Company(ies) Newly Licensed
02/06/2009 to 02/28/2009 NAME: ADDRESS: PHONE: DATE OF INCORPORATION: LICENSE ISSUE DATE: STATE OF DOMICILE: NAIC #: OCI #: COMPANY TYPE: ORGANIZATION: LINES OF BUSINESS: ( 2A ) ( 2B ) ( 2C ) ( 2D ) ( 2E ) ( 2F ) ( 2G ) ( 2K ) ( 2L ) ( 2M ) ( 2N ) ( 2O ) NAME: ADDRESS: PHONE: DATE OF INCORPORATION: LICENSE ISSUE DATE: STATE OF DOMICILE: NAIC #: OCI #: COMPANY TYPE: ORGANIZATION: LINES OF BUSINESS: ( 11A ) Acadia Insurance Company P O BOX 9010 WESTBROOK ME 04098 (207) 772-4300 4/2/1992 2/10/2009 NH 0098-31325 01-0471706 Fire & Casualty Stock
Fire, inland marine, and other property insurance Ocean marine insurance Disability insurance Liability and incidental medical expense insurance Automobile insurance Fidelity insurance Surety insurance Worker's compensation insurance Legal expense insurance Credit unemployment insurance Miscellaneous Aircraft insurance Froedtert Hospital Foundation, Inc. 9200 W WISCONSIN AVE MILWAUKEE WI 53226-3596 (414) 805-2699 6/25/1982 2/12/2009 WI 39-1431192 Gift Annuity Unspecified
Insurance gift annuities
Preparation Date: 03/02/2009
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Company(ies) Newly Licensed
02/06/2009 to 02/28/2009 NAME: ADDRESS: PHONE: DATE OF INCORPORATION: LICENSE ISSUE DATE: STATE OF DOMICILE: NAIC #: OCI #: COMPANY TYPE: ORGANIZATION: LINES OF BUSINESS: ( 2A ) ( 2D ) ( 2E ) ( 2F ) ( 2N ) NAME: ADDRESS: PHONE: DATE OF INCORPORATION: LICENSE ISSUE DATE: STATE OF DOMICILE: NAIC #: OCI #: COMPANY TYPE: ORGANIZATION: LINES OF BUSINESS: ( 2G ) Surety insurance Housing Enterprise Insurance Company, Inc. PO BOX 189 CHESHIRE CT 06410-0189 (800) 873-0242 8/15/2000 2/12/2009 VT 4359-11206 06-1597889 Fire & Casualty Stock
Fire, inland marine, and other property insurance Liability and incidental medical expense insurance Automobile insurance Fidelity insurance Miscellaneous Southwest Marine and General Insurance Company 919 3RD AVE NEW YORK NY 10022-3902 (212) 551-0600 7/27/2005 2/12/2009 AZ 0256-12294 20-3248706 Fire & Casualty Stock
Preparation Date: 03/02/2009
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Company Name Changes
02/06/2009 to 02/28/2009
OLD NAME: NEW NAME: COMPANY TYPE: OCI #: NAIC #: EFFECTIVE DATE:
Interstate Indemnity Company AGCS Marine Insurance Company Fire & Casualty 36-6033855 0761-22837 01/01/2009
OLD NAME: NEW NAME: COMPANY TYPE: OCI #: NAIC #: EFFECTIVE DATE:
Medical Assurance Company, Inc., The ProAssurance Indemnity Company, Inc. Fire & Casualty 63-0720042 2698-33391 12/31/2008
OLD NAME: NEW NAME: COMPANY TYPE: OCI #: NAIC #: EFFECTIVE DATE:
Dodge Health Foundation, Inc. Beaver Dam Community Hospitals Foundation, Inc. Gift Annuity 39-1499140 01/01/2008
OLD NAME: NEW NAME: COMPANY TYPE: OCI #: NAIC #: EFFECTIVE DATE:
GMAC Direct Insurance Company Maiden Reinsurance Company Fire & Casualty 43-1898350 0079-11054 01/23/2009
Preparation Date:
03/02/2009
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Company Mergers
02/06/2009 to 02/28/2009 MERGED COMPANY: NAIC #: OCI #: SURVIVING CO: NAIC #: OCI #: EFFECTIVE DATE: Seaboard Surety Company -22535 13-5379820 Travelers Casualty and Surety Company of America 3548-31194 06-0907370 01/02/2009
Preparation Date: 03/02/2009
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Changes in Lines of Authority
02/06/2009 to 02/28/2009
NAME: COMPANY TYPE: OCI #: NAIC #: ADDED: ( 2A ) ( 2B ) ( 2C ) ( 2D ) ( 2F ) ( 2G ) ( 2K ) ( 2L ) ( 2N )
Grinnell Select Insurance Company Fire & Casualty 42-1234898 0518-16144 12036 12036 12036 12036 12036 12036 12036 12036 12036 EFFECTIVE DATE 2/11/2009 2/11/2009 2/11/2009 2/11/2009 2/11/2009 2/11/2009 2/11/2009 2/11/2009 2/11/2009
Fire, inland marine, and other property insurance Ocean marine insurance Disability insurance Liability and incidental medical expense insurance Fidelity insurance Surety insurance Worker's compensation insurance Legal expense insurance Miscellaneous Jewelers Mutual Insurance Company Fire & Casualty 39-0493890 -14354
NAME: COMPANY TYPE: OCI #: NAIC #: ADDED: ( 2K )
Worker's compensation insurance
10974
