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MAINE STATE LEGISLATURE
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QUARTERLY COMPLIANCE REPORT
STATE OF MAINE WORKERS' COMPENSATION BOARD
Fourth Quarter 2005 Report
October 1, 2005 - December 31, 2005
Office of Monitoring, Audit & Enforcement
Paul R. Dionne Executive Director/Chair
Steven P. Minkowsky Deputy Director of Benefits Administration
27 State House Station Augusta, Maine 04333-0027
(207) 287-3751
JOHN ELIAS BALDACCI
GOVERNOR
STATE OF MAINE
WORKERS' COMPENSATION BOARD
DEERING BUILDING AMHI COMPLEX
27 STATE HOUSE STATION
AUGUSTA, MAINE
04333·0027
July 28, 2006
Senator Ethan K. Strimling, Chair Joint Standing Committee on Labor 3 State House Station Augusta, Maine 04333
Dear Senator Strimling:
PAUL R. DIONNE
EXECUTIVE DIRECTOR
Enclosed please find a copy of the Workers' Compensation Board Quarterly Compliance Report compiled for the fourth quarter of2005.
The Workers' Compensation Board has also initiated an audit program to review the activity of insurance carriers, self-insureds, and third-party administrators pursuant to P.L. 1997, Chapter 486. A seven-year audit cycle has been approved by the Board and audits are being conducted on a regular basis.
A new feature in this quarterly report is the inclusion of the number and timeliness of Notices of Controversy filed with the Board. This new section is based on the November 22, 2005 motion which was approved by majority vote by the Board of Directors.
The Monitoring, Audit and Enforcement (MAE) Program is having a significant impact on compliance in the State of Maine. Although much work remains to be done, the Board anticipates that this program will continue to improve compliance as envisioned by the Governor and the Legislature and as reflected in P.L. 1997, Chapter 486.
The Workers' Compensation Board is pleased with the results of the MAE Program, which is drawing national attention, and remains convinced that the program promises even better compliance in the future for Maine.
PRD/amp Enclosure
PHONE: (207) 287-3751
Sincerely,
~~(/ Paul R. Dionne Executive Director/Chair
PRINTED ON RECYCLED PAPER
TDD: (207) 287·6119
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FAX: (207) 287-7198
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State of Maine Workers' Compensation Board Quarterly Compliance Report
Fourth Quarter 2005
Table of Contents
Executive Summary Quarterly Compliance Summary First Reports of Occupational Injury or Disease Compliance Summary Payments of Initial Indemnity Benefit Summary Filing ofMemoranda of Payment Summary Filing of Notices of Controversy Summary
Table of Charts
First Reports of Occupational Injury or Disease Filing Distribution First Reports of Occupational Injury or Disease Quarterly Compliance First Reports of Occupational Injury or Disease Received Per Quarter Payments of Initial Indemnity Benefit Distribution Payments of Initial Indemnity Benefit Quarterly Compliance Payments of Initial Indemnity Benefit Compliance Trend Filing of Memoranda of Payment Distribution Filing of Memoranda of Payment Quarterly Compliance Filing ofMemoranda ofPayment Compliance Trend Filing of Notices of Controversy Distribution Filing ofNotices of Controversy Quarterly Compliance Filing of Notices of Controversy Compliance Trend
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Appendices
A. Insurance Group Compliance Pages Al-A9 Initial Filings Comparison
B. Insurance Group Compliance Pages Bl-B9 Initial Indemnity Payments and Memorandum ofPayment Filing
c. Insurance Group Compliance Pages Cl- C9 Notices of Controversy Filing
D. Insurance Group Compliance Pages Dl- D40 Quarterly Compliance Data
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Executive Summary
On July 11, 2006, the Maine Workers' Compensation Board unanimously approved the Fourth Quarter 2005 Compliance Report. This report represents the efforts of the Office of Monitoring, Audit and Enforcement (MAE Program) and the workers' compensation community.
The Reconcjliation Report was sent to one hundred forty four (144) entities on January 23, 2006. One hundred eighteen (118) responded timely. Sixteen (16) entities were not required to respond. Ten (10) entities failed to respond. The non-respondents were contacted to verify addresses and ensure future response.
I. COMPLIANCE OVERVIEW
A. Lost Time First Reports
• 3,446 Lost Time First Reports were received during the fourth quarter. 85.61% were received within 7 days and 90.75% were received within 10 days. The 7-day compliance (85.61 %) represents a slight increase (about 1.5%) from the previous quarter. This increase can be attributed to better implementation by insurance entities using the IAIABC Release III· format for electronic filing purposes. In the fourth quarter 95% of all First Reports oflnjury were filed electronically.
B. Payments of Initial Indemnity Benefit
• 88.68% oflnitial Indemnity Benefits were paid within 14 days. The Board's benchmark for this area is 80%. The insurance community exceeded this measure by nearly 9%. This is the highest ever compliance.
C. Filing of Initial Memoranda of Payment
• 86.96% oflnitial Memoranda of Payment were received by the Board within 17 days. The Board's benchmark for this area is 75%. The insurance community exceeded this mark by nearly 12%. This is also the highest ever compliance in this area.
D. Notices of Controversy
On November 22,2005, the Maine Workers' Compensation Board of Directors approved by majority vote the following motion:
MOVE to implement the reporting of the number, timeliness and the percent of initial indemnity claims denied (NOC's) in the quarterly and annual compliance reports.
• 90.82% ofthe Initial IndemnityNOCs filed within the fourth quarter of2005 were filed within 0-17 days.
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* Appendix A: Initial Filings Comparison: Appendix A was generated at the request of the Board of Directors on August 24, 2004.
* Appendix C: provides NOC filing timeliness compliance information by insurance groups.
II. CAVEATS
A. General Caveats
• This Fourth Quarter 2005 Compliance Report represents static results based upon data received by February 27, 2006.
The Board's current benchmarks are as follows:
(1) Payments oflnitial Indemnity Benefit made within 0-14 days is 80%. (2) Memoranda ofPayment received within 0-17 days is 75%.
• Employer delays in reporting dates of injury and/or dates of incapacity lower insurance company and third-party administrator compliance.
• Question marks listed on this report indicate that the insurance company, the third-party administrator, or the self-administered employer did not provide the required data; therefore, the time line calculation could not be determined.
• The Reconciliation Report process identified internal and external errors and problems. These errors and problems were referred to the appropriate entities for correction.
B. NOC-Related Caveats
• The measurement ofthe Filing oflnitial Indemnity Notices of Controversy (NOCs) excludes the following types ofNOCs:
1. NOCs submitted for reasons of"Jurisdiction" and "Coverage". 2. NOCs submitted by entities that are not the carrier of record. 3. NOCs filed on "Medical Only" claims. 4. NOCs with subsequent incapacity dates after a Return to Work Date where a
claim for compensation could not be determined by the Board.
• The measurement of the filing of Initial Indemnity Notices of Controversy (NOCs) reflects the timeliness of initial indemnity NOCs.
• Initial Indemnity Notices of Controversy can be filed for a number of reasons including: Benefit Amount in Dispute, Legal Causation, Coverage, Notice of Injury, Extent of !ncapacity, Statute ofLimitations and Jurisdiction.
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• The number oflnitial Indemnity NOCs filed by an insurer, contrasted with the number of Initial MOPs filed by the insurer, may be used as one of many claims administration indicators that result in an insurer being referred for audit for possible violations of the Act.
C. MOP-Related Caveats
• The timeliness of certain benefits such as salary continuation is currently impossible to track. Consequently, these are not measured for timeliness of payment, but are tracked for the timeliness ofthe form filing of the MOP.
• These MOPs are identified as "Alternate Benefits" within the appendices.
III. CORRECTIVE ACTION PLANS (CAPs)
A. Current CAPs The following insurance groups have had Corrective Action Plans (CAPs) in place for some period of time. Corrective Action Plans are implemented for insurers with chronic poor compliance and filing procedures. These plans have improved the performance of many of these carriers.
Market Share by Insurer Group Premium Written
A. Royal & Sunalliance 4.70%
B. St. Paul/Travelers Insurance 2.75%
c. Chubb & Son Insurance 0.35%
D. Ace/ESIS Insurance Group 0.01%
E. Gallagher Bassett Claims Services NA-TPA
F. Crawford & Company NA-TPA
G. Cambridge Integrated Services NA-TPA
H. Hartford/Specialty Risk Services Not Available
I. Georgia Pacific Not Available
Elements of the Corrective Action Plans are reviewed and updated each quarter to track compliance changes and ensure that the elements of the Corrective Action Plan are being met.
Compliance information on individual insurance carriers, third-party administrators, and self-administered employers for the fourth quarter of2005 is listed on the Board's website: www.maine.gov/wcb/
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First Report Oflnjury Received within:
Initial Indemnity Payment Made Within 14 Days
Memoranda ofPayment Received Within 17 Days
Notice of Controversy Received Within 17 Days
First Report Of Injury Received within:
Initial Indemnity Payment Jyt:ade Within 14 Days
Memoranda of Payment Received Within 17 Days
Notice of Controversy Received Within 17 Days
Maine Workers' Compensation Board
7Days
86.02%
First Quarter
Quarterly Compliance Report 10/1/2005-12/31/2005
Second Quarter
Third Quarter
10'Days 7Days 10 Days 7Days 10 Days
89.76% 84.97% 89.56% 85.07% 89.81%
85.35% 85.38% 83.33%
82.55% 84.22% 80.62%
91.10% 91.56% 92.62%
7Days
87.50%
First Quarter
10 Days
91.23%
85.93%
83.03%
93.58%
7Days
86.51%
Second Quarter
10 Days
90.09%
86.08%
83.61%
90.98%
7Days
84.18%
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Third Quarter
10 Days
88.52%
85.66%
82.98%
91.91%
Fourth Quarter
7Days 10 Days
86.91% 90.82%
85.58%
82.70%
90.78%
Fourth Quarter
7Days 10 Days
85.61% 90.75%
88.68%
86.96%
90.82%
Char t 1
Chart 2
Chart 3
Fourth Quarter Compliance Report 10/112005 -12/31/2005
FIRST REPORTS OF OCCUPATIONAL INJURY OR DISEASE
11 - 14
I Filing Distribution I 15.21
22+ Days 4.27%
First Reports Received Within:
8- 10 Days 5.14%
5000
4500
91 .23%
1st Qtr 05
4000 3878
3500
3000
3rd Qtr 04
Quarterly Compliance
[a" 0-7 Days • 0-1 0 Days I 90.09% 88.52%
2nd Qtr 05 3rd Qtr 05
Lost Time First Reports Received Per Quarter
4th Qtr 04 1st Qtr 05 2nd Qtr 05
0 - 7 Days 2950 8 - 10 Days 177
11 - 14 Days 1 03 15 - 21 Days 69
22+ Da s 147 Total 3446
90.75%
4th Qtr 05
3868
3446
3rd Qtr 05 4th Qtr 05
85.61 % 5.14% 2.99% 2.00% 4.27% 100%
Maine Workers' Compensation Board 5
Chart 4
Chart 5
Chart 6
Fourth Quarter Compliance Report 10/01/2005 - 12/31/2005
PAYMENTS OF INITIAL INDEMNITY BENEFIT
22-28 Days 1.85%
I Payment Distribution I
15-21 Days
5.04%
"Indicates compliance could not be determined
1st Qtr 05
86%
83%~
Quarterly Compliance I • 0-14 Days I
86.08% 85.66%
2nd Qtr 05 3rd Qtr 05
Compliance Trend
8,% 86% •
Initial Payment Made Within:
0 - 14 Days 862 88.68% 15 - 21 Days 49 5.04% 22 - 28 Days 18 1.85%
29+ Days 35 3.60% ? Da s 8 0.82%
Total 972 100%
88.68%
4th Qtr OS
~89% 8% ---- --
-- ~--- -- -- ~- ~- ----
3rd Qtr 04 4th Qtr 04 1st Qtr 05 2nd Qtr 05 3rd Qtr 05 4th Qtr 05
Maine Workers' Compensation Board 6
Chart 7
Chart 8
Chart 9
27-34
Fourth Quarter Compliance Report l 0/0 l /2005 - 12131 /2005
MEMORANDA OF PAYMENT
35+ Days"""._ _____ __.
