54
15671.99 36266.56
2523.02 14634.92 11126.06 17139.45
5471. 06 7031.80 32674.75 69795.14 1257.99 12690.96 9115.95 28812.16 48745.16 1182.01 6471. 53 14 9292.01 123266.46 4994.46 6828.64 445800.31 828.97 121489.13 6376.05 52903.43 59447.20 18284.32 17456.23 8810.30 14441. 80 29005.13 25921.27 1263.17 16597.83 12033.24
CORRECTED 1995 ASSESSMENT
72143.36 10232.83 16714.59 38679.24
2690.86 15608.53 11866.24 18279.68
5835.03 7499.59 34848.48 74438.35 1341. 68 13535.25 9722.40 30728.93 51988.00 1260.64 6890.45 159223.86 131466.92 5326.73 7282.92 475457.7B 884.12 129571.36 6800.22 56422.90 63402.00 19500.71 18617.54 9396.42 15402.56 30934.73 27645.72 1347.21 17702.03 12833.77
1996 CLAIMS PAID
808108.27 171175.00 196893.15 346336.57
40018.46 293226.94 182495.00
0.00 59372.72 98896.84 435932.61 1296132.89
0.00 129606.64
59433.67 141850.00 828381. 00
21794.00 78794.00 1423630.00 1115655.86 92870.56 174031. 07 5681030.29 37125.43 1858236.46 45614.28 722869.00 970695.11 161737.66 372083.00 51051.98 127599.00 182301.76 212086.96 16935.23 210357.00 118670.38
1996 ASSESSMENT
74686.80 15820.30 18197.22 32009.04
3698.58 27100.56 16866.51
0.00 5487.33 9140.22 40289.67 119790.91
0.00 11978.48
5492.97 13110.03 76560.45
2014.24 7282.28 131574.42 103110.90 8583.26 16084.26 525050.93 3431.20 171741.52 4215.75 66808.84 89713.37 14948.08 34388.57 4718.31 11792.93 16848.65 19601.45 1565.18 19441.57 10967.73
1995 BALANCE DUE.
4500.07 638.29
1042.60 2412.68
167.84 973.61 740.18 1140.23 363.97 467.79 2173.73 4643.21
83.69 844.29 606.45 1916.77 3242.84
7B .63 418.92 9931. 85 8200.46 332.27 454.28 29657.47
55.15 8082.23
424.17 3519.47 3954.80 1216.39 1161.31
586.12 960.76 1929.60 1724.45
84.04 1104.20
800.53
1995 AND 1996 TOTAL ASSESSMENT
79186.87 16458.59 19239.82 34421.72
3866.42 28074.17 17606.69
1140.23 5851.30 9608.01 42463.40 124434.12
83.69 12822.77
6099.42 15026.80 79803.29
2092.87 7701. 20 141506.27 111311. 36 8915.53 16538.54 554708.40 3486.35 179823.75 4639.92 70328.31 93668.17 16164.47 35549.88 5304.43 12753.69 18778.25 21325.90 1649.22 20545.77 11768.26
67
ELF-INSURED COMPANIES
OMPANY
ISM CHEMICALS AUGUSTA IULIfrH, CITY OF IURAND-WAYLAND, INC IURKAN PATTERNED CARPET
I DUPONT DE NEMOURS & CO :ARLY MEMORIAL HOSP & NURSING :AST POINT, CITY OF :ASTERN SERVICE CORPORATION :ASTMAN KODAK COMPANY :ATON CORPORATION :GLESTON CHILDREN'S HLTH CARE :LBERTA CRATE & BOX COMPANY :LBERTON GRANITE ASSOCIATION :LBERTON, CITY OF :MERSON ELECTRIC CO :MORY CLINIC, INC., :MORY UNIVERSITY :MRO MARKETING :NGELHARD CORPORATION :STES EXPRESS LINES :VANS GRADING CO., INC 'ASHION PILLOWS, INC 'AYETTE COUNTY BD OF COMM 'AYETTE COUNTY BD OF EDUCATION 'EDERAL EXPRESS 'EDERAL RESERVE BANK/ATLANTA 'EDERATED DEPARTMENT STORES 'IELDALE FARMS CORPORATION 'IELDCREST CANNON INC 'IRST UNION CORPORATION 'LEETWOOD HOMES OF GA INC 'LEXSTEEL INDUSTRIES INC 'LORIDA ROCK & TANK LINES INC 'LORIDA ROCK INDUSTRIES INC 'LOWERS INDUSTRIES INC 'LOYD CO. BD. OF COMMISSIONERS 'LOYD COUNTY BD OF EDUCATION 'LOYD S PIKE ELECTRICAL CONT
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
11782.25 615.62
2852.80 27747.70 23716.91
2243.90 20781.88
8851. 78 3382.64 11852.09 12225.20 4987.13 76733.36 5017.54 13413.87
749.62 128237.27
43882.82 11638.17
5597.66 1305.79 11104.13 12952.99 3116.80 184483.56 3647.76 15553.25 99962.00 64979.23 15869.01 125255.51 19214.21 3268.66 2253.54 44072.29 9464.70 11531.46 81423. '16
CORRECTED 1995 ASSESSMENT
12566.08 656.58
3042.59 29593.65 25294.71
2393.18 22164.42
9440.66 3607.67 12640.57 13038.49 5318.91 81838.15 5351.34 14306.25
799.49 136768.43
46802.18 12412.42
5970.05 1392.65 11842.84 13814.70 3324.15 196756.58 3890.43 16587.95 106612.11 69302.06 16924.72 133588.30 20492 .46 3486.11 2403.46 47004.26 10094.35 12298.61 86840.58
1996 CLAIMS PAID
669258.26 2759.91
49321. 00 162015.21 103583.00
0.00 218466.60
79242.00 45279.85 104522.11 88497.58 188729.20 880498.55 51143.81 223588.00 26036.40 1603409.00 445729.28 543182.15 101271.91 51979.52 132357.86 75806.64 54567.76 1799402.06 127644.75 184127.09 1229943.93 447377.00 103066.64 1302150.00 192417.69 215290.86 27228.07 794563.28 144704.00 174521.02 651389.36
1996 ASSESSMENT
61854.04 255.08
4558.33 14973.73
9573.33 0.00
20191. 07 7323.69 4184.84 9660.12 8179.10
17442.69 81377.24
4726.80 20664.40
2406.33 148189.91
41195.09 50201. 86
9359.73 4804.04 12232.75 7006.18 5043.25 166303.94 11797.16 17017.35 113673.61 41347.38 9525.60 120347.02 17783.59 19897.56 2516.47 73434.95 13373.80 16129.54 60202.56
1995 BALANCE DUE
783.83 40.96
189.79 1845.95 1577.80
149.28 1382.54
588.88 225.03 788.48 813.29 331.78 5104.79 333.80 892.38
49.87 8531.16 2919.36
774.25 372.39
86.86 738.71 861.71 207.35 12273.02 242.67 1034.70 6650.11 4322.83 1055.71 8332.79 1278.25 217.45 149.92 2931. 97 629.65 767.15 5416.82
1995 AND 19% TOTAL ASSESSMENT
62637.87 296.04
4748.12 16819.68 1115:.13
149.28 21573.61
