CAPTIVE/SELF-INSURANCE Below are paid listings of service providers in the captive and self-insurance industry. This guide is not intended to be a complete directory. Suppliers themselves have provided this data. To obtain more information on vendors and their services, please select the appropriateURL. For more information, please contact Angela Latham: alatham@lrp.com; (T) 215-784-0910, ext. 6236, (F) 215-784-0870. NAME & ADDRESS PRODUCT NAME & DESCRIPTION ACTUARIAL SERVICES Northshore International Northshore international manages excess Insurance Services, Inc. claims and conducts claim audits, reserve 199 Rosewood Drive studies and actuarial projects on behalf Danvers, MA 01923 of captives, self-insurers, excess www.niis.com insurers and reinsurers. We maintain 978.745.6655 professional staff, very experienced in all lines of Medical, Life, Workers' Compensation and other Property/Casualty coverages. BANK Comerica Bank Comerica Bank has provided banking 411 W. Lafayette services to captives for over a decade-- Detroit, MI 48226 letters of credit, custody, Regulation www.comerica.com 114 Trusts, and asset management. 313.222.9443 Comerica is one of the leading banks servicing the captive insurance industry and is active in all major domiciles, highly rated and NAIC-approved. comerica.com BENEFITS Groom Law Group, We are the nation's premiere employee Chartered benefits specialty law firm. With our 1701 Pennsylvania, Ave wide-ranging expertise in ERISA, tax law, NW Washington, DC 20006 health law, and insurance law, we have www.groom.com assisted numerous clients with the use 202.857.0620 of captives in employee benefits. Our attorneys have obtained more DOL exemptions in this area than any other firm. Meritain Health Meritain Health is the country's largest 300 Corporate Parkway independent provider of services for Buffalo, New York 14226 self-funded health plans. Meritain Health www.meritain.com serves over 1,400 employer groups and 1.800.242.6226 over a million members nationally. The company provides innovative wellness, total population management, provider network solutions and cost management services. Meritain Health is a pioneer and now the leading independent provider of Consumer-Directed Health Plans. CAPTIVE DOMICILE Aon Insurance Managers AIM is a world leader in captive 76 St. Paul management with over 1,350 clients dating Street Suite 500 back to the beginning of the captive Burlington, VT 05401 movement in the 1960s. The organization www.aon.com/captives works in virtually every recognized 802.862.4400 domicile worldwide and employs over 500 experts from a variety of backgrounds. Captive Insurance The Captive Insurance Council of the Council of the District District of Columbia, Inc. (CIC-DC) of Columbia represents parties interested in operating (CIC-DC) captive insurance companies in the 1250 H Street NW, District of Columbia, one of America's Suite 901 newest captive domiciles. CIC-DC was Washington, DC 20005 formed to advance the District of www.dccaptives.org Columbia's presence in the captive 888.302.4232 marketplace, especially as it relates to professional and industry trade associations, by educating the public about the role of captives. CIC-DC provides a forum to review legislation, regulations and other government action which affects the interests of its members. Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent and Boston, MA 02116 group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services Montana Captive The Montana Captive Insurance Insurance Association Association, Inc. (MCIA) is dedicated 1809 Mulberry Drive to promoting the development and Billings, MT 59102 expansion of captive insurance programs www.mtcaptives.org within the state of Montana. As part 866.388.6242 of this mission it will provide its membership with unbiased industry information, networking and educational opportunities. It will also provide the state's captive industry an effective voice in the legislative/regulatory process. South Carolina Captive The South Carolina Captive Insurance Insurance Association Association, Inc. (SCCIA) promotes the 883 NE Main Street, formation and growth of captive insurance 2nd Floor programs within the state of South Simpsonville, SC 29681 Carolina. South Carolina is currently the www.sccia.org third largest domestic domicile for 888.267.2296 captive insurance programs, including risk retention groups. The association provides members with numerous benefits including legislative/regulatory representation, education and networking opportunities. State of Delaware--Cap- Delaware's captive insurance legislation, tive Insurance Program substantially revised in 2005, provides One Customs House, 704 the basis for a highly desirable captive King Street, Suite 602 domicile. With Delaware's reputation as Wilmington, DE 19801 the preemininent business jurisdiction, www.delawareinsurance. our experienced service industry, gov/captive/ competitive tax structure and convenient 302.577.1211 location, Delaware should be your first choice for captives. State of Vermont For twenty-seven years, Vermont has been VT Dept of Economic the leading onshore captive domicile in Development National the world. Why? Vermont combines strong Life Building, regulation without the usual bureaucratic 6th Floor delays, knowledgeable and approachable Montpelier, VT 05620 state regulators and world-class www.VermontCaptive.com professional services. Find out why 44 of 802.828.5232 the Fortune 100 chose Vermont as their domicile for their captive insurance company. CAPTIVE MANAGER Active Captive Active Captive Management specializes in Management the formation and management of captive 16485 Laguna Canyon insurance companies for small and medium Road, suite 250 size companies. Combining over 3 