4.99%
Initial Filing Received Within:
Days 0 - 17 5.27% 18 -26
27-34 35+
? Total
"' Indicates comoliance could not be determined
1st Qtr 05
Quarterly Compliance I • 0-17 oaYiJ
83.61% 82.98%
2nd Qtr 05 3rd Qtr 05
Compliance Trend
Days 907 86.96% Days 55 5.27% Days 21 2.01% Days 52 4.99% Da s 8 0 .77%
1,043 100"/o
4th Qtr 05
• 83..o/o • • 83o/~87%
• 81% . 84% 83% ---
3rd Qtr 04 4th Qtr 04 1st Qtr 05 2nd Qtr 05 3rd Qtr 05 4th Qtr 05
Maine Workers' Compensation Board 7
Cbart 10
27-34
Fourth Quarter Compliance Report 10/01/2005- 12/31/2005
NOTICES OF CONTROVERSY
j Filing Distribution I ?* Days
.56%
18 -26 Days 2.92%
Initial F iling Received W ithin:
0 - 17 Days 18 - 26 Days 27 - 34 Days
35+ Days ? Da s
Total
* Indicates filing time could not be determined
Cbart 11
93.58%
1st Qtr 05
Cbart 12 93%
• 1-
3rd Qtr 04
Maine Workers' Compensation Board
91%
•
Quarterly Compliance I • 0-17 Daiij
2nd Qtr 05 3rd Qtr 05
Compliance Trend 94%
• 91% • ~
92% • -- -- -- -~ ~- --
4th Qtr 04 1st Qtr 05 2nd Qtr 05 3rd Qtr 05
653 90.82% 21 2.92%
6 0.83% 35 4.87% 4 0.56%
719 100%
4th Qtr 05
91%
•
4th Qtr 05
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Appendix A
Insurance Group Compliance Initial Filings Comparison
Fourth Quarter 2005 10/1/2005 -12/31/2005
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE -INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
~-----~~~~~~~~-~~~----~---~~----~~~
A1
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE ·INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2005
•Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
A2
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE ·INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
A3
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE -INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indi~tes no MOP and/or NOC activity this quarter
A4
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE ·INITIAL FILINGS COMPARISON Fourth Quarter 2005 1 0/1/2005-12/31/2005
.. ,,, .. , ..... ,, " .... , .., l)'. ': ",l<,\').•1 .. ,' :}'\l\l, ,, ....... ·•[,).',~
:~~~ Total Initial
Total Number of Indemnity NOCs
NCCI INSURANCE GROUP Initial MOPs Filed Filed IF .! '"c,[;i!' i ',':"Ci'i!\,:>S·i >" ''·"'' li)i ,,, !i!'' .. ,,, ./'(
HANOVER INSURANCE GROUP Total Total !' 11002 CITIZENS INSURANCE CO OF AMERiCA . . ii 13633 HANOVER INSURANCE CO No filings No filings !' CA202 HANOVER INSURANCE CO 11 I
[t;;j ···::, 10006 MASSACHUSEITS BAY INS CO . . Group Total 11 I
':'!!· ?!\ .. l., <,,,'.<! ,;e· '·'Co' ;J.;i,i\'1.'(' .. \::!;i; .••. ,! .. ! 'lC "''''!: . ,(y .. F .. !;;. '!:0. !'((!'/!',,,,, '". {!'!J'Ji! 1i! ~,;:
,, ' HARLEYSVILLE WORCESTER INS. CO. Total Total 16926 HARLEYSVILLE MUTUAL INSURANCE CO. . .
,•' 21644 HARLEYSVILLE WORCESTER INSURANCE CO. . . ! ;,: Group Total . .
ki'i'il .,,. .. ;,;)', !i;!Ji''l'li);,i·! . "".":.!. F:A!',!Y< ','''""'"'"'''"'''''iii !!'+' !!•.il)il!!'t J/ i!i'
,,,·,!· HARTFORD Total Total
l;,,:c CA1()5 F.A. RiCHARD No filings No filings
CA203 HARTFORD ACCIDENT & INDEMNITY I 3
iO 14397 HARTFORD CASUALTY INSURANCE CO. No filings No filings
1,, ... · 13269 HARTFORD FIRE INSURANCE COMPANY . . ~:r
20005 HARTFORD INS. CO. OF THE MIDWEST No filings I 10456 HARTFORD UNDERWRiTERS INS. CO. I No filings
CA315 SPECIALTY RJSK SERVICES INC 7 4
I. CA310 THE HARTFORD 7 2 10448 THE HARTFORD . .
}.' 14974 TIVIN CITY FIRE INS CO 8 I Group Total 24 11
['ji~ ·'''.'''''· .. · ... ·':C.!·• .. '''k .. '!T ,.,, .. ''·'''r"'.?'Cf"'ll'(
BRH CLAIMS MANAGEMENT (Formerly DUNLAP) Total
!;,, 001 Group Total
'"'''·'"'"'' :::.; LIBERTY MUTUAL GROUP Total Total :;;;. 15555 EMPLOYERS INSURANCE OF WAUSAU No filings No filings ':;;,, 27359 FIRST LIBERTY INSURANCE CORP No filings No filings
••••
S321 HELMSMAN MANAGEMENT SERVICE • . CA210 LIBERTY MUTUAL INSURANCE 14 20
,: .. ,~;, 21814 LIBERTY INSURANCE CORP. 18 8 ,,,,,,. 16586 LIBERTY MUTUAL FIRE INSURANCE 4 5 15628 LIBERTY MUTUAL INSURANCE CO. No filings 2
·· c::i; 27243 LIBERTY MUTUAL INSURANCE CORP. . . 1/;i/1: 27332 WAUSAU BUSINESS INS. CO. 1 1 . t· 18996 WAUSAU UNDERWRITERS INS CO 2 I
':" Group Total 39 37
If:~··. >::·c;;;,; ,: .• ~·· '.::; . . >··:\)t,;:'\2:
MAINE ADJUSTMENT Total Total CA255 MEADOWBROOK INSURANCE 2 I
1~1 31771 SAVERS PROPERTY & CASUALTY INS CO . . 24562 STAR INSURANCE I No filings
>:·• CA375 UNITED STATES FIRE INSURANCE CO I No filings
;:;.'12m UNITED STATES FIRE INSURANCE CO 1 No filings
Group Total s 1 ,:: .:h\' i\'·''C :'J'•>:: .. ,,. ·,;o:;·,['::, /:,::;, ·>
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
A5
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE -INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
AS
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE -INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2 005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
A7
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE -INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/112005-12/3112005
"Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
AS
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE ·INITIAL FILINGS COMPARISON Fourth Quarter 2005 10/1/2005-12/31/2005
''" ,;, ,
,' '·"·" ,(':':'!;" ,, ·''· ,,·' >~ .;,;;;,,)c,>;> ;
''" Total Initial .
...• ' ... ·· Total Number of Indemnity NOCs II / .. NCCI INSURANCE GROUP lniti•l MOPs Filed Filed ,· , .. ·, Jq•",· '.,>,; '<),j;t:<.;''c;,,;;c<;', '{';'..J!ji'':it;,; '.!"' ''""''"' .,,, ;' ,,
.. I XL SPECIALTY INSURANCE COMPANY Total Toto) ~,':' u'.·l27944 Group Total . • T.!
'',•'!'. (X ,:;;;;.,,;,,-,,,,.,; "'"' ': ,.,·. -:,< '/,)! .. , ; ;,:t;c::.i:c , ,'''
' ZURICH INSURANCE GROUP Total Total 1: ..
11452 AMERICAN GUARANTY & LIABILITY . . ! f, 17965 AMERICAN ZURICH No filings I I,, !', 12173 ASSURANCE CO OF AMERICA . . l~ic,
CA080 CHESTERFIELD SERVICES No filings Nofi1ings rA 12963 MAINE BONDING & CASUALTY . . 10545 MARYLAND CASUALTY CO . • h 13765 NORTHERN INSURANCE CO OF NEW YORK . .
r: .. ',~ 12297 UNIVERSAL UNDERWRITERS INS. CO. . . , CA400 ZURICH AMERICAN INS CO 4 4
., !0863 ZURICH AMERICAN INS CO No filings I I,::'· Group Total 4 6 ,,·,·' -:< i; ;,,,,,, i, ,,,,,,;.., ;:,';"<!<,'', .• ,, 'b,-';i/!i',;:;:::.,;;;t;,
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
A9
Appendix B
Insurance Group Compliance Initial Indemnity Payments and MOP Filing
Fourth Quarter 2005 10/1/2005- 12/31/2005
INSURANCE GROUP COMPLIANCE
NCCI INSURANCE GROUP ;)<:',;: -;-_ .. ">::·.::.· .:·:,.:: <·:,-:;:: . .::: .. <,: '<··:·
ACADIA CAOIO ACADIA INSURANCE CO. 3339I ACADIA INSURANCE CO, 30260 ACADIA INSURANCE CO, 30252 CADILLAC MOUNT A!N INSURANCE CO I I053 CONTINENTAL WESTERN INSURANCE CO 27723 FIREMAN'S INS CO OF WASHINGTON
ALTERNATE BENEFITS Group Total
ACE!ESIS 23035 ACE AMERICAN INSURANCE CO 12165 ACE AMERICAN INSURANCE CO 12254 ACE PROPERTY & CASUALTY 15431 ACE FIRE UNDERWRITERS INS S370 ESIS INC S364 ESIS INC CA160 ESISINC CA175 FUTURE COMP 25437 INDEMNITY INSURANCE OF NORTH AMERICA 33790 MOUNTAIN VALLEY INDEMNITY COMPANY 10677 S0022
PACIFIC EMPLOYERS INS CO SDWARREN
AIG
Group Total ··.":
S328 AIG CLAIMS (AMERICAN INTERNATIONAL) CA015 AIG CLAIMS SERVICES 14354 AliJ INSURANCE 13781 AMERICAN ROME ASSURANCE CAl 00 CLAIMS MANAGEMENT INC (W AL-MARn 15172 COMMERCE & INDUSTRY INS. CO. 13102 GRANITE STATE INSURANCE COMPANY 13889 INS. CO. OF STATE OF PENNSYLVANIA 13072 NATIONAL UNION FIRE INS. CO. 13080 NEW HAMPSHIRE INS COMPANY
Maine Workers' Compensation Board
Fourth Quarter 2005 10/1/2005- 12/31/2005
First Indemnity Payments >.::·:r;:·<·<: ::< '-'< ·:,y:•··::·: ,.,
Psvments l\fade Tunely Payments Compliance Percenta2e 17 16 94% I I 100% . . . .
No filings Nofilini!S Nofilin~s
3 3 100*/. 2 NIA N/A 23 20 95%
.. •;iS>•:'i': ':::i:;i;G': ·';':''·:(: · .. · •. '::: ··> :··:e>;:;:;cy:: , ;.·-.. . •":¥·:::>· ,. >·. ·: Pll)'lllentsMade Timelv Pavments Compliance Percenta2e
Nofilini!S No filings No filings
11 II 100% 100%
0 0%
13 12 92%
Pavments 1\iade Timelv Pavments Compliance Percentaee Nofilini!S Nofilines Nofilines
18 10 56%
2 50% 100%
2 0 0%
0 0%
0 0%
P•yments 1\iade Timely Payments . . Payments Made Timely Payments . . Payments Made Timelv Pavments . . Payments 1\iade Timely Payments . .