7912.57 4409.87 10448.60 8992.39 17774.47 86482.03 5060.60 21556.78 2456.20 156721.07 44114 .45 50976.11 9732.12 4890.90 12971.46 7867.89 5250.60 178576.96 12039.83 18052.05 120323.72 45670.21 10581.31 128679.81 19061.84 20115.01 2666.39 76366.92 14003.45 16896.69 65619.38
68
SELF-INSURED COMPANIES
COMPANY
FLYING J. INC. FOOD LION INC FOOD SERVICE TALIJ>JiASSEE INC FORD MOTOR COMPANY FOREST PARK. CITY OF FORSYTH CO BD OF COMMISSIONERS FORSYTH CO. BD. OF EDUCATION FREUDENBERG-NOK FRIGIDAIRE CO MICROWAVE PRODS. FROZEN FOOD EXPRESS IND FULTON COUNTY BD OF EDUCATION FULTON COUNTY. GEORGIA FULTON-DEKALB HOSPITAL AUTRY GA ASSOC OF CONVENIENCE STORE GA ASSOC PETROLEUM RETAILERS GA AUTO DEALERS ASSOCIATION SI GA BAPTIST MEDICAL CENTER GA BEVERAGE WHOLESALERS GA CONCRETE & PRODUCTS ASSOC GA CORP/BROWN LAUNDRY INC GA EDUCATION & GOVE~ GA FAST FOOD ASSOCIATION. INC. GA FOOD INDUSTRY ASSOCIATION GA HIGHWAY CONTRACTORS SITF GA HOSPITAL ASSOC WCSI FUND GA INTAL HEALTH/SOtrrH FULTON GA MEDCORP, INC. GA MFG WORKERS' COMP. FUND GA MOVERS ASSOCIATION GA MUNICIPAL ASSN WCSIF GA NURSING HOME SELECTIVE GA OILMEN'S WORKERS COMP FUND GA OPERATORS SELF-INSURERS GA SCHOOL BD ASSOC W C FUND GA WHOLESALE & RETAIL WC FUND GAC CROP & LIVESTOCK SELF GAC MANUFACTURING/PROCESSING GAC WHOLESALE/RETAIL SELF
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
2491.42 77696.10
3522.18 199981. 54
2474.73 6483.33 7890.40 5033.98 28855.24
0.00 76981.90 124448.53 109753.29 75634.39 35156.19 365994.30 67237.17 49845.41 74127.26
3339.19 218664.03
9890.49 37157.46 356024.80 352981.27 17749.29 52839.50 62074.19 47777.70 366551.65 62910.48 166382.38 60923.46 174782.74 30"'77.92 50599.50 115604.20 29067.35
CORRECTED 1995 ASSESSMENT
2657.16 82864.94
3756.49 213285.59
2639.37 6914.65 8415.32 5368.87 30774.87
0.00 82103.23 132727.64 117054.78 80666.07 37495.01 390342.57 71710.21 53161. 44 79058.68
3561.34 233210.96
10548.47 39629.41 379709.83 376463.83 18930.09 56354.72 66203.76 50956.18 390937.00 67095.69 177451.19 64976.48 186410.40 32825.46 53965.70 123294.93 31001.10
1996 CLAIMS PAID
79604.52 822069.25
34652.44 2154408.00
87089.43 58119.63 69082.67 120445.00 265876.20 22649.00 796730.56 1568709.47 1139775.27 1339047.90 422010.17 4026717.00 399534.00 297619.00 1467706.00 73099.26 2504383.00 255736.00 238264.73 3103559.47 2727846.00 111426.07 310393.37 2813241.84 698968.05 6432343.71 644251.00 1819765.96 690952.84 1967663.00 2101942.46 702160.12 1236637.75 805413 .28
1996 ASSESSMENT
7357.19 75977.10
3202.64 199114.22
8048.96 5371. 52 6384.74 11131.74 24572.75 2093.26 73635.26 144982.92 105340.06 .123757.19 39002.93 372156.35 36925.64 27506.48 135648.00 6755.96 231459.53 23635.58 22020.85 286836.49 252112.38 10298.20 28687.11 260004.82 64599.87 594488.66 59542.82 168186.01 63859.09 181854.92 194265.26 64894.89 114292.26 74437.73
1995 BALANCE DUE
165.74 5168.84
234.31 13304.05
164.64 431.32 524.92 334.89 1919.63
0.00 5121.33 8279.11 7301.49 5031.68 2338.82 24348.27 4473.04 3316.03 4931.42 222.15 14546.93
657.98 2471.95 23685.03 23482.56 1180.80 3515.22 4129.57 3178.48 24385.35 4185.21 11068.81 4053.02 11627.66 2047.54 3366.20 7690.73 1933.75
1995 AND 1996 TOTAL ASSESSMENT
7522.93 81145.94
3436.95 212418.27
8213.60 5802.84 6909.66 11466.63 26492.38 2093.26 78756.59 153262.03 112641. 55 128788.87 41341.75 396504.62 41398.68 30822.51 140579.42 6978.11 246006.46 24293.56 24492.80 310521. 52 275594.94 11479.00 32202.33 264134.39 67778.35 618874.01 63728.03 179254.82 67912.11 193482.58 196312.80 68261.09 121982.99 76371.48
69
ELF-INSURED COMPANIES
OMPANY
~INESVILLE CITY OF ~ CO. INC & SUBSIDIARIES ;EIGER INTERNATIONAL ;EMC WORKERS' COMP FUND ;ENERM. MOTORS CORPORATION ;ENUINE PARTS COMPANY ;EORGIA CRATE & BASKET CO ;EORGIA DUCK & CORDAGE MILL ;EORGIA POWER CO ;EORGIA RETAI L MERCHANTS' ;EORGIA STATE OF ;EORGIA UNITED BUSINESSES iEORGIA-PACIFIC CORPORATION iERIATRIC HEALTH SERVICES iFF HOLDING CO/GENERM. FIBERS iLYNN COUNTY BOARD OF COMMSNRS ;LYNN COUNTY SCHOOLS ;OLD KIST INC ;OLDEN PANTRY FOOD STORES INC ;OLDEN PEANUT COMPANY ~DY PRODUCTS, INC. ;oURMET CONCEPTS INTERNATIONAL iRJ>.Nl) METROPOLITAN, INC iRJ>.Nl) UN I ON COMP!\NY iR~T ATLANTIC & PACIFIC T~ ;R~T DANE TRAILER iRESS FOODS INC ;RIFFIN-SPALDING SCHOOLS ~/AYSA SELF INS~CE ;UILFORD MILLS INC ;ULFSTREAM AEROSPACE CORP ;WINNETT CO BD OF EDUCATION ;WINNETT COUNTY BD OF COMMISS ;WINNETT HOSPITAL SYSTEM iALL COUNTY BOARD OF EDUCATION -lAMILTON HEALTH CARE SYSTEM ~EVILLE CITY OF tNRDEE'S FOOD SYSTEMS INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
19460.44 0.00
6521. 24 152961.32 120849.77
47384.11 5345.17
21325.17 146560.04 102606.05 3534500.58
56054.56 264714.16
50379.88 7892.31
19030.49 14962.66 219100.48
9512.29 10487.77 24398.11
1167.72 19673.56 87746.84 122373.71 63164.31 11779.96
3176.00 107805.59
24483.68 31554.62 75297.88 121683.07
8716.12 7752.56 26989.80 5247.46 19124.08
CORRECTED 1995 ASSESSMENT
20755.07 0.00
6955.07 163137.29 128889.47
