NOTICES
INSURANCE DEPARTMENT
Workers' Compensation Security Fund 2009 Assessment Refund; Notice 2024-13
[54 Pa.B. 5449]
[Saturday, August 24, 2024]Act 54 of 2024 requires the Insurance Department (Department) to issue a refund payment of the 2009 Workers' Compensation Security Fund (Fund) assessment, upon request, to eligible carriers that paid the assessment as required by Notice 2010-01, published at 40 Pa.B. 498 (January 16, 2010).
Calculation of the 2009 Fund Assessment Refund
The amount of the refund to eligible carriers will be calculated using the amount of the 2009 Fund assessment paid by the carrier, plus 1.13% of simple interest, which is the aggregate interest rate of the Fund's cash account between the first quarter of 2010 to the second quarter of 2024. The term date for the purpose of calculating interest begins on March 31, 2010—the date the 2009 Fund Assessment was due to be paid—and ends on August 24, 2024—the date of this refund notice. Carriers should consult with their tax advisors regarding any tax consequences of a refund payment.
Process for Requesting a 2009 Fund Assessment Refund
An eligible carrier that wishes to submit a request for refund of its 2009 Fund assessment payment must submit a complete and accurate online application form by 5 p.m. on February 24, 2025. A separate refund application must be submitted for each carrier assessed in 2009.
The Fund must issue the carrier's refund within 60 days of when the refund application is received. A carrier's refund application is received when all information required to verify eligibility for the refund payment is submitted and eligibility verified by the Fund. The following information is required for the Fund to issue a refund of the 2009 Fund assessment to a carrier:
• The 2009 NAIC No. of carrier assessed in 2009.
• The 2009 company name of the assessed carrier.
• The 2009 company FEIN of the assessed carrier.
• Amount of the carrier's payment for its 2009 Fund assessment.
• Current NAIC No. of the carrier assessed in 2009 or the current NAIC No. of its corporate successor.
• Current company name of the carrier assessed in 2009 or the current company name of its corporate successor.
• Current company FEIN of the carrier assessed in 2009 or its corporate successor.
• Documentation, including but not limited to Department approvals of mergers and acquisitions, establishing that a corporate successor is, in fact, entitled to a refund of the funds paid by the carrier assessed in 2009.
• Current company contact name and title.
• Current company contact address.
• Current company contact telephone number.
• Current company contact e-mail.
• Current company ACH payment information, including the routing number, account number and bank country.
2009 Fund Assessment Refund Online Application Form
The 2009 Fund Assessment Refund online application form is available at https://www.insurance.pa.gov/SpecialFunds/WorkersCompensation/Pages/2009-Assessment-Refund.aspx.
Contact Information for Questions Regarding the 2009 Fund Assessment Refund
Questions regarding the refund of the 2009 Fund assessment or the completion of the 2009 Fund Assessment Refund Application can be directed to Benjamin A. Lorah, Director, Bureau of Special Funds, Sue Pease, Claims Manager, WCSF, Insurance Department, Bureau of Special Funds, Workers' Compensation Security Fund, 901 North 7th Street, Harrisburg, PA 17102, (717) 886-2082, RA-IN-WCSFAssessRef@pa.gov.