<·''./J•7··· ·:··~"<
*Indicates no claims activity this quarter
~~-----··-~- -------------
-Memoranda of Payment Filed (M:OP)
MOPs Filed MOPs Filed TIDleiv Compliance Percen~ I9 I7 89%
IOO%
Nofilini!S Nofilini!S Nofilinl!S 100%
23 21 91% . ·<:::Be(:?;::::· ". ,: '::·'J\f( ,,; /
MOPs Filed Timely Compliance Percentaee
No filines No filings Nofilines
11 11 100% 0%
0 0%
13 11 85%
MOPsFUed MOPs Filed Timelv Como!iance Percentaee Nofilines Nofilini!S Nofilines
18 44%
2 0% 7 7 100% 2
0%
0 0% 48%
Compliance Percentage
Compliance Percentage
Compliance Percentage
81
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE
Fourth Quarter 2005 10/1/2005 -12/31/2005
1ndicates no claims actJvlty this quarter
82
INSURANCE GROUP COMPLIANCE
NCCI INSURANCE GROUP
" , /;,: f')', <:,, ; '• oJ:h 'M ;: -' ', :.6 ::•: "-C.N.A. Payments Made
10030 AMERICAN CASUALTY CO. OF READING 2 12386 C N A CASUALTY OF CAUFORNIA • S382 C N A STANDARD LINE CLAIMS . S392 C N A STANDARD LINE CLAIMS . CA050 CONTINENTAL CASUALTY CO 5 10243' CONTINENTAL CASUALTY CO 1 15113 CONTINENTAL INSURANCE COMPANY . 12238 NATIONAL FIRE INSURANCE CO. OF HARTFORD 1 12688 TRANSCONTINENTAL INS. CO. No filings 12408 TRANSPORTATION INSURANCE CO. Nofilini!S 15032 VALLEY FORGE INSURANCE COMPANY 1
Group Total 10 ,,_, .. _ . .·:.· :,, :-'';':;:•:;::;:::•::,::;,;:::y::.:••:_ >' . -:r ;.;:,;:)':','.-: :; - v·•·::
CRAWFORD & CO P•vments !\lade 19968 ACCIDENT FUND INSURANCE COMPANY • 14095 ARGONAUT INSURANCE COMPANY 1 CA120 CRAWFORD & CO 11 S305 CRAWFORD & CO . 13188 GULF INSURANCE CO . 18376 LUMBERMEN'S UNDERWRITING ALLIANCE . 14788 PROTECTIVE INSURANCE No filings 17507 THE-FLORISTS' MUTUAL INSURANCE COMPANY . 18244 TRUCK INSURANCE EXCHANGE . 24023 VANLINER INSURANCE .
Group Total lZ
FAIRFIELD INSURANCE COMPANY Pavments Made 32530 Group Total No fdines
;-,,,:;'Cf\;,'~:.C·- ;'
I FEDERATED 1\fiJTUAL INSURANCE CO. Pavments Made 16446 Group Total . i;<•S!:,: .JJ"- " :;-,.; ' ''"' ·;. ·.·' _ ... ;:;.•:>' :(:>:;:;;,;'',;•,b;;' :::c '''::: ,;'' -~: ,-.. ,, ,., __ ,', ,::,\;','',''.;,;:;.·:
FlLENE'S DEPARTMENT STORE PaYments Made S338 Group Tots! .
''''f ;·;;<:•;::;:.;.c;,;·:•·):;; ;'' ,';:,:; :}:"'":,•',:_ ',A :>-:'.J·/',. ;,';( FIREMANS FUND PaY111_ents Made
10022 AMERICAN AUTOMOBILE INS CO . 12289 AMERICAN INS CO . 12416 FIREMANS FUND AMERICAN INS. CO. . CA170 FIREMANS FUND AMERICAN INS. CO. No filings 12866 NATIONAL SURETY .
Group Total No filings ,:·,;, \; :::,;
Maine Workers' Compensation Board
Fourth Quarter 2005 10/1/2005 -12/31/2005
First Indemnity Payments Ll ,-:,!:);'XC,: .:··,:{
Timely Payments Compliance PercenU.see 1 50% . . . . . • 5 100% 1 100% . . 1 100%
No filings No filings '· Nofilini!S Nofilini!S
1 100% I 9 90% r
;, ' · :,,/:LT, .,,.,: . Timelv Pavments Comoliance Percenta2:e . .
1 100% 8 73% . • . . . .
No filings No filini!S . . . . . . 9 75%
T'unelv Pa '11Jeuts Compliance Percenta2e No filin2s No filin~s
. •''·''' Timely Pavments I Compliance Percentaee . I .
-<>::;;;, "'': Timelv Pavments Comoliaua: Perceuta2e . .
;::;;:: ; >.:-" . . -'';,':,;,"_';'~ Timelv Pavments Comoliance Percenta2e . • . . . .
No filings Nofilini!S . . Nofilin2S No filings
',Y''C·<,<·"·'-·\ .. , ,,,_
"1ndlcates no claims activity this quarter
Memoranda of Payment Filed (MOP) . :;,·,,_ ',;;; ;:_:•;.:. ; '/:;::;::;;;_;; :::~. ";;•.v . :·· ' <::::: .••
MOPs Filed MOPs Filed Timely Compliance Percentaee 2 1 50% . . . . . . . • . 5 5 100% 1 1 1 000/o . . . 1 0 0%
Nofilini!S Nofilini!S Nofilini!S Nofilini!S Nofi1ini!S Nofilinl!S
1 1 100% 10 8 so•;.
::·:.;::~::·<..c:.: >::, uc;.:,;• :: :c: · • ·: . ;
MOPs Filed MOPs Filed Timely CompliancePercentaee . . . 1 0 0%
11 9 82% . • • . . . . . . Nofilines Nofilines Nofilines . . . . . .
• . . 12 9 75o/o
-,-,' ;;:, ·: ... ,.. •. .e MOPs Filed MOPs Filed Timely Compllllnce Percentaee
Nofilill2S No filings No f"iliugs ;;,-,;,:
MOPs Filed MOPs Filed Timely Compliance Percentage . . . ·;::. . >" ;:•:·::'',"'
MOPs Filed MOPs FHed Timely Compliance Percenta!:e . . . '_;,: :-.-, .. ,,· ,!;: ;; .. :· "''·"'"'' '''';,:,·•"?:<·:•::):
MOPsFUed MOPs Filed Timely Compliouce Perceota2e . . . . . . . • . Nofilines NofilinltS NofilinltS . . . No filines Nofilines No f"iliues
.:·;.• ;;>;,,,:
83
INSURANCE GROUP COMPLIANCE
NCCI INSURANCE GROUP
Fourth Quarter 2005 10/1/2005 -12/31/2005
First Indemnity Payments I "J ', "'::-;' " . ,;,;,_: ·; • .. } ....... :·: .... ;. >,_ '< ->"- .,-:;:",·"- -·>··c-<::"L'':>,.·\;,:.;y< :···-: ... <A+ci<··::"; ,>-··+''"'!"
GAB ROBBINS l'"!lllents Made Timely Pa}ments Compliance Percenta,. CAI80 GAB ROBBINS 2 I 50% TPA2 GAB ROBBINS . . 5355 GENERAL ADJUSTMENT BUREAU . . 11126 PETROLEUM CASUALTY COMPANY . .
Group Total 1 50o/o ,L ,: '·'"''''';{ ,c:,Y;.•:C•i:•:.·7L: •.
GALLAGHER BASSETT Pavmeuts Made Timely P~ents Compliance Percentage CAI90 GALLAGHER BASSETT SERVICES INC. 13 8 62% S304 GALLAGHER-BASSETT SERVICES. INC. • . 20737 MANUFACTURERS ALLIANCE INSURANCE CO. • . 24147 NORTH AMERICAN SPECIALTY INSURANCE . . 11916 PENNSYL V AN1A MFG. ASSOC. INSURANCE CO. . . 21288 PENNSYL V AN1A MFG. INDEMNITY CO • . S350 RYDER CLAIMS SERVICE CORP . . 16349 SAFETYNATIONALCASUALTYCORP . .
Group Total 13 8 62% j
GATES MACDONALD Payments Made Timely Pa}ments Compliance Percentage CA200 GATES MACDONALD 10 10 1000/o S743 GATES MACDONALD . . 11509 OLD REPUBLIC INSURANCE 0% S377 UNlVERSITY OF MAINE SYSTEM Nofi1in~ Nofilin~ Nofilin~
10
GREAT AMERICAN INSURANCE CO Pa,ments Made Timelv Pavments Comoliance Percenta2e 14028 GREAT AMERICAN ALLIANCE INS. CO 14176 GREAT AMERICAN INSURANCE CO 24287 SEVEN HILLS INSURANCE COMPANY
GronpTotal
GREAT WEST CASUALTY P"!lllentsMade TimelyPayments Compliance Percentage 11371 GronpTotal No fillngs No filings No filings
GUARD GROUP Payments Made Timely Payments Compliance PerceotaJ!:e 21873 AMGUARD INSURANCE COMPANY 0 33936 EASTGUARD INSURANCE COMPANY CA205 INTERGUARD LTD. 11 10 91% 25844 NOR GUARD INSURANCE COMPANY No filin•s Nofilin~ Nofilin~
Group Toul 83%
HALLMARK MANAGEMENT Pavments Made
Memoranda of Payment Filed (MOP) · .. _;:._,<.;•-: "';:::•.">" :< x·,· :.-: . :/:Y_ •,
MOPs Filed MOPs Filed Timely Compliance Percentaee 2 0 0"/o . . . . -. .
0 0% ,.,>·
MOPs Filed MOPs Filed runely Compliance Percentaee 13 6 46% . . . . . . . . . . . . . . 13 6 46%
,:,:;;:;.); MOPs Filed MOPs FDed Timely Compliance Percentae:e
10 10 100% . . 0 0"/o
Nofi1in~ Nofilin~ Nofilin~
10 91"/.
MOPs Filed MOPs Filed Timelv Comoliance Percentaee . . . . . . . . :;;;:.; :.(["
MOPs Filed MOPs Filed Timelv Co111]1_liance Percen~e No filings No flllitgs No filings
MOPs Filed MOPs Filed Timely Compliance Percentaee 0 0% . .
11 10 91% Nofilin~ Nofilin•s Nofilin~
12 10 83%
~ MOPs Filed Time! · Comoliance Percentue . . MOPs Filed Time! · Complianre Percentage
S381 Group Total 17 16 94% !iii 17 16 94%
-,n<llcates no claims adlvlty this quarter
Maine Workers' Compensation Board B4
INSURANCE GROUP COMPLIANCE
Fourth Quarter 2005 10/1/2005- 12/31/2005
NCCI INSURANCE GROUP I First Indemnity P•vments I Memorlindo of P•vment Filed IMOPl ;,,,''\,i ·''>l;•v '7;,
•···· < "';;;:.·>· .: ... " ':'o': .:.;.;; "''" :·. , ••.•• ,, >' ::····< •;·:, ,:·· .••.•• , ···!'•.•:•: .':'; ;•·.~· ,;:; .. ,:;:i·;;; ...
HANOVER INSURANCE GROUP Payments Made Timel · Pa ~ents Comuliance Percentat!e MOPs Filed MOPs Filed Timelv Comnliance Percentaee 11002 OTIZENS INSURANCE CO OF AMERICA . . . . . . 13633 HANOVER INSURANCE CO NofilinRS No filings No filings NofilinRS Nofilin~s Nofilin"" CA202 HANOVER INSURANCE CO 11 11 100%
,. 11 11 100%
10006 MASSACHUSETTS BAY INS CO . . . . . . GrouoToW 11 11 100% 11 II 100% ,,, > :> .' 'Fi;' :';>: '': ' · :;:.·.;:.;::"'': .>'.' ;:. ::'(i >i:: •. ·.::, :";,;.!Aii'"'·'·•:L.·'' . "' .· ,;,!;( ;·,·.;/;;.,;;}J!•::•'::;;:;; .',.:•.·.·;·
HARLEYSVILLE WORCESTER INS. CO. Pavments Made Timelv Payments Compliance Percenta~e MOPs Filed MOPs Filed Timelv Comnliance Percenta~e 16926 HARLEYSVILLE MUTUAL INSURANCE CO. . . . . . . 21644 HARLEYSVILLE WORCESTER INS. CO. . • . . . .
Group Total . . . . . . :Cil':""' ''iJ::'·:''<·•:::'< ''''< .·."JY . ,';:;i;i; '', :.:· .{.· .... ••>•:;, ;'';: ,•iii •i.'• .. ''' .. tf· :C:'/·.;··.::,>:,:\'·,;;:. .. ;, i;',·;:;J,ii'< :: .