50536.40 5700.77
22743.85 156310.15 109432.06 3769638.05
59783.66 282324.63
53731.58 8417.36
20296.52 15958.07 233676.43 10145.11 11185.48 26021.23
1245.41 20982.38 93584.32 130514.79 67366.40 12563.64
3387.29 114977.51
26112.48 33653.83 80307.18 129778.20
9295.97 8268.31 28785.34 5596.55 20396.34
1996 CLAIMS PAID
196096.60 256.00
175668.55 2131430.87
961452.00 371102.00
57126.47 357582.53 2353983.00 1287335.39 36087369.22 764235.26 2872370.76 444605.56
61816.93 562079.63 129913.54 2518343.00 290038.75 13 7526.00 196641. 27
7967.74 295169.12 422082.39 781215.00 650666.39
63838.13 29643.00 1160641. 00 176827.01 381523.93 1288012.27 1224186.89 413293.08 70688.95 329295.00 12903.03 274786.00
1996 ASSESSMENT
18123.60 23.66
16235.60 196990.63
88859.11 34297.91
5279.73 33048.41 217559.30 118977.83 3335258.90 70631.98 265469.62 41091.24
5713.23 51948.40 12006.84 232749.74 26805.90 12710.40 18173.94
736.39 27280.06 39009.61 72201.28 60135.75
5900.03 2739.66 107268.51 16342.67 35261.12 119040.39 113141. 53 38197.28 6533.20 30434.03 1192.52 25396.21
1995 BALANCE DUE
1294.63 0.00
433.83 10175.97
8039.70 3152.29
355.60 1418.68 9750.11 6826.01 235137.47 3729.10 17610.47 3351.70
525.05 1266.03
995.41 14575.95
632.82 697.71 1623.12
77.69 1308.82 5837.48 8141. 08 4202.09
783.68 211.29 7171. 92 1628.80 2099.21 5009.30 8095.13 579.85 515.75 1795.54 349.09 1272.26
1995 AND 1996 TOTAL ASSESSMENT
19418.23 23.66
16669.43 207166.60
96898.81 37450.20
5635.33 34467.09 227309.41 125803.84 3570396.37 74361.08 283080.09 44442.94
6238.28 53214 .43 13002.25 247325.69 27438.72 13408.11 19797.06
814 . 08 28588.88 44847.09 80342.36 64337 84
6683.71 2950.95 114440.43 17971. 47 37360.33 124049.69 121236.66 38777.13 7048.95 32229.57 1541.61 26668.47
70
SELF-INSURED COMPANIES
COMPANY
HARLEY HOTELS INC HARRELL EQUIPMENT COMPANY INC HARRIET & HENDERSON YARNS HARRISON POULTRY. INC HAVERTYS FURNITIJRE HENRY CO BOARD OF EDUCATION HERCULES INCORPORATED HILLCREST FOODS, INC HILTON HOTELS CORPORATION HOLIDAY INNS. INC HOME BUILDERS ASSOC GA SI FUND HOME DEPOT INC/HOME DEPOT USA HON INDUSTRIES, INC. HORMEL FOODS CORPORATION HORTON HOMES. INC HOSPITAL AUTHORITY HOUSTON CTY HOSPITAL AUTHORITY OF FLOYD CO HOSPITALITY SELF-INSURER'S HOUSE OF RONNIE, INC HOUSTON COUNTY BD OF EDUCATION HOUSTON COUNTY COMMISSIONERS HOWARD SHEPPARD INC HYATT CORPORATION IDA CASON CALLAWAY FOUNDATION IH SERVICE, INC IKON OFFICE SOLUTIONS INBRAND INGLES MARKETS INC INTERFACE, INC INTERNATIONAL PAPER COMPANY INTERSTATE PAPER CORPORATION J & J INDUSTRIES INC J B HUNT TRANSPORTATION J H HARVEY COMPANY J. C. PENNEY COMPANY. INC. JAMES RIVER CORPORATION JEAN HOSIERY MILL. INC JEFFERSON SMURFIT CORP. U. S.
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
0.00 3326.76 2886.30 17524.24
122.80 7041.07 24703.67 2803.06 4539.66 8447.77 1459576.73 68026.86 5922.06 17150.16 42485.73 15376.86 45851.55 55540.63 39873.46 6978.53 5469.81 3867.88 30885.97 17777.76 947.88 26245.13 2391. 54 161409.20 17177.47 15458.03 2261. 40 31709.61 111670.05 49488.92 116023.46 28717.50 8148.54 32077.80
CORRECTED 1995 ASSESSMENT
3084.65 3548.08 3078.32 18690.06
130.97 7509.48 26347.12 2989.54 4841. 67 9009.77 1556677.06 72552.44 6316.03 18291.10 45312.15 16399.83 48901.89 59235.54 42526.09 7442.79 5833.70 4125.20 32940.70 18960.45 1010.94 27991.12 2550.64 172147.17 18320.22 16486.40 2411. 84 33819.14 119099.06 52781.23 123742.08 30627.98 8690.63 34211.82
1996 CLAIMS PAID
0.00 21882.35 73938.00 247544.88 55857.70 120143.85 350486.00 47024.97 71632.00 107774.00 8717832.60 910369.00 75636.73 458866.62 319097.50 208127.23 304257.06 1125135.00 243576.86 123545.19 21080.00 216813.34 360536.00 239153.00 24110.00 227095.49 43748.43 1661603.23 151295.99 173019.00 134569.49 310895.57 516503.00 613966.66 1219381.00 215908.00 90497.50 92441.57
1996 ASSESSMENT
0.00 2022.41 6833.48 22878.54 5162.47 11103.91 32392.54 4346.13 6620.36 9960.66 805717.61 84137.92 6990.48 42409.27 29491. 56 19235.49 28119.98 103986.98 22511. 81 11418.27 1948.25 20038.27 33321. 38 22102.95 2228.29 20988.57 4043.31 153568.33 13983.04 15990.72 12437 .15 28733.52 47736.13 56743.89 112697.36 19954.60 8363.94 8543.61
1995 BALANCE DUE
3084.65 221.32 192.02
1165.82 8.17
468.41 1643.45
186.48 302.01 562.00 97100.33 4525.58 393.97 1140.94 2826.42 1022.97 3050.34 3694.91 2652.63 464.26 363.89 257.32 2054.73 1182.69 63.06 1745.99 159.10 10737.97 1142.75 1028.37 150.44 2109.53 7429.01 3292.31 7718.62 1910.48 542.09 2134.02
1995 AND 1996 TOTAL ASSESSMENT
3084.65 2243.73 7025.50 24044.36 5170.64 11572.32 34035.99 4532.61 6922.37 10522.66 902817.94 88663.50 7384.45 43550.21 32317.98 20258.46 31170.32 107681.89 25164.44 11882.53 2312.14 20295.59 35376.11 23285.64 2291.35 22734.56 4202.41 164306.30 15125.79 17019.09 12587.59 30843.05 55165.14 60036.20 120415.98 21865.08 8906.03 10677.63
71
SELF-INSURED COMPANIES
COMPANY