decades Irvine, CA 92618 of Captive Risk Solutions talent and www.activecaptive.com experience, ACM provides risk transfer 949.727.0155 solutions in the following industries; Real Estate Development, Healthcare, Fuel and Oil, Nursing Home's, Manufacturing, Automotive, Agriculture, Technology and Franchising, to name a few. Active Captive Management is an approved captive insurance manager in the State of Utah, Delaware, Nevis and the British, Virgin Islands. Aon Insurance Managers AIM is a world leader in captive 76 St. Paul Street management with over 1,350 clients dating Suite 500 back to the beginning of the captive Burlington, VT 05401 movement in the 1960s. The organization www.aon.com/captives works in virtually every recognized 802.862.4400 domicile worldwide and employs over 500 experts from a variety of backgrounds. Atlas Insurance A leading Independent Insurance Manager Management in Anguilla, Bahamas, BVI, Cayman and PO Box 699, 3rd Floor Nevis with approximately 155 clients. Sagicor House We provide innovative captive solutions 198 North Church Street and access to affiliated cell companies George Town, Cayman in Cayman, BVI and Nevis. Atlas designs Islands KY1-1107 and manages risk pools including our www.atlascaptives.com flagship ARX pool. Atlas sponsors 345.945.5556 Physhield, a medical malpractice RRG. Champlain Captive Independent captive management firm Management, Inc. serving Vermont, Hawaii, New York, DC, 140 Kennedy Drive South Carolina and Arizona. We're PO Box 2127 celebrating our 25th year. We provide South Burlington, assistance with pre feasibility studies, VT 05407-2127 new formations, domicile comparisons, www.champlaincaptive.com ongoing captive management, including 802.651.3311 financial statement preparation and regulatory compliance. We work with all brokers and directly with the client. Kensington Management A full-service Insurance Management Group, Ltd Company, with an emphasis on client Genesis Building, 2nd service and long-term relationships, Floor PO Box 10027 Kensington is one of Cayman's leading George Town, Cayman Captive Managers, offering Innovative Islands KY1-1101 Products, Incorporation and Licensing, www.kensington- Management, Accounting and Adminis- management.ky tration. Group Captive Specialists 345.946.2100 Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent and Boston, MA 02116 group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services SB&T Captive Management SB&T Captive Management Company has Company assisted clients in forming pure parent, Gateway Square, 40 industrial-insured, association, Main Street, Suite 500 reciprocal, agency and risk retention Burlington, VT 05401 group captives since 1982. SB&T will www.sbtinsurance.com guide you through the process, from 802.863.5774 coordinating the feasibility study and preparing the application, to commencing business after your captive license is issued. USA Risk Group Captive and Risk Retention Group PO Box 306 formation and ongoing management, Montpelier, VT 05601 reinsurance intermediary services www.usarisk.com 800.USA.RISK CLAIMS SOFTWARE Insurity Claims Decisions is a complete claims 170 Huyshope Avenue administration system that manages every Hartford, CT 06106 step from first notice of loss to fraud www.insurity.com detection, automated work assignment to 860.616.7416 medical bill review and medical case management, litigation management to payment and subrogation. FEASIBILITY STUDY Aon Insurance Managers AIM is a world leader in captive 76 St. Paul Street management with over 1,350 clients Suite 500 Burlington, dating back to the beginning of the VT 05401 captive movement in the 1960s. The www.aon.com/captives organization works in virtually every 802.862.4400 recognized domicile worldwide and employs over 500 experts from a variety of backgrounds. FRONTING Discover Re Discover Re specializes in automobile 5 Batterson Park liability, general liability, workers' Farmington, Ct 06032 compensation and property insurance www.Discover-re.com for self-insureds, captive insurance 860.674.2660 companies, risk retention and risk purchasing groups and other users of non-traditional insurance products. It focuses on retail and service firms, wholesale businesses, light manufacturers and transportation companies. For more information about Discover Re, visit the company's Web site, www.discoverre.com. Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent and Boston, MA 02116 group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services Munich Reinsurance The Specialty Markets Division of Munich America, Inc. Reinsurance America is in its 25th year 555 College Road East of providing risk transfer, risk sharing, Princeton, NJ 08543 and risk management solutions to the www.munichreamerica.com alternative market Our clients include 609.275.2160 association captives, pools, trusts, nonprofits, governmental entities, and MGA program administrators. Our profes- sionals, highly skilled in virtually all fields of underwriting, actuarial and claims, provide a range of insurance and reinsurance solutions tailored to our clients' specific needs. SPARTA Insurance Company SPARTA is an acronym for Specialty 185 Asylum Street Program and Risk Transfer Alternatives. Hartford, CT 06103 The company offers unbundled Alternative www.spartainsurance.com Risk Transfer (ART) programs providing 860.275 program-level risk sharing through captive reinsurance and Specialty programs, in which the risk is fully retained by SPARTA All insurance cove- rages are issued through SPARTA Insurance Company (rated A-/Excellent by AM. Best) on an admitted basis The Hartford Financial With nearly 200 years experience, The Services Group, Inc Hartford is known for its financial Hartford Plaza strength and stability. We offer a full