HARTFORD Pavments Made Timelv Pavments Compliance Percenta2e MOPs Filed MOPs Filed Timelv Comnliance PercentaP"e CAJ65 F. A. RICHARD No filings No filinRS NofilinRS Nofi1in~ Nofilini!S Nofilini!S CA203 HARTFORD ACODENT & INDEMNITY I 0 0% 1 0 O"lo 14397 HARTFORD CASUALTY INSURANCE CO. Nofilini!S Nofilin2S Nofilin25 Nofilin2S Nofilin'"' NofilinC. 13269 HARTFORD FIRE INSURANCE COMPANY . • . . . . 20605 HARTFORD INS. CO. OF THE MIDWEST No filinRS Nofi1inRS Nofi1in~s NofilinRS Nofilinl!S Nofilinos 10456 HARTFORD UNDERWRITERS INS. CO. 1 1 100% 1 1 100% CA315 SPECIALTY RISK SERVICES INC 7 3 43% 7 3 43% CA310 THE HARTFORD 7 7 100% 7 7 100% 10448 THE HARTFORD . • . • . . 14974 TIVIN CITY FIRE INS CO 8 5 63% 8 7 88%
Grouo Total 24 16 67% 24 18 7So/o ·,,., .. , . i'l'i''C\ .. '.; X : \.;;< ::': c.u .. x 'i ;'' •. · . ':oc/J ... •> :>·i ,. ,, •• ,, .. ··::·;·rc,·; ,;;'•if';;:,;,•·:::•:•:.;;;:;:::: •::'> "'"'::u.·,·:·,,,, :z :r;;,.•:;t,·'··' :'.;·:'~'T:·'-'
BRH CLAIMS MANAGEMENT (formerlv DUNLAP) P•yments Made Timely Pavments Compliance Percentage MOPs Filed MOPs Filed Timelv Comnliance Percenta~e CA001 HRH NORTHERN NEW ENGLAND 58 48 83% 62 54 &7%
ALTERNATE BENEFITS 4 NIA N/A GrouoTotal 62 48 83% 62 54 87%
1\""''<t:'>i :::.: ·, <>,;;.' "J·; /.:':''·\!.>. ;j,,:; ·.·, ','>IE,?. LIBERTY MUTUAL GROUP Payments 1\bde Timeb· Pavments CompliancePercenta~e MOPs Filed MOPs Filed Timelv Comoliance Percenta~e
15555 EMPLOYERS INSURANCE OF WAUSAU Nofi1in2.< Nofilini!S Nofi1inRS Nofilini!S Nofilin"" Nofi1inP< 27359 FIRST LffiERTY INSURANCE CORP No filinRS No filinRS Nofi1inRS NofilinRS Nofilinos Nofilinos S321 HELMSMAN MANAGEMENT SERVICE . . . . • . CA210 LffiERTY MUTUAL INSURANCE COMPANY 13 13 100% 14 14 100% 21814 LffiERTY INSURANCE CORP. 17 16 94% 18 17 94% 16586 LffiERTY MUTUAL FIRE INSURANCE 4 3 75% 4 3 75% 15628 LIBERTY MUTUAL INSURANCE CO. Nofi1ini!S No filinl>S Nofilinl>S Nofilinl>S Nofi1ini!S Nofi1inos 27243 LffiERTY MUTUAL INSURANCE CORP. . . . . . . 27332 WAUSAU BUSINESS INS. CO. 1 1 100% 1 l 100% 18996 WAUSAU UNDERWRITERS INS CO 2 1 50"/o 2 0 0%
ALTERNATE BENEffiS 2 NIA N/A GrouoTotal 39 34 92% 39 35 90%
!.,;•:· ·; ',;,,;,:.,:;;:..;.',<!·, ;;\:;,,,. .•;., ';,,;;c.i.;:
MAINE ADJUSTMENT Pavments 1\bde Timelv Pa,"Dlents Comnliance Percentage MOPs Filed MOPs FUed Timelv Comnlianee Percenta~e CA255 MEADOWBROOK INSURANCE 2 2 100% 2 2 100% 31771 SAVERS PROPERTY & CASUALTY INS CO . . • . . . 24562 STAR INSURANCE 1 1 100% 1 0 0"/o CA375 UNITED STATES FIRE INSURANCE CO 1 1 100% 1 1 100% 12777 UNITED STATES FIRE INSURANCE CO 1 I 100% I 1 100%
GrounTotal 5 5 100% 5 4 80o/o F''D,::. y:.;: .. :+:;;•:;:,.:'•:·•· "; i: ··>Ji;(> •·,: ; ,,, 'i:··T•u;,;:::;:;;y '··"·:· "·S >·:•
*Indicates no claims activity this quarter
Maine Workers' Compensation Board 85
INSURANCE GROUP COMPLIANCE
Fourth Quarter 2005 10/1/2005-12/31/2005
NCCI ! INSURANCE GROUP First Indemnity Payments ll Memonmda ofPaY1Jient Filed (MOP) ,,,, ,.x.···;::. :::LL· ,,, <.' ·: .. ,, .. ,:c. ::'.::,,;,.·.:· .. : .•. ,,.. :·:: <·.:::o <:>•,'>,::: ;,;: .:· ': """'"'"·:' :,.·' ,;;;:,: ',.,, .. ,. .:•.::::>',,,,., .<<<AXJh'< :;;.<: ;;::'!\;;,\·'·'
MAINE AUTOMOBILE DEALERS Payments Made Timelv Payments Compliance Percentage MOPs Filed MOPs Filed Timely Compliance Percent2ge S803 MAINE AUTOMOBILE DEALERS 5 4 80% 5 5 IOO"A. CA220 MAINE AUTOMOBILE DEALERS 7 7 100% 7 7 100%
Group ToW 12 11 92% 12 12 too•to . ', t''\': ,·.::,.;, '.:::: ::: > :::· ·", 'i..:;.''''t'Z ,,,, ' ' ,,·::::.y,:, :·,;/ ""'"'" ;,:·; ··. :(. :•:, 'cc.: .·/'" ·: .,.,,,,· '·:
"' .. :::··!'<'
MAINE EMPLOYERS MUTUAL INSURANCE Pavments Made Time! · P&vments Compliance Percenta2e MOPs Filed MOPs Filed Timely Comvliance Percentaee 30449 MAINE EMPLOYERS MUTUAL INSURANCE 349 325 93% 381 350 92% TPA28 MAINE EMPLOYERS MUTUAL INSURANCE • . . . . .
ALTERNATE BENEFITS 32 NIA NIA Group Total 381 325 93% 381 350 92%
I .,,, :;';'';.: ,;:;'1:;'::<•: ;, ... '· ', ,,,, .... · ...... <'::r,·:: .. ··::: .. ,::: .. ·.,·:,.;:>'·: ... ( ., >.:·;,, .,,;,:,·::.···;•:' :::·:t,,., >:.::· .:.;:,;;:.:p·':: ;,:.•;:;,<·>.:: ' 'y~ :: ·,:·.
MAINE HEALTH CARE ASSOCIATION Pnments M&de Timely Pavments Compliance Percenta2e MOPs Filed MOPs Filed Timely Compliance Percenta2e S387 Group Total 5 5 100~/a 5 5 100'% :·:::.:·:::.:;'::·; 'i'i .,;-:,;,::::'..:: ·:·>'""': '. ·"·' y: ;,•:•·
i '• .• . ,;:"/ ,;( ,)::'/ ·. ,y;.;i/i' .:.;; ',i/· ·':"< MAINE MOTOR TRANSPORT ASSOCIATION Pavments M&de Timely Pavments Compliance Percent21!e MOPs Filed MOPs Filed runelv Compliance Percentaee
S385 Group Total 13 13 100% 13 12 92% ·:·,;:'\. ;·::y:;''i ·.:':F.>.,. /';.,N:;,i:':';i'i};'.·:. '. '>'. ·; .. ,.; i:''' .:·''.' .',\''""·' ;: ·,·,,;50'';;:;.:<: > ;;C)::;':Ci:•'')i'', . '''>L'.· ·,;.';;<)i:;0<''':" . /J"hi01'' ·;; · .. :/ ;'Z::~i'' ':::'.'·
MAINE MUNICIPAL ASSOCIATION Payments Made Timely Payments Compliance Percen~e MOPs Filed MOPs Filed runely Compliance Percentage S801 MAINE MUNICIPAL ASSOCIATION 48 42 88% 48 42 88% S733 PORTLAND CITY OF 6 4 67% 6 4 67%
Group Total 54 46 85% 54 46 85% .}'·;,: i:::; : . . :i . ::'" '·" \},:)•:' :; ; ·:.:;•:f;::{A: .. :i\ ':;:;:.,: """' '.it)· ... ; ')i)>:.· . ,.,,.,,,,", .,;;
MAINE SCHOOL MANAGEJ1,1ENT ASSOC. Pavments Made TimelY Pavments Comoliance Percenta2e !;;! MOPs Filed MOPs Filed Timely Compliance Percentaee S374 Group Total 29 29
~~~ 29
100% "' ··." ::;.:::·:;:\'· ··•· :,;,.:.:::;.,:<·.:,:·:···· . ·, ;,: :·: .:, .. /" ... ·/."', ·:· ·; :.,.: ;:··.,..: : .: ... .,,,i?Jt\Cii · .• ,. ,'":·;''"''
MITSID SUMITOl\:10 INS CO OF AMERICA Pavments Made TimelY Pavments MOPs Filed Time! • Compliance Percenta2e 19089 I * * . *
:;:::.,:;· ;.');"•'•: ·:C:· .. <:~il:'X"i'''>> .. ''.' .·.':'">·i ;:; ,':··:·Y ,.:/::";: . .,;;:,, .. >>:'::'\': ·: .• • i.)';>:.ji:i'<i> . ,,i,.i\':,;i :;, :·.:.\ :;.,.;::·;:;:'.·
NATIONAL GRANGE MUTUAL INSURANCE Payments Made Timelv Pa,ments Compliance Percenta2e MOPs Filed MOPs Filed Timely Compliance Percentae:e CA265 NATIONAL GRANGE MUTUAL INSURANCE I I 100% I l IOO"A, 16322 NATIONAL GRANGE MUTUAL INSURANCE . . . . . .
Group Total 1 1 100% I 1 100% ·':.··:·• .·,.·,····.'~c::'Y:~,··~J;/, .'}ii:C: ;:;i::,::r: .,,,, :.:::;,,,: i:i';i:'J:;ii/ "''''''"'/'.
1:•: ,. ::hi'''', e~:;:: i,;!' ,.,,: ,\;1 ''>:'!::'·
ONEBEACON Pavments M&de TimelY Pavments Comuliaoce Percenf!ge MOPs Filed MOPs Filed Timely Comuliance Percenta~e 10049 AMERICAN EMPLOYERS INSURANCE CO . • . . . . 12300 EMPLOYERS FIRE INS. CO. • • . . . . 14540 ONEBEACON AMERICA INSURANCE CO No filin25 Nofilin~s No filin2S Nofilin25 Nofilin25 Nofilin25 10359 ONEBEACON AMERICA INSURANCE CO . . . . • . 36501 YORK INSURANCE COMPANY OF MAINE . . . . . .
Group Total No filings No mings No filings No filings No filln_g» No filings ~'';•"'/ .. ''': ·A>!:. ;!'<;;;<::;:,,,;, :::. ''''.;: ,/'>).!!''.· .. ,.,..
PEERLESS INSURANCE GROUP PaY1J1ents Made Timely PaY1Jients Compliance Percentage MOPs Filed MOPs Filed rlDlely Compliance Percentage 10650 EXCELSIOR INSURANCE COMPANY . . . . • • 14184 NETHERLANDS INSURANCE COMPANY . . • . • . CA275 PEERLESS INS CO· 24 20 83% 25 22 88% 11355 PEERLESS INS CO Nofilin2S Nofilin25 Nofilin2S Nofilin25 Nofilin25 Nofilin25
ALTERNATE BENEFITS l N/A NIA GronpToW 25 20 83% 25 22 88o/o
l.''<'i ,.,,.,., .. ,,.,,.;,:,;, .. :.·:;.>:.: .• ''.':·.:,·;j<:::,:c .•:< ·'' :,:;;c;::::P:j>:
•tndlcates no claims activity this quarter
Maine Workers' Compensation Board B6
INSURANCE GROUP COMPLIANCE
NCCI INSURANCE GROUP ', -::- ';":- :v -'" > _; -,_,
> _,,,;:<'',:' PUBLIC SERVICE MUTUAL Pavments Made
16152 Groun Total! 1 1 .• : ... ,,.;,.;.,·,;, , ••. ,,,,:,'; :; .,, ,:,:.>' ,,; :'' ,,;,;,:,,,,,: '''''''''·.:
ROYAL & SUN ALLIANCE INSURANCE GROUP Pavments Made· 14699 AMERICAN & FOREIGN INSURANCE CO. . 11762 CONNECTICUT INDEMNITY CO . 10731 FIRE & CASUALTY INS CO OF CONNECTICUT . 10391 GLOBE INDEMNITY CO Nofilin2s CA280 RISK ENTERPRISES MANAGEMENT No filin2s 13684 ROYAL & SUNALLIANCE No fi1in2S 10723 ROYAL INDEMNITY . 13986 SAFEGUARD INSURANCE CO . 12572 SECURITY INSURANCE OF HARTFORD . 15572 SECURITY INSURANCE OF HARTFORD .