JESUP CITY OF JOHN WIELAND HOMES, INC JONES COMPANY K-MART CORP & SUBSIDIARIES KAHN CONSTRUCTION COMPANY INC KEEBLER COMPANY KELLEY MANUFACTURING COMPANY KELLWooD COMPANY, INC KEMlRA PIGMENTS, INC KIMBERLY-CLARK CORP KING & PRINCE SEAFOOD CORP. KLEEN-TEX INDUSTRIES KLLM TRANSPORT KNIGHT TEXTILE CORPORATION LA MAR & BOWDON MFG CO LADY MADISON, DIV MADISON INC LAGRANGE, CITY OF LANGDALE INDUSTRIES INC LAWRENCEVILLE, CITY OF LESLIE-LOCKE INC LEVI STRAUSS & CO LEWIS JONES FOOD MARKETS LIBERTY NATIONAL LIFE INS CO LIFE INSURJU,CE CO OF GEORGIA LIL' CHAMP FOOD STORES, INC LINDALE MANUFACTURING INC LOUISIANA-PACIFIC CORP LOVABLE COMPANY LOW TEMP INDUSTRIES LOWE'S HOME CENTERS, INC LOWNDES CO BOARD OF EDUCATION LOXCREEN COMPANY, INC. LUCENT TECHNOLOGIES INC. MACKLANBURG-DUNCAN CO MACON CITY OF MACON/BIBB CO WATER & SEWERAGE MANAGEMENT ANALYSIS & UTILIZAT MANVILLE/SCHULLER INTERNATIONA
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
2026.72 91928.79 34324.48 326360.19
2271.85 106693.96
1992.91 1920.93
24.85 12729.05 12563.72
4558.84 6648.32 5233.45 20916.21 8346.64
0.01 35407.93 14171.49
6162.42 58165.62
3911.78 28874.16 14698.68 20324.74 51407.99 38728.05 21694.26
3278.41 118463.41
4994.04 555.39 0.00
58838.30 74878.95 19357.37
122.83 6595.04
CORRECTED 1995 ASSESSMENT
2161. 55 98044.48 36607.96 348071. 75
2422.98 113791.92
2125.49 2048.72
26.51 13575.87 13434.05
4862.12 7090.61 5581.61 22307.69 8901.91
0.00 37763.49 15114.27
6572.38 62035.17
4172.02 30795.06 15676.53 21676.87 54827.98 41304.49 23137.50
3496.51 126344.35
5326.27 592.34 0.00
62752.60 79860.38 20645.14
131. 00 7033.79
1996 CLAIMS PAID
60185.65 1126453.64
295139.31 3253607.51
87038.00 656619.00
29236.49 0.00
51436.37 143083.00 179456.16 157228.00 293000.00
15918.96 0.00
74959.00 130482.11 193341. 73 199949.21
0.00 777958.00
22455.01 0.00
136003.00 68346.00
562993.28 276902.57 319972 .27
47336.00 352354.49
56745.74 6822.16
1527750.00 223592.44 867744.98 94065.42 36010.93 46264.00
1996 ASSESSMENT
5562.46 104108.85
27277.30 300704.20
8044.21 60685.90
2702.09 0.00
4753.84 13223.99 16585.66 14531. 29 27079.58
1471.26 0.00
6927.84 12059.3'9 17868.99 18479.66
0.00 71900.26
2075.33 0.00
12569.64 6316.66
52032.84 25591.83 29572.41
4374.88 32565.23
5244.54 630.52
141197.37 20664.81 80198.54 8693.69 3328.19 4275.80
1995 BALANCE DUE
134.83 6115.69 2283.48 21711.56
151.13 7097.96
132.58 127.79
.66 846.82 870.33 303.28 442.29 348.16 1391.48 555.27
-0.01 2355.56
942.78 409.96 3869.55 260.24 1920.90 977.85 1352.13 3419.99 2576.44 1443.24 218.10 7880.94 332.23
36.95 0.00
3914.30 4981.43 1287.77
8.17 438.75
1995 AND 1996 TOTAL ASSESSMENT
5697.29 110224.54
29560.78 322415.76
8195.34 67783.86
2834.67 127.79
4755.50 14070.81 17455.99 14834.57 27521. 87
1819.42 1391.48 7483.11 12059.38 20224.55 19422.44
409.96 75769.81
2335.57 1920.90 13547.49 7668.79 55452.83 28168.27 31015.65 4592.98 40446.17 5576.77
667.47 141197.37
24579.11 85179.9"7
9981.46 3336.36 4714.55
72
SELF-INSURED COMPANIES
COMPANY
MAPLEHURST DELI-BAKE STH MAR-JAC PROCESSING MARGLEN INDUSTRIES INC MARIETTA CITY SERVICES MARMON CORP & SUBS MARMON INDUSTRIAL CORP MARRIOTT INTERNATIONAL, INC. MARTA MASTEC. INC SUBSIDIARIES MAY DEPARTMENT STORES CO/DBA MAYER ELECTRIC SUPPLY CO MAYFAIR MILLS. INC MCDONALD'S OF GEORGIA INC MCKENZIE TANK LINES INC MCKESSON CORPORATION MCKIBBON BROTHERS INC MCLANE COMPANY. INC. MEAD CORPORATION MEDUSA CEMENT COMPANY MEMORIAL MEDICAL CENTER, INC. MERCK & CO INC MERVYN'S. METALPLATE GALVANIZING INC METRO ATLANTA LANDSCAPE/TURF METROMEDIA INTERNATIONAL GRP MICROMERITICS INSTRUMENTS CORP MID-AMERICA DAIRYMEN, INC MILAN EXPRESS COMPANY, INC MILLEDGEVILLE. CITY OF MILTON J. WOOD COMPANY MOHAWK CARPET CORPORATION MONROE AUTO EQUIPMENT CO MONROE. CITY OF MORRISON FRESH COOKING, INC. MORRISON HEALTH CARE, INC. MOUNT VERNON MILLS MULLITE CO OF AMERICA MULTITEX CORP
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
21691.10 32894.64 48936.83 22834.49
5767.74 7931.93 85768.30 93927.01 2844.95 3993.99 1624.36
339.49 26073.06 14958.83 10059.66
3508.12 26649.43 52193.68 22211.51 52024.42 15341.08 29374.97
40.81 23271.77 66385.92
674.32 29016.61
317.55 5544.51 9925.24 337268.28 32210.32 2105.06
0.00 0.00 80069.33 5074.65 4226.42
CORRECTED 1995 ASSESSMENT
23134.13 35083.00 52192.42 24353.58
6151.45 8480.98 914 74.15 100175.63 3034.22 4259.69 1732.42
362.08 27807.61 15953.99 10728.89
3741.50 28422.31 55665.93 23689.16 55485.42 16361.66 31329.18
43.52 24819.96 70802.34
719.18 30946.98
338.68 5913.36 10585.53 359705.51 34353.16 2245.11
0.00 0.00 85396.06 5412.24 4507.59
1996 CLAIMS PAID
357851.96 275930.03 224865.60 169433.06
35342.57 15917.32 889367.00 657877.30 177673.54 15111.72 12007.64 67332.23 223406.00 206507.00 60528.00 14500.97 294904.00 401646.47 88980.62 943636.76 107921.48 127533.00
651.30 532214.00 414439.78
35352.16 107400.82
3588.94 118641.39
45133.39 3189281.80
480440.19 86021. 52
730451.00 81113.00
861033.99 24413.52 24578.53
1996 ASSESSMENT