Names of Carriers Eligible for a Refund of the 2009 Fund Assessment
2009
NAIC2009 Company Name 10120 EVEREST NATIONAL INSURANCE COMPANY 10166 ACCIDENT FUND INSURANCE COMPANY OF AMERICA 10448 CUMBERLAND INSURANCE COMPANY, INC. 10510 CAROLINA CASUALTY INSURANCE COMPANY 10642 CHEROKEE INSURANCE COMPANY 10677 CINCINNATI INSURANCE COMPANY (THE) 10724 EDUCATORS ALLIANCE INSURANCE COMPANY 10726 SOMERSET CASUALTY INSURANCE COMPANY 10794 COMPANION COMMERCIAL INSURANCE COMPANY 10804 CONTINENTAL WESTERN INSURANCE COMPANY 10847 CUMIS INSURANCE SOCIETY, INC. 10859 FIRST NONPROFIT MUTUAL INSURANCE COMPANY 10936 SENECA INSURANCE COMPANY, INC. 10975 AMERIHEALTH CASUALTY INSURANCE COMPANY 11000 SENTINEL INSURANCE COMPANY, LTD. 11030 MEMIC INDEMNITY COMPANY 11045 EXCELSIOR INSURANCE COMPANY 11118 FEDERATED RURAL ELECTRIC INSURANCE EXCHANGE 11123 SAFETY FIRST INSURANCE COMPANY 11126 YASUDA FIRE & MARINE INSURANCE COMPANY OF AMERICA (THE) 11150 FIRST AMERICAN INSURANCE COMPANY 11219 LACKAWANNA AMERICAN INSURANCE COMPANY 11242 ALLIED EASTERN INDEMNITY COMPANY 11371 GREAT WEST CASUALTY COMPANY 11398 GUARANTEE INSURANCE COMPANY 11487 IMPERIAL CASUALTY AND INDEMNITY COMPANY 11512 EMPLOYERS COMPENSATION INSURANCE COMPANY 11703 LACKAWANNA CASUALTY COMPANY 11831 FREEDOM ADVANTAGE INSURANCE COMPANY 11981 WESTGUARD INSURANCE COMPANY 12122 NEW JERSEY MANUFACTURERS INSURANCE COMPANY 12157 COMPANION PROPERTY AND CASUALTY INSURANCE COMPANY 12262 PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE COMPANY 12274 LACKAWANNA NATIONAL INSURANCE COMPANY 12304 ACCIDENT FUND GENERAL INSURANCE COMPANY 12305 ACCIDENT FUND NATIONAL INSURANCE COMPANY 12356 SCHOOL BOARDS INSURANCE COMPANY OF PENNSYLVANIA, INC. 12416 PROTECTIVE INSURANCE COMPANY 12475 REPUBLIC-FRANKLIN INSURANCE COMPANY 12572 SELECTIVE INSURANCE COMPANY OF AMERICA 12593 SYNERGY COMP INSURANCE COMPANY 12777 CHUBB INDEMNITY INSURANCE COMPANY 12866 T.H.E. INSURANCE COMPANY 12901 MERCHANTS PREFERRED INSURANCE COMPANY 12904 TOKIO MARINE AND FIRE INSURANCE COMPANY, LIMITED, (UNITED STATES BRANCH) 13016 HM CASUALTY INSURANCE COMPANY 13019 EASTERN ADVANTAGE ASSURANCE COMPANY 13045 PENNCOMMONWEALTH CASUALTY OF AMERICA CORPORATION 13269 ZENITH INSURANCE COMPANY 13331 AMERICAN HARDWARE MUTUAL INSURANCE COMPANY 13501 BRETHREN MUTUAL INSURANCE COMPANY 13528 BROTHERHOOD MUTUAL INSURANCE COMPANY 13692 DONEGAL MUTUAL INSURANCE COMPANY 13714 PHARMACISTS MUTUAL INSURANCE COMPANY 13838 FARMLAND MUTUAL INSURANCE COMPANY 13935 FEDERATED MUTUAL INSURANCE COMPANY 13978 FLORISTS MUTUAL INSURANCE COMPANY 14141 HARFORD MUTUAL