Groun Total No filings ''
: ; ,,, ''',:,:;" ,,. ,,., ;o;,:. !,').,/;,;,-,,,,,',,.,; .. ,,,
SEDGWICK INSURANCE GROUP P•vments Made S336 CYRO INDUSTRIES . 12629 ELECTRIC INSURANCE CO I S0028 FEDERAL EXPRESS CORP . S716 GREAT NORTHERN NEKOOSA CORP . S394 NEW PAGEI'F;,nnerlv MEADIWESTV ACO Nofilin•s CA285 ROMAN CATHOLIC DIOCESE OF PORTLAND Nofilin•s CA300 SEDGWICK CLAIMS MANAGEMENT 62 S301 SEDGWICK OF MAINE INCISeru!wick Clms M21l1t. Svc • S7!4 SEDG'IVICK CLAIMS SERVICES/GEORGIA PACIFIC . S316 SHAW'S SUPERMARKETS INC Nofilin~
S729 VERIZON . Group Total 63
I :._, ,,, :'; ':. ,,::::.' <;:::: : ''"<" "-;-;-, ··-:-. ' ,::,:-- .. ,
SELECTIVE INSURANCE COMPANY Payments Made 11867 SELECTIVE INSURANCE COMPANY . 15741 SELECTIVE INS COMPANY OF NEW YORK .
GrouoTotal . :: ;' ';j':-I:;:;::F'<\:;1,::. >;.;,,:;,,; '(';;'<\ '/,::' ,":,:' ,'',:;' .:. ::,,' /'/;,' ;:;'':,'
SENTRY INSURANCE CO. P•vments Made 15571 SENTRY INSURANCE CO, 2 CA305 SENTRY INSURANCE CO. 8 13668 SENTRY SELECT INSURANCE CO No filings
Grouo Total 10 r::,• ~·;· "';''' •;•,'. ·!,,·•
SOMPO JAPAN INSURANCE CO P•vments Made 19321 Grono Tota!T .
:·c;c:;: ;;:,::;,: .. ;.::,';,'" ', ,; :. ,'' ,;• ,:: > STATE OF MAINE Pnvments Made
S369 STATE OF MAINE II ALTERNATE BENEFITS 30
GrounTotal 41 I<?<:',:, ,: > ,:~.: ,,,',
' ':'/'";: :·: ''\"
Maine Workers' Co~ensation Board
Fourth Quarter 2005 10/1/2005 - 12/31/2005
First Indemnitv Pavments II Memoranda ofPavment Filed li\io:P\ ' <--: ',,, ,' < ,;_,;,:.,; ;/; !,/:':-:: -;<- ' __ <:::<'''" ,,.,. ' :'>''f':''''-:< ,, ,j' ::'''. ,; } ,-,,:;:;: ' : ,;:':,;:;
Timely Payments I Compliance Percentn~e F:l MOPs Filed MOPs Filed Tunelv I Comnllimce Percental!e 0 0% ll 1 0 Oo/v
'; ,,,; ;: . '·' ': ,,;, '< : :'>, /i ;; ::.: ' :,;:. .<: /.: ,: ~'.< ,;:, ; ', . : ,·:: -::: Time( · Pavments Comoliance Percentage MOPs Filed MOPs Filed Timelv Coinoliance Percenta!!e . . . . . . . . . . . . . . .
Nofilin~ No filings Nofilin~ Nofilin2S Nofi!in2S Nofilin~ No filings No filings Nofilin2S Nofilin2S Nofilin2S No filin2S No filings Nofilin2S Nofi1in2S . . . . . . . . . . . . . . . . . . . . No filin2s No filings No filings No filin2s No filin•s
' '':-;"': ',: ::,,,:';·._,_' ;'i;f',;';:>:';:',: ,,.z,::;;c.:· \,',·;;;F' :
Timelv Payments Comoliance Percentage MOPs Filed MOPs Filed Timelv Comoliance Percentae:e . . . . . I 100% I I 100% . • . • . . . . • .
Nofi!in~ No filings No filings Nofilin2S No filings Nofilin~ No filings No filings Nofi1in"" No filin2S
53 85% 62 52 84% . . • . . . . . • . No filings No filings Nofilin~ Nofilin2< No filin2S
• • . . . 54 86% 63 53 84%
:,,, ;:,:->,-, '"' :;;:: '/, . •·•,:•::':>', •c':•,:_:xr ,·.;::c.;:,::-e; i : '':"'- -~
Timely Payments Compliance Percentage MOPs Filed MOPs Filed Timelv Comnliance Percentse:e . . . . . . • • . . . . . . . '";.·' :/:; .. ,/_;;;;/-:- '':""~;,;·;;::•: ',' <''''' ·······>•.:::.•·,;.::';;:;; ::;\:;:y ·•::-, '
Timely Pavments Compliance Percenta-ge MOPs Filed MOPs Filed Timelv Comnliance Percentae:e 2 100"/o 2 2 100"/o 8 100% 8 8 100%
Nofi!inl!S Nofilin~ Nofilin~ Nofilinl!S Nofilin .. 10 100% 10 10 100%
\;,-,,:';''; :,'-:,:>;'; ' .;:, -,,, ' ',.;: '"''iJ' .•>'• ,•.;: :' ·, ;,,-,,:·:,'•' :: Timel · Pa rments Compliance Percenta2:e , MOPs Filed MOPs Filed Timelv Comnliance Percenta~e . . . . .
;;· ,./, :->:;-• ,"· .. '/;'c '··'''\ ')\':'!:''>"':!>/ :--:-- -:~•, :;:::;y:: : :'C: Time! · Pavments Comoliance Percenta2e MOPs Filed MOPs Filed Timelv Comnliance Percentll~e
10 91% 41 33 80% N/A NIA 10 91% 41 27 66%
'.:\'::, :.: .:: '.''"":' :,:::' '';xc.:: "-- S','; ',,,
'"'Indicates no claims activity this quarter
B7
INSURANCE GROUP COMPLIANCE
Fourth Quarter 2005 10/1/2005- 12/31/2005
NCCI I INSURANCE GROUP First lndemnitv Payments t~ Memonmda of Payment Filed (MOP) \;:: :,-,,_.,,,' : i::''''::::· <: ·'":; .,. \"'/,; .<h<"'P•':'\':-, ,,; ;_ •;.'':::: :,:. ><•.·.:·;': ,··•:>·· :;;.;.;,''···. ,;,; _, ,'';:j;':'·<,::c;:,-:/ ,C ·, ;,:·,:; ·,:;:;';':'.;;·::_·: ,,.,. ·:;\'; ;·:;,, :; ;,:;,; .. ;:)i\' ''(\i';;~:;:;:.g x::·:
STPAUL TRAVELERS INSURANCE GROUP Pavments Msde Timely Payments Compliance Percentage MOPs Filed MOPs Filed Timely Compliance Percentaee !53!8 CHARTER OAK FIRE INSURANCE CO. 4 3 75% 4 3 75% CA!!O CONSTITUTION STATE SERVICE 2 2 100% 2 2 100% TPA!l CONSTITUTION STATE SERVICE . . . . . . S327 CONSTITUTION STATE SERVICE • . . . . . 20702 DISCOVER PROPERTY & CASUALTY INC . . . • . . 10227 FIDELITY & GUARANTY INS. CO. 1 1 100% 1 I 100% 12610 PHOENIX INSURANCE No filings No filings No filings No filings No filings No filings 13706 ST. PAUL FIRE & MARINE INSURANCE CO. No filings No filings No filings No filings No filings No filings 14230 ST. PAUL GUARDIAN INS CO . • . . . . 12823 ST. PAUL INSURANCE COlv!PANY . . . . . . 13692 ST. PAUL MERCURY INSURANCE CO . . • . • . 11223 TRAVELERS CASUALTY & SURETY CO . . . . . . 13579 TRAVELERS PROPERTY CASUALTY CO. 1 1 100% 1 I 100% 13439 TRAVELERS INDElvlNITY COlv!PANY OF AMERICA No filings No filings No filings No filings No filings No filings CA350 TRAVELERS INS CO 9 8 89% 9 7 78% 10804 TRAVELERS INS CO No filings No filings No filings No filings No filings No filings 10847 USF & G INC/ST. PAUL FIRE INS. 1 1 100% 1 1 100%
Group Total 18 16 89% 18 15 83o/o .:: :·,.:· .: :' ;,:-: ':;:'( ··.: '":.'. ·~::,:: ;.-,,:;::,-, '-' ... f,:.:.,,,.,;;:·:· ;, i'?.'< ', ·,, '!''' ->:·:::·, ::;''•::"( :: '':,-"·:·:·;_""',;:; .-: _;,'/'~:,;;'; ,,:
SYNERNET Payments Made Time! · Pavments Compliance Percentage MOPs Filed MOPs Filed Tunelv Compliance Percentaee S0025 WJUNEHEALTH\VORKERS'COlv!PENSATION No filings No filings No filings No filings No filings No filings S0024 SISTERS OF CHARITY HEALTH SYSTEM . . . . . . S0023 SYNERNET WORKERS' COlv!PENSATION No filings No filings No filings No filings No filings No filings CA320 SYNERNET 35 33 94% 35 32 91%
Grouo Total 35 33 94% 35 32 91% f.:>',/, . '' .;,::;.\ :;;:., .. tY; v-t •';:;' ,;;::~·. ,.;
' ' ',; ';,'':, .;:!';!;'; [:''>::;,, ·7:·...-n::.•;,.:•: !i ::;,.:·'' .:·.: .;.-',;'•\ .'· ' .,,,.>~
TD BANKNORTH IFormerlv MORSE PAYSON & NOYES Pavments Made Timelv Pavments Comoliance Perc:enta2e MOPs Filed MOPs Filed Timelv Comoliance Percen~ CA316 TD BANKNORTH INS AGENCY TECH SERVICES 2 2 100% 2 2 100% S388 TD BANKNORTH INS AGENCY TECH SERVICES 11 9 82% 11 8 73%
Group Total 13 11 851% 13 10 77% :>}\ •\::Wi';:•'':;:,:;: ','i'' :>~-1': /'.':;•".::. i:;':?(.,' .. '':'!Cf::;•:. ,;".!.;''!'' ;: .·,:,·;;' . .. :+·>, •Y'i/' ,;, -;;,;;:;;-::·'> : , .,:,;c;.':s:
T.H.E. CASUALTY INS. COMP. I Payments Made I Timely Pavments Compliance Percentaee MOPs Filed MOPs Filed Timely Compliance Percentaee 40851 Group Total . I . I . . . . ""·, ·:·,· :; "i'>:, .;,,,,,, ;-;.;:·;,.;. :y;,::; .,;;::;::<,:;\:; !",,,; /,.f' ;:i/'';;:· !',;. ,; <'''".· :-:: :· ,,':,','' .::,';:: ::::;'<': ,, ,:;',;;i:'<:'< ···'''i'''''i:.'";'';c:,;' ?:;::·., .. ,;;•':,,;.,:;'':''"'':'''' -''"'' ,,; ,'L ';'!;
TOKIO MARINE & FIRE IND CO Payments Made Timely Pavments Compliance Percenta2e MOPs Filed MOPs Filed Timely Compliance Percentaee 14281 Group Total . . . . . .
/,;,' :·n .. ;.. .. ; ''''" ;:y:;:
\.',·. -:'.';.. , .:-·:v+: m:.:-";, •'f':':',J:t!. ;';" :; ',' .. ;::;;,;:,;;.' .> :\;.":"::;., ;.:>.c:.;,: ;:; •:,;; : /i':'·i':':<<< '<>'\!;;,. TRANSGUARD INSURANCE COMPANY Payments Made TIDlelv Payments Compliance Percenta2e t MOPs Filed MOPs FDed Timely Compliance Percentage
31097 GronpTotal . . . . . . i;7:L:: ."',;'.·:' :-::' ';'':"i'·i ·!i'f!'' ,c·,:/,!:':i;h('''i'i ;' . :,~. :,.-,;,;;
VIRGINlA SURETY COMPANY INC. Pavments Made Timelv Pavments Compliance Percenta2e MOPs Filed MOPs Filed Timelv Comoliance Percenta•e CA030 APPLIED RISK SERVICES 6 5 83% 6 4 67% 19879 VIRGINlA SURETY No filings No filings No filings No filings No filings No filings
Group Total 6 5 83% 6 4 67% : :.,,;:;..,.;,;. ·'? '.'\';;;(;':;Jf(<;:,i).';,, ·:· :\;:;, ~'t,:o.:;:·;'.f:'/; ·-cc:e ...... \ ;;/;;t:'.>'l':'.:, ,,,.