33073.32 25501.94 20782.48 15659.30
3266.42 1471.11 82196.88 60802.19 16420.90 1396.65 1109.77 6222.96 20647.58 19085.74 5594.11 1340.21 27255.55 37120.88 8223.75 87212.59 9974.30 11786.83
60.19 49188.17 38303.26
3267.31 9926.17
331.70 10965.05
4171. 31 294759.10
44403.14 7950.26
67509.58 7496.61
79578.29 2256.34 2271. 59
1995 BALANCE DUE
1443.03 2188.36 3255.59 1519.09
383.71 549.05 5705.85 6248.62 189.27 265.70 108.06
22.59 1734.55
995.16 669.23 233.38 1772.88 3472.25 1477.65 3461.00 1020.58 1954.21
2.71 1548.19 4416.42
44.86 1930.37
21.13 368.85 660.29 22437.23 2142.84 140.05
0.00 0.00 5326.73 337.59 281.17
1995 AND 1996 TOTAL ASSESSMENT
34516.35 27690.30 24038.07 17178.39
3650.13 2020.16 87902.73 67050.81 16610.17 1662.35 1217.83 6245.55 22382.13 20080.90 6263.34 1573.59 29028.43 40593.13 9701. 4 0 90673.59 10994.88 13741. 04
62.90 50736.36 42719.68
3312.17 11856.54
352.83 11333.90
4831.60 317196.33
46545.98 8090.31
67509.58 7496.61
84905.02 2593.93 2552.76
73
SELF-INSURED COMPANIES
COMPANY
MURPHY-HARPST-VASHTI. INC. MURRAY COUNTY BD OF EDUCATION MUSCOG~E COUNTY SCHOOL DIST NABISCO, INC NATIONAL SERVICES INDUSTRIES NATIONS BANK/BANK SOUTH NATIONSBANK CORPORATION NATL. ENVELOPE CORP., SOUTH NETWORK PUBLICATIONS, INC NEWMARK & JAMES, INC. NEWTON COUNTY NEWTON COUNTY BD OF EDUCATION NL INDUSTRIES INC NORDSON CORPORATION NORMAN W FRIES/CLAXTON POULTRY NORTHEAST GEORGIA HEALTH SVCS NORTHSIDE HOSPITAL NORTHWEST GA HEALTH SYS OAKWOOD HOMES CORP/DESTINY IND OLD DOMINION FREIGHT LINES INC OLIN CORPORATION OLIN WOOTEN TRANSPORT OLIVER RUBBER CO OPELIKA INDUSTRIES, INC ORBIT INDUSTRIES INC OVERNITE TRANSPORTATION CO OWENS-CORNING FIBERGLASS OWENS-ILLINOIS INC PARKER HANNIFIN CORPATION PATTERSON PUMP COMPANY PCC AIRFOILS INC PCS NITROGEN, INC PEACH STATE PRESBYTERIAN HOMES PEPSICO, INC PHARR YARNS OF GEORGIA INC PHOEBE PUTNEY MEMORIAL HOSPTL PIEDMONT HOSPITAL PIEDMONT LABORATORIES. INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
0.00 6969.59 35742.86 40879.99 207494.41 13503.60 50736.45 7755.38 4641.33 4524.77 4071. 99 15001.88
446.48 742.66 27317.05 58700.84 47302.17 80950.27 47100.40 143337.18 112.75 13076.37 34439.53 26981.53 19830.23 28048.62 39182.53 69786.56 18237.98 15532.10 14583.72 2866.63 4989.96 152088.41 10.85 6940.62 28629.93 8597.33
CORRECTED 1995 ASSESSMENT
0.00 7433.25 38120.70 43599.58 221298.26 14401.95 54111. 76 8271.31 4950.10 4825.78 4342.89 15999.90
476.19 792.07 29134.35 62605.99 50449.01 86335.60 50233.82 152872.88 120.25 13946.29 36730.66 28776.51 21149.47 29914.59 41789.20 74429.20 19451.29 16565.40 15553.92 3057.34 5321.92 162206.30 11. 57 7402.36 30534.58 9169.28
1996 CLAIMS PAID
18728.69 155709.00 301958.14 453824.83 1721044.00
364.00 600702.52 162103.33
0.00 54683.00 55692 .14 65832.09
0.00 53291.08 217167.27 745422.03 54740.25 1515238.54 522699.34 1263427.56
3118.00 241580.76 104715.00 195540.51 294625.37 144336.44 334586.00 404756.08
27502.00 91242.51 230456.52
0.00 86851.36 2551948.30
0.00 290245.00 323898.40 152619.77
1996 ASSESSMENT
1730.94 14390.90 27907.51 41943.30 159061. 95
33.64 55518.00 14981.88
0.00 5053.90 5147.17 6084.32
0.00 4925.26 20070.99 68893.23 5059.19 140041. 04 48308.80 116768.22
288.17 22327.32
9677.95 18072.20 27229.80 13339.83 30923.03 37408.28
2541. 78 8432.80 21299.20
0.00 8026.96 235855.60
0.00 26824.96 29935.27 14105.39
1995 BALANCE DUE
0.00 463.66 2377.84 2719.59 13803.85 898.35 3375.31 515.93 308.77 301.01 270.90 998.02 29.71 49.41 1817.30 3905.15 3146.84 5385.33 3133.42 9535.70
7.50 869.92 2291.13 1794.98 1319.24 1865.97 2606.67 4642.64 1213.31 1033.30 970.20 190.71 331.96 10117.89
0.72 461.74 1904.65 571.95
1995 AND 1996 TOTAL ASSESSMENT
1730.94 14854.56 30285.35 44662.89 172865.80
931 99 58893.31 15497.81
308 77 5354 91 5418.07 7082 34
29.71 4974.67 21883 29 72796.36 8206.03 145426.37 51442.22 126303.92
295.67 23197.24 11969.06 19867.18 28549.04 15205.80 33529 70 42050.92
3755 09 9466.10 22269.40
190.71 8358.92 245973 .49
0.72 27286.70 31839.92 14677.34
74
SELF-INSURED COMPANIES
COMPANY
. PIGGLY WIGGLY CAROLINA CO INC PLANTATION PIPE LINE COMPANY PLOOF TRUCK LINES INC PPG INDUSTRIES INC. PRECI ?TEO!. INC. PREMARK INTERNATIONAL PRINTING INDUSTRY ASSOC OF GA PRINTPACK, INC PROCTER 6. GAMBLE COMPANY AND PROMUS COMPANIES INC QUEEN CARPET CORPORATION RACETRAC PETROLEUM, INC RALSTON PURINA COMPANY RANDOLPH COUNTY HOSP AUTHORITY RANDSTAD STAFFING SERVICES RESTAURANT MANAGEMENT SERVICES RESTAURANT OWNERS SAFETY ASSOC RHODES NURSING HOME RICH SEAPAK PROCESSING CORP RICHMOND COUNTY BD OF COMMISS RICHMOND cry BD OF EDUCATION RIGHT WAY TRANSPORT 6. FIBERS RlVERWooD INTERNATIONAL USA RMC INDUSTRIES ROBERDS. INC ROCKDALE CO. BD OF EDUCATION ROCKWELL INTERNATIONAL ROCOR INTERNATIONAL ROGER WOOD FOODS, INC ROLLINS INC ROLLINS LEASING CORPORATION ROME CITY OF RONILE. INC
ROOFING 6. SHEET METAL ASSOC ROOKER ADMINISTRATIVE SERVICES ROPER CORPORATION ROSWELL CITY OF RTM, INC.