Hartford, CT 06115 range of products and services to support Mb.thehartford.com/ single-parent, agency, group and captives association captives. We take a flexible 860.547.4470 approach to structuring programs and unbundling services. All inquiries should be directed to Richard Suter at 860-547- 4470 or richard.suter@thehartford.com. The PMA Insurance Group We are a licensed & admitted carrier 380 Sentry Parkway specializing in worker's compensation and Blue Bell, PA 19422 third-party liability lines of coverage. www.pmagroup.com PMA is capable of writing traditional as 1.800.222.2749 well as non-traditional--captives & rent- a-captives. We offer excellent claims & risk control services and our outstanding service capabilities enhance the true benefits associated with a captive programs. INVESTMENT MANAGEMENT Madison Scottsdale Madison Scottsdale is a full service Investment Management investment management firth specializing 8777 N. Gainey Center solely in the insurance industry. With Drive, Suite 220 the principals of our firth averaging Scottsdale, Arizona over 20 years experience in the insurance 85258 portfolio management, our clients are www.madison provided a demonstrated investment scottsdale.com expertise within the regulatory, tax, 480.596.3338 and operational confines of the insurance environment. Prime Advisors, Inc Prime Advisors, Inc.r is an investment 22635 NE Marketplace advisory firth focused on managing Drive, Suite 160 investment grade bond portfolios for Redmond, WA 98053 the insurance industry. Since 1988, we www.primeadvisors.com have worked with our insurance clients 888.866.8074 to create integrated investment strate- gies, linking their financial goals with current capital market opportunities. For more information, please contact Hope Maxwell at (888) 866-8074. LEGAL SERVICES Edwards Angell Palmer EAPD has one of the largest Insurance and & Dodge 90 State Reinsurance Departments globally, with House Square, Hartford, approximately 100 lawyers based in the US CT 06103 One Fetter and UK. Our clients include the world's Lane, London, EC4 1JB, largest insurance and reinsurance UK companies, which we represent in corporate, www.eapdlaw.com & transactional and regulatory matters, www.insureReinsure.com reinsurance arbitrations and litigation 860.525.5065 and sophisticated claims and coverage matters. Groom Law Group, We are the nation's premiere employee Chartered benefits specialty law firm. With our 1701 Pennsylvania, Ave wide-ranging expertise in ERISA, tax law, NW Washington, DC 20006 health law, and insurance law, we have www.groom.com assisted numerous clients with the use of 202.857.0620 captives in employee benefits. Our attorneys have obtained more DOLL exemptions in this area than any other firth. Kerr, Russell and A nationally known mid-sized law firm Weber, PLC founded in 1874 providing local, 500 Woodward Ave., national, and international clients a Suite 2500 Detroit. full range of regulatory, corporate, tax, Mi, USA 48226-3427 securities and governance services in the www.krwlaw.com formation and operation of domestic, 313.961.0200 captive and alternative risk insurance entities. Full service capabilities at reasonable prices. LIABILITY Allsup Allsup offers comprehensive solutions 300 Allsup Place minimizing exposure to Medicare Secondary Belleville, IL 62223 Payer laws and producing savings by www.allsupinc.com property coordinating liability claim 866 202 9333 settlements with Social Security and Medicare. Allsup's method of MSA management provides self-insurers, liability insurance claim administrators or liability insurance carriers more control over exposure to Medicare Secondary Payer (MSP) laws. Discover Re Discover Re specializes in automobile 5 Batterson Park liability, general liability, workers' Farmington, Ct 06032 compensation and property insurance www.Discover-re.com for self-insureds, captive insurance 860.674.2660 companies, risk retention and risk purchasing groups and other users of non- traditional insurance products. It focuses on retail and service firms, wholesale businesses, light manufacturers and transportation companies. For more infor- mation about Discover Re, visit the company's Web site, www.discoverre. com. Helmsman Management Helmsman Management Services LLC is Services, LLC Liberty Mutual Group's third party 175 Berkeley Street administrator offering Claims, Managed Boston, MA 02116 Care, Loss Prevention and RMIS services to www.libertymutual.com/ the self insured and alternative risk helmsman marketplace for Workers Compensation, 617.357.9500 General Liability and Commercial Auto lines of business. Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent Boston, MA 02116 and group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services Munich Reinsurance The Specialty Markets Division of Munich America, Inc. Reinsurance America is in its 25th year of 555 College Road East providing risk transfer, risk sharing, and Princeton, NJ 08543 risk management solutions to the www.munichreamerica.com alternative market. Our clients include 609.275.2160 association captives, pools, trusts, nonprofits, governmental entities, and MGA program administrators. Our professionals, highly skilled in virtually all fields of underwriting, actuarial and claims, provide a range of insurance and reinsurance solutions tailored to our clients' specific needs. The Hartford Financial With nearly 200 years experience, The Services Group, Inc Hartford is known for its financial Hartford Plaza strength and stability. We offer a full Hartford, CT 06115 range of products and services to support Mb.thehartford.com/ single-parent, agency, group and captives association captives. We take a flexible 860.547.4470 approach to structuring programs and unbundling services. All inquiries