INSURANCE COMPANY (THE) 14168 HARLEYSVILLE MUTUAL INSURANCE COMPANY 14265 INDIANA LUMBERMENS MUTUAL INSURANCE COMPANY 14370 LEBANON MUTUAL INSURANCE COMPANY 14478 MERCER MUTUAL INSURANCE COMPANY 14575 MILLERS CAPITAL INSURANCE COMPANY 14621 MOTORISTS MUTUAL INSURANCE COMPANY 14664 MUTUAL BENEFIT INSURANCE COMPANY 14702 EASTGUARD INSURANCE COMPANY 14788 NATIONAL GRANGE MUTUAL INSURANCE COMPANY 14974 PENNSYLVANIA LUMBERMENS MUTUAL INSURANCE COMPANY 14982 PENN MILLERS INSURANCE COMPANY 14990 PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE CO. 15032 GUIDEONE MUTUAL INSURANCE COMPANY 15059 PUBLIC SERVICE MUTUAL INSURANCE COMPANY 15105 SAFETY NATIONAL CASUALTY CORPORATION 15334 UTILITIES MUTUAL INSURANCE COMPANY 15563 KEMPER EMPLOYERS INSURANCE COMPANY 15709 SOUTHERN STATES INSURANCE EXCHANGE 15911 AMERICAN MINING INSURANCE COMPANY, INC. 16233 ERIE INSURANCE COMPANY OF NEW YORK 16535 ZURICH AMERICAN INSURANCE COMPANY 17752 SELECT RISK INSURANCE COMPANY 18023 STAR INSURANCE COMPANY 18279 BANKERS STANDARD INSURANCE COMPANY 18333 ATLAS ASSURANCE COMPANY OF AMERICA 18538 BANCINSURE, INC. 18767 CHURCH MUTUAL INSURANCE COMPANY 18821 GENERAL CASUALTY COMPANY OF ILLINOIS 19038 TRAVELERS CASUALTY & SURETY COMPANY (THE) 19046 TRAVELERS CASUALTY & SURETY COMPANY OF ILLINOIS 19070 STANDARD FIRE INSURANCE COMPANY (THE) 19100 AMCO INSURANCE COMPANY 19259 SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA 19305 ASSURANCE COMPANY OF AMERICA 19356 MARYLAND CASUALTY COMPANY 19372 NORTHERN INSURANCE COMPANY OF NEW YORK 19380 AMERICAN HOME ASSURANCE COMPANY 19399 AIU INSURANCE COMPANY 19402 BIRMINGHAM FIRE INSURANCE COMPANY OF PENNSYLVANIA 19410 COMMERCE AND INDUSTRY INSURANCE COMPANY 19429 INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA (THE) 19445 NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PENNSYLVANIA 19682 HARTFORD FIRE INSURANCE COMPANY 19690 AMERICAN ECONOMY INSURANCE COMPANY 19704 AMERICAN STATES INSURANCE COMPANY 19712 AMERICAN STATES INSURANCE COMPANY OF TEXAS 19720 AMERICAN ALTERNATIVE INSURANCE CORPORATION 19801 ARGONAUT INSURANCE COMPANY 19828 ARGONAUT-MIDWEST INSURANCE COMPANY 19860 ARGONAUT GREAT CENTRAL INSURANCE COMPANY 19895 ATLANTIC MUTUAL INSURANCE COMPANY 19984 AMERICAN RISK FUNDING INSURANCE COMPANY 19992 AMERICAN SELECT INSURANCE COMPANY 20095 BITUMINOUS CASUALTY CORPORATION 20109 BITUMINOUS FIRE AND MARINE INSURANCE COMPANY 20281 FEDERAL INSURANCE COMPANY 20303 GREAT NORTHERN INSURANCE COMPANY 20346 PACIFIC INDEMNITY COMPANY 20362 SUMITOMO MARINE & FIRE INSURANCE COMPANY, LTD., (U.S. BRANCH) 20397 VIGILANT