EFFECTIVE DATE 2/6/2009
Preparation Date: 03/02/2009
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Company(ies) Placed in Rehabilitation
02/06/2009 to 02/28/2009
NAME: OCI #: NAIC #: COMPANY TYPE: STATE OF DOMICILE: EFFECTIVE DATE:
Shenandoah Life Insurance Company 54-0377280 -68845 Life Accident & Health VA 02/12/2009
Preparation Date:
03/02/2009
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Mailing Address Changes
02/06/2009 to 02/28/2009
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
Podiatry Insurance Company of America A Mutual Company 58-1403235 3504-14460 Fire & Casualty (615) 371-8776 3000 MERIDIAN BLVD STE 400 FRANKLIN TN 37067-9900 Globe Life and Accident Insurance Company 63-0782739 0290-91472 Life Accident & Health (405) 270-1400 GLOBE LIFE CENTER OKLAHOMA CITY OK 73184 Lincoln Life & Annuity Company of New York 22-0832760 0020-62057 Life Accident & Health (315) 428-8400 100 N GREENE ST GREENSBORO NC 27401-2547 Catholic Church Extension Society of the United States of America, The 36-6000520 Gift Annuity (312) 795-6050 150 S WACKER DR FL 20 CHICAGO IL 60606-4226 Oshkosh Area Community Foundation, The 39-2034571 Gift Annuity (920) 426-3993 230 OHIO ST STE 100 OSHKOSH WI 54902 AMEX Assurance Company 36-2760101 -27928 Fire & Casualty (920) 431-4000 P O BOX 19020 GREEN BAY WI 54307 Lutheran Church-Missouri Synod Foundation 43-6034481 Gift Annuity (314) 965-9917 1333 S KIRKWOOD RD SAINT LOUIS MO 63122-7226
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
Preparation Date: 03/02/2009
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Mailing Address Changes
02/06/2009 to 02/28/2009
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
First Church of Christ, Scientist,in Boston, Massachusetts, The 04-2254742 Gift Annuity (617) 450-3259 210 MASSACHUSETTS AVE P5-10 BOSTON MA 02115 Disabled American Veterans Charitable Service Trust 52-1521276 Gift Annuity (859) 441-7300 3725 ALEXANDRIA PIKE COLD SPRING KY 41076-1712 Care Wisconsin Health Plan, Inc. 27-0093404 -12248 Health Maintainence Organization (608) 240-0020 P O BOX 14017 MADISON WI 53708 St. Columban's Foreign Mission Society 47-0376616 Gift Annuity (402) 291-1920 400 N CALHOUN ST ST COLUMBANS NE 68056 Beaver Dam Community Hospitals Foundation, Inc. 39-1499140 Gift Annuity (920) 887-4077 707 S UNIVERSITY AVE BEAVER DAM WI 53916-3027 Lehigh University 24-0795445 Gift Annuity (610) 758-4063 27 MEMORIAL DR W BETHLEHEM PA 18017 Policyholders Mutual Insurance Company 39-1621483 -30520 Fire & Casualty (608) 246-2552 P O BOX 14106 MADISON WI 53708-0101
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
Preparation Date: 03/02/2009
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Mailing Address Changes
02/06/2009 to 02/28/2009
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
Paul Revere Variable Annuity Insurance Company 04-2381280 0565-67601 Life Accident & Health (423) 294-1011 1 FOUNTAIN SQ CHATTANOOGA TN 37402-1307 Ameriprise Insurance Company 65-1261374 0004-12504 Fire & Casualty (920) 330-5100 3500 PACKERLAND DR DE PERE WI 54115-9034 Johns Hopkins University, The 52-0595110 Gift Annuity (410) 516-7954 3400 N CHARLES ST SAN MARTIN CENTER 2ND FL BALTIMORE MD 21 Woman's Life Insurance Society 38-1185570 -56170 Fraternal (810) 985-5191 PO BOX 5020 PORT HURON MI 48061-5020
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
NAME: OCI #: NAIC #: COMPANY TYPE: PHONE#: NEW ADDRESS:
Preparation Date: 03/02/2009
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Organization Type Changes
02/06/2009 to 02/28/2009 NAME: OCI #: NAIC #: COMPANY TYPE: NEW ORGANIZATION TYPE: EFFECTIVE DATE: Sheboygan Falls Insurance Company 10990 -15148 Fire & Casualty Stock 02/17/2009
Preparation Date:
03/02/2009
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OCI Number Changes
02/06/2009 to 02/28/2009
NAME: OLD OCI #: COMPANY TYPE: NEW OCI#: NAIC #: EFFECTIVE DATE:
WRM America Indemnity Company, Inc. 562211262 Fire & Casualty 04-2724166 -20273 02/06/2009
Preparation Date:
03/02/2009
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