I WARD NORTH AMERICA P•vments M•de Timel · P.avments I Comoliance Percentage ~!;:! MOPs Filed MOPs Filed Timelv Comoliance Percen~ CT014 I Group Total * . . I': I . . . ; , , ., .,;-.:''i)T;,;;(•''> :·; :'·,;;:x· ,::n< •.:'•:' •;,, >;;;:';:::,,,,,"''"'' ',:\:: : ,y.:::•::';,<t\. ::: ; .. ;.;:·::nr-::'iv:;;. ~, .. ,;,;.:J.:::s>:sr:e:::y·. ;;: ·\,:.:,;,;,:-;:0:;;;,;··· •,v::;-:~:;-;;<iY::;y;;:y:<:c·::;,cJ.:
•tndlcates no claims activity this quarter
Maine Workers' Compensation Board B8
INSURANCE GROUP COMPLIANCE
NCCI I INSURANCE GROUP I ,).'. ,,>····-,>. ., .;.c, . ;;.\, .<, ·.· '· ,; ' : ..•. :.•·•·::..:: .. "·
I XL SPECIALTY INSURANCE COMPANY I Pavments Made 27944 I Group Total I . . / ·:•;;·· · ... ,. <"''•'' .· •... ····: •:· ' .•
. • ·' ·''"' ·.· .;i'< ZURICH INSURANCE GROUP Pavments l\bde
11452 AMERICAN GUARANTY & LIABILITY . 17965 AMERICAN ZURICH No filings 12173 ASSURANCE CO OF AMERICA . CA080 CHESTERFIELD SERVICES Nofi1ings 12963 MAINE BONDING & CASUALTY . 10545 MARYLAND CASUALTY CO . 13765 NORTHERN INSURANCE CO OF NEW YORK . 12297 UNIVERSAL UNDERWRITERS INS. CO. . CA400 ZURICH AMERICAN INS CO 4 10863 ZURICH AMERICAN INS CO No filings
GrouoTotal 4 ·: ·. . " ·::.:.:c:.
Maine Workers' Compensation Board
Fourth Quarter 2005 10/112005 -12/3112005
First Indemnity Pa,'Dlents Ll .. <: . :.'·· .. ,.: : .. ::.)::.·•:··,··,. .···
Timelv Pavments Compliance Percenta2e I•.J I . . ll
Memoranda of Pavment Filed (MOP) ,,,··,··: <·>.:DVc>;.:•:.·,.; :,., ·"''"'':.'· ..... ·.,.;·,/:, '
MOPs Filed MOPs Filed Timely Compliance Percentaee . . . . :··:,s,,;::•:::<Q/:'··. . •,.·::··:·· . ·. ·.·( ,, . ,., : ·:•:: :.f!}il': ..•. :·, .. ..:···< .. ••/.' ..
Timely Pavments Comuliance Percenta2e MOPs Filed MOPs Filed Timely Compliance Percentaee
• . . . . No filings No filings No filings No fi1illgS. Nofilin2S . . . . • Nofi1ings No filings No filin2S Nofilin2S Nofilin2S . . . . . . . • . . . . . . . . . . . .
4 100% 4 4 100"/o No filings Nofi1ings Nofilin2S Nofi1in2S Nofi1in2S
4 100% 4 4 100% ,·.,; ':; ;.•:· ,: .. ..... · .. ·· : ···.t>< : ,· ........ ·: • :.·•>::·.·:·.: . ,.
•Indicates no claims activity this quarter
89
Appendix C
Insurance Group Compliance NOC Filing
Fourth Quarter 2005 10/1/2005 -12/31/2005
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP andfor NOC activity this quarter
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
•Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
C2
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
.?:,::· . Total Initial Percentage oflnitial ,,c;,c,,c:;:, ,,,,,;,;::·: , •:J•c ', .;;c;' ,;0 : :J>:C''';<'j _;;;£:; ,,,;;l\{\'~J/'{F;';,';; ,:·.>,;;./:.;> '•; i .. !','/. ,;;<'.!>;{ :'·<·;,:::; ·, ~
.·~ .: .·• Indemnity NOCs Total Filed Indemnity NOCs Filed >::: NCCI INSURANCE GROUP Filed within 0-17 Days within 0-17 Days ·· ; ,;·· .,;; . · • ·• · ·,:::i.' · • '':if." :..o; :•ii:Y. ·',,i30';;,y·, ,;':!·;;., • / .. : ·:;· i·:·;;::;: :::::··c'!:;~ ;,· ;::);!.: >'P.$ :J;;y:; . ,' ':
· ·:Y C.N.A. Total Tunelv Timelv'Pereenta~e C: ,.;
.. :", S382 CNASTANDARDLINECLAIMS • • • ;:;,: S392 C N A STANDARD LINES CLAIMS • • • ·; ,: •. :>' .. ;'·F-CA~05~0~~C~O~NT=ThlliNT~~AL~~CA~S=U~AL~TY~C~O~---------------i~~N~o~fil~m-~.---+--~N~o-ffi:7m--~--r-----~N-o~fil~in--~----~~~:~~
:.·.. 10243 CONTINENTALCASUALTYCO Nofilings Nofilings Nofilin~ I :,;,', l'' :·;:;. 15113 CONTThmNTAL INSURANCE COMPANY • • • ·' : .. 1:'.'",'~12~23~8~-+.N~A~TI~ON~A~L~flRE~~IN~S~URAN~~CE~CO~.~O~F~HAR~~TF=O~RD~------b-~N7o~fi~li~n~--~~~N~o~ffi~m--~--+-----~N~o~fi~li-ngs------f.'>0· <. 12688 TRANSCONTINENTAL INS. CO. I I !00% . ~;
f;. \' 12408 TRANSPORTATION INSURANCE CO. No filings No filings No filings :·:;
;'}<' CRAWFORD & CO Total Timelv 19968 ACCIDENT FUND INSURANCE COMPANY • • 14095 ARGONAUT INSURANCE COMPANY 1 I
.• ,; CA120 CRAWFORD&CO 2 2 S305 CRAWFORD & CO •
.<\i' l3188 GULFINSURANCECO. ;';•i. 18376 LUMBERMEN'S UNDERWRITING ALLIANCE
17507 THE FLORISTS' MUTUAL INSURANCE COMPANY 8244 TRUCK INSURANCE EXCHANGE 4023 V ANLINER INSURANCE
Group Total 4 J:C):>:i,OJ:i;"' <. ,, '!;•.; ·'';
FAIRFIELD INSURANCE COMPANY Group Total
FIREll.fANS FUND Total )! 10022 AMERICAN AUTOMOBILE INS CO
AMERICAN INS CO flREMANS FUND AMERICAN INS. CO. FIREMANS FUND AMERICAN INS. CO. NATIONAL SURETY
Group Total '; ·;>·, c .//J.; •,;;.;);.,J•J•;·:·/Y•:•,:;,;':''c', :, ' J ;:';i·;J(!••"
No filings
*Indicates no claims activity this quarter
0
Timely
Timely
Nofilml!S
"No filings" indicates no MOP and/or NOC activity this quarter
;;;••:';~;;· :',:{:;.:,:it''"' 'f.<'C Timelv Percental!e ff(cl, .
;~~ 100%
100% ;·;,< . ::', . . ::·' 0% ;c:. • '~,;j:} . . i;{;;','
75% lh:J! : .,;;:,;;"
TimelY No
Timelv Percen
Time!y_percen
TIDlelY. Percentaf(e
Nofilmgs
C3
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE- NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
C4
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
C5
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE • NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
•Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
C6
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
C7
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FlUNG Fourth Quarter 2005 10/1/2005-12/31/2005
*Indicates no claims activity this quarter "No filings" indicates no MOP and/or NOC activity this quarter
C8
Maine Workers' Compensation Board
INSURANCE GROUP COMPLIANCE - NOC FILING Fourth Quarter 2005 10/1/2005-12/31/2005
Total Filed
within 0-17 Days
,,,;'"''"'' ,'' •' T"unely
* ,';
Timely . I .
No filings . . 13765 NORTHERN INSURANCE CO OF NEW YORK .
'/' 12297 UNNERSAL UNDERWRITERS INS. CO. : ,,,, CA400 ZURICH AMERICAN INS CO
~::J:,,:, 10863 ZURICH AMERICAN INS CO
i'Ti• .. :>,,,·;'" Group Total
4
I 6
'"·
*Indicates no claims activity this quarter
. 3
I 5
'', .'."'