INSURANCE COMPANY 20427 AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA 20443 CONTINENTAL CASUALTY COMPANY 20478 NATIONAL FIRE INSURANCE COMPANY OF HARTFORD 20494 TRANSPORTATION INSURANCE COMPANY 20508 VALLEY FORGE INSURANCE COMPANY 20532 CLARENDON NATIONAL INSURANCE COMPANY 20613 AMERICAN EMPLOYERS INSURANCE COMPANY 20621 COMMERCIAL UNION INSURANCE COMPANY 20648 EMPLOYERS FIRE INSURANCE COMPANY (THE) 20699 ACE PROPERTY AND CASUALTY INSURANCE COMPANY 20702 ACE FIRE UNDERWRITERS INSURANCE COMPANY 21105 NORTH RIVER INSURANCE COMPANY (THE) 21113 UNITED STATES FIRE INSURANCE COMPANY 21172 VANLINER INSURANCE COMPANY 21180 SENTRY SELECT INSURANCE COMPANY 21261 ELECTRIC INSURANCE COMPANY 21407 EMCASCO INSURANCE COMPANY 21415 EMPLOYERS MUTUAL CASUALTY COMPANY 21458 EMPLOYERS INSURANCE OF WAUSAU, A MUTUAL COMPANY 21709 TRUCK INSURANCE EXCHANGE 21784 FIREMEN'S INSURANCE COMPANY OF WASHINGTON, D.C. 21849 AMERICAN AUTOMOBILE INSURANCE COMPANY 21857 AMERICAN INSURANCE COMPANY (THE) 21865 ASSOCIATED INDEMNITY CORPORATION 21873 FIREMAN'S FUND INSURANCE COMPANY 21881 NATIONAL SURETY CORPORATION 21970 BEDIVERE INS CO. 22136 AMERICAN NATIONAL FIRE INSURANCE COMPANY 22187 GREATER NEW YORK MUTUAL INSURANCE COMPANY 22195 INSURANCE COMPANY OF GREATER NEW YORK 22292 HANOVER INSURANCE COMPANY (THE) 22306 MASSACHUSETTS BAY INSURANCE COMPANY 22322 GREENWICH INSURANCE COMPANY 22357 HARTFORD ACCIDENT AND INDEMINITY COMPANY 22543 SECURA INSURANCE, A MUTUAL COMPANY 22551 MITSUI MARINE AND FIRE INSURANCE COMPANY OF AMERICA 22586 ATLANTIC STATES INSURANCE COMPANY 22667 ACE AMERICAN INSURANCE COMPANY 22748 PACIFIC EMPLOYERS INSURANCE COMPANY 22918 AMERICAN MOTORISTS INSURANCE COMPANY 22977 LUMBERMENS MUTUAL CASUALTY COMPANY 23035 LIBERTY MUTUAL FIRE INSURANCE COMPANY 23043 LIBERTY MUTUAL INSURANCE COMPANY 23108 LUMBERMENS UNDERWRITING ALLIANCE 23280 CINCINNATI INDEMNITY COMPANY (THE) 23329 MERCHANTS MUTUAL INSURANCE COMPANY 23337 MERCHANTS INSURANCE COMPANY OF NEW HAMPSHIRE, INC. 23353 MERIDIAN SECURITY INSURANCE COMPANY 23396 MICHIGAN MUTUAL INSURANCE COMPANY 23442 PATRIOT GENERAL INSURANCE COMPANY 23582 MINNESOTA FIRE AND CASUALTY COMPANY 23612 MIDWEST EMPLOYERS CASUALTY COMPANY 23663 NATIONAL AMERICAN INSURANCE COMPANY 23779 NATIONWIDE MUTUAL FIRE INSURANCE COMPANY 23787 NATIONWIDE MUTUAL INSURANCE COMPANY 23809 GRANITE STATE INSURANCE COMPANY 23817 ILLINOIS NATIONAL INSURANCE COMPANY 23841 NEW HAMPSHIRE INSURANCE COMPANY 24066 AMERICAN FIRE AND CASUALTY COMPANY 24074 OHIO CASUALTY INSURANCE COMPANY (THE) 24082 OHIO SECURITY INSURANCE COMPANY 24112 