should be directed to Richard Suter at 860-547- 4470 or richard.suter@thehartford.com. REINSURANCE CARRIER Munich Reinsurance The Specialty Markets Division of Munich America, Inc. Reinsurance America is in its 25th year 555 College Road East of providing risk transfer, risk sharing, Princeton, NJ 08543 and risk management solutions to the www.munichreamerica.com alternative market Our clients include 609.275.2160 association captives, pools, trusts, nonprofits, governmental entities, and MGA program administrators. Our profes- sionals, highly skilled in virtually all fields of underwriting, actuarial and claims, provide a range of insurance and reinsurance solutions tailored to our clients' specific needs. RENT-A-CAPTIVE Aon Insurance Managers AIM is a world leader in captive manage- 76 St. Paul Street ment with over 1,350 clients dating back Suite 500 Burlington, to the beginning of the captive movement VT 05401 in the 1960s. The organization works in www.aon.com/captives virtually every recognized domicile 802.862.4400 worldwide and employs over 500 experts from a variety of backgrounds. Atlas Insurance A leading Independent Insurance Manager Management in Anguilla, Bahamas, BVI, Cayman and PO Box 699, 3rd Floor Nevis with approximately 155 clients. Sagicor House We provide innovative captive solutions 198 North Church Street and access to affiliated cell companies George Town, Cayman in Cayman, BVI and Nevis. Atlas designs Islands KY1 -1107 and manages risk pools including our www.atlascaptives.com flagship ARX pool. Atlas sponsors 345.945.5556 Physhield, a medical malpractice RRG. Avizent (formerly Frank Gates/Attenta is becoming Avizent Frank Gates/Attenta) We are one of the fastest-growing national 5000 Bradenton Ave. risk management companies, providing Dublin, OH 43017 unparalleled casualty claims adminis- www.avizentrisk.com, tration, medical cost containment and RMIS www.frankgates.com technology. We offer alternative risk 888.646.9675 solutions and excess brokerage services, including auditing and underwriting, to thousands of state fund, self-insured, insured and alternative risk clients. Discover Re Discover Re specializes in automobile 5 Batterson Park liability, general liability, workers' Farmington, Ct 06032 compensation and property insurance www.Discover-re.com for self-insureds, captive insurance 860.674.2660 companies, risk retention and risk purchasing groups and other users of non- traditional insurance products. It focuses on retail and service firms, wholesale businesses, light manufacturers and transportation companies. For more information about Discover Re, visit the company's Web site, www.discoverre. com. Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent and Boston, MA 02116 group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services The PMA Insurance Group We are a licensed & admitted carrier 380 Sentry Parkway specializing in worker's compensation and Blue Bell, PA 19422 third-party liability lines of coverage. www.pmagroup.com PMA is capable of writing traditional as 1.800.222.2749 well as non-traditional--captives & rent- a-captives. We offer excellent claims & risk control services and our outstanding service capabilities enhance the true benefits associated with a captive programs. RISK MANAGEMENT PROGRAMS Captive.com Captive.com is a content and networking 22 Summit Farms Road portal serving the captive industry. We Southington, CT 06489 answer the "who, what, how, where, and www.captive.com when" questions impacting the ART market. 860.276.9775 Ernst & Young Ernst & Young's Risk Management Advisory 233 S. Wacker Dr team, a group of former corporate risk Chicago IL 60606 managers, brokers, actuaries and claim www.ey.com professionals, provides independent 312.879.3115 advice to Corporations involved in the procurement and management of insurable risk. Services include captive feasibility and implementation, actuarial and claims reviews, and risk management program design and assessment. Munich Reinsurance The Specialty Markets Division of Munich America, Inc. Reinsurance America is in its 25th year 555 College Road East of providing risk transfer, risk sharing, Princeton, NJ 08543 and risk management solutions to the www.munichreamerica.com alternative market. Our clients include 609.275.2160 association captives, pools, trusts, nonprofits, governmental entities, and MGA program administrators. Our professionals, highly skilled in virtually all fields of underwriting, actuarial and claims, provide a range of insurance and reinsurance solutions tailored to our clients' specific needs. RISK RETENTION GROUP Aon Insurance Managers AIM is a world leader in captive 76 St. Paul Street management with over 1,350 clients dating Suite 500 back to the beginning of the captive Burlington, VT 05401 movement in the 1960s. The organization www.aon.com/captives works in virtually every recognized 802.862.4400 domicile worldwide and employs over 500 experts from a variety of backgrounds. Discover Re Discover Re specializes in automobile 5 Batterson Park liability, general liability, workers' Farmington, Ct 06032 compensation and property insurance www.Discover-re.com for self-insureds, captive insurance 860.674.2660 companies, risk retention and risk purchasing groups and other users of non- traditional insurance products. It focuses on retail and service firms, wholesale businesses, light manufacturers and transportation companies. For more information about Discover Re, visit the company's Web site, www.discoverre.com. Physhield Insurance Physhield provides medical malpractice Exchange, a Risk insurance targeted at special niche Retention Group markets of physicians and physician 700 S. Royal Poinciana groups throughout the country. Included Blvd Suite 506 are physicians