"No filings" indicates no MOP and/or NOC activity this quarter
. . . /''
r, 75%
100% 83% s.~
C9
Appendix D
Insurance Group Compliance Quarterly Compliance Data
Fourth Quarter 2005 10/1/2005 -12/31/2005
Compliance Report
ACADIA INSURANCE COMPANY Ncci - CA010
Indemnity Payment
0-14 Days 16 94 .12% 15-21 Days 1 5.88% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 2
Total 19 100%
AIG CLAIM SERVICES INC Ncci - CA015
Indemnity Payment
0-14 Days 10 55.56% 15-21 Days 3 16.67% 22-28 Days 1 5.56% 29+ Days 3 16.67% ? Days 1 5.56% Alt. Benefits 0
Total 18 100%
APPLIED RISK SERVICES Ncci - CA030
Indemnity Payment
0-14 Days 5 83.33% 15-21 Days 1 16.67% 22-28 Days 0 0.00% 29+ . Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 6 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 17 89.47% 0-17 Days 14 82.35% 18-26 Days 1 5.26% 18-26 Days 1 5.88% 27-34 Days 0 0.00% 27-34 Days 1 5.88% 35+ Days 1 5.26% 35+ Days 1 5.88% ? Days 0 0.00% ? Days 0 0.00%
19 100% 17 100%
Memorandum of Payment Notice of Controversy
0-17 Days 8 44.44% 0-17 Days 7 77.78% 18-26 Days 3 16.67% 18-26 Days 1 11.11% 27-34 Days 1 5.56% 27-34 Days 0 0.00% 35+ Days 5 27.78% 35+ Days 1 11.11% ? Days 1 5.56% ? Days 0 0.00%
18 100% 9 100%
Memorandum of Payment Notice of Controversy
0-17 Days 4 66.67% 0-17 Days 0 0.00% 18-26 Days 2 33.33% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
6 100% 0 100%
Dl
Compliance Report
BROADSPIRE Ncci - CA040
Indemnity Payment
0-14 Days 2 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 2
100.00% 0.00% 0.00% 0.00% 0.00%
100%
CAMBRIDGE INTEGRATED SVCS GRP Ncci - CA060
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 1 100.00% 22-28 Days 0 0.00% 29+ Oays 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
CANNON COCHRAN MANAGEMENT Ncci - CA070
Indemnity Payment
0-14 Days 24 88.89% 15-21 Days 1 3.70% 22-28 Days 0 0.00% 29+ Days 2 7.41% ? Days 0 0.00% Alt. Benefits 0
Total 27 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 1 50.00% 0-17 Days 4 66.67% 18-26 Days 1 50.00% 18-26 Days 2 33.33% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 6 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 1 100.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 24 88.89% 0-17 Days 21 100.00% 18-26 Days 1 3.70% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 2 7.41% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
27 100% 21 100%
D2
Compliance Report
CHESTERFIELD SERVICES INC Ncci - CA080
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
CHUBB & SON, INC. Ncci - CA090
Indemnity Payment
0-14 Days 1 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 1
CLAIMS MANAGEMENT, Ncci - CA100
Indemnity Payment
0-14 Days 7 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 7
0.00% 0.00% 0.00% 0.00% 0.00%
100%
100.00% 0.00% 0.00% 0.00% 0.00%
100%
INC
100.00% 0.00% 0.00% 0.00% 0.00%
100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 2 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 2 100%
Memorandum of Payment Notice of Controversy
0-17 Days 7 100.00% 0-17 Days 13 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 o .. 00% ? Days 0 0.00% ? Days 0 0.00%
7 100% 13 100%
D3
Compliance Report
CONSTITUTION STATE SERVICES, L Ncci - CA110
Indemnity Payment
0-14 Days 2 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
CONTINENTAL CASUALTY COMPANY Ncci - CA050
Indemnity Payment
0-14 Days 5 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 5 100%
CRAWFORD & COMPANY Ncci - CA120
Indemnity Payment
0-14 Days 8 72.73% 15-21 Days 1 9.09% 22-28 Days 0 0.00% 29+ Days 2 18.18% ? Days 0 0.00% Alt. Benefits 0
Total 11 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 2 100.00% 0-17 Days 5 83.33% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 1 16.67% ? Days 0 0.00% ? Days 0 0.00%
2 100% 6 100%
Memorandum of Payment Notice of Controversy
0-17 Days 5 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
5 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 9 81.82% 0-17 Days 2 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 1 9.09% 27-34 Days 0 0.00% 35+ Days 1 9.09% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
11 100% 2 100%
D4
Compliance Report
ESIS, INC Ncci - CA160
Indemnity Payment
0-14 Days 11 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 11
F. A. RICHARD Ncci - CA165
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
100.00% 0.00% 0.00% 0.00% 0.00%
100%
0.00% 0.00% 0.00% 0.00% 0.00%
100%
FIREMAN'S FUND INSURANCE Ncci - CA170
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 11 100.00% 0-17 Days 14 93.33% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 1 6.67% ? Days 0 0.00% ? Days 0 0.00%
11 100% 15 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D5
Compliance Report
FUTURE COMP Ncci - CA175
Indemnity Payment
0-14 Days 1 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 1
100.00% 0.00% 0.00% 0.00% 0.00%
100%
GAB ROBINS NORTH AMERICAN Ncci - CA180
Indemnity Payment
0-14 Days 1 50.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 1 50.00% Alt. Benefits 0
Total 2 100%
GALLAGHER BASSETT SERVICES Ncci - CA190
Indemnity Payment
0-14 Days 8 61.54% 15-21 Days 3 23.08% 22-28 Days 1 7.69% 29+ Days 1 7.69% ? Days 0 0.00% Alt. Benefits 0
Total 13 100%
INC
INC
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 1 100.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 2 100.00%
1 100% 2 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 50.00% 35+ Days 0 0.00% ? Days 1 50.00% ? Days 0 0.00%
2 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 6 46.15% 0-17 Days 5 62.50% 18-26 Days 3 23.08% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 4 30.77% 35+ Days 3 37.50% ? Days 0 0.00% ? Days 0 0.00%
13 100% 8 100%
D6
Compliance Report
GATES MCDONALD & COMPANY Ncci - CA200
Indemnity Payment
0-14 Days 10 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 10 100%
HANVOER CITIZENS INSURANCE Ncci - CA202
Indemnity Payment
0-14 Days 11 100.00% 15-21 Days 0 .0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 11 100%
HARTFORD ACCIDENT & INDEMNITY Ncci - CA203
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 1 100.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 10 100.00% 0-17 Days 11 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
10 100% 11 100%
Memorandum of Payment Notice of Controversy
0-17 Days 11 100.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
11 100% 1 100%
Memorandum of Payment .Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 1 100.00% 18-26 Days 1 33.33% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 1 33.33% ? Days 0 0.00% ? Days 1 33.33%
1 100% 3 100%
D7
Compliance Report
HRH NORTHERN NEW ENGLAND Ncci - CAOOl
Indemnity Payment
0-14 Days 48 82.76% 15-21 Days 6 10.34% 22-28 Days 2 3.45% 29+ Days 2 . 3. 45% ? Days 0 0.00% Alt. Benefits 4
Total 62 100%
INTERGUARD, LTD. Ncci - CA205
Indemnity Payment
0-14 Days 10 90.91% 15-21 Days 1 9.09% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 11 100%
LIBERTY MUTUAL INSURANCE COMPA Ncci - CA210
Indemnity Payment
0-14 Days 13 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 1
Total 14 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 54 87.10% 0-17 Days 50 98.04% 18-26 Days 4 6.45% 18-26 Days 1 1.96% 27-34 Days 1 1.61% 27-34 Days 0 0.00% 35+ Days 3 4.84% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
62 100% 51 100%
Memorandum of Payment Notice of Controversy
0-17 Days 10 90.91% 0-17 Days 4 66.67% 18-26 Days 1 9.09% 18-26 Days 2 33.33% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
11 100% 6 100%
Memorandum of Payment Notice of Controversy
0-17 Days 14 100.00% 0-17 Days 19 95.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 1 5.00% ? Days 0 0.00% ? Days .0 0.00%
14 100% 20 100%
D8
Compliance Report
MAINE AUTOMOBILE DEALERS ASSOC Ncci - CA220
Indemnity Payment
0-14 Days 7 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 7 100%
MEADOWBROOK INSURANCE Ncci - CA255
Indemnity Payment
0-14 Days 2 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
NGM INSURANCE co. Ncci - CA265
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 7 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
7 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 2 100.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
D9
Compliance Report
PEERLESS INSURANCE Ncci - CA275
Indemnity Payment
0-14 Days 20 15-21 Days 2 22-28 Days 0 29+ Days 1 ? Days 1 Alt. Benefits 1
Total 25
83.33% 8.33% 0.00% 4.17% 4.17%
100%
RISK ENTERPRISES MANAGEMENT Ncci - CA280
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
ROMAN CATHOLIC DIOCESE OF PORT Ncci - CA285
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 22 88.00% 0-17 Days 6 75.00% 18-26 Days 1 4.00% 18-26 Days 1 12.50% 27-34 Days 1 4.00% 27-34 Days 1 12.50% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 1 4.00% ? Days 0 0.00%
25 100% 8 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
DlO
Compliance Report
SEDGWICK CLAIMS MANAGEMENT SER Ncci - CA300
Indemnity Payment
0-14 Days 53 85.48% 15-21 Days 6 9.68% 22-28 Days 1 1.61% 29+ Days 2 3.23% ? Days 0 0.00% Alt. Benefits 0
Total 62 100%
SENTRY INSURANCE A MUTUAL COMP Ncci - CA305
Indemnity Payment
0-14 Days 8 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 8 100%
SPECIALTY RISK SERVICES Ncci - CA315
Indemnity Payment
0-14 Days 3 42.86% 15-21 Days 1 14.29% 22-28 Days 2 28.57% 29+ Days 0 0.00% ? Days 1 14.29% Alt. Benefits 0
Total 7 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 52 83.87% 0-17 Days 42 97.67% 18-26 Days 8 12.90% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 1 2.33% 35+ Days 2 3.23% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
62 100% 43 100%
Memorandum of Payment Notice of Controversy
0-17 Days 8 100.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
8 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 3 42.86% 0-17 Days 4 100.00% 18-26 Days 1 14.29% 18-26 Days 0 0.00% 27-34 Days 1 14.29% 27-34 Days 0 0.00% 35+ Days 1 14.29% 35+ Days 0 0.00% ? Days 1 14.29% ? Days 0 0.00%
7 100% 4 100%
Dll
Compliance Report
Synernet Ncci - CA320
Indemnity Payment
0-14 Days 33 15-21 Days 1 22-28 Days 0 29+ Days 1 ? Days 0 Alt. Benefits 0
Total 35
94.29% 2.86% 0.00% 2.86% 0.00%
100%
TD BANKNORTH INS AGENCY TECH Ncci - CA316
Indemnity Payment
0-14 Days 2 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
THE HARTFORD Ncci - CA310
Indemnity Payment
0-14 Days 7 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 7 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 32 91.43% 0-17 Days 21 100.00% 18-26 Days 2 5. 71% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 2.86% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
35 100% 21 100%
Memorandum of Payment Notice of Controversy
0-17 Days 2 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 7 100.00% 0-17 Days 1 50.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 1 50.00%
7 100% 2 100%
D12
Compliance Report
TRAVELERS INDEMNITY COMPANY Ncci - CA350
Indemnity Payment
0-14 Days 8 88.89% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 11.11% ? Days 0 0.00% Alt. Benefits 0
Total 9 100%
UNITED STATES FIRE INSURANCE Ncci - CA375
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
ZURICH AMERICAN INSURANCE COMP Ncci - CA400
Indemnity Payment
0-14 Days 4 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 4 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 7 77.78% 0-17 Days 6 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 1 11.11% 27-34 Days 0 0.00% 35+ Days 1 11.11% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
9 100% 6 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 4 100.00% 0-17 Days 3 75.00% 18-26 Days 0 0.00% 18-26 Days 1 25.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
4 100% 4 100%
Dl3
Compliance Report
Ncci - ?