WESTFIELD INSURANCE COMPANY 24120 WESTFIELD NATIONAL INSURANCE COMPANY 24139 INTERNATIONAL BUSINESS AND MERCANTILE REASSURANCE COMPANY 24147 OLD REPUBLIC INSURANCE COMPANY 24171 NETHERLANDS INSURANCE COMPANY (THE) 24198 PEERLESS INSURANCE COMPANY 24414 GENERAL CASUALTY COMPANY OF WISCONSIN 24449 REGENT INSURANCE COMPANY 24554 WINTERTHUR INTERNATIONAL AMERICA INSURANCE COMPANY 24724 FIRST NATIONAL INSURANCE COMPANY OF AMERICA 24732 GENERAL INSURANCE COMPANY OF AMERICA 24899 SEVEN HILLS INSURANCE COMPANY 24988 SENTRY INSURANCE, A MUTUAL COMPANY 25011 WESCO INSURANCE COMPANY 25127 STATE AUTO PROPERTY AND CASUALTY INSURANCE COMPANY 25135 STATE AUTOMOBILE MUTUAL INSURANCE COMPANY 25143 STATE FARM FIRE AND CASUALTY COMPANY 25224 GREAT DIVIDE INSURANCE COMPANY 25615 CHARTER OAK FIRE INSURANCE COMPANY (THE) 25623 PHOENIX INSURANCE COMPANY (THE) 25658 TRAVELERS INDEMNITY COMPANY (THE) 25666 TRAVELERS INDEMNITY COMPANY OF AMERICA (THE) 25674 TRAVELERS INDEMNITY COMPANY OF ILLINOIS (THE) 25682 TRAVELERS INDEMNITY COMPANY OF CONNECTICUT (THE) 25780 WILLIAMSBURG NATIONAL INSURANCE COMPANY 25844 UNION INSURANCE COMPANY 25879 FIDELITY AND GUARANTY INSURANCE UNDERWRITERS, INC. 25887 UNITED STATES FIDELITY & GUARANTY COMPANY 25976 UTICA MUTUAL INSURANCE COMPANY 25984 GRAPHIC ARTS MUTUAL INSURANCE COMPANY 26042 WAUSAU UNDERWRITERS INSURANCE COMPANY 26069 WAUSAU BUSINESS INSURANCE COMPANY 26247 AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY 26263 ERIE INSURANCE COMPANY 26271 ERIE INSURANCE EXCHANGE 26301 SELECTIVE WAY INSURANCE COMPANY 26344 AGRICULTURAL INSURANCE COMPANY 26830 ERIE INSURANCE PROPERTY & CASUALTY COMPANY 26832 AMERICAN ALLIANCE INSURANCE COMPANY 26867 SOUTHERN INSURANCE COMPANY OF VIRGINIA 27073 NIPPON FIRE & MARINE INSURANCE COMPANY, LIMITED, (UNITED STATES BRANCH) 27120 TRUMBULL INSURANCE COMPANY 27529 LAUNDRY OWNERS MUTUAL LIABILITY INSURANCE ASSOCIATION 27626 FIRSTCOMP INSURANCE COMPANY 27677 STATE WORKMENS INSURANCE FUND 27847 INSURANCE COMPANY OF THE WEST 28223 NATIONWIDE AGRIBUSINESS INSURANCE COMPANY 28258 CONTINENTAL NATIONAL INDEMNITY COMPANY 28304 FEDERATED SERVICE INSURANCE COMPANY 28460 SENTRY CASUALTY COMPANY 28550 HOUSING AND REDEVELOPMENT INSURANCE EXCHANGE 28665 CINCINNATI CASUALTY COMPANY (THE) 28886 TRANSGUARD INSURANCE COMPANY OF AMERICA, INC. 29157 UNITED WISCONSIN INSURANCE COMPANY 29424 HARTFORD CASUALTY INSURANCE COMPANY 29459 TWIN CITY FIRE INSURANCE COMPANY 29599 U.S. SPECIALTY INSURANCE COMPANY 29874 NORTH AMERICAN SPECIALTY INSURANCE COMPANY 30104 HARTFORD UNDERWRITERS INSURANCE COMPANY 31232 