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ~SESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
9699.51 260.66
2577.54 10941.74
1198.66 21303.20 28932.22
6237.31 23345.53
4984.49 169076.69
17339.77 61253.96
3345.44 63886.96
6221.79 13506.23
3383.16 6642.06 18932.44 36644.14 3438.38 10271.61 34371.14 14478.18 8098.66 13449.12 43182.47 18694.79 21426.10 7297.34 24605.20
42.15 24619.95 16698.07 60405.90
3861. 47 0.00
CORRECTED 1995 ASSESSMENT
10344.79 278.00
2749.02 11669.66
1278.41 22720.42 30856.97
6652.26 24898.63
5316.09 180324.75
18493.33 65328.96
3568.00 68137.13
6635.71 14404.75
3608.23 7083.94 20191. 95 39081. 94 3667.12 10954.94 36657.72 15441.36 8637.43 14343.84 46055.24 19938.49 22851.50 7782.80 26242.09
44.96 26257.83 17808.93 64424.49
4118.37 0.00
1996 CLAIMS PAID
32575.65 0.00
7774.54 149850.29
39411. 30 232119.02 481669.09
75277.00 220609.00 117794.27 2156241. 00 209204.00 337871. 00
20439.74 1054181. 00
0.00 213510.42
28474.95 261605.11 173974.22 484081. 79
0.00 146808.36 293046.55 118337.00
66597.62 222644.89 522940.13 248350.13 465949.00
0.00 245920.67
349.56 609438.89 115650.00 683179.52
45298.53 258252.00
1996 ASSESSMENT
3010.70 0.00
718.54 13849.43
3642.46 21452.85 44516.71
6957.23 20389.08 10886.76 199283.63 19335.01 31226.64
1889.08 97429.28
0.00 19733.01
2631.71 24178.01 16079.01 44739.70
0.00 13568.29 27083.88 10936.92
6155.07 20577.24 48331.06 22952.96 43063.84
0.00 22728.43
32.31 56325.43 10688.58 63140.67
4186.57 23868.11
1995 BALANCE DUE
645.28 17.34
171. 48 727.92
79.75 1417 .22 1924.75
414.95 1553.10
331. 60 11248.06
1153.56 4075.00
222.56 4250.17
413 . 92 898.52 225.07 441.88 1259.51 2437.80 228.74 683.33 2286.58 963.18 538.77 894.72 2872.77 1243.70 1425.40 485.46 1636.89
2.81 1637.88 1110.86 4018.59
256.90 0.00
1995 AND 1991 TOTAL ASSESSMEN:
3655.98 17.34
890.02 14577.35
3722.21 22870.07 46441.46
7372.18 21942.18 11218.36 210531.69 20488.57 35301.64
2111.64 101679.45
413.92 20631.53
2856.78 24619.89 17338.52 47177.50
228.74 14251. 62 29370.46 11900.10
6693.84 21471. 96 51203.83 24196.66 44489.24
485.46 24365.32
35.12 57963.31 11799.44 67159.26
4443.47 23868.11
75
LF-INSURED COMPANIES
MPANY
BY TUESDAY, INC. SSELL CORPORATION 'AN'S FAMILY STEAK HOUSES DER SYSTEMS INC .INT JOSEPH'S HEALTH SYSTEM .INT JOSEPH'S HOSPITAL INC .INT MARY'S HEALTH CARE ~ERS BROTHERS INC IRA LEE CORPORATION ,TILLA HEALTH SERVICES INC ,VANNAH CITY OF ,VANNAH ELECTRIC &. POWER CO :IENTIFIC ATLANTA INC :OTTISH RITE CHILDREN'S ~OARD CORPORATION lAW INDUSTRIES INC lELL OIL COMPANY lEPHERD SPINAL CENTER lERWIN-WILLIAMS COMPANY lONEY'S [LVER DOLLAR CITY/DBA [NG OIL COMPANY [ZEMORE SECURITY INTERNATIONL <F USA INC ~LL CONTRACTORS, INC )UTH GEORGIA MEDICAL CENTER )UTHEAST FAST FOOD PARTNERS )UTHEAST GA REG MED CENTER DUTHEAST-ATLANTIC CORP DUTHEASTERN FREIGHT LINES DUTHEASTERN LUMBER MFR ASSOC OUTHEASTERN MILLS, INC DtrrHERN COMPANY SERVICES INC DUTIlERN MACHINE &. TOOL CO OUTHERN MILLS INC OtrrHERN NUCLEAR OPERATING CO OUTWERN PAN SERVICES OUTHWIRE COMPANY
;ORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
72536.18 12411.19 28992.29 113660.02 28749.69 13169.65 37219.21
438.79 82338.52 20772.58 68955.94 41306.39 44086.97 23984.26 66537.66 869666.10
7101.57 1816.22 20669.74 95561.22 1095.67 1500.40 11240.74 5440.67 15415.26 17031.86
0.00 35138.25 10267.99 51771.76 133271. 29
4786.42 18783.26
2191.93 9515.22 9970.52 4780.64 156071.70
CORRECTED 1995 ASSESSMENT
77361.75 13236.86 30921.05 121221. 41 30662.30 14045.78 39695.27
467.98 87816.20 22154.68 73543.32 44054.36 47019.92 25579.84 70964.16 927521. 82
7574.02 1937.04 22045.36 101918.56 1168.56 1600.22 11988.55 5802.62 16440.78 18164.93
0.00 37475.87 10951.08 55215.94 142137.34
5104.84 20032.84
2337.75 10148.24 10633.82
5098.68 166454.59
1996 CLAIMS PAID
111696.00 98682.85
376075.00 1661413.00
221387.89 231810.31 105389.21
8900.02 890371.49 272031.21 712736.29 302409.00 875233.26 265211. 87 1111678.00 7031376.73
0.00 110920.00 276264.00 1206953.60
13159.49 0.00
98376.50 21722.00 200577.11 253433.99
6181.69 354598.12
17151.33 861340.50 847419.80 291345.00
37225.00 21365.08 147760.85 107348.00 80884.00 1619259.89
1996 ASSESSMENT
10323.14 9120.44
34757.52 153550.75
20461. 06 21424.32
9740.26 822.56
82289.72 25141.61 65872.36 27949.18 80890.62 24511.35 102743.26 649852.35