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 1 100.00% Alt. Benefits 0
Total 1 100%
A I G (American International Ncci - 8328
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
ACADIA INSURANCE CO Ncci - 33391
Indemnity Payment
0-14 Days 1 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 1
0.00% 0.00% 0.00% 0.00% 0.00%
100%
100.00% 0.00% 0.00% 0.00% 0.00%
100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 2 66.67% 18-26 Days 0 0.00% 18-26 Days 1 33.33% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 1 100.00% ? Days 0 0.00%
1 100% 3 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 2 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 2 100%
D14
Compliance Report
ACE AMERICAN INSURANCE COMPANY Ncci - 12165
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
AMERICAN CASUALTY CO OF READIN Ncci - 10030
Indemnity Payment
0-14 Days 1 50.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 50.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
AMERICAN HOME ASSURANCE CO Ncci - 13781
Indemnity Payment
0-14 Days 1 50.00% 15-21 Days 0 0.00% 22-28 Days 1 50.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 50.00% 0-17 Days 1 50.00% 18-26 Days 0 0.00% 18-26 Days 1 50.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 50.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 2 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 1 50.00% 27-34 Days 0 0.00% 35+ Days 1 50.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 1 100%
D15
Compliance Report
AMERICAN ZURICH Ncci - 17965
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
AMGUARD INSURANCE Ncci - 21873
Indemnity Payment
0-14 Days 0 15-21 Days 1 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 1
ARGONAUT INSURANCE Ncci - 14095
Indemnity Payment
0-14 Days 1 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 1
0.00% 0.00% 0.00% 0.00% 0.00%
100%
COMPANY
0.00% 100.00%
0.00% 0.00% 0.00%
100%
COMPANY
100.00% 0.00% 0.00% 0.00% 0.00%
100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days b 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 1 100%
D16
Compliance Report
BANGOR, CITY OF Ncci - S705
Indemnity Payment
0-14 Days 3 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 3
BATH IRON WORKS Ncci - S347
Indemnity Payment
0-14 Days 12 15-21 Days 0 22-28 Days 0 .29+ Days 0 ? Days 0 Alt. Benefits 0
Total 12
100.00% 0.00% 0.00% 0.00% 0.00%
100%
100.00% 0.00% 0.00% 0.00% 0.00%
100%
CHARTER OAK FIRE INS Ncci - 15318
Indemnity Payment
0-14 Days 3 75.00% 15-21 Days 1 25.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 4 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 3 100.00% 0-17 Days 2 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
3 100% 2 100%
Memorandum of Payment Notice of Controversy
0-17 Days 12 100.00% 0-17 Days 13 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
12 100% 13 100%
Memorandum of Payment Notice of Controversy
0-17 Days 3 75.00% 0-17 Days 2 100.00% 18-26 Days 1 25.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
4 100% 2 100%
D17
Compliance Report
CHURCH MUTUAL INSURANCE COMPAN Ncci - 16853
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
CIANBRO CORP Ncci - S344
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
COMMERCE & INDUSTRY INS CO Ncci - 15172
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 2 100.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 2 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 1 100%
D18
Compliance Report
CONTINENTAL CASUALTY CO Ncci - 10243
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
CONTINENTAL WESTERN INS COMPAN Ncci - 11053
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
ELECTRIC INSURANCE COMPANY Ncci - 12629
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
o-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
D19
Compliance Report
EMPLOYERS INS COMPANY OF WAUSA Ncci - 15555
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
FAIRFIELD INSURANCE COMPANY Ncci - 32530
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
FEDERAL INSURANCE co Ncci - 12890
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00%
/ 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D20
Compliance Report
FIDELITY & GUARANTY INSURANCE Ncci - 10227
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
FIREMAN'S INS CO OF WASHINGTON Ncci - 27723
Indemnity Payment
0-14 Days 3 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 3 100%
First Liberty Insurance Corp Ncci - 27359
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Dars 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 3 100.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
3 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D21
Compliance Report
GLOBE INDEMNITY CO Ncci - 10391
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
GREAT WEST CASUALTY Ncci - 11371
Indemnity Payment
0-14 Days· 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
HANNAFORD BROTHERS Ncci - S381
Indemnity Payment
0-14 Days 16 15-21 Days 0 22-28 Days 1 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 17
0.00% 0.00% 0.00% 0.00% 0.00%
100%
0.00% 0.00% 0.00% 0.00% 0.00%
100%
94.12% 0.00% 5.88% 0.00% 0.00%
100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days ,0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 16 94.12% 0-17 Days 11 100.00% 18-26 Days 1 5.88% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
17 100% 11 100%
D22
Compliance Report
HANOVER INSURANCE CO Ncci - 13633
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
HARTFORD CASUALTY INS. co. Ncci - 14397
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
HARTFORD INSURANCE CO OF THE M Ncci - 20605
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
D23
Compliance Report
HARTFORD UNDERWRITERS INS CO Ncci - 10456
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
INDEMNITY INS CO OF NORTH AMER Ncci - 25437
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 100.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
INS CO OF THE STATE OF PENNSYL Ncci - 13889
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 100.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
D24
Compliance Report 10/01/2005 - 12/31/2005
LIBERTY INSURANCE CORP. Ncci - 21814
Indemnity Payment Memorandum of Payment Notice of Controversy
0-14 Days 16 94.12% 0-17 Days 17 94.44% 0-17 Days 8 100.00% 15-21 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 22-28 Days 0 0.00% 27-34 Days 1 5.56% 27-34 Days 0 0.00% 29+ Days 1 5.88% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00% Alt. Benefits 1
Total 18 100% 18 100% 8 100%
LIBERTY MUTUAL FIRE INSURANCE Ncci - 16586
Indemnity Payment Memorandum of Payment Notice of Controversy
0-14 Days 3 75.00% 0-17 Days 3 75.00% 0-17 Days 5 100.00% 15-21 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 22-28 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 29+ Days 1 25.00% 35+ Days 1 25.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 4 100% 4 100% 5 100%
LIBERTY MUTUAL INS CO Ncci - 15628
Indemnity Payment Memorandum of Payment Notice of Controversy
0-14 Days 0 0.00% o-·17 Days 0 0.00% 0-17 Days 2 100.00% 15-21 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 22-28 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 29+ Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100% 0 100% 2 100%
D25
Compliance Report
MAINE AUTOMOBILE DEALERS Ncci - S803
Indemnity Payment
0-14 Days 4 80.00% 15-21 Days 1 20.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 5 100%
MAINE EMPLOYERS MUTUAL INSURAN Ncci - 30449
Indemnity Payment
0-14 Days 325 93.12% 15-21 Days 9 2.58% 22-28 Days 5 1.43% 29+ Days 10 2.87% ? Days 0 0.00% Alt. Benefits 32
Total 381 100%
MAINE MOTOR TRANSPORT W.C. TRU Ncci - S385
Indemnity Payment
0-14 Days 13 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 13 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 5 100.00% 0-17. Days 2 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
5 100% 2 100%
Memorandum of Payment Notice of Controversy
0-17 Days 350 91.86% 0-17 Days 200 86.96% 18-26 Days 9 2.36% 18-26 Days 4 1.74% 27-34 Days 10 2.62% 27-34 Days 2 0.87% 35+ Days 12 3.15% 35+ Days 24 10.43% ? Days 0 0.00% ? Days 0 0.00%
381 100% 230 100%
Memorandum of Payment Notice of Controversy
0-17 Days 12 92.31% 0-17 Days 11 91.67% 18-26 Days 0 0.00% 18-26 Days 1 8.33% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 7.69% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
13 100% 12 100%
D26
Compliance Report
MAINE MUNICIPAL ASSOCIATION Ncci - S801
Indemnity Payment
0-14 Days 42 87.SO% 1S-21 Days 2 4.17% 22-28 Days 1 2.08% 29+ Days 2 4.17% ? Days 1 2.08% Alt. Benefits 0
Total 48 100%
MAINE SCHOOL MGNT ASSOC Ncci - S374
Indemnity Payment
0-14 Days 29 100.00% 1S-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 29 100%
MAINEHEALTH WORKERS' COMPENSAT Ncci - S002S
Indemnity Payment
0-14 Days 0 0.00% 1S-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/200S - 12/31/200S
Memorandum of Payment Notice of Controversy
0-17 Days 42 87.SO% 0-17 Days so 100.00% 18-26 Days 1 2.08% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 3S+ Days 4 8.33% 3S+ Days 0 0.00% ? Days 1 2.08% ? Days 0 0.00%
48 100% so 100%
Memorandum of Payment Notice of Controversy
0-17 Days 29 100.00% 0-17 Days 9 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 3S+ Days 0 0.00% 3S+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
29 100% 9 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 3S+ Days 0 0.00% 3S+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D27
Compliance Report
MHCA WORKERS' COMP FUND Ncci - S387
Indemnity Payment
0-14 Days 5 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 5 100%
NATIONAL FIRE INS CO OF HARTFO Ncci - 12238
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
NEW HAMPSHIRE INS COMPANY Ncci - 13080
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 100.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 5 100.00% 0-17 Days 14 87.50% 18-26 Days 0 0.00% 18-26 Days 2 12.50% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 . 0. 00% ? Days 0 0.00% ? Days 0 0.00% •,
5 100% 16 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 1 100.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
D28
Compliance Report
NEWPAGE CORP. Ncci - 8394
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
0.00% 0.00% 0.00% 0.00% 0.00%
100%
NO RECORDED COVERAGE Ncci - NONE
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
NORGUARD INSURANCE COMPANY Ncci - 25844
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 1 100.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
D29
Compliance Report
OLD REPUBLIC INS CO Ncci - 11509
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 1 Alt. Benefits 0
Total 1
0.00% 0.00% 0.00% 0.00%
100.00%
100%
ONEBEACON AMERICA INSURANCE CO Ncci - 14540
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
PEERLESS INS co Ncci - 11355
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 1 100.00% ? Days 0 0.00%
1 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D30
Compliance Report
PHOENIX INSURANCE Ncci - 12610
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
PORTLAND, CITY OF Ncci - 8733
Indemnity Payment
0-14 Days 4 15-21 Days 2 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 6
PROTECTIVE INS co Ncci - 14788
Indemnity Payment
0-14 Days 0 15-21 Days 0 22-28-Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 0
0.00% 0.00% 0.00% 0.00% 0.00%
100%
66.67% 33.33%
0.00% 0.00% 0.00%
100%
0.00% 0.00% 0.00% 0.00% 0.00%
100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 4 66.67% 0-17 Days 7 100.00% 18-26 Days 2 33.33% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
6 100% 7 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 1 100.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
D31
Compliance Report
PUBLIC SERVICE MUTUAL INS CO Ncci - 16152
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 1 100.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
ROYAL & SUNALLIANCE Ncci - 13684
Indemnity Payment
0-14 Days 15-21 Days 22-28 Days 29+ Days ? Days Alt. Benefits
Total
SENTRY INSURANCE Ncci - 15571
0 0 0 0 0 0
0
Indemnity Payment
0-14 Days 2 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 2
0.00% 0.00% 0.00% 0.00% 0.00%
100%
100.00% 0.00% 0.00% 0.00% 0.00%
100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 1 100.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 2 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 0 100%
D32
Compliance Report
SENTRY SELECT INSURANCE COMPAN Ncci - 13668
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
SHAW'S SUPERMARKETS INC Ncci - S316
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
ST PAUL FIRE & MARINE INSURANC Ncci - 13706
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? ·Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D33
Compliance Report
STAR INSURANCE CO Ncci - 24562
Indemnity Payment
0-14 Days 1 15-21 Days 0 22-28 Days 0 29+ Days 0 ? Days 0 Alt. Benefits 0
Total 1
100.00% 0.00% 0.00% 0.00% 0.00%
100%
STATE OF MAINE WORKERS COMP DI Ncci - S369
Indemnity Payment
0-14 Days 10 90.91% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 9.09% ? Days 0 0.00% Alt. Benefits 30
Total 41 100%
SYNERNET WORKERS' COMPENSATION Ncci - S0023
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 1 100.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 33 80.49% 0-17 Days 23 95.83% 18-26 Days 6 14.63% 18-26 Days 1 4.17% 27-34 Days 1 2.44% 27-34 Days 0 0.00% 35+ Days 1 2.44% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
41 100% 24 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
D34
Compliance Report
TD BANKNORTH INS AGENCY TECH S Ncci - S388
Indemnity Payment
0-14 Days 9 81.82% 15-21 Days 1 9.09% 22-28 Days 1 9.09% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 11 100%
TRANSCONTINENTAL INSURANCE COM Ncci - 12688
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
TRANSPORTATION INSURANCE COMPA Ncci - 12408
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days -o 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 8 72.73% 0-17 Days 9 100.00% 18-26 Days 3 27.27% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
11 100% 9 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D35
Compliance Report
TRAVELERS INDEMNITY COMPANY OF Ncci - 13439
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
TRAVELERS INS co Ncci - 10804
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
TRAVELERS PROPERTY CASUALTY CO Ncci - 13579
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 1 100.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 1 100%
D36
Compliance Report
TWIN CITY FIRE INS CO Ncci - 14974
Indemnity Payment
0-14 Days 5 62.50% 15-21 Days 1 12.50% 22-28 Days 1 12.50% 29+ Days 0 0.00% ? Days 1 12.50% Alt. Benefits 0
Total 8 100%
UNITED STATES FIDELITY & GUARA Ncci - 10847
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
UNITED STATES FIRE INSURANCE C Ncci - 12777
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 7 87.50% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 1 100.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 1 12.50% ? Days 0 0.00%
8 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
D37
Compliance Report
UNIVERSITY OF MAINE SYSTEM Ncci - S377
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
VALLEY FORGE INSURANCE COMPANY Ncci - 15032
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
VIRGINIA SURETY COMPANY INC Ncci - 19879
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 0 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 0 0.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 0 100%
D38
Compliance Report
WAUSAU BUSINESS INSURANCE CO Ncci - 27332
Indemnity Payment
0-14 Days 1 100.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 1 100%
WAUSAU UNDERWRITERS INS co Ncci - 18996
Indemnity Payment
0-14 Days 1 50.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 1 50.00% ? Days 0 0.00% Alt. Benefits 0
Total 2 100%
ZURICH AMERICAN INSURANCE CO Ncci - 10863
Indemnity Payment
0-14 Days 0 0.00% 15-21 Days 0 0.00% 22-28 Days 0 0.00% 29+ Days 0 0.00% ? Days 0 0.00% Alt. Benefits 0
Total 0 100%
10/01/2005 - 12/31/2005
Memorandum of Payment Notice of Controversy
0-17 Days 1 100.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
1 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 1 50.00% 27-34 Days 0 0.00% 35+ Days 1 50.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
2 100% 1 100%
Memorandum of Payment Notice of Controversy
0-17 Days 0 0.00% 0-17 Days 1 100.00% 18-26 Days 0 0.00% 18-26 Days 0 0.00% 27-34 Days 0 0.00% 27-34 Days 0 0.00% 35+ Days 0 0.00% 35+ Days 0 0.00% ? Days 0 0.00% ? Days 0 0.00%
0 100% 1 100%
D39
Summary Compliance Report 10/01/2005 - 12/31/2005
Indemnity Payment Memorandum of Payment Notice of Controversy
0-14 Days 862 88.68% 0-17 Days 907 86.96% 0-17 Days 653 90.82% 15-21 Days 49 5.04% 18-26 Days 55 5.27% 18-26 Days 21 2.92% 22-28 Days 18 1.85% 27-34 Days 21 2.01% 27-34 Days 6 0. 83% 29+ Days 35 3.60% 35+ Days 52 4.99% 35+ Days 35 4.87% ? Days 8 0.82% ? Days 8 0. 77% ? Days 4 0.56% Alt. Benefits 71
Total 1043 100% 1043 100% 719 100%
D40