MONUMENTAL GENERAL CASUALTY COMPANY 31325 ACADIA INSURANCE COMPANY 31348 CRUM & FORSTER INDEMNITY COMPANY 31470 NORGUARD INSURANCE COMPANY 31534 CITIZENS INSURANCE COMPANY OF AMERICA 31895 AMERICAN INTERSTATE INSURANCE COMPANY 32271 CALIFORNIA INDEMNITY INSURANCE COMPANY 32441 PENN NATIONAL SECURITY INSURANCE COMPANY 32620 NATIONAL INTERSTATE INSURANCE COMPANY 33278 FLORISTS' INSURANCE COMPANY 33588 FIRST LIBERTY INSURANCE CORPORATION 33600 LM INSURANCE CORPORATION 35246 LAURIER INDEMNITY COMPANY 35289 CONTINENTAL INSURANCE COMPANY (THE) 35386 FIDELITY AND GUARANTY INSURANCE COMPANY 35408 SIRIUS AMERICAN INSURANCE COMPANY 35505 ROCKWOOD CASUALTY INSURANCE COMPANY 35585 FLAGSHIP CITY INSURANCE COMPANY 35599 HIGHMARK CASUALTY INSURANCE COMPANY 35696 HURON INSURANCE COMPANY 36170 TRAVELERS CASUALTY COMPANY OF CONNECTICUT 36234 PREFERRED PROFESSIONAL INSURANCE COMPANY 36463 DISCOVER PROPERTY & CASUALTY INSURANCE COMPANY 36897 MANUFACTURERS ALLIANCE INSURANCE COMPANY 36927 FRONT ROYAL INSURANCE COMPANY 37257 INSURANCE CORPORATION OF HANNOVER 37478 HARTFORD INSURANCE COMPANY OF MIDWEST 37877 NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY 37885 XL SPECIALTY INSURANCE COMPANY 37893 ULICO CASUALTY COMPANY 38261 HARTFORD INSURANCE COMPANY OF THE SOUTHEAST 39306 FIDELITY AND DEPOSIT COMPANY OF MARYLAND 39845 EMPLOYERS REINSURANCE CORPORATION 39900 PENINSULA INDEMNITY COMPANY 39926 SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST 40045 STARNET INSURANCE COMPANY 40100 FIRSTLINE NATIONAL INSURANCE COMPANY 40142 AMERICAN ZURICH INSURANCE COMPANY 40177 PARAMOUNT INSURANCE COMPANY 40258 AMERICAN INTERNATIONAL SOUTH INSURANCE COMPANY 40517 ADVANTAGE WORKERS COMPENSATION INSURANCE COMPANY 40827 VIRGINIA SURETY COMPANY, INC. 41181 UNIVERSAL UNDERWRITERS INSURANCE COMPANY 41238 TRANS PACIFIC INSURANCE COMPANY 41394 BENCHMARK INSURANCE COMPANY 41424 PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY 41483 FARMINGTON CASUALTY COMPANY 42376 TECHNOLOGY INSURANCE COMPANY 42390 AMGUARD INSURANCE COMPANY 42404 LIBERTY INSURANCE CORPORATION 42552 NOVA CASUALTY COMPANY 42579 ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY 42587 DEPOSITORS INSURANCE COMPANY 42900 HARLEYSVILLE INSURANCE COMPANY OF NEW JERSEY 43575 INDEMNITY INSURANCE COMPANY OF NORTH AMERICA 43702 NORTH AMERICAN LUMBER INSURANCE COMPANY 44300 TOWER INS. CO. OF NY 44393 WEST AMERICAN INS. CO. MICHAEL HUMPHREYS,
Insurance Commissioner
[Pa.B. Doc. No. 24-1194. Filed for public inspection August 23, 2024, 9:00 a.m.]
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