0.00 10251.42 25532.81 111548.80
1216.22 0.00
9092.13 2007.59 18537.69 23422.82
571.32 32772.59
1585.16 79606.62 78320.05 26926.62
3440.40 1974.60 13656.32 9921. 29 7475.44 149654.88
1995 BALANCE DUE
4825.57 825.67
1928.76 7561.39 1912.61
876.13 2476.06
29.19 5477.68 1382.10 4587.38 2747.97 2932.95 1595.58 4426.50 57855.72 472.45 120.82 1375.62 6357.34
72.89 99.82 747 .81 361.95 1025.52 1133.07
0.00 2337.62
683.09 3444 .18 8866.05
318.42 1249.58
145.82 633.02 663.30 318.04 10382.89
1995 AND 1996 TOTAL ASSESSMENT
15148.71 9946.11
36686.28 161112.14
22373.67 22300.45 12216.32
851.75 87767.40 26523.71 70459.74 30697.15 83823.57 26106.93 107169.76 707708.07
472.45 10372.24 26906.43 117906.14
1269.11 99.82
9839.94 2369.54 19563.21 24555.69
571.32 35110.21
2268.25 83050.80 87186.10 27245.04
4689.98 2120.42 14289.34 10584.59 7793.48 160037.77
76
SELF-INSURED COMPANIES
COMPANY
SPALDING & EVENFLO COMPANIES SPALDING CO BOARD OF COMM SPARTAN MILLS SPRINGS INDUSTRIES INC ST FRANCIS HOSPITAL ST JOSEPH HOSPITAL ST MARYS, CITY OF STAFFMARK, INC. STANLEY WORKS & SUBSIDIARIES STONE CONTAINER CORPORATION SUNNYLAND FOODS INC SUNSET FARM FOODS SUPER DISCOUNT MARKETS SUPERIOR RIGGING & ERECTING CO SUPERIOR SURGICAL MFG CO INC SUTHERLAND'S FooDSERVICE, INC SUWANNEE SWIFTY STORES INC SWIFT TEXTILES INC SYNTHETIC INDUSTRIES, INC T. M. POLYFILM, INC TANNER HEALTH SERVICES TECUMSEH PPRODUCTS COMPANY TERMINIX SERVICE, INC TEXFI INDUSTRIES, INC. TEXTILE RUBBER & CHEMICAL TEXTRON, INC THE LIMITED, INC THE WAGGONERS TRUCKING CO. THERMAL CERAMICS THOMAS R HOPSON-BROKER, INC THOMASTON MILLS INC THOMASVILLE CITY OF TIFT GENERAL HOSPITAL TIFTON ALUMINUM CO INC TIP TOP POULTRY INC TRANSUS, INC. TRAVELERS INSURANCE COMPANY TRC STAFFING SERVICES, INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
18374.54 10945.47 10198.01 69665.85 18670.91
6001. 21 2456.92 12930.61 4354.31 51248.43 21739.71
249.99 29643.10 15337.91
5603.83 2529.68 16616.32 7230.17 23333.87 1857.87 12087.31
0.00 631. 36 12621. 28 19380.64 49350.54 2171. 87 4642.08 18100.05 3442.63 19734.09 13177.85 9805.86 23897.50 33286.66 42206.60 18170.93 12002.95
CORRECTED 1995 ASSESSMENT
19596.94 11673.63 10876.45 74300.46 19913.02
6400.45 2620.37 13790.84 4643.98 54657.80 23185.98
266.62 31615.15 16358.29
5976.63 2697.97 17721.75 7711.16 24886.19 1981.46 12891.43
0.00 673.36 13460.93 20669.96 52633.65 2316.35 4950.90 19304.18 3671.65 21046.93 14054.52 10458.21 25487.31 35501.10 45014.45 19379.78 12801.47
1996 CLAIMS PAID
174382.71 185711.00 187134.00 616198.00 215253.90 191135.30
65354.06 154844.43
54802.00 332390.00
66422.86 2380.89
469490.98 56389.09 35910.00 26814.71
195972.47 187613.00 623739.00
16314.89 136395.69
11132.63 10713.00 109069.00 194819.00 582325.00 42401. 00 240421. 00 144213.73
62.36 202401.01 166280.23
60471. 55 255988.66 320077.09 114547.52 136480.95 267235.23
1996 ASSESSMENT
16116.76 17163.74 17295.26 56950.12 19894.15 17665.06
6040.14 14311.00
5064.90 30720.08
6138.92 220.05
43391.19 5211. 58 3318.87 2478 .26
18112.12 17339.53 57647.07
1507.85 12605.93
1028.90 990.11
10080.35 18005.52 53819.51
3918.78 22220.14 13328.49
5.76 18706.26 15367.91
5588.89 23658.93 29582.09 10586.69 12613.81 24698.36
1995 BALANCE Om:<
1222.40 728.16 678.44
4634.61 1242.11
399.24 163.45 860.23 289.67 3409.37 1446.27
16.63 1972.05 1020.38
372.80 168.29 1105.43 480.99 1552.32 123.59 804.12
0.00 42.00 839.65 1289.32 3283.11 144.48 308.82 1204.13 229.02 1312.84 876.67 652.35 1589.81 2214.44 2807.85 1208.85 798.52
1995 AND 1996 TOTAL ASSESSMENT
17339.16 17891.90 17973.70 61584.73 21136.26 18064.30 6203.59 15171. 23
5354.57 34129.45
7585.19 236.68
45363.24 6231.96 3691.67 2646.55
19217.55 17820.52 59199.39
1631. 44 13410.05
1028.90 1032.11 10920.00 19294.84 57102.62 4063.26 22528.96 14532.62
234.78 20019.10 16244.58
6241. 24 25248.74 31796.53 13394.54 13822.66 25496.88
77
;LF-INSURED COMPANIES
)MPANY