practicing in special risk Miami, FL 33166 categories and physicians of all www.physhield.com specialties who practice together in an 305.779.1740 organization that manages patient care and shares financial risk. SB&T Captive Management SB&T Captive Management Company has Company assisted clients in forming pure parent, Gateway Square, 40 Main industrial-insured, association, Street, Suite 500 reciprocal, agency and risk retention Burlington, VT 05401 group captives since 1982. SB&T will guide www.sbtinsurance.com you through the process, from coordinating 802.863.5774 the feasibility study and preparing the application, to commencing business after your captive license is issued. SAFETY AND ERGONOMIC PRODUCTS Helmsman Management Helmsman Management Services LLC is Services, LLC Liberty Mutual Group's third party 175 Berkeley Street administrator offering Claims, Managed Boston, MA 02116 Care, Loss Prevention and RMIS services www.libertymutual.com/ to the self insured and alternative risk helmsman marketplace for Workers Compensation, 617.357.9500 General Liability and Commercial Auto lines of business. Shoes For Crews Shoes For Crews(R) is a leading 1400 Centrepark Blvd. manufacturer of slip-resistant footwear West Palm Beach, for working men and women. Shoes For FL 33401-7437 Crews feature a patented slip-resistant www.shoesforcrews.com outsole that provides unsurpassed traction 1-877-NO-SLIPS in slippery conditions. Shoes For Crewsr (1-877-667-5477) protect over 100,000 food service, hospitality, grocery, healthcare, and industrial work places from slip-and- fall accidents in the US, Canada, and Europe. SPECIALIZED SERVICES Allsup Medicare Set--Aside--Medicare Set Aside 300 Allsup Place and Reverse Offset Services: Allsup Belleville, IL 62223 provides specialized Medicare Secondary www.allsupinc.com Payer Law compliance services to self 866 202 9333 insured employers, third party claim administrators, workers compensation and liability insurance carriers. Allsup's comprehensive service provides employers, carriers and claims administrators more control over its exposure to the Medicare Secondary Payer laws. Brooke Capital Advisors Specialty Lender of Capital to Insurance 8500 College Blvd Industry--Specialty Lender to the Overland Park, Insurance Industry Kansas 66210 www.brookcapital- advisors.com 913.266.4575 / Kelly Drouillard . COO Bryant Risk Management, Program Manager for Underwriting and Inc. Policy Administration--Program Manager PO Box 997 for captives and Risk Retention Groups Moncks Corner, SC 29461 who need bundled or unbundled under- www.brmrisk.com writing, policy issuance, policy 843.899.2869 management, premium accounting, premium collection, domicile office location for South Carolina. We also provide policy manuscripting services, ISO rating for automobile liability, general liability, property and other lines in all 50 states. Captive.com Internet content and networking for the 22 Summit Farms Road captive industry--Captive.com is a content Southington, CT 06489 and networking portal serving the captive www.captive.com industry. We answer the "who, what, how, 860.276.9775 where, and when" questions impacting the ART market. Delaware Captive A Trade Association that supports the Insurance Association captive insurance industry in Delaware-- 1201 N. Orange Street, The DCIA's mission is to serve as the Suite 714 Wilmington, unified voice of the captive insurance DE 19801 industry in Delaware and to support the www.delawarecaptive.org development and growth of the industry 302.884.6714 through marketing, networking, education and legislative initiatives. The DCIA offers excellent membership benefits, new lower fees and the opportunity to become involved in a growing and dynamic domicile. Northshore International Claims Auditing and Management--Northshore Insurance Services, Inc. International manages excess claims and 199 Rosewood Drive conducts claim audits, reserve studies and Danvers, MA 01923 actuarial projects on behalf of captives, www.niis.com self-insureds, excess insurers and 978.745.6655 reinsurers. We maintain professional staff, very experienced in all lines of Medical, Life, Workers' Compensation and other Property/Casualty coverages. Self-Insurance Institute National Trade Association -The Self- of America, Inc. Insurance Institute of America, Inc. 883 NE Main Street, (SIIA) is the only national association 2nd Floor dedicated to protecting and promoting Simpsonville, SC 29615 the self-insurance and alternative risk www.siia.org transfer industry. Members include self- 800.851.7789 insured employers, group self-insured Workers' Compensation funds (SIFs), third-party administrators (TPAs), managing general underwriters (MGUs), excess/stop-loss insurance carriers, and a variety of other companies. SIIA provides membership services in four primary areas: information, education, networking and legislative/regulatory representation. Vermont Captive Trade association for captives--The Insurance Association Vermont Captive Insurance Association One Lawson Lane, Suite (VCIA) is the largest trade association 320 Burlington, for captive insurance in the world. Vermont 05401 Established in 1985, the Association has www.vcia.com grown to provide lobbying support on 802.658.8242 both the state and federal levels for its 500+ member companies. In addition, it hosts and supports professional education opportunities for the industry at large. TPA SERVICES Avizent (formerly Frank Gates/Attenta is becoming Avizent. Frank Gates/Attenta) We are one of the fastest-growing national 5000 Bradenton Ave. risk management companies, providing Dublin, OH 43017I unparalleled casualty claims www.avizentrisk.com, administration, medical cost containment www.frankgates.com and RMIS technology. We offer alternative 688.646.9675 risk solutions and excess brokerage services, including auditing and under- writing, to thousands of state fund, self-insured, insured and alternative risk clients. Helmsman Management Helmsman Management Services LLC is Services, LLC Liberty Mutual Group's third party 175 Berkeley Street administrator offering Claims, Managed Boston, MA 02116 Care, Loss Prevention and RMIS services to www.libertymutual.com/ the self insured and alternative risk helmsman marketplace for Workers Compensation, 617.357.9500 General Liability and Commercial Auto lines of business. Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent Boston, MA 02116 and group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services Meadowbrook Insurance Meadowbrook (NYSE: MIG) specializes in Group managing and underwriting property/ 26255 American Drive casualty insurance programs for industry Southfield, MI groups. Ranked among the top 25 insurance 48034-6112 brokers in the US, Meadowbrook also owns www.meadowbrook.com four domestic insurance companies and is 800.482.2726 a leading third party administrator. Program options include fully-insured, self-funded groups, safety-group/dividend programs and captives. PMA Management Corp. PMA Management Corp. is a premier regional 380 Sentry Parkway provider of risk management services Blue Bell, PA 19422 throughout the Eastern, Central and www.pmamc.com Southern United States. We provide third 800.537.2966 party administrative services for workers' compensation, property, auto and liability claims. Specialty Risk At Specialty Risk Services, we've mastered Services LLC the art of third party claims adminis- 225 Asylum Street, tration. We provide flexible and creative Goodwin Square, 16th programs to meet the specific needs of Floor Hartford, CT Captives. SRS provides Workers' 6103 Compensation, Auto and General Liability, www.specialtyrisk- and Product Liability claim administration services.com and risk management services to newly 888.236.4684 formed or existing heterogeneous and homogeneous Captives. WORKERS' COMP Allsup Allsup offers a comprehensive solution to 300 Allsup Place minimize your exposure to the Medicare Belleville, IL 62223 Secondary Payer laws and produce savings www.allsupinc.com by properly coordinating workers' 866 202 9333 compensation benefits with Social Security and Medicare. Allsup also provides Reverse Offset Services to take advantage of workers compensation reverse offsets in key states. Avizent (formerly Frank Frank Gates/Attenta is becoming Avizent. Gates/Attenta) We are one of the fastest-growing national 5000 Bradenton Ave. risk management companies, providing Dublin, OH 43017 unparalleled casualty claims adminis- www.avizentrisk.com, tration, medical cost containment and RMIS www.frankgates.com technology. We offer alternative risk 888.646.9675 solutions and excess brokerage services, including auditing and underwriting, to thousands of state fund, self-insured, insured and alternative risk clients. CompServices, Inc. CSI provides high quality claim 1717 Arch Street 45th administration and managed care expertise Floor Philadelphia, to self-insured public entity and PA 19103 corporate clients. CSI also provides www.amerihealth- fronting paper and claim services to casualty.com captive clients seeking unique cost 215.587.1782 containment solutions. TPA products are available for Workers' Compensation, General Liability, Commercial Auto, FMLA Administration, Short and Long Term Disability. Discover Re Discover Re specializes in automobile 5 Batterson Park liability, general liability, workers' Farmington, Ct 06032 compensation and property insurance www.Discover-re.com for self-insureds, captive insurance 860.674.2660 companies, risk retention and risk purchasing groups and other users of non- traditional insurance products. It focuses on retail and service firms, wholesale businesses, light manufacturers and transportation companies. For more information about Discover Re, visit the company's Web site, www.discoverre.com. Helmsman Management Helmsman Management Services LLC is Services, LLC Liberty Mutual Group's third party 175 Berkeley Street administrator offering Claims, Managed Boston, MA 02116 Care, Loss Prevention and RMIS services www.libertymutual.com/ to the self insured and alternative risk helmsman marketplace for Workers Compensation, 617.357.9500 General Liability and Commercial Auto lines of business. Liberty Mutual Program business for homogeneous WC Alternative Markets opportunities. Excess WC Products for 175 Berkeley Street self-insured buyers. Single parent Boston, MA 02116 and group captives for casualty lines. www.lmalternative- Structured products for healthcare and markets.com construction GL coverages. Captive 866.355.1983 Management Services MedMetrics[R], LLC MedMetricsr, LLC is an Internet-based PO Box 8727 Workers Compensation medical analytics Bend, OR 97708 company providing data-derived business www.medmetrics.org intelligence and application tools. 