~I-STATE STEEL DRUM INC/WSTT WUP CO. BOARD OF EDUCATION iCC INTERNATIONAL LTD. iSON FOODS INC S EMPLOYER CONSUMER ~ILEVER UNITED STATES ~ION CAMP CORPORATION NION OIL CO OF CALIFORNIA .. NISERV. INC NlTED AIRLINES NlTED CATALYSTS. INC NITED CITIES GAS COMPANY NlTED HEALTH SERVICES INC NlVERSITY HEALTH SERVICES ALOOSTA CITY OF ARIETY WHOLESALERS. INC ERMONT AMERICAN CORPORATION F CORPORATION ISITING NURSE HEALTH SYSTEM ULCAN MATERIALS COMPANY T MAYFIELD SONS TRUCKING . C. FUND FOR HEALTH CARE ACHOVIA BANK OF GEORGIA FlFFLE HOUSE ALKER COUNTY BD OF EDUCATION ALKER/DAOE/CATooSA HOSP AUTH AREHOUSE HOME FURNISHINGS ARNER ROBINS CITY OF ARREN FEATHERBONE COMPANY ARREN SEWELL CLOTHING ATKINS ASSOCIATED INDUSTRIES ATKINS ENGINEERS & CONST. AYCROSS MOLDED PRODUCTS INC AYCROSS, CITY OF ELLINGTON LEISURE PRODUCTS ELLINGTON SEARS/JOHNSTON IND. ENDY 0 S INTERNATIONAL INC ESLEY WOODS, INC
3EORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
2446.55 3360.56 21268.66 10892 .40
0.00 2049.55 65960.34
332.15 18875.10
5549.61 2049.49 2882.98 137578.89 32822.13 20100.75 16546.75 17713.56 17173.92 34368.44 49040.87 34309.53 151886.69 43472 66 114700.63
0.00 59170.39 30158.88 22786.07
2631.37 49.53
56296.62 25674.74 19466.36
4667.52 25049.58
1795.24 20073.36 11010.95
CORRECTED 1995 ASSESSMENT
2609.31 3584.13 22683.58 11617.03 24569.42 2185.89 70348.44
354.25 20130.79
5918.80 2185.84 3074.77 146731. 51 35005.66 21437.98 17647.54 18891.98 18316.44 36654.85 52303.38 36592.01 161991.16 46364.73 122331. 24
0.00 63106.78 32165.24 24301.95
2806.42 52.82
60041.83 27382.78 20761. 39
4978.04 26716.04
1914.67 21408.77 11743.47
1996 CLAIMS PAID
25768.15 68373.00 252303.00 725462.00
0.00 49452.84 668222.76 15596.00 122352.00 125353.90 34068.71 22345.87 1124492.39 287397.70 165596.00 165653.00 10091.35 185172.85 683962.38 270178.05 130975.14 1778593.08 304323.57 1440643.09 2167.89 607439.96 423372.05 213088.78 51318.72 4242.67 882137.21 161802.60 260693.23 54718.18 94310.74 65090.00 210774.00 110749.00
1996 ASSESSMENT
2381.54 6319.15 23318.29 67048.49
0.00 4570.52 61758.34 1441.41 11307.99 11585.43 3148.69 2065.25 103927.59 26561.81 15304.68 15309.95
932.66 17114.00 63213.02 24970.34 12104.96 164380.74 28126.13 133146.80
200.36 56140.68 39128.80 19694.04
4742.97 392.12
81528.69 14954.08 24093.73
5057.15 8716.37 6015.73 19480.11 10235.62
1995 BALANCE DUE
162.76 223.57 1414.92 724.63 24569.42 136.34 4388.10
22.10 1255.69
369.19 136.35 191.79 9152.62 2183.53 1337.23 1100.79 1178.42 1142.52 2286.41 3262.51 2282.48 10104.47 2892.07 7630.61
0.00 3936.39 2006.36 1515.88
175.05 3.29
3745.21 1708.04 1295.03
310.52 1666.46
119.43 1335.41
732.52
1995 AND 1996 TOTAL ASSESSMENT
2544.30 6542.72 24733.21 67773.12 24569.42 4706.86 66146.44 1463.51 12563.68 11954.62 3285.04 2257.04 113080.21 28745.34 16641.91 16410.74 2111.08 18256.52 65499.43 28232.85 14387 44 174485 21 31018.20 140777.41 200.36 60077.07 41135.16 21209.92 4918.02 395.41 85273.90 16662.12 25388.76 5367.67 10382.83 6135.16 20815.52 10968.14
78
SELF-INSURED COMPANIES
COMPANY
WEST GEORGIA MEDICAL CENTER WESTINGHOUSE ELECTRIC CORP WESTMINSTER SCHOOLS WESTPOINT STEVENS, INC. WESTVACO CORPORATION 6. SUBS WEYERHAEUSER COMPANY WHITFIELD COUNTY BD OF COMMISS WHITFIELD COUNTY PUBLIC SCHOOL WIGGINS ENTERPRISES, INC WINN-DIXIE STORES INC WOODGRAIN MOULDINGS WORLD CARPETS INC WORLD COLOR PRESS YANCEY BROTHERS COMPANY YELLOW FREIGHT SYSTEM INC YKK CORPORATION OF AMERICA ZARTIC INC
GEORGIA SUBSEQUENT INJURY TRUST FUND ASSESSMENT 1995 CORRECTED ASSESSMENT 1996 ASSESSMENT
1995 ASSESSMENT
25214.26 17622.49
875.28 34068.30
7888.76 42736.50 21862.73 24863.67
5256.95 375882.39
3413.83 293791.63
8012.95 16544.45 34204.32
8306.82 49949.30
CORRECTED 1995 ASSESSMENT
26891.67 18794.85
933.50 36334.74
8413.58 45579.60 23317.18 26517.76
5606.67 400888.48
3640.94 313336.52
8546.02 17645.09 36479.81
8859.44 53272.25
1996 CLAIMS PAID
184248.00 199773.00
4219.62 582571.00 102932.00 392037.03 356899.30 148607.00
38011.54 4324646.51
15244.05 2192654.21
199086.63 198116.78 264112.62
61056.18 306506.96
1996 ASSESSMENT
17028.53 18463.38
389.98 53842.25
9513 .16 36232.76 32985.27 13734.52
3513.09 399691.53
1408.88 202649.01
18399.94 18310.31 24409.76
5642.92 28327.92
1995 BALANCE DUE
1677.41 1172.36
58.22 2266.44
524.82 2843.10 1454.45 1654.09
349.72 25006.09
227.11 19544.89
533.07 1100.64 2275.49
552.62 3322.95
1995 AND 199 TOTAL ASSESSMEN"
18705.94 19635.74
448.20 56108.69 10037.98 39075.86 34439.72 15388.61
3862.81 424697.62
1635.99 222193.90
18933.01 19410.95 26685.25
6195.54 31650.87
TOTAL
31367288.23
33491868.25
339125826.17 31342612.49
2124580.02
TOTALS MAY FLUCTUATE DUE TO COMPUTER ROUNDING
33467192.51
79