541.39.1680 Analyzing, understanding and applying such medical knowledge is a powerful response to the problem of escalating medical costs and significantly strengthens all managed care programs, especially provider networks, claims and medical case management. The Hartford Financial With nearly 200 years experience, The Services Group, Inc Hartford is known for its financial Hartford Plaza strength and stability. We offer a full Hartford, CT 06115 range of products and services to support Mb.thehartford.com/ single-parent, agency, group and associa- captives tion captives. We take a flexible approach 860.547.4470 to structuring programs and unbundling services. All inquiries should be directed to Richard Suter at 860-547-4470 or richard.suter@thehartford.com. NO. OF CLIENTS/ JURISDICTIONS YRS. IN WHICH YOU AREAS OF NAME & ADDRESS IN BUST. DO BUSINESS COVERAGE ACTUARIAL SERVICES Northshore International More than We provide International Insurance Services, Inc. 300/20 Global 199 Rosewood Drive services. Danvers, MA 01923 www.niis.com 978.745.6655 BANK Comerica Bank NA/ Internatio- International 411 W. Lafayette Over 150 nal--All US and US Detroit, MI 48226 www.comerica.com 313.222.9443 BENEFITS Groom Law Group, 20 captive All US All US Chartered clients/ 34 1701 Pennsylvania, Ave NW Washington, DC 20006 www.groom.com 202.857.0620 Meritain Health 1,400/ All US All US 300 Corporate Parkway Over 30 Buffalo, New York 14226 www.meritain.com 1.800.242.6226 CAPTIVE DOMICILE Aon Insurance Managers Over 1,350/ All major International 76 St. Paul 40+ captive Street Suite 500 domiciles Burlington, VT 05401 www.aon.com/captives 802.862.4400 Captive Insurance 100/ Washington, Washington, Council of the District 7 years DC DC of Columbia (CIC-DC) 1250 H Street NW, Suite 901 Washington, DC 20005 www.dccaptives.org 888.302.4232 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 Montana Captive 75/ All US All US / Insurance Association 6 years Regionally 1809 Mulberry Drive State Billings, MT 59102 www.mtcaptives.org 866.388.6242 South Carolina Captive 200/ South South Insurance Association 7 Carolina Carolina 883 NE Main Street, 2nd Floor Simpsonville, SC 29681 www.sccia.org 888.267.2296 State of Delaware--Cap- 16/ N/A N/A tive Insurance Program The State One Customs House, 704 of Delaware King Street, Suite 602 revised its Wilmington, DE 19801 captive www.delawareinsurance. insurance gov/captive/ legislation 302.577.1211 in 2005. State of Vermont Over 560/ All US All US VT Dept of Economic 27 Development National Life Building, 6th Floor Montpelier, VT 05620 www.VermontCaptive.com 802.828.5232 CAPTIVE MANAGER Active Captive 72/ Utah, Dela- All US Management 5 ware, Nevis, 16485 Laguna Canyon BVI Road, suite 250 Irvine, CA 92618 www.activecaptive.com 949.727.0155 Aon Insurance Managers Over 1,350/ All major International 76 St. Paul Street 40+ captive Suite 500 domiciles Burlington, VT 05401 www.aon.com/captives 802.862.4400 Atlas Insurance 1155/ Anguilla, International Management 6 Bahamas, and US PO Box 699, 3rd Floor British Sagicor House Virgin 198 North Church Street Islands, George Town, Cayman Cayman Islands KY1-1107 Islands www.atlascaptives.com and Nevis 345.945.5556 Champlain Captive 22/ Vermont, All US Management, Inc. 25 Hawaii, DC, 140 Kennedy Drive (Authorized PO Box 2127 in AZ, New South Burlington, York, South VT 05407-2127 Carolina) www.champlaincaptive.com 802.651.3311 Kensington Management 30/ Cayman International Group, Ltd 10 Genesis Building, 2nd Floor PO Box 10027 George Town, Cayman Islands KY1-1101 www.kensington- management.ky 345.946.2100 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 SB&T Captive Management / All U.S. All US Company 26 Domiciles Gateway Square, 40 Main Street, Suite 500 Burlington, VT 05401 www.sbtinsurance.com 802.863.5774 USA Risk Group 247/ AZ, DC, KY, International PO Box 306 26+ NV, MT, UT, and US Montpelier, VT 05601 VT, SC, NY, www.usarisk.com BVI, 800.USA.RISK Cayman, Bermuda and Barbados CLAIMS SOFTWARE Insurity 140/ All US All US 170 Huyshope Avenue 25 Hartford, CT 06106 www.insurity.com 860.616.7416 FEASIBILITY STUDY Aon Insurance Managers Over 1,350/ All major International 76 St. Paul Street 40+ captive Suite 500 Burlington, domiciles VT 05401 www.aon.com/captives 802.862.4400 FRONTING Discover Re NA/ All US All US 5 Batterson Park 17 Farmington, Ct 06032 www.Discover-re.com 860.674.2660 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 Munich Reinsurance NA/ All US All US America, Inc. 25 555 College Road East Princeton, NJ 08543 www.munichreamerica.com 609.275.2160 SPARTA Insurance Company NA/ All US All US 185 Asylum Street 1--newly Hartford, CT 06103 formed www.spartainsurance.com in 2007 860.275 with $279 Million capital The Hartford Financial NA/ All Juris- All US Services Group, Inc 198 dictions Hartford Plaza Hartford, CT 06115 Mb.thehartford.com/ captives 860.547.4470 The PMA Insurance Group NA/ All US All US 380 Sentry Parkway 93 Blue Bell, PA 19422 www.pmagroup.com 1.800.222.2749 INVESTMENT MANAGEMENT Madison Scottsdale 58/ All US All US Investment Management 15 8777 N. Gainey Center Drive, Suite 220 Scottsdale, Arizona 85258 www.madison scottsdale.com 480.596.3338 Prime Advisors, Inc 50/ All US All US 22635 NE Marketplace 20 Drive, Suite 160 Redmond, WA 98053 www.primeadvisors.com 888.866.8074 LEGAL SERVICES Edwards Angell Palmer NA/ The firm International & Dodge 90 State NA represents House Square, Hartford, clients in CT 06103 One Fetter Europe, the Lane, London, EC4 1JB, Americas, UK the Middle www.eapdlaw.com & East, Asia, www.insureReinsure.com Australia 860.525.5065 and Africa Groom Law Group, 20 captive All US All US Chartered clients/ 34 1701 Pennsylvania, Ave NW Washington, DC 20006 www.groom.com 202.857.0620 Kerr, Russell and Captive We consult International Weber, PLC Insurance with local and US 500 Woodward Ave., -401 counsel, Suite 2500 Detroit. 134 clients and Mi, USA 48226-3427 service www.krwlaw.com providers in all US 313.961.0200 states and off shore. LIABILITY Allsup 52/ All US All US 300 Allsup Place 24 Belleville, IL 62223 www.allsupinc.com 866 202 9333 Discover Re NA/ All US All US 5 Batterson Park 17 Farmington, Ct 06032 www.Discover-re.com 860.674.2660 Helmsman Management Over 300/ All US ALL US Services, LLC 25 175 Berkeley Street Boston, MA 02116 www.libertymutual.com/ helmsman 617.357.9500 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 Munich Reinsurance NA/ All US All US America, Inc. 25 555 College Road East Princeton, NJ 08543 www.munichreamerica.com 609.275.2160 The Hartford Financial NA/ All Juris- All US Services Group, Inc 198 dictions Hartford Plaza Hartford, CT 06115 Mb.thehartford.com/ captives 860.547.4470 REINSURANCE CARRIER Munich Reinsurance NA/ All US All US America, Inc. 25 555 College Road East Princeton, NJ 08543 www.munichreamerica.com 609.275.2160 RENT-A-CAPTIVE Aon Insurance Managers Over 1,350/ All major International 76 St. Paul Street 40+ captive Suite 500 Burlington, domiciles VT 05401 www.aon.com/captives 802.862.4400 Atlas Insurance 155/ Anguilla, International Management 6 Bahamas, and US PO Box 699, 3rd Floor British Sagicor House Virgin 198 North Church Street Islands, George Town, Cayman Cayman Islands KY1 -1107 Islands www.atlascaptives.com and Nevis 345.945.5556 Avizent (formerly 27,000/ Bermuda All US Frank Gates/Attenta) 62 5000 Bradenton Ave. Dublin, OH 43017 www.avizentrisk.com, www.frankgates.com 888.646.9675 Discover Re NA/ All US All US 5 Batterson Park 17 Farmington, Ct 06032 www.Discover-re.com 860.674.2660 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 The PMA Insurance Group NA/ All US All US 380 Sentry Parkway 93 Blue Bell, PA 19422 www.pmagroup.com 1.800.222.2749 RISK MANAGEMENT PROGRAMS Captive.com Over 50 International International 22 Summit Farms Road members Southington, CT 06489 and 50,000+ www.captive.com website/ 860.276.9775 Since 1995 Ernst & Young Thousands/ Worldwide International 233 S. Wacker Dr 100 Years Chicago IL 60606 www.ey.com 312.879.3115 Munich Reinsurance NA/ All US All US America, Inc. 25 555 College Road East Princeton, NJ 08543 www.munichreamerica.com 609.275.2160 RISK RETENTION GROUP Aon Insurance Managers Over 1,350/ All major International 76 St. Paul Street 40+ captive Suite 500 domiciles Burlington, VT 05401 www.aon.com/captives 802.862.4400 Discover Re NA/ All US All US 5 Batterson Park 17 Farmington, Ct 06032 www.Discover-re.com 860.674.2660 Physhield Insurance NA/ California, Regionally Exchange, a Risk 2 Florida, State Retention Group Texas, 700 S. Royal Poinciana Nevada, Blvd Suite 506 Florida Miami, FL 33166 with www.physhield.com additional 305.779.1740 states signed up as necessary. SB&T Captive Management / All U.S. All US Company 26 Domiciles Gateway Square, 40 Main Street, Suite 500 Burlington, VT 05401 www.sbtinsurance.com 802.863.5774 SAFETY AND ERGONOMIC PRODUCTS Helmsman Management Over 300/ All US ALL US Services, LLC 25 175 Berkeley Street Boston, MA 02116 www.libertymutual.com/ helmsman 617.357.9500 Shoes For Crews 100,000/ International International 1400 Centrepark Blvd. Founded West Palm Beach, in 1984 FL 33401-7437 www.shoesforcrews.com 1-877-NO-SLIPS (1-877-667-5477) SPECIALIZED SERVICES Allsup 52/ All US All US 300 Allsup Place 24 Belleville, IL 62223 www.allsupinc.com 866 202 9333 Brooke Capital Advisors 24/ USA All US / 8500 College Blvd 2 years Regionally Overland Park, 6 months State Kansas 66210 www.brookcapital- advisors.com 913.266.4575 / Kelly Drouillard . COO Bryant Risk Management, 4/ 50 States All US Inc. 26 PO Box 997 Moncks Corner, SC 29461 www.brmrisk.com 843.899.2869 Captive.com Over 50 International International 22 Summit Farms Road members Southington, CT 06489 and 50,000+ www.captive.com website/ 860.276.9775 Since 1995 Delaware Captive 21/3 N/A N/A Insurance Association 1201 N. Orange Street, Suite 714 Wilmington, DE 19801 www.delawarecaptive.org 302.884.6714 Northshore International More than We provide International Insurance Services, Inc. 300/20 Global 199 Rosewood Drive services. Danvers, MA 01923 www.niis.com 978.745.6655 Self-Insurance Institute 750/ All US All US of America, Inc. 17 years 883 NE Main Street, 2nd Floor Simpsonville, SC 29615 www.siia.org 800.851.7789 Vermont Captive Over 500 Vermont Vermont Insurance Association member One Lawson Lane, Suite companies/ 320 Burlington, 23 Vermont 05401 www.vcia.com 802.658.8242 TPA SERVICES Avizent (formerly 27,000/ Bermuda All US Frank Gates/Attenta) 62 5000 Bradenton Ave. Dublin, OH 43017I www.avizentrisk.com, www.frankgates.com 688.646.9675 Helmsman Management Over 300/ All US ALL US Services, LLC 25 175 Berkeley Street Boston, MA 02116 www.libertymutual.com/ helmsman 617.357.9500 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 Meadowbrook Insurance NA/ All US All US Group 53 26255 American Drive Southfield, MI 48034-6112 www.meadowbrook.com 800.482.2726 PMA Management Corp. NA/ CT, DE, FL, Regionally 380 Sentry Parkway 17 GA, IL, MD, State: CT, Blue Bell, PA 19422 NJ, NY, NC, DE, FL, GA, www.pmamc.com PA, SC, TN, IL, MD, NJ, 800.537.2966 VA NY, NC, PA, SC, TN, VA Specialty Risk 470/ All US All US Services LLC 28 225 Asylum Street, Goodwin Square, 16th Floor Hartford, CT 6103 www.specialtyrisk- services.com 888.236.4684 WORKERS' COMP Allsup 52/ All US All US 300 Allsup Place 24 Belleville, IL 62223 www.allsupinc.com 866 202 9333 Avizent (formerly Frank 27,000/ Bermuda All US Gates/Attenta) 62 5000 Bradenton Ave. Dublin, OH 43017 www.avizentrisk.com, www.frankgates.com 888.646.9675 CompServices, Inc. 1,116/ Mid-Atlantic Mid-Atlantic 1717 Arch Street 45th 16 USA USA Floor Philadelphia, PA 19103 www.amerihealth- casualty.com 215.587.1782 Discover Re NA/ All US All US 5 Batterson Park 17 Farmington, Ct 06032 www.Discover-re.com 860.674.2660 Helmsman Management Over 300/ All US ALL US Services, LLC 25 175 Berkeley Street Boston, MA 02116 www.libertymutual.com/ helmsman 617.357.9500 Liberty Mutual / All US All US Alternative Markets Liberty 175 Berkeley Street Mutual has Boston, MA 02116 been www.lmalternative- serving the markets.com insurance 866.355.1983 community since 1912 MedMetrics[R], LLC PO Box 8727 Bend, OR 97708 www.medmetrics.org 541.39.1680 The Hartford Financial NA/ All Juris- All US Services Group, Inc 198 dictions Hartford Plaza Hartford, CT 06115 Mb.thehartford